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四君子汤对小鼠化疗性膀胱癌的减毒增效作用

[Toxicity attenuation and efficacy potentiation effects of sijunzi decoction on bladder carcinoma treated by chemotherapy in mice].

作者信息

Li Chuan-Gang, Li Mo-Lin, Shu Xiao-Hong

机构信息

Department of Surgery, Second Hospital, Dalian Medical University, Dalian.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2005 Apr;25(4):354-7.

Abstract

OBJECTIVE

To investigate the toxicity attenuation and efficacy potentiation effects of Sijunzi decoction (SJZD) on bladder carcinoma treated by chemotherapy in mice.

METHODS

T739 mice were randomly divided into 8 groups after subcutaneous inoculation of bladder carcinoma cells, the control group (A); two mitomycin C (MMC) group, treated with MMC of routine dosage (B) and low-dosage (C) respectively; three SJZD groups, treated with SJZD of high (D), medium (E) and low-dosage (F) respectively; and two combined treatment groups, treated with SJZD of high-dosage + MMC of routine dosage(G) and SJZD of high-dosage + MMC of low-dosage(H). The medication was begun at 24 hrs after inoculation. The tumor inhibitory rate, activity of peritoneal macrophages after 14 days of treatment and change of peripheral white blood cells after 7 days of treatment were determined and the survival time of mice was observed.

RESULTS

The survival time of mice in Group D was significantly higher than that in Group A (P < 0.05), while those in Group E and F showed insignificant difference as compared with those in Group A (P > 0.05). The highest tumor inhibitory rate was shown in Group B, but the survival time in that group showed no significant difference as compared to those in Group A (P > 0.05). The longest survival time (32.7 +/- 1.3 days) was shown in Group H, which was obviously different to that in other groups (P < 0.05). And the leukocyte counts and macrophage activity in Group H were better than those in Group B, C and G (P < 0.05), except that the tumor inhibitory rate was significantly lower than that in Group B, C and G (P < 0.05).

CONCLUSION

Combined chemotherapy of SJZD with low dosage MMC has definite effect in inhibiting tumor growth in mice with bladder carcinoma, displaying special effects of toxicity attenuation and efficacy potentiation.

摘要

目的

探讨四君子汤对小鼠膀胱癌化疗的减毒增效作用。

方法

T739小鼠皮下接种膀胱癌细胞后随机分为8组,对照组(A组);两个丝裂霉素C(MMC)组,分别给予常规剂量(B组)和低剂量(C组)MMC;三个四君子汤组,分别给予高(D组)、中(E组)、低剂量(F组)四君子汤;两个联合治疗组,分别给予高剂量四君子汤+常规剂量MMC(G组)和高剂量四君子汤+低剂量MMC(H组)。接种后24小时开始给药。测定治疗14天后的肿瘤抑制率、腹腔巨噬细胞活性及治疗7天后外周血白细胞变化,并观察小鼠生存时间。

结果

D组小鼠生存时间显著高于A组(P<0.05),而E组和F组与A组相比差异无统计学意义(P>0.05)。B组肿瘤抑制率最高,但该组生存时间与A组相比差异无统计学意义(P>0.05)。H组生存时间最长(32.7±1.3天),与其他组相比差异有统计学意义(P<0.05)。H组白细胞计数和巨噬细胞活性均优于B组、C组和G组(P<0.05),但其肿瘤抑制率显著低于B组、C组和G组(P<0.05)。

结论

低剂量MMC与四君子汤联合化疗对小鼠膀胱癌有明确的抑瘤作用,具有减毒增效的特殊效果。

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