Znati Cynthia A, Rosenstein Maury, McKee Trevor D, Brown Edward, Turner David, Bloomer William D, Watkins Simon, Jain Rakesh K, Boucher Yves
Department of Chemical Engineering, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA.
Clin Cancer Res. 2003 Nov 15;9(15):5508-13.
We have shown that the interstitial diffusion of large molecules is significantly hindered in tumors with high collagen levels. Because large therapeutic agents (e.g., monoclonal antibodies and viral vectors) will be combined with radiation or chemotherapy, it is significant to determine how cytotoxic therapies modify the transport and composition of the interstitial space in tumors. To test the hypothesis that radiation alters tumor interstitial transport, we measured tumor hydraulic conductivity (K) and hyaluronan and collagen type I levels after irradiation.
K and the quantification of interstitial matrix components were determined in sections of s.c. implants of the human colon adenocarcinoma LS174T. K was measured on days 1 and 5 after 10 Gy of irradiation or on day 5 after 30 Gy of irradiation.
Compared with control tumors, K decreased by approximately 12-fold after 10 or 30 Gy of irradiation on day 5. At 24 h after irradiation with 10 Gy, the decrease in K was not significant. Five days after 10 and 30 Gy of irradiation, the decrease in K was associated with significantly higher levels of collagen type I. The collagen type I content was not changed 24 h after irradiation with 10 Gy. Irradiation did not significantly increase hyaluronan levels in LS174T tumors.
After irradiation, the decrease in K and increase in collagen type I levels could significantly hinder the convective movement and diffusion of large therapeutic agents in tumors.
我们已经表明,在胶原蛋白水平高的肿瘤中,大分子的间质扩散受到显著阻碍。由于大型治疗剂(如单克隆抗体和病毒载体)将与放疗或化疗联合使用,因此确定细胞毒性疗法如何改变肿瘤间质空间的运输和组成具有重要意义。为了验证放疗会改变肿瘤间质运输这一假设,我们在放疗后测量了肿瘤的水力传导率(K)以及透明质酸和I型胶原蛋白水平。
在人结肠腺癌LS174T的皮下植入物切片中测定K以及间质基质成分的定量。在10 Gy放疗后的第1天和第5天或30 Gy放疗后的第5天测量K。
与对照肿瘤相比,在第5天接受10或30 Gy放疗后,K下降了约12倍。在10 Gy放疗后24小时,K的下降不显著。在10和30 Gy放疗后5天,K的下降与I型胶原蛋白水平显著升高有关。在10 Gy放疗后24小时,I型胶原蛋白含量没有变化。放疗未显著增加LS174T肿瘤中的透明质酸水平。
放疗后,K的下降和I型胶原蛋白水平的升高可能会显著阻碍大型治疗剂在肿瘤中的对流运动和扩散。