Literature DB >> 11955753

Interaction of pemetrexed disodium (ALIMTA, multitargeted antifolate) and irradiation in vitro.

Marc Bischof1, Klaus-Josef Weber, Johannes Blatter, Michael Wannenmacher, Detlev Latz.   

Abstract

PURPOSE: Pemetrexed disodium (Alimta, multitargeted antifolate, LY231514; Eli Lilly and Co., Indianapolis, Indiana) ("pemetrexed") is a new folate antimetabolite with significant antitumor activity. Different from classic antifolates, pemetrexed inhibits several key enzymes of thymidylate and purine synthesis, but a radiosensitizing potential may also be presumed. Therefore, the interaction of pemetrexed and ionizing radiation was studied for in vitro clonogenic survival of different human tumor cell lines. METHODS AND MATERIALS: Human colon (Widr), breast (MCF-7), cervix (Hela), and lung (LXI) carcinoma cells from log-phase cultures were exposed to pemetrexed (2 h) in combination with different radiation doses given 1 h before pemetrexed washout (all cell lines) or at different points of time before or after pemetrexed addition (Widr). Survival curves were analyzed according to the linear-quadratic (LQ) model, and mean inactivation doses (MID) and radiation enhancement ratios were calculated from the survival curve parameters. Cell-cycle progression of serum-stimulated and pemetrexed- or mock-treated Widr cells was monitored by flow cytometry.
RESULTS: Radiosensitization was found for all cell lines at moderately toxic pemetrexed exposures (0.05-0.3 microg/ml [106-636 nM]), but this was cell-type dependent and was most pronounced at roughly isotoxic concentrations, for the least pemetrexed-sensitive Widr cells. Enhancement ratios ranged from about 1.2 (MCF-7 and Hela) to 1.8 (Widr), with a tendency to increase with pemetrexed concentration. Little, if any, change of radiosensitization was observed (Widr) when the time of irradiation was varied from 4 h before to 10 h after the beginning of pemetrexed treatment. Cell-cycle progression of serum-stimulated Widr cells was only marginally affected by pemetrexed.
CONCLUSIONS: Pemetrexed enhances radiation-induced cell inactivation at moderately toxic exposures and over many hours after drug removal. This effect is not due to disturbed cell-cycle progression, but likely involves an interaction of pemetrexed with long-lived (>4 h) cellular radiation damage and needs to be considered when introducing a combined clinical application.

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Year:  2002        PMID: 11955753     DOI: 10.1016/s0360-3016(01)02794-8

Source DB:  PubMed          Journal:  Int J Radiat Oncol Biol Phys        ISSN: 0360-3016            Impact factor:   7.038


  12 in total

1.  A phase I/II trial of pemetrexed plus radiotherapy in elderly patients with locally advanced non-small cell lung cancer.

Authors:  Akihiro Tamiya; Masahiro Morimoto; Shoichi Fukuda; Yoko Naoki; Tatsuya Ibe; Kyoichi Okishio; Hideto Goto; Akihiro Yoshii; Toshiyuki Kita; Naoyuki Nogami; Yuka Fujita; Shinji Atagi
Journal:  Invest New Drugs       Date:  2018-03-23       Impact factor: 3.850

2.  Phase I trial of pemetrexed in combination with cetuximab and concurrent radiotherapy in patients with head and neck cancer.

Authors:  A Argiris; M V Karamouzis; R Smith; A Kotsakis; M K Gibson; S Y Lai; S Kim; B F Branstetter; Y Shuai; M Romkes; L Wang; J R Grandis; R L Ferris; J T Johnson; D E Heron
Journal:  Ann Oncol       Date:  2011-03-01       Impact factor: 32.976

3.  Phase II randomized trial of radiation therapy, cetuximab, and pemetrexed with or without bevacizumab in patients with locally advanced head and neck cancer.

Authors:  A Argiris; J E Bauman; J Ohr; W E Gooding; D E Heron; U Duvvuri; G J Kubicek; D M Posluszny; M Vassilakopoulou; S Kim; J R Grandis; J T Johnson; M K Gibson; D A Clump; J T Flaherty; S I Chiosea; B Branstetter; R L Ferris
Journal:  Ann Oncol       Date:  2016-05-13       Impact factor: 32.976

4.  In vitro study on the schedule-dependency of the interaction between pemetrexed, gemcitabine and irradiation in non-small cell lung cancer and head and neck cancer cells.

Authors:  An Wouters; Bea Pauwels; Filip Lardon; Greet G O Pattyn; Hilde A J Lambrechts; Marc Baay; Paul Meijnders; Jan B Vermorken
Journal:  BMC Cancer       Date:  2010-08-19       Impact factor: 4.430

5.  Phase 2 study of pemetrexed plus carboplatin, or pemetrexed plus cisplatin with concurrent radiation therapy followed by pemetrexed consolidation in patients with favorable-prognosis inoperable stage IIIA/B non-small-cell lung cancer.

Authors:  Hak Choy; Lee S Schwartzberg; Shaker R Dakhil; Edward B Garon; David E Gerber; Janak K Choksi; Ramaswamy Govindan; Guangbin Peng; Andrew Koustenis; Joseph Treat; Coleman Obasaju
Journal:  J Thorac Oncol       Date:  2013-10       Impact factor: 15.609

6.  Pemetrexed and cisplatin for the treatment of advanced, persistent, or recurrent carcinoma of the cervix: a limited access phase II trial of the gynecologic oncology group.

Authors:  David Scott Miller; John A Blessing; Lois M Ramondetta; Huyen Q Pham; Krishnansu S Tewari; Lisa M Landrum; Jubilee Brown; Robert S Mannel
Journal:  J Clin Oncol       Date:  2014-07-28       Impact factor: 44.544

7.  Phase II study of concurrent selective lymph node late course accelerated hyper-fractionated radiotherapy and pemetrexed and cisplatin for locally advanced oesophageal squamous cell carcinoma.

Authors:  C Fu; B Li; L Guo; H Li; W Huang; H Gong; M Sun; Z Wang; T Zhou; C Liu
Journal:  Br J Radiol       Date:  2014-03-26       Impact factor: 3.039

8.  Phase i study of 'dose-dense' pemetrexed plus carboplatin/radiotherapy for locally advanced non-small cell lung carcinoma.

Authors:  Xinglei Shen; Albert Denittis; Maria Werner-Wasik; Rita Axelrod; Paul Gilman; Thomas Meyer; Joseph Treat; Walter J Curran; Mitchell Machtay
Journal:  Radiat Oncol       Date:  2011-02-16       Impact factor: 3.481

9.  Schedule-dependent increased efficiency of pemetrexed-ionizing radiation combination therapy elicits a differential DNA damage response in lung cancer cells.

Authors:  Patrick Dorn; Colin Charles Tièche; Ren-Wang Peng; Laurène Froment; Ralph Alexander Schmid; Thomas Michael Marti
Journal:  Cancer Cell Int       Date:  2016-09-02       Impact factor: 5.722

Review 10.  Prospects in folate receptor-targeted radionuclide therapy.

Authors:  Cristina Müller; Roger Schibli
Journal:  Front Oncol       Date:  2013-09-24       Impact factor: 6.244

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