Publications by authors named "Hans Ehrsson"

Objective: To locate the organic cation transporter 2 (OCT2) in the cochlea of three different species and to modulate the ototoxicity of cisplatin in the guinea pig by pretreatment with phenformin, having a known affinity for OCT2.

Study Design: Immunohistochemical and in vivo study.

Methods: Sections from the auditory end organs were subjected to immunohistochemical staining in order to identify OCT2 in cochlea from untreated rats, guinea pigs, and a pig.

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Conclusion: Inhibition of thioredoxin reductase (TrxR) may be a contributing factor in cisplatin-induced ototoxicity. Direct exposure of organ of Corti to cisplatin and oxaliplatin gives equal loss of hair cells.

Objectives: Platinum-containing drugs are known to target the anti-oxidant selenoprotein TrxR in cancer cells.

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Article Synopsis
  • The study investigates how cisplatin affects hair cells in different parts of the cochlea by comparing drug concentrations in the base and apex.
  • Ten to 240 minutes following cisplatin injection in guinea pigs, researchers measured drug levels in various fluids, finding higher concentrations in the cochlear base shortly after administration.
  • The results suggest that the higher initial concentration of cisplatin in the cochlear base could be linked to the toxicity and loss of outer hair cells observed in that area.
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The anticancer agent cisplatin (cis-diamminedichloroplatinum(II), cis-[PtCl₂(NH₃)₂]) easily undergoes ligand-exchange reactions, resulting in mainly inactive Pt complexes. This paper presents a method for selective analysis of intact cisplatin in blood using LC and UV detection. Blood samples (hematocrit: 0.

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Purpose: Thiosulfate may reduce cisplatin-induced ototoxicity, most likely by relieving oxidative stress and by forming inactive platinum complexes. This study aimed to determine the concentration and protective effect of thiosulfate in the cochlea after application of a thiosulfate-containing high viscosity formulation of sodium hyaluronan (HYA gel) to the middle ear prior to i.v.

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This Correspondence relates to “Organic transporter 2 mediates cisplatin-induced oto- and nephrotoxicity and is a target for protective interventions” (Am J Pathol 2010, 176:1169–1180).

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  • The study focused on the risk of platinum (Pt) exposure for healthcare workers during hyperthermic intraperitoneal chemotherapy (HIPEC) using high doses of oxaliplatin for treating peritoneal carcinomatosis from colorectal cancer.
  • Blood and urine samples were taken from a male surgeon and a female perfusionist before, during, and after the treatment to assess exposure levels.
  • Results showed that all samples had Pt levels below the detection limits, indicating minimal to no risk of exposure when proper safety measures are in place.
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  • Oxaliplatin is primarily used to treat metastatic colorectal cancer, but its short elimination half-life raises questions about its effectiveness in the body.
  • Detailed discussion in the minireview focuses on important biotransformation pathways of oxaliplatin.
  • The minireview advocates for using selective analytical techniques to measure intact oxaliplatin in pharmacokinetic studies for more accurate results compared to total platinum measurements.
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  • Oxaliplatin, a platinum-based chemotherapy drug, causes neurotoxicity that limits its dosage, potentially involving voltage-gated ion channels.
  • Despite expectations, experiments on the Shaker K channel in Xenopus oocytes showed no significant effects from oxaliplatin or its chloride complex on current amplitudes or channel behavior.
  • The findings suggest that oxaliplatin does not generally alter surface charges on these channels, but may have specific interactions with channels sensitive to cysteine-modifying agents.
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Background: Cisplatin is a cornerstone anticancer drug with pronounced ototoxicity, whereas oxaliplatin, a platinum derivative with a different clinical profile, is rarely ototoxic. This difference has not been explained.

Methods: In HCT-116 cells, cisplatin (20 microM)-induced apoptosis was reduced by a calcium chelator from 9.

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Conclusion: High concentrations of the antioxidant thiosulfate reach scala tympani perilymph after i.v. administration in the guinea pig.

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The anticancer drug cisplatin can cause permanent inner ear damage. We have determined the second-order degradation rate constant, k(Nu), of cisplatin and its more toxic monohydrated complex (MHC) in the presence of each of the sulfur-containing nucleophiles N-acetyl-l-cysteine, l-cysteine methyl ester, 1,3-dimethyl-2-thiourea, d-methionine, and thiosulfate, compounds that are under evaluation for local administration to prevent cisplatin-induced ototoxicity. MHC was isolated from a hydrolysis solution of cisplatin using liquid chromatography (LC).

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Aim: The aim of this project was to establish the importance of a pharmacist in the health-care team in improving drug use in an oncology ward in the Department of Oncology, Karolinska University Hospital, Stockholm, Sweden.

Methods And Patients: The pharmacist participated in the medical round in the mornings and worked as a member of the health-care team. Drug-related problems (DRPs) were identified by drug chart reviews based on data from medical files, laboratory tests and interviews with patients and/or relatives.

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Article Synopsis
  • Oxaliplatin, when administered, undergoes significant chemical changes in the body, particularly interacting with sulphur-containing compounds like cysteine, methionine, and glutathione.
  • The study measured the rate of degradation of oxaliplatin, finding that it reacts much faster with these compounds compared to cisplatin, with specific rate constants for each compound.
  • In plasma ultrafiltrate, the degradation process was biphasic, with different rate constants for each phase, indicating complex interactions with compounds in physiological conditions, which may affect how the drug works in cells compared to cisplatin.
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Mammalian thioredoxin reductase (TrxR) is important for cell proliferation, antioxidant defense, and redox signaling. Together with glutathione reductase (GR) it is the main enzyme providing reducing equivalents to many cellular processes. GR and TrxR are flavoproteins of the same enzyme family, but only the latter is a selenoprotein.

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Objectives/hypothesis: Ototoxicity is a common side effect of high-dose cisplatin treatment. Thiol-containing chemoprotectors ameliorate cisplatin ototoxicity under experimental conditions. The trial was initiated to test the efficacy of amifostine protection in high-dose cisplatin treatment (125-150 mg/m) for metastatic malignant melanoma, to correlate the ototoxic outcome with cisplatin pharmacokinetics, and to evaluate the importance of using a selective analytical method for the quantification of cisplatin.

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The novel alkylating dipeptide melphalanyl-p-L-fluorophenylalanine ethyl ester (J1) was evaluated for acute toxicity and antitumor activity in mice, with melphalan as a reference. To determine a safe and tolerable dose for efficacy studies the acute toxicity following intravenous injection in the tail vein was monitored using a 14-day schedule with up to four doses. The highest tested dose, 25 micromoles/kg, was considered close to this level, with minor effects on body weight gain but significant effects on hematological parameters.

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Purpose: To study the degradation of oxaliplatin in chloride media and evaluate the cytotoxicity of oxaliplatin in normal and chloride-deficient medium.

Methods: The products of the reaction of oxaliplatin with chloride were separated on a Hypercarb S column with a mobile phase containing 40% methanol in 0.05 M ammonia and subjected to electrospray ionization mass spectrometry.

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Article Synopsis
  • Several studies show that oxaliplatin (Oxa) combined with 5-fluorouracil (5-FU) and folinic acid (FA) is effective for treating colorectal liver metastases (CRLM), but its use in hepatic artery infusion (HAI) is not well understood.
  • A phase II trial tested Oxa with 5-FU, FA, and mitomycin C (MMC) administered through HAI in patients with non-resectable CRLM, focusing on the drug's pharmacokinetics and safety profile.
  • Results indicated manageable toxicity levels, primarily mild to moderate, with no severe neurotoxicity observed, making this combination a potentially viable option for HAI treatment in these patients.
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  • Using small peptides as a strategy in chemotherapy has shown promise for effectively targeting tumor cells.
  • Recently, research demonstrated that the dipeptide J1 exhibited strong cytotoxic effects on fresh human tumor samples and inhibited key cellular functions in a specific human tumor cell line.
  • A series of 17 nitrogen mustard-containing dipeptides were tested across multiple human tumor cell lines, revealing varying effectiveness and a strong correlation in activity, suggesting a similar mechanism of action influenced by factors like amino acid composition and sequence.
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Peptichemio (PTC), a mixture of six oligopeptides all containing m-L-sarcolysin, has previously shown impressive results in clinical trials. The tripeptide P2 (L-prolyl-m-L-sarcolysyl-p-L-fluorophenylalanine ethyl ester) has been suggested as the main contributor to PTC activity. In contrast to its analogue melphalan, m-L-sarcolysin never reached clinical use.

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Article Synopsis
  • A series of novel di- and tripeptides containing melphalan were developed, with J1 (l-melphalanyl-p-l-fluorophenylalanine ethyl ester) showing particularly high cytotoxicity compared to melphalan itself, likely due to enhanced cellular uptake and breakdown into melphalan once inside tumor cells.
  • Overexpression of hydrolytic enzymes in various cancers presents an opportunity for targeted chemotherapy, as these enzymes aid in the selective activation of prodrugs like J1.
  • Experiments revealed that quick intracellular conversion of J1 to melphalan occurred within 15 minutes, with a half-life of about 1 hour, and inhibition of peptidases significantly reduced the drug's effectiveness, indicating
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Oxaliplatin ([(1R,2R)-1,2-cyclohexanediamine-N,N']oxalato(2-)-O,O'-platinum) is the first platinum drug with significant activity for metastatic colon cancer. The analysis of oxaliplatin has previously almost exclusively been based on the determination of the platinum content in plasma or ultrafiltrate using flameless atomic absorption spectroscopy (FAAS) or inductively coupled plasma mass spectrometry (ICPMS). A new method for quantitative determination of the free fraction of the intact drug in blood ultrafiltrate is presented here.

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