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Chinese hamster ovary (CHO) cells lack O6-alkylguanine-DNA alkyltransferase (AGT) activity and are sensitive to killing by N,N'-bis (2-chloroethyl)-N-nitrosourea (BCNU). Transfection of these cells with a plasmid leading to the production of wild-type human AGT rendered them resistant to BCNU but this resistance could be overcome by treatment with O6-benzylguanine, an AGT inhibitor. Transfection with plasmids expressing mutants of the AGT in which either proline140 is converted to alanine or glycine156 is converted to alanine also gave rise to CHO cells resistant to BCNU, but these mutations rendered the expressed AGT less sensitive to O6-benzylguanine, and O6-benzylguanine was therefore much less effective in restoring sensitivity to BCNU. The G156A mutation provided the greater amount of resistance to O6-benzylguanine, and the CHO cells expressing this mutant AGT were not effectively killed by the O6-benzylguanine plus BCNU combination. CHO cells expressing the mutant AGTs were also much less sensitive than those expressing the control protein with respect to loss of AGT activity and enhancement of killing by BCNU in response to the more potent AGT inhibitor, 2,4-diamino-6-benzyloxy-5-nitrosopyrimidine. Although these results raise the possibility that resistance to therapy with O6-benzylguanine and chloroethylating agents may arise by the selection for tumor cells expressing a mutated AGT, they also provide a means by which the therapeutic effectiveness of agents forming O6-alkylguanine adducts such as BCNU might be enhanced. Expression of the G156A mutant AGT in hematopoietic progenitor cells by gene therapy techniques could be used to increase their AGT activity and provide a form that was resistant to O6-benzylguanine. Such resistance would provide a way to select for cells expressing the inserted gene and would provide an increase in the therapeutic index for treatment of tumors which would have an AGT activity sensitive to O6-benzylguanine.

The levels of 3 DNA repair enzymes involved in alkylation and oxidative DNA damage repair in human peripheral blood leukocytes were measured in 20 smokers and 17 non-smokers. No differences in O6-alkylguanine-DNA-alkyltransferase (AGT) activity were found between the 2 groups and the AGT distribution within the population appeared to be unimodal. In contrast, the mean activities of both the methylpurine (MeP)- and the 2-6-diamino-4-hydroxy-5N formamidopyrimidine (FaPy)-DNA glycosylases were higher in the smokers, although only the difference between the MeP-DNA glycosylase means was statistically significant. The standard deviations of these 2 enzymes were also higher in the smokers. The MeP-DNA glycosylase activity showed a bimodal distribution when all subjects were considered. This may in part be due to the smoking habit; 83% of the subjects with enzyme activities higher than 500 fmoles/mg protein were current smokers, whilst 85% of the non-smokers had lower enzyme activities. However, if the smokers were considered separately, a bimodal distribution of this enzyme activity could still be observed. No strong correlation was observed between enzyme activity and age, although the slopes of the regression lines of enzyme activity on age were all negative. The relationship between enzyme activities was studied by bivariate distribution and a strong correlation was only found between the MeP-DNA glycosylase and the FaPy-glycosylase, with the highest values of both enzyme activities being observed in the smokers and the lowest in the non-smokers. Our results suggest that the activity of certain DNA repair enzymes can be modulated by environmental exposure.

In order to develop new markers of individual susceptibility to various human carcinogens, we studied some parameters of formation and metabolism of carcinogens, as well as DNA adducts formation and DNA repair in animals and humans. Following an i.p. administration of benzo(a)pyrene (BP) to the rats, levels of urinary excretion of BP-7,8-diol correlated with tumour latency. A high correlation was found between excretion of this metabolite and BP-DNA adducts level in the liver. Healthy smokers excreted higher quantities of BP-7,8-diol, than smoking lung cancer patients, thus confirming the suggestion on existence of cancer-prone phenotype. N-nitroso compounds formed most efficiently in stomach juice of children with superficial gastritis who therefore could be at high risk of stomach cancer. N-ethyl-N'-nitro-N-nitrosoguanidine induced stomach cancer earlier in monkeys with a low level of DNA repair enzyme, O6-alkylguanine-DNA alkyltransferase (AGT) in gastric mucosa. Overall, these markers can be helpful in predicting individual susceptibility to carcinogens.

Variations in the activity of a DNA repair enzyme 0(6)-alkylgianine-DNA alkyltransferase (AGT) were studied in gastric mucosa samples obtained from 15 M. fascicularis monkeys chronically exposed to a gastrocarcinogen N-ethyl-N'-nitro-N-nitrosoguanidine. Marked interindividual difference in the enzyme activity before and in the course of the exposure was observed. The value of AGT activity assay to predict individual susceptibility to alkylating carcinogens is discussed.