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The effects of Provera on chemotherapy of uterine cancer cell lines.

Abstract
Even though progestin is commonly added to many chemotherapy regimens in the treatment of uterine cancers, its role is still unproven. Since progestin is antiproliferative, its tendency to arrest cells in G1 phase may interfere with cytotoxic mechanisms. The ATP chemosensitivity assay and flow cytometry were used to study the effects of a progestational compound such as Provera on three single agents and four drug combinations. Uterine cancer cell lines included progesterone-receptor (PR)-positive AE7 and ECC1 and PR-negative HEC1A, HEC1B, AN3, and SKUT1B. Provera selectively affected only PR-positive cell lines. It imposed an antiproliferative effect on drug-induced cell-cycle perturbations by reducing G2 and S blocks and minimizing G1 depletion. When using IC50s (concentrations required for 50% growth inhibition) of 0.5 as a cutoff for drug sensitivity and resistance, Provera significantly improved the IC50s of the drug-resistant subgroup from 1.95 +/- 0.36 to 0.71 +/- 0.19 (P = 0.009) but not those of the drug-sensitive subgroup (P = 0.13). In summary, Provera appeared to work independently from cytotoxic mechanisms. Its improvement of cytotoxicity was most pronounced in resistant cell lines bearing progesterone receptors.
AuthorsH N Nguyen, B U Sevin, H E Averette, J Perras, R Ramos, M Penalver, D Donato
JournalGynecologic oncology (Gynecol Oncol) Vol. 42 Issue 2 Pg. 165-77 (Aug 1991) ISSN: 0090-8258 [Print] United States
PMID1832652 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antineoplastic Agents
  • Receptors, Progesterone
  • Medroxyprogesterone Acetate
  • Medroxyprogesterone
Topics
  • Antineoplastic Agents (pharmacology)
  • Antineoplastic Combined Chemotherapy Protocols (pharmacology)
  • Cell Cycle (drug effects)
  • Cell Survival (drug effects)
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Medroxyprogesterone (analogs & derivatives, pharmacology)
  • Medroxyprogesterone Acetate
  • Receptors, Progesterone (analysis)
  • Tumor Cells, Cultured (drug effects)
  • Uterine Neoplasms (pathology)

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