Teicher B A, Menon K, Alvarez E, Galbreath E, Shih C, Faul M
Lilly Research Laboratories, Lilly Corporate Center, Indianapolis, Indiana 46285, USA.
Clin Cancer Res. 2001 Mar;7(3):634-40.
Although rare, the morbidity and mortality from brain tumors are significant. Chemotherapy has made only a small impact on these tumors. The human T98G glioblastoma multiforme cell line was used as a brain tumor model. The protein kinase Cbeta inhibitor 317615 x 2HCl was not highly cytotoxic toward T98G cells in culture and was additive in cytotoxicity with carmustine (BCNU). When nude mice bearing s.c. T98G tumors were treated with 317615 x 2HCl p.o. twice daily on days 14-30 after tumor cell implantation, the number of intratumoral vessels stained by CD31 was decreased to 37% of control, and the number of intratumoral vessels stained by CD105 was decreased to 50% of control. The compound 317615 x 2HCl was an active antitumor agent against s.c. growing T98G xenografts. A treatment regimen administering 317615 x 2HCl before, during, and after BCNU was compared with a treatment regimen administering 317615 x 2HCl sequentially after BCNU. In the tumor growth delay determination of the s.c. tumor, the sequential treatment regimen was more effective than the simultaneous treatment regimen. However, when the same treatments were administered to animals bearing intracranial T98G tumors, the survival of animals receiving the simultaneous treatment regimen increased from 41 days for those treated with BCNU alone to 102 days for animals treated with the combination, whereas animals receiving the sequential treatment regimen survived 74 days. Treatment with the protein kinase Cbeta inhibitor decreased T98G glioblastoma multiforme angiogenesis and improved treatment outcome with BCNU.
尽管脑肿瘤发病率低,但发病和死亡率却很高。化疗对这些肿瘤的影响甚微。人T98G多形性胶质母细胞瘤细胞系被用作脑肿瘤模型。蛋白激酶Cβ抑制剂317615×2HCl在培养中对T98G细胞的细胞毒性不高,且与卡莫司汀(BCNU)具有相加的细胞毒性。当在肿瘤细胞植入后第14 - 30天,对皮下接种T98G肿瘤的裸鼠口服317615×2HCl,每日两次,CD31染色的瘤内血管数量降至对照的37%,CD105染色的瘤内血管数量降至对照的50%。化合物317615×2HCl是一种对皮下生长的T98G异种移植物有效的抗肿瘤药物。将在BCNU治疗前、期间和之后给予317615×2HCl的治疗方案与在BCNU之后依次给予317615×2HCl的治疗方案进行比较。在皮下肿瘤的肿瘤生长延迟测定中,序贯治疗方案比同步治疗方案更有效。然而,当对颅内接种T98G肿瘤的动物进行相同治疗时,接受同步治疗方案的动物的生存期从单独用BCNU治疗的动物的41天增加到联合治疗动物的102天,而接受序贯治疗方案的动物存活74天。用蛋白激酶Cβ抑制剂治疗可减少T98G多形性胶质母细胞瘤的血管生成,并改善BCNU的治疗效果。