PMID: 8599980Jan 1, 1996Paper

Effect of cytokines on the toxicity of cytostatic drugs on leukemic cells in vitro and in vivo

European Journal of Haematology
B Sundman-EngbergC Paul

Abstract

Most cytostatic drugs exert their effect on cells in active cell cycle. To improve the effect of cytostatic drugs we have tried, prior to treatment in vitro, to recruit tumor cells from G0 with growth factors. Leukemic cells from the bone marrows of 26 patients with AML and CML in blast crisis were incubated with G-CSF, GM-CSF and IL-3 for 24 h prior to incubation with cytostatic drugs. The cells were incubated with mitoxantrone, etoposide or daunorubicin for 1 h, or with Ara-C continuously. Prior to treatment, 4 patients with AML received GM-CSF for 24 h, after which blast cells from bone marrow were incubated with cytostatic drugs. After incubation with the cytostatic drugs, cells were cultured in a suspension culture for 4 d. The drug effect was determined with a bioluminescence ATP method. Leukemic cells were significantly stimulated by all three cytokines compared to an untreated control. GM-CSF and IL-3 increased the amount of cells 3- to 4-fold and G-CSF increased the amount 3 times compared to untreated cells. G-CSF significantly enhanced the cytotoxic effect of daunorubicin, mitoxantrone, etoposide and Ara-C by 20-40%, which GM-CSF and IL-3 showed a significantly increased toxicity for Ara-C only. Although the cytokine...Continue Reading

References

Jan 1, 1990·Critical Reviews in Oncology/hematology·B LöwenbergI Touw
Jan 1, 1990·Cancer Chemotherapy and Pharmacology·B Sundman-EngbergC Paul
Dec 7, 1988·Journal of the National Cancer Institute·J M van MaanenH M Pinedo
Apr 29, 1986·Biochemical and Biophysical Research Communications·M D CrespiA Baldi
Jan 1, 1986·Methods in Enzymology·A LundinA Pousette
Apr 1, 1993·Leukemia Research·B Sundman-EngbergC Paul

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