We tested pairwise combinations of classical base analog mutagens in Escherichia coli to study possible mutagen synergies. We examined the cytidine analogs zebularine (ZEB) and 5-azacytidine (5AZ), the adenine analog 2-aminopurine (2AP), and the uridine/thymidine analog 5-bromodeoxyuridine (5BrdU). We detected a striking synergy with the 2AP plus ZEB combination, resulting in hypermutability, a 35-fold increase in mutation frequency (to 53,000 ؋ 10 ؊8 ) in the rpoB gene over that with either mutagen alone. A weak synergy was also detected with 2AP plus 5AZ and with 5BrdU plus ZEB. The pairing of 2AP and 5BrdU resulted in suppression, lowering the mutation frequency of 5BrdU alone by 6.5-fold. Sequencing the mutations from the 2AP plus ZEB combination showed the predominance of two new hot spots for A·T¡G·C transitions that are not well represented in either single mutagen spectrum, and one of which is not found even in the spectrum of a mismatch repair-deficient strain. The strong synergy between 2AP and ZEB could be explained by changes in the dinucleoside triphosphate (dNTP) pools.
IMPORTANCEAlthough mutagens have been widely studied, the mutagenic effects of combinations of mutagens have not been fully researched. Here, we show that certain pairwise combinations of base analog mutagens display synergy or suppression. In particular, the combination of 2-aminopurine and zebularine, analogs of adenine and cytidine, respectively, shows a 35-fold increased mutation frequency compared with that of either mutagen alone. Understanding the mechanism of synergy can lead to increased understanding of mutagenic processes. As combinations of base analogs are used in certain chemotherapy regimens, including those involving ZEB and 5AZ, these results indicate that testing the mutagenicity of all drug combinations is prudent.
Mutagen-induced mutations have been the subject of intensive investigation for decades (e.g., see references 1 to 4; see reviews in references 5 to 7). However, there are far fewer studies of combinations of mutagens. We are studying possible synergies between mutagens in Escherichia coli and initially examined a set of base analog mutagens ( Fig. 1): the cytidine analogs zebularine (ZEB) and 5-azacytidine (5AZ), the adenine analog 2-aminopurine (2AP), and the uridine/thymidine analog 5-bromodeoxyuridine (5BrdU). ZEB lacks the amino group of cytidine (8) and causes C·G¡T·A changes in the rpoB/rifampin resistance (Rif r ) system in E. coli (9). It is used in chemotherapy as a demethylating agent (8, 10, 11) to reverse the effects of gene-silenced tumor suppressor gene (12-15) and because the hydrated form is a potent inhibitor of cytidine deaminase (16). 5AZ, another cytidine analog that is used as a demethylating agent in chemotherapy (12, 13), possesses a unique mutagenic specificity, stimulating only C·G¡G·C changes (17-19). 5AZ and ZEB have been used in combination in chemotherapy (20). 2-Aminopurine results principally in G·C¡A·T and A·T¡G·C changes (e.g., see references 18 and 21 to 25), as...