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Sampath Kumar E, Muralidhara M, Chandrasekhar V. Reactions of N-methyl 1,3-diaminopropane with N3P3Cl6 and GEM-N3P3Cl4Ph2 leading to spirocyclic products. Polyhedron 1995. [DOI: 10.1016/0277-5387(94)00440-p] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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52
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Francisco J, Pauwels O, Simon S, Gasperin P, Van Houtte P, Pasteels JL, Kiss R. Computer-assisted morphonuclear characterization of radiotherapy-induced effects in MXT mouse mammary adenocarcinomas surviving earlier radiotherapy. Int J Radiat Oncol Biol Phys 1995; 32:409-19. [PMID: 7751183 DOI: 10.1016/0360-3016(95)00529-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
PURPOSE To present the effects of different radiotherapeutic treatments on the morphonuclear characteristics and growth of the MXT mouse mammary adenocarcinoma. METHODS AND MATERIALS We collected MXT tumor cells by means of fine-needle aspirations during various radiotherapeutic treatments and analyzed the morphological aspects of the cell nuclei by means of the digital cell image analysis of Feulgen-stained nuclei. In addition, we studied the morphonuclear aspects of cells from MXT tumors that had been radioresistant cell enriched. These radioresistant cell-enriched tumors involved MXT tumors that had survived one or two previous radiotherapies. The radiotherapy-induced effects on the morphonuclear characteristics were monitored by means of both monovariate (one-way variance) and multivariate (principal components and step-wise linear discriminant) analyses. RESULTS The monovariate analyses showed that radiotherapy significantly influenced the values of the parameters relating to nuclear size (nuclear area--NA), the frequency of small dense chromatin clumps (short run length emphasis--SRL) in the nuclei, and the overall chromatin condensation level (local mean--LM). The global effect corresponded to a decrease in the overall chromatin condensation level in the radioresistant cell-enriched MXT tumors. This decrease occurred concomitantly with an increase in the frequency of the small dense chromatin clumps in the nuclei and a decrease in the nuclear area. The multivariate analyses showed that it was possible to quantitate the proportion of "radiosensitive-like" and "radioresistant-like" cell nuclei in the various MXT tumor types under study. CONCLUSIONS The development of certain morphonuclear parameters, that is, the NA, the SRL, and the LM, could be proposed to predict the response of human tumors to radiotherapy as, indeed, could the quantitation of the proportion of radioresistant cells.
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Affiliation(s)
- J Francisco
- Laboratoire d'Histologie, Faculté de Médecine, Université Libre de Bruxelles, Belgium
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Pauwels O, Kiss R. Morphonuclear characterization of drug resistance by means of digital cell-image analysis: an in vitro assessment. Cancer Chemother Pharmacol 1995; 37:179-86. [PMID: 7497590 DOI: 10.1007/bf00685647] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
The prediction of tumor resistance to antineoplastic drugs remains an important challenge in cancer chemotherapy. Several methods have been proposed in this connection, but they present a number of problems such as clinical relevance and applicability. In the present work we put forward an original methodology to assess the drug sensitivity of cancer cells. For this purpose we submitted chemosensitive and chemoresistant cell lines to different anticancer drugs and monitored the cell growth and the drug-induced morphonuclear effects by means of digital cell-image analysis of Feulgen-stained nuclei. The results showed that drug-induced effects at the morphonuclear level correlated statistically with the effects produced at the cell proliferation level. For example, the mean nuclear size value increased as a function of the drugs' efficiency recorded at the cell proliferation level. In the same way, the frequency of large dense chromatin clumps also increased in accordance with the drugs' efficiency. The present work thus demonstrates that digital cell-image analysis can be applied to monitor the efficiency of chemotherapeutic treatment carried out on cell lines in vitro. The present methodology could possibly be used on solid tumors, from which biological material can be obtained serially by means of fine-needle aspiration. As evidence of this, the present methodology can also be applied to hematological cancers.
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Affiliation(s)
- O Pauwels
- Laboratory of Histology, Faculty of Medicine, Free University of Brussels, Belgium
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Bortolus P, Gleria M. Photochemistry and photophysics of poly(organophosphazenes) and related compounds: A review. III. Applicative aspects. ACTA ACUST UNITED AC 1994. [DOI: 10.1007/bf00683716] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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55
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Sournies F, Labrousse L, Graffeuil M, Crasnier F, Faucher JP, Labarre MC, Labarre JF. On the Scent of Dandelion Dendrimers. Part I. Cyclophosphazenic Hexapodanes as New Cores. PHOSPHORUS SULFUR 1994. [DOI: 10.1080/10426509408020431] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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56
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Labarre MC, Labarre JF. On the reliability of time-and-money non-consuming techniques for reaching real molecular structures in cyclophophazenes: NMR spectroscopy versus X-ray crystallography. J Mol Struct 1993. [DOI: 10.1016/0022-2860(93)87049-f] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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57
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Valério C, Labarre MC, Labarre JF. Lariat-bearing cyclophosphazenes: potential molecular sepulchers for magnetic resonance imaging agents. J Mol Struct 1993. [DOI: 10.1016/0022-2860(93)80291-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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58
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Gozy M, Pauwels O, Gasperin P, Pasteels JL, Van Houtte P, Kiss R. In vitro characterization of radiotherapy-induced morphonuclear modifications on chemosensitive as opposed to chemoresistant neoplastic cells. Int J Radiat Oncol Biol Phys 1993; 27:83-91. [PMID: 8365946 DOI: 10.1016/0360-3016(93)90424-t] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
PURPOSE We describe by means of digital cell image analysis the influence of X-ray radiation on three in vitro cultured cell lines for which we set up chemosensitive and chemoresistant variants. METHODS AND MATERIALS The three cell lines correspond to the MXT mouse mammary and the T24 and J82 neoplastic human bladder cells. The digital cell image analysis was carried out by computing morphometric (nuclear size), densitometric (proportion of cells in the G2 cell cycle phase), and textural features (chromatin pattern characteristics) on Feulgen-stained nuclei. RESULTS The results show that such digital cell image analyses make it possible to monitor radiotherapy-induced effects on these morphonuclear characteristics accurately. X-ray radiotherapy induces a dose-dependent increase in the proportion of cells in the G2 phase of the cell cycle along with a decrease in the overall chromatin condensation level. These two concomitant phenomena lead to a marked radiotherapy-induced increase in nuclear size. We also observed that radiotherapy-induced effects at the morphonuclear level are not only highly specific to the cell type analyzed, that is MXT mouse mammary or J82 or T24 human bladder carcinoma cells, but also to the fact that the cells are either chemosensitive or chemoresistant. CONCLUSION The digital cell image analyses of Feulgen-stained nuclei is helpful in monitoring the irradiation-induced morphonuclear modifications.
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Affiliation(s)
- M Gozy
- Department of Radiotherapy, Institut J. Bordet, Brussels, Belgium
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59
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Pauwels O, Kiss R. Monitoring of chemotherapy-induced morphonuclear modifications by means of digital cell-image analysis. J Cancer Res Clin Oncol 1993; 119:533-40. [PMID: 8325904 DOI: 10.1007/bf01686463] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
We illustrate the potential application of digital cell-image analysis to characterize the morphonuclear modifications induced by various drugs including VP16, a podophyllotoxin derivative, PE1001, an investigational alkylating agent, and doxorubicin, an intercalating agent. Fifteen parameters representative of morphometric (nuclear area), densitometric (nuclear DNA content), and textural (chromatin organization, condensation, and distribution) features were computed on Feulgen-stained nuclei obtained from fine-needle aspirations serially performed during treatment on the MXT mouse mammary cancer model. We observed marked differences between the control and drug-treated MXT cell nuclei. However, mathematical data processing was necessary to improve the ratio of the chemotherapy-induced morphonuclear signal to the control biological morphonuclear signal. This data processing relies upon the use of principal-component analysis followed by the canonical transformation of data. The present method can be applied to all human cancers on which fine-needle aspiration can be performed.
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MESH Headings
- Animals
- Antineoplastic Agents/pharmacology
- Biopsy, Needle
- Cell Division/drug effects
- Cell Nucleus/drug effects
- DNA, Neoplasm/drug effects
- DNA, Neoplasm/metabolism
- Doxorubicin/pharmacology
- Drug Screening Assays, Antitumor
- Etoposide/pharmacology
- Female
- Image Processing, Computer-Assisted/methods
- Mammary Neoplasms, Experimental/drug therapy
- Mammary Neoplasms, Experimental/pathology
- Mammary Neoplasms, Experimental/ultrastructure
- Mice
- Mice, Inbred C57BL
- Mice, Inbred DBA
- Multivariate Analysis
- Neoplasm Transplantation
- Organic Chemicals
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Affiliation(s)
- O Pauwels
- Laboratory of Histology, Faculty of Medicine, Free University of Brussels, Belgium
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60
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Chandrasekhar V, Thomas KRJ. Coordination and organometallic chemistry of cyclophosphazenes and polyphosphazenes. Appl Organomet Chem 1993. [DOI: 10.1002/aoc.590070102] [Citation(s) in RCA: 86] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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61
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Reactions of 1,3-butanediol with hexachlorocyclotriphosphazene: unusual non-equivalence of phosphorus nuclei in the spirocyclic product N3P3Cl4[OCH(CH3)CH2CH2O]. Polyhedron 1993. [DOI: 10.1016/s0277-5387(00)84591-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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62
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Etiévant C, Pauwels O, Kiss R. Digital cell image analysis of verapamil-induced effects in chemosensitive and chemoresistant neoplastic cell lines. J Cancer Res Clin Oncol 1993; 120:76-84. [PMID: 8270613 DOI: 10.1007/bf01200728] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
We used chemosensitive and chemoresistant variants of the neoplastic mouse MXT mammary and human J82 and T24 bladder cell lines to characterize verapamil-induced cell proliferation and morphonuclear modifications in drug-treated and untreated cells. Chemoresistance to vinorelbine (Navelbine, a Vinca alkaloid derivative), to DIAM3 (an investigational alkylating compound) and to Adriamycin (an intercalating agent) in the presence or absence of verapamil was monitored by means of the colorimetric 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. The results showed that verapamil restored a significant level of chemosensitivity in doses such as 1 microM or 10 microM in the three chemoresistant variants. The digital cell image analysis of Feulgen-stained T24-resistant cell nuclei revealed that verapamil restored the drug-treated cell kinetics and morphonuclear features observed in the sensitive counterpart especially with respect to the effects of Adriamycin. Interestingly, verapamil induced a highly significant chromatin decondensation in resistant but not in sensitive variants. Such verapamil-induced decondensation may favour the accessibility of drugs to their DNA targets. Therefore, in addition to the well-known action of the drug on the influx of a cytotoxic compound from the cellular to the intracellular compartment, verapamil might also favour the accessibility of the nucleus, to the drug.
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Affiliation(s)
- C Etiévant
- Division de Cancérologie Expérimentale I, Centre de Recherche Pierre Fabre, Castres, France
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63
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In S, Le Lann AD, Oksman F, Fournié EL, Labarre JF, Benoist H, Fournié GJ. An in vivo model for the experimental selection of drugs able to prevent immune complex glomerulonephritis. INTERNATIONAL JOURNAL OF IMMUNOPHARMACOLOGY 1992; 14:871-6. [PMID: 1387391 DOI: 10.1016/0192-0561(92)90086-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Polyclonal activation of lymphocytes and immune complex-mediated glomerular lesions were induced in C57Bl/6 mice by injecting bacterial lipopolysaccharide (LPS) twice a week for 2 weeks. The usefulness of such a model for in vivo evaluation of immunomodulatory and therapeutic effects of drugs, was investigated by treating mice with DIAM4, a cyclophosphazenic compound known to modulate polyclonal activation of lymphocytes and to prevent mouse lupus nephritis. Prevention of LPS-triggered lymphocyte polyclonal activation and glomerular lesions was observed in the DIAM4-treated mice. Such a model can be used conveniently to select compounds effective in the treatment of immune glomerulonephritis.
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Affiliation(s)
- S In
- Laboratoire d'Immunopathologie Rénale et d'Immunopharmacologie, CJF INSERM 88.01, Faculté de Médecine Purpan, Toulouse, France
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Pauwels O, Kiss R. Digital morphonuclear analyses of sensitive versus resistant neoplastic cells to vinca-alkaloid, alkylating, and intercalating drugs. CYTOMETRY 1991; 12:388-97. [PMID: 1935454 DOI: 10.1002/cyto.990120503] [Citation(s) in RCA: 31] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
We tested 12 resistant cell lines in vitro in order to evaluate common morphonuclear characteristics induced by various cytotoxic drugs on cell lines of different origins. We used the MXT mouse mammary cancer and the neoplastic J82 and T24 human bladder cell lines, whose variants are either sensitive or resistant to a vinca alkaloid derivative (Navelbine, NVB), to an investigational alkylating agent (PE1001), and to Adriamycin (ADR). We tested cell population variants resistant to NVB + PE1001 + ADR. The level of chemoresistance was evaluated by a colorimetric assay assessing the 50% concentration-induced inhibition of cellular growth (IC50) brought about by each drug on the growth of each cell variant under study. We show that resistant neoplastic cell nuclei present common morphonuclear characteristics, independent of cell origin (neoplastic mouse mammary versus human bladder cells) and the drug used (vinca alkaloid, alkylating, and intercalating derivatives). Our results further indicate that the phenotype of resistant versus sensitive cells corresponds to cell nuclei populations with smaller nuclei and less nuclear DNA content and, as a consequence, a chromatin texture showing large pale areas with some hyperchromatic clumps.
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Affiliation(s)
- O Pauwels
- Laboratory of Histology, Faculty of Medicine, Free University of Brussels, Belgium
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65
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On the antitumor effectiveness of aziridinocyclophosphazenes: crystal and molecular structure of the non-active 2,2-bis (1-aziridinyl)-4,4,6,6-tetrachlorocyclotriphosphazene, gem-N3P3Az2Cl4. J Mol Struct 1990. [DOI: 10.1016/0022-2860(90)85029-i] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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66
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Khan NA, Masson I, Darcel F, Quemener V, Labarre JF, Moulinoux JP. Transport mechanism of DIAM 3, a new anticancer drug, in human glioblastoma (U 251) cells in culture. Biochem Pharmacol 1990; 39:2057-60. [PMID: 2353945 DOI: 10.1016/0006-2952(90)90629-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- N A Khan
- Department of Cell Biology, Central Hospital of the University (C.H.U.), Rennes I, France
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67
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Enjalbert R, Galy J, Sournies F, Labarre JF. Crystal and molecular structure of the first dibino non-geminal macrocyclic dicyclophosphazene, & {;N3P3Cl4[HN(CH2)3O(CH2)2O(CH2)3NH]&};2. J Mol Struct 1990. [DOI: 10.1016/0022-2860(90)80409-d] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Dueymes M, In S, Labarre JF, Sournies F, Fournié GJ. Modulation of polyclonal activation of lymphocytes by cyclophosphazenic compounds bearing ethylene-imino groups and vectorized by polyamines. INTERNATIONAL JOURNAL OF IMMUNOPHARMACOLOGY 1990; 12:555-60. [PMID: 2210915 DOI: 10.1016/0192-0561(90)90120-c] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Cyclophosphazenic compounds bearing ethylene-imino groups are cytocydal chemicals which can modulate polyclonal activation of lymphocytes (PAL) and prevent the development of murine lupus. The effects on PAL of the different parts of these chemicals and of vectorization by polyamines have been investigated by treating lipopolysaccharide injected C57Bl/6 mice with various cyclophosphazenic compounds and thiotepa. The immune effects of the cyclophosphazenic substances have been found to be mediated by ethylene-imino groups and to be modulated by polyamine vectorization. These compounds might represent a new class of drugs for treatment of immune mediated diseases of the lupus type.
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Affiliation(s)
- M Dueymes
- Laboratoire d'Immunopathologie Rénale et d'Immunopharmacologie, CJF INSERM 88.01, Faculté de Médecine PURPAN, Toulouse, France
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70
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Shaw RA. THE REACTIONS OF PHOSPHAZENES WITH DIFUNCTIONAL AND POLYFUNCTIONAL NUCLEOPHILIC REAGENTS. PHOSPHORUS SULFUR 1989. [DOI: 10.1080/10426508908046081] [Citation(s) in RCA: 56] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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71
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Crystal and molecular structure of the spiransa and dispiransa cyclophosphazenic derivatives from spermidine and spermine, N3P3Cl3[HN(CH2)3N(CH2)4NH] and N3P3Cl2[HN(CH2)3N(CH2)4N(CH2)3NH]. J Mol Struct 1989. [DOI: 10.1016/0022-2860(89)85085-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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72
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Crystal and molecular structure of the first MACRO-ANSA and MACRO-SPIRO isomeric cyclophosphazenes N3P3Cl4 (HN(CH2)3O(CH2)2O(CH2)3NH). J Mol Struct 1989. [DOI: 10.1016/0022-2860(89)85018-5] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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73
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Guerch G, Bonnet JP, Labarre JF. Spermine-linked cyclophosphazenes: new DISPIRANSA configurations. J Mol Struct 1989. [DOI: 10.1016/0022-2860(89)85019-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Vidaud L, Labarre JF, Perly B. The way the three basic bricks of the B.A.S.I.C. (BINO-ANSA-SPIRO in cyclophosphazenes) game are built: a 121.5 mhz 31P NMR kinetic study. Inorganica Chim Acta 1988. [DOI: 10.1016/s0020-1693(00)80632-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Perly B, Berthault P, Bonnet JP, Labarre JF. 202 MHz 31P NMR performances Part VI. The case of the unsymmetrical cyclophosphazenic BINO structure, N3P3Cl5[HN(CH2)3N(CH3)]Cl5P3N3. J Mol Struct 1988. [DOI: 10.1016/0022-2860(88)80248-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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80
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Spermidine- and spermine-linked cyclophosphazenes: new forced (bi-dangling and spiro-bidangling) molecular configurations. J Mol Struct 1988. [DOI: 10.1016/0022-2860(88)80254-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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81
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82
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Castera P, Faucher JP, Labarre JF, Perly B. An answer to the spiro versus ANSA dilemma in cyclophosphazenes. J Mol Struct 1987. [DOI: 10.1016/0022-2860(87)80077-7] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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83
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84
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Willson M, Sanchez M, Labarre JF. The gem-tetraziridinocyclotriphosphazene diazide, N3P3Az4(N3)2, a synthon to monophosphazenylmonoazido derivatives of biological interest. Inorganica Chim Acta 1987. [DOI: 10.1016/s0020-1693(00)85562-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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85
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Castera P, Labarre JF. Attempts at the production of more selective antitumourals. Part III. Aziridinocyclophosphazenes linked to the polyamines 1,5-diaminopentane (cadaverine) and higher cousins. Inorganica Chim Acta 1987. [DOI: 10.1016/s0020-1693(00)85560-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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86
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