Involvement of the Mismatch Repair System in Temozolomide-Induced Apoptosis

Abstract

Postreplicative mismatch repair plays a major role in mediating the cytotoxicity of agents generatingO6-methylguanine in DNA. We previously showed that a methylating antitumor triazene compound, temozolomide, induces apoptosis and that the persistence ofO6-methylguanine in DNA is required to trigger the process. We wanted to test whether the latter apoptotic signal is dependent on a functional mismatch repair system. To this end, we used two human lymphoblastoid cell lines (i.e., the mismatch repair-proficient TK6 line and its mismatch repair-deficient subline MT1) that are both deficient inO6-methylguanine repair. Temozolomide treatment of TK6 cells brought about efficient cell growth inhibition, G2/M arrest, and apoptosis, as indicated by the results of cytofluorimetric analysis of 5-bromo-2′-deoxyuridine incorporation and DNA content and evaluation of DNA fragmentation. The drug treatment resulted also in the induction of p53 and p21/waf-1 protein expression. In contrast, MT1 cells were highly resistant to the drug and no p53 and p21/waf-1 induction was observed. Importantly, we could show that MT1 cells are not deficient in the p53-dependent apoptosis pathway; treatment with etoposide, a topoisomerase II inhibitor, resulted in p53 and p21/waf-1 protein expression and apoptosis in both cell lines. In conclusion, we demonstrate the existence of a link between a functional mismatch repair system and the trigger of apoptosis in cells exposed to clinically relevant concentrations of temozolomide. The results also suggest that p53 induction in response toO6-guanine methylation involves the mismatch repair system.

Footnotes

  • Send reprint requests to: Dr. Stefania D’Atri, IDI-IRCCS, Laboratory of Clinical Pharmacology, Via dei Monti di Creta 104, 00167 Rome, Italy. E-mail: s.datri{at}idi.it

  • This work was supported in part by a grant from the Istituto Superiore di Sanitá (Rome, Italy) (Italy-USA Therapy of Tumors Program) and in part by the Italian Ministry of Health. J.J. acknowledges the generous support of the Schweizerischer Nationalfonds zur Förderung der Wisseschaftlichen Forschung. Part of this work was presented at the 88th Annual Meeting of the American Association for Cancer Research (1997 April 12–16; San Diego, CA) (D’Atriet al., 1997).

  • Abbreviations:
    MRS
    mismatch repair system
    CM
    complete medium
    5-BrdU
    5-bromo-2′-deoxyuridine
    FITC
    fluorescein isothiocyanate
    MNNG
    N-methyl-N′-nitro-N-nitrosoguanidine
    MNU
    N-methyl-N-nitrosourea
    O6-G
    O6-guanine
    OGAT
    O6-alkylguanine-DNA alkyltransferase
    O6-MeG
    O6-methylguanine
    PBS
    phosphate-buffered saline
    PFGE
    pulsed field gel electrophoresis
    PI
    propidium iodide
    6TG
    6-thioguanine
    TMZ
    temozolomide [8-carbamoyl-3-methylimidazo[5,1-d]-1,2,3,5-tetrazin-4(3H)-one]
    EGTA
    ethylene glycol bis(β-aminoethyl ether)-N,N,N′,N′-tetraacetic acid
    SDS
    sodium dodecyl sulfate
    kb
    kilobase(s)
    • Received December 29, 1997.
    • Accepted May 5, 1998.
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