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Decarbamoyl mitomycin C (DMC) activates p53-independent ataxia telangiectasia and rad3 related protein (ATR) chromatin eviction

Interstrand crosslinks induce DNA replication fork stalling that in turn activates the ATR-dependent checkpoint and DNA repair on nuclear chromatin. Mitomycin C (MC) and Decarbamoyl Mitomycin C (DMC) induce different types of DNA crosslinks with DMC being a more cytotoxic agent. We previously reported that the novel DMC induced β–interstrand DNA crosslinks induce a p53-independent form of cell death. The p53-independent DMC cytotoxicity associates with the activation, and subsequent depletion, of Chk1. In this study we further dissect the novel DMC signal transduction pathway and asked how it influences chromatin-associated proteins. We found that treatment with DMC, but not MC, stimulated the disassociation of ATR from chromatin and re-localization of ATR to the cytoplasm. The chromatin eviction of ATR was coupled with the formation of nuclear Rad51 foci and the phosphorylation of Chk1. Furthermore, DMC but not MC, activated expression of gadd45α mRNA. Importantly, knocking down p53 via shRNA did not inhibit the DMC-induced disassociation of ATR from chromatin or reduce the activation of transcription of gadd45α. Our results suggest that DMC induces a p53-independent disassociation of ATR from chromatin that facilitates Chk1 checkpoint activation and Rad51 chromatin recruitment. Our findings provide evidence that ATR chromatin eviction in breast cancer cells is an area of study that should be focused on for inducing p53-independent cell death.


Introduction
The alkylating agent Mitomycin C (MC) has been actively used in the treatment of many tumors, including stomach, pancreas, anal, bladder, cervical, colorectal, head and neck, non-small cell lung cancer, and breast cancer, with favorable response rates of about 15-20% (reviewed in 1,2 ). It has been shown that MC generates different types of DNA lesions, including monoadducts, intrastrand crosslinks and interstrand crosslinks. 3 DNA interstrand cross-links (ICLs) covalently crosslink both strands of DNA and block DNA metabolism. DNA replication and transcription are blocked by ICLs making them highly toxic to dividing cells. It has been estimated that the presence of approximately 40 unrepaired ICLs can kill mammalian cells. 4 The MC derivative, 10-decarbamoyl mitomycin C (DMC) shows a stereochemical preference of linkage to the guanine-2-amino group opposite from that of MC induced ICL adducts. 3 The predominant stereochemistry of the 1 00 -mitosene linkage of the DMC induced interstrand crosslink to DNA is b, this is opposite to the predominant a stereochemistry of the MC interstrand crosslink. 5 The striking difference between the DNA interstrand crosslinks of MC and DMC in the breast cancer cell line MCF7 has been revealed to induce higher p53-independent cytotoxicity. 5 This higher cytotoxicity involves activation, and then subsequent depletion of cell cycle checkpoint serine/threonine protein kinase (Chk1). 5 Importantly, DMC induces cell death more rapidly than MC in the presence and absence of wild-type p53. 6 7 This suggests that further elucidating the mechanism of action of DMC induced cytotoxicity will provide information toward the development of chemotherapeutics for multiple forms of cancer with or without p53 mutations.
The p53 gene is mutated in over half of human cancers. 8 The mutation of p53 is present in 80% of triple-negative breast cancers (TNBCs). 9 The TNBCs are very aggressive and currently lack effective targeted therapies, however their mutated p53 (and thus wild-type p53 deficient state) may provide a new targeting approach. It has been found that wild-type p53 deficient cells are sensitive to ATR inhibition. 10 In addition, ATR is preferentially required for proliferation of p53-deficient human cancer cells. 11 In light of the fact that the p53 dependent cell death pathway is dysfunctional in 80% of TNBC, inducing a p53-indepedent cell death could be an approach for TNBC cancer therapy.
The replication protein A (RPA)-Ataxia Telangiectasia and Rad3-related (ATR)-cell cycle checkpoint serine/threonine protein kinase (Chk1) signaling cascade participates in ICL repair. 12 ATR is a protein kinase that regulates cell cycle checkpoints and DNA repair. Defects of ATR such as splicing mutations in human ATR cause the autosomal-recessive disease Seckel syndrome. 13 It has been shown that complete loss of ATR in mice leads to embryonic lethality. 14 Chk1 is a direct downstream target of ATR and Chk1-mediated phosphorylation of Cdc25A in response to DNA damage induces G2/M cell-cycle arrest. 12 Additionally, ATR directly phosphorylates BRCA1 in response to damaged DNA. 15 Importantly, the BRCA1/BRCA2 and Rad51complexes initiate and regulate DNA repair via homologous recombination (HR). 12 Recently, it was reported that cells lacking ATR have decreased density with abnormal morphology, a decreased frequency of HR and an increased level of chromosomal damage in vivo. 16 ATR mediates p38 MAPK-dependent activation of MK2, and MK2 is required in p53-deficient cells to arrest the G 1 /S, intra-S phase and G 2 /M transition after cisplatin and doxorubicin treatment. 17 Significantly, MK2 activates a cytoplasmic cell cycle checkpoint network. 18 MK2 directly phosphorylates Cdc25 family members, resulting in a G 1 /S and G 2 /M arrest. 17 In addition, p38/ MK2 dependent phosphorylation of hnRNPA0, TIAR and PARN stabilizes the gadd45 transcript through its 3 0 UTR. 18 The Gadd45 protein participates in nuclear excision repair (NER) through interaction with the Proliferating Cell Nuclear Antigen (PCNA). 19 Importantly, after DNA damage cells lacking a functional p53 pathway rely on cytoplasmic p38/MK2 and nuclear Chk1 activation to arrest the cell cycle. 17 Chk1 is activated and then depleted following DMC treatment and knocking down of Chk1 increases the cytotoxicity of MC. 5 The detailed mechanism of action of the binterstrand cross-linking agent DMC induced cell death pathway is not fully defined. In this study, we investigated how nuclear b-interstrand crosslinks in breast cancer cells influenced nuclear and cytoplasmic responses. We compared MC and DMC signal transduction pathways. We found that DMC, but not MC, induced ATR disassociation from chromatin and activation of the Chk1 kinase pathway. In addition, DMC, but not MC, transcriptionally stimulated gadd45 induction. Furthermore we utilized an inducible p53 shRNA stable cell line to knock down wild-type p53 in order to confirm the p53-independent mechanism of action of DMC in the DNA damage response (DDR). Chk1 phosphorylation at ser 345, p38MAPK  phosphorylation, ATR chromatin eviction and recruitment of  homologous recombination protein Rad51 to DNA damage  foci ATR activation occurs in response to DNA replication fork stalling, and ATR kinase activity can be examined by the level of phosphorylation of its downstream target Chk1. 12 ATR phosphorylates Chk1 at ser-317 and ser-345 resulting in increased Chk1 kinase activity in response to DNA damage. 20 We previously reported that DMC has higher cytotoxicity compared to MC in the presence or absence of wild-type p53. 6 DMC first activates Chk1 but following 12 hours of drug treatment Chk1 is depleted. 6 DMC induced Chk1 depletion is caused by increased Chk1 ubiquitination and subsequent degradation of the kinase by the proteasome. 5 To study how b interstrand crosslinks induced by DMC initiate the DNA damage checkpoint activation, we examined an earlier time point of 4 hours of drug treatments. Ten mM of DMC, but not 10 mM of MC treatment strongly induced an 8.6-fold induction of phosphorylation of nuclear Chk1 at ser-345 ( Fig. 1A compare lanes 4, 5 and 6). The total Chk1 protein levels did not change significantly after either short term treatment with MC or DMC. In addition, at the 4 hours treatment time point we examined the phosphorylation of p38 MAPK. Higher levels of phosphorylation of cytoplasmic p38 MAPK at Thr180/Tyr182 were detected ( Fig. 1A compare  lanes 1, 2 and 3). These results demonstrate that DMC, as compared to MC, induced a more rapid ATR kinase activation compared to MC.

DMC induces
In order to further address the mechanism of action of DMC we considered the prevailing model for how ATR is activated to regulate the phosphorylation of Chk1. This involves an ATR chromatin recruitment paradigm. 21,22 However it is not clear if ATR must remain associated with chromatin in order for Chk1 to be phosphorylated. DNA damage by cisplatin (in the absence of hMSH2) can induce Chk1 phosphorylation without clear ATR recruitment. 22 Increasing evidence points to the eviction of certain proteins from chromatin during certain catastrophic DNA damage scenarios. Therefore we also considered the possibility that ATR might be evicted from the chromatin. We carried out confocal microscopy immunofluorescence analysis to compare the subcellular MC and DMC influences on ATR localization (Fig. 1B). In response to DMC, but not MC treatment, we observed translocation of ATR from the nucleus to the cytoplasm (Lamin showed the nuclear envelope). These data suggest that translocation of ATR from the nucleus to the cytoplasm performs a functionally important step in DMC-induced DDR catastrophe. Importantly, ATR prohibits replication catastrophe mediated cell death by preventing global exhaustion of RPA 23 and we see strong DMC-induced cell death. Dynamic association and release of DDR proteins at active and damaged replication folks has been reported. 24 When chromatin integrity is damaged by genotoxic agents the cellular DDR proteins are recruited to sites of DNA damage and the kinase activity of ATR is stimulated. 25 However, the detailed mechanistic insight after the ATR recruitment for what signals cause growth arrest versus those that cause cell death are lacking.
The observed ATR nuclear eviction supported current research that suggests that chromatin eviction is a central player in cell death signal transduction. 26 We investigated ATR proteins binding verses disassociation with chromatin by using cell fractionation and immunobloting analysis to gain more knowledge of molecular signaling of DNA damage caused by MC vs. the DMC. MCF7 cells with 4 hours of drug treatment were lysed and the cytosolic and chromatin fractions were isolated. We analyzed the RPA, ATR, Chk1 and p53 proteins associated with the chromatin in Fig. 1C. In untreated cells (Fig. 1C lane 4), these proteins were detected in the chromatin fraction with only low levels of p53 protein detected supporting the well-established central functions of these proteins in DNA damage signaling and genome maintenance. 25 Upon MC or DMC treatment, as expected, increased levels of p53 were found on chromatin (Fig. 1C  It has been reported that cells demonstrate an accumulation of Rad51 into foci after various forms of DNA damage caused by singlestrand DNA breaks, marking the sites of lesion. 27 To determine whether the DMC treatment caused rapid formation of Rad51 foci in MCF7 cells, we performed immunofluorescence to detect the sub-cellular localization of Rad51 (Fig. 1D). After treatment with 10 mM DMC, but not 10 mM MC, for 4 hours we observed an increase in Rad51 foci. These results suggest that DMC treatment also induced activation of homologous recombination DNA damage repair.
DMC stimulates genome wide nuclear proteins dissociation from DNA The chromatin eviction of ATR suggested that DMC treatment might signal for other proteins to no longer maintain DNA binding activity. To investigate the DNA binding activity of nuclear proteins upon DMC treatment, we carried out an electrophoretic mobility shift assay (EMSA) with nuclear proteins isolated from MCF7 cells treated with either MC or DMC and micrococcal nuclease prepared mononucleosomal size (150 bp) naked genomic DNA from untreated MCF7 cells. This allowed us to examine general DNA binding activity to the entire genome sequence. Interestingly decreased DNA binding activity was detected for proteins isolated from DMC treated samples, as the shifted DNA was 60% less compared by phosphor imaging quantification analysis to untreated samples (compare Fig. 2A lanes 2 and 4). Nuclear proteins isolated from MC treated cells displayed slightly increased DNA binding activity (compare Fig. 2A lanes 2 and 3). The global release may mean that many signaling molecules are released during DMC treatment. However a great deal of p53 was chromatin associated as shown in Fig. 1C. The possibility exists that the ATR release and p38 MAPK phosphorylation may be a small part of a bigger general housekeeping protein picture. p53 can activate apoptosis by interacting directly with the mitochondria so it interacts with Bcl -2 member family proteins to promote cytochrome c release. 28 Therefore if some of the p53 were released from the chromatin by DMC treatment it might help facilitate transcription-independent cell death.
It has been reported that recruitment of ATR to chromatin occurs during S-phase and that ATR exhibits a decreased affinity for chromatin in quiescent cells. 29 To make sure that the chromatin eviction of ATR by DMC was not cell cycle phase dependent we carried out FACS for cell cycle analysis. We treated MCF7 cells with 10 mM MC or DMC for 4 hours and the cell cycle profiles (sub G1, G1, S and G2/M) were examined (Fig. 2B). No significant cell cycle changes were detected in S phase when compared with the untreated control cells to MC or DMC treated cells (14.1% in untreated cells, 14.8% in MC and 15.61% in DMC treated cells, respectively). The FACS analysis indicated that disassociation of ATR from chromatin after DMC treatment was not due to a shift in cell cycle stages.
We further investigated the DNA binding of ATR to a specific region of chromatin using quantitative chromatin immunoprecipitation (ChIP) experiments to the p53 intron 7 region, which has been extensively studied as an ATR recruitment site. 30 Recruitment of ATR to UV mediated base lesions in this region are found after UV damage. 30 Interestingly, in our ChIP assay at the p53 intron 7 region, after both MC and DMC treatment a reduction in chromatin associated ATR was found though the recruitment of ATR was detected after UV treatment (Fig. 2C). Taken together, our results strongly demonstrated the DMC-induced dissociation of ATR from nuclear chromatin at both genome-wide and site specific DNA regions.

ATR induces cytoplasmic DDR by activation of gadd45a
As the nuclear export of ATR was observed following DMC, but not MC, treatment we investigated the possibility that DMC induced the cytoplasmic DNA damage response of ATR when the replication forks were stalled. ATR dependent phosphorylation of p38 MAPK performs the signal transmission between the nucleus and cytoplasm by regulating gadd45a mRNAs stability after DNA damage. 18 We analyzed mRNA levels of gadd45a, puma and p21 in the MCF7 cells treated with 10 mM MC or DMC for 4 hours (Fig. 3A). In DMC, but not MC, treated cells we detected a significant increase in gadd45a mRNA (Fig. 3A  gadd45), while MC and DMC treatment had a similar moderate impact on the transcript level of puma and p21. With DMC treatment we detected a more profound increase in p53 protein levels (Fig. 3B, lane 3). As our results showed that DMC resulted in higher gadd45a transcript levels, and gadd45a is a p53 target, we further investigated whether this induction of gadd45a was p53-dependent. We utilized MCF7 isogenic lines that were generated in our lab for inducible knockdown of p53 by mir30based shRNA to a vector control cell line in the presence of doxycycline. 31 MC and DMC treatment increased the level of p53 and p53.shRNA expression resulted in decreased p53 expression (Fig. 3C). Importantly, the gadd45a increased transcript level was not significantly reduced by the reduction in p53 protein (Fig. 3D). The DMC induced gadd45a mRNA was 3.97 fold higher compared to untreated samples when p53 was knocked down while the DMC induced gadd45 mRNA was 4.77 fold compared to untreated cells with no knockdown (no significant statistical difference was found when tested by the Student t-test). At the same time, we found a 3-fold reduction of p53 protein levels after p53 shRNA induction in the DMC treated samples by ImageJ analysis (Fig. 3C lane 5 and lane 6). Taken together, our results indicate that the DMC can activate p53independent ATR induced gadd45a mRNA stabilization.
DMC induced p53-independent higher cytotoxicity than MC We have previously documented that DMC is more cytotoxic than MC in human cancer cell lines. 6 Recently, it was reported that RPA exhaustion can cause replication catastrophe and ATR signaling prevents RPA exhaustion. 23 To further understand the cytotoxicity caused by DMC, we treated MCF7 cells with 1, 5, 10, 50 and 100 mM MC or DMC for 48 hours. We observed that MCF7 cells were remarkably more sensitive to DMC than MC (Figs. 4A and 4B). Reduction in cell viability was found in a dose-dependent manner after exposure to MC or DMC, but DMC showed significantly more cytotoxicity than MC (Fig. 4B).
As our results showed that DMC induced higher cell death, we further investigated whether p53 played a role in DMC induced cell cytotoxicity. We compared the cytotoxicity in MCF7 isogenic lines (with and without p53 expression) by Viacount cell assay and a real-time impedance based assay (Figs. 4C and 4D). To induce shRNA expression, cells were treated with 2 mg/ml doxycycline (DOX) for 5 d then followed with 48 hours of DMC treatment at concentrations of 1, 5, 10, 50 and 100 mM. Knocking down wt-p53 did not influence cell viability (shRNA induction vs. -shRNA induction Fig 4C). The real-time growth profile in response to DMC treatment and knocking down wt-p53 of these isogenic lines was obtained with the xCELLigence System (Fig. 4D). The growth of untreated or 10 mM DMC treated MCF7 cells with either p53.shRNA or control vector was monitored. At 4 hours of DMC treatment the cells expressing wild-type p53 had reduced proliferation while the p53 knockdown cells continued to proliferate (Fig. 4D), while following DMC treatment for 10 hours the proliferation was drastically reduced in both populations.

DMC induced ATR disassociation from chromatin is not influenced by p53
We investigated if the release of ATR from chromatin in response to DMC required p53 to work as a part of the signaling. To determine the localization of protein before and after treatment a cell fractionation protocol was carried out for the MCF7 isogenic lines: p53.shRNA and control vector (Fig. 5A). Chromatin bound p53 was greatly induced after DMC treatment in the control vector cell line and the MCF7.shp53 inducible cell line (Fig. 5A compare lanes 5 and 6 to lanes 1 and 2; compare lane 11 and 12 to lanes 7 and 8). Following induction of the p53. shRNA we clearly observed the reduction of p53 (Fig. 5A compare lane 11 to ChIP was performed in 400 mg of cross-linked and sonicated cell lysates and antibody against ATR. Immunoprecipitated DNA was amplified by real-time quantitative PCR with primers for p53 intron 7 gene. Non-specific IgG was used to subtract the background. Values were normalized to IgG and inputs, followed by normalization to the untreated samples. 12). Importantly, ATR chromatin eviction was detected after DMC treatment in both cell lines ( Fig. 5A lanes 5, 6, 11 and 12). Therefore, the reduction of p53 had no significant effect on the DMC mediated ATR chromatin eviction (Fig. 5A compare lane 11 to 12). These data suggest that DMC activates a p53-independent ATR-mediated DDR signal cascade that involves a chromatin eviction mechanism.

Dynamic activation of DDR proteins on chromatin in response to DMC induced b-interstrand crosslink
In this manuscript, we investigated the molecular mechanism of the higher cytotoxicity induced by the b¡interstrand crosslink agent DMC. By cell fractionation, immunofluorescence and ChIP we identified that DMC, but not MC, treatment reduced the association of ATR with the chromatin and activated Chk1 phosphorylation and Rad51 foci formation. Moreover, using gelshift experiments we observed that DMC treatment caused a general reduction of DNA binding activity of many nuclear proteins.
The topoisomerase II (TopoII) inhibitor Doxorubicin (Doxo) induces H2A/2B and H3/H4 chromatin eviction. 32 Furthermore, Doxo induces H2AX chromatin eviction and impaired DDR signaling but also can stimulate epigenetic alterations and apoptosis induction. 32 Our chromatin fractionation data support a model for a rapid activation of the DDR induced by DMC b¡interstrand crosslink DNA damage structures and specific posttranslational modifications of proteins to promote DDR signaling (See Fig. 5B for a flow model). Our data showed that in the unperturbed cells ATR associated with chromatin and that in response to DMC treatment the ATR was released from the chromatin. Following DMC, but not MC, treatment the ATR was evicted from the chromatin and activated nuclear Chk1 and induced a rapid increase in gadd45a mRNA (Fig. 5B). Moreover, our previous data has shown that DMC treatment first activates Chk1 and then subsequently down-regulates Chk1 by causing increased ubiquitination and subsequent degradation by the proteasome in the later stages to stimulate cell death. 5 Our real time cell viability analysis showed that at the early treatment point of 4 hours cells were viable. Cell death was not complete until after 9 hours of DMC drug treatment. We observed that after 4 hours of DMC treatment Chk1 was phosphorylated and Rad51 was recruited to chromatin. Our findings suggest that multistep pathways induce association of Rad51 and chromatin eviction of ATR.

Post-translational modifications and post-transcriptional regulation: a multi-layered DNA damage response
The autophosphorylation of ATR is crucial for its kinase activity and this works as a molecular switch for checkpoint activation. 33 Our observation of DMC induced Chk1 phosphorylation at ser-345 implicates the phosphorylation of Chk1 in affecting Rad51 binding to damaged sites to accomplish HR repair. It has been reported that Chk1 interacts with Rad51 and Rad51 is phosphorylated on Thr 309 after hydroxyurea treatment. 34 Human Rad51 has been shown to be phosphorylated at Ser-14 by Plk1 in response to DNA damage leading to direct binding to the MRN component Nbs, and this process helps Rad51 to be recruited to DNA damage sites, thus allowing accurate HR. 35 In our work, DMC induced high levels of gadd45 mRNA presumably because of p53-independent ATR/p38 MAPK mediated gadd45 mRNA stabilization. In addition to gadd45 being a p53 transcriptional target, the gadd45 mRNA induction occurs through BRCA1 and a p53-independent mechanism through a BRCA1 binding site located in the first intron of the gadd45 gene. 36 Our data showed that p53 was not required for the DMC-mediated activation of gadd45. The stability of mRNA plays an important role in maintaining genome integrity in response to DNA damage. 37 RNA-binding proteins (RBPs) can modulate mRNA half-life, spliceosome targeting, nuclear export and translatability in cells with genotoxic stress. 37 However transcription is generally inhibited in response to DNA damage, for example, an ATM-dependent transcriptional silencing occurs in response to DNA double strand breaks. 38 Our finding of p53-independent gadd45 activation suggests ATR is involved in multiple pathways to regulate the DNA damage response.

Prospective application of synthetic lethality in cancer treatment
The efficient repair of ICLs is critical for the maintenance of genome integrity. Once the crosslinked adduct is removed by error-free repair conducted by Rad51 mediated homologous recombination, the DNA replication fork can be restored. 39 However, cells with the deficient checkpoint control may have genomic instability that will promote cancer development. The observation that DMC treatment activates the recruitment of Rad51 to chromatin and the formation of Rad51 foci indicates orchestrated and ordered protein-signaling pathways in the homologous recombination proficient cells. In addition, several overlapping DNA damage repair pathways were activated in DMC treated cells to allow them to control cell cycle progression. Our RT-PCR data suggested that the gadd45a stabilization upon DMC-mediated DNA damage was an early event. Activation of ATR chromatin eviction, Chk1 phosphorylation, and Rad51 foci formation were all induced significantly earlier than MCF7 cell death. Replication catastrophe has been associated with the depletion of ATR and RPA exhaustion. 23 As we found that ATR was dissociated from chromatin, and because there was a delay in cell death induction it suggests that DMC might also cause a later phase RPA exhaustion.
Our results suggest inhibition of the ATR pathway in cancers with mutant p53 has the potential of improving the efficacy of MC treatments in breast cancer cells. Preliminary evidence predicts promise for cancer treatment in humans with targeting ATR and Chk1 inhibition. 10 Cancer cells defective in the ATM-p53 pathway rely on the S and G2/M checkpoint controlled by the ATR-Chk1 pathway and therefore Chk1 inhibition in combination with chemotherapy has been tested in preclinical studies for the treatment of p53-mutated tumors to induce "mitotic cell death." 19 A Chk1 inhibitor is currently undergoing phase 1 and 2 clinical trials and ATM, Rad51 and ATR inhibitors are also in preclinical testing. 40 Future studies on how the inhibition of ATR and Chk1 activity might enable the death of cancer are promising and our work has highlighted regulation of chromatin eviction as an additional pathway for targeted treatment development.
Recent studies on the use of combination treatments suggest that inhibiting the Chk1 pathway, or the ATR pathway, in combination with more standard therapeutics can be highly efficacious. 41,42 Combination treatment of colon cancers with mutations in the APC tumor suppressor gene with a Chk1 kinase inhibitor and standard 5-fluorouricil is more efficacious than either drug alone. 42 Moreover, combining the standard-of care platinum-based chemotherapic drugs with VX-970 (the first clinical ATR inhibitor) in a lung cancer model dramatically increases the efficacy of cisplatin for tumor growth inhibition of previously cisplatin insensitive cancers. 41 It is possible that combining the standard chemotherapeutic mitomycin with drugs that inhibit either ATR or Chk1 would improve efficacy for killing cancers with mutations in p53. Such combination treatments of mtp53 expressing cancers could provoke synergistic death outcomes. The synergism of mitomycin treatment with inhibition of ATR or Chk1 might recapitulate the DMC-induced p53-independent cell death.

Materials
Mitomycin C was obtained from Bristol-Myers Squibb Co., Wallingford, CT and from Kyowa Hakko Kogyo Co. Ltd., Japan. The procedure used for the synthesis of 10-decarbamoyl mitomycin C was as described previously. 43 Growth medium and penicillin¡streptomycin solution were obtained from Mediatech Inc.., Herndon, VA. Fetal bovine serum (FBS) was purchased from Gemini Bio-Products, West Sacramento, CA.
Cell lysates PBS-washed cell pellets were gently resuspended in a hypotonic lysis buffer (10 mM HEPES pH 7.8, 10 mM KCl, 1.5 mM MgCl 2 , 0.5 mM DTT, 1 mM PMSF, 8.5 mg/ml Aprotinin, 2 mg/ml Leupeptin. and phosphatase inhibitors) and Triton X-100 (0.1%). After incubation of the cells on ice for 10 min, the cellular extracts were then centrifuged at 800 £ g for 10 min at 4 C and the supernatant was collected as the cytoplasmic fraction and further clarified by high-speed centrifugation (5 min, 12,000rpm, 4 C) to remove cell debris and insoluble aggregates. The nuclei-enriched fraction was washed once with hypotonic buffer and resuspended in a nuclear extraction buffer (20 mM HEPES, pH 7.8, 1.5 mM MgCl 2 , 420 mM NaCl, 25% v/v glycerol, 0.2 mM EDTA, 0.5 mM DTT, 1 mM PMSF, 8.5 mg/ml Aprotinin, 2 mg/ml Leupeptin. and phosphatase inhibitors). Nuclear proteins were extracted via agitation for 30 min at 4 C and centrifuged at 13,000 rpm and 4 C for 30 min. The supernatants containing solubilized nuclear proteins were stored at ¡80 C.

Immunofluorescence
Cells were grown and treated with 10 mM MC or DMC on coverslips. Untreated and treated cells were fixed with 4% Formaldehyde and permeabilized with 0.5% Triton-X-100. Immunohistochemistry was done with ATR (Abcam, ab2905) and Lamin A/C (Millipore, MAB3211) antibodies followed by incubation with FITC-conjugated anti-Rabbit (Invitrgen A11037) and Alexa-conjugated anti-mouse (Invitrogen A11058). Coverslips were mounted onto slides using Vectashield mounting medium with DAPI (Fisher Scientific NC9524612, Pittsburgh, PA, USA). Images were collected by PerkinElmer UltraVIEW ERS Spinning Disc Microscope, Waltham, MA, USA. All images were captured using a 100£ objective.
Quantitative reverse transcription-PCR (qRT-PCR) RNA was isolated using QIAshredder columns and RNeasy Mini Kit (Qiagen, Valencia, CA, USA). A total of 5 mg of RNA was used for cDNA synthesis using High Capacity cDNA Archive Kit reagents (Applied Biosystems, Foster City, CA, USA). 150 ng of cDNA was combined with Taqman Universal Master Mix (Applied Biosystems, Foster City, CA, USA) and Applied Biosystems Assays on Demand primers/probes for Gadd45 (Hs_Hs00169255_m1), puma (Hs00248075_m1), p21 (Hs00355782_m1) or gapdh (433764-1207037). PCR reaction was carried out in 7500 Sequence Detection System (Applied Biosystems). Fluorescence activated cell sorting (FACS).

Fluorescence activated cell sorting (FACS)
FACS was performed on a FACScan (BD Biosciences, San Jose, CA, USA). After treatments, cells were harvested, washed, resuspended in PBS containing 2% bovine serum albumin, 0.1% sodium azide, fixed in 30% ethanol. Before sorting, propidium iodide staining and RNase treatment were performed for 30 minutes at 37 C.
Preparation of mono-nucleosomal DNA and EMSA Three £ 10 6 MCF7 cells were treated with 100 units Micrococcal Nuclease (New England Biolabs) for 10 minutes and followed by proteinase k digestion. Mononucleosomal DNA was extracted and labeled with 32 P-gamma-ATP. Reaction mixtures for EMSA experiments (30 ml) were composed of 0.1 pmol of mononucleosomal DNA, 20 mM HEPES (pH 7.8), 100 mM KCl, 1 mM EDTA, 1 mM DTT, 1 mg of sonicated salmon sperm DNA, and 10% glycerol. Two mg of untreated, MC or DMC treated nuclear protein extract was added to each reaction. All samples were incubated at room temperature for 20 min. The protein-DNA complexes were resolved on a 5% acrylamide gel.
xCELLigence real-time cell analysis (RTCA) of cytotoxicity xCELLigence cell index (CI) impedance measurements were performed according to the instructions of the supplier (Roche Diagnostics GmbH, Mannheim, Germany). Cells were resuspended in medium and subsequently adjusted to 50,000cells/ mL. Six hours after seeding 100mL of the cell suspensions into the wells of the E-plate, cells were treated or untreated with 10 mM DMC and were monitored every 15min for a period of up to 26hr by the xCELLigence system.

Disclosure of Potential Conflicts of Interest
No potential conflicts of interest were disclosed.