Wilson W R, Giesbrecht J L, Hill R P, Whitmore G F
Cancer Res. 1981 Jul;41(7):2809-16.
The antitumor acridine derivative 4'-(9-acridinylamino)methanesulfon-m-anisidide (m-AMSA) is at present being evaluated in Phase 2 clinical trials. Exposure of exponential-phase Chinese hamster V79-171b cells to physiologically attainable concentrations of m-AMSA for 60 min generates survival curves with little or no threshold region and an initial D0 of 0.245 +/- 0.019 (S.D.) microM under standard conditions of assay. A minor subpopulation of apparently drug-resistant cells is revealed at low survivals, but these cells on culturing do not display a stable drug-resistant phenotype. m-AMSA survival curves for Chinese hamster ovary cells display features similar to the above. Sensitivity of V79-171b cells to m-AMSA is maximal near pH 7.2 and is markedly reduced by the presence of fetal calf serum. Hypoxia has little effect on the toxicity of m-AMSA, and repair of potentially lethal damage has not been observed after treatment with this agent. Noncycling plateau-phase V79-171b or Chinese hamster ovary cells are markedly less sensitive to m-AMSA than are early log-phase cells. This resistance to m-AMSA appears to be related to the slowly cycling or noncycling status of plateau-phase cells, suggesting that the cytokinetic character of cell populations in vivo will be a major determinant of their sensitivity to this drug. However, the increase in resistance to m-AMSA during growth into plateau-phase appears to commence well before departure from exponential growth can be detected and may thus be a consequence of metabolic changes more subtle than the transition from a cycling to a noncycling state.
抗肿瘤吖啶衍生物4'-(9-吖啶基氨基)甲磺酰间茴香胺(m-AMSA)目前正在进行2期临床试验评估。将指数生长期的中国仓鼠V79-171b细胞暴露于生理可达到浓度的m-AMSA 60分钟,在标准检测条件下生成的存活曲线几乎没有或没有阈值区域,初始D0为0.245±0.019(标准差)微摩尔。在低存活率时可发现一小部分明显耐药的细胞亚群,但这些细胞在培养时并未表现出稳定的耐药表型。中国仓鼠卵巢细胞的m-AMSA存活曲线显示出与上述相似的特征。V79-171b细胞对m-AMSA的敏感性在pH 7.2附近最大,胎牛血清的存在会使其明显降低。缺氧对m-AMSA的毒性影响很小,用该药物处理后未观察到潜在致死性损伤的修复。非循环平台期的V79-171b或中国仓鼠卵巢细胞对m-AMSA的敏感性明显低于早期对数期细胞。对m-AMSA的这种抗性似乎与平台期细胞缓慢循环或非循环状态有关,这表明体内细胞群体的细胞动力学特征将是其对该药物敏感性的主要决定因素。然而,在生长进入平台期过程中对m-AMSA抗性的增加似乎在检测到偏离指数生长之前就已经开始,因此可能是比从循环状态转变为非循环状态更微妙的代谢变化的结果。