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Title: Effects of antineoplastic drugs on Lactobacillus casei and radioisotopic assays for serum folate

Journal Article · · Am. J. Clin. Pathol.; (United States)

Microbiologic assay, usually employing Lactobacillus casei, remains the standard assay for serum folate to date. Among its disadvantages have been falsely low results in patients receiving bacteriostatic agents such as antibiotics. This study examined whether commonly used antineoplastic drugs had similar effect. Methotrexate and 5-fluorouracil depressed microbiologic serum folate levels. No effect was found for adriamycin, bleomycin, BCNU, cyclophosphamide, cytosine arabinoside, vincristine, vinblastine, mechlorethamine, mithramycin, hydroxyurea, and hydrocortisone. None of the drugs affected radioassay except methotrexate, which produced falsely high folate results. Thus, it appears that L. casei assay for folate becomes unreliable in patients receiving 5-fluorouracil and radioisotopic assay becomes unreliable in those receiving methotrexate.

Research Organization:
Univ. of Southern California School of Medicine, Los Angeles
OSTI ID:
5545629
Journal Information:
Am. J. Clin. Pathol.; (United States), Vol. 69:2
Country of Publication:
United States
Language:
English