Interaction between the effects of pepleomycin with lidocaine and radiation on cultured Chinese hamster V79 cells

The interaction of the cytotoxicities in combination use of lidocaine (LID), pepleomycin (PEP) and radiation in combined treatment was studied using Chinese hamster V79 cells by colony forming assay. LID showed no cytotoxic effect up to 12 mM when it was employed alone. However selective enhancement of the PEP cytotoxic effect appeared when the drugs were used simultaneously. The mechanism of this enhancing effect was thought to involve inhibition by LID of the repair of the cells from PEP potentially lethal damage. LID showed no enhancing effect on the radiation cytotoxicity when the agents were used simultaneously. Only an additive effect appeared when PEP and radiation were employed simultaneously. An interactive effect appeared when LID, PEP and radiation were used simultaneously, although this effect was not so significant. The enhancement ratio of PEP with LID on radiation was 1.58. The fundamental mechanism of enhancement of cytotoxic effect of LID on PEP and the interactive relationship among LID, PEP and radiation are analyzed and discussed. (author)