CAI (NSC 609974; L651582), a new agent that has demonstrated antimetas
tatic activity in vitro and in vivo, was not very cytotoxic toward EMT
-6 mouse mammary carcinoma cells in culture or toward FSaIIC fibrosarc
oma cells in vivo. Coexposure of EMT-6 cells to CAI and antitumor alky
lating agents under various environmental conditions did not markedly
increase the cytotoxicity of cisplatin (CDDP), melphalan, or carmustin
e (BCNU). However, the combination of CAI and 4-hydroperoxycyclophosph
amide (4-HC) produced much greater than additive killing of EMT-6 cell
s. CAI also increased the sensitivity of hypoxic EMT-6 cells to X-rays
. CAI increased the cytotoxicity of cyclophosphamide toward FSaIIC tum
or cells when animals were treated with single doses of both drugs. Th
e effect of CAI on tumor cell killing by cyclophosphamide was greatest
at high doses of the antitumor alkylating agent. CAI administration a
ppeared to result in increased serum levels of prostaglandin E(2) and
leukotriene B-4 in animals bearing the Lewis lung tumor. Administratio
n of CAI on days 4-18 did not alter the growth of the Lewis lung carci
noma but did result in an increase in the tumor-growth delay produced
by treatment with CDDP, cyclophosphamide, melphalan, BCNU, and fractio
nated radiation. Although CAI did not reduce the number of lung metast
ases present in Lewis lung carcinoma-bearing mice on day 20, it did ap
pear to reduce the number of large (vascularized) metastases present o
n that day.