Increasing therapeutic effect and reducing toxicity of doxorubicin by N-acyl dehydroalanines

Eur J Cancer Clin Oncol. 1989 Apr;25(4):679-85. doi: 10.1016/0277-5379(89)90204-6.

Abstract

Doxorubicin toxicity is generally accepted to be free radical-mediated. N-Substituted dehydroalanines (indexed as AD compounds) are capto-dative olefins which react and scavenge free radicals, especially the superoxide anion (O2-) and hydroxyl radical (HO). AD-20, an orthomethoxyphenylacetyl dehydroalanine derivative, decreases the mortality of mice when administered before an acute single dose or multiple non-toxic doses of doxorubicin. Doxorubicin administered to mice induces elevated serum transaminase levels, and the pretreatment of mice with AD-20 decreases significantly these serum enzymatic activities. Preliminary histological examinations suggest that these serum transaminase elevations reflect most likely liver injury. In addition to its cardiotoxicity, doxorubicin induces a severe bone marrow depletion. Although this initial decrease in the peripheral leukocytes induced by doxorubicin is not prevented by the administration of AD-20, it produces a fast recuperation in the white blood cells levels after 1 week, supporting a protective effect at this level. Moreover, the antitumor effect of doxorubicin in L1210 tumor-bearing mice was enhanced when AD-20 was injected before doxorubicin. We postulate that these effects may be related to the free radical scavenging ability of AD-20.

MeSH terms

  • Alanine / analogs & derivatives*
  • Alanine / therapeutic use
  • Alanine Transaminase / blood
  • Animals
  • Aspartate Aminotransferases / blood
  • Bone Marrow / drug effects
  • Doxorubicin / therapeutic use
  • Doxorubicin / toxicity*
  • Leukemia L1210 / drug therapy*
  • Male
  • Mice

Substances

  • AD 20
  • Doxorubicin
  • Aspartate Aminotransferases
  • Alanine Transaminase
  • Alanine