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消化器官手术中使用的止血剂对存在于腹腔内癌细胞的影响。

Effect of hemostatics used during operations for digestive organ on cancer cells present in the peritoneal cavity.

作者信息

Kubota N, Kojima T, Naruse T

机构信息

First Department of Surgery, Aichi Medical University, Japan.

出版信息

Cancer Biother Radiopharm. 2000 Feb;15(1):47-52. doi: 10.1089/cbr.2000.15.47.

Abstract

We investigated effects of hemostatics used during operations for digestive organ on cancer cells present in the peritoneal cavity using BALB/c mice inoculated with Meth A tumor cells (fibrosarcoma) intraperitoneally (i.p.) and C3H/He mice inoculated with MH134 tumor cell (hepatic cell carcinoma) i.p. Microfibrillar collagen hemostat (Avitene) or fibrinogen preparation (Beriplast P) did not affect survivals of those tumor-bearing mice. Gelatin sponge (Spongel)prolonged survivals of MH134 tumor-bearing mice. Liquid form gelatin used instead of Spongel displayed in vitro antitumor effect on MH134 tumor cells at the concentration of 15 mg/ml. Radioactive sodium chromate-labeled MH134 and Meth A tumor cells were not lysed when they were incubated with 15 mg/ml of liquid form gelatin for 24 hours. On the other hand, the tritium thymidine (3H-TdR) uptake by MH134 or RL male 1 tumor cells was suppressed when they were incubated with 15 mg/ml of liquid form gelatin for 24 hours. Proliferation of Meth A tumor cells were not affected by the treatment. Effect of liquid form gelatin on phytohemagglutinin (PHA)-stimulated spleen cells as a benign counter-part of RL male 1 tumor cells (T cell lymphoma) was examined. Liquid form gelatin (15 mg/ml) did not suppress 3H-TdR uptake by PHA-stimulated spleen cells.

摘要

我们使用腹腔内(i.p.)接种了Meth A肿瘤细胞(纤维肉瘤)的BALB/c小鼠和腹腔内接种了MH134肿瘤细胞(肝细胞癌)的C3H/He小鼠,研究了消化器官手术中使用的止血剂对存在于腹腔中的癌细胞的影响。微纤维胶原止血剂(Avitene)或纤维蛋白原制剂(Beriplast P)对那些荷瘤小鼠的存活没有影响。明胶海绵(Spongel)延长了荷MH134肿瘤小鼠的存活时间。用液体形式的明胶代替Spongel,在浓度为15 mg/ml时对MH134肿瘤细胞显示出体外抗肿瘤作用。当用15 mg/ml的液体形式明胶孵育24小时时,放射性铬酸钠标记的MH134和Meth A肿瘤细胞没有被裂解。另一方面,当用15 mg/ml的液体形式明胶孵育24小时时,MH134或RL male 1肿瘤细胞对氚胸腺嘧啶核苷(3H-TdR)的摄取受到抑制。Meth A肿瘤细胞的增殖不受该处理的影响。研究了液体形式明胶对作为RL male 1肿瘤细胞(T细胞淋巴瘤)良性对应物的植物血凝素(PHA)刺激的脾细胞的作用。液体形式明胶(浓度为15 mg/ml)没有抑制PHA刺激的脾细胞对3H-TdR的摄取。

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