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Clinical and Laboratory Investigation of Combination Radiation and Chemical Therapy

  • Chapter
Antineoplastic and Immunosuppressive Agents Part I

Abstract

Therapeutic radiologists have sought means of improving radiation effects on tumors relative to normal tissues for over 50 years. Regaud (1922) demonstrated that the same biological end result could be achieved with a single large, or multiple small increments of radiation, and that the multiple smaller doses caused far less injury to normal tissues. Coutard (1926) described favorable results of the clinical application of Regaud’s work leading to the fractionated-dose radiotherapy techniques in use today. This discovery, along with dramatic advances in the physics and technology of radiation therapy and accumulated knowledge and experience in the application of this technology, have led to marked improvement in survival rates of patients with most forms of cancer. Although radiobiologists and radiation therapists have not made breakthroughs as significant as that of Regaud and Coutard, clinical investigation of methods to increase radiation response is proceeding in three major areas: (1) physiologic (i.e. increasing oxygen concentration in tumors), (2) physical (i.e. using heavy particle, high linear energy transfer radiations), and (3) chemical. The purpose of this section is to discuss the third method.

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References

  • Andrews, J.R.: Combined cancer radiotherapy and chemotherapy: the relevance of cell population kinetics and pharmacodynamics. Cancer Chemother. Rep. 53, 313–324 (1969).

    PubMed  CAS  Google Scholar 

  • Aur, J.A., Simone, J. V., Hustu, H.O., Verzosa, M.S.: A comparative study of central nervous system irradiation and intensive chemotherapy early in remission of childhood acute lymphocytic leukemia. Cancer 29, 381–391 (1972).

    PubMed  CAS  Google Scholar 

  • Bagshaw, M.A.: Modification of the radiosensitivity of hamster cells in vitro. Nature (Lond.) 193, 389–391 (1962).

    CAS  Google Scholar 

  • Bagshaw, M.A., Doggett, R.L.S.: A clinical study of chemical radiosensitization. Frontiers of Radiation Therapy and Oncology, Vol.4. Basel, New York: Karger. San Francisco: Vaeth 1969.

    Google Scholar 

  • Bagshaw, M.A., Doggett, R.L.S., Smith, K.C., Kaplan, H.S., Nelsen, T.S.: Intra-arterial 5-bromodeoxyuridine and x-ray therapy. Amer. J. Roentgenol. 99, 886–894 (1967).

    PubMed  CAS  Google Scholar 

  • Bases, R.: Modification of radiation response by single-cell technics: Actinomycin D. Cancer Res. 19, 1223–1233 (1959).

    PubMed  CAS  Google Scholar 

  • Belli, J. A.: Proliferation kinetics of normal and tumor cells. Radiology 105, 143–149 (1972).

    PubMed  CAS  Google Scholar 

  • Berry, R. J.: Modification of radiation effects. Radiol. Clin. N. Amer. 3, 249–264 (1965).

    Google Scholar 

  • Berry, R.J.: Growing points in mammalian radiobiology and their implications for radiotherapy. Radiol. Clin. N. Amer. 2, 281–292 (1969).

    Google Scholar 

  • Berry, R. J., Hall, E. J., Cavanagh, J.: Radiosensitivity and the oxygen effect for mammalian cells cultured in vitro in stationary phase. Brit. J. Radiol. 43, 81–90 (1970).

    PubMed  CAS  Google Scholar 

  • Bruce, W.R., Meeker, B.E., Valeriote, F.A.: Comparison of the sensitivity of normal hematopoietic and transplanted lymphoma colony-forming cells to chemotherapeutic agents administered in vivo. J. nat. Cancer Inst. 37, 233–245 (1966).

    PubMed  CAS  Google Scholar 

  • Brookes, P., Lawley, P.D.: The alkylation of guanosine and guanylic acid. J. chem. Soc. 3923–3932 (1961).

    Google Scholar 

  • Brown, J.M.: The effect of acute X-irradiation on the cell proliferation kinetics of induced carcinomas and their normal counterpart. Radiat. Res. 43, 627–653 (1970 a).

    PubMed  CAS  Google Scholar 

  • Brown, J.M., Berry, R.J.: Effect of X-irradiation on the cell population kinetics in a model tumor and normal tissue system: implications for the treatment of human malignancies. Brit. J. Radiol. 42, 372–377 (1969).

    PubMed  CAS  Google Scholar 

  • Brown, J.M., Goffinet, D.R.: A technique for intra-arterial infusion of tumor bearing mice. J. Lab. clin. Med. 76, 175–180 (1970b).

    PubMed  CAS  Google Scholar 

  • Brown, J.M., Goffinet, D.R., Cleaver, J.E., Kallman, R.F.: Preferential radiosensitization of mouse sarcoma relative to normal skin by chronic intraarterial infusion of halogenated pyrimidine analogues. J. nat. Cancer Inst. 47, 75–89 (1971).

    PubMed  CAS  Google Scholar 

  • Capizzi, R.L., DeConti, R.C., Maesh, J.C., Bertino, J.R.: Methotrexate therapy of head and neck cancer: improvement in therapeutic index by the use of leucovorin “rescue.” Cancer Res. 30, 1782–1788 (1970).

    PubMed  CAS  Google Scholar 

  • Cassady, J.R.: Considerations in radiation therapy of Wilms’ tumor. Cancer 32, 598–608 (1973).

    PubMed  CAS  Google Scholar 

  • Cassady, J.R., Sagerman, R.H., Tretter, P., Ellsworth, R.M.: Radiation therapy in retinoblastoma. Radiology 93, 405–409 (1969).

    PubMed  CAS  Google Scholar 

  • Catterall, M., Rogers, C.: An investigation into the clinical effects of fast neutrons. Brit. J. Radiol. 44, 603–611 (1971).

    PubMed  CAS  Google Scholar 

  • Chalmers, T.C.: Combination of radiotherapy and chemotherapy in the treatment of carcinoma of the lung. Cancer Chemother. Rep. 16, 463–471 (1962).

    Google Scholar 

  • Clapp, P., Tayao, M.S., Tyree, E.B., Nickson, J. J., Clarkson, B., Lawrence, W., Jr.: An experimental study of simultaneous irradiation and regional chemotherapeutic perfusion. J. surg. Res. 4, 371–376 (1964).

    PubMed  CAS  Google Scholar 

  • Cohen, J.L., Krant, M.J., Shnider, B.L., Matias, P.L., Horton, J., Baxter, D.: Radiation plus 5-fluorouracil (NCS-19893): clinical demonstration of an additive effect in broncho-genie carcinoma. Cancer Chemother. Rep. 55, 253–258 (1971).

    PubMed  CAS  Google Scholar 

  • Condit, P.T.: Treatment of carcinoma with radiation therapy and methotrexate. Missouri Med. 65, 823–835 (1968).

    Google Scholar 

  • Correa, J.N., Andrews, J.R.: Modification of radiation effect of ascitic tumor cells by pharmacologic agents injected intravenously. Nature (Lond.) 203, 200–208 (1964).

    CAS  Google Scholar 

  • Coutard, H.: Roentgen therapy of epitheliomas of the tonsillar region, hypopharynx and larynx from 1920 to 1926. Amer. J. Roentgenol. 28, 313–331 (1932).

    Google Scholar 

  • Daly, J.F., Friedman, M.: Combination irradiation and chemotherapy in the treatment of squamous cell carcinoma of the head and neck. Trans. Amer. Acad. Opthal. 68, 625–643 (1964).

    CAS  Google Scholar 

  • D’Angio, G.J., Färber, S., Maddock, C.L.: Potentiation of x-ray effects by Actinomycin D. Radiology 73, 175–182 (1959).

    PubMed  Google Scholar 

  • Devita, V.T.: Cell kinetics and the chemotherapy of cancer. Cancer Chemother. Rep. 2, 23–33 (1971).

    Google Scholar 

  • Devita, V.T., Serpick, A.: Combination chemotherapy in the treatment of advanced Hodgkin’s disease. Proc. Amer. Assoc. Cancer Res. 8, 13 (1967).

    Google Scholar 

  • Dewey, W.C., Humphrey, R.M.: Increase in radiosensitivity of ionizing radiation related to replacement of thymidine in mammalian cells with 5-bromodeoxyuridine. Radiat. Res. 26, 538–547 (1965).

    PubMed  CAS  Google Scholar 

  • Djerassi, L., Rominger, C. J., Kim, J.S., Turchi, J., Suvansri, U., Hughes, D.: Phase I study of high doses of methotrexate with citrovorum factor in patients with lung cancer. Cancer 30, 22–30 (1972).

    PubMed  CAS  Google Scholar 

  • Djordjevic, B.: Sensitization by BUdR and repair of radiation damage in synchronized cells. Livre. Des. Resumes, 4th International Congress of Radiat. Research (1970).

    Google Scholar 

  • Doggett, R.L.S., Bagshaw, M.A., Kaplan, H.S.: Combined therapy using chemotherapeutic agents and radiotherapy. Modern trends in radiotherapy, Vol. 1. London: Butterworths 1967.

    Google Scholar 

  • Donaldson, S.S., Castro, J.R., Wdlbur, J.R., Jesse, R.H., Jr.: Rhabdomyosarcoma of head and neck in children: combination treatment by surgery, irradiation and chemotherapy. Cancer 31, 26–35 (1973).

    PubMed  CAS  Google Scholar 

  • Edland, R.S., Javid, M., Ansfield, F. J.: Glioblastoma multiforme: an analysis of the results of postoperative radiation therapy alone vs. radiotherapy and concomitant 5-fluorouracil; a prospective randomized study of 32 cases. Amer. J. Roentgenol. 111, 337–342 (1971).

    PubMed  CAS  Google Scholar 

  • Edland, R.S., Wear, J.B., Jr., Ansfield, F. J.: Advanced cancer of the urinary bladder: an analysis of the results of radiotherapy alone vs. radiotherapy and concomitant 5-fluorouracil; a prospective randomized study of 36 cases. Amer. J. Roentgenol, 108, 124–129 (1970).

    PubMed  CAS  Google Scholar 

  • Elkind, M.M., Sakamoto, K.: Combined effects of X-irradiation and chemotherapeutic drugs (nitrogen mustard and actinomycin D). Frontiers of Radiation Therapy and Oncology, Vol. 4. Basel-New York: Karger; San Francisco: Vaeth 1969.

    Google Scholar 

  • Elkind, M.M., Kano, E.: Radiation-induced age-response changes in Chinese-hamster cells: evidence for a new form of damage and its repair. Int. J. Radiat. Biol. 19, 547–560 (1971).

    CAS  Google Scholar 

  • Elkind, M.M., Whitmore, G.F.: Radiobiology of cultured mammalian cells. New York: Gordon and Greech 1967.

    Google Scholar 

  • Erikson, R.L., Szybalski, W.: Molecular radiobiology of human cell lines. I. Comparative sensitivity to X-ray and ultraviolet light of cells containing halogen substituted DNA. Biochem. biophys. Res. Comm. 4, 258–267 (1961).

    CAS  Google Scholar 

  • Erikson, R.L., Szybalski, W.: Molecular radiobiology of human cell lines. III. Radiation sensitizing properties of 5-iododeoxyuridine. Cancer Res. 23, 122–131 (1963 a).

    CAS  Google Scholar 

  • Erikson, R.L., Szybalski, W.: Molecular radiobiology of human cell lines. V. Comparative radiosensitizing properties of 5-halodeoxycytidines and 5-halodeoxyuridines. Radiat. Res. 20, 252–261 (1963b).

    PubMed  CAS  Google Scholar 

  • Farber, S., D’Angio, G., Evans, A., Mrrus, A.: Clinical studies of actinomycin D with special reference to Wilms’ tumor in children. Ann. N. Y. Acad. Sci. 89, 421–440 (1960).

    PubMed  CAS  Google Scholar 

  • Fletcher, G.H., Suit, H.D., Howe, C.D., Samuels, M., Jesse, R.H., Jr., Villareal, R.U.: Clinical method of testing radiation-sensitizing agents in squamous cell carcinoma. Cancer 16, 355–363 (1963).

    PubMed  CAS  Google Scholar 

  • Frei, E., Shirakawa, S., Luce, J.K., Tannock, L.: Cell proliferation in human melanoma. J. Clin. Invest. 49, 1188–1199 (1970).

    PubMed  Google Scholar 

  • Frenkel, E.P., Arthur, C.: Induced ribotide reductive conversion defect by hydroxyurea and its relationship to megaloblastosis. Cancer Res. 27, 1016–1019 (1967).

    PubMed  CAS  Google Scholar 

  • Friedman, M., Denarvaes, F.N., Daly, J.F.: Treatment of squamous cell carcinoma of the head and neck with combined methotrexate and irradiation. Cancer 26, 711–721 (1970).

    PubMed  CAS  Google Scholar 

  • Fuks, Z., Smith, K.C.: Effects of quinacrine on x-ray sensitivity and the repair of damaged DNA in E. coli K-12. Radiat. Res. 48, 63–73 (1971).

    PubMed  CAS  Google Scholar 

  • Goffinet, D.R., Brown, J.M., Bagshaw, M.A., Kaplan, H.S.: Prolonged carotid arterial radiosensitizer infusion and radiation therapy of mouse gliomas. Amer. J.Roentgenol. 114, 7–15 (1972).

    PubMed  CAS  Google Scholar 

  • Goldberg, I.H., Rabinowitz, M.: Actinomycin D inhibition of deoxyribonucleic aciddependent synthesis of ribonucleic acid. Science 136, 315–331 (1962).

    PubMed  CAS  Google Scholar 

  • Gollin, F.F., Ansfield, F.J., Brandenburg, H.H., Vermund, H.: Combined therapy in advanced head and neck cancer: a ramdozied study. Amer. J. Roentgenol. 114, 83–88 (1972).

    PubMed  CAS  Google Scholar 

  • Gollin, F.F., Johnson, R.O.: Pre-irradiation 5-fluorouracil infusion in advanced head and neck carcinomas. Cancer 27, 768–770 (1971).

    PubMed  CAS  Google Scholar 

  • Greer, S., Zamenhof, S.: Effect of 5-bromouracil in deoxyribonucleic acid of E. coli on sensitivity to ultraviolet radiation. Abstr. Amer. ehem. Soc, 131st Meeting, p. 3 c (1957).

    Google Scholar 

  • Hahn, G.M.: Radiochemotherapy of cell cultures containing cycling and non-cycling cells. Frontiers of Radiation Therapy and Oncology, Vol. 4. Basel-New York: Karger; San Francisco: Vaeth 1969.

    Google Scholar 

  • Hahn, G.M., Steward, J.R., Yang, S. J., Parker, V.: Chinese hamster cell monolayer cultures. I. Changes in cell dynamics and modification of the cell cycle with period of growth. Exp. Cell Res. 49, 285–292 (1968a).

    PubMed  CAS  Google Scholar 

  • Hahn, G., Yang, S.J., Parker, V.: Repair of sublethal damage and unscheduled DNA synthesis in mammalian cells treated with monofunctional alkylating agents. Nature (Lond.) 220, 1142–1151 (1968b).

    CAS  Google Scholar 

  • Heidelberger, C., Chaudhttri, N.K., Danneberg, P., Mooren, D., Greisbach, L., Duschinsky, R., Schnitzer, R. J., Pleven, E., Scheiner, J.: Fluorinated pyrimidines. A new class of tumor-inhibitory compounds. Nature (Lond.) 179, 663–677 (1957).

    CAS  Google Scholar 

  • Heidelberger, C., Greisbach, L., Montag, B. J., Mooren, D., Cruz, O.: Studies of fluorinated pyrimidines. II. Effects on transplanted tumors. Cancer Res. 18, 305–314 (1958).

    PubMed  CAS  Google Scholar 

  • Hertz, R.J., Lewis, J., Lippsett, M.B.: Five years’ experience with chemotherapy of metastatic choriocarcinoma and related trophoblastic tumors in women. Amer. J. Obstet. Gynec. 82, 631–643 (1961).

    PubMed  CAS  Google Scholar 

  • Hoshino, T., Barker, N.S., Wilson, C.V., Bolderk, E.W., Fewer, D.: Cell kinetics of human gliomas. J. Neurosurg. 37, 15–26 (1972).

    PubMed  CAS  Google Scholar 

  • Hoshino, T., Sano, K.: Radiosensitization of malignant brain tumors with bromouridine (thymidine analogue). Acta radiol. 8, 98–113 (1969).

    Google Scholar 

  • Hreshchyshyn, M.M.: Hydroxyurea (NSC-32065) with irradiation for cervical carcinoma-preliminary report. Cancer Chemother. Rep. 52, 601–602 (1968).

    PubMed  CAS  Google Scholar 

  • Jesse, R.H.: Combined intra-arterial infusion and radiotherapy for treatment of advanced cancer of the head and neck. Frontiers of Radiation Therapy and Oncology, Vol. 4. Basel-New York: Karger; San Francisco: Vaeth 1969.

    Google Scholar 

  • Johnson, H.A., Haymaker, W.E., Rubini, J.R., Fliedner, T.M., Bond, V.P., Cronktte, E.P., Hughes, W.L.: A radiographic study of a human brain and glioblastoma multiforme after the in vivo uptake of tritiated thymidine. Cancer 13, 636–642 (1960).

    PubMed  CAS  Google Scholar 

  • Johnson, R.E., Pomeroy, T.C.: Integrated therapy for Ewing’s sarcoma. Amer. J. Roentgenol. 114, 532–535 (1972).

    PubMed  CAS  Google Scholar 

  • Kallman, R.F.: The phenomenon of reoxygenation and its implications for fractionated radio-therapy. Radiology 105, 135–142 (1972).

    PubMed  CAS  Google Scholar 

  • Kaplan, H.S.: Radiobiology’s contribution to radiotherapy: promise or mirage? Failla Memorial Lecture. Radiat. Res. 43, 460–476 (1970).

    PubMed  CAS  Google Scholar 

  • Kaplan, H.S.: Enzymatic repair of radiation-induced strand breakage in cellular DNA and its chemical inhibition. Radiology 105, 121–126 (1972).

    PubMed  CAS  Google Scholar 

  • Kaplan, H.S., Earle, J.D., Howsden, F.L.: The role of purine and pyrimidine bases and their analogues in radiation sensitivity. J. cell. comp. Physiol. 64, 69–90 (1964).

    CAS  Google Scholar 

  • Kaplan, H.S., Smith, K.C., Tomlin, P.A.: Radiosensitization of E. coli by purine and pyrimidine analogues incorporated in deoxyribonucleic acid. Nature (Lond.) 190, 794–803 (1961).

    CAS  Google Scholar 

  • Kaplan, H.S., Smith, K. C., Tomlin, P. A.: Effects of halogenated pyrimidines on the radiosensitivity of E. coli. Radiat. Res. 16, 98–107 (1962).

    PubMed  CAS  Google Scholar 

  • Kapp, D.S., Smith, K.C.: Lack of in vitro repair of x-ray induced chain breaks in DNA by the polynucleotide-joining enzymes. Int. J. Radiat. Biol. 14, 567–571 (1969).

    CAS  Google Scholar 

  • Kapp, D.S., Smith, K.C.: The chemical inhibition of the repair of single-strand breaks in DNA: post-irradiation sensitization to x-rays. Int. J. Radiat. Biol. 19, 255–262 (1971).

    CAS  Google Scholar 

  • Kramer, S.: Use of methotrexate and radiation therapy for advanced cancer of the head and neck. Frontiers of Radiation Therapy and Oncology, Vol. 4. Basel-New York: Karger; San Francisco: Vaeth 1969.

    Google Scholar 

  • Krant, M.J., Chalmers, T.C., Dederick, M.M., Hall, T.C., Levele, M.B., Muench, H., Shnider, B.L., Gold, G.L., Hunter, C., Bersak, S.R., Owens, A.H., DeLeon, N., Dickson, R. J., Bundley, C., Brace, K.C., Frei, E., Gehan, E., Savin, L.: Comparative trial of chemotherapy and radiotherapy in patients with non-resectable cancer of the lung. Amer. J. Med. 35, 363–370 (1963).

    PubMed  CAS  Google Scholar 

  • Kriss, J.P., Revesz, L.: The distribution and fate of bromodeoxyuridine and bromodeoxy-cytidine in the mouse and rat. Cancer Res. 22, 254–263 (1962).

    PubMed  CAS  Google Scholar 

  • Kriss, J.P., Shaw, R.K., Lovinger, R., Edmonds, N.: Measurement of the in vivo degradation of carbon-14-labeled thymidine and its halogenated analogues in man by continuous monitoring of expired carbon-14-carbon dioxide. Nature (Lond.) 202, 1021–1030 (1964).

    CAS  Google Scholar 

  • Lerner, H.J., Beckloff, G.L., Godwin, M.C.: Hydroxyurea (NSC-32065) intermittent therapy in malignant diseases. Cancer Chemother. Rep. 53, 385–395 (1969 a).

    PubMed  CAS  Google Scholar 

  • Lerner, H.J., Beckloff, G.L., Godwin, M.C.: Concomitant hydroxyurea and radiotherapy in the management of 60 patients with head and neck cancer. Amer. Surgeon 35, 525–534 (1969b).

    CAS  Google Scholar 

  • Lerner, H.J., Beckloff, R.L., Godwin, M.C.: Treatment of astrocytoma with hydroxyurea and irradiation: report of six patients with 18-month follow-up. Amer. Surgeon 36, 401–402 (1970).

    CAS  Google Scholar 

  • Lett, C.J., Feldschreiber, P., Lett, J.T.: Repair of x-ray damage to the deoxyribonucleic acid in Micrococcus radiodurans. Nature (Lond.) 209, 59–62 (1966).

    Google Scholar 

  • Lett, J.T., Parkins, G., Alexander, P., Ormerod, M.G.: Mechanisms of sensitization to x-rays of mammalian cells by 5-bromodeoxyuridine. Nature (Lond.) 203, 593–602 (1964).

    CAS  Google Scholar 

  • Lipshutz, H., Lerner, H.: Three year observation of combined treatment for far advanced cancer of the head and neck. Amer. J. Surg. 118, 698–700 (1969).

    PubMed  CAS  Google Scholar 

  • Madoc-Jones, H., Mauro, F.: Age responses to x-rays, vinca alkaloids, and hydroxyurea of murine lymphoma cells synchronized in vivo. J. nat. Cancer Inst. 45, 1131–1143 (1970).

    PubMed  CAS  Google Scholar 

  • Maier, J. G., Aarestad, N. O.: Concepts in the treatment of Wilms’ tumor. Frontiers of Radiation Therapy and Oncology, Vol. 4. Basel-New York: Karger; San Francisco: Vaeth 1969.

    Google Scholar 

  • Marin, G., Levis, A. G.: X-radiation and nitrogen mustard interaction in mammalian cells grown in vitro. Radiat. Res. 23, 192–201 (1964).

    PubMed  CAS  Google Scholar 

  • Maruyama, Y., Silini, G., Kaplan, H.S.: Studies of the LSA ascites lymphoma of C-57B1 mice. II. Radiosensitization in vivo with 5-bromodeoxycytidine and combined 5-fluoro-deoxyuridine and 5-bromodeoxycytidine. Int. J. Radiat. Biol. 7, 453–462 (1963).

    CAS  Google Scholar 

  • Mendolsohn, M.L.: Autoradiographic analysis of cell proliferation in spontaneous breast cancer of the C3H mouse. III. The growth fraction. J. nat. Cancer Inst. 28, 1015–1029 (1962).

    Google Scholar 

  • Milne, E.N., Noonan, C.D., Margulis, A.R., Stoughton, J.A.: Vascular supply of pulmonary metastases. Experimental study in rats. Invest. Radiol. 4, 215–229 (1969).

    PubMed  CAS  Google Scholar 

  • Moertel, C.G., Childs, D.S., Jr., Reitemeier, R. J., Colby, M.Y., Jr., Holbrook, M.A.: Combined 5-fluorouracil and supervoltage radiation therapy of locally unresectable gastrointestinal cancer. Lancet 25, 865–867 (1969).

    Google Scholar 

  • Mohler, W.C., Elkind, M.M.: Radiation response of mammalian cells grown in culture. III. Modification of x-ray survival of Chinese hamster cells by 5-bromodeoxyuridine. Exp. Cell Res. 30, 481–491 (1963).

    CAS  Google Scholar 

  • Nelsen, T.S., Eigenbrot, E.H., Bagshaw, M.A.: Low-flow fail-safe intra-arterial infusion. Arch. Surg. 87, 124–128 (1963).

    Google Scholar 

  • Painter, R.B., Cleaver, J. R.: Repair replication in Hela cells after large doses of x-irradiation. Nature (Lond.) 216, 369–378 (1967).

    CAS  Google Scholar 

  • Papac, R.J., Jacobs, E.M., Faye, L.V., Jr., Donahue, D.M.: Systemic therapy with amethopterin in squamous carcinoma of the head and neck. Cancer Chemother. Rep. 32, 47–53 (1963).

    PubMed  CAS  Google Scholar 

  • Paterson, E.: Evaluation of chemotherapeutic compounds in the reticuloses. Brit. J. Cancer 12, 332–342 (1958).

    PubMed  CAS  Google Scholar 

  • Paterson, E.: Evaluation of chemotherapeutic compounds in the reticuloses. Acta un. int. cancr. 16, 518–523 (1960).

    PubMed  CAS  Google Scholar 

  • Phillips, R.A., Tolmach, L. J.: Repair of potentially lethal damage in x-irradiated Hela cells. Radiol. Res. 20, 413–432 (1966).

    Google Scholar 

  • Prout, G.R., Jr., Slack, N.H., Bross, I.D.J.: Irradiation and 5-fluorouracil as adjuvants in the management of invasive bladder carcinoma. A cooperative group report after 4 years. J. Urol. 104, 116–129 (1970).

    PubMed  Google Scholar 

  • Prttsoff, W.H., Cramer, J.W., Chtt, M.Y., Welch, A.D.: 5-Bromo-2′-deoxycytidine (BCdR). I. Studies on metabolism in vitro and in mice. Biochem. Pharmacol. 8, 324–326 (1961).

    Google Scholar 

  • Puck, T.T., Marcus, P.I.: Action of x-rays on mammalian cells. J. exp. Med. 103, 653–666 (1956).

    PubMed  CAS  Google Scholar 

  • Ragni, G., Szybalski, W.: Molecular radiobiology of human cell lines. II. Effects of thymidine replacement by halogenated analogues on cell inactivation by decay of incorporated radio-phosphorus. J. molec. Biol. 4, 338–346 (1962).

    PubMed  CAS  Google Scholar 

  • Rasmussen, R.E., Painter, R.B.: Radiation-stimulated DNA synthesis in cultured mammalian cells. J. cell. Biol. 29, 11–19 (1966).

    PubMed  CAS  Google Scholar 

  • Regaud, C.: Influence de la durĂ©e d’irradiation sur les effects dĂ©terminĂ©s dans le testicule par le radium. C. R. Soc. Biol. (Paris) 86, 787–790 (1922).

    Google Scholar 

  • Reich, E.: Actinomycin: correlation of structure and function of its complexes with purines and DNA. Science 143, 684–693 (1964).

    PubMed  CAS  Google Scholar 

  • Sano, K., Hoshino, T., Nagai, M.: Studies on incorporation of a radiosensitizer 5-bromo-2′-deoxyuridine into brain tumor cells and their clinical application. Neurol. Radiol. (Tokyo) 7, 4–11(1966).

    Google Scholar 

  • Sears, M.E.: Erythema in areas of previous irradiation in patients treated with hydroxyurea (NSC-32065). Cancer Chemother. Rep. 40, 31–32 (1964).

    PubMed  CAS  Google Scholar 

  • Sinclair, W.K.: Hydroxyurea: differential lethal effects on cultured mammalian cells during the cell cycle. Science 150, 1729–1731 (1965).

    PubMed  CAS  Google Scholar 

  • Skipper, H.E.: Perspectives in cancer chemotherapy: therapeutic design. Cancer Res. 24, 1295–1302 (1964).

    PubMed  CAS  Google Scholar 

  • Skipper, H.E., Hutchison, D. J., Schabel, F.M., Jr., Schmidt, L.H., Boldin, A., Brockman, R.W., Venditti, J.M., Wodinsky, L.: A quick reference chart on cross resistance between anticancer agents. Cancer Chemother. Rep. 56, 493–498 (1972).

    PubMed  CAS  Google Scholar 

  • Suit, H.D.: Consideration of fractionation schedules for radiation dose. Radiology 105, 151–156 (1972).

    PubMed  CAS  Google Scholar 

  • Suit, H.D., Hewitt, R., Urano, M., Muruyama, Y.: Effects of radiosensitizing agents in radiation therapy of mouse mammary carcinoma. Radiology 94, 180–195 (1970).

    Google Scholar 

  • Suit, H.D., Lindberg, R., Fletcher, G.H.: Prognostic significance of extent of tumor regression at completion of radiation therapy. Radiology 84, 1100–1107 (1965).

    PubMed  CAS  Google Scholar 

  • Suit, H.D., Urano, M., Hewitt, R.: Effect of radiation sensitizing agents in radiation therapy of a mouse mammary carcinoma. Frontiers of radiation therapy and oncology, Vol. 4. Basel-New York: Karger; San Francisco: Vaeth 1969.

    Google Scholar 

  • Szybalski, W., Lorkiewicz, Z.: On the nature of the principle target of lethal and mutagenic radiation effects. Abhand. Deut. Akad. Wiss., Berlin, K l, Med. 1, 61–71 (1962).

    Google Scholar 

  • Tanaka, Y., Takahasi, M.: Clinical studies of intra-arterial infusion of 5-bromodeoxyuridine plus 5-fluorouracil and radiation. Radiation Protection and Sensitization. London: Taylor and Francis 1970.

    Google Scholar 

  • Terasima, T., Tolmach, L.J.: Variations in several responses of Hela cells to x-irradiation during the division cycle. Biophys. J. 3, 11–33 (1963).

    PubMed  CAS  Google Scholar 

  • Vaeth, J.M.: Frontiers of Radiation Therapy and Oncology, Vol. 4. Basel-New York: Karger; San Francisco: Vaeth 1969.

    Google Scholar 

  • Vermund, H., Hodgett, J., Ansfield, F.J.: Effects of combined roentgen irradiation and chemotherapy on transplanted tumors in mice. Amer. J. Roentgenol. 85, 559–571 (1961).

    PubMed  CAS  Google Scholar 

  • Vietti, T., Eggerding, F., Valeriote, F.: Combined effect of X-radiation and 5-fluorouracil on survival of transplanted leukemic cells. J. nat. Cancer Inst. 47, 865–870 (1971).

    PubMed  CAS  Google Scholar 

  • Von Essen, C.F., Kugerman, M.M., Calabresi, P.: Radiation and 5-fluorouracil: a controlled clinical study. Radiology 81, 1018–1030 (1963).

    Google Scholar 

  • Whitmore, G.F., Gulyas, S., Botond, J.: Radiation sensitivity throughout the cell cycle in its relationship to recovery. Cellular Radiation Biology. Baltimore: Williams and Wilkins 1965.

    Google Scholar 

  • Whitmore, G.F., Till, J.E.: Quantitation of cellular radiobiological response. Ann. Rev. nucl. Med. 14, 347–374 (1964).

    CAS  Google Scholar 

  • Wolff, J.A., Krivit, W., Newton, W.A., Jr., D’Angio, G.J.: Single versus multiple dose dactinomycin therapy of Wilms’ tumor. N. Engl. J. Med. 279, 290–322 (1968).

    PubMed  CAS  Google Scholar 

  • Woodman, R.J.: Localized incorporation of iododeoxyuridine from polycation-complexed iododeoxycytidylic acid into DNA of several murine and hamster tumors. Cancer Res. 28, 2007–2016 (1968).

    PubMed  CAS  Google Scholar 

  • Yabbro, J.W.: Further studies on the mechanism of action of hydroxyurea. Cancer Res. 28, 1082–1087 (1968).

    Google Scholar 

  • Zimbrick, J.D., Ward, J.F., Myers, L.S., Jr.: Studies on the chemical basis of cellular radio-sensitization in DNA. I. Pulse- and steady-state radiolysis of 5-bromouracil and thymine. Int. J. Radiat. Biol. 16, 505–523 (1969a).

    CAS  Google Scholar 

  • Zimbrick, J.D., Ward, J.F., Myers, L.S., Jr.: Studies on the chemical basis of cellular radio-sensitization in DNA. II. Pulse- and steady-state radiolysis of bromouracil-substituted and unsubstituted DNA. Int. J. Radiat. Biol. 16, 525–534 (1969b).

    CAS  Google Scholar 

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Doggett, R.L.S., Bagshaw, M.A. (1974). Clinical and Laboratory Investigation of Combination Radiation and Chemical Therapy. In: Sartorelli, A.C., Johns, D.G. (eds) Antineoplastic and Immunosuppressive Agents Part I. Handbuch der experimentellen Pharmakologie / Handbook of Experimental Pharmacology, vol 38 / 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65678-1_25

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