Constans J P, Cioloca C, Terrazas F, Vedrenne C
Neurochirurgie. 1975 Dec;21(7):537-50.
Numerous factors remain unknown as far as the mechanism of induction of cerebral metastases is concerned. Where as of cancer give metastases more readily than others, especially cerebral metastases, the neoplastic embolus can be either eliminated or remain in place in a state of quiescence. What is the role played by the blood brain barrier from a pathophysiological point of view? Is there a mechanism which prevents central nervous system metastases? What is the importance of individual variation? We attempted to induce cerebral metastases in VX2 carcinoma carrying rabbits to look for an approach to these problems and to create an experimental model of cerebral metastase. The VX2 carcinoma is easily transplantable and its biological characteristics are well known. The VX2 tumor is implanted in the thigh of the rabbits and is used in the experimentation starting two weeks following the take of the graft; the tumor is surgically resected and a solution containing approximatively 50,000 tumor cells for 0,1 ml is prepared. This solution is inoculated via the carotid artery to the same rabbit or to another rabbit of the same breed either or intrathecal way into the brain. Death occurred 6 to 20 days later and was followed by a complete pathological survey. The results were the following: --The inoculation via the carotid artery, even with very highly concentrated solution was never followed by any recognizable brain metastasis. --The inoculation intrathecaly produced only extraparenchymatous metastases where as the direct intracerebral inoculation was followed by the occurence of intracerebral metastases.
就脑转移瘤的诱导机制而言,许多因素仍不清楚。某些癌症比其他癌症更容易发生转移,尤其是脑转移,肿瘤栓子可能会被清除,也可能处于静止状态。从病理生理学角度来看,血脑屏障起到了什么作用?是否存在阻止中枢神经系统转移的机制?个体差异的重要性是什么?我们试图在携带VX2癌的兔子身上诱导脑转移,以寻找解决这些问题的方法,并建立脑转移的实验模型。VX2癌易于移植,其生物学特性也为人所知。将VX2肿瘤植入兔子大腿,在移植成功两周后开始用于实验;手术切除肿瘤,制备0.1毫升含约50000个肿瘤细胞的溶液。该溶液通过颈动脉接种到同一只兔子或同一品种的另一只兔子体内,或者通过鞘内途径接种到脑内。6至20天后兔子死亡,随后进行全面的病理检查。结果如下:——即使使用浓度非常高的溶液通过颈动脉接种,也从未出现任何可识别的脑转移。——鞘内接种仅产生脑实质外转移,而直接脑内接种后会出现脑内转移。