[CANCER RESEARCH 53. 5470-5474. November 15. 1993] Kinetics and Mechanism of Mitomycin C Bioactivation by Xanthine Dehydrogenase under Aerobic and Hypoxie Conditions1 Daniel L. Gustafson2 and Chris A. Pritsos3 Department of Nutrition and the Cellular ami Molecular Pharmacology and Physiology Program, University of Nevada, Reno, Nevada 89557-0132 ABSTRACT These studies examined the kinetic and mechanistic parameters of mi tomycin C (MMC) bioreduction by xanthine dehydrogenase (XDH), an enzyme recently shown to be capable of MMC activation. The bioreduc tion of MMC by XDH leads to the formation of 2,7-diaminomitosene (2,7-DM) under both aerobic and hypoxic conditions, with greater 2,7-DM formation observed under hypoxic conditions. The XDH-induced forma tion of 2,7-DM is pH dependent with increasing formation as the pH is varied from 7.4 to 6.0. In this study, the kinetics of MMC bioreduction by XDH was assessed under aerobic and hypoxic conditions and at pH 7.4 and 6.0. MMC interaction with XDH was also assessed by monitoring the ability of MMC to inhibit XDH-mediated uric acid and NADH formation. The ability of xanthine to serve as reducing equivalents for MMC reduc tion was also measured. Aerobically but not hypoxically, MMC reduction by XDH followed Michaelis-Menten kinetics. Kinetic constants calculated under aerobic conditions suggested that the pH-dependent increase (pH 6.0 > pH 7.4) in MMC activation by XDH is due to an approximately 2-fold decrease in the A'm and a 2-fold increase in the \ ,„.,,, at pH 6.O. Stimulation of uric acid formation and decreases in NADH formation by XDH in the presence of MMC suggest that MMC interaction with XDH may occur at the NAD*-binding region of the enzyme. The ability of xanthine to serve as reducing equivalents for MMC conversion to 2,7-DM also supports the hypothesis that MMC reduction is occurring at the NAD* site. ditions by XDH also support the occurrence of both one- and twoeleclron reductions (11). The ability of XDH to bioreduce MMC at physiological pH (7.4) to metabolites that are stable to oxygen (11) suggests that XDH may play an important role in the bioactivation of MMC in vivo. Other studies have suggested that the ratio of XDH to XO present in a given tissue may play an important role in the degree of oxidative damage induced by MMC (15). XO is formed by the proteolytic cleavage or oxidative modification of XDH (16, 17), but MMC activation by XO is solely by a one-electron pathway (9, 11), whereas XDH-medialed bioreduc tion of MMC can be via either a one- or a two-eleclron reduction (11). Studies on the abilities of the various enzymes capable of MMC' activalion have shown pH dependence (11, 13) as well as an inabilily lo salurale the enzymes with MMC as a substrate at least lo Ihe limil of MMC solubilily in a given solution (3). This inability to salurate Ihe enzymes at MMC concentrations up to 2 HIM(3) suggests that these enzymes have a very low affinity for MMC as a substrate. The present studies look at the kinetics of MMC activation by XDH in an attempt to further elucidate the role of XDH in the bioaclivalion of MMC in vivo. These studies also look at the ability of xanthine to serve as reducing equivalents for MMC bioreduction by XDH, the consump tion of NADH, as well as examine the interaclion of MMC wilh the XDH-mediated conversion of xanthine to uric acid and NAD+ to NADH in an atlempl to investigate the mechanism of MMC bio reduction by XDH. INTRODUCTION Bioreductive activation of the naturally occurring antineoplastic antibiotic MMC4 is required for this agent to exert a toxic effect. Following bioreduction, MMC may cause toxicity either through alkylation and cross-linking of DNA (1-3), or through oxygen radical generation (4-7). The enzymes responsible for the activation of MMC have been well studied and include NADPHrcytochrome c reducÃ-ase (8-10), xanthine oxidase (9, 11), DT-diaphorase (10, 12, 13), NADH bs reducÃ-ase (14), and xanthine dehydrogenase (11). Activation of MMC by NADPH:cytochrome c reducÃ-ase,xanthine oxidase, NADH fe5 reducÃ-ase, and xanthine dehydrogenase under aerobic conditions result in the generation of oxygen radicals (4, 8, 9, 11, 14). Reductive activation by DT-diaphorase and xanthine dehydrogenase under both aerobic and hypoxic conditions results in the formation of stable MMC metaboliles (11, 13), which are also produced by NADPHxytochrome c reducÃ-ase and xanthine oxidase only in the absence of oxygen (9, 11). Reductive activation of MMC by XDH therefore appears to occur by both one- and two-eleclron reduction pathways. Increases in the formation of MMC metabolites under hypoxic con- Received 5/7/93; accepted 9/14/93. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1 This work was supported by USPHS Grant CA-43660 from the National Cancer Institute and by the Nevada Agricultural Experiment Station. - Present address: School of Pharmacy, University of Colorado Health Science Center. Denver, CO 80262. -' To whom requests for reprints should be addressed, at Department of Nutrition. Cell and Molecular Pharmacology Physiology Program, University of Nevada, Mail Stop 142, Reno, NV 89557-0132. 4 The abbreviations used are: MMC, mitomycin C; XDH, xanthine dehydrogenase; XO. xanthine oxidase; 2,7-DM, 2.7-diaminomitosene; DT-diaphorase, NAD(P)H:quinone oxidoreductasc; FAD, flavin adenine dinucleotide. MATERIALS AND METHODS Chemicals. Mitomycin C was kindly provided by Bristol-Myers Squibb Co. (Wallingford. CT). EDTA (disodium salt), 2-mercaptoethanol, NAD +, NADH (grade IV), phenylmethylsulfonyl fluoride, reactive blue 2-Scpharose, Sephadex G-200, trypsin inhibitor (from soybean), and xanthine were pur chased from Sigma Chemical Co. (St. Louis, MO). 5-Chloro-2-pyridinol was purchased from Aldrich Chemical Co. (Milwaukee, WI). All other reagents were of analytical grade. Enzyme Preparation. Xanthine dehydrogenase was partially purified from EMT6 tumors grown in athymic nude mice according to the method of Suleiman and Stevens (18) as modified for EMT6 tissue by Gustafson and Pritsos (11). Enzyme Assays. XDH activity was measured by monitoring the formation of uric acid at 293 nm and by measuring the xanlhine-dependent formation of NADH at 340 nm (16). The assay mixture contained 100 mm potassium phosphate (pH 7.8), 0.2 ITIMxanthine, and 0.4 ITIMNAD*. XDH activity is expressed as /imol uric acid formed/min. All enzyme assays were done at 25°C with the use of a Beckman DU-o4 spectrophotometer. High-Pressure Liquid Chromatography Analysis of Mitomycin C Me tabolites. High-pressure liquid chromatography analysis of mitomycin C and its metabolites was done by the method of Pan el al. (9) as modified by Siegel et al. (13). The reaction mixture contained 100 ITIMpotassium phosphate (pH 7.4 or 6.0), 0.5 ITIMNADH or 0.2 ITIMxanthine, mitomycin C, and approxi mately 40 milliunits xanthine dehydrogenase and was kept at 37°Cin a total volume of 1 ml for 45 min. 5-Chloro-2-pyridinol (10 fig/ml) was used as an internal standard. Hypoxic conditions were obtained by maintaining the reac tion mixture under nitrogen gas throughout the incubation. Measurement of NADH Consumption. NADH consumption was meas ured by high-pressure liquid chromatography as described by Jones (19). Samples were run as for the determination of MMC metabolites and MMC" consumption. 5470 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1993 American Association for Cancer Research. KINETICS OF MMC ACTIVATION BY XANTHINE Protein Determination. Total protein was determined by the method of Lowry el al. (20), using bovine serum albumin as a standard. Statistical Analysis. Statistical analysis was performed using Student's t DEHYDROOENASE A 80 A pH 6.0 A pH 7.4 70 test. The level of significance was attributed to P < 0.05. 60 I»50 RESULTS Kinetics of Mitomycin C Activation by Xanthine Dehydroge- 40 nase. A kinetic evaluation of MMC activation by XDH was done at MMC concentrations of 50, 100, 200, 400, and 500 JJ.M;under aerobic and hypoxic conditions; and at pH 7.4 and pH 6.0 (Figs. 1 and 2). Measurements of both 2,7-DM formation and MMC consumption (data not shown) were performed, and kinetic constants were calcu lated for each. MMC consumption and 2,7-DM formation under aero bic conditions as a function of MMC concentration at both pH 7.4 and £E 30 20 10 100 200 300 400 500 [mitomycin C] uM A B A pH 6.0 pH 7.4 ISO X o pH 6.0 *; 70 » pH 7.4 !E 60 if E D I" 50 .« s40 o ü 30 I 20 S Ë 10 100 B 200 300 400 [mitomycin C] uM 500 O 100 200 300 400 [mitomycin C] uM 500 Fig. 2. Kinetic analysis of MMC activation by XDH measuring (A ) 2,7-DM formation and (B) MMC consumption under hypoxic conditions and at pH 7.4 and 6.0. Points, mean of at least 3 independent determinations; bars, SE. Linear fit was assessed using least squares linear regression. (A ) r values for linear fit were: pH 7.4. 0.990; and pH 6.0, 0.956. (B) r values for linear fil were; pH 7.4, 0.987; and pH 6.0, 0.976. 250 T 200 pH 6.0 gave rise to curves that fit the equation for a rectangular hyperbola 150- AX 100 -300-200-100 (Fig. ÃŒA). Further analysis of these data, using the Hanes-Wolff plot to calculate Michaelis-Menten constants (Km and Vmax) was done for MMC activation by XDH under aerobic conditions (Table 1). MMC consumption and 2,7-DM formation were also measured under hy poxic conditions as a function of MMC concentration (Fig. 2). Under hypoxic conditions, MMC consumption and 2,7-DM formation were O 100 200 300 400 500 [mitomycinC] uM linear with respect to MMC concentrations up to 500 ¡J.M, and due to limitations on the solubility of MMC no higher concentrations were tested. NADH Consumption during MMC Reduction by XDH. NADH consumption during XDH-mediated bioreduction of MMC was meas Fig. 1. Kinetic analysis of MMC activation by XDH measuring 2.7-DM formation under aerobic conditions at pH 7.4 and 6.0. Points, mean of at least 3 independent determinations; bars, SE. A, curves plotted using the equation for a rectangular hyperbola '-¥« and "goodness of fit" assessed using actual distances. The r2 values were: pH 7.4, 0.996; and pH 6.0, 0.998. B, kinetic analysis using Hanes-Wolff plot. Linear fit was assessed using least squares linear regression and the r values obtained were: pH 7.4, 0.976; and pH 6.0, 0.998. ured under both aerobic and hypoxic conditions (Table 2). Under aerobic and hypoxic conditions, at a MMC concentration of 200 ¡JLM, NADH consumption was 129.4 ±1.4 (SE) and 32.9 ±2.1 nmol/min/ unit XDH, respectively. This gave a molar ratio of NADH consumed 5471 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1993 American Association for Cancer Research. KINETICS OF MMC ACTIVATION BY XANTHINE (3, 4, 9). NADPHxytochrome c reducÃ-ase,NADH bs reducÃ-ase,DTdiaphorase, xanthine oxidase, and XDH have all been identified as being capable of bioreducing MMC lo reaclive metabolites (7-14). The mechanisms by which these enzymes actÃ-valeMMC differ, in cluding the pH and coenzymes required for bioactivation, as well as Ihe resulling melabolites. NADPHicytochrome c reducÃ-aseand XO both actÃ-valeMMC via a one-electron reduction to generate reactive oxygen species under aerobic conditions (8, 9, 11). This one-electron reduction under hypoxic conditions leads to the formation of the metabolile 2,7-DM (9, 11). DT-diaphorase-mediated melabolism of MMC aerobically does noi give rise to oxygen radicals but does form the 2,7-DM metabolile aerobically as well as hypoxically (13), sug gesting lhat DT-diaphorase-activated MMC does noi involve a semiquinone product or intermediates unstable lo oxygen. While NADPH:cylochrome c reducÃ-ase, XO, and DT-diaphorase may be important in MMC bioactivalion, various inhibitor studies have shown thai they alone cannot account for all of Ihe bioactivation of MMC and thai other enzymes must be involved (10, 21-23). XDH has recently been shown to be capable of bioaclivating MMC, and the resulting metabolism can be by eilher a one- or a Iwo-eleclron reduclion, resulling in oxygen radical generation and 2,7-DM formation under aerobic conditions (11). Looking at the bioreduction of MMC by XDH over a range of MMC concentralions (50-500 JAM)under aerobic and hypoxic condi- Table 1 Kinetic constants of mitomycin C metabolism by xanthine dehydrogenase under aerobic conditions" K "M b v v max '" MMC consumption1'pH 7.4pH 6.0Metabolite formation''pH 7.4pH6.029916323811433.655.63.27.1 " Kinetic constants were calculated from Hanes-Wolff plots shown in Figs. 10 and 2B. h M.MMMC. ' nmol MMC consumed/min/unit XDH or 2,7-DM formed/unit XDH. '' Kinetic constants were calculated using MMC consumption as a measure of MMC metabolism. *'Kinetic constants were calculated using 2,7-DM formation as a measure of MMC metabolism. Table 2 NADH consumption during MMC metabolism by XDH under aerobic and hypoxic conditions at pH 6.0 ratio3.8 ±1.4e ±1.4 Aerobically 29.5 ±1.8NADHconsumption''129.4 32.9 ±2.1NADH:MMC HypoxicallyMMCconsumption"34.6 " nmol MMC consumed/min/unit XDH. h nmol NADH consumed/min/unit XDH. ' Mean ±SE of a! least 3 independent determinations. 1.1 to MMC consumed of 3.8 under aerobic conditions and 1.1 under hypoxic conditions. Ability of Xanthine to Serve as Reducing Equivalents for Mi tomycin C Reduction by Xanthine Dehydrogenase. The formation of 2,7-DM by XDH in the absence of NADH, but in the presence of 0.2 HIM xanthine, under both aerobic and hypoxic conditions was tested (Table 3). The formation of 2,7-DM with xanthine using 200 JU.M MMC at pH 6.0 under aerobic conditions was approximately equal to that seen with the use of NADH as reducing equivalents. However, under hypoxic conditions, xanthine-induced formation of 2,7-DM was increased only approximately 60% (relative to aerobic conditions) as opposed to the approximately 3-fold increase observed hypoxically when NADH is used. Effect of Mitomycin C on Uric Acid and NADH Formation by Xanthine Dehydrogenase. The effect of MMC on the XDH-medi- lions and at pH 6.0 and 7.4, kinetic parameters and a better under standing of the mechanisms by which XDH can bioreduce MMC by both one and two electrons were obtained. Both MMC consumption and 2,7-DM formation were monitored as measures of MMC bioreduction by XDH. Under aerobic conditions, both MMC consump tion and 2,7-DM formalion gave rise to curves that fit the equation for a rectangular hyperbola ated conversion of xanthine to uric acid and the concomitant reduction of NAD+ to NADH was assessed at MMC concentrations of 50, 100, and 200 /J.M(Fig. 3). The addition of MMC led to a dose-dependent increase in the formation of uric acid and a dose-dependent decrease in the formation of NADH. Uric acid formation was increased 1.8, 3.6, and 6.5% above control levels at 50, 100, and 200 LIMMMC, respectively. NADH formation was decreased 10.2, 13, and 16.5% at these same MMC concentrations. Further kinetic studies on the effect of 100 LIMMMC on XDH-mediated formation of NADH following the oxidation of xanthine to uric acid were performed (Fig. 4). In both the presence and absence of MMC, reduction of NAD+ to NADH followed saturation kinetics with respect to differing xanthine con centrations, with the inclusion of MMC leading to a decrease in NADH formation. Plotting the data on a Hanes-Wolff plot (Fig. 45) showed that the inhibition of NADH formation by MMC was consis tent with competitive inhibition, with the Kms for xanthine being 3.4 JAMin the absence of MMC and 7.4 /LIMin the presence of 100 JAM MMC. The Vmax was unchanged in the presence of MMC. MMC is considered lo be Ihe prototype bioreductive alkylating agent used in cancer chemotherapy. Reductive activalion of MMC is for eilher AX Table 3 2, 7-DM formation by XDH using xanthine as reducing equivalents 2,7-DM formed/unit XDH Aerobic Hypoxic 1Mean ±SE of at least 3 independent determinations. 20 T DNA alkylalion Or generalion of oxygen radicals 5.76 ±0.55° 8.80 ±0.79 acid formation formation 10-E O u 8 «*-10+ 01 Q. -20-1 DISCUSSION required DEHYDROGENASE 50 100 200 [mitomycin C] uM Fig 3 Effectof MMCon xoH-mediateduricacidand NADHformationfromxanthine. Points, mean of at least 3 independent determinations; bars, SE. 5472 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1993 American Association for Cancer Research. KINETICS A too = OF MMC ACTIVATION (-) mitomycin C •¿â€¢â€¢(+) mitomycin C nes to form the MMC hydroquinone, which upon electron rearrange ment forms 2,7-DM. 50 The combination of xanthine and NADH increases the reductive activity (Vmax) of XDH for a variety of substrates as compared to the Vmaxs obtained when these electron donors are used individually (24, 25). This suggested that xanthine and NADH donate electrons at separate sites on the enzyme (24). NADH was presumed to donate electrons to the FAD of XDH (26), and since the reaction of NADH with FAD is an obligatory two-electron reduction (27, 28), FADH2 would be the expected product. Analysis of the NADH-reduced flavin 25 40 60 80 [xanthlne] uH 20 B 2.5 T 100 in XDH showed that the FAD existed as both the flavin semiquinone (FADH ) and the flavin hydroquinone (FADH2), with the FADH predominating (29). This is consistant with the one- and two-electron (-) mitomycin C •¿ •¿ (t) mitomycin C reduction of MMC by XDH involving the reduction state of the flavin of XDH. Further evidence supporting a possible flavin site for MMC reduc tion by XDH is that if MMC reduction took place at the xanthine site, then competition between xanthine and MMC for this site would cause a decrease in the rate of formation of 2,7-DM when xanthine 2.0- 15- 1.0 was used as reducing equivalents, as compared to NADH. This was not observed experimentally under aerobic conditions (Fig. IA; Table 3). The approximately 60% increase in 2,7-DM formation under hy 0.5 poxic conditions is less than that seen with NADH (11). This suggests that the one-electron reduction of MMC by XDH is not as great when l -20 DEHYDROGENASE gests that XDH activation by MMC can take place by either a one- or a two-electron reduction. The increases in 2,7-DM formation seen under hypoxic conditions are consistent with the one-electron com ponent of activation. The stability of the one-electron metabolite of MMC (semiquinone) in the absence of oxygen allows for a second one-electron addition or disproportionation of two MMC semiquino- 75 i BY XANTHINE 20 40 60 [xanthlne] uH Fig. 4. Effect of 100 UM MMC on XDH-mediated xanthine is used as an electron donor as opposed to NADH. If FADH2 is responsible for the two-electron reduction of MMC and FADH is responsible for the one-electron reduction, the difference in the for mation of reduced flavin products (NADH favors FADH' and xan 100 conversion of NAD*to NADH thine favors FADH2) could account for the differences in 2,7-DM using varying xanthine concentrations. Points, mean of at leasl 3 independent determi nations; bars, SE. In A, curves were plotted using the equation for a rectangular hyperbola: formation hypoxically by the 2 electron donors. This is further sup ported by our findings that xanthine-reduced XDH generated more 2,7-DM (-28% increase) than NADH-reduced XDH under aerobic A*X and "goodness of fit" was assessed using actual distances. The r- values were: control, 0.975; and KHJ»J.M MMC, 0.987. B, kinetic analysis using Hanes-Wolff plot. Linear fit was assessed using least squares linear regression and the r values obtained were: control, 0.998 and 100 UM; MMC, 0.999. which is the same equation attained kinetically by a saturatable en zyme system. Hanes-Wolff plots of the curves obtained from these data allowed for calculation of the Michaelis-Menten constants Km and Vmax of MMC metabolism by XDH. Km values at pH 6.0 were approximately 2-fold smaller than those calculated for pH 7.4, while Vmax values were approximately 2-fold elevated from pH 7.4 to pH 6.0, suggesting that the increase in MMC consumption and metabolite formation seen at pH 6.0 as opposed to pH 7.4 was due to an increase in XDH affinity for MMC as well as an increase in Vmax at pH 6.O. Under hypoxic conditions, both MMC consumption and 2,7-DM formation were linear over the range of MMC concentrations used. Under these conditions, XDH was unable to be saturated by MMC over the concentration range used, therefore giving a linear relation ship between substrate concentration and reaction rate. The inability to saturate XDH under hypoxic conditions is consistent with data that have shown XO to be unsaturatable by MMC, up to 2.0 min under hypoxic conditions, when MMC-DNA adduci formation was used as a measure of drug activation (3). The ability of XDH to activate MMC to generate oxygen radicals and to form stable MMC metabolites under aerobic conditions, sug conditions. The efficiency of XDH in catalyzing the two-electron reduction of MMC was addressed by measuring the ratio of NADH consumed to MMC consumed by XDH under aerobic and hypoxic conditions. The ratio (nmol NADH consumed/nmol MMC consumed) was 3.8 under aerobic conditions and 1.1 under hypoxic conditions. Assuming that all NADH consumption is due to electron transfers to MMC (NADH consumption in the absence of MMC was negligible; data not shown), only about 25% of MMC reductions under aerobic conditions resulted in the formation of the two-electron metabolite, suggesting that roughly 75% of the reductive activity resulted in MMC semiquinone formation, which is unstable to molecular oxygen. Under hypoxic conditions, the ratio was 1.1, showing that in the absence of oxygen, the second one-electron addition to the semiquinone takes place in stead of redox cycling with molecular oxygen. The effect of MMC on XDH-mediated conversion of xanthine to uric acid suggests that the ability of MMC to act as an electron acceptor may facilitate the removal of electrons from the enzyme itself, thereby allowing for a more rapid oxidation of enzyme com ponents and a more rapid oxidation of xanthine to uric acid. The decrease in NADH formation that accompanies this increased uric acid formation and the fact that this inhibition is competitive are consistent with the suggestion that MMC is acting as an alternative electron acceptor at the flavin site within XDH. 5473 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1993 American Association for Cancer Research. KINETICS OF MMC ACTIVATION BY XANTHINE The data presented here support the idea that XDH may be an important enzyme in the bioactivation of MMC in vivo under both aerobic and hypoxic conditions. The Km for MMC as a substrate for reduction by XDH is low enough that it would be expected that cellular concentrations of MMC approach these levels. These studies also help to elucidate the mechanism by which MMC accepts elec trons from XDH. The ability of xanthine to act as an electron donor as well as increases in xanthine conversion to uric acid and decreases in NADH formation in the presence of MMC by XDH show that MMC reduction occurs at a site that interferes with the reduction of NAD+ while potentiating the oxidation of xanthine. 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Rapid reaction studies on the reduction andoxidation of chicken liver xanthine dehydrogenase by the xanthine/urate and NAD/NADH couples. J. Biol. Chem., 263: 13528-13538, 1988. 5474 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1993 American Association for Cancer Research. Kinetics and Mechanism of Mitomycin C Bioactivation by Xanthine Dehydrogenase under Aerobic and Hypoxic Conditions Daniel L. Gustafson and Chris A. Pritsos Cancer Res 1993;53:5470-5474. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/53/22/5470 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. To request permission to re-use all or part of this article, contact the AACR Publications Department at [email protected]. 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