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June 3, 1948New England Journal of Medicine1,811 citations

Temporary Remissions in Acute Leukemia in Children Produced by Folic Acid Antagonist, 4-Aminopteroyl-Glutamic Acid (Aminopterin)

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SFSidney FarberLDLouis K. DiamondRMRobert D. Mercer

Key Points

  • To examine the effects of aminopterin on children with acute leukemia.
  • Treatment involved intramuscular injections of 4-aminopteroylglutamic acid (aminopterin) in 5 children.
  • Clinical and hematologic studies were conducted to monitor outcomes.
  • Temporary remissions were observed in the children treated with aminopterin.
  • Noted 'acceleration phenomenon' in the leukemic process.

Abstract

IT IS the purpose of this paper to record the results of clinical and hematologic studies on 5 children with acute leukemia treated by the intramuscular injection of a synthetic compound, 4-aminopteroylglutamic acid (aminopterin). This substance is an antagonist to folic acid regarding the growth of Streptococcus faecalis R. The occurrence of what he interpreted as an "acceleration phenomenon" in the leukemic process as seen in the marrow and viscera of children with acute leukemia treated by the injection of folic acid conjugates1 — pteroyltriglutamic acid (teropterin) and pteroyldiglutamic acid (diopterin) — and an experience gained from studies on folic . . .

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Cite This Study

Farber et al. (1948) studied this question.

synapsesocial.com/papers/69d819f9b5518339b2ae2cd9https://doi.org/10.1056/nejm194806032382301
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1THE CHEMISTRY of CERTAIN PTEROYLGLUTAMIC ACID ANTAGONISTS1948 · 44 citations
  2. 2The Action of Pteroylglutamic Conjugates on Man1947 · 129 citations
  3. 3PTEROYLASPARTIC ACID, AN ANTAGONIST FOR PTEROYLGLUTAMIC ACID1947 · 70 citations
  4. 4ANTAGONIST FOR PTEROYLGLUTAMIC ACID1947 · 133 citations
  5. 5"Folic Acid" a Tumor Growth Inhibitor.1944 · 54 citations