Goldstein L S
Department of Radiation Oncology, University of California, San Francisco 94143.
Reprod Toxicol. 1987;1(2):99-103. doi: 10.1016/0890-6238(87)90003-7.
Male mice were given mechlorethamine (2.0 mg/kg) followed immediately or 1, 2, 4, or 8 h later by procarbazine (100 mg/kg) and vincristine (0.67 mg/kg) in a protocol that stimulated the drugs and dosages used in a single cycle of clinical MOPP therapy. Seven weeks later and continuing for the next five weeks, the mice were mated to females and the dominant lethal mutant frequencies determined in their offspring by an in vitro assay. Significant (Student's t-test, p less than 0.05) mutant frequencies were detected when the interval between drug administration was between 2 and 8 h. In another series of experiments, mice were injected with these drugs using a 4-h interval between mechlorethamine and the vincristine and procarbazine (MOPP), two cycles of MOPP separated by one week, one cycle of MOPP and 2.0 Gy x-radiation separated by one week, or 2.0 Gy x-radiation alone. When each group was assayed for its dominant lethal mutant frequency, all were found to have similar, highly significant (0.001 less than p less than 0.005) induction. Together these data suggest that stable mutagenic lesions are induced in spermatagonial stem cells by both x-radiation and chemotherapeutic drugs and the frequency with which they are produced can be approximated by a single treatment. Clinical strategies to minimize genetic effects should concentrate on the sequence and timing of drug administration on those days when the drugs are administered in combination.
给雄性小鼠注射氮芥(2.0毫克/千克),随后立即或在1、2、4或8小时后给予丙卡巴肼(100毫克/千克)和长春新碱(0.67毫克/千克),该方案模拟了临床MOPP疗法单个周期中使用的药物和剂量。七周后并在接下来的五周内持续进行,将这些小鼠与雌性小鼠交配,并通过体外试验确定其后代中的显性致死突变频率。当给药间隔在2至8小时之间时,检测到显著(学生t检验,p小于0.05)的突变频率。在另一系列实验中,小鼠以氮芥与长春新碱和丙卡巴肼(MOPP)之间间隔4小时的方式注射这些药物,两个MOPP周期间隔一周,一个MOPP周期与2.0 Gy X射线照射间隔一周,或仅进行2.0 Gy X射线照射。当对每组的显性致死突变频率进行检测时,发现所有组都有相似的、高度显著(0.001小于p小于0.005)的诱导作用。这些数据共同表明,X射线照射和化疗药物均可在精原干细胞中诱导稳定的致病变异,且单次治疗即可近似估算其产生频率。将遗传效应降至最低的临床策略应专注于联合用药当天的给药顺序和时间安排。