Mikulski S, Viera A, Shogen K
Int J Oncol. 1992 Dec;1(7):779-85.
In vitro tumor cell growth inhibitory and cytotoxic synergisms between a novel amphibian oocytic ribonuclease (ONCONASE)(ONC) and tamoxifen (TMX), lovastatin (LVT) and cisplatin (CDDP), have been observed in the human, estrogen and androgen receptor positive, chemotherapy-resistant NIH-OVCAR-3 ovarian carcinoma cell line. In view of the fact that the resistance to the available systemic chemotherapy represents one of the most important causes of treatment failure in patients with advanced ovarian cancer, the observed various forms of combination therapy synergisms suggest that these regimens could be tested in vivo, including human clinical trials. Particularly important are findings of significant synergistic tumor cell growth inhibitory and cytotoxic activities exerted by the combination of ONC with CDDP; NIH-OVCAR-3 cells are reportedly resistant to the latter. Of specific interest are the observed synergisms between ONC and TMX and between ONC and LVT, an inhibitor of the 3-hydroxy-3- methyl-glutaryl-CoA reductase which is a rate-limiting enzyme in the mevalonate/cholesterol synthesis pathway. A facilitation of apoptosis-induction by the drug combinations presently studied is discussed as a possible mechanism of the observed synergisms.
在人雌激素和雄激素受体阳性、对化疗耐药的NIH-OVCAR-3卵巢癌细胞系中,已观察到一种新型两栖类卵母细胞核糖核酸酶(癌抑素)(ONC)与他莫昔芬(TMX)、洛伐他汀(LVT)和顺铂(CDDP)之间存在体外肿瘤细胞生长抑制和细胞毒性协同作用。鉴于对现有全身化疗的耐药性是晚期卵巢癌患者治疗失败的最重要原因之一,所观察到的各种联合治疗协同作用表明,这些方案可在体内进行试验,包括人体临床试验。特别重要的是,癌抑素与顺铂联合使用具有显著的协同肿瘤细胞生长抑制和细胞毒性活性;据报道,NIH-OVCAR-3细胞对顺铂耐药。特别令人感兴趣的是,癌抑素与他莫昔芬以及癌抑素与洛伐他汀之间观察到的协同作用,洛伐他汀是3-羟基-3-甲基戊二酰辅酶A还原酶的抑制剂,该酶是甲羟戊酸/胆固醇合成途径中的限速酶。本文讨论了目前所研究的药物组合促进细胞凋亡诱导作用,作为所观察到的协同作用的一种可能机制。