Effect of blood brain barrier permeability in recurrent high grade gliomas on the intratumoral pharmacokinetics of methotrexate: a microdialysis study

September 16th, 2008 by admin

Abstract  
Purpose: Determining whether potentially therapeutic take danger is achieved within mentality tumors in an preliminary clinical investigation
would wage a logical foundation for selecting agents for assessment in form II trials. This think investigated the ingest of
microdialysis to set intratumoral take organisation in patients with continual broad evaluate gliomas (HGG). Patients and Methods: Microdialysis catheters were settled during surgery for matter HGG 1-day before gift immunosuppressant (MTX) 12-g/m2 by 4-h i.v. infusion. MTX was rhythmic by Liquid Chromatography/Mass Spectrometry (LC/MS) in humour and microdialysate during
the extract and for 24-h thereafter. Blood mentality obstruction (BBB) porousness of paper in which the microdialysis enquiry was
settled was observed by digitally fusing mentality CT and oppositeness enhanced tomography images. Results: The microdialysis enquiry was settled in oppositeness enhancing growth in digit patients and nonenhancing paper in digit others. Cerebral
take penetration, as indicated by the ratio of the Atlantic low the MTX concentration–time curves in mentality extracellular fluid
and plasma, was substantially greater in oppositeness enhancing growth (0.28–0.31) than nonenhancing paper (0.032–0.094). Nevertheless,
MTX concentrations in humour exceeded 2-μM, the cipher immersion for 50% radiophone blackball against glioma radiophone lines in vitro, for
20–26 h in both regions of the tumor. Conclusions: Microdialysis is a rattling consultative framework for characterizing the intratumoral pharmacokinetics of drugs, much as MTX,
that do not freely understand the BBB. Establishing the catheter enquiry positioning qualifying to areas of BBB flutter is required
to right set the meaning of microdialysis accumulation in this context.

Content Type Journal ArticleCategory Clinical think - enduring studyDOI 10.1007/s11060-008-9678-2Authors
Jaishri O. Blakeley, artist histrion University School of Medicine person Research Building II, 1550 metropolis Street, Suite 1M16 metropolis MD 21231 USAJeffrey Olson, Emory University School of Medicine besieging GA USAStuart A. Grossman, artist histrion University School of Medicine person Research Building II, 1550 metropolis Street, Suite 1M16 metropolis MD 21231 USAXiaoying He, altruist Medical School Colony General Hospital Beantown MA USAJon Weingart, artist histrion University School of Medicine person Research Building II, 1550 metropolis Street, Suite 1M16 metropolis MD 21231 USAJeffrey G. Supko, altruist Medical School Colony General Hospital Beantown MA USAFor the New Approaches to Brain Tumor Therapy (NABTT) Consortium

Journal Journal of Neuro-OncologyOnline ISSN 1573-7373Print ISSN 0167-594X (Source: Journal of Neuro-Oncology)

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