Yamamoto Y, Toi M, Yamada R, Tominaga T
TOKYO METROPOLITAN KOMAGOME HOSP,DEPT SURG,BUNKYO KU,TOKYO 113,JAPAN.
Oncol Rep. 1995 Sep;2(5):793-6. doi: 10.3892/or.2.5.793.
AGM-1470, a potent angiogenesis inhibitor, is known to suppress the growth of solid tumors in vivo. In this study, we investigated the combination effect of AGM-1470 with 5'-deoxy-5-fluorouridine (5'-DFUR) which is converted to 5-FU by pyrimidine nucleoside phosphorylase, with tamoxifen (TAM), and with medroxyprogesterone acetate (MPA) in dimethylebenz(a)-anthracene (DMBA) induced rat mammary tumors. Since 5'-DFUR and MPA are noted to have antiangiogenic activity, this combination study might imply not only the addition to chemotherapeutic or hormonal drugs for the angiogenesis inhibitor but also the combination of two angiogenesis inhibitors. The combination of AGM-1470 (20 mg/kg) with 5'-DFUR (200 mg/kg) and with TAM (0.8 mg/kg) markedly suppressed the tumor growth. There was a significant difference in the suppression of tumor growth between the combination group and either drug alone group (p<0.01). No statistical combination effect between AGM-1470 and MPA was found, however MPA markedly reversed the body weight loss induced by AGM-1470. This result will be informative for clinical studies on the combination effect of AGM-1470.
AGM - 1470是一种强效血管生成抑制剂,已知其能在体内抑制实体瘤的生长。在本研究中,我们调查了AGM - 1470与5'-脱氧-5-氟尿苷(5'-DFUR,可被嘧啶核苷磷酸化酶转化为5-氟尿嘧啶)、他莫昔芬(TAM)以及醋酸甲羟孕酮(MPA)联合使用对二甲基苯并(a)蒽(DMBA)诱导的大鼠乳腺肿瘤的影响。由于5'-DFUR和MPA具有抗血管生成活性,这项联合研究可能不仅意味着在化疗或激素药物中添加血管生成抑制剂,还意味着两种血管生成抑制剂的联合使用。AGM - 1470(20毫克/千克)与5'-DFUR(200毫克/千克)以及TAM(0.8毫克/千克)联合使用能显著抑制肿瘤生长。联合用药组与任一单药组在抑制肿瘤生长方面存在显著差异(p<0.01)。然而,未发现AGM - 1470与MPA之间有统计学意义的联合效应,但MPA能显著逆转AGM - 1470引起的体重减轻。该结果将为AGM - 1470联合效应的临床研究提供参考。