2003
DOI: 10.1038/sj.bjc.6601403
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Combination chemotherapy in advanced gastrointestinal cancers: ex vivo sensitivity to gemcitabine and mitomycin C

Abstract: Advanced or metastatic disease is common in both oesophagogastric and colorectal cancers, with poor 5-year survival despite palliative chemotherapy. We have investigated the sensitivity of gastrointestinal tumours to gemcitabine in combination with mitomycin C (GeM), using a modified ex vivo ATP-based tumour chemosensitivity assay (ATP-TCA). Tumour material from 41 colorectal and 22 oesophagogastric cancers were assessed. The GeM combination showed variable but definite activity in most of the samples tested. … Show more

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Cited by 8 publications
(4 citation statements)
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References 41 publications
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“…In addition, CTP, GTP and UTP demonstrated similar increases at two concentrations of dFdC (Table 1). The effects of dFdC on ribonucleotide triphosphates have already been reported and possibly related with the cytostatic effect of gemcitabine2526. Of note, the inhibition of ribonucleotide reductase by dFdC after 24 h of incubation did not significantly increase the levels of ribonucleotide diphosphates, except for adenosine diphosphate (ADP).…”
Section: Resultsmentioning
confidence: 90%
“…In addition, CTP, GTP and UTP demonstrated similar increases at two concentrations of dFdC (Table 1). The effects of dFdC on ribonucleotide triphosphates have already been reported and possibly related with the cytostatic effect of gemcitabine2526. Of note, the inhibition of ribonucleotide reductase by dFdC after 24 h of incubation did not significantly increase the levels of ribonucleotide diphosphates, except for adenosine diphosphate (ADP).…”
Section: Resultsmentioning
confidence: 90%
“…Further statistical tests (SPSS Software) were performed when direct comparisons were necessary: the Wilcoxon rank-sum test was used to compare paired series. Combination effects were assessed using Chou's method (Chou and Talalay, 1984), as previously used with the ATP-TCA (Whitehouse et al, 2003b). The combination index (CI) was determined at 90% cell death, and was defined as follows: where CI A+B = CI for a fixed effect (F = 90%) for the combination of cytotoxic A and cytotoxic B; D A/A+B or D B/A+B = concentration of cytotoxic A or B in the combination A + B; D A or D B = concentration of cytotoxic A or B alone; alpha = parameter with value 0 when A and B are mutually exclusive, and 1 when A and B are mutually nonexclusive.…”
Section: Discussionmentioning
confidence: 99%
“…Further statistical tests (SPSS Software, IL, USA) were performed when direct comparisons were necessary: the Wilcoxon rank-sum test was used to compare paired series. Combination effects were assessed using Chou's method [16] , as previously used with the ATP-TCA [17] . The combination index (CI) was determined at 90% cell death, and was …”
Section: Methodsmentioning
confidence: 99%