فصلنامه کومش
سال یازدهم شماره 4 (پیاپی 36، تابستان 1389)

Chemotherapy after surgery is one of the adjuvant therapy components in breast cancer patients. In the current study, Taxane-based and Anthracycline-based regimes were compared to Cyclophosphamide, Methotrexate and 5-Fluorouracil (CMF) chemotherapy after modified radical mastectomy (MRM) surgery in terms of disease-free survival (DFS).

Sixty-two patients with confirmed breast cancer that underwent MRM surgery at no metastasis stage (M0) enrolled. These patients were received one of the three types of adjuvant chemotherapies that mentioned above and the relapse/metastasis in 8-year follow-up was recorded. In addition, some paraclinical and demographical factors were recorded and the efficacy of the different chemotherapy regimes was compared using log-logistic survival model.

The mean age (SD) of patients was 49 (1.31). More than 40% of patients had tumors with grade 3. The median time of follow-up was 20.0 months and the rate of 5-year DFS was 48%. Survival analysis indicated that type of chemotherapy (OR(Taxane/CMF) =3.676; OR (Anthracycline/CMF) =3.185), histological grade (OR=2.528), tumor size (OR=5.598) and number of lymph nodes (OR=1.112) affect the DFS.

The results of the current study indicated that the efficacy of Taxane-based and Anthracycline-based is more than CMF. This study also showed that early detection of tumor was an important factor for a successful treatment in terms of DFS, and so, it declares the roll of screening and public education.

The perinatal effects of antidepressants on CNS due to its common usage are important issues in neuroscience research. Bupropion is an atypical antidepressant that is used in smoke cessation under FDA approve widely. The study of synaptic effects of bupropion can reveal its mechanism for nicotine dependence cessation. In this study the long term effects of perinatal bupropion on population spike (PS) amplitudes were investigated. The PS amplitude is a good parameter for synaptic plasticity.

Hippocampal slices from 18-25 day old rat’s pups were prepared. The exam groups included control and Bupropion treated groups. Bupropion (40 mg/Kg, i.p) was applied in perinatal period daily as pretreatment. Bupropion also was perfused in ACSF (10, 50, 200 μ mol, 30 minutes) and tested for PS amplitude. PS amplitude of Stratum Radiatum was measured before and after Bupropion perfusion. Amplitude of PS before Bupropion perfusion was fitted as 100% for baseline.

A concentration of 10 μM did not reduce PS amplitude and Bupropion had no significant effects on PS amplitude. Bupropion in concentration of 50μM could reduce the amplitude of responses in 50% of cases. The 200 μM of Bupropion perfusion reduced population spike amplitude all slices (n=22). In the last state population spike amplitude in 8 out 0f 22 slices completely abolished. Decrease population spike amplitude in non-treated slices with 200 μM perfusion was more than treated slices.

Analyzing of data showed that chronic perinatal exposure to Bupropion in concentrations 50,200 µM reduced PS amplitude and we found adaptation synaptic in perfusion 200 µM compare with Bupropion treated slices with non- treated.