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Department of Experimental Medicine and Biochemical Sciences,
University of Rome "Tor Vergata," Rome, Italy (L.T., L.O., E.B.,
I.F., E.B., G.G.),
Istituto Dermopatico dell'Immacolata, Rome, Italy
(P.M.L., E.B., S.D.), and
Institute of Experimental Medicine, National
Research Council, Rome, Italy (E.B.)
High levels of expression of the DNA repair enzyme
O6-alkylguanine DNA-alkyltransferase (OGAT) (EC 2.1.1.63)
account for tumor cell resistance to methylating agents. Previous
studies suggested that methylating triazenes might have a potential
role for the treatment of acute leukemias with low levels of OGAT. In
the current study, we transduced the human OGAT cDNA in OGAT-deficient leukemia cell clones. OGAT-transduced cells were more resistant than
their OGAT-deficient counterparts to apoptosis triggered by the
methylating triazene temozolomide (TZM), as indicated by the results of
flow cytometry, terminal deoxynucleotidyl transferase assay, and
analysis of DNA fragmentation. Depletion of OGAT activity by
O6-benzylguanine increased leukemia cell sensitivity to
TZM-mediated apoptosis. Moreover, combined treatment of cells with TZM
and benzamide, an inhibitor of the poly(ADP-ribose) polymerase (EC 2.4.2.30), increased the apoptosis induced by the methylating agent.
These results demonstrate for the first time that methyl adducts at the
O6 position of guanine, which are specifically removed by
OGAT, are the principal DNA lesions responsible for the induction of apoptosis on treatment of leukemic cells with the methylating triazene
TZM. This study also supports the possible use of TZM for the treatment
of acute leukemias and suggests new strategies to increase the
susceptibility of tumor cells to methylating triazenes in the clinic.
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