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Cancer Therapy: Preclinical

Sodium Thiosulfate Administered Six Hours after Cisplatin Does Not Compromise Antineuroblastoma Activity

Theresa M. Harned, Ondrej Kalous, Alexander Neuwelt, Jason Loera, Lingyun Ji, Peter Iovine, Richard Sposto, Edward A. Neuwelt and C. Patrick Reynolds
Theresa M. Harned
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Ondrej Kalous
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Alexander Neuwelt
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Jason Loera
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Lingyun Ji
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Peter Iovine
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Richard Sposto
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Edward A. Neuwelt
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C. Patrick Reynolds
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DOI: 10.1158/1078-0432.CCR-06-2289 Published January 2008
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    Fig. 1.

    Six representative neuroblastoma cell lines (SMS-KCNR, CHLA-15, SMS-SAN, CHLA-122, CHLA-20, and CHLA-42). The survival fraction for cells treated with cisplatin (2 μg/mL) + STS at hour 0 was significantly increased for six of six cell lines (SMS-SAN, CHLA-122, CHLA-15, CHLA-20, CHLA-42, and SMS-KCNR) in 20% oxygen. The survival fraction for cells treated with cisplatin + STS at 6 h was not significantly increased compared with cisplatin alone in five of six cell lines at the highest dose level of cisplatin (2 μg/mL; CHLA-122, CHLA-15, CHLA-20, CHLA-42, and SMS-KCNR). Two-sided P values were determined by likelihood ratio tests for the ratio of survival fractions for cisplatin + STS at hour 0 or hour 6 compared with cisplatin alone. A P < 0.05 was considered significant.

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    Fig. 2.

    The same six representative neuroblastoma cell lines (SMS-KCNR, CHLA-15, SMS-SAN, CHLA-122, CHLA-20, and CHLA-42) were also studied in conditions of physiologic hypoxia found in bone marrow (2% oxygen). Again, STS given 6 h after cisplatin did not significantly increase the survival fraction compared with cisplatin alone in five of six cell lines (CHLA-122, CHLA-15, CHLA-20, CHLA-42, and SMS-KCNR), whereas STS given simultaneously with cisplatin did increase the survival fraction compared with cisplatin alone in 2% O2 in five of six cell lines (SMS-SAN, CHLA-122, CHLA-15, CHLA-42, and SMS-KCNR). Two-sided P values were determined by likelihood ratio tests for the ratio of survival fractions for cisplatin + STS at hour 0 or hour 6 compared with cisplatin alone. A P < 0.05 was considered significant.

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    Fig. 3.

    STS given 0 or 6 h after etoposide did not affect etoposide cytotoxicity. In two representative neuroblastoma cell lines (CHLA-15 and SMS-SAN) STS given 0 or 6 h after etoposide did not affect the survival fraction for cells treated with etoposide.

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    Fig. 4.

    Exposure to STS at the same time as carboplatin decreased carboplatin cytotoxicity in two representative neuroblastoma cell lines (CHLA-15 and SMS-SAN), whereas exposure to STS 6 h after carboplatin did not protect from cytotoxicity.

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    Fig. 5.

    A, effect of STS and cisplatin on subcutaneous human neuroblastoma xenograft growth. Nude mice were inoculated s.c. with 3.2 × 107 SMS-SAN neuroblastoma cells and were treated as (a) no treatment (n = 5), (b) cisplatin (4 mg/kg i.p. × 4 d; n = 6), (c) cisplatin (4 mg/kg/d × 4 d) + STS (3.5 g/kg/d i.p. × 4 d immediately after cisplatin; n = 6), and (d) cisplatin (4mg/kg/d i.p. × 4 d) + STS (3.5 g/kg/d i.p × 4 d at 6 h after cisplatin; n = 6). Tumor volumes were measured twice per week. B, the time to tumor progression (tumor volume of >600 mm3 or last measurement taken) was determined. The probability of progression-free survival for the four treatment groups was determined using the permutated log-rank test. STS given 6 h after cisplatin daily for 4 d did not significantly (P = 0.9) affect cisplatin antitumor activity in SMS-SAN xenografts in nu/nu mice compared with cisplatin alone. However, STS given simultaneously with cisplatin daily for 4 d significantly (P = 0.03) protected tumors from cisplatin.

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Clinical Cancer Research: 14 (2)
January 2008
Volume 14, Issue 2
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Sodium Thiosulfate Administered Six Hours after Cisplatin Does Not Compromise Antineuroblastoma Activity
Theresa M. Harned, Ondrej Kalous, Alexander Neuwelt, Jason Loera, Lingyun Ji, Peter Iovine, Richard Sposto, Edward A. Neuwelt and C. Patrick Reynolds
Clin Cancer Res January 15 2008 (14) (2) 533-540; DOI: 10.1158/1078-0432.CCR-06-2289

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Sodium Thiosulfate Administered Six Hours after Cisplatin Does Not Compromise Antineuroblastoma Activity
Theresa M. Harned, Ondrej Kalous, Alexander Neuwelt, Jason Loera, Lingyun Ji, Peter Iovine, Richard Sposto, Edward A. Neuwelt and C. Patrick Reynolds
Clin Cancer Res January 15 2008 (14) (2) 533-540; DOI: 10.1158/1078-0432.CCR-06-2289
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