In vivo toxicity of phenothiazines to cells of a transplantable tumor

Lehnert, Shirley

doi:10.1007/bf00293990

Cited by 6 publications

(1 citation statement)

References 12 publications

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“…For chlorpromazine, the primary mechanism of action is dopamine receptor antagonism, but other ascribed mechanisms include ␣-adrenergic receptor antagonism, histamine receptor antagonism, and calmodulin inhibition (33,34). Our experiments (data not shown) confirmed the previously reported observation that at high concentrations, the phenothiazines (including chlorpromazine) have antiproliferative activity as single agents, and that they can enhance certain existing chemotherapeutic agents, includ- ing radiomimetic drugs (35)(36)(37)(38)(39)(40). However, as described below, the mechanism by which chlorpromazine acts to enhance pentamidine in A549 cells is distinct from its reported behavior with bleomycin, consistent with the idea that understanding the actions of single compounds is insufficient to predict fully their behavior in combination.…”

Section: Chtssupporting

confidence: 87%

Systematic discovery of multicomponent therapeutics

Borisy

Elliott

Hurst

et al. 2003

Proc. Natl. Acad. Sci. U.S.A.

554

522

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Multicomponent therapies, originating through deliberate mixing of drugs in a clinical setting, through happenstance, and through rational design, have a successful history in a number of areas of medicine, including cancer, infectious diseases, and CNS disorders. We have developed a high-throughput screening method for identifying effective combinations of therapeutic compounds. We report here that systematic screening of combinations of small molecules reveals unexpected interactions between compounds, presumably due to interactions between the pathways on which they act. Through systematic screening of Ϸ120,000 different two-component combinations of reference-listed drugs, we identified potential multicomponent therapeutics, including (i) fungistatic and analgesic agents that together generate fungicidal activity in drug-resistant Candida albicans, yet do not significantly affect human cells, (ii) glucocorticoid and antiplatelet agents that together suppress the production of tumor necrosis factor-␣ in human primary peripheral blood mononuclear cells, and (iii) antipsychotic and antiprotozoal agents that do not exhibit significant antitumor activity alone, yet together prevent the growth of tumors in mice. Systematic combination screening may ultimately be useful for exploring the connectivity of biological pathways and, when performed with reference-listed drugs, may result in the discovery of new combination drug regimens.M odern biological research and much of drug discovery is often driven by the search for new molecularly targeted therapeutics (1-3). In this approach, a specific protein is studied in vitro, in cells and in whole organisms, and evaluated as a drug target for a specific therapeutic indication (3, 4). The refinement of this approach has resulted in the ability to discover compounds with great selectivity for a chosen protein target. The recent success of Gleevec (imatinib mesylate), an inhibitor of the breakpoint cluster regionabelson (BCR-ABL) kinase, and of selective cyclooxygenase-2 (COX-2) inhibitors Vioxx (rofecoxib) and Celebrex (celecoxib) are evidence that the target-based approach can be successful (5, 6).Systems biology, however, has revealed that human cells and tissues are composed of complex, networked systems with redundant, convergent and divergent signaling pathways (7-10). For example, the redundant function of proteins involved in cell-cycle regulation (11) has inspired efforts to intervene simultaneously at multiple points in these signaling pathways (12). A drug discovery approach consonant with this systems biology framework, and complementary to the target-based approach, entails identification of combinations of small molecules that perturb cellular signaling networks in a desired fashion.Recognition of the potential for multipoint intervention in biology and medicine has a long history. As early as 1928, Loewe (13) observed and quantified effects of combinations of compounds that were different from, and not predicted by, the activities of the constituents. The conc...

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Section: Chtssupporting

confidence: 87%

Systematic discovery of multicomponent therapeutics

Borisy

Elliott

Hurst

et al. 2003

Proc. Natl. Acad. Sci. U.S.A.

554

522

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Antitumor effects of ketoconazole and trifluoperazine in murine T-cell lymphomas

Naftalovich

Yefenof

Eilam

1991

Cancer Chemother. Pharmacol.

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In vitro and in vivo antitumor effects of ketoconazole (KTZ), trifluoperazine (TFP), and combinations of both drugs were examined in cell lines established from radiation leukemia virus (RadLV)-induced T-cell lymphomas. KTZ inhibited [3H]-thymidine incorporation in the tumor cells in vitro; 50% inhibition of DNA synthesis was observed at concentrations of 4-7 micrograms/ml. [3H]-thymidine uptake in bone-marrow and spleen cells prepared from healthy mice was also inhibited by KTZ, but 50% inhibition was observed only at a concentration of 50 micrograms/ml. Stimulation of spleen cells with concanavalin A led to an increase in their sensitivity to the inhibition of DNA synthesis by KTZ. The tumor-cell lines varied in their sensitivity to the inhibition of DNA synthesis by TFP, and the effects of TFP on DNA synthesis in bone-marrow and spleen cells were similar to those observed in the tumor cells. Synergistic, additive, or less than additive effects of the drug combinations on the inhibition of DNA synthesis in vitro were observed both in tumor cells and in bone-marrow cells. In vivo experiments were conducted on groups of C57BL/6 (B6) mice that were inoculated s.c. with tumor cells and then treated with i.p. injections of KTZ, TFP or both. Control groups were injected with phosphate-buffered saline (PBS). Each of the drugs alone as well as their combinations caused a significant delay in the appearance of palpable tumors, a decrease in tumor size, and a marked prolongation of survival. The concentrations of the drugs used in in vivo experiments did not affect the WBC counts in the peripheral blood of healthy mice. KTZ is currently used for the treatment of prostatic cancer because of its inhibitory effect on testosterone biosynthesis. The results of the present study indicate the hormone-independent chemotherapeutic potential of KTZ, TFP, and combinations of the two drugs.

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