“…Changes in the chemical milieu from cyclophosphamide administration could contribute to the side-effects associated with cyclophosphamide treatment (such as fatigue, nausea, headaches, or taste aversion). In addition, non-cytotoxic effects of cyclophosphamide could contribute to the physiological mechanisms underlying reports that behavioral conditioning, psychological stress, and environmental (e.g., seasonal) factors influence the ability of cyclophosphamide to inhibit tumor growth and suppress rejection of tissue allografts (Gorczynski, 1990;Perissin et al, 1991;Giraldi et al, 1994;Perissin et al, 1996;Zorzet et al, 1998Zorzet et al, , 2002. Indeed, in recent studies, cyclophosphamide has been shown interact with anti-angiogenic drugs to reduce tumor metastasis (Mauceri et al, 2002) and to improve the efficacy of cytochrome P-450 based gene therapy (Jounaidi and Waxman, 2001).…”