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Vol. 59, Issue 4, 751-757, April 2001
Division of Molecular Pharmacology, Huntsman Cancer Institute,
University of Utah, Salt Lake City, Utah
Transcriptional silencing of tumor suppressor genes by DNA methylation
occurs in cancer cell lines and in human tumors. This has led to the
pursuit of DNA methyltransferase inhibition as a drug target.
5-Aza-2'-deoxycytidine [5-aza-CdR (decitabine)], a potent inhibitor
of DNA methyltransferase, is a drug currently in clinical trials for
the treatment of solid tumors and leukemia. The efficacy of 5-aza-CdR
may be related to the induction of methylation-silenced tumor
suppressor genes, genomic hypomethylation, and/or enzyme-DNA adduct
formation. Here, we test the hypothesis that 5-aza-CdR treatment is
perceived as DNA damage, as assessed by the activation of the tumor
suppressor p53. We show that 1) colon tumor cell lines expressing
wild-type p53 are more sensitive to 5-aza-CdR mediated growth arrest
and cytotoxicity; 2) the response to 5-aza-CdR treatment includes the
induction and activation of wild-type but not mutant p53 protein; and
3) the induction of the downstream p53 target gene p21 is partially
p53-dependent. The induction of p53 protein after 5-aza-CdR treatment
did not correlate with an increase in p53 transcripts, indicating that
hypomethylation at the p53 promoter does not account for the p53
response. It is relevant that 5-aza-CdR has shown the greatest promise
in clinical trials for the treatment of chronic myelogenous leukemia, a
malignancy in which functional p53 is often retained. Our data raise
the hypothesis that p53 activation may contribute to the clinical efficacy and/or toxicity of 5-aza-CdR.
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