Summary
This study sought to determine whether dexamethasone (DXN) treatment of rats with intracranial gliomas would 1) further impair delivery of carboplatin to brain tumors, and 2) whether intracarotid infusion of the bradykinin analog, RMP-7, would improve delivery during concurrent DXN treatment. In DXN pretreated animals, 3 mg/kg/day of DXN was administered intraperitoneally for 3 days prior to Ki determinations. Ki of [14C] carboplatin into DXN-treated tumors and brain surrounding tumor (BST) was significantly lower compared to non-DXN treated tumors and BST (3.30 ± 0.91 vs. 4.47 ± 1.80, p < 0.05, and 0.94 ± 0.84 vs. 2.18 ± 0.79, p < 0.05, respectively). Intracarotid infusion of RMP-7 significantly increased the Ki for carboplatin in DXN-treated tumors (6.35 ±3.10 vs. 3.30 ± 0.91, p < 0.01), however, RMP-7 increased Ki to a greater extent in tumors not pretreated with DXN (12.07 ± 3.60 vs. 4.47 ± 1.80, p < 0.0001). Dexamethasone decreases transport of carboplatin into brain tumors. Intracarotid infusion of RMP-7 selectively increases carboplatin transport to tumors.
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References
Fenstermacher JD, Cowles AL (1977) Theoretic limitations of intracarotid infusion in brain tumor chemotherapy. Cancer Treat Rep 61: 519–526
Fishman RA (1982) Steroids in the treatment of brain edema [editorial]. N Engl J Med 306: 359–360
Groothuis DR, Fischer JR, Lapin G, Bigner DD, Vick NA (1982) Permeability of different experimental brain tumor models to horseradish peroxidase. J Neuropathol Exp Neurol 41: 164–185
Gutin PH (1975) Corticosteroid therapy in patients with cerebral tumors: benefits, mechanisms, problems, practicalities. Semin Oncol 2: 49–56
Inamura T, Black K (1994) Bradykinin selectively opens blood-tumor barrier in experimental brain tumors. J Cereb Blood Flow Metab 14: 862–870
Inamura T, Nomura T, Bartus R, Black K (1994) Intracarotid infusion of RMP-7, a bradykinin analog: a method for selective drug delivery to brain tumors. J Neurosurg 81: 752–758
Matsukado K, Inamura T, Nakano S, Fukui M, Bartus R, Black K (1996) Enhanced tumor uptake of carboplatin and survival in glioma-bearing rats by intracarotid infusion of bradykinin analog, RMP-7. Neurosurgery 39: 125–134
Neuwelt EA, Barnett PA, Bigner DD, Frenkel EP (1982) Effects of adrenal cortical steroids and osmotic blood-brain barrier opening on methotrexate delivery to gliomas in the rodent: the factor of the blood-brain barrier. Proc Natl Acad Sci USA 79: 4420–4423
Nomura T, Inamura T, Black KL (1994) Intracarotid infusion of bradykinin selectively increases blood-tumor permeability in 9L and C6 brain tumors. Brain Res 659: 62–66
Ohno K, Pettigrew KO, Rapoport ST (1978) Lower limits of cerebrovascular permeability to nonelectrolytes in the conscious rat. Am J Physiol 253: H299–H307
Reichman HR, Farrell CL, Del Maestro RF (1986) Effects of steroids and nonsteroid anti-inflammatory agents on vascular permeability in a rat glioma model. J Neurosurg 65: 233–237
Warnke PC, Molnar P, Lapin GD, Kuruvilla A, Groothuis DR (1995) The effects of dexamethasone on transcapillary transport in experimental brain tumors: II. Canine brain tumors. J Neurooncol 25: 29–38
Weinstein JD, Toy FJ, Jaffe ME, Goldberg HI (1973) The effect of dexamethasone on brain edema in patients with metastatic brain tumors. Neurology 23: 121–129
Yamada K, Ushio Y, Hayakawa T, Arita N, Yamada N, Mogami H (1983) Effects of methylprednisolone on peritumoral brain edema. A quantitative autoradiographic study. J Neurosurg 59: 612–619
Ziylan YZ, Le Fauconnier JM, Bernard G, Bourre JM (1988) Effect of dexamethasone on transport of alpha-aminoisobutyric acid and sucrose across the blood-brain barrier. J Neurochem 51: 1338–1342
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© 1997 Springer-Verlag
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Matsukado, K., Nakano, S., Bartus, R.T., Black, K.L. (1997). Steroids Decrease Uptake of Carboplatin in Rat Gliomas — Uptake Improved by Intracarotid Infusion of Bradykinin Analog, RMP-7. In: James, H.E., et al. Brain Edema X. Acta Neurochirurgica Supplements, vol 70. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6837-0_48
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DOI: https://doi.org/10.1007/978-3-7091-6837-0_48
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