机构地区:[1]广州医科大学附属第二医院胃肠外科,广东广州510260
出 处:《中国癌症杂志》2017年第11期853-859,共7页China Oncology
基 金:国家自然科学基金(81071883)
摘 要:背景与目的:人结直肠癌细胞基本无胸苷磷酸化酶(thymidine phosphorylase,TP)表达。本实验主要探讨人结肠癌细胞株LS174T转染TP基因后,在裸鼠肿瘤组织中对抗癌药物5’-脱氧氟尿苷(5’-deoxy-5-fluorouridine,5’-DFUR)、氟尿嘧啶(5-fluorouracil,5-FU)和干扰素-α2a(interferon-α2a,INF-α2a)干预效果的影响。方法:以慢病毒为载体转染TP基因至结肠癌细胞株LS174T,得到稳定传代的高TP表达株。将96只BALB/c裸鼠分成2组,分别应用野生型及转染TP基因后的LS174T细胞株接种裸鼠背部皮下,制成结肠癌TP低、高表达模型。每组再随机分为6组,分别应用0.9%Na Cl溶液、INF-α2a、5-FU、5-FU+INF-α2a、5’-DFUR和5’-DFUR+INF-α2a干预5 d,2周后处死裸鼠,分离肿瘤称重后,分别应用鼠抗人CD34、血管内皮生长因子(vascular endothelial growth factor,VEGF)和抗PD-ECGF单克隆抗体进行免疫组织化学染色。判定是否有TP表达及对微血管进行计数。结果:在野生型LS174T裸鼠荷瘤模型中,使用抗肿瘤药物的3~6组肿瘤质量与对照组相比均明显降低,抑癌率分别为48%、27%、48%和57%,差异有统计学意义(P<0.05)。其中5’-DFUR组(48%)与5’-DFUR+INF-α2a组(57%)、5-FU+INF-α2a组与5’-DFUR+INF-α2a组(27%与57%)相比,抑癌率差异有统计学意义(P<0.05)。在LS174T-TP细胞株裸鼠模型中,5’-DFUR组和5’-DFUR+INF-α2a组抑癌率分别为27%和48%,而使用5-FU的两组未显示出良好的抗肿瘤效果(7%和3%)。免疫组织化学染色显示,野生型LS174T接种形成的肿瘤组织中TP表达阴性,微血管数目较少,而转染TP基因后,肿瘤组织中TP表达明显上升,微血管密度明显增多(P<0.05)。结论:结肠癌细胞株LS174T转染TP基因后,在裸鼠实验肿瘤模型中,TP表达明显增加,使细胞内激活抗癌药物5’-DFUR的抗癌作用明显增强,联合应用INF-α2a能进一步增强这种抗癌作用。而转染TP基因或联合应用INF-α2a对常规抗癌药物5-FU的抗癌效Background and purpose: In colorectal cancer tissues, little thymidine phosphorylase (TP) expression was detected. In this study, the inhibitory effects of 5’-deoxy-5-fluorouridine (5’-DFUR) and 5-fluorouracil (5-FU) combined with interferon-α2a (INF-α2a) on nude mice transplanted with colorectal cancer cell line LS174T carrying TP cDNA were investigated. Methods: TP cDNA was transfected into human colorectal cancer cell line LS174T with lentiviral vector, and the LS174T cell line with high TP expression was obtained. Then 96 BALB/c nude mice were randomly divided into two groups. Wild LS174T and TP-transfected LS174T (LS174T-TP) cells were inoculated hypodermically into the nude mice back respectively to obtain the colorectal cancer graft models. Two days later, each group was randomly divided into 6 groups again, and different drug interventions were performed continuously for 5 days with normal saline, INF-α2a, 5-FU, 5-FU+INF-α2a, 5’-DFUR and 5’-DFUR+INF-α2a, respectively. All the nude mice were executed after 2 weeks, and tumor tissues were dissected and weighed. The tumor tissue specimens were immunohistochemically stained using the mouse anti-human CD34, VEGF and PDECGF monoclonal antibodies. And then the positive cells and microvessels were quantified respectively. Results: In all of the nude mice transplanted with wild LS174T, the tumor weights of those nude mice injected with antitumor drugs (group 3-6) were significantly lower compared with the control (normal saline), and their tumor inhibition rates were 48%, 27%, 48% and 57% (P〈0.05), respectively. Also the inhibition rates of those mice injected with 5’-DFUR, 5’-DFUR+INF-α2a were 48% and 57%, respectively (P〈0.05). The inhibition rates of the mice injected with 5-FU+INF-α2a and 5'-DFUR+INF-α2a were 27% and 57%, respectively (P〈0.05). In LS174T-TP-transplanted nude mice, the tumor inhibition rates of the mice injected with 5’-DFUR, 5’-DFUR+INF-α2a were 27% and
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