Cancer Chemotherapy and Pharmacology

, Volume 25, Issue 3, pp 210–212 | Cite as

Effect of etoposide (VP16-213) on lipid peroxidation and antioxidant status in a high-dose radiochemotherapy regimen

  • Claudia Ladner
  • Gerhard Ehninger
  • K. Fred Gey
  • Michael R. Clemens


A total of 13 patients receiving bone marrow transplants (BMT) for treatment of different haematological diseases were investigated. Conditioning therapy preceding BMT consisted of fractionated total-body irradiation (12 Gy) and high-dose chemotherapy with cyclophosphamide (2±60 mg/kg). Patients stratified to be at high risk for relapse (6/13) were additionally treated with etoposide (30 mg/kg). Plasma concentrations of absolute and lipid-standardized antioxidants (α-tocopherol and β-carotene) decreased following conditioning therapy, presumably as the result of an enhanced breakdown of these antioxidants. Etoposide treatment did not amplify the loss of essential anti-oxidants but significantly increased lipid hydroperoxide concentrations in serum. We suggest that the abnormal generation of lipid hydroperoxides is the result of free radical formation.


Etoposide Bone Marrow Transplant Lipid Hydroperoxide Haematological Disease Free Radical Formation 
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Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • Claudia Ladner
    • 1
  • Gerhard Ehninger
    • 1
  • K. Fred Gey
    • 2
  • Michael R. Clemens
    • 1
  1. 1.Medizinische Klinik und PoliklinikFberhard-Karls Universität TübingenTübingen 1FRG
  2. 2.Vitamin Research DepartmentF. Hoffmann-La Roche Comp.BaselSwitzerland

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