Successful treatment of human Waldenström's macroglobulinemia with combination biological and chemotherapy agents

Cancer Res. 1994 Jan 1;54(1):165-8.

Abstract

The immunomodulating effects and antitumor activity of two biological agents, bryostatin 1 (Bryo1) and alpha-interferon, were tested in vitro and in vivo either alone or prior to chemotherapy agents, against a Waldenström's macroglobulinemia tumor line (WSU-WM). Bryol caused a decrease in the expression of CD10, CD19, IgM, Leu10, and CD22 and a temporary growth inhibition as measured by cell cycle analysis. alpha-Interferon did not show any major effects. In vivo, severe combined immunodeficient mice were used to test the activity of the agents against WSU-WM. Bryo1 (i.p.) was given either alone or sequentially with doxorubicin (i.v.), vincristine (i.v.), melphalan (i.v.), and alpha-interferon (i.v.). Bryo1 given 24 h before vincristine or melphalan resulted in the highest tumor growth inhibition, tumor growth delay, and tumor cell kill. Two of five mice receiving Bryo1/vincristine combination were free of tumors > 200 days after treatment and were considered cured. In light of our findings, we recommend that Bryo1 be considered for clinical investigation in human B-cell tumors and might best be given combined with other chemotherapy agents used in the treatment of that disease. Whether Bryo1 is acting as a differentiating agent or as a direct anti-Waldenström's macroglobulinemia tumor agent, remains unclear.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Biomarkers
  • Bryostatins
  • Cell Cycle / drug effects
  • Drug Evaluation, Preclinical
  • Female
  • Humans
  • Interferon-alpha / administration & dosage
  • Lactones / administration & dosage
  • Macrolides
  • Melphalan / administration & dosage
  • Mice
  • Mice, SCID
  • Vincristine / administration & dosage
  • Waldenstrom Macroglobulinemia / pathology
  • Waldenstrom Macroglobulinemia / therapy*

Substances

  • Biomarkers
  • Bryostatins
  • Interferon-alpha
  • Lactones
  • Macrolides
  • bryostatin 1
  • Vincristine
  • Melphalan