Mailhes J B, Marchetti F, Phillips G L, Barnhill D R
Department of Obstetrics and Gynecology, Louisiana State University Medical Center, Shreveport 71130.
Teratog Carcinog Mutagen. 1994;14(1):39-51. doi: 10.1002/tcm.1770140106.
Etoposide (VP-16) is used as an antineoplastic drug in humans. It inhibits topoisomerase II(topoII) activity by forming a ternary complex (DNA-etoposide-topoII). This complex prevents the DNA-strand rejoining activity of topo II, which results in DNA-strand breaks and the formation of structural chromosome aberrations. Topo II activity is also required for removing regions of DNA catenation prior to chromosome segregation. The possibility exists that patients undergoing etoposide chemotherapy may incur genetic damage and, consequently, may be at a greater risk for developing secondary tumors and having genetically abnormal offspring. We studied the ability of etoposide for inducing both structural chromosome aberrations and aneuploidy in mouse oocytes. Different dosages of etoposide were given to female mice at various times before and after human chronic gonadotrophin injection, and ovulated oocytes were collected 17 h later. The proportions of chromatid acentric fragments and of hyperploid metaphase II oocytes were significantly higher (P < 0.01) in the etoposide groups than in concurrent controls. These results indicate that both structural and numerical aberrations can be induced without direct interaction with DNA or with the various organelles associated with chromosome segregation. Additionally, unlike other compounds (vinblastine, colchicine, benomyl, and griseofulvin) that induce both meiotic delay (ovulated metaphase I oocytes and polyploidy) and aneuploidy, etoposide did not cause meiotic delay in oocyte maturation.
依托泊苷(VP - 16)在人类中用作抗肿瘤药物。它通过形成三元复合物(DNA - 依托泊苷 - 拓扑异构酶II)来抑制拓扑异构酶II(topoII)的活性。这种复合物会阻止topo II的DNA链重新连接活性,从而导致DNA链断裂和结构性染色体畸变的形成。在染色体分离之前,去除DNA连环区域也需要topo II的活性。接受依托泊苷化疗的患者有可能遭受遗传损伤,因此可能有更高的风险患继发性肿瘤和生育基因异常的后代。我们研究了依托泊苷在小鼠卵母细胞中诱导结构性染色体畸变和非整倍体的能力。在注射人绒毛膜促性腺激素前后的不同时间,给雌性小鼠给予不同剂量的依托泊苷,17小时后收集排卵的卵母细胞。依托泊苷组中染色单体无着丝粒片段和超倍体中期II卵母细胞的比例显著高于同期对照组(P < 0.01)。这些结果表明,无需与DNA或与染色体分离相关的各种细胞器直接相互作用,就可以诱导结构性和数量性畸变。此外,与其他诱导减数分裂延迟(排卵的中期I卵母细胞和多倍体)和非整倍体的化合物(长春碱、秋水仙碱、苯菌灵和灰黄霉素)不同,依托泊苷不会导致卵母细胞成熟过程中的减数分裂延迟。