BACKGROUND, High grade gliomas represent very aggressive and lethal fo
rms of human cancer, which often exhibit recurrence after surgical int
ervention and resistance tr conventional chemotherapeutic and radiolog
ic treatment. The clinically approved antihypertensive agent sodium ni
troprusside (SNP) has been shown to induce cytotoxicity toward a numbe
r of carcinoma cell lines in vitro. METHODS, Three human glioma cell l
ines were examined for susceptibility to the cytotoxic effects of SNP.
The role of the protein kinase C (PKC)alpha gene in mediating resista
nce to SNP-induced killing in U343 cells was investigated using antise
nse oligonucleotide inhibition. Stable transfection and overexpression
of the PKC alpha gene in the SNP-susceptible cell line U251 was perfo
rmed to further implicate PKC alpha as a mediating factor in SNP cytot
oxicity. In addition, the presence of bcl-2 protein in these cells was
examined for possible correlation(s) with resistance to SNP. RESULTS,
Exposure of U251 cells and LN-Z308 cells to 0.5 mM SNP resulted in si
gnificant cytotoxicity over a 72-hour period. U343 cells were resistan
t to SNP killing. U343 cells were shown to exhibit higher basal levels
of PKC alpha and bcl-2 than either U251 or LN-Z308 cells. bcl-2 expre
ssion and resistance to SNP toxicity both were decreased by the introd
uction of PKC alpha antisense oligonucleotides into U343 cells. Conver
sely, enhanced PKC activity in PKC alpha-transfected U251 clones was a
ssociated with increased bcl-2 expression and greater resistance to SN
P-induced toxicity relative to control transfected cells. CONCLUSIONS,
SNP can induce cytotoxicity in glioma cells. The susceptibility of th
ese glioma cells to nitroprusside-induced killing appears to be correl
ated inversely with bcl-2 and PE;C activity. bcl-2 levels in these cel
ls can be altered through modulation of PKC signaling, specifically, b
y induction or inhibition of PKC alpha. These in vitro results provide
an interesting basis for further study into the potential use of SNP
for treatment elf human gliomas in patients receiving combination ther
apy wish conventional chemotherapeutic agents that exhibit PKC inhibit
ory activity. (C) 1998 American Cancer Society.