Tumour necrosis factor alpha increases melphalan concentration in tumour tissue after isolated limb perfusion
2000

TNF-alpha Boosts Melphalan in Tumors

publication Evidence: moderate

Author Information

Author(s): de Wilt J H W, ten Hagen T L M, de Boeck G, van Tiel S T, de Bruijn E A, Eggermont A M M

Primary Institution: Department of Surgical Oncology, University Hospital Rotterdam Dijkzigt/Daniel den Hoed Cancer Centre

Hypothesis

Does adding TNF-alpha to melphalan during isolated limb perfusion increase the concentration of melphalan in tumor tissue?

Conclusion

Adding TNF-alpha to melphalan significantly increases the concentration of melphalan in tumor tissue during isolated limb perfusion.

Supporting Evidence

  • A significant sixfold increase in melphalan concentration was observed when TNF-α was added.
  • This increase provides a straightforward explanation for the synergistic effects of TNF-α and melphalan.

Takeaway

When doctors use a special treatment to deliver medicine to tumors, adding a substance called TNF-alpha makes the medicine work better by getting more of it into the tumor.

Methodology

The study measured melphalan concentration in tumor tissue after isolated limb perfusion with and without TNF-alpha.

Participant Demographics

Rats were used in the study.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1054/bjoc.1999.1032

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