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Eur J Clin Chem Clin Biochem 1996; 34:873-888 © 1996 by Walter de Gruyter · Berlin · New York Analysis of Eukaryotic DNA Topoisomerases and Topoisomerase-Directed Drug Effects Fritz Boege Medizinische Poliklinik der Universit t W rzburg, W rzburg, Germany Summary: DNA topoisomerases are enzymes which control DNA topology by cleaving and rejoining DNA strands and passing other DNA strands through the transient gaps. Consequently these enzymes play a crucial role in the regulation of the physiological function of the genome. Beyond their normal functions, topoisomerases are important cellular targets in the treatment of human cancers. Some of the most powerful anti-cancer drugs used clinically stabilize the catalytic topoisomerase-DNA intermediates and, thus, cause DNA disorders that will induce apoptosis in proliferating cells. This review summarizes current protocols for measuring the catalytic activity of topoisomerases and for monitoring the molecular effects of topoisomerase-directed antitumour drugs in living cells and in cellfree assays. Furthermore, preanalytical factors are discussed, such as enzyme stability, methods for extracting DNA topoisomerases from cells, and protocols for separating subtypes and isoforms of these enzymes. List of Contents 1. Introduction 2. Preanalytical Factors 2.1 Preparative purification procedures 2.2 Partial purification for analytical purposes 2.2.1 Isolation of cell nuclei 2.2.2 Salt extraction 2.2.3 Removal of DNA fragments 2.2.4 Protein precipitation 2.2.5 Chromatography 2.3 Stability 2.3.1 Stability of topoisomerase I 2.3.2 Stability of topoisomerase II 2.4 Separation of isoforms and epigenetic variants 2.4.1 Separation of topoisomerase I and topoisomerase II 2.4.2 Separation of topoisomerase ΙΙα and β 2.4.3 Resolving epigenetic variants of topoisomerase 1 and II 3. 3.1 3.2 Assessment of DNA Topology and DNA Topoisomerase Activity Catalytic assays for DNA topoisomerization Dissecting the catalytic cycle 873 4. 874 874 874 875 875 875 875 875 875 875 876 876 4.1 4.1.1 4.1.2 4.2 876 876 5. 876 876 877 878 4.2.1 4.2.2 4.2.3 4.2.4 4.3 5.1 5.2 6. Analysis of Topoisomerase-Directed Drug Effects Types of topoisomerase inhibitors Topoisomerase poisons Topoisomerase inhibitors Cell-free assays for topoisomerase-directed drug effects Screening strategies Drug effects on part-reactions DNA sequence specificity Demonstration of covalent topoisomerase-DNA complexes Measuring topoisomerase-directed drug effects in intact cells Perspectives for C l i n i c a l Oncology and Pharmacology Topoisomerases and drug-hunting Clinical drug-monitoring and prediction of sensitivity to topoisomerase poisons References 878 878 879 879 880 880 880 881 881 881 882 882 883 884 (4—6), recombination (7, 8), repair (9, 10) chromosome (de)condensation, and sister chromatid segregation (11 — The structure of the double helix together with the 15). Topoisomerases are characterized by their ability to nuclear organization of the DNA into closed loop do- break and reseal the polyphosphate backbone of the mains implies that virtually every physiological function DNA and pass other strands of DNA through the tranin the genome is modulated by topological relationships sient gaps (16—19). This ability allows them to unwind, within the DNA (1-3). In the cell, DNA topology is unknot, untangle, and, thus, resolve complex DNA regulated and controlled by ubiquitous enzmyes known structures (2). There are two types of DNA topoisomeras topoisomerases1), whose function is required for im- ases with different physico-chemical and catalytic propportant DNA processes such as replication, transcription erties. Type I topoisomerases are monomeric proteins with a relative molecular mass of 100000 that function *) Enzymes: without the input of metabolic energy. They can alter the Type I DNA topoisomerase, DNA untwisting enzyme (EC 3.1.-) pitch of DNA double helices by cutting one DNA strand Type II DNA topoisomerase, DNA gyrase (EC 5.99.1.3) 1. Introduction 874 Boege: Analysis of DNA topoisomerases and topoisomerase-tiirected drug effects and allowing the passage of the complementary DNA strand through the transient nick (16). Type II topoisomerases are composed of two identical subunits with relative molecular masses of 170000 or 180000. They require ATP hydrolysis for catalytic activity and can alter DNA topology by creating transient double strand breaks, through which a second intact double helix is passed (19). Eukaryotic topoisomerase II differs structurally from the bacterial type II enzyme g)>rase, which is a tetrameric complex composed of pairs of two different subunits g)>rA and g)>rB, whereas eukaryotic topoisomerases II are homodimeric proteins composed of identical monomers, each of which combine the functions rfgyrA and gyrB. Mammals possess two isoforms of type II topoisomerases, α and β, which are encoded by separate genes (20-22). Recent reports indicate that active o/ -heterodimers of topoisomerase II may exist in some cells at low abundancy (23). All cells contain type I and type II topoisomerases. However, only the type II enzymes seem to be essential for cell survival, whereas the type I enzymes can be complemented by the type II enzymes. Enzymes such as topoisomerases, which generate breaks in the DNA, carry a high risk of causing genomic disorders. Under, normal circumstances, this unfavorable property of topoisomerases does not come into effect, because the critical strand-passing step is only a very short-lived catalytic intermediate. However, conditions which significantly increase the half-lives of topoisomerase-linked DNA intermediates induce a number of DNA disorders including mutations, insertions, deletions, and chromosomal aberrations (11), which in summary are deleterious for the cell (24, 25). A number of powerful anti-cancer drugs that are widely used for systemic therapy of human cancers act by stabilizing the covalent topoisomerase-DNA intermediates (26, 27) thereby converting topoisomerases into cell poisons (28, 29). The efficacy of these drugs is closely related to the cellular levels and activities of topoisomerases (30-33) and to the responsiveness of the enzymes to the drugs. Thus, down-regulation of topoisomerases (34, 35), or mutations (36-41) and epigenetic modifications (4246) that will produce topoisomerase-variants less susceptible to these drugs result in resistance of the tumour to treatment. In addition, alterations of topoisomerases can modulate the sensitivity of the cells towards cancer drugs not targeting topoisomerases (47). Consequently, in recent years, quantitative assessment of cellular levels of topoisomerases and detection of the molecular effects of topoisomerase poisons have become objectives of increasing interest to clinical oncologists (28, 29, 48-53). This paper reviews state of the art assays which are suitable for measuring the catalytic activity of topoisomerases and for determining the molecular effects of topo- isomerase poisons. Furthermore, it briefly discusses techniques of extracting and purifying topoisomerases from various tissues or cells and of separating isoenzymes and isoforms of topoisomerases. Finally, it tries to give a guideline for the selection of those procedures that are most likely to be useful under routine clinical conditions for the analysis of topoisomerases in specimens from cancer patients. 2. Preanalytical Factors 2.1 Preparative purification procedures Topoisomerase I (at that time called protein ω) was purified from E. coll for the first time in 1971 by James D. Wang (54). The basic preparative strategy of this first purification, consisting of salt extraction of the cells, removal of contaminating DNA, ammonium sulphate precipitation of the enzyme, renaturing, and purification by several steps of ion exchange, and/or affinity chromatography on DNA-like matrices, has since been conserved through all protocols published on the purification of eukaryotic topoisomerase I from HeL cells (55), avian erythrocytes (56—58), Drosophila melanogaster (59), Saccharomyces cerevisiae (60), calf thymus (61 — 63), and mouse mammary carcinoma FM3A cells (64). Eukaryotic topoisomerase II has been purified from calf thymus, Drosophila melanogaster (65, 66), various cultured tumour cell lines (66—69), and yeast Saccharomyces cerevisiae (70). Compared to topoisomerase I, purification is more difficult, because topoisomerase II levels are at least ten times lower in the cells. Moreover, the expression of topoisomerase II is proliferation-dependent and alters during the cell cycle (71—74), which means that not all tissues are equally suitable sources for the enzyme. Strategies have been established to purify topoisomerase I and topoisomerase II simultaneously (62). 2.2 Partial purification for analytical purposes While preparative purification of large quantities of homogeneous topoisomerases is a prerequisite for biochemical studies of the enzyme function, less elaborate protocols can be used for analytical purposes aimed at determination of cellular enzyme activity. Simplified and miniaturized protocols for extraction and partial purification of topoisomerases from small samples of human cells have been developed (75-77), which may be suitable for studying topoisomerases in specimens from patients. In general, analysis of nuclear topoisomerase activity requires that the enzyme is extracted from the cells. In most cases it also needs to be further purified in order to be stable and fully active. The subsequent chapter discusses some crucial aspects of these preanalytical steps. Boege: Analysis of DNA topoisomerases and topoisomerase-directed drug effects 875 2.2.1 Isolation of cell nuclei 2.2.4 Protein precipitation Starting with cultured, or otherwise single cells, purification of cell nuclei (as described in some detail in 1. c. (76)) is an essential first step. It consists of cell lysis with non-ionic detergents, such as Triton X-100, followed by sedimentation across a single-step gradient of 30% sucrose. Care needs to be taken that the isolated nuclei which pellet underneath the sucrose cushion become neither damaged nor contaminated by non-lysed cells, which will sediment as well. Moreover, care should be taken that the isolation process does not select for nuclei of certain cell types or cell cycle stages (the recovery of nuclei/cells should be at least 90%). Cells from various tissues differ slightly in the amount of detergent and the time of treatment needed for an optimal result. Topoisomerases can be reversibly denatured and precipitated by ammonium sulphate. When carried out in the presence of at least 0.35 mol/1 of NaCl, topoisomerases will be precipitated in a state dissociated from the DNA, which will stay soluble. Topoisomerase II can be completely precipitated by 2—2.5 mol/1 of ammonium sulphate, whereas topoisomerase I stays soluble for the most part at these concentrations, making a crude separation of the two types of topoisomerases possible (49). Topoisomerase I can be precipitated completely by 3.5 mol/1 of ammonium sulphate. 2.2.2 Salt extraction Complete extraction of both types of topoisomerases from isolated nuclei is usually obtained with 0.35 mol/1 of NaCl. Under these conditions, DNA-modifying enzymes will be extracted almost selectively, whereas histones and other structural proteins of the nuclear scaffold will remain bound to the genomic DNA (56, 58). 2.2.5 Chromatography In some cases a single step of chromatography may be needed in order to stabilize topoisomerases for further analysis. Mixed interaction chromatography on DNAlike matrices, carrying strong polyanion ligands, such as heparin Sepharose (63, 64, 79) or phosphocellulose (54-57, 59, 69, 78, 80), is most suitable. The enzymes bind to these matrices at low salt concentrations (< 100 mmol/1 of NaCl or KC1, or < 50 mmol/1 of potassium phosphate) and can be eluted by 0.5—0.6 mol/1 of NaCl or 0.2—0.3 mol/1 of potassium phosphate. 2.3 Stability 2.2.3 Removal of DNA fragments 2.3.1 Stability of topoisomerase I Fragments of genomic DNA are always extracted together with topoisomerases. These will bind to the enzyme when ionic strength is lowered. They can link the enzymes to other DNA-binding proteins present in the extract. These protein-DNA complexes may become insoluble and are also difficult to separate. Moreover, contaminating genomic DNA will act as a competitive inhibitor in catalytic assays. Therefore, DNA contaminations need to be removed. Several DNA precipitation procedures, which do not precipitate or inactivate topoisomerases, have been established: the use of streptomycin (54), polyethylene glycol (59, 63, 78) and polyethylene imine (56, 57). It should be noted that small DNA fragments in particular will take considerable time for precipitation. This is most notable when using polyethylene glycol, which takes up to 12 h for complete precipitation (63). Alternatively, filtration with glassfiber filters (Whatman GF/A) (58) or adsorption to hydroxyapatite have been employed for removing DNA. The latter procedure has also been used in conjunction with DNA precipitation in many protocols as a means of concentrating the extracts. Both DNA and topoisomerase will bind to hydroxyapatite at NaCl concentrations up to 0.3 mol/1, but topoisomerase can be eluted at 0.4—0.5 mol/1 of postassium phosphate, whereas DNA will bind much more tightly (62, 63). The enzyme is subjected to rapid aminoterminal proteolysis after extraction, which once led to the belief (78) that two forms of the enzyme exist in vivo. The major proteolytic fragment has a relative molecular mass of 68 000. It is catalytically more active than the full length enzyme, because it lacks regulatory domains (61). Thus, proteolysis is a potential cause of false high results of topoisomerase I activity. In order to avoid it, salt extraction and purification steps should be carried out rapidly, on ice, and in the presence of effective serine- and metallo-protease inhibitors. Moreover, topoisomerase I needs to be phosphorylated on the aminoterminal domain in order to be fully functional (43, 81-86). Usually, a strong phosphatase activity becomes coextracted. Thus, the enzyme in vitro rapidly loses activity by dephosphorylation unless potent phosphatase inhibitors are included. It should be noted, however, that some of the most potent phosphatase inhibitors, such as NaF, inhibit the enzyme activity. During extraction and measurements topoisomerase I should not be exposed to pH higher than the pi value, which is 7.9. Most commonly, pH is kept between 7.0 and 7.8. Like all nuclear proteins, topoisomerase I needs to be kept in the presence of thio-reductive compounds such as ß-mercaptoethanol or dithiotreitol, in order to prevent formation of aberrant intramolecular cystein bonds. Partially purified topoiso- 876 Boegc: Analysis of DNA topoisomerasos and topoisomerasc^dirccted drug effects merase I can be stored for up to 2 months at -20 °C in aqueous glycerol, volume fraction 0.5, in the presence of protease and phosphatase inhibitors. Alternatively, the enzyme can be stored for up to 3 days at 4 °C in the presence of 3 mol/1 of ammonium sulphate and then be renatured prior to the assay. " 2.3.2 Stability of topoisomerase II Topoisomerase II is subjected to rapid proteolysis of regulatory domains at the carboxyterminus. The core enzyme with relative molecular mass of 120000 is more active than the full length protein. Topoisomerase Πβ appears to be more prone to proteolysis than topoisomerase Ι Ια and a great variation exists between tissues and cell lines with respect to the potential for nuclear autolysis. Topoisomerase II also needs to be phosphorylated for full activity (87-93) and becomes rapidly dephosphorylated in vitro by coextracted phosphatases. Thus, the enzyme should be kept on ice throughout the preanalytical stage and protease and phosphatase inhibitors must be added to the buffers. Orthovanadate can not be used as a phosphatase inhibitor, because it inhibits the ATPase activity of both topoisomerase II isoenzymes (94, 95). Partially purified topoisomerase II can be stored for up to 2 months at —20 °C in aqueous glycerol, volume fraction 0.5, in the presence of appropriate protease and phosphatase inhibitors. 2.4 Separation of isoforms and epigenetic variants For most applications and questions it will be important to differentiate between topoisomerase I and topoisomerase II, and to discriminate between the two mammalian isoenzymes of topoisomerase II or even between epigenetic variants of these isoenzymes. Some of these aims can be reached by using specific assays, as will be discussed in chapter 3. In most cases, however, it will be necessary to physically separate various forms of the enzymes before measuring their activity by non-specific assays. should be carried out in the presence of at least 400 mmol/1 of potassium phosphate in order to avoid adsorption of the enzyme to the matrix. Whereas topoisomerase II will elute as a dimer with an apparent relative molecular mass of 340000-360000, topoisomerase I usually elutes as a monomer with an apparent relative molecular mass of 120000-150000 (67). 2.4.2 Separation of topoisomerase Ua and β There seems to be a difference in the pH optimum of the catalytic activity of topoisomerase Πα and β (46). However, this observation has not been validated on a broad basis. It can probably not be used for a clear-cut differentiation between the two isoenzymes in all cases. Separation of topoisomerase ΙΙα from Πβ by Chromatographie methods is difficult due to the high degree of structural similarity between these two isoenzymes. It has been achieved by eluting the two enzymes bound to a MonoQ column with a shallow NaCl gradient (45, 46, 68, 95). Topoisomerase Πα will elute at slightly lower salt concentrations than topoisomerase Πβ. But unfortunately there are variants of topoisomerase ΙΙα that will bind more tightly to anion exchange resins and coelute with topoisomerase Πβ (45, 46). Recently, we have obtained isoenzyme-specific peptide antibodies directed against topoisomerase Πα or Πβ (96) which can be used for immunoprecipitation techniques (23). 2.4.3 Resolving epigenetic variants of topoisomerases Proteolytic fragments of topoisomerase I or II can be removed by glycerol density gradient centrifugation or gel filtration chromatography. There are several variants of full-length topoisomerase Πα, which differ in pi and catalytical properties, and which most probably represent differently phosphorylated states of the enzyme (45, 46, 97). These variants can be separated by anion exchange chromatography or, more efficiently, by chromatofocusing, using a weak anion-exchanger, such as MonoP, and mixtures of ampholytic buffer substances for isocratic elution. Several isoactivities have been resolved by this procedure (45). 2.4.1 Separation of topoisomerase I and II Physical separation of topoisomerase I from topoisomerase II can be obtained in three ways: 3. Assessment of DNA Topology and DNA Topoisomerase Activity 1) Fractionated precipitation with 2 mol/1 ammonium sulphate (topoisomerase II), followed by 3.5 mmol/1 ammonium sulphate (topoisomerase I). Topoisomerases function by altering the topological state of the DNA. Figure 1 summarizes different types of topological changes of the DNA which can be catalyzed by these enzymes in principle. Topoisomerase I cleaves and religates only one strand of the double helix and allows passage of the complementary strand through the transient nick, thereby altering the pitch of the DNA. Thus, it can release positive or negative supercoils from closed-circular DNA plasmids (54). Topoisomerase I 2) Adsorption to a strong anion-exchanger such as MonoQ at pH 8. Topoisomerase I will not bind, whereas topoisomerase II can be eluted with 0.4 mol/1 of NaCl. 3) Gel permeation chromatography: Superdex 200 in the separation medium giving the best results. Separation Boege: Analysis of DNA topoisomerases and topoisomerase-directed drug effects cannot catalyze more complex changes in DNA topology, such as catenation/decatenation or knotting/unknotting, which require the transient insertion of DNA double strand breaks and the passage of an intact second double helix (17), unless very high concentrations of the enzyme are present with adjacent nicks being formed concurrently close to each other by two independent enzyme molecules (98, 99). Under most conditions, these more complex DNA topoisomerization reactions are reserved to topoisomerase II, which simultaneously and coordinatedly inserts a transient break into both DNA strands and passes another intact double helix through the gap. Topoisomerase II also relaxes supercoiled closed circular DNA-plasmids (100), but it does so less avidly than topoisomerase I. Moreover, it requires ATP for the reaction, whereas topoisomerase I acts independently of free metabolic energy (17). The techniques for measuring topoisomerase activity were reviewed five years ago (99). This chapter will summarize these older techniques and give an update on more recent developments. 3.1 Catalytic assays for DNA topoisomerization Several naturally occuring DNA structures have been found that are able to form more than one unique topoisomer, as can be demonstrated by biochemical methods. These DNA structures can be multiplied in vivo and serve as substrates for simple catalytic assays of DNA topoisomerases. The most widely used topoisomerization assay is relaxation of supercoiled plasmid DNA. For this purpose several plasmids have been used (54, 100), the most common being pBR 322, which contains several strong cleavage sites for both types of topoisomerases. Plasmid relaxation can be used as a topoisomerase Relaxation ooccoo 0 ooooco Q Topoisomerase I and Topoisomerase // Decatenation Topoisomerase 11 Fig. 1 DNA topoisomerizations catalyzed by type I and II DNA topoisomerases. 877 I specific assay by omitting ATP from the reaction medium, or, more safely, by adding the ATPase-poison orthovanadate, which inhibits most forms of topoisomerase II (45, 46, 94, 95) but not topoisomerase I. The various topoisomers of DNA plasmids formed by the enzymes can be easily demonstrated as a „DNA-ladder" by analysis on a 10 g/1 agarose gel (see fig. 2). Electrophoresis should be carried out in the absence of intercalators such as ethidium bromide, as these will change the topology of the closed circular plasmids. It is likewise important to avoid heating the gel during electrophoresis. More complicated procedures have been devised for the analysis of plasmid topology (101, 102). However, these can only be employed with highly purified enzyme preparations and do not have any significant advantage over agarose gel electrophoresis. Enzyme activity can be titrated by measuring plasmid DNA relaxation by serial dilutions of the enzyme preparation. One unit of enzyme activity is usually defined as the amount of enzyme that will completely relax 250 ng of pBR 322 DNA at 37 °C within 30 min. Specific relaxation activity of topoisomerase I is ΙΟ 5 —10 6 units/mg protein. Specific relaxation activity of topoisomerase II is at least one order of magnitude lower. Catenation (see fig. 2) or knotting (101 — 103) of plasmid DNA in the presence of ATP is an indication of topoisomerase II activity, because topoisomerase I cannot catalyze these reactions. However, simultaneously occuring relaxation makes interpretation of catenation or knotting in quantitative terms difficult. Naturally occuring DNA molecules of more complex topology, commonly used for specifically measuring the activity of topoisomerase II, are the knotted DNA of the bacterial phage P4 (P4-DNA) (104, 105) and the catenated network DNA (k-DNA) from the kinetoplast of Tiypanosoma species or Crithidia fasciculata (69, 106). Both DNA substrates can be obtained commercially. Knotted P4-DNA migrates as a broad, smeary band in agarose gel electrophoresis. Due to topological constraints, it hardly incorporates ethidium bromide. P4-unknotting can be visualized as the appearance of two sharp DNA bands brightly stained by ethidium bromide, which represent relaxed and nicked forms of the P4DNA plasmid (fig. 2). P4-unknotting is the test most suitable for titrating topoisomerase II activity if plasmid relaxation cannot be used, because topoisomerase I is also present. One P4-unknotting unit has been defined as the amount of topoisomerase II that will completely unknot 100 ng of P4-DNA in the presence of 0.5-1 mmol/1 ATP at 37 °C within 30 min (105). Specific P4unknotting activity is slightly lower than relaxation activity. Decatenation of k-DNA is also a specific assay for topoisomerase II catalytic activity but is less sensitive than P4-unknotting. Because of its high molecular mass, the catenated network of k-DNA is too large for entering an agarose gel. Thus, topoisomerase II-specific decatenation can be monitored by the release of electro- 878 Boege: Analysis of DNA topoisomeraseS and topoisomerase-directed drug effects phonetically mobile DNA catenanes and circles from the immobile network (fig. 3). Alternatively, k-DNA can be pelleted by centrifugation, whereas single DNA circles will stay in solution and, thus, can be measured fluorometrically in the supernatant (107). kDNA <— Catenated network <- Free DNA, Catenanes <- Free DNA, Circles *v 1 CTR Dilution of nuclear extract P4-DNA <~ Catenated <- Unknotted <- Nicked CTR 24 816 no ATP 2 4 8 16 Dilution of Nuclear Extract 1 mmol/1 ATP pBR 322 DNA <- Catenated <- Relaxed «- Supercoiled 2 4 8 16 32 64 no ATP 2 4 8 16 32 64 Dilution of nuclear extract 1 mmol/1 ATP Fig. 2 Catalytical assays for topoisomerases: Crude nuclear extract of human A431 epidermoid cells was obtained by extracting 2 X 107 isolated nuclei with 0.35 mol/1 NaCl. The extract was diluted with reaction buffer (10 mmol/1 bis-Trispropane, pH 7.9, containing 10 mmol/1 MgCl2, 100 mmol/1 KC1 and 0.1 mmol/1 dithiothreitol) as indicated. Two μΐ of diluted extract were reacted with the respective DNA substrate in the absence or presence of 1 mmol/1 ATP in a final volume of 30 μΐ of reaction buffer. Controls were without extract. Incubation at 37 °C for 30 min was terminated by addition of 10 g/1 sodium dodecyl sulphate. Samples were then digested with l g/l proteinase K at 37 °C for 30 min. Gel electrophoresis was performed at 1 V/cm for 24 h in 10 g/1 agarose gels with TRIS/acetate/EDTA buffer. Following electrophoresis, the gel was stained with 0.5 mg/1 ethidium bromide. Fluorescence of ethidium bromide in the gels (excitation 302 nm, emission > 600 nm) was documented by Polaroid photography. a) Decatenation: 200 ng of Crilhidia fasciculata catenated network kinetoplast DNA (kDNA) were used as a substrate. b) Unknotting: 200 ng of knotted P3-plasmid DNA were used as a substrate. c) Relaxation: 250 ng of supercoiled pBR 322 plasmid DNA were used a a substrate. 3.2 Dissecting the catalytic cycle Topoisomerization of complex DNA substrates, such as plasmids, is the result of repeated rounds of the complete sequence of DNA cleavage, strand passage, and DNA religation reactions. In order to analyze these partreactions separately, oligonucleotide suicide-substrates of topoisomerase I (108, 109) and topoisomerase II (27) have been designed that restrict the enzyme to a single round of cleavage and religation and allow for addressing these two half-reactions separately. The function of these non-catalytic assays is exemplified by the oligonucleotide suicide-substrate assay of topoisomerase I: A double-stranded 36-mer oligonucleotide containing a strong topoisomerase I cleavage sequence (110) is composed, as shown in figure 3a. The strand to be cleaved has a nick two base pairs 3' to the major cleavage position and is labelled with 32P at the 5'-end. All other 5'ends, including that of the nick, are blocked by phosphorylation in order to prevent religation at these sites. The oligonucleotide is mainly cleaved in a position 2 base pairs 5' to the nick (108, 111). The dinucleotide which is cleaved off escapes from a further religation reaction by diffusion, and religation to the 5Vend distal of the nick is blocked by phosphorylation. Therefore, cleavage is irreversible and the substrate becomes quantitatively converted to a covalent complex with the enzyme (fig. 3b). For religation, a 1000-fold excess of a 3'-biotinylated GA-dinucleotide can subsequently be added to the topoisomerase I-DNA complex as a religation substrate together with 330 mmol/1 NaCl, in order to prevent recleavage of the religated DNA-biotin adduct (fig. 3b). After ethanol precipitation and trypsinizing, non-cleaved, cleaved, and religated forms of the labelled oligonucleotide strand can be electrophoretically separated on 0.5 mm 140 g/1 polyacrylamide gels under denaturing conditions and visualized by autoradiography (fig. 3c). Cleaved and religated forms of the labeled oligonucleotide strand will migrate retardedly, because they are covalently linked either to a protease resistant peptide of topoisomerase I or to biotin. Alternatively, for a quantitative assessment of the religation reaction, the fraction of the cleaved oligonucleotide strand religated to the biotinylated dinucleotide can be captured by immobilized avidin. Radioactivity bound to the beads can be taken as a measure of religation. These assays have proven to be valuable tools in elucidating the mechanism of enzyme action, but they can only be used with high concentrations of pure enzymes and, therefore, are not suitable for all purposes. 4. Analysis of Topoisomerase-Directed Drug Effects 4.1 Types of topoisomerase inhibitors Some of the most powerful therapeutic substances used for the systemic treatment of cancer target DNA topo- Boege: Analysis of DNA topoisomerases and topoisomerase-directed drug effects 879 whereas topoisomerase I-specific poisons, which are even more powerful anti-cancer drugs, are just now being introduced into systemic cancer therapy (53, 116, 117). Early clinical trials of poisons targeting both types of topoisomerases (128, 129) show that these substances may form a new class of anti-tumour drugs, which are active on a variety of solid tumours and escape crossresistance to drugs that target solely one type of topoisomerases. The efficacy of all topoisomerase poisons is closely related to the amount of topoisomerase-DNA adducts formed in the cell. Thus, assays for measuring these molecular drug effects are useful in searching for new cancer-drugs (130) as well as for monitoring the efficacy of the therapy (75). isomerases. There are two types of topoisomerase-directed drugs with different mechanisms of action. 4.1.1 Topoisomerase poisons The first type of substances, termed topoisomerase poisons, includes anthracyclines, aminoanthracenes, podophyllotoxins, aminoacridines, ellipticines, and quinolones acting on topoisomerase II (28, 29, 49, 112-115), camptothecins acting on topoisomerase I (16, 26, 53, 116-120), and flavonoids (114, 121-123), the fungal toxine saintopin (124, 125), and the 7H-benzo-pyridoindole intoplicine (126) acting on both topoisomerase I and II. These compounds stabilize the covalent DNAtopoisomerase intermediate by stimulating the cleavage reaction and/or inhibiting the religation step (27, 127). By doing so, they turn topoisomerases into powerful cell poisons that cut up and damage the genome, and, consequently, induce apoptosis in proliferating cells (28, 29, 49, 112, 113). Topoisomerase II-specific poisons are longstanding components of many therapeutic protocols, 4.1.2 Topoisomerase inhibitors The second group of substances, termed topoisomerase inhibitors, includes aclarubicine (131), ß-lapachone (132), chebulaic acid (130), and certain synthetic flavonoids (123). These drugs inhibit the non-covalent DNA Recognition sequence p _ TTTTTTAAAAATTTTTCTAAGTCTT PTAGATCCTCT 3 ' 3 'AAAAAATTTJTTAAAAA-P 3'GATTCAGAA&ATCTAGGAGA-[ 32 P] Cleavage site <- Biotin-GATTCAGAAAATCTAGGAGA- [ 32 P] <- Peptide-TTCAGAAAATCTAGGAGA- [ 32 P] 4- GATTCAGAAAATCTAGGAGA- [ 32 P] Fig. 3 Separate measurement of topoisomerase I-mediated cleavage and religation: a) The oligonucleotide substrate is composed of a 36-mer noncleaved strand, a 20-mer cleaved strand and a 16-mer duplex-forming strand. Non-cleaved and duplex-forming strands were nonradioactive, the cleaved strand radioactively phosphorylated on the 5'-ends with E. coli 4 polynucleotide kinase. The oligonucleotides were hybridized in a ratio of 1 : 1.5 : 2 (cleaved: non-cleaved: duplex^forming). b) Suicide cleavage of the oligonucleotide was initiated by addition addition of 200 units of purified human topoisomerase I per 0.2 pmol of substrate and was allowed to continue for 30 min at 30 °C. Religation was subsequently started by addition of 200 pmol of the biotinylated dinucleotide and carried out in the presence of 330 mmol/1 NaCl at 37 °C for 30-60 min. c) Electrophoresis of the non-cleaved (left), the cleaved (middle), and the religated substrate (right) in a 140 g/1 polyacrylamide gel under denaturing conditions. Samples were trypsinized and denawith formamide and heating (96 °C for 5 min) before electrotured wit phoresis. 880 Bocgc: Analysis of DNA topoisomcrasefc and topoisomerase-directed drug effects binding or the cleavage reaction of topoisomerases inhibiting the catalytical activity without inducing DNAbreaks. Some of these substances are potent virostatics (133-135). 4.2 Cell-free assays for topoisomerasedirected drug effects be obtained with 100—200 units of topoisomerase per 250 ng of pBR 322 DNA in a final volume of 20-30 μΐ. 4.2.2 Drug effects on part-reactions Detailed information on the effects of various drugs on the DNA cleavage and religation reactions has been obtained by including these substances into oligonucleo- 4.2.1 Screening strategies 1 2 3 4 5 6 7 8 9 For the simultaneous screening of topoisomerase I<-Application Slot targeted drug effects, both of the poison- and the inhibitor-type, a strategy has been proposed (130) which is <-pBR 322, nicked based on alterations of the electrophoretic mobility of <- pBR 322, linearized pBR 322 plasmid DNA due to the combined action of «- pBR 322, supercoiled topoisomerase I and inhibiting drugs. As shown in figure <-pBR 322, relaxed 4, the mobility of the naturally supercoiled closed circular double stranded plasmid DNA increases upon topoisomerase I-mediated relaxation if electrophoresed in a 1 g/1 agarose gel with 0.5 mg/1 ethidium bromide. This change in electrophoretic mobility of the topoisomers is caused by intercalation of the DNA with ethidium bromide, leading to the introduction of positive supercoils into closed circular DNA molecules. In the presence of topoisomerase I and camptothecin, which binds to the covalent DNA-topoisomerase I intermediate and inhibits Fig. 4 Topoisomerase-mediated relaxation, nicking, and linearthe religation half-reaction (26), topoisomerase I intro- ization of a plasmid DNA. duces nicks into one of the DNA-strands. After protein- Procedure: 250 ng pBR 322 plasmid DNA were incubated with ase K-digestion of the covalently attached enzyme, the 200 U of human topoisomerase I or II in the absence or presence resulting open-circular plasmid migrates to a similar po- of camptothecin, etoposide, or EMD 50 689. The control was pBR 322 DNA without drugs and without enzymes. Linearized pBR sition as DNase I-nicked pBR 322 (118). The migration 322 was obtained by digestion of 250 ng DNA with 40 units of of the open-circular plasmids are unaffected by interca- EcoRl endonuclease. Nicked pBR 322 DNA was obtained by dilation with ethidium bromide and are slower than gestion of 1 μ§ DNA with 0.2 U DNase I in the presence of 0.25 g/1 ethidium bromide, 20 mmol/1 MgCl , 0.2 mmol/1 dithiothreitol, closed-circular and linearized plasmid forms. In con- 10 mmol/1 bis-Tris-propane, pH 7.9 at 237 °C for 5 min (modified trast, substances such as -lapachone, or the synthetic according to 1. c. (133)). The assay had a final volume of 40 μΐ of flavonoid HMD 50689 (123), which inhibit the catalytic reaction buffer (10 mmol/1 bis-tris-propane, pH 7.9, containing 10 mmol/1 MgCl2, 10 mmol/1 KC1, 0.1 mmol/1 dithiothreitol and 10 activity of the enzyme but do not stabilize the covalent g/1 dimethylsulphoxide, volume fraction 0.1). Incubation at 37 °C DNA intermediate, will inhibit plasmid relaxation but for 30 min was terminated by addition of 10 g/1 sodium dodecyl will not induce nicked plasmid forms. A similar result sulphate. Samples were then digested with l g/l proteinase K at 37 °C for 30 min. Gel electrophoresis was performed at 0.4 V/cm is obtained with topoisomerase II and topoisomerase II for 12 h in 1 g/1 agarose gels with TRIS/borate/EDTA-buffer condirected drugs, with the exception that type II enzymes taining 0.5 mg/1 of ethidium bromide. Fluorescence of ethidium will linearize the plasmid in the presence of poisons, bromide in the gels (excitation 302 nm, emission > 600 nm) was documented by Polaroid photography. because they cleave both DNA strands simultaneously. Interpretation: The migration distance of naturally supercoiled The linearized plasmid form migrates slightly further pBR 322 DNA (lane 3) becomes increased upon relaxation by tointo the gel than the nicked from. Thus, inhibition of poisomerase I (lane 7) or topoisomerase II (lane 8), when subjected relaxation without linearization or nicking indicates the to 1 g/1 agarose gel electrophoresis in the presence of ethidium bromide, because the relaxed plasmid can incorporate more of the action of a topoisomerase inhibitor, whereas formation intercalator and as a result becomes more positively supercoiled. of open-circular or linearized plasmid DNA can be taken Linearization (lane 1) or nicking (lane 2) results in forms of the as a measure of the effects of topoisomerase poisons. plasmid migrating more retardedly, because these will not be supercoiled by ethidium bromide any more. It can clearly be seen Since the formation of nicked or linearized plasmid (lane 4 and 5) that in the presence of topoisomerase I, camptoforms by topoisomerase I or II, respectively, is a stoichi- thecin, a topoisomerase I poison, induces the nicked plasmid form ometric process, it requires sufficient amounts of en- in a dose-dependent manner, whereas there is no effect in the absence of the enzyme (not shown). In contrast, EMD 50689, a synzyme in the assay. However, with increasing amounts of thetic flavonoid recently shown (98) to inhibit topoisomerase I caenzyme, background cleavage of the DNA substrate in talytic activity, inhibits topoisomerase I-mediated pBR 322 relaxthe absence of drug will also rise. Thus, optimization of ation but does not induce nicking (lane 6). The topoisomerase II poison etoposide induces linearization of pBR 322 DNA in the the enzyme to DNA ratio is crucial. The best results will presence of topoisomerase II (lane 9). Boege: Analysis of DNA topoisomerases and topoisomerase-directed drug effects tide suicide assays (27, 37, 127). Inhibition or stimulation of the cleavage and/or of the religation reaction can, thus, be studied separately and without influencing each other. We have used this approach for the characterization of various novel flavone inhibitors of eukaryotic topoisomerase I (123). 4.2.3 DNA sequence specificity Topoisomerase poisons stimulate topoisomerase-mediated cleavage at defined DNA sequences, which differ between various topoisomerase inhibitors. DNA sequence specificity is thought to arise from the formation of ternary DNA-enzyme-drug complexes. Most drugs seem to be interacting simultaneously with specific sites on the enzyme and specific DNA residues (16, 29, 136). Sequence specificity of drug-induced DNA cleavage by topoisomerases usually is studied with large fragments of plasmid DNA that have been end-labelled (137). The cleavage pattern can be analyzed in DNA sequencing gels. 4.2.4 Demonstration ofcovalent topoisomerase-DNA complexes While analytical efforts approaching topoisomeraseDNA interactions from the DNA-side offer the opportunity of screening many substances at the same time without large experimental effort, they require the use of pure or partially pure enzyme preparations, not contaminated with DNases. Moreover, these assays are not very sensitive with respect to enzyme concentrations, because linearization and nicking are stoichiometric processes, which consume the enzyme present in the assay. Approaches for detecting covalent DNA-topoisomerase intermediates on the protein-side are more suitable for the analysis of crude preparations with low levels of enzyme: K-sodium dodecyl sulphate precipitation utilizes the fact that sodium dodecyl sulphate-micelles of proteins can be selectively precipitated with potassium. Thus, after incubating labeled DNA with topoisomerases and subsequent sodium dodecyl sulphate-denaturation, the DNA-label will be detected in the potassium precipitate if covalent enzyme-DNA complexes have been formed during the incubation (138). However, this approach is not specific for topoisomerases, because it will also detect covalent complexes of DNA and other proteins. A more specific and highly sensitive assay for the formation of topoisomerase-DNA adducts is the immuno-dot blot. This procedure utilizes the selective binding of covalent topoisornerase-DNA complexes to nitrocellulose in the presence of sodium dodecyl sulphate (123, 130). Thus, crude topoisomerase preparations can be incubated with a non-specific DNA sample such as calf thymus DNA in the presence or absence of drugs. Subsequently, the incubation mixture is treated 881 with sodium dodecyl sulphate and filtered through nitrocellulose by vacuum. As shown in figures 5a and b, only enzyme that is covalently linked to the DNA will bind to the filter and can be specifically detected by immunostaining, whereas enzyme not linked to DNA will not bind. Enhancement of filter-binding can, thus, be clearly assigned to the action of a topoisomerase poison. The selectivity of the assay regarding the DNA-linkage of the enzyme can easily be tested by treating the sample with a detergent-resistant endonuclease such as Benzonase® prior to filtration, which will abolish the immuno signal (fig. 5a). Since specific antibodies for topoisomerase I, topoisomerase Πα and topoisomerase Πβ are now available, the same analytical approach can be used for all forms of topoisomerases. 4.3 Measuring topoisomerase-directed drug effects in intact cells The classical approach for detecting drug-induced DNA breaks in the alkaline elution technique (139—141). Since this method requires metabolic labelling of the DNA and is not specific for topoisomerase-mediated strand breaks, alternative methods have been sought. With specific antibodies directed against the various types and forms of topoisomerase becoming available (96), several assays have been designed for monitoring the covalent linkage of topoisomerases to the genomic DNA of the cells on the protein side. There is some evidence that accumulation of DNA-linked topoisomerase in the nuclear DNA matrix of treated cells can be measured by fluorescence microscopy of antibodystained cells (74, 142). However, interpretation of these images is still ambiguous. The most straightforward approach to date seems to be the immuno-band-depletion assay (119, 143). As shown in figure 6, it is based on the observation that topoisomerase covalently linked to genomic DNA of high molecular mass will not enter a polyacrylamide gel during sodium dodecyl sulphate gel electrophoresis. Thus, it can not be detected by following immuno-blotting. When cells are treated efficiently with topoisomerase poisons and are lysed subsequently with sodium dodecyl sulphate, the topoisomerase band will disappear or decrease in the immuno-blot as compared to non-treated controls. Thus, immunoband-depletion can be taken as an indication of the effective interaction of topoisomerase, drug, and DNA in the living cell (46). However, the band-depletion phenomenon can not be interpreted if the appropriate untreated control is missing, as for example in tumour cell samples obtained during treatment of patients, since down-regulation of enzyme expression will give a similar result. Digestion of the DNA by a detergent-resistant nuclease (fig. 5) can be used as a control, however it does not work reliably in all cells. It should also be noted that, in contrast to topoisomerase poisons, topo- 882 Boege: Analysis of DNA topoisomerases and topoisomerase-directed drug effects isomerase inhibitors will produce a band-repletion phe- 5. Perspectives for Clinical Oncology and Pharmacology nomenon in some cells. They increase the amount of enzyme that enters the polyacrylamide gel and can be 5.1. Topoisomerases and drug-hunting detected by immuno-blotting, because they inhibit backWith the discovery of topoisomerases as targets for antiground cleavage. Band-repletion can only then be intercancer drugs and virostatics, a rational and systematic preted in terms of a release of tbpoisomerases from cosearch for new therapeutic substances has become posvalent DNA bonds if it is also observed in the presence of a protein biosynthesis inhibitor, such as cyclohexi- sible. Screening assays of topoisomerase-directed drug mide. Considerable efforts directed at devising a method effects have been successfully employed for detecting that allows a direct demonstration of DNA-topoisomer- several new classes of topoisomerase poisons and inhibase complexes by immuno-dot blotting of sodium dode- itors (16, 121, 123, 128, 132, 145;>i146). Some recently cyl sulphate-lysed cells, have not yet given reliable re- discovered topoisomerase poisons have already shown sults. However, camptothecin-induced covalent com- promising anti-tumour activities in the clinic (128, 129). plexes of topoisomerase I and DNA formed in living When setting out to analyze topoisomerase-directed efcells can be detected by caesium chloride density gradi- fects in vitro, selection of the appropriate target enzyme ent centrifugation of cell lysates, followed by immuno- is crucial. It needs to be purified at least to a stage where dot blotting (144). type I and type II enzymes are clearly separated. One Camptothecin μπιοΐ/ΐ Control 100 ι Control 2 SDS 3 DNA, SDS 4 CPT+DNA, SDS CPT+DNA, SDS, then Benzonase 1 2 3 Ο -I 0 Protein 30 DNA 10 6 Fraction (1 ml) :i CPT Control 3 1 Fig. 5 Detection of covalent topoisomerase-DNA complexes by immuno-dot blotting: a) Procedure: Immuno-dot blotting of DNA-linked topoisomerase I: 400 U of human topoisomerase I were preincubated with 3 μg of calf thymus. DNA in the presence of 2 mmol/1 MgCl2 in a final volume of 500 μΐ of reaction buffer (10 mmol/1 bis-Tris-propane, pH 7.9, containing 10 mmol/1 MgCl2, 10 mmol/1 KC1, 0.1 mmol/1 dithiothreitol and dimethylsulphoxide, volume fraction 0.1). Incubation at 37 °C for 30 min with (lines 4 and 5) or without (line 3) 30 μπιοΐ/ΐ camptothecin. The reaction was terminated by addition of 2 g/1 sodium dodecyl sulphate. Controls were: Untreated enzyme (line 1), sodium dodecyl sulphate-treated enzyme not preincubated with DNA (line 2), enzyme preincubated with DNA and 30 μπιοΐ/ΐ camptothecin, followed by sodium dodecyl sulphate-denaturation and subsequent treatment with 250 U of Benzonase (line 5). Samples were filtered through nitrocellulose filters using a 96-well vacuum dot blot apparatus (Schleicher & Sch ll, Germany), followed by 2 washes (500 μΐ) with 10 mmol/1 Tris-HCl, pH 7.5, 50 mmol/1 NaCl. Nitrocellulose filters were irradiated (254 nm, 2 min), dried at 20 °C for 12h, and finally subjected to immunostaining. immunostaining was earned out using a mouse monoclonal antibody against human topoisomerase I (kindly supplied by Dr. Igor Bronstein, Engelhard Institute, Moscow, GUS), peroxidase-labelled goat-anti-mouse IgG, and peroxidase-activated enhanced chemoluminescence of luminol (ECL). Interpretation: Nitrocellulose-binding of non-denatured topoisonv erase I (line 1) is completely blocked by sodium dodecyl sulphate (line 2). It becomes completely restored upon preincubation with calf thymus DNA and camptothecin (line 4) but only marginally with DNA alone (line 3). Digestion with detergent endonuclease (Benzonase®) abolishes camptothecin-induced filter binding (line 5), showing that covalent DNA-linkage of the denatured enzyme is responsible for absorption to nitrocellulose. b) Procedure: Enzyme was preincubated with DNA in the absence or presence of 30 μηιοΐ/ΐ camptothecin (CPT), and denatured with 2 g/1 sodium dodecyl sulphate (see a), followed by gel chromatography (Sepharose 4B, column 10 X 1 cm, equilibrated and run with 0.5 ml/min of reaction buffer, containing 1 g/1 sodium dodecyl sulphate), in order to separate DNA-bound from free topoisomerase I. Fractions of one ml were collected and analyzed by immunodot blotting. The elution profiles of either enzyme or DNA alone were determined by light absorption at 280 nm (protein) or fluorescence of bisbenzimide (0.01 mg/l)-stained DNA, respectively. Interpretation: Gel chromatography proves that only enzyme coeluting with the high molecular DNA binds to nitrocellulose filters in the presence of sodium dodecyl sulphate. Pretreatment with camptothecin specifically increases the filter binding of the DNA linked, but not of the free, enzyme fraction. Thus, filter binding of the sodium dodecyl sulphate denatured enzyme can be used for demonstrating covalent DNA-linkage. c) Procedure: Topoisomerase I was preincubated with DNA in the absence (control) or presence of various concentrations of camptothecin, followed by immuno-dot blot analysis, as described in (a); Interpretation: Camptothecin increases the covalent DNA-linkage of topoisomerase I in a manner proportional to the concentration of the drug. Boege: Analysis of DNA topoisomerases and topoisomerase-directed drug effects should keep in mind that in particular the type II enzymes from different species have different drug sensitivities. Moreover, catalytic activity and drug sensitivity of topoisomerases are regulated by phosphorylation, as well as poly(ADP)ribosylation (147-149). Finally, the proteolytic loss of regulatory domains (the carboxyterminus of topoisomerase II and the aminoterminus of topoisomerase I), will produce catalytically highly active core-enzymes with altered drug sensitivity. Heterologous expression of human topoisomerases in yeast has turned out to be the most elegant way of obtaining sufficient quantities of structurally intact enzymes (150). This approach is more advisable than purifying the enzymes from primary tissues, such as calf thymus, which will in most cases result in a mixture of various proteolytic degradation products (61). For the human type II enzymes, a set of peptide-directed antibodies has been developed, which are specific for the termini of the enMr [103] 112 — 76 — 53 \v Front χ Fig. 6 Immuno-band-depletion in cells. Procedure: 106 HL-60 cells were cultivated for 30 min at 37 °C with 30 μιηοΐ/ΐ camptothecin. Controls were without camptothecin, or with a subsequent DNA-digestion with 250 units of detergent resistant endonuclease Benzonase® for 10 min at 37 °C. The reaction was terminated by sedimentation of the cells (1000g, 5 min, 4 °C) and subsequent lysis in 10 g/l SDS. Samples were subjected to sodium dodecyl sulphate-polyacrylamide (80 g/1) gel electrophoresis and proteins that had entered into the gel were electrophoretically transferred to nitrocellulose sheets by the semi-dry method. Immunostaining of immobilized proteins was carried out using a mouse monoclonal topoisomerase I antibody, peroxidase-labelled goat-anti-mouse IgG, and peroxidase-activated enhanced chemoluminescence of luminol (ECL). Migration distances of immunostained protein bands were compared with those of rabbit muscle myosin (MT = 212 000), a2-macroglobulin from bovine plasma (Mr = 170000), p-galactosidase from E. coli (Mr = 116000), human transferrin (Mr = 76 000) and bovine liver glutamic dehydrogenase (Mr = 53 000). Interpretation: The topoisomerase I band (MT = 100000) becomes depleted upon treatment with the topoisomerase I poison camptothecin. Disappearance of the bands is clearly related to the covalent binding to DNA because it can be reverted by DNase-treatment. Upon DNase-treatment, topoisomerase I migrates slightly retardedly and more diffusely, because of the attachment of oligonucleotide adducts of various sizes. 883 zymes and can, thus, be used for,, characterizing the structural integrity of the purified proteins by western blotting. At least some indications regarding epigenetic modifications of the enzyme can be gained by isoelectric focusing or chromatofocusing (45, 67). Finally, a rough estimate of the specific activity should be attempted, for example by relating the catalytic activity to the amount of enzymes, as judged from the intensity of the silverstained protein band in a sodium dodecyl sulphate-polyacrylamide gel. Supposing that the specific activity of topoisomerase I or II is clearly lower than 105 or 104 units/mg, respectively, the enzyme is most probably dephosphorylated, or otherwise inactivated and will show increased sensitivity for inhibitors but decreased sensitivity for poisons. Screening of topoisomerase-directed drug effects should start with the in vitro analysis of the alterations of pBR 322 mobility (see fig. 4), since this assay can detect topoisomerase inhibitors as well as topoisomerase poisons. For topoisomerase poisons, stabilization of the covalent enzyme-DNA complex by the drug should be confirmed by immuno-dot blot or a similar assay, detecting topoisomerase-DNA adducts from the protein side (see fig. 5). Due to its greater sensitivity, the immunodot blotting method is also most suitable for determining dose-response curves (fig. 5c). In addition, it may be of interest to compare DNA cleavage sites of topoisomerase induced by the drug tested to those induced by standard topoisomerase poisons, such as camptothecin or amsacrine. For topoisomerase inhibitors, it should be checked to see whether these can antagonize a standard topoisomerase poison (151). Finally, the cellular effects on topoisomerases can be studied by the band-de/repletion phenomenon (see fig. 6), using for example HeLa cells, or human leukaemic HL-60 cells. In this case, a single batch of cells treated for 1 —2 h with drug can be probed with different antibodies, specific for the various types and isoenzymes of DNA topoisomerases (96, 123). 5.2 Clinical drug-monitoring and prediction of sensitivity for topoisomerase poisons The cytotoxic effect of topoisomerase poisons is closely related to the cellular levels of the target proteins (30— 33) and to the responsiveness of the enzymes to the drugs. Thus, down-regulation of topoisomerases (34, 35), or mutations (36—51) and epigenetic modifications (42—44, 149) that will produce topoisomerase variants less susceptible to these drugs result in resistance of the tumour to the treatment. Moreover, the expression of topoisomerase Πα is a marker of cell proliferation and, in some tumours, has been shown to be predictive for therapeutic outcome (152-156), With the Ki-Sl monoclonal antibody, which can be used to detect topoi- 884 Boege: Analysis of DNA topoisomerases and topoisomerase-tii reeled drug effects somerase I la even in paraffin-embedded thin sections of tumour tissue (71, 96), the study of expression levels of topoisomerase Πα by various immuno-chemical methods has become much easier. However, in view of the pronounced epigenetic regulation of the enzyme, it may be more informative to study enzyme activities instead. A method for small scale extraction and partial purification of topoisomerase activities from leukaemic cell samples (as small as 5 Χ 106 nucleated cells) has recently been published (75). It utilizes heparin Sepharose affinity chromatography in mini spin columns containing 100 μΐ of the matrix. These authors could discriminate various isoactivities of topoisomerases with different drug-densitivity by plasmid relaxation assays carried out at different pH. But these data are difficult to interpret, because the authors failed to relate the observed iso-activities to the known structural forms of topoisomerases. Nevertheless, the results of their study suggest that various iso-activities of topoisomerases may be related to the drug sensitivity of the cells. Recently, the band-depletion of topoisomerase I has been used for the first time for monitoring the therapy with topotecan, a camptothecin derivative poisoning topoisomerase I. Based on the increasing cleavable complex formation in peripheral blood lymphocytes with increasing topotecan infusion duration, a rationale for prolonged administration of camptothecins could be obtained (157). 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