[CANCER RESEARCH 27 Part 1, 242-250,February 19671 Cell Morphology of a Human Diploid Cell Strain (WI-38) after Treat ment with Arabinosylcytosine1 WAHEEB K. HENEEN2AND WARREN W. NICHOLS South Jersey Medical Research Foundation, Camden, New Jersey Eagle's medium with 30 % newborn calf serum in Petri dishes Summary Cell morphology was studied in a human diploid cell strain (WI-38) treated with various concentrations of arabinosylcytosine for different periods. Mitotic inhibition followed most of these treatments except for the short treatments with the lowest con centration, which allowed mitosis in the postreatment growth period. Paired acentric fragments were seen in anaphases after these treatments. The treated cells exhibited certain morphologic characteris tics, such as clustering of cells, appearance of oval, elongated nuclei and cells, increased cytoplasmic granularity, increased size of nuclei and nucleoli, fusion and vacuolation of nucleoli which became darker, and organization of new nucleoli and decreased stainability of the reticulum. The changes in the appearance of the nucleoli may indicate increased metabolic activities. Many of these morphologic characteristics resemble changes seen in trans formed cells. Introduction Arabinosylcytosine (l-/3-D-arabinofuranosylcytosine, ara-C) is an analog of deoxycytidine and cytidine and has been observed to interfere with DNA synthesis and cell reproduction by many authors (3, 5-7, 13,14). It has also been demonstrated that ara-C causes breakage of chromosomes in 2 tissue culture systems, viz., human leukocytes and a human cell line (2, 14, 19), as well as in vivo (1). These breaks resembled those occurring after virus infection (18, 20-22). Nichols and Heneen (19) reported initial comparative studies between long-term effects of ara-C on cell cultures and cell trans formation following virus infection (9, 16, 23, 26). The present study extends these initial observations to more detailed cell morphology and pattern of growth in a human di ploid cell strain (WI-38) treated with ara-C and subjected to a differential stain technic. Materials and Methods A diploid cell strain (WI-38) originally derived from a female human embryo lung was used. These cells were grown in Hanks1 This work was supported in part by Grants CA-03845 and CA-04953 from the NIH and by Research Career Development Award 5-K3-CA-16.749. * Institute of Genetics, University of Lund, Lund, Sweden. Received January 17, 1966; accepted September 1, 1966. 242 containing coverslips. The different treatments were applied on cells growing on coverslips when in Passages 23-32. Arabinosylcytosine in final concentrations of 10~5 M, 10~6 M, and 10~7Mwas used. The treatments were started 1-2 days after transfer before the formation of a dense sheet of cells on the coverslip. In one series, ara-C treatments were continuous for 1, 3, 24, and 48 hr before fixation. In another, the analog was removed after such treatments and fresh medium was added. In this series, fixations were made at intervals of 2 days for a period of 8 days, after removing the analog. During the posttreatment period the cells were refed every 2nd day. Controls for all treatments were fixed or refed at similar times or intervals. Before fixation, the coverslips were dipped for a few sec in NaCl solution (0.85%) to take away remnant medium. Kahle's modi fied fixative [formula given by Smith (25)], composed of 95% ethyl alcohol-formalin-glacial acetic acid (15:6:1), was used for 10 min. The coverslips were then passed in an alcohol series before hydrolysis for 10 min in l NHC1 at 60°Cand differentially stained for chromatin and nucleoli with Feulgen's procedure and light green (Östergren, Koopmans, and Reitalu; see Ref. 24). Results Frequency of Mitosis The frequency of mitosis after continuous treatment with araC and during the period of posttreatment growth in ara-C-free medium is presented in Table 1. Mitosis in frequencies less than the control level were observed after a short treatment of 1 or 3 hr with all the concentrations (10~5, 10~6, or 10~7 M) of ara-C used except for the 1-hr lü~7 M treatment, which had about the same mitotic index as in the control. After 24- and 48-hr treat ments, no mitoses were seen except for a low frequency after the 24-hr treatment at the lowest concentration (10~7 M). Dead cells were of frequent occurrence after the 24- and 48-hr treatments, and the appearance of their chromatin material indicated death while in division. During the posttreatment period (4 analyses at 2-day inter vals) in ara-C-free medium, no mitosis was observed after the 10~5 M treatment. This concentration of ara-C, even if applied only for 1 hr, caused complete inhibition of mitosis in the subse quent period of observation. The 10~6 M concentration caused strong inhibition of mitosis, but in this case a few mitoses oc curred in the first 2-4 days after a short treatment of 1 or 3 hr. On the 2nd day, after the 10~7M concentration was applied for CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. VOL. 27 Cell Morphology after Arabinosylcyiosine Treatment TABLE 1 FREQUENCYOF MITOSIS"IN WI-38 CELLSAFTERTREATMENTWITHARABINOSYLCYTOSINE AND DURING THE PERIOD OF PoSTTREATMENT GROWTH (hr)11.551.202.202.2530.700.551.092.2524——0.352.9448———2.011324481324481324481-3POSTTREATMENT OF TREATMENT (DAYS)2———0.20——1.891.72——2.014——0.05——0.300.10—0.436— PERIOD MOLARCONCENTRATIONio-*10-«io-7ControlDURATION ara-C .0.20——0.14S——————0.02 0 Mitotic indices based on counts of 2000-0000cells in each treatment; dashes (—)indicate no mitosis. 1 or 3 hr, mitosis was close to the control level. This was followed by a decreasing frequency in the analyses made on Days 4, 6, and 8. Twenty-four- or 48-hr treatments with 10~' Mara-C completely inhibited mitosis in the posttreatment period. As indicated in Table 1, mitosis in the control was frequent on Day 2 and decreased successively on Days 4, 6, and 8. These were periods corresponding to the days of growth in ara-C-free medium in the treated material. Some mitotic figures can be seen in the cells shown in Figs. 1-4, which represent the controls at various periods of growth. The chromosomes in most of the metaphase plates seen in the treated material exhibited some degree of stickiness. This has been observed both directly after ara-C treatments and 2-8 days fol lowing these treatments. A metaphase figure from the control and an ara-C treatment are shown in Figs. 5 and 6, respectively. Persistent nucleolar material (arrows, Fig. 6) was of more common occurrence in the treated cells than in the control. For example, on Day 2 after a 3-hr 10~7Mtreatment, persistent nucleoli occurred arms. In the case of the control, most of the aberrant anaphases showed separation difficulties, giving rise to chromatid bridges (Fig. 9). Pattern of Growth and Morphology of Cells The treatment with ara-C caused a marked decrease in the number of cells that grew on the coverslip (Figs. 10-15). Control cells at various periods of growth are seen in Figs. 1-4. The in tensity of cell loss increased with increasing concentrations and time of treatment. Proliferation of cells during the posttreatment period occurred only in the 1- and 3-hr treatments, with the lowest concentration, 10~7M, of ara-C. A difference in growth pattern between cells treated with ara-C and the controls could sometimes also be seen. Treated cells tended to group together in clusters (Fig. 11). They also showed a more elongated appearance than the controls (Fig. 14). This often happened shortly before cells detached from the glass. A some what similar, but less marked, effect was seen in control cells as in 46% of the metaphase plates and in 22% of the controls (67 they became crowded on the glass. and 151 metaphase analyses, respectively). During the posttreatment period, especially after long treat Besides stickiness and overcontraction of chromosomes at ments with high concentrations of ara-C, the cytoplasm exhibited metaphase, aberrations at anaphase were also encountered. more granularity and stainability with light green (Figs. 12-15) These were clearly demonstrable in the following 4 treatments of ara-C; 3 hr with 10~5 M or 10~6 M concentration, 24 hr with 10~7 and the cells often appeared to be degenerating. M concentration, and day 2 posttreatment analysis of the IO"7 M Appearance of Nuclei 3-hr treatment. A total of 675 anaphases studied from these treat ments showed aberrations in a frequency of 25-29%. In 492 anaCompared with the control, there was a wider variation in nuclear sizes after treatment with ara-C. Small, shrunken nuclei phases analyzed in control material, the frequency of aberrations ranged from 3 to 11%. Besides the differences in frequency of were seen immediately after the short treatments (1 and 3 hr). After long treatments (24 and 48 hr) and during the posttreat anaphase aberrations, there was a difference in the type of aber ration most frequently observed in the treated versus control ment period, most of the nuclei were increased in size (Figs. 10-15). Some of these large nuclei were so much larger than the material. The most common anaphase aberration after ara-C treatment was a pair of acentric fragments (Figs. 7, 8) which rest of the cells that they probably represented polyploid cells varied in size from dotlike to as large as whole chromosome (Fig. 10). FEBRUARY 1967 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. 243 Waheeb K. Heneen and Warren W. Nichols A general increase in size of nuclei that was of a lesser degree than in these polyploid cells was also seen after treatment and may have represented either a real increase in nuclear material or a decreased compactness of the nucleus. Since there was a low staining density of these big nuclei, the latter was considered most likely. In degenerating cells, the faintly stained chromatin reticulum condensed into darkly stained granules distributed all over the nucleus (Figs. 14, 15). This was noticeable to a much lesser extent in the late periods of growth in the control. Appearance of Nucleoli In the control material (Figs. 1-4), nucleoli were small and varied in number and shape. From 2 to 4 nucleoli per nucleus were most frequently observed. In the treated cells, nucleoli were darker staining and appeared in a diffuse or branched condition (Figs. 10,11). Attenuations of nucleoli appeared to be a condition prior to their fusion in later stages of growth in ara-C-free medium (Figs. 12-15). Vacuoles were frequently seen in large, fused nu cleoli. The vacuoles were rounded, and varied in number from few to many, covering most of the nucleolar area (Fig. 16). Small vacuoles were seen much less frequently in nucleoli of the control. These effects were accentuated by increase in concentration and length of treatment. In many of the treated cells, new, small nuclei appeared during the growth period in the ara-C-free medium (Fig. 17). The appearance of the nucleoli directly after the treatment and during the posttreatment period might give an indication of an increased metabolic activity. The nucleoli first appear in diffuse branched condition and then fuse together, forming big, darkly stained nucleoli. In the posttreatment period, new nucleoli are sometimes organized. The appearance of vacuoles in nucleoli may increase the area of the reactive surface (10). These changes do not necessarily indicate increased metabolic activity, and, in deed, in the protozoan Tetrahymena pyriformis, fusion of nucleoli takes place in aged cultures at the end of the log phase and during the stationary phase of growth (4). In this paper (4), the authors referred to works demonstrating the effect of heat shocks in causing nucleolar fusion. Also, vacuoles were seen in nucleoli of green monkey kidney cells after infection with Simian Virus 40 (17), and they may represent a stage of pyknosis in these cells. Many of the features seen in the ara-C-treated cells presented here resemble those observed in transformed, or virus-treated, cells (e.g., 16, 17, 23). Included in these similarities are the in creased cytoplasmic granularity, more conspicuous large nucleoli, enlargement of nuclei, and clustering of cells. Some of the ob served morphologic characteristics are also seen in aged control cells. Attempts are in progress to follow up the cells treated with ara-C by repeated cloning and passing to detect cells that fulfill all the requirements of transformation. Acknowledgments Discussion The mitotic inhibition observed in WI-38 cells after arabinosylcytosine treatment was dependent on concentration and duration of treatment. The 1- and 3-hr treatments with 10~7 M were the only ones in which mitotic inhibition was not observed in the posttreatment period of growth. Karon et al. (13) and Buthala (3) reported similar observations in other systems, and the mitotic inhibitory action of ara-C has also been pointed out by other workers (6, 7, 11, 14, 19). The mitotic inhibitory effect of another analog, 2'-deoxy-5-fluorouridine (FUDR), counteracted by the addition of thymidine, was used as a method for synchronization and accumulation of mitoses (see Hsu et al. 12). The differences in frequency and type of aberrations found at anaphase between treated and untreated cells further confirm the chromosome-breaking effects of ara-C seen at metaphase (2,14,19). A prominent effect of ara-C is that it interferes with or blocks DNA synthesis (3, 5-7, 14). The appearance of the treated cells thus reflects morphologic characteristics of cells that have been subjected to the interference of DNA synthesis by the analog, a condition which may be compared to the unbalanced growth in duced in a thymine-less state in bacteria (8) and observed in HeLa S-3 cells after treatment with ara-C (15). In short treatments with lower concentrations of ara-C, cells started to replicate again after the removal of the analog, whereas after long treatments with low or high concentrations, they re mained in interphase. The increase in nuclear volume of treated cells may represent an actual increase in their DXA content, as found by Karon et al. (13), or could also be explained by a decrease in the compactness of these nuclei, as might be indicated by their fainter staining reaction. 244 We would like to express thanks to Dr. S. S. Cohen for his helpful discussions and criticism. We also wish to thank photogra phy technician Miss Mary Federico and tissue culture technician Mrs. Joan Lee for their endeavors. References 1. Bell, W. R., Whang, J. J., Carbone, P. P., Brecher, G., and Block, J. B. Cytogenetic and Morphologic Abnormalities in Human Bone Marrow Cells during Cytosine Arabinoside Therapy. Blood, 37: 771-81, 1966. 2. Brewen, J. G. The Induction of Chromatid Lesions by Cyto sine Arabinoside in Post-DNA-synthetic Human Leukocytes. Cytogenetics, 4: 28-36, 1965. 3. Buthala, D. A. Cell Culture Studies on Antiviral Agents. I. Action of Cytosine Arabinoside and Some Comparisons with 5-Iodo-2-deoxyuridine. Proc. Soc. Exptl. Biol. Med., 115: 69-77, 1964. 4. Cameron, I. L., and Guile, E. E. Nucleolar and Biochemical Changes during Unbalanced Growth of Tetrahymena pyri formis. J. Cell Biol., 26: 845-55, 1965. 5. Cardeilhac, P. T., and Cohen, S. S. Some Metabolic Properties of Nucleotides of l-/3-D-Arabinofuranosylcytosine. Cancer Res., 24: 1595-1603, 1964. 6. Chu, M. Y., and Fischer, G. A. A Proposed Mechanism of Action of l-/3-D-Arabinofuranosyl-cytosine as an inhibitor of the Growth of Leukemic Cells. Biochem. Pharmacol, 11: 423-30, 1962. 7. . Comparative Studies of Leukemic Cells Sensitive and Resistant to Cytosine Arabinoside. Ibid., 14: 333-41, 1965. 8. Cohen, S.S., and Barner, H. D. Studies on Unbalanced Growth in Escherichia coli. Proc. Nati. Acad. Sci. U.S., 40: 885-93, 1954. 9. Cooper, H. L., and Black, P. H. Cytogenetic Studies of Ham ster Kidney Cell Cultures Transformed by the Simian Vacuolating Virus (SV 40). J. Nati. Cancer Inst., SO: 1015-43, 1963. CANCER RESEARCH VOL. 27 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. Cell Morphology after Arabinosylcytosine 10. Esper, H. Studies on the Nucleolar Vacuole in the Oogénesis of Arabacia punctulata. Exptl. Cell Res., 38: 85-96, 1965. 11. Evans, J. S., Musser, E. A., Mengel, G. D., Forsblad, K. R., and Hunter, J. H. Antitumor Activity of l-/3-D-Arabinofuranosylcytosine Hydrochloride. Proc. Soc. Exptl. Biol. Med., 106: 350-53, 1961. 12. Hsu, T. C., Humphrey, R. M., and Somers, C. E. Response of Chinese Hamster and L Cells to 2'-Deoxy-5-fluoro-uridine and Thymidine. J. Nati. Cancer Inst., 3£:839-55, 1964. 13. Karon, M., Henry, P., Weissman, S., and Meyer, C. The Effect of l-j3-D-Arabinofuranosylcytosine on Macromolecular Syn thesis in KB Spinner Cultures. Cancer Res., ÃŽ6:166-71, 1966. 14. Kihlman, B. A., Nichols, W. W., and Levan, A. The Effect of Deoxyadenosine and Cytosine Arabinoside on the Chromo somes of Human Leukocytes in Vitro. Hereditas, 50: 139-43, 1963. 15. Kim, J. H., and Eidinoff, M. L. Action of l-/3-D-Arabinofuranosylcytosine on the Nucleic Acid Metabolism and Via bility of HeLa Cells. Cancer Res., 25: 698-702, 1965. 16. Koprowski, H., Ponten, J. A., Jensen, F., Ravdin, R. G., Moorhead, P., and Saksela, E. Transformation of Cultures of Human Tissue Infected with Simian Virus SV 40. J. Cellular Comp. Physiol., 59: 281-92, 1962. 17. Love, R., and Fernandes, M. V. Cytological and Cytochemical Studies of Green Monkey Kidney Cells Infected in Vitro with Simian Virus 40. J. Cell Biol., 25: 529^3, 1965. 18. Nichols, W. W. Relationships of Viruses, Chromosomes and Carcinogenesis. Hereditas, 50: 53-80, 1963. FEBRUARY Treatment 19. Nichols, W. W., and Heneen, W. K. Chromosomal Effects of Arabinosylcytosine in a Human Diploid Cell Strain. Ibid., 52: 402-10, 1964. 20. Nichols, W. W., Levan, A., Aula, P., and Norrby, E. Extreme Chromosome Breakage Induced by Measles Virus in Differ ent in Vitro Systems. Preliminary Communication. Ibid., 51: 380-82, 1964. 21. Nichols, W. W., Levan, A., Hall, B., and Östergren, G. Measles Associated Chromosome Breakage. Preliminary Communica tion. Ibid., 48: 367-70, 1962. 22. Nichols, W. W., Levan, A., and Kihlman, B. A. Chromosome Breakage Associated with Viruses and DNA Inhibitors. Cytogenetics of Cells in Culture. Symp. Intern. Soc. Cell Biol., 3: 255-71, 1964. 23. Ponten, J., Jensen, F., and Koprowski, H. Morphological and Virological Investigation of Human Tissue Cultures Trans formed by SV 40. J. Cellular Comp. Physiol., 61: 145-63, 1963. 24. Reitalu, J. The Appearance of Nucleoli and Heterochromatin in Mesothelial Cells and Cancer Cells of Ascites Tumours of the Mouse. Acta Pathol. Microbiol. Scand., 41: 257-66, 1957. 25. Smith, S. G. Techniques for the Study of Insect Chromosomes. Can. Entomologist, 75: 21-34, 1943. 26. Yerganian, G., Shein, H. M., and Enders, J. F. Chromosomal Disturbances Observed in Human Fetal Renal Cells Trans formed in Vitro by Simian Virus 40 and Carried in Culture. Cytogenetics, 1: 314-24, 1962. 1967 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. 245 Waheeb K. Heneen and Warren W. Nichols FIGS. l-i7. All figures are from material grown on coverslips, fixed in Kahle's modified fixative, and differentially stained with Feulgen's procedure and light green. FIGS. 1-4. Human diploid cell strain (WI-38) control 1-2, 3-4, 5-6, and 7-8 days after passing, respectively. More mitoses in the earlier days of growth. In an older state, cells form a dense sheet of cells, nuclei are lighter in color, and nucleoli are fewer in number. X5CO. FIGS. 5-11. Human diploid cell strain (WI-38) treated with arabinosylcytosine (ara-C) (except cells in Figs. 5, 9). FIG. 5. Metaphase or prometaphase in control. X 2000. FIG. 6. A cell subjected to a 3-hr 10~7M treatment and 2 days growth in ara-C-free medium showing stickiness of chromosomes and persistence of nucleolar material (arrows) in a metaphase or prometaphase. X 2600. FIGS. 7, 8. Anaphases after 3-hr 10~6M treatment exhibiting paired acentric fragments. X 3200. FIG. 9. Anaphase with a chromatid bridge demonstrating the type of aberrations occasionally seen in control material. X 3200. FIG. 10. Treatment with 10~7M for 2-1hr, exhibiting fewer cells, many of which seem to be polyploid. The diffuse or branched nature of nucleoli is also seen. X 560. FIG. 11. Treatment with 10~5 M for 24 hr, demonstrating clustering of cells. X 560. FIGS. 12-15. Human diploid cell strain (WI-38) treated with ara-C and grown in ara-C-free medium after treatment. X 560. FIG. 12. Treatment with 10~6 M for 3 hr and 4 days' posttreatment period, exhibiting fused, rounded nucleoli. FIG. 13. Treatment with 10~7Mfor 3 hr and 8 days' posttreatment growth. Few dead cells with pyknotic chromatin material are seen. FIG. 14. Treatment with 10"* M for 3 hr and 8 days' posttreatment growth. Elongated nuclei in spindle-shaped fibroblasts and also granularity of the chromatin material in some degenerating nuclei are seen. FIG. 15. Treatment with 10~5Mfor 1 hr and 8 days' posttreatment growth, demonstrating 246 degenerating nuclei. CANCER RESEARCH VOL. 27 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. Cell Morphology after Arabinosylcytosine I i - Treatment // • -' : 1 •• i . * 'A 3 FEBRUARY 1967 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. 247 Waheeb K. Heneen and Warren W. Nichols *. ••-.- :.- I ' ."• 10 248 CANCER RESEARCH VOL. 27 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. Cell Morphology after Arabinosylcytosine Treatment V . -. : ••• V • *12 -:•*>*''' .15 14 FEBRUARY 19G7 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. 249 Waheeb K. Heneen and Warren W. Nichols 17 Fio. 16. Treatment with 10~s M for 24 hr and 8 days' posttreatment growth in ara-C-free medium, showing fusion of nucleoli into 1 big nucleolus and presence of vacuoles. X 2600. FIG. 17. Treatment with 10~6M for 24 hr and 8 days' posttreatment growth in ara-C-free medium. Fusion of nucleoli into 1 big nucleolus and the organization of many small new nucleoli are seen. X 2600. 250 CANCER RESEARCH VOL. 27 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1967 American Association for Cancer Research. Cell Morphology of a Human Diploid Cell Strain (WI-38) after Treatment with Arabinosylcytosine Waheeb K. Heneen and Warren W. Nichols Cancer Res 1967;27:242-250. 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