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Can tissue drug concentrations be monitored by microdialysis during or after isolated limb perfusion for melanoma treatment?

 

作者: Z. Wu,   B. Smithers,   C. Anderson,   M. Roberts,  

 

期刊: Melanoma Research  (OVID Available online 2000)
卷期: Volume 10, issue 1  

页码: 47-54

 

ISSN:0960-8931

 

年代: 2000

 

出版商: OVID

 

关键词: drug monitoring;isolated limb perfusion;microdialysis;tissue drug concentration

 

数据来源: OVID

 

摘要:

&NA;Isolated limb perfusion (ILP) with melphalan is used to treat recurrent melanoma. This study aimed to develop a microdialysis technique for melphalan tissue concentration measurement during ILP. The effects of melphalan concentration (50‐600 &mgr;g/ml), microdialysis flow rate (0.55‐17.5 &mgr;l/min), probe length (5‐50 mm) and temperature (25‐41.5°C) onin vitrorecovery were studied. In addition,in vivorecovery was measured in rat hindlimbs perfused with melphalan using 50 mm microdialysis probes implanted subcutaneously and into muscle. Both dialysate and tissue sample melphalan concentrations were determined by high performance liquid chromatography. Thein vitrorecovery of melphalan was not affected by melphalan concentration or temperature, but increased with probe length and decreased with flow rate. The melphalan concentrations in subcutaneous and muscle dialysates were not significantly different. A linear relationship was found between tissue dialysate concentrations and actual tissue concentrations of melphalan (r2= 0.97). Microdialysis is a potential method for tissue drug monitoring which may assist in the efficacious use of cytotoxics in human ILP.

 

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