PMID- 11103789 OWN - NLM STAT- MEDLINE DCOM- 20001222 LR - 20161124 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 60 IP - 22 DP - 2000 Nov 15 TI - O6-benzylguanine potentiates the antitumor effect of locally delivered carmustine against an intracranial rat glioma. PG - 6307-10 AB - Local delivery of carmustine (BCNU) via biodegradable polymers prolongs survival against experimental brain tumors and in human clinical trials. O6-benzylguanine (O6-BG), a potent inhibitor of the DNA repair protein, O6-alkylguanine-DNA alkyltransferase (AGT), has been shown to reduce nitrosourea resistance and, thus, enhance the efficacy of systemic BCNU therapy in a variety of tumor models. In this report, we demonstrate that O6-BG can potentiate the activity of BCNU delivered intracranially via polymers in rats challenged with a lethal brain tumor. Fischer 344 rats received a lethal intracranial challenge of 100,000 F98 glioma cells (F98 cells have significant AGT activity, 328 fmol/mg protein). Five days later, animals receiving an i.p. injection of O6-BG (50 mg/kg) 2 h prior to BCNU polymer (3.8% BCNU by weight) implantation had significantly improved survival (n = 7; median survival, 34 days) over animals receiving either O6-BG alone (n = 7; median survival, 22 days; P = 0.0002) or BCNU polymer alone (n = 8; median survival, 25 days; P = 0.0001). Median survival for the control group (n = 8) was 23.5 days. Moreover, there was no physical, behavioral, or pathological evidence of treatment-related toxicity. These findings suggest that O6-BG can potentiate the effects of interstitially delivered BCNU and, for tumors expressing significant AGT, may be necessary for the BCNU to provide a meaningful therapeutic benefit. Given the clinical use of BCNU polymers against malignant gliomas, concurrent treatment with O6-BG may provide an important addition to our therapeutic armamentarium. FAU - Rhines, L D AU - Rhines LD AD - Department of Neurological Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland 21205, USA. FAU - Sampath, P AU - Sampath P FAU - Dolan, M E AU - Dolan ME FAU - Tyler, B M AU - Tyler BM FAU - Brem, H AU - Brem H FAU - Weingart, J AU - Weingart J LA - eng GR - CA-09574/CA/NCI NIH HHS/United States GR - UO1-CA52857/CA/NCI NIH HHS/United States GR - UO1-CA57725/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Drug Implants) RN - 0 (Enzyme Inhibitors) RN - 01KC87F8FE (O(6)-benzylguanine) RN - 5Z93L87A1R (Guanine) RN - EC 2.1.1.63 (O(6)-Methylguanine-DNA Methyltransferase) RN - U68WG3173Y (Carmustine) SB - IM MH - Animals MH - Antineoplastic Agents, Alkylating/administration & dosage/*pharmacology MH - Antineoplastic Combined Chemotherapy Protocols/administration & dosage/*pharmacology MH - Brain Neoplasms/*drug therapy/enzymology MH - Carmustine/administration & dosage/*pharmacology MH - Drug Implants MH - Drug Synergism MH - Enzyme Inhibitors/administration & dosage/*pharmacology MH - Glioma/*drug therapy/enzymology MH - Gliosarcoma/drug therapy/enzymology MH - Guanine/administration & dosage/*analogs & derivatives/*pharmacology MH - Humans MH - Male MH - Medulloblastoma/drug therapy/enzymology MH - O(6)-Methylguanine-DNA Methyltransferase/antagonists & inhibitors/metabolism MH - Rats MH - Rats, Inbred F344 MH - Stereotaxic Techniques MH - Tumor Cells, Cultured MH - Xenograft Model Antitumor Assays EDAT- 2000/12/05 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/12/05 11:00 PHST- 2000/12/05 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/12/05 11:00 [entrez] PST - ppublish SO - Cancer Res. 2000 Nov 15;60(22):6307-10.