Table 3.

Median TSI50,short Values (μmol/L) for MTX and Novel Antifolates and Normalized TSI50,short Ratios in Childhood Leukemia Subtypes

Initial c/preB-ALLRelapsed c/preB-ALL (rALL)T-ALL AML
TSI50,short (μmol/L)TSI50,short (μmol/L) Normalized TSI50,short Ratio TSI50,short (μmol/L) Normalized TSI50,short RatioTSI50,short (μmol/L) Normalized TSI50,short Ratio
MTX  0.38  1.13-150 2.9 3.73-151 9.8  2.23-151 5.7  
TMQ  1.5  1.3  0.853-152 1.4  0.893-151 0.333-151 0.223-151 
GW1843U89  0.0067 0.0037  0.553-150 0.0213-150 3.13-153 0.0056  0.843-151 
MTA 0.21  0.33  1.63-153 1.43-153 6.53-153 0.41  1.93-150 
Raltitrexed  0.0096  0.0473-152 4.9  0.0373-150 3.9 0.0423-150 4.4 
Initial c/preB-ALLRelapsed c/preB-ALL (rALL)T-ALL AML
TSI50,short (μmol/L)TSI50,short (μmol/L) Normalized TSI50,short Ratio TSI50,short (μmol/L) Normalized TSI50,short RatioTSI50,short (μmol/L) Normalized TSI50,short Ratio
MTX  0.38  1.13-150 2.9 3.73-151 9.8  2.23-151 5.7  
TMQ  1.5  1.3  0.853-152 1.4  0.893-151 0.333-151 0.223-151 
GW1843U89  0.0067 0.0037  0.553-150 0.0213-150 3.13-153 0.0056  0.843-151 
MTA 0.21  0.33  1.63-153 1.43-153 6.53-153 0.41  1.93-150 
Raltitrexed  0.0096  0.0473-152 4.9  0.0373-150 3.9 0.0423-150 4.4 

TSI50,short values were measured by the in situ TS inhibition assay after a 3-hour drug exposure followed by an 18-hour drug-free period. Mann-Whitney U test was applied to analyze differences between untreated c/preB-ALL and relapsed c/preB-ALL (rALL), T-ALL or AML. Normalized TSI50,short was calculated as (TSI50,short for individual sample)/(median TSI50,short for group of c/preB-ALL). Wilcoxon signed ranks test was applied to analyze differences between normalized TSI50,short ratios for a novel antifolate and for MTX. No results are presented for ZD9331 because the majority of the samples required more than the highest concentration tested in this study to inhibit 50% of the TS activity.

F3-151

P ≤ .001;

F3-150

P ≤ .01;

F3-152

P < .05;

F3-153

P < .1.

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