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蒽环类药物在结直肠癌中的应用:一种预测药物敏感性的体外短期检测方法。初步结果。

Anthracycline in colorectal carcinoma: an in vitro short-term assay to predict drug sensitivity. Preliminary results.

作者信息

Seminara P, Franchi F, Mulieri M, D'Amelio R, Codacci Pisanelli G, Aronne T, Manfredi D

出版信息

Tumori. 1987 Feb 28;73(1):69-73. doi: 10.1177/030089168707300114.

DOI:10.1177/030089168707300114
PMID:3469807
Abstract

The chemosensitivity of 26 non-pretreated colorectal carcinomas (primary tumors and/or colorectal metastases) was studied by an in vitro antimetabolic assay, which evaluates the interference of drugs on the incorporation of 3H-thymidine and 3H-uridine in short-term cultures of human tumors. Our results correlate with the response rate obtained in clinical studies with monochemotherapy and justify the possibility of a future prospective study using individually tailored chemotherapy regimens. Doxorubicin-analogues, with an overall in vitro efficacy in 16.0% and 14.3% for 4-epidoxorubicin (epi-DX) and 4-deoxydoxorubicin (deo-DX), respectively, seem to deserve a modest role in the treatment of colorectal cancer, provided that a careful selection of patients is performed. Variability in anthracycline activity is indeed evident, also in our study, in relation to the different neoplastic picture of the various patients.

摘要

通过体外抗代谢测定法研究了26例未经预处理的结直肠癌(原发性肿瘤和/或结直肠转移瘤)的化学敏感性,该方法评估药物对人肿瘤短期培养中3H-胸腺嘧啶核苷和3H-尿苷掺入的干扰。我们的结果与单药化疗临床研究中的缓解率相关,并证明了未来使用个体化化疗方案进行前瞻性研究的可能性。阿霉素类似物,4-表阿霉素(表柔比星)和4-脱氧阿霉素(去氧柔红霉素)的总体体外疗效分别为16.0%和14.3%,如果对患者进行仔细选择,似乎在结直肠癌治疗中可发挥一定作用。在我们的研究中,与不同患者的不同肿瘤情况相关,蒽环类药物活性的变异性确实很明显。

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