PMID- 22993321 OWN - NLM STAT- MEDLINE DCOM- 20130104 LR - 20131121 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 32 IP - 9 DP - 2012 Sep TI - The Effects of N-acetylcysteine on ifosfamide efficacy in a mouse xenograft model. PG - 3791-8 AB - BACKGROUND/AIM: Nephrotoxicity is observed in 30% of children treated with ifosfamide. We have shown that n-acetylcysteine (NAC) successfully mitigates nephrotoxicity of ifosfamide in cell and rodent models. However, before this treatment is evaluated clinically, it must be established that NAC does not interfere with the efficacy of ifosfamide. MATERIALS AND METHODS: Mice implanted with Ewing's sarcoma tumours received the following treatments: saline, ifosfamide, ifosfamide + NAC concurrently, pre-treatment with NAC + ifosfamide, or NAC alone. RESULTS: Median volumes of EW-7 tumour xenografts in mice treated with ifosfamide (n=8), ifosfamide with concurrent NAC therapy (n=7), and NAC pre-treatment (n=6) (p<0.05) were significantly reduced compared to median tumour volumes of control mice (n=6). None of the NAC treatments affected ifosfamide-mediated reduction in tumour volumes. CONCLUSION: NAC does not interfere with the efficacy of ifosfamide in a EW-7 xenograft model. These results support the clinical evaluation of NAC as a strategy against ifosfamide-induced nephrotoxicity in children. FAU - Hanly, L AU - Hanly L AD - Department of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada. FAU - Figueredo, R AU - Figueredo R FAU - Rieder, M J AU - Rieder MJ FAU - Koropatnick, J AU - Koropatnick J FAU - Koren, G AU - Koren G LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Antineoplastic Agents, Alkylating) RN - UM20QQM95Y (Ifosfamide) RN - WYQ7N0BPYC (Acetylcysteine) SB - IM MH - Acetylcysteine/*pharmacology MH - Animals MH - Antineoplastic Agents, Alkylating/*pharmacology MH - Bone Neoplasms/*drug therapy/pathology MH - Cell Growth Processes/drug effects MH - Cell Line, Tumor MH - Drug Interactions MH - Female MH - Humans MH - Ifosfamide/*pharmacology MH - Mice MH - Sarcoma, Ewing/*drug therapy/pathology MH - Treatment Outcome MH - Xenograft Model Antitumor Assays EDAT- 2012/09/21 06:00 MHDA- 2013/01/05 06:00 CRDT- 2012/09/21 06:00 PHST- 2012/09/21 06:00 [entrez] PHST- 2012/09/21 06:00 [pubmed] PHST- 2013/01/05 06:00 [medline] AID - 32/9/3791 [pii] PST - ppublish SO - Anticancer Res. 2012 Sep;32(9):3791-8.