Shaw M W, Guinan P D, McKiel C F, Dubin A, Rubenstein M
Division of Urology, Cook County Hospital, Chicago, IL 60612.
Prostate. 1987;11(1):87-93. doi: 10.1002/pros.2990110111.
Prostate cells of human and rat origin produce polyamines in high content, whose apparent functions relate to cellular proliferation and secretory activities. Formation is dependent on the enzyme ornithine decarboxylase (ODC) which is irreversibly inhibited by alpha-difluoromethylornithine (DFMO). It has been postulated that pretreatment with DFMO may render cells more susceptible to subsequent chemotherapy. Copenhagen X Fischer F1 rats bearing the Dunning R3327 MAT-LyLu prostatic adenocarcinoma were given DFMO or adriamycin (ADR), alone or in combination. Those receiving DFMO were continuously provided the drug ad libitum, in water (2.5%), for the duration of the experiment, beginning 2 days prior to ADR administration. At intervals, tumor sizes were measured, animal survivals noted and comparisons made to nontreated, tumor-bearing controls. The results indicate that ADR alone or in combination with DFMO significantly reduced tumor progression, but that only combination therapy significantly prolonged survivals. Decreased tumor progression produced by DFMO alone was not statistically significant. Differences produced with combined use were additive and suggest that DFMO may augment ADR chemotherapy.
人和大鼠来源的前列腺细胞能大量产生多胺,其明显功能与细胞增殖和分泌活动有关。多胺的形成依赖于鸟氨酸脱羧酶(ODC),而α-二氟甲基鸟氨酸(DFMO)可不可逆地抑制该酶。据推测,用DFMO预处理可能会使细胞对后续化疗更敏感。给患有邓宁R3327 MAT-LyLu前列腺腺癌的哥本哈根X费舍尔F1大鼠单独或联合给予DFMO或阿霉素(ADR)。接受DFMO的大鼠从ADR给药前2天开始,在整个实验期间,以2.5%的浓度随意饮用含该药物的水。定期测量肿瘤大小,记录动物存活情况,并与未治疗的荷瘤对照进行比较。结果表明,单独使用ADR或与DFMO联合使用均能显著降低肿瘤进展,但只有联合治疗能显著延长生存期。单独使用DFMO导致的肿瘤进展减缓无统计学意义。联合使用产生的差异是相加的,这表明DFMO可能增强ADR化疗效果。