9-[3-(2-Nitro-1-imidazolyl)propylamino]-1,2,3,4-tetrahydroacridine hydrochloride (THNLA-1) is a 2-nitroimidazole-based, weakly
DNA-intercalating bioreductive agent that significantly potentiates the toxic effects of commonly used
antitumor drugs such as
melphalan (
L-PAM) or cis-DDP in sensitive or resistant cell lines in culture, as well as in solid
tumors in mice. Potentiation in vitro was observed when cells were preexposed to
THNLA-1 under hypoxic conditions before exposure to
L-PAM under aerobic conditions. In this study we investigated possible mechanisms involved in the potentiation of
L-PAM by
THNLA-1 in V79 Chinese hamster cells. Limited depletion of
glutathione with
buthionine sulfoximine or
THNLA-1 under hypoxic pretreatment conditions accounted for only 8.3% of the potentiation induced by
THNLA-1. However,
DNA,
RNA, and
protein synthesis were inhibited in a synergistic way in cells preexposed to
THNLA-1 under hypoxic conditions (2 h, 37 degrees C) and then coexposed to various doses of
L-PAM under aerobic conditions (1 h, 37 degrees C). Cell cycle analysis by flow cytometry showed a slow traverse through the S phase in the
L-PAM-alone-treated cells. However, this phenomenon was more prominent in the
THNLA-1 plus
L-PAM-treated cells. Under aerobic co-incubation conditions with
L-PAM, no difference was observed in the cell cycle of
L-PAM-alone-treated cells vs.
THNLA-1 plus
L-PAM-treated cells. Significantly increased apoptosis was observed in the
hypoxia-pretreated cells with
THNLA-1, 12 and 24 h posttreatment. Comet and alkaline elution assay analysis showed increased
DNA cross-links in the
hypoxia-pretreated cells with
THNLA-1 compared to the
L-PAM-alone-treated cells. Finally, potential lethal damage repair was totally suppressed only in the
hypoxia-pretreated cells with
THNLA-1. In conclusion, DNA damage and hindrance in its repair are the most important mechanisms in the potentiation of
L-PAM by
THNLA-1, under hypoxic pretreatment conditions.