We investigated in the current study the effect of TX-1877, a bifunctional hypoxic cell radiosensitizer, in augmenting anticancer host response. In the syngeneic squamous cell carcinoma-bearing mouse model, a single administration of TX-1877 significantly inhibited the primary tumor growth as well as lung metastasis. TX-1877 administration resulted in a significant infiltration of immune cells, such as CD4 1 T, CD8 1 T cells, macrophages and dendritic cells (DCs), and an increased expression of chemokines for cytotoxic T lymphocytes (CTLs), helper T-cell 1 (Th1) cells, monocytes/macrophages and DCs, in tumor tissues. Nitric oxide (NO) production and the expression of inducible NO synthase (iNOS) and interferon-g, a major Th1 cytokine that plays a major role in anticancer immunity, were also enhanced. Furthermore, neutralization of NO by N-monomethyl-L-arginine acetate resulted in a marked inhibition of the antitumor effect of TX-1877. In tumor-draining lymph nodes, MHC class I-restricted CD8 1 memory CTLs specific for inoculated cancer cells were induced by TX-1877. In in vitro experiments, TX-1877 induced chemokines and iNOS/NO in several types of culture cells. These findings strongly suggested that TX-1877 induces migration of CD8 1 CTLs, CD4 1 Th1 cells, macrophage/monocytes and dendritic cells into the tumor site, and that this migration is mediated by chemokine induction. In addition, it was suggested that NO produced by several types of cells stimulated by TX-1877 in the tumor sites plays a major role in the anticancer effect of TX-1877. TX-1877 was thus shown to be an effective immunopotentiator as well as a hypoxic cell radiosensitizer. ' 2005 Wiley-Liss, Inc.Key words: radiosensitizer; anticancer immunity; chemokine; nitric oxide; cytotoxic T lymphocyte Hypoxic cell radiosensitizers, as electron-affinic compounds, have oxygen-mimic effects to tumor hypoxic cells on fixing the radiation-induced damage in DNA or other molecules. 1,2 Misonidasole (1-methoxy-3-(2-nitro-1 H-imidazolyl)-2-propanol) is a well-known 2-nitroimidazole radiosensitizer. Tested in clinical trials, its development was discontinued because of its dose-limiting side effects, such as neurotoxicity. 3 Etanidazole (N1-(2-hydroxyethyl)-2-(2-nitro-1 H-imidazolyl)acetamide) was found to be 3-4 times less toxic than Misonidasole, but to have radiosensitizing activity comparable to Misonidasole. However, a phase 3 randomized trial of radiotherapy of head and neck cancer with or without etanidazole has failed. 4 Recently, hypoxic cell radiosensitizers have been designated not to improve radiosensitizing activities and hydrophilicities but to have chemical and biologic activities by introducing additional functional groups, such as alkylating groups or enzyme chelating groups, to their side-chain moieties. [5][6][7] We have previously reported that a hypoxic cell radiosensitizer developed in our laboratories, haloacetylcarbamoyl-2-(2-nitro-1 H-1imidazolyl) acetamide, showed strong antiangiogenic activity in chicken embryo chorioallantoic membra...