Beecken W D, Fernandez A, Joussen A M, Achilles E G, Flynn E, Lo K M, Gillies S D, Javaherian K, Folkman J, Shing Y
Department of Surgery, Children's Hospital, and Harvard Medical School, Boston, MA, USA.
J Natl Cancer Inst. 2001 Mar 7;93(5):382-7. doi: 10.1093/jnci/93.5.382.
Angiogenesis is essential for tumor growth and progression. Therefore, inhibition of angiogenesis is being studied as a new anticancer therapy. Because cytotoxic chemotherapy is more effective on rapidly growing tumors than on slowly growing tumors, it has been assumed that antiangiogenic therapy will also be effective only on rapidly growing, highly vascularized tumors. We compared the effects of two angiogenesis inhibitors, TNP-470 and angiostatin, on slowly growing, poorly vascularized and rapidly growing, highly vascularized human tumors in mice.
Slowly growing (RT-4) and rapidly growing (MGH-U1) human bladder carcinoma cell lines were grown in severe combined immunodeficiency mice. Established tumors were treated with one of the two angiogenesis inhibitors. Tumor volumes, vascularity, and proliferation indices were determined. The in vitro effects of TNP-470 and of angiostatin on the proliferation of RT-4 and MGH-U1 cells were also investigated. All statistical tests were two-sided.
RT-4 and MGH-U1 tumor growth was statistically significantly inhibited by both angiogenesis inhibitors (P<.001). Both inhibitors decreased the blood vessel density in both tumor types but did not alter the in vivo proliferation indices of the tumors. TNP-470, but not angiostatin, marginally decreased the in vitro proliferation of MGH-U1 cells.
Slowly growing, poorly vascularized tumors in animal models respond as well as rapidly growing, highly vascularized tumors to therapy with the angiogenesis inhibitors TNP-470 and angiostatin.
血管生成对于肿瘤的生长和进展至关重要。因此,抑制血管生成作为一种新的抗癌疗法正在被研究。由于细胞毒性化疗对快速生长的肿瘤比对缓慢生长的肿瘤更有效,所以人们认为抗血管生成疗法也仅对快速生长、血管高度丰富的肿瘤有效。我们比较了两种血管生成抑制剂TNP - 470和血管抑素对小鼠体内缓慢生长、血管形成不良以及快速生长、血管高度丰富的人类肿瘤的作用。
将缓慢生长的(RT - 4)和快速生长的(MGH - U1)人膀胱癌细胞系接种于严重联合免疫缺陷小鼠体内。对已形成的肿瘤用两种血管生成抑制剂之一进行治疗。测定肿瘤体积、血管生成情况和增殖指数。还研究了TNP - 470和血管抑素对RT - 4和MGH - U1细胞增殖的体外作用。所有统计检验均为双侧检验。
两种血管生成抑制剂均使RT - 4和MGH - U1肿瘤生长受到统计学显著抑制(P<0.001)。两种抑制剂均降低了两种肿瘤类型的血管密度,但未改变肿瘤的体内增殖指数。TNP - 470对MGH - U1细胞的体外增殖有轻微抑制作用,而血管抑素无此作用。
在动物模型中,缓慢生长、血管形成不良的肿瘤与快速生长、血管高度丰富的肿瘤对血管生成抑制剂TNP - 470和血管抑素治疗的反应相同。