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02 BOOK OF ABSTRACTS .indd

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In vitro influence of Amitriptyline on glioma cell oxygen<br />

comsumption and viability using oxygen electrode assay<br />

and Vi-Cell TM automated trypan blue dye exclusion assay<br />

S. Higgins and G. J. Pilkington<br />

Cellular & Molecular Neuro-Oncology Group, School of Pharmacy & Biomedical Sciences,<br />

Institute of Biomedical & Biomolecular Sciences, University of Portsmouth, White Swan<br />

Road, Portsmouth PO1 2DT<br />

Introduction: We have previously reported that the tricyclic antidepressant<br />

Clomipramine exerts a pro-apoptotic effect on neoplastic glial cells in vitro. This<br />

effect is mediated via the mitochondria where cytochrome C liberation and activation<br />

of caspases precedes apoptosis. There is increasing evidence in our laboratories,<br />

however, that additional tricyclics - Amitriptyline and its metabolic product,<br />

Nortriptyline - may play a similar role.<br />

Methods: The influence of Amitriptyline & Nortriptyline at a range of concentrations<br />

on oxygen consumption in a) non-neoplastic human astrocytes (CC-2565 Cambrex<br />

Biosciences), b) a short-term cultured of biopsy-derived human glioblastoma<br />

multiforme (UPMC) and c) an established human anaplastic astrocytoma cell line<br />

(IPSB-18) was studied using a Hansatech, Clark-type Oxytherm TM & Oxygraph TM<br />

multiple series oxygen electrode apparatus. Cell viability was then studied under<br />

similar experimental conditions using the trypan blue dye exclusion test in a<br />

Vi-Cell TM XR Cell viability analyzer.<br />

Results: The influence of Amitriptyline was more pronounced than that of its<br />

metabolic product, Nortriptyline, both in reduction of oxygen consumption and cell<br />

viability and both were concentration-dependent. The order of the level of sensitivity<br />

84p13<br />

between different type of cell culture to both agents was UPMC>IPSB-18>CC-2565.<br />

Discussion: The high level of resistance of CC-2565 supports a specific anti-neoplastic<br />

role for the tricyclics in the management of primary malignant brain tumours.<br />

However, although Amitriptyline crosses the blood-brain barrier and specifically<br />

kills tumour cells, the lower efficacy of Nortriptyline (which results from conversion<br />

of Amitryptyline in the liver) may suggest that local administration of Amitriptyline<br />

to the brain may confer better therapeutic potential.

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