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Usefulness of tirapazamine as a combined agent in chemoradiation and thermo-chemoradiation therapy at mild temperatures: reference to the effect on intratumor quiescent cells.

Abstract
C3H / He mice bearing SCC VII tumors received 5-bromo-2'-deoxyuridine (BrdU) continuously for 5 days via implanted mini-osmotic pumps to label all proliferating (P) cells. The mice then received one of six different DNA-damaging agents with or without mild temperature hyperthermia (40 degrees C, 30 min, MTH). These agents were adriamycin (ADM), mitomycin C (MMC), cyclophosphamide (CPA), bleomycin (BLM), cisplatin (CDDP), and tirapazamine (TPZ). After the drug treatment, the tumor-bearing mice were irradiated with a series of doses of gamma-rays. Immediately after irradiation, the tumors were excised, minced and trypsinized. The tumor cell suspensions thus obtained were incubated with cytochalasin-B (a cytokinesis blocker), and the micronucleus (MN) frequency in cells without BrdU labeling ( = quiescent (Q) cells) was determined using immunofluorescence staining for BrdU. The MN frequency in the total (P + Q) tumor cells was determined from the tumors that had not been pretreated with BrdU. MTH significantly increased the MN frequency of total cells in tumors irradiated with gamma-rays combined with CPA, BLM, CDDP or TPZ, and that of Q cells in tumors irradiated with gamma-rays combined with BLM or TPZ. The sensitivity difference in the MN frequency between total and Q tumor cells was significantly decreased by the combination with TPZ. TPZ combined with radiotherapy and TPZ combined with thermo-radiotherapy at mild temperatures appear to be promising modalities for sensitizing tumor cells in vivo, including Q tumor cells.
AuthorsS I Masunaga, K Ono, M Suzuki, Y Kinashi, M Takagaki, H Hori, S Kasai, H Nagasawa, Y Uto
JournalJapanese journal of cancer research : Gann (Jpn J Cancer Res) Vol. 91 Issue 5 Pg. 566-72 (May 2000) ISSN: 0910-5050 [Print] Japan
PMID10835503 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Radiation-Sensitizing Agents
  • Triazines
  • Bleomycin
  • Tirapazamine
  • Mitomycin
  • Doxorubicin
  • Cyclophosphamide
  • Bromodeoxyuridine
  • Cisplatin
Topics
  • Animals
  • Antineoplastic Combined Chemotherapy Protocols (pharmacology)
  • Bleomycin (administration & dosage)
  • Bromodeoxyuridine
  • Carcinoma, Squamous Cell (drug therapy, radiotherapy, therapy)
  • Cisplatin (administration & dosage)
  • Combined Modality Therapy
  • Cyclophosphamide (administration & dosage)
  • Dose-Response Relationship, Radiation
  • Doxorubicin (administration & dosage)
  • Hyperthermia, Induced (methods)
  • Mice
  • Mice, Inbred C3H
  • Micronucleus Tests
  • Mitomycin (pharmacology)
  • Radiation-Sensitizing Agents (pharmacology)
  • Tirapazamine
  • Triazines (pharmacology)

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