The cytotoxicities of D,L-
tetraplatin and D-
tetraplatin were evaluated at 37 degrees C, 42 degrees C and 43 degrees C at normal pH, at pH 6.45 and under normally oxygenated and hypoxic conditions in EMT-6 cells in vitro. The D-isomer was also tested in FSaIIC cells in vitro. Under these various conditions the pure D-isomer was very similar in cytotoxicity with the racemic mixture. Like
cisplatin, both D,L- and D-
tetraplatin were selectively cytotoxic toward normally oxygenated cells under acidic pH (6.45) conditions at 37 degrees C. In both cell lines the cytotoxicity of D,L- and D-
tetraplatin was markedly increased at hyperthermic temperatures. Under the same conditions
platinum levels in EMT-6 cells exposed to D,L- or D-
tetraplatin were higher than in cells exposed to
cisplatin, and unlike
cisplatin there was an increase in intracellular
platinum levels when the cells were exposed to D,L- or D-
tetraplatin at 42 degrees C compared with 37 degrees C. The tumour growth delay of the FSaIIC
fibrosarcoma was the same for D,L- and D-
tetraplatin. A dose of 10 mg/kg intraperitoneally of
tetraplatin produced a tumour growth delay of about 4.3 days which was increased to about 6 days with the addition of
local hyperthermia (43 degrees C, 30 min) to the
drug treatment. The tumour cell survival assay also showed no difference between D,L- and D-
tetraplatin and a log-linear increase in tumour cell killing with increasing
drug dose which was increased 1.5-3-fold with
local hyperthermia. D,L- and D-
tetraplatin were relatively much more cytotoxic toward bone marrow colony forming units of granulocyte-macrophage progenitors (CFU-GM) than was
cisplatin and this cytotoxicity was increased about 5-10-fold under hyperthermic conditions. There was an increase in
DNA crosslink formation in tumours when
hyperthermia accompanied
tetraplatin treatment. Overall, D,L- and D-
tetraplatin produced very similar responses under hyperthermic conditions in both tumour and normal tissues, and may be a useful agent in combination with
local hyperthermia.