The effects of
NAMI-A (imidazolium trans-imidazoledimethyl
sulfoxide-tetrachlororuthenate) are compared with
cisplatin on tumor cells cultured in vitro at doses of 1 to 100 microM and on
tumor metastases in vivo at maximum tolerated doses. Using mouse
tumors that metastasize to the lungs,
NAMI-A given i.p. for 6 consecutive days at 35 mg/kg/day, was effective independently of the
tumor line being treated and of the stage of
metastasis growth. Conversely,
cisplatin (2 mg/kg/day for 6 days) was as effective as
NAMI-A on MCa mammary
carcinoma and TS/A
adenocarcinoma and less effective than
NAMI-A on
Lewis lung carcinoma.
Cisplatin reduced
body weight gain and spleen weight during treatment and was much more toxic than
NAMI-A on liver sinusoids, kidney tubules, and lung epithelium. In vitro
NAMI-A caused a transient cell cycle arrest of
tumor cells in the premitotic G2/M phase, whereas
cisplatin caused a progressive dose-dependent disruption of cell cycle phases. Correspondingly,
NAMI-A did not modify cell growth, whereas
cisplatin caused a dose-dependent reduction of cell proliferation, as determined by
sulforhodamine B test. Thus,
NAMI-A, unlike
cisplatin, is a potent agent for the treatment of solid
tumor metastases as well as when these
tumor lesions are in an advanced stage of growth.
NAMI-A is endowed with a mechanism of action unrelated to direct
tumor cell cytotoxicity, and such mechanism of action is responsible for a reduced host toxicity.