协同和拮抗的急性髓系白血病细胞类型对5-氮杂-2'-脱氧胞苷和1-β-D-阿拉伯呋喃糖基胞嘧啶的特异性反应。
Synergisitic and Antagonistic AML Cell Type-specific Responses to 5-Aza-2-deoxycitidine and 1-h-D-Arabinofuranoside.
作者信息
Elmoneim Abeer Abd, Heuston Elisabeth, Wai Daniel H, Triche Timothy, Arceci Robert J
机构信息
Pediatric Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, U.S.A. Pediatric Department, Taibah University, Madina, Kingdom of Saudi Arabia
Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, U.S.A.
出版信息
Anticancer Res. 2016 Feb;36(2):691-6.
BACKGROUND
The search for synergistic drug combinations is critical to the treatment of drug-resistant cancer, such as acute myeloid leukemia (AML). Characterizing RNA expression associated with 5-aza-2'-deoxycytidine (DAC) and 1-h-D-arabinofuranosylcytosine (Ara-C) is a critical step to increase the efficacy of their combinatorial therapies.
MATERIALS AND METHODS
After 72 h of single-dose treatments of AML cells with DAC or Ara-C, the half-maximal effective concentration of DAC and Ara-C and the drug combination index were assessed.
RESULTS
Pre-treatment with DAC restores cellular sensitivity in Ara-C-resistant AML cells. In contrast, DAC/Ara-C combinations are antagonistic in other Ara-C-sensitive AML cells.
CONCLUSION
Our results provide an alternative approach for predicting what combinations, dosing and scheduling of drug delivery should be used to better individualize therapy of AML.
背景
寻找协同药物组合对于治疗耐药性癌症(如急性髓系白血病(AML))至关重要。表征与5-氮杂-2'-脱氧胞苷(DAC)和1-h-D-阿拉伯糖胞苷(Ara-C)相关的RNA表达是提高其联合疗法疗效的关键步骤。
材料与方法
用DAC或Ara-C对AML细胞进行单剂量处理72小时后,评估DAC和Ara-C的半数最大效应浓度以及药物组合指数。
结果
用DAC预处理可恢复Ara-C耐药AML细胞的细胞敏感性。相比之下,DAC/Ara-C组合在其他Ara-C敏感的AML细胞中具有拮抗作用。
结论
我们的结果为预测应使用何种药物组合、给药剂量和给药方案以更好地实现AML个体化治疗提供了一种替代方法。