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INCADRONATE INHIBITSThE MVA PATHWAYIN MYELOMACELLS Results A Incadronate-induced 300' Apoptosis in Myeloma Cells Can Be Pre vented by FOil and GGOH. In accord with our previous study (5), we found that 100 @iM incadronate caused an increase of approximately -@- 250 - 150% in the proportion of morphologically apoptotic JJN-3 myeloma cells after treatment for 72 h (Fig. 1A). This effect was prevented by the addition of 20 @J@M FOH or GGOH. FOH and GGOH are analogues of -a 200' FPPandG@IPP, respectively, withagreater membrane permeability than 0 LI the W1 forms (1 1). The addition of 1 mi@iMVA had no effect on incadronate-induced apoptosis. Similarly, using a fluorescence in situ nick translation assay, (which we have previously used to detect DNA strand breaks in JJN-3 myeloma cells; Ref. 5), 20 @u@i FOH or GGOH prevented incadronate-induced apoptosis, whereas 500 @u@i MVA had a @aI protective effect (TaMe 1). On the basis of [31-flthymidine incor poration, 10 @M FOH or GGOH or 1 mrs MVA had no significant effect on the inhibition of cell proliferation induced by incadronate (Fig. 1B). ,@ a l50@ a n@100. * 50 I 0@ I I JJN.3 Myeloma Cells. Recent studies • INC MevastatinCausesApoptosisand InhibitsProliferationof with J774 macrophages have shown that mevastatin is a potent inducer of macrophage INC+ MVA INC+ FOH INC+ GGOH B apoptosis, and that this effect can be partially prevented by the addition of intermediates of the MVA pathway, such as FPP and 125 GGPP (9). In the present study, mevastatin treatment of JJN-3 myeloma cells for 72 h also resulted in an increase in the propor 100 tion of apoptotic cells from 15.1 ±0.5% in control cultures to 542 ±2.4 and 88.8 ±1.7% (P < 0.05 compared to control) in cultures treated with 10 and 50 @LM mevastatin, respectively. Ap optotic cells were identified on the basis of changes in morphology characterized by chromatin condensation and fragmentation (5). Treatment for 72 h with mevastatin also in a dose-dependent inhibition of proliferation. Treatment a 0 LI nuclear nuclear resulted with 10 75 0 a U and 50 @LM mevastatin caused a 67.5 ±2.6 and 80.9 ±2.3% reduction (compared to control; P < 0.01) in the incorporation of [3H]thymidine into JJN-3 myeloma cells. Induction of Apoptosis and Inhibition of Proliferation by Me 50 - 25- 0- vastatinin MyelomaCellsCanBePreventedby MVAor GGOH. uiil I Ctl I I I INC INC+ INC+ INC+ MVA FOH GGOH Using changes in nuclear morphology as an indication of apoptosis, I the additionof 1 mr@i MVA or 20 @M (X3OHpreventedmevastatin Fig. 1. Effect of the MVA pathway intermediates MVA, FOH, and GOGH on (A) induced apoptosis (Fig. 2A). However, 20 ,.LMFOH did not signifi candy prevent apoptosis. These observations were confirmed using a fluorescence in situ nick translation assay (Table 1). The addition of 1 mM MVA or 10 @LM GGOH also prevented the inhibition of prolif incadronate (iNC)-induced apoptosis (R) and (B) incadronate-induced inhibition of pro liferation (D). JJN-3 myeloma cells were treated with 100 @si incadronate in the presence or absence of MVA, FOH, or GGOH. Results are expressed as a percentage of the appropriate control (control, 0). Data are the mean ±SE (A, n = 4; B, n = 6) of a representative experiment. a, p < 0.05 compared to incadronate alone. eration caused by 30 @M mevastatin (Fig. 2B). The addition of 10 @M FOHhadnosignificant effectontheinhibition ofproliferation caused by mevastatin. FOHand GGOHHavePartiallyProtectiveEffectson Cell Cycle Arrest Induced by Incadronate. Givenour previousobserva tions that incadronate causes both apoptosis and cell cycle arrest in S Discussion Bisphosphonates are a class of drugs that target bone mineral and inhibit the function of bone-resorbing osteoclasts (1). Re cently, breakthroughs have been made in understanding the mo lecular mechanisms that may be involved in the events that lead to osteoclast apoptosis. Following the report by Amin et a!. (12) that nitrogen-containing bisphosphonates can inhibit sterol biosynthe —(5),weexamined whether the addition ofMVA, FOH, orGGOH could prevent these effects on the cell cycle. Flow cytometric analysis of propidium iodide-stained JJN-3 myeloma cells showed that treatment with 100 @LM incadronate increased the proportion of hypodiploid apop totic cells (sub-G@,/G1phase) and caused an increase in the proportion of cells in S @se(Fig. 3). The increase in the proportion of hypodiploid apo@c cells was prevented by the addition of 20 piti FOH or GGOH, sis in macrophages, we found that inhibition of the same biosyn thetic pathway (the MVA pathway) by these bisphosphonates causes macrophage apoptosis. However, apoptosis in macrophages is probably the consequence of a loss of isoprenylated with the hypodiploid population reduced to control levels, whereas 500 proteins rather than a loss of sterols (9). @JMMVA had a partial protective effect. The effect of incadronate on the In addition to affecting osteoclasts, bisphosphonates have been shown cell cycle could be partially overcome by the addition ofFOH or GGOH, to have effects on tumor cells in vitro, including the induction of apop but not by the addition of MVA. As expected, the addition of 500 gii@i tosis in human myeloma cell lines (5) and in plasma cells isolated from MVA or 20 pi@tGGOH but not 20 pi@iFOH completely prevented the patients with multiple myeloma (6) and the inhibition of adhesion of effects of mevastatin on the cell cycle (Fig. 3). breast and prostate cancer cells to mineralized and unmineralized bone 5295 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1996 American Association for Cancer Research. INCADRONATE INHIBITS ThE MVA PATHWAY IN MYELOMA CELLS Table I incadronate- and mevastatin-induced apoptosis in JJN-3 cells is prevented by the addition of intermediates pathwayApoptosis of the MVA control)@'Treatment'@ MevastatinNone (% of 100 p.MIncadronate 500@MMVA 20 @M FOH [email protected] a JJN-3 @ cells were cultured with 100 267 168 120 93 100 223 102 @LMincadronate or absence of 500 gasiMVA, 20 @zi@t FOH, or 20 treated with either MVA, FOH, or 000H 20 p.st 219 or 20 pi@i mevastatin in the presence 000H for 72 h. Control cultures were in the absence of incadronale or mevastatin. b Apoptosis was measured using a fluorescence in situ nick translation assay and analyzed by flow cytometiy. Results are expressed as a percentageof the appropriatecontrol. matrices (13, 14). In vivo, bisphosphonate treatment has been shown to inhibit the progression and development of bone metastases and reduce the tumor burden in a mouse model of breast cancer (15), and, in some instances, bisphosphonate treatment may prolong the survival of patients with multiple myeloma (3, 4). Bisphosphonale treatment has also recently been demonstrated to increase survival in patients with breast cancer(l6). These observations raise the possibility that bisphosphonates may have antitumor effects (either direct or indirect) in addition to their antiresorp tive effects on osteoclasts (17, 18). MVA or GGOH but not FOH. The addition of either MVA or GGOH also prevented mevastatin-induced changes in the cell cycle. This is consistent with other reports that geranylgeranylated proteins, rather than farnesylated proteins, are required for cell cycle progression (19). Similar to incadronate-induced apoptosis, the effect of incadronate on the cell cycle could be partially overcome by the addition of FOH or GGOH but not MVA. Neither FOH, GQOH, nor MVA prevented the inhibition of proliferation induced by incadronate (by measuring [3H]thymidine incorpora tion). However, this may be a consequence of the lower concen trations of FOH and GGOH that had to be used in this assay, due to the ability of FOH and GGOH alone to inhibit cell proliferation (data not shown). These observations suggest that the antiprolif erative effects as well as the apoptosis-inducing effects of incad ronate may be the result of a loss of isoprenylated proteins. Statins such as lovastatin are known to cause apoptosis in prostate tumor cells in vitro (20). Other inhibitors ofprotein prenylation have been intensively studied as potential antitumor agents that may specifically A 500 I Inthisstudy,we havedemonstrated thatthenimtgen-contaimng bisphos @nate incadrOnate causes the apoptosis of a human myeloma cell line in vitm by inhibiting the MVA pathway. Mevastatin, an inhibitor of HMG-CoA 400! reductase (the rate-limiting enzyme in the MVA pathway that catalyzes the synthesis of MVA), is even more potent than incadronate in causing my eloma cell apoptosis. It is likely that apoptosis induced by either of these 0 agents is a consequence ofthe loss of famesylated and/or geranylgeranylated proteins. The addition of MVA (which can be metabolized to isopentenyl PPi, FPP, and GGPP) directly bypassed the site of inhibition of mevastatin and completely prevented apoptosis. However, FOH did not prevent @300 0 LI 0 a U 2 mevastatin-induced apoptosis. Although FOH is metabolized to FPP, cuntnt evidence suggests that little of this FPP is metabolized further to GGPP (1 1), 200 100 and FOH is therefore only used for protein famesylation. In addition, the convemionofFPP to GGPP requiresisopentenylPP1.the synthesisof which @ @ (like FPP and GGPP) is indirectly prevented by mevastalin. Hence, it is unlikely that a substantial amount ofFOH can be convefled to GGPP via FPP in the presence of mevastatin. The @kIiflon of GGOH alone (which can be metabolized to GGPP, the substmte required for geranylgeranylation of proteins; Ref. 11) was sufficient to prevent mevastatin-induced apoptosis. Together, these observations suggest that gemnylgeranylated proteins, rather than famesylated proteins, are the dominant forms of isoprenylated proteins required for the suppression of apoptosis in JJN-3 myeloma cells. The addition of GGOH prevented incadronate-induced apoptosis, probably by replenishing the intracellular pool of GGPP required for protein isoprenylation. Apoptosis induced by incadronate could not be prevented by the addition ofMVA, because incadronate appears to inhibit an enzyme(s) in the MVA pathway required for the synthesis of FPP or GGPP from MVA (9). These observations are consistent with the above hypothesis that gemanylgeranylated proteins prevent apoptosis in JJN-3 cells. However, FOH also prevented incadronate-induced apoptosis. Al though it has been suggested that FOH cannot be metabolized to GGPP (11), as discussed above, it is possible that in the presence of incadronate 0— I Mev fl I U r@-i I Mev + MVA Mev + FOH Mev + GGOH Mev + MVA Mev + FOH Mev + GGOH B 150 125 _100 a 0 LI 75 a U H 5f@. 25 (but not mevastatin),a small amount of FOH may be converted to GGPP via FPP, which is sufficient to temporarily rescue the cells from apopto sis. Alternatively, JJN-3 cells may convert FOH to FPP for the farnesy lation of proteins that are normally geranylgeranylated (10). We and others have shown that in addition to causing apoptosis, bisphosphonates can cause an accumulation of cells in S phase of the cell cycle and inhibit cell proliferation (5, 6). In this study, we found that mevastatin also inhibited the proliferation of JJN-3 myeloma cells, an effect that could be overcome by the addition of 0@ CU Mev Fig. 2. Effect of the MVA pathway intermediates MVA, FOH, and 000H on (A) mevastatin (Mev)-induced apoptosis (@) and (B) mevastatin-induced inhibition of prohferalion (D). JJN-3 myeloma cells were treatedwith 30 @zs.i mevastatin in the presenceor absenceof MVA, FOH, tw 000H. Results are expressed as a percentage of the appropriate control (control.0). Data are the mean ±SE(A. n = 4; B, n = 6) ofa representativeexperiment *. P < 0.05; @*, P < 0.01 comparedto mevastatinalone. 5296 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1996 American Association for Cancer Research. INCADRONATE INHIBITS THE MVA PATHWAY IN MYELOMA CELLS 40 GWG1 40' (a) 30 a n 0 LI 10 U I 200 400 20 20 10 10 I @ content ofJJN-3 myeloma cells after labeling with 30propidium iodide. Cells were cultured with: a, PBS; b, 100 @AM incadronate;c, 20 pat mevastatin; d, a n incadronate + 500 @zat MVA; e, incadronate +20 0 LI @&M FOH;f, incadronate + 20 pat GGOH; g, mev astatin + 500 @LM MVA; h, mevastatin + 20 @si 10@ FOH; and I, mevastatin+ 20 pat GGOH. Results â€ãre from arepresentative experiment, and the pop @ @ ulations of hypodiploid (H) cells or cells in the DNA content (0 (e) 30 30. 20 20. 10 10 2O0 2@4ó0600800 G0k31 phase, S phase. and G2-M phase of the cell 200400600800 40. 40 (d) Fig. 3. Flow cytometricanalysisof the DNA I 200400600800 DNA content DNA content 40- (c) 30 800 600 (b) 30 @tOo 6O0 ) 8O0 200 400 600 800 DNA content DNA content DNA content cycleareindicated. 40 40 (g) 30 (h) (i) 30 30 20 20 10 10 a 0 40 LI 200 400 600 800 0 0 200400600800 DNA content DNA content J 200 400 6óo 800 DNA content 8. Faith, J. C., Mönkkdnen,J., Blackburn, G. M., Russell, R. G. G., and Rogers, M. J. Clodronate and liposome-encapsulated clodronate are metabolized to a toxic AlP analog, adenosine 5'-(@,y-dichloromethylene) triphosphate, by mammalian cells in disruptthe function ofisoprenylated Ran proteins (reviewed by Gibbs and 011ff; Ref. 10). We have demonstrated that bisphosphonates, a class of antiresorptive drugs, can cause human myeloma cell apoptosis in vitro by inhibiting the pathway required for protein isoprenylation. It remains to be determined whether sufficient concentrations of bisphosphonate may be generated in the bone microenvironment in vivo to have a direct apoptosis-inducing effect on tumor cells as well as on osteoclasts. How ever, our observations that some bisphosphonates can cause apoptosis in 10. Gibbs, J. B., and Oliff, A. The potential of farnesyltransferase inhibitors as cancer chemotherapeutics. Annu. Rev. Pharmacol. Toxicol., 37: 143—166, 1997. 11. Crick, D. C., Andres, D. A., and wa@chter,C. J. Novel salvage pathway utilizing myeloma cells (and other cell types in vitro; Ref. 9) by interfering with a farnesoland geranylgeraniolfor proteinisoprenylation.Biochem.Biophys.Rca. metabolic pathway required for the function of Ras highlights the ques tion of whether bisphosphonates might have direct antitumor effects in vivoin diseasessuchas multiplemyeloma. References 1. Fleisch. H. Bisphosphonates:pharmacologyand use in the treatmentof tumour induced hypercalcaentic and metastatic bone disease. Drugs, 42: 919—944,1991. 2. Jantunen, E., and Laakso, M. Bisphosphonates in multiple myeloma: current status; future perspectives. Br. J. Haematol., 93: 501—506,1996. 3. Berenson, J.R., Lichtenstein, A., Porter,L, Dimopoulos, M. A., Bordoni,R.,George. S., Upton. A., Keller, A., Ballester, 0., Kovacs, M., Blacklock, H., Bell, R., Simeone, vitro. J.Bone Miner.Res.,12: 1358—1367, 1997. 9. Luckman, S. P., Hughes, D. E., Coxon, F. P., Russell, R. G. G., and Rogers. M. J. Nitrogen-containing bisphosphonates inhibit the mevalonate pathway and prevent pest-translational prenylation of GTP-binding proteins. including Ras. J. Bone Miner. Res.,13: 581—589, 1998. Commun., 237: 483—487,1997. 12. Amin, D., Cornell, S. A., Gustafson, S. K., Needle, S. J., Ullrich, J. W., Bilder, G. E., and Perrone, M. H. Bisphosphonates used for the treatment of bone disorders inhibit squalene synthase and cholesterol biosynthesis. J. Lipid Res., 33: 1657—1663, 1992. 13. Van dci Pluijm, G., Vlocdgraven, H., Van Beck, E., van der Wee-Pals, L., Lowik, C.. and Papapoulos, S. Bisphosphonates inhibit the adhesion of breast cancer cells to bone matrices in vitro. J. Clin. Investig., 98: 698-705, 1996. 14. Boissia,S., MagnettO,S.,FrappaII@L,OIZin,B.,EbetinO, F. H.,DC1maS,P. D.,andCleZadin, P. Bisphospinnates inithit prostateand breastcarcinomacell adhesion to immineralizedsad mineralizedbone extrseellularmatrices.CaneerRca.,57: 3890-3894, 1997. 15. Sasaki, A., Boyce, B. F., Story, B., Wright, K. R., Chapman, M., Boyce, R., Mundy,G. R., and Yoneda,T. Bisphosphonaterisedronatereduces metastatic human breast cancer burden in bone in nude mice. Cancer Res., 55: 355 1—3557, 1995. J. F., Reitsma, D. J., Heffernan, M., Seaman, J., and Knight, R. D. Long-term pamidronate treatment of advanced multiple myeloma patients reduces skeletal 16. Did, I. J., Solomayer, E-F., Costa, S. D., Gollan, C., Goemer, R., Wallwiener, D., events. J. Cliii. OncoL, 16: 593—602, 1998. adjuvant clodronate treatment. N. Engl. 3. Med., 339: 357—363,1998. 17. Mundy, G. R., and Yoneda, T. Bisphosphonates as anticancerdrugs. N. Engl. J. Med., 4. McCloskey,E. V., MacLennan,I. C. M., Drayson,M. T., Chapman,C., Dunn,3., and Kanis, J. A. A randomized trial of the effect of clodronate on skeletal morbidity in multiple mycloma. Br. J. Haematol., 100: 317—325,1998. 5. Shipman, C. M., Rogers, M. J., Apperley, J. F., Russell, R. G. G., and Croucher, P. I. Biaphosphonates induce apoptosis in human myeloma cell lines: a novel anti-tumour a@ty. Br. 3. HaematoL, 98: 665-672. 1997. Kaufmann, M., and Bastert, G. Reduction in new metastases in breast cancer with 339: 398—400,1998. 18. Shipman. C. M., Rogers, M. J., Apperley, J. F., Russell, R. G. G., and Croucher, P. I. Anti-tumoureffect ofbisphosphonates in human myeloma cells. Leuk. Lymphoma, in press, 1998. 19. Vogt, A., Qian, Y., McGuire, T. F., Hamilton, A. D., and Sebti, S. M. Protein 6. Aparicio, A., Gardner, A., Tu, Y., Savage, A., Berenson, J., and Lichtenstein, A. In s'itm cytoreductive effects on multiple myeloma cells induced by bisphosphonates. geranylgeranylation, not farnesylation, is required for the G1 to S phase transition in Leukemia (Baltimore), 12: 220—229,1998. 7. Rogers, M. J., Watts, D. J., and Russell, R. G. G. Overview of bisphosphonates. 20. Marcelli, M., Cunningham, G. R., Haidacher, S. J., Padayatty, S. J., Sturgis, L., Cancer(Phila.),80: 1652—1660, 1997. mouse fibroblasts. Oncogene, 13: 1991—1999,1996. Kagan, C., and Denner, L. Caspase-7 is activated during lovastatin-induced apoptosis of the prostate cancer cell line LNCaP. Cancer Res., 58: 76—83,1998. 5297 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1996 American Association for Cancer Research. CANCERRESEARCH58. 5298-5300. December1. 1998] Advances in Brief Absence of Topoisomerase II@3in an Amsacrine-resistant Line with Mutant Topoisomerase Ha1 Human Leukemia Cell Cynthia E. Herzog,2 Katherine A. Holmes, Laura M. Tuschong, Ram Ganapathi, and Leonard A. ZweHing University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030 [C. E. H., L M. T., L A. ii, and Cleveland Clinic, Cleveland, Ohio 44195 [K. A. H., R. G.] Abstract at least one mutation. Thus, these cells could provide an excellent model in which to ascertain the relative contribution to drug sensitiv ity of the a and (3 isoforms of topo H. Numerous chemotherapeutic agents act via stabilization of a topoi somerase (topo) Il-DNA complex. HL-60/AMSA, a human leukemia cell line, is resistant to intercalator-mediated DNA complex formation and cytotoxicity. HL-60/AMSA contains a mutant form of tape Ha that was thought to explain this resistance. expression oftopo However, II@ RNA in HL-60/AMSA our present Materials data show that is only 10% ofthat and Methods Cells. HL-60/AMSAcellswereobtainedfromDr.MiloslavBeranofM. D. in HL-60, Anderson Cancer Center and have been described previously (1). The cells and topo ll1@protein levelsare undetectable.Southern analysisoftopo II@3 were propagated in Iscove's modified Dulbecco's medium with 10% FCS at shows no differences in gene dosage between the two cell lines but does show differences in the restriction patterns. These data suggest that decreased topo II@J expression may contribute to the intercalator 37°Cin 5% CO2 with a doubling time of approximately 24 h. Cells were periodically evaluated by American Type Culture Collection and found to be resist free of mycoplasma infection. Whole Cell Assays. Soft agarcolony formationassays were performedas ance of HL-60/AMSA cells. described previously according to the method of Chu and Fisher (1). SDSIKC1 precipitation of DNA-protein complexes were performed as described previ Introduction ously (1). Several chemotherapeutic agents exert their cytotoxicity via stabi Northern and Southern Blots. RNAand DNAisolationfor Northernand lization of a topo3 Il-DNA complex, which is thought to trigger apoptotic cell death pathways. The mechanisms by which complex stabilization and DNA strand breaks lead to cell death have not been elucidated. However, in general the magnitude of drug-induced DNA Southern blotting were performed using standard techniques. Probes for de tection of topo 11f3were Fl2, which starts at bp 3915 of the coding region and extends into the 3'-untranslated region (9) and SP12, extending from approx imately bp 1000 to bp 3114 (Ref. 10; Fig. 1). Fl2 and SP12 were gifts from Dr. Caroline Austin (The University of Newcastle-upon-Tyne, Newcastle, strand break production correlates with the magnitude of drug induced cytotoxicity (1, 2). Two isoforms of topo II have been identified, the a and f3 isoforms, whose genes are located on chro mosomes l7q and 3p, respectively (3). Expression of the a isoform varies during the cell cycle, whereas expression of the @3 isoform United Kingdom) and Dr. K. B. Tan (SmithKline Beecham, King of Pnissia, PA), respectively. Other probes were the human topo Ha probe, Z1169, provided by Dr. Leroy Liu (University of Medicine and Dentistry of New Jersey, Piscataway, NJ; Ref. 1) and the l800-bp PstI fragment of chicken f3-actin cDNA. changes little throughout the cell cycle (4, 5). Although topo II is a Immunoblotting. Whole cell lysates from 106 cells were prepared in critical enzyme for cell proliferation, the exact role of the two iso 2 X Laemmli forms is unknown. 40% glycerol, Two recent reports have suggested that amsacrine may target the topo 11(3isoform. An amsacrine-resistant subline of the human small cell lung cancer cell line GLC4 has levels of topo lla comparable to the parental cell line, but the topo 11(3is only about 20% of the parental level (6). Dereuddre, et a!. (7) reported increased drug-induced topo II DNA cleavage and a 90% increase in cytotox icity with amsacrine after transfection of topo 11(3into the Chinese hamster lung cell line DC-3F/9-OH-E, selected for resistance to the phenotype of HL-60/AMSA, a human leukemia cell line containing a mutated topo lIce (1 , 8). Our results demonstrate that these cells are indeed deficient in both the transcript and protein for topo 11(3.We also show that the gene for topo II@3is present in these cells but has Received 9/3/98; accepted 10/16/98. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. I Supported 2 To whom by NIH Grants CA40900 (to L. A. Z.) and CA35531 (to R. G.). requests for reprints should be addressed, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Pediatrics, Box 87, Houston, TX 77030. Phone: (713) 745-0157; Fax: (713) mdacc.tmc.edu. 3 The abbreviation used is: topo, topoisomerase. 794-5531; E-mail: cherzog@notes. 1.4 M f3-mercaptoethanol] by sonication for 30 s, followed blue, by boiling for 5 mm. Proteins were resolved on a 5% SDS-polyacrylamide gel, electroblotted selectively onto nitrocellulose, recognized and probed with specific antisera which topo Ha or 43 provided by Dr. Ian Hickson (Imperial Cancer Research Fund Laboratory, Oxford, United Kingdom; Refs. 11, 12) or topo I provided by Y. C. Cheng (Yale University School of Medicine, New Haven, CF; Ref. 13). Results intercalator 9-OH-ellipticine. These results suggest a specific mech anistic connection between amsacrine sensitivity and topo II@. The human leukemia cell line, HL-60/AMSA, is remarkably more resist ant to amsacrine than to etoposide (1). We, therefore, postulated that altered expression of topo H@3may contribute to the unique resistance buffer [125 nmi Tris (pH 6.8), 4% SDS, 0.25% bromphenol Measurement of Effects of Etoposide and Amsacrine on IlL 60/AMSA Cells. Measurement of cytotoxicity by soft agar colony formation assays showed that HL-60/AMSA cells were resistant to amsacrine and, to a lesser degree, etoposide (Table 1). SDSIKC1 precipitation assays were performed to measure drug-stabilized topo 11-DNA complex formation. In accordance with the colony formation assays, reduction in drug-induced topo Il-DNA complex formation in HL-60/AMSA relative to HL-60 is greater with amsacrine than with etoposide (Table 1). The results of both assays are also consistent with previously published reports on the resistance phenotype of the HL 60/AMSA cells (1). Northern Analysis of topo llfi in HL-60/AMSA. Studies done with the F12 probe showed barely detectable expression of topo 11@3 RNA in the HL-60/AMSA cells, whereas a strong signal was seen in HL-60 parent cells (Fig. 2A). Because a truncation mutation in topo 11@3 had been described previously (7), we reevaluated RNA expres sion with probe SP12, which contains the middle portion of the 5298 Downloaded from cancerres.aacrjournals.org on June 16, 2017. © 1996 American Association for Cancer Research. Reversible, p16-mediated Cell Cycle Arrest as Protection from Chemotherapy Steven Stone, Priya Dayananth and Alexander Kamb Cancer Res 1996;56:3199-3202. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/56/14/3199 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. To request permission to re-use all or part of this article, contact the AACR Publications Department at [email protected]. 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