studia universitatis babeÅ-bolyai biologia 2
studia universitatis babeÅ-bolyai biologia 2
studia universitatis babeÅ-bolyai biologia 2
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C. PAŞCA et al.<br />
the treatment, aggravated progressively, but after 11 days started decreasing; at the<br />
end of the 18 days of our experiment, an obvious recovery tendency was noticed,<br />
all the modifications having a zonal character and affected especially isolated<br />
myocytes and only a small number of groups of myocardial cells.<br />
Conclusions. 1. A single therapeutic dose of 400 mg Carboplatin/m 2 body<br />
surface has a moderate toxic effect on the rat myocardium consisting of the<br />
appearance both of certain histological and ultrastructural modifications.<br />
2. All the modifications induced by this anticancer drug seem to be due to<br />
the grave circulatory disturbances and the thrombocytopenia.<br />
3. Carboplatin determines certain histological alterations: capillary stasis,<br />
interfascicular haemorrhages, oedemas, nuclear modifications (hypertrophy, the<br />
presence of an increased number of nucleoli, a peculiar arrangement of the<br />
chromatin in groups) and an obvious collagenous proliferation in the lysis areas.<br />
4. The ultrastructural modifications induced by Carboplatin consist of cell<br />
swelling, disorganisation of the cell ultrastructure, especially at the periphery of<br />
the myocytes, lysis of the sarcolemma and myofibrils, breaking of the Z-lines,<br />
swelling of the interfascicular spaces, swelling and degeneration of the mitochondria,<br />
myocyte disorganisation and myolysis.<br />
R E F E R E N C E S<br />
1. B r e n d a, S. W., A Beginner’s Handbook in Biological Transmission Electron<br />
Microscopy, Butler & Tanner, London,1981.<br />
2. C a l v e r t, A. H., Dose optimisation of carboplatin in adults, "Anticancer Res.", 14,<br />
1994, 2273-2278.<br />
3. D i e t r i c h, W. S., The ultrastructure of cardiac muscle in health and disease,<br />
"Micron", 24 (1), 1993, 47-73.<br />
4. F l e c k e n s t e i n, A., J a n k e, J., D o r i n g, H. J., P a c h i n g e r, O., Calcium<br />
overload as the determinant factor in the production of catecholamine-induced<br />
myocardial lesions, "Cardiomyopathies", 2, 1973, 455-466.<br />
5. G r i g g, A., S z e r, J., S k o v, K., B a r n e t t, M., Multi-organ dysfunction<br />
associated with high-dose carboplatin therapy prior to autologous transplantation,<br />
"Bone Marrow Transplantation", 17, 1996, 67-74.<br />
6. H r u b a n, R. H., S t e r n b e r g, S. S., M e y e r s, P., F l e i s h e r, M., M e n e n d e z-<br />
B o t e t, C., B o i t n o t t, J. K., Fatal thrombocytopenia and liver failure associated<br />
with carboplatin therapy, "Cancer Invest.", 9(3), 1991, 263-268.<br />
7. K a t z, A. M., F r e s t o n, J. W., M e s s i n e o, F. C., H e r b e t t e, L. G., Membrane<br />
damage and the pathogenesis of cardiomyopathies, "J. Molec. Cell. Cardiol.", 17,<br />
1985, 11-20.<br />
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