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Cell cycle effects of antifolate antimetabolites: implications for cytotoxicity and cytostasis

J L Tonkinson1, P Marder, S L Andis

  • 1Lilly Research Laboratories, Lilly Corporate Center, Eli Lilly and Co., Indianapolis, IN 46285, USA.

Abstract

Insights

Inhibition of thymidylate synthase (TS) or GAR formyltransferase (GARFT) in leukemia cells causes distinct cell cycle and metabolic changes. GARFT inhibition halts replication, while TS inhibition synchronizes cells and increases respiration before apoptosis.

Area of Science:

  • Cell biology
  • Cancer research
  • Biochemistry

Background:

  • Thymidylate synthase (TS) and GAR formyltransferase (GARFT) are critical enzymes in folate metabolism.
  • Inhibition of these enzymes can disrupt DNA synthesis and cell proliferation.
  • Understanding the distinct effects of inhibiting TS versus GARFT is crucial for developing targeted cancer therapies.

Purpose of the Study:

  • To investigate the distinct cell cycle and metabolic alterations in CCRF-CEM lymphocytic leukemia cells following inhibition of TS or GARFT.
  • To differentiate the cellular responses to specific inhibitors of TS (ZD1694), GARFT (Lometrexol, LY309887), and a multi-targeted antifolate (LY231514).

Main Methods:

  • CCRF-CEM cells were treated with GARFT inhibitors (Lometrexol, LY309887), TS inhibitor (ZD1694), or a multi-targeted antifolate (LY231514).
  • Cell cycle progression was analyzed using DNA content and PCNA expression via flow cytometry.
  • Nucleoside precursor incorporation (BrdU) assessed DNA synthesis.
  • Cellular respiration was measured by MTT assay, and apoptosis by DNA fragmentation.

Main Results:

  • GARFT inhibitors (Lometrexol, LY309887) prevented cell replication, maintaining distinct G1, S, and G2/M phases, with no BrdU incorporation or DNA fragmentation.
  • TS inhibitor (ZD1694) and multi-targeted antifolate (LY231514) induced G1/S synchronization, followed by S phase entry, increased BrdU incorporation, and DNA fragmentation.
  • Cells treated with ZD1694 or LY231514 exhibited doubled respiration rates compared to controls.

Conclusions:

  • Inhibition of GARFT and TS leads to distinct cell cycle arrest and metabolic profiles in leukemia cells.
  • GARFT inhibition results in a non-replicative state without inducing apoptosis.
  • TS inhibition triggers cell cycle synchronization, increased metabolic activity, and subsequent apoptosis.

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