Experimental Therapeutics Program, Taussig Cancer Center, Cleveland
Clinic Foundation, Cleveland, Ohio; and the Molecular Oncology
Laboratory, Imperial Cancer Research Fund Unit, Institute of Molecular
Medicine, John Radcliffe Hospital, Oxford, United Kingdom
Topoisomerase II (topo II), an enzyme essential for cell viability, is
present in mammalian cells as the
- and
-isoforms. In human
leukemia HL-60/S or HL-60/doxorubicin (DOX)0.05 cells, the levels of
topo II
- or
-protein were similar in either asynchronous exponential or synchronized cultures. Although topo II
was
hypophosphorylated in HL-60/DOX0.05 compared with HL-60/S cells, both
overall and site-specific hyperphosphorylation of topo II
was
apparent in HL-60/DOX0.05 compared with HL-60/S cells. The
phosphorylation of topo II
and not
was enhanced in the S and
G2 + M phases of HL-60/S cells. In contrast, an increase in
the phosphorylation of topo II
compared with
was apparent in the
G1 and S phases of HL-60/DOX0.05 cells. The cytotoxicity
and depletion of topo II
or
in cells treated with drug for
1 h revealed that mole-for-mole, amsacrine was 2-fold more
effective than etoposide in killing HL-60/S or HL-60/DOX0.05 cells and
in depleting the
versus
topo II protein. Present results
demonstrate that: 1) hyperphosphorylation of topo II
in
HL-60/DOX0.05 cells may be a compensatory consequence of the
hypophosphorylation of topo II
to maintain normal topo II function
during proliferation, and 2) enhanced sensitivity of HL-60/S or
HL-60/DOX0.05 cells to amsacrine may be due to the preferential
interaction and depletion of topo II
.
 |
Introduction |
The
DNA topoisomerases (topo) alter DNA topology for the processing of
genetic material and are key targets for the clinically important
antineoplastic agents amsacrine (m-AMSA) and
etoposide (VP-l6) (Chen and Liu, 1994
; Watt and Hickson, 1994
; Wang,
1996
). Although topo I exists as a single 97-kDa protein, topo II has an
- and
-isoform with molecular mass of 170 and 180 kDa,
respectively (Watt and Hickson, 1994
; Wang, 1996
). Although a
substantial literature exists on the regulation, function, and drug
interactions of the
-isoform, the role of the
-isoform has
received substantially less attention (Chen and Liu, 1994
; Watt and
Hickson, 1994
; Wang, 1996
).
A role for topo II
in cell differentiation was originally proposed
by Woessner et al. (1990
, 1991
). More recently, the altered regulation
of topo II and the pronounced up-regulation of topo II
during all
trans-retinoic-induced differentiation of human leukemia
HL-60 cells has been reported (Aoyama et al., 1998b
). Previous
studies (Cornarotti et al., 1996
; Dereuddre et al., 1997
) have
suggested that the
- and
-isoforms of topo II may represent distinct targets that govern differential sensitivity to drugs that
poison the enzyme. A more recent study (Herzog et al., 1998
) has
provided evidence that high levels of resistance to
m-AMSA in a subline of HL-60 is correlative with the
absence of detectable levels of the topo II
protein. A notable
observation of this study was the finding that the absence of topo
II
does not interfere with cell proliferation (Herzog et al., 1998
).
HL-60 cells that exhibit increased resistance to doxorubicin (DOX) have
been isolated (Ganapathi et al., 1996a
). Although these
resistant cells exhibit decreased drug accumulation due to
overexpression of P-glycoprotein, the expression of resistance to topo
II poisons is correlative not with intracellular drug levels but with
decreased drug-stabilized topo II-DNA cleavable complex formation
(Ganapathi et al., 1996a
; Aoyama et al., 1998
) and functional
alterations in topo II
. The reduced DNA damage also has been found
to be related to site-specific hypophosphorylation of topo II
(Aoyama et al., 1998
). Although these changes in drug accumulation and
hypophosphorylation of topo II are possibly linked, the differential
sensitivity to m-AMSA compared with VP-16 remains unexplained in the HL-60 cells. In the present study, we have investigated the regulation of topo II
as well as the differential sensitivity of the
- and
-isoforms to m-AMSA and
VP-16 with isoform-specific antisera in sensitive (HL-60/S) and
DOX-resistant (HL-60/DOX0.05) HL-60 cells. Results suggest that unlike
topo II
, both overall and site-specific hyperphosphorylation of topo II
is observed in the HL-60/DOX0.05 cells. Furthermore, in both the
HL-60/S and HL-60/DOX0.05 cells, m-AMSA was >2-fold
more effective than VP-16 in topo II
-stabilized DNA cleavable
complex formation (based on band depletion experiments) and
cytotoxicity in a soft-agar colony assay.
 |
Materials and Methods |
The wild-type HL-60 (HL-60/S) cells were obtained from Dr.
Andrew Yen, College of Veterinary Medicine, Cornell University, Ithaca,
NY. Cultures of HL-60/S cells were maintained in RPMI 1640 supplemented
with 10% fetal bovine serum and 2 mM L-glutamine (BioWhittaker, Walkersville, MD) at 37°C in a humidified 5%
CO2 plus 95% air atmosphere. The resistant
subline of HL-60 developed by culturing the wild-type cells in
increasing concentrations of 0.025 to 0.05 µg/ml DOX has been
described previously (Ganapathi et al., 1996b
). The DOX-resistant
subline (HL-60/DOX0.05) was maintained in the absence of DOX during
experimentation. Doubling time in vitro of the HL-60/S and
HL-60/DOX0.05 cells was 18 to 20 h.
The enrichment of cells in G1, S, and
G2 + M phases of the cell cycle was carried out
by centrifugal elutriation (Hengstschlager et al., 1997
) in a J2-21
centrifuge equipped with a JE-6 rotor (Beckman Coulter, Fullerton, CA).
Briefly, cells (2 × 108) were loaded at a
rotor speed of 2000 and 1875 rpm for the HL-60/S and HL-60/DOX0.05
cells, respectively. Fractions were collected with incremental
increases in flow rate. The cells in each fraction were analyzed for
cell cycle phase distribution by flow cytometry (Kawamura et al.,
1996
). Fractions containing cells in the cell cycle phase of interest
were pooled and used for experiments on topo II protein levels and phosphorylation.
The effect of VP-16 or m-AMSA on induction of topo
II-mediated DNA scission was determined by measuring precipitation of
the protein DNA complex by a modification of the SDS-KCl technique (Zwelling et al., 1989
; Ganapathi et al., 1996a
; Aoyama et al., 1998
).
Cells were labeled for 24 h with 0.02 to 0.04 µCi/ml of [14C]thymidine, specific activity 53 mCi/mmol
(Amersham, Arlington Heights, IL). The labeled HL-60/S cells were
treated with 0.1 to 5.0 µM m-AMSA or VP-16 for 1 h and processed for measuring DNA damage.
Cytotoxicity studies in vitro were carried out by a soft-agar colony
assay (Ganapathi et al., 1996a
,b
) after exposure to
m-AMSA or VP-16 for 1 h. The colony-forming
efficiency of the HL-60 cells under these conditions was 29%.
Levels of 170 kDa (
) and 180 kDa (
) topo II protein in HL-60/S
and HL-60/DOX0.05 cells were determined by SDS-polyacrylamide gel
electrophoresis (PAGE) and immunoblotting (Ganapathi et al., 1996
).
Briefly, extracts from HL-60/S or HL-60/DOX0.05 cells were prepared in
radioimmunoprecipitation assay buffer with whole cells or nuclei
isolated in nucleus buffer supplemented with 0.3% Triton X-l00
(Ganapathi et al., 1996
; Aoyama et al., 1998a
,b
). Protein content was determined by the Coomassie assay reagent (BioRad, Hercules, CA) and serial dilutions containing equivalent amounts of
protein from HL-60/S and HL60/DOX0.05 cells were analyzed by SDS-PAGE
(Ganapathi et al., 1996a
; Aoyama et al., 1998a
,b
). After electroblotting onto nitrocellulose, the topo II protein (
and
)
was detected after incubation with rabbit polyclonal antibodies that
recognize either the 170-kDa (Ganapathi et al., 1996a
; Turley et al.,
1997
; Aoyama et al., 1998b
) or the 180-kDa (Turley et al., 1997
) topo
II followed by 125I-goat anti-rabbit IgG. The
specific enhancement by m-AMSA or VP-16 of topo II
DNA-cleavable complex formation was determined by the band depletion
technique (Kawamura et al., 1996
). The HL-60/S or HL-60/DOX0.05 cells
were treated with 0.1 to 100 µM m-AMSA or VP-16 for
1 h at 37°C. Control and treated cells (2 × 106) were lysed in 2× Laemmli buffer, samples
were processed by SDS-PAGE and electroblotted onto nitrocellulose
(Kawamura et al., 1996
), and topo II was detected with a polyclonal
rabbit antibody that specifically recognizes the 170- or 180-kDa
isoform followed by 125I-goat anti-rabbit IgG
(Ganapathi et al., 1996a
; Turley et al., 1997
; Aoyama et al., 1998
).
Depletion of topo II due to enhanced cleavable complex formation in
treated versus control cells was quantified by a phosphorImager.
Phosphorylation of topo II
or topo II
in HL-60/S and
HL-60/DOX0.05 cells was determined by metabolic labeling with
[32P]orthophosphoric acid (Ganapathi et al.,
1996a
; Aoyama et al., 1998a
,b
). Nuclei were isolated from the labeled
cells, lysed in RIPA buffer (Ganapathi et al., 1996
; Aoyama et al.,
1998a
,b
), and topo II
or topo II
protein in lysates containing
equivalent number of nuclei, or similar amounts of protein, was
immunoprecipitated with rabbit polyclonal antibodies that recognize the
170-kDa (
) or 180-kDa (
) protein (Ganapathi et al., 1996a
; Turley
et al., 1997
; Aoyama et al., 1998b
). Details of the technique for
metabolic labeling and immunoprecipitation have been reported
previously (Ganapathi et al., 1996
; Aoyama et al., 1998a
,b
).
Phosphorylated topo II
or topo II
protein levels were determined
by densitometric scanning of autoradiograms or by the use of a
phosphorImager. Phosphopeptide analysis of the immunoprecipitated
180-kDa (
) topo II was carried out by a modification (Ganapathi et
al., 1996a
; Aoyama et al., 1998a
,b
) of the methods described previously
(Boyle et al., 1991
; Wells et al., 1994
). Briefly, the band
corresponding to the 180-kDa (
) topo II protein was excised from the
dried, unfixed gel, and eluted with 50 mM ammonium bicarbonate, 0.1% SDS, and 0.5% 2-mercaptoethanol overnight. The protein was
precipitated with 100% trichloroacetic acid and oxidized with
performic acid. Protein samples were digested overnight in
N-tosyl-L-phenylalanine chloromethylketone-trypsin, and the radioactivity determined by Cerenkov counting. Aliquots of the phosphopeptides reconstituted in pH
1.9 electrophoresis buffer (containing equivalent dpm) were loaded onto
thin layer cellulose plates and analyzed by electrophoresis with pH 1.9 buffer in the horizontal dimension, and phosphochromatography buffer in
the vertical dimension (Ganapathi et al., 1996
; Aoyama et al.,
1998a
,b
).
 |
Results |
The effects of VP-16 and m-AMSA on the cytotoxic
response were determined in HL-60/S and HL-60/DOX0.05 cells with a
soft-agar colony assay (Fig. 1). The data
indicate that although the HL-60/DOX0.05 cells are >20-fold resistant
to VP-16, the magnitude of resistance to m-AMSA is only
2-fold. These results suggest that although VP-16 and
m-AMSA target topo II, the expression of resistance is
markedly different depending on their affinity for intercalation with
DNA.

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Fig. 1.
Cytotoxic effects of VP-16 (A) and
m-AMSA (B) in HL-60/S and HL-60/DOX0.05 cells. After
treatment for 1 h, cytotoxicity was determined by a soft-agar
colony assay (Ganapathi et al., 1996a ). Data are mean values
from at least three experiments. S.D. <15%. HL- 60/S and
HL-60/DOX0.05 cells were plated at a density of 1.5 × 104 and 4 × 104 cells, respectively, per
35- × 10-mm Petri dish. Colony-forming efficiency of the HL-60/S and
HL-60/DOX0.05 cells was 29 and 10%, respectively.
|
|
We have previously reported that resistance to VP-16 in the
HL-60/DOX0.05 cells is not due to alterations in steady-state levels of
topo II
protein and is correlative with the hypophosphorylation of
topo II
(Ganapathi et al., 1996a
; Aoyama et al., 1998a
). Based on
the availability of topo II isoform-specific antisera, and the ability
of the technique of band depletion to ascertain drug-stabilized DNA
cleavable complex formation with the topo II isoforms, the specific
interaction of m-AMSA and VP-16 with topo II
and
was determined. Representative gels and data that summarize the
percentage of depletion of each topo II isoform for HL-60/S and
HL-60/DOX0.05 cells are shown in Figs. 2
and 3. It is apparent that
m-AMSA is 10- to 20-fold more potent than VP-16 in
depleting an equivalent amount of topo II
in either HL-60/S or
HL-60/DOX0.05 cells. In the HL-60/S cells, 50% depletion of topo II
protein occurred at 1 and 25 µM m-AMSA and VP-16, respectively.
However, <50% depletion of topo II
protein was observed in the
HL-60/DOX0.05 cells over the range of drug concentrations tested. The
depletion of topo II
protein after treatment with the topo II
poisons tested was as follows: 1) in HL-60/S cells, 50% depletion was
observed at 0.5 µM m-AMSA and 10 µM VP-16; and 2) a
50% depletion in HL60/DOX0.05 cells was observed at 1.0 µM
m-AMSA and 50 µM VP-16. Although m-AMSA
was superior to VP-16 in depleting the topo II isoforms at lower drug
concentrations, maximal depletion of topo II without an early plateau
was observed with VP-16. As shown in Table
1, these results on depletion of the topo
II isoforms are also consistent with the formation of an equivalent
level of drug-stabilized topo II-DNA cleavable complex with 10-fold
lower concentrations of m-AMSA in the HL-60/S cells.

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Fig. 2.
Band depletion analysis of 170-kDa ( ) topo II in
HL-60/S and HL-60/DOX0.05 cells treated with m-AMSA or
VP-16 for 1 h. A, samples of control and treated cells were
processed for band depletion analysis as described in Materials
and Methods. Data are from a representative gel. B,
phosphorImager analysis of topo II depletion by
m-AMSA or VP-16 in HL-60/S and HL-60/DOX0.05 cells. Data
are mean values from at least three experiments.
|
|

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Fig. 3.
Band depletion analysis of 180-kDa ( ) topo II in
HL-60/S and HL-60/DOX0.05 cells treated with m-AMSA or
VP-16 for 1 h. A, samples of control and treated cells were
processed for band depletion analysis as described in Materials
and Methods. Data are from a representative gel. B,
phosphorImager analysis of topo II depletion by
m-AMSA or VP-16 in HL-60/S and HL-60/DOX0.05 cells. Data
are mean values from at least three experiments.
|
|
Our previous data have demonstrated that topo II
is
hypophosphorylated without changes in the steady-state level of the
enzyme in the HL-60/DOX0.05 cells (Ganapathi et al., 1996a
). Based on the availability of antisera that efficiently immunoprecipitate the
- or
-isoforms of topo II, we sought to determine the potential for alterations in the protein levels and the phosphorylation of topo
II
in the resistant cells. As shown in Fig.
4A, the steady-state levels of topo II
protein in the HL-60/S and HL-60/DOX0.05 cells were comparable.
However, in contrast to the hypophosphorylation of topo II
, the topo
II
protein is hyperphosphorylated in the HL-60/DOX0.05 cells (Fig.
4B). The hyperphosphorylation is not a consequence of the differential
cellular distribution of topo II
because the data in Fig. 4C
demonstrate that hyperphosphorylated topo II
is detectable both in
whole cells and isolated nuclei. Because site-specific phosphorylation
of proteins can have important regulatory functions, phosphopeptide
mapping of complete tryptic digests of topo II
in the HL-60/S and
HL-60/DOX0.05 cells was carried out. The data in Fig.
5 demonstrate that the
hyperphosphorylation of topo II
in the HL60/DOX0.05 cells is site
specific. Notably, eight different sites in the topo II
protein are
hyperphosphorylated in the HL-60/DOX0.05 cells versus HL-60/S cells.

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Fig. 4.
Analysis of topo II levels by immunoblotting and
immunoprecipitation in HL-60/S and HL-60/DOX0.05 cells. A, immunoblot
analysis of topo II in HL-60/S (lane 1) and HL-60/DOX0.05 (lane 2)
cells; B, phosphorylated topo II and topo II in HL-60/S (lanes 1 and 3) and HL-60/DOX0.05 (lanes 2 and 4); C, phosphorylated topo II
from HL-60/S (lanes 1 and 3) and HL-60/DOX0.05 (lanes 2 and 4) cells or
nuclei.
|
|

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Fig. 5.
Representative two-dimensional tryptic phosphopeptide
maps of topo II protein from HL-60/S (A) and HL-60/DOX0.05 (B)
cells. The sites that are differentially phosphorylated between the
HL-60/S and HL-60/DOX0.05 cells are identified by arrows.
|
|
Because the phosphorylation but not protein levels of the
- and
-isoforms of topo II were different in the HL-60/S and HL-60/DOX0.05 cells, the potential for such changes based on cell cycle phase were
investigated. The levels of topo II
and topo II
protein in
HL-60/S or HL-60/DOX0.05 cells enriched in the
G1, S, and G2 + M phases of
the cell cycle by centrifugal elutriation are shown in Fig.
6. In a typical experiment, the
distribution of cells in the G1, S, and
G2 + M phase was 43, 44, and 13%, respectively, in asynchronous exponential cultures of HL-60/S or HL-60/DOX0.05 cells.
After elutriation the enrichment of cells in the
G1, S, and G2 + M was 95, 82, and 68%, respectively. Because the topo II protein levels were the
lowest in the G1 phase, the increased expression
in the S and G2 + M phases were expressed
relative to the G1 phase. In both the HL-60/S and
HL-60/DOX0.05 cells, the levels of topo II
protein in the S and
G2 + M phases were 2- and 4-fold higher,
respectively. However, a similar cell cycle phase-dependent increase in
the level of topo II
protein was not apparent, and represented an
~2-fold increase (compared with G1) in the S
and G2 + M phases.

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Fig. 6.
Analysis of topo II and II protein levels by
immunoblotting in elutriated G1, S, and G2 + M
populations in HL-60/S and HL-60/DOX0.05 cells. Data are mean values
(±S.D.) from at least three experiments.
|
|
The cell cycle phase-dependent phosphorylation of topo II isoforms in
HL-60/S and HL-60/DOX0.05 cells is outlined in Fig. 7. In HL-60/S cells, an increase (2-fold)
compared with the G1 phase in the phosphorylation
of topo II
but not topo II
was observed in the S and
G2 + M phases of the cell cycle. In contrast, although an increase of a lower magnitude was observed with topo II
in the S and G2 + M phases, with the
HL-60/DOX0.05 cells, the phosphorylation of topo II
in the
G1, S, and G2 + M was
similar or greater than that of topo II
.

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Fig. 7.
Determination of phosphorylated topo II and II
levels by immunoprecipitation in elutriated G1, S, and
G2 + M populations in HL-60/S and HL-60/DOX0.05 cells. Data
are mean values (±S.D.) from at least two experiments. Based on
statistical analysis of phosphorImager data, the following differences
between the phosphorylation of topo II and topo II were found to
be significantly different. HL-60/DOX0.05 cells: G1 phase,
topo II > topo II , p = .017 and HL-60/S
cells: S phase, topo II > topo II , p = .045.
|
|
 |
Discussion |
Topo II in mammalian cells is present as the
- and
-isoforms
(Woessner et al., 1990
, 1991
; Turley et al., 1997
). The two isoforms
perform similar catalytic functions related to unknotting and
decatenation of DNA, and an essential role for the
-isoform in cell
proliferation has been demonstrated (Watt and Hickson, 1994
; Wang,
1996
). Although a precise functional role for the topo II
isoform is
yet to be demonstrated, its altered phosphorylation during mitosis has
been demonstrated (Burden and Sullivan, 1994
; Kimura et al., 1994
). The
evidence that proliferation is not compromised in cells without
detectable levels of the
-isoform (Herzog et al., 1998
) suggests
that it is not essential for cell replication or chromosome
segregation. Although the relative abundance of the topo II isoforms
varies by cell type (Turley et al., 1997
), the contribution of the
-isoform as a determinant of antitumor drug sensitivity is unclear.
Based on quantification of protein levels of topo II isoforms in cells
selected for resistance to drugs that intercalate with DNA, it appears
that higher levels of resistance are correlative with alterations in
topo II
(Harker et al., 1991
; Herzog et al., 1998
; Perrin et al.,
1998
). Although these studies have to a large extent been correlative,
transfection studies (Dereuddre et al., 1997
) have provided new
evidence for a functional role. The data on the markedly higher
depletion of topo II
by m-AMSA versus VP-16 also
support the differences observed in levels of resistance to these drugs
in the HL-60 cells deficient in the topo II
protein (Herzog et al.,
1998
). The depletion of topo II
versus topo II
at cytotoxic
concentrations of m-AMSA in the HL-60/S and
HL-60/DOX0.05 cells suggests that this differential interaction with
the topo II isoforms is responsible for the greater cytotoxic potency
of m-AMSA in vitro. The data also demonstrate that
steady-state levels of topo II
or
protein are unaltered in the
HL-60/DOX0.05 cells. However, unlike the
-isoform, the
-isoform
is hyperphosphorylated in the HL-60/DOX0.05 versus HL-60/S cells. It is
not clear at the present time whether this change in the
phosphorylation state of the
-isoform is a compensatory response to
changes in the
-isoform, but the absence of marked differences in
the cell cycle kinetics of the HL-60/S and HL60/DOX0.05 cells supports
such a role. Similar to the asynchronous exponential cultures, protein
levels of the topo II isoforms in elutriated G1,
S, and G2 + M populations also were similar
between the HL-60/S and HL-60/DOX0.05 cells. It is well recognized that
the phosphorylation of topo II
in the S and G2 + M phases are critical for cell replication (Watt and Hickson, 1994
;
Wang, 1996
). Although, topo II
is hypophosphorylated in the
HL-60/DOX0.05 cells, no major differences in cell cycle kinetics
compared with the HL-60/S cells are apparent. However, a compensatory
role of topo II
is apparent in the similarities of cell cycle
phase-dependent phosphorylation of topo II
in the HL-60/DOX0.05
cells and topo II
in the HL-60/S. The site-specific hyperphosphorylation of topo II
in the HL-60/DOX0.05 cells is unique, given the site-specific hypophosphorylation of the
-isoform in these cells. It does not appear that the same site may be involved, due to the distinctly different phosphopeptide maps of the
- and
-isoforms in complete tryptic digests (Aoyama et al., 1998a
,b
). There also appears to be some consistency in the site-specific hyperphosphorylation of topo II
in the HL-60/DOX0.05 cells and in
HL-60/S cells induced to differentiate with all
trans-retinoic acid (Aoyama et al., 1998b
).
In summary, the results from this study suggest that the differential
sensitivity of HL-60 cells to m-AMSA and VP-16 is
dependent on the differential interaction of these agents with the topo II isoforms. m-AMSA appears to be more effective in
interacting with the
-isoform at concentrations, which are at least
10-fold lower than similar concentrations of VP-16 on a molar basis and relevant to induction of a cytotoxic response. The cell cycle phase-specific, as well as site-specific, hyperphosphorylation of topo
II
in the HL-60/DOX0.05 cells may compensate for the hypophosphorylation of the
-isoform. Furthermore, the
hyperphosphorylation of topo II
may be functionally involved in the
enhanced interaction and reduced level of cross-resistance to
m-AMSA. Studies are in progress to determine the
functional role of site-specific phosphorylation of topo II
in
drug-stabilized DNA-cleavable complex formation, and in the long term,
an understanding of the functional role of the
-isoform could
provide new information in exploiting its role as a therapeutic target.
We gratefully acknowledge Dr. Andreas Constantinou, Department
of Surgical Oncology, University of Illinois at Chicago, for the gift
of antitopoisomerase II antibody, and Jim Reed of the Art-Medical
Illustrations and Photography Department for skillful preparation of
the figures.
This work was supported by U.S. Public Health Service Grant
CA35531 and Grant CA74939 from the Department of Health and Human Services (to K.A.H., D.R.G., M.A., Y.Y., M.K.G., and R.G.), and by the
Imperial Cancer Research Fund (I.D.H.).