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View the Table of Contents for the August 2007 issue of Molecular Cancer Therapeutics
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Low-dose metronomic, antiangiogenic chemotherapy (e.g. using cyclophosphamide) has shown promise in phase II trials. Although less toxic, it may present new issues compared to conventional, maximum-tolerated dose chemotherapy such as possible altered biotransformation and endothelial cell tachyphylaxie due to long-term drug administration, potentially resulting in acquired resistance. A pharmacological and pharmacodynamic analysis by Emmenegger and colleagues of oral low-dose metronomic cyclophosphamide given to mice did not reveal any indication for altered cyclophosphamide biotranformation or tachyphylaxie after long-term daily oral therapy. These findings suggested that acquired resistance might instead be related to adaptive processes in the tumor cell population as opposed to the tumor vasculature.