The mechanism of radiosensitization by gemcitabine (2',2'-dinuoro-2'-deoxyc
ytidine, dFdC) is not exactly known. We investigated the possible role of i
nhibition of the repair of DNA double-strand breaks by dFdC by measuring th
e extent of radiosensitization in different cell lines deficient and profic
ient in components of nonhomologous end-joining and in the parental cell li
nes. Different cell lines were incubated with 0.5 and 5 muM dFdC for 4 h. C
ells deficient in DNA-dependent protein-kinase catalytic subunit (V3) showe
d sensitization similar to that of wild-type cells (AA8) and complemented c
ells (V3+YAC). Ku80-deficient cells (xrs5 and xrs6) showed even more radios
ensitization by dFdC as compared with wild-type CHO-K1. However, Ku80-compl
emented cell lines (xrs5+huKu80 and xrs6+haKu80) did not show radiosensitiz
ation. The differences in dFdC-mediated radiosensitization were not attribu
table to different changes in deoxynucleotide triphosphate levels and cell
cycle distribution. We conclude that a functional nonhomologous end-joining
pathway is not required for dFdC-mediated radiosensitization.