A method based on detection of drug-induced cell cycle perturbation by flow cytometric DNA analysis has previously been described in Ehrlich ascites tumors as a way to estimate chemosensitivity. The method is extended to test human small-cell carcinoma of the lung. Three tumors with different sensitivities to melphalan in nude mice were used. Tumors were disaggregated by a combined mechanical and enzymatic method and thereafter have incubated with different doses of melphalan. After incubation the cells were plated in vitro on agar, and drug induced cell cycle changes were monitored by flow cytometric DNA analysis. Melphalan produced a dose-related S phase accumulation in the two sensitive tumors, whereas no changes in the cell cycle distribution were found in the resis- In vitro tests, especially the human tumor cloning assay (12,13), have been increasingly used to optimize treatment of malignant diseases andor to test new and more potent non-cross-resistant drugs. However, the human tumor cloning assay is time-consuming and requires 2-3 wk before conclusive results are available. Furthermore, the method does not allow one to test how representative the growing cells are. In search of a faster technique to detect chemosensitivity, a method based on measurements of drug-induced cell cycle perturbations was examined in experimental tumors (5). This in vitro flow cytometry assay was found to be able to detect sensitivity to adriamycin in Ehrlich ascites tumors.The object of the present study was to determine whether the in vitro cell cycle perturbation assay could be extended to test the chemosensitivity of human solid tumors. This demands a valid procedure to disaggregate the solid tumors into single cell suspensions representative of the original tumors. Three heterotransplanted human small-cell carcinomas of the lung (SCCL) were selected for this study because of their different sensitivities to melphalan (9). The tumors were disaggregated by a combined mechanical and enzymatic method (7).Subsequently the cells were incubated in vitro with different doses of melphalan; flow cytometric DNA analysis was used to monitor drug-induced cell cycle pertubations.The results showed that melphalan induced dose-related S phase accumulations in two sensitive tumors, whereas no cell cycle changes were found in a resistant tumor. Furthermore, the size of the S phase accumulation in vitro reflected the previously found in vivo chemosensitivity of the tumors. Thus, the results suggest that the flow cytometry method applied on disaggregated tumor cells may be extended to sensitivity testing of human tumors in general, including screening for new agents.
MATERIALS AND METHODS
Tumors