“…Whilst chemically only a monofunctional alkylating agent (by virtue of its single aziridine function), CB1954 exhibited a dramatic curative and highly selective action against the Walker 256 rat tumour with the highest therapeutic index of any compound studied (TI ¼ 70) (Cobb et al, 1969;Connors and Melzack, 1971). It was subsequently shown that Walker cells could bioactivate CB1954 by aerobic reduction of the 4-nitro group to the corresponding hydroxylamine, which rapidly acylated to a bifunctional alkylating agent (Roberts et al, 1986;Knox et al, 1988bKnox et al, , 1991. The enzyme responsible for reducing CB1954 in rat tissues is DT-diaphorase (NQO1, NAD(P)H dehydrogenase (quinone) (Knox et al, 1988a); however, the human form of DT-diaphorase metabolises CB1954 much less efficiently than rat DT-diaphorase (Boland et al, 1991), and even cells that are high in human DT-diaphorase are insensitive to the drug (Boland et al, 1991;Mehta et al, 1999).…”