Published on Web 06/23/2006
Sensitization of Cancer Cells to DNA Damaging Agents by
Imidazolines
Vasudha Sharma, Satyamaheshwar Peddibhotla, and Jetze J. Tepe*
Contribution from the Department of Chemistry, Michigan State UniVersity,
East Lansing, Michigan 48824
Received March 2, 2006; E-mail: tepe@chemistry.msu.edu
Abstract: Apoptosis, or programmed cell death, is a cellular mechanism used to regulate cell number and
eliminate damaged or mutated cells. Concomitant with the initiation of the apoptotic cell signal,
chemotherapeutic agents also induce anti-apoptotic factors, such as NF-κB, which compromise the overall
efficacy of chemotherapeutic anticancer treatment. Here we describe an adjuvant therapy in which a small
molecule is used to sensitize cancer cells toward apoptosis induced by chemotherapeutics. Our results
indicate that the imidazoline 1d modulates the pro-survival NF-κB pathway and selectively sensitizes cancer
cells toward DNA damaging agents, thus enhancing the overall efficacy of the treatment. Pretreatment of
cancer cells with the noncytotoxic imidazoline 1d (10 nM) resulted in a significant increase in apoptosis
and anticancer efficacy of the clinically significant DNA damaging agents camptothecin and cisplatin.
Noncancerous cells remained unaffected during this regimen.
Introduction
is abnormally down-regulated and provides an intrinsic survival
advantage in many types of cancers.9 Additional cellular
Apoptosis (or programmed cell death) is a sequential, stepwise
defensive mechanism to remove infected, mutated, or damaged
cells.1 Conventional anticancer therapy involving chemotherapy
or ionizing radiation is aimed at the induction of apoptosis in
cancer cells.2 Camptothecin (CPT) is a plant alkaloid that
exhibits specificity for DNA topoisomerase I and induces a
stable ternary topoisomerase I-DNA cleavable complex.3,4
Stabilization of this cleaved DNA complex is recognized as
damaged DNA and initiates an apoptotic signaling pathway,
culminating in cell death.4,5 The clinically used DNA damaging
agent, cisplatin (CDDP), exerts its anticancer activity via the
covalent binding to DNA base pairs, which triggers a similar
apoptotic signaling pathway.6 In response to this drug-induced
DNA assault, a range of signaling cascades involved in
apoptosis, cell cycle arrest, and DNA repair are activated. This
is tightly controlled by several regulatory pathways, including
the pro-apoptotic p53 and the pro-survival NF-κB pathways.7,8
Unfortunately, due to mutations that interfere with drug-induced
initiation or execution of apoptosis, the pro-apoptotic response
resistance has been attributed to the activation of anti-apoptotic
signaling pathways such as EGFR and NF-κB, which are
induced after CPT treatment.10,11 Strategies using combinations
of inducers of apoptosis and/or inhibitors of anti-apoptotic
factors with traditional chemotherapeutic drugs may therefore
provide an improved alternative to conventional chemo-
therapy.12-14 Hence, the search for new chemotherapeutic
strategies has therefore shifted to small molecules that can
selectively induce apoptosis in cancer cells or retard the cellular
chemoresistance.15,16
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10.1021/ja060273f CCC: $33.50 © 2006 American Chemical Society
J. AM. CHEM. SOC. 2006, 128, 9137-9143
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