
doi: 10.1124/mol.64.2.456
pmid: 12869651
The amount of MSH2 protein, a major component of the mismatch repair system, was found to differ >10-fold in leukemia cells from children with newly diagnosed acute lymphoblastic leukemia, with a subgroup of patients (17%) having undetectable MSH2 protein. We therefore used a murine Msh2 knockout model to elucidate the in vivo importance of MSH2 protein expression in determining thiopurine hematopoietic cytotoxicity. After mercaptopurine (MP) treatment (30 mg/kg/day for 14 days), there was a significantly greater decrease in circulating leukocytes in Msh2+/+ and Msh2+/- mice when compared with Msh2-/- mice (p < 0.002). Likewise, the decrease in erythrocyte counts was more prominent in mice with at least one functional Msh2 allele. MP doses of more than 50 mg/kg/day for 14 days resulted in treatment-related deaths, but Msh2-/- mice had a significant survival advantage (p = 0.02). Murine embryonic fibroblasts (MEFs) from Msh2+/+ mice also exhibited increased sensitivity to MP when compared with MEFs from Msh2-/- mice (IC50, 3.8 +/- 0.1 microM versus 11.9 +/- 1.3 microM, p < 0.001). After MP treatment, deoxythioguanosine incorporation into DNA was similar in mice and MEFs with each of the Msh2 genotypes. Electromobility shift assay experiments identified an Msh2-containing GT- or GST-DNA-nuclear protein complex in Msh2+/+ but not Msh2-/- MEFs. Together, these findings establish that hematopoietic toxicity in vivo after treatment with mercaptopurine is attenuated but not abolished by MSH2 deficiency.
Male, Mice, Knockout, Antimetabolites, Antineoplastic, Mercaptopurine, Nuclear Proteins, DNA, Hematopoiesis, DNA-Binding Proteins, Mice, Inbred C57BL, Mice, MutS Homolog 2 Protein, Child, Preschool, Proto-Oncogene Proteins, Animals, Humans, Female, Child, Thioguanine
Male, Mice, Knockout, Antimetabolites, Antineoplastic, Mercaptopurine, Nuclear Proteins, DNA, Hematopoiesis, DNA-Binding Proteins, Mice, Inbred C57BL, Mice, MutS Homolog 2 Protein, Child, Preschool, Proto-Oncogene Proteins, Animals, Humans, Female, Child, Thioguanine
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