PR-104A is a clinical-stage
nitrogen mustard prodrug that is activated for
DNA alkylation by reduction of a nitro group to the corresponding
hydroxylamine (PR-104H) or
amine (PR-104M). Metabolic reduction is catalysed by flavoreductases such as
cytochrome P450 oxidoreductase (POR) under
hypoxia, or by aldo-ketoreductase 1C3 (AKR1C3) independently of
hypoxia. The unstable reduced metabolites are challenging to measure in
biological samples, and
biomarkers of the metabolic activation of
PR-104A have not been used in the clinical evaluation of
PR-104 to date. Here, we employ a selected reaction monitoring mass spectrometry assay for
DNA crosslinks to assess the capacity of human
cancer cells to bioactivate
PR-104A. We also test whether the more abundant
DNA monoadducts could be used for the same purpose.
DNA monoadducts and crosslinks from
PR-104A itself, and from its reduced metabolites, accumulated over 4 h in AKR1C3-expressing TF1 erythroleukaemia cells under
hypoxia, whereas intracellular concentrations of unstable PR-104H and PR-104M reached steady state within 1 h. We then varied rates of
PR-104A reduction by manipulating
hypoxia or
reductase expression in a panel of cell lines, in which AKR1C3 and POR were quantified by targeted proteomics.
Hypoxia or
reductase overexpression induced large increases in
PR-104A sensitivity (inhibition of proliferation), DNA damage response (γH2AX formation), steady-state concentrations of PR-104H/M and formation of reduced
drug-
DNA adducts but not
DNA adducts retaining the dinitro groups of
PR-104A. The fold-change in the sum of PR-104H and PR-104M correlated with the fold-change in reduced crosslinks or monoadducts (R2 = 0.87 for both), demonstrating their potential for assessing the capacity of
cancer cells to bioactivate
PR-104A.