The nature of unbalanced cell growth caused by cytotoxic agents

The volume of cells grown in tissue culture following exposure to a wide variety of cytotoxic drugs or x-rays increases at a rate of 1 to 10% of cell mass per hour. The same phenomenon is seen in animal neoplasias and human leukemias. This increase in cell volume is the result of unbalanced cell growth with a resulting disproportionate synthesis of proteins and possibly other macromolecules in the cytoplasm and nucleus. The dose response curve for a decrease in cell survival as measured by cloning efficiency in tissue culture is quantitatively correlated with the dose response curve for inducing an increase in cell volume. This quantitative relationship makes feasible the use of the phenomenon of unbalanced cell growth as a measure of cell death in screening for cytotoxic drugs or in monitoring response to therapy. An hypothesis to explain this increase in cell volume following chemotherapy is that cells are by the action of these drugs induced into an abortive or unbalanced pseudo-cycle which is characterized by synthesis of substantial amounts of protein without other preparative steps for cell division.