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The novel sequence-specific DNA cross-linking agent SJG-136 (NSC 694501) has potent and selective in vitro cytotoxicity in human B-cell chronic lymphocytic leukemia cells with evidence of a p53-independent mechanism of cell kill.

Abstract
SJG-136 (NSC 694501) is a novel DNA cross-linking agent that binds in a sequence-selective manner in the minor groove of the DNA helix. It is structurally novel compared with other clinically used DNA cross-linking agents and has exhibited a unique multilog differential pattern of activity in the NCI 60-cell line screen (i.e., is COMPARE negative to other cross-linking agents). Given this profile, we undertook a preclinical evaluation of SJG-136 in primary tumor cells derived from 34 B-cell chronic lymphocytic leukemia (B-CLL) patients. SJG-136 induced apoptosis in all of the B-CLL samples tested with a mean LD50 value (the concentration of drug required to kill 50% of the cells) of 9.06 nmol/L. Its cytotoxicity was undiminished in B-CLL cells derived from patients treated previously, those with unmutated VH genes, and those with p53 mutations (P=0.17; P=0.63; P=0.42, respectively). SJG-136-induced apoptosis was associated with the activation of caspase-3 that could be partially abrogated by the caspase-9 inhibitor Z-LEHD-FMK. Furthermore, SJG-136 did not trigger the phosphorylation of p53 or the up-regulation of GADD45 expression in B-CLL cells whereas the cross-linking agent chlorambucil elicited both of these effects. This suggests that SJG-136 cross-linking adducts are not subject to p53-mediated DNA excision repair mechanisms in B-CLL cells. Taken together, these data demonstrate a novel mechanism of action for SJG-136 that appears to circumvent the effects of poor prognostic markers. This unique cytotoxicity profile warrants further investigation and supports the evaluation of this agent in Phase I clinical trials for patients with B-CLL.
AuthorsChristopher J Pepper, Rachel M Hambly, Christopher D Fegan, Patrick Delavault, David E Thurston
JournalCancer research (Cancer Res) Vol. 64 Issue 18 Pg. 6750-5 (Sep 15 2004) ISSN: 0008-5472 [Print] United States
PMID15374993 (Publication Type: Journal Article)
Chemical References
  • 1,1'-((propane-1,3-diyl)dioxy)bis(7-methoxy-2-methylidene-1,2,3,10,11,11a-hexahydro-5H-pyrrolo(2,1-c)(1,4)benzodiazepin-5,11-dione)
  • Benzodiazepinones
  • Cross-Linking Reagents
  • Pyrroles
  • Tumor Suppressor Protein p53
  • Benzodiazepines
  • CASP3 protein, human
  • Caspase 3
  • Caspases
  • Vidarabine
  • fludarabine
Topics
  • Apoptosis (drug effects)
  • B-Lymphocytes (cytology, drug effects, pathology)
  • Benzodiazepines (pharmacology)
  • Benzodiazepinones (pharmacology)
  • Case-Control Studies
  • Caspase 3
  • Caspases (metabolism)
  • Cross-Linking Reagents (pharmacology)
  • DNA Damage
  • DNA Repair
  • Enzyme Activation
  • Humans
  • K562 Cells
  • Leukemia, Lymphocytic, Chronic, B-Cell (blood, drug therapy, genetics, pathology)
  • Pyrroles (pharmacology)
  • T-Lymphocytes (cytology, drug effects, pathology)
  • Tumor Cells, Cultured
  • Tumor Suppressor Protein p53 (physiology)
  • Vidarabine (analogs & derivatives, pharmacology)

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