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Charge Transfer-Oxy Radical Mechanism for Anti-Cancer Agents

Charge Transfer-Oxy Radical Mechanism for Anti-Cancer Agents

Marquette University e-Publications@Marquette

Chemistry Faculty Research and Publications Chemistry, Department of

11-1-1986 Charge Transfer-oxy Radical Mechanism for Anti- cancer Agents Peter Kovacic University of Wisconsin - Milwaukee

James R. Ames University of Wisconsin - Milwaukee

Paavo Lumme University of Helsinki

Hannu Elo University of Helsinki

O. Cox University of Puerto Rico, Rio Piedras

See next page for additional authors

Published version. Anti-Cancer Drug Design, Vol. 1, No. 3 (November 1986): 197-214. Publisher link. © 1986 Cognizant Communication Corporation. Used with permission. Authors Peter Kovacic, James R. Ames, Paavo Lumme, Hannu Elo, O. Cox, and Michael D. Ryan

This article is available at e-Publications@Marquette: https://epublications.marquette.edu/chem_fac/600 Anti-Cancer Drug Design (1986), 1, 197-214

Charge transfer-oxy radical mechanism for ,anti-cancer agents1

1 1 2 2 3 3 P. Kovacic , J.R. Ames , P. Lumme , H. Elo , 0. Cox , H. Jackson , L.A. 3 3 4 : Rivera , L. Ramirez & M.D. Ryan 1Department of Chemistry, University of Wisconsin-Milwaukee, Milwaukee, WI 53201 USA, 2Department of Inorganic Chemistry, University of Helsinki, Vuorik 20, SF -00100, Helsinki, Finland, 3Department of Chemistry, Universi-ty of Puerto Ricq, Rio Piedras, Puerto Rico 00931, and 4 Department of Chemistry, Marquette University, Milwaukee, WI 53233, USA

Summary: The proposal is advanced that anti -cancer drugs generally function by charge transfer resulting in formation of toxic oxy radicals which destroy the neoplasm. Electrochem­ ical studies were performed with some of the main types of agents: iminium ions (adenine iminium from alkylating species, iminium metabolite of 6-mercaptopurine, nitidine, other polynuclear iminiums) and metal complexes (Pt(II)diaquodiammine-guanosine, copper salicylaldoximes). Reduction potentials ranged from -0.4 to -1.2 V. Literature data for quinones are presented and radiation is discussed. Based on the theoretical framework, a rationale is offered for the carcinogen-anti-cancer paradox and the role of antioxidants.

More than two decades ago the oxy radical oxide, and inert bodies (Kovacic et al., in for carcinogenesis was advanced press). & Guzman Barron, 1951; Holman, The initial inklings (Holman, 1956; War­ 1956; Harman, 1956). Shortly thereafter, the burg et al., 1957) that reactive oxy species proposal was placed on a broader, more may play a role in anti-cancer action was systematic foundation (Harman, 1962; Kov­ shortly followed by a better developed, . acic, 1959 and 1960). This approach received more comprehensive approach (Kovacic, scant attention until fairly recent times 1959). A baffling paradox of oncology is the which have witnessed ever increasing well-known phenomenon that generally the support from a variety of disciplines (Ames, substances which induce cancer are also 1983; Mason, 1982; Demopoulos et al., 1980). antineoplastic. If the premise is valid th.at In general terms, the comprehensive theory these agents cause cancer by producing states that oxy radicals are implicated in the excessive amounts of oxy radicals, it may action of most carcinogens, arising as the well be that their ability to combat the end product of metabolic processes, usually condition is intimately related to the same . via charge transfer (CT). Apparently, the chemical property. An essential component highly reactive radicals subsequently attack of the overall picture is the corollary that cellular DNA, as well as other crucial many tumor cells are more susceptible than constituents, resulting in transformation to normal ones to elevated concentrations of '. the oncogenic state. Specific application has oxy radicals, thus providing the requisite · been made to alkylating agents, quinones, specificity. Supporting evidence may be metal complexes, iminium ions .. radiation, found from the early days of oncology carbon tetrachloride, 4-nitroquinoline 1- (Kovacic, 1959), as well as newer data which will be presented in the discussion section. 1 Presented in part at the 189th national meeting, American Chemical Society, Miami, FL, MEDI Abstr­ Recently the suggestion was made that acts, 81 (1985). iminium species (1), usually in conjugated Correspondence: P. Kovacic. form, play important roles biologically in a

© The Macmillan Press Ltd, 1986 j<;J ~;;~J -. ;~r~ 198 P. KOVACIC et al. ;;{~ ·!'% . _;-~:;:7 variety of redox transformations (Kovacic, 0 1984). These entities might then function· :~~:~~::~~, !~g~7e~i~g ~h~ lo;ci ~~;cJp~~ :::(Ql catalytically at the active site as electron tate (Marcelis et al., 1980). The solution was >ij;,;~ The principal objective of the present cis-diaquo reagent for 30 min, since this Pt /-;~,~ work was to determine the electrochemical characteristics of several main categories of 1 antineoplastic agents: iminium ions (aden­ r~:~!~=~i;~ z!;{~:£:~;:~u~~a~~:r;Fe~ ':~! ine iminium from alkylating species, imin­ under vacuum to furnish a solid material. '"51 ium metabolite of 6-mercaptopurine, nitid­ Cyclic voltammetry and polarography ·•• ine, other polynuclear iminiums) and metal were perf0rmed on an ECO model 550 , complexes (Pt(II) diaquodiammine-guano­ potE~ntiostat with a PARC model 175 sine, copper(II) salicylaldoximes). Literature waveform generator. All solutions were·. data for quinones and other CT agents are degassed for 15 min with pre-purified , presented, and radiation is discussed. The dinitrogen that was passed through an ·~-­ results are treated within the context of the oxygen scrubbing system. The working<· unifying theory for anti-cancer ' action electrodes were a platinum flag or a hanging involving CT with production of toxic oxy mercury drop (HMDE). Reference electrodes<. radicals. The carcinogen-anti-cancer para­ were an IBM aqueous Ag/AgCl or a , dox is addressed, as well as the role of Corning SCE both in saturated KCI. The <: ... ···., antioxidants. counter electrode in all cases was a platinum.\'!;:;:(·~ wire. The supporting electrolyte was-;:;· .. ·::.• ~ tetraethylammonium perchlorate (G.F.~.'<;/i•:v,:;; Smith Chemical Co.). The solvents, N,N.:- .· Materials and methods dimethylformamide and dimethyl sulfoxide, · were obtained from Aldrich Chemical Co. iri.' Isoquinolinium salts 7 and 8 were obtained the highest possible purity, in addition to;." from Prof Mark Cushman (Cushman et al., cis-OOP, trans-DOP and guanosine hydrate:'·: 1984). Literature methods were used for Buffer solutions of pH 3.3, 3.9 and 4.8 ·· synthesis of purine-6-sulfinate 6 (mp 178°C (HOAc/OAc-) (compound 6) and pH (dec.), lit. (Doerr et al., 1961); mp 175°C (50% ETOH/buffer, KHP) (compounds (dec.), 3-benzyladenine chloride 3 (mp and 8) were used for cyclic voltammetry. 254-260°C with prior darkening, lit. (Ab­ shire and Berlinquet, 1964; mp 261-267°C), 3-benzyladenine (3-HCl) (mp 268-270°C, with prior darkening, lit. (Abshire & Results and discussion Berlinquet, 1964; mp 284-287°C) and 1- methyladenosine iodide 4 (mp 190-195°C) Iminium ions (dec.) Gones & Robins, 1963). Elemental analyses were satisfactory for the com­ 1. Purines . ,. pounds whose melting points differed (a) Alkylated DNA models: The alkylating:_' appreciably from literature values. Benzo­ agent class contains a large group of< thiazoloquinolinium salts 9 (Cox et al., 1982 antineoplastic agents, including nitro~:)~; and unpublished results), and copper(II) gen mustards, epoxides, aziridines~c'· salicylaldoximates 11 (Lumme & Korvola, triazenes, N-nitroso compounds, and·' 1975; Lumme et al., 1984) were prepared as alkyl alkanesulfonates (Reich, 1981). Some_.\ described. cis- and trans-Oiaquodiammine have progressed to the stage of practical~\ platinum(II) nitrates were obtained from the use in . As is we11'3 corresponding OOPs by stirring with two established, the diverse types alsq:r CHARGE TRANSFER-OXY RADICAL MECHANISM 199

+

2

3 4 SOH so 2z t~) N}0--N N . I l NJl N\) H I H 5 a)Z=H b)Z=Na CH30

6 a)R 1+R 2 =CH2 b)R1=H R2=CH 3 7

8 a)R=H b)R=OCH3

9

Cu+2tOXfR) ~ I N=C 2 I I HO H

a) R=H b) R=OH

,, 12 generally function as carcinogens (Miller In a recent investigation of the & Miller, 1983). Concomitant production mechanism of carcinogenesis, a novel of oxy radicals has been observed with proposal was advanced in which the salt various members (Ames, 1983; Floyd, form (iminium) of alkylated nucleic acid 1982). Although the precise role of these was assigned a key function as aCT agent reactive intermediates has not been (Kovacic et al., in press). The purines ascertained, it appears that DNA strand (guanine and adenine) of DNA are the cleavage may be a crucial event (Floyd, principal targets of attack (Miller and 1982). Miller, 1983). For example, the ionic 200 P. KOVACIC et al.

structure 2, a conjugated form of iminium (1) is generated from 0-6 alkylation of guanine and could conceivably undergo !1 mA one-electron reduction. Electrochemical data from the literature (Dryhurst, 1977) and our own studies (Kovacic et al., in press) are in reasonable accord with the current picture relating site of alkylation and defect persistence to oncogenic response. Thus, it appears quite plausible that the salt form is functioning in a 0.0 -0.5 -1.0 catalytic manner as a generator of toxic oxy v radicals. In order to test this concept as applied Figure 1 Cyclic voltammogram of 4 in DMF, Pt to anti-cancer alkylating agents, salts electrode, scan rate 100mVIs. derived from alkylation of adenine and adenosine were investigated electro­ chemically as models. 3-Benzyladenine positive figure obtained for the reduction chloride 3 gives irreversible reduction potential was -0.96 V (DMF) (Figure 1, values of about -1.0 V (Table I). Upon Table 1). The results were less favorable in addition of strong base the potentials DMSO. The product of the reduction is become more negative and the current probably a dimer, since coupling has been drops until, with excess base, there is no observed from electrolysis of purine bases reduction before the background current, in non-aqueous solvent (Yao et al., 1976). due to generation of the nonreducible, Our data are in agreement with nonionic base via loss of HCl. Occurrence previous investigations with adenine in of this transformation was confirmed by aqueous acid. E112 values, -1.05 to electrochemical studies on the free base -1.07 V, were reported, which varied which gave no reduction before back­ . linearly with pH (Dryhurst, 1977). ground. A second model consisted of the Adenosine and adenylic acid behaved nucleoside with the base alkylated at a similarly. Evidently salt formation oc- · different site, namely, N-1. For 1- curs by preferential protonation at N-1 · methyladenosine iodide 4, the most (Saenger, 1984). There are several possible sites adenine alkylation. The preferred one in. Table I Cyclic voltammetry of N-alkylated vivo is generally the N-1 position. adeninium and adenosinium halides.a Reaction at N-7 is also common! observed, whereas N-3 attack varies -Ep degree (Shooter, 1972; Rajalakshmi al., 1982). Alkylation at any of the [OH-] mM Compound DMF DMSO positions would produce a potential 3-Benzyl adenine 0.96 1.00 agent capable of catalytic operation. chloride 0.49 1.03 1.19 N-3 position has been suggested as 0.99 b - b important locale in the carcino b b 3-Benzyladenine - - process (Lijinsky, 1976). It is .,J·,F. ... ,, ...... u ••• (',., 1-Methyladenosine 0.96 1.23 that N-7 adenine salts possess ph iodide 0.49 0.96 1.23 logical activity (Iio et al., 1985). b b 0.99 - - (b) 6-Mercaptopurine: The properties _ this drug are summarized in Table Vll. a 100 mV/s, tetraethylammonium perchlorate (0.1 M), substrate (0.5 mM), Pt electrode, irreversible, vs. SCE. It, as well as related materials, · b No reduction of substrate before background evidently converted to the corresp reduction. ing nucleotide (Ishiguro et al., 1984) CHARGE TRANSFER-OXY RADICAL MECHANISM 201 the nucleoside (Chabner, 1981; Christie Table III Electrochemistry of fused derivatives of et al., 1984) followed by insertion into quinolinium and isoquinolinium salts.a the DNA chain. The thiol appears to be oxidized to the unstable sulfenic acid 5 -EP which undergoes further conversion to Electrode Compound DMF DMSO H20b techniquec the isolable sulfinic acid 6a (Hyslop & Jardine, 1981; Nelson, 1982). The acids 7a 0.90 d - d Hg,P could exist in an ionic (iminium) form 1.07 1.09 - d Pt,CV (cf. 2) either from intra- or intermolecu­ - d - d 1.15 Hg,CV lar nuclear protonation. 7b 0.99 - d - d Hg,P Since an oxidative metabolite is 1.01 - d 0.89 Hg,CV thought to be the active agent, we 1.11 1.14 - d Pt,CV 8 1.24 d - d Hg,P obtained data on the reduction potential d for 6. In DMF the EP varies from -1.0 V 1.25 - 1.35 Hg,CV 1.34 1.35 - d Pt,CV for the iminium from nuclear protona­ d 9a 0.39, 1.18 0.42, 1.12 - Hg,P tion to > -2.0 V for the sodium salt (6b) 0.42, 1.19 0.45, 1.17 - d Hg,CV (Table II). In aqueous buffer 6 exhibits 0.65, 1.21 0.64, 1.16 - d Pt,CV potentials (V) that vary linearly with pH 9b 0.42, 1.18 0.45, 1.12 - d Hg,P (Ep = -0.44-0.100 pH); the most posi­ 0.45, 1.20 0.47, 1.16 - d Hg,CV tive value was -0.77 V (pH 3.3). Hence 0.66, 1.17 0.67, 1.17 - d Pt,CV reduction is facilitated by increasing acidity. The results in aqueous media a 100mvIS, tetraethylammonium perchlorate (TEAP, are in agreement with data (V) from an 0.1 M), substrate (0.5 mM), vs. SCE. b Buffer (KHP) pH 6, no TEAP. earlier study (Dryhurst, 1969) in which 6 c P-polarography, CV--cyclic voltammetry. exhibited E112 = -0.37-0.094 pH (pH 1- d Not examined electrochemically. 9.1). Reduction involved the N-1=C-6 bond giving the dihydro product (Dry­ 5 should reduce at a value between hurst, 1977). Also included were the those for 6b and the disulfide. parent thiol, E112 = -0.79-0.116 pH (pH 0-5), purine 6-sulfonic acid, E112 = -0.45-0.078 pH (pH 1-7), and 6- 2. Fused derivatives of quinolinium and iso­ purinyldisulfide, E112 = -0.0 V. From quinolinium salts.. This class is represented these findings Dryhurst concluded that by the alkaloids nitidine 7a and fagaronine

Table II Cyclic voltammetry of purine-6-sulfinic acid.a

[Acid] mM DMF H20b

>2.0 - c c HC104 0.46 1.24 - HC10 0.91 1.03, 1.23 - c 4 c HC104 1.3 1.00, 1.22 - HOAc pH3.3 0.77 HOAc pH3.9 - c 0.83 HOAc pH4.8 - c 0.92

a 100 mV/s, tetraethylammonium per­ -0 6 -1 0 -1.4 chlorate (0.1 M, DMF), 6b (0.5 mM), HMDE v vs. SCE, irreversible. b HOAc/OAc- buffer. Figure 2 Cyclic voltammogram of 7a in DMF, Pt c Not examined electrochemically. electrode, scan rate 100 mV/s. 202 P. KOVACIC et al.

7b, the indenoisoquinolinium salt 8 and 3- the 1-phenylpyridinium ion, i.e., ~E 112 was nitrobenzothiazolo(3, 2-a)quinolinium salts more negative by about 0.03 V (Zuman, 9a, b. Studies on 7 and the analogue 8 gave 1967a). values ranging from -0.90 to -1.15 V (Table The activity of 7 has been correlated with III) for 7 and -1.25 to -1.35 V for 8. The the presence of the imini urn site (Caolo & methoxyl .substituent is known to result in Stermitz, 1979), in keeping with our more negative potentials (Zuman, 1967a). theoretical framework. Also N-methylphen­ Cyclic voltammetry (CV) (Figure 2) gives anthridinium salts are known to undergo irreversible reductions. On the other hand, charge transfer (Parkanyi & Leu, 1975). It is calculations from polarography (P) and CV reasonable to associate the activity of 9 in indicate reversible behavior. The EP - EP12 part with nitro or the nitroso reduction (CV) and E314 - E114(P) values of 60 mV are in product, since compounds of this type are reasonable agreement with the theoretical used in cancer therapy (Docampo & values of 57(CV) and 56(P) mV for a Moreno, 1984; Murray & Meyn, 1985). These one-electron process. Isoquinolinium salts substances (7-9) may exert their activity by are known to undergo one electron reduc­ binding to DNA (Baez et al., 1983; Cushman tion with formation of the 1,1'-dimer et al., 1984). Related anti-tumor alkaloids (Bradsher, 1981). The nitrobenzothiazolo­ include coralyne (Cox et al., 1982) and quinolinium salts (9a, b) give multiple sanguinarine (Nandi & Maiti, 1985). reduction values (Table III) (Figure 3); the most positive range from -0.39 to· _:_0.65 V (irreversible). The more negative waves, 3. Ellipticines. Most members of this class about -1.2 V, are reversible. Calculations on are anti-tumor agents. Metabolites and the first wave provide values similar to various derivatives incorporate quinone­ those from 7, namely, 63(CV) and 60(P) mV. imine and iminium, e.g., 10. The results Apparently the reductions are followed by a from extensive studies (Paoletti et al., 1983) fast follow-up step. There are two predomi­ are summarized in Table VII. Electrochemi­ nant electroactive sites associated with 9, cal data demonstrate the ability of the namely, the nitro group and the iminium hydroxylated metabolite to function as a ion. The literature E112 for nitrobenzene is charge transfer entity (Paoletti et al., 1983). -0.62 V (Wheeler, 1963). Enhancement in Recent reviews deal with iminium ions the positive direction in our case is due to a in the alkaloid category (Knabe, 1979) and more extended, electrophilic system of from oxidative metabolism of xenobiotics conjugation. Substitution of methoxyl for (Overton et al., 1985). The iminium charge hydrogen in the benzothiazole ring has the transfer theory appears broadly applicable effect of making the reductions more to a wide variety of biologically active negative by about 0.03 V as a result of agents (Kovacic, 1984), carcinogens (Kovacic electron donation, in agreement with the et al., in press), drugs (quinoxaline-di-N­ reported effect of the 4-methoxyl group in oxides) (Ryan et al., 1985), MPTP (Ames et al., in press a), phencyclidine, nicotine and spermine metabolites (Ames et al., in press b), antimalarials (Ames et al., 1985c), mesoionic betaines (Ames et al., 1986d) and benzodiazepines (Crawford et al., in press).

Metal complexes Metal species are known to elicit a variety of 0.0 -0.5 -1 0 -1.5 physiological responses. Specific chemical v reactions that have been observed include Figure 3 Cyclic voltammogram of 9a in DMF, Pt oxygen radical formation (Ames, 1983;· electrode, scan rate 100mVIs. Stern, 1985) and DNA strand cleavage (Furst CHARGE TRANSFER-OXY RADICAL MECHANISM 203

& Radding, 1984) (Table VII). Formation of the same EP values ( -0.96 to -1.0 V) as for complexes with DNA is reported for some the Pt(II) precursor. The similar results may cases (Furst & Radding, 1984; Saenger, 1984) be due to involvement of supporting (Table VII). electrolyte since added salt is known to alter

the 1:1 Pt(II)(H20h(NH3h-guanoside com­ 1. cis-DDP. The most prominent member plex in solution (Marcelis et al., 1980). No of the anti-cancer group is cis-DDP. Several reduction occurs before background for reviews summarize much of the work trans-DDP, and the corresponding diaquo (Roberts & Thomson, 1979; Rosenberg, 1980; derivative is reduced at -1.20 V. The trans­ & Lippard, 1980). Binding of Pt(II) to diaquodiammine Pt(Il)-guanosine complex F.--·-~···~·- of DNA is known to occur, and is (1: 1 and 1:2 in solution) gave EP values to have marked biochemical and that are more negative ( -1.3 to -1.6 V). :~¥~:~:\ 'pharmacological significance (Pinto & Lip­ Thus, the reduction potentials in the cis ;z~i·'~:,._pard, 1985; ·Macquet & Theophanides, 1975; series are more positive than for the trans ·;,;(~J~~, Ciccarelli et al., 1985). Considerable effort counterparts. Since trans-DDP is less active ~&~l;}{ has been devoted to structural analysis of (Cleare, 1974) than the cis-isomer a correla­ t:[(: the DNA-Pt(II) complex (Sherman et al., tion exists between potency and ease of · :· 1985; Marcelis et al., 1980; Rosenberg, 1980). electroreduction, in accord with the general ~;~~;:;:: Since there is apparent conversion to the mechanistic theme. Prior rationale for the ~~z,~,· diaquodiammine metabolite in vivo (Carsey difference in activity has been summarized ,~~~i:.~ & Boudreaux, 1980), attention was centered Qohnson et al., 1985). *iK:~.·:. on this form in the electroreduction studies. The proposed pathway entailing catalytic :;,:'r:· Guanosine was used as the model ligand. production of oxy radicals is consistent with j~? Cyclic voltammetry data for the Pt com­ effectiveness of the Pt drug at low doses ·k• .plexes are presented in Table IV. All (Rosen~erg, 1980; Barton & Lippard, 1980). · reductions are irreversible. No reduction The toxicity is reduced by mercapto­ occurs before background for cis-DDP and containing compounds that are well known Experiments with the cis­ antioxidants (Nagy et al., 1986; Kempf et al., Pt(II)-guanosine complex 1986). Other radical scavengers such as or in solution) revealed approximately a-tocopherol and N,N' -diphenyl-p-phenyl­ enediamine exerted a similar effect (Sugihara Table IV Cyclic voltammetry of Pt(II)­ & Gemba, 1986). The investigators proposed guanosine complexes.a free radical damage by the drug. Also thiols Compound protected against mutagenesis (Nagy et al., 1986) a condition generally attributed to oxy cis-DDP NRb.c radicals (Kovacic, 1984). There is evidence trans-DDP NRb.c for a close relationship between mutagene­ Guanosine NRb.c sis and carcinogenesis (Slaga, 1983). Chrom­ cis-Pt(II)(H20 )2(NH3)2 0.96 osomal aberrations, primarily chromatid cis-Pt(II)(H20 )2(NH3h- breaks, are known to be induced by guanosine 0.96 cis-DDP (Flessel et al., 1980). cis-Pt(II)(H20 )2(NH3h­ guanosine (1: 1 solution) 1.0 2. Complexes of copper and iron trans-Pt(II)(H20 )2(NH3) 2 1.20 trans-Pt(II)(H20 )2(NH3)2- (a) Copper: Some copper complexes in this guanosine category 11 incorporate salicylaldoximes (1: 1 solution) 1.45 as chelating agents (Lumme et al., 1984). (1: 2 solution) 1.30, 1.60 Reduction potentials for 11a and 11b ranged from -0.86 to -0.96 V for the aPt flag, tetraethylammonium perchlorate most positive values with Pt as the (0.1 M), substrate (0.5 mM), vs. Ag/AgCl, 100 mV/ s. working el~ctrode, and from -0.71 to b No reduction. -0.86 V with Hg. All of the reductions c 200mV/s. were irreversible (Table V) (Figure 4). 204 P. KOVACIC et al.

Table V Cyclic voltarnrnetry of copper(II) related bis(thiosemicarbazone) com­ salicylaldoxirne complexes. a plexes display E112 values of -0.34 to -0.53 V, adjusted to SCE that are attributed to the reduction of Cu(II) to Cu(I) (Winkelmann et al., 1974). Compound DMF DMSO Electrode According to our guiding theme, there lla 0.86, 1.29 0.93, 1.34 Pt is CT resulting in toxic oxy radicals via 0.75, 1.23 0.71, 1.18 Hg superoxide. Experimental support is llb 0.91, 1.26 0.97, 1.38 Pt provided by the observation that 0.86b 0.84b, 1.28 Hg Cu(l)bis(thiosemicarbazone) is autoxi­ dizable by oxygen (Petering, 1972), a a 100 mV /s, tetraethylammonium perchlorate (0.1 M), process expected to produce superoxide. substrate (0.5 mM), irreversible, vs. SCE. b Reduction with adsorption. It is relevant that interaction of heterocyclic carboxaldehyde thiosemi­ The difference in reduction potential for carbazones with DNA was observed to lla and llb ( -0.04 to -0.05 V, Pt result in single strand cleavage (Tsifts­ electrode) is in agreement with the oglou et al., 1975); preliminary associa­ reported effect of the hydroxyl group in tion of the drug with metal may well anthrone, i.e., ~E 112 was more negative occur. DNA scission is commonly by 0.01 to 0.05 V (Zuman, 1967b). There associated with oxy radical formation has been a prior suggestion that (Demopoulos et al., 1980). Agrawal & electron transfer may play a mechanistic Sartorelli (1978) proposed that the action role in vivo (Lumme & Elo, 1985). For on DNA is of major significance for the related Cu(II)(3,5-diisopropyl­ cytotoxicity. salicylateh, evidence was provided to (b) Iron: Iron complexes of thiosemicarba­ support the contention that hydrogen zones show antineoplastic activity (Sco­ peroxide is partly involved in the vill et al., 1982). Compound 12 exhibits anti-tumor action (Oberley et al., 1983). a reduction wave at -0.23 V (reversible) Another class of copper(II) coordina­ (Ames et al., 1985c). tion compounds, the thiosemicar­ Proposals have been made that bazones, is known to possess anti­ several well-known agents function cancer activity (Petering, 1980; Scovill et after initial coordination with metal ion. al., 1982). Reduction of the complex The action of bleomycin is summarized derived from 2-acetylpyridine thiosemi­ in Table VII (Halliwell & Gutteridge, carbazone occurs reversibly at about 1985a). According to current thinking -0.5 V (Ames et al., 1985c). The (Hecht, 1979; Lown, 1982), the drug sequesters Fe(III) in the cell nucleus and intercalates or binds to DNA. Redox reactions involving the iron and oxygen take place. The reduction potential for the Fe(III) complex is -0.11 V adjusted to SCE (Melnyk et al., 1981). Adriamycin is known to be a chelat­ ing agent for a number of metal ions including Fe(II), Fe(III) and Cu(II) (Halliwell & Gutteridge, 1985a). The iron complexes bind to DNA (Gianni et al., 1985) and reduce molecular oxygen· -0.4 -1.0 -1.3 to reactive radicals. DNA cleavage is v observed. Figure 4 Cyclic voltarnrnograrn of lla, in DMF, Pt electrode, scan rate 100 rn VIs. 3. Others. Various other metals, e.g. Rh, CHARGE TRANSFER-OXY RADICAL MECHANISM 205

;-'Ru, Sn, Ti, V and Mo, in derivative form (Youngman et al., 1984). Strand scission can >;exhibit anti-cancer activity (Cleare, 1974; occur in the absence of binding. '> Cleare & Hydes, 1980; Sadler, 1982). Iminoquinones have not been as exten­ 1 ,. ;'However, compared to cis-DDP, they have sively studied. Representative members are -received relatively little attention. In addi­ 5-iminodaunorubicin (Lown et al., 1982), tion, several agents, such as, a,a' -dipyridyl anthrapyrazoles (Fry et al., 1985), and . ·(Hellman et al., 1983) and picolinic acid actinomycin D (Halliwell & Gutteridge, , .(Leuthauser et al., 1982), which are effective 1985a; Doroshow, 1983). Relevant character­ ;: against neoplasms, may fit into this istics are intercalation, oxy radical forma­ ··mechanistic category based on their ability tion, DNA cleavage, and oxygen depen­ ~,~ to bind metals strongly. dency. As in the quinone case, charge transfer has not been observed after intercalation (Emanuel et al., 1984; Sengupta .. Quinones and iminoquinones et al., 1985). Evidence shows that redox .: Quinone have found widespread cycling and radical generation are less facile application in recent years in the treatment with the imine analogues (Lown et al., of malignancy (Mason,' 1982; Lown, 1982; 1979). Several other anti-cancer agents, e.g., . 1983; Waring, 1981). Results from extensive rhodamine 123 (Lampidis et al., 1983), and ::. 1 studies, which principally involved anthra­ an oxidative metabolite of ellipticine •"' ::".cyclines, mitomycins, streptonigrin, and (Paoletti et al., 1983), possess similar _;••2L:;.saframycins, are summarized in Table VII. structures . . >The toxicity, found to be oxygen dependent Table VI contains the reduction potentials ::<'. (Halliwell & Gutteridge, 1985a), apparently for a number of substances in this general

.,. _results from redox cycling of the quinone. category. The E112 values fall in the range, Initial metabolic reduction to the semi­ -0.20 to -1.09 V. A study revealed that the quinone intermediate, which can bind to anti-tumor activity of 75% of the in­ DNA (Sinha & Chignell, 1979) evidently is vestigated iminobenzoquinones could be an essential step (Lown, 1982; Emanuel et correctly classified based only on their al., 1984). The overall· process has been reduction potentials (Hodnett et al., 1978). designated 'site-specific free-radical' gen­ Also, the iminoquinones, which exhibit eration (Bachur et al., 1982). Inhibition of more negative reduction potentials than the . the rate of DNA scission was observed with quinones, were found to induce less DNA ·added catalase, superoxide dismutase and strand cleavage (Lown et (ll., 1982). The end free radical scavengers (Lown, 1982). product of anthrapyrazole reduction is the However, adriamycin bound to DNA is corresponding dihydro form (Showalter et unable to participate in redox reactions al., 1986).

Table VI Reduction potentials for some physiologically active quinones and iminoquinones.

Reduction Compound potential (V) Reference

Daunorubicin -0.62 Rao et al., 1978 Adriamycin -0.62 Rao et al., 1978 Mitomycin B -0.20 Rao et al., 1977a Mitomycin C -0.37 Rao et al., 1977b 5-Imino- daunorubicin -0.70 Lown ·et al., 1982 Anthrapyrazoles -0.98 to -1.09 Showalter et al., 1986 Actinomycin D -0.82 Nakazawa et al., 1985 206 P. KOVACIC et al.

Table VII Characteristics of anti-cancer agents.a

Generation of reactive DNA DNA Agent oxygen species bindingb cleavage Quinones + ·+ + Metals + + + Bleomycin + + + Ionizing radiation + + 6-Mercaptopurine +c + Alkylating agents + + + Ellipticined + + +

a See the discussion for references. b Intercalation or covalent. c Nucleotide insertion. d And derivatives.

The exact state in which these compounds 1-methyl-4-phenylpyridinium ion (cyper­ generate oxy radicals at the active site is not quat, MPTP metabolite) E112 = -1.09 V) established with certainty. Alternatively, the (Ames et al., in press, a) which display ultimate agent may be a metal complex (vide rather negative values are reported to supra). function by oxy radical generation via CT (Ryan et al., 1985; (MPTP) Markey et al., Radiation 1985). Reversibility is more likely in vivo due to immobilization of the CT agent at the Relevant biological effects are summarized active site. in Table VII (Harman, 1962; Henriksen et al., 1976; Greenstock & Whitehouse, 1984). It Other considerations is conceivable that indirect generation of oxy radicals also occurs. The nucleic acid 1. Role of oxygen. In our prior discussion, bases are considerably more sensitive than much evidence has been cited for the the phosphate backbone to radiation (Green­ formation and involvement of activated stock & Whitehouse, 1984). Purines are oxygen species. It is generally believed that known to form N -oxy species readily on superoxide serves as a precursor. Support exposure to peroxide (Robins, 1967), which for this standpoint is provided by in­ might then serve as CT precursors for vestigations on the beneficial influence of radicals (Kovacic et al., in press). For oxygen on drug and radiation effectiveness example, adenine 1-oxide displays an E112 of against cancer cells (Cadenas, 1985; Teicher -0.81 V, pH 1 (Dryhurst, 1977). Also, some et al., 1981; Gupta & Krishan, 1982). The forms of ionizing radiation apparently give conclusion was drawn that a common rise to cationic species that alkylate cellular mechanistic pathway pertains for the constituents (Seifter, et al., 1984). diverse agents (Gupta & Krishan, 1982; Correlation of reduction potential with Scheulen · & Kappus, 1984) in accord with physiological activity is not new. Examples the present thesis. Drug activity observed include anti-cancer agents (Murray & Meyn, during hypoxia (Teicher et al., 1981) can be 1985) and other categories (Hodnett et al., rationalized by reductive stress involving 1978; Bogatskii et al., 1971). radical processes Gones, 1985). There are indications from prior reports Free radicals derived from oxygen are that reduction potential in vivo may well be increasingly implicated in the initiation and more favorable than in vitro (Kaye & progression of various diseases, and in the Stonehill, 1952; Neta et al., 1985), Both di­ toxic action of numerous drugs and chemi­ oxidine (E 112 = -1.06 V) (Ryan et al., 1985) and cals (Nelson, 1982; Holtzman, 1982; Sies, CHARGE TRANSFER-OXY RADICAL MECHANISM 207

1985; Halliwell & Gutteridge, 1985). The obvious relationship between resistance to following statement also reflects a unified ionizing radiation or radical-producing approach: 'Several of the chemotherapeutic drugs and tumor cell content of the agents are thought to have both their following enzymes: Cu-Zn SOD, Mn SOD, therapeutic and toxic effects by causing an catalase, and glutathione peroxidase (Mark­ oxidative stress' (Holtzman, 1982). The lund et al., 1982). These findings of large natural phagocytic response to foreign variations in the effectiveness of protective bodies entails attack by activated oxygen systems may partly account for the observed entities (Baehner et al., 1982). differences in response by cancer patients. Another feature of importance is the rate 2. Crucial differences between malignant and of production of superoxide by tumors. If normal cells. As pointed out in the intro­ the generation is similar to or greater than duction, an important feature of the the case of normal cells, then the lowered carcinogen-anti-cancer theory is the cancer­ levels of protective enzymes in the neo­ cell property of enhanced susceptibility to plasms would result in enhanced sensitivity reactive oxygen-containing entities. This to the additional oxidative stress. Investiga­ postulate, advanced quite some time ago, tors have shown that tumor cell mitochon­ was based primarily on decreased levels of dria do produce superoxide (Oberley & catalase. Since then, other enzymes which Buettner, 1979). In one case, the rate of destroy these oxy species have been formation was nearly the same as for normal discovered and investigated (Willson, 1983). tissue, whereas in another report there was · The superoxide dismutase (SOD) enzyme a five-fold increase. . decomposes superoxide which is generated Although chemotherapy and ionizing by aerobic metabolic reactions. Presumably, radiation have proved beneficial in the protection is thereby provided from the treatment of cancer, relapse and limited adverse effects of oxy radicals, such as applicability are commonly seen (Rosen­ hydroxyl, which can arise from the radical berg, 1980). There are a number of possible anion. In fact, various reports reveal rationalizations (Kovacic, 1959). In the inhibition of radiation carcinogenesis by context of the theoretical interpretation, SOD (Hall & Borek, 1983). A considerable increased concentrations of oxy radicals may number of studies have found decreased not be completely effective due to the levels of SOD in malignant neoplastic survival of a small fraction of resistant tissues (Oberley & Buettner, 1979). Mn SOD cancer cells which then proliferate. This is lower in all cases vs. normal cells. The reminiscent of the scenario which has been Cu-Zn SOD levels were diminished in encountered repeatedly with drugs, in­ many, but not all, tumors. Glutathione secticides, and herbicides. Furthermore, a .peroxidase has also been the object of fine balance would pertain since the radicals . attention. The basic premise (Kovacic, 1959) which are generated to combat malignancy advanced more than 26 years ago has been are also capable of inducing the same confirmed (Alexander, 1983) and restated condition. Several recent studies are in after the discovery of the protective role of harmony with the dual role concept. For SOD: 'If equal amounts of superoxide can instance, the incidence of second cancers in be delivered to both cancer cells and normal an individual was increased after treatment then the cancer cell should be of the primary ones with anti-cancer drugs killed because it has lower (Huang et al., 1983). The induction of new Indeed, there is evidence neoplasms was observed as a delayed effect that many of existing cancer treatments (Harris, 1979). By the same token, initiation ., .•. , ····"·'x .•.•..·.actually are using this rationale because of cancer should entail a certain degree of many of the anti-cancer drugs have been simultaneous inhibition. In fact, early shown to produce superoxide' (Oberley & investigators have reported precisely this Buettner, 1979). However, other in­ type of refractory condition on application vestigators have failed to observe any • of carcinogens (Kovacic, 1959). 208 P. KOVACIC et al.

3. Alternate mechanisms. Although the oxy areas (Kinnamon et al., 1980). Perhaps some radical theory possesses many attractive of these responses are also due to oxy features, clearly it presents an over­ radical formation via CT. simplified picture of a complex phenome­ non. A number of investigations reveal the 5. Role of antioxidants. In prior sections, important involvement of other factors, the approach entailed treatment of an principally immunological reactions, inhibi­ established tumor. Alternatively, the prob­ tion of DNA synthesis, lem can be attacked via prevention of action, and DNA defect repair (Rosenberg, initiation by decreasing the concentration of 1980; Roberts & Thomson, 1979; Halliwell & oxy intermediates. Anti-cancer agents in Gutteridge, 1985a; Lumme et al., 1984; this category, which act as inhibitors of Paoletti et al., 1983; Cushman et al., 1984; carcinogenesis, would generally be labeled Baez et al., 1983; Doerr et al., 1961; Remy et as antioxidants (Demopoulos et al., 1980; al., 1984; Ciccarelli et al., 1985). Specific Ts'o et al., 1977). A good deal of the work examples of compounds that are generally has involved phenolic types, such as believed to operate by other routes are butylated hydroxyanisole, selenium com­ methotrexate (antifolate) (Cole, 1970), a­ pounds, vitamin E, vitamin C, and difluoromethylomithine (DFMO, ornithine ethoxyquin. These substances are expected decarboxylase inhibitor) (Metcalf et al., to be ineffective against existing neoplasms, 1978) and 5-fluorouracil (antipyrimidine) and would act only to inhibit the formation (Cole, 1970). It is noteworthy that evidence of additional ones from normal cells. suggests the possibility of CT in some cases. Here again, it is essential to bear in mind For instance, conjugated iminium species the element of specificity. To be effective the derived from pyridoxal phosphate have antioxidant must reach the site at which the been designated as intermediates in the harmful radicals are being generated. reaction of DFMO with the enzyme (Metcalf Various characteristics of the protective et al., 1978). From X-ray data on the binary agent would come to bear, including complex, N-1 protonation of the- pteridine hydrophobic and hydrophilic properies. portion of methotrexate to iminium is Hence, it is not surprising that many invoked (Bolin et al., 1982). From a study of studies reveal beneficial effects of anti­ the ternary. complex, the drug and NADPH oxidants, whereas others (Willet et al., 1984) were shown to be in close proximity do not. (Matthews et al. 1978). NADPH might be In conclusion, the theoretical scheme oxidized by various routes including radical entails several features common to most or CT mechanisms (Filman et al., 1982). A anti-cancer agents: metal complex may also participate (Kova­ cic, 1984) in the case of the pyridoxal imine 1. Binding to DNA by alkylation, complexa­ from DFMO. It is conceivable that several tion (minor groove), intercalation, or mechanisms operate in concert for certain incorporation within the chain as a agents. A recent unifying approach for special purine. antineoplastic agents entailed modification 2. Presence of a charge transfer entity in the of DNA (Hemminki and Ludlum, 1984). form of an iminium salt, metal complex, quinone, ArN02 or ArNO. 4. Other biological activity. In addition to 3. Formation of toxic oxy radicals via the anti-tumor property, the various agents superoxide generated by electron can display other physiological activities; transfer. carcinogenic, mutagenic, cytotoxic, and 4. Attack of vital cellular constituents by teratogenic (Magee, 1982; Johnson et al., oxy radicals resulting in death of the 1980; Miller & Miller, 1983; Furst & cancer. Radding, 1984; Fry, 1983). There is a relationship between antineoplastic activity The carcinogen-anti -cancer paradox is ra­ and the ability to function as drugs in other tionalized on the basis of similar mechanisms CHARGE TRANSFER-OXY RADICAL MECHANISM 209

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