title: Short-term treatment with novel ribonucleotide reductase inhibitors Trimidox and Didox reverses late-stage murine retrovirus-induced lymphoproliferative disease with less bone marrow toxicity than hydroxyurea.
abstract: We evaluated the ability of a short course of treatment with the ribonucleotide reductase (RR) inhibitor hydroxyurea (HU) and two novel RR inhibitors Trimidox (TX) and Didox (DX) to influence late-stage murine retrovirus-induced lymphoproliferative disease. LPBM5 murine leukaemia virus retrovirus-infected mice were treated daily with HU, TX or DX for 4 weeks, beginning 9 weeks post-infection, after development of immunodeficiency and lymphoproliferative disease. Drug effects on disease progression were determined by evaluating spleen weight and histology. Effects on haematopoiesis were determined by measuring peripheral blood indices (white blood cells and haematocrit) and assay of femur cellularity and femoral and splenic content of colony-forming units granulocyte-macrophage (CFU-GM) and burst-forming units-erythroid (BFU-E). HU, TX and DX partially reversed late-stage retrovirus-induced disease, resulting in spleen weights significantly below pre-treatment values. Spleen histology was also improved by RR inhibitor treatment (DX>TX>HU). However, as expected, HU was significantly myelosuppressive, inducing a reduction in peripheral indices associated with depletion of femoral CFU-GM and BFU-E. In contrast, although TX and DX were moderately myelosuppressive, both drugs were significantly better tolerated than HU. In summary, short-term treatment in late-stage murine retroviral disease with HU, TX or DX induced dramatic reversal of disease pathophysiology. However, the novel RR inhibitors TX and DX had more effective activity and significantly less bone marrow toxicity than HU.
authors.affiliation: School of Health Sciences, University of Wolverhampton, Wolverhampton, UK.
authors.forename: C N
authors.initials: CN
authors.lastname: Mayhew
authors.forename: J D
authors.initials: JD
authors.lastname: Phillips
authors.forename: M L
authors.initials: ML
authors.lastname: Cibull
authors.forename: H L
authors.initials: HL
authors.lastname: Elford
authors.forename: V S
authors.initials: VS
authors.lastname: Gallicchio
mesh_terms: D000818:Animals; D000998:Antiviral Agents / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D001550:Benzamidines / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D001772:Blood Cell Count; D001835:Body Weight / Q000187:drug effects; D001853:Bone Marrow / Q000187:drug effects* / Q000473:pathology; D006877:Hydroxamic Acids / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D006918:Hydroxyurea / Q000009:adverse effects* / Q000627:therapeutic use; D009052:Leukemia Virus, Murine / Q000502:physiology*; D008232:Lymphoproliferative Disorders / Q000188:drug therapy* / Q000473:pathology / Q000821:virology; D051379:Mice; D013154:Spleen / Q000187:drug effects / Q000473:pathology; D013997:Time Factors
chemical_list: C074761:3,4,5-trihydroxybenzamidoxime; D000998:Antiviral Agents; D001550:Benzamidines; D006877:Hydroxamic Acids; C035419:3,4-dihydroxybenzohydroxamic acid; D006918:Hydroxyurea