The possibility that corticosteroid cytotoxicity could be mediated by activation of poly(ADP-ribose) polymerase and consequent depletion of NAD and ATP was evaluated in steroid-sensitive S49.1 and steroid-resistant S49.143R mouse lymphoma cells and in lymphocytes from a patient with chronic lymphocytic leukemia. All cell types were shown to have the enzyme poly(ADPribose) polymerase and to increase activity in response to DNA strand breaks. Incubation of susceptible cells with 1 iM dexamethasone resulted in DNA strand breaks. Susceptible cells also showed a dose-dependent decrease in NAD and ATP that preceded loss of cell viability. These studies suggest that steroidinduced cytotoxicity in susceptible lymphocytes is due to the presence of DNA strand breaks that activate poly(ADP-ribose) polymerase to a sufficient degree to consume cellular pools of NAD with a consequent depletion of ATP and loss of cell viability.Corticosteroid-induced cytotoxicity in lymphoid cells requires initial binding of the steroid to a cytoplasmic receptor, which then undergoes translocation to the nucleus and binding to chromatin (1, 2). The subsequent steps in corticosteroid-induced cytotoxicity have not been clearly defined. However, several reports indicate that in susceptible cells, corticosteroids induce DNA strand breaks and chromatin fragmentation (3,4).We have recently shown that activation ofthe chromosomal enzyme poly(ADP-ribose) polymerase by DNA strand breaks can initiate a pathway of metabolic alterations that leads to cell death as an indirect consequence of DNA damage (5, 6). Most cells contain poly(ADP-ribose) polymerase in a reserve inactive form (7). Upon activation by DNA strand breaks, the enzyme cleaves NADt at the glycosylic bond between the nicotinamide and adenosine diphosphoribose portion of the molecule. The latter moiety is covalently linked to macromolecular acceptors, and subsequent residues are covalently linked by O-glycosidic linkages to form homopolymers of adenosine diphosphoribose (8). In the presence of extensive or persistent DNA strand breaks, poly(ADP-ribose) polymerase can be activated to consume cellular pools of its substrate, NAD. The decrease in NAD leads to a consequent fall in ATP with associated dire consequences for the cell (6, 7). As a result of the ultimate depletion of NAD Receivedfor publication 4 August 1986 and in revisedform 9 December 1986. and ATP, cells undergo drastic changes in carbohydrate metabolism (9), lose their ability to conduct energy dependent functions such as DNA/RNA protein synthesis, and subsequently die (5, 6, 9). The present studies were carried out to analyze the induction of DNA strand breaks by corticosteroids and the consequences on NAD and ATP metabolism in steroid-susceptible and -resistant lymphoid cells.
MethodsThe steroid-sensitive S49.1 and steroid-resistant S49.143R mouse lymphoma cells have been described previously (1, 2, 10). They were grown in suspension culture at 370C, 8% CO2 in Dulbecco's modified Eagle's medium supplemented with 10%1 h...