{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T14:18:41Z","timestamp":1777645121877,"version":"3.51.4"},"reference-count":11,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,2]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Reserpine enhanced <jats:italic>in vitro<\/jats:italic> the cytotoxicity of 1-(4-amino-2-methyl-5-pyrimidinyl) methyl-3-(2-chloroethyl)-3-nitrosourea hydrochloride (ACNU) in both the C6 glioma and its ACNU-resistant subline, C6\/ACNU. Reserpine also enhanced the chemotherapeutic effect of ACNU in C6\/ACNU-bearing (C6\/ACNU-meningeal gliomatosis) rats, in which ACNU resistance could be modulated by combined ACNU and reserpine therapy.<\/jats:p>\n<jats:p content-type=\"fine-print\">When 10 <jats:italic>\u03bc<\/jats:italic>M reserpine was added to ACNU in culture, the concentration of drug required for 50% inhibition of cell growth (IC<jats:sub>50<\/jats:sub>) of ACNU for C6\/ACNU cells decreased to the level of that for C6 cells. When 20 <jats:italic>\u03bc<\/jats:italic>M reserpine was added to the culture, intracellular uptake of ACNU in C6\/ACNU cells increased further and the efflux of the drug from the cells decreased. In <jats:italic>in vivo<\/jats:italic> experiments in rats, combined chemotherapy with ACNU (1 mg\/kg) and reserpine (250 \u03bcg\/kg) by intrathecal injection significantly increased the life span of the rats as compared to results with ACNU chemotherapy alone. The enhanced cytotoxicity of ACNU in ACNU-resistant glioma cells <jats:italic>in vitro<\/jats:italic> and <jats:italic>in vivo<\/jats:italic> may be explained by the increase of intracellular concentration of ACNU resulting from the inhibition of ACNU efflux from the resistant cells by reserpine. It was concluded that ACNU resistance could be modulated <jats:italic>in vitro<\/jats:italic> and <jats:italic>in vivo<\/jats:italic> by combined therapy with ACNU and reserpine.<\/jats:p>","DOI":"10.3171\/jns.1987.66.2.0251","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:22:37Z","timestamp":1241799757000},"page":"251-255","source":"Crossref","is-referenced-by-count":5,"title":["Modulation in vitro and in vivo of ACNU resistance in a subline of C6 glioma with 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