Antineoplastic therapy by radioactive cisplatin in experiment

The method of ¹⁹⁵mPt production on linear electron accelerators and cyclotron of NSC KIPT are described. The method of ¹⁹⁵mPt separation from the irradiated samples are developed. The methods of cisplatin synthesis with use of a radioactive isotope of ¹⁹⁵mPt are realized. Results of biological tests...

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Published in:Вопросы атомной науки и техники
Date:2007
Main Authors: Dikiy, N.P., Dovbnya, A.N., Lyashko, Y.V., Medvedeva, E.P., Medvedev, D.V., Uvarov, V.L.
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Language:English
Published: Національний науковий центр «Харківський фізико-технічний інститут» НАН України 2007
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Online Access:https://nasplib.isofts.kiev.ua/handle/123456789/110402
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Cite this:Antineoplastic therapy by radioactive cisplatin in experiment / N.P. Dikiy, A.N. Dovbnya, Y.V. Lyashko, E.P. Medvedeva, D.V. Medvedev, V.L. Uvarov // Вопросы атомной науки и техники. — 2007. — № 5. — С. 118-121. — Бібліогр.: 13 назв. — англ.

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Digital Library of Periodicals of National Academy of Sciences of Ukraine
_version_ 1859785179916140544
author Dikiy, N.P.
Dovbnya, A.N.
Lyashko, Y.V.
Medvedeva, E.P.
Medvedev, D.V.
Uvarov, V.L.
author_facet Dikiy, N.P.
Dovbnya, A.N.
Lyashko, Y.V.
Medvedeva, E.P.
Medvedev, D.V.
Uvarov, V.L.
citation_txt Antineoplastic therapy by radioactive cisplatin in experiment / N.P. Dikiy, A.N. Dovbnya, Y.V. Lyashko, E.P. Medvedeva, D.V. Medvedev, V.L. Uvarov // Вопросы атомной науки и техники. — 2007. — № 5. — С. 118-121. — Бібліогр.: 13 назв. — англ.
collection DSpace DC
container_title Вопросы атомной науки и техники
description The method of ¹⁹⁵mPt production on linear electron accelerators and cyclotron of NSC KIPT are described. The method of ¹⁹⁵mPt separation from the irradiated samples are developed. The methods of cisplatin synthesis with use of a radioactive isotope of ¹⁹⁵mPt are realized. Results of biological tests of radioactive cisplatin on animals are described. Our preliminary results demonstrate the feasibility of radioactive cisplatin for treatment of cancer diseases. Розглядаються способи виробництва ¹⁹⁵mPt на лінійних прискорювачах електронів і циклотроні ННЦ ХФТІ. Розроблено методи виділення ¹⁹⁵mPt з опромінених зразків. Реалізовано методи синтезу цисплатину з використанням радіоактивного ізотопу ¹⁹⁵mPt. Наведено результати біологічних випробувань радіоактивного цисплатину на тваринах. Наші попередні результати демонструють можливість використання радіоактивного цисплатину для лікування канцерогенних захворювань. Рассматриваются способы производства ¹⁹⁵mPt на линейных ускорителях электронов и циклотроне ННЦ ХФТИ. Разработаны методы выделения ¹⁹⁵mPt из облученных образцов. Реализованы методы синтеза цисплатина с использованием радиоактивного изотопа ¹⁹⁵mPt. Приведены результаты биологических испытаний радиоактивного цисплатина на животных. Наши предварительные результаты демонстрируют возможность использования радиоактивного цисплатина для лечения канцерогенных заболеваний.
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fulltext ANTINEOPLASTIC THERAPY BY RADIOACTIVE CISPLATIN IN EXPERIMENT N.P. Dikiy∗, A.N. Dovbnya, Y.V. Lyashko, E.P. Medvedeva, D.V. Medvedev, V.L. Uvarov National Science Center ”Kharkov Institute of Physics and Technology”, 61108, Kharkov, Ukraine (Received March 23, 2007) The method of 195mPt production on linear electron accelerators and cyclotron of NSC KIPT are described. The method of 195mPt separation from the irradiated samples are developed. The methods of cisplatin synthesis with use of a radioactive isotope of 195mPt are realized. Results of biological tests of radioactive cisplatin on animals are described. Our preliminary results demonstrate the feasibility of radioactive cisplatin for treatment of cancer diseases. PACS: 29.17.+w, 28.41.Kw 1. INTRODUCTION Last years new methods find expanding applica- tion in the medical treatment of cancerous diseases. One of the most promising approaches is brachyther- apy. Generally it is the implantation of miniature radioactive sources in the form of a thin wire, cap- sules or little seeds. Implants are introduced either after surgical operations for irradiation of residuary malignant cells or by means of catheters. The main isotopes used in brachytherapy are 103Pd, 125I, 192Ir, 106Ru, 198Au [1]. There are two types of brachyther- apy: with low levels and with high levels of irra- diation intensity. In the case of the high-intensity brachytherapy a source is introduced directly into the carcinoma for the definite time to attain a therapeutic effect. Usually this type of brachytherapy is applied for the cure of the malignant tumor of the lacteal gland, lungs etc. The low-intensity brachytherapy, for example, use of isotopes of 103Pd and 185Ir for the therapy of early stages of adenoma cancer. The use of open sources of radioisotopes in the nuclear medicine is more effective. Several decades ago this method was applied for the therapy of various cancerous dis- eases. However, only during last years this method finds more extensive use. It is conditioned by the de- velopment of more effective methods of isotope trans- port into the malignant tumor. It should be notice also the use of labelled peptides and other receptor- specific molecules, isotopes for the palliative therapy of a pain in the case of osteal metastasizes, labeled an- tibody agents, e.g. copper-containing monocarbonyl porphine [2]. The radiopharmaceuticals under con- sideration possess a high tropic sensitivity to some tumors that can be effectively cured with the using of the monocarbonylporphine labeling with 67Cu. A particular attention is given to the methods of ther- apy using the high-value losses of Auger electrons [3- 5]. It is known that the average number of Auger and Coster-Kronig electrons for 111In, 123I, 125 is equal to about 8, 11 and 20 electrons, respectively, with the energy from 12 to 24 keV. Deceleration of these elec- trons leads to the energy release in a negligible vol- ume (a few cubic nm) and, as a result, the local dose is 104 - 107 Gy. In this case the radio toxicity from Auger electrons is caused by 90% by indirect mecha- nisms [6]. The high specific losses of α-particles allow of effective use of 211At and 212Bi for treatment in medicine. For example, for α-particles of these iso- topes the radiation effect on a cell reaches the value of 1200. Therefore, a high-efficiency radiation effect will be realized by means of introduction of these isotopes into the tumor cell [7]. Practically all the antineo- plastic pharmaceuticals used in the oncology practice have a strong toxicity that menaces the patient life. This feature of antineoplastic pharmaceuticals stimu- lates the search for new modifications of pharmaceu- ticals. The use of radiations with high deceleration losses permits to realize a synergetic bystander effect too [8-11]. This effect, a high density of deceleration losses, cytotoxic effect and apoptosis can be reached by application of radioactive cisplatin. Therefore, to- day a necessity of carrying out the research on pro- duction and use of radioactive cisplatin is an urgent question. The combined influence of all the above- mentioned factors will allow considerable decreasing of cisplatin dose and, consequently, decreasing of the toxic cisplatin influence in the course of medical treat- ment of cancer carriers. With the purely radioactive cisplatin the dose can be decreased by a factor of 10 and more. Note that the influence of radioactive cis- platin is possible in the form of transplatin and in other forms penetrating in the nucleus of a cell. ∗Corresponding author. E-mail address: dikiy@kipt.kharkov.ua 118 PROBLEMS OF ATOMIC SCIENCE AND TECHNOLOGY, 2007, N5. Series: Nuclear Physics Investigations (48), p.118-121. The aim of work is to develop a method for pro- duction of radioactive cisplatin with the help of pow- erful electron accelerators and to test the obtained substance at biological objects. 2. PROCEDURE OF 195mPt EXTRACTION AND CISPLATIN SYNTHESIS The use of a powerful accelerators of NSC KIPT for irradiation of platinum by electrons (200 µA, 50 MeV) permits to reach the total specific ac- tivity of 195mPt and 193mPt 7 mCi/mg. The 195m,193mPt yield in the reactions 196Pt(γ,n)195mPt and 194Pt(γ,n)193mPt was calculated with the help of the program PENELOPE (Fig.) [12]. Such a specific activity in many cases is insufficient for the effective application in medicine practice. The spe- cific activities of 195mPt to 10 Ci/mg are realized by the 199Hg(γ,α)195mPt reaction. The separation of 195mPt from mercury has been accomplished us- ing the electrolysis. The yield of 195mPt in reaction 199Hg(γ,α)195mPt at a current of 200 µA and energy 26 MeV from the Hg target having a natural isotope composition is about 30 mCi/day. The cyclotron CV28 allows production of higher specific activity of 195mPt by the 192Os(α,n)195mPt reaction. At a current of 20 µA and en- ergy 28 MeV the yield of 195mPt from the Os target having a natural isotope composition is 1 mCi/day [13]. Such yield is smaller than yield of 195mPt obtained by the method with the use of the bremsstrahlung from electron accelerators. 30 35 40 45 50 1 2 3 4 5 6 7 0 2 4 6 8 10 0 2 4 6 8 10 To ta l s pe ci fic a ct iv ity 19 3m ,1 95 m P t, m C i/m g Electron energy, MeV 1x1 1x2 2x1 2x2 Specific activity at saturation of different targets as a function of electron energy (beam current 200 µA, diameter of beam 5 mm). Symbols - cylindrical targets (diameter × height, cm) We carried out the experiments of separation of platinum isotope of 195mPt which was obtained in the 197Au(γ,np)195mPt reaction. The 195mPt spe- cific activity of 1 Ci/mg are obtained by means of the 197Au(γ,np)195mPt reaction for electron energy of 34 MeV and current of 200 µA. The sample of 1g of gold (99.9%) was used as a target. The technology of 195mPt separation from the gold target was de- veloped. The procedure by this technology included the process of gold target dissolution by boiling (Au, HCl and HNO3 1:3). After dissolving the metal tar- get, the HNO3 excess should be removed by gradual addition of 10% HCl solution in the amount sufficient to obtain the solution with an acid concentration of 3N. For 195mPt extraction we used the extractor of Kucher-Shtoll type designed for extraction by light solvents. Then the round-bottomed flask was filled with the prepared solution and the ethyl acetate CH3COOC2H5 was gradually added up to the total volume of 100 ml. The extraction process was car- ried out by slow boiling. The total extraction time was 5 hours. After that the platinum chloride was cooled and 30 ml of ethyl acetate were reextracted. This procedure was repeated three times. After reex- traction the solution was poured into the separating funnel where it was held during 2−3 min. Then the solution was mixed by a magnetic stirrer during 5 min. To establish equilibrium the solution was kept in rest. The radioactivity of platinum chloride solution was measured by the Ge(Li)-detector (50 cm3) with the energy resolution of 2.2 keV for the line of 1333 keV. The spectrum contained 82.5% of Pt and 17.5% of Au. In addition to these elements there was 126I in the spectra. In the next procedure by this technology to the platinum-hydrochloride acid solution diluted in the 10 fold water amount we added a freshly prepared 25% potassium chloride solution for the full comple- tion of precipitation. A yellow crystalline precipitate K2PtCl6 was deposited. The precipitate was filtered in 1.5−2 hours after deposition. The obtained pre- cipitate of potassium chloroplatinite was flooded with water (10-fold weight amount) and heated to boiling. The boiling mixture was gradually filled up with lit- tle portions of 1% oxalic salt K2C2O4. The solution was evaporated in the water-bath until the crystal- lization onset and then it was cooled at room tem- perature. The solution of potassium chloroplatinite K2[PtCl4] was mixed with the 20% solution of am- monium acetate CH3COONH4 and heated to boil- ing. After cooling Peyrone’s salt (NH3Cl)2Pt was separated. The admixture of 196Au activity in syn- thesized cisplatin was 1.4% relatively of the 195mPt activity. 3. BIOLOGICAL TESTS The cisplatin molecule containing 195mPt could have an exceptional therapeutic use. Therefore, it is important to possess information and reliable evalua- tion of absorbed doses for different organs and tissues in order to calculate subsequently the effective doses for patients which will take 195mPt-cisplatin. The experiment was made on animals (male white mice, weighing 18 g). Radioactive cisplatin in the dose of 13 kBq was introduced into animals intraperi- toneally. The absorbed doses to animal from 195mPt (mGy/MBq) was measured in different organs (kid- neys, liver, spleen, bowels, testicles, wall of urinary 119 bladder, skin). The organs from 10 animals to be studied were weighed and placed in an aluminums container which was installed on the Ge(Li)- detec- tor for registration of the absorbed dose. The results obtained demonstrated that the high- est 195mPt-cisplatin absorption dose is registered in the liver (0.72±0.23), kidneys (0.40±0.07), testicles (0.55±0.15), spleen (0.35±0.05), wall of urinary blad- der (0.25±0.02); skin (0.21±0.04) mGy/MBq. The experiments were carried out to study the influence of initial and radioactive cisplatin on a cell suspension of adenocarcenoma of Ehrlich. The cell concentra- tion was 1.8·106 cells/ml. The cell viability was de- termined by the method of supravital staining. The introduced dose of the initial cisplatin was 7.5 µg/ml, of the radioactive cisplatin it was 0.017 pg/ml. Into every sample we introduced 0.03 ml of penicillin (180 units) and 0.03 mg of sulfanilamide (300 µg). The samples were held in the thermostat at a temperature of 37◦C for incubation. The tumor cell size was mea- sured by means of a polarization microscope (×200) and was 0.015 mm before introduction of cytostatic agents. After 12 hours of incubation with the initial cisplatin the cell size was 0.010−0.015 mm, with the radioactive cisplatin it was 0.005−0.007 mm. A series of experiments were carried out to study the effect of untreated and radioactive cisplatin on the growth of a solid tumor in mousses. To estimate the effect of introduced radioactive drugs on the tu- mor growth we defined the rate of its growth inhibi- tion (D%) calculated by the formula: D = ((V0 − V1)/V0) · 100, where V0 is the tumor volume in the control animals, V1 is the tumor volume in the animals which received untreated and radioactive cisplatin. The studies were carried on male mousses of 18 g weight bred at the Kharkiv Academy of Pharmacol- ogy. A slurry of ascetic cells of the Ehrich’s ade- nocarcinoma received from the Institute of Cryobiol- ogy and Cryomedicine was used as a tumor model. The slurry of cells (106 cells/ml) was inoculated into the right thigh region of mousses. There were three groups of animals: group I - animals-tumor carriers (10 mousses); group II - animals selected for intro- duction of untreated cisplatin (15 mousses); group III - animals-tumor carriers selected for introduction of radioactive cisplatin (15 mousses). Every day the animals have been examined, weighted, fed by the ration; coops were daily cleaned. Since 11 day after tumor subinoculation every other day we introduced untreated cisplatin into the ani- mals from group II (introperitonial introduction by the dose of 0.8 mg per kg of the animal’s weight). In total 5 injections were made. The animals from group II received 0.5 ml of injection water by the same scheme. The animals from group III received only one dose (6.5 kBk per 15 g) of radioactive cis- platin. In 21 day after tumor subinoculation we have measured the physiologic indices of animals (total weight (g), weights of the spleen (mg), thymus (mg), tumor (mg)), as well as, some hematological indices. We have noticed the decrease of the animals’ weight and the tumor growth inhibition in the animals of group II and group III. The rate of tumor growth in- hibition, as a result of radioactive cisplatin introduc- tion, was 65% that is significantly higher than the rate of tumor growth inhibition caused by the action of untreated cisplatin (32.5%). The results obtained give hope for the advanced use of radioactive cisplatin in the oncological practice. 4. CONCLUSIONS 1. The method of production 195mPt with high specific activity by means of an irradiation of a gold target by bremsstrahlung of the electronic accelerator has been developed. 2. The method of separation of 195mPt by means of extraction of gold has been developed and realized. 3. Synthesis of radioactive cisplatin has been de- veloped. 4. Test of radioactive cisplatin on experimental animals has been carried out. High efficiency of ra- dioactive cisplatin for treatment of cancer tumors of animals has been received. This work was supported by STCU, project No.1768. REFERENCES 1. Benefical uses and production of isotopes OECD publications, ISBN 92-64-18417-1, No.516252000, 1992, 80 p. 2. A.A. Shishkin, A.G. Ivanov, A.V. Zaitsev et al. Copper-containing monocarbonylporphyrin - a prototype of new DNA-bonding cytotoxic com- pounds // DAN. 2005, v.403, No.6, p.833-836 (in Russian). 3. I.E. Feinendegen I.E. Biological damage from the Auger effect: Possibile benefits // Radiat. Envi- ron. Biophys. 1975, v.12, p.85-99. 4. S.J. Adelstein, A.I. Kassis. Radiobiologic impli- cations of the microscopic distribution of en- ergy from radionuclides // Nucl. Med. Biol. 1987, v.14, p.165-169. 5. A.I. Kassis, S.J. Adelstein, C.K. Haycock et al. Lethality of Auger electrons from the decay of Br-77 in the DNA of mammalian cells // Radiat. Res. 1982, v.90, p.362-373. 6. M.A. Waliska, S.J. Adelstein, A.I. Kassis. Chem- ical modification of 5-[125I]iodo-2b-dcoxyuridine toxicity in mammalian cells in vitro // Int. J. Radiat. Biol. 2001, v.77, p.625-630. 7. E. Dadachova, R.W. Howell, R.A. Bryan et al. Cryptococcus neoformans and Histoplasma cap- sulatum to γ-radiation versus radioimmunother- apy with α- and β-emitting radioisotopes // Rad. 120 Susceptibility Hum. Pathogens. 2004, v.45, No.2, p.313-320. 8. X.Y. Xue, N.J. Butler, G.M. Makrigiorgos et al. Bystander effect produced by radiolabeled tumor cells in vivo // Proc. Nat. Acad. Sci. 2002, v.99, No.21, p.13765-13770. 9. E.J. Hall, S. Mitchell, D.J. Brenner How Many Bystander Effects Are There? // Radiat. Res. 2004, v.161, p.117-118. 10. H. Zhou, G. Randers-Pehrson, M. Suzuki et al. Genotoxic damage in non-irradiated cells: contri- bution from the bystander effect // Radiat. Prot. Dosim. 2002, v.99, p.227-232. 11. H. Zhou, M. Suzuki, C.R. Geard, T.K. Hei Ef- fects of irradiated medium with or without cells on bystander cell responses // Mutat. Res. 2002, v.499, p.135-141. 12. N.P. Dikiy, A.N. Dovbnya, V.I. Nikifirov, V.L. Uvarov Peculiarities of photonuclear pro- duction of medical // Proc. of 11th Conf. on Appl. of Charged Part. Accel. in Industry and Medicine. 2005, StP., Russia, P.391-394 (in Rus- sian). 13. Progress report on nuclear data research in the Federal republic of Germany. 2005, Forschungszentrum Juilich GmbH, Juilich, FRG, 82 p. ПРОТИВООПУХОЛЕВАЯ ТЕРАПИЯ РАДИОАКТИВНЫМ ЦИСПЛАТИНОМ В ЭКСПЕРИМЕНТЕ Н.П. Дикий, А.Н. Довбня, Ю.В. Ляшко, Е.П. Медведева, Д.В. Медведев, В.Л. Уваров Рассматриваются способы производства 195mPt на линейных ускорителях электронов и циклотроне ННЦ ХФТИ. Разработаны методы выделения 195mPt из облученных образцов. Реализованы методы синтеза цисплатина с использованием радиоактивного изотопа 195mPt. Приведены результаты биоло- гических испытаний радиоактивного цисплатина на животных. Наши предварительные результаты демонстрируют возможность использования радиоактивного цисплатина для лечения канцерогенных заболеваний. ПРОТИПУХЛИННА ТЕРАПIЯ РАДIОАКТИВНИМ ЦИСПЛАТИНОМ В ЕКСПЕРИМЕНТI М.П. Дикий, А.М. Довбня, Ю.В. Ляшко, О.П. Медведєва, Д.В. Медведєв, В.Л. Уваров Розглядаються способи виробництва 195mPt на лiнiйних прискорювачах електронiв i циклотронi ННЦ ХФТI. Розроблено методи видiлення 195mPt з опромiнених зразкiв. Реалiзовано методи синтезу цисплатину з використанням радiоактивного iзотопу 195mPt. Наведено результати бiологiчних випро- бувань радiоактивного цисплатину на тваринах. Нашi попереднi результати демонструють можливiсть використання радiоактивного цисплатину для лiкування канцерогенних захворювань. 121
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institution Digital Library of Periodicals of National Academy of Sciences of Ukraine
issn 1562-6016
language English
last_indexed 2025-12-02T09:45:09Z
publishDate 2007
publisher Національний науковий центр «Харківський фізико-технічний інститут» НАН України
record_format dspace
spelling Dikiy, N.P.
Dovbnya, A.N.
Lyashko, Y.V.
Medvedeva, E.P.
Medvedev, D.V.
Uvarov, V.L.
2017-01-04T11:39:31Z
2017-01-04T11:39:31Z
2007
Antineoplastic therapy by radioactive cisplatin in experiment / N.P. Dikiy, A.N. Dovbnya, Y.V. Lyashko, E.P. Medvedeva, D.V. Medvedev, V.L. Uvarov // Вопросы атомной науки и техники. — 2007. — № 5. — С. 118-121. — Бібліогр.: 13 назв. — англ.
1562-6016
PACS: 29.17.+w, 28.41.Kw
https://nasplib.isofts.kiev.ua/handle/123456789/110402
The method of ¹⁹⁵mPt production on linear electron accelerators and cyclotron of NSC KIPT are described. The method of ¹⁹⁵mPt separation from the irradiated samples are developed. The methods of cisplatin synthesis with use of a radioactive isotope of ¹⁹⁵mPt are realized. Results of biological tests of radioactive cisplatin on animals are described. Our preliminary results demonstrate the feasibility of radioactive cisplatin for treatment of cancer diseases.
Розглядаються способи виробництва ¹⁹⁵mPt на лінійних прискорювачах електронів і циклотроні ННЦ ХФТІ. Розроблено методи виділення ¹⁹⁵mPt з опромінених зразків. Реалізовано методи синтезу цисплатину з використанням радіоактивного ізотопу ¹⁹⁵mPt. Наведено результати біологічних випробувань радіоактивного цисплатину на тваринах. Наші попередні результати демонструють можливість використання радіоактивного цисплатину для лікування канцерогенних захворювань.
Рассматриваются способы производства ¹⁹⁵mPt на линейных ускорителях электронов и циклотроне ННЦ ХФТИ. Разработаны методы выделения ¹⁹⁵mPt из облученных образцов. Реализованы методы синтеза цисплатина с использованием радиоактивного изотопа ¹⁹⁵mPt. Приведены результаты биологических испытаний радиоактивного цисплатина на животных. Наши предварительные результаты демонстрируют возможность использования радиоактивного цисплатина для лечения канцерогенных заболеваний.
This work was supported by STCU, project No.1768
en
Національний науковий центр «Харківський фізико-технічний інститут» НАН України
Вопросы атомной науки и техники
Ядернo-физические методы и обработка данных
Antineoplastic therapy by radioactive cisplatin in experiment
Протипухлинна терапія радіоактивним цисплатином в експерименті
Противоопухолевая терапия радиоактивным цисплатином в эксперименте
Article
published earlier
spellingShingle Antineoplastic therapy by radioactive cisplatin in experiment
Dikiy, N.P.
Dovbnya, A.N.
Lyashko, Y.V.
Medvedeva, E.P.
Medvedev, D.V.
Uvarov, V.L.
Ядернo-физические методы и обработка данных
title Antineoplastic therapy by radioactive cisplatin in experiment
title_alt Протипухлинна терапія радіоактивним цисплатином в експерименті
Противоопухолевая терапия радиоактивным цисплатином в эксперименте
title_full Antineoplastic therapy by radioactive cisplatin in experiment
title_fullStr Antineoplastic therapy by radioactive cisplatin in experiment
title_full_unstemmed Antineoplastic therapy by radioactive cisplatin in experiment
title_short Antineoplastic therapy by radioactive cisplatin in experiment
title_sort antineoplastic therapy by radioactive cisplatin in experiment
topic Ядернo-физические методы и обработка данных
topic_facet Ядернo-физические методы и обработка данных
url https://nasplib.isofts.kiev.ua/handle/123456789/110402
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AT dovbnyaan protipuhlinnaterapíâradíoaktivnimcisplatinomveksperimentí
AT lyashkoyv protipuhlinnaterapíâradíoaktivnimcisplatinomveksperimentí
AT medvedevaep protipuhlinnaterapíâradíoaktivnimcisplatinomveksperimentí
AT medvedevdv protipuhlinnaterapíâradíoaktivnimcisplatinomveksperimentí
AT uvarovvl protipuhlinnaterapíâradíoaktivnimcisplatinomveksperimentí
AT dikiynp protivoopuholevaâterapiâradioaktivnymcisplatinomvéksperimente
AT dovbnyaan protivoopuholevaâterapiâradioaktivnymcisplatinomvéksperimente
AT lyashkoyv protivoopuholevaâterapiâradioaktivnymcisplatinomvéksperimente
AT medvedevaep protivoopuholevaâterapiâradioaktivnymcisplatinomvéksperimente
AT medvedevdv protivoopuholevaâterapiâradioaktivnymcisplatinomvéksperimente
AT uvarovvl protivoopuholevaâterapiâradioaktivnymcisplatinomvéksperimente