机构地区:[1]福建医科大学协和医院超声科福建省超声医学研究所,福建福州350001
出 处:《中西医结合学报》2009年第9期836-841,共6页Journal of Chinese Integrative Medicine
基 金:福建省卫生厅青年科研课题资助项目(No.2007-1-5)
摘 要:目的:评价眼镜蛇毒细胞毒素(cytotoxin,CTX)-聚乳酸-羟基乙酸(polylactic-co-glycolic acid,PLGA)微球经皮瘤内注射治疗裸鼠肝癌的安全性和有效性。方法:采用甲基噻唑基四唑法检测分离纯化得到的眼镜蛇毒CTX体外细胞毒活性,复乳-溶剂挥发法制备眼镜蛇毒CTX-PLGA缓释做球。40只BALB/c裸小鼠皮下接种人肝癌细胞系BEL-7404细胞建立裸鼠皮下移植瘤肝癌模型,分为生理盐水组、空白微球组、游离CTX组和CTX-PLGA微球组。瘤内注射相应药物,治疗后每周用高频超声观察肿瘤内部回声和血流情况;治疗后第26天,剥离肿瘤称取质量并计算抑瘤率;取肿瘤组织和心、肝、肾等重要脏器,观察其病理学改变。结果:眼镜蛇毒CTX对体外培养的人肝癌:BEL-7404细胞具有较强的毒性作用。眼镜蛇毒CTX-PLGA缓释微球粒径约(34.45±9.85)μm,具有较高的包封率和较好的缓释效果。瘤体内一次性注射眼镜蛇毒CTX-PLGA微球后,肿瘤体积增长缓慢,抑瘤率达52.36%;光学显徽镜观察显示肿瘤组织大部分坏死,但心、肝、肾等重要脏器在形态学上无明显改变。结论:眼镜蛇毒CTX-PLGA微球瘤内注射可抑制裸鼠肝癌的生长,且具有较高的安全性。Objective: To evaluate the safety and efficacy of intratumoral injection of polylactic-co-glycolic acid (PLGA) microspheres containing cobra venom cytotoxin in nude mice with transplanted human hepatoma. Methods: Cytotoxic activity of cytotoxin from cobra venom was determined by using methyl thiazolyl tetrazolium method in vitro. Microspheres containing cobra venom cytotoxin were prepared with a double emulsion-solvent evaporation method. Forty BALB/c nude mice were inoculated subcutaneously in right flank with hepatoma BEL-7404 cells. Thirty-two mice whose tumor size reached about 1.0 cm in diameter, were randomly assigned into normal saline group, blank microsphers group, cytotoxin group and cytotoxin-PLGA group. Nude mice were intratumorally injected with normal saline, blank microspheres, cytotoxin or cytotoxin-PLGA microspheres respectively. Internal echo characteristics and blood flow of tumors were observed by high-frequency ultrasound every week after treatment. Twenty-six days after treatment, the tumors were removed to calculate the inhibition rate of tumor growth. The tumor, heart, liver and kidney tissues were obtained for histopathological examination. Results: The cytotoxin separated and purified from crude cobra venom caused intense cytotoxic effects to the BEL-7404 cells in vitro. The diameter of PLGA microspheres containing cobra venom cytotoxin was about (34.45±9.85) μm. Encapsulation rate was up to (78.13±8.92)%, and cumulative amount of cobra venom cytotoxin released from the PLGA microspheres in vitro during 30 days was up to 84.3%. After intratumoral injection, tumor volumes and weights in the cytotoxin-PLGA group were lower than those in the normal saline group, with a tumor growth inhibition rate of 52.36%. Observed under a light microscope, most tumor tissues were necrotic. No obvious morphological change could be seen on the liver, kidney and heart tissues. Conclusion: The above findings indicate that intratumoral injection of cytotoxin-PLGA microspheres has str
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