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  • 1
    ISSN: 1432-1335
    Keywords: Locoregional ; Chemotherapy ; Fluoropyrimidine ; 19F-NMR ; Novikoff hepatoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The influence of infusion time and dose on the anticancer efficacy of 5-fluoro-2′-deoxyuridine (FdUrd) was investigated using a locoregional therapy model: Novikoff hepatoma transplanted i.m. into the thigh of Wistar rats and FdUrd infusion via a catheter implanted in the femoral artery. In experiment A the FdUrd dose (five daily doses of 12, 19 and 30 mg/kg) and the duration of administration (bolus, 1 h, 5 h, and 24 h) were varied. The change in tumor volume following treatment and the number of rats showing regression vs progression served as indicators of therapy response. The results showed a clear dose dependence, and for each infusion time the 30 mg/kg dose was the most effective, without any signs of general toxicity. At this dose the longest infusion time (24 h) was less effective (regression in three of six rats) compared with 1-h or 5-h treatments (four of five in regression). In experiment B either one or five daily FdUrd doses (15, 30, 60 mg/kg) were administered i.a. for the same infusion times used in experiment A. After treatment, tumors were explanted ex vivo and approximately 1-g tissues samples were immediately frozen in liquid nitrogen for storage.19F-NMR spectroscopy at 11.7 T was used to quantify FdUrd metabolites [5-fluorouracil (FUra),α-fluoro-β-alanine (FβAla.), 5-fluorouracil nucleosides and nucleotides (F-Nuc)] in the solid tumor tissue samples (maintained at 4° C) with a detection threshold of about 5 nmol/g. The metabolite signal pattern indicated that FdUrd is first converted to FUra, followed by anabolism primarily to nucleotides in the oxy form (e.g. FUTP). The total amount of fluorine detected in tumor tissue increased with dose and decreased with infusion time. For all treatments FNuc could be detected, even after 24 h infusion, and their levels showed a good linear correlation with the total F. The major catabolite FβAla was present in tumor at low levels that correlated poorly with total F, indicating recirculation from other organs (e.g. liver) as the main source. Thus, the NMR method can provide detailed information regarding the efficiency of locoregional treatment (catheter function, drug uptake and metabolism). Initial results of non-invasive in vivo NMR experiments are also presented.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1435-2451
    Keywords: Liver malignancies ; Regional chemotherapy ; Toxicity
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die im Rahmen regionaler Chemotherapie am haufigsten verwendeten Substanzen 5-FU und FUDR wurden tierexperimentell im Hinblick auf ihre hepatobiliäre Toxizität untersucht. Hicrzu wurde die intraarterielle als auch die intraportale Applikation verglichen. Unterschiede zwischen den Behandlungsgruppen fanden sich bezüglich der Galleextraktion der beiden untersuchten Zytostatika. Die Menge mittels MR-Spektroskopie nachweisbarer Metabolite in der Galle war nach intraarterieller FUDR-Gabe am höchsten, unterlag aber starken individuellen Schwankungen. Ein Zusammenhang dieser Befunde mit der zu beobachtenden Häufigkeit hepatobiliärer Nebenwirkungen konnte jedoch nicht festgestellt werden. Es zeigte sich nämlich, daß die Rate and der Schweregrad einer chemischen Hepatitis sowie lymphozytärer Infiltrationen in den Periportalfeldern der Leber weder mit dem verwendeten Zytostatikum noch dem Applikationsweg alleine korrelierten. Allerdings wurde eine sklerosierende Cholangitis nur unter intraarterieller Therapie beobachtet, wobei 5-FU- als auch FUDR-behandelte Tiere gleichhäufig betroffen waren. Möglicherweise wird somit das bekannte Auftreten einer sklerosierenden Cholangitis bei regionaler Chemotherapie von Lebermetastasen mit fluorierten Pyrimidinen multifaktoriell bedingt, wobei Stbrungen der Durchblutung und gleichzeitig eine individuell unterschiedliche Medikamententoxizität ursächlich sein können.
    Notes: Summary In this study we examined the cytostatic compounds 5 FU and FUDR which are most frequently used in regional chemotherapy for any incidence of hepatobiliary toxicity in animals. For this we compared the intraarterial as well as the intraportal application. Differences between the treatment groups were found in the biliary extraction of these two cytostatic agents. The quantity of metabolites in the bile which could be proven by the MR-spectroscope was highest following intraarterial FUDR infusion, but strong deviations were found in individual cases. A correlation of these findings with the observed frequent hepatobiliary side effects could not be found. It could be shown that the rate and severity of chemical hepatitis and lymphocytic infiltrations in the periportal fields of the liver has no connection to either the cytostatic agent used nor the application form used. Although a sclerosing cholangitis could only be seen in intraarterial therapy. In these cases both cytostatic agents under observation were found to be responsible for this effect in the examined animals. The incidence of sclerosing cholangitis during regional chemotherapy of liver metastases with fluoridised pyrimidines seems to be contingent on multiple factors such as circulation disturbances in combination with drug toxicity.
    Type of Medium: Electronic Resource
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