Comparison of the adrenalytic activity of mitotane and a methylated homolog on normal adrenal cortex and adrenal cortical carcinoma
dc.contributor.author | Wotring, Linda L. | en_US |
dc.contributor.author | Sinsheimer, Joseph E. | en_US |
dc.contributor.author | Counsell, Raymond E. | en_US |
dc.contributor.author | Hines, Jennifer V. | en_US |
dc.contributor.author | Benitez, Ricardo | en_US |
dc.contributor.author | Ruangwises, Nongluck | en_US |
dc.contributor.author | Djanegara, Tanya | en_US |
dc.contributor.author | McClellan, Nancy | en_US |
dc.contributor.author | Abrams, Gerald D. | en_US |
dc.contributor.author | Schteingart, David E. | en_US |
dc.date.accessioned | 2006-09-11T18:23:06Z | |
dc.date.available | 2006-09-11T18:23:06Z | |
dc.date.issued | 1993-11 | en_US |
dc.identifier.citation | Schteingart, David E.; Sinsheimer, Joseph E.; Counsell, Raymond E.; Abrams, Gerald D.; McClellan, Nancy; Djanegara, Tanya; Hines, Jennifer; Ruangwises, Nongluck; Benitez, Ricardo; Wotring, Linda L.; (1993). "Comparison of the adrenalytic activity of mitotane and a methylated homolog on normal adrenal cortex and adrenal cortical carcinoma." Cancer Chemotherapy and Pharmacology 31(6): 459-466. <http://hdl.handle.net/2027.42/46925> | en_US |
dc.identifier.issn | 1432-0843 | en_US |
dc.identifier.issn | 0344-5704 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/46925 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=8453685&dopt=citation | en_US |
dc.description.abstract | Mitotane is an important adrenalytic drug for the treatment of adrenal cancer whose use is limited by toxicity. Reports from another laboratory indicated that a methylated homolog of Mitotane (Mitometh) tested in guinea pigs possessed comparable adrenalytic activity but was less toxic than Mitotane. This observation prompted us to undertake a comparative study of these two drugs on the basis that Mitometh may be a superior agent for the treatment of adrenal cancer. Preliminary studies in guinea pigs failed to show a significant adrenalytic effect for either Mitotane or Mitometh. Thus, we extended the study to 13 mongrel dogs weighing 12–15 kg that were treated daily with Mitometh or Mitotane (50–100 mg/kg) for 6 or 12 days. Cortisol decreased to undetectable levels and adrenocorticotropic hormone (ACTH) rose to 10 times the baseline levels within 72 h in Mitotane-treated animals. Despite the achievement of similar drug levels, Mitometh treatment in dogs failed to suppress cortisol or increase ACTH. To determine whether these differences were due to differences in bioavailability, we measured the relative concentration of Mitotane and Mitometh in homogenates of adrenal cortex obtained from Mitotane- and Mitometh-treated dogs. The adrenal concentration of Mitometh determined in Mitometh-treated dogs was 5 times higher than the concentration of Mitotane measured in Mitotane-treated animals. Whereas the adrenal glands of Mitotane-treated dogs showed hemorrhage and necrosis, the Mitometh-treated animals showed no adrenal damage. Despite the lack of adrenalytic activity, Mitometh maintained its toxicity as demonstrated by microscopic evidence of hepatic necrosis and an increase in hepatic enzymes. The adrenalytic effects of both agents was also studied in vitro using a human functioning adrenal cortical carcinoma cell line. NCI-H295. Whereas Mitotane strongly suppressed cell growth, Mitometh had a weaker effect. We conclude that Mitometh is not likely to be effective in the therapy of adrenal cancer. Moreover, the results of this study are supportive of the view that metabolic transformation of Mitotane is in some way linked to its adrenalytic action. | en_US |
dc.format.extent | 1706328 bytes | |
dc.format.extent | 3115 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Springer-Verlag | en_US |
dc.subject.other | Cancer Research | en_US |
dc.subject.other | Oncology | en_US |
dc.subject.other | Biomedicine | en_US |
dc.subject.other | Pharmacology/Toxicology | en_US |
dc.title | Comparison of the adrenalytic activity of mitotane and a methylated homolog on normal adrenal cortex and adrenal cortical carcinoma | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Radiology | en_US |
dc.subject.hlbsecondlevel | Chemistry | en_US |
dc.subject.hlbsecondlevel | Chemical Engineering | en_US |
dc.subject.hlbsecondlevel | Biological Chemistry | en_US |
dc.subject.hlbtoplevel | Engineering | en_US |
dc.subject.hlbtoplevel | Science | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Departments of Internal Medicine, Pharmacology, and Pathology, Medical School and College of Pharmacy, University of Michigan, 48109, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationum | Departments of Internal Medicine, Pharmacology, and Pathology, Medical School and College of Pharmacy, University of Michigan, 48109, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationum | Departments of Internal Medicine, Pharmacology, and Pathology, Medical School and College of Pharmacy, University of Michigan, 48109, Ann Arbor, MI, USA; University of Michigan Medical Center, 5570 MSRB-II, 1150 West Medical Center Drive, Box 0678, 48 109-0678, Ann Arbor, MI | en_US |
dc.contributor.affiliationum | Departments of Internal Medicine, Pharmacology, and Pathology, Medical School and College of Pharmacy, University of Michigan, 48109, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationum | Departments of Internal Medicine, Pharmacology, and Pathology, Medical School and College of Pharmacy, University of Michigan, 48109, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationum | Departments of Internal Medicine, Pharmacology, and Pathology, Medical School and College of Pharmacy, University of Michigan, 48109, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationum | Departments of Internal Medicine, Pharmacology, and Pathology, Medical School and College of Pharmacy, University of Michigan, 48109, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationum | Departments of Internal Medicine, Pharmacology, and Pathology, Medical School and College of Pharmacy, University of Michigan, 48109, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationum | Departments of Internal Medicine, Pharmacology, and Pathology, Medical School and College of Pharmacy, University of Michigan, 48109, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationum | Departments of Internal Medicine, Pharmacology, and Pathology, Medical School and College of Pharmacy, University of Michigan, 48109, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.identifier.pmid | 8453685 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/46925/1/280_2004_Article_BF00685036.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1007/BF00685036 | en_US |
dc.identifier.source | Cancer Chemotherapy and Pharmacology | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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