Nowrousian M R, Schmidt C G
Arzneimittelforschung. 1982;32(11):1471-3.
Recently, several investigators have reported on severe myelosuppression, particularly anaemia, in patients treated repeatedly with cis-diamminedichloroplatinum (II) (cisplatin). The aim of the present study was to evaluate the sensitivity of different haematopoietic stem cells to this agent in mice. Survival of CFU-S, CFU-C and BFU-E was determined 24 h after i.p. injection of increasing doses of the drug. All three stem cell types showed exponential survival curves without evidence of plateau phases indicating that the effect of cisplatin has no cell cycle dependency. In addition, BFU-E appeared to be significantly more sensitive to cisplatin than CFU-S and CFU-C. Doses required to reduce the stem cell compartment sizes to 37% were found to be 3.0, 4.9 and 5.4 mg/kg of cisplatin, respectively. In view of these data, the question arises whether the preferential toxicity of cisplatin for BFU-E is causatively involved in the development of anaemia induced by this agent.
最近,几位研究人员报告了反复接受顺二氨二氯铂(II)(顺铂)治疗的患者出现严重骨髓抑制,尤其是贫血的情况。本研究的目的是评估小鼠中不同造血干细胞对该药物的敏感性。腹腔注射递增剂量的药物24小时后,测定脾集落形成单位(CFU-S)、粒系集落形成单位(CFU-C)和爆式红系集落形成单位(BFU-E)的存活率。所有三种干细胞类型均呈现指数存活曲线,无平台期迹象,表明顺铂的作用无细胞周期依赖性。此外,BFU-E对顺铂的敏感性似乎明显高于CFU-S和CFU-C。将干细胞区室大小降至37%所需的剂量分别为3.0、4.9和5.4mg/kg顺铂。鉴于这些数据,顺铂对BFU-E的优先毒性是否与该药物诱导的贫血发展存在因果关系这一问题随之而来。