Abstract
The successful induction by chemotherapeutic agents of complete remission of disease in the therapy of acute leukemia necessarily requires a selective toxic action by the antileukemic agent(s) employed on neoplastic cells as compared to the most sensitive of the tissues of the host. That preferential kill of malignant cells by drugs can be attained has been amply demonstrated in both experimental systems [1] and in patients with a variety of neoplastic diseases [2–4].
Support was provided by Grant CA-02817 from the National Cancer Institute, USPHS and Grant T-23 from the American Cancer Society.
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References
Bruce, R. W.: The action of chemotherapeutic agents at the cellular level and the effect of these agents on hematopoietic and lymphomatous tissue. Can. Cancer Conf. 7, 53 (1967).
Burchenal, J. H.: Formyl discussion: long-term survival in Burkitt’s tumor and in acute leukemia. Cancer Res. 27, 2616 (1967).
Farber, S., D’angio, G., Evans, A., Mitus, A.: Clinical studies of actinomycin D with special reference to Wilms’ tumor in children. Ann. N. Y. Acad. Sci. 89, 421 (1960).
Ross, G. T., Goldstein, D. P., Hertz, R., Lipsett, M. B., Odell, W. D.: Sequential use of methotrexate and actinomycin D in the treatment of metastatic choriocarcinoma and related trophoblastic diseases in women. Amer. J. Obstet. Gynec. 93, 223 (1965).
Handschumacher, R. E.: Mechanisms of control of tumor growth: asparaginase and asparaginase analogs. In: Exploitable Molecular Mechanisms and Neoplasia. Baltimore: Williams and Wilkins 1969, p. 565.
Adamson, R. H., Fabro, S.: Antitumor activity and other biologic properties of L-asparaginase (NSC-109 229)-A review. Cancer Chem. Rep. 52, 617 (1968).
Patterson, M. K., JR., Orr, G.: L-asparaginase biosynthesis by nutritional variants of the Jensen sarcoma. Biochem. biophys. Res. Commun. 26, 228 (1967).
Broome, J. D., Schwartz, J. H.: Differences in the production of L-asparaginase in asparaginase-sensitive and resistant lymphoma cells. Biochim. biophys. Acta (Amst.) 138, 637 (1967).
Horowitz, B., Madras, B. K., Meister, A., OLD, L. J., Boyse, E. A., Stockert, E.:Asparaginase synthetase activity of mouse leukemias. Science 160, 533 (1968).
Prager, M. D., Bachynsky, N.: Asparagine synthetase in asparaginase resistant and susceptible mouse lymphomas. Biochem. biophys. Res. Commun. 31, 43 (1968).
Silber, R., Berman, E., Goldstein, B., Stein, H., Farnham, G., Bertino, J. R.: Methy-lation of nucleic acids in normal und leukemic leukocytes. Biochim. biophys. Acta (Amst.) 123, 638 (1966).
Moore, E. C., Lepage, G. A.: In vivo sensitivity of normal and neoplastic mouse tissues to azaserine. Cancer Res. 17, 804 (1957).
Roberts, E., Frankel, S.: Free amino acids in normal and neoplastic tissues of mice as studied by paper chromatography. Cancer Res. 9, 645 (1949).
Simonsen, D. G.: Free amino acids and related substances in normal and neoplastic tissues. In: Amino Acids, Proteins and Cancer Biochemistry. Ed.: J. T. Edsall. New York: Academic Press 1960, p. 121.
Levenberg, B., Melnick., I., Buchanan, J. M.: Biosynthesis of the purines. XV. The effect of aza-L-serine and 6-diazo-5-oxo-L-norleucine on inosinic acid biosynthesis de novo. J. Biol. Chem. 225, 163 (1957).
Rouser, G.: Free or easily extractable amino acids in blood cells and body fluids. In: The Leukemias: Etiology, Pathophysiology and Treatment. New York: Academic Press 1957, p. 361.
Venditti, J. M., Goldin, A.: Drug synergism in antineoplastic chemotherapy. In: Advances in Chemotherapy, Vol. 1. Eds.: A. Goldin and F. Hawking. New York: Academic Press 1964, p. 397.
Sartorelli, A. C.: Approaches to the combination chemotherapy of transplantable neoplasms. In: Prog. Exptl. Tumor Res., Vol. 6. Ed.: F. Homeurger. Basel: S. Karger 1965, p. 228.
Marchesi, S. L., Sartorelli, A. C.: The biochemical basis for the differential sensitivity of intestinal mucosa and bone marrow to 6-thioguanine. Cancer Res. 23, 1769 (1963).
Henderson, J. F.: Variation in selective toxicity: causes and consequences. Cancer Res. 29, 2404 (1969).
Henderson, E. F., Adamson, R. H., Oliverio, V. T.: The metabolic fate of tritiated Methotrexate. II. Absorption and excretion in man. Cancer Res. 25, 1018 (1965).
Dixon, R. L., Henderson, E. S., Rall, D. P.: Plasma protein binding of methotrexate and its displacement by various drugs. Fed. Proc. 24, 454 (1965).
Oliverio, V. T., Loo, T. L.: Separation and isolation of metabolites of folic acid antagonists. Proc. Amer. Ass. Cancer Res. 3, 140 (1960).
Loo, T. L., Adamson, R. H.: The metabolite of 3’,5’-dichloro-4-amino-4-deoxy-N10methylpteroylglutamic acid (dichloromethotrexate). J. Med. Chem. 8, 513 (1965).
Misra, D. K., Adamson, R. H., Loo, T. L., Oliverio, V. T.: Inhibition of dihydrofolate reductase by dichloromethotrexate and its metabolite. Life Sci. 2, 407 (1963).
Johns, D. G., Iannotti, A. T., Sartorelli, A. C., Booth, B. A., Bertino, J. R.: The identity of rabbit-liver methotrexate oxidase. Biochim. biophys. Acta (Amst.) 105, 380 (1965).
Loo, T. L., Adamson, R. H.: The enzymic oxidation of certain folic acid antagonists. Biochem. Pharmacol. 11, 170 (1962).
Johns, D. G., Iannotti, A. T., Sartorelli, A. C., Bertino, J. R.: The relative toxicities of methotrexate and aminopterin. Biochem. Pharmacol. 15, 555 (1966).
Henderson, E. S., Adamson, R. H., Denham, C., Oliverio, V. T.: The metabolic fate of tritiated methotrexate. I. Absorption, excretion, and distribution in mice, rats, dogs and monkeys. Cancer Res. 25, 1008 (1965).
Hohorst, H. J., Zieman, A., Brock, N.: Alkylating substances in serum and urine after injection of cyclophosphamide. Arzneimittel-Forsch. 15, 432 (1965).
Conney, A. H., Burns, J. J.: Factors influencing drug metabolism. Advanc. Pharmacol. 1, 31 (1962).
Rall, D. P.: Pharmacologic aspects of selective chemotherapy of leukemia and Burkitt’s tumor. Combination chemotherapy: advertent and inadvertent. Cancer Res. 27, 2650 (1967).
Tephly, T. R., Mannering, G. J.: Inhibition of drug metabolism by steroid hormones. Pharmacologist 6, 186 (1964).
Liegler, D. G., Henderson, E. S., Hahn, M. A., Oliverio, V. T.: The effect of organic acids on renal clearance of methotrexate in man. Clin. Pharmacol. Ther. 10, 849 (1969).
Sartorelli, A. C.: Some approaches to the therapeutic exploitation of metabolic sites of vulnerability of neoplastic cells. Cancer Res. 29, 2292 (1969).
Baker, B. R.: Design of active-site-directed irreversible enzyme inhibitors. New York: John Wiley and Sons 1967.
Creasey, W. A., Agrawal, K. C., Stinson, K. K., Sartorelli, A. C.: Antineoplastic effects and metabolism of a-(N)-heterocyclic carboxaldehyde thiosemicarbazones in dogs and mice. Fed. Proc. 29, 681 (1970).
French, F. A., Blanz, E. J., JR.: The carcinostatic activity of a-(N)-heterocyclic carboxaldehyde thiosemicarbazones. I. Isoquinoline-1-carboxaldehyde thiosemicarbazone. Cancer Res. 25, 1454 (1965).
The carcinostatic activity of thiosemicarbazones of formyl heteroaromatic compounds. III. Primary correlation. J. Med. Chem. 9, 585 (1966)
Agrawal, K. C., Booth, B. A., Sartorelli, A. C.: Potential antitumor agents. I. A series of 5-substituted 1-formylisoquinoline thiosemicarbazones. J. Med. Chem. 11, 700 (1968).
Sartorelli, A. C.: Potential antitumor agents. III. Sodium salts of a-(N)-heterocyclic carboxaldehyde thiosemicarbazones. J. pharm. Sci. 57, 1948 (1968).
Potential antitumor agents. IV. Synthesis of 4-substituted 1-formylisoquinoline thiosemicarbazones by rearrangement of 1-methylisoquinoline-N-oxide. Abstr. Amer. Chem. Soc. MEDI-39, Sept., 1968.
Blanz, E. J., JR., French, F. A.: The carcinostatic activity of 5-hydroxy-2-formylpyridine thiosemicarbazone. Cancer Res. 28, 2419 (1968).
French, F. A., Blanz, E. J., JR.: The carcinostatic activity of a-(N)-heterocyclic carboxaldehyde thiosemicarbazones. II. 3-hydroxypyridine-2-carboxaldehyde thiosemicarbazone. Cancer Res. 26, 1638 (1966).
Carcinostatic hydrazones: some design principles, data and correlations. In: Cancer Chemotherapy, Gann Monograph No. 2. Tokyo: Maruzen Co. 1967, p. 51.
Sartorelli, A. C.: Effect of chelating agents upon the synthesis of nucleic acids and protein: Inhibition of DNA synthesis by 1-formylisoquinoline thiosemicarbazone. Biochem. biophys. Res. Commun. 27, 26 (1967).
Agrawal, K. C., Booth, B. A., Moore, E. C.: Inhibition of ribonucleotide diphosphate reductase by substituted a-(N)-heterocyclic aldehyde thiosemicarbazones.. Fourth Internat. Congress Pharmacol. Basel: Schwabe 1969, p. 195.
Booth, B. A.: Biochemical effects of some pyridine aldehyde thiosemicarbazones. Proc. Amer. Ass. Cancer Res. 9, 61 (1968).
Moore, E. C.: Studies on the site of action of pyridine aldehyde thiosemicarbazones. Proc. Amer. Ass. Cancer Res. 10, 76 (1969).
Zedeck, M. S., Agrawal, K. C., Moore, E. C.: Correlation of inhibition of DNA synthesis and in vitro inhibition of ribonucleotide reductase by 1-formylisoquinoline thiosemicarbazone. Fed. Proc. 27, 650 (1968).
Moore, E. C., Agrawal, K. C., Booth, B. A., Sartorelli, A. C.: Potential irreversible inhibitors of ribonucleotide reductase: substituted a-(N)-heterocyclic aldehyde thiosemicarbazones. Fed. Proc. 29, 908 (1970).
Frei, E., III, Freireich, E. J.: Progress and perspectives in the chemotherapy of acute leukemia. In: Advances in Chemotherapy, Vol. 2. Eds.: A. Goldin, F. Hawking, and R. J. Schnitzer. New York: Academic Press 1965, p. 269.
Kessel, D., Hall, T. C., Roberts, D. W., Wodinsky, I.: Uptake as a determinant of methotrexate response in mouse leukemias. Science 150, 752 (1965).
Yamada, T., Iwanami, Y.: The transport of nitrogen mustard N-oxide through cellular membrane and its cytological effects in rat ascites hepatoma. Gann 53, 225 (1962).
Baba, T.: The transport of 14C-labeled nitrogen mustard N-oxide through cellular membrane treated with tween 80 in vitro. Gann 54, 171 (1963).
Hakala, M. T.: On the nature of permeability of sarcoma-180 cells to amethopterin in vitro. Biochim. biophys. Acta (Amst.) 102, 210 (1965).
Goldman, I. D.: Transport energetics of the folic acid analogue, methotrexate, in L1210 leukemia cells. Enhanced accumulation by metabolic inhibitors. J. biol. Chem. 244, 3779 (1969).
Sartorelli, A. C., Booth, B. A., Bertino, J. R.: Folate metabolism in methotrexatesensitive and -resistant Ehrlich ascites cells. Arch. Biochem. 108, 53 (1964).
Mead, J. A. R., Venditti, J. M., Schrecker, A. W., Goldin, A., Keresztesy, J. C.: The effect of reduced derivatives of folic acid on the toxicity and antileukemic effect of methotrexate in mice. Biochem. Pharmacol. 12, 371 (1963).
Goldin, A., Venditti, J. M., Kline, I., Manite, N.: Eradication of leukaemic cells (L1210) by methotrexate and methotrexate plus citrovorum factor. Nature (Lond.) 212, 1548 (1966).
Sullivan, R. D., Miller, E., Sikes, M. P.: Antimetabolite-metabolite combination cancer chemotherapy. Effects of intra-arterial methotrexate-intramuscular citrovorum factor therapy in human cancer. Cancer 12, 1248 (1959).
Lefkowitz, E., Papac, R. J., Bertino, J. R.: Studies of head and neck cancer. III. Toxicity of 24 hour infusions of methotrexate (NSC-740) and protection by leucovorin (NSC-3590) in patients with epidermoid carcinomas. Cancer Chem. Rep. 51, 305 (1967).
Hryniuk, W. M., Bertino, J. R.: Treatment of leukemia with large doses of methotrexate and folinic acid: clinical-biochemical correlates. J. clin. Invest. 48, 2140 (1969).
Elion, G. B., Callahan, S., Nathan, H., Bieber, S., Rundles, R. W., Hitchings, G. H.: Potentiation by inhibition of drug degradation: 6-substituted purines and xanthine oxidase. Biochem. Pharmacol. 12, 85 (1963).
Levine, A. S., Sharp, H. L., Mitchell, J., KRIVIT, W., NESBIT, M. E.: Combination therapy with 6-mercaptopurine (NSC-755) and allopurinol (NSC-1390) during induction and maintenance of remission of acute leukemia in children. Cancer Chem. Rep. 53, 53 (1969).
Schabel, F. M., JR., Laster, W. R., JR., Skipper, H. E.: Chemotherapy of leukemia L1210 by 6-mercaptopurine in combination with 6-methylthiopurine ribonucleoside. Cancer Chem. Rep. 51, 111 (1967).
Wang, M. C., Simpson, A. I., Paterson, A. R. P.: Combinations of 6-mercaptopurine and 6-(methylmercapto)purine ribonucleoside in the chemotherapy of the Ehrlich ascites carcinoma. Cancer Chem. Rep. 51, 101 (1967).
Hill, D. L., Bennett, L. L., JR.: Purification and properties of 5-phosphoribosyl pyrophosphate amidotransferase from adenocarcinoma 755 cells. Biochemistry 8, 122 (1969).
Paterson, A. R. P., Wang, M. C.: Stimulation of 6-mercaptopurine anabolism in tumor cells by prior treatment with 6-(methylmercapto)purine ribonucleoside. Fed. Proc. 27, 759 (1968).
Bodey, G. P., Brodovsky, H. S., Isassi, A. A., Samuels, M. L., Freireich, E. J.: Studies of combination 6-mercaptopurine (NSC-755) and 6-methylmercaptopurine ribonucleoside (NSC-40 774) in patients with acute leukemia and metastatic cancer. Cancer Chem. Rep. 52, 315 (1968).
Lajtha, L. G., Vane, J. R.: Dependence of bone marrow cells on the liver for purine supply. Nature (Lond.) 182, 191 (1958).
Potter, V. R.: Sequential blocking of metabolic pathways in vivo. Proc. Soc. exp. Biol. (N. Y.) 76, 41 (1951).
Elion, G. B., Singer, S., Hitchings, G. H.: Antagonists of nucleic acid derivatives. VIII. Synergism in combinations of biochemically related antimetabolites. J. biol. Chem. 208, 477 (1954).
Miech, R. P., Parks, R. E., JR., Anderson, J. H., JR., Sartorelli, A. C.: An hypo-. thesis on the mechanism of action of 6-thioguanine. Biochem. Pharmacol. 16, 2221 (1967).
Sartorelli, A. C.: Combination chemotherapy with actinomycin D and ribonuclease: an example of complementary inhibition. Nature (Lond.) 203, 877 (1964).
Elkind, M. M., Kano, E., Sutton-Gibert, H.: Cell killing by actinomycin D in relation to the growth cycle of Chinese hamster cells. J. Cell Biol. 42, 366 (1969).
Perry, R. P.: Selective effects of actinomycin D on the intracellular distribution of RNA synthesis in tissue culture cells. Exp. Cell. Res. 29, 400 (1963).
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Sartorelli, A.C. (1971). Some Biochemical and Pharmacologic Considerations of Agents in the Management of Acute Leukemia. In: Ultmann, J.E., Griem, M.L., Kirsten, W.H., Wissler, R.W. (eds) Current Concepts in the Management of Lymphoma and Leukemia. Recent Results in Cancer Research, vol 36. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-46259-7_12
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