Ellipticine is a potent antineoplastic agent, whose mode of action is considered to be based mainly on DNA intercalation, inhibition of topoisomerase II and cytochrome P450-mediated formation of covalent DNA adducts. This is the first report on the molecular mechanism of ellipticine oxidation by peroxidases (human myeloperoxidase, human and ovine cyclooxygenases, bovine lactoperoxidase, horseradish peroxidase) to species forming ellipticine-DNA adducts. Using NMR spectroscopy, the structures of 2 ellipticine metabolites were identified; the major product is the ellipticine dimer, in which the 2 ellipticine skeletons are connected via N 6 of the pyrrole ring of one ellipticine molecule and C9 in the second one. The minor metabolite is ellipticine N 2 -oxide. Using 32 P-postlabeling and [ 3 H]-labeled ellipticine, we showed that ellipticine binds covalently to DNA after its activation by peroxidases. The DNA adduct pattern induced by ellipticine consisted of a cluster of up to 4 adducts. The 2 adducts are indistinguishable from the 2 major adducts generated between deoxyguanosine in DNA and either 13-hydroxy-or 12-hydroxyellipticine or in rats treated with ellipticine, or if ellipticine was activated with human hepatic and renal microsomes. The results presented here are the first characterization of the peroxidase-mediated oxidative metabolites of ellipticine and we have proposed species, 2 carbenium ions, ellipticine-13-ylium and ellipticine-12-ylium, as reactive species generating 2 major DNA adducts seen in vivo in rats treated with ellipticine. The study forms the basis to further predict the susceptibility of human cancers to ellipticine. ' 2006 Wiley-Liss, Inc.Key words: ellipticine; anticancer drug; peroxidase; cytochrome P450; DNA adduct Ellipticine (5,carbazole), an alkaloid isolated from Apocyanaceae plants and several of its more soluble derivatives (9-hydroxyellipticine, 9-hydroxy-N 2 -methylellipticinium, 9-chloro-N 2 -methylellipticinium and 9-methoxy-N 2 -methylellipticinium) exhibit promising results in the treatment of osteolytic breast cancer metastases, kidney cancer, brain tumors and acute myeloblastic leukemia (for a summary see literature 1 ). The main reason for the interest in ellipticine and its derivatives for clinical purposes is their high efficiency against several types of cancer, their rather limited toxic side effects and their complete lack of hematological toxicity. 2 Nevertheless, ellipticine is a potent mutagen. Most ellipticines are mutagenic to Salmonella typhimurium Ames tester strains, bacteriophage T4, Neurospora crassa and mammalian cells and induce prophage lambda in Escherichia coli (for an overview see literature 1 ).The antineoplastic property of ellipticine was considered to be based mainly on DNA intercalation and/or inhibition of topoisomerase II. 3-7 Recently, we found another mode of ellipticine action. 1,[8][9][10] We demonstrated that ellipticine covalently binds to DNA after being enzymatically activated. Using a panel of different human recombinant cytochrome...