Methionine synthase, a critical enzyme in deoxyribonucleotide biosynth
esis for DNA replication, requires vitamin B-12 as a cofactor. We have
tested the hypothesis that depletion of cells of vitamin B-12 would b
lock growth of neoplastic cells and divert them into apoptosis and cou
ld form the basis of a new therapeutic strategy for cancer treatment.
Using nitrous oxide to inactivate vitamin B-12 we show that, in a vari
ety of cell lines in vitro, methionine synthase is rapidly inhibited,
the cells cease proliferation and undergo apoptosis. The kinetics of c
ell death, once started, are similar to those observed following metho
trexate treatment or serum withdrawal. This is the first observation o
f apoptosis being induced following depletion of an essential metaboli
te as opposed to the more conventional strategy of adding a toxic drug
to damage cells thereby triggering apoptosis. Moreover, vitamin B-12
depletion has no effect on the nonproliferating cell population.