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In cultured L1210 cells, treatment with <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> displays strong antitumoral effects in\u00a0vitro<jats:italic>,<\/jats:italic> and the combination <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> exceeds the effect of single drugs. <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> also potently kills the <jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> resistant <jats:styled-content style=\"fixed-case\">KB<\/jats:styled-content> cell line, without significant <jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> combination effect. Cell cycle analysis reveals the expected arrest in G1\/S by <jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> and in G2\/M by <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>. In both cell lines, the <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> combination induces a G2\/M arrest which is stronger than the <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>\u2010triggered G2\/M arrest. <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> does not change rates of apoptotic L1210 or <jats:styled-content style=\"fixed-case\">KB<\/jats:styled-content> cells as compared to single drug applications. Confocal laser scanning microscopy images show the microtubule disruption and nuclear fragmentation induced by <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> treatment of L1210 and <jats:styled-content style=\"fixed-case\">KB<\/jats:styled-content> cells. <jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> changes the architecture of the F\u2010actin skeleton. <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> combines the toxic effects of both drugs. In the in\u00a0vivo setting, the antitumoral activity of drugs differs from their in\u00a0vitro cytotoxicity, but their combination effects are more pronounced. <jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> on its own does not display significant antitumoral activity, whereas <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> reduces tumor growth in both L1210 and <jats:styled-content style=\"fixed-case\">KB<\/jats:styled-content> in\u00a0vivo models. Consistent with the cell cycle effects, <jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> combined at moderate dose boosts the antitumoral effect of <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content> in both in\u00a0vivo tumor models. Therefore, the <jats:styled-content style=\"fixed-case\">PT<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">MTX<\/jats:styled-content> combination may present a promising therapeutic approach for different types of cancer.<\/jats:p>","DOI":"10.1002\/prp2.460","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T08:17:30Z","timestamp":1548317850000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Combined antitumoral effects of pretubulysin and methotrexate"],"prefix":"10.1002","volume":"7","author":[{"given":"Sarah","family":"Kern","sequence":"first","affiliation":[{"name":"Pharmaceutical Biotechnology Center for System\u2010Based Drug Research, and Center for Nanoscience (CeNS) Ludwig\u2010Maximilians\u2010Universit\u00e4t Munich 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