Antifolates exert their antiproliferative activity through the inhibition o
f dihydrofolate reductase and, as a consequence, of thymidylate synthesis,
thereby inducing nucleotide misincorporation and impairment of DNA synthesi
s. We investigated the processes involved in the repair of antifolate-induc
ed damage and their relationship with cell death. Since misincorporated bas
es may be removed by DNA mismatch repair (MMR), the study was carried out o
n the MMR-proficient human cell lines HeLa and HCT116 + chr3, and, in paral
lel, on the MMR-deficient cell lines HeLa cell-clone12, defective in the pr
otein hPMS2, and HCT116, with an inactive hMLH1. After treatment with metho
trexate (MTX), we observed that DNA repair synthesis occurs independently o
f the cellular MMR function. Clear signs of apoptosis such as nuclear shrin
kage, chromatin condensation and degradation, DNA laddering, and poly (ADP-
ribose) polymerase (PARP) proteolysis, were visible in both MMR+ and MMR- c
ells. Remarkably, cell viability was lower and the apoptotic process was tr
iggered more efficiently in the MMR-competent cells. (C) 2001 Elsevier Scie
nce Ltd. All rights reserved.