Skip to main content
Log in

DT-diaphorase in activation and detoxification of quinones

Bioreductive activation of mitomycin C

  • Published:
Cancer and Metastasis Reviews Aims and scope Submit manuscript

Abstract

A role for DTD in the bioreductive activation of mitomycin C was supported by indirect evidence utilizing enzyme inhibitors in cellular systems. Using a cell-free system, we have confirmed that DTD can bioactivate mitomycin C using both purified rat and human DTD. Metabolism and bioactivation of mitomycin C by DTD is pH-dependent. At pH 7.8 alkylation of DTD leading to enzyme inhibition and DTD crosslinking occurs whereas at pH values of 7.4 and below metabolite formation, preservation of catalytic activity of DTD and sequence-selective DNA crosslinking occurs. Bioactivation of mitomycin C by DTD and the cytotoxicity of this drug in DTD-rich cell lines is oxygen-independent. Mitomycin C induces greater DNA crosslinking, even after chemical reduction, at lower pH values. This suggests that if mitomycin C is used in tumors with elevated DTD activity, greater therapeutic activity may be obtained by lowering intratumoral pH. Human NSCLC has elevated DTD activity relative to SCLC and normal lung and may be a target for the development of drugs which can be efficiently bioactivated by DTD. Because of the pH-dependent inactivation of DTD by mitomycin C, however, other drugs which are efficiently metabolized and bioactivated by DTD may be better candidates for the therapy of tumors high in DTD such as NSCLC.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. ErnsterL: DT-diaphorase. Meth Enzymol 10: 309–317, 1967

    Google Scholar 

  2. Lind C, Hochstein P, Ernster L: DT-diaphorase as a quinone reductase: A cellular control device against semiquinone and superoxide radical formation. Arch Biochem Biophys 216: 178–185, 1982

    Google Scholar 

  3. Thor H, Smith MT, Hartzell P, Bellomo G, Jewell SA, Orrenius S: The metabolism of menadione (2-methyl-1,4-naphthoquinone) by isolated hepatocytes. A study of the implication of oxidative stress in intact cells. J Biol Chem 257: 12419–12425, 1982

    Google Scholar 

  4. Ganousis L, Goon D, Zyglewska T, Wu KK, Ross D: Cell specific metabolism in mouse bone marrow stroma: Studies of activation and detoxification of benzene metabolites. Mol Pharmacol 42: 1118–1125, 1992

    Google Scholar 

  5. Thomas DJ, Sadler A, Subrahmanyam VV, Siegel D, Reasor MJ, Wierda D, Ross D: Bone marrow stromal cell bioactivation and detoxification of the benzene metabolite hydroquinone: comparison of macrophages and fibroblastoid cells. Mol Pharmacol 37: 255–262, 1990

    Google Scholar 

  6. Sartorelli AC: Therapeutic attack of hypoxic cells of solid tumors: presidential address. Cancer Res 48: 775–778, 1988

    Google Scholar 

  7. Iyer VN, Szybalski W: Molecular mechanism of mitomycin action. Link of complimentary DNA strands. Proc Natl Acad Sci USA 50: 355–362, 1963

    Google Scholar 

  8. Iyer VN, Szybalski W: Mitomycins and porfiromycin chemical mechanism of activation and crosslinking of DNA. Science 145: 55–58, 1964

    Google Scholar 

  9. Moore HW, Czerniak R: Naturally occurring quinones as potential bioreductive alkylating agents. Med Res Rev 1: 249–280, 1981

    Google Scholar 

  10. Powis G: Metabolism and reactions of quinoid anticancer agents. Pharmacol Ther 35: 57–162, 1987

    Google Scholar 

  11. Peterson DW, Fisher J: Autocatalytic quinone methide formation from mitomycin C. Biochemistry 25: 4077–4084, 1986

    Google Scholar 

  12. Tomasz M, Lipman R: Reductive metabolism and alkylating activity of mitomycin C induced by rat liver microsomes. Biochemistry 20: 5056–5061, 1981

    Google Scholar 

  13. Kennedy KA, Sligar SG, Polomski L, Sartorelli AC: Metabolic activation of mitomycin C by liver microsomes and nuclei. Biochem Pharmacol 31: 2011–2016, 1982

    Google Scholar 

  14. Pan SS, Andrews PA, Glover CJ, Bachnur NR: Reductive activation of mitomycin C and mitomycin C metabolites catalyzed by NADPH cytochrome P450 reductase and xanthine oxidase. J Biol Chem 259: 959–966, 1984

    Google Scholar 

  15. Begleiter A, Leith M, McClarty G, Bennken S, Goldenberg GJ, Wright JA: Characterization of L5178Y murine lymphoblasts resistant to quinone antitumor agents. Cancer Res 48: 1727–1735, 1988

    Google Scholar 

  16. Begleiter A, Robotham E, Lacey G, Leith MK: Increased sensitivity of quinone resistant cells to mitomycin C. Cancer Lett 45: 173–176, 1989

    Google Scholar 

  17. Marshall RS, Paterson MC, Rauth AM: Deficient activation by a human cell strain leads to mitomycin resistance under aerobic but not hypoxic conditions. Br J Cancer 59: 341–346, 1989

    Google Scholar 

  18. Marshall RS, Paterson MC, Rauth AM: Studies on the mechanism of resistance to mitomycin C and porfiromycin in a human cell strain derived from a cancer-prone individual. Biochem Pharmacol 41: 1351–1360, 1991

    Google Scholar 

  19. Dulhanty AM, Li M, Whitmore GF: Isolation of Chinese hamster ovary cells deficient in excision repair and mitomycin C bioactivation. Cancer Res 49: 117–122, 1989

    Google Scholar 

  20. Dulhanty AM, Whitmore GF: Chinese hamster ovary cell lines resistant to mitomycin C under aerobic but not hypoxic conditions are deficient in DT-diaphorase. Cancer Res 51: 1860–1865, 1991

    Google Scholar 

  21. Schlager JJ, Powis G: Mitomycin C is not metabolized by but is an inhibitor of human kidney NAD(P)H: (quinone-acceptor) oxidoreductase. Cancer Chemother Pharmacol 22: 126–130, 1988

    Google Scholar 

  22. Workman P, Walton MI, Powis G, Schlager JJ: DT-diaphorase: questionable role in mitomycin C resistance, but a target for novel bioreductive drugs. Br J Cancer 60: 800–802, 1989

    Google Scholar 

  23. Marshall RS, Rauth AM, Paterson M: Reply to the letter from Workmanet al. Br J Cancer 60: 803, 1989

    Google Scholar 

  24. Siegel D, Gibson NW, Preusch PC, Ross D: Metabolism of mitomycin C by DT-diaphorase: role in mitomycin C-induced DNA damage and cytotoxicity in human colon carcinoma cells. Cancer Res 50: 7483–7489, 1990

    Google Scholar 

  25. Kennedy KA, McGurl JD, Leondaridis L, Alabaster O: pHdependence of mitomycin C-induced cross linking activity in EMT6 tumor cells. Cancer Res 45: 3541–3547, 1985

    Google Scholar 

  26. Ross D, Siegel D, Preusch PC, Turnipseed SB, Ruth JA, Gibson NW: Bioreductive activation of the antitumor quinone mitomycin C by DT-diaphorase. In: KJA Davies (ed.) Oxidative Damage and Repair. Chemical, Biological and Medical Aspects, pp 619–623, New York: Pergamon Press, 1991

    Google Scholar 

  27. Siegel D, Beall H, Senekowitsch C, Kasai M, Arai H, Gibson NW, Ross D: Bioreductive activation of mitomycin C by DT-diaphorase. Biochemistry 31: 7879–7885, 1992

    Google Scholar 

  28. Prakash AS, Ross D, Gibson NW: Sequence selective alkylation of DNA by mitomycin C after reduction by DT-diaphorase. Proc Am Assoc Cancer Res 33: 5, 1992

    Google Scholar 

  29. Iyengar BS, Dorr RT, Shipp NG, Remers WA: Alkylation of DNA by C-10 of 2,7-diaminomitosene. J Med Chem 33: 253–257, 1989

    Google Scholar 

  30. Hoey BM, Butler J, Swallow AJ: Reductive activation of mitomycin C. Biochemistry 27: 2608–2614, 1988

    Google Scholar 

  31. Cera C, Egbertson M, Teng SP, Crothers DM, Danishefsky SJ: DNA cross-linking by intermediates in the mitomycin activation cascade. Biochemistry 28: 5665–5669, 1989

    Google Scholar 

  32. Milani C, Bassi P, Meneghini A, Garbeglio A, Zattoni F, Piazza N, Maruzzi D, Drago-Ferrante GL, Pagano F: Mitomycin C in multiple superficial bladder tumors: Short-term therapy, long-term results. Urol Int 48: 154–156, 1992

    Google Scholar 

  33. Da Silva FC, Ferrito F, Brandao T, Santos A: 4′-Epidoxorubicin versus mitomycin C intravesical chemoprophylaxis of superficial bladder cancer. Eur Urol 21: 42–44, 1992

    Google Scholar 

  34. Siegel D, Gibson NW, Preusch PC, Ross D: pH-dependent metabolism of mitomycins by DT-diaphorase. Proc Am Assoc Cancer Res 32: 317, 1991

    Google Scholar 

  35. Siegel D, Gibson NW, Ross D: DT-diaphorase mediated activation of mitomycin C to DNA crosslinking species dependent on pH. Proc Am Assoc Cancer Res 33: 404, 1992

    Google Scholar 

  36. Teicher BA, Lazo JS, Sartorelli AC: Classification of antineoplastic agents by their selective toxicities toward oxygenated and hypoxic tumor cells. Cancer Res 41: 73–81, 1981

    Google Scholar 

  37. Kennedy KA, Rockwell S, Sartorelli AC: Preferential activation of mitomycin C to cytotoxic metabolites by hypoxic tumor cells. Cancer Res 40: 2356–2360, 1980

    Google Scholar 

  38. Keyes SR, Rockwell S, Sartorelli AC: Porfiromycin as a bioreductive alkylating agent with selective toxicity to hypoxic EMT6 tumor cellsin vivo andin vitro. Cancer Res 45: 3642–3645, 1985

    Google Scholar 

  39. O'Brien PJ, Kaul HK, Rauth AM: Differential cytotoxicity of diaziquone toward Chinese hamster ovary cells under hypoxic and aerobic exposure conditions. Cancer Res 50: 1516–1520, 1990

    Google Scholar 

  40. Kennedy KA, Teicher BA, Rockwell S, Sartorelli AC: The hypoxic tumor cell: a target for selective cancer chemotherapy. Biochem Pharmacol 29: 1–8, 1980

    Google Scholar 

  41. Bligh HFJ, Bartozek A, Robson CN, Hickson ID, Kasper CB, Beggs JD, Wolf CR: Activation of mitomycin C by NADPH: cytochrome P450 reductase. Cancer Res 50: 7789–7792, 1990

    Google Scholar 

  42. Hoban P, Walton MI, Robson C, Godden J, Stratford I, Workman P, Harris A, Hickson I: Decreased NAD(P)H: cytochrome P450 reductase activity and impaired drug activation in a mammalian cell line resistant to mitomycin C under aerobic but not hypoxic conditions. Cancer Res 50: 4692–4697, 1990

    Google Scholar 

  43. Keyes SR, Rockwell S, Sartorelli AC: Enhancement of mitomycin C cytotoxicity to hypoxic tumor cells by dicoumarolin vivo andin vitro. Cancer Res 45: 213–216, 1985

    Google Scholar 

  44. Keyes SR, Rockwell S, Sartorelli AC: Modification of the metabolism and cytotoxicity of bioreductive alkylating agents by dicoumarol in aerobic and hypoxic murine tumor cells. Cancer Res 49: 3310–3313, 1989

    Google Scholar 

  45. Beall H, Mulcahy T, Traver RD, Siegel D, Gibson NW, Ross D: Metabolism of mitomycin C by rat liver and human DT-diaphorase: metabolism and cytotoxicity under aerobic and hypoxic conditions. Proc Am Assoc Cancer Res 34: in press, 1993

  46. Begleiter A, Robotham E, Leith MK: Role of NAD(P)H: (quinone acceptor) oxidoreductase (DT-diaphorase) in activation of mitomycin C under hypoxia. Mol Pharmacol 41: 677–682, 1992

    Google Scholar 

  47. Schlager JJ, Powis G: Cytosolic NAD(P)H:quinone acceptor oxidoreductase in human normal and tumor tissue. Effects of cigarette smoking and alcohol. Int J Cancer 45: 403–409, 1990

    Google Scholar 

  48. Berger MS, Talcott RE, Rosenblum ML, Silva M, Ali-Osman F, Smith MT: The use of quinones in brain tumor chemotherapy. Preliminary results from pre-clinical investigations. J Toxicol Environ Health 16: 713–719, 1985

    Google Scholar 

  49. Cresteil T, Jaiswal AK: High levels of expression of the NAD(P)H:quinone oxidoreductase (NQO1) gene in tumor cells compared to normal cells of the same origin. Biochem Pharmacol 42: 1021–1027, 1991

    Google Scholar 

  50. Minna JD: Neoplasms of the lung. In: Braunwald E, Isselbacher KJ, Petersdorf RG, Wison JD, Martin J, Fauci AS (eds) Harrison's Principles of Internal Medicine, pp 1115–1123, New York: McGraw-Hill, 1987

    Google Scholar 

  51. Malkinson AM, Siegel D, Forrest GL, Gazdar AF, Oie HK, Chan DC, Bunn PA, Mabry M, Dykes DJ, Harrison SD Jr, Ross D: Elevated DT-diaphorase activity and messenger RNA content in human on-small cell lung carcinoma: Relationship to the response of lung tumor xenografts to mitomycin C. Cancer Res 52: 4752–4757, 1992

    Google Scholar 

  52. Kris MG, Gralla RJ, Wertheim MS, Kelsen DP, O'Connell JP, Burke MT, Fiore JJ, Cibas IR, Heelan RT: Trial of the combination of mitomycin, vindesine and cisplatin in patients with advanced non small cell lung cancer. Cancer Treat Rep 70: 1091–1096, 1986

    Google Scholar 

  53. Traver RD, Horikoshi T, Danenberg KD, Stadlbauer THW, Danenberg PV, Ross D, Gibson NW: NAD(P)H:quinone oxidoreductase gene expression in human colon carcinoma cells: Characterization of a mutation which modulates DT-diaphorase activity and mitomycin sensitivity. Cancer Res 52: 797–802, 1992

    Google Scholar 

  54. Jaiswal AK, Human NAD(P)H:quinone oxidoreductase (NQO1) gene structure and induction by dioxin. Biochemistry 30: 10647–10653, 1991

    Google Scholar 

  55. Jaiswal AK, McBride OW, Adesnik M, Nebert DW: Human dioxin inducible cytosolic NAD(P)H:menadione oxidoreductase. J Biol Chem 263: 13572–13578, 1988

    Google Scholar 

  56. Li Y, Jaiswal AK: Regulation of human NAD(P)H:quinone oxidoreductase gene. Role of AP1 binding site contained within human antioxidant response element. J Biol Chem 267: 15097–15104, 1992

    Google Scholar 

  57. Sistonen L, Holtta E, Makela TP, Keski-Oje J, Alitalo K: The cellular response to induction of the p21c-Ha-ras oncoprotein includes stimulation of jun gene expression. The EMBO Journal 8: 815–822, 1989

    Google Scholar 

  58. Robertson N, Stratford IJ, Houlbrook S, Carmichael J, Adams GE: The sensitivity of human tumour cells to guinone bioreductive drugs: What role for DT-diaphorase? Biochem Pharmacol 44: 409–412, 1992

    Google Scholar 

  59. Walton MI, Bibby MC, Double JA, Plumb JA, Workman P: DT-diaphorase activity correlates with sensitivity to the indoloquinone EO9 in mouse and human colon carcinomas. Eur J Cancer [A] 28A: 1597–1600, 1992

    Google Scholar 

  60. Collard J, Double JA: Relationship between the sensitivity to the novel indoloquinone EO9 and level of the bioreductive enzyme DT-diaphorasein vitro. Br J Cancer 66: 4, 1992

    Google Scholar 

  61. Gibson NW, Hartley JA, Butler J, Siegel D, Ross D: Relationship between DT-diaphorase-mediated metabolism of a series of aziridinylbenzoquinones and DNA damage and cytotoxicity. Mol Pharmacol 42: 531–536, 1992

    Google Scholar 

  62. Bailey SM, Suggett N, Walton MI, Workman P: Structureactivity relationships for DT-diaphorase reduction of hypoxic cell directed agents: Indoloquinones and diaziridinyl benzoquinones. Int J Radiat Oncol Biol Phys 22: 649–653, 1992

    Google Scholar 

  63. Siegel D, Gibson NW, Preusch PC, Ross D: Metabolism of diaziquone by NAD(P)H:(quinone acceptor) oxidoreductase (DT-diaphorase): role in diaziquone-induced DNA damage and cytotoxicity in human colon carcinoma cells. Cancer Res 50: 7293–7300, 1990

    Google Scholar 

  64. Lee C-S, Hartley JA, Berardini MD, Butler J, Siegel D, Ross D, Gibson NW: Alteration in DNA cross-linking and sequence selectivity of a series of aziridinylbenzoquinones after enzymatic reduction by DT-diaphorase. Biochemistry 31: 3019–3025, 1992

    Google Scholar 

  65. Hartley JA, Berardini M, Ponti M, Gibson NW, Thompson AS, Thurston DE, Hoey BM, Butler J: DNA crosslinking and sequence selectivity of aziridinylbenzoquinones: A unique reaction at 5′-GC-3′ sequences with 2,5-diaziridinyl-1,4-benzoquinone upon reduction. Biochemistry 30: 11719–11724, 1991

    Google Scholar 

  66. Berardini MD, Souhami RL, Lee CS, Gibson NW, Butler J, Hartley JA: Two structurally related diaziridinylbenzoquinones preferentially crosslink DNA at different sites upon reduction with DT-diaphorase. Biochemistry, in press, 1993

  67. Boland MP, Knox RJ, Roberts JJ: The differences in kinetics of rat and human DT-diaphorase result in a differential sensitivity of derived cell lines to CB 1954 (5-(aziridin-1-yl)-2,4-dinitrobenzamide). Biochem Pharmacol 41: 867–875, 1991

    Google Scholar 

  68. Walton MI, Sugget N, Workman P: The role of human and rodent DT-diaphorase in the reductive metabolism of hypoxic cell cytotoxins. Int J Radiat Oncol Biol Phys 22: 643–647, 1992

    Google Scholar 

  69. Hodnick WF, Sartorelli AC: Reductive activation of mitomycin C by NADH-cytochrome b5 reductase. Proc Amer Assoc Cancer Res 32: 397, 1991

    Google Scholar 

  70. Gustafson DL, Pritsos CA: Bioactivation of Mitomycin C by xanthine dehydrogenase from EMT6 mouse mammary carcinoma tumors. JNCI 84: 1180–1185, 1992

    Google Scholar 

  71. Lusthof KJ, De Mol NJ, Richter W, Janssen LHM, Butler J, Hoey BM, Verboom W, Reinhoudt DN: Redox cycling of potential antitumor aziridinylquinones. Free Rad Biol Med 13: 599–608, 1992

    Google Scholar 

  72. Forrest GL, Akman S, Doroshow J, Rivera H, Kaplan WD: Genomic sequence and expression of a cloned human carbonyl reductase gene with daunorubicin reductase activity. Mol Pharmacol 40: 502–507, 1991

    Google Scholar 

  73. Murray RDH, Mendez J, Brown SA: Biological actions of 4-hydroxycoumarins. In: Naturally occurring coumarins. Occurrence, Chemistry and Biochemistry, 1982

  74. Hajos AKD, Winston GW: Role of cytosolic NAD(P)H-quinone oxidoreductase and alcohol dehydrogenase in the reduction ofp-nitrosophenol following chronic ethanol ingestion. Arch Biochem Biophys 295: 223–229, 1992

    Google Scholar 

  75. Wermuth B: Purification and properties of an NADPH dependent carbonyl reductase from human brain. J Biol Chem 256: 1206–1213, 1981

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ross, D., Siegel, D., Beall, H. et al. DT-diaphorase in activation and detoxification of quinones. Cancer Metast Rev 12, 83–101 (1993). https://doi.org/10.1007/BF00689803

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00689803

Key words

Navigation