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(CANCER RESEARCH 49. 6923-6928. December 15. I9S9] Mechanisms of Inhibition of DNA Synthesis by 2-Chlorodeoxyadenosine Lymphoblastic Cells1 in Human Johannes Griffig, Rainer Koob, and Raymond L. Blakley2 Department oj Biochemical and Clinical Pharmacology, St. Jude Children's Research Hospital, Memphis, Tennessee 38101 [J. G„R. A'.. R. L. B.J, and Department of Pharmacology, L'nirersity of Tennessee College of Medicine-Memphis, Memphis, Tennessee 38163 ¡R.L. B.J the intracellular inhibition of ribonucleolide reduction in cells exposed to CldAdo was not investigated. Hirota et al. (7) showed that FM3A mouse mammary cells exposed to CldAdo inhibitor of the reduction of ADP, CDP, UDP and GDP by ribonucleotide for 8 h showed a decline in intracellular dATP and dGTP but reducÃ-asein extracts of CCRF-CEM with 50% inhibition at concentra not in dCTP or dTTP. Moreover, at concentralions near the tions of 0.1 to 0.3 MM.In cells exposed to 0.3 UM2-chloro-2'-deoxyadcnosine (CldAdo), the intracellular concentration of CldATP reaches 2 MM IC50 for growth, dNTP pool changes were very small. There is also growing evidence that CldTP direclly interwithin 15 min, and DNA synthesis by the cells is inhibited 90% within feres wilh DNA synlhesis. Carson et al. (2) reporled thai CCRF30 min. At concentrations of extracellular CldAdo that inhibit DNA synthesis, there is also marked inhibition of intracellular conversion of CEM cells exposed lo 0.2 MMCldAdo incorporate some of the analogue inlo DNA over a 24-h period, but kinetics, concentra cytidine to deoxycytidine nucleotides indicating significant intracellular inhibition of ribonucleotide reducÃ-ase.Exposure of cells to 0.3 MMCldAdo tion dependence, and relation to total DNA synthesis were not decreases dCTP by 63% in 30 min, dATP and d FTP by 20%, and dGTP investigaled. Parker et al. (9) found lhal DNA polymerases a, 0, and 7 are inhibiled by CldATP wilh apparent A'¡ values in by a smaller amount. Similar decreases in these pools occur when other ABSTRACT 2-Chloro-2'-deoxyadenosine 5'-triphosphate (CldATP) ¡sa strong inhibitors of ribonucleotide reducÃ-aseare present at concentrations caus ing similar inhibition of DNA synthesis. Deoxycytidine treatment of cells inhibited by CldAdo restores dCTP and other pools, but restoration of DNA synthesis is incomplete, indicating that there is another mechanism for inhibition of DNA synthesis in addition to depletion of deoxyribonucleotide pools. This alternate mechanism is probably related to the incorporation of CldAdo into DNA that occurs despite a 25-times lower intracellular level of CldATP than dATP. INTRODUCTION The 2-chloro- and 2-bromo- analogues of deoxyadenosine are much more cytotoxic to T-lymphoblastic, B-lymphoblastic, and myeloblastic cell lines than dAdo1 (1-5), due to their resistance to adenosine deaminase (6). Cytotoxicity is closely related to inhibition of DNA synthesis with little effect on RNA or DNA synthesis (2, 4). Cells exposed to either analogue accumulate in early S phase or, at higher drug concentration, at the G,-S border (4, 7), suggesting a blockade of initiation of DNA synthesis. We originally predicted that these nucleoside analogues, after intracellular conversion to analogues of dATP, might be potent inhibitors of ribonucleotide reducÃ-ase(8). However, it is still unclear to what degree intracellular ribonucleotide reduclion is inhibited by cells exposed to CldAdo and whether there are other mechanisms of cytotoxicity. Although Parker et al. (9) reported that ADP reduction by crude extraéisof K562 cells is 50% inhibited by aboul 130 niviCldATP or BrdATP, reduction of CDP, GDP, and UDP was noi invesligaled. Furthermore, Received 5/22/89; revised 9/1/89; accepted 9/21/89. 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. 1Supported in part by USPHS Grant ROI CA 39242 from the National Cancer Institute and by American Lebanese Syrian Associated Charities. 2 To whom requests for reprints should be addressed, at Department of Biochemical and Clinical Pharmacology. St. Jude Children's Research Hospital. 332 North Lauderdale. P. O. Box 318. Memphis. TN 38101. 'The abbreviations used are: dAdo. deoxyadenosine; dGuo. deoxyguanosine; dCyd. deoxycytidine; dUrd, deoxyuridine; dThd, thymidine: dNMP. deoxynucleotidc monophosphate; dNTP. deoxynucleotide triphosphate; CldAdo, 2chloro-2'-deoxyadcnosine; CldAMP, 2-chloro-2'-deoxyadenosine 5'-phosphate; CldATP. 2-chloro-2'-deoxyadenosine 5'-triphosphate; BrdAdo. 2-bromo-2'deoxyadenosine; BrdATP. 2-bromo-2'-deoxyadenosine 5'-triphosphatc; HEPES. 4-(2-hydroxyethyl)-l-piperazineethanesulfonic acid; HPLC. high-performance liquid chromatography: PEI cellulose, polyethylenimine cellulose; ara-C. l-ji-Darabinofuranosylcytosinc; azido-C. 2'-azido-2'-deoxycytidine; EHNA. erythro-9(2-hydroxy-3-nonyl)adcnine; ICM. concentration for 50rc inhibition of growth. the range 3 lo 21 MM.Our own invesligalions wilh defined primers and lemplales indicate that CldATP interaclion wilh DNA polymerases is complex even in ihe absence of olher proleins,4 so that it is difficult to interpret apparent K, values obtained in reactions using gapped genomic DNA as lemplate and primer. It is difficult to assess on ihe basis of Ihese resulls how much CldATP interference with the action of DNA polymerase contributes to CldAdo cylotoxicity for human lymphoblasts. In the present study, we have endeavored to obtain evidence of the relative imporlance in CldAdo aclion on cells of ribonu cleolide reducÃ-aseinhibition versus interference with DNA rep lication. Such information is of interest because CldATP pro duces clinical responses in advanced chronic lymphocytic leu kemia and auloimmune hemolylic anemia (10) and in pedialric acute monocytic leukemia.5 MATERIALS AND METHODS Materials. (l/-14C]CDP (438 mCi/mmol), [methyl-'H]lkymidine (84 Ci/mmol), [i/-'4C]ADP (550 mCi/mmol), [8-'4C]ATP (51 mCi/mol), [8-'4C]GTP (52 mCi/mmol), organic counting scintillant, and aqueous counting scintillant were from Amersham. [8-'4C)GMP (60 mCi/ mmol), [2-14C]UMP (60 mCi/mmol), and [S-'HJCIdAdo (7 Ci/mmol) were from Moravek Biochemicals. ATP nucleoside monophosphate kinase, snake venom (Crotatm adamanteus), unlabeled nucleotides, proteinase K, DNase I, RNase A, bacterial alkaline phosphatase and PEI cellulose were obtained from Sigma. Guanosine monophosphate kinase was from Boehringer Mann heim. [8-'4C]GDP and |2-I4C]UDP were synthesized from the monophosphates by the method of Cory and Bacon (11) with purification of the products by HPLC on a Whatman Partisi! 10 SAX column (4.6 x 250 mm), with gradient elution. Solvent A: 20 ITIMammonium phosphate, pH 2.8; solvent B: 500 mw ammonium phosphate, pH 4.8. A linear gradient from 25% B to 100% B over 25 min was used, with a flow rate of 1 ml/min and detection by absorbance at 254 nm. Yields were: [2-14C]UDP, 70%; [8-'"C]GDP, 90%. Since '4C-labeled cytidine was not commercially available, it was prepared by the action of snake venom (250 ug) on [Õ/-I4C)CDP(50 fiCi) in 100 ITIMTris-HCl, pH 8.5, containing 5 HIMmagnesium acetate in a volume of 0.5 ml. After incubation at 37°Cfor 40 min, the product 4 P. Hentosh. R. Koob. and R. L. Blakley. unpublished results. 5 V. Santana and R. L. Blakley. unpublished results. 6923 Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1989 American Association for Cancer Research. INHIBITION was isolated by reversed-phase HPLC OF DNA SYNTHESIS BY CldAdo on a Beckman Altex d» 5-nm ODS column (4.6 x 250 mm) with water as an eluant. Elution times were: CDP, 3 min; cytidine, 11 min. Assay of Ribonucleotide ReducÃ-ase.All assay reaction mixtures con tained 60 mM HEPES buffer (pH 7.2), 6 IHM magnesium acetate, 6 mM DTT, 4 mM NaF, and 0.1 mM Fed, and cell extract (0.7 mg of protein), in a total volume of 180 ^1. In addition, reaction mixtures for assays with specific substrates were supplemented as follows: for CDP reduction, 5 mM ATP and 0.5 mM [t/-'4C]CDP; for UDP reduction, 5 IHM ATP and 0.5 mM [2-'4C]UDP; for ADP reduction, 0.5 mM [U-'4C] ADP. 2 mM [8-14C)ATP, 0.2 mM dGTP, and 10 MM EHNA; for GDP reduction, 0.5 mM |8-14qGDP, 2 mM [8-14C)GTP, 0.5 mM dTTP, and 2 mM ATP. The specific radioactivity of all labeled nucleotides was 1320 dpm/nmol. The reactions were at 37°C and were started by addition of cell extract and terminated after 30 min by heat (4 min, 95°C). In preliminary experiments to establish the suitability of these assay conditions, concentrations of residual nucleotides at the end of incubation were determined by HPLC on an SAX column as described for preparation of labeled UDP and GDP except that the gradient was Oto 100% B over 30 min. To the cooled reaction mixtures were added 250 ¿ig of carrier dNMP corresponding to the substrate, and nucleotides were then dephosphorylated by addition of 250 iA of a solution containing snake venom (2.5 mg), Tris-HCI (pH 8.8; 40 ¿iinol),and magnesium acetate (1 ftmoi). After incubation at 37"C for 90 min, the reaction was terminated by heating at 95°Cfor 4 min, and precipitated material was removed in the Eppendorf centrifuge. In the case of assays of ADP and GDP reduction, relatively large amounts of purine bases were present in the samples. These were separated from nucleosides by reversed-phase HPLC on an Altex Ultrasphere C,»5-^m ODS column (4.6 x 250 mm) with dimoii by a gradient formed from water (solvent A) and 80% methanol (solvent B). A linear gradient from 0 to 30% B over 30 min was used, with a flow rate of 1 ml/min and detection at 254 nm. Guanine and adenine eluted with retention times of 11 and 18 min and guanosine. dGuo, adenosine, and dAdo with times of 17, 19, 27, and 29 min, respectively. The effluent was collected in fractions of 1 ml, and those in the nucleoside region containing radioactivity were pooled. Boric acid was added to nucleoside samples to give a final concentra tion of 25 mM, and deoxyribonucleosides were separated from ribonucleosides by chromatography on the borate form of PEI cellulose at 4°Caccording to Sato et al. (12) except that the bed size was 10x1 cm. dCyd, dUrd. and dAdo were eluted with 10 ml of 25 mM boric and dGuo with 20 ml. Samples (1 ml) of eluate were counted, counts were corrected for those obtained with reaction mixtures taining no enzyme. Growth of Cells and Preparation of Extracts. All experiments performed with a tetraploid subline of CCRF-CEM cells. acid and con were For the preparation of cell extracts for experiments on ribonucleotide reducÃ-ase,cells were grown in roller bottles (Falcon 3027) in minimal essential medium (Eagle) with L-glutamine and spinner salts (Hazelton Research Products) supplemented with 25 mM NaHCOj, 10% newborn calf serum, penicillin (100 units/ml) and streptomycin (1 mg/ml). Cells were seeded at 2.5 x 105/ml and incubated at 37°Cunder 95% air-5% CO2. Cell density was determined with a model ZB1 particle counter (Coulter Electronics, Inc.) fitted with a C-1000 Coulter channelyzer. Cells were harvested in log phase of growth at a density of about 7.5 x lO'/ml. After centrifugaron at 4°C,cells from 3 liters of medium were washed with cold 100 mM HEPES, pH 7.2, containing threitol and 1 mM MgCl; and then suspended of the same composition. The suspension was sonication was performed with a type CS-75 periods of 10 s were used, interspersed with 2 mM dithio- in 2 ml of cold solution kept in an ice bath while Branson Sonifier. Four 1-min cooling intervals. The supernatant after centrifugation at 100,000 g was frozen rapidly in liquid nitrogen and stored at —¿70°C. was a modification of that of Garret and Santi (13). To a suspension of log phase cells at a density of 3 x lOVml were added 0.05 volume of 0.5 M HEPES buffer (pH 7.2) and [8-'H]CldAdo (0.33 Ci/mmol) to give a final concentration of 0.3 ^M. The culture (total volume. 1 liter) was incubated in a Bélicospinner flask in a water bath at 37°C.After various time intervals, two 35-ml samples were withdrawn and har vested by centrifugation for 5 min at 600 g. and the tubes containing the pellet were chilled on ice. Each pellet was dispersed in 325 /tl of ice-cold 0.5 M HC1O4, and the suspension was transferred to an Eppen dorf centrifuge tube and kept on ice for 10 min. After pelleting in a centrifuge in a cold room (4°C),each supernatant was transferred to a clean Eppendorf tube, and perchloric acid was extracted by extensive vortexing with 325 n\ of 0.5 M tri-n-octylamine in 1.1,2-trichlorotrifluoroethane. After centrifugation. the upper (aqueous) layer was trans ferred to a clean tube and treated for oxidative degradation of ribonucleotides. To the chilled extract were added 10 ^1 of 0.5 M NaIO4, the mixture was kept on ice for 2 min. Methylamine (12.5 p\ of concentration, slowly adjusted to pH 7.5 with phosphoric acid) added, and the mixture was incubated for 30 min at 37°C.Finally, and 4 M was 2.5 p\ of l M rhamnose were added to remove excess periodate, and the samples were immediately put on ice or stored frozen at -20°C. Concentrations of dNTPs were determined by HPLC chromatography on a Whatman Partisi! 10 SAX column (4.6 x 250 mm) with isocratic elution by 0.3 M ammonium phosphate, pH 3.2, contained 8.6% acetumi rile. The flow rate was 2 ml/min, and detection was by absorbance at 270 nm. Retention times for dCTP, dTTP, dATP, CldATO, and dGTP were 15, 21, 26, 40, and 45 min, respectively. Peaks from the elution profile were integrated by a cut and weigh procedure, which was found to give results that were more reproducible and exhibited better proportionality between measured area and nucleotide amount than with electronic integration. Peak areas were converted to amounts of nucleotide by comparison with peak areas of 0.6-nmol samples chromatographed under the same conditions. Effluent from the column was collected in 1-ml fractions, and the amount of CldATP was deter mined by scintillation counting of fractions in a peak with similar elution time to authentic CldATP. Intracellular concentrations were calculated from the amount of nucleotide in the sample chromato graphed, the number of cells extracted, and the cell volume (obtained from the Coulter channelyzer). The mean cell volume for these cultures was 1420fl. Incorporation of Labeled Thymidine and CldAdo into DNA. The cell suspension was the same as that used in the dNTP pool study. At intervals, duplicate 1-ml samples of suspension were withdrawn for measurement of incorporation of [8-'H]CldAdo into DNA. Before addition of [8-'H]CldAdo to the culture, immediately after its addition, and 30 min, 2 h, and 4 h later, duplicate 1-ml samples were removed for 60-min incubation with 0.5 ^M [me//i>7-'H]thymidine (0.2 Ci/mmol) at 37°C.These samples were used for estimation of the rate of thymidine incorporation. The cells were collected from each 1-ml sample of both series by centrifugation, washed twice with ice-cold 50 mM Tris-HCI, pH 7.2. containing 100 mM NaCl (Tris-saline), and extracted overnight with 60% methanol at -20°C. The suspension from each sample was centrifuged, the pellet was washed with ice-cold 0.3 M HC1O4 and suspended in water (1 ml), and the suspension was made slightly alkaline with a few microliters of 0.5 N NaOH in order to dissolve the pellet. After addition of 10 ^1 of calf thymus DNA solution (2 mg/ml) as a carrier, the nucleic acid was precipitated by addition of 250 ¿jlof ice-cold 50% trichloroacetic acid containing 0.5 M sodium pyrophosphate, collected on a Whatman GF/C filter, washed with 20 ml of icecold 5% trichloroacetic acid containing 0.1 M sodium pyrophosphate and with 5 ml absolute ethanol, and air dried. The material on the filter was dissolved by heating with 2 ml of NCS tissue solubilizer (Amersham) and 200 /¿Iof water at 50°C for 20 min and counted in a For other experiments, cells were grown in 750-ml flasks (Falcon 3028) in RPMI 1640 medium supplemented with 2 mM i.-glutamine, scintillation counter after addition of 200 f. I of acetic acid and 10 ml of organic counting scintillant (Amersham). For calculation of the amount of [mefA^V-'Hlthymidine incorporated, 10% fetal bovine serum, penicillin (100 units/ml), and streptomycin (1 mg/ml). Cells were harvested in log phase at a density of 3 to 6 x IO5/ total counts in the DNA samples were first corrected for the relatively small amount of counts due to [8-'H]CldAdo incorporation. In addition, ml. Measurement of Pools of dNTPs and of CldATP. The method used the specific radioactivity of the dTTP pool rather than of added thy midine was used for calculation of incorporation. For this purpose. 35- 6924 Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1989 American Association for Cancer Research. INHIBITION OF DNA SYNTHESIS BY CldAdo ml portions of cell suspension were removed at the same time as samples for measurement of incorporation and incubated with 0.5 MM[methyl'Hjthymidine (0.2 Ci/mmol) for 60 min at 37°C.Cells were washed and extracted and intracellular dTTP was measured as in the dNTP pool part of the study. The effluent from the HPLC column was collected in 1-ml fractions, and radioactivity in the dTTP fractions was determined. Incorporation of CldAdo Exclusively into DNA as CldAMP. Cells were incubated with 0.3 MMCldAdo as in the above experiments, and macromolecular components were prepared from cell samples. Proteins and RNA were hydrolyzed enzymatically, and DNA was reprecipitated with acid. A sample of the DNA was used for determination of radio activity, and the remainder was hydrolyzed with DNase I, snake venom phosphodiesterase, and bacterial alkaline phosphatase according to the method of Spriggs et al. (14). Deoxyribonucleotides were separated by reversed-phase HPLC on an Altex Ultrasphere Ci»ODS 5-Mmcolumn (4.6 x 250 mm) with isocratic elution with 50 m\t potassium phosphate buffer, pH 2.85. Retention times for dCyd, dGuo, dThd. dAdo, and CldAdo were: 7, 13, 14, 20, and 29 min. Effluent from the column was collected in 1-ml fractions, and radioactivity was determined. Conversion of [i/-'4C|Cytidine lo Deoxyribonucleotides and Its Incor poration into DNA. Incubations of cells were performed as previously described. Drugs at the indicated concentrations were added to each 3ml culture at the beginning of the incubation at 37°C.After 3 h, \U'4C]cytidine (438 mCi/mmol) was added to a final concentration of 0.5 MM,and incubation continued for 1 h. Cells were washed twice with Tris-saline and extracted overnight with 1 ml of 60/¿methanol at —¿20°C. The suspension was centrifuged, and the pellet was used for determination of incorporation into DNA as previously described. The methanolic supernatant was evaporated to dryness. and nucleotides in the residue were dephosphorylated by dissolving in 200 M!of a solution of 50 mM Tris-HCI, pH 8.5, containing 5 mM magnesium acetate. 5 mM dCMP, and 4 mg of snake venom. The mixture was incubated at 37°Cfor 1 h before inactivating the venom by boiling for 4 min. After addition of 800 M' of 25 niM boric acid, deoxyribonucleosides were separated from ribonucleosides on PEI cellulose as described, and radioactivity was determined in ACS. HPLC. All analyses involving this technique were performed with a system consisting of two Beckman 110A pumps, an Altex 420 solvent programmer, an LKB 2151 variable wavelength detector, and a HewlettPackard 3390A recording integrator. In order to avoid changes in specific radioaclivily of ihe sub strate, [8-'4C]ATP was used in the assay of ADP reduction and [8-'4C]GTP in ihe assay of GDP reduclion. The specific radioactivity of the Iriphosphale was adjusted to that of the diphosphate (1320 dpm/nmol). Under these conditions, the rate of reduction of each of the substrates was constant through the 30-min reaction period. l4C-labeled substrates were used in all cases because 'H-labeled substrates gave high blanks in noenzyme controls. ICso values for inhibition of each of the four substrales by CldATP and BrdATP fell wilhin a narrow range (0.11 lo 0.28 UM) and were about 100 times lower lhan values for inhibition by dATP in the presence of EHNA (Table 1). Comparison of the Inhibition of Ribonucleotide Reduction and of DNA Synthesis. A melhod used by Äkerblom and Reichard (16) lo examine whelher inhibilion of DNA synlhesis occurs by way of ribonucleolide reducÃ-aseinhibition was adaplcd to our system. We compared the relative effects of four inhibilors on cytidine conversion to dCyd nucleotides and its incorporation into DNA. The inhibitors chosen were: ara-C, which acts pri marily on DNA polymerase (17); hydroxyurea and azido-C, which are inhibitors of ribonucleotide reducÃ-ase(16, 18-20); and CldAdo. The results (Fig. 1) are clearcul for ara-C where ihe concenlralion lo inhibil dCyd nucleolide formation is 100 limes higher lhan for inhibilion of incorporation inlo DNA. Concenlralions of Ihe olher compounds causing inhibilion of dCyd nucleolide formation were severalfold higher than re quired for inhibition of DNA synthesis. Il is apparenl that CldAdo, as well as azido-C and hydroxyurea, markedly inhibits Table I Inhibition hy ( IdATP. HrdATP. and dATP ofrihonucleotidc reducÃ-asein cell extracts ofCCRF-CEM cells The rates of reduction (pmol/min/mg) in uninhibited controls were: ADI', 23: GDP. 50; CDP, 35; UDP. 13. (n\JCldATP0.18 SubstrateADP (+10 /IM EHNA)35 GDP O.M CDP 0.28 UDPBrdATP0.25 0.20IC50 RESULTS 0.11 0.28 0.16I)dATP 55 45 10 Inhibition of Ribonucleotide Reduction by CldATP. Unfraclionaled exiracls from CCRF-CEM cells were used for ihese sludies. A valid assay requires lhat the concentrations of nucleolide subslrales and aclivalors remain above iheir A'mvalues ihroughoul ihe reaclion period (30 min). Nucleolide concentra tions remaining after incubation under assay conditions were determined by HPLC on an SAX column, and ihe final specific activity of radiolabeled nucleotides was also determined. When 0.5 HIMCDP or UDP was incubated in the presence of 5 m,\i ATP (required as aclivator), ihe final concenlralion of ihe subslrale was 143 and 167 MM,respectively, which is satisfaclory since A',,,values reporled for ihe Moll 4F reducÃ-aseare 7 and 50 MM.respectively (15). In the case of ADP and GDP reduclion, ATP is not needed for activation bul is necessary for regeneralion of substrate, since without its addilion ADP was 90% depleled in 5 min and GDP was 98% depleled in 30 min. When 0.5 mM (t/-'4C]ADP was incubaled in a reaclion mixlure conlaining 2 m\i ATP and 10 MMEHNA (included lo inhibil adenosine deaminase), Ihe ADP concentration after 30 min was 395 MM.compared with a A"nlof 80 MMfor the Molt 4F reducÃ-ase.Similarly, afler incubalion of 0.5 niM [8-'4C]GDP for 30 min in a reaclion mixlure containing 2 mM ATP and 2 mM GTP, and GDP level was still 230 MM.compared with a A'mof 33 MMfor Molt 4F reducÃ-ase. Extracellular Inhibitor Concentration Fig. I. Inhibition of intracellular ribonucleotide reduction and DNA synthesis by various drugs. CCRF-CEM cells were incubated in the presence of various concentrations of CldAdo (A). azido-C' (B). hydroxyurea ((') or ara-C (¡))for 3 h. After addition of 0.5 ^M [i"-14C]cytidine. cell suspensions were incubated at 37°Cfor an additional hour. Conversion of cytidine to deoxyribonucleotides (•) and its incorporation into DNA (A) were then determined as described in "Materials and Methods." 6925 Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1989 American Association for Cancer Research. INHIBITION OF DNA SYNTHESIS BY CldAdo intracellular ribonucleotide reduction at concentrations that inhibit DNA synthesis. Changes in dNTP Pools in Cells Treated with CldAdo, Hy droxyurea, or Azido-C. Intracellular effects of the inhibition of 23. ribonucleotide reducÃ-aseare reflected to some extent by dNTP pools in cells exposed to inhibitors (Fig. 2). Cells were incubated in the presence of 0.3 p\t CldAdo, a concentration that reduces •¿O clonogenicity to about 60% of controls in 4 h and to about 10% "o in 18 h (4). Intracellular CldATP rose to 2 ßM in 15 min and by 4 h had reached 4 ¡¡M (Fig. 2A). dNTP pools were decreased e 60 modestly by CldAdo within 30 min, and thereafter the response o did not greatly increase. dCTP decreased 63% (from 16 MMto 40 o C 6 n\i), but for dATP and dTTP the decrease was about 20% o Ü and for dGTP it was still less. 20 Azido-C and hydroxyurea act primarily or solely by inhibition of ribonucleotide reducÃ-ase( 16,18-20). At concenlralions caus ing 90% inhibilion of ihymidine incorporalion inlo DNA by 1234 cells exposed lo ihe drugs for 4 h, ihe major effecl was also lo Incubation Time (hr) decrease dCTP (Fig. 3). The olher dNTP pools also decreased Fig. 3. Intracellular concentration of dNTPs in CCRF-CEM cells treated with (excepl for dTTP in ihe presence of hydroxyurea) bui lo a lesser hydroxyurea or azido-C. Cell suspension were incubated with 0.5 M hydroxyurea exlenl and with higher minimum concenlralions. The drop in (A) or 20 n\t azido-C (B) at 37"C. At various time intervals, duplicate samples Ihe dCTP pool was similar lo lhal caused by 0.3 //M CldAdo in of the suspension were withdrawn, and cell extracts were subjected to HPLC for the determination of dATP (•).dTTP (D), dGTP (A), and dCTP (A). ihe case of 0.5 HIMhydroxyurea, but more profound in the case of 20 n\i azido-C. 500 Inhibition of DNA Synlhesis. The effecls of various concentrations of CldAdo on DNA synthesis closely parallel those on growth and viability (4). Exposure of cells to 0.3 //M CldAdo caused thymidine incorporation into DNA lo drop very rapidly, falling lo a mean of 10% of ihe uninhibited value over ihe firsl 30 min (Fig. 4). Thereafter, inhibilion remained al 95%. Thus, Ihe inhibilion of ribonucleotide reduclion and Ihe consequenl changes in dNTP pools were associated with a rapid and profound inhibilion of DNA synthesis. Chlorodeoxyadenosine Incorporation into DNA. The resulls 00 1234 in Fig. 2 indicale lhal for most of ihe incubalion period ihe Incubation Time (hr) with CldAdo inlracellular concenlralion of CldATP is only aboul 3 ¿IM, Fig. 4. Incorporation of [8-'H]CldAdo into DNA and inhibition of DNA whereas dATP is presenl al about 50 JJM.Despite this unfavorsynthesis by CldAdo. At various time intervals, samples were withdrawn from the same cell suspension containing 0.3 >i\t |8-'H]CldAdo described in Fig. 2 for measurement of CldAdo incorporalion into DNA (O). and for incubation with [mtV/i.v/-'H]lhymidinc for I h at 37°Cfor measurement of DNA synthesis (A). In the second experiment. 0.5 n\\ dCyd was added to the suspension after I h of incubation with CldAdo. and CldAdo incorporation into DNA (•)and DNA synthesis (A) were subsequently determined. DNA synthesis resulls are plotted at the midpoint of each 60-min period of incubation with ('Hlthymidine. able ratio, CldATP was incorporaled inlo DNA al a significant and constanl rale ihroughoul the incubation period (Fig. 4). The level of this incorporalion, 3.2 pmol/h/106 cells, is still much less lhan ihe inhibited rate of thymidine incorporation (40 lo 60 pmol/h/106 cells), and in fact, the ratio of these rates approaches the ralio of the intracellular concenlralions of CldATP and dATP. When [S-'HJCldAdo is incubaled wilh cells and Ihe cell 01234 Incubation Time (hr) with CldAdo Fig. 2. Inlracellular concenlralions of dNTPs and of CldATP in CCRF-CEM cells treated with CldAdo. A. cell suspension was incubated with 0.3 JJM|8-'H|CldAdo at 37°C.At various time intervals, duplicate samples of the suspension were withdrawn, and cell extracts were subjected to HPLC for the determination of dATP (•).dTTP (D). dGTP (A). dCTP (A), and CldATP (O). B, 0.5 MM deoxycytidine was added to the medium at the time indicated. exlracls are subsequenlly subjecled to HPLC in a system thai separates Ihe nucleoside and Ihe mono-, di-, and Iriphosphate, the only major radioactive peaks appearing in ihe citiate cor respond to these species (5). It seems highly probable, iherefore, lhat CldAdo is incorporated into DNA withoul loss of the chlorine or other melabolic modificalions. To confirm this, we harvested cells that had been incubated with [8'H]CldAdo, isolated macromolecular components, digested RNA and prolein, and reprecipitaled the DNA. Since nearly all of the counts remained in the DNA, there was no significant labeling of RNA. By enzymatic hydrolysis of the DNA to deoxyribonucleosides and separation of the latter by HPLC, it could be 6926 Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1989 American Association for Cancer Research. INHIBITION OF DNA SYNTHESIS BY CïdAdo demonstrated that all of the radioactivity appeared in a peak with the same elution time as CldAdo, well separated from the normal deoxyribonucleosides. Effect of Deoxycytidine on dNTP Pools and Inhibition of DNA Synthesis. Deoxycytidine specifically relieves the inhibition of the growth of CCRF-CEM cells by CldAdo,6 whereas a com bination of similar concentrations of dAdo, dGuo, and dThd has no significant effect. When 0.5 UMdCyd was added to the medium of cells incubated with 0.3 MM[8-'H]CldAdo for l h under the conditions in Figs. 2 and 3, the intracellular concen tration of dCTP rapidly increased, and after a further hour had returned to control levels (Fig. 2B). The dTTP pool also re turned to control levels, but the dGTP level did not regain its small loss, and dATP continued to decline slightly. Despite the fact that, within l h of dCyd addition, dCTP, dTTP, and dGTP pools were close to control levels and dATP was 80% of control, DNA synthesis levels had only returned to 40% of control after 2 h of incubation with dCyd and did not increase any further (Fig. 3). It is also important to note that the presence of dCyd caused a marked and rapid decrease in intracellular CldATP to 25% or less of the level attained in the absence of dCyd (Fig. 2B). This drop in CldATP was accom panied by a marked decrease in the rate of its incorporation into DNA (Fig. 4). DISCUSSION Inhibition of Ribonucleotide ReducÃ-aseby CldATP. Since in our hands the published procedures for purification of ribonucleotide reducÃ-ase(21-23) did not result in significant purifi cation of enzyme from CCRF-CEM cells, we used unfractionated cell extracts. We established assay conditions for these extracts such that concentrations of substrates and activators remained high relative to reported Kmvalues, the specific activ ity of substrates remained constant, and the rate of reduction remained constant through the incubation period (30 min). Such conditions were not established in some earlier work with crude extracts. With this system, the rate of CDP reduction was 35 pmol/min/mg protein in the CCRF-CEM cell extracts. This is higher than CDP reducÃ-aseactivily (convened lo Ihe same unils) reporled by olhers for cell extraéiseven from similar sources: Moll 4F, 2 (23); calf Ihymus, 7 (21); Ehrlich ascites, 5 (22); Novikoff rat lumor, 22 (24); and rabbil bone marrow, 1.3 (25). The use of the unfractionaled cell exlracl in ihis assay syslem improved Ihe likelihood thai any relevanl regulatory proteins would be retained in the system. In this assay system, BrdATP and CldAdo have similar IC50 values (Table 1), in contrasl lo Ihe observation thai BrdAdo is less loxic than CldAdo in vivo (4). Inhibition is similar for all four substrates with either BrdATP or CldATP and is 50- lo 500-fold grealer than for dATP in the presence of the mÃ-enosmedeaminase inhibitor EHNA. The IC5(, values for CldATP (0.11 to 0.28 n\i) are only aboul 10% of Ihe inlracellular concenlralion of Ihis nucleolide found in cells Ireated with 0.3 ¿¿M CldAdo (Fig. 2). Similar inhibition of ADP reduction in crude extracts of K562 cells by CldATP and BrdATP has been reported by Parker et al. (9). Ribonucleolide Reductase Inhibition in Inlacl Cells. In cells exposed for 3 h to 0.05 n\i CldAdo, DNA synthesis, as meas ured by cytidine incorporation inlo DNA via CMP, CDP, dCDP, and dCTP, was inhibiled 90% (Fig. 1). This irealmenl also caused 70% inhibilion of ribonucleolide reducÃ-ase (as judged by cytidine conversion to dCyd nucleotides). This resull is consislenl with the view thai inhibilion of the reducÃ-aseat least contribules lo inhibilion of DNA synlhesis. Similar resulls were obtained wilh equiloxic concentrations of azido-C and hydroxyurea. However, in the case of ara-C, inhibilion of DNA synlhesis occurred at a concentralion 100 times lower lhan lhat required to inhibit ribonucleolide reduclion, as expecled in view of Ihe faci lhal inlerference with DNA polymerase by incorporalion of ara-C inlo DNA is the primary mechanism by which ara-CTP interrupls DNA synlhesis (26). Nevertheless, in cells exposed to 0.3 ^M CldAdo for various periods, the decrease in dNTP pools was rapid but small, except in Ihe case of dCTP. Hirota et al. (7) found that in FM3A mouse mammary cells Ihe greatest drop was in the dATP pool, followed by dGTP, and Ihere was no effect on dCTP. Because of the small and unequal drop in dNTP pools produced by CldATP, we examined the effect of Iwo other inhibitors of ribonucleotide reducÃ-ase, hy droxyurea and azido-C. At concenlralions producing Ihe same inhibilion of DNA synlhesis as 0.3 ¿IM CldAdo (90% after 4 h), Ihe effecl on pools (Fig. 3) was similar. These resulls for hydroxyurea and azido-C are similar lo Ihose of Akerblom and Reichard with 3T6 cells (16) except thai in Ihe laller sludy Ihe decrease in dATP was much grealer, and higher concentrations of inhibitors were used. The unequal changes in pool size produced by inhibitors of ribonucleotide reducÃ-asein our study and those of others (7, 16) are apparently inconsistenl wilh Ihe observed similar inhi bilion of Ihe reduclion of all four subslrates in cell extraéis. However, lighl conlrol of relalive pool sizes by regulalory mechanisms probably accounls for Ihe unequal effecls on differenl pools seen in Figs. 2 and 3. Since pool sizes represenl Ihe balance belween synlhesis and ulilizalion, decreased ulilizalion due to inhibition of DNA synthesis explains the small decreases in pool size despile significanl reducÃ-aseinhibilion. The similar effecls on dTNP pools produced by azido-C, hy droxyurea, and CldAdo are a slrong argumenl lhal Ihe latter does produce intracellular inhibition of ribonucleolide reduc Ã-ase. Addition of dCyd to the medium of cells exposed to CldAdo restores dTTP and dCTP pools to normal levels and decreases CldATP by 70% (Fig. 2) but reslores DNA synlhesis lo only 40% of ils normal level (Fig. 4). This suggesls lhal CldATP can inlerfere wilh DNA synlhesis by anolher mechanism in addilion lo deplelion of dNTP pools. This mechanism is noi classical inhibilion of DNA polymerase (for example, compelilive wilh dATP) bul is more likely relaled lo Ihe incorporation of CldATP into DNA at a constant rate about one-twenly-fiflh that of dThd incorporation. This incorporalion persisls even in the presence of dCyd although al a rale decreased by a faclor of 3. Such incorporation of CldAdo incorporation of CldAdo into DNA by human DNA polymerases causes major disruplion of DNA synlhesis4 and al leasl partly accounts for accumulation of DNA strand breaks (7, 27). ACKNOWLEDGMENTS We thank Vicki Gray for skillful typing of the manuscript. REFERENCES * M. C. Huang and R. L. Blaklcy. unpublished results. I. Carson, D. A., Wasson, D. B., Kaye, J.. Ullman. B., Martin, D. W. Jr.. Robins. R. K.. and Montgomery. J. A. Deoxycytidine kinase-mcdiated toxicity of deoxyadenosine analogs toward malignant human lymphoblasts in vitro and toward LI210 leukemia in vivo. Proc. Nati. Acad. Sci. USA, 77: 6865-6869. 1980. 6927 Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1989 American Association for Cancer Research. INHIBITION OF DNA SYNTHESIS BY CldAdo 2. Carson, D. A., Wasson, D. B., Taetle, R., and Yu, A. 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Invest., 75: 377-383. 1985. 6928 Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1989 American Association for Cancer Research. Mechanisms of Inhibition of DNA Synthesis by 2-Chlorodeoxyadenosine in Human Lymphoblastic Cells Johannes Griffig, Rainer Koob and Raymond L. Blakley Cancer Res 1989;49:6923-6928. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/49/24_Part_1/6923 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 August 3, 2017. © 1989 American Association for Cancer Research.