[CANCER RESEARCH 32, 22—27,January 1972) Interaction of 1-(2-Chloroethyl)-3-cyclohexyl- 1-nitrosourea (NSC 79037) with Nucleic Acids and Proteins in Vivo and in Vitro' ChunJui Cheng,Shinji Fujimura,DeziderGrunberger,and I. BernardWeinstein2 Institute of CancerResearchand Department ofMedicine, CollegeofPhysicians and Surgeons,Columbia University, New York, New York 10032 SUMMARY @ @ @ @ The macromolecular binding of radioactivity from 1-(2-chiorethyl)-3-cyclohexyl- 1-nitrosourea, labeled with ‘C in either the cyclohexyl moiety or the ethylene residue, was studied in the L1210 leukemia-bearing mice, in a suspension of Ll2lO leukemia cells, and during in vitro incubation with isolated nucleic acids and proteins. In all three systems, radioactivity from C-labeled 1-(2-chloroethyl). 3-cyclohexyl- 1-nitrosourea was extensively bound to proteins, and there was negligible binding to nucleic acids. Radioactivity from the ethylene-' 4C-labeled drug was bound to both nucleic acids and proteins, but the binding was only a fraction of the observed protein binding of the cyclohexyl label. Of the various macromolecules examined for in vitro binding, poly-L-lysine and albumin were the most active in binding the cyclohexyl-labeled material; polyguanylic acid, polycytidylic acid, and tRNA were the most active in binding- the ethylene-' C-labeled material. The possibility that the carcinostatic activity of this drug reflects a dual capacity, namely, modification of cellular proteins via cyclohexylcarbamoylation and of nucleic acids via alkylation, is discussed. INTRODUCTION The nitrosoureas offer a relatively new and promising class of antineoplastic agents. Of particular interest is the compound CCNU.3 Because of its high lipid solubiity and permeability through the blood brain barrier (16), CCNU might be particularly effective in the treatment of certain neoplasms of the central nervous system. Indeed, there is evidence that systemically administered CCNU and BCNU are effective in the treatment of meningeal leukemia in the mouse (1 1, 19) and in children who have acute leukemia with central nervous system involvement (9). In addition, preliminary @ studies indicate that CCNU and BCNU might exert a beneficial effect in patients with malignant glial tumors (8, 22, 25). Despite their clinical interest, the mechanism of action of CCNU and related mtrosoureas such as BCNU is not known. The following facts suggest that they do not function as conventional alkylating agents. (a) In human Hodgkin's disease, development of resistance to conventional alkylating agents is not associated with cross-resistance to BCNU (10). (b) CCNU and BCNU appear to act at phases of the cell cycle different than those of the known alkylating agents (2, 20, 23). (c) Although the alkylating potency of CCNU is lower than that of BCNU (24), it is somewhat more effective in the treatment of leukemia Ll 210 (4). For these reasons, we undertook a study of the possible binding of 2 different moieties of CCNU, the C-labeled cyclohexyl residue and the ‘ 4C-labeled ethylene residue, to cellular DNA, RNA, and protein, both in vivo and in vitro. MATERIALS AND METHODS Radioactive Chemotherapy ‘ 4C label CCNU was kindly supplied by the Cancer National Service Center, Bethesda, Md., with in 2 separate positions of the molecule (Chart 1), uniformly throughout the carbon atoms of the cyclohexyl ring (cyclohexyl-' 4C-labeled CCNU; 2.498 mCi/mmole) or in the carbon atoms of the 2-chloroethyl moiety (ethylene. ‘ 4C-labeled CCNU; 1 .338 mCi/mmole). Bovine albumin Fraction V powder (unesterified, fatty acid-poor form), bovine globulin, 40% @3,30% ‘y(Cohn Fraction II, III), and horse heart cytochrome c were purchased from Nutritional Biochemicals Corp., Cleveland, Ohio; calf thymus histone (HLY, regular) and calf thymus DNA were from Worthington Biochemicals Corp., Freehold, N. J.; Escherichia coli B tRNA was from General Biochemicals, Inc., Chagrin Falls, Ohio; bovine pancreas RNase A (type 1-A) was from Sigma Chemical Co., St. Louis, Mo.; RNase T2 was from Sankyo Co., Tokyo, Japan; Pronase (B grade) was from Calbiochem, Los Angeles, Calif.; and poly-L.lysine, 1 This work was supported by USPHS Grant CA-02332 and by poly-L-arginine, poly U, poly A, poly (G1 U3), poly G, and Grants Cl-I 7 and 1N-4K from the American Cancer Society. poly C were from Miles Laboratories, Inc., Elkhart, Ind. 2 Career Scientist of the Health Research Council of the City of New York (1-190). In Vivo Experiments. DBF male mice, weighing around 20 3The abbreviations used are: CCNU, 1-(2.chloroethyl)-3- g, were obtained from Breeding Laboratory, New York, N. Y. cyclohexyl-1-nitrosourea; BCNU, l,3-bis(2-chloroethyl)-1-nitrosourea; poly U, polyuridylic acid; poly A, polyadenylic acid; poly G, On the 7th day after i.p. inoculation of 2 X 106 cells of leukemia Ll2lO, groups of 3 mice received i.p. injections of polyguanylicacid; poly C, polycytidylic acid. Received July 9, 1971; accepted August 25, 1971. 0.5 mg of either C-labeled CCNU (5 @.zCi) or 22 CANCER RESEARCH VOL. 32 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1972 American Association for Cancer Research. Binding ofCCNU to Nucleic Acids and Proteins @ 10 ml of Bray's solution with a Nuclear-Chicago Mark II liquid scintillation spectrometer. In Vitro Experiments with Cell Suspensions. Leukemia cells were harvested as described above and were washed twice with ice-cold 0.9% NaCl solution. A 10% cell suspension was prepared in Krebs-Ringer phosphate buffer (pH 7.4) containing 0.1% glucose. To this was added either ethylene-' 4C-labeled CCNU (3 j.zCi) in 0.2 ml of dimethyl sulfoxide. The mice were sacrificed by decapitation 6 hr later, and brain, liver, and leukemia cells were quickly removed. The RNA, DNA, and cytoplasmic protein fractions were isolated by the method of Roberts and Warwick (18), with the following modifications. The RNA fraction (containing both tRNA and rRNA) was extracted with phenol, as described previously (6), and the crude DNA fraction was further purified by Pronase and RNase T2 digestion. Radioactivity in the isolated protein and nucleic acid fractions was measured in 4 C- CI—CH2—cH2 — * 0U * CI—CHZ-—CH2—N—C—NH NO Chart 1. Molecularstructure of cyclohexyl-' 4C-labeledCCNU(top) @ @ and ethylene-1 4C-labeled CCNU (bottom). *, labeled position. Table 1 C-labeledCCNU to nucleic acids and proteins in vivo Binding or C-labeled CCNU, 50 j.zg/ml, and the suspension was incubated aerobically at 37°,with gentle shaking. After various incubation times, aliquots (50 jil) of cell suspension were pipetted onto filter paper discs (Whatman No. 3MM). The discs were washed 3 times with 5% cold trichloroacetic acid, ethanol, ethanol:ether (1 :2, v/v), and ether. The acid-insoluble radioactivity remaining on the disc was counted as bound radioactivity, with 10 ml of toluene liquid scintillation solution. The DNA, RNA, and protein fractions were isolated 3 hr after incubation, and the bound radioactivities were determined as described in the in vivo experiments. In Vitro Studies with Isolated Nucleic Acids and Proteins. Twenty-five @zgof either C-labeled CCNU or Table 2 Binding ofethylene-' 4C-labeledCCNU to nucleic acids and proteins in vivo A group of 3 leukemia-bearingmice receivedi.p. injections of 0.5 mg A group of 3 leukemia-bearingmice received i.p. injections of 0.5 mg of cyclohexyl-' 4C-labeled CCNU (5 @tCi)per mouse. Six hr after injection, the mice were sacrificed, and the nucleic acids and proteins of ethylene-' 4C-labeled CCNU (3 DCi) per mouse. Six hr after receiving the injections, the mice were sacrificed, and the nucleic acids and were isolated and assayed for radioactivity, as described in “Materials proteins were isolated and assayed for radioactivity, as described in and Methods.― “Materialsand Methods.― Radioactivity pr Radioactivity pr inRNADNAProteinBrain17.410.4Liver18.520.617.5Leukemia (pmoles/mg)esent (pmoles/mg)esent inRNADNAProteinBrain2.288.7Liver0.61.1125.4Leukemia cells1.19.4431.6 cells26.326.018.5 A E I .2 I') 0 0 C-, E B In 0 0 Ui I C, C, L;J z C-, z Ui —I C, I FUi D U, a, 0 z 0.0 E C C, C, U, a, 0 @ I 2 3 TIME (HOURS) Chart 2. Time course of the binding of 4 0 E C C-labeled 0 2 3 TIME (HOURS) CCNU (A) and 4 C-labeled CCNU (B) to the acid-insoluble fraction of a cell suspensionof leukemia L1210. JANUARY 1972 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1972 American Association for Cancer Research. 23 Cheng, Fu/imura, Grunberger, and Weinstein 4 C-labeled @ @ CCNU were incubated with 250 @ig of either calf thymus DNA, E. coli tRNA, poly U, poly A, poly (G, U3), poly G, poly C, bovine albumin, bovine globulin, cytochrome c, histone, RNase A, or poly-L-lysine in 0.5 ml of 0.05 M cacodylate buffer (pH 7.2) at 37°. After various incubation times, 50-pl aliquots were placed on filter paper discs, and the acid-insoluble radioactivity was determined, as described above. For the assay of radioactivity bound to poly-L-lysine, 5% trichloroacetic acid containing 0.25% sodium tungstate (pH 2.0) was used instead of 5% trichloroacetic acid (7). Chemical Determinations. DNA, RNA, and protein were determined by the methods previously described by Burton (3), Dische (5), and Lowry et a!. (12), respectively. DNA and RNA is actually due to contaminating protein. In contrast to these results, the radioactivity of the ethylene moiety was bound to both nucleic acids and proteins of brain, liver, and leukemia cells to about the same level (Table 2). In all 3 tissues, the binding of the cyclohexyl moiety of CCNU to protein fractions was 5- to 20-fold greater than the binding of the ethylene moiety to either protein or nucleic acids (compare Tables 1 and 2). Binding of C to Nucleic Acids and Proteins in Leukemia Cell Suspensions. As shown in Chart 2, incubation of C- or C-labeled CCNU with a suspension of leukemia L1210 cells led to the binding of both radioactivities to acid-insoluble material, which increased progressively with time for at least 4 hr. However, the binding Table 3 Binding C to nucleic acidsand proteins of leukemia L1210 cells incubated in vitro RESULTS @ @ @ Binding of C to Nucleic Acid and Proteins in Vivo. The radioactivity of the cyclohexyl moiety of CCNU was almost exclusively bound to cellular proteins, rather than to nucleic acids (Table 1). The specific activity of the protein fraction from leukemia cells was considerably greater than that of the protein fractions obtained from liver or brain. In view of subsequent results obtained with purified nucleic acids and proteins (see below), it seems likely that the small amount of radioactivity from the C-labeled CCNU found in A 10%suspensionof leukemia Ll210 cellswas incubated aerobically at 37°for 3 hr with 0.05 mg CCNU/mL Nucleic acids and proteins were then isolated and assayed for radioactivity, as described in “Materials and Methods.― Radioactivity present inRNADNA (pmoles/mg) ProteinCyclohexyl-' 4C-labeledCCNU01.2 2006.7Ethylene-' 4C-labeled CCNU57.524.0 32.0 A POLY-LYSINE B 3.0 x____.__.._______x t RNA ALBUMIN 01 E ..‘,‘ 20.0 U 2.0 z U -J >- I / / I— U z HISTONE 4.0 CYTOCHROME C I RIBONUCLEASE 0.75 0 0 U) a, 0 A ALBUMIN DNA HIS TONE - E C RIBONUCLEASE GLOBULIN CVTOCHROME 0 0 I 2 3 4 5 2 6 24 4 5 6 TIME (HOURS) TIME (HOURS) Chart 3. Time course of the binding ethylene-' 4C-labeled CCNU (B). 3 A C of radioactivity to isolated nucleic acids and proteins, with cyclohexyl-' 4C-labeled CCNU (A) and CANCER RESEARCH VOL. 32 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1972 American Association for Cancer Research. Binding ofCCNU to Nucleic Acids and Proteins 5.0 P01_v C @ @ POLY G @ E 0 L:J z U —I lower than that obtained with C-labeled CCNU. With the C label, the radioactivity bound to tRNA was approximately 5-fold higher than the binding to DNA or albumin. For determination of the effect of base composition, the binding of C-labeled CCNU to synthetic polynucleotides was also studied (Chart 4). There was extensive binding to poly C and poly G, lesser binding to a random copolymer of G and U, in which the ratio of G to U was 1:3, and a low level of binding to poly A and poly U. 4.0 Dl @ A, or globulin. There was no detectable binding to purified calf thymus DNA, to E. coli tRNA (Chart 3A), or to poly-L-arginine (not shown here). Chart 3B shows that, as in the in vivo and cell suspension studies, the C-labeled CCNU was bound to both nucleic acids and proteins. However, the level was considerably 3.0 >- I I-. L@J z 0 DISCUSSION 2.0 0 Alkylation has been suggested as the major mode of action of CCNU and related nitrosoureas (4, 19, 24), but the precise mechanism of action is still unknown (see “Introduction―). U) 0 E POLY(G,u@) The present study clearly indicates that radioactivity from C 4 C-labeled CCNU is extensively bound to proteins and is negligibly bound to nucleic acids, both in vivo and in POLY A vitro. On 1 4 C-labeled the other CCNU was hand, bound radioactivity at a low level from to both ethylene proteins and nucleic acids. POLY U In the present study, the in vivo labeling of nucleic acids and proteins in leukemic cells, which was greater than that 2 4 6 with similar components in liver or brain, could simply reflect 0 direct contact with the drug following i.p. injection and/or TIME (HOURS) preferential uptake or metabolism by the leukemic cells. With Chart 4. Time course of the binding of ethylene-' 4C-labeledCCNU respect to the therapy of brain tumors, there was significant to synthetic polynucleotides. labeling of brain nucleic acids and proteins. This is consistent with the previous data of Oliverio et aL (16), indicating that of radioactivity from the C-labeled CCNU was radioactivity from cyclohexyl- and ethylene-labeled CCNU does appear at appreciable concentrations in both the 20- to 30-fold higher than that of the C-labeled cerebrospinal fluid and brain tissue, although these authors compound. The specific activities of the isolated nucleic acids presumably measured both free and bound material. and proteins are shown in Table 3. As in the in vivo studies, the radioactivity of the cyclohexyl moiety of CCNU was The binding of radioactivity from labeled CCNU to cellular bound almost exclusively to proteins, and that of the ethylene macromolecules in a form that is trichloroacetic acid-insoluble group was bound (at a much lower level) to both nucleic acids and not extractable by ethanol or ether suggests covalent attachment of the cyclohexyl moiety to amino acid residues in and proteins. Interaction of C with Isolated Nucleic Acids and proteins and of the ethylene moiety to both amino acids and Proteins. Since CCNU was bound to cellular nucleic acids and base residues in nucleic acids. The precise identity of these proteins both in vivo and in cell suspension, it was of interest derivatives remains to be determined. It seems likely that the to determine whether CCNU would also bind at neutral pH to cyclohexyl ring system remains intact during the protein isolated nucleic acids or proteins, without the addition of an binding and also retains an amino group, since energy source or enzymatic activation. Chart 3A presents the cyclohexylamine and N,JY-dicyclohexylurea have been time course of the binding of C-labeled CCNU to identified as major urinary metabolites (1 6). Our studies do specific proteins and nucleic acids. There was extensive not indicate whether the carbonyl moiety of CCNU is also part binding to a variety of proteins, which reached a plateau at of the protein-bound adduct, since carbonyl-labeled material was not available at the time of these studies. We presume that about 4 hr, except in the case of poly-L-lysine. The latter this is the case, since cyclohexylisocyanate, but not polypeptide reacted to a greater extent with cyclohexyl labeled CCNU than with any other material studied, and the cyclohexylamine, mimics certain biological effects of CCNU (2). By analogy with nitrosoguanidine, which substitutes on reaction continued for at least 6 hr. There was also extensive binding to albumin, to a level which was at least 6 times the e- amino group of lysine-forming nitrohomoarginine (13, 15, 21), one might expect CCNU to react with the e- amino greater than that obtained with histone, cytochrome c, RNase 0 @ @ @ @ JANUARY 1972 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1972 American Association for Cancer Research. 25 Cheng, Fujimura, Grunberger, and Weinstein @ group of lysine to yield M -cyclohexylcarbamoyllysine. Consistent with this is the extensive binding which we obtained with polylysine and C-labeled CCNU. We are currently analyzing the hydrolsis products of this complex to definitively establish its structure. The postulated lysine derivative is compatible with previous evidence that both BCNU and CCNU tend to decompose in aqueous solution to yield isocyanates which would be expected to be highly reactive with primary amino groups (14, 16). During the course of the present studies, Bowdon and Wheeler ( 1) reported the binding of BCNU to lysine residues of proteins, and therefore it is likely that this mechanism may apply to a variety of substituted nitrosoureas. The high reactivity of albumin noted in the present studies suggests that its lysine residues are more exposed @ are required @ than those in several other proteins which were examined. The modifications of proteins as well as of nucleic acids observed with C-labeled CCNU might be the result of alkylation of both classes of compounds. Further studies to determine whether the modified amino acid and base residues are similar to those found with more conventional alkylating agents (1 7). The present results with synthetic polynucleotides suggest that G and C residues in nucleic acids are more reactive than are A and U residues. On the other hand, the unusual reactivity of tRNA with ethylene-' C-labeled CCNU suggests that factors related to the secondary and tertiary structure of nucleic acids might also be important in exposing specific sites for modification. 7. Gardner, R. S., Wahba, A. J., Basilio, C., Miller, R. S., Lengyel, P., and Speyer, J. F. Synthetic Polynucleotides and the Amino Acid Code, VII. Proc. Nail. Acad. Sci. U. S., 48: 2087—2094, 1962. 8. Hansen, H. H., Selawry, 0. S., Muggia,F. M., and Walker, M. D. Clinical Studies with 1-(2.Chloroethyl)-3-cyclohexyl-l-nitrosourea (NSC 79037). Cancer Res., 31: 223—227,1971. 9. Iriarte, P. V., Hananian, J., and Cortner, J. A. Central Nervous System Leukemia and Solid Tumors of Childhood: Treatment with 1,3-Bis(2-cMoroethyl)-l-nitrosourea (BCNU). Cancer, 19: 1187—1194, 1966. 10. Lessner, H. E. BCNU (1,3-Bis(2-chloroethyl)-1-nitrosourea). Effects on Advanced Hodgkin's Disease and Other Neoplasia. Cancer,22: 451—456, 1968. 11. Levin, V. A., Shapiro, W. R., Clancy, T. P., and Oliverio,V. T. The Uptake, Distribution, and Antitumor Activity of 1-(2-Chloroethyl)3-cyclohexyl-1-nitrosourea in the Murine Glioma. Cancer Res., 30: 2451—2455, 1970. 12. Lowry, 0. H., Rosebrough, N. J., Fan, A. L., and Randall, R. J. Protein Measurement with the Folin Phenol Reagent. J. BioL Chem., 193: 265—275,1951. 13. McCaHa, D. R., and Reuvers, A. Reaction of N-Methyl-iV'-nitro N-nitrosoguanidine with Protein: Formation of Nitroguanido Derivatives. Can. J. Biochem. PhysioL, 46: 1411—1415, 1968. 14. Montgomery, J. A., James, R., McCaleb, G. S., and Johnston, T. P. The Modes of 1-nitrosourea In conclusion, the present experimental results suggest that CCNU chemically modifies proteins mainly via cyclohexylcarbamoylation of lysine residues and modifies nucleic acids via alkylation. The dual capacity of this compound may explain its broad cytotoxicity and its activity against tumors which are resistant to conventional alkylating agents (10). ACKNOWLEDGMENTS Decomposition and Related of Compounds. 1,3-Bis(2-chloroethyl)J. Med. Chem., 10: 668—674,1967. 15. Nagao, M., Yokoshima, T., Hosoi, H., and Sugimura, T. Interaction of N-Methyl-N'-nitro-N-nitrosoguanidinewith Ascites Hepatoma Cellsin Vitro. Biochim.Biophys. Acta, 192: 191—199,1969. 16. Oliverio, V. T., Vietzke, W. M., Williams,M. K., and Adamson, R. H. The Absorption, Distribution, Excretion, and Biotransformation of the Carcinostatic 1-(2-Chloroethyl)-3-cyclohexyl-l-nitrosourea in Animals. Cancer Res., 30: 1330—1337, 1970. 17. Price, C. C., Gaucher, G. M., Koneru, P., Shibakawa, R., Sowa, J. 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