Summary A panel of eight human pancreatic tumour cell lines displayed high intrinsic radioresistance, with mean inactivation doses between 2.4 and 6.5 Gy, similar to those reported for melanoma and glioblastoma. The radiosensitising potency of sodium nitroprusside, a bioreductive nitric oxide donor, was assessed in a model of metabolism-induced hypoxia in a cell micropellet. Sodium nitroprusside at 0.1 mm revealed a radiosensitising effect with an overall enhancement ratio of 1.9 compared with 2.5 for oxygen. Radiosensitising activity correlated with the enhancement of single-strand DNA breakage caused by radiation. In suspensions with cell densities of between 3% and 30% (v/v), the half-life of sodium nitroprusside decreased from 31 to 3.2 min, suggesting a value of around min for micropellets. Despite this variation, the radiosensitising activity was similar in micropellets and in diluted cell suspensions. S-nitroso-L-glutathione was found to possess radiosensitising activity, consistent with a possible role of natural thiols in the storing of radiobiologically active nitric oxide adducts derived from sodium nitroprusside. As measured by a nitric oxide-specific microsensor, activation of sodium nitroprusside occurred by bioreduction, whereas S-nitroso-L-glutathione showed substantial spontaneous decomposition. Both agents appear to exert radiosensitising action through nitric oxide as its scavenging by carboxy phenyltetramethylimidazolineoxyl N-oxide (carboxy-PTIO) and oxyhaemoglobin resulted in attenuated radiosensitisation. Sodium nitroprusside was at least 10-fold more potent than etanidazole, a 2-nitroimidazole used as a reference. Our data suggest that sodium nitroprusside, a drug currently used for the treatment of hypertension, is a potential tumour radioresponse modifier.Keywords: human pancreatic tumour; hypoxic cell radiosensitisation; sodium nitroprusside; S-nitroso-Lglutathione; nitric oxide Adenocarcinoma of the pancreas is the fourth leading cause of cancer-related deaths and represents a type of tumour refractory to radiotherapy (Brennan et al., 1993). The poor response rates to external beam radiotherapy may be explained by the proximity of many dose-limiting organs and possibly by intrinsic and hypoxia-induced radioresistance as well. The latter factor is of considerable interest, because hypoxic cells can be specifically targeted by electron-affinic compounds such as nitroimidazoles and bioreductive cytotoxins (Adams, 1992).Nitric oxide (NO) is a relatively long-life radical generated endogenously by nitric oxide synthases, and has been implicated in signal transduction in the nervous and vascular system and as a cytotoxin in pathophysiological processes related to cellular immunity and hypoxia -reoxygenation injury (Knowles and Moncada, 1994). NO, in gaseous form or released chemically from the NONOate complex DEA/ NO, has also been shown to radiosensitise hypoxic cells. The mechanism of NO-mediated radiosensitisation has been postulated to be the fixation of radiation-induced DNA damage, th...