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Vol. 58, Issue 5, 920-927, November 2000
Cancer Therapy and Research Center, Institute for Drug Development,
San Antonio, Texas (J.M.W., S.F., M.C.S.H., B.A., W.G.C., E.R.,
A.V.T.); Department of Biochemistry and Biophysics, The University of
North Carolina at Chapel Hill, Chapel Hill, North Carolina (A.V., M.V.,
S.G.C.); and Sanofi-Synthelabo Research, Malvern, Pennsylvania (P.E.J.)
Damage to cellular DNA is believed to determine the antiproliferative
properties of platinum (Pt) drugs. This study characterized DNA
damage by oxaliplatin, a diaminocyclohexane Pt drug with clinical antitumor activity. Compared with cisplatin, oxaliplatin formed significantly fewer Pt-DNA adducts (e.g., 0.86 ± 0.04 versus
1.36 ± 0.01 adducts/106 base pairs/10 µM drug/1 h,
respectively, in CEM cells, P < .01). Oxaliplatin
was found to induce potentially lethal bifunctional lesions, such as
interstrand DNA cross-links (ISC) and DNA-protein cross-links (DPC) in
CEM cells. As with total adducts, however, oxaliplatin produced fewer
(P < .05) bifunctional lesions than did cisplatin:
0.7 ± 0.2 and 1.8 ± 0.3 ISC and 0.8 ± 0.1 and
1.5 ± 0.3 DPC/106 base pairs/10 µM drug,
respectively, after a 4-h treatment. Extended postincubation (up to
12 h) did not compensate the lower DPC and ISC levels by
oxaliplatin. ISC and DPC determinations in isolated CEM nuclei
unequivocally verified that oxaliplatin is inherently less able than
cisplatin to form these lesions. Reactivation of drug-treated plasmids,
observed in four cell lines, suggests that oxaliplatin adducts are
repaired with similar kinetics as cisplatin adducts. Oxaliplatin,
however, was more efficient than cisplatin per equal number of DNA
adducts in inhibiting DNA chain elongation (~7-fold in CEM cells).
Despite lower DNA reactivity, oxaliplatin exhibited similar or greater
cytotoxicity in several other human tumor cell lines (50% growth
inhibition in CEM cells at 1.1/1.2 µM, respectively). The results
demonstrate that oxaliplatin-induced DNA lesions, including ISC and
DPC, are likely to contribute to the drug's biological properties.
However, oxaliplatin requires fewer DNA lesions than does cisplatin to
achieve cell growth inhibition.
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