To develop effective therapies for angiosarcoma, we investigated the anti-t
umor effects of etoposide (ETO), TNP-470 and prednisolone (PSL) using an es
tablished murine angiosarcoma cell line (ISOS-1). We examined the direct an
ti-tumor and anti-angiogenic effects of these drugs on ISOS-1 cells and nor
mal murine microvascular endothelial cells (mECs) in vitro. Cell growth of
ISOS-1 was inhibited significantly by ETO, moderately by TNP-470, and not a
t all by PSL (IC50: 0.25 mug/ml, 10 mug/ml, > 8000 mug/ml, respectively). O
ne the other hand, cell growth of mECs was inhibited significantly by TNP-4
70, slightly by PSL, and negligibly by ETO (IC50: 0.85 ng/ml, 0.7 mug/ml, 1
0 mug/ml, respectively). In an in vivo assay, tumor growth of ISOS-1 was si
gnificantly inhibited by more than 2.5 mg/kg of ETO dose-dependently, and b
y more than 30 mg/kg of TNP-470, and 100 mg/kg of PSL individually. Combina
tion treatments of ETO + TNP-470 and TNP-470 + PSL showed synergistic enhan
cement of inhibition (% control inhibition: ETO vs. TNP-470 vs. ETO + TNP-4
70: 55 versus 55 vs. 16%) (%o control inhibition: TNP-470 vs. PSL vs. TNP-4
70 + PSL: 41 vs. 86 vs. 21%). ETO + PSL combination treatment, however, fai
led to show significant enhancement of anti-tumor effects. In conclusion, o
ur results indicated that TNP-470 may be a very effective drug for angiosar
coma treatment, especially in combination with ETO or PSL. We eagerly antic
ipate the use of TNP-470 in clinical treatment of angiosarcoma. (C) 2000 El
sevier Science Ireland Ltd. All rights reserved.