The results of our studies on the biological activity of side-chain modifie
d analogues of vitamin D are reviewed. These analogues appeared to be effec
tive in induction of cell differentiation, inhibition of tumour cell prolif
eration in vitro and in increasing of antitumour effect of cytostatics. On
the other hand, inhibition of cytostatic-induced apoptosis by these compoun
ds was observed. The mechanism of the antiproliferative effect of calcitrio
l analogues in vitro is discussed. The induction of antigens CD14 and CD11b
expression and phagocytic activity of HL-60 cells after exposure to these
compounds is related to their effect on cell differentiation. The different
iation of the HL-60 leukaemia cells induced by side-chain modified analogue
s of calcitriol increases their sensitivity to the antiproliferative effect
of cisplatin, doxorubicin and genistein, despite of that this pretreatment
causes resistance of these cells to cytostatics-induced apoptosis. We obse
rved a synergistic antiproliferative effect of the combined therapy using a
nalogues of calcitriol with subsequent treatment with the above-mentioned c
ytostatics. This effect was measured as a significant decrease of the ID50
values for each cytostatic applied after pretreatment of the tumour cells w
ith the calcitriol analogues.