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Experimental Oncology B, Istituto Nazionale per lo Studio e la Cura
dei Tumori, 20133 Milan, Italy
The role of the site selectivity of topoisomerase II poisoning in the
cytotoxic activity of anthracyclines has not been established. In this
article, we have thus studied the levels and persistence of
double-stranded DNA breaks (DSB) along with the cytotoxic activity in
human leukemic HL60 cells of seven anthracyclines, including doxorubicin, daunorubicin, and idarubicin, as well as sugar-modified analogues characterized by an altered sequence specificity.
Epimerization at the 3
position of the sugar moiety markedly affected
the biological activity; indeed, a dramatic reduction of drug effects
was evident for
3
-deamino-3
-epi-hydroxy-4
-deoxy-4
-amino-daunorubicin. The studied analogues could be gathered into three groups based on the
DSB/cytotoxicity ratio. At equitoxic concentrations: (a) parent
drugs and
3
-deamino-3
-epi-hydroxy-4
-deoxy-4
-amino-daunorubicin endowed with the same sequence specificity stimulated low DSB levels; (b) 3
-epi-daunorubicin and
3
-deamino-4
-deoxy-4
-epi-amino-idarubicin, which have
a different sequence specificity, and teniposide (a structurally
unrelated poison) stimulated higher amounts of DSB; and (c)
4-demethoxy-3
-deamino-3
-hydroxy-4
-epi-doxorubicin
stimulated the highest DSB levels. For the last agent, a faster rate of
cleavage resealing, which is consistent with a reduced DNA binding
affinity, could account for the increased DSB/cytotoxicity ratio
compared with parent drugs. However, for other analogues, the observed differences in DSB persistence/resealing could not completely explain
the different DSB/cytotoxicity ratios. The results thus suggest that
the cytotoxic potency of anthracyclines may be the result of an
interplay of the level, the persistence, and the genomic localization
of topoisomerase II-mediated DNA cleavage.
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