Roos G, Stenram U
Department of Pathology, Lund University, Sweden.
Anticancer Res. 1994 Mar-Apr;14(2A):379-82.
The cytotoxicity of 5-fluorouracil (5-FU) has been related to its incorporation into RNA and blocking of DNA synthesis. Interferon may enhance the therapeutic efficacy of 5-FU in colorectal cancer. In a model of secondary liver cancer in the rat, the incorporation of 5-FU into the acid-soluble fraction (ASF), RNA and DNA of several normal tissues and the tumor was determined. The liver nucleotide profile and NADPH-cytochrome c reductase activity was examined. A therapeutic dose of 5-FU was given for 2 h via the hepatic artery and the rats were killed 1 h later. Half of them were pretreated with the interferon inducer polyinosinic-polycytidylic acid (poly(I)-poly(C) and interferon. Pretreatment increased the nucleotide (NT)/DNA and RNA/DNA ratios, decreased the cellularity and left the specific RNA labelling unchanged in the bone marrow. In the liver the pretreatment decreased the NT/DNA and RNA/DNA ratios, (F)UTP, and the NADPH-cytochrome c reductase activity. The 5-FU incorporation into liver DNA decreased. No changes were found in the tumor. The pretreated rats decreased in body weight. A decreased RNA synthesis in the liver might indicate a decreased 5-FU metabolism, explaining the increased 5-FU AUC in the clinic at interferon treatment.
5-氟尿嘧啶(5-FU)的细胞毒性与其掺入RNA以及阻断DNA合成有关。干扰素可能会增强5-FU在结直肠癌中的治疗效果。在大鼠继发性肝癌模型中,测定了5-FU在几种正常组织和肿瘤的酸溶性部分(ASF)、RNA和DNA中的掺入情况。检测了肝脏核苷酸谱和NADPH-细胞色素c还原酶活性。通过肝动脉给予治疗剂量的5-FU 2小时,1小时后处死大鼠。其中一半用干扰素诱导剂聚肌苷酸-聚胞苷酸(poly(I)-poly(C))和干扰素进行预处理。预处理增加了骨髓中的核苷酸(NT)/DNA和RNA/DNA比值,降低了细胞数量,且使特异性RNA标记保持不变。在肝脏中,预处理降低了NT/DNA和RNA/DNA比值、(F)UTP以及NADPH-细胞色素c还原酶活性。5-FU掺入肝脏DNA的量减少。肿瘤中未发现变化。预处理的大鼠体重下降。肝脏中RNA合成减少可能表明5-FU代谢降低,这解释了临床上干扰素治疗时5-FU曲线下面积(AUC)增加的原因。