Hypoxic radiosensitization by nitric oxide

Abstract

Purpose Nitric oxide (NO) radiosensitizes mammalian cells significantly more efficiently than oxygen but the mechanism of this effect is unknown. We have studied the effect of NO on radiation-induced single strand breaks in plasmid DNA, changes to DNA bases, cellular double strand breaks and cell survival to gain further information into the mechanisms of radiosensitization. Results The yields of plasmid DNA strand breaks are reduced in the presence of NO when compared with the yield induced by hydroxyl radical alone – post-irradiation treatment with DNA glycosylases however revealed that damaged nucleotides are formed in the presence of NO as seen through the formation of additional strand breaks. NO reacts with radiation-induced dGMP (2’-deoxyguanosine monophosphate) radicals to produce specific guanine modifications. Chemical mechanisms for these changes have been proposed. V79-4 cells are radiosensitized by NO more efficiently in exponential growth; these cells also exhibit enhanced γH2AX staining, a marker for double strand breaks (DSB). The maximum numbers of foci are formed later and remain longer after NO damage relative to DSB generated in anoxia, suggesting formation of replication-induced DSB. Conclusions It is tentatively proposed that NO may radiosensitize cells by causing specific DNA damage which is difficult to repair - future studies will focus on identifying NO-induced DNA lesions in irradiated cells and increasing our understanding into how these lesions may enhance DNA damage following replication and repair.