Sanazole (AK-2123) (N-2'-methoxy ethyl)-2-(3"-nitro-1"-triazolyl)
acetamide, which has completed phase III clinical trials as a radiosensitizer, enhanced gamma-radiation induced apoptosis in murine
fibrosarcoma upon i.p. administration at 40 mg/kg
body weight one hour prior to irradiation. A microscopic examination of Giemsa-May-Grunwald stained cells has shown a higher frequency of condensed nuclei and fragmented nuclei in the
tumor cells. The administration of
sanazole to
tumor-bearing animals enhanced the radiation-induced internucleosomal fragmentation in the nuclear genome of
tumor cells. Higher levels of
caspase-3 activity were also observed in the
cell extracts of tumours from
AK-2123 administered mice. Exposure to gamma-radiation of AK-2123-treated mouse further enhanced the
caspase-3 activity, indicating the induction of apoptosis. The radiation sensitization property of
sanazole was discernible by comparing the relative
tumor diameter following irradiation after i.p. administration of
AK-2123 and irradiation alone; it was higher during the first few days followed by the treatment.