1966
DOI: 10.1002/1097-0142(196602)19:2<284::aid-cncr2820190223>3.0.co;2-0
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Effect of prolonged coumadin treatment on the production of pulmonary metastases in the rat

Abstract: To evaluate the effect of prolonged anticoagulant treatment using Coumadin (warfarin sodium) on the production of pulmonary metastases, 455 rats with Walker 256 carcinosarcoma were given either water or Coumadin solution ab lib in addition to their chow. Administration of Coumadin for 10 days resulted in a significant decrease in metastases from 85.8% of the control group to 9.8% of the Coumadin‐treated animals (P < 0.001). The survival of these animals also was increased from 3.8% to 42.6% at 9 weeks. No exce… Show more

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Cited by 31 publications
(14 citation statements)
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“…Inhibition of metastasis was essentially complete, with a 99.9% reduction in the number of lung lesions in treated mice. Although pharmacologic inhibitors of coagulation such as heparin, LMWHs, or hirudin, have been shown to inhibit metastasis in tail vein models,33, 34, 35, 36, 37, 38, 39 and murine anti‐hTF antibodies26 have been used in experimental melanoma metastasis models, this is the first demonstration that a function blocking human antibody can inhibit experimental breast cancer metastasis to the lung.…”
Section: Discussionmentioning
confidence: 96%
“…Inhibition of metastasis was essentially complete, with a 99.9% reduction in the number of lung lesions in treated mice. Although pharmacologic inhibitors of coagulation such as heparin, LMWHs, or hirudin, have been shown to inhibit metastasis in tail vein models,33, 34, 35, 36, 37, 38, 39 and murine anti‐hTF antibodies26 have been used in experimental melanoma metastasis models, this is the first demonstration that a function blocking human antibody can inhibit experimental breast cancer metastasis to the lung.…”
Section: Discussionmentioning
confidence: 96%
“…In this approach, all patients were initially considered as non-users and then users after a lag of 6 months following their first warfarin prescription. Effect estimates are presented unadjusted and then adjusted for each cancer site d Analysis was restricted to first-time users ('new starts') of warfarin therapy post-diagnosis [36][37][38]. Given this biological plausibility, it is noteworthy that the weak non-significant reductions observed for ever versus never warfarin users among breast and colorectal cancer patients in the current analysis may have resulted from low statistical power.…”
Section: Discussionmentioning
confidence: 98%
“…Many tumor cells express abnormal levels of procoagulants, mainly tissue factor (TF) and cancer procoagulant [2, 3], which are assumed to be responsible for the prothrombotic phenotype. Animal experiments indicate that anticoagulant therapy may reduce metastasis [4–6], and clinical studies in cancer patients suggest that such treatment may prolong survival [7]. Importantly, many cancer patients have been found to express elevated levels of the coagulation inhibitor TF pathway inhibitor (TFPI) [8, 9] which may be an important protective effect in these patients [10].…”
Section: Introductionmentioning
confidence: 99%