Experimental investigations on a sequential combination chemotherapy protocol |
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Authors: | H O Klein H J Toermer E Christian Cl Coerper K J Lennartz G Akokan |
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Institution: | (1) Medical Clinic of the University of Cologne, Joseph-Stelzmann-Str. 9, D-5000 Köln 41, Federal Republic of Germany;(2) Institute of Pathology of the University of Cologne, D-5000 Köln 41, Federal Republic of Germany;(3) University of Istanbul, Istanbul, Turkey |
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Abstract: | Summary This paper deals with experimental investigations concerning the composition of a cytostatic three-drug-protocol in diploid Ehrlich-Ascites-Tumor (EAT) cells in vivo at a far advanced stage of the disease. Hydroxyurea (HU) and vincristine (VCR) were used in very low doses to induce a modification of the growth pattern of tumor cells alike partial synchronization. Adriamycin (ADM) was selected as cytocidal drug during DNA synthesis of the partially synchronized cells. It was found that the sequential combination of HU and VCR (first HU and 12h thereafter VCR) caused the greatest alteration of growth pattern compared with other combination protocols. A further statistically significant increase of the degree of synchrony was observed after a second VCR administration—22 h after HU. By means of this protocol the EAT was subdivided into two proliferating subpopulations, a diploid and a tetraploid one. the tetraploid population resulted from surviving cells being not able to perform cytokinesis correctly, so that polynuclear cells and cells with a large single nucleus containing tetraploid DNA values were created. With respect to therapy, the administration of ADM at the time of DNA synthesis of the partially synchronized cells resulted in a statistically significant prolongation of the mean survival time and in 30% of cures of the animals. The dosage of ADM was 2.6 mg/kg, i.e., a nonlethal dose (50% of the LD10). Other combinations, i.e., simultaneous or reversed sequential combinations, did not show any therapeutic improvement compared to single drug therapy of ADM.the present time visiting professorship at the Medical Clinic of the University of CologneSupported by Deutsche Forschungsgemeinschaft |
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Keywords: | Ehrlich ascites tumor Proliferation kinetics Partial synchronization Combination chemotherapy Cytostatic drugs Adriamycin Hydroxyurea Vincristine |
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