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[Cancer Research 60, 5815-5824, October 15, 2000]
© 2000 American Association for Cancer Research


Molecular Biology and Genetics

Apoptosis Induced by DNA Damage O6 -Methylguanine Is Bcl-2 and Caspase-9/3 Regulated and Fas/Caspase-8 Independent,1

Kirsten Ochs and Bernd Kaina2

Division of Applied Toxicology, Institute of Toxicology, University of Mainz, D-55131 Mainz, Germany


    ABSTRACT
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 
In the therapy of various kinds of tumors, methylating agents generating O6-methylguanine (O6MeG) in DNA are used. We studied the molecular mechanism of cell death induced by these agents by comparing isogenic cell lines proficient (MGMT+) and deficient (MGMT-) for the DNA repair protein alkyltransferase and exhibiting the tolerance phenotype. Hypersensitivity to methylation-induced cell killing of MGMT- cells is attributable to the potent induction of apoptosis. We show that apoptosis is a late event occurring >48 h after methylation. It was preceded by decrease in Bcl-2 protein level and accompanied by activation of caspase-9 and caspase-3. We also observed cytochrome c release and hypophosphorylation of Bad. Other members of the Bcl-2 family (Bag-1, Bak, Bax, and Bcl-xL) were not altered in expression. Transfection of MGMT- cells with bcl-2 protected against methylation-induced apoptosis, indicating that Bcl-2 plays a key role in the response. Induction of apoptosis in MGMT- cells was not triggered by Fas and Fas ligand (CD95, Apo-1) because both proteins remained unaltered in expression and receptor-proximal caspase-8 was not activated after methylation. Also, inhibition of caspase-8 was ineffective in modifying the apoptotic response, whereas inhibition of caspase-3 and caspase-9 blocked apoptosis. Tolerant cells that are unable to repair O6MeG and are impaired in mismatch repair were less sensitive regarding the induction of apoptosis and Bcl-2 decline, supporting the view that O6MeG-induced apoptosis requires mismatch repair. The ultimate O6MeG-derived lesions triggering the apoptotic pathway are likely to be DNA double-strand breaks, which were significantly formed in MGMT- but not in MGMT+ and tolerant cells and which preceded apoptosis. Overall, the data indicate that O6MeG induces apoptosis via secondary lesions that trigger Bcl-2 decline, cytochrome c release, and caspase-9 and caspase-3 activation independently of Fas/Fas ligand and p53, for which the cells are mutated.


    INTRODUCTION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 
In the therapy of various kinds of tumors, alkylating agents are commonly used because of their potent cytotoxic activity toward proliferating tissues (1) . A subgroup of alkylating anticancer drugs exhibits methylating and chloroethylating properties. These drugs are especially applied in the therapy of brain tumors, ovarian cancer, malignant melanomas, and various hematological tumors (2 , 3) . Some of these recently developed drugs (e.g., temozolomide and fotemustine) are currently under trial also for the therapy of various other solid tumors (4) . It is generally accepted that the main target for alkylating anticancer agents is genomic DNA. Minor DNA damage induced by the agents is O6 -alkylguanine (0.3 up to 8% of total DNA alkylations; Ref. 5 ), which is considered to be the preponderant pretoxic lesion (reviewed in Ref. 6 ). O6 -Alkylguanine is also a highly mutagenic, carcinogenic, and recombinogenic lesion, which was inferred from studies with cells in vitro and mice overexpressing or lacking the DNA repair protein MGMT3 (alkyltransferase; Refs. 6, 7, 8, 9, 10, 11 ). This protein specifically removes alkyl groups from the O6 -position of guanine by transferring them to an active center of its own; thereby, the protein becomes inactivated, and guanine in DNA is restored (12) . Expression of MGMT very efficiently protects against the cytotoxic, sister chromatid exchange-inducing, clastogenic and carcinogenic activity of O6 -alkylguanine-generating agents, which provides the strongest support for the paradigm that O6 -alkylguanine is the primary cause of the induction of these biologically highly relevant end points.

For methylating agents inducing O6 MeG in DNA, evidence is available to show that the lesion pairs with thymine, forming a mispair that is subjected to MMR (13 , 14) . It is believed that, because of faulty repetitive repair cycles, secondary lesions are generated, leading ultimately to reproductive cell death and chromosomal damage (15, 16, 17) . This is in line with the finding that cells that are defective in MMR are more resistant to methylating agents inducing O6 MeG, although these cells do not express MGMT (so-called tolerant cells; Refs.18, 19, 20, 21 ). Overall, as regards O6 MeG as the primary critical DNA damage, both the efficiency of prereplicative repair by MGMT and the postreplicative DNA MMR determine the level of cell killing and chromosomal damage.

Whereas mutations, chromosomal aberrations, and malignant transformation induced by O6 MeG have been studied in detail, the molecular mechanism of cell death is only rudimentarily understood. A deeper insight into cell killing processes would be especially desirable in view of modifying cell death functions to optimize tumor therapy. Recently, it has been shown that MGMT-deficient cells are more sensitive than MGMT-proficient cells in the induction of apoptosis, indicating that alkylation-induced cell killing is largely attributable to apoptosis and that O6 MeG acts as a trigger of this toxic response (15 , 22 , 23) . Apoptosis induced by O6 MeG is likely to be mediated by the same or a similar pathway acting on damaged DNA, which generates genotoxic effects, i.e., by the participation of MMR. This has recently been supported by demonstrating that in hamster and human cells, MutS{alpha}, a mismatch-binding heterodimeric protein complex composed of MSH2 and MSH6, is required for the initiation of apoptosis in response to methylation (24) . The apoptotic signaling, however, i.e., the activation or inhibition of apoptotic functions in response to O6 MeG, is completely unknown. In the present study, we investigated the expression of relevant apoptotic proteins and their significance for O6 MeG-triggered apoptosis by comparing isogenic Chinese hamster cell lines that are MGMT deficient (MGMT-), MGMT proficient (MGMT+), and that exhibit the tolerance phenotype (i.e., MGMT-, MMR compromised cells) upon exposure to a potent DNA-methylating agent.


    MATERIALS AND METHODS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 
Drugs
MNNG (Sigma Chemical Co.) and O6 -BG (synthesized by H. Kunz, Institute of Organic Chemistry, Mainz, Germany) were dissolved in DMSO. MNNG was further diluted with sterile distilled water and stored in batches at -80°C.

Cell Culture
The cell lines neo-C5 (here briefly designated as MGMT-) and AT17-C3 (designated as MGMT+) are derivatives of CHO-9 and were generated by transfection with pSV2neo and pSV2neo + pSV2 MGMT, respectively (7) . MGMT- cells have no detectable MGMT activity. MGMT+ cells express 750 fmol/mg protein. The line TK22-cos9-5-1/2-C1-M (here designated as tolerant) is also a derivative of CHO-9, which was generated as described previously (18) . The cells are MGMT deficient and resistant to the cytotoxic and clastogenic effects of O6 MeG-generating compounds. They are cross-resistant to 6-thioguanine and display reduced G-T binding activity and MSH2 level (18) . Therefore, they are clearly representative of the so-called tolerance phenotype. All cell lines were maintained in DMEM:F-12 (1:1) supplemented with 10% inactivated FCS containing 1.5 mg/ml G418. The addition of G418 was omitted during the experiments.

Transfection Experiments
To overexpress Bcl-2, CHO-9 cells were stably transfected with the expression vector pcDNA3.1(-)Myc-His harboring wild-type bcl-2 under the transcriptional control of the cytomegalovirus promoter (25) . Transfection was performed using Lipofectamine (Life Technologies, Inc.). Cells were selected with G418 (1.5 mg/ml), and individual clones were checked for Bcl-2 expression by Western blot analysis.

Cell Death Analysis
MTT Assay.
Cell growth and cytotoxicity after treatment with MNNG was tested using the MTT assay. Cells (1,500/well), grown in 24-well plates, were treated with different doses of MNNG 24 h after seeding. After incubation for 96 h, their potential to metabolize MTT was quantitated as described (26) with some modifications. MTT (50 µl/500 µl of medium) dissolved in PBS (5 mg/ml) was added to each well and incubated for 3 h at 37°C. After discarding supernatants, 0.2 ml of 96% ethanol was added to dissolve formazan crystals, and absorbance (A) was measured at 540 and 690 nm for reference. Results are expressed as the ratio of A per treatment level/A of untreated control.

Clonogenic Survival Assays.
Reproductive cell death was assayed by measuring colony formation with and without MNNG treatment as described (7) .

Apoptosis and Necrosis.
The frequency of apoptosis and necrosis in untreated cell populations and after their treatment with MNNG was determined using Annexin V and flow cytometry (27) . In this assay, unfixed cells were double-stained with Annexin V and propidium iodide, which allows the quantitation of both apoptotic and necrotic cells. Exponentially growing cells were treated with MNNG, harvested by gentle trypsinization (0.025% trypsin containing EDTA), washed with cold PBS, subjected to Annexin V and propidium iodide staining (according to the manufacturer’s protocol; Annexin V-FITC; PharMingen) and to flow cytometric measurement. Evaluation of cell populations was performed using a computer-based program (Cell Quest; Becton Dickinson).


    Preparation of Cell Extracts and Western Blotting
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 
Nuclear cell extracts were prepared as described (28) in the presence of 1 mM phenylmethylsulfonyl fluoride and 10 µg/ml aprotinin, 10 µM bestatin, 10 µM leupeptin, 1 µM pepstatin, and 0.1 mM phenylmethylsulfonyl fluoride. Whole-cell extracts were prepared by lysis of PBS washed cells (105 cells/10 µl) in ice-cold sample buffer containing 25 mM Tris-HCl (pH 6.8), 1% SDS, 5% glycerol, and 2.5% 2-mercaptoethanol, followed by sonification (Branson sonifier, 30 KHz, 3 x 10 s) on ice. The mitochondrial and cytosolic extracts were isolated by differential centrifugation as described (29) . For detection of Bcl-2 family proteins (Bcl-2, Bad, Bak, Bax, Bag-1, and Bcl-xL) and Fas-L, whole-cell extracts were separated onto 0.1% SDS, 12% polyacrylamide gels and subjected to Western blotting as described (30) . The mitochondrial and cytosolic extracts for the detection of cytochrome c were fractionated onto 0.1% SDS, 15% polyacrylamide, and the nuclear extracts for PARP were fractionated onto 0.1% SDS, 7% polyacrylamide gels. Proteins were visualized by ECL or ECL Plus (Amersham).


    Antibodies
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 
Monoclonal and polyclonal antibodies against Bcl-2 and polyclonal antibodies against Bad, Bak, Bax, Bag-1, cytochrome c, and ERK-2 were obtained from Santa Cruz Biotechnology. The polyclonal antibody against Bcl-xL and the monoclonal antibody against Fas-L were purchased from Transduction Laboratories, Inc.


    Measurement of Caspase Activities
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 
The caspase activity assays are based on spectrophotometric detection of the chromatophore pNA after cleavage from the labeled substrate LEHD-pNA by caspase-9 protease, DEVD-pNA by caspase-3-like proteases, and IETD-pNA by caspase-8 protease. Assays were performed with the CPP32/caspase-3 resp. FLICE/caspase-8 colorimetric kit (Chemicon) or the caspase-9, caspase-3 resp. caspase-8 colorimetric kit (R&D Systems) according to the manufacturer’s protocol.


    Caspase Inhibitors
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 
The caspase inhibitory peptides Z-VAD-FMK and Z-DEVD-FMK were obtained from Calbiochem, and the protease inhibitor Ac-DEVD-CHO was purchased from Alexis, Inc. The inhibitors Z-IETD-FMK and Z-LEHD-FMK were from Enzyme System Products.


    Neutral Single-Cell Gel Electrophoresis
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 
The procedure originally described for the neutral single-cell gel electrophoresis for detection of DNA dsb on individual cell level (31) was modified as follows. Cells (2 x 105 ) were seeded per 5-cm dish and treated 24 h later with 10 µM MNNG. At various times after treatment, cells were trypsinized, washed with cold PBS, and kept on ice until assayed. Cells were embedded in 0.5% low melting point agarose, and microscope slides were immersed in ice-cold lysis solution [2.5 M NaCl, 100 mM EDTA, 10 mM Tris, 1% sodium laurylsarcosine (pH 7), 1% Triton X-100, and 10% DMSO were added freshly] and kept at 4°C for 1 h. After lysis, electrophoresis (25 V) was carried out at 4°C for 15 min in 90 mM Tris, 90 mM boric acid, and 2 mM EDTA. The fixed and ethidium bromide stained slides were analyzed using a fluorescence microscope. Analysis of DNA migration was performed by image analysis system (Kinetic Imaging Ltd.; Komet 4.0.2; Optilas) determining the median tail moment (percentage of DNA in the tail x tail length) of 50 cells/sample.


    RESULTS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 
Apoptosis in MGMT-deficient and Methylation-tolerant Cells.
The cell lines used in this study were isogenic Chinese hamster (CHO) cells that are either MGMT deficient (here designated as MGMT-), MGMT proficient (MGMT+), or exhibit the tolerance phenotype (designated as tolerant). MGMT- cells exhibit a reduced cell survival, as measured by colony formation after treatment with DNA methylating agents, compared with MGMT+ and tolerant cells (7 , 15 , 18) . To determine how apoptosis contributes to the observed hypersensitivity of MGMT-deficient cells, the yield of apoptosis was measured after treatment with MNNG. In MGMT- cells, apoptosis was significantly induced and increased as a function of dose of the mutagen (Fig. 1A)Citation . Tolerant cells showed a clearly lower frequency of apoptosis than MGMT- cells. It was only slightly enhanced above the level of MGMT+ cells, which did not show significant apoptosis within the dose range of the mutagen applied (Fig. 1A)Citation . Time course experiments revealed that induction of apoptosis is a late event. Increase of apoptosis was found only at stages later than 48 h after pulse treatment with MNNG. Thereafter, the frequency of apoptosis increased gradually with a high yield observed 96 and 120 h after treatment (Fig. 1B)Citation . Again, in the time course experiments, MGMT+ and tolerant cells showed lower levels of apoptosis than MGMT- cells (Fig. 1B)Citation . The yield of apoptosis was higher than the level of necrosis with all doses and times tested (<15%; data not shown), indicating that apoptosis is the major cause of O6 MeG-induced cytotoxicity in MGMT- cells.



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Fig. 1. Induction of apoptosis in MGMT-deficient (MGMT-), MGMT-proficient (MGMT+), and methylation-tolerant (Tol) cells by MNNG. A, frequency of apoptosis 72 h after treatment with different doses of MNNG. B, frequency of apoptosis as a function of time after treatment with 5 and 20 µM MNNG, respectively. Apoptosis was measured as described in "Materials and Methods." Data points are the means of four independent experiments; bars, SD.

 
Reduced Bcl-2 Protein Level in Response to MNNG Treatment in MGMT- Cells.
To investigate the role of pro- and antiapoptotic members of the Bcl-2 family in the induction of apoptosis in MGMT- cells, we determined their expression in untreated and MNNG-treated cells by Western blot analysis of total cell extracts. As shown in Fig. 2Citation A, MNNG provoked a lower level of expression of Bcl-2 in MGMT- cells but not in MGMT+ cells, as measured 72 and 96 h after treatment. Decline in Bcl-2 level was dose dependent (Fig. 2Citation D, left panel). Time course analysis revealed that it did not occur before 24 h after treatment. A decline in Bcl-2 started at 48 h after MNNG exposure and continued (reaching 25% of the control level) up to 120 h after treatment (Fig. 2, BCitation and D, right panel). Interestingly, MGMT+ cells showed a slight up-regulation of the Bcl-2 protein level (1.8-fold) when treated with a moderate dose of MNNG (10 µM; Fig. 2, A and DCitation ). Tolerant cells showed nearly no reduction of Bcl-2 as compared with MGMT- cells upon MNNG treatment (Fig. 2C)Citation . The expression levels of proapoptotic Bak (Fig. 2A)Citation and Bax (Fig. 2B)Citation remained unchanged in both MGMT- and MGMT+ cells. Overall, the results show that O6 MeG-induced apoptosis in MGMT- cells is associated with a reduced Bcl-2 protein level, whereas the enhanced apoptotic resistance of MGMT+ and tolerant cells is related to nearly unchanged Bcl-2 expression.



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Fig. 2. Levels of Bcl-2, Bak, and Bax after MNNG treatment. A, expression of Bcl-2 and Bak in MGMT- and MGMT+ cells untreated (Con) and 72 resp. 96 h after treatment with 10 µM MNNG. B, expression of Bcl-2 and Bax in MGMT- cells untreated (Con) and treated with MNNG (15 µM) as measured various times after methylation. C, expression of Bcl-2 in tolerant cells (Tol) as compared with MGMT- cells 72 and 96 h after treatment with 15 µM MNNG. All filters were reincubated with ERK-2 antibody, which served as a loading control for quantitation. D, relative Bcl-2 expression in MGMT- and MGMT+ cells after treatment with MNNG as a function of dose (left panel) and, for MGMT- cells treated with 15 and 20 µM MNNG, as a function of time (right panel). The relative expression levels of Bcl-2 in MNNG-treated cells were determined by quantitation of Bcl-2 signals, which were set in relation to ERK-2. Data are from Western blots shown in A–C and further data not shown.

 
Depletion of MGMT in MGMT+ Cells Results in Induction of Apoptosis and Decrease in Bcl-2 after MNNG Treatment.
To check whether the expression of MGMT (and not the cellular background) was responsible for the low yield of MNNG-induced apoptosis, we depleted MGMT activity by feeding MGMT+ cells with the potent MGMT inhibitor O6 -BG. The addition of O6 -BG 2 h prior to MNNG treatment caused nearly complete inactivation of MGMT (750 fmol/mg protein in control and 15 fmol/mg in O6 -BG-exposed cells). Under these conditions, cells exhibited a significant increase in the frequency of MNNG-induced apoptosis (Fig. 3A)Citation . Furthermore, MGMT-depleted cells showed a clearly reduced level of expression of Bcl-2, as measured 72 h after treatment with MNNG (Fig. 3B)Citation . The data support the conclusion that unrepaired O6 MeG leads to a decline of Bcl-2 and the induction of apoptosis.



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Fig. 3. Apoptosis and Bcl-2 decline in MGMT proficient (MGMT+) cells depleted for MGMT activity. A, frequency of apoptosis in MGMT+ cells not treated (-) and treated (+) with MNNG (10 µM) and/or O6-BG (15 µM). For complete depletion of MGMT activity, O6-BG was added to the cells 2 h before treating them with MNNG. Data are the means of three independent experiments; bars, SD. B, expression of Bcl-2 in MGMT+ cells not treated and treated with MNNG and not pretreated and pretreated with O6-BG (15 µM). Western blot analysis of 30 µg of total cell extracts/lane is shown. The relative expression levels of Bcl-2 were determined in relation to ERK-2 and shown on the bottom of the blot.

 
Overexpression of Bcl-2 Protects MGMT- Cells from MNNG-induced Apoptosis and Cytotoxicity.
Having shown that MNNG-induced apoptosis in MGMT- cells is associated with a reduced Bcl-2 level, we next investigated whether enhanced expression of Bcl-2 protects against MNNG-induced apoptosis in this cell system. To this end, we stably transfected MGMT- CHO cells with Myc-tagged Bcl-2 or, as a control, with a vector carrying the neo gene only. Several G418-resistant clones were screened by Western blot analysis with anti-Myc antibody. Two Bcl-2-overexpressing clones were selected (designated as MGMT-/bcl-2wt/10 and MGMT-/bcl-2wt/20) and examined for MNNG-induced apoptosis. As shown in Fig. 4Citation A, both Bcl-2 overexpressing clones exhibited clearly reduced frequencies of apoptosis, compared with the control. Bcl-2 overexpression also improved viability of MNNG-treated cells, as measured by the MTT assay (data not shown) and colony formation (Fig. 4B)Citation . This indicates that cells overexpressing Bcl-2 were not only protected against apoptosis but were also able to proliferate, forming colonies. Western blot analysis revealed that transfection of Bcl-2 did not block MNNG-induced decline of the endogenous Bcl-2. Thus, Bcl-2 both in the control and the transfectant wt/20 decreased in amount after treatment with MNNG (Fig. 4C)Citation . There was also reduction of the transfected Myc-tagged Bcl-2, which followed a similar dose-response as observed for the endogenous protein (Fig. 4C)Citation . The data indicate that the endogenous and the transfected Bcl-2 protein are subject to destruction. They also show that overexpressed Bcl-2 compensates for the degraded endogenous protein, thus promoting survival.



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Fig. 4. Effect of overexpression of Bcl-2 in MGMT- cells on apoptosis, cell survival, and Bcl-2 level after MNNG treatment. MGMT-deficient cells were stably transfected with an expression vector encoding myc-tagged wild-type Bcl-2 (to be able to distinguish between transfected and endogenous Bcl-2). A, frequency of apoptosis in Bcl-2-overexpressing MGMT- cell clones (bcl-2wt/10 and bcl-2wt/20), as compared with the corresponding neo-transfected MGMT- cells and tolerant cells (Tol), as a function of dose 96 h after treatment with MNNG. Data are the means of at least three independent experiments; bars, SD. B, reproductive cell death, as measured by loss of colony-forming ability, after treatment with different doses of MNNG. Data are the means of three independent experiments; bars, SD. C, expression of myc-tagged Bcl-2 and endogenous Bcl-2 in MGMT-/bcl-2wt/20 cells which were untreated (Con) and treated with different doses of MNNG, as compared with neo-transfected MGMT- cells. Total cell extracts were prepared 96 h after treatment and subjected to Western blot analysis. The relative expression levels of myc-tagged Bcl-2 and endogenous Bcl-2 were determined by densitometric measurement and plotted as a function of dose of MNNG. The nontreated control was set to 100%.

 
Bad Becomes Hypophosphorylated in Apoptotic MGMT- Cells.
Phosphorylated and thereby inactivated Bad is known to be bound by 14-3-3 protein, thus liberating Bcl-xL and Bcl-2, which promote cell survival (32, 33, 34) . To determine whether Bad participates in the initiation of apoptosis in MGMT- cells, Western blot analysis of total cell extracts was performed. Fig. 5Citation illustrates that Bad is present mainly in its hyperphosphorylated form in untreated MGMT+ and MGMT- cells. MGMT- but not MGMT+ cells treated with MNNG showed accumulation of hypophosphorylated Bad, as detected 96 and 120 h after treatment. Expression of antiapoptotic Bag-1 and Bcl-xL remained unaltered. Thus, it appears that in MGMT- cells treated with MNNG, the decline of Bcl-2 protein is followed by accumulation of hypophosphorylated Bad.



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Fig. 5. Expression of Bad, Bag-1, and Bcl-xL upon MNNG treatment. The level of the Bcl-2 family members Bad, Bag-1, and Bcl-xL in MGMT+ and MGMT- cells was determined 72, 96, and 120 h after treatment with 15 µM MNNG. Western blot analysis was performed with 30 µg of total cell extract/lane. Arrows, phosphorylated and nonphosphorylated form of Bad. For Bag-1 only, the Mr 32,000 protein was detectable in CHO cells. Con, nontreated control.

 
Apoptosis in MGMT- Cells Is Associated with Release of Cytochrome c, Activation of Caspase-9 and Caspase-3, and Cleavage of PARP.
The mitochondrial matrix protein cytochrome c translocates to the cytosol in cells undergoing apoptosis and is known to be a direct participant in the activation of caspases (35) . Therefore, we determined whether O6 MeG-induced Bcl-2 decline and apoptosis is accompanied by release of cytochrome c and caspase activation. Mitochondrial and cytosolic extracts were isolated by differential centrifugation and subjected to Western blot analysis. Release of mitochondrial cytochrome c occurred in MGMT- cells between 48 and 72 h after treatment with MNNG (not shown). This led to an increase in the cytosolic cytochrome c level, which was still detectable 96 h after methylation (Fig. 6A)Citation . Under the same treatment conditions, MNNG did not provoke cytochrome c release in MGMT+ cells (Fig. 6A)Citation . Regarding caspases, we found an increase in the activity of caspase-9 and caspase-3 in MGMT- cells 48–96 h after treatment with MNNG, whereas in MGMT+ cells, both caspases remained largely unaffected (Fig. 6B)Citation . The Mr 85,000 breakdown product of PARP was detectable in MGMT- cells at the earliest stage 78 h after MNNG treatment. Cleavage culminated at 96 h after treatment (Fig. 6C)Citation . Collectively, the data show that CHO cells undergoing MNNG-induced apoptosis exhibit cytochrome c release from mitochondria, activation of caspase-9 and caspase-3, and cleavage of PARP.



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Fig. 6. Cytochrome c release, caspase-9, and caspase-3 activity and cleavage of PARP in MNNG-treated MGMT- cells. A, Western blot analysis of cytochrome c expression in the cytosol of untreated (Con) and treated MGMT- and MGMT+ cells after treatment with 15 µM MNNG. B, extracts of untreated cells and of cells treated with 15 µM MNNG (for 60 min) were assayed for LEHD (caspase-9) and DEVD (caspase-3-like proteases) activity as a function of time after treatment. The caspase activity of untreated cells was set to 100%. The values are derived from two to three independent experiments, each performed in duplicate; bars, SD. C, expression and cleavage of PARP. Western blot analysis of nuclear cell extracts (50 µg each) of MGMT- and MGMT+ cells at different times after treatment with 15 µM MNNG. Arrows, uncleaved form of PARP and the Mr 85,000 cleavage product.

 
Induction of Apoptosis in MGMT- Cells Is Not Related to Altered Fas/Fas-L Expression.
Activation of the apoptotic pathway may occur via Fas-L/Fas-R (36) and activation of the downstream caspase-8 (37) . To determine whether Fas-R/Fas-L is involved in O6 MeG-induced apoptosis, we investigated Fas-L expression and assayed the activity of caspase-8 in MGMT+ and MGMT- cells. As shown in Fig. 7Citation A, Fas-L was expressed in untreated CHO cells and remained unaltered in both cell types after MNNG treatment. Incubation of untreated and MNNG-treated MGMT- cells with anti-Fas-R-FITC-conjugated antibody and subsequent flow cytometric measurement revealed that the same was true for the Fas-R, i.e., the expression of Fas-R was not changed (not shown). Also, the receptor proximal caspase-8 was not activated in either MGMT- or MGMT+ cells treated with MNNG (Fig. 7B)Citation . For control, Jurkat cells were treated with doxorubicin, which caused a nearly 3-fold induction of caspase-8, compared with the untreated control, which is in line with a previous report (38) . On the basis of this data, we conclude that MNNG induces apoptosis in MGMT- cells without triggering the Fas-R/Fas-L system.



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Fig. 7. Fas-L and caspase-8 in MGMT- cells upon methylation. A, expression of Fas-L in MGMT+ and MGMT- cells at various times after treatment with 15 µM MNNG, as determined by Western blot analysis (30 µg of total cell extract/lane). B, relative IETD (caspase-8) cleavage activity in extracts of MGMT- and MGMT+ cells as a function of time after treatment with 15 µM MNNG. Caspase activity of untreated cells was set to 100%. For comparison, the activation of caspase-8 was assayed in Jurkat T leukemia cells after treatment with doxorubicin (100 ng/ml; 15 h after treatment). Data were obtained from two independent experiments performed in duplicate; bars, SD.

 
Inhibitors of Caspase-3-like Proteases and Caspase-9, but not Caspase-8, Abrogate Apoptosis in MGMT- Cells.
To analyze the role of caspase activation in O6 MeG-induced apoptosis, we incubated MGMT- cells with MNNG either in the absence or presence of caspase inhibitors and determined the frequency of apoptosis 72 h later. The results are shown in Fig. 8Citation . Z-VAD-FMK, a general caspase inhibitor, showed the most efficient inhibition of apoptosis (up to 70%). Z-DEVD-FMK and Ac-DEVD-CHO, which are selective inhibitors of the caspase-3 subfamily, and Z-LEHD-FMK, a specific inhibitor of caspase-9, also inhibited MNNG-induced apoptosis. In contrast, Z-IETD-FMK, a specific inhibitor of caspase-8, was completely ineffective in protecting MGMT- cells against MNNGinduced apoptosis. Similar results have been obtained when apoptosis was measured 96 h after MNNG treatment (not shown). The results support the conclusion drawn above that caspase-9 and caspase-3, but not caspase-8, are required for O6 MeG-induced apoptosis in CHO cells.



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Fig. 8. Effect of caspase inhibitors on MNNG-induced apoptosis in MGMT- cells. Cells were treated with 10 µM MNNG in the absence or presence of caspase inhibitors: Z-LEHD-FMK (caspase-9); Ac-DEVD-CHO and Z-DEVD-FMK (caspase-3-like proteases); Z-IETD-FMK (caspase-8); and Z-VAD-FMK (general caspase inhibitor). Caspase inhibitors were used at a concentration of 40 and 100 µM. Apoptosis was measured 72 h after treatment with MNNG as described above. The frequency of apoptosis in MGMT- cells treated with 10 µM MNNG in the absence of inhibitors was set to 100%. Control indicates apoptosis in untreated cells. Data are the means of three independent experiments; bars, SD.

 
Generation of DNA dsb in MGMT- Cells Precedes Apoptosis.
Because O6 MeG is a critical primary lesion that requires MMR to induce apoptosis ( Ref. 24 and this work), the question arises as to the ultimate trigger of the apoptotic pathway. The distal DNA damage triggering the response was previously hypothesized to be DNA breaks arising from faulty MMR (15) . As shown in Fig. 9Citation , significant induction of DNA dsb was observed in MGMT- cells but not in MGMT+ and tolerant cells. The frequency of dsb strongly increased 24–48 h after MNNG treatment and thus clearly preceded the induction of apoptosis (Fig. 10)Citation . The finding that in tolerant cells dsb were not generated after MNNG treatment indicates that MMR is involved in the induction of DNA breaks by unrepaired O6 MeG.



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Fig. 9. DNA dsb in MGMT-, MGMT+, and tolerant cells after MNNG exposure. The dsb level was determined in the cell lines at various times after pulse treatment (60 min) with 10 µM MNNG by neutral single-cell gel electrophoresis, as described in "Materials and Methods." Data are the means of at least four independent experiments for each cell line; bars, SD.

 


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Fig. 10. Comparison of time dependence of dsb formation, Bcl-2 decline, caspase-9 and caspase-3 activation, and the appearance of apoptotic cells after pulse treatment with MNNG.

 

    DISCUSSION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 
This study was performed to gain insight into the molecular mechanism of O6 MeG-induced cell killing by analyzing the apoptotic pathway in cells either proficient or deficient for the DNA repair protein MGMT and exhibiting the tolerance phenotype. CHO cells deficient for MGMT and thereby unable to repair O6 MeG are dramatically more sensitive than MGMT-expressing cells to the induction of apoptosis, exhibiting a linear dose-response upon treatment with MNNG. Theoretically, necrosis could also account for increased cell killing. However, the frequency of necrotic cells (which we measured parallel to apoptosis in the same cell population) was rather low (<15% with the highest dose of MNNG). This confirms that apoptosis largely accounts for the hypersensitivity of MGMT-deficient cells as to reproductive cell death (7 , 39) . As shown in time course experiments, apoptotic cells were detected not earlier than 72 h after pulse treatment with MNNG, and maximal yields of apoptosis were induced as late as 96 and 120 h after treatment. This indicates that O6 MeG-induced apoptosis is a late event. Tolerant cells were nearly completely resistant to MNNG-induced apoptosis when treated with low doses of the agent that were still effective in MGMT- cells (5–10 µM). They exhibited only slightly enhanced rates of apoptosis on treatment with higher doses (15–25 µM). The tolerant cells used here are derivatives of CHO-9 that do not express MGMT; they are resistant to O6 MeG-generating agents because of reduced G-T mismatch binding activity and MSH2 protein level (18) . The low apoptotic response of these cells is consistent with the hypothesis that O6 MeG-T mispairs, resulting from replication of unrepaired O6 MeG in DNA, are subject to MMR, which triggers apoptosis (15 , 24) . It should be noted that the mere presence of O6 MeG in DNA is not sufficient for eliciting apoptotic activity because nondividing cells treated with MNNG do not respond with induction of apoptosis.4 Obviously, DNA replication, the formation of O6 MeG-T mispairs, and their processing by MMR are essentially involved. This is in line with a recent study showing MutS{alpha} to be required for apoptosis in MGMT-deficient cells (24) . Overall, the data reported here support previous findings that O6 MeG is a potent apoptosis-inducing DNA lesion and that compromised MMR on O6 MeG-T sites protects cells from apoptosis (15 , 22 , 23) .

Mismatch repair at O6 MeG-T sites takes place both in the first (after DNA replication) and in the second posttreatment cycle. Abortive MMR, i.e., repetitive misincorporation of thymine opposite to O6 MeG, may create DNA single-strand gaps leading to chromosomal breakage in the subsequent S-phase. This model of formation of MMR-derived secondary lesions resulting in chromosomal aberrations (15 , 40, 41, 42) gains support here by showing that DNA dsb were formed in replicating MGMT-deficient cells after MNNG treatment. Interestingly, tolerant cells as well as MGMT+ cells showed no induction of dsb and apoptosis when treated with MNNG, indicating that formation of dsb is involved in the initiation of apoptosis. This is further supported by findings that show: (a) cells out of the exposure cycle do not undergo apoptosis after MNNG treatment, although O6 MeG-T mismatches were formed in S-phase; (b) the formation of dsb precedes the appearance of apoptotic cells (see Fig. 10Citation ); and (c) electroporation of cells with restriction enzymes specifically provokes the formation of dsb and induces decline in Bcl-2 and apoptosis as a delayed response.5

To address the question of the apoptotic pathway that becomes activated in response to O6 MeG, we analyzed various apoptosis-regulating proteins. DNA-damaging agents may induce apoptosis by activating p53-dependent functions via death receptors (such as tumor necrosis factor receptor-1, Fas, or DR5; Refs. 43, 44, 45 ) and/or by mitochondrial damage (46 , 47) . Our data show that expression of Fas (CD95, Apo-1) receptor and Fas ligand is not altered in MGMT- CHO cells upon methylation. More importantly, caspase-8, the most proximal caspase in Fas receptor signaling, was not activated, and inhibition of caspase-8 by Z-IETD-FMK did not block apoptosis. We thus conclude that O6 MeG does not trigger apoptosis via Fas receptor signaling. We should note that CHO cells are mutated for p53 (48 , 49) , which was shown to up-regulate the Fas-R in response to DNA damage (45) . p53 was also reported to up-regulate Bax (50) and to turn on redox-related genes, leading to the generation of reactive oxygen species and mitochondrial damage (51) . Despite the central role p53 is ascribed in apoptosis, its involvement appears to be dependent on cell type and the inducing agent. Clearly, apoptosis in the cell system we were working with does not require p53, and therefore, we can conclude that O6 MeG leads to apoptosis in CHO cells independently of p53. The p53-independent apoptotic pathway seems to play an important role especially in fibroblasts, which is supported by data obtained with p53 knockout fibroblasts from mice. These cells are highly sensitive to the induction of apoptosis by alkylating agents, suggesting that in fibroblasts p53 is not required for apoptosis; it rather protects against it, very likely because of prereplicative DNA repair.6 However, in other cell types, notably lymphoblastoid and liver cells, DNA damage-induced apoptosis is dependent on functional p53 and Fas-R/caspase-8 (52 , 53) . Therefore, in these cell types DNA damage-induced signaling is likely to be different from that in fibroblasts.

We show that a hallmark of O6 MeG-induced apoptosis is the reduction of the expression level of the antiapoptotic protein Bcl-2. Bcl-2 decline was observed prior to and concurrent with the induction of apoptosis in MGMT-deficient cells (and in MGMT- depleted cells upon incubation with the MGMT inhibitor O6 -benzylguanine) but not in MGMT-proficient and -tolerant cells. To our knowledge, this is the first report demonstrating reduced expression of Bcl-2 in response to unrepaired O6 MeG. Furthermore, the results obtained with the tolerant cells demonstrate that protection from induction of apoptosis by defective MMR is associated with steady expression of Bcl-2. To further prove the participation of Bcl-2 in regulation of apoptosis in this cell system, we stably transfected MGMT-deficient cells with wild-type Bcl-2. Overexpression of Bcl-2 blocked MNNG-induced apoptosis by >60% and reduced MNNG cytotoxicity. Overall, the findings strongly indicate that Bcl-2 acts at a proximal step in O6 MeG-triggered apoptosis. The ability of Bcl-2 to protect cells against the induction of apoptosis was also shown for ionizing radiation, alkylating agents, and various chemotherapeutic drugs (22 , 54, 55, 56) . While studying apoptosis in response to the chemotherapeutic agents vincristine and etoposide, Zhang et al. (56) reported a protection by Bcl-2 overexpression but stated that Bcl-2 fails to maintain the ability of the cells to proliferate. In contrast, in our experiments Bcl-2-overexpressing cells deficient for MGMT exhibited a clearly enhanced colony-forming ability upon treatment with MNNG and continued to proliferate. We should note that none of the Bcl-2-overexpressing cell clones we isolated became as resistant as the wild-type when treated with MNNG. This indicates that the signal triggered by O6 MeG-derived lesions must be very strong; it cannot be completely alleviated by Bcl-2 overexpression. It should also be noted that decline of endogenous Bcl-2 still occurred in Bcl-2-overexpressing cells, and that, at the same time, the level of the transfected Bcl-2 was reduced as well. This may be taken to indicate that decline in Bcl-2 level is not attributable to down-regulation of Bcl-2 gene expression but rather is a posttranslational phenomenon. Future work will focus on the mechanism of Bcl-2 down-modulation. It has been shown that inhibitors of microtubuli formation, such as Taxol and vincristine, induce phosphorylation of Bcl-2, which neutralizes the antiapoptotic function of the protein (57) . Whether Bcl-2 phosphorylation provokes Bcl-2 instability is unknown. It will be interesting to see whether a Bcl-2 decline in MGMT- cells upon alkylation is attributable to protein instability or controlled degradation.

Bcl-2 is known to target the protein kinase Raf-1 to mitochondria, allowing the kinase to phosphorylate and thereby inactivate proapoptotic Bad (33 , 58) . Our studies revealed an accumulation of hypophosphorylated Bad after decline of Bcl-2 in apoptotic MGMT-deficient cells. This finding corresponds to the reported ability of hypo- and unphosphorylated Bad to dimerize with Bcl-xL and thereby displace Bax, which then promotes cell death (34) . This is in line with our finding of a reinforcement of apoptosis when the hypophosphorylated form of Bad was dominating (96 h after treatment). From this we conclude that Bad participates in controlling O6 MeG-triggered apoptosis by directly amplifying Bcl-2-mediated signaling.

Damage to mitochondria can result in release of cytochrome c to the cytosol (59) . Cytochrome c causes caspase activation by forming a complex with Apaf-1 and procaspase-9, leading to activation of caspase-9, which in turn activates procaspase-3 (60 , 61) . In this process, Bcl-2 is thought to be involved by preventing the release of cytochrome c from mitochondria and thereby the activation of caspases (35 , 62) . We show that decline of Bcl-2 triggered by O6 MeG in MGMT- cells is accompanied by accumulation of cytosolic cytochrome c and activation of caspase-9 and caspase-3. Caspase-9 and caspase-3 activation clearly preceded O6 MeG-induced apoptosis (Fig. 10)Citation , indicating that mitochondria-mediated caspase activation is decisively involved. Experiments with caspase inhibitors confirmed this. Both the general caspase inhibitor Z-VAD-FMK and the specific caspase-9 inhibitor Z-LEHD-FMK, as well as the inhibitors of caspase-3-like proteases, Z-DEVD-FMK and Ac-DEVD-CHO, significantly reduced apoptosis in response to O6 MeG. Contrary to this, no inhibition of apoptosis was achieved with Z-IETD-FMK, a specific inhibitor of caspase-8. This supports the conclusion that activation of caspase-9 and caspase-3 is important for O6 MeG-triggered apoptosis, whereas caspase-8 is not essential.

We did not observe a change in the level of Bcl-xL and Bax, which heterodimerizes with Bcl-2 and forms dimers with itself (63, 64, 65) . A decline in Bcl-2 level in MGMT- cells after MNNG treatment may result in increased formation of Bax homodimers. Its generation in apoptotic MGMT- cells is likely further enhanced by lack of Bcl-2-mediated hyperphosphorylation of Bad, which binds to Bcl-xL, thus setting Bax free. Overall, our data are consistent with the model that apoptosis induced by O6 MeG is triggered by reduction of the relative ratio of Bcl-2/Bax, causing cytochrome c liberation from mitochondria. It should be noted that lack of cytochrome c in mitochondria may lead to uncoupling of electron chain transport, yielding a burst of reactive oxygen radicals that further damage the cell (64) . Reactive oxygen radicals, however, are not likely to be important for O6 MeG-triggered apoptosis because incubation of MGMT-deficient cells treated with MNNG with various antioxidants completely failed to inhibit apoptosis (data not shown). We should note that only a small proportion of cytochrome c from mitochondria was found to be released. It therefore appears that sufficient cytochrome c still remains within mitochondria, thus maintaining electron transport.

We also show that activation of caspase-9 and caspase-3 after MNNG treatment of MGMT-deficient cells results in cleavage of PARP. Whether PARP cleavage is directly involved in the induction of apoptosis is still unclear. It is unlikely, however, that it is an essential step in O6 MeG-induced apoptosis because it started to take place at a time (>78 h after treatment with MNNG) when apoptotic cells were already appearing. Thus, it seems that PARP cleavage is a late side effect of caspase-9 and caspase-3 activation.

The time sequence of the main apoptotic functions measured in MGMT- cells upon treatment with MNNG is summarized in Fig. 10Citation . It is interesting to note that the formation of dsb precedes the decline of Bcl-2 and the activation of caspase-9 and caspase-3. Although the data do not reject the hypothesis that faulty MMR directly activates apoptotic functions, they support the view that dsb are involved in triggering the decline of Bcl-2. A model for O6 MeG-induced apoptosis based on the available data is shown in Fig. 11Citation . In summary, O6 MeG induces apoptosis via mispairs, which are subject to MMR. The repair intermediates (possibly nonsealed, gapped DNA) may lead to DNA dsb (e.g., by nuclease attack at stalled replication forks), which finally activate functions that down-modulate Bcl-2. This leads to leakiness of mitochondria, cytochrome c release, and finally activation of downstream caspase-9 and caspase-3. Decline of Bcl-2 appears to play a major role in DNA damage-induced, p53/Fas-R/caspase-8-independent apoptosis in fibroblasts because we observed it not only in MGMT-deficient cells but also in other hypersensitive cell lines characterized by defective DNA repair, such as base excision repair-defective mouse fibroblasts and nucleotide excision repair-defective Chinese hamster cells.7



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Fig. 11. A model of induction of apoptosis by O6 MeG in MGMT- cells. The formation of O6 MeG-T mispairs, their processing by MMR, and the generation of dsb can be considered as part of the initiation phase. Signaling from the ultimate DNA damage leading to decline of Bcl-2 is part of the regulative phase. This is followed by caspase activation, executing the final stage of the apoptotic program. For further explanation, see "Discussion."

 
The finding that O6 MeG-triggered apoptosis in fibroblasts is independent of p53 and Fas-R/caspase-8 and involves caspase-9/3 activation may bear implications for cancer chemotherapy. Thus, it is reasonable to suppose that the efficiency of antineoplastic drugs exhibiting methylating properties (streptozotocine, DTIC, procarbazine, temozolomide, and others) on various tumor types is not dependent on the p53 status of the tumor but rather on the level of MGMT, which efficiently removes the apoptosis-initiating signal. We should note that ~5% of tumors are lacking MGMT (65) ; these tumors are likely to be highly responsive to methylating agents. On the other hand, there is a tendency toward increase in the MGMT level in tumors with increasing malignancy (65 , 66) . Interestingly, p53 is involved in regulation of basal MGMT gene activity (66, 67, 68) and thus, indirectly, may exert influence on methylating drug resistance. Nevertheless, because O6 MeG is a very powerful apoptosis-inducing lesion, it would be desirable to inhibit its repair specifically in tumor cells. Selective, highly specific repair inhibitors of MGMT are available (69) , and attempts are currently being made to target them to tumor cells. Because MMR is essential for O6 MeG-triggered apoptosis, information on the MMR status of tumors could also be of predictive value. Also, in view of the decisive role of Bcl-2 in O6 MeG-induced apoptosis, it would be of interest to develop strategies to inhibit Bcl-2 expression in tumor cells. A future chemotherapy might thus be based on a combination of inhibition of DNA repair and amplification of apoptotic signaling in tumors.


    ACKNOWLEDGMENTS
 
We gratefully acknowledge a gift of Bcl-2 expression plasmid from Dr. S. Dimmeler (University of Frankfurt, Frankfurt, Germany). We thank Erato Bey and Jochen Lips for assistance with the neutral comet assay, Uta Eichhorn for technical assistance, and Dr. Gerhard Fritz for critical reading.


    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 supported by the Deutsche Forschungsgemeinschaft SFB 519/B4 and Stiftung Rheinland-Pfalz. Back

2 To whom requests for reprints should be addressed, at Division of Applied Toxicology, Institute of Toxicology, University of Mainz, Obere Zahlbacher Strasse 67, D-55131 Mainz, Germany. Phone: 49-6131-393-3246; Fax: 49-6131-393-3421; E-mail: Kaina{at}mail.uni-mainz.de Back

3 The abbreviations used are: MGMT, O6-methylguanine-DNA methyltransferase; MGMT+, MGMT proficient; MGMT-, MGMT deficient; MNNG, N-methyl-N'-nitro-N-nitrosoguanidine; O6 MeG, O6-methylguanine; O6-BG, O6-benzylguanine; dsb, DNA double-strand breaks; PARP, poly(ADP-ribose) polymerase; Fas-L, Fas ligand; Fas-R, Fas receptor; MMR, mismatch repair; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; pNA, paranitroanilide; CHO, Chinese hamster ovary; Z-VAD-FMK, benzyloxycarbonyl-Val-Ala-Asp-fluoromethylketone; Z-DEVD-FMK, Z-Asp-Glu-Val-Asp-FMK; Ac-DEVD-CHO, N-acetyl-Ile-Glu-Thr-Asp-CHO(aldehyde); Z-IETD-FMK, Z-Ile-Glu(OMe)-Thr-Asp(OMe)-FMK; Z-LEHD-FMK, Z-Leu-Glu(OMe)-HisAsp(OMe)-FMK. Back

4 T. Dunkern and B. Kaina, unpublished data. Back

5 J. Lips and B. Kaina, unpublished data. Back

6 D. Lackinger and B. Kaina, Primary mouse fibroblasts deficient for c-Fos, p53, or for both proteins are hypersensitive to UV light and alkylating agent-induced chromosomal breakage and apoptosis, Mutation Res., in press. Back

7 Unpublished data. Back

Received 1/21/00. Accepted 8/14/00.


    REFERENCES
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Preparation of Cell Extracts...
 Antibodies
 Measurement of Caspase...
 Caspase Inhibitors
 Neutral Single-Cell Gel...
 RESULTS
 DISCUSSION
 REFERENCES
 

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