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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2002-01-0022.
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Blood, 1 August 2002, Vol. 100, No. 3, pp. 845-853
HEMATOPOIESIS
Down-regulation of DNA repair in human CD34+
progenitor cells corresponds to increased drug sensitivity and
apoptotic response
Claudia Buschfort-Papewalis,
Thomas Moritz,
Bernd Liedert, and
Jürgen Thomale
From the Institute of Cell Biology and Department of
Internal Medicine, Center for Cancer Research and Cancer Treatment,
University of Essen Medical School, Essen, Germany.
Although DNA repair processes have been shown to considerably
modulate the cytotoxic effects of alkylating agents, little information
is available on the role of these mechanisms in chemotherapy-induced myelosuppression. Therefore, we have analyzed in detail the DNA repair
capacity of primary human hematopoietic cells from cord blood (CB) or
bone marrow (BM) by 2 functional assays, the immunocytologic assay
(ICA) and single-cell gel electrophoresis (comet assay). Besides
substantial interindividual differences, we consistently observed
significantly lower repair capacity of CD34+ cells in
comparison to CD34 , CD19+, or
CD33+ cells of the same donor. After exposure to the
alkylating agent ethylnitrosourea (EtNU), the comet assay displayed on
average twice as many DNA single-strand breaks (SSBs) in
CD34+ cells and a tripled half-life of these lesions in
comparison to corresponding CD34 cells. Similarly,
reduced SSB repair activity in CD34+ cells was detected
following melphalan or cisplatin application. When specific antibodies
were used to monitor DNA reaction products of these drugs, adduct
levels were significantly higher and lesions persisted longer in the
CD34+ fraction. To assess the contribution of individual
pathways to overall DNA repair, modulators blocking defined steps in
repair processes were coapplied with alkylating drugs. Similar
"modulation pattern" in corresponding CD34+ and
CD34 cell fractions indicated a generalized reduction in
DNA repair capacity of CD34+ cells, rather than
deficiencies in a specific pathway. Because CD34+ cells
also displayed higher frequencies of apoptosis in response to melphalan
or cisplatin, these findings may help to explain the myelosuppression
after exposure to alkylating agents.

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