Huh Ryoong, Park Yong Sook, Lee Jong Doo, Chung Young Sun, Park Yong Gou, Chung Sang Sup, Chang Jin Woo
Department of Neurosurgery, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun- gu, Seoul 120-752, Korea.
Yonsei Med J. 2005 Feb 28;46(1):51-60. doi: 10.3349/ymj.2005.46.1.51.
This study examined the effectiveness of Holmium-166 (Ho-166) chitosan complex therapy for a malignant glioma. Cultured C6 glioma cells (100,000 in 5 microl) were injected into the caudate/putamen of 200-250 gram Wistar rats. Five days later, a Ho-166 chitosan complex was injected into the same site of the glioma injection. Four injection doses were administered: the control group received PBS 10 microl, group 1 received an injection of 100 microCi (10 microl), group 2 received an injection of 50 microCi (5 microl), and group 3 received an injection of 10 microCi (1 microl). The average tumor volume for each group was 1.385 mm3 for the control group, 0.036 mm3 for group 1, 0.104 mm3 for group 2, and 0.111 mm3 for group 3. Compared with the control group, the size of the tumors in groups 1, 2 and 3 was reduced by an average of 97.4%, 92.5% and 91.9%, respectively. The Kaplan-Meier survival curve of group 2 was the longest, followed by groups 3, group 1 and the control. The mean survival was 22.8, 59, 60, and 44.6 days for the control group and groups 3, 2 and 1, respectively. H-E staining revealed that group 2 yielded the best results in the destruction of the malignant glioma. TUNEL staining and immunohistochemical studies indicated apoptotic features. The Ho-166 chitosan complex proved to be effective in destroying the malignant glioma.
本研究考察了钬 - 166(Ho - 166)壳聚糖复合物治疗恶性胶质瘤的有效性。将培养的C6胶质瘤细胞(5微升中含100,000个)注射到200 - 250克Wistar大鼠的尾状核/壳核中。五天后,将Ho - 166壳聚糖复合物注射到胶质瘤注射的同一部位。给予四种注射剂量:对照组接受10微升PBS,第1组接受100微居里(10微升)注射,第2组接受50微居里(5微升)注射,第3组接受10微居里(1微升)注射。对照组每组的平均肿瘤体积为1.385立方毫米,第1组为0.036立方毫米,第2组为0.104立方毫米,第3组为0.111立方毫米。与对照组相比,第1、2和3组肿瘤大小平均分别减少了97.4%、92.5%和91.9%。第2组的Kaplan - Meier生存曲线最长,其次是第3组、第1组和对照组。对照组以及第3、2和1组的平均生存期分别为22.8天、59天、60天和44.6天。苏木精 - 伊红(H - E)染色显示,第2组在恶性胶质瘤破坏方面效果最佳。TUNEL染色和免疫组化研究表明存在凋亡特征。钬 - 166壳聚糖复合物被证明对破坏恶性胶质瘤有效。