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在肿瘤发展早期通过β-干扰素治疗有效抑制体内人类恶性胶质瘤的生长和血管生成。

Efficient inhibition of in vivo human malignant glioma growth and angiogenesis by interferon-beta treatment at early stage of tumor development.

作者信息

Hong Y K, Chung D S, Joe Y A, Yang Y J, Kim K M, Park Y S, Yung W K, Kang J K

机构信息

Department of Neurosurgery, The Catholic University of Korea, Seoul.

出版信息

Clin Cancer Res. 2000 Aug;6(8):3354-60.

Abstract

Malignant gliomas are highly angiogenic and aggressive tumors. IFN-beta has been used for the treatment of patients with malignant glioma; however, its antitumor mechanism in vivo remains unclear. To understand the in vivo antitumor effect and mechanism of recombinant human IFN-beta (rhIFN-beta) depending on the stages of tumor development or progression, we used orthotopic xenograft brain tumors generated by stereotactic intracerebral implantation of U-87 human glioma cells in nude mice. Mice bearing tumors 7 days (group 1) and 21 days (group 2) postimplant were treated with 2 x 10(5) IU/day of rhIFN-beta or saline i.p. for 15 days, respectively. Tumor growth was suppressed by 69.6% in group 1 and 10.8% in group 2 compared with tumors of each control group treated with saline. rhIFN-beta-treated group 1 animals showed 38% reduction in vascularization along with a 2.5-fold increase of the apoptotic index and no change in the proliferative index as compared with untreated tumors. The expression level of vascular endothelial cell growth factor and basic fibroblast growth factor was not affected by rhIFN-beta treatment. rhIFN-beta showed inhibitory activity on proliferation of U-87 cells, human umbilical vein endothelial cells, and PAM 212 murine keratinocytes in vitro. Our results indicate that the in vivo antitumor effect of rhIFN-beta on malignant gliomas may be mediated, at least in part, via angiogenesis inhibition rather than antiproliferative activity and that rhIFN-beta may be more effective for the treatment of malignant glioma patients at an early stage with minimal or microscopic tumor burdens rather than at an advanced stage of tumor development.

摘要

恶性胶质瘤是具有高度血管生成性和侵袭性的肿瘤。干扰素-β已被用于治疗恶性胶质瘤患者;然而,其体内抗肿瘤机制仍不清楚。为了了解重组人干扰素-β(rhIFN-β)根据肿瘤发展或进展阶段的体内抗肿瘤作用及机制,我们使用了通过立体定向脑内植入U-87人胶质瘤细胞在裸鼠中生成的原位异种移植脑肿瘤。分别对植入后7天(第1组)和21天(第2组)的荷瘤小鼠腹腔注射2×10⁵IU/天的rhIFN-β或生理盐水,持续15天。与各生理盐水处理的对照组肿瘤相比,第1组肿瘤生长受到69.6%的抑制,第2组受到10.8%的抑制。与未治疗的肿瘤相比,rhIFN-β处理的第1组动物血管生成减少38%,同时凋亡指数增加2.5倍,增殖指数无变化。血管内皮细胞生长因子和碱性成纤维细胞生长因子的表达水平不受rhIFN-β处理的影响。rhIFN-β在体外对U-87细胞、人脐静脉内皮细胞和PAM 212小鼠角质形成细胞的增殖具有抑制活性。我们的结果表明,rhIFN-β对恶性胶质瘤的体内抗肿瘤作用可能至少部分通过抑制血管生成而非抗增殖活性介导,并且rhIFN-β可能对肿瘤负荷最小或微小的早期恶性胶质瘤患者比对肿瘤发展晚期的患者更有效。

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