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Methotrexate inhibits the glyoxalase system in vivo in children with acute lymphoid leukaemia.
Bartyik, Katalin; Turi, Sandor; Orosz, Ferenc; Karg, Eszter.
Afiliación
  • Bartyik K; Department of Paediatrics, Albert Szent-Gyorgyi Medical School, University of Szeged, Koranyi Fasor 14-15, H-6720 Szeged, Hungary.
Eur J Cancer ; 40(15): 2287-92, 2004 Oct.
Article en En | MEDLINE | ID: mdl-15454255
The inhibition of glyoxalase I leads to antitumour activity through the accumulation of methylglyoxal. Our earlier observations suggested that methotrexate (MTX) may affect the glyoxalase system. This prompted a serial study of the drug on this metabolic pathway. Ten children with acute lymphoid leukaemia (ALL), admitted to our department between January 2002 and July 2003, were enrolled. Plasma D-lactate was assayed before, 24 and 72 h after the start of four consecutive MTX infusions (5 g/m(2)/24 h) in each patient. Inhibition of glyoxalase I was tested in vitro, using human erythrocyte lysates and yeast enzyme. The elevated initial plasma D-lactate levels (P<0.02) fell significantly (P<0.001) in response to 24 h MTX infusions. In vitro, MTX, folic and folinic acids inhibited the activity of glyoxalase I. Thus, MTX seems to affect the alpha-oxoaldehyde metabolism in vivo, as a likely consequence of glyoxalase I inhibition. This action probably contributes to the anticancer activity and toxicity of the drug.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Metotrexato / Inhibidores Enzimáticos / Leucemia-Linfoma Linfoblástico de Células Precursoras / Lactoilglutatión Liasa / Antimetabolitos Antineoplásicos Límite: Child / Female / Humans / Male Idioma: En Revista: Eur J Cancer Año: 2004 Tipo del documento: Article País de afiliación: Hungria Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Metotrexato / Inhibidores Enzimáticos / Leucemia-Linfoma Linfoblástico de Células Precursoras / Lactoilglutatión Liasa / Antimetabolitos Antineoplásicos Límite: Child / Female / Humans / Male Idioma: En Revista: Eur J Cancer Año: 2004 Tipo del documento: Article País de afiliación: Hungria Pais de publicación: Reino Unido