Nuclear extracts from teniposide (VM-26)-resistant sublines of the human leukemic cell line CCRF-CEM have decreased levels ofDNA topoisomerase Il catalytic activity and decreased capacity to form drug-stabilized covalent protein-DNA complexes. The ATP concentration required for equivalent activity in a DNA-unknotting assay is 2-to 8-fold higher in nuclear extracts from drug-resistant cell lines as compared with the parental line. When adenosine 5' -[B,Yimidoltriphosphate is substituted for ATP in complexformation assays, no significant change is seen with drugsensitive cells, but a 50-65% reduction is seen with VM-26-resistant cells. Collectively, these results indicate that an alteration in ATP binding may be involved in the resistance phenotype. Therefore, we identified regions of the topoisomerase II sequence that conform to previously identified nudeotide-binding sites. Starting with cDNA as the template we determined the sequence of the topoisomerase II mRNA surrounding these sites by sequencing DNA fragments produced by the polymerase chain reaction. In the region corresponding to the consensus B ATP-binding sequence described by DNA topoisomerase II is an essential nuclear enzyme that catalyzes the interconversion of topological forms of doublestranded DNA (1-3). This activity is required for DNA replication, recombination, and chromosome segregation (1,4). The cDNA sequence of a topoisomerase II from HeLa cells (5) corresponded to a 174-kDa protein (170-kDa form). A second distinct form of topoisomerase II having an apparent molecular mass of 180 kDa has been identified (6). The 170-kDa form is more sensitive to the topoisomerase II inhibitors teniposide and merbarone than the 180-kDa form and the two forms differ in their cleavage site, thermal stability, and inhibition by A+T-rich oligonucleotides (7). Chung et al. (8) Several classes of antitumor drugs, including the anthracyclines, epipodophyllotoxins, and aminoacridines, inhibit the catalytic activity of topoisomerase 11 (9-14), and both rodent and human cell lines have been selected for resistance to these drugs (15-21). In most cases cells that have been selected for resistance to a single topoisomerase II-inhibiting drug are cross-resistant to drugs of the other classes. This type of multidrug resistance, termed at-MDR, has been associated with an altered topoisomerase II activity (22-25) or a decrease in the amount of the enzyme (26). Previous studies of the human leukemic cell line CCRF-CEM and two VM-26-resistant sublines showed that topoisomerase II in nuclear extracts from resistant cells required a higher concentration of ATP than an equal amount of topoisomerase II from sensitive cells to achieve equivalent P4 DNA unknotting (20,25). Also, only with extracts from the sensitive cells could adenosine 5'-[/3,'y-imido]triphosphate substitute for ATP to increase covalent topoisomerase II-DNA complexes in the presence of VM-26 or 4'-(9-acridinyl)aminomethanesulfon-m-anisidide (m-AMSA). To characterize this altered ATP interaction at th...