1997
DOI: 10.1007/s002800050600
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Differential toxicity of camptothecin, topotecan and 9-aminocamptothecin to human, canine, and murine myeloid progenitors (CFU-GM) in vitro

Abstract: The greater susceptibility of humans and dogs to the myelotoxicity of camptothecins, compared to mice, was evident in vitro at the cellular level. Differential sensitivity between murine and human myeloid progenitors explains why the curative doses of TPT and 9AC in mice with human tumor xenografts are not achievable in patients. Realizing the curative potential of these compounds in humans will require the development of therapies to increase drug tolerance of human CFU-GM at least to a level equal to that of… Show more

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Cited by 101 publications
(65 citation statements)
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“…As an S phase-specific drug whose cytotoxicity operates during DNA synthesis, optimal therapeutic efficacy requires prolonged exposure to 9-AC concentrations exceeding a minimum threshold [14]. Due to greater sensitivity of humans (compared to animals) to its myelosuppressive effects, dose-dependent myelosuppression has precluded the use of the 9-AC levels required to achieve plasma concentrations necessary for optimal antitumor activity [15][16][17].…”
Section: Introductionmentioning
confidence: 99%
“…As an S phase-specific drug whose cytotoxicity operates during DNA synthesis, optimal therapeutic efficacy requires prolonged exposure to 9-AC concentrations exceeding a minimum threshold [14]. Due to greater sensitivity of humans (compared to animals) to its myelosuppressive effects, dose-dependent myelosuppression has precluded the use of the 9-AC levels required to achieve plasma concentrations necessary for optimal antitumor activity [15][16][17].…”
Section: Introductionmentioning
confidence: 99%
“…Colony counts (normalized as a percentage of control) at each concentration were then plotted to generate the concentrationresponse curve. As previously reported (Erickson-Miller et al, 1997;Parchment et al, 1994Parchment et al, , 1998Pessina et al, 2003), the endpoint of the assay for quantifying inter-species differences in susceptibility to drug toxicity is the IC 90 , which is the concentration that inhibits colony formation by 90%. IC 90 values were calculated from log-linear regression on concentrationresponse between the flanking data points on either side of the 90% inhibition level.…”
Section: In Vitro Comparative Myelotoxicity Assaymentioning
confidence: 99%
“…Dog bone marrow aspirates were collected sterilely from the iliac crest or femoral canal of donor beagle dogs into a 50 ml syringe containing sodium heparin and gentamicin to final concentrations of 10 IU/ml and 20 μg/ml, respectively. CFU-GM assays were performed as previously described (Erickson-Miller et al, 1997;Parchment, 1998;Parchment et al, 1993Parchment et al, , 1994Parchment et al, , 1998, except that species-specific recombinant GM-CSF was used as the sole cytokine in each culture.…”
Section: In Vitro Comparative Myelotoxicity Assaymentioning
confidence: 99%
“…Differential sensitivity between murine and human myeloid progenitors explains why the curative doses of topoisomerase-I inhibitors in mice with human tumor xenografts are not achievable in patients. 61 21. Gemzar/Gemcitabine.…”
Section: Velcade/bortezomib (Ps-341)mentioning
confidence: 99%