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在将抗肿瘤药物局部给药至中枢神经系统之前,对其神经毒性进行体外评估。

In vitro assessment for neurotoxicity of antitumor agents before local administration into central nervous system.

作者信息

Moriuchi S, Shimizu K, Miyao Y, Yamada M, Ohkawa M, Hayakawa T

机构信息

Department of Neurosurgery, Center for Adult Diseases, Osaka, Japan.

出版信息

Anticancer Res. 1996 Jan-Feb;16(1):135-40.

PMID:8615598
Abstract

In vitro assays for neurotoxicity with the aid of cultured mouse fetal neurons and glial cells were applied to investigate neurotoxicity of recombinant murine interferon-beta (rMuIFN-beta). These data were compared with those for MTX, ADR, and ACNU. The range of concentrations of the drugs used in these experiments spanned their clinically achievable concentrations in patient serum (IFN-beta: 1 x 10(4) IU/ml, MTX: 100 micrograms/ml, ADR: 20 micrograms/ml, ACNU: 20 micrograms/ml). rMuIFN- beta damaged both neurons and glial cells at concentrations of more than 1 x 10(5) IU/ml but did not damage them at 1 x 10(4) IU/ml or less. Microtubule-associated protein 1A (MAP1A) staining was decreased in rMuIFN-beta-treated (more than 1 x 10(5) IU/ml) neutrons. In conclusion, since IFN-beta may have some neurotoxic effects at concentrations higher than 1 x 10(5) IU/ml, it should be administered carefully, as should other antitumor agents, into the tumor cavity in the CNS following surgery.

摘要

借助培养的小鼠胚胎神经元和神经胶质细胞进行神经毒性的体外试验,以研究重组鼠干扰素-β(rMuIFN-β)的神经毒性。将这些数据与甲氨蝶呤、阿霉素和阿糖胞苷的数据进行比较。这些实验中使用的药物浓度范围涵盖了它们在患者血清中临床可达到的浓度(干扰素-β:1×10⁴IU/ml,甲氨蝶呤:100μg/ml,阿霉素:20μg/ml,阿糖胞苷:20μg/ml)。rMuIFN-β在浓度高于1×10⁵IU/ml时会损伤神经元和神经胶质细胞,但在1×10⁴IU/ml或更低浓度时不会损伤它们。在rMuIFN-β处理(高于1×10⁵IU/ml)的神经元中,微管相关蛋白1A(MAP1A)染色减少。总之,由于干扰素-β在高于1×10⁵IU/ml的浓度时可能有一些神经毒性作用,所以在手术后应像其他抗肿瘤药物一样,小心地将其注入中枢神经系统的肿瘤腔中。

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