Horie Y, Arai K, Endoh S, Kuroki T, Takaku A
Department of Neurosurgery, School of Medicine, Toyama Medical and Pharmaceutical University, Japan.
J Neurosurg. 1987 Oct;67(4):553-7. doi: 10.3171/jns.1987.67.4.0553.
The antitumor compound ACNU (1-(4-amino-2-methyl-5-pyrimidinyl)methyl-3-(2-chloroethyl)-3-nitroso ure a hydrochloride) is widely used for treatment of malignant brain tumors. The authors have investigated the mechanism of acquisition of ACNU resistance at the cellular level by isolating ACNU-resistant mutants from V79 Chinese hamster cells and C6 rat glioma cells after treatment of the cells with ACNU or other alkylating agents. In V79 Chinese hamster cells, ACNU at 1 to 4 micrograms/ml caused dose-dependent induction of drug-resistant mutants to ACNU (10 micrograms/ml) and 8-azaguanine (20 micrograms/ml), but not to ouabain (1 mM). Values for the mean lethal dose of ACNU-resistant mutants were 2.4 to 17.2 times those of the parent V79 cells. The ACNU-resistant phenotype was stable during an observation period of 13 weeks. The ACNU seemed to have a specific effect in inducing ACNU-resistant mutations, because no ACNU-resistant mutations were induced by treatment of the cells with other known mutagens, such as N-methyl-N'-nitro-N-nitrosoguanidine, methylmethanesulfonate, and ethylmethanesulfonate. The C6 rat glioma cells also showed a significant mutagenic response to ACNU, producing ACNU- and 5-fluorouracil-resistant mutants. The present results have the important therapeutic and mechanistic implication that ACNU is a potent mutagen and induces mutants that are resistant to ACNU and to other drugs.
抗肿瘤化合物ACNU(1-(4-氨基-2-甲基-5-嘧啶基)甲基-3-(2-氯乙基)-3-亚硝基脲盐酸盐)被广泛用于治疗恶性脑肿瘤。作者通过在用ACNU或其他烷化剂处理V79中国仓鼠细胞和C6大鼠胶质瘤细胞后,从这些细胞中分离出ACNU抗性突变体,在细胞水平上研究了获得ACNU抗性的机制。在V79中国仓鼠细胞中,1至4微克/毫升的ACNU导致对ACNU(10微克/毫升)和8-氮杂鸟嘌呤(20微克/毫升)的耐药突变体呈剂量依赖性诱导,但对哇巴因(1毫摩尔)则无此作用。ACNU抗性突变体的平均致死剂量值是亲本V79细胞的2.4至17.2倍。在13周的观察期内,ACNU抗性表型是稳定的。ACNU似乎在诱导ACNU抗性突变方面具有特异性作用,因为用其他已知诱变剂(如N-甲基-N'-硝基-N-亚硝基胍、甲基磺酸甲酯和乙基磺酸甲酯)处理细胞不会诱导出ACNU抗性突变。C6大鼠胶质瘤细胞对ACNU也表现出显著的诱变反应,产生了对ACNU和5-氟尿嘧啶耐药的突变体。目前的结果具有重要的治疗和机制意义,即ACNU是一种强效诱变剂,可诱导出对ACNU和其他药物耐药的突变体。