Summary
There are numerous reports on in vitro and in vivo investigations of hyperthermia for cytostasis of malignant tumors. Combination of chemotherapy and hyperthermia is to potentiate the therapeutic effect. The time interval between the two types of therapy was the main subject of the present investigation. Local hyperthermia (43°C, 60 min) following BCNU chemotherapy at intervals of 0, 3, 6, 9, 12, and 24 h, respectively, was studied in a colonic Yoshida sarcoma model in Sprague-Dawley rats. No significant increase in the curing rate resulted from hyperthermic treatment. The results suggest that the highly anticipated hyperthermic peritoneal lavages should be investigated in controlled animal experiments prior to clinical use.
Zusammenfassung
Hyperthermie zur Cytostase von Malignomen ist in zahlreichen In-vitro- und In-vivo-Untersuchungen beschrieben worden. Die Kombination von Chemotherapie mit Hyperthermie soll zur Potenzierung der therapeutischen Wirkung führen. Ein Forschungsgegenstand ist der zeitliche Abstand zwischen beiden Therapiemodalitäten. Anhand eines Yoshida-ColonModells bei Sprague-Dawley-Ratten wurde eine lokale Hyperthermie (43°C, 60 min) im Abstand von 0, 3, 6, 9, 12 und 24 h nach einer Chemotherapie mit BCNU durchgeführt. Die Ergebnisse zeigten keine signifikante Steigerung der Heilungsrate durch die Hyperthermie. Angesichts unserer Ergebnisse sollten z.B. die mit groben Hoffnungen propagierten hyperthermen Peritoneallavagen erst im Tierexperiment einer kontrollierten Untersuchung unterzogen werden.
Similar content being viewed by others
Literatur
Barlogie B, Corry PM, Drewinko B (1980) In vitro thermochemotherapy of human colon cancer cells with cis-cichlorodiammineplatinum(II) and mitomycin C. Cancer Res40:1165–1168
Bhide S, Habs M, Reinbold H, Schmähl D (1979) Studies on the effect of Cyclophosphamide on Yoshida sarcoma ascites cells implanted into the colon wall of rats. Arzneimittelforsch 29:477–479
Bhide S, Habs M, Reinhold H, Schmähl D (1979) Antitumor activity of 1,3-bis-(2-chloroethyl-lnitrosourea (BCNU) and 1-(2-chloroethyl)-3-(4-methylcyclohexyl)-1-nitrosopourea (MeCCNU) on Yoshida sarcoma ascites cells implanted into the colon wall of rats. J Cancer Res Clin Oncol 94:63–67
Carter SK (1976) Proceedings of the sevenths drug seminar on nitrosoureas (Washington DC, Dec 15–16, 1975). Cancer Treat Rep 60:645–811
Carter SK, Sakurai Y (1980) New anticancer drugs. In: Recent results in cancer research, Vol 70. Springer, Berlin Heidelberg New York
Cavaliere R, Ciocatto EC, Giovanella BC, Heidelberger C. Johsnon RD, Margottini M, Mondove B, Moricca G, Rossi-Fanelli A (1967) Selective heat sensitivity of cancer cells. Cancer 20:1351–1381
Dahl O, Mella O (1983) Effective of timing and sequence of hyperthermia and Cyclophosphamide on a neurogenic rat tumor (BT4A) in vivo. Cancer 52:983–987
Dickson JA, Suzangar M (1974) In vitro-in vivo studies on the suspectibility of the solid Yoshida sarcoma to drugs and hyperthermia (42° C). Cancer Res 34:1263–1274
Dickson JA, Calderwood SK (1976) In vivo hyperthermia (42°C) of the Yoshida tumour induces entry of non-proliferating cells into cycle. Nature (London) 263:772–774
Eisenbrand G, Fiebig HH, Zeller WJ (1976) Some new congeners of the anticancer agent 1,3-bis-(2chloroethyl)-1-nitrosouraa (BCNU). Synthesis of bifunctional analogs and water soluble derivatives and preliminary evaluation of their chemotherapeutic potential. Z Krebsforsch 86:279–286
Emami B, Nussbaum GH, Hahn N, Piro J, Dritschilo A, Quimby F (1981) Histopathological study on the effect of hyperthermia on microvasculature. Int J Radiat Oncol Biol Phys 7:343–348
Fehleisen F (1883) Aetiologie des Erysipels. Verlag von Theodor Fischer's Medicinischer Buchhandlung, Berlin, pp 21- 30
Giovanella BC, Morgan AC, Stehlin JS, Williams LJ (1973) Selective lethal effect of supranormal temperatures on mouse sarcoma cells. Cancer Res 33:2568–2578
Giovanella BC, Stehlin JS, Morgan AC (1976) Selective lethal effect of supranormal temperatures on human neoplastic cells. Cancer Res 36:3944–3950
Habs M, Reinbold H, Eisenbrand G Bhide S Goga-Ionescu S Schmä D (1981) Antitumor activity of new nitrosouras on Yoshida sarcoma ascites cells implanted into the colon wall of rats. J Cancer Res Clin Oncol 101:285–302
Habs M (1981) Methoden, Ergebnisse und Probleme der experimentellen Chemotherapie. In: Schmähl D (Hrsg) Maligne Tumoren, Aufl. 3. Editio Cantor, Aulendorf, S 455–498
Hahn GM (1979) Potential for therapy of drugs and hyperthermia. Cancer Res 39:2264–2268
Hazan G, Ben-Hur E, Yerushalmi A (1981) Synergism between hyperthermia and Cyclophosphamide in vivo: The effect of dose fractionation. Fur J Cancer 17:681–684
Herman TS, Zukoski CF, Anderson RM, Hutter JJ, Blitt CD, Malone JM, Larson DF, Dean JC, Roth HB (1982) Whole-body hyperthermia and chemotherapy for treatment of patients with advanced, refractory malignancies. Cancer Treat Rep 66:259–265
Lange J, Zänker KS, Siewert JR, Eisler K, Landauer B, Kolb E, Blümel G, Remy W (1983) Extrakorporal induzierte Ganzkörperhyperthermie bei konventionell inkurablen Malignompatienten. Dtsch Med Wochenschr 108:504–509
LeVeen HH, Wapnick S, Piccone V, Falk G, Ahmed N (1976) Tumors eradication by radiofrequency therapy (Response in 21 patients). JAMA 235:2198–2200
Lorenz M, Habs M, Schmähl D (1983) Wirkung der lokalen moderaten Hyperthermie in Kombination mit einer Chemotherapie durch Cyclophosphamid oder N-Nitroso-1,3-bis-(2chlorethyl)-harnstoff (BCNU) auf das in das Colon descendens der Ratte transplantierte Yoshida Sarkom. 1. Mitteilung: zweimalige Hyperthermie im Abstand von 8 Tagen sowie Kombination von Chemotherapie mit 24h später folgender Hyperthermie. Langenbecks Arch Chir 359:205–213
Marmor JB (1979) Interactions of hyperthermia and chemotherapy in animals. Cancer Res 39:2269- 2276
Muckle DS, Dickson JA (1973) Hyperthermia (42°C) as an adjuvant to radiotherapy and chemotherapy in the treatment of the allogeneic VX2-carcinoma in the rabbit. Br J Cancer 27: 307–315
Overgaard J (1980) Effect of misonidazole and hyperthermia on the radiosensitivity of a C3H mouse mammary carcinoma and its surrounding normal tissue. Br J Cancer 41:10–21
Overgaard J, Suit HD, Walder AM (1980) Multifractionated hyperthermia treatment of malignant and normal tissue in vivo. Cancer Res 40:2045–2050
Osswald H (1981) Antineoplastische Chemotherapeutika. In: Schmähl D (Hrsg) Maligne Tumoren, Aufl. 3. Editio Cantor, Aulendorf, S 445–447
Peto R (1974) Guidelines on the analyses of tumor rates and death rates in experimental animals. Br J Cancer 29:101–105
Peto R, Pike MC, Armitage P, Breslow NE, Cox DR, Howard SV, Mantel N, McPherson K, Peto J, Smith PG (1977) Design and analysis of randomized clinical trials requiring prolonged observation of each patient. II. Analysis and examples. Br J Cancer 35:1–39
Pinedo HM (1979) Cancer chemotherapy 1979. EORTC cancer chemotherapy annual 1. Excerpta medica, Amsterdam New York
Schmähl D, Nöring L (1967) Extrem-Hyperthermie-Versuche bei vier verschiedenen Tumoren von Ratten. Z Krebsforsch 69:335–340
Shiu MH, Fortner JG (1980) Intraperitoneal hyperthermic treatment of implanted peritoneal cancer in rats. Cancer Res 40:4081–4084
Smith GV, MacMillan R, Strobling J (1983) Intraperitoneal approach to regional hyperthermia. Possible anticancer applications. World J Surg 7:732–737
Song CW, Kang MS, Rhee JG, Levitt SH (1980) The effect of hyperthermia on vascular function, pH and cell survival. Radiology 137:795–803
Spratt JS, Adcock RA, Muskovin M, Sherrill W, McKeown J (1980) Clinical delivery system for intraperitoneal hyperthermic chemotherapy. Cancer Res 40:256–260
Wallach DFH (1977) Basic mechanisms in tumor thermotherapy. J Mol Med 2:381–403
Westermark N (1927) The effect of heat upon rat-tumors. Scand Arch Physiol 52:257–322.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Lorenz, M., Biwer, E., Habs, M. et al. Wirkung der lokalen moderaten Hyperthermie in Kombination mit einer Chemotherapie durch N-Nitroso-1,3-bis-(2-chloroethyl)-harnstoff (BCNU) auf das in das Colon descendens der Ratte transplantierte Yoshida-Sarkom. Langenbecks Arch Chiv 362, 253–261 (1984). https://doi.org/10.1007/BF01254653
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF01254653