Uemura N, Nakamura K, Ishii Y, Matsukubo S, Nyu S, Nakano S
Department of Clinical Pharmacology and Therapeutics, Oita Medical University, Japan.
Jpn J Pharmacol. 1999 Mar;79(3):269-74. doi: 10.1254/jjp.79.269.
To investigate effects of electrical stimulation on survival days of leukemic mice treated with methotrexate (MTX), L1210-bearing mice were treated by MTX and calcium folinate (leucovorin) rescue therapy (MTX: 400 mg/kg, followed by leucovorin at the dose of 7.5 mg/kg at 8, 15 and 24 hr after MTX) under electrical stimulation (foot shock: shock amplitude, 0.4 mA; voltage, 60-100 V/cm; shock duration, 5 sec; frequency, 0.5 Hz) of various lengths. The survival days were significantly prolonged by 6-hr electrical stimulation in combination with MTX, while plasma MTX concentrations and pharmacokinetic parameters such as the area under the curve (AUC-12 hr) and clearance (CL) were not significantly altered. Psychological stress did not alter the efficacy of MTX in the communication box paradigm. Amplified efficacy of MTX was shown in a length-dependent manner when electrical stimulation of various lengths were applied to L1210-bearing mice.
为研究电刺激对接受甲氨蝶呤(MTX)治疗的白血病小鼠存活天数的影响,对携带L1210的小鼠采用MTX和亚叶酸钙(甲酰四氢叶酸)救援疗法(MTX:400mg/kg,在MTX给药后8、15和24小时分别给予7.5mg/kg的甲酰四氢叶酸),并在不同时长的电刺激(足部电击:电击幅度0.4mA;电压60 - 100V/cm;电击持续时间5秒;频率0.5Hz)下进行处理。6小时的电刺激联合MTX可显著延长存活天数,而血浆MTX浓度以及药代动力学参数如曲线下面积(AUC - 12小时)和清除率(CL)未发生显著改变。在交流箱范式中,心理应激并未改变MTX的疗效。当对携带L1210的小鼠施加不同时长的电刺激时,MTX的疗效呈长度依赖性增强。