Johannsen Manfred, Thiesen Burghard, Jordan Andreas, Taymoorian Kasra, Gneveckow Uwe, Waldöfner Norbert, Scholz Regina, Koch Martin, Lein Michael, Jung Klaus, Loening Stefan A
Department of Urology, Charité University Medicine, Campus Mitte, Berlin, Germany.
Prostate. 2005 Aug 1;64(3):283-92. doi: 10.1002/pros.20213.
Magnetic fluid hyperthermia (MFH) is a new technique for interstitial hyperthermia or thermoablation based on AC magnetic field-induced excitation of biocompatible superparamagnetic nanoparticles. Preliminary studies in the Dunning tumor model of prostate cancer have demonstrated the feasibility of MFH in vivo. To confirm these results and evaluate the potential of MFH as a minimally invasive treatment of prostate cancer we carried out a systematic analysis of the effects of MFH in the orthotopic Dunning R3327 tumor model of the rat.
Orthotopic tumors were induced by implantation of MatLyLu-cells into the prostates of 48 male Copenhagen rats. Animals were randomly allocated to 4 groups of 12 rats each, including controls. Treatment animals received two MFH treatments following a single intratumoral injection of a magnetic fluid. Treatments were carried out on days 10 and 12 after tumor induction using an AC magnetic field applicator system operating at a frequency of 100 kHz and a variable field strength (0--18 kA/m). On day 20, animals were sacrificed and tumor weights in the treatment and control groups were compared. In addition, tumor growth curves were generated and histological examinations and iron measurements in selected organs were carried out.
Maximum intratumoral temperatures of over 70 degrees C could be obtained with MFH at an AC magnetic field strength of 18 kA/m. At a constant field strength of 12.6 kA/m, mean maximal and minimal intratumoral temperatures recorded were 54.8 degrees C (centrally) and 41.2 degrees C (peripherally). MFH led to an inhibition of tumor growth of 44%-51% over controls. Mean iron content in the prostates of treated and untreated (injection of magnetic fluids but no AC magnetic field exposure) animals was 82.5%, whereas only 5.3% of the injected dose was found in the liver, 1.0% in the lung, and 0.5% in the spleen.
MFH led to a significant growth inhibition in this orthotopic model of the aggressive MatLyLu tumor variant. Intratumoral deposition of magnetic fluids was found to be stable, allowing for serial MFH treatments without repeated injection. The optimal treatment schedules and temperatures for MFH need to be defined in further studies.
磁流体热疗(MFH)是一种基于交变磁场激发生物相容性超顺磁性纳米颗粒的间质热疗或热消融新技术。在前列腺癌的邓宁肿瘤模型中的初步研究已证明MFH在体内的可行性。为了证实这些结果并评估MFH作为前列腺癌微创治疗方法的潜力,我们对MFH在大鼠原位邓宁R3327肿瘤模型中的作用进行了系统分析。
通过将MatLyLu细胞植入48只雄性哥本哈根大鼠的前列腺诱导原位肿瘤。动物被随机分为4组,每组12只大鼠,包括对照组。治疗组动物在瘤内单次注射磁流体后接受两次MFH治疗。在肿瘤诱导后的第10天和第12天,使用频率为100kHz、场强可变(0 - 18kA/m)的交变磁场施加系统进行治疗。在第20天,处死动物并比较治疗组和对照组的肿瘤重量。此外,绘制肿瘤生长曲线,并对选定器官进行组织学检查和铁含量测定。
在交变磁场强度为18kA/m时,MFH可使瘤内最高温度超过70℃。在恒定场强12.6kA/m时,记录的瘤内平均最高和最低温度分别为54.8℃(中心)和41.2℃(周边)。MFH导致肿瘤生长比对照组抑制44% - 51%。治疗组和未治疗组(注射磁流体但未暴露于交变磁场)动物前列腺中的平均铁含量为82.5%,而在肝脏中仅发现注射剂量的5.3%,在肺中为1.0%,在脾脏中为0.5%。
在侵袭性MatLyLu肿瘤变体的这种原位模型中,MFH导致显著的生长抑制。发现磁流体在瘤内的沉积是稳定的,允许进行连续的MFH治疗而无需重复注射。MFH的最佳治疗方案和温度需要在进一步研究中确定。