A. Martelli et al., IN-VITRO AND IN-VIVO TESTING OF HYDRALAZINE GENOTOXICITY, The Journal of pharmacology and experimental therapeutics, 273(1), 1995, pp. 113-120
Hydralazine (HDZ), a p.o. effective antihypertensive drug, was evaluat
ed for its genotoxic effects in both rodent and human cultured cells a
nd in the intact rat. Dose-dependent amounts of DNA fragmentation, as
measured by the alkaline elution technique, and of DNA repair synthesi
s, as revealed by autoradiography, were produced in primary cultures o
f metabolically competent rat hepatocytes by subtoxic HDZ concentratio
ns ranging from 0.32 to 1.0 mM. A similar potency in inducing DNA repa
ir synthesis was displayed by HDZ in primary cultures of hepatocytes f
rom four human donors. A modest reduction of both DNA fragmentation (-
13%) and DNA repair (similar to-50%) was observed in hepatocytes obtai
ned from rats pretreated with indomethacin in order to reduce prostagl
andin synthetase activity. In contrast, neither in rat nor in human he
patocytes, differences in N-acetyltransferase activity resulted in mea
ningful changes of the same end points. V79 cells, which are essential
ly deficient of monooxygenases catalyzing the biotransformation of xen
obiotics, were as sensitive as hepatocytes to the DNA-damaging activit
y of HDZ. Moreover, after exposure to 0.1 to 0.3 mM HDZ, a modest (2.1
- to 2.8-fold), but significant, increase in the frequency of mutation
to g-thioguanine resistance was observed in V79 cells in the absence
of a metabolic activation system. In rats, a single p.o, dose of 80 mg
/kg produced a clastogenic effect in the liver, but not in the bone ma
rrow, and the p.o. administration for 14 successive days of approximat
ely 46 mg/kg/day increased the average diameter of liver basophilic fo
ci initiated by diethylnitrosamine. Taken as a whole, our results furt
her support the hypothesis that HDZ is activated to short-lived reacti
ve species by multiple mechanisms, and that the liver might be, becaus
e of pharmacokinetic reasons, the main target of HDZ genotoxicity.