Classification of Antineoplastic Treatments by Their Differential Toxicity toward Putative Oxygenated and Hypoxic Tumor Subpopulations in Vivo in the FSallC Murine Fibrosarcoma

Beverly A. Teicher, Sylvia A. Holden, Antoine Al-Achi, Terence S. Herman

Research output: Contribution to journalArticlepeer-review

193 Scopus citations

Abstract

In order to investigate the effect of environmentally determined conditions on the cytotoxicity of anticancer treatments, Hoechst 33342 dye selected tumor subpopulations were separated after in vivo treatment and plated for single cell colony survival. The 10% brightest cells were assayed as putative normally oxygenated cells and the 20% dimmest as putative hypoxic cells. At single therapeutic doses, cyclophosphamide treatment resulted in the largest differential killing between bright and dim cells (6.3-fold bright > dim); l,3-bis(2-chloroethyl)-l-nitrosourea was 3.2-fold more cytotoxic toward bright cells and carboplatin was 2.4-fold more toxic toward bright cells. Both radiation (10 Gy) and melphalan were 2.2-fold more toxic to bright cells, while cis-diamminedichloropla-tinum(II) was 1.8-fold, thiotepa was 1.2-fold and procarbazine was 13-fold more toxic to bright cells. Actinomycin D was 3.4-fold more toxic to bright cells. Adriamycin was 2.2-fold, vincristine was 2.1-fold, and eto-poside was 1.6-fold more toxic to bright cells. Bleomycin and 5-fluorour-acil were also tested and were 1.5- and 23-fold more toxic to bright cells, respectively. Only four treatments were more toxic to dim cells: mitomycin C (3.5-fold), misonidazole (1.5-fold), etanidazole (3.5-fold), and 43°C, 30 min local hyperthermia (2.6-fold). In an attempt to shift the pattern of dim cell sparing, Fluosol-DA plus carbogen (95% O2/5% CO2) breathing was added to treatment with radiation (10 Gy), melphalan, cis-diamminedichloroplatinum(II), and etoposide. Although each of these treatments became significantly more toxic with the addition of Fluosol-DA/carbogen, only with melphalan did the combination overcome the sparing of dim cells. These results indicate that cells located distally from the tumor vasculature are significantly less affected by most anticancer drugs and suggest that successful therapeutic strategies against solid tumors will involve greater use of the few treatments which are more toxic toward this tumor subpopulation.

Original languageEnglish (US)
Pages (from-to)3339-3344
Number of pages6
JournalCancer Research
Volume50
Issue number11
StatePublished - Jun 1 1990
Externally publishedYes

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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