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Autologous Bone Marrow Transplantation - Blog Science Connections

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Acetaldophosphamide—A New Stable<br />

Aldophosphamide Analogue for<br />

Ex Vivo Chemotherapy<br />

of Leukemia<br />

Miloslav Beran, Yuqiang Wang, and David Farquhar<br />

Latent contamination of remission bone marrow with malignant cells is a<br />

potential hazard when such marrow is used for autologous rescue after highdose<br />

chemotherapy. Although not proved necessary beyond doubt, in vitro<br />

treatment of such marrow is logical. A drug used for such purging should<br />

ideally kill leukemic cells yet spare bone marrow stem cells. Here we report the<br />

in vitro hematopoietic effects of the new stable aldophosphamide analogue,<br />

acetaldophosphamide (A-ALD) and compare its activity with that of 4-<br />

hydroperoxycyclophosphamide (4-HC).<br />

MATERIALS AND METHODS<br />

Drugs<br />

We have synthesized A-ALD at our institution. It has a molecular weight of<br />

379, and when diluted in phosphate-buffered saline (PBS) (pH 7.2), it has a<br />

half-life of 52 hours at 37°C. Before use, it was diluted in PBS and used either<br />

fresh or stored at -20°C and used after thawing. The 4-HC was a gift from<br />

Asta-Werke (Bielefeld, Federal Republic of Germany). It was used immediately<br />

after dilution in PBS.<br />

163

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