Summary Antimetabolites are S-phase specific anticancer drugs. Administration of bromodeoxyuridine (BrdUrd) to tumour bearing mice was followed by treatment with cytosine arabinoside or hydroxyurea. Anti-BrdUrd immunocytochemistry visualised susceptible tumour and intestinal crypt cells at electron microscope level, showing unequivocally that cells that were in S-phase at the time of administration of the drugs subsequently died by apoptosis.Antimetabolites are commonly used anticancer drugs that produce their cytotoxicity by targeting tumour cells in the S-phase of the cell cycle. Ijiri and Potten (1987) found that a wide range of chemotherapeutic agents caused cell death in intestinal crypts and Anilkumar et al. (1992) determined by electron microscope (EM) examination that this cell death in the mouse, when treated with cytosine arabinoside (Ara-C) or hydroxyurea (HU), was through apoptosis rather than necrosis. In tumours, the precise mode of cell death after chemotherapy is important, as apoptosis is considered as an active, gene-directed process which in some circumstances it might be possible to selectively enhance (Itoh et al., 1991). By injecting BrdUrd -a specific precursor of DNA, followed by the antimetabolite, and subsequently visualising the former by immunocytochemistry, S-phase cells would be identified then tracked to their death. Here, the nature of this cell death has been examined in two transplantable murine tumours, a sarcoma, SaF, and a carcinoma, CaX, and in murine small intestinal crypts, in response to treatment with Ara-C or HU.
Materials and methods
TissuesAll experiments were performed in male CBA mice bearing either SaF or CaX, when the tumours were 1 cm in diameter. Duodenal samples were obtained from the same animals. Eight animals bearing SaF and eight bearing CaX were treated with Ara-C and similar groups were treated with HU.Each tumour-bearing group also contained two control animals which received saline in the place of Ara-C or HU.Flash labelling with BrdUrd and subsequent cytotoxic drug treatment The method of Sarraf and Alison (1993) was used that ultimately demonstrated S-phase cells that subsequently died by apoptosis as determined by EM. BrdUrd was administered ip to all animals at a dose of 50 mg kg-', to identify S-phase cells at the time of drug administration. One hour later, Ara-C was given, ip, to four animals bearing SaF and four bearing CaX at 1000 mg kg', 'high dose', and to the other four of each at the 'low dose' of 100 mg kg-'. At each of these dose levels, two animals were killed 2 h later, and two were killed 4 h later. Also 1 h post BrdUrd, HU was given, ip, to four animals bearing SaF and four animals bearing CaX, at 1500 mg kg-' 'high dose' and to four bearing SaF and four bearing CaX at 150 mg kg-' 'low dose'. At each of these dose levels, once more, two animals were killed 2 h later, and two were killed 4 h later. Thus, all cells that had been in the S-phase at the time of administration of BrdUrd would be demonstrable by immunolabelling, and thei...