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British Journal of Cancer logoLink to British Journal of Cancer
. 2000 Mar 21;82(8):1469–1473. doi: 10.1054/bjoc.1999.1132

Enhancement of the anti-tumour effect of cyclophosphamide by the bioreductive drugs AQ4N and tirapazamine

O P Friery 1, R Gallagher 1, M M Murray 1, C M Hughes 1, E S Galligan 1, I A McIntyre 1, L H Patterson 2, D G Hirst 1, S R McKeown 1
PMCID: PMC2363362  PMID: 10780528

Abstract

The ability of the bioreductive drugs AQ4N and tirapazamine to enhance the anti-tumour effect of cyclophosphamide was assessed in three murine tumour models. In male BDF mice implanted with the T50/80 mammary carcinoma, AQ4N (50–150 mg kg−1) in combination with cyclophosphamide (100 mg kg−1) produced an effect equivalent to a single 200 mg kg−1dose of cyclophosphamide. Tirapazamine (25 mg kg−1) in combination with cyclophosphamide (100 mg kg−1) produced an effect equivalent to a single 150 mg kg−1dose of cyclophosphamide. In C3H mice implanted with the SCCVII or RIF-1 tumours, enhancement of tumour cell killing was found with both drugs in combination with cyclophosphamide (50–200 mg kg−1); AQ4N (50–200 mg kg−1) produced a more effective combination than tirapazamine (12.5–50 mg kg−1). Unlike tirapazamine, which showed a significant increase in toxicity to bone marrow cells, the combination of AQ4N (100 mg kg−1) 6 h prior to cyclophosphamide (100 mg kg−1) resulted in no additional toxicity towards bone marrow cells compared to that caused by cyclophosphamide alone. In conclusion, AQ4N gave a superior anti-tumour effect compared to tirapazamine when administered with a single dose of cyclophosphamide (100 mg kg−1). © 2000 Cancer Research Campaign

Keywords: AQ4N; tirapazamine; cyclophosphamide, anti-tumour effect

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Selected References

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  1. Adams G. E., Stratford I. J., Edwards H. S., Bremner J. C., Cole S. Bioreductive drugs as post-irradiation sensitizers: comparison of dual function agents with SR 4233 and the mitomycin C analogue EO9. Int J Radiat Oncol Biol Phys. 1992;22(4):717–720. doi: 10.1016/0360-3016(92)90510-o. [DOI] [PubMed] [Google Scholar]
  2. Brown J. M., Lemmon M. J. Potentiation by the hypoxic cytotoxin SR 4233 of cell killing produced by fractionated irradiation of mouse tumors. Cancer Res. 1990 Dec 15;50(24):7745–7749. [PubMed] [Google Scholar]
  3. Dorie M. J., Brown J. M. Modification of the antitumor activity of chemotherapeutic drugs by the hypoxic cytotoxic agent tirapazamine. Cancer Chemother Pharmacol. 1997;39(4):361–366. doi: 10.1007/s002800050584. [DOI] [PubMed] [Google Scholar]
  4. Holden S. A., Teicher B. A., Ara G., Herman T. S., Coleman C. N. Enhancement of alkylating agent activity by SR-4233 in the FSaIIC murine fibrosarcoma. J Natl Cancer Inst. 1992 Feb 5;84(3):187–193. doi: 10.1093/jnci/84.3.187. [DOI] [PubMed] [Google Scholar]
  5. Kennedy K. A. Hypoxic cells as specific drug targets for chemotherapy. Anticancer Drug Des. 1987 Oct;2(2):181–194. [PubMed] [Google Scholar]
  6. Langmuir V. K., Rooker J. A., Osen M., Mendonca H. L., Laderoute K. R. Synergistic interaction between tirapazamine and cyclophosphamide in human breast cancer xenografts. Cancer Res. 1994 Jun 1;54(11):2845–2847. [PubMed] [Google Scholar]
  7. McAleer J. J., McKeown S. R., MacManus M. P., Lappin T. R., Bridges J. M. Hypobaric hypoxia: a method for testing bioreductive drugs in vivo. Int J Radiat Oncol Biol Phys. 1992;23(3):551–555. doi: 10.1016/0360-3016(92)90010-f. [DOI] [PubMed] [Google Scholar]
  8. McKeown S. R., Friery O. P., McIntyre I. A., Hejmadi M. V., Patterson L. H., Hirst D. G. Evidence for a therapeutic gain when AQ4N or tirapazamine is combined with radiation. Br J Cancer Suppl. 1996 Jul;27:S39–S42. [PMC free article] [PubMed] [Google Scholar]
  9. McKeown S. R., Hejmadi M. V., McIntyre I. A., McAleer J. J., Patterson L. H. AQ4N: an alkylaminoanthraquinone N-oxide showing bioreductive potential and positive interaction with radiation in vivo. Br J Cancer. 1995 Jul;72(1):76–81. doi: 10.1038/bjc.1995.280. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Moore J. V. The dynamics of tumor cords in an irradiated mouse mammary carcinoma with a large hypoxic cell component. Jpn J Cancer Res. 1988 Feb;79(2):236–243. doi: 10.1111/j.1349-7006.1988.tb01582.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Patterson L. H. Rationale for the use of aliphatic N-oxides of cytotoxic anthraquinones as prodrug DNA binding agents: a new class of bioreductive agent. Cancer Metastasis Rev. 1993 Jun;12(2):119–134. doi: 10.1007/BF00689805. [DOI] [PubMed] [Google Scholar]
  12. Siemann D. W. In vitro cytotoxicity and chemosensitizing activity of the dual function nitroimidazole RB 6145. Int J Radiat Oncol Biol Phys. 1994 May 15;29(2):301–306. doi: 10.1016/0360-3016(94)90279-8. [DOI] [PubMed] [Google Scholar]
  13. Siemann D. W. The in situ tumour response to combinations of cyclophosphamide and tirapazamine. Br J Cancer Suppl. 1996 Jul;27:S65–S69. [PMC free article] [PubMed] [Google Scholar]
  14. Smith P. J., Blunt N. J., Desnoyers R., Giles Y., Patterson L. H. DNA topoisomerase II-dependent cytotoxicity of alkylaminoanthraquinones and their N-oxides. Cancer Chemother Pharmacol. 1997;39(5):455–461. doi: 10.1007/s002800050598. [DOI] [PubMed] [Google Scholar]
  15. TILL J. E., McCULLOCH E. A. A direct measurement of the radiation sensitivity of normal mouse bone marrow cells. Radiat Res. 1961 Feb;14:213–222. [PubMed] [Google Scholar]
  16. Workman P., Stratford I. J. The experimental development of bioreductive drugs and their role in cancer therapy. Cancer Metastasis Rev. 1993 Jun;12(2):73–82. doi: 10.1007/BF00689802. [DOI] [PubMed] [Google Scholar]

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