[CANCER RESEARCH36, 2345-2349,July 1976] The Significance of DNA Damage in the Cell Cycle Sensitivity of Chinese Hamster Ovary Cells to Bleomycin Judith M. Clarkson and Ronald M. Humphrey University of Texas System Cancer Center M. D. Anderson Hospital and Tumor Institute, Department of Physics, Houston, Texas 77030 SUMMARY Chinese hamster ovary cells have been treated with bleomycin at various stages in the cell cycle. Mitotic cells, which exhibit least survival, show the greatest amount of DNA strand breakage and a marked inhibition of DNA replication in the subsequent S phase. Strand-rejoining experiments suggest that this is primarily due to differences in the amount of damage produced in the DNA but does not exclude the possibility that cells at the various cell stages also differ in their ability to repair this damage. DNA breakage also occurs in cells incubated in bleomycin at 4 ~ INTRODUCTION BLM, 2 a complex glycoprotein, is highly toxic to mammalian cells and is a potent cancer chemotherapeutic agent (23, 24). A large amount of data is available concerning its effect on cells in vitro and much of this has centered around the differential sensitivity of various stages of the cell cycle. Studies with CHO cells show that its killing efficiency is greatest in M and then in G2 (1) and that, at concentrations which cause little inhibition of leucine, uridine, or thymidine uptake cells accumulate in G2 (22). However, one of the main targets for damage is DNA. TdR uptake is inhibited to a much greater extent than uridine and leucine uptake (9, 18) and DNA strand breakage by BLM has been demonstrated both in vitro (4, 17, 21) and in vivo (20). In vitro experiments have also shown that, under these conditions, RNA is not degraded (5). This is consistent with the findings of MOiler et al. (12), who showed that degeneration of nucleic acids and synthetic polynucleotides by BLM depends on the liberation of thymine. We have used strand breakage as a criteria for assessing the amount of damage to DNA at different stages of the cell cycle and have been able to correlate this with the reduction in rate of DNA replication and subsequent survival. MATERIALS AND METHODS Cell C u l tur e and S y n c h r o n y T e c h n i q u e s . CHO cells were used throughout and maintained as monolayer cultures in 1This work was supported in part by National Cancer Institute Grant CA04484 and Contract NO1 CM 61156. = The abbreviations used are: BLM, Bleomycin; CHO, Chinese hamster ovary; TdR, thymidine; HU, hydroxyurea;[~H]TdR,tritiated thymidine; BUclR, 5-bromodeoxyuridine. Received August 4, 1975; accepted April 9, 1976 McCoy's 5A medium (Grand Island Biological Co., Grand Island, N. Y.) with 20% fetal calf serum (Grand Island Biological Co.) as described by Humphrey et al. (8). Under these conditions, the average cell generation time was found to be 14 hr, of which the pre-DNA synthesis period (G1) was 4 hr, DNA synthesis was 8 hr, and the post-DNA synthesis period (G=), including mitosis, was 2 hr. For cell cycle experiments, 107 cells were seeded into 32oz prescription bottles and 7.5 mM TdR was added to the cultures for 9 hr, resulting in an accumulation of early Sphase cells. Following removal of the TdR block, the cells progressed through the cell cycle, and 5 to 6 hr later a wave of mitotic cells could be selected by the mitotic-shake method (19). The resulting population has a greater than 85% mitotic index and was incubated in 2 mM HU for 9 to 12 hr, which allowed progression to the GI-S boundary (11). After the cultures were washed and fresh medium was added, the cells progressed into S phase. This synchrony procedure and the times selected for treatments with BLM are demonstrated in Chart 1. Meyn et al. (11) showed that, subsequent to a TdR block, cells replicated only 75% of their DNA, thus showing that this method of synchrony results in the accumulation of cells that have partially completed DNA synthesis. At 0.5 to 1 hr post-TdR release, cells were assumed to be in early to mid-S phase. Other stages were: G2 period, 1 hr prior to mitotic shake-off; M, 1st halfhr following shake-off and before plating; early G~, 1 to 1.5 hr from mitotic shake-off; late G~, 0.5 hr prior to HU release; early S, 1 hr post-HU release. Drug T r e a t m e n t . The BLM was manufactured for clinical use and supplied by Bristol Laboratories, New York, N. Y. It was dissolved in 0.9% NaCI solution immediately before use, and a concentrated solution was added to the growth medium. D N A R e p l i c a t i o n . DNA was uniformly labeled prior to synchrony by incubating cells in 0.1 /~Ci/ml ['4C]TdR (50 mCi/mmole; Schwarz/Mann, Orangeburg, N. Y.) for 18 hr at 37 ~ Replication was estimated as rate of uptake of BUdR and consequent increase in buoyant density in CsCI gradients (11). Following mitotic selection and incubation in HU medium, the cells were washed twice and resuspended in medium containing 50 /.~g BUdR p e r ml and 0.1 /~g fluorouracil deoxyuridine per ml. After appropriate incubation times (up to 10 hr), cells-were harvested, lysed with Sarkosyl, and prepared for equilibrium centrifugation. CsCI solution was added to the cell lysate to give a 4.7-ml sample with a density of 1.74 g / c u c m . This was centrifuged in a Beckman 50.1 rotor at 33,000 rpm for 45 hr at 20 ~. The JULY 1976 2345 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1976 American Association for Cancer Research. J. M. Clarkson and R. M. H u m p h r e y Mitotic fresh TdR H U Medium 8 - 10 Hours Shake-off medium I fresh medium I Protocol 1 block (9 Hrs) I I I I uS I I I i i i ~, I I - '-! ~'I,I G2,,I I V early-mid s I , I n ',', Ii J -,,--', ---', , i', I I n L n ', G1 I ', M hours. I Ii, Approximate ',, cell stage. s a V VV G2 Time scale marked in ? VV early G1 late G1 Treatment times. early S Chart 1. The procedure used for synchronizing cells. Also shown are the times chosen for treatment with BLM for the experiments in Chart 2 and Table 1. percentage of DNA replicated was d e t e r m i n e d f r o m the p r o p o r t i o n of ~4C radioactivity b a n d i n g in the hybrid density region of the gradient. P r o g r e s s i o n of C e l l s into S P h a s e . Cells were synchronized by the p r o c e d u r e just described, 104 mitotic cells were plated in 6-cm Petri dishes, and HU m e d i u m was added as before for 8 to 10 hr. To 1 set of plates, [:~H]TdR (specific activity, 2 C i / m m o l e ) was added to give a c o n c e n t r a t i o n of 0 . 5 / ~ C i / m l for the last hr of i n c u b a t i o n . The r e m a i n i n g samples were washed free of HU and [3H]TdR m e d i u m was added for 1 , 2 , 4, or 6 hr. The cells were washed wi t h 0.9% NaCI solution, fixed in 95% alcohol, and subbed with 1% bovine serum a l b u m i n . A u t o r a d i o g r a p h s were made with Ilford liquid e m u l s i o n K5 and were exposed for 5 days. The plates were then stained with Giemsa, and the percentage of cells covered by grains was estimated. S u c r o s e G r a d i e n t s . For e x p e r i m e n t s with a s y n c h r o n o u s cultures, the cells were incubated o v e r n i g h t in 0.1 /~Ci ['4C]TdR per ml in 6-cm Petri dishes. Where s y n c h r o n o u s p o p u l a t i o n s were required, sufficient cells were obtained by shaking M-cells from an a s y n c h r o n o u s culture prelabeled wit h 0.1 /~Ci/ml [~4C]TdR. F o l l o w i n g drug t r e a t m e n t and s u b s e q u e n t i n c u b a t i o n periods, the cells were trypsinized in 0.1% trypsin for 5 min at 37 ~ washed in S o l u t i o n A (26), and resuspended in 0.15 M NaCI and 0.015 M s o d i u m citrate to give a final concentration of 1 to 2 x 10 .~cells in 0.5 ml. This mixture was layered o n t o a 35-ml alkaline sucrose gradient (10) to w h i c h 0.5 ml of lysis solution (0.5 M NaOH-0.02 M EDTA-0.1% Triton X100) had been added. Lysis was for 6 hr at room temperature and c e n t r i f u g a t i o n was at 12 K rpm for 9.5 hr at 20 ~. Fractions were collected from the top of the gradient and precipitated with 10% t r i c h l o r o a c e t i c acid. The gradients were calibrated with DNA f r o m T4 (72 S) and SV40 virus (46 S). RESULTS Chart 2 and Table 1 represent 2 e x p e r i m e n t s s h o w i n g the effect on DNA replication of treating cells with BLM. Following release f r o m the HU block, the cells move into S phase and their rate of DNA replication has been m o n i t o r e d by uptake of BUdR, resulting in an increase in the buoyant 2346 IO0 MHOSlS Eor/y S -6 75 o o ~ o . ,o _ 50 '-' 25 o o oBleomyr (100~g/ml) 2 4 6 8 y oIll 10 2 ,oo Bl Bleioomycm(25~g/ml myc,,n(lOO#g/ml), 4 6 8 10 Hours p0st-HU Rele0se C h a r t 2. T h e effect on D N A r e p l i c a t i o n after t r e a t m e n t w i t h B L M in e a r l y S or m i t o s i s . Cells w e r e p r e l a b e l e d w i t h [I~C]TdR a n d w e r e s y n c h r o n i z e d by e x c e s s T d R , m i t o t i c s e l e c t i o n , and i n c u b a t i o n in HU m e d i u m . T h e cells w e r e t h e n t r a n s f e r r e d to B U d R m e d i u m for v a r i o u s i n c u b a t i o n times. B L M was a d d e d for 30 min e i t h e r to m i t o t i c cells b e f o r e p l a t i n g in HU or to the B U d R m e d i u m 1 hr after its a d d i t i o n to the cells (early S cells). Table 1 DNA replication following treatment of cells with 100 i~g/ml BLM for 30 min at different stages of the cell cycle Cells prelabeled with [~4C]TdR were synchronized in excess TdR, mitotically selected, incubated in HU medium, and transferred to BUdR medium for 4 or 8 hr. BLM was added for 30 min either following release from TdR (S), 1 hr prior to the mitotic shake (G2), immediately following mitotic selection (M), 1 hr following plating (early G1), or 0.5 hr prior to release from HU (late GI); see Chart 1. Untreated controls were synchronized by the same procedure. DNA replication (% of total) Position in the cell cycle at time of treatment 4 hr post-HU release 8 hr post-HU release S G2 M Early G, Late G~ Control 49 46 14 50 46 54 90 84 30 91 87 92 density of DNA in CsCI gradients. It is evident from this data, as in earlier studies (11), that DNA replication proceeds at a c o n s t a n t rate and reaches 95% c o m p l e t i o n 8 hr after removal of the HU. In Table 1 , 2 time intervals post-HU release CANCER RESEARCH VOL. 36 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1976 American Association for Cancer Research. DNA Damage in CHO Cells Exposed to Bleomycin have been chosen f o l l o w i n g treatment of cells at different stages of the cell cycle with 100 /xg of BLM per ml. The a m o u n t of DNA replicated in 4 or 8 hr is very similar for control cells and those incubated with BLM for 30 min in early G1, late G~, S, or G~. The only stage that is sensitive at this c o n c e n t r a t i o n and subsequently results in a reduced rate of DNA replication is mitosis. This is also illustrated in Chart 2, where it can be seen that 2 5 / x g / m l at this stage is also effective in reducing the rate of DNA replication. In Table 2, we have c o n s i d e r e d the possibility that this effect is a result of cells being blocked n G~ and not entering S phase. In the control samples, 94% of the cells become labeled in the 1st hr post-HU release. Cells treated with BLM during mitosis are s o m e w h a t slower entering S, but by 2 hr more than 70% of the cells are labeled f o l l o w i n g either 25 or 100 /.~g of BLM per ml and, at 6 hr, more than 85% are labeled. This delay is not sufficient to a c c o u n t for the considerably reduced a m o u n t s of DNA replicated. In addition, we have shown that no DNA synthesis has taken place in the presence of HU in either the treated or c o n t r o l samples. Charts 3 to 5 show the a m o u n t of breakage in DNA molecules at different stages of the cell cycle as d e m o n s t r a t e d by molecular-weight studies on alkaline sucrose gradients. In Chart 3, the effect of 2 5 / x g / m l for 30 min is c o m p a r e d in G~, S, and mitotic cells. It is evident that the size of the DNA in the untreated c o n t r o l s is very similar in all stages of the cell Table 2 The progression of cells into S phase following BLM treatment in mitosis and incubation in HU medium for 10 hr [:~H]TdR was added for various lengths of time and autoradiographs were made. The results are expressed as percentage of cells labeled. Time in ['~H]TdR medium Control 25/~g/ml 100/xg/ml 0 94 93 96 99 0 66 71 82 87 0 65 72 76 85 1 hr prior to HU release 0-1 hr post-HU release 0-2 hr post-HU release 0-4 hr post-HU release 0-6 hr post-HU release Sed~menlohon --- - Contro/ Bleomycin (Z5tzg/ml -- Bleomycm , 30 min } 3 0 r a i n , f r e s h reed#urn 2hr Mitosis GI # I' .~.// o . / / s f'// 'X'\ i"'/"., t . o_ -o r~ I' ! t ,.';/ ::< '~..! \ ~,,~,,~_~1 -\i I ,r 10 20 30 ./ i ._., I 10 20 30 Fraction Number Chart 4. DNA strand rejoining of mitotic and G~ cells in the presence of Colcemid following BLM treatment. Mitotic cells were collected from an asynchronous culture labeled with 0.1 /~Ci ['4C]TdR per ml. G, samples were incubated 2 hr further before treatment. BLM, at 25 /zg/ml, was added to experimental plates and Colcemid, at 0.06/~g/ml, was added to all samples. After 30 min, the BLM was washed off and fresh medium plus Colcemid was added to 1 of each sample for 2 hr more. Mitotic selection was arranged so that all samples could be harvested at the same time, lysis was for 6 hr, and samples were spun 9.5 hr at 12,000 rpm. One fraction covers 9.3 S. Sed/mentohon 37 ~ 4~ ----- 25 tzg/ml 30ram .~ '~ i --.- - 25tzg/ml 25/xg/ml .... Control 30rain 3hr /\ ' ~s o ._o ,o o ac: \ '". [/ J/ "\ ~\x A ", ',, -\ /\ ., ,, ,,, ii/ \,, ./ I / \ I0 20 ',. / 30 I I0 20 30 Fraction Number S Sed/menfghon m o I0 ..... Conlrol -- Bteomycm Milosi5 (25pg/ml,O 5 hr) Chart 5. Dependence on 37~ temperature for DNA strand breakage by BLM. Cells were prelabeled with 0.1 /~Ci ['4C]TdR per ml and mitotic cells were collected at various times for treatment with 25/~g BLM per ml at 4 or 37~as shown. Lysis was for 6 hr and centrifugation was at 12,000 rpm for 9.5 hr. One fraction covers 9.3 S. S ~ 5 o cr 0 10 20 IO 2O Fraction Number Chart 3. Cell stage sensitivity to DNA strand breakage by BLM. An asynchronous cell culture was labeled with 0.1 /~Ci ['4C]TdR per ml and shaken at various times to give mitotic cells. Two samples were incubated in HU medium for 6 hr and then allowed to proceed into S phase for 2 hr. Two samples were incubated for 8 hr in HU and treated with BLM in the same medium (G~ sample). At this time, 2 further samples were collected and to 1 of each sample BLM was added to give 25 /~g/ml for 30 rain. The BLM was then washed off and the cells were immediately harvested and lysed on top of the gradients for 6 hr. Centrifugation was for 9.5 hr at 12,000 rpm, 1 fraction covering 9.3 S. I0 20 cycle, as d e m o n s t r a t e d by Lett et al. (10) and H u m p h r e y et al. (7). In each instance, it peaks in Fraction 18 and 19, agreeing well with reported values of 165 S for c o n t r o l DNA (10). For G1 and S phase cells, B L M t r e a t m e n t results in breakage of the DNA from this c o n t r o l size to 100 and 105 S in the peak fraction. However, in m i t o t i c cells a larger red u c t i o n in m o l e c u l a r w e i g h t is evident; the peak being 80 S. This cell cycle effect was also observed for 1 0 0 / ~ g / m l where more total d a m a g e o c c u r r e d . T r e a t m e n t in G1 resulted in breakage to 55 S and in M to 35 S. DNA strand rejoining after removal of BLM from the cell c u l t u r e is s h o w n in Chart 4 for GI and M-cells. Mitotic cells were treated either i m m e d i a t e l y on c o l l e c t i o n or after a 2-hr i n c u b a t i o n period (G~ cells). B L M and C o l c e m i d were added and, 30 min later, this medium was replaced by fresh medium plus Colcemid (to prevent M-cells from moving into JULY 1976 2347 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1976 American Association for Cancer Research. J. M. Clarkson and R. M. H u m p h r e y G1). These data show that, despite the large discrepancy in the initial amounts of damage, most of the DNA strand breaks are rejoined within 2 hr for both cell stages. In Chart 5, the effect of treating cells at 4 ~ is shown. At this lowered temperature, the amount of strand breakage increases with incubation time and after 3 hr is comparable to that after 30 min at 37 ~. However, after 3 hr at 37 ~, it is evident that many of the breaks are rejoined (Chart 4) even in the presence of BLM. DISCUSSION BLM has been shown to have a cell stage-specific effect on the survival of CHO cells (1). In this report, data are presented with the intention of elucidating this cell cycle effect, particularly with reference to the significance of damage to DNA. We have attempted to determine (a) whether this is 1 of the primary targets for damage; and (b) if this is so, whether cell cycle-dependent survival is correlated With differences in the amount of DNA damage induced or with differences in the DNA break-rejoining capacity of cells at different stages. Inhibition of DNA synthesis by BLM has been demonstrated by Kunimoto et al. (9) and Suzuki et al. (18), and we have confirmed this. By choosing the appropriate concentration (100/~g/ml) of BLM, we have, in addition, been able to show a differential effect on subsequent DNA replication, depending on the cell phase treated. At this concentration, very little effect on S, G2, or G1 cells is evident, but the rate of DNA replication following treatment of mitotic cells is markedly inhibited (Chart 2; Table 1) and appears to terminate at 70% completion following 25 # g / m l and at 60% completion following 100 /~g/ml. This agrees well with the survival data of Barranco and Humphrey (1), where a 2-fold decrease in survival of M-cells over the next most sensitive stage, G2, was found. Nagatsu et al. (14) and Watanabe et al. (25) showed that the greatest progression delay occurred in G2 and, for continuous treatments with BLM, Tobey (22) found that entry into S phase was affected less than entry into mitosis with the result that cells tended to accumulate in G=. Recently, Hittelman and Rao (6), using the technique of premature chromosome condensation, showed that only 35% of the chromosomal gaps produced by 25 #g of BLM per ml applied in G= could be repaired and that 44% of the cells were arrested in G2. Our data for the effect on subsequent DNA replication do not show G= to be any more sensitive than S or G1. However, since many of the cells are arrested at this stage and do not reach mitosis, an accurate estimate of the relative sensitivity of cells treated in stages prior to mitosis is not possible. DNA breakage by BLM has been demonstrated both in vitro (4, 17, 21) and in vivo (20), and we have used this as a criterion for the amount of damage induced in DNA. In Chart 3, the results are shown following treatment of cells at different stages in the cell cycle. Compared with G~ and S, it is clear that mitosis is the most sensitive stage with regard to DNA damage, and this finding correlates well with the DNA replication data presented here and with the cell survival data of Barranco and Humphrey (1). After 30 min of incubation with the drug, it is possible that the cell has 2348 already repaired some of the damage produced and, thus, we are looking at the net result of 2 processes, induction of breaks in DNA and their rejoining. DNA strand rejoining after removal of BLM from a cell culture has already been demonstrated (16, 20) and the results in Chart 4 confirm this. A 30-min treatment with 25 /~g BLM per ml was followed by a 2-hr recovery period in fresh medium (all in the presence of Colcemid). In the case of G~ cells, DNA strand rejoining is completed in this time. The mitotic cells still have a small percentage of their DNA in the form of small strands, although most of the damage has been repaired. It was shown by Humphrey (7) that strand rejoining following X-irradiation was considerably slower in M-cells than in Sphase cells, although the M-cells eventually recovered to the same extent. It is possible that the slight difference between the profiles of the G~ and M-cells 2 hr after treatment is the result of a similar difference in rate of recovery. However, it is evident from these data that the most significant difference in the response of these 2 cell stages is manifested in the initial levels of damage and not in the capacity for rejoining of DNA strand breaks. Data from Escherichia coli indicate that sensitivity to BLM is linked to cell membrane permeability (2), and Nakashima et al. (15) found an enhanced effect of BLM in the presence of pentamycin, which they suggest increases permeability of the cell to the drug. It is therefore possible that breakdown of the nuclear membrane in preparation for mitosis is significant in this respect. Autoradiographic studies by ":-,.Jiimoto (3) show that 14C-labeled BLM becomes concer,~rated o r the nuclear membrane of mouse tumor cells. The resolts shown in Chart 5 make it unlikely that BLM is actively transported into the cell and that a difference in cellular metabolism throughout the cell cycle would be significant in this respect. This contrasts with our data (J. M. Clarkson and R. M. Humphrey, unpublished data) for adriamycin, where strand breakage occurs only at 37 ~. It is interesting that 25 ~g and, especially, 100 ~g of BLM per ml do cause strand breakage in DNA at all stages of the cell cycle but that a certain level of damage can be tolerated and/or repaired so that, even when the drug is applied during the same S phase, the rate of DNA replication is not reduced (Chart 2). Similar results were obtained by Myer and Strauss (13)for methyl methanesulfonate-treated HEp-2 cells. Single strand breaks were produced in the DNA of these cells which were then able to proceed through 1 subsequent S phase but were unable to complete a 2nd round of DNA replication. REFERENCES 1. Barranco, S. C., and Humphrey, R. M. 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