We investigated the role of glutathione (GSH) and antioxidant enzymes in me
nadione-resistance by using K300 cells (menadione-resistant cells) and pal
ental P19 cells (menadione-sensitive cells). We found that acquisition of r
esistance was associated with elevations in glutathione content and DT-diap
horase activity. The activity of glutathione S-transferase (GST) was signif
icantly decreased, while the activities of glutathione peroxidase, glutathi
one reductase, catalase, and superoxide dismutase in K300 cells were mainta
ined at the same levels as compared to the parental P19 cells. Using reacti
ve oxygen species (ROS)-sensitive fluorescence dye 2,7- dichlorodihydrofluo
rescein diacetate (DCFH/DA), we demonstrated that K300 cells are characteri
zed by reduced cellular ROS as compared to the parental P19 cells during me
nadione's action. Menadione depleted glutathione to a small extent in the K
300 cells, but a rapid depletion was observed in P19 cells. Pretreatment of
K300 cells with dicumarol. a DT-diaphorase inhibitor, or buthionine sulfox
imine (BSO), an inhibitor of gamma -glutamyl cysteine synthase, sensitized
the cells to menadione. BSO treatment was less effective than dicumarol tre
atment in reversing menadione resistance in K300 cells. These results stron
gly support the belief that DT-diaphorase plays a central role in protectin
g cells against menadione-induced oxidative stress by decreasing the ROS fo
rmation. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.