Kinetics and sensitivity of daunorubicin in patients with acute leukemia

Leukemia cells isolated from eight patients with acute leukemia before treatment were examined for in vitro uptake of daunorubicin (DNR) and inhibition of DNA synthesis. In addition, plasma and cellular levels of DNR and daunorubicinol (DOL) were examined in six of the eight patients. Inhibition of...

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Veröffentlicht in:Cancer chemotherapy and pharmacology 1984-01, Vol.13 (3), p.230-234
Hauptverfasser: DE GREGORIO, M. W, HOLLERAN, W. M, MACHER, B. A, LINKER, C. A, WILBUR, J. R
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container_end_page 234
container_issue 3
container_start_page 230
container_title Cancer chemotherapy and pharmacology
container_volume 13
creator DE GREGORIO, M. W
HOLLERAN, W. M
MACHER, B. A
LINKER, C. A
WILBUR, J. R
description Leukemia cells isolated from eight patients with acute leukemia before treatment were examined for in vitro uptake of daunorubicin (DNR) and inhibition of DNA synthesis. In addition, plasma and cellular levels of DNR and daunorubicinol (DOL) were examined in six of the eight patients. Inhibition of DNA synthesis was determined with a 3H-thymidine incorporation assay. In vitro cellular 14C-DNR was quantified by means of liquid scintillation spectrometry, whereas in vivo DNR and DOL concentrations were determined by high-performance liquid chromatography. In vitro intracellular plateau concentrations of DNR were achieved within 1-2 h after continuous exposure to 0.01, 0.1, and 1.0 microgram/ml in the majority of cases. Based on our in vitro studies, a dose-response curve was found between increasing intracellular DNR and incorporation of 3H-thymidine. Peak intracellular levels of DNR after treatment occurred immediately after administration of the drug, whereas intracellular DOL levels accumulated over several hours. Plasma concentrations of DNR and DOL were not useful in estimating target tissue concentrations or inhibition of 3H-thymidine incorporation. Extrapolation of in vivo cellular DNR concentrations to the in vitro dose-response curve allows an estimate of DNR sensitivity.
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Based on our in vitro studies, a dose-response curve was found between increasing intracellular DNR and incorporation of 3H-thymidine. Peak intracellular levels of DNR after treatment occurred immediately after administration of the drug, whereas intracellular DOL levels accumulated over several hours. Plasma concentrations of DNR and DOL were not useful in estimating target tissue concentrations or inhibition of 3H-thymidine incorporation. 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In vitro intracellular plateau concentrations of DNR were achieved within 1-2 h after continuous exposure to 0.01, 0.1, and 1.0 microgram/ml in the majority of cases. Based on our in vitro studies, a dose-response curve was found between increasing intracellular DNR and incorporation of 3H-thymidine. Peak intracellular levels of DNR after treatment occurred immediately after administration of the drug, whereas intracellular DOL levels accumulated over several hours. Plasma concentrations of DNR and DOL were not useful in estimating target tissue concentrations or inhibition of 3H-thymidine incorporation. 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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adolescent
Adult
Aged
Antineoplastic agents
Biological and medical sciences
Biological Transport
Cells, Cultured
Chemotherapy
Daunorubicin - analogs & derivatives
Daunorubicin - metabolism
DNA Replication - drug effects
DNA, Neoplasm - biosynthesis
Female
Humans
Leukemia - drug therapy
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
title Kinetics and sensitivity of daunorubicin in patients with acute leukemia
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