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Clinical Cancer Research Vol. 6, 671-680, February 2000
© 2000 American Association for Cancer Research


Experimental Therapeutics, Preclinical Pharmacology

Mismatch Repair and p53 Independently Affect Sensitivity to N-(2-chloroethyl)-N'-cyclohexyl-N-nitrosourea1

Gabriele Aquilina, Sabrina Ceccotti, Simone Martinelli, Silvia Soddu, Marco Crescenzi, Pauline Branch, Peter Karran and Margherita Bignami2

Istituto Superiore di Sanitá, 00161 Rome, Italy [G. A., S. C., S. M., M. C., M. B.]; Molecular Oncogenesis Laboratory, Regina Elena Cancer Institute, 00158 Rome, Italy [S. S., M. C.]; and Imperial Cancer Research Fund, Clare Hall Laboratories, South Mimms EN6 3LD, United Kingdom [P. B., P. K.]


    ABSTRACT
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The contributions of defective mismatch repair (MMR) and the p53-response to cell killing by N-(2-chloroethyl)-N'-cyclohexyl-N-nitrosourea (CCNU) were evaluated. MMR defects were previously shown to be associated with CCNU sensitivity (G. Aquilina et al., Cancer Res., 58: 135–141, 1998). Unexpectedly, eight MMR-deficient variants of the A2780 human ovarian carcinoma cell line were 3-fold more resistant to CCNU than the MMR-proficient parental cells. The variants were members of a preexisting subpopulation of drug-resistant A2780 cells. In addition to deficient expression of the MMR protein hMLH1, an essential component of the hMutL{alpha} repair complex, the variants exhibited alterations in the expression of other genes that influence drug sensitivity. Although A2780 cells possess a wild-type p53 gene, all of the clones contained a heterozygous G to T tranversion at codon 172. This change resulted in a Val to Phe substitution and was associated with a constitutive production of high levels of p53, which was inactive as a transcriptional activator of bax and p21. The hMLH1/p53 defective variants displayed a less prominent cell cycle arrest and reduced apoptosis after CCNU treatment. In contrast, MMR-defective A2780 variants, which had a similar hMutL{alpha} defect but retained a wild-type p53, did exhibit the expected CCNU sensitivity. Expression of a dominant-negative p53val135 increased CCNU resistance of both MMR-proficient and MMR-deficient A2780 cells. Thus, defective MMR and p53 influence CCNU sensitivity in opposite directions. Their effects are independent, and sensitization by defective MMR does not require a functional p53 response.


    INTRODUCTION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The CNUs3 are used to treat a variety of tumors and are most effective against human gliomas. CCNU is a member of the CNU group that produces several potentially cytotoxic DNA modifications (1) . DNA repair pathways can eliminate CCNU-induced DNA damage and promote cell survival. Direct reversal of O6-chloroethyl-guanine-DNA monoadducts by MGMT prevents the formation of interstrand DNA cross-links (reviewed in Ref. 2 ). Base excision repair initiated by Aag removes other CNU-DNA monoadducts (3) . Each of these DNA repair pathways provides protection against killing by CNUs. Cells expressing MGMT (Mex+) are more resistant to CNUs than Mex- cells (4) , and loss of this base excision repair pathway in Aag-/- mouse cells confers a modest sensitivity to cell killing induced by 1,3-bis (2-chloroethyl)-1-nitrosourea (5 , 6) . Nucleotide excision repair-deficient rodent cells are sensitive to CNUs, and although this aspect has not been extensively evaluated in human cells, it is probable that this repair pathway also contributes to their CCNU resistance (7) .

In addition to MGMT, base, and nucleotide excision repair, MMR can also modulate sensitivity to CNUs. The first two steps of the MMR pathway are catalyzed by the hMutS{alpha} mismatch recognition heterodimer (comprising hMSH2 and hMSH6) and the hMutL{alpha} complex (hMLH1 and hPMS2). Tumor cell lines defective in either of these complexes are frequently 2- to 4-fold more sensitive to CCNU than proficient cells (8) . The extent of their sensitivity is similar to that produced by loss of the base excision repair pathway in Aag-/- cells.

Cellular stress responses may also influence the survival of cells with DNA damage. The responses include cell cycle arrest and apoptosis, and the p53 protein is intimately involved in their control. The p53 protein is a transcriptional activator of several target genes, including p21 and bax, the products of which regulate cell proliferation and survival (9) . Mouse thymocytes with an inactivated p53 gene are resistant to ionizing radiation and chemotherapeutic agents (10, 11, 12) . The enhanced survival of cells with abrogated p53 function is generally considered to reflect the central role of wild-type p53 in inducing apoptosis. Loss of p53 function leads to resistance to chemotherapy and radiotherapy in many tumor cell lines (13, 14, 15, 16) . In addition, p53 mutations in tumors are generally associated with a poorer clinical prognosis (for a review, see Ref. 17 ). On the other hand, hypersensitivity to similar chemotherapeutic drugs is correlated with p53 mutations in several different cell types (18, 19, 20, 21) . The reasons for this apparent discrepancy are not fully understood and may reflect the complexity of p53 functions in controlling cell growth and death. Thus, although it may not be possible to predict the outcome of loss of p53 functions, cell killing after DNA-damaging therapeutic drugs is likely to be influenced by p53 status.

In a previous study, we noted exceptions to a general correlation between MMR defects and sensitivity to CCNU. In view of the central role of p53 in modulating responses to drug treatment, we have examined the impact of both p53 and MMR on CCNU sensitivity. Cultures of the model ovarian carcinoma cell line A2780 were found to contain a subpopulation of drug-naïve cells that had lost both MMR and the p53 response. The latter was most likely because of a Val to Phe mutation in codon 172 of the p53 gene. These doubly defective cells were resistant to CCNU and underwent less prominent cell cycle arrest and apoptosis. When defects in MMR or p53 were analyzed separately in A2780 cells, they were found to contribute independently to the response of the cell to CCNU. We conclude that MMR and p53 both modulate CCNU sensitivity, but their effects are independent and in opposition. The presence of a subpopulation of A2780 cells with MMR and p53 defects indicates that multiple changes that modify drug responsiveness may occur in drug-naïve cells.


    MATERIALS AND METHODS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Chemicals.
MNU (Sigma Chemical Co., St. Louis, MO) was dissolved in DMSO and diluted in PBS/20 mM Hepes, pH 7.4, to the required concentrations immediately before use. CCNU (Rhone-Poulenc, Neully sur Seine, France) was prepared fresh in 100% ethanol and diluted in complete medium to the required concentrations immediately before use. A stock solution of O6-bzGua (a kind gift of Dr. J. Thomale, University of Essen) was prepared in DMSO and stored at -20°C. 6-TG (Sigma) was dissolved in 0.1 N NaOH and stored at -20°C. Anti-hMSH6 and anti-hMSH2 antiserum were a kind gift of Prof. J. Jiricny (University of Zurich, Zurich, Switzerland). Antibody against p53 (FL-393) was obtained from Santa Cruz Biotechnologies (Santa Cruz, CA), against p21 from Calbiochem (La Jolla, CA), and against hMLH1 (clone G168–728), hPMS2 (mAb A16–4), and Bax from PharMingen (Los Angeles, CA).

Cell Culture, Survival Determination, and Selection for Methylation Tolerance.
A2780 cells, a kind gift of Dr. R. Brown (Glasgow University), were cultured in {alpha}-MEM (Life Technologies, Inc.) supplemented with 10% FCS, penicillin (100 units/ml), and streptomycin (100 µg/ml; complete medium). Cultures were incubated at 37°C in 5% CO2 and 95% relative humidity. The cloning efficiency of the A2780 cell lines varied considerably: 30% for the parental A2780 and SC1 cells, 15% for MNU-1A and MNU-1B, and 95–100% in the case of the eight A2780-MNU clones.

Survival after treatment with DNA-damaging agents was determined by clonogenic assay as previously described (8) . Cells at clonal density (100–400 cell/60 mm dish) were treated 18 h after seeding with MNU (30 min at 37°C in PBS/20 mM Hepes, pH 7.4), CCNU (1 h in complete medium), 6-TG (24 h in complete medium) or UV. Cultures were then washed and fed with complete medium, and 1–2 weeks later, surviving colonies were fixed with methanol, stained with Giemsa, and counted. For determination of cell growth, cells were harvested at daily intervals and counted microscopically. MNU survival experiments were carried out in the presence of 25 µM O6-bzGua. In this case cell cultures were pretreated for 2 h with the MGMT inhibitor, which was also included in the complete medium for the next 3 days.

Selection of MNU-resistant variants was carried out as previously described (22) . Briefly, separate cultures of exponentially growing A2780 cells were treated with a single dose of 2 mM MNU in the presence of O6-bzGua. Surviving cells were isolated by single cell cloning. Comparisons in resistance or sensitivity to CCNU were made at 10% survival (D10).

Western Blotting.
Exponentially growing cells were treated with CCNU or UV as described above and cell extracts were prepared 24 h later from 2 x 107 cells resuspended in a buffer containing 50 mM Tris·HCl, pH 7.5/1 mM EDTA/10 mM DTT and 0.2% TritonX-100. Cell extracts (20–60 µg) were denatured and separated on 7.5 or 12% SDS polyacrylamide gels together with a prestained low molecular weight marker (Bio-Rad, Hercules, CA). Proteins were transferred to nitrocellulose membranes (Bio-Rad) using a Trans-Blot cell apparatus (Bio-Rad) at 30 mA overnight at 4°C. The remaining protein binding sites of the nitrocellulose were blocked by immersion in TBS-Tween (10 mM Tris·HCl, pH 7.5, 150 mM NaCl, 0.05% Tween 20) for 30 min in the presence of 0.1% gelatin and an additional 30 min in the presence of 3–7% powdered skim milk. The blocked filter was incubated with primary antibody (1 µg/ml for the monoclonal antibodies anti-PMS2, anti-hMLH1, and anti-p21 and 0.1 µg/ml for anti-p53 or 1:1000 diluted antiserum for hMSH6 and hMSH2) for 1 h at room temperature on a rocker platform. After washing with TBS-Tween, the appropriate secondary antibody was added for an additional 1 h. The blots were developed using the ECL detection reagents (Amersham Pharmacia Biotech).

Cell Cycle and TUNEL Analysis.
Cell cycle analysis was performed by flow cytometric measurements of the DNA content of the cells. Cells were harvested at appropriate time points from treatment and stained at 4°C for at least 3 h in PBS containing 0.1% Triton X-100, 5 µg/ml propidium iodide (Sigma), and 20 µg/ml RNase A (Roche Molecular Biochemicals). Cell cycle analyses were performed on an Epics XL analyzer (Coulter Corp.).

Cytospin preparations of 2 x 104 cells were air dried and fixed with formaldehyde (4% in PBS, pH 7.4) for 60 min at room temperature. Slides were incubated for 2 min on ice in a permeabilized solution containing 0.25% Triton-X 100 (Bio-Rad) and 0.1% sodium citrate. TUNEL assay was performed using the in situ cell death detection kit with fluorescein (Boehringer Mannheim) according to the manufacturer’s instructions. Hoechst 33342 (1 µg/ml in PBS) was used to counterstain the nuclei.

Sequencing of the p53 Gene.
Each exon of the p53 gene was amplified by 30 PCR cycles at 95°C for 2 min, 55°C for 2 min, and 72°C for 3 min using the previously described oligonucleotide primers (23) . The PCR reaction contained 100 ng of DNA, 0.25 µM each primer, 100 µM each deoxynucleotide triphosphate, 1.5 mM MgCl2, 10 mM Tris-HCl (pH 8.3), 50 mM KCl, and 0.5 units of Taq polymerase (Perkin-Elmer) in a volume of 50 µl. The PCR products were extracted with Qiagen (M-Medical, Firenze, Italy) and cycle-sequenced in both directions with AmpliTaqFS with a Dye Deoxy terminator cycle sequencing kit (Perkin-Elmer) on the ABI Prisma 310 DNA sequencer.

DNA Transfection with p53val135 and Selection of G418-resistant Transfectants.
The plasmid pNp53cG(val135) contains a chimera of mouse p53 cDNA and genomic DNA under the transcriptional control of a Harvey sarcoma virus long terminal repeats, as well as a selectable marker gene neo that confers resistance to G418. It encodes a mutant p53 protein with a substitution from alanine to valine at position 135 (24) . To introduce this vector into A2780 cells, exponentially growing cells were plated in complete medium into 100-mm-diameter dishes at 1 x 106 cells/dish. One day later, 5 µg of plasmid DNA was transfected by the calcium phosphate precipitation procedure, and cell cultures were diluted 24 h later in selective medium containing 1 mg/ml G418 (Geneticin, Life Technologies, Inc.). G418-resistant colonies were formed after 15–20 days with one refeeding with selective medium. Several colonies were isolated with 0.25% trypsin, transferred into 24-well plates, and grown in the absence of selection. After 2 weeks, cells were transferred into flasks and grown in selective medium for further study.


    RESULTS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
A MMR-defective, MNU- and CCNU-resistant Subpopulation of A2780 Cells.
To investigate the effects of MMR and p53 on CCNU sensitivity, we used the ovarian carcinoma cell line A2780. These cells are MMR proficient and express wild-type p53 (Ref. 25 and see also below). A2780 variants with MMR defects were isolated by selection for resistance to MNU using a standard protocol. Because A2780 cells also express MGMT, all CCNU or MNU treatment of A2780 or its variants was performed in the presence of the specific MGMT inhibitor O6-bzGua. MNU-resistant variants were isolated at high frequency, approximately 10-4 per cell, from A2780 cells. The corresponding value for other human cell lines is 10-6 to 10-7 (22 , 26) . We investigated whether this discrepancy reflected a large number of preexisisting methylation-tolerant variants within the A2780 cell population. Forty A2780 cultures were expanded from 2.5 x 103 to 2.5 x 106 cells, and the fraction of cultures that contained many (>500) MNU-tolerant clones was determined by a single exposure to a high concentration of the drug. Of the 40 expanded cultures, 11 contained numerous clones (between 500 and 6000), indicating that the original inoculum contained preexisting MNU-tolerant cells. This finding is consistent with a subpopulation of methylation-tolerant A2780 cells present at an approximate frequency of 10-4 per cell and indicates that there is a large, preexisting pool of MMR-deficient cells within the A2780 cell population.

Eight methylation-tolerant A2780 variants that were isolated independently exhibited an identical 100-fold increased resistance to MNU and a high degree of cross-resistance to the base analogue 6-TG (five examples are shown in Fig. 1, A and BCitation ). These properties are consistent with deficient MMR, and none of the eight clones expressed detectable hMLH1 or hPMS2 (Fig. 1CCitation and data not shown). The levels of hMSH2 and hMSH6 proteins were comparable to those of the parental A2780 cells Citation and data not shown). Extracts of three of the five clones that were selected for further investigation (A2780-MNU clones 1, 2, and 5) were tested for the ability to repair a single C:T mismatch in an in vitro MMR assay. None of the extracts performed detectable repair (Ref. 27 and data not shown). This provides further confirmation that these clones are defective in MMR. It is likely that all eight share the same hMLH1 defect.



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Fig. 1. Cytotoxicity of MNU and 6-TG and MMR protein expression in A2780 cells and methylation-tolerant derivatives. A2780 ({square}), clone 1 (•), clone 2 ({blacksquare}), clone 3 ({diamondsuit}), clone 4 ({blacktriangledown}), and clone 5 ({blacktriangleup}) were treated with MNU in the presence of O6-bzGua (A) or with 6-TG (B). C, MMR proteins hMLH1, hPMS2, hMSH2, and hMSH6 in extracts of A2780 and the methylation-tolerant variants. Cell extracts were separated by SDS-PAGE and protein detected by immunoblotting. Antisera to hMSH6 and hMSH2 were used together.

 
The hMLH1 defect in the eight methylation-tolerant A2780 clones was not associated with the expected increased sensitivity to CCNU. Indeed, they were all approximately 3-fold more resistant to the drug than the parental A2780 cells. Three representative survival curves are shown in Fig. 2ACitation .



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Fig. 2. Cytotoxicity, cell cycle analysis, and apoptosis induced by CCNU in A2780 cells and methylation-tolerant derivatives. A, A2780 cells ({square}), clone 1 (•), clone 2 ({blacksquare}), and clone 5 ({blacktriangleup}) were treated with CCNU in the presence of O6-bzGua and survival was analyzed by a clonal assay. B, cytofluorometric analysis of the cell cycle of A2780 and clone 1. Cells were exposed to 50 µM CCNU and sampled for analysis at daily intervals. C, Apoptosis as measured by TUNEL after exposure to 50 µM CCNU of A2780 cells (open columns) and clone 1 (filled columns). One thousand nuclei were counted at each time point.

 
The enhanced survival of A2780-MNU clone 1 was accompanied by a relatively transient accumulation in G2 following CCNU treatment (Fig. 2B)Citation . One day after exposure to 50 µM CCNU, both the parental A2780 and the variant cells accumulated in G2. This accumulation persisted for at least 3 days in the parental cells, whereas the cell cycle distribution of A2780-MNU clone 1 was essentially normal 2–3 days after treatment. We also determined whether the differential cell cycle perturbation after CCNU exposure was correlated with changes in the levels of apoptosis. The proportion of apoptotic cells, as measured by TUNEL, was significantly reduced in A2780-MNU clone 1 in comparison to the parental cells (Fig. 2C)Citation . Although the qualitative difference between the variant and the parental cells is maintained, the absolute amount of apoptosis is moderate in both cell lines, suggesting that the majority of the population may die by a different pathway.

The p53-dependent DNA damage response was defective in A2780-MNU clones 1, 2, and 5. Exposure to 20 J/m2 UV light increased p53 levels in the parental A2780 cells (Fig. 3A)Citation . In contrast, p53 was present at significant levels in all of the unirradiated A2780-MNU clones, and there was no detectable increase after UV irradiation (Fig. 3ACitation and data not shown). The functional status of the p53 protein in the representatives A2780-MNU clones 1, 2, and 5 was analyzed by measuring induction of the Bax and p21 proteins. The low levels of p21 and Bax in unirradiated parental A2780 cells were increased by UV irradiation. In contrast neither Bax nor p21 expression was detectably increased by UV irradiation in MNU clones 1, 2, and 5 (Fig. 3A)Citation . The p53 in MNU clones 1, 2, and 5 is therefore unable to activate its normal target genes.



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Fig. 3. Functionality of the p53 pathway in A2780 and in MMR-defective clones. Induction of p53, p21, and Bax by UV or CCNU and sequencing of the p53 gene. Cells in exponential growth phase were exposed to either 20 J/m2 UV (A) or 20 µM CCNU (B) and harvested 24 h later. Cell extracts were separated by SDS-PAGE, and the levels of p53, p21, and Bax were determined by immunoblotting. C, sequence of the p53 gene surrounding codon 172. Bottom, parental A2780. Top, clone 1. Arrow, mutated site containing both G and T.

 
CCNU also induced p53 and p21 in the parental A2780 cells (Fig. 3B)Citation . In contrast, the high constitutive levels of p53 in the A2780-MNU clones were not further increased by CCNU exposure. In addition, there was no detectable induction of p21 following CCNU treatment of the A2780-MNU clones (Fig. 3B)Citation . Taken together, the data indicate that the UV and CCNU-induced p53-dependent responses are abrogated in the A2780-MNU clones and that their p53 is unable to effect transcriptional activation of its downstream targets.

Genomic sequencing of all of the exons of the p53 gene revealed that clones 1, 2, and 5 contained a single mutation, a heterozygous G to T transversion at codon 172. This mutation, which results in a replacement of valine with phenylalanine, was present in all of the MNU-resistant clones but not in the parental A2780 cells, in which a wild-type p53 sequence was confirmed (Fig. 3CCitation and data not shown).

We conclude that the A2780-MNU clones are representatives of a preexisting hMLH1-deficient cell population that has a mutated p53 gene. The mutation is associated with a deficiency in the p53-dependent response to DNA-damaging agents that might contribute to the increased chemoresistance of these clones. The effects of the deficient p53 response appears to outweigh the sensitivity conferred by their hMLH1 deficiency.

CCNU Sensitivity in MMR-defective A2780 Cells with an Intact p53-damage Response.
To rid A2780 of the hMLH1- and p53-defective subpopulation, two subclones, SC1 and SC2, were isolated by single cell cloning. The MNU sensitivities of SC1 and SC2 were indistinguishable from that of A2780 cells (Fig. 4A)Citation . A methylation-tolerant variant was isolated from each of the subclones by selection with MNU. These variants (MNU-1A and MNU-2A) were highly resistant to MNU and cross-resistant to 6-TG Citation . Western blotting indicated that the levels of hMLH1 and hPMS2 were reduced to less than 10% in both MNU-1A and MNU-2A (Fig. 4B)Citation . Both clones expressed the other MMR proteins at levels comparable to SC1 and SC2.



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Fig. 4. Characterization of methylation-tolerant variants isolated from subclones SC1 and SC2 of A2780 cells. A, left panel, survival of A2780 ({circ}), SC1 ({square}), SC2 ({triangleup}), MNU-1A (•), and MNU-2A ({blacktriangleup}) cells treated with MNU in the presence of O6-bzGua; right panel, cytotoxicity of 6-TG in SC1 and MNU-1A. B, expression of MMR proteins in SC1, SC2, and the methylation-tolerant variant MNU-1A and MNU-2A. Left panel, cell extracts were separated by SDS-PAGE, and the levels of hMSH2, hMSH6, hMLH1, and hPMS2 were determined by immunoblotting with antibodies as shown. Right panel, semiquantitative estimate of the amount of hMLH1 protein in SC1 and MNU-1A extracts. Increasing amounts of SC1 and MNU-1A cell extracts were loaded as indicated, and the amounts of hMLH1 were compared by immunoblotting.

 
Fig. 5Citation shows cell survival, as growth curves or clonal assays, for CCNU-treated MNU-1A, MNU-2A, and their parental SC1 and SC2 cells. Both hMLH1-deficient clones MNU-1A and MNU-2A were hypersensitive to CCNU. Because the properties of MNU-1A and MNU-2A appeared to be similar, only the former was characterized in detail.



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Fig. 5. Modulation of CCNU sensitivity in A2780 cells by MMR and a mutated p53 gene. A, growth inhibition by CCNU in SC1 and SC2 and their MMR-defective derivatives. Growth of SC1, MNU-1A, and MNU-2A after treatment with CCNU at the indicated doses was monitored by daily cell counting. B, effect of a mutant p53val135 on the CCNU sensitivity of SC1 and the MMR-defective MNU-1A. Cells were exposed to CCNU as indicated, and survival was measured by a clonal assay. {circ}, SC1; {square}, MNU-1A; •, SC1; {blacksquare}, MNU-1A.

 
The p53 and p21 responses to DNA damage were intact in the A2780 subclones. In particular, both SC1 and MNU-1A clones contained low constitutive levels of the p53 and p21 proteins, each of which was increased 5–10-fold by treatment with CCNU or UV (Fig. 6A)Citation . This is consistent with a functional p53 response in these cells.



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Fig. 6. The effect of a mutant p53val135 on p53 and p21 induction by CCNU or UV in SC1 and MMR-defective MNU-1A cells. Cells in exponential growth phase were exposed to either 20 J/m2 UV or 20 µM CCNU. Cells were harvested 24 h later and extracted. Proteins were separated by SDS-PAGE, and the p53 and p21 levels were examined by immunoblotting. A, SC1 and MNU1-A expressing wild-type p53. B, SC1 and MNU1-A expressing mutant p53val135.

 
Thus, the sensitization to CCNU associated with loss of MMR can be observed in the closely related SC1 and MNU-1A and SC2 and MNU-2A subclones of A2780 cells, which retain an intact p53 response.

Increased Resistance to CCNU Conferred by Expression of a Dominant-negative p53.
The contribution of the p53 response to CCNU sensitivity was investigated by expressing a dominant-negative p53 in MNU-1A and the parental SC1 cells. This p53 protein contains an amino acid change (Ala-135 -> Val), which confers a dominant mutant phenotype (24) . Introduction of p53val135 into A2780 cells conferred an approximately 2-fold CCNU resistance in both the hMLH1-proficient SC1 and the hMLH1-deficient MNU-1A cells (Fig. 5B)Citation . Thus, CCNU resistance is modulated by p53, and the p53 response acts independently of MMR to increase survival after CCNU treatment.

As expected, high constitutive levels of p53 protein were observed in both parental and hMLH1-defective cells expressing p53val135. The level of p53 protein was not detectably altered by either UV or CCNU treatment of SC1 or MNU-1A cells containing the dominant-negative p53val135 (Fig. 6B)Citation . In contrast, both SC1 and MNU-1A in which p53val135 was expressed retained their ability to substantially increase p21 levels after CCNU treatment Citation . Thus, p21 induction by CCNU appears to be at least partly independent of p53 in A2780 cells.

In summary, both MMR and p53 defects influence CCNU sensitivity in A2780 cells. The MMR defect in the clonal SC1 or SC2 cells, in which the p53 responses to DNA-damaging agents are intact, sensitizes them to the drug. In contrast, abrogation of these responses in the same cells by expression of a dominant-negative p53 protein confers sufficient CCNU resistance to overwhelm the MMR-related sensitivity. In addition, CCNU may induce a p53-independent increase in p21 expression. This response is also abrogated in the A2780-MNU clones. The absence of p21 induction by this route may add further to their drug resistance.


    DISCUSSION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
There are two significant findings in the present study. First, multiple changes that influence sensitivity to therapeutic drugs, including loss of the p53-related response and defects in MMR, can occur in a population of tumor cells in the absence of drug exposure. Second, MMR and p53 are independent determinants of CCNU sensitivity that act in opposition.

A2780 cells contain a MMR-deficient subpopulation of which the eight A2780-MNU clones were members. The hMLH1 gene in these clones is epigenetically silenced and could be reactivated by exposure to 5-azadeoxycytidine.4 An intrinsically drug-resistant subpopulation of A2780 cells has been described (28) , and it is likely that many of the previously established resistant variants of A2780 and the MNU-resistant hMLH1 defective clones that we isolated are derived from these same cells. This likelihood is strengthened by our observation of a mutation at codon 172 of the p53 gene in the MNU-resistant clones and the presence of the same mutation in an A2780 cell line selected previously for resistance to cisplatin (29) . The A2780-MNU clones that were representative of the subpopulation were more resistant to CCNU than A2780 cells because the deficient p53 response overrode the sensitizing effect of the silent hMLH1. The p53 in these cells was present at constitutively high levels and was inactive as a transcriptional activator. The p53 mutation was, however, heterozygous. This suggests that p53 phe172 mutation acts in a dominant-negative fashion. Significantly, in the tumors in which the p53 phe172 mutation has been found, the mutation is also heterozygous and is associated with a stabilization of the p53 protein (30 , 31) . This observation indicates that the p53 phe172 mutation in the A2780 subpopulation is indeed likely to act in a dominant-negative fashion. Thus, alterations in at least two genes (hMLH1 and p53), which can separately modulate sensitivity to cytotoxic drugs, had occurred spontaneously in this subpopulation.

The hMLH1 gene appears to be particularly susceptible to epigenetic down-regulation. Importantly, methylation-related silencing of hMLH1 has been demonstrated in colon, endometrial, and ovarian cancers (32, 33, 34, 35) . Loss of this key MMR gene product confers a substantial mutator phenotype that may provide a pool of cells upon which selection for enhanced growth may operate. A MMR defect will therefore facilitate the propagation of clones with mutations conferring a growth advantage (36 , 37) . Indeed, we noted that the A2780-MNU variants exhibited higher growth rates and cloning efficiencies than the parental A2780 or the A2780SC1 and SC2 clones. Although p53 mutations are relatively rare in MMR-defective tumors (see, for example, Ref. 38 ), the apparently clonal nature of the A2780 subpopulation is compatible with the p53 phe172 mutation arising as a consequence of the MMR defect. Codon 172 is not a mutational hot-spot in the p53 gene in human cancer (39) . It is interesting in this regard that the infrequent p53 phe172 mutations that are recorded in the IARC p53 database (39) are all in ovarian or colon cancers—two types of tumor in which MMR defects, and in particular hMLH1 silencing, are most common (32, 33, 34, 35) .

The systematic analysis of the effects of MMR and the p53 response on CCNU susceptibility in the A2780 model ovarian carcinoma cell line provides evidence for a general relationship between MMR deficiency and CCNU sensitivity. Both A2780SC1 and SC2, which retained a functional p53 response, were sensitized to CCNU by a MMR defect. In addition, p53 was also revealed as a significant and independent determinant of CCNU sensitivity in these cells. MMR-deficient, p53-proficient cells were rendered CCNU resistant by expression of a dominant-negative p53 protein. Thus, MMR and the p53 response have separate and opposing effects on CCNU sensitivity. Because the two pathways influence CCNU sensitivity independently, we conclude that MMR processing of CCNU-induced DNA damage is not required to provide a signal that triggers the p53 response. Furthermore, functional p53 is not essential for the protective interaction of MMR with CCNU DNA lesions and MMR can be coupled to a p53-independent death pathway after exposure to this drug. Comparison of our results to published data (15) indicates that a selective abrogation of the p53 response decreases the susceptibility of A2780 cells to CCNU, ionizing radiation, cisplatin, doxorubicin, and araC to similar extents.

CCNU induced p21 in A2780 cells expressing the dominant-negative mutant p53val135. A similar induction of p21 by a CNU has been reported in the p53-null human osteosarcoma Saos-2 and in a glioblastoma cell line with mutant p53 (40) . Whether the lack of p21 induction by CCNU in the eight A2780-MNU clones is due to the particular p53phe172 mutation or to additional genetic changes in these cells is unclear, as is the implication of this p53-independent induction of p21 for CNU sensitivity. It is tempting to speculate, however, that loss of the p53-independent p21 induction might also contribute to the extreme CCNU resistance of the A2780-MNU clones.

In summary, our data indicate that two alterations commonly found in human cancer, defective MMR, which is present in a significant minority of sporadic colorectal and other tumors, and loss of p53 function, separately modify the response to a CNU. Information on the MMR status of tumors is available through measurements of microsatellite instability, and p53 status is frequently determined in the clinic. Knowledge of these two parameters would be advantageous in designing an appropriate therapeutic strategy.


    ACKNOWLEDGMENTS
 
We thank Dr. Mariarosaria D’Errico and Mr. Angelo Calcagnile for providing valuable help in the sequencing of the p53 gene.


    FOOTNOTES
 
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.

1 This work was partially supported by the Associazione Italiana Ricerca sul Cancro, the Imperial Cancer Research Fund, and the Italy-USA Project. Back

2 To whom requests for reprints should be addressed, at Istituto Superiore di Sanitá, Section of Chemical Carcinogenesis, Viale Regina Elena 299, 00161 Rome, Italy. Phone and Fax: 39-06-49902355; E-mail: bignami{at}iss.it Back

3 The abbreviations used are: CNU, chloroethylnitrosourea; MMR, mismatch repair; CCNU, N-(2-chloroethyl)-N'-cyclohexyl-N-nitrosourea; MGMT, O6-methylguanine-DNA-methyltransferase; Aag, 3-methyladenine DNA glycosylase; MNU, N-methyl-N-nitrosourea; O6-bzGua, O6-benzylguanine; 6-TG, 6-thioguanine; TUNEL, terminal deoxynucleotidyl transferase-mediated nick end labeling. Back

4 P. Karran and P. Branch, unpublished data. Back

Received 6/14/99; revised 9/29/99; accepted 10/14/99.


    REFERENCES
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

  1. Ludlum D. B. DNA alkylation by haloethylnitrosoureas: nature of modifications produced and their enzymatic repair or removal. Mutat. Res., 233: 117-126, 1990.[CrossRef][Medline]
  2. Pegg A. E. Mammalian O6-alkylguanine-DNA alkyltransferase: regulation and importance in response to alkylating carcinogenic and therapeutic agents. Cancer Res., 50: 6119-6129, 1990.[Free Full Text]
  3. Matijasevic Z., Boosalis M., Mackay W., Samson L., Ludlum D. B. Protection against chloroethylnitrosourea cytotoxicity by eukaryotic 3-methyladenine DNA glycosylase. Proc. Natl. Acad. Sci. USA, 90: 11855-11859, 1993.[Abstract/Free Full Text]
  4. Bodell W. J., Aida T., Berger M. S., Rosenblum M. L. Increased repair of O6-alkylguanine DNA adducts in glioma-derived human cells resistant to the cytotoxic and cytogenetic effects of 1,3-bis (2-chloroethyl)-1-nitrosourea. Carcinogenesis (Lond.), 7: 879-883, 1986.[Abstract/Free Full Text]
  5. Engelward B. P., Dreslin A., Christensen J., Huszar D., Kurahara C., Samson L. Repair-deficient 3-methyladenine DNA glycosylase homozygous mutant mouse cells have increased sensitivity to alkylation-induced chromosome damage and cell killing. EMBO J., 15: 945-952, 1996.[Medline]
  6. Allan M. J., Engelward B. P., Dreslin A. J., Wyatt M. D., Tomasz M., Samson L. D. Mammalian 3-methyladenine DNA glycosylase protects against the toxicity and clastogenicity of certain chemotherapeutic DNA cross-linking agents. Cancer Res., 58: 3965-3973, 1998.[Abstract/Free Full Text]
  7. Wu Z., Chan C-L., Eastman A., Bresnick E. Expression of human O6-methylguanine-DNA methyltransferase in a DNA excision repair-deficient Chinese hamster ovary cell line and its response to certain alkylating agents. Cancer Res., 52: 32-35, 1992.[Abstract/Free Full Text]
  8. Aquilina G., Ceccotti S., Martinelli S., Hampson R., Bignami M. CCNU sensitivity in mismatch repair defective human cells. Cancer Res., 58: 135-141, 1998.[Abstract/Free Full Text]
  9. Gottlieb T., Oren M. p53 in growth control and neoplasia. Biochim. Biophys. Acta, 1287: 77-102, 1996.[Medline]
  10. Lowe S. W., Ruley H. E., Jacks T., Housman D. E. p53-dependent apoptosis modulates the cytotoxicity of anticancer agents. Cell, 74: 957-967, 1993.[CrossRef][Medline]
  11. Lowe S. W., Bodis S., MaClatchey A., Remington L., Ruley H. E., Fisher D., Housman D. E., Jack T. p53 status and the efficacy of cancer therapy in vivo. Science (Washington DC), 266: 807-810, 1994.[Abstract/Free Full Text]
  12. Clarke A. R., Purdie C. A., Harrison D. J., Morris R. G., Bird C. C., Hooper M. L., Wyllie A. H. Thymocyte apoptosis induced by p53-dependent and -independent pathways. Nature (Lond.), 362: 849-852, 1993.[CrossRef][Medline]
  13. O’Connor P., Jackman J., Jondle D., Bhatia K., Magrath I., Kohn K. Role of the p53 tumor suppressor gene in cell cycle arrest and radiosensitivity of Burkitt’s lymphoma cell lines. Cancer Res., 53: 4776-4780, 1993.[Abstract/Free Full Text]
  14. Fan S., El-Deiry W. S., Bae I., Freeman J., Jondle D., Bhatia K., Fornace A. J., Magrath I., Kohn K. W., O’ Connor P. M. p53 gene mutations are associated with decreased sensitivity of human lymphoma cells to DNA damaging agents. Cancer Res., 54: 5824-5830, 1994.[Abstract/Free Full Text]
  15. Vasey P. A., Jones N. A., Jenkins S., Dive C., Brown R. Cisplatin, campothecin, and Taxol sensitivities of cells with p53-associated multidrug resistance. Molecular Pharmacol., 50: 1536-1540, 1996.[Abstract]
  16. McIlwrath A., Vasey P., Ross G., Brown R. Cell cycle arrests and radiosensitivity of human tumor cell lines: dependence on wild-type p53 for radiosensitivity. Cancer Res., 54: 3718-3722, 1994.[Abstract/Free Full Text]
  17. Lowe S. W. Cancer therapy and p53. Curr. Opin. Oncol., 7: 547-553, 1995.[Medline]
  18. Fan S., Smith M., Rivet D. n., Duba D., Zhan Q., Kohn K., Fornace A. J., O’Connor P. Disruption of p53 function sensitizes breast cancer MCF-7 cells to cisplatin and pentoxifylline. Cancer Res., 55: 1649-1654, 1995.[Abstract/Free Full Text]
  19. Brachman D., Beckett M., Graves D., Haraf D., Vokes E., Weichselbaum R. p53 mutation does not correlate with radiosensitivity in 24 head and neck cancer cell lines. Cancer Res., 15: 3667-3669, 1993.
  20. Hawkins D., Demers G., Galloway D. Inactivation of p53 enhances sensitivity to multiple chemotherapeutic agents. Cancer Res., 56: 892-898, 1996.[Abstract/Free Full Text]
  21. Gupta M., Fan S., Zhan Q., Kohn K., O’Connor P., Pommier Y. Inactivation of p53 increases the cytotoxicity of camptothecin in human colon HCT116 and breast MCF-7 cancer cells. Clin. Cancer Res., 3: 1653-1660, 1997.[Abstract]
  22. Aquilina G., Hess P., Fiumicino S., Ceccotti S., Bignami M. A mutator phenotype characterizes one of two complementation groups in human cells tolerant to methylation damage. Cancer Res., 55: 2569-2575, 1995.[Abstract/Free Full Text]
  23. Takeuchi S., Bartram C., Ludwig R., Royer-Pokora B., Schneider S., Imamura J., Koeffler H. P. Mutations of p53 in Wilms’ tumors. Mod. Pathol., 8: 483-487, 1995.[Medline]
  24. Michalovitz D., Halevy O., Oren M. Conditional inhibition of transformation and of cell proliferation by a temperature-sensitive mutant of p53. Cell, 62: 671-680, 1990.[CrossRef][Medline]
  25. Brown R., Chigston C., Burns P., Edlin A., Vasey P., Vojtesek B., Kaye S. B. Increased accumulation of p53 protein in cis-platin resistant ovarian cell lines. Int. J. Cancer, 55: 678-684, 1993.[Medline]
  26. Hampson R., Humbert O., MacPherson P., Aquilina G., Karran P. Mismatch repair defects and O6-methylguanine-DNA methyltransferase expression in acquired resistance to methylating agents in human cells. J. Biol. Chem., 272: 28596-28606, 1997.[Abstract/Free Full Text]
  27. Humbert O., Fiumicino S., Aquilina G., Branch P., Oda S., Zijno A., Karran P., Bignami M. Mismatch repair and differential sensitivity of mouse and human cells to DNA methylating agents. Carcinogenesis (Lond.), 20: 205-214, 1999.[Abstract/Free Full Text]
  28. McLaughlin K., Stephens I., McMahon N., Brown R. Single step selection of cis-diamminedichloroplatinum(II) resistant mutants from a human ovarian carcinoma cell line. Cancer Res., 51: 2242-2245, 1991.[Abstract/Free Full Text]
  29. Siddik Z., Mims B., Lozano G., Thai G. Independent pathways of p53 induction by cisplatin and X-rays in a cisplatin-resistant ovarian tumor cell line. Cancer Res., 58: 698-703, 1998.[Abstract/Free Full Text]
  30. DiCioccio R. A., Werness B. A., Peng R., Allen H. J., Piver M. S. Correlation of TP53 mutations and p53 expression in ovarian tumors. Cancer Genet. Cytogenet., 105: 93-102, 1998.[CrossRef][Medline]
  31. Slebos R. J. C., Baas I. O., Clement M., Polak M., Mulder J-W., van den Berg F. M., Hamilton S. R., Offerhaus G. J. A. Clinical and pathological associations with p53 tumor-suppressor gene mutations and expression of p21WAF1/Cip1 in colorectal carcinoma. Br. J. Cancer, 74: 165-171, 1996.[Medline]
  32. Herman J. G., Umar A., Polyak K., Graff J. R., Ahusa N., Issa J-P., Markowitz S., Willson J. K., Hamilton S. R., Kinzler K. W., Kane M. F., Kolodner R. D., Vogelstein B., Kunkel T. A., Baylin S. B. Incidence and functional consequences of hMLH1 promoter hypermethylation in colorectal carcinoma. Proc. Natl. Acad. Sci. USA, 95: 6870-6875, 1998.[Abstract/Free Full Text]
  33. Veigl M. L., Modrich P. L., Markowitz S. D. Biallelic inactivation of hMLH1 by epigenetic gene silencing, a novel mechanism causing human MSI cancers. Proc. Natl. Acad. Sci. USA, 95: 8698-8702, 1998.[Abstract/Free Full Text]
  34. Esteller M., Levine R., Baylin S., Ellenson L., Herman J. G. MLH1 promoter hypermethylation is associated with the microsatellite instability phenotype in sporadic endometrial carcinomas. Oncogene, 17: 2413-2417, 1998.[CrossRef][Medline]
  35. Strathdee G., MacKean M. J., Illand M., Brown R. A role for methylation in the hMLH1 promoter in loss of hMLH1 expression and drug resistance in ovarian cancer. Oncogene, 18: 2335-2341, 1999.[CrossRef][Medline]
  36. Malkhosyan S., Rampino N., Yamamoto H., Perucho M. Frameshift mutator mutations. Nature (Lond.), 382: 499-500, 1996.[CrossRef][Medline]
  37. Yamamoto H., Sawai H., Weber T. K., Rodriguez-Bigas M. A., Perucho M. Somatic frameshift mutations in DNA mismatch repair genes and proapoptosis genes in hereditary nonpolyposis colorectal cancer. Cancer Res., 58: 997-1003, 1998.[Abstract/Free Full Text]
  38. Kim H., Jen J., Vogelstein B., Hamilton S. R. Clinical and pathological characteristics of sporadic colorectal carcinomas with DNA replication errors in microsatellite sequences. Am. J. Pathol., 145: 148-156, 1994.[Abstract]
  39. Hainaut, P., Hernandez, T., Robinson, A., Rodriguez-Tome, P., Flores, T., Hollstein, M., Harris, C. C., and Montesano, R. IARC database of p53 mutations in human tumors and cell lines: updated compilation, revised formats and new visualization tools. Nucleic Acids Res., 26: 205–213.
  40. Aoki H., Ohnishi K., Wang X., Takahashi T., Ohnishi T., Nakamura M., Sakaki T. p53-independent WAF1 induction by ACNU in human glioblastoma cells. Mol. Carcinog., 21: 171-176, 1998.[CrossRef][Medline]



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