Bodenberger U, Kolb H J, Böning L, Sauer H, Holler E, Höfling B, Pelka-Fleischer R, Wilmanns W
Blut. 1982 Feb;44(2):115-20. doi: 10.1007/BF00320100.
We investigated the toxicity of adriamycin (ADM) in dogs with regard to autologous bone marrow transplantation (BMT). Gastrointestinal toxicity limited the dose of ADM in single administration (3.0 mg/kg) and chronic cardiotoxicity in repeated administration (9 X 1.5 mg/kg every two weeks). The recovery of hemopoiesis was complete within 25 days after single and repeated doses of ADM as indicated by the restoration of blood counts and concentration of hemopoietic precursors (CFUc) as well as proliferate activity of bone marrow. At this time bone marrow was obtained and reinfused after total body irradiation (TBI) with 10 Gy. Single and repeated doses of 1.5 mg/kg ADM did not delay recovery of blood counts after autologous BMT as compared to transplantation of untreated marrow - in contrast a single dose of 3.0 mg/kg ADM did. Our results indicate that toxicity of ADM is not influenced by autologous BMT. Previous shorter therapy with conventional doses of ADM does not preclude autologous BMT.
我们研究了阿霉素(ADM)对接受自体骨髓移植(BMT)犬类的毒性。胃肠道毒性限制了单次给药时阿霉素的剂量(3.0毫克/千克),而重复给药时(每两周9次,每次1.5毫克/千克)则存在慢性心脏毒性。单次和重复剂量的阿霉素给药后25天内造血功能完全恢复,这表现为血细胞计数、造血前体细胞浓度(CFUc)的恢复以及骨髓的增殖活性。此时获取骨髓,并在全身照射(TBI)10 Gy后重新注入。与未处理骨髓移植相比,单次和重复剂量为1.5毫克/千克的阿霉素不会延迟自体BMT后血细胞计数的恢复——相反,单次剂量为3.0毫克/千克的阿霉素会延迟。我们的结果表明,阿霉素的毒性不受自体BMT的影响。先前使用常规剂量阿霉素进行的较短疗程治疗并不排除自体BMT。