Cells expressing herpes simplex-thymidine kinase (HSV-tk) can be killed "in
vitro" within 5 days of treatment with 20 mu M ganciclovir (GCV) and trans
mit this toxicity to adjacent cells lacking HSV-tk; this phenomenon was ter
med "bystander effect" or "kiss of death", On testing a large number of cel
l lines in vitro, a wide range of sensitivity to GCV-mediated bystander kil
ling has been reported. Although intercellular transfer of GCV metabolites
through gap junction channels seems to be a likely mechanism for the "kiss
of death'', some studies suggest that other pathways may contribute to indu
ced apoptosis of neighboring cells. To further investigate the mechanism un
derlying cell death mediated by HSV-tk and to evaluate the efficacy of gap
junction channels formed by different connexins in this process, we have st
ably transfected a virtually uncoupled mouse neuroblastoma cell line (N2A c
ells) with different connexin-types expressed by neural cells (Cx32, Cx37,
Cx40, Cx43) and co-cultured these cells with N2A cells stably transfected w
ith Cx37 and HSV-tk, Here, we confirm our previous studies and those of oth
ers that the extent of cell death and sensitivity to GCV depend on the degr
ee of connexin expression in transfectants, Further, we show that the bysta
nder effect also depends on which connexin is expressed; reported dispariti
es regarding the extent of GCV-mediated cellular apoptosis are likely due b
oth to the degree of functional coupling and the type of connexin expressed
. These results support the notion that gap junction hemichannels formed of
certain connexins are more likely than others to pair functionally with Cx
37, and suggest co-transfection strategies that might prove effective in se
nsitizing tumor cell populations to GCV, In addition, potential application
s are discussed for use of the ''good Samaritan effect'', a mechanism by wh
ich bystander cells have been suggested to prevent cytotoxicity. (C) 2000 E
lsevier Science B.V. All rights reserved.