Research Article

Low-Dose Cyclophosphamide Synergizes with Dendritic Cell-Based Immunotherapy in Antitumor Activity

Figure 5

Long-period administration of CTX improves survival compared to pre- or post-immunotherapy treatment. Mice were divided into four groups ( 𝑛 = 6 per group) and inoculated with a lethal dose of AB1 tumor cells on day 0. Mice received low-dose CTX before (day 3 till 10) or after (day 14 till 21) immunotherapy or metronomic dosed CTX (day 3 till 10 and day 14 till 21). Groups 2, 3, and 4 were treated with DC-immunotherapy on day 12. Group 1 functioned as a tumor control group and did not receive any treatment. Administration of metronomic dosed CTX was not significantly better than CTX treatment before ( 𝑃 = . 8 4 0 ) or after ( 𝑃 = . 4 5 4 ) immunotherapy. However, the combination of CTX and immunotherapy was significantly better than no treatment (CTX before immunotherapy compared to untreated 𝑃 = . 0 0 8 1 , CTX after immunotherapy compared to untreated 𝑃 = . 0 1 4 7 , metronomic dosed CTX and immunotherapy compared to untreated 𝑃 = . 0 0 1 8 ).
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