Additive action of gemcitabine (2',2'-difluorodeoxycytidine) and 2-chlorodeoxyadenosine on murine leukemias L1210 and P388. 1999

E Marañda, and A Szmigielska, and T Robak
Department of Hematology, Medical University of Lódź, Poland.

The influence of 2-chlorodeoxyadenosine (2-CdA) and 2',2'-difluorodeoxycytidine (Gemcitabine, dFdC) on the survival time of mice bearing L1210 and P388 leukemias was investigated. Seventy-two male CD2F1 strain mice were used in the experiment. They were given 2-CdA (20 mg/kg) on days 1-5 after inoculation with leukemic cells (day 0) i.p. or dFdC (20 mg/kg) on days 1, 4, 7, and 10 i.p. The drugs were administered alone and in combination (sequential therapy) according to the following schedules: 2-CdA and dFdC at the same time at the doses given above; 2-CdA before dFdC, sequential therapy (2-CdA on days 1-5, then dFdC on days 6, 9, 12, 15); dFdC before 2-CdA, sequential therapy (dFdC on days 1, 4, 7, 10 and then 2-CdA on days 11-15). The animals were observed daily for survival for a minimum of 60 days. The efficacy of the therapy against leukemia (defined as the increase in lifespan, ILS) was assessed as the percentage of the median survival time (MST) of the treated group (T) to that of the control group (C): ILS = [(MSTc/MSTT-1] x 100. The survival time of mice bearing L1210 or P388 leukemia treated with dFdC before 2-CdA was significantly prolonged as compared with the animals receiving these agents separately. The prolongation of the survival time of the treated mice (ILS) compared with the untreated was 300% in case of L1210 and 241% in case of P388 leukemia. The combinations 2-CdA before dFdC and simultaneous injections of both drugs were not more effective than the treatment with dFdC alone. In case of L1210 leukemia, mice treated with these regimens showed a survival time similar to those treated with dFdC alone, although the survival time of mice bearing P388 leukemia treated with these regimens was shorter than that of mice given dFdC singly. Our study revealed that the most effective treatment schedule in both leukemias was dFdC given before 2-CdA. The results confirm the additive action of dFdC and 2-CdA.

UI MeSH Term Description Entries
D007939 Leukemia L1210 An experimental LYMPHOCYTIC LEUKEMIA of mice. Leukemia L 1210,L 1210, Leukemia,L1210, Leukemia
D007941 Leukemia P388 An experimental lymphocytic leukemia originally induced in DBA/2 mice by painting with methylcholanthrene. P388D(1) Leukemia,P388, Leukemia
D008297 Male Males
D003841 Deoxycytidine A nucleoside component of DNA composed of CYTOSINE and DEOXYRIBOSE. Cytosine Deoxyribonucleoside,Cytosine Deoxyriboside,Deoxyribonucleoside, Cytosine,Deoxyriboside, Cytosine
D004334 Drug Administration Schedule Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience. Administration Schedule, Drug,Administration Schedules, Drug,Drug Administration Schedules,Schedule, Drug Administration,Schedules, Drug Administration
D004354 Drug Screening Assays, Antitumor Methods of investigating the effectiveness of anticancer cytotoxic drugs and biologic inhibitors. These include in vitro cell-kill models and cytostatic dye exclusion tests as well as in vivo measurement of tumor growth parameters in laboratory animals. Anticancer Drug Sensitivity Tests,Antitumor Drug Screens,Cancer Drug Tests,Drug Screening Tests, Tumor-Specific,Dye Exclusion Assays, Antitumor,Anti-Cancer Drug Screens,Antitumor Drug Screening Assays,Tumor-Specific Drug Screening Tests,Anti Cancer Drug Screens,Anti-Cancer Drug Screen,Antitumor Drug Screen,Cancer Drug Test,Drug Screen, Anti-Cancer,Drug Screen, Antitumor,Drug Screening Tests, Tumor Specific,Drug Screens, Anti-Cancer,Drug Screens, Antitumor,Drug Test, Cancer,Drug Tests, Cancer,Screen, Anti-Cancer Drug,Screen, Antitumor Drug,Screens, Anti-Cancer Drug,Screens, Antitumor Drug,Test, Cancer Drug,Tests, Cancer Drug,Tumor Specific Drug Screening Tests
D004357 Drug Synergism The action of a drug in promoting or enhancing the effectiveness of another drug. Drug Potentiation,Drug Augmentation,Augmentation, Drug,Augmentations, Drug,Drug Augmentations,Drug Potentiations,Drug Synergisms,Potentiation, Drug,Potentiations, Drug,Synergism, Drug,Synergisms, Drug
D000093542 Gemcitabine A deoxycytidine antimetabolite used as an antineoplastic agent. 2',2'-Difluoro-2'-Deoxycytidine,2',2'-Difluorodeoxycytidine,2'-Deoxy-2',2''-Difluorocytidine-5'-O-Monophosphate,2'-Deoxy-2'-Difluorocytidine,Gemcitabine Hydrochloride,Gemcitabine, (D-threo-pentafuranosyl)-Isomer,Gemcitabine, (alpha-D-threo-pentofuranosyl)-Isomer,Gemcitabine, (beta-D-threo-pentafuranosyl)-Isomer,Gemicitabine,2',2'-DFDC,Gemzar,LY 188011,LY-188011,dFdCyd,188011, LY,2' Deoxy 2' Difluorocytidine,2' Deoxy 2',2'' Difluorocytidine 5' O Monophosphate,Hydrochloride, Gemcitabine
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000964 Antimetabolites, Antineoplastic Antimetabolites that are useful in cancer chemotherapy. Antineoplastic Antimetabolites

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