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Updated: May 29, 2026

Implantation and Monitoring by PET/CT of an Orthotopic Model of Human Pleural Mesothelioma in Athymic Mice
Published on: December 21, 2019
Interaction of radiation and pemetrexed on a human malignant mesothelioma cell line in vitro
Daisaku Yoshida1, Takeshi Ebara, Yumi Sato
1Department of Radiation Oncology, Gunma University, Graduate School of Medicine, 3-39-22, Showa-machi, Maebashi, Gunma 371-8511, Japan. daisakuy@med.gunma-u.ac.jp
Purpose:
To investigate the interaction of the cytotoxic activity of the combination of pemetrexed and radiation in a human mesothelioma cell line.
Materials And Methods:
The toxic effects of treatment with radiation and/or pemetrexed (PEM) on NCI-H28 cells were assessed by clonogenic assay. TUNEL/DAPI staining was used to measure the apoptosis index (AI). Thymidylate synthase (TS) protein expression was measured by Western blotting.
Results:
The D0 value of the combination treatment was lower than that for radiation, indicating its addition resulted in the synergistic effects with radiation. An increase in AI was observed with the combination compared with that observed after PEM alone. Radiation induced a time-dependent decrease in TS expression. Increased TS expression was observed after PEM, but the combination treatment decreased TS expression.
Conclusion:
Treatment with pemetrexed in combination with radiation has a supra-additive effect, partially due to the synergistic induction of apoptosis, which may be due to TS suppression, by the irradiation enhancing the effect of pemetrexed.

