TY - JOUR
T1 - Potentiation of in vitro ara-C cytotoxicity by ribonucleotide reductase inhibitors, cyclin-dependent kinase modulators and the DNA repair inhibitor aphidicolin in paediatric acute myeloid leukaemia
AU - Hubeek, I.
AU - Peters, G. J.
AU - Broekhuizen, A. J.F.
AU - Sargent, J.
AU - Gibson, B. E.S.
AU - Creutzig, U.
AU - Kaspers, G. J.L.
PY - 2005/10
Y1 - 2005/10
N2 - To modulate in vitro cytarabine (ara-C) resistance we combined ara-C with six potential resistance modifiers in 10 paediatric acute myeloid leukaemia (AML) patient samples (methyl thiazol tetrazolium assay). Drug interactions were determined by median drug effect analysis. Co-incubation of ara-C/aphidicolin showed strong synergism. The combinations of ara-C/cladribine and ara-C/gemcitabine were synergistic. Nearly additive and moderately synergistic interactions were observed between ara-C/flavopiridol and ara-C/UCN-01. The combination of ara-C/decitabine was antagonistic. In conclusion, favourable interactions were observed between ara-C and aphidicolin, cladribine, gemcitabine and also with flavopiridol and UCN-01, supporting the evaluation of these combinations in clinical trials with AML patients.
AB - To modulate in vitro cytarabine (ara-C) resistance we combined ara-C with six potential resistance modifiers in 10 paediatric acute myeloid leukaemia (AML) patient samples (methyl thiazol tetrazolium assay). Drug interactions were determined by median drug effect analysis. Co-incubation of ara-C/aphidicolin showed strong synergism. The combinations of ara-C/cladribine and ara-C/gemcitabine were synergistic. Nearly additive and moderately synergistic interactions were observed between ara-C/flavopiridol and ara-C/UCN-01. The combination of ara-C/decitabine was antagonistic. In conclusion, favourable interactions were observed between ara-C and aphidicolin, cladribine, gemcitabine and also with flavopiridol and UCN-01, supporting the evaluation of these combinations in clinical trials with AML patients.
KW - Acute myeloid leukaemia
KW - Childhood leukaemia
KW - Drug resistance
UR - http://www.scopus.com/inward/record.url?scp=32944466038&partnerID=8YFLogxK
U2 - 10.1111/j.1365-2141.2005.05760.x
DO - 10.1111/j.1365-2141.2005.05760.x
M3 - Article
C2 - 16197453
AN - SCOPUS:32944466038
SN - 0007-1048
VL - 131
SP - 219
EP - 222
JO - British Journal of Haematology
JF - British Journal of Haematology
IS - 2
ER -