Szepeshazi K, Schally A V, Halmos G, Groot K, Radulovic S
Endocrine, Polypeptide and Cancer Institute, Veterans Affairs Medical Center, New Orleans, La.
J Natl Cancer Inst. 1992 Dec 16;84(24):1915-22. doi: 10.1093/jnci/84.24.1915.
Many breast cancers are estrogen independent, and even in patients who initially respond to estrogen suppression therapy, the regression is often temporary. We have recently shown that antagonists of bombesin and gastrin-releasing peptide, including RC-3095, inhibit the growth of pancreatic, colonic, and prostatic cancers in experimental animals. This effect was associated with a substantial decrease in epidermal growth factor (EGF) receptor levels in pancreatic and colon cancers.
In view of these findings, we investigated the effects of our synthetic bombesin and gastrin-releasing peptide receptor antagonist D-Tpi6,Leu13 psi (CH2NH)-Leu14 bombesin(6-14) (RC-3095) on the growth of hormone-dependent and hormone-independent MXT mouse mammary cancers in vivo.
Female (C57BL x DBA/2)F1 mice bearing estrogen-dependent or estrogen-independent MXT mammary carcinomas were treated with small doses (20 micrograms/d) of RC-3095 administered from osmotic minipumps. Separate groups of mice with estrogen-independent tumors received RC-3095, bombesin, or gastrin-releasing peptide(14-27) at 20 micrograms/d. We determined tumor volume and weight, mitotic index, apoptosis (programmed cell death), and argyrophilic nucleolar organizer regions, an indicator of tumor cell proliferation. Levels of receptors for EGF and bombesin were measured in tumor membrane fractions.
Growth of both estrogen-dependent and estrogen-independent MXT breast cancers was significantly inhibited by RC-3095. Bombesin or gastrin-releasing peptide had no effect on the growth of estrogen-independent tumors. Inhibition of tumor cell proliferation was indicated by a 45%-65% reduction in tumor volume, a 35%-58% reduction in tumor weight, and statistically significant decreases in argyrophilic nucleolar organizer region counts after treatment with RC-3095. In estrogen-independent cancers, tumor inhibition was associated with a decrease in the capacity of EGF receptors from 0.21 +/- 0.016 pmol/mg membrane protein in controls to 0.03 +/- 0.003 pmol/mg membrane protein in the RC-3095-treated group.
This is the first demonstration of inhibitory effects of bombesin and gastrin-releasing peptide antagonists on the growth of breast cancers in vivo.
These findings suggest that bombesin antagonists should be considered for breast cancer therapy.
许多乳腺癌是雌激素非依赖性的,即使是那些最初对雌激素抑制疗法有反应的患者,肿瘤消退也往往是暂时的。我们最近发现,蛙皮素和胃泌素释放肽的拮抗剂,包括RC-3095,在实验动物中可抑制胰腺癌、结肠癌和前列腺癌的生长。这种作用与胰腺癌和结肠癌中表皮生长因子(EGF)受体水平的显著降低有关。
鉴于这些发现,我们研究了合成的蛙皮素和胃泌素释放肽受体拮抗剂D-Tpi6,Leu13 psi(CH2NH)-Leu14蛙皮素(6-14)(RC-3095)对激素依赖性和激素非依赖性MXT小鼠乳腺癌体内生长的影响。
携带雌激素依赖性或雌激素非依赖性MXT乳腺癌的雌性(C57BL×DBA/2)F1小鼠,通过渗透微型泵给予小剂量(20微克/天)的RC-3095进行治疗。单独的雌激素非依赖性肿瘤小鼠组分别接受20微克/天的RC-3095、蛙皮素或胃泌素释放肽(14-27)治疗。我们测定了肿瘤体积和重量、有丝分裂指数、细胞凋亡(程序性细胞死亡)以及嗜银核仁组织区,后者是肿瘤细胞增殖的一个指标。在肿瘤膜组分中测量EGF和蛙皮素受体的水平。
RC-3095显著抑制了雌激素依赖性和雌激素非依赖性MXT乳腺癌的生长。蛙皮素或胃泌素释放肽对雌激素非依赖性肿瘤的生长没有影响。用RC-3095治疗后,肿瘤体积减少45%-65%,肿瘤重量减少35%-58%,嗜银核仁组织区计数在统计学上显著降低,表明肿瘤细胞增殖受到抑制。在雌激素非依赖性癌症中,肿瘤抑制与EGF受体的能力从对照组的0.21±0.016皮摩尔/毫克膜蛋白降低到RC-3095治疗组的0.03±0.003皮摩尔/毫克膜蛋白有关。
这是首次证明蛙皮素和胃泌素释放肽拮抗剂对乳腺癌体内生长具有抑制作用。
这些发现表明,蛙皮素拮抗剂应被考虑用于乳腺癌治疗。