Summary
A mixture of gangliosides (Cronassial) protects against the chronic but not the acute lethal toxicity of vincristine in mice and affords some protection against the acute lethal toxicity of vincristine in chicks. The protective effect of Cronassial appears to be greatest near the LD50 of vincristine and then diminishes as the dose of vincristine increases further. Cronassial does not, however, reduce the vincristine antitumour activity, so that the net effect is an improvement in the vincristine therapeutic index. Clinical trials are underway to examine the effect of the combination on the development of neurotoxicity in cancer patients.
Similar content being viewed by others
References
Azzoni P (1978) The use of gangliosides in the prevention of vincristine neurotoxicity. II Policlinico 85: 1–7
Dantona A, Labianca R, Tabiadon D (1978) The use of gangliosides in the prevention of vincristine neurotoxicity. Riv Sci Educ Per 9: 155–158
Gorio A, Aporti F, Di Gregorio F, Schiavinato A, Siliprandi R, Vitadello M (1984) Ganglioside treatment of genetic and alloxan-induced diabetic neuropathy. In: Leden RW, Yu RK, Rapport MM, Suzuki K (eds) Ganglioside structure, function and biomedical potential. Plenum, New York and London, pp 549–564
Jackson DV Jr, Rosenbaum DL, Carlisle LJ, Long TR, Wells HB, Spurr CL (1984) Glutamic acid modification of vincristine toxicity. Cancer Biochem Biophys 7: 245–252
Jackson DV Jr, McMahan RE, Pope EK, Case LD, Cooper MR, Kaplon MK, Richards F, Stuart JJ, White DR, Zekan PJ (1986a) Clinical trial of folinic acid to reduce vincristine neurotoxicity. Cancer Chemother Pharmacol 17: 281–283
Jackson DV Jr, Pope EK, McMahan RA, Cooper MR, Atkins JN, Callahan RD, Paschold EH, Grimm RA, Hopkins JO, Muss HB, Richards F, Stuart JJ, White DR, Zekan PJ, Cruz J, Spurr CL, Capizzi RL (1986b) Clinical trial of pyridoxine to reduce vincristine neurotoxicity. J Neuro Oncol 4: 37–41
Kaplan RS, Wiernik PH (1982) Neurotoxicity of antineoplastic drug. Semin Oncol 9: 103–130
Rapport MM, Gorio G (1981) Gangliosides in neurological and neuromuscular function, development and repair. Raven, New York
Svennerholm L (1963) Chromatographic separation of human brain gangliosides. J Neurochem 10: 613–623
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hellmann, K., Hutchinson, G.E. & Henry, K. Reduction of vincristine toxicity by Cronassial. Cancer Chemother. Pharmacol. 20, 21–25 (1987). https://doi.org/10.1007/BF00252954
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00252954