(CANCER RESEARCH 50, 2872-2876, May 15, 1990] Activity of Quinone Alkylating Agents in Quinone-resistant Cells1 Asher Begleiter2 and Marsha K. Leith Departments of Internal Medicine [A. B., M. K. LJ and Pharmacology and Therapeutics [A. B.J, University of Manitoba, and Manitoba Institute of Cell Biology [A. B., M. K. LJ, 100 Olivia Street, Winnipeg, Manitoba R3E OV9, Canada ating activity of these agents. Studies have shown that the alkylating activity of MMC is dependent on reduction of the The role of the quinone group in the antitumor activity of quinone quinone group (2, 5-9). Similarly, AZQ was shown to produce alkylating agents, such as mitomycin C and 2,5-diaziridinyl-3,5DNA cross-links only after reduction (4, 10). bis(carboethoxyamino)-l,4-benzoquinone, is still uncertain. The quinone We have previously studied the activity of model quinone group may contribute to antitumor activity by inducing DNA strand alkylating agents in LSI78Y lymphoblasts. BM and BDM breaks through the formation of free radicals and/or by influencing the showed significantly greater potency in L5178Y cells compared alkylating activity of the quinone alkylators. The cytotoxic activity and DNA damage produced by the model quinone alkylating agents, benzo- with the nonquinone alkylating agent, AM (11, 12). The qui none agents induced both DNA strand breaks and DNA-DNA quinone mustard and benzoquinone dimustard, were compared in LSI78Y murine lymphoblasts sensitive and resistant to the model quinone anticross-links in L5178Y cells, and both their cytotoxic activity tumor agent, hydrolyzed benzoquinone mustard. The resistant cell lines, and strand break activity could be partially inhibited by the L5178Y/HBM2 and L5178Y/HBM10, have increased concentrations of protective enzyme, catalase (11-13). Studies with these model glutathione and elevated catalase, Superoxide dismutase, glutathione .Vcompounds in L5178Y cells resistant to alkylating agents also transferase, and DT-diaphorase activity. L5178Y/HBM2 and L5178Y/ indicated a significant role for DNA-DNA cross-linking in the HBM10 cells were 7.4- and 8.5-fold less sensitive to benzoquinone cytotoxic activity of BM and BDM (14). mustard and 1.7- and 4.3-fold less sensitive to benzoquinone dimustard, We have isolated and characterized LSI78Y cell lines resist respectively, compared with sensitive cells, but showed no resistance to ant to the nonalkylating quinone model compound, HBM (15). the non-quinone alkylating agent, aniline mustard. The formation of DNA double strand breaks by benzoquinone mustard was reduced by 2- and 8Resistance in these cell lines appeared to be multifactorial. fold in L5178Y/HBM2 and L5178Y/HBM10 cells, respectively, while L5178Y/HBM2 cells, which were 2.5-fold resistant to HBM, double strand break formation by benzoquinone dimustard was reduced showed reduced drug uptake, had slightly elevated levels of only in the L5178Y/HBM10 cells. The number of DNA-DNA cross Superoxide dismutase and catalase activity, a 2-fold increase in links produced by benzoquinone mustard was 3- and 6-fold lower, and intracellular glutathione, and a 3-fold increase in GST and DTthe number produced by benzoquinone dimustard was 35% and 2-fold diaphorase activity compared with L5178Y sensitive cells. lower in L5178Y/HBM2 and L5178Y/HBM10 cells, respectively, com L5178Y/HBM10 cells, which were 6-fold resistant to HBM pared with L5178Y parental cells. In contrast, cross-linking by aniline compared with sensitive cells, showed reduced drug uptake and mustard was unchanged in sensitive and resistant cells. Dicoumarol, an similar increases in Superoxide dismutase activity and glutathi inhibitor of DT-diaphorase, increased the cytotoxic activity of both one levels. However, the L5178Y/HBM10 cells also had a 3benzoquinone mustard and benzoquinone dimustard in L5178Y/HBM10 fold increase in catalase activity, an 11-fold increase in GST cells. This study provides evidence that elevated DT-diaphorase activity activity, and a 24-fold increase in DT-diaphorase activity. HBM in the resistant cells contributes to resistance to benzoquinone mustard and benzoquinone dimustard, possibly by decreasing the formation of the produced significantly reduced levels of DNA strand breaks in semiquinone intermediates of these agents. The altered reduction of the the resistant cells. quinone groups in the resistant cells may be responsible for the decreased In the present study we have examined the activity of the DNA-DNA cross-linking and lowered induction of DNA strand breaks model quinone alkylating agents, BM and BDM, in the quiby the quinone alkylating agents. These findings demonstrate that the none-resistant cell lines in order to evaluate the role of the quinone group can modulate the activity of quinone alkylating agents. quinone group in the cytotoxic activity of these agents. The study also suggests that the semiquinone intermediates of benzoqui ABSTRACT none mustard and benzoquinone dimustard may be the active alkylating species of these two agents. MATERIALS INTRODUCTION Antitumor agents such as MMC,1 AZQ, and triaziquone contain both a quinone ring and alkylating groups in their structure. It has been suggested that the quinone group may play a role in the cytotoxic activity of these agents. Reductionoxidation reactions of the quinone group may lead to the formation of oxygen free radicals which can induce DNA dam age (1), and this has been observed with MMC (2, 3) and AZQ (4). Additionally, the quinone group may influence the alkylReceived 4/26/88; revised 12/27/89. 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. 1Supported by the Medical Research Council of Canada. 2To whom requests for reprints should be addressed, at Manitoba Institute of Cell Biology, 100 Olivia Street, Winnipeg. Manitoba R3E OV9. Canada. 3The abbreviations used are: MMC, mitomycin C; AZQ, 2.5-diaziridinyl-3,6bis(carboethoxyamino)-l,4-benzoquinone: BM, benzoquinone mustard; BDM, benzoquinone dimustard; AM. aniline mustard; HBM, hydrolyzed benzoquinone mustard; GST. glutathione 5-transferase; DIO,concentration of drug reducing the surviving cell fraction to 0.1. AND METHODS Materials. Benzoquinone mustard [di(2'-chloroethyl)amino-l,4-benzoquinone), benzoquinone dimustard |2,5-bis[di(2'-chloroethyl)amino]-l,4-benzoquinone|, aniline mustard [A',A'-di(2'-chloroethyl)aniline], and hydrolyzed benzoquinone mustard (di(2'-hydroxymethyl) amino-1,4-benzoquinone] were prepared as described previously (11, 13). Fischer's medium and horse serum were obtained from Grand Island Biological Co., Grand Island, NY. ['4C)Thymidine (specific activity, 50 mCi/mmol) and ['Hjthymidine (specific activity, 50 to 80 Ci/mmol) were obtained from Du Pont-New England Nuclear, Boston. MA. Proteinase K was from E. Merck, Darmstadt, Federal Republic of Germany; tetrapropylammonium hydroxide was from Eastman Ko dak Co., Rochester, NY; polycarbonate filters (0.8 ^m and 2.0 Mâ„¢) were from Nucleopore Corp., Pleasanton, CA; and dicoumarol was from Sigma Chemical Co., St. Louis, MO. Cell Lines. The L5178Y, L5178Y/HBM2, and L5178Y/HBM10 cell lines used in this study have been described previously (15). L5178Y cells were grown in Fischer's medium containing 12% horse serum, L5178Y/HBM2 cells were grown in Fischer's medium containing 12% horse serum and 0.2 mM HBM, and L5178Y/HBM10 cells were grown in Fischer's medium containing 12% horse serum and 1.0 mM HBM. Cytotoxicity Assays. L5178Y parental or resistant cells were incu- 2872 Downloaded from cancerres.aacrjournals.org on July 28, 2017. © 1990 American Association for Cancer Research. QUINONE ALKYLATORS IN QUINONE-RESISTANT bated with different concentrations of the model antitumor agents for l h at 37°Cin medium containing horse serum. Cytotoxic activity in the parental and resistant cell lines was determined by a soft agar cloning assay, as described previously (11, 16). Cloning efficiencies ranged from 35 to 66% for L5178Y parental cells, from 51 to 90% for L5178Y/HBM2 cells, and from 37 to 80% for L5178Y/HBM10 cells. A linear regression analysis of each concentration-survival curve was obtained, and the D,0 was derived from the negative reciprocal of the regression slope as previously described (17). The degree of resistance of the L5178Y/HBM2 and L5178Y/HBM10 cells was determined from the ratio of the £>,o value in the resistant cells to the D,a in the parental cells. The cytotoxicity of each agent in the sensitive and resistant cell lines was compared statistically by a i test comparing the significance of the differences of the slopes of the concentration-survival curves. For inhibition studies with dicoumarol, L5178Y or L5178Y/HBM10 cells were pretreated with or without 100 MMdicoumarol for 15 min. L5178Y cells were then treated with either 30 nM BM or 3 MMBDM, while L5178Y/HBM10 cells were treated with either 0.5 MMBM or 10 MMBDM at 37°Cfor 1 h. Cytotoxicity was determined by clonogenic assay. The results were analyzed statistically by a two-tailed / test comparing the significance of the difference of the mean surviving cell fraction in the absence or presence of dicoumarol. The concentration of dicoumarol used in this study was not toxic to the cells. Determination of DNA Double Strand Breaks. Cells labeled with [14C]-thymidine were treated with various concentrations of HBM, BM, or BDM for l h at 37°Cin medium containing horse serum. DNA CELLS treated with 30 nM BM or 3 nM BDM in the presence or absence of 100 pM dicoumarol. Although there was a slight increase in the cytotoxicity of both BM and BDM in the presence of dicoumarol, this effect was not statistically signifi cant. The concentration of BM and BDM used in these studies produced similar levels of cell kill in LSI78Y and L5178Y/ HBM 10 cells in the absence of dicoumarol. Induction of DNA Double Strand Breaks by Quinone Model Compounds in L5178Y Sensitive and Resistant Cells. L5178Y sensitive and resistant cells were incubated with various concen trations of HBM, BM, or BDM at 37°Cfor 1 h. The number of DNA double strand breaks induced in the L5178Y, L5178Y/ HBM2, and L5178Y/HBM10 cells was determined by elution assay (Fig. 3). The induction of double strand breaks by HBM was reduced by 2-fold in L5178Y/HBM2 cells and by 30-fold in L5178Y/HBM10 cells compared with the level found in the sensitive cells, and the latter effect was statistically significant (P < 0.01). With BM, the level of DNA double strand breaks was reduced by 2-fold and 8-fold in L5178Y/HBM2 and L5178Y/HBM10 cells, respectively, compared with parental cells, and again the latter result was statistically significant. However, DNA double strand break formation by BDM was not significantly different in L5178Y and L5178Y/HBM2 cells, but was significantly reduced by only 40% to minimum detect able levels in L5178Y/HBM10 cells (P < 0.01). double strand breaks were measured using an elution assay as described Production of DNA-DNA Cross-Links by Model Alkylating previously (13, 18, 19). The level of DNA strand breaks was calculated Agents in LSI78Y Sensitive and Resistant Cells. LSI78Y sen from the elution profiles and was expressed as rad equivalents (dose of sitive and resistant cells were treated with various concentra radiation inducing an equivalent number of breaks) as determined from tions of BM, BDM, or AM at 37"C for 1 h, and the number of calibration curves. A linear regression analysis of each concentrationDNA-DNA cross-links produced in the L5178Y, L5178Y/ activity curve was obtained, and the strand-breaking activity of each agent in the sensitive and resistant cell lines was compared statistically HBM2, and L5178Y/HBM10 cells was determined by elution by a t test comparing the significance of the difference of the slopes of assay (Fig. 4). The production of cross-links by BM was reduced the concentration-activity curves. by 3-fold and 6-fold in L5178Y/HBM2 and L5178Y/HBM10 Determination of DNA-DNA Cross-Linking. Cells labeled with [14CJcells, respectively, compared with sensitive cells, while cross thymidine were treated with various concentrations of BM, BDM, or link formation by BDM was 35% and 2-fold lower in these AM for l h at 37°Cin medium containing horse serum. DNA-DNA cells, respectively, compared with L5178Y cells. These effects cross-links were measured using an elution assay as described previously were statistically significant (P< 0.01). In contrast, the number (13. 20). The level of cross-linking was calculated as described by Kohn of cross-links produced by AM in sensitive and resistant cells et al. (20). A linear regression analysis of each concentration-activity cune was obtained, and the cross-linking activity of each agent in the was not significantly different. sensitive and resistant cell lines was compared statistically by a I test comparing the significance of the difference of the slopes of the con centration-activity curves. RESULTS Cytotoxicity of Model Compounds in LSI78Y Sensitive and Resistant Cells. The cytotoxic activities of the model antitumor agents, HBM, BM. BDM, and AM, in parental L5178Y cells and in the resistant cells, L5178Y/HBM2 and L5178Y/ HBM 10, were determined by a soft agar cloning assay after treatment of cells with drug for l h at 37°C(Fig. 1). A compar ison of the D10values (Table 1) shows that the L5178Y/HBM2 and L5178Y/HBM10 cells were 2.5- and 6.2-fold resistant to HBM, 7.4- and 8.5-fold resistant to BM, and 1.7- and 4.3-fold resistant to BDM, respectively, compared with parental L5178Y cells. In contrast, the resistant cells showed no crossresistance to the nonquinone model agent, AM. Effect of Dicoumarol on the Cytotoxicity of Model Compounds in L5178Y Sensitive and Resistant Cells. L5178Y/HBM10cells were treated with 0.5 //M BM or 10 ^M BDM in the presence or absence of 100 ^M dicoumarol. The presence of dicoumarol significantly increased the cytotoxicity of both BM and BDM in L5178Y/HBM10 cells (Fig. 2), but the level of resistance to these agents was only partially reversed. L5178Y cells were DISCUSSION The quinone ring may play an important role in the cytotoxic activity of a number of antitumor agents. Reduction-oxidation reactions of the quinone group can lead to the formation of oxygen free radicals and active oxygen species (1) which may contribute to the antitumor activity (3, 21) and cardiotoxicity of the anthracyclines (22-25) and to the antitumor action of MMC (2, 3), AZQ (4), and streptonigrin (26). In addition, the quinone group may influence the alkylating activity of alkylating quiñones,such as MMC (2, 5-9) and AZQ (4, 10), which are activated by reduction of the quinone. In previous studies with model compounds we have shown that the model quinone alkylating agents, BM and BDM, show increased cytotoxicity and cross-linking activity in L5178Y lymphoblasts compared with a nonquinone alkylating agent, AM, and increased cyto toxicity and DNA double strand break formation compared with HBM (12). Additional work in alkylator-resistant cells indicated an important role for cross-linking in the cytotoxic activity of BM and BDM and suggested that the enhanced DNA strand break formation by BM and BDM may be due to the ability of these agents to generate free radicals close to their target by binding to DNA (14). We have isolated and characterized L5178Y cell lines resist- 2873 Downloaded from cancerres.aacrjournals.org on July 28, 2017. © 1990 American Association for Cancer Research. QUINONE ALKYLATORS IN QUINONE-RESISTANT CELLS Fig. 1. Concentration-survival curves for LSI78Y parental and resistant cells treated with model antitumor agents. LSI78V parental cells (•),L5178V/HBM2 cells (•).or L5178Y/ HBM10 cells (A) were incubated at 37°Cfor 1 h with HUM, BM, BDM, or AM at the concen trations shown. The surviving cell fraction was determined by a clonogenic assay as described in the text and is plotted against the concentra tion of drug used. Points, mean of 5 to 7 quad ruplicate determinations: bars. SE. On occasion, the confidence intervals are too small to be shown. io0 5 10 0 [HYDROLYZEDBENZOOUINONE MUSTARD](mm) 0.25 0.5 0 [BENZOOUINONE MUSTARD](¿IM) 20 0 10 BENZOOUINONE 15 ANILINEMUSTARD] DIMUSTARD](,uM) Table I Cytotoxic activity of model antitumor agents in 7.5778 Y sensitive and resistant cells L5178Y, L5178Y/HBM2, or L5178Y/HBM10 cells were incubated with different concentrations of the model antitumor agents at 37'C for 1 h, and the surviving cell fraction was determined by a clonogenic assay as described in the text. A linear regression analysis of each concentration-survival curve in Fig. 1 was obtained, and the D\0 (mean ±SE) was derived from the negative reciprocal of the slope of the regression line. The cytotoxic activity of each model agent in the resistant cells was compared with its cytotoxic activity in the sensitive cells by a 2-lailed t test, comparing the significance of the difference in the slopes of the linear regression lines from the concentration-survival plots. cells(0,0. agentHydrolyzed Model antitumor benzoquinone mustard Benzoquinone mustard Benzoquinone dimustard IO'5**P< Aniline mustardL5178Y 0.001. * P = not significant. M)0.56 ±0.08 X 0.19 ±0.01 x 1.83±0.09x 1.20±0.08x cells(0,0, cells(0,o,10 M)1.37±0.06x IO'3 IO'7 1.37 ±0.14 x IO'6 3.14 ±0.12 x IO'5L5178Y/HBM21.34±0.36x M)3.48 10~w IO"7" 10-M 10-'*L5178Y/HBM ±0.18 X 10-M 1.58 ±0.07 x IO-7" 7.86 ±1.31 x 10-" 1.22 ±0.18 x HBM 10 cells are 6-fold resistant to this nonalkylating quinone compared with parental cells. These cells may be resistant to HBM because of reduced induction of DNA strand breaks CONTROL resulting from decreased formation and/or increased inactivaDICOUMAROL tion of free radicals. Decreased formation of free radicals may be due to reduced drug uptake or increased drug inactivation -1 and extrusion resulting from elevated levels of glutathione and 10 GST activity (27). In addition, elevated levels of DT-diaphorase may decrease the formation of the semiquinone radical of HBM, and thus oxygen free radicals, by converting the quinone agent directly to the hydroquinone (28). DNA strand breaks may be further reduced in these cells by increased catalase and Superoxide dismutase activity and elevated glutathione that can -2 inactivate free radicals and hydrogen peroxide that are formed. 10 The present study provides evidence that the quinone group plays an important role in the cytotoxic activity of quinone alkylating agents. The quinone-resistant cell lines showed crossresistance to the quinone alkylating agents, BM and BDM, but not to the nonquinone alkylating agent, AM. Since the L5178Y/HBM2 and L5178Y/HBM10 cells did not demon -3 strate any resistance to AM despite having elevated concentra 10 tions of glutathione and GST activity, it would appear that this BENZOQUINONE BENZOOUINONE DIMUSTARD MUSTARD detoxification mechanism did not play a major role in resistance Fig. 2. Effect of dicoumarol on cytotoxic activity of BM and BDM in L5I78Y'/ to alkylating agents in these cells. HBM10 cells. L5178Y/HBM10 cells were preincubated with or without 100 Õ/M Resistance mechanisms which can reduce the formation of dicoumarol for 15 min at 37'C and then were incubated with either 0.5 ii\t BM free radicals or inactivate these reactive species may contribute or 10 iim BDM for 1 h. The surviving cell fractions were determined by a clonogenic assay as described in the text and represent the mean of 4 to 11 to the resistance to BM and BDM. These include decreased determinations. Bars, SE. For each quinone agent the results were evaluated drug uptake; elevated GST, catalase, and Superoxide dismutase statistically by 2-tailed r tests comparing the significance of the differences of the means of cells treated with or without dicoumarol. activity; and increased levels of glutathione. This suggestion was supported by the finding that the formation of DNA double ant to the model quinone antitumor agent, HBM (15). The strand breaks by BM and BDM was reduced in L5178Y/ HBM 10 cells. However, the induction of double strand breaks cytotoxic activity of HBM appears to be due to the formation of free radical-generated DNA strand breaks (11, 13). L5178Y/ by these agents is not significantly reduced in L5I78Y/HBM2 HBM2 cells are 2.5-fold resistant to HBM. while L5178Y/ cells, and the reduced formation of double strand breaks did 2874 Downloaded from cancerres.aacrjournals.org on July 28, 2017. © 1990 American Association for Cancer Research. QUINONE ALKYLATORS IN QUINONE-RESISTANT CELLS 2000 Fig. 3. DNA double strand breaks induced in L5178Y parental and resistant cells by model quinone agents. L5178Y (•).LSI78V/ HBM2 (•).or L5178Y/HBM10 (A) cells were incubated at 37°Cfor l h with the concentra tions of HBM, BM, or BDM shown and were assayed for DNA double strand breaks using elution assays as described in the text. Double strand breaks are presented as rad equivalents (dose of radiation producing an equivalent number of breaks) and represent the mean of 3 to 11 determinations. Bars, SE. For each quinone agent, the results were evaluated sta tistically by ( tests comparing the significance of the differences of the slopes of the concen tration-activity curves in the resistant cells to the slope in the parental cells. 1500 1000 500 2 4 0 4 75 [HYDROLYZED BENZOQUINONE [BENZOQUINONE [BENZOQUINONE MUSTARD] (mM) MUSTARD] (¡M) DIMUSTARD] (/4I) 150 600 Fig. 4. DNA-DNA cross-linking produced by model alkylating agents in L5178Y parental and resistant cells. L5178Y (•).L5178Y/ HBM2 (•).or L5178Y/HBM10 (A) cells were incubated at 37°Cfor l h with the concentra tions of BM, BDM. or AM shown and were assayed for DNA-DNA cross-linking using elution assays as described in the text. The level of cross-linking is presented as rad equiv alents and represents the mean of 3 to 7 deter minations. Bars, SE. For each alkylating agent, the results were evaluated statistically by t tests comparing the significance of the differences of the slopes of the concentration-activity curves in the resistant cells to the slope in the parental cells. 400 a: o ì 200 O 100 200 [ANILINE MUSTARD] (jM) not correspond closely with the reduced sensitivity of the cells to the antitumor agents. Thus, other mechanisms must also contribute to resistance to BM and BDM in these cells. There was a significant decrease in the production of DNADNA cross-links by BM and BDM in the L5178Y/HBM2 and L5178Y/HBM10 cells, but cross-linking by AM was unchanged in these cells compared with parental LSI78Y cells. This find ing suggests that the decreased alkylating activity of the quinone agents was not due to a direct effect on the nitrogen mustard alkylating group. It has been shown previously that reduction of the quinone group is required to activate the alkylating activity of bioreductive alkylating agents, such as MMC and AZQ (2, 8-10). In a similar manner, reduction of the quinone group may enhance the cross-linking activity of BM and BDM. Thus, mechanisms of resistance effecting reduction of the qui none group may be responsible for the reduced cross-linking observed in the L5178Y/HBM2 and L5178Y/HBM10 cells. However, cytochrome P-450 reducÃ-ase activity, which is re sponsible for the one electron reduction of quinone groups (29), was unchanged in the resistant cells (15). In contrast, DTdiaphorase activity, which produces a two electron reduction of the quinone directly to the hydroquinone (28), was 3- and 24- O 0.1 0.2 [BENZOQUINONE MUSTARD](pU) 0.3 O 20 40 [BENZOQUINONE DIMUSTARD] (jM) fold elevated in L5178Y/HBM2 and L5178Y/HBM10 cells ( 15), respectively, compared with parental cells. The importance of DT-diaphorase in the mechanisms of resistance to the model quinone agents in these cells was further supported by the ability of dicoumarol, an inhibitor of DT-diaphorase activity, to increase the cytotoxic activity of BM and BDM in the resistant cells. The elevated DT-diaphorase activity in the re sistant cells may result in increased reduction of BM and BDM directly to their hydroquinone forms without formation of semiquinone intermediates. These findings suggest that the semiquinone intermediates, obtained by one electron reduction of BM and BDM, may be responsible for the cytotoxic activity of these antitumor agents. If semiquinones are the active alkyl ating species of BM and BDM and are responsible for the production of the DNA strand breaks by induction of oxygen free radicals, then elevated levels of DT-diaphorase activity in the resistant cell lines could decrease the formation of the semiquinones and could, at least in part, account for the reduced levels of cross-linking, double strand break formation, and cytotoxicity of the quinone alkylating agents in these cells. These findings contrast with results obtained with other quinone alkylating agents. We have found that MMC produced 2875 Downloaded from cancerres.aacrjournals.org on July 28, 2017. © 1990 American Association for Cancer Research. QUINONE ALKYLATORS IN QUINONE-RESISTANT increased cytotoxicity and DNA cross-linking in L5178Y/ HBM10 cells compared with parental L5178Y cells. Both of these activities in L5178Y/HBM10 cells were decreased by the addition of dicoumarol (30). Similarly, Siegel et al. (31) have shown that AZQ was more cytotoxic to HT-29 human colon carcinoma cells compared with BE human colon carcinoma cells in vitro. HT-29 cells have approximately 140-fold greater DT-diaphorase activity than do BE cells. Dicoumarol protected against AZQ cytotoxicity in HT-29 cells but not in BE cells. Thus, in contrast to BM and BDM, the hydroquinones of MMC and AZQ, resulting from two electron reduction of the quinone groups catalyzed by DT-diaphorase, may contribute to the alkylating and cytotoxic activity of MMC and AZQ. In summary, we have shown that L5178Y lymphoblasts resistant to the model quinone antitumor agent, HBM, are cross-resistant to the quinone alkylating agents, BM and BDM, but not to the nonquinone alkylating agent, AM. Elevated levels of DT-diaphorase activity in the resistant cells contribute to resistance to BM and BDM, possibly by decreasing the forma tion of the semiquinone intermediates of these agents. The altered reduction of the quinone group may result in decreased DNA-DNA cross-linking and lowered induction of DNA strand breaks. Thus, the quinone group can modulate the activity of quinone alkylating agents. These studies also suggest that the semiquinone intermediates of BM and BDM may be the active alkylating species of these two agents. ACKNOWLEDGMENTS The authors thank Agnes Warkentin for typing the manuscript. REFERENCES 1. Bachur, N. R., Gordon, S. L.. and Gee, M. V. A general mechanism for microsomal activation of quinone anticancer agents to free radicals. 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