PMID- 12036452 OWN - NLM STAT- MEDLINE DCOM- 20030820 LR - 20221207 IS - 0910-5050 (Print) IS - 1876-4673 (Electronic) IS - 0910-5050 (Linking) VI - 93 IP - 5 DP - 2002 May TI - Evaluation of a gemcitabine-doxorubicin-paclitaxel combination schedule through flow cytometry assessment of apoptosis extent induced in human breast cancer cell lines. PG - 559-66 AB - Combination chemotherapy with gemcitabine (Gem), doxorubicin (Dox), and paclitaxel (Pac) (GAT) has been considered attractive as first-line treatment in metastatic breast cancer. We compared the potential of various schedules of GAT to induce apoptosis on MDA-MB-231, MCF7, and T47D human breast cancer cell lines. The extent of apoptotic induction was analyzed by flow cytometry with 7-aminoactinomycin D (7AAD) staining. Differences between various schedules in terms of apoptotic induction were statistically significant (P < 0.05). The most effective apoptotic induction regimen was achieved by the sequence: Dox for 16 h followed by Pac + Gem. Schedules employing a 16-h interval between drug administrations induced higher levels of apoptosis in human breast cancer cell lines compared with schedules using a 4-h interval. The therapeutic efficacy of the experimental results shown in this paper has been clinically corroborated in a phase II trial in metastatic breast cancer patients. FAU - Serrano, Maria J AU - Serrano MJ AD - Department of Health Sciences, Faculty of Experimental Sciences, University of Jaen, 23071-Jaen, Spain. FAU - Sanchez-Rovira, Pedro AU - Sanchez-Rovira P FAU - Algarra, Ignacio AU - Algarra I FAU - Jaen, Ana AU - Jaen A FAU - Lozano, Ana AU - Lozano A FAU - Gaforio, Jose J AU - Gaforio JJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Jpn J Cancer Res JT - Japanese journal of cancer research : Gann JID - 8509412 RN - 0 (Antibiotics, Antineoplastic) RN - 0W860991D6 (Deoxycytidine) RN - 1CC1JFE158 (Dactinomycin) RN - 80168379AG (Doxorubicin) RN - P88XT4IS4D (Paclitaxel) RN - 0 (Gemcitabine) SB - IM MH - Antibiotics, Antineoplastic/pharmacology MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - *Apoptosis MH - Breast Neoplasms/metabolism/*pathology MH - Cell Division MH - Cell Survival MH - Clinical Trials as Topic MH - Dactinomycin/pharmacology MH - Deoxycytidine/*administration & dosage/*analogs & derivatives MH - Dose-Response Relationship, Drug MH - Doxorubicin/*administration & dosage MH - Flow Cytometry MH - Humans MH - Paclitaxel/*administration & dosage MH - Time Factors MH - Tumor Cells, Cultured MH - Gemcitabine PMC - PMC5927032 EDAT- 2002/05/31 10:00 MHDA- 2003/08/21 05:00 PMCR- 2002/05/01 CRDT- 2002/05/31 10:00 PHST- 2002/05/31 10:00 [pubmed] PHST- 2003/08/21 05:00 [medline] PHST- 2002/05/31 10:00 [entrez] PHST- 2002/05/01 00:00 [pmc-release] AID - CAE559 [pii] AID - 10.1111/j.1349-7006.2002.tb01291.x [doi] PST - ppublish SO - Jpn J Cancer Res. 2002 May;93(5):559-66. doi: 10.1111/j.1349-7006.2002.tb01291.x.