The molecular defect of the hereditary disease Fanconi anemia (FA) rem
ains unknown. The two theoretical possibilities are (1) an impaired DN
A crosslink-repair system or (2) a disturbed oxygen metabolism either
by overproduction of reactive oxygen intermediates (ROI) or by diminis
hed detoxification of ROI. In order to gain further insight into the m
olecular mechanism of this disease, we have determined the repair capa
city of FA cells challenged by crosslinking agents and have analyzed d
iverse biological systems that are involved in oxygen metabolism. We h
ave tested normal and FA cells for oxygen consumption and for the acti
vity of the antioxidant phospholipid-hydroperoxide-glutathione-peroxid
ase (PHGPx). FA cells show a reduced oxygen consumption and an increas
ed PHGPx activity. Since spontaneous and induced chromosomal instabili
ty is a main cellular feature of FA, we have analyzed the redox state
of cells and the effect of cytochrome P-450 (Cyt P-450) inhibitors and
inducers on chromosomal breaks and micronuclei production. Our result
s indicate that Cyt P-450 enzymes, especially Cyt P450 1A2, play a cru
cial role in radical metabolism in FA cells. Furthermore, we have dete
rmined NF-kappa B activity in untransformed cells and in SV40-transfor
med cells by gel shift experiments. NF-kappa B is a multiunit transcri
ption factor that is known to be induced by ROI and that activates the
expression of various genes involved in cellular responses to stress.
NF-kappa B is constitutively induced in SV40-transformed FA cells pro
bably as a consequence of an increased ROI level. Our results suggest
that enzymatic defects in oxygen metabolism mediate the FA phenotype v
ia impaired reactivity with ROI. Cyt P-450 1A2 appears to be a good ca
ndidate for the defective enzyme, even though no differences have been
measured in the activity of this enzyme in FA and control fibroblasts
in pilot experiments.