Rashidi B, Sun F X, Jiang P, An Z, Gamagami R, Moossa A R, Hoffman R M
AntiCancer, Inc., San Diego, CA 92111, USA.
Anticancer Res. 2000 Mar-Apr;20(2A):715-22.
Liver and lymph nodes metastasis are the main causes of treatment failure for advanced colon cancer. However, currently-available animal models of human colon cancer do not demonstrate sufficient metastasis to represent highly malignant colon cancer that extensively metastasizes to these sites. A liver metastasis from a patient with highly malignant, poorly differentiated adenocarcinoma of the colon was established in nude mice by surgical orthotopic implantation to the mouse colon. The human origin of the tumor growing in nude mice was confirmed by in situ hybridization of human DNA. After 20 passages from the first implantation, massive liver and lymph nodes metastasis, occurred in 100% of the transplanted animals. Lymph nodes metastasis were found at the sites of lymph node drainage of the liver: celiac, portal and mediastinal lymph nodes. However no mesenteric and retroperitoneal nodes or lung tissue metastases were observed. Our data suggest that the mediastinal, celiac and hepatic lymph nodes metastases are derived form the liver metastasis, confirming the concept of metastasis of metastases or "remetastasis" of colon cancer.
肝转移和淋巴结转移是晚期结肠癌治疗失败的主要原因。然而,目前可用的人类结肠癌动物模型并未显示出足够的转移情况,无法代表广泛转移至这些部位的高恶性结肠癌。通过外科原位植入到小鼠结肠,在裸鼠中建立了一例来自高恶性、低分化结肠腺癌患者的肝转移模型。通过人DNA原位杂交证实了裸鼠体内生长的肿瘤来源于人类。从首次植入开始传代20次后,100%的移植动物出现了大量肝转移和淋巴结转移。在肝脏的淋巴结引流部位发现了淋巴结转移,即腹腔、门静脉和纵隔淋巴结。然而,未观察到肠系膜和腹膜后淋巴结或肺组织转移。我们的数据表明,纵隔、腹腔和肝淋巴结转移源自肝转移,证实了结肠癌转移或“再转移”的概念。