The effects of the subcellular localization of overexpressed bioreductive enzyme NAD(P)H:quinone oxidoreductase 1 (NQO1) on the activity of the antineoplastic agent mitomycin C (MC) under aerobic and hypoxic conditions were examined. Chinese hamster ovary (CHO-K1/ dhfr ؊ ) cells were transfected with NQO1 cDNA to produce cells that overexpressed NQO1 activity in the nucleus (148-fold) or the cytosol (163-fold) over the constitutive level of the enzyme in parental cells. Subcellular localization of the enzyme was confirmed using antibody-assisted immunofluorescence. Nuclear localization of transfected NQO1 activity increased the cytotoxicity of MC over that produced by overexpression in the cytosol under both aerobic and hypoxic conditions, with greater cytotoxicity being produced under hypoxia. The greater cytotoxicity of nuclear localized NQO1 was not attributable to greater metabolic activation of MC but instead was the result of activation of the drug in close proximity to its target, nuclear DNA. A positive relationship existed between the degree of MC-induced cytotoxicity and the number of MC-DNA adducts produced. The findings indicate that activation of MC proximal to nuclear DNA by the nuclear localization of transfected NQO1 increases the cytotoxic effects of MC regardless of the degree of oxygenation and support the concept that the mechanism of action of MC involves alkylation of DNA.Mitomycin C (MC) 1 is a naturally occurring antibiotic that was isolated originally from the microorganism Streptomyces caspitosus (1). MC exhibits a broad spectrum of antitumor activity and is an important component in the combination chemotherapy of malignancies such as early stage head and neck cancer, early stage cervical cancer, and intravesicle therapy of superficial bladder cancer. Specific MC-DNA lesions associated with the action of MC consist of both monofunctional and bifunctional alkylations (2-9). Monoalkylations initially occur through the linkage of the C-1 position of MC to the amino function in the 2-position of guanine bases in DNA and may proceed to a DNA cross-link through the C-10 position of MC to an amino entity in the 2-position of an adjacent DNA guanine (6). Although monoalkylations are potentially cytotoxic, compelling evidence in both bacterial and mammalian systems implicates MC-induced cross-links as the primary event responsible for cell death (10 -12).A salient feature of the molecular mechanism of action of MC is that this agent exists as a prodrug, and both its DNA crosslinking and monoalkylating activities require the reduction of the quinone ring to a hydroquinone, which transforms MC into a highly reactive alkylating species (11). Enzymes known to activate MC to intermediates capable of alkylating DNA do so either by a one-or a two-electron reduction mechanism. Oneelectron reducing enzymes include NADPH:cytochrome P450 oxidoreductase (NPR; EC 1.6.2.4) (13-16); NADH:cytochrome b 5 oxidoreductase (NBR; EC 1.6.2.2) (17, 18); xanthine:oxygen oxidoreductase (EC 1.1.3.23) (16); nitric-oxide s...