CHEMOSENSITIVITY TO TRIAZENE COMPOUNDS AND O-6-ALKYLGUANINE-DNA ALKYLTRANSFERASE LEVELS - STUDIES WITH BLASTS OF LEUKEMIC PATIENTS

被引:63
作者
DATRI, S
PICCIONI, D
CASTELLANO, A
TUORTO, V
FRANCHI, A
LU, K
CHRISTIANSEN, N
FRANKEL, S
RUSTUM, YM
PAPA, G
MANDELLI, F
BONMASSAR, E
机构
[1] UNIV ROMA TOR VERGATA, DEPT EXPTL MED & BIOCHEM SCI, ROME, ITALY
[2] ROSWELL PK CANC INST, BUFFALO, NY USA
[3] UNIV ROMA TOR VERGATA, DEPT INTERNAL MED, ROME, ITALY
[4] UNIV ROMA LA SAPIENZA, DEPT BIOPATHOL, ROME, ITALY
[5] CNR, INST EXPTL MED, ROME, ITALY
关键词
ALKYLTRANSFERASE; CHEMOSENSITIVITY; LEUKEMIA; TRIAZENES;
D O I
10.1093/oxfordjournals.annonc.a059189
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: A clinical pilot study performed by our group showed that dacarbazine can induce a marked reduction of blast cells in patients with acute myelogenous leukaemia (AML). Leukaemic blasts (LB) from responsive patients showed low levels of O-6-alkylguanine-DNA alkyltransferase (OGAT). Design: An in vitro study was performed to evaluate OGAT levels and sensitivity to temozolomide (a triazene compound that spontaneously decomposes into the active metabolite of dacarbazine) in a relatively large number of LB samples. Results: OGAT levels varied widely among the LB of different patients, with a mean value higher in acute lymphoblastic leukaemias than in AML. About 25% of LB obtained from patients with AML showed low OGAT activity, in the range corresponding to that observed in leukaemic patients responsive to dacarbazine in vivo. A reasonable inverse correlation was found between OGAT levels and LB sensitivity to temozolomide. Conclusions: Triazenes could have a therapeutic potential in human leukaemias. Moreover, OGAT determination could provide rapid and reliable information about a patient's susceptibility to these antitumor agents.
引用
收藏
页码:389 / 393
页数:5
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