Gh. Windbichler et al., INCREASED RADIOSENSITIVITY BY A COMBINATION OF 9-CIS-RETINOIC ACID AND INTERFERON-GAMMA IN BREAST-CANCER CELLS, Gynecologic oncology, 61(3), 1996, pp. 387-394
Interferons (IFNs) and retinoic acid (RA) are known to possess antipro
liferative effects in various human cancer cell lines, including squam
ous cervix carcinoma and breast cancer cell lines. Frequently synergis
tic effects could be observed by the combination of both, and in clini
cal trials high response rates could be achieved by IFN-alpha in combi
nation with 13-cis-RA in patients with squamous carcinoma of the uteri
ne cervix. Since radiation-potentiating effects of IFNs and RA were de
scribed, we evaluated the additional impact of irradiation on three hu
man breast cancer cell lines and investigated the antiproliferative ef
fects of single, double, or triple treatments with IFN-gamma, 9-cis-RA
, and irradiation. Antiproliferative effects were observed in all cell
lines by any single treatment. When combining IFN-gamma with 9-cis-RA
, synergism could be observed in all experiments. The combination of e
ither IFN-gamma or 9-cis-RA with irradiation resulted mostly in additi
ve effects. Irradiation contributed additive or further synergistic ef
fects to the already synergistic effects of the combination of these t
wo drugs. Thus synergism of IFN-gamma and 9-cis-RA always at least per
sisted fully. These results suggest that a regimen of IFN, RA, and rad
iotherapy (RT) might be a promising combination in the therapy of soli
d tumors, where RT is part of the conventional treatment. (C) 1996 Aca
demic Press, Inc.