Article: Isolated limb perfusion with TNF alpha and melphalan in a rat osteosarcoma model: a new anti-tumour approach.
1996 Volume 22, Issue 2, Page(s) 152–157
Abstract: Isolated limb perfusion (ILP) with TNF alpha, IFN gamma and melphalan causes impressive tumour reduction in patients with irresectable soft tissue sarcomas with a high limb salvage rate. Since this therapy could be of value in patients with progressive ... ...
Abstract | Isolated limb perfusion (ILP) with TNF alpha, IFN gamma and melphalan causes impressive tumour reduction in patients with irresectable soft tissue sarcomas with a high limb salvage rate. Since this therapy could be of value in patients with progressive osteosarcoma, we performed a study in an osteosarcoma tumour model in the rat. The ROS-1 osteosarcoma was implanted s.c. in the hind leg of WAG rats. Rats were divided in four groups: rats that underwent ILP with perfusate alone, TNF alpha alone, melphalan alone or their combination. Almost all rats, treated with a sham ILP or a perfusion with 40 micrograms melphalan, showed progressive disease (PD) (6/6 and 5/6). After perfusion with 50 micrograms TNF alpha alone a varied response was observed: 2/6 PD, 2/6 no change (NC) and 2/6 a complete remission (CR). After combined perfusion: 3/6 rats had a partial remission and 3/6 a CR. The best and most consistent responses are obtained by combining TNF alpha and melphalan. The discrepancy with the in vitro sensitivity of ROS-1 indicates that indirect effects are important in this tumour model. |
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MeSH term(s) | Animals ; Antineoplastic Agents, Alkylating/administration & dosage ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Disease Models, Animal ; Dose-Response Relationship, Drug ; Male ; Melphalan/administration & dosage ; Osteosarcoma/drug therapy ; Osteosarcoma/therapy ; Perfusion/methods ; Rats ; Rats, Inbred Strains ; Treatment Outcome ; Tumor Necrosis Factor-alpha/administration & dosage |
Chemical Substances | Antineoplastic Agents, Alkylating ; Tumor Necrosis Factor-alpha ; Melphalan (Q41OR9510P) |
Language | English |
Publishing date | 1996-04 |
Publishing country | England |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 632519-1 |
ISSN | 0748-7983 |
ISSN | 0748-7983 |
DOI | 10.1016/s0748-7983(96)90671-x |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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