Shi Ming-gang, Huang Qiang, Dong Jun, Sun Zhi-fang, Lan Qing
Department of Neurosurgery, Brain Tumor Research Laboratory, Second Affiliated Hospital of Suzhou University, Suzhou 215004, P. R. China.
Ai Zheng. 2002 Oct;21(10):1090-4.
BACKGROUND & OBJECTIVE: Cytotoxic agent remains the main chemotherapeutic drug for glioma, although it has many limitations. It is not known whether differentiation-inducing agent can enhance antitumor efficiency of cytotoxic agent. This study was designed to investigate anti-tumor effects of differentiation-inducing agent in combination with cytotoxic chemotherapeutic drug against glioma.
Poorly-differentiated human brain glioma xenografted nude mice were treated with carmustine(1, 3-bis-(2-chloroethyl)-1-nitrosourea, BCNU) and sodium phenylbutyrate (SPB). The therapeutic effects were determined by measuring of tumor size, pathological changes, different phases of cell cycle of tumor cell proliferation, expression of differentiation antigen, and tumor cell apoptosis.
The therapeutic effects of SPB plus BCNU group were much better than that of SPB or BCNU group alone, which were proved by lower growth rate of the tumor, cellularity decreasing, appearance of astroid-like polyglonal cells, G0/G1 ratio increasing, upregulation of GFAP expression.
Combined application of SPB and BCNU can obviously inhibit proliferation of glioma, and promote differentiation of tumor cells.
细胞毒性药物仍是治疗胶质瘤的主要化疗药物,尽管其存在诸多局限性。目前尚不清楚诱导分化剂能否增强细胞毒性药物的抗肿瘤效果。本研究旨在探讨诱导分化剂联合细胞毒性化疗药物对胶质瘤的抗肿瘤作用。
用卡莫司汀(1,3-双(2-氯乙基)-1-亚硝基脲,BCNU)和苯丁酸钠(SPB)处理低分化人脑胶质瘤裸鼠移植瘤模型。通过测量肿瘤大小、病理变化、肿瘤细胞增殖的细胞周期不同阶段、分化抗原表达及肿瘤细胞凋亡来确定治疗效果。
SPB联合BCNU组的治疗效果明显优于单独使用SPB或BCNU组,表现为肿瘤生长速度降低、细胞数量减少、出现星形多克隆细胞、G0/G1期比例增加、GFAP表达上调。
SPB与BCNU联合应用可明显抑制胶质瘤增殖,并促进肿瘤细胞分化。