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O6-benzylguanine potentiates the in vivo toxicity and clastogenicity of
temozolomide and BCNU in mouse bone marrow
N Chinnasamy, JA Rafferty, I Hickson, J Ashby, H Tinwell, GP Margison, TM Dexter and LJ Fairbairn
Cancer Research Campaign Department of Carcinogenesis, Paterson Institute
for Cancer Research, Christie Hospital NHS Trust, Manchester, UK.
The effects of treatment of mice with O6-benzylguanine (O6-BeG) on the
levels of O6-alkylguanine-DNA alkyltransferase (ATase) in the hematopoietic
compartment and on the in vivo sensitivity of hematopoietic progenitor
cells to the toxic and clastogenic effects of the antitumor agents
1,3-bis(2-chloroethyl)-nitrosourea (BCNU) and temozolomide were studied.
When the overall effects of BCNU alone or with O6-BeG pretreatment were
compared, dose potentiating factors of 4.17 for marrow cellularity, 4.57
for granulocyte macrophage-colony forming cells (GM-CFC) and 8.25 for
colony forming unit-spleen (CFU-S) in O6-BeG pretreated versus
nonpretreated animals were observed. A similar trend of dose potentiation
was observed for temozolomide, although it was of lower magnitude: 1.20 for
marrow cellularity, 1.63 for GM-CFC, and 1.68 for CFU-S. When the
clastogenic effects of BCNU and temozolomide were examined in the mouse
bone marrow micronucleus assay, a significantly (P < .05 to .001) higher
frequency of micronuclei formation was observed in mice that received
O6-BeG pretreatment compared with mice that received no pretreatment. These
data suggest that the use of O6-BeG as a tumor-sensitizing agent before
treatment of patients with O6-alkylating agents may lead to more severe
hematological toxicity and possibly to an increased incidence of secondary
leukemias as a result of elevated mutation frequencies in these patients.
Volume 89,
Issue 5,
pp. 1566-1573,
03/01/1997
Copyright © 1997 by The American Society of Hematology

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