Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
0-131 |
Sentence |
denotes |
Dexrazoxane protects against myelosuppression from the DNA cleavage-enhancing drugs etoposide and daunorubicin but not doxorubicin. |
T2 |
132-140 |
Sentence |
denotes |
PURPOSE: |
T3 |
141-372 |
Sentence |
denotes |
The anthracyclines daunorubicin and doxorubicin and the epipodophyllotoxin etoposide are potent DNA cleavage-enhancing drugs that are widely used in clinical oncology; however, myelosuppression and cardiac toxicity limit their use. |
T4 |
373-471 |
Sentence |
denotes |
Dexrazoxane (ICRF-187) is recommended for protection against anthracycline-induced cardiotoxicity. |
T5 |
472-492 |
Sentence |
denotes |
EXPERIMENTAL DESIGN: |
T6 |
493-672 |
Sentence |
denotes |
Because of their widespread use, the hematologic toxicity following coadministration of dexrazoxane and these three structurally different DNA cleavage enhancers was investigated: |
T7 |
673-851 |
Sentence |
denotes |
Sensitivity of human and murine blood progenitor cells to etoposide, daunorubicin, and doxorubicin +/- dexrazoxane was determined in granulocyte-macrophage colony forming assays. |
T8 |
852-1053 |
Sentence |
denotes |
Likewise, in vivo, B6D2F1 mice were treated with etoposide, daunorubicin, and doxorubicin, with or without dexrazoxane over a wide range of doses: posttreatment, a full hematologic evaluation was done. |
T9 |
1054-1062 |
Sentence |
denotes |
RESULTS: |
T10 |
1063-1358 |
Sentence |
denotes |
Nontoxic doses of dexrazoxane reduced myelosuppression and weight loss from daunorubicin and etoposide in mice and antagonized their antiproliferative effects in the colony assay; however, dexrazoxane neither reduced myelosuppression, weight loss, nor the in vitro cytotoxicity from doxorubicin. |
T11 |
1359-1370 |
Sentence |
denotes |
CONCLUSION: |
T12 |
1371-1678 |
Sentence |
denotes |
Although our findings support the observation that dexrazoxane reduces neither hematologic activity nor antitumor activity from doxorubicin clinically, the potent antagonism of daunorubicin activity raises concern; a possible interference with anticancer efficacy certainly would call for renewed attention. |
T13 |
1679-1790 |
Sentence |
denotes |
Our data also suggest that significant etoposide dose escalation is perhaps possible by the use of dexrazoxane. |
T14 |
1791-1978 |
Sentence |
denotes |
Clinical trials in patients with brain metastases combining dexrazoxane and high doses of etoposide is ongoing with the aim of improving efficacy without aggravating hematologic toxicity. |
T15 |
1979-2105 |
Sentence |
denotes |
If successful, this represents an exciting mechanism for pharmacologic regulation of side effects from cytotoxic chemotherapy. |