SVOBODA, Marek, Marián HAJDÚCH, Jana KLEINOVÁ, Miloš HOLÁNEK, Lenka RADOVÁ, Jana GOMBOŠOVÁ and František FOLBER. The Use Of Lithium In The Prophylaxis And Treatment Of Chemotherapy Induced Neutropenia (CIN): A Cost-Effective Option Or Hazard. Support Care Cancer. Heidelberg, Germany: Springer-Verlag, 2006, vol. 2006, No 14, p. 605-606. ISSN 0941-4355.
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Basic information
Original name The Use Of Lithium In The Prophylaxis And Treatment Of Chemotherapy Induced Neutropenia (CIN): A Cost-Effective Option Or Hazard
Name in Czech Použití lithia k profylaxi a léčbě chemoterapií indukované neutropenie: efektivní postup nebo hazard?
Authors SVOBODA, Marek (203 Czech Republic, guarantor), Marián HAJDÚCH (203 Czech Republic), Jana KLEINOVÁ (203 Czech Republic), Miloš HOLÁNEK (203 Czech Republic), Lenka RADOVÁ (203 Czech Republic), Jana GOMBOŠOVÁ (703 Slovakia) and František FOLBER (203 Czech Republic).
Edition Support Care Cancer, Heidelberg, Germany, Springer-Verlag, 2006, 0941-4355.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Germany
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.905
RIV identification code RIV/00216224:14110/06:00019207
Organization unit Faculty of Medicine
Keywords in English litihum;akt kinase;chemotherapy;chemoresistance;neutropenia;
Tags Akt kinase, chemoresistance, chemotherapy, litihum, neutropenia
Tags International impact, Reviewed
Changed by Changed by: prof. MUDr. Marek Svoboda, Ph.D., učo 19402. Changed: 29/1/2008 01:15.
Abstract
Introduction: Lithium is an antimanic agent successfully used in the treatment of patients with bipolar disorder. Even at therapeutic levels many patients experience one of the most frequent non-toxic and reversible side effect of lithium: leukocytosis. Due this effect, lithium has been used in the treatment and prophylaxis of CIN before the availability of colony-stimulating factors (CSF) and it remains as a costeffective option compared with CSF. Recently, lithium has been reported to protect cells against apoptosis via a direct inhibition of GSK-3beta and activation of Akt/PKB. Both kinases play important role in processes of primary and inducible tumor chemoresistance. Results: I. 151 MTT tests were performed for in-vitro testing of chemo-sensitivity of 53 primary tumours against cisplatin, melphalan, doxorubicin and paclitaxel with or without presence of 10mM or 2mM lithium. At the concentration of 10mM, lithium enormously increased chemoresistance of primary tumours against doxorubicin (p=0,000000453) and paclitaxel (p=0,000277692). At the concentration of 2mM the lithium significantly increases chemoresistance only against doxorubicin. There was no effect of lithium on alkylating agents. II. A retrospective analysis of clinical data of 271 patients who developed CIN and were treated by lithium carbonate (1st group) or without any treatment (2nd group) was done. Median of neutrophils counts at the initial blood counts examinations after chemotherapy was 0,9 and 0.94x109/L (1st and 2nd group respectively) and after 7 days of lithium administration was 2,71x109/L compared to 2,03x109/L at the 2nd group (p=0,15). Conclusions: This study demonstrates: I) lithium can increase chemoresistance of primary tumours against cytostatic agents and II) the effect of lithium on the neutrophils counts is disputative. Therefore there is no rationalization for the use of lithium in the treatment and prophylaxis of CIN. Acknowledgements: The work was supported by grants from The Czech T.Fox Run 2005 and IGA MZCR NR/8335-3.
Abstract (in Czech)
Práce je pouze v anglickém jazyce.
Links
NR8335, research and development projectName: Predikce chemosenzitivity / chemorezistence na cílenou protinádorovou terapii u pacientek s karcinomem prsu s prokázanou HER-2 pozitivitou, na podkladě analýzy Akt signální dráhy a sérové hladiny HER-2 receptoru
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