[CANCER RESEARCH 38, 560-565, March 1978] Inhibitory Effects of the New Mitotic Inhibitor 5-Chloropyrimidin-2-one and of Vincristine on Human Cells in Vitro' Einar Wibe, Reidar Oftebro, Terje Christensen, Departments Hospital, of Tissue Culture Montebello, Soren G. Laland, Erik O. Pettersen, [E. W., P. O., T. C., E. O. P.¡and Biophysics and Department ol Biochemistry, University [T. L.j, Norsk Hydro's of Oslo, Blindem, ABSTRACT By means of time-lapse microcinematography, metaphase arrest was studied in synchronized NHIK 3025 cells in contact with 5-chloropyrimidin-2-one (NY 3000) or vincristine. A dose-dependent prolongation of mitosis was found for both substances, and the fraction of cells able to escape mitotic arrest declined gradually as the concen tration of NY 3000 or vincristine was increased. Significant prolongation of metaphase was observed after treatment with 0.5 IHM NY 3000 or vincristine (0.5 ng/ml; 0.54 nu), while total block in metaphase was achieved with 8 DIM NY 3000 or vincristine (16 ng/ml; 17.3 nu). The inactivating effect was measured as loss of colonyforming ability after continuous exposure for 12 to 14 days. NY 3000 (0.75 mM) brought total inactivation, al though the prolongation of metaphase still was small at this concentration of NY 3000. Vincristine at concentra tions that cause great prolongation of metaphase still permitted formation of colonies. Both drugs demonstrated dose-dependent prolongation of interphase at concentrations entailing complete meta phase block. The phase specificity of the interphase action on synchronized cells was measured by pulsed incorporation of [ H]thymidine combined with a registra tion of time of entry into metaphase. NY 3000 resulted in a prolongation of all stages of interphase. The interphase effect of vincristine was reflected in a delay in G . This was confirmed by flow cytometric recording of DNA distri butions. These results reveal that the metaphase-arresting agents NY 3000 and vincristine act also in the interphases of proliferating cells. However, the mechanism behind the interphase effect seems to be different for the two drugs. INTRODUCTION 1 Supported by grants from The Norwegian Cancer Society Norwegian Research Council for Science and the Humanities. Received August 15, 1977; accepted November 28, 1977. 560 for Cancer Research, The Norwegian Radium [S. G. L.] Oslo 3, Norway tensively used in cancer chemotherapy, also exert effects on proliferating cells in interphase; this action may account partly for the inactivating power of these drugs (4, 7). In addition, side effects on nondividing body cells have been observed after treatment with vincristine. Side effects from vincristine appear among others as dose-dependent neurotoxic effects (1, 14). Previously, we studied the metaphase-arresting ability of both 5-fluoropyrimidin-2-one (9) and vincristine (3) on hu man cells in culture. Metaphase arrest as a function of drug dose was studied by a technique in which asynchro nous populations of cells were kept in contact with the drug for a certain amount of time, after which the accumu lated mitoses were differentially counted. In these early experiments comparable metaphase arrest was found at a much lower concentration of vincristine than of 5-fluoropyrimidin-2-one. By differential counting of mitotic Chang liver cells, NY 3000,2 chemically analogous to 5-fluoropyrimidin-2-one, has also proved to be a metaphase-arresting agent. In this paper, the effects of NY 3000 on NHIK 3025 cells are reported together with corresponding data on vincristine. Data are presented that show the metaphase-arresting ef fects as well as the effects on other stages of the cell cycle. The inactivating effect, measured as loss of reproductive capacity, was studied separately. MATERIALS AND METHODS Mitotic Inhibitors. The new metaphase inhibitor NY 3000 was synthesized at the Department of Biochemistry, Blindern, University of Oslo. Vincristine sulfate (Oncovin) (referred to as vincristine in this report) was purchased from Eli Lilly & Co., Indianapolis, Ind. Stock solutions were made by dissolving vincristine in Hanks' solution. They were stored at 4°for not more than 1 week before use. In this report "ng/ml" is chosen as concentration The probability of successful cancer chemotherapy can be enhanced by investigation of the action of the selected drugs at the cellular level. A detailed knowledge of the mode of action of such drugs on the individual cell could facilitate construction of rational schemes for combination therapy with different drugs and for the combination of drugs and radiation. Metaphase-arresting agents like vincristine, which is ex- Institute and Tore Lindmo unit for vincristine (1 ng/ml = 1.08 nM). Cell Line NHIK 3025 and Synchronization Method. The cell line NHIK 3025 originates from a human cervix carci noma in situ and has been grown in vitro for 10 years. Stock cultures were grown in 75 sq cm Falcon plastic flasks and kept in almost continuous logarithmic growth by trypsinization 3 times per week. Medium E2a (13), contain ing 40% synthetic mixture, 30% Hanks' solution, 20% hu man serum, and 10% horse serum, was used. The cells were kept at a constant temperature of 37°. and The 2 The abbreviation used is: NY 3000, S-chloropyrimidin^-one. CANCER RESEARCH VOL. 38 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1978 American Association for Cancer Research. Effect Under these conditions, the average durations of G,, S, G2, and mitosis for untreated NHIK 3025 cells are 6.5, 8, 2.5, and 1 hr, respectively (11). Suspensions of synchronized cells were obtained by selection of mitotic cells from populations trypsinized the day before. The selection was performed by shaking culture flasks on a reciprocal shaker (11). Time-Lapse Experiments. The newly selected mitotic cells were allowed to attach to circular Corning coverslips on the bottoms of 2 Retri dishes and were incubated in a CO2 incubator. After the attachment period of 2 hr, the medium in one of the dishes was replaced by fresh medium containing a mitotic inhibitor, while the other dish received fresh control medium. Six hr after mitotic selection, 1 coverslip from each dish was transferred to Emdeco model 101-700 tissue culture chambers previously filled with medium from the dishes. Both chambers were mounted on the stages of phasecontrast microscopes (Carl Zeiss, Oberkochen, W. Ger many) fitted with a Zeiss micro cine camera, and located inside a 37°heat box during the time of observation. Each chamber contained about 30,000 cells. By use of x10 objectives, microscopic fields containing about 25 cells from each chamber could be selected on the 2 micro scopes. The microscope-time-lapse unit made it possible to obtain simultaneous exposures from the 2 microscopic fields on the respective halves of each frame. Filming was carried out with 35-mm Kodak Eastman Plus-X Negative film. The cells were continuously illumi nated. To avoid unwanted heating of the cells, we used heat protection filters on both microscopes and kept the light intensity at a very low level (exposure time, 30 sec). Exposures were made at regular intervals about 15 min apart. In most experiments filming was stopped when the sec ond generation of control cells was about to enter mitosis, e.g., 30 hr after mitotic selection. In some experiments filming continued up to 50 hr after selection in order to check whether any of the cells arrested in metaphase were able to escape mitosis after the point of time when filming normally ended. In experiments in which the filming was prolonged up to 50 hr, no difference appeared between the duration of the first and second generations of control cells. This finding indicates that growth conditions in the Emdeco chambers are stable within the period of observation. The films were analyzed by means of an Acmade 35-mm film analyzer. The life history of each cell present in the initial frame and the birth and fate of daughter cells were followed. Each cell was recorded as having entered meta phase when it had assumed a circular outline and as having completed division when daughter cells, delimited by an unbroken contour, had appeared. Time spent in mitosis for each cell was measured as the interval between entry into metaphase and completion of division. This definition of the mitotic event is not according to cytological standards. However, it was chosen for practical purposes, because all divisions entailed cytokinesis, whereas the state of the nucleus was difficult to ascertain in these films. The average duration of the mitotic event defined in this way was always between 30 and 40 min for control cells. MARCH of NY 3000 and Vincristine in Vitro Studies of Colony-forming Ability. Cell survival after the presence of a mitotic inhibitor in the medium for about 2 weeks was measured by counting the number of macro scopic colonies on the dishes. An exponentially growing population of cells was trypsinized to obtain a suspension of single cells. The cells were then plated and allowed to attach to the bottom of the plastic Petri dishes (Falcon Plastics, Oxnard, Calif.). After 4 hr the medium was re placed by fresh medium containing different concentrations of NY 3000 or vincristine. The medium in the dishes was again replaced by fresh medium, containing the same amount of mitotic inhibitor, 6 days after plating. After the required length of incubation (12 to 14 days), the colonies were fixed and stained as described in a previous report (12). Colonies containing less than 40 cells were not counted. Studies of Interphase Effect. The effect of the 2 mitotic inhibitors on the progress of the cells through the cell cycle was investigated by measuring the amount of incor porated [3H]thymidine at set times after mitotic selection. Suspensions of newly selected mitotic cells were trans ferred to 25-sq cm plastic Nunclon flasks for attachment of the cells to the bottom of the flasks. At a fixed time the medium in the flasks was replaced by fresh medium con taining the mitotic inhibitor. The amount of incorporated [3H]thymidine was measured by a pulse-labeling technique (15-min pulse; 5 /xCi/flask; 5 Ci/mmole). This technique was described previously (11). Parallel to the mapping of DNA synthesis, observation was performed in an inverted microscope with phase-con trast equipment (Zeiss) of cells attached to the bottom of 25-sq cm plastic Nunclon flasks. About 100 viable cells from each experimental group were observed, and the time of entry into metaphase for each cell was recorded. After incorporation of [3H]thymidine and observation in a micro scope, the onset and duration of each of the phases of the cell cycle for treated and untreated populations were mea sured for the first generation after selection. Flow Cytometric Measurement of DNA Distributions. DNA histograms showing the distribution of cells in the various phases of the cell cycle were obtained from popu lations harvested at 2-hr intervals after mitotic selection. Cells were stained with the DNA-specific fluorescent stain mithramycin (100 /ng/ml) (Charles Pfizer & Co., Inc., New York, N. Y.) without previous fixation, as described by Crissman and Tobey (2). The staining reaction was allowed at least 3 hr at room temperature to reach equilibrium before the sample was analyzed. The DNA histograms were measured on a laboratory-built flow cytometer (5, 11), with the use of the 457 nm line of a 4-watt argon laser for excitation of mithramycin fluorescence. RESULTS The data presented in Chart 1 demonstrate how treatment with NY 3000 or vincristine influences the duration of mitosis. In the dose range of these curves, a high fraction of the treated cells completed division (>50%; see Chart 2). For higher doses [in the experiment with vincristine (8 ng/ml) and in 1 of the 2 experiments with 4 mw NY 3000], 1978 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1978 American Association for Cancer Research. 561 E. Wibe et al. ig 1 Q 05 1.0 1.5 CONCENTRATION OF NY 3000 2.0 2.5 (mM) 20 S 15 •z. g et 10 Üs => 0123 CONCENTRATION 0F VINCRISTINE 4 (ng/ml) Chart 1. Average duration of mitosis for the fraction of treated NHIK 3025 cells able to escape mitotic arrest at different concentrations of NY 3000 or vincristine. Each plotted value represents a separate experiment and shows the ratio between the durations of mitosis for treated and untreated cultures. only a few cells escaped mitotic arrest, and because of the poor statistics the duration of mitosis at these concentra tions is not indicated in Chart 1. Cells that had spent several hr in metaphase often went through irregular divisions, resulting in more than 2 daugh ter cells. Almost without exception such divisions were followed by a fusion of the daughter cells, in most cases into 1 cell (Fig. 1). Nevertheless, cells going through such divisions were scored as dividing cells because they had managed to escape mitotic arrest. Other cells arrested in mitosis disintegrated within time of filming, and these cells were recorded as irreversibly arrested in mitosis. For demonstration of the typical events analyzed in such experiments, parts of the 2 microscopic fields in one of the experiments performed with 2 mw NY 3000 are shown in Fig. 1. Fig. 1, A to D, demonstrates control cells at different stages in the cell cycle, while Fig. 1, £to H, shows cells treated with 2 mM NY 3000. Pictures mounted opposite to each other are taken simultaneously. The pictures taken 12 hr and 53 min after mitotic selection demonstrate untreated (Fig. 1/4) and treated (Fig. 1£)cells in late S. In Fig. 18, 1 anaphase, 1 telophase, and 4 earlyG, cells can be seen. The 4 treated cells were all arrested in metaphase at that time (Fig. 1F). Fig. 1C shows 8 normal daughter cells, the result of normal divisions of the 4 control cells in Fig. 1/4. In Fig. 1G the result of an abnormal division of a treated cell can be seen. Three daughter cells arose (arrow), and in Fig. 1W the fusion of the daughter cells is completed. Chart 2 shows the fractions of first-generation cells that are able to escape mitotic arrest in the presence of different 562 16hr48min 22 hr 32 mm D 25hr H 9min Fig. 1. Untreated NHIK 3025 cells (A to D) and cells treated with 2 mM NY 3000 (E to H). Time after mitotic selection is indicated below photographs. For details, see text, x 390. concentrations of NY 3000 or vincristine (b curves). For comparison, surviving fractions as measured by the ability to form colonies after continuous exposure to the mitotic CANCER RESEARCH VOL. Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1978 American Association for Cancer Research. 38 Effect 01 0.1 ! 2 CONCENTRATION 3 OF NY3000(mM) g 0.1 0.1 u 53 öS im SS -s 1 o-«" 01 0.01 234567 CONCENTRATION OF VINCRISTINE of NY 3000 and Vincristine in Vitro By the same methods as those for 8 mM NY 3000, the interphase action of vincristine (64 ng/ml) was examined (Chart 46). The [3H]thymidine incorporation curves indicate only a minor or no effect on cells in G, or S. The presence of vincristine in G, seemed to have virtually no influence on the rate of progress through interphase (the 2-hr curve coincides with the 6-hr curve). However, from the curves showing the onset of metaphase, a 3-hr prolongation of interphase can be estimated. This prolongation then must arise in G^ or at the G^-mitosis transition. For ensurance that the DNA synthesis curves in Chart 4 were not only a result of pool effects, the distribution of the DNA content of individual cells at various times after mitotic selection was measured by flow cytometry. In Chart 5A DNA histograms are shown for cells treated with 8 mw NY 3000, compared with histograms for untreated cells. The delay in interphase seemed to increase proportionally to the time passed with NY 3000 present in the medium. Chart 5ß shows DNA histograms that support the [3H]thymidine incorporation curves in Chart 4. The DNA histograms demonstrate that the presence of vincristine (64 ng/ml) has very little influence on the progression of ( Chart 2. •. fraction of NHIK 3025 cells escaping mitotic arrest at different concentrations of NY 3000 or vincristine divided by the fraction of dividing control cells. Each plotted value represents a separate experiment. O, surviving fractions, measured as ability to form macroscopic colonies after 10 to 12 days of incubation in the presence of different concentrations of NY 3000 or vincristine. inhibitors for 12 to 14 days are shown in the same chart (a curves). The duration of interphase for cells kept in the presence of different concentrations of NY 3000 or vincristine as measured in the time-lapse experiments is shown in Chart 3. The number of cells that did not enter mitosis during the time of observation was always close to or equal to zero, except for the 2 experiments performed with 8 mw NY 3000 and 1 of the experiments performed with vincristine (16 ng/ml), for which the rate of progress through the cell cycle was extremely slowed down for a considerable frac tion of the cell population (see legend to Chart 3). For a detailed picture of the specificity of the interphase action of NY 3000 and vincristine, pulsed incorporation of [3H]thymidine was performed. Chart 4 shows the rate of DNA synthesis at set times after mitotic selection for un treated cells and for cells treated with 8 HIM NY 3000. For parallel populations the time of onset of metaphase was measured by observation in a microscope. Cells treated with 8 rriM NY 3000 from 2 hr after mitotic selection were more delayed than were cells treated from the onset of S (6 hr after mitotic selection). This demonstrates an effect on cells in G,. Moreover, the total prolongation of interphase seemed to increase proportionally to the duration of the presence of NY 3000, regardless of cell cycle phase. This was confirmed by additional experiments (data not shown) in which NY 3000 was added and removed at different stages in the cell cycle; the prolongation of interphase was not phase specific. MARCH 23456 CONCENTRATION OF NY 3000 (mM) M I'3 z o 1.1 < S '° hl £ 0.9 I J_ 16 J_ I I I 32 CONCENTRATION OF VINCRISTINE I 56 (ng/ml) Chart 3. Average duration of ¡nterphasefor NHIK 3025 cells after treat ment with different concentrations of NY 3000 or vincristine. Each plotted value represents 1 experiment and shows the ratio between the duration of interphase for treated and untreated cultures. In the 2 experiments per formed with 8 rnw NY 3000, only 50 and 80%, respectively, of the cells reached metaphase during the time of observation (30 hr) In 1 of the experiments performed with vincristine (16 ng/ml) only 60% of the cells reached metaphase within 30 hr after mitotic selection. The plotted value from this experiment was ignored when the curve in B was drawn. 1978 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1978 American Association for Cancer Research. 563 E. Wibe et al. From Chart 2 it appears that the inactivating effect of NY 3000 is much more potent after long-term exposure than what would be expected from the time-lapse experiments. After the presence of 0.75 mM NY 3000 in the medium during the time of incubation, the survival was too low to 6 S 10 12 K 16 18 20 22 24 TIME AFTER MITOTIC SELECTION (hr) 5hr 5hr CONTROL NY 3000 7hr CONTROL 9 hr NV 3000 11 hr CONTROL 15 hr NY 3000 13hr CONTROL 19 hr NY 3000 26 tooi 90 z E <-> S 80 S 70 m 6° fÜ 2 50 S 40 r 30 m 20 > i o 2 4 io 5 o ifi 6 8 10 TIME AFTER 12 U. 16 18 20 22 2¿ 26 MITOTIC SELECTION (hr) Chart 4. Lapse of cell cycle for treated and untreated NHIK 3025 cells measured by incorporation of [3H]thymidine and observation in microscope of time of entry into metaphase. A. cpm in thousands for control cells (O) and cells treated with 8 mM NY 3000 from 2 (A) or 6 (D) hr after mitotic selection. Arrows, time of addition of NY 3000. Percentage of cells having entered metaphase is also indicated for each separate population (filled symbols). B, experiment identical with that presented in A, but with vincristine instead of NY 3000. Vincristine (64 ng/ml) was added 2 (A, A) or 6 (D, •)hr after mitotic selection. Q "b ÜJ u ce cells through G, and S. Fifteen hr after selection, a small fraction of the control cells had divided (G,), while the histogram for treated cells demonstrates accumulation of cells in Grmitosis. — U O Ü> rr DISCUSSION It has been established that vincristine is a spindle inhib itor (4, 7). The arrangements of chromosomes during me taphase arrest of NHIK 3025 cells caused by vincristine were reported previously (3). The same type of chromo somal distribution in metaphase was observed after treat ment with different concentrations of NY 3000. The results plotted in Chart 1 show that both 0.5 mM NY 3000 and vincristine (0.5 ng/ml; 0.54 nw) involve significant prolongation of mitosis. One mM NY 3000 causes nearly the same prolongation of mitosis as does vincristine (1 ng/ ml). The lowest concentrations that entailed total block of NHIK 3025 cells in metaphase were 8 mw NY 3000 and vincristine (16 ng/ml; 17.3 nM). The results from the experiments performed with vincris tine are in agreement with the previously reported results of Dahl era/. (3), in which the metaphase index of asynchronously growing populations of NHIK 3025 cells after treat ment with different concentrations of vincristine was mea sured. According to those results the metaphase index after 6 hr treatment had reached the maximum level at a vincristine concentration of 8 ng/ml. This investigation, however, reveals that vincristine at this concentration does not result in a complete block, but rather an average duration of metaphase longer than 6 hr for cells able to escape from the arrest. 564 50 B 100 no 50 11 hr CONTROL llhr VINCRISTINE 15 hr CONTROL 15 hr VINCRISTINE V O 50 100 O 50 100 CHANNEL NUMBER (PROPORTIONAL TO CELLULAR DNA-CONTENT) Chart 5. A, DNA histograms for NHIK 3025 cells treated with 8 mM NY 3000 from 2 hr after mitotic selection compared to histograms for control cells. Time passed after mitotic selection is indicated in each chart. Histo grams showing similar DNA distributions are mounted opposite to each other. B, DNA histograms for cells treated with vincristine (64 ng/ml) from 2 hr after mitotic selection compared to histograms for control cells. The results presented in Charts 48 and 5ßare from the same experiment. G, cells are not recorded in the same channels in A and B because of different instrument settings. CANCER RESEARCH VOL. Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1978 American Association for Cancer Research. 38 Effect of NY 3000 and Vincristine in Vitro be measured. Consequently, 0.5 HIM was the highest con centration of NY 3000 that allowed cells to form macro scopic colonies. At this concentration of NY 3000, the percentage of cells able to perform the first division after mitotic selection was as high as for control populations (Chart 2), and the duration of the metaphase was only slightly longer than for untreated cells (Chart 1). However, only about 7% were able to form colonies in the presence of 0.5 mM NY 3000. This supports the view that the appar ently normal divisions at this concentration of NY 3000 conceal latent damage in the daughter cells. In comparison, a vincristine concentration of 2 ng/ml permitted formation of colonies (Chart 2). This is a rather surprising result if one takes into consideration the long duration of metaphase arrest at this concentration of vin cristine (Chart 1). At 0.5 ng/ml, where the prolongation of metaphase still was considerable, the colony-forming ability was nearly 100%. Consequently, some of the cells that spend about 6 hr in metaphase arrest in the presence of vincristine are still able to make viable progenies. The mechanisms of action in metaphase of NY 3000 and vincris tine may therefore be different. The curves in Chart 3 demonstrate that treatment with NY 3000 or vincristine in the concentration range that entails complete mitotic arrest involves dose-dependent prolongation of interphase. The prolongation of interphase caused by the presence of NY 3000 is dramatically in creased when the concentration exceeds that resulting in complete mitotic arrest. Treatment with increasing concen trations of vincristine entails a more moderate prolongation of interphase. In a review article from 1972, Marsden (7) concludes that the mechanisms of vincristine action are unknown. He points out the conflicting results from different laboratories concerning the influence of vincristine on DNA and RNA synthesis. Thésituation seems to be the same today. Madoc-Jones and Mauro (6) found that synchronized HeLa cells continuously exposed to vincristine (10 ng/ml) were 3 hr late in reaching mitosis compared to untreated cells. The same delay was found whether the drug was added in G, or in G,. This means that the prolongation of interphase must arise in G-,,which is in agreement with our results. Furthermore, Madoc-Jones and Mauro found that cells exposed to vincristine (100 ng/ml) only in S proceeded at a normal rate to mitosis, where they were arrested irreversibly. In these experiments vincristine was removed by washing before the cells reached G.,, and no delay in G., was observed. This demonstrates that the G2 delay is not induced in S but depends on the presence of a considerable concentration of vincristine in the cells during G,. Inasmuch as the G2-prophase transition was not recorded in our experiments, the curves in Chart 46 do not exclude the possibility that the delay resulting from contact with vincristine (64 ng/ml) appears in prophase rather than in G-,. However, the previously reported results of Dahl ef al. (3) do not indicate any accumulation of NHIK 3025 cells in prophase when cells are treated with this concentration of MARCH vincristine. NY 3000 (0.5 mM) and vincristine (0.5 ng/ml; 0.54 nw) both involve significant prolongation of metaphase. Total block in metaphase is achieved at a NY 3000 concentration of 8 mM and a vincristine concentration of 16 ng/ml (17.3 nM). Consequently, the ratio between the molar concentra tions of NY 3000 and vincristine sufficient for total block in metaphase is about 500,000. There is dose-dependent prolongation of interphase at concentrations of NY 3000 or vincristine that entail total block in metaphase. The prolongation of interphase follow ing treatment with NY 3000 is proportional to the duration of the exposure to this drug and seems to be rather nonspecific with respect to cell age. The delay in interphase caused by treatment with vincristine is due to a prolonged G,. An inactivating effect, measured as lack of colony-form ing ability after continuous exposure for 2 weeks, is seen even at NY 3000 concentrations at which the prolongation of metaphase is negligible. Vincristine given in concentra tions that entail great prolongation of metaphase still per mits cells to form macroscopic colonies. REFERENCES 1. Burdman, J. A. A Note on the Selective Toxicity of Vincristine Sulfate on Chick-Embryo Sensory Ganglia in Tissue Culture. J. Nati. Cancer lnst.,37: 331-335, 1966. 2. Crissman, H. A., and Tobey, R. A. Cell Cycle Analysis in 20 Minutes. Science. 784: 1297-1299, 1974. 3. Dahl, W. N., Oftebro, R., Pettersen, E. 0., and Brustad, T. 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Exptl. Med., 706: 145165, 1957. 14. Winkelman, A. C., and Mancali, E. L. Toxic Effects of Cancer Chemo therapy Agents on the Nervous System. In: I. Brodsky and S. B. Kahn (eds.), Cancer Chemotherapy, Vol. 2. pp. 231-237. New York: Gruñe& Stratton, Inc.. 1972. 1978 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1978 American Association for Cancer Research. 565 Inhibitory Effects of the New Mitotic Inhibitor 5-Chloropyrimidin-2-one and of Vincristine on Human Cells in Vitro Einar Wibe, Reidar Oftebro, Terje Christensen, et al. Cancer Res 1978;38:560-565. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/38/3/560 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. 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