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[内消旋-1,2-双(2,6-二氯-4-羟基苯基)乙二胺]-二氯铂(II),一种不仅在乳腺癌和前列腺癌治疗中具有肠胃外活性还具有口服活性的新药。

[meso-1,2-bis(2,6-dichloro-4-hydroxyphenyl)ethylenediamine]- dichloroplatinum(II), a new drug not only parenterally but also orally active in the therapy of breast and prostate cancer.

作者信息

Spruss T, Schertl S, Schneider M R, Gust R, Bauer K, Schönenberger H

机构信息

Institut für Pharmazie, Universität Regensburg, Germany.

出版信息

J Cancer Res Clin Oncol. 1993;119(12):707-16. doi: 10.1007/BF01195341.

Abstract

The platinum complex [meso-1,2-bis(2,6-dichloro-4-hydroxyphenyl)- ethylenediamine]dichloroplatinum(II),K, was tested for its antitumor activity on hormone-sensitive tumor models under peroral administration. The resorption from the gastrointestinal tract was proved by determining the estrogenic effect of K in a dose/activity study using the immature-mouse uterine weight test. In comparison to the subcutaneous injection, a tenfold peroral dose was administered to achieve identical effects. By peroral treatment of the hormone-sensitive MXT(M3.2) mammary carcinoma of the mouse with K an almost complete inhibition of the tumor growth was obtained. This effect was superior to that of subcutaneously applied cisplatin and significantly better than that obtained by perorally administered ligand L at an equimolar dose, indicating that the antitumor effect is caused by the intact complex K and not by the liberated ligand L. The strong antitumor activity of perorally applied K was also demonstrated on the hormone-sensitive Noble Nb-R prostatic carcinoma of the rat. Histological examinations showed that the platinum complex K did not cause cisplatin-like kidney damage or irritations of gastric or intestinal mucosa when given perorally.

摘要

对铂配合物[内消旋-1,2-双(2,6-二氯-4-羟基苯基)-乙二胺]二氯铂(II),即K,进行了口服给药时对激素敏感肿瘤模型的抗肿瘤活性测试。通过使用未成熟小鼠子宫重量试验在剂量/活性研究中测定K的雌激素效应,证明了其从胃肠道的吸收情况。与皮下注射相比,口服剂量需增加10倍才能达到相同效果。通过用K口服治疗小鼠的激素敏感型MXT(M3.2)乳腺癌,几乎完全抑制了肿瘤生长。这种效果优于皮下应用顺铂,并且在等摩尔剂量下明显优于口服配体L所获得的效果,表明抗肿瘤作用是由完整的配合物K引起的,而不是由游离的配体L引起的。口服K对大鼠激素敏感型诺布尔Nb-R前列腺癌也显示出很强的抗肿瘤活性。组织学检查表明,口服铂配合物K不会引起类似顺铂的肾脏损伤或胃或肠黏膜刺激。

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