Goseki N, Endo M, Onodera T, Kosaki G
First Department of Surgery, Tokyo Medical and Dental University, School of Medicine, Japan.
Ann Surg. 1991 Jul;214(1):83-8. doi: 10.1097/00000658-199107000-00013.
L-methionine-deprived total parenteral nutrition (methionine-deprived TPN), infusing amino acid solution devoid of L-methionine and L-cysteine by the method of TPN as an only protein source, showed enhancement of the effect of several anti-cancer agents. In this study the combined effect of the methionine-deprived TPN with administration of 5-fluorouracil (5-FU) was examined in Yoshida Sarcoma (YS)-bearing rats, from aspects of effects on the tumor metastasis and the host animal's life span, in the following four groups treated with: methionine-deprived TPN with administration of 5-FU, methionine-deprived TPN without administration of 5-FU, L-methionine-contained TPN plus 5-FU, and L-methionine-contained TPN without 5-FU. In the first experiment, TPN was continued for 8 days in the four groups, and the anti-cancer effect of methionine-deprived TPN and administration of 5-FU based on both the growth of the primary tumor at the implanted site and the tumor metastasis was studied from the view point of pathologic findings of animals killed immediately after these treatments. In experiment 2 the survival period was examined after these treatments for 10 days with subsequent oral feeding until death. The results were as follows: proliferation of YS, transplanted subcutaneously, was markedly suppressed; particularly hematogenous metastasis, characteristic in YS, was prominently blunted then obtained an apparent longer survival period in rats treated with the methionine-deprived TPN with administration of 5-FU.
L-蛋氨酸缺乏的全胃肠外营养(蛋氨酸缺乏的TPN),通过TPN方法输注不含L-蛋氨酸和L-半胱氨酸的氨基酸溶液作为唯一蛋白质来源,显示出几种抗癌药物的效果增强。在本研究中,从对肿瘤转移和宿主动物寿命的影响方面,在以下四组接受治疗的吉田肉瘤(YS)荷瘤大鼠中,研究了蛋氨酸缺乏的TPN与5-氟尿嘧啶(5-FU)给药的联合作用:给予5-FU的蛋氨酸缺乏的TPN、未给予5-FU的蛋氨酸缺乏的TPN、含L-蛋氨酸的TPN加5-FU以及不含5-FU的含L-蛋氨酸的TPN。在第一个实验中,四组持续TPN 8天,并从这些治疗后立即处死的动物的病理检查结果角度,研究了蛋氨酸缺乏的TPN和5-FU给药基于植入部位原发性肿瘤生长和肿瘤转移的抗癌效果。在实验2中,在这些治疗10天后检查生存期,随后经口喂养直至死亡。结果如下:皮下移植的YS增殖明显受到抑制;特别是YS特有的血行转移明显减弱,然后给予5-FU的蛋氨酸缺乏的TPN治疗的大鼠获得了明显更长的生存期。