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对顺铂或抗表皮生长因子受体(EGFR)治疗均无反应的癌,可通过两种药物的联合治疗抑制其生长。

Carcinomas unresponsive to either cisplatinum or anti-EGFR therapy can be growth inhibited by combination therapy of both agents.

作者信息

Knecht R, Peters S, Adunka O, Strebhardt K, Gstoettner W, Hambek M

机构信息

Department of Otorhinolaryngology, University of Frankfurt, Medical School, 60590 Frankfurt/M., Germany.

出版信息

Anticancer Res. 2003 May-Jun;23(3B):2577-83.

Abstract

BACKGROUND

Previously we demonstrated that the antitumor efficacy of monoclonal antibodies against the EGFR (epidermal growth factor receptor) of human tumor xenografts mainly depends on the EGFR content of tumors rather than on the tumors' entity. In this study we wanted to elucidate whether the described cumulative effect of cisplatin and Anti-EGFR therapy also depends on the EGFR expression.

MATERIALS AND METHODS

Xenotransplanted carcinomas with different EGFR levels were treated with monoclonal antibodies against the EGFR (EMD 72000 and EMD 55900), cisplatinum and a combination of both.

RESULTS

Each monoclonal antibody alone led to an EGFR-dependent significant tumor growth reduction. Cisplatinum alone had no growth inhibitory effects on tumors with high content in contrast to those with low EGFR content. The combination of antibodies with cisplatinum resulted in an EGFR-independent tumor growth inhibition which was stronger than observed in the case of monotherapy.

DISCUSSION

The obtained results may address upcoming phase I/II trials to use Anti-EGFR/Cisplatinum therapy regardless of the EGFR content of tumors.

摘要

背景

此前我们证明,针对人肿瘤异种移植瘤表皮生长因子受体(EGFR)的单克隆抗体的抗肿瘤疗效主要取决于肿瘤的EGFR含量,而非肿瘤的类型。在本研究中,我们想要阐明顺铂与抗EGFR治疗的累积效应是否也取决于EGFR表达。

材料与方法

用针对EGFR的单克隆抗体(EMD 72000和EMD 55900)、顺铂以及两者的联合治疗对具有不同EGFR水平的异种移植癌进行治疗。

结果

单独使用每种单克隆抗体均导致EGFR依赖性的肿瘤生长显著减缓。与低EGFR含量的肿瘤相比,单独使用顺铂对高含量肿瘤没有生长抑制作用。抗体与顺铂联合使用导致EGFR非依赖性的肿瘤生长抑制,且这种抑制作用比单一疗法更强。

讨论

所获得的结果可能为即将开展的I/II期试验指明方向,即无论肿瘤的EGFR含量如何,均可使用抗EGFR/顺铂疗法。

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