There is increasing attention directed to the hypothesis that apoptosi
s plays a role in the response to cancer treatment including chemother
apy. However, the evidence to support this hypothesis has come almost
entirely from experiments conducted in cultured cell systems. To exten
d this hypothesis to the therapeutic setting it is necessary to addres
s this critical question in tumors treated in vivo. We have therefore
evaluated the extent of apoptosis induced in murine tumors treated in
vivo with cancer chemotherapy agents. Seven different murine tumors, c
omprising a mammary adenocarcinoma (MCa-4), an ovarian adenocarcinoma
(OCa-1), a lymphoma (LY-TH), three sarcomas (FSA, NFSA and SA-NH) and
a squamous cell carcinoma (SSC-7), were examined 8 and 24 h after trea
tment with cisplatin or cyclophosphamide (CY). Apoptosis was scored by
morphometric analysis of histological sections of the tumors. The res
ults showed that MCa-4, OCa-1 and LY-TH had a significant apoptotic re
sponse to both cisplatin and CY, and the other tumors had essentially
no apoptotic response. In addition, two of these tumors, MCa-4 and OCa
-1, underwent apoptosis in response to adriamycin, 5-fluorouracil, Ara
-C, etoposide, camptothecin and fludarabine. These observations demons
trate that apoptosis may be a feature of tumor response to chemotherap
y in vivo, and illustrate the heterogeneity of apoptotic response amon
gst different tumor types and to different cytotoxic agents.