[CANCER RESEARCH 46, 4032-4040, August 1986] Mitomycin-induced Chromatid Breaks in HeLa Cells: A Consequence of Incomplete DNA Replication1 Marguerite A. Sognier2 and Walter N. Hittelman3 Department of Chemotherapy Research, the university of Texas M. D. Anderson Hospital and Tumor Institute at Houston, and the University of Texas Graduate School of BiomédicalSciences, Houston Texas 77030 ABSTRACT The formation of chromosome aberrations induced by alkylating agents such as mitomycin C has been shown to require the passage of the treated cell through S phase. However, the exact mechanisms by which mitomycin C-induced DNA lesions are translated into chromosome aberra tions during S phase are not known. The purpose of these studies was to better understand the molecular basis of chromosome aberration forma tion after mitomycin C treatment. The morphology of metaphases of cells treated in <., phase with mitomycin C resembled that of prematurely condensed chromosomes of S-phase cells. Consequently we postulated that chromosome aberrations resulted from cells reaching mitosis without completing DNA replication. This was tested by treating HeLa cells in <., phase with mitomycin C and then analyzing these cells at mitosis for residual DNA damage and DNA content. Utilizing the DNA alkaline elution assay for DNA damage, we showed that HeLa cells progress through S phase into mitosis with intact DNA-DNA interstrand cross links. These cross-links, originally induced into parental DNA, were associated equally with parental and newly replicated DNA at the time the cells reached mitosis. This suggests that recombinational events had taken place during the DNA replication process. Cells that were treated in G i phase and allowed to proceed to mitosis in the presence of bromodeoxyuridine to density label newly replicated DNA were analyzed with cesium chloride density sedimentation. Unreplicated DNA was present in the mitotic cells of the treated populations but not in the untreated control cells. Further, flow cytometric measurements, made under hypotonie conditions in order to reduce chromatin condensation effects, demonstrated that the mitotic cells from the mitomycin C-treated populations contained 10-20% less DNA than untreated mitotic controls. These results indicate that chromosome breaks induced by mitomycin C are the result of cells reaching mitosis without having fully completed DNA replication. INTRODUCTION Many chemical and physical agents used in the treatment of malignancy are known to produce DNA lesions that ultimately result in chromosome aberrations (1). While the existence of chromosome aberrations has been recognized since Muller's first description in 1927 (2), little is known about how specific types of DNA lesions are translated into aberrations at the chromosomal level (for reviews, see Refs. 3 to 5). The purpose of the studies reported here was to gain a better understanding of how DNA damage induced by MMC4 might cause the formation of one type of chromosome aberration, e.g., the chromatid break. Mitomycin C, a therapeutic drug used in the treatment of Received 2/24/86; revised 4/21/86; accepted 4/22/86. 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 in part by Grants CA-27931 and CA-39534 from the National Cancer Institute, NIH. 1 Present address: Colorado State University, Department of Radiology and Radiation Biology. Fort Collins, CO 80523, and the Eleanor Roosevelt Institute for Cancer Research, 4200 E. 9th Ave.. Denver, CO 80262. 3 To whom requests for reprints should be addressed. 4 The abbreviations used are: MMC, mitomycin C; BrdUrd, bromodeoxyuri dine: dThd, thymidine; HH, heavy-heavy; HL, heavy-light; LL, light-light; PCC, prematurely condensed chromosomes. malignancy, covalently binds to the DNA of cells and produces both monoadducts and DNA-DNA and DNA-protein cross links, most likely involving the O6 position of guanine (6). MMC-induced damage results in a reduction in the rate of DNA replication and a dose-dependent delay in cell cycle progression (7, 8). At the chromosome level, MMC is thought to produce chromosome aberrations by means of an S-phase dependent mechanism; i.e., chromosome aberrations are not observed unless the treated cell has undergone replicative DNA synthesis following the induction of DNA damage (9). When the treated cells eventually reach mitosis, chromatid-type breaks and exchanges are observed (10). The chromatid breaks after MMC treatment are noteworthy in that the deleted regions can be quite lengthy in appearance, suggesting that a portion of the genome might be missing. Similarly, highly damaged metaphase spreads closely resemble S-phase cells which have been induced into premature chro mosome condensation. These observations led to the hypothesis that cells containing MMC-induced damage can eventually attain mitosis without having fully replicated their DNA. Some chromosome breaks would therefore be the result of unreplicated chromosome regions. If this hypothesis holds, the cells that reach mitosis after MMC treatment should exhibit several distinct characteristics. (a) The damaged mitotic cells should still contain MMCinduced DNA lesions, (b) These cells should contain a portion of their DNA in an unreplicated form, (c) The treated cells should exhibit a diminished DNA content upon reaching mi tosis. In this paper we have tested and confirmed these predic tions using a variety of techniques including DNA alkaline elution (to detect residual DNA-DNA and DNA-protein cross links), CsCl density sedimentation (to detect unreplicated DNA), and flow cytometry (to detect mitotic cells with dimin ished DNA content). Thus, it is likely that MMC-induced chromatid breaks are a consequence of incomplete DNA repli cation caused by the presence of residual MMC-induced DNA lesions. MATERIALS AND METHODS Cell Culture, Cell Synchronization, and Drug Dilution. HeLa cells were grown as monolayer cultures on Lux 150-mm dishes in Hsu's modified McCoy's Medium 5A (GIBCO, Grand Island, NY) supple mented with 10% fetal calf serum (K C Biological, Lenexa, KS), 3 mM L-glutamine (GIBCO), penicillin (100 ^g/ml) (GIBCO), streptomycin (100 ^g/ml) (GIBCO), and 0.1 mM CaCl2 (MCB, Norwood, OH). Cultures were maintained at 37°Cin a humidified 5% CO2 incubator. The cells were subcultured with 0.125% trypsin (GIBCO). The proce dures for obtaining HeLa mitotic cells were described previously (11). Briefly, exponentially growing cells were treated with 2.5 mM dThd for 22-24 h, released from the dThd block, and then accumulated in mitosis in the presence of 90 psi nitrous oxide. After selective detachment of mitotic cells, this procedure routinely yielded populations with a mitotic index of at least 95%. Upon release from nitrous oxide (N2O), the cells completed mitosis and entered <., phase in a synchronous wave. MMC (Mutamycin, Bristol Laboratories, Syracuse, NY) was dis solved just before use in sterile distilled water to a 100-¿ig/mlstock solution and then diluted in McCoy's Medium 5A with 1% fetal calf serum to a final concentration of 1 4032 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1986 American Association for Cancer Research. MITOMYCIN-INDUCED CHROMATID Experimental Protocol. The general experimental protocol was iden tical for every type of study described in this paper. HeLa cells were synchronized to mitosis and selectively detached, and 4 x 106cells were plated per 150-mm Petri dish. The cells were allowed to divide, attach to the dishes, and progress into GI phase. Five h after plating, the Gì cells (labeling index, <1%) were treated with MMC (1 jig/ml) for 1 h, rinsed 3 times with medium, and reincubated in fresh McCoy's medium with 10% fetal calf serum. After 18 h, the old medium containing floating cells was removed, and fresh medium was added. Cells were then accumulated in mitosis in the presence of N2O, and mitotic cells were selectively detached for analysis after appropriate time intervals. For the alkaline elution and CsCI analyses, the cells were radioactively labeled with [I4C]dThd (0.02 MCi/ml) (40-60 Ci/mivi) for two full cell cycles prior to the first synchronization. For the studies concerning damage to newly replicated DNA, [MC]dThd was added to the cultures after MMC treatment. The procedure for alkaline elution has been previously described (12). For the CsCI assays of unreplicated DNA, BrdUrd (20 Mg/ml) was added after MMC treatment. Neutral Cesium Chloride Density Centrifugation. After drug treatment and cell cycle progression, mitotic cells were accumulated in N2O, selectively detached, centrifuged, and resuspended in Tris buffer (0.15 M NaCl:0.01 M EDTA:0.01 M Tris, pH 8.1) to a concentration of IO6/ BREAKS h with MMC, and then allowed to progress to mitosis, chromatid breaks, gaps, and exchanges were observed in metaphase preparations that were not seen in the untreated controls (Fig. I, A and B). Ninety % of the total aberrations at this dose were chromatid breaks, many of which appeared to be the result of unusually long chromatid deletions, as well as displaced breaks. At this high dose of MMC (1 ^g/rnl), many cells in the treated population are not capable of achieving mitosis and thus remain in interphase for many hours. To visualize the chromosomes in these drug-delayed interphase populations, cells were treated in G, phase for 1 h with MMC, reincubated in drug-free medium for 70 h, and then fused with mitotic cells to induce premature chromosome condensation. In control populations, G, cells yield PCC with a single chromatid per chromosome, while Ga cells yield PCC with two chromatids per chromosome. The PCC of S phase appear pulverized. Nevertheless, both single (unreplicated) and double (replicated) chromosome segments can be observed, with those portions of the genome actively undergoing replication appearing diffuse (Fig. 1C) (17, 18). The PCC of the MMC-treated cells resem bled "normal" S-phase PCC in the sense that both single and ml. Cells were lysed by addition of Sarkosyl to 0.1 %, incubated for 30 min at 60°Cwith RNase A (80 jig/ml) (Millipore Corporation, Free hold, NJ), and then incubated for 1 h at 60°Cwith Pronase CB (0.5 mg/ml) (Calbiochem-Behring Company). The cell lysate was mixed with an equal volume of Sevag [chloroform:isoamyl alcohol (24:1, v/ v)] at 4°C.After centrifugation, the aqueous phase was removed, and double segments were present. However, the morphology of these PCC was distinct in that little diffuseness was present, and condensed single chromatid elements were directly joined to condensed double chromatid regions (Fig. 1D). Pulse label ing studies indicated that DNA synthesis was dramatically reduced in these cells (data not shown). the Sevag procedure was repeated until the interface between the sample The fact that the chromosome preparations of the mitotic and Sevag was clear. The DNA was then precipitated with 2 volumes of 95% ethanol at 0°Cand collected by a 20-min centrifugation at 4°C cells and the PCC were of similar morphology after MMC and 10,000 rpm. The DNA was resuspended in 0.15 M NaCl:0.015 M treatment raised the possibility that residual MMC-induced Na3C6H5O7 (1:100) and used in the preparation of the neutral CsCI lesions in the DNA blocked the completion of DNA synthesis, density gradients as previously described (13). Individual gradient frac and yet the cells continued to prepare for mitosis and eventually tions were mixed with 1 ml of water and 10 ml of Scintiverse II (Fisher condensed their chromatin and entered mitosis. For this pos Scientific, Houston, TX), and radioactivity was measured with a Pack sibility to hold, one would expect to find residual MMC-induced ard Model 2650 liquid scintillation spectrometer. lesions in the mitotic populations of treated cells as well as Flow Cytometry Analysis. Samples of mitotic cells designated for indications of incomplete DNA replication. The subsequent flow cytometric DNA content analysis were washed in physiological experiments were designed to test these expectations. saline and then exposed to either hypotonie 0.075 M KCl or physiolog Residual DNA Damage in MMC-treated Cells at Mitosis. The ical saline for 25 min in the presence of Colcemid (0.05 Mg/ml). DNA alkaline elution technique (19) was utilized to measure Following centrifugation (3 min at 150 g), the cell pellets were resus pended by mixing on a vortex, fixed in suspension with 70% ethanol the amount of DNA damage in the HeLa cells after MMC (4°C),and stored at 4°Cuntil analysis. treatment. With this technique, radioactively labeled cells are For DNA fluorochrome staining, 2 x IO6 cells were resuspended in lysed directly onto filters, and DNA is eluted from the filter in Dulbecco's phosphate-buffered saline containing 1 mM MgCl2 and the presence of an alkaline solution, pH 12.1. Under these centrifuged, 1 ml of 0.5% pepsin (Accurate Chemicals, Hicksville, NY) conditions, the DNA strands unwind and pass through the filter was added, and the solution was held for 4 min at room tremperature. in the order of increasing strand length. The presence of single Digestion was stopped by the addition of 2.5 ml of cold Tris buffer (0.1 or double strand breaks or alkaline labile sites causes more M Tris base:0.1 M NaCl:0.84 M HCl, pH 7.4). After centrifugation the cell suspension was resuspended in 1.5 ml of ethidium bromide (25 #<g/ DNA to elute. On the other hand, DNA-DNA or DNA-protein ml) (Sigma Chemical Co., St. Louis, MO) for IO min, followed by the cross-linking (making DNA strands effectively larger) masks addition of 1.5 ml of mithramycin (50 ^g/ml) (Worthington Biochem strand breakage and retards elution. ical Corporation, Freehold, NJ) containing 30 mM MgCl2. Immediately To determine the degree of MMC-induced DNA damage before analysis each sample received 3 drops of 1% RNase (Worthing present immediately after treatment, prelabeled G, HeLa cells ton) and was filtered through a 65-Mm nylon mesh. The integral DNA were treated with MMC (l ßg/ml)for 1 h and then immediately fluorescence emission per cell was measured with an ICP-11 Phywe analyzed by DNA alkaline elution. As shown in Fig. 2, 90 and instrument interfaced to a Nuclear Data 256 channel pulse height analyzer equipped with an HP-26 48A terminal and tape storage device 92.5% of the radioactivity were retained on the filter after elution for the control and MMC-treated populations, respec (14, 15). Cell Fusion. The procedure for cell fusion has previously been de tively. Thus few strand breaks or alkaline labile sites were scribed in detail (16). Briefly, mitotic HeLa cells (mitotic index >95%) apparent immediately after treatment. However, irradiation of were fused with an equal number of MMC-treated HeLa cells using the samples on ice just prior to elution demonstrated a de UV, inactivated Sendai virus. After fusion, the cells were exposed to creased rate of elution in the MMC-treated cells compared to hypotonie, fixed in methanol:glacial acetic acid (3:1, v/v) dropped on controls. This suggests that DNA-DNA and DNA-protein clean, wet slides, and stained with Giemsa. cross-links were present in the MMC-treated cells. To distin guish between DNA-DNA and DNA-protein cross-links, the RESULTS lysed cells were treated with proteinase K prior to elution to release the DNA-protein cross-links. The fact that proteinase Visualization of Chromosome Damage after MMC Treatment. When HeLa cells were synchronized in G, phase, treated for 1 K treatment resulted in only a slight increase in DNA elution 4033 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1986 American Association for Cancer Research. MITOMYCIN INDUCED CHROMATID BREAKS ** » 4 ^ ^> n *T, -. • .' » ;..'•-^.' -••C*' v -••' '-. /. '• V -• > • N" •-- . • • Fig. I. Chromosome morphology of mitomycin C-treated cells. Synchronized HeLa cells were treated in G, phase with or without MMC for 1 h, washed free of drug, and reincubated in drug-free medium to allow cell cycle progression. A, mitotic figure of untreated control; fi, mitotic figure of MMC-treated cell demonstrating chromosome damage with many apparent large chromatid deletions (arrows); C, S-phase PCC of an untreated control cell; D, S-phase PCC of MMC-treated cell blocked in S phase demonstrating continuity of single and double chromatid regions (arrows), x ISOO. (7 and 10% for the control and MMC treatment, respectively) suggests that most of the cross-links induced by MMC are DNA-DNA rather than DNA-protein cross-links. To determine whether cells treated in d phase could enter mitosis despite residual DNA damage, prelabeled HeLa cells were treated in G, phase with MMC and allowed to progress to mitosis, and then mitotic cells were selectively detached and analyzed by alkaline elution. As shown in Fig. 3-4, the MMCtreated cells exhibited a slight decrease in DNA retention compared to the controls (O versus •,respectively). This sug gested the presence of DNA strand breaks or alkaline-labile sites in the MMC-treated cells. When the two populations were irradiated on ice just prior to elution to allow the detection of residual cross-links, the parental DNA of the MMC-treated cells still exhibited increased DNA retention on the filters compared to the controls, suggesting the presence of residual cross-links in the MMC-treated cells that attained mitosis (Fig. 3A, A versus A, respectively). Proteinase K digestion prior to elution indicated that the cross-links remaining in the treated cells at mitosis were DNA-DNA interstrand type. It is not understood how the treated cell might replicate past cross-linked DNA, but it is feasible that the DNA synthesized by the cells after MMC might contain breaks in the regions of residual cross-links in the parental DNA. To test this, the parental DNA was prelabeled prior to MMC treatment in GÃŒ phase with [14C]dThd, and then the cells were incubated in [3H]dThd during the S phase after MMC treatment to label the newly replicated DNA. As before, cells that accumulated at mitosis were selectively detached and analyzed by DNA alkaline elution. Surprisingly, the elution rate of 3H-labeled DNA syn thesized after the MMC treatment was equally retarded as that of the parental DNA (Fig. 3B). This suggests that DNA syn thesized after MMC treatment also contained DNA-DNA cross-links. That DNA-DNA interstrand cross-links that were present in equivalent amounts in the parental and newly replicated DNA after MMC treatment might be a consequence of one of three mechanisms, (a) The conditions used for liquid scintillation counting or double radioactive labeling might have produced an artifact, (b) The formation of MMC-induced cross-links might occur by a two-step mechanism over a period of hours similar to that described for ci's-platinum (20), nitrosoureas (21), and melphalan (22). (c) A recombinational mechanism might be involved during replication past cross-links (see "Dis cussion"). The first mechanism was tested by not prelabeling the paren- 4034 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1986 American Association for Cancer Research. MITOMYCIN-INDUCED tal DNA but labeling only the newly replicated DNA after MMC treatment. The elution profiles of these cells after proteinase K digestion were very similar to those seen in the double label experiments (data not shown). This result indicates that the double radioisotope labeling procedure was not interfering with the assay. The second possible explanation involves a time-dependent mechanism for cross-link production. If interstrand cross-links were formed in two discrete steps over a period of time, the 1 00 _ z LU z Q LU O oc LU FRACTION NUMBER Fig. 2. DNA alkaline elution analysis of control and treated Gt HeLa cells immediately after MMC treatment. O, untreated control; •.MMC-treated pop ulation: A, MMC-treated cells irradiated on ice just prior to elution to reveal the presence of DNA cross-links: Q, MMC-treated cells irradiated on ice and treated with proteinase K prior to elution to release DNA-protein cross-links; A. untreated control irradiated on ice just prior to elution: •.untreated control irradiated on ice and treated with proteinase K just prior to elution. 80 CHROMATID BREAKS maximum cross-link levels produced would not be observed immediately after MMC treatment but at some later time (i.e., 6-17 h after drug treatment). Thus if the first step of cross-link formation occurred in G, phase while the second step occurred after some DNA replication had occurred, it would be possible for newly replicated DNA to be involved in cross-links. To determine whether MMC forms cross-links by a similar mech anism, the parental DNA was prelabeled with [l4C]dThd, and the cells were treated with MMC as before in G, phase. Treated and control populations were harvested for alkaline elution analysis at 0, 6, and 15 h after MMC treatment. To allow detection of cross-links, the cells were irradiated on ice with 400 rads of 7-rays just prior to elution. As shown in Fig. 44, fewer cross-links were present in the MMC-treated cells 6 h after treatment compared to that observed immediately after treatment as evidenced by a decreased DNA retention (D versus A, respectively). The decrease in retention for the MMC-treated cells was not due to the initiation of DNA synthesis because increased elution kinetics was not observed in the unirradiated control samples (data not shown), and the number of nicks produced by the irradiation is large compared to the number of nicks associated with DNA replication. Thus the drop in filter retention reflected repair of DNA-DNA cross-links. Similarly, the degree of cross-linking evident in the parental DNA was also decreased at 15 h posttreatment when compared to that observed immediately after treatment (Fig. 4Ä).Since the max imum cross-link levels were observed immediately after MMC treatment, these results suggest that a delayed two-step mech anism for cross-linked formation could not explain the finding that cross-links become associated with DNA synthesized after MMC treatment. Demonstration of Unreplicated DNA in Mitotic Cells after MMC Treatment. The cytological observations described earlier suggested that some MMC-treated cells might enter mitosis without completing DNA replication. If so, the cells reaching mitosis would be expected to contain some unreplicated DNA. This was tested by prelabeling cells with [3H]dThd for two cell generations, synchronizing to GÃŒphase, and treating with MMC as before. After drug treatment, the cells were reincubated in medium containing BrdUrd to density-label the newly replicated DNA. After appropriate periods of time, the cells attaining mitosis were accumulated in N2O, selectively detached (mitotic index, >95%), and the DNA was isolated and subjected to neutral CsCl density gradient analysis. In this assay, BrdUrd- _ Z O 80 Fig. 3. DNA alkaline elution analysis of cells treated in G, with or without MMC and selectively detached at mitosis. A, parental DNA labeled prior to MMC treatment: B. daughter DNA labeled after MMC treatment and prior to selection of cells at mitosis. •, untreated control O, MMC-treated cells; A, MMC-trealed cells irradiated on ice just prior to DNA elution: A, untreated control cells irradiated on ice prior to DNA elution. 468 246 FRACTION NUMBER FRACTION NUMBER 4035 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1986 American Association for Cancer Research. MITOMYCIN-INDUCED 100 1 1 1 CHROMATID 1 1 1 BREAKS T Fig. 4. Alkaline elution analysis of cell pop ulations al various times after MMC treatment in Gìphase compared to that found immedi ately after MMC treatment. A, 0 and 6 h postMMC treatment; B, 0 and 15 h post-MMC treatment. •.untreated controls immediately after sham MMC treatment: O, untreated con trols at 6 or 15 h after sham treatment; A. MMC-treated cells immediately after treat ment; D, MMC-lreated cells at 6 or 15 h after treatment. All populations were irradiated on ice just prior to DNA elution. 20 _ 2 4 6 FRACTION I 2461 NUMBER containing replicated DNA can be separated from unreplicated DNA on the basis of density. As shown in Fig. 5A, the untreated control mitotic prepara tions yielded one major DNA peak present at a density of 1.75 g/cm\ typical of DNA replicated once in the presence of BrdUrd. By weight, the LL region of the control comprised 3.8% of the gradient compared to 85.8% in the HL region. In contrast, DNA from the MMC-treated populations selected at mitosis contained two distinct peaks, with 18.5% of the gradient in the LL peak (1.71 g/cm3) and 67.8% in the HL peak (1.75 g/cm1) (Fig. 5B). In a repeat experiment, approximately 15% of the gradient of the MMC-treated sample was found in the LL region, typical of unreplicated DNA. Since the mitotic indices of the analyzed populations were all greater than 95%, these results suggest that the MMC-treated populations are reaching mitosis with some unreplicated DNA. Detection of Decreased DNA Content in Mitotic Cells after MMC Treatment. The preceding experiments showed that cells that enter mitosis after MMC treatment still contain detectable DNA-DNA interstrand cross-links and some unreplicated DNA. If chromosome breaks were a consequence of the cell's inability to complete DNA replication past the residual DNA damage, one would also expect these drug-treated cells to have a deficiency in DNA content at mitosis. To test this, the DNA contents of control and MMC-treated populations selected at mitosis were determined by flow cytometry using ethidium bromide and mithramycin as the fluorescent dyes (23, 24). Since some drugs have been shown to interfere with mithra mycin staining (25), and since the presence of interstrand cross links could conceivably diminish the binding of the intercalating dye ethidium bromide, it was first necessary to ensure that MMC treatment alone would not affect the DNA content measurements. To test this, HeLa mitotic cells were treated with up to 100 fig of MMC per ml for l h in the presence of Colcemid, and then the cells were analyzed for DNA content. No difference in the measured DNA content due to MMC treatment was observed (data not shown). Similar results were also obtained in MMC-treated mitotic cells exposed to a hy potonie solution (0.075 M KC1) for 25 min prior to fixation. Thus, the presence of even high levels of DNA-DNA cross links does not interfere with the accurate determination of DNA content. FRACTION NUMBER ü A.• >-• r 3 o at o T3 ça Å’ 0 10 20 Fraction 20 Fraction 30 Number 30 40 40 Number Fig. 5. Cesium chloride analysis of mitotic populations of cells treated in G, with or without MMC. washed free of drug, reincubated in medium containing BrdUrd to density label newly replicated daughter DNA, and selectively detached at mitosis. A, untreated controls: B, MMC-treated population. Note the presence of a significant light-light peak in the MMC-treated population demonstrating the presence of unreplicated and/or recombined DNA. 4036 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1986 American Association for Cancer Research. MITOMYCIN-INDUCED CHROMATID BREAKS II II III io|-B 10 -A Control Fig. 6. Flow cytophotometrie analysis of mitotic HeLa cell populations treated in d with or without MMC, allowed to progress to mitosis, and selectively detached. I. untreated controls and MMC-treated populations with out hypotonie pretreatment of populations; B, untreated controls and MMC-treated popula tions with hypotonie pretreatment to eliminate dye-uptake artifacts due to differences in chromatin structure. Internal control lymphocyte populations were placed at channel 17, and 510 X IO3cells were counted for each measure ment. Control 8 8 6 6 o I I I I I I I o 4 2 0 10 MMC = 8 0) O E s Z O 10 8 MMC 0) U c 6 ILA A ! ! I ! .!. I. I I I I I I I I 16 32 48 64 80 96 112 Channel To determine whether cells treated in G¡could come to mitosis with a deficiency in DNA content, HeLa cells were treated in G! with MMC, selectively detached at mitosis as described above. The cells were then analyzed by flow cytometry using human peripheral blood lymphocytes as an internal DNA content marker. The DNA content measurements for the con trol (mitotic index, 95%) and MMC-treated (mitotic index, 96%) cell populations are shown in Fig. 6A. While it was expected that the drug-treated cells would exhibit less fluores cence than the controls due to a diminished DNA content, just the opposite was observed (modal peak channel numbers of 52 and 50 for the MMC-treated and control populations, respec tively). These results suggested that either the MMC-treated cells reached mitosis with an increased DNA content or that the chromatin of MMC-treated cells was more open, allowing increased dye binding. The latter notion is possible because it has previously been shown that mitotic cells blocked with Colcemid for prolonged time periods have their peak channels diminished by as much as 20% (26). Also, PCC studies have shown that MMC treatment induces chromatin elongation during the repair process (27). To minimize the effects of chromatin condensation differences on DNA content measure ments, the MMC-treated and control populations were exposed to hypotonie solution (0.075 M KC1) prior to fixation and staining with mithramycin and ethidium bromide. Preliminary studies showed that the greatest dye binding was observed in cells swollen with hypotonie solution for 25 min (data not shown). As shown in Fig. 6Ä, when the MMC-treated and control populations were analyzed by flow cytometry after hypotonie exposure, the control cells now showed increased DNA-bound dye when compared to the MMC-treated cells (modal peak channel numbers of 57 and 52, respectively). Thus the MMC-treated cells appear to reach mitosis with a decreased DNA content. Interestingly, with hypotonie treatment, the control popula tion increased in peak channel number from 50 to 57 (a net 14% increase), while the MMC-treated cells remained at chan nel 52. The result with the control population is consistent with the observation of others that hypotonie treatment increases Number 16 32 48 64 80 96 112 Channel Number dye binding (28, 29). The contrasting result with the MMCtreated cells suggests that the chromatin of these cells is already in a conformation that allows maximum dye binding. Assuming a HeLa cell in d phase contains 17 pg of DNA while a normal human lymphocyte contains 6.5 pg of DNA, the MMC-treated cells appear to be lacking 9-10% of their expected DNA when they reach mitosis. In a repeat experiment, a 20% difference in DNA content was observed between the MMC and control mitotic populations. These figures are on the same order of magnitude as those obtained by cesium chloride measurements of the amount of unreplicated DNA in the MMC-treated pop ulations. DISCUSSION The purpose of this study was to determine how MMCinduced DNA lesions present during S phase induce chromo some aberrations. The preceding experiments demonstrate that MMC-treated cells reach mitosis without completing either DNA damage repair or DNA replication and with a decreased DNA content. This suggests that chromosome breaks result from incomplete DNA replication prior to mitosis. A similar idea has been previously postulated to explain the formation of breaks after fluorodeoxyuridine treatment (30). DNA alkaline elution analysis of the cells reaching mitosis demonstrated measurable residual DNA-DNA cross-links in the mitotic populations of cells that had been treated in d with MMC. The fact that cross-links can persist in cells for extended periods of time is consistent with results from several other studies. Palitti et al. (31) showed that some MMC-induced damage remains in Chinese hamster ovary cells until 62 phase, since their repair could be inhibited with hydroxyurea, aphidicolin, or caffeine. Murnane and Byfield (32) reported that a portion of the cross-links induced in C3H10T'/2 cells by nitro gen mustard, phosphoramide mustard, or melphalan was not repairable even though the cells were cross-link repair proficient if challenged with a second drug dose. Similarly, Sognier and Hittelman (33) reported that, although some initial repair was observed during the first 48 h after MMC treatment of densityinhibited normal human fibroblasts, measurable cross-linking remained in the cells for at least 96 h after a 1-h treatment with 4037 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1986 American Association for Cancer Research. MITOMYCIN-INDUCED G, PHASE MITOSIS S PHASE CHROMATID BREAKS were ever detected in these reported studies (42, 43), and it was believed that recombination probably did not occur in mam malian cells. On the other hand, recent evidence has suggested that recombination can occur in mammalian cells after dam aging treatment. Using UV endonuclease to probe the location of thymidine dimers in 3T3 cellular DNA after UV treatment, Meneghini et al. (44) showed that dimers originally induced into parental DNA were transferred to newly synthesized DNA. Earlier studies had failed to show this effect, since it mainly occurs soon after damage induction and declines thereafter. Subsequently, Fournace (45) confirmed Meneghini's results I Fig. 7. Diagrammatic representation of a postulated mechanism for MMCinduced chromatid break formation involving inability to complete DNA repli cation past cross-links and recombinational events occurring at the sites of blocks to replication. MMC (3 ¿¿g/ml). Slow repair kinetics of MMC-induced cross links was also reported by Dorr et al. (34). These studies all suggest that a fraction on the cross-links induced in cellular DNA might be irrepairable. Indeed, some evidence indicates that there might be regions of the genome that are resistant to repair functions (35). Since DNA damage in these studies was measured with alkaline elution, only the presence or absence of breaks and cross-links was measured. However, MMC induces monoadducts at 5 times the frequency of cross-links (36). It is therefore not possible to exclude a contributory role for monoadducts on the effects observed. However, it is unlikely that monoadducts are primarily responsible for these results for several reasons. (a) Monofunctional alkylating agents are less efficient inducers of chromsosome aberrations than polyfunctional alkylating agents (37); (b) O6-alkyl guanine adducts are poor inducers of chromosome aberrations, and some cell lines can successfully replicate past these lesions (38, 39); (c) the repair rates for O6alkyl guanine are relatively short in human cells due to the presence of alkyltransferase, so many of the lesions would be repaired before DNA replication was initiated (40); and (d) damage induced by bifunctional MMC is potentiated by hydroxyurea in G? while damage induced by monofunctional MMC is not (31). It is not known how cells replicate past lesions such as intact DNA-DNA cross-links. Cleaver has suggested that the presence of two inhibitory DNA lesions in a replicón might prevent synthesis of the DNA between the lesions (41). Interestingly, however, our DNA alkaline elution data suggest that the DNADNA cross-links become associated with DNA synthesized after drug treatment. Since control experiments showed that this result was not a consequence of a delayed two-step mech anism of cross-link formation nor an artifact of the radioisotope labeling and counting conditions, this finding suggests that some form of recombinogenic process takes place when the cell replicates past these DNA lesions. One possible mechanism for this process is illustrated in Fig. 7 where two cross-links within a replication unit prevent the completion of DNA synthesis between the cross-links. If a recombinogenic process occurred at or near the cross-links, the resultant structure would satisfy our observations; i.e. (a) cross-links would be present and would be distributed in both parental and daughter DNA; (b) both parental and daughter DNA would also have single strand breaks; and (c) a portion of the genome would remain unreplicated. A number of investigators have attempted to demonstrate the existence of recombination in mammalian cells by looking for the presence of HH DNA in CsCl density gradients. How ever, only very small amounts of HH DNA (i.e., 0.1-0.2%) using DNA alkaline elution. Interestingly, a mammalian en zyme similar to the RecA protein in E. coli, known to be involved in recombinational events, has recently been isolated (46). We have shown in this paper that cells reaching mitosis after treatment in GI phase with MMC contain unreplicated DNA and exhibit a decreased DNA content when compared to un treated control populations. In previous reports, other investi gators reached a different conclusion when they measured DNA content after either UV irradiation and caffeine (47) or X-ray treatment (48). Although these studies involved different dam aging agents, it is possible that diminished DNA content was actually present in the treated populations but was not detect able using standard flow cytophotometry methods. The results presented here suggest that an altered chromatin configuration might be present in the damaged cells that allows increased fluorescent dye uptake compared to the control cells. Indeed, it has recently been demonstrated that agents such as UV irradia tion and alkylating agents induce a chromatin decondensation process that can be visualized in the interphase PCC (27, 4951) as well as in mitotic figures (52). However, hypotonie treatment of the cell populations prior to flow cytophotometric analysis decreases the influence of chromatin condensation differences between the two populations and allows a more accurate estimation of DNA content. The results of this study raise the question of how a cell can proceed to mitosis with unrepaired and unreplicated DNA. The transition to mitosis in treated cells can be thought of as a product of two counterbalancing processes. First, as the cell proceeds through the cell cycle, chromosome condensation/ mitotic factors gradually accumulate to prepare the cell for mitosis (53, 54). On the other hand, cell fusion studies have shown that both S-phase cells and damaged quiescent cells can block G2 cells from progressing to mitosis (55), and extracts from damaged cells have been shown to contain factors that bind to and inactivate mitotic factor activity (56, 57). Thus, when a cell has unrepaired or extensive damage, it often be comes blocked in S or G2 phase, and only the least damaged cells reach mitosis (58, 59). Eventually, however, the deconden sation activity may subside, and the accumulated mitotic con densation factors finally force the cell to enter mitosis even though neither DNA repair nor DNA replication is complete. A similar situation has been observed in cells that exhibit a temperature-sensitive mutation for S-phase functions (60). After periods of time at nonpermissive temperature, these cells still undergo chromosome condensation without completion of DNA synthesis and exhibit an S-phase PCC morphology. Fur ther, these cells can induce PCC in other cells, suggesting that even though they cannot complete DNA replication, they still continue to produce chromosome condensation factors (61). Taken together, the results of this study suggest the following model for chromosome break production. 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Hittelman Cancer Res 1986;46:4032-4040. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/46/8/4032 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]. Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1986 American Association for Cancer Research.
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