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Inhibition of Anaerobic Bacteria as a Screen for Anti-Tumor Agents* WILLIAMT. BRADNER ANDDONALDA. CLARKE WITH THETECHNICAL ASSISTANCE or ANAROTHANDBARBARAWEISS (Division of Experimental Chemotherapy, Sloan-Kettering Institute for Cancer Research, Sloan-Kettering Division, Cornell University Medical College,New York, N.Y.) Results of tests with bacteria are often used as a preliminary indicator of biological activity in the choice of material for anti-tumor screen tests. However, anaerobic organisms per se have been largely overlooked in this type of investiga tion because of the inherent inconvenience in their cultivation. The fact that an anaerobic type of metabolism is a general property of tumors raised the question whether or not anaerobic bacteria might have sensitive systems in common with tumors which either would not be widely found or would be less exposed among aerobic organisms. Two observations germane to this question can be cited. Malmgren and Flanigan (14) noted the selective localization of Clostridium tetani in tumor tissue following parenteral administration of spores to the host. This suggested that the tumor tissue Eh (oxidation-reduction potential) was sufficiently negative to meet the stringent requirements of this bacterium. Two potent inhibitors of animal tumors, azaserine and diazooxonorleucine have been shown by Coffey et al. (6) and Ehrlich et al. (8) to inhibit six out of six and four of five clostridia tested, respectively. In the experiments to be described, 75 selected compounds of theoretical interest in cancer research were tested for inhibi tion of ten anaerobic or microaerophilic bacteria (4). The most pertinent results are presented below and their implications discussed. MATERIALS AND METHODS From a group of organisms that was obtained from various sources, ten strains were selected which would grow consistently and without diffi culty in common media.1 The agar-plate pen-assay disc procedure was used to test for inhibition of the organisms. Routinely, the bacteria were first grown in broth medium, usually thioglycollate, * This investigation was supported by a research grant, CY-3192, from the National Cancer Institute of the National Institutes of Health, Public Health Service. Received for publication October 25, 1957. and the cells were harvested by centrifugation and resuspended in saline. Five ml. of this material was inoculated into 100 ml. of melted heart in fusion agar, from which plates were poured and allowed to harden. The compounds were dissolved in sterile distilled water. If solubility problems were encountered, a final concentration of up to 0.05 N HC1 or 0.1 N NaOH could be used without inhibiting any of the organisms. Acetone could also be used if the discs were dried before placing them on the agar. All compounds were tested initially at three levels: 10, 100, and 1000 /ig/disc. The effects of control discs bearing any solvents used and of a disc with 2 units of penicillin (posi tive control) were always determined with each strain in every experiment. The plates were incu bated in Brewer anaerobic jars under a nitrogencity gas atmosphere for 3 days at 37°C. RESULTS To assess the inhibition noted from the stand point of a screening procedure for anti-tumor agents, it was necessary to compare these results with those obtained from trials of the same com pounds against animal neoplasms. The only de tailed study available for comparison was that edited by Gellhorn and Hirschberg (10). Therein were reported the results of tests of 27 selected compounds against fifteen rodent tumor systems, 21 microbiological, seventeen mutation, differen tiation, developmental, and 21 biochemical systems. These were further combined into the two categories: tumor and nontumor systems. A re sponse by one third or more of the units in a system to a given compound was arbitrarily considered positive. Thus, each compound could 1The following organisms were obtained from the American Type Culture Collection, Washington, D.C.: Bacteroides limosità 8436, B. pseudoramosus 8489, B. tumidus 8496, Butyribacterium rettgeri 10835, Clostridium cylindrosporum 7905, C. feseri 1009%, Micrococcus aerogenes 9321, Propionibacterium freudenreichii 6207, and P. shermanii 9617. Clostridium acidi-urici 9A was received through the courtesy of Dr. H. A. Barker. 299 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1958 American Association for Cancer Research. 300 Cancer Research be rated as "active or inactive" in the tumor and nontumor tests and appropriate comparisons made. So that advantage could be taken of this available information, these 27 compounds were in cluded in the tests with the anaerobes. The results are presented in Table 1. Since in nearly all cases two or more tests were made, an average is pre sented for each compound. If a compound was slightly inhibitory on one test and not in another, it was scored as showing activity. This was done on the premise that any such observation in a screen test would be the subject of further investi gation. It can be seen that at least one organism responded to every compound. In determining the scoring methods to be used for assigning a rating of "active" or "inactive," cognizance was taken of the major criticism of the "1/3" method used for the Diverse Systems investigation. The objec tion has been raised that such an arbitrary division would tend to minimize the importance of com pounds which were strongly active in just one or a few systems. In consideration of the limited knowledge available regarding the validity of antirodent tumor screening data for the predicting of therapeutic efficacy in humans, these agents might best be given a rating equivalent to that assigned to compounds which exhibit weak ac tivity in many systems. To assess this situation with respect to the anaerobes, a value of 5 for ±, 10 for +, and 20 for + + was assigned, and the total activity of each compound determined. A baseline sum of 20 was chosen as minimum for "active," since this would acknowledge any com pound causing maximum inhibition of just one anaerobic species. With this method only one compound, D-glucosamine, was included in addi tion to those obtained by counting any response of one-third or more of the organisms as indicating an "active" compound. Using the \ procedure, the total anaerobe results were compared with the Diverse Systems tumor responses for mismatched positives, i.e., cases in which anaerobes were inhibit ed and the tumors were not; mismatched negatives ; and total matching positive and negative results (Table 1). Dividing the latter figure by 27 yielded the so-called "matching score." This was calcu lated for the anaerobes as a group, for each indivi dual species used (Table 2), and for various com binations of species. The anaerobes as a group were no better in this respect than the other micro biological systems reported in the Diverse Systems Investigation. However, Clostridium feseri by it self had a superior score, with respect not only to the other nine anaerobes, but also to that of the 21 individual microorganisms previously de scribed (10). Moreover, there were only two mis Vol. 18, April, 1958 matched negatives; these concerned two tumoractive compounds which did not inhibit C. feseri and which, therefore, could be overlooked in a screening program. This result was comparable to that of the mouse mammary Adenocarcinoma 755 and superior to all other tumors tested for the Diverse Systems Investigation. The matching score could not be improved by any combination of additional anaerobes. Table 3 shows the results with a selection of fifteen additional compounds known to exhibit activity as inhibitors of various ex perimental neoplasms. Here again, C.feseri had the minimum of mismatched negative results (shared with C. cylindrosporum). Four of the five tumor inhibitors missed by C. feseri in both groups of compounds were purine derivatives. Obviously, C. feseri could not be used if this were the type of agent sought. Nevertheless, the organism appears worthy of inclusion in some of the primary micro biological screening programs in which a critical evaluation of its usefulness could be made. One important application of microbiology in cancer research is the study of special classes of compounds. In this respect several examples of responses by the anaerobes will be presented. C. feseri was inhibited by all the alkylating agents tested that have reached clinical trial. However, in view of the limited number of compounds, ap praisal of this observation must await further screening results. The inhibition of B. limosus by 2-deoxy-D-glucose (2DG) was found to be specific (glucose, mannose, and 2-D-glucosamine did not inhibit). Tube dilution tests revealed that 2DG inhibition could be blocked competitively by glu cose with an I/S ratio of 1 (7, 16). Diethylstilbestrol was of interest, because it was the most potent inhibitor of all the compounds tested. On repeated tests all ten species were in hibited by 10 ng/disc. Clostridium acidi-urici was inhibited strongly by diethylstilbestrol but little or not at all by para- or metahydroxypropiophenone. The parahydroxypropiophenone might be a metabolite of diethylstilbestrol, and its low ac tivity suggests that this is not the inhibitor. In addition, the lack of response of the meta com pound rules out possible inhibition by the phenolic function. C. acidi-urici was also inhibited by 4,4'dimethylstilbene and a,a'-dihydroxy-a,a'-diethylp,p'-dihydroxy-bibenzyl. The glutamine antagonist 6-diazo-5-oxo-L-norleucine (DON) was inhibitory to all ten species, as was its close relative, azaserine. Results with DON, L-glutamic acid-5-hydrazide, and glutamine vs. B. rettgeri and M. aerogenes are shown because of their similar pattern of responses (Table 4). The compounds are very closely related if considered Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1958 American Association for Cancer Research. •¿•go i-2« |||SJ* cS^ {§ß— OT gl 51 R!+ +i M+ 11+++I g| S a H H ++ + ++I i l-H-+|8|4liS i++111 ++++i i+11111 +75°-j^2" i+ - + i i i i +ii 1 ++1-Hi i -H t: + MII+IÃŒ+Jt-sdiif 11 ill +1+1+1 i ti i +11+11+Õ+ tfg »*J« i -H 1 1 I 11+!++1 o 7, g g«g-e -3 + r .. .v g *->u J _z IS' o * . to ai W W U E-1 1 1 I -H ++l ' +' ++++ ifl a l a »o||| £s „•S S | «Iîu?i •5 ;-É M eu Ç B5 sS +, i i 1,11 |+++|+l+n +,+,++ + +l-H-HlJÃŽÃŽÃŽtf*f|o| M ¿" s Sà "tó c'S rJ-S " ** to S -< Q H . Ãœ+l l P H Ss gg g£ 1 1 1 1 1 1 1 +++l+ 1+ ' +l+l+l + : : ++ n — 4) tÃ- Õ + £T i T+i i i i +i i i T++IT+I+I+I : i +i ' 50 i +I+IÃŽ++ es Ǥ =i«a •*-> *S ? | +1+i +1+1 Säf as •*-• , «» -t^ SÃŒ S3 ¡8 CO sW ,+i+i + i+ i+1 i i i i|;++i++ii +ii++I +i H-Ii+I+I+I+++ §1_¡||11 3 aÂ¥ ß'B LÕ"- i o 11 § S a T o <a -S--S ¡Ili [lili ü^ §'8^1¿§'0J'f* .2 öS-. j-flimn-eïn |S^ l'Il^'lf'lif'll-s .S K O -1Ǥ ..9 e s-a S §ü .3 § ^ fcH e — O lili 2 >> SSSSSSSiS IH 1 11 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1958 American Association for Cancer Research. 302 Cancer Research as a common glutamyl moiety with a diazomethane, a hydrazino, or an amino group attached to the 5-carbonyl, as shown in the structural dia gram. Though the hydrazide has been shown by others (13) to be a glutamine antagonist, there is a striking difference between it and DON with respect to inhibition of these organisms. Various agents have been found to antagonize inhibitions caused by DON or azaserine, depending upon the biological system studied. Therefore, experiments were carried out with these inhibitors and with several of the reported antagonizing agents. By incorporating either DON (2 /ug/ml) or azaserine (50 ¿ug/ml)into the agar with B. rettgeri, it was found that the inhibitions could be blocked by glutamine at 10 /ig/disc (as evidenced by a zone of growth), but not by adenine, guanine, or hy- Vol. 18, April, 1958 ~ «* + +! I + I I I I -H + +I I +ÃŒ-H Õ "a I CS U +-H i + l i i i i +I+I+I+.+ i -S| |I ¡l+l l + l l l l I+I+I++J ^ z i i. I 2COMPARISON TABLE +-H++ + -H-H l + + + OFANAEROBES WITHTUMOR SYSTEM "STANDARD"*Total Match-OrganismsB. 4 | ++I ¡ngpounds MNt27272727 g I i+++1+++++7+7++ + -H-H+ I I +1+1+ I +^+ r 1 I |^ Match- II-:B. I! lint. pseudoramofusB. uà B. In i'i H! rettgeri acidi-uriciC. C. C. jcylindrosparum 'eaeri M. aerogenes P. freudenreìchii P. shermaniiTotalcom 27K* 1111 .41.41 1111 .41.41 2727 07 27 27 27 2 9 16 8 7 12 10 9e4MPt1012109 8 79 .59 .44 .30 610¡ng1011 .56.48Data KISSystems Diverset Correlated with Summaryscore.37.41 (10). MismatchedÃŽ Mismatchednegatives.positives.7467 poxanthine (2,15), nor by glutamic acid or a mixture of the aromatic amino acids—phenylalanine, tyrosine, and tryptophan—at concentrations up to 1000 /ig/disc (12). Inhibition of M. aerogenes was blocked only by hypoxanthine at 100 ¿ig/disc. These responses cannot be examined in detail until the organisms are grown in defined media. Of the various purine derivatives tested, purinyl-6-thiocyanate (P-6-T) was the strongest in hibitor of the anaerobes. It differs from 6-MP and hypoxanthine in the functions on the 6position of the purine ring (Table 5). From a structure-activity point of view some results with C. cylindrosporum were of interest, since the or ganism was not inhibited by 6-MP, hypoxanthine, cyanide, or thiocyanate—compounds which might be split products of P-6-T. This suggests that it is necessary for the thiocyanate function to remain intact on the 6-position for either the actual inhibitory process or for entry of the compound into the cell. £ ¡S+ I +I + +I I I I + I +1 I + + ± t +1 i +1 i +ii +I++1 ,-C "O 4> * *E ta o I ++ I + I +1 I I -H+I-H ÕU l -H o lit o x. li H •— — 1+ I++ I +I I -H C »o AM Éi¡ +I+.+I |J | 8 I +1 i ++I+Ii i i +1+1 5 HI jffiJ » B - *3 «t** ¡|.i «l I'll BU o •S 5 " •r v&>>> e»N^3 S •< Z; •< •SS coPk o'^'**' , IfÃŒHl •43 - _« s * -B-"-"^ w._. S g3 aliiillflJlilillli^f i S3 anHS-ö'flae S-r^Bil^" ^ g 0! g O B g •^ n x Sa 3 SOS ^0 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1958 American Association for Cancer Research. BRADXERANDCLARKE—AnaerobicBacteria and Anti-Tumor Agents DISCUSSION In the experiments described, a series of com pounds that have been studied for anti-neoplastic activity were tested for inhibition of ten anaerobic bacteria. Though the responses noted indicate that the organisms as a group offer no advantage as a screening tool, the results obtained with one strain, C. feseri, were correlated closely enough with results obtained with tumors to warrant more detailed study. It is difficult to ascertain whether the fact of anaerobic requirements was responsible TABLE 4 INHIBITIONTESTSWITHTwo GLUTAMINE ANTAGONISTS Compound B. rettgcrì 1. 6-Diazo-5-oxo-L-norleucine 2. L-Glutamic acid-5-hydrazide 3 L-Glutamine Af. aerogene» + ± — O NH2 CCH2CH2CHCOOH O NH2 II TABLE 5 FURINEDERIVATIVES INHIBITIONOF CLOSTKIDIUM CYLINDROSPORUM Purinyl-6-thiocy++ anate 6-Mercaptopurine — Hypoxanthine — Potassium cyanide — (KCN) Potassium thio— cyanate (KSCN) SUMMARY 1. Various compounds of theoretical and prac tical interest in cancer research were tested for their ability to inhibit ten species of anaerobic bacteria. 2. The results obtained with at least one or ganism (Clostridium feseri) correlated sufficiently well with the anti-tumor activities of certain com pounds to warrant further investigation as a screening tool. 3. The results seen with special classes of com pounds suggest that some of the anaerobes may prove to be independently useful in the examina tion of these materials for inhibitory properties. REFERENCES CCH2CH2CHCOOH Initial test since this has not been the usual observation with other bacteria inhibited by these agents. This effect and the activity of purinyl-6-thiocyanate, however, can only be considered as responses of certain microorganisms rather than as unique prop erties of anaerobes. I CCH2CH2CHCOOH O NH2 Compound 303 id 3d 4th (Position 6) + + ++ -SCN — — — -SH -OH — — for some of the results seen or whether this only represents the normal expectation for a group of bacteria not previously examined. The striking in hibition caused by diethylstilbestrol might be a function of anaerobe sensitivity. On theoretical grounds anaerobic bacteria should be highly sus ceptible to glycolytic inhibitors when it is con sidered that they lack the alternate oxidative pathways of hexose metabolism and the efficient respiratory means of pyruvate utilization. Indeed, all ten organisms were inhibited to some degree by 2-deoxy-D-glucose. The finding with one strain that glutamine was the most effective antagonist of inhibition by azaserine and DON is of interest, 1. BALI, H. A.; WICK,A. N.; and SANDERS,C. Influence of Glucose Antimetabolites on the Walker Tumor. Cancer Research, 17:235-89, 1957. 2. BENNETT,L. L., JR.; SCHABEL,F. M., JR.; and SKIPPER, H. E. 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Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1958 American Association for Cancer Research. Inhibition of Anaerobic Bacteria as a Screen for Anti-Tumor Agents William T. Bradner, Donald A. Clarke, Ana Roth, et al. Cancer Res 1958;18:299-304. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/18/3/299 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]. Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1958 American Association for Cancer Research.