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Retention of intratumor injections of cisplatinum in murine tumors and the impact on laser thermal therapy for cancer treatment

  • Head and Neck
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Abstract

Recent studies using murine models of human squamous cell carcinoma (SCCA) have revealed a significant improvement in survival and cure rate of animals transplanted with human SCCA when treated with a combination of intratumor injections of chemotherapy and laser induced thermal therapy (LITT). These preliminary results suggest that this novel combination therapy may lead to improved clinical response compared to either treatment modality alone. Using a murine model of human SCCA we investigated two different modes of intratumor injection of cisplatin: a sustained-release cisplatin gel implant (CDDP/gel) versus cisplatin in solution (CDDP) at varying doses (range 1–3 mg/ml). In addition, we tested CDDP/gel combined with LITT. Results showed optimal drug concentration (30–300 nM) at tumor margins up to 4 h after injection of CDDP/gel implant compared to 3 nM at 5 min after injection with CDDP solution. Combined CDDP/gel and laser therapy significantly decreased tumor volume (P < 0.05), with recurrence in only 25% of animals tested, compared to 78% tumor regrowth after LITT alone. These results suggest that laser chemotherapy may be an effective treatment for head and neck SCCA.

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References

  1. Forastiere AA, Trotti A, Pfister DG et al (2006) Head and neck cancer: recent advances and new standards of care. J Clin Oncol 24:2603–2605

    Article  PubMed  Google Scholar 

  2. Paiva MB, Blackwell KE, Saxton RE et al (1998) Palliative laser therapy for recurrent head and neck cancer: a Phase II clinical study. Laryngoscope 108:1277–1283

    Article  PubMed  CAS  Google Scholar 

  3. Bublik M, Sercarz JA, Lufkin RB et al (2006) Ultrasound-guided laser-induced thermal therapy of malignant cervical adenopathy. Laryngoscope 116:1507–1511

    Article  PubMed  Google Scholar 

  4. Joffee S, Tajiri H, Oguro Y et al (1989) Laserthermia: a new method of interstitial local hyperthermia using the contact Nd:Yag laser. Radiol Clin North AM 27:611–620

    Google Scholar 

  5. Paiva MB, Saxton RE, Letts GA et al (1995) Interstitial laser photochemotherapy with new anthrapyrazole drugs for the treatment of xenograft tumors. J Clin Laser Med Surg 13:307–313

    PubMed  CAS  Google Scholar 

  6. Graeber IP, Paiva MB, Eshraghi AA et al (1998) Anthrapyrazoles and interstitial laser phototherapy for experimental treatment of squamous cell carcinoma. Laryngoscope 108:351–357

    Article  PubMed  CAS  Google Scholar 

  7. Paiva MB, Bublik M, Castro DJ et al (2005) Intratumor injections of cisplatin and laser thermal therapy for palliative treatment of recurrent cancer. Photomed Laser Surg 23:531–535

    Article  PubMed  Google Scholar 

  8. Bernier J, Cooper JS, Pajak TF et al (2005) Defining risk levels in locally advanced head and neck cancers: a comparative analysis of concurrent postoperative radiation plus chemotherapy trials of the EORTC (#22931) and RTOG (# 9501). Head Neck 27:843–850

    Article  PubMed  Google Scholar 

  9. Paiva MB, Saxton RE, Letts G et al (1996) Laser photochemotherapy with anthracyclines on cultured human squamous carcinoma cells. Laryngoscope 106:257–262

    Article  PubMed  CAS  Google Scholar 

  10. Paiva M, Saxton R, Blackwell K et al (2000) Combined cisplatinum and laser thermal therapy for palliation of recurrent head and neck tumors. Diagn Ther Endosc 6:133–140

    Article  PubMed  CAS  Google Scholar 

  11. Clayman GL, Dreiling LK (1999) Injectable modalities as local and regional strategies for head and neck cancer. Hematol Oncol Clin North Am 13:787–810 viii

    Article  PubMed  CAS  Google Scholar 

  12. Kanekal S, Sahai A, Jones R et al (1995) Enhanced retention of 195 m pt-cisplatinum in murine tumors with a novel injectable sustained-release drug delivery system. 86th Annual Meeting of the American Association for Cancer Research, Toronto, Ontario, Canada.

  13. Marchesini R, Andreola S, Emanuelli H et al (1985) Temperature rise in biological tissue during Nd:YAG laser irradiation. Lasers Surg Med 5:75–82

    Article  PubMed  CAS  Google Scholar 

  14. Firusian N (1988) Chemo- and laser therapy of advanced tumors of the upper gastrointestinal tract. Onkologie 11:23–33

    Article  PubMed  Google Scholar 

  15. Ohno S, Siddik ZH, Kido Y et al (1994) Thermal enhancement of drug uptake and DNA adducts as a possible mechanism for the effect of sequencing hyperthermia on cisplatin-induced cytotoxicity in L1210 cells. Cancer Chemother Pharmacol 34:302–306

    Article  PubMed  CAS  Google Scholar 

  16. Engin K (1996) Clinical experience with hyperthermia. Control Clin Trials 17:316–342

    Article  PubMed  CAS  Google Scholar 

  17. Beketic-Oreskovic L, Jaksic M, Oreskovic S et al (1997) Hyperthermic modulation of resistance to cis-diamminedichloroplatinum (II) in human larynx carcinoma cells. Int J Hyperthermia 13:205–214

    Article  PubMed  CAS  Google Scholar 

  18. Arancia G, Crateri Trovalusci P, Mariutti G et al (1989) Ultrastructural changes induced by hyperthermia in Chinese hamster V79 fibroblasts. Int J Hyperthermia 5:341–350

    Article  PubMed  CAS  Google Scholar 

  19. Zanke BW, Boudreau K, Rubie E et al (1996) The stress-activated protein kinase pathway mediates cell death following injury induced by cis-platinum, UV irradiation or heat. Curr Biol 6:606–613

    Article  PubMed  CAS  Google Scholar 

  20. Hettinga JV, Lemstra W, Meijer C et al (1994) Hyperthermic potentiation of cisplatin toxicity in a human small cell lung carcinoma cell line and a cisplatin resistant subline. Int J Hyperthermia 10:795–805

    Article  PubMed  CAS  Google Scholar 

  21. Kitamura K, Kuwano H, Matsuda H et al (1992) Synergistic effects of intratumor administration of cis-diamminedichloroplatinum(II) combined with local hyperthermia in melanoma bearing mice. J Surg Oncol 51:188–194

    Article  PubMed  CAS  Google Scholar 

  22. Burris HA 3rd, Vogel CL, Castro D et al (1998) Intratumoral cisplatin/epinephrine-injectable gel as a palliative treatment for accessible solid tumors: a multicenter pilot study. Otolaryngol Head Neck Surg 118:496–503

    Article  PubMed  Google Scholar 

  23. Castro DJ, Sridhar KS, Garewal HS et al (2003) Intratumoral cisplatin/epinephrine gel in advanced head and neck cancer: a multicenter, randomized, double-blind, phase III study in North America. Head Neck 25:717–731

    Article  PubMed  Google Scholar 

  24. Ning S, Yu N, Brown DM, Kanekal S et al (1999) Radiosensitization by intratumoral administration of cisplatin in a sustained-release drug delivery system Intratumoral radioimmunotherapy of a human cancer xenograft using a sustained-release gel. Radiother Oncol 50:215–223

    Article  PubMed  CAS  Google Scholar 

  25. Sakurai K, Yoshiga K, Tsumura M et al (1996) Effects of thermochemotherapy [1-hexylcarbamoyl-5-fluorouracil (HCFU) combined with hyperthermia]: a basic study on the most effective timing and sequence in vivo. Anticancer Res 16:2729–2733

    PubMed  CAS  Google Scholar 

  26. Wang Y, Zhou C, Jia J et al (2001) Endoscopic Nd:YAG laser therapy combined with local chemotherapy of superficial carcinomas of the oesophagus and gastric cardia. Lasers Med Sci 16:299–303

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This study was supported by the Division of Head and Neck Surgery, the Jonsson Comprehensive Cancer, UCLA School of Medicine, and NIH Grant # CA 88921-01.

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Correspondence to Marcos B. Paiva.

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Kanekal, S., Joo, J., Bublik, M. et al. Retention of intratumor injections of cisplatinum in murine tumors and the impact on laser thermal therapy for cancer treatment. Eur Arch Otorhinolaryngol 266, 279–284 (2009). https://doi.org/10.1007/s00405-008-0736-3

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  • DOI: https://doi.org/10.1007/s00405-008-0736-3

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