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The Ambivalence of Cytostatic Therapy (Paperback, Softcover reprint of the original 1st ed. 1975)
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The Ambivalence of Cytostatic Therapy (Paperback, Softcover reprint of the original 1st ed. 1975)
Series: Recent Results in Cancer Research, 52
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E. GRUNDMANN The question as to whether cytostatic drugs might be
carcinogenic has been presented and discussed in three experimental
studies. The most extensive in- vestigations were by J. H.
WEISBURGER and coll. (New York, Alabama, Bethesda). They started
with an exact determination of rate and localization for spon- .
taneous tumors in their animal strains. Thirteen cytostatic
compounds current- ly in clinical use were then given in the
maximally tolerated dose (MTD) to groups of 25 male and 25 female
animals (rats and mice) three times weekly, in most assays over a
period of 6 months. Other identical groups of animals received 0. 5
of the MTD. Each test involved 50 male and 50 female mice and the
same number of rats. As positive controls, identical groups were
given diethylnitrosamine, which induced tumors of liver, lungs and
kidneys in the expected rates. The direct alkylating agents
(Actinomycin 0, Melphalan, Mito- mycin 0, Uracil mustard,
Dibromomannitol and Dibromodulcitol) induced cancer in the
peritoneal cavity, the site of the injections. Rats appeared to be
more susceptible than mice. Other drugs (e. g. the cyclohexamide
salt of phos- phorodiamidic acid derivative, Natulan, DIC and
streptozotocin) had a broad spectrum of carcinogenicity affecting a
variety of organs. Several agents led to tumors in the
hematopoietic and lymphatic systems in mice or rats or both. The
correlation to the general immunosuppressive action is not quite
clear. 6-Mercaptopurine induces lymphosarcomas in mice.
General
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