This study describes characteristics of a mitomycin C (MMC)-resistant human bladder cancer cell line, )82/MMC-2, which was established by repeated in vitro exposures of a 6-fold MMC-resistant variant (J82lMMC) to 18 nM MMC. A 9.6-fold higher concentration of MMC was required to kill 50% of the )82/MMC-2 sub-line compared with parental cells ()82/WT). NADPH cytochrome P450 reductase and DT-diaphorase activities were significantly lower in J82/MMC-2 cells compared with J82/WT, suggesting that reduced sensitivity of )82/MMC-2 cells to MMC resulted from impaired drug activation. Consistent with this hypothesis, the formation of MMC-alkylating metabolites was significantly lower in )82/MMC-2 cells compared with J82iWT. Furthermore, DT-diaphorase activity in J82/MMC-2 cells was significantly lower compared with the 6-fold MMCresistant variant. Glutathione (GSH) levels were comparable in all 3 cell lines. Although GSH transferase (GST) activity was significantly higher in the )82/MMC-2 cells compared with )82/WT, this enzyme activity did not differ between 6-and 9.6-fold MMC-resistant variants. Whereas DNA polymerase Q mRNA expression was comparable in these cell lines, levels of DNA ligase I mRNA were slightly lower in both MMC-resistant variants relative to )82/WT. However, the DNA polymerase p mRNA level was markedly higher in the J82/MMC-2 cell line compared with either )82/WT or )82/MMC. Thus, emergence of a higher level of resistance to MMC in J82/MMC-2 cells compared with J82/MMC may be attributed to (i) impaired drug activation through further reduction in DT-diaphorase activity and (ii) enhanced DNA repair through over-expression of DNA polymerase p.o 1996 Wiley-Liss, Inc.Mitomycin C (MMC), a bioreductive alkylating agent, has demonstrated activity against various malignancies, including bladder cancer (Crooke and Bradner, 1976). However, the clinical usefulness of MMC may be limited at least in part due to drug resistance (Moertel et al., 1968; Wilson et al., 1987). Several different mechanisms have been proposed to account for tumor cell resistance to MMC, including impaired drug activation due to down-regulation of an MMC bioactivation enzyme(s) (Hoban et al., 1990; Pan et al., 1992;Xu et al., 1994a), reduced drug accumulation (Dorr et al., 1987;Shibata et al., 1995), decreased MMC-induced oxygen radical formation (Dusre et al., 1990), enhanced glutathione (GSH)/GSH transferase (GST)-mediated drug inactivation Singh et al., 1992; Xu et al., 19946) and increased DNA repair (Dulhanty et al., 1989).We previously reported characterization of a human bladder cancer cell line (J82/MMC) exhibiting about 6.0-fold more resistance to MMC compared with parental cells ( Xu et al., 1994a). The J82iMMC sub-line was established by repeated continuous exposures of J82/WT cells to increasing concentrations of MMC (9-18 nM) over a period of about 10 months. Previous studies from our laboratory have suggested that cellular resistance to MMC in the J82/MMC cell line may be manifested by multiple mechanisms, including impaired...