Background: The generation of DNA interstrand cross-links is thought to be
important in the cytotoxicity of nitrogen mustard alkylating agents, such a
s melphalan, which have antitumor activity. Cell lines with mutations in re
combinational repair pathways are hypersensitive to nitrogen mustards. Thus
, resistance to melphalan may require accelerated DNA repair by either reco
mbinational repair mechanisms involving Rad51-related proteins (including x
-ray repair cross-complementing proteins Xrcc2, Xrcc3, and Rad52) or by non
homologous endjoining involving DNA-dependent protein kinase (DNA-PK) and K
u proteins. We investigated the role of DNA repair in melphalan resistance
in epithelial tumor cell lines. Methods: Melphalan cytotoxicity was determi
ned in 14 epithelial tumor cell lines by use of the sulforho-damine assay.
Homologous recombinational repair involving Rad51-related proteins was inve
stigated by determining the levels of Rad51, Rad52, and Xrcc3 proteins and
the density of nuclear melphalan-induced Rad51 foci, which represent sites
of homologous recombinational repair. Nonhomologous endjoining was investig
ated by determining the levels of Ku70 and Ku86 proteins and DNA-PK activit
y. Linear regression analysis was used to analyze correlations between the
various protein levels, DNA-PK activity, or Rad51 foci formation and melpha
lan cytotoxicity. All statistical tests were two-sided. Results: Melphalan
resistance was correlated with Xrcc3 levels (r =.587; P =.027) and the dens
ity of melphalan-induced Rad51 foci (r =.848; P =.008). We found no correla
tion between melphalan resistance and Rad51, Rad52, or Ku protein levels or
DNA-PK activity. Conclusion: Correlations of melphalan resistance in epith
elial tumor cell lines with Xrcc3 protein levels and melphalan-induced Rad5
1 foci density suggest that homologous recombinational repair is involved i
n resistance to this nitrogen mustard.