Pierson H F, Meadows G G
J Natl Cancer Inst. 1985 Sep;75(3):507-16.
Treatment with the drug combination of levodopa methylester and benserazide, supplemental ascorbate, and dietary deficiencies of tyrosine and phenylalanine more than doubled the median survival time of female (C57BL/6 X DBA/2)F1 mice bearing B16 melanoma tumors. The mechanism for this antitumor effect was not well defined. This study was designed to test the hypothesis that the antitumor activity of levodopa methylester and ascorbate against B16 melanoma is related to the generation of free radicals of oxygen, which peroxidize lipid constituents of cell membranes leading to cell death. As an indication of lipid peroxidation, the individual and combined effects of drug treatment and ascorbate supplementation on host and tumor malondialdehyde levels were examined in mice fed one of three test diets (commercial, purified, or deficient) containing decreasing amounts of tyrosine and phenylalanine. Malondialdehyde levels were increased in the livers of all untreated tumor-bearing mice, which suggests that the tumor alters host antioxidant defenses. Drug treatment and ascorbate supplementation alone and in combination increased hepatic malondialdehyde levels inversely to the amounts of tyrosine and phenylalanine in the diet, and the effects of drug and ascorbate on malondialdehyde levels were additive. Plasma levels remained unchanged by drug treatment, ascorbate supplementation, or tumors in mice fed the commercial or purified diets. Higher levels were observed only in tumor-bearing mice fed the deficient diet and given both drug treatment and ascorbate supplementation. Changes in tumor malondialdehyde levels generally correlated with the effects of the drug and ascorbate on survival time of mice bearing B16 melanoma. Tumors from mice fed the commercial diet accumulated little malondialdehyde, and therapy was relatively ineffective in this dietary group. In mice fed purified or deficient diets, drug treatment and ascorbate supplementation alone increased survival and tumor malondialdehyde levels, but the level of peroxidation in mice receiving the ascorbate supplementation was low compared to its greater antitumor effect on B16 melanoma. Although ascorbate enhanced the peroxidative activity of the drug on B16 melanoma tumors, the effects of the drug and ascorbate on malondialdehyde levels were not additive. Ascorbate enhanced survival of tumor-bearing mice that were fed the deficient diet and that were treated with drug, which indicated that ascorbate supplementation acted via other mechanisms.(ABSTRACT TRUNCATED AT 400 WORDS)
左旋多巴甲酯与苄丝肼联合用药、补充抗坏血酸以及酪氨酸和苯丙氨酸饮食缺乏的治疗使携带B16黑色素瘤肿瘤的雌性(C57BL/6×DBA/2)F1小鼠的中位生存时间增加了一倍多。这种抗肿瘤作用的机制尚不明确。本研究旨在检验以下假设:左旋多巴甲酯和抗坏血酸对B16黑色素瘤的抗肿瘤活性与氧自由基的产生有关,氧自由基使细胞膜的脂质成分过氧化,导致细胞死亡。作为脂质过氧化的一个指标,在喂食三种测试饮食(商业饮食、纯化饮食或缺乏饮食)之一的小鼠中,研究了药物治疗和补充抗坏血酸对宿主和肿瘤丙二醛水平的单独及联合作用,这三种饮食中酪氨酸和苯丙氨酸的含量逐渐减少。所有未治疗的荷瘤小鼠肝脏中的丙二醛水平均升高,这表明肿瘤改变了宿主的抗氧化防御机制。单独及联合使用药物治疗和补充抗坏血酸会使肝脏丙二醛水平与饮食中酪氨酸和苯丙氨酸的含量呈反比增加,并且药物和抗坏血酸对丙二醛水平的影响是相加的。在喂食商业饮食或纯化饮食的小鼠中,药物治疗、补充抗坏血酸或肿瘤对血浆水平均无影响。仅在喂食缺乏饮食并同时接受药物治疗和补充抗坏血酸的荷瘤小鼠中观察到较高水平。肿瘤丙二醛水平的变化通常与药物和抗坏血酸对携带B16黑色素瘤小鼠生存时间的影响相关。喂食商业饮食的小鼠的肿瘤积累的丙二醛很少,并且在该饮食组中治疗相对无效。在喂食纯化饮食或缺乏饮食的小鼠中,单独使用药物治疗和补充抗坏血酸可提高生存率和肿瘤丙二醛水平,但与抗坏血酸对B16黑色素瘤更大的抗肿瘤作用相比,接受抗坏血酸补充的小鼠中的过氧化水平较低。尽管抗坏血酸增强了药物对B16黑色素瘤肿瘤的过氧化活性,但药物和抗坏血酸对丙二醛水平的影响并非相加的。抗坏血酸提高了喂食缺乏饮食并接受药物治疗的荷瘤小鼠的生存率,这表明补充抗坏血酸通过其他机制起作用。(摘要截短至400字)