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Determinants of trimetrexate lethality in human colon cancer cells

J L Grem1, D M Voeller, F Geoffroy

  • 1National Cancer Institute-Navy Medical Oncology Branch, National Naval Medical Center, Bethesda, Maryland 20889-5105.

British Journal of Cancer
|December 1, 1994
PubMed

Insights

Trimetrexate (TMQ) exhibits differential cytotoxicity in colon cancer cells. Prolonged dihydrofolate reductase (DHFR) inhibition and DNA damage after TMQ removal predict cell lethality, not just initial growth inhibition.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cancer Research

Background:

  • Trimetrexate (TMQ) is a lipophilic antifolate drug.
  • Colon carcinoma cell lines SNU-C4 and NCI-H630 exhibit varying sensitivity to TMQ.

Purpose of the Study:

  • To investigate the cytotoxicity and biochemical mechanisms of TMQ in two human colon carcinoma cell lines.
  • To correlate biochemical effects with differential cell sensitivity to TMQ.

Main Methods:

  • Exposure of SNU-C4 and NCI-H630 cells to varying concentrations of TMQ.
  • Assays for cell growth, clonogenic survival, and DNA damage (pH step alkaline elution).
  • Enzyme activity assays for dihydrofolate reductase (DHFR) and thymidylate synthase.

Main Results:

  • TMQ inhibited cell growth similarly in both lines at low concentrations, but higher concentrations (1-10 microM) caused significant lethality only in SNU-C4 cells.
  • Biochemical effects like DHFR inhibition and nucleotide depletion were initially similar, but TMQ caused more DNA damage in SNU-C4 cells.
  • Persistent DHFR inhibition after drug removal correlated with lethality in SNU-C4 cells, while DHFR recovered in NCI-H630 cells.

Conclusions:

  • DHFR inhibition during TMQ exposure causes growth inhibition, but prolonged DHFR inhibition and DNA damage after drug removal are better predictors of cell lethality.
  • Differential sensitivity of colon cancer cells to TMQ is linked to the duration of DHFR inhibition and the extent of DNA damage post-exposure.

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