Hori K, Saito S, Sato Y, Kubota K
Department of Vascular Biology, Division of Cancer Control, Institute of Development, Aging and Cancer, Tohoku University, 4-1 Seiryomachi Aoba-ku, Sendai 980-8575, Japan.
Med Sci Monit. 2001 Jan-Feb;7(1):26-33.
Using several transplanted tumors in rats and mice, we have recently shown that the acute extensive necrosis of tumor nodules is caused by the systemic administration of AC7700, a novel combretastatin A-4 derivative, and that the necrosis can be attributed to irreversible stoppage of tumor blood flow (TBF). In this study, the antivascular and antitumor effects of AC7700 were tested on primary autochthonous tumor.
Primary sarcomas were induced in Fischer F344 rats by a single s.c. inoculation of 3-methylcholanthrene (MC) (4 mg/0.5 ml/head). Changes in TBF due to AC7700 were measured by hydrogen clearance technique. Antitumor effects of AC7700 were evaluated by histology and tumor growth inhibition.
The earliest primary tumor appeared 77 days after MC treatment and the last tumor appeared after 273 days (median, 140 days). Once tumors occurred, they continued to grow slowly and never regressed spontaneously. The mean doubling time of tumors (n = 34) during exponential growth was 12.6 +/- 9.0 days (mean +/- SD) (range, 5.4-55.9 days). Blood flow in these slow-growing autochthonous tumors decreased highly significantly from 25.2 +/- 15.5 to 4.4 +/- 3.2 ml/min/100 g (24 electrodes)(P < 0.001) within 30 min due to rapid i.v. injection (0.15 ml/min) of 10 mg/kg AC7700 and the decreased TBF did not recover during the experimental period of 6 h. On the other hand, TBF did not change significantly due to 0.9% NaCl solution (10 electrodes). In addition, TBF immediately began to decrease following slow infusion (0.005 ml/min) of 10 mg/kg AC7700 and decreased by approximately 80% (12 electrodes) at 20 min after the start of AC7700 infusion. To evaluate the antitumor effect of AC7700 on the primary tumors, 10 mg/kg AC7700 was injected i.v. to tumor-bearing rats. Although in the natural course, such tumors never stop growing, the tumor growth was strongly inhibited by AC700 (n = 5). In 2 cases, tumors never regrew for the observation period of 45 days. Biopsy and histological findings (n = 5) showed that tumors underwent extensive necrosis, as was observed previously for transplanted tumors following AC7700 administration.
From the present experiment it was demonstrated not only in transplanted tumors but also in carcinogen-induced autochthonous primary tumors that acute and sustained stoppage of TBF led to strong antitumor effects. The novel anticancer compound AC7700 might become a very useful therapeutic strategy against refractory cancers.
我们最近利用大鼠和小鼠的几种移植瘤模型表明,新型秋水仙素A-4衍生物AC7700全身给药可导致肿瘤结节急性广泛坏死,且这种坏死可归因于肿瘤血流(TBF)的不可逆阻断。在本研究中,对AC7700在原发性原位肿瘤上的抗血管和抗肿瘤作用进行了测试。
通过皮下单次接种3-甲基胆蒽(MC)(4mg/0.5ml/只)在Fischer F344大鼠中诱导原发性肉瘤。采用氢清除技术测量AC7700引起的TBF变化。通过组织学和肿瘤生长抑制评估AC7700的抗肿瘤作用。
最早的原发性肿瘤在MC处理后77天出现,最晚的肿瘤在273天后出现(中位数为140天)。肿瘤一旦出现,便持续缓慢生长,从未自发消退。指数生长期间肿瘤(n = 34)的平均倍增时间为12.6±9.0天(平均值±标准差)(范围为5.4 - 55.9天)。由于快速静脉注射(0.15ml/min)10mg/kg AC7700,这些生长缓慢的原位肿瘤的血流在30分钟内从25.2±15.5显著降至4.4±3.2ml/min/100g(24个电极)(P < 0.001),并且在6小时的实验期间TBF未恢复。另一方面,0.9%氯化钠溶液(10个电极)未导致TBF显著变化。此外,缓慢输注(0.005ml/min)10mg/kg AC7700后TBF立即开始下降,在AC7700输注开始后20分钟下降约80%(12个电极)。为评估AC7700对原发性肿瘤的抗肿瘤作用,对荷瘤大鼠静脉注射10mg/kg AC7700。尽管在自然病程中,此类肿瘤从不停止生长,但AC7700(n = 5)强烈抑制了肿瘤生长。在2例中,在45天的观察期内肿瘤未再生长。活检和组织学结果(n = 5)显示肿瘤发生了广泛坏死,这与之前AC7700给药后移植瘤的情况一致。
从本实验可以证明,不仅在移植瘤中,而且在致癌物诱导的原位原发性肿瘤中,TBF的急性和持续性阻断均导致强烈的抗肿瘤作用。新型抗癌化合物AC7700可能成为治疗难治性癌症的一种非常有用的治疗策略。