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Chronic toxicity studies of the potential cancer preventive 2-(difluoromethyl)-dl-ornithine
J A Crowell1, E I Goldenthal, G J Kelloff
1Chemoprevention Branch, National Cancer Institute, Bethesda, Maryland 20892.
Abstract:
The synthetic compound 2-(difluoromethyl)-dl-ornithine irreversibly inhibits ornithine decarboxylase and reduces the intracellular levels of the polyamine cell cycle factors putrescine and spermidine. The drug has shown chemopreventive efficacy in numerous laboratory epithelial cancer models and is a prototype for antiproliferative agents. Chronic toxicity studies in rats and dogs were performed to characterize the toxicities of the compound at high dosages and to support its further development in clinical trials as a potential chemopreventive agent. Chronic administration (52 weeks) by gavage to Charles River CD rats at dosages of 400, 800, and 1600 mg/kg produced weight loss, increased platelets, alopecia and skin abrasions, dermatitis, liver necrosis, and gastric inflammation. The no-effect dose in this study was considered 400 mg/kg. Chronic administration by capsule to dogs at dosages of 50, 100, and 200 mg/kg produced conjunctivitis, hyperkeratosis and alopecia, and cystic intestinal crypts. A no-effect dose was not determined in this study. The toxicities demonstrated in these studies may be minimized at lower dosages and support the further development of this compound in chemopreventive clinical investigations.
Insights
This study investigated the chronic toxicity of 2-(difluoromethyl)-dl-ornithine, a potential chemopreventive agent. High doses in rats and dogs caused adverse effects, but findings support further clinical development at lower doses.
Area of Science:
- Pharmacology
- Toxicology
- Oncology
Background:
- 2-(difluoromethyl)-dl-ornithine is a synthetic compound that inhibits ornithine decarboxylase, reducing polyamine levels crucial for cell cycle progression.
- The compound has demonstrated chemopreventive efficacy in preclinical epithelial cancer models and serves as a prototype antiproliferative agent.
- Chronic toxicity studies are essential to evaluate safety and support clinical development of potential chemopreventive agents.
Purpose of the Study:
- To characterize the toxicities of 2-(difluoromethyl)-dl-ornithine at high dosages in chronic toxicity studies.
- To determine a no-effect dose for the compound in rodent and canine models.
- To support the further clinical development of 2-(difluoromethyl)-dl-ornithine as a chemopreventive agent.
Main Methods:
- Rats were administered 2-(difluoromethyl)-dl-ornithine by gavage for 52 weeks at dosages of 400, 800, and 1600 mg/kg.
- Dogs were administered the compound by capsule for 52 weeks at dosages of 50, 100, and 200 mg/kg.
- Adverse effects and no-effect doses were evaluated in both species.
Main Results:
- In rats, high dosages led to weight loss, increased platelets, alopecia, skin abrasions, dermatitis, liver necrosis, and gastric inflammation; the no-effect dose was 400 mg/kg.
- In dogs, dosages caused conjunctivitis, hyperkeratosis, alopecia, and cystic intestinal crypts; a no-effect dose was not determined.
- Observed toxicities were dose-dependent.
Conclusions:
- Chronic administration of 2-(difluoromethyl)-dl-ornithine at high doses induces toxicities in rats and dogs.
- The toxicities observed in these studies may be manageable at lower dosages.
- Findings support the continued investigation of 2-(difluoromethyl)-dl-ornithine in chemopreventive clinical trials.
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