Department of Biochemistry, Uppsala University, Biomedical Center,
Uppsala, Sweden
 |
Introduction |
A
major problem in the treatment of cancer with chemotherapy is the
development of resistance of the cancer cells toward the cytostatic
drugs used. The resistance is in part caused by an increased metabolic
detoxication of the drugs in the cancer cells. A common feature of most
mammalian tumor forms is elevated levels of glutathione transferase
P1-1 relative to their concentration in the corresponding normal tissue
(Mannervik et al., 1987
; Moscow et al., 1989
; Castro et al., 1990
;
Tsuchida and Sato, 1992
). The glutathione S-transferases
(GSTs; EC 2.5.1.18), comprise a family of widely distributed phase II
detoxication enzymes that catalyze the conjugation of a broad
variety of reactive electrophiles to the nucleophilic sulfur atom of
the major intracellular thiol, the tripeptide glutathione
[
-L-glutamyl-L-cysteinylglycine (GSH); Fig.
1a]. The soluble GSTs are divided into
distinct classes based on similarities in their primary structures and
substrate specificities (Mannervik et al., 1985
).

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Fig. 1.
Chemical structures of GSH and GSH derivatives used
in the present study. a, reduced GSH. b, the inhibitor
S-benzylglutathione. c, the inhibitor TER 117. d,
the hemithioacetal formed between reduced glutathione and
methylglyoxal, a glyoxalase I substrate. e,
S-D-lactoylglutathione (a thiolester of
GSH), a glyoxalase II substrate.
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GST P1-1 has been shown to catalyze the conjugation of GSH with the
alkylating agents chlorambucil (Ciaccio et al., 1990
) and thiotepa
(Dirven et al., 1995
), suggesting that overexpression of GST P1-1 in
cells exposed to these drugs would confer resistance. Elevated cellular
levels of GST P1-1 have been shown to accompany resistance to various
common anticancer drugs (Whelan et al., 1992
; O'Brien and Tew, 1996
),
and the addition of the GST inhibitor ethacrynic acid restored
sensitivity to alkylating agents in drug-resistant cells (Tew et al.,
1988
; Hansson et al., 1991
). Furthermore, transfection of GST Pi
antisense cDNA increased the sensitivity of a cancer cell line to
various anticancer drugs (Ban et al., 1996
). Increased levels of GST
P1-1 mRNA in cells resistant to ethacrynic acid, not only an inhibitor
but also a substrate for GST P1-1, have been reported (Kuzmich et al.,
1992
). Introduction of GST P1-1 into various cells in culture (Berhane
et al., 1994
; Tew, 1994
; Cnubben et al., 1998
) has been shown to
protect against the cytotoxic effects of several drugs.
To circumvent the indicated contribution of GST P1-1 to drug resistance
of tumor cells, an inhibitor, TER 117, that specifically inhibits the
GST P1-1 isoenzyme was developed (Lyttle et al., 1994
). This inhibitor,
-L-glutamyl-S-(benzyl)-L-cysteinyl-R-(
)-phenylglycine (Fig. 1c), is a GSH analog designed to block the active site of GST
P1-1. To facilitate the cellular uptake of TER 117, it is delivered as
a diethyl ester (TER 117 DEE, also called TER 199). In the cell,
deesterification releases the active inhibitor. The treatment of
drug-resistant cell lines with TER 117 DEE renders them sensitive to
anticancer drugs such as chlorambucil and melphalan (Morgan et al.,
1996
).
Human GST P1-1 is polymorphic, and four allelic variants,
Ile-105/Ala-114 (Board et al., 1989
), Ile-105/Val-114 (Watson et al.,
1998
), Val-105/Ala-114 (Ahmad et al., 1990
), and Val-105/Val-114 (Ali-Osman et al., 1997
), have been identified. [The numbering of
amino acid residues includes the initiator methionine as number 1 in
agreement with the numbering of codons (cf. Mannervik and Widersten,
1995
); the site of allelic variation is thus at residue 105. Some
publications refer to this position as 104. The allelic variants
studied, GST P1-1/Val-105 and GST P1-1/Ile-105, both contain Ala in
position 114.] GST P1-1/Val-105 and GST P1-1/Ile-105 were originally
purified from human placenta (Ahmad et al., 1990
), but GST P1-1/Val-105
was subsequently also found in the tumor cell line HeLa in our
laboratory (X.-Y. Hao and B.M., unpublished data). Residue 105 contributes to the hydrophobic substrate-binding site as evidenced by
the crystal structure, whereas residue 114 is near the surface of the
protein molecule outside the active site (Reinemer et al., 1992
). The
inhibitor TER 117 was developed for efficient inhibition using assays
of the GST P1-1/Ile-105 isoenzyme. Because amino acid substitutions in
position 105 have been shown to affect the substrate specificity of the
enzyme (Zimniak et al., 1994
; Ali-Osman et al., 1997
; Johansson et al.,
1998
; Sundberg et al., 1998
), the replacement of Ile with Val in this position might influence the affinity for TER 117 and consequently its
inhibitory efficacy. Therefore, comparative inhibition studies including the two allelic variants GST P1-1/Ile-105 and GST
P1-1/Val-105 were performed in the present study. Furthermore, because
the inhibitory effect of TER 117 has so far been investigated only with
GSTs, the possible effect of this inhibitor on the glyoxalase system
was studied.
The glyoxalase system catalyzes the conversion of 2-oxoaldehydes into
the corresponding 2-hydroxycarboxylic acids using GSH as coenzyme. The
system is composed of glyoxalase I (EC 4.4.1.5) and glyoxalase II (EC
3.1.2.6) catalyzing consecutive reactions (Mannervik, 1980
; Vander
Jagt, 1989
; Thornalley, 1993
). Glyoxalase I catalyzes the isomerization
of the hemithioacetal formed spontaneously between GSH and
2-oxoaldehydes. The resulting thiolester is a substrate for glyoxalase
II, which catalyzes its hydrolysis into GSH and free
2-hydroxycarboxylic acid. An endogenous glyoxalase I substrate appears
to be the cytotoxic methylglyoxal, a byproduct of glycolysis. The
glyoxalase system is thus considered to be involved in detoxication
(Mannervik, 1980
; Thornalley, 1993
). Glyoxalase I, like GST P1-1, is
frequently overexpressed in malignant tissues and tumor cell lines
compared with corresponding normal levels (Thornalley, 1995
). Raised
glyoxalase I activity may be a consequence of increased glycolytic
activity in cancer cells and provides a rationale for the development
of antitumor agents. Inhibition of glyoxalase I may be expected to
raise methylglyoxal concentrations to toxic levels (Vince and Daluge,
1971
), and attempts to target tumor cells with such glyoxalase I
inhibitors have been performed (Thornalley, 1995
; Thornalley et al.,
1996
; Kavarana et al., 1999
).
 |
Materials and Methods |
All chemicals used were of highest purity available. TER 117 and
TER 117 DEE (TER 199) were provided by Telik, Inc., formerly Terrapin
Technologies, Inc. (South San Fransisco, CA). Methylglyoxal was
prepared as described by Kellum et al. (1978)
.
S-D-Lactoylglutathione was synthesized
enzymatically and purified as previously described (Uotila, 1981
).
Enzymes.
The enzymes used were recombinant proteins obtained
by heterologous expression in Escherichia coli. In all
cases, their catalytic properties have been shown to be
indistinguishable from those of the enzymes isolated from human
tissues. The GST P1-1 variants were expressed and purified essentially
as previously described (Johansson et al., 1998
). Human glyoxalase I
and human glyoxalase II were obtained as detailed by Ridderström
and Mannervik (1996)
and Ridderström et al. (1996)
, respectively.
Inhibition Studies on GST P1-1 Variants.
The potency of TER
117 in the inhibition of GST P1-1/Ile-105 and GST P1-1/Val-105 was
determined by means of GSH competition experiments using 1 µM TER 117 and three different fixed concentrations of GSH: 0.2, 0.6, and 2.0 mM.
The concentration of the second substrate, 1-chloro-2,4-dinitrobenzene
(CDNB) ranged between 0.15 and 1.8 mM. In addition, the inhibitor was
tested at different concentrations, 0 to 8 µM, at a CDNB
concentration of 1 mM and the above GSH concentrations. Initial
velocities were determined spectrophotometrically at 30°C. The
conjugation reaction between GSH and CDNB was monitored at 340 nm in 1 ml of 0.1 M sodium phosphate, pH 7.0 (Habig et al. 1974
).
Inhibition Studies on Glyoxalase I and II.
Glyoxalase I and
II activities were studied at 0.2, 0.6, and 2.0 mM GSH. The inhibition
experiments were carried out in 1 ml of 0.1 M sodium phosphate, pH 7.0, at 30°C in the presence and absence of 2 µM TER 117. The formation
of S-D-lactoylglutathione from the
glyoxalase I substrate MG-SG was monitored spectrophotometrically at
240 nm according to Racker (1951)
. The inhibition of glyoxalase I was
also studied with different TER 117 concentrations (0-5 µM) at a
concentration of free GSH of 0.2 mM. In both cases, the concentration
of MG-SG was varied between 20 and 400 µM. The hydrolysis of
S-D-lactoylglutathione, catalyzed by
glyoxalase II, was followed at 240 nm (Racker, 1951
). The concentration
of S-D-lactoylglutathione was varied
between 10 and 800 µM. The inhibitory effect of free GSH on
glyoxalase I activity was also determined from the inhibition data obtained.
Inhibition Studies Using TER 117 DEE as Inhibitor.
The
inhibitory effect of TER 117 DEE (100 µM) was measured under the same
conditions as for TER 117. GST P1-1 was assayed at 1 mM concentrations
of CDNB and GSH; glyoxalase I activity was measured with 1.6 mM MG-SG
and 2 mM free GSH.
Analysis of Inhibition Data.
To determine the type of
inhibition, the Lineweaver-Burk equation was fitted to the inhibition
data using Prism 2.0 (GraphPad, San Diego, CA). TER 117 was found to be
a competitive inhibitor of both GST P1-1 and glyoxalase I, and apparent
KITER 117 values at
fixed concentrations of free GSH were determined from eq. 1, describing
competitive inhibition, by nonlinear regression using qnfit provided in
the SIMFIT package (Bardsley et al., 1995
).
|
(1)
|
This equation was also used to determine
KIGSH and
KmMG-SG values for
glyoxalase I. The KITER
117 value of glyoxalase I in the absence of GSH was
determined by nonlinear regression analysis using eq. 2, in which a
term for the competitive inhibitory effect of GSH has been included.
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(2)
|
KmMG-SG is the
Michaelis constant for MG-SG, and
KIGSH and
KITER117 are the
inhibition constants for GSH and TER 117, respectively.
Based on the assumption that the conjugation reaction of GSH to CDNB,
catalyzed by GST P1-1, follows the equation for a rapid equilibrium
random BiBi mechanism with a dead end enzyme-inhibitor complex (Segel,
1975
), KITER 117,
KmCDNB, and
KmGSH values were
determined. This was accomplished by fitting eq. 3 to the inhibition
data using qnfit in the SIMFIT package.
|
(3)
|
which describes the reaction rate v as a function of
three variables: the concentrations of the two substrates GSH and CDNB and of the inhibitor TER 117, competitive with both substrates. KITER 117 is the
inhibition constant, and
KmCDNB and
KmGSH are the
Michaelis constants for CDNB and GSH, respectively.
 |
Results and Discussion |
TER 117 Inhibition of Glyoxalase System.
TER 117 has until now
been considered to be an inhibitor specific for GST P1-1. However, this
study shows that TER 117 also affects the glyoxalase system by
inhibiting glyoxalase I. This enzyme was, under physiological
conditions (pH 7.0, 2 mM GSH), shown to be inhibited to almost the same
extent as GST P1-1 (Table 1). An analysis
of the inhibition of glyoxalase I at various concentrations of GSH and
the glyoxalase I substrate MG-SG shows that TER 117 exhibits the
characteristics of a linear competitive inhibitor (Fig.
2). The competitive type of inhibition
(Fig. 2a) indicates that the inhibitor binds to the active site of
glyoxalase I, and its linear dependence on inhibitor concentrator (Fig.
2b) implies that only one molecule of TER 117 is involved per active site.
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TABLE 1
KI values of TER 117 for GST P1-1/Val-105, GST
P1-1/Ile-105, and glyoxalase I determined at various fixed
concentrations of GSH
KI values were determined at three different
concentrations of GSH: 0.2, 0.6, and 2.0 mM. CDNB varied between 0.15 and 1.8 mM. MG-SG varied between 20 and 400 µM. The inhibition
experiments were performed in 0.1 M sodium phosphate, pH 7.0, at
30°C. KI value ± S.D. were determined by
nonlinear regression analysis.
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Fig. 2.
Lineweaver-Burk and Dixon plots showing linear
competitive inhibition of glyoxalase I by TER 117. a, TER 117 inhibition of glyoxalase I with the adduct of methylglyoxal and GSH
(MG-SG) as varied substrate. , values corresponding to noninhibited
enzyme activity. , values corresponding to enzyme activity in the
presence of 2 µM TER 117. S.D. values are shown as error bars. b,
Dixon plot. The straight lines were constructed from the parameters
obtained by fitting eq. 2 to the data set using nonlinear regression
analysis. Data points were obtained from measurements at 0.2 mM GSH by
varying the concentration of TER 117 between 0 and 5 µM and MG-SG
between 20 and 400 µM. , 20 µM MG-SG. X, 50 µM MG-SG. , 100 µM MG-SG. , 200 µM MG-SG. , 400 µM MG-SG. The negative
[I] value at the intersection of the lines gives the
KI value under the experimental conditions
used (0.2 mM GSH).
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The KITER 117 value
for glyoxalase I obtained by extrapolation of the free GSH
concentration to zero is approximately 4 times higher than the
KITER 117 value for
GST P1-1 (Table 2). GSH was also found to
be a competitive inhibitor of glyoxalase I (data not shown). The
KIGSH value was
determined as 145 ± 38 µM, and the
KmMG-SG value was
determined as 21 ± 5 µM using eq. 1. The
KITER 117 value for
glyoxalase I (0.56 ± 0.05 µM) is in the same range as the
KI values previously determined for this
enzyme with other GSH derivatives, such as
S-hexylglutathione (0.37 µM),
S-benzylglutathione (0.28 µM) (at a concentration of free
GSH of 0.1 mM) (Ridderström et al., 1997
), and the potent
glyoxalase I inhibitor S-p-bromobenzylglutathione (KI = 0.08 µM) (Aronsson et al., 1981
).
This implies that TER 117 presumably would affect the catalytic
activity of glyoxalase I in cells exposed to this inhibitor. Comparison
of the KIGSH value
with the KITER 117
value shows that the introduction of the benzyl group attached to the
sulfur of GSH (Fig. 1a), as in S-benzylglutathione (Fig. 1b), and the further modification by a phenyl group on the glycine of
GSH (Fig. 1c) increases the affinity of glyoxalase I for the ligand by
approximately 260-fold. The only difference between TER 117 (Fig. 1c)
and S-benzylglutathione is the phenyl group of the glycyl
moiety of TER 117, which replaces a hydrogen in S-benzylglutathione. The crystal structure of human
glyoxalase I was solved with S-benzylglutathione as a ligand
(Cameron et al., 1997
). The structure shows a lack of specific
interaction with the glycine residue. This suggests a mobility that
would make it possible to readily accommodate the phenyl group attached to the glycyl moiety of TER 117 in the active site. Such flexibility may also explain the modest difference between the values of
KIS-benzylglutathione
and KITER 117.
Furthermore, the crystal structure shows that the benzyl group of
S-benzylglutathione attached to the sulfur of the cysteinyl moiety, as in TER 117, binds in a hydrophobic cavity in the active site. These observations imply that the inhibitor TER 117 should be
able to fit into the active site of glyoxalase I, which is in agreement
with the present results.
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TABLE 2
Kinetic parameters of glyoxalase I, GST P1-1/Ile-105, and GST
P1-1/Val-105
Measurements were carried out in 1 ml of 0.1 M sodium phosphate, pH
7.0, at 30°C. In measurements involving GST P1-1, the concentrations
of CDNB and GSH ranged between 0.15 and 1.8 mM and between 0.2 and 2.0 mM, respectively. In measurements with glyoxalase I, the concentrations
of MG-SG and GSH ranged between 20 and 400 µM and between 0.2 and 2.0 mM, respectively.
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In contrast to glyoxalase I, glyoxalase II was not inhibited by
TER 117. A concentration of TER 117 as high as 100 µM, a
concentration 180-fold higher than the KI
value for glyoxalase I, did not show any detectable inhibitory effect
on the glyoxalase II activity. This may appear surprising, because the
substrates of the two enzymes are isomers (Fig. 1, d and e), and
analogs of the substrates generally act as competitive inhibitors of
both enzymes (Norton et al., 1985). However, a common feature of the
most potent inhibitors of glyoxalase II is the thiolester functionality
(Norton et al., 1993
). This group is missing in TER 117 (Fig. 1c). The
recently determined crystal structure of glyoxalase II (Cameron et al., 1999
) shows that the glycine residue of GSH makes close interactions with the protein. A complementary explanation for the lack of inhibition may therefore be that the phenylglycine residue of TER 117 is too bulky for accommodation in the active site.
TER 117 Inhibition of GST P1-1.
TER 117 was shown to exhibit
the kinetics of a linear competitive inhibitor with respect to both
CDNB and GSH (Fig. 3, a-c). The
competitive effect of TER 117 indicates that the inhibitor is targeted
to the active site of GST P1-1 and suggests that TER 117 would also
affect activities of the enzyme with other substrates, including
cytostatic drugs.

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Fig. 3.
Lineweaver-Burk and Dixon plots showing linear
competitive inhibition of GST P1-1 by TER 117. Inhibition of GST
P1-1/Val-105 with CDNB (a) and GSH (b) as varied substrate. , values
corresponding to noninhibited enzyme activity. , values
corresponding to enzyme activity in the presence of 1 µM TER
117. c, Dixon plot. The straight lines were constructed from the
parameters obtained by fitting eq. 3 to the data set using nonlinear
regression analysis. Data points were obtained from measurements at 1.0 mM CDNB by varying the concentration of TER 117 between 0 and 8 µM
and GSH between 0.2 and 2.0 mM. , 0.2 mM GSH; , 0.6 mM GSH; ,
2.0 mM GSH.
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The KI values of TER 117 determined
for the two GST P1-1 variants at the various concentrations of free GSH
are shown in Table 1. Under conditions that approximate the
intracellular milieu (pH 7.0, 2 mM GSH), no significant difference in
the inhibitory efficacy of 1 µM TER 117 could be observed between the
two allelic GST P1-1 variants. The similar
KI values indicate that differences in
GSTP1 genotype would not affect the chemosensitizing effect of TER 117 in cancer patients.
Extrapolation of the KI values to zero GSH
concentration provides a good approximation of the intrinsic affinity
of free enzyme for the inhibitor, normally given as the dissociation
constant. The values of KITER
117 for the GST P1-1 isoenzymes were not significantly
different and in the submicromolar range (Table 2), demonstrating that this GSH analog binds tightly to the enzyme. The high affinity between
GST P1-1 and TER 117 suggests that the inhibitor indeed is likely to
act as a chemosensitizer by interfering with the GST P1-1-mediated
detoxication pathway.
In the course of this study, the crystal structure of GST P1-1 in
complex with TER 117 as well as with GSH was published (Oakley et al.,
1997
). In the complex with TER 117, the phenyl moiety of the inhibitor
interacts with the hydrophobic residues Phe-9, Val-36, and Trp-39,
which together make up a hydrophobic cleft accommodating the benzyl
group of the inhibitor between Phe-9 and the adjacent Tyr-109. The
multiple hydrogen bonding interactions between the remainder of the GSH
derivative and the residues in the GSH-binding site are the same as
those in the structure with GSH as ligand. The replacement of the
glycine moiety in GSH with phenylglycine in TER 117 has been shown to
be responsible for the selective effect on GST P1-1 (Flatgaard et al.,
1993
). It affords an approximately 40-fold increase in the affinity for GST P1-1 compared with other GSTs. Comparisons with crystal structures of GSTs from other classes (Dirr et al., 1994
) suggest that a phenyl
group of the TER 117 glycyl moiety is too bulky to fit into the active
sites and would result in sterical clashes. No part of TER 117 seems to
lie in the close proximity of residue 105 in the GST P1-1 crystal
structure, suggesting that any interactions between this residue and
the inhibitor are very unlikely. This is in agreement with the present
results showing no notable difference in the
KI values of TER 117 for the allelic GST
P1-1/Ile-105 and GST P1-1/Val-105 variants.
TER 117 DEE.
The diethyl ester of TER 117 exhibited no
inhibitory effect on the GST P1-1 variants under the assay conditions
used, nor did it inhibit glyoxalase I nor glyoxalase II. This suggests
that the esterification of the two carboxyl groups prevents the
establishment of charge interactions with the enzyme that are important
for binding. The poor inhibition of TER 117 DEE may also be due to the
bulkiness introduced by the addition of the two ethyl groups.
Potential Physiological Effects of TER 117.
Experiments
involving human tumor cell lines in tissue culture have demonstrated
that treatment with TER 117 DEE potentiates drug sensitivity toward
chlorambucil and melphalan (Morgan et al., 1996
). Human GST P1-1 has
been shown to be capable of catalyzing GSH conjugation to chlorambucil
and thiotepa, but most of the commonly used cytostatic drugs, including
melphalan, have not been shown to be good substrates for this enzyme. A
suggested explanation for the potentiation is that the resistance is
due to a capability of this enzyme to sequester the free drug or its toxic metabolites through nonproductive binding. Increased levels of
the GST P1-1 enzyme, as occurring in the majority of the established tumor cell lines (Moscow et al., 1989
, Castro et al., 1990
; Tsuchida and Sato, 1992
), could serve as a drug binding sink (O'Brien and Tew,
1996
). TER 117 may compete in the nonproductive binding and increase
the intracellular concentration of free drug. Treatment of tumor cells
with TER 117 in such cases is likely to result in increased efficacy
and therapeutic index of antitumor agents.
Because the glyoxalase system is involved in protection of the cells
toward toxic 2-oxoaldehydes, the inhibitory effect of TER 117 on
glyoxalase I may increase the intracellular concentration of
2-oxoaldehydes to toxic levels (Vince and Daluge, 1971
, Papoulis et
al., 1995
). Human tumor cell lines often display elevated expression levels of both GST P1-1 and glyoxalase I (Thornalley, 1995
). Because tumor cells have an increased flux through glycolysis, the production of the cytotoxic methylglyoxal is increased. Even though other enzymes
(e.g., aldose reductase) are capable of metabolizing
methylglyoxal, the metabolic pathway through the glyoxalase system
is considered to be the major route (Thornalley, 1995
). Thus, the
inhibitory effect of TER 117 on glyoxalase I may raise the
intracellular concentration of methylglyoxal and lead to a cytostatic
effect or cause cell death. The administration of diesters of
inhibitory GSH derivatives has indeed been found to elevate
intracellular methylglyoxal concentrations and to induce apoptosis
(Thornalley et al. 1996
). Evidence for a role of human glyoxalase I in
the cellular resistance to the cytostatic drugs adriamycin and
mitomycin C has also been reported (Ranganathan et al., 1995
). The
potency of TER 117 is similar to those of GSH derivatives shown to
elicit these effects. The inhibitory effects of TER 117 on both GST
P1-1 and glyoxalase I may act in synergy and further improve the
potential for successful chemotherapy.
Conclusion.
The present investigation shows that TER 117 is a
potent inhibitor of human glyoxalase I. Furthermore, the inhibitory
effect of the inhibitor TER 117 is independent of the allelic variation in position 105 of human GST P1-1. The combined inhibitory effects of
TER 117 on GST P1-1 and glyoxalase I may lead to raised intracellular concentrations of anticancer drugs and toxic 2-oxoaldehydes, which are
otherwise inactivated by these detoxication enzymes. The use of TER 117 as an adjuvant drug in the therapy of cancer patients should therefore
be able to make tumor cells more vulnerable and responsive to
anticancer drugs.
We thank Telik, Inc., formerly Terrapin Technologies, Inc., for
generously providing TER 117 and TER 117 DEE. Per Jemth is acknowledged
for reviewing the manuscript.
This work was supported by the Swedish Cancer Society. A.-S.J.
is a recipient of a stipend from the Lilly and Sven Lawski Fund.