Circumvention of ara-C resistance by aphidicolin in blast cells from patients with AML
2001

Using Aphidicolin to Overcome Drug Resistance in AML

Sample size: 22 publication Evidence: moderate

Author Information

Author(s): Sargent J M, Elgie A W, Williamson C J, Lewandowicz G M, Taylor C G

Primary Institution: Haematology Research, Pembury Hospital, Pembury, Kent, TN2 4QJ, UK

Hypothesis

Can the DNA repair inhibitor aphidicolin enhance the sensitivity of AML blast cells to ara-C?

Conclusion

Aphidicolin significantly increases the sensitivity of resistant AML cells to ara-C without increasing toxicity to normal cells.

Supporting Evidence

  • Aphidicolin increased sensitivity to ara-C by a median of 4.75-fold.
  • The effect was greater in cells resistant to ara-C, with an 8.9-fold increase.
  • The combination of ara-C and aphidicolin showed no increased myelotoxicity compared to ara-C alone.

Takeaway

Researchers found that a drug called aphidicolin can help make a cancer treatment more effective for some patients without hurting healthy cells.

Methodology

Blast cells from AML patients were exposed to various agents with and without aphidicolin, and cell survival was measured using the MTT assay.

Participant Demographics

22 patients with AML and 10 cord blood samples.

Statistical Information

P-Value

p<0.005

Confidence Interval

0.8–80-fold

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1639

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