Decorti G, Klugmann F B, Candussio L, Furlani A, Scarcia V, Baldini L
Institute of Pharmacology, School of Medicine, University of Trieste, Italy.
Cancer Res. 1989 Apr 15;49(8):1921-6.
It has been shown recently that anthracyclines induce an important, noncytotoxic histamine release from rat and mouse peritoneal mast cells. In the present study we evaluate if histamine release is related to Adriamycin uptake; in addition the uptake of this antineoplastic drug is studied in other normal or tumor cells. In rat and mouse peritoneal mast cells, Adriamycin-induced histamine release is quantitatively related to its intracellular concentrations. Significant differences in Adriamycin uptake are observed among mast cells and other cells. In mast cells, both the uptake of the antineoplastic drug and histamine release are greatly limited by the antiallergic drug sodium cromoglycate; on the contrary, in other normal or neoplastic cells, sodium cromoglycate only slightly reduces Adriamycin intracellular concentrations. When tested on KB cells in culture, sodium cromoglycate does not interfere with Adriamycin cytotoxicity. In mast cells, Adriamycin uptake is temperature dependent, with an optimum at 37 degrees C, and slower than histamine release; histamine release was in fact completed in 30 s, whereas the uptake reached its maximum in 30 min. The influx is pH dependent, with a maximum at pH 6.8, and is blocked by the metabolic inhibitor antimycin A and omission of glucose. It is also possible to limit Adriamycin uptake and histamine release with the calmodulin inhibitors chlorpromazine and trifluoperazine and with the calcium antagonist nicardipine. Adriamycin efflux from mast cells is extremely rapid, temperature dependent (very slow at 0 degrees C), but pH independent, and not modified by metabolic inhibitors. These findings suggest that Adriamycin accumulation in mast cells involves an active transport system which can be inhibited by several agents, among which are sodium cromoglycate, and calmodulin and calcium antagonists.
最近研究表明,蒽环类药物可诱导大鼠和小鼠腹膜肥大细胞释放一种重要的、非细胞毒性的组胺。在本研究中,我们评估组胺释放是否与阿霉素摄取有关;此外,还研究了这种抗肿瘤药物在其他正常或肿瘤细胞中的摄取情况。在大鼠和小鼠腹膜肥大细胞中,阿霉素诱导的组胺释放与其细胞内浓度在数量上相关。在肥大细胞和其他细胞之间观察到阿霉素摄取存在显著差异。在肥大细胞中,抗肿瘤药物的摄取和组胺释放都受到抗过敏药物色甘酸钠的极大限制;相反,在其他正常或肿瘤细胞中,色甘酸钠仅略微降低阿霉素的细胞内浓度。在培养的KB细胞上进行测试时,色甘酸钠不干扰阿霉素的细胞毒性。在肥大细胞中,阿霉素摄取依赖温度,在37℃时达到最佳,且比组胺释放慢;事实上,组胺释放在30秒内完成,而摄取在30分钟内达到最大值。内流依赖pH,在pH 6.8时达到最大值,并被代谢抑制剂抗霉素A和缺乏葡萄糖所阻断。用钙调蛋白抑制剂氯丙嗪和三氟拉嗪以及钙拮抗剂尼卡地平也可以限制阿霉素摄取和组胺释放。阿霉素从肥大细胞的外流极其迅速,依赖温度(在0℃时非常缓慢),但不依赖pH,且不受代谢抑制剂的影响。这些发现表明,阿霉素在肥大细胞中的积累涉及一个可被多种药物抑制的主动转运系统,其中包括色甘酸钠、钙调蛋白和钙拮抗剂。