In vivo effectiveness of
doxorubicin remains restricted due to toxicity and drug resistance.
Hydroxyrubicin is a synthetic analog of
doxorubicin in which the basic amino group at the C-3' has been replaced by a
hydroxyl group in order to overcome recognition by the multidrug resistant (MDR)
P-glycoprotein and limit
cardiotoxicity. The present study shows that
hydroxyrubicin is a less potent
intercalator than
doxorubicin. Induction of
topoisomerase II-mediated DNA cleavage in the human c-myc origin by the two drugs was similar, reaching a maximum at 0.5 microM. Results from the NCI Cell Screening program indicate a relatively good correlation between the cytotoxicity of the 2 drugs on 55 cell lines of various origins (r = 0.723). Using a clonogenic assay, we observed that
hydroxyrubicin was 20-fold more cytotoxic against the MDR KB-V1 cell line than
doxorubicin and was slightly more cytotoxic than
doxorubicin in the sensitive KB3.1 cell line. Uptake studies showed that
doxorubicin was retained up to 1 hr in KB3.1 cells and rapidly eliminated from resistant KB-V1 cells. In contrast,
hydroxyrubicin was rapidly eliminated from both sensitive KB3.1 and MDR-positive KB-V1 cells. Both drugs induced
protein-linked
DNA single-strand breaks (SSBs) in both KB3.1 and KB-V1 cells, which is consistent with topoisomerase inhibition. However, the kinetics of
DNA SSBs induced by both drugs was very different. DNA breaks disappeared quickly in both KB3.1 and KB-V1 cell lines after
hydroxyrubicin removal while DNA breaks induced by
doxorubicin disappeared very slowly in KB3.1 cells and rapidly in KB-V1 cells. We conclude that removal of the basic amino group at the C-3' of
doxorubicin modifies
drug transport and partially circumvents MDR without changing
topoisomerase II inhibition when compared with
doxorubicin.