The purpose of this study was to evaluate the effect of a concomitant infusion of
ornithine on the
difluoromethylornithine (DFMO)-induced
thrombocytopenia and antitumor activity. Male Fischer 344 rats with either a transplantable
fibrosarcoma or Ward colon
tumor were given a 12-day continuous infusion of DFMO (2000 mg/kg/day) alone or with
ornithine. The dose of
ornithine was defined as the molar ratio to DFMO. A continuous infusion of DFMO significantly reduced circulating platelet counts to 5-16% of the control. Concomitant
ornithine treatment at a molar ratio of 0.2-0.5 resulted in protection of the rat from
thrombocytopenia while the antiproliferative activity of DFMO against the
fibrosarcoma or Ward colon
tumor was unaffected. At a higher
ornithine: DFMO molar ratio (0.7), the DFMO-induced inhibition of
tumor growth was blocked. Tissue
polyamine levels suggest a different sensitivity of
tumor and normal tissue to DFMO. Concomitant
ornithine resulted in a greater increase in the
polyamine levels of normal tissues, compared with the
tumor. These results suggest that
ornithine can selectively inhibit DFMO-induced
thrombocytopenia while not affecting the antitumor activity.