Abstract

VP-16 (etoposide) has recently been shown to induce topoisomerase II (TOP2)-mediated DNA cleavage within the mixed lineage leukemia (MLL) breakpoint cluster region (bcr), suggesting a role of TOP2 in MLL gene rearrangement. In our current studies, we have compared the induction of DNA cleavage within the MLL bcr in different cell lines after treatment with various anticancer drugs. All anticancer drugs tested including VP-16 (a TOP2-directed drug), camptothecin (a topoisomerase I-directed drug), 5-fluorouracil and methotrexate (antimetabolites), and vinblastine (a microtubule inhibitor) induced the same site-specific cleavage within the MLL bcr. This cleavage was shown to be nuclease-mediated but not TOP2-mediated by the following observations: 1) drug-induced cleavage within the MLL bcr was not protein-linked; 2) unlike TOP2-mediated cleavage, drug-induced DNA cleavage within the MLL bcr was kinetically slow and coincided with the formation of the apoptotic nucleosomal DNA ladder; 3) drug-induced cleavage within the MLL bcr was unaffected in cells with reduced nuclear TOP2; and 4) drug-induced cleavage within the MLL bcr was abolished by the caspase inhibitor, Z-Asp(OCH(3))-Glu(OCH(3))-Val-Asp(OCH(3))-FMK. The possibility that an apoptotic nuclease may be involved in cleavage of the MLL bcr and MLL gene translocation is discussed.

Highlights

  • Therapy-related acute myeloid leukemia (t-AML)1 is thought to result from exposure to genotoxic drugs, including alkylating agents and DNA topoisomerase II poisons

  • This is primarily based on the observation of Strick et al [21] that TOP2 is responsible for DNA cleavage within the MLL bcr in cells treated with TOP2-directed drugs

  • On the other hand, have indicated that an apoptotic nuclease is involved in DNA cleavage within the MLL bcr despite that both studies are conducted using the same cell line (BV173) and the same TOP2 poison, VP-16

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Summary

Introduction

Therapy-related acute myeloid leukemia (t-AML)1 is thought to result from exposure to genotoxic drugs, including alkylating agents and DNA topoisomerase II poisons.

Results
Conclusion

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