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Biological Basis of Radiosensitization by Hypoxic-Cell Radiosensitizers

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Chemotherapy

Abstract

Radiosensitizing drugs can only be clinically useful if they give a greater increase in sensitivity to radiation in the tumour than in normal tissues. This differential may be based on differences in the proliferation characteristics or on other known differences between normal and tumour cells, such as their oxygen status. The degree of oxygenation profoundly influences the radiosensitivity of all cells: hypoxic cells occur in most animal tumours and can be more effectively killed if their hypoxic protection is overcome e.g. with hyperbaric oxygen, high LET radiation or with electron affinic chemical radiosensitizers. This latter group of drugs includes nitroimidazoles which have recently been shown to mimic oxygen in its sensitizing ability. The drugs can diffuse to hypoxic tumour cells because, unlike oxygen, they are not rapidly metabolised by respiring cells.

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References

  • Adams, G.E: 1967. The general application of pulse radiolysis to current problems in radiobiology. In ‘Current Topics in Radiation Research’. Vol. 3:35–93. (Ed. Ebert and Howard, North-Holland Pub. Co., Amsterdam).

    Google Scholar 

  • Adams, G.E: 1973. Chemical radiosensitization of hypoxic cells. Brit. Med. Bull. 29, 48–53.

    PubMed  CAS  Google Scholar 

  • Adams, G.E., J.C. Asquith, M.E. Watts and C.E. Smithen: 1972. Radiosensitization of hypoxic cells in vitro: a water soluble derivative of paranitroacetophenone. Nature New Biology 239:457–471.

    Google Scholar 

  • Adams, G.E. and M.S. Cooke: 1969. Electron-affinic sensitization: 1. A structural basis for chemical radiosensitizers in bacteria. Int. J.Radiat.Biol. 15: 457–471.

    Article  CAS  Google Scholar 

  • Adams, G.E. and D.L. Dewey: 1963. Hydrated electrons and radiobiological sensitization. Biochem. Biophysic.Res.Comm. 12: 473–477.

    Article  CAS  Google Scholar 

  • Ashwood-Smith, M.J., D.M. Robinson, J.M. Barnes and B.A. Bridges: 1967. Radiosensitization of bacterial and mammalian cells by substituted glyoxals. Nature (London) 216: 137–139.

    Article  CAS  Google Scholar 

  • Asquith, J.C., J.L. Foster, R.L. Willson, R. Ings & J.A. McFadzean: 1974. Metronidazole (‘Flagyl’), a radiosensitizer of hypoxic cells. Brit.J.Radiol. 47: 474.

    Article  PubMed  CAS  Google Scholar 

  • Asquith, J.C., M.E. Watts, K. Patel, C.E. Smithen and G.E. Adams: 1974. Electron-affinic sensitization: V. Radiosensitization of hypoxic bacteria and mammalian cells in vitro by some nitroimi-dazoles and nitropyrazoles. Rad. Res. 60: 108–118.

    Article  CAS  Google Scholar 

  • Berry, J.R. and J.C. Asquith: 1974. Cell cycle-dependent and hypoxic radiosensitizers. In ‘Advances in chemical radiosensitization’. Proc. of IAEA/WHO meeting on Radiation Sensitization and Protection. IAE3A, Vienna: 25–36.

    Google Scholar 

  • Bridges, B.A: 1969. Sensitization of organisms to ionizing radiation by sulphydyl binding agents. In ‘Advances in Radiation Biology’ Vol 3: 123–176.

    CAS  Google Scholar 

  • Brown, J.M: 1975. Selective radiosensitization of the hypoxic cells of mouse tumours with metronidazole and Ro-07-0582. Rad. Res. (in press).

    Google Scholar 

  • Catterall, M., I. Sutherland and D.K. Bewley: 1975. A randomised clinical trial of fast neutrons and X or γ-rays in the treatment of advanced tumours of the head and neck. Brit Med. 2 653–659.

    Article  CAS  Google Scholar 

  • Chapman, J.D., A.P. Reuvers, J. Borsa, A. Petkau and B.R. McCalla: 1972. Nitrofurans as radiosensitizers of hypoxic mammalian cells. Cancer Res. 32: 2616–2624.

    PubMed  CAS  Google Scholar 

  • Chapman, J.D., A.P. Reuvers and J. Borsa: 1973. Effectiveness of nitrofuran derivatives in sensitizing hypoxic mammalian cells to X-rays. Brit.J.Radiol. 46: 623–630.

    Article  PubMed  CAS  Google Scholar 

  • Benekamp, J. and B.D. Michael: 1972. Preferential sensitization of hypoxic cells to radiation in vivo. Nature New Biology 239:21–23.

    Google Scholar 

  • Denekamp, J., B.B. Michael and S.R. Harris: 1974. Hypoxic cell radiosensitizers: Comparative tests of some electron affinic compounds using epidermal cell survival in vivo. Rad.Res. 60: 119–132.

    Article  CAS  Google Scholar 

  • Denekamp, J. and S.R. Harris: 1975. Tests of two electronaffinic radiosensitizers in vivo using regrowth of an experimental carcinoma. Rad. Res. 61: 191–203.

    Article  CAS  Google Scholar 

  • Dische, S., A.J. Gray, G.D. Zanelli, R.H. Thomlinson, G.E. Adams, I.R. Flockhart and J.L. Foster: 1975. Clinical testing of the radiosensitizer Ro-07-0582. Clinical Radiol.

    Google Scholar 

  • Emmerson, P.T: 1972. X-ray damage to BNA and loss of biological function: effect of sensitizing agents. In ‘Advances in Radiation Chemistry’ 3: 209–270.

    CAS  Google Scholar 

  • Foster, J.L. and R.L. Willson: 1973. Radiosensitization of anoxic cells by metronidazole. Brit.J.Radiol. 46: 234–235.

    Article  PubMed  CAS  Google Scholar 

  • Foster, J.L: 1975. Mouse skin reactions after X-irradiation with the nitroimidazole radiosensitizer Ro-07-0582. Brit.J. Cancer (in press).

    Google Scholar 

  • Fowler, J.F., J. Benekamp, A.L. Page, A.C. Begg, S.B. Field and K. Butler: 1972. Fractionation with X-rays and neutrons in mice: response of skin and C3H mammary tumours. Brit. J. Radiol. 45:237–249.

    Article  PubMed  CAS  Google Scholar 

  • Fowler, J.F., J. Benekamp, P.W. Sheldon, A.M. Smith, A.C. Begg, S.R. Harris and A.L. Page: 1974. Optimum fractionation in X-ray treatment of C3H mouse mammary tumours. Brit.J.Radiol. 47:781–789.

    Article  PubMed  CAS  Google Scholar 

  • Fowler, J.F., P.W. Sheldon, J. Denekamp and S.B. Field: 1975. Optimum fractionation of the C3H mouse mammary carcinoma using X-rays, the hypoxic-cell radiosensitizer Ro-07-0582, or fast neutrons. Int.J.Radiat.Oncol., Biol. and Physics (in press).

    Google Scholar 

  • Hall, E.J. and L. Roizin-Towle: 1975. Hypoxic sensitizers: Radiobiological studies at the cellular level. Radiat.Res. (in press).

    Google Scholar 

  • Henk, J.M: 1975. Does fractionation make hyperbaric oxygen unnecessary? Paper read at 3rd Eur. Sco. Radiol. Congr. at Edinburgh, June 1975.

    Google Scholar 

  • Rauth, A.M: 1975. In vivo testing of hypoxic cell radiosensitizers in Symposium ‘Chemical Radiosensitization of Mammalian Cells’. Proc. 5th Int. Congr. of Radiation Research (Seattle 1974). Academic Press (in press).

    Google Scholar 

  • Sheldon, P.W., J.L. Foster and J.F. Fowler: 1974. Radiosensitization of C3H mouse mammary tumours by a 2-nitroimidazole drug. Brit.J.Cancer 30: 560–565.

    Article  PubMed  CAS  Google Scholar 

  • Schärer, K: 1972. Selective injury to Purkinje cells in the dog after oral administration of high doses of nitroimidazole derivatives. Veth.Dtsch.Ges. Path. 56: 407–410.

    Google Scholar 

  • Sheldon, P.W. and A.M. Smith: 1975. Modest radiosensitization of solid tumours in C3H mice by the hypoxic cell radiosensitizer NDPP. Brit.J.Cancer 31: 81–88.

    Article  PubMed  CAS  Google Scholar 

  • Stone, H.B. and H.R. Withers: 1975. Enhancement of the radio-response of a murine tumour by a nitroimidazole. Brit.J.Radiol, (in press).

    Google Scholar 

  • Sutherland, R. M: 1974. Selective chemotherapy of non-cycling cells in an in vitro tumour model. Canc. Res. 34: 3501–5503.

    CAS  Google Scholar 

  • Urtasun, R.C., J.B. Chapman, P. Band, H. Rabin, C. Fryer and J. Sturmwind: 1975. Phase 1 study of high dose metronidazole on in vivo and in vitro specific radiosensitizing of hypoxic cells. Radiology (in press).

    Google Scholar 

  • Whitmore, G.F., S. Gulyas and A.J. Varghese: 1975. Studies on the radiosensitizing action of NDPP, a sensitizer of hypoxic cells. Rad. Res., 61: 325–341.

    Article  CAS  Google Scholar 

  • Withers, H.R: 1967. Recovery and repopulation in vivo by mouse skin epithelial cells during fractionated irradiation. Rad. Res. 32: 227–239.

    Article  CAS  Google Scholar 

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© 1976 Plenum Press, New York

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Adams, G.E., Denekamp, J., Fowler, J.E. (1976). Biological Basis of Radiosensitization by Hypoxic-Cell Radiosensitizers. In: Hellmann, K., Connors, T.A. (eds) Chemotherapy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-4349-3_18

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  • DOI: https://doi.org/10.1007/978-1-4613-4349-3_18

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-4351-6

  • Online ISBN: 978-1-4613-4349-3

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