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Potentiation of antitumor agents by calcium channel blockers with special reference to cross-resistance patterns

  • Original Articles
  • Calcium Antagonists, Antitumor Drugs
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Summary

The calcium channel blockers verapamil diltiazem, nicardipine, and niludipine potentiated the antitumor activities of mitotic poison antitumor agents, such as vincristine, vinblastine, vindesine, VP16-213, and taxol in P388 leukemia cells resistant to vincristine. The potentiating effect was generally dependent on the extent of cross-resistance seen in the cell line for these drugs. Calcium channel blockers also potentiate the antitumor activities of several DNA-interacting drugs, such as adriamycin, THP-adriamycin, daunomycin, aclacinomycin A, mitomycin C, actinomycin D, mitoxantrone, and nogalamycin derivatives in P388 leukemia resistant to adriamycin. Greater potentiation was observed for those antitumor agents to which the ADM-resistant cell line had become markedly cross-resistant, with the exception of the nogalamycin derivatives. Only a two-fold enhancement was observed for mitomycin C and aclacinomycin, as the cell line was only weakly cross-resistant to these agents. These results suggest the potential for therapeutic gain through the use of calcium channel blockers in combination with classic chemotherapeutic agents.

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References

  1. Akazawa S, Honda T, Sampi K, Futatsuki K (1984) Combination chemotherapy of nicardipine and vindesine sulfate, cisdiammine dichloroplatinum for patients with advanced esophageal carcinoma. Jpn J Cancer Chemother 11:943

    Google Scholar 

  2. Inaba M, Kobayashi H, Sakurai Y, Johnson RK (1979) Active efflux of daunomycin and adriamycin in sensitive and resistant sublines of P388 leukemia. Cancer Res 39:2200

    Google Scholar 

  3. Kawai H, Hayakawa Y, Nakagawa M, Furihata K, Seto H, Otake N (1984) The structure of arugomycin, a new anthracycline antibiotic: I. Structural elucidation of degradation products, AG-1, AG-2 and AG-3. Tetrahedron Lett 25:1937

    Google Scholar 

  4. Neil GL, Kuentzel SL, McGovern JP (1979) Treatment of mouse tumors with 7-Con-O-methylnogarol and other analogs of the anthracycline antibiotic, nogalamycin. Cancer Treat Rep 63:1971

    Google Scholar 

  5. Nishimura T, Suzuki H, Muto K, Tanaka N (1970) Mechanism of adriamycin resistance in a subline of mouse lyphoblastoma L5178Y cells. J Antibiot (Tokyo) 32:518

    Google Scholar 

  6. Rogan AM, Hamilton TC, Young RC, Klecker RW, Ozols RF (1984) Reversal of adriamycin resistance by verapamil in human ovarian cancer. Science 224:994

    Google Scholar 

  7. Schabel FM Jr, Skipper HE, Trader MW, Laster WR Jr, Corbett TH, Griswold DP Jr (1980) Concepts for controlling drug-resistant tumor cells. In: Mouridsen HT, Palshof T (eds) Breast cancer. Experimental and clinical aspects. Pergamon, Oxford, p 199

    Google Scholar 

  8. Skipper HE, Schabel FM Jr, Lloyd HH (1978) Experimental therapeutics and kinetics: Selection and overgrowth of specifically and permanently drug-resistant tumor cells. Semin Hematol 15:207

    Google Scholar 

  9. Skovsgaard T (1978) Mechanisms of cross-resistance between vincristine and daunorubicin in Ehrlich ascites tumor cells. Cancer Res 38:4722

    Google Scholar 

  10. Slater LM, Murray SL, Wetzel MM, Wisdom RM, Duvall EM (1982) Verapamil restoration of daunorubicin responsiveness in daunorubicin-resistant Ehrlich ascites cells. J Clin Invest 10:1131

    Google Scholar 

  11. Tsuruo T (1983) Reversal of acquired resistance to vinca alkaloids and anthracycline antibiotics. Cancer Treat Rep 67:889

    Google Scholar 

  12. Tsuruo T, Iida H, Tsukagoshi S, Sakurai Y (1981) Overcoming of vincristine resistance in P388 leukemia in vivo and in vitro through enhanced cytotoxicity of vincristine and vinblastine by verapamil. Cancer Res 41:1967

    CAS  PubMed  Google Scholar 

  13. Tsuruo T, Iida H, Tsukagoshi S, Sakurai Y (1982a) 4′-O-Tetrahydropyranyl adriamycin as a potential new antitumor agent. Cancer Res 42:1462

    Google Scholar 

  14. Tsuruo T, Iida H, Tsukagoshi S, Sakurai Y (1982b) Increased accumulation of vincristine and adriamycin in drug-resistant tumor cells following incubation with calcium antagonists and calmodulin inhibitors. Cancer Res 42:4730

    Google Scholar 

  15. Tsuruo T, Iida H, Nojiri M, Tsukahoshi S, Sakurai Y (1983a) Circumvention of vincristine and adriamycin resistance in vitro and in vivo by calcium channel blockers. Cancer Res 43:2905

    Google Scholar 

  16. Tsuruo T, Iida H, Tsukahoshi S, Sakurai Y (1983b) Potentiation of vincristine and adriamycin effects in human hemopoietic tumor cell lines by calcium antagonists and calmoduline inhibitiors. Cancer Res 43:2267

    Google Scholar 

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Tsuruo, T., Kawabata, H., Nagumo, N. et al. Potentiation of antitumor agents by calcium channel blockers with special reference to cross-resistance patterns. Cancer Chemother. Pharmacol. 15, 16–19 (1985). https://doi.org/10.1007/BF00257287

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  • DOI: https://doi.org/10.1007/BF00257287

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