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Platinate toxicity: past, present, and prospects.

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TLDR
In vitro studies provided evidence that the biochemical site of toxicity of platihates is on ATPases, and suggested a basis for unifying the mechanistic interpretation of the toxic actions on such disparate target organs as the kidney, nerve, stomach, and inner ear.
Abstract
Using traditional toxicologic methods, four species were studied for their qualitative and quantitative predictiveness of the toxic effects of cis-dichlorodiammineplatinum(II) in man Of the four species studied, mouse, monkey, rat, and dog, the latter two gave the best overall results Using an in vivo rat model, it was found that except for chloroplatinic acid, eight of the tested analogs were less nephrotoxic than the parent drug, cis-dichlorodiammineplatinum(II) The in vitro renal toxicity screen using flounder tubules showed that of the 26 compounds studied, about half were less toxic than the parent compound This in vitro mini-tox system can be performed about 30 times faster and at one fiftieth the cost of the in vivo model The in vitro studies also provided evidence that the biochemical site of toxicity of platihates is on ATPases The latter studies suggested a basis for unifying the mechanistic interpretation of the toxic actions on such disparate target organs as the kidney, nerve, stomach, and inner ear

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Review of the Comparative Pharmacology and Clinical Activity of Cisplatin and Carboplatin

TL;DR: Carboplatin does not possess equivalent activity to cisplatin in all platinum-sensitive tumors, and its role in limited-stage small-cell lung cancer needs to be investigated further.
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Combined treatment of radiation and cisdiamminedichloroplatinum (II): a review of experimental and clinical data

TL;DR: A critical reassessment of the potential role of c-DDP as a "radiosensitizer" is aimed at, showing that the combination treatment is feasible, but the results of ongoing phase III trials will be needed to assess the potential therapeutic benefit of this combined treatment modality.
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cis-Diamminedichloroplatinum(II) Accumulation in Sensitive and Resistant Human Ovarian Carcinoma Cells

TL;DR: It is concluded that diminished retention of platinum in the rapidly effluxing pool of resistant cells in a major determinant of decreased DDP accumulation in these cells.
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Nephrotoxicity Induced by Cancer Chemotherapy With Special Emphasis on Cisplatin Toxicity

TL;DR: Cisplatin nephrotoxicity is clearly dose-related and used to be considered dose limiting; hyperhydration with mannitol-induced saline diuresis may allow administration of high doses and thus circumvent the dose-limiting effect of cisplatin-induced renal toxicity.
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