Department of Thermobiology, Faculty of Biology and Environmental Protection, University of Lodz, Lodz, Poland.
Adv Med Sci. 2013;58(1):104-11. doi: 10.2478/v10039-012-0063-1.
Oxidative stress generated by anticancer drugs in non-targeted tissues, is considered as a significant factor responsible for their severe side effects, e.g. cardiotoxicity, neurotoxicity and hepatotoxicity. Lack of data on the effect of concurrent administration of commonly used anticancer drugs: doxorubicin (DOX), paclitaxel (PTX) and docetaxel (DTX) on normal tissue, prompted us to examine the markers of oxidative stress in the liver of rats treated with these drugs.
MATERIAL/METHODS: Male Wistar rats of average weight 200 g were injected intraperitoneally (i.p.) with 10 mg/kg of body weight (b.w.) of DOX, PTX and DTX. The drugs were given alone or in combinations DOX+taxane. The activities of superoxide dismutase (SOD), catalase (CAT), low molecular weight and total thiols and thiobarbituric acid-reactive substances (TBARS) were estimated.
Combination of two drugs generated greater changes than single agents. Concurrent administration of DOX and PTX increased SOD activity and TBARS, decreased the amount of low molecular weight and total thiols, but did not cause any changes in the activity of catalase. Combination of DOX and DTX induced similar changes except for the activity of catalase, which decreased after the treatment. Of the three drugs only DTX significantly decreased the activity of SOD. However, both taxanes increased the activity of catalase. Although a decrease in concentration of -SH groups, depletion of glutathione and an increase of TBARS were observed after treatment with single drugs, the changes were not statistically significant.
Concurrent administration of DOX and taxane induced enhanced oxidative stress in comparison to single drugs, which suggests their synergistic prooxidant mode of action in liver.
抗癌药物在非靶向组织中产生的氧化应激被认为是其严重副作用(如心脏毒性、神经毒性和肝毒性)的一个重要因素。缺乏关于常用抗癌药物(阿霉素[DOX]、紫杉醇[PTX]和多西他赛[DTX])联合用药对正常组织影响的数据,促使我们检查这些药物治疗大鼠肝脏的氧化应激标志物。
材料/方法:平均体重为 200 克的雄性 Wistar 大鼠经腹腔注射 10 mg/kg 体重的 DOX、PTX 和 DTX。单独或联合 DOX+taxane 给予药物。测定超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、低分子量和总巯基及硫代巴比妥酸反应物质(TBARS)的活性。
两种药物联合比单一药物产生更大的变化。DOX 和 PTX 联合给药增加了 SOD 活性和 TBARS,减少了低分子量和总巯基的量,但未引起 CAT 活性的任何变化。DOX 和 DTX 联合给药诱导了类似的变化,除了 CAT 活性降低外,CAT 活性在治疗后降低。在三种药物中,只有 DTX 显著降低了 SOD 的活性。然而,两种 taxanes 均增加了 CAT 的活性。尽管单独用药后观察到 -SH 基团浓度降低、谷胱甘肽耗竭和 TBARS 增加,但变化无统计学意义。
与单一药物相比,DOX 和 taxane 的联合给药诱导了更强的氧化应激,提示它们在肝脏中具有协同的促氧化剂作用模式。