Treatment of Patients with Glioblastomas by Low Concentrations of Verapamil Hydrochloride in the Late Postoperative Period

N. Gridina, A. Morozov, Yuriy Ushenin, V. Rozumenko, N. Draguntsova
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Abstract

Antitumor effect of calcium channel blockers low concentrations has been investigated on the example of verapamil hydrochloride in the combined treatment of patients with glioblastomas after operation. Patients, who underwent brain tumor surgery, postoperative radiotherapy and chemotherapy, were divided into two groups. The first group of 11 patients was taken by verapamil - hydrochloride in low concentrations, the second group (32 patients) served as a control. The concentration of the drug was selected individually by means of peripheral blood cells aggregation data on the “Plasmon-6” biosensor. The criterion for the drug concentration selecting was the lowest level of peripheral blood cells aggregation in vitro, reflecting the level of NMDA-dependent calcium channels blocking of the peripheral blood cells membranes. The optimal concentration of verapamil - hydrochloride for all patients was less than 10,000. The criteria of the antitumor activity of verapamil-hydrochloride in low concentrations was the length of the patients life in the postoperative period. When using the drug in patients there were no signs of toxic effects of verapamil - hydrochloride on the body, life expectancy was 10 months more compared to the group of patients not treated with verapamil – hydrochloride and the absence of the toxic and tumor-stimulating action of the drug.
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术后晚期低浓度盐酸维拉帕米治疗胶质母细胞瘤
以盐酸维拉帕米联合治疗恶性胶质瘤术后患者为例,观察低浓度钙通道阻滞剂的抗肿瘤作用。接受脑肿瘤手术、术后放疗和化疗的患者分为两组。第一组11例患者采用低浓度盐酸维拉帕米治疗,第二组32例患者作为对照。通过“等离子体-6”生物传感器上的外周血细胞聚集数据单独选择药物浓度。选择药物浓度的标准是体外外周血细胞聚集的最低水平,反映了nmda依赖性钙通道对外周血细胞膜的阻断程度。盐酸维拉帕米的最佳用药浓度均小于1万。判断低浓度盐酸维拉帕米抗肿瘤活性的标准是术后患者的生存时间。当没有盐酸维拉帕米对身体产生毒性作用的迹象的患者使用该药时,与未使用盐酸维拉帕米治疗且药物没有毒性和肿瘤刺激作用的患者组相比,预期寿命延长10个月。
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