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喜树碱衍生物CPT-11与多种抗肿瘤药物联合治疗L1210白血病

[Combination therapy of CPT-11, a camptothecin derivative, with various antitumor drugs against L 1210 leukemia].

作者信息

Furuta T, Yokokura T

机构信息

Yakult Central Institute for Microbiological Research, Tokyo, Japan.

出版信息

Gan To Kagaku Ryoho. 1991 Mar;18(3):393-402.

PMID:1900684
Abstract

Antitumor effect of CPT-11 in combination with cyclophosphamide (CY), nimustin hydrochloride (AC-NU), thio-TEPA (TESPA), methotrexate (MTX), 5-fluorouracil (5-FU), cytosine arabinoside (ara-C), thioinosine (6-MPR), adriamycin (ADM), bleomycin (BLM), mitomycin C (MMC), actinomycin D (ACT-D), vincristine sulfate (VCR), etoposide (VP-16) or cisplatin (CDDP) against L 1210 murine leukemia was investigated. The combination treatment of CPT-11 with CY, ACNU, ADM, CDDP, TESPA and ACT-D showed synergistic effects and significantly prolonged the survival time of L 1210-inoculated mice compared with CPT-11 alone or antitumor drug alone. Although the combination with 5-FU, 6-MPR, VP-16, MMC or VCR had synergistic effect for some schedules exceptionally with ara-C, MTX or BLM had slight synergistic effect against L 1210.

摘要

研究了伊立替康(CPT-11)与环磷酰胺(CY)、盐酸尼莫司汀(AC-NU)、噻替哌(TESPA)、甲氨蝶呤(MTX)、5-氟尿嘧啶(5-FU)、阿糖胞苷(ara-C)、硫唑嘌呤(6-MPR)、阿霉素(ADM)、博来霉素(BLM)、丝裂霉素C(MMC)、放线菌素D(ACT-D)、硫酸长春新碱(VCR)、依托泊苷(VP-16)或顺铂(CDDP)联合应用对L 1210小鼠白血病的抗肿瘤作用。与单独使用CPT-11或单独使用抗肿瘤药物相比,CPT-11与CY、ACNU、ADM、CDDP、TESPA和ACT-D联合治疗显示出协同作用,并显著延长了接种L 1210的小鼠的存活时间。虽然与5-FU、6-MPR、VP-16、MMC或VCR联合应用在某些方案中有协同作用,但与ara-C、MTX或BLM联合应用对L 1210仅有轻微的协同作用。

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