Guo Rong-Rong, Liu Yang, Lu Wan-Liang, Zhao Ji-Hui, Wang Xue-Qing, Zhang Hua, Wang Jian-Cheng, Zhang Xuan, Zhang Qiang
State Key Laboratory of Natural and Biomimetic Drugs and School of Pharmaceutical Sciences, Peking University, Beijing 100083, China.
Biol Pharm Bull. 2008 Apr;31(4):696-702. doi: 10.1248/bpb.31.696.
The metastasis of tumor cells is one of the major obstacles to successful clinical therapy. A treatment strategy by incorporating a specific inhibitor of thrombin, recombinant hirudin with stealthy liposomal vinblastine, was used in this study for inhibiting the metastasis of tumor cells and enhancing the efficacy of anti-tumor agents. In vitro cytotoxicity, cell adhesion to extracellular matrix (ECM) proteins, and cell invasion and migration assays were performed on human A375 melanoma cell line. In vivo measurement of coagulation parameters, inhibition of tumor growth, and inhibition of metastasis were assessed in female BALB/c mice. In vitro, vinblastine or stealthy liposomal vinblastine alone was effective to inhibit the growth of A375 cells. On the contrary, hirudin had no influence on either cytotoxicity when treating with hirudin alone or hirudin plus vinblastine. In addition, in vitro results showed that hirudin had no impact on the adhesion of tumor cells to extracellular matrix proteins, and metastasis and invasion of tumor cells. In mice, hirudin significantly inhibited the activity of thrombin. Furthermore, administered at the initial implantation of murine B16 melanoma cells, hirudin evidently delayed the growth of tumor, and depressed the occurrence of experimental lung metastasis. A subsequent administration of stealthy liposomal vinblastine resulted in further inhibiting growth and metastasis of tumor, indicating that hirudin plus stealthy liposomal vinblastine exhibited a significant anti-metastasis effect and slightly potent effect against tumor growth as compared with stealthy liposomal vinblastine alone. In conclusion, administration of recombinant hirudin followed by giving stealthy liposomal vinblastine may be beneficial for inhibiting the growth and metastasis of melanoma in vivo. The likely mechanism could be associated with inhibition of thrombin after administration of hirudin.
肿瘤细胞的转移是临床治疗成功的主要障碍之一。本研究采用一种治疗策略,即将凝血酶特异性抑制剂重组水蛭素与隐形脂质体长春碱相结合,用于抑制肿瘤细胞的转移并增强抗肿瘤药物的疗效。对人A375黑色素瘤细胞系进行了体外细胞毒性、细胞与细胞外基质(ECM)蛋白的黏附以及细胞侵袭和迁移试验。在雌性BALB/c小鼠中评估了体内凝血参数、肿瘤生长抑制和转移抑制情况。在体外,单独使用长春碱或隐形脂质体长春碱均可有效抑制A375细胞的生长。相反,水蛭素单独使用或与长春碱联合使用时,对细胞毒性均无影响。此外,体外结果表明,水蛭素对肿瘤细胞与细胞外基质蛋白的黏附以及肿瘤细胞的转移和侵袭均无影响。在小鼠中,水蛭素显著抑制了凝血酶的活性。此外,在小鼠B16黑色素瘤细胞初次植入时给予水蛭素,明显延缓了肿瘤的生长,并降低了实验性肺转移的发生率。随后给予隐形脂质体长春碱进一步抑制了肿瘤的生长和转移,这表明与单独使用隐形脂质体长春碱相比,水蛭素加隐形脂质体长春碱具有显著的抗转移作用,对肿瘤生长的抑制作用稍强。总之,先给予重组水蛭素再给予隐形脂质体长春碱可能有利于抑制体内黑色素瘤的生长和转移。其可能的机制可能与水蛭素给药后对凝血酶的抑制有关。