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The combination of doxorubicin and cyclophosphamide commonly used to treat breast cancer can cause premature ovarian failure and infertility.  α -Tocopherol is a potent antioxidant whereas  γ -tocopherol causes apoptosis in a variety of cancer models  in vitro  including breast cancer. We hypothesised that the combination of doxorubicin (Dox) and 4-hydroperoxycyclophosphamide (4-Cyc) would be more cytotoxic  in vitro  than each agent alone, and that  α -tocopherol would reduce and  γ -tocopherol would augment the cytotoxicity of the combined chemotherapeutics. Human MCF-7 breast cancer and KGN ovarian cells were exposed to Dox, 4-Cyc, combined Dox and 4-Cyc,  α -tocopherol,  γ -tocopherol, or a combination of Dox and 4-Cyc with  α -tocopherol or  γ –tocopherol. Cell viability was assessed using a crystal violet assay according to four schedules: 24h exposure, 24h exposure + 24h culture in medium, 24h exposure + 48h culture in medium, or 72h continuous exposure. Supernatants from each separate KGN culture experiment (n=3) were examined using an estradiol ELISA. Dox was cytotoxic to both MCF-7 and KGN cells, but 4-Cyc only killed MCF-7 cells.  γ -Tocopherol significantly decreased MCF-7 but not KGN cell viability. The combined chemotherapeutics and  γ -tocopherol were more cytotoxic to MCF-7 than KGN cells, and  α -tocopherol reduced the cytotoxicity of the combined chemotherapeutics towards KGN ovarian cells, but not MCF-7 cells. The addition of both  γ -tocopherol and  α -tocopherol to the chemotherapeutic combination of Dox and cyclophosphamide has the potential to increase  in vitro  chemotherapeutic efficacy against breast cancer cells whilst decreasing cytotoxicity towards ovarian granulosa cells.

Effect of Chemotherapeutics and Tocopherols on MCF-7 Breast Adenocarcinoma and KGN Ovarian Carcinoma Cell LinesIn Vitro