Sawada H, Nakatani K, Watanabe A, Nishiwada T, Okumura T, Yamada Y, Yano T, Shino Y, Yamada T, Tanase M
Department of Surgery, Nara Medical University, Kashihara.
Jpn J Clin Oncol. 1992 Oct;22(5):303-7.
The potential for liver metastasis in addition to the transplantability and doubling time of alpha-fetoprotein(AFP)-producing and non-AFP-producing human gastric carcinomas were studied in nude mice. The potential for liver metastasis was analyzed histopathologically from intrasplenic injections of tumor cell suspensions prepared from subcutaneous tumors. Tumor fragments prepared aseptically from 15 AFP-producing and 140 non-AFP-producing gastric cancers were subcutaneously transplanted into nude mice with transplantability rates of 80% (12/15 cases) and 50% (70/140 cases), respectively. The mean tumor doubling times in the first generation were 10.6 days for AFP-producing and 13.2 days for non-AFP-producing gastric carcinomas. Serially transplantable tumor lines in nude mice were established from six AFP-producing and 10 non-AFP-producing carcinomas. When tumor cell suspensions prepared from the subcutaneous tumors were injected into spleens, all six AFP-producing carcinomas (two poorly differentiated and four tubular adenocarcinomas) but only four out of the 10 non-AFP-producing carcinomas (two poorly differentiated adenocarcinomas, one mucinous carcinoma and one papillary adenocarcinoma) demonstrated a potential for liver metastasis. The results indicate AFP-producing gastric carcinomas to possess a higher potential for liver metastasis than do non-AFP-producing carcinomas, a distinguishing feature which thus reflects a poor prognosis.
在裸鼠中研究了产生甲胎蛋白(AFP)和不产生AFP的人胃癌除移植性和倍增时间外的肝转移潜能。通过脾内注射皮下肿瘤制备的肿瘤细胞悬液,对肝转移潜能进行组织病理学分析。从15例产生AFP的胃癌和140例不产生AFP的胃癌中无菌制备的肿瘤碎片分别皮下移植到裸鼠中,移植成功率分别为80%(12/15例)和50%(70/140例)。第一代中产生AFP的胃癌平均肿瘤倍增时间为10.6天,不产生AFP的胃癌为13.2天。从6例产生AFP的癌和10例不产生AFP的癌中建立了裸鼠中的连续可移植肿瘤系。当将皮下肿瘤制备的肿瘤细胞悬液注入脾脏时,所有6例产生AFP的癌(2例低分化癌和4例管状腺癌),但10例不产生AFP的癌中只有4例(2例低分化腺癌、1例黏液癌和1例乳头状腺癌)显示出肝转移潜能。结果表明,产生AFP的胃癌比不产生AFP的胃癌具有更高的肝转移潜能,这一显著特征反映了预后不良。