Abstract:Amifostine 500 mg intravenously yields an adequate radioprotective concentration. The effect was only marginally improved by extreme concentrations of amifostine in in vitro experiments. The comet assay is capable of detecting small changes in radiosensitivity by amifostine.
“…The organic thiophosphate amifostine, also known as S-2-(3-aminopropylamino)-ethylphosphorothioic acid or WR-1065, represents the first of a new class of drugs that have been categorized as cytoprotective agents for about 25 years now [28,29,34].…”
The results indicate that parenchymal damage in salivary glands induced by high-dose radioiodine therapy can significantly be reduced by amifostine. Therefore, amifostine therapy may increase quality of life in patients with differentiated thyroid cancer after radioiodine treatment.
“…The organic thiophosphate amifostine, also known as S-2-(3-aminopropylamino)-ethylphosphorothioic acid or WR-1065, represents the first of a new class of drugs that have been categorized as cytoprotective agents for about 25 years now [28,29,34].…”
The results indicate that parenchymal damage in salivary glands induced by high-dose radioiodine therapy can significantly be reduced by amifostine. Therefore, amifostine therapy may increase quality of life in patients with differentiated thyroid cancer after radioiodine treatment.
“…Our use of 4 mM amifostine treatment of in vitro osteoblasts is within the same order magnitude of high-performance liquid chromatography-measured in vivo radioprotective doses. 28,29 Clearly, increases (or decreases) in radiation dose will alter the concentration at which amifostine is radioprotective; further doseresponse studies will elucidate tissue-specific guidelines.…”
Both dose fractionation and amifostine have valid roles as radioprotectants for osteoblasts and can act in an additive fashion. Radioprotection of cell growth and viability does not necessarily correlate with preservation of normal cellular function. Combination protocols involving dose fractionation and amifostine may be effective in radioprotection of osteoblasts and normal osseous tissue.
“…If radical scavenging were the underlying mechanism, then a similar effect in both weeks would be expected, as similar amounts of radicals are induced by each radiation fraction and must be expected to be scavenged by amifostine. Also, amifostine did not alter radiation-induced DNA damage in vitro or in vivo [24,26], which would be expected after effective radical scavenging.…”
Amifostine during daily fractionated irradiation is effective only if administered in the initial treatment phase, i.e., week 1 in the mouse. The differences in the effect in weeks 1 and 2 suggest mechanisms of action other than radical scavenging.
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