Szepeshazi K, Milovanovic S, Lapis K, Groot K, Schally A V
Endocrine, Polypeptide and Cancer Institute, Veterans Affairs Medical Center, New Orleans, LA 70146.
Breast Cancer Res Treat. 1992;21(3):181-92. doi: 10.1007/BF01975001.
Female BDF1 mice inoculated with MXT (3.2) estrogen independent mouse mammary carcinoma were treated for three weeks with microcapsules of the luteinizing hormone-releasing hormone (LH-RH) agonist [D-Trp6]LH-RH, the antagonist SB-75, the somatostatin analog RC-160, or combinations. The lack of estrogen dependence of the tumor was proved by bilateral surgical ovariectomy, which had no effect. In two experiments, treatment with 25 micrograms/day doses of each analog alone resulted in a significant inhibition of tumor growth as shown by a 40-53% inhibition of tumor volumes, 38-43% decrease in tumor weights, and histological signs of tumor regression. However, the combination of SB-75 or [D-Trp6]LH-RH with somatostatin analog RC-160 caused greater reduction of tumor volume (68 and 61%) or tumor weights (59 and 56%), than single analogs, and histologically the occurrence of apoptosis and decrease in AgNOR numbers was more pronounced in the groups receiving combination therapy. Specific binding sites for [D-Trp6]LH-RH, EGF, and IGF-I were demonstrated in the tumor membranes. The binding capacity of LH-RH receptors was decreased by treatment with the analogs, the greatest down-regulation being caused by combination therapy. A significant decrease in EGF binding capacity was observed after treatment with the LH-RH analogs, alone or especially in combination with somatostatin analog RC-160. The combination of these analogs also caused a reduction in IGF-I receptors. The finding that LH-RH agonists and antagonists and somatostatin analogs inhibit the growth of estrogen independent mammary tumors, and that combinations are more effective than single analogs, might be of practical importance in human breast cancer therapy.
用MXT(3.2)雌激素非依赖性小鼠乳腺癌接种的雌性BDF1小鼠,用促黄体生成素释放激素(LH-RH)激动剂[D-Trp6]LH-RH、拮抗剂SB-75、生长抑素类似物RC-160或其组合进行了为期三周的治疗。双侧手术卵巢切除术证明肿瘤缺乏雌激素依赖性,该手术没有效果。在两项实验中,单独使用每种类似物每天25微克剂量进行治疗,导致肿瘤生长受到显著抑制,表现为肿瘤体积抑制40-53%、肿瘤重量降低38-43%以及肿瘤消退的组织学迹象。然而,SB-75或[D-Trp6]LH-RH与生长抑素类似物RC-160的组合比单一类似物导致更大程度的肿瘤体积(68%和61%)或肿瘤重量(59%和56%)减少,并且在接受联合治疗的组中,组织学上细胞凋亡的发生和AgNOR数量的减少更为明显。在肿瘤膜中证实了[D-Trp6]LH-RH、表皮生长因子(EGF)和胰岛素样生长因子-I(IGF-I)的特异性结合位点。用这些类似物治疗后,LH-RH受体的结合能力降低,联合治疗引起的下调最为明显。单独使用LH-RH类似物治疗后,尤其是与生长抑素类似物RC-160联合使用后,观察到EGF结合能力显著降低。这些类似物的组合也导致IGF-I受体减少。LH-RH激动剂和拮抗剂以及生长抑素类似物抑制雌激素非依赖性乳腺肿瘤生长,且联合用药比单一类似物更有效,这一发现可能在人类乳腺癌治疗中具有实际重要性。