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2
Radiofrequency ablation: variability in heat sensitivity in tumors and tissues.射频消融:肿瘤和组织中热敏感性的变异性。
J Vasc Interv Radiol. 2007 May;18(5):647-54. doi: 10.1016/j.jvir.2007.02.033.
3
Combined therapy of transcatheter hepatic arterial embolization with intratumoral dendritic cell infusion for hepatocellular carcinoma: clinical safety.经导管肝动脉栓塞联合瘤内注射树突状细胞治疗肝细胞癌的临床安全性
Clin Exp Immunol. 2007 Feb;147(2):296-305. doi: 10.1111/j.1365-2249.2006.03290.x.
4
Efficient loading of dendritic cells following cryo and radiofrequency ablation in combination with immune modulation induces anti-tumour immunity.冷冻和射频消融联合免疫调节后树突状细胞的有效负载可诱导抗肿瘤免疫。
Br J Cancer. 2006 Oct 9;95(7):896-905. doi: 10.1038/sj.bjc.6603341. Epub 2006 Sep 5.
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Cryoablation of liver tumours -- a review of mechanisms, techniques and clinical outcome.肝脏肿瘤的冷冻消融——机制、技术及临床结果综述
Minim Invasive Ther Allied Technol. 2006;15(1):9-17. doi: 10.1080/13645700500468268.
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Systemic antitumor effect of intratumoral injection of dendritic cells in combination with local photodynamic therapy.瘤内注射树突状细胞联合局部光动力疗法的全身抗肿瘤作用
Clin Cancer Res. 2006 Apr 15;12(8):2568-74. doi: 10.1158/1078-0432.CCR-05-1986.
7
Radiofrequency-ablation of unresectable primary and secondary liver tumors: results in 88 patients.不可切除的原发性和继发性肝肿瘤的射频消融:88例患者的结果
Langenbecks Arch Surg. 2006 Apr;391(2):118-23. doi: 10.1007/s00423-006-0024-x. Epub 2006 Mar 25.
8
Radiofrequency thermal ablation of hepatocellular carcinoma liver nodules can activate and enhance tumor-specific T-cell responses.肝细胞癌肝结节的射频热消融可激活并增强肿瘤特异性T细胞反应。
Cancer Res. 2006 Jan 15;66(2):1139-46. doi: 10.1158/0008-5472.CAN-05-2244.
9
Cranking the immunologic engine with chemotherapy: using context to drive tumor antigen cross-presentation towards useful antitumor immunity.用化疗启动免疫引擎:利用背景驱动肿瘤抗原交叉呈递以产生有效的抗肿瘤免疫。
Cancer Res. 2006 Jan 15;66(2):601-4. doi: 10.1158/0008-5472.CAN-05-2967.
10
Thermal tumour ablation: devices, clinical applications and future directions.热肿瘤消融:设备、临床应用及未来方向。
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射频消融可诱导抗原呈递细胞浸润并增强微弱的肿瘤诱导免疫。

Radiofrequency ablation induces antigen-presenting cell infiltration and amplification of weak tumor-induced immunity.

作者信息

Dromi Sergio A, Walsh Meghaan P, Herby Sarah, Traughber Bryan, Xie Jianwu, Sharma Karun V, Sekhar Kiran P, Luk Alfred, Liewehr David J, Dreher Matthew R, Fry Terry J, Wood Bradford J

机构信息

Diagnostic Radiology Department, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.

出版信息

Radiology. 2009 Apr;251(1):58-66. doi: 10.1148/radiol.2511072175. Epub 2009 Feb 27.

DOI:10.1148/radiol.2511072175
PMID:19251937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2663580/
Abstract

PURPOSE

To evaluate the influence of subtotal radiofrequency (RF) ablation on a tumor-specific immune response in a murine tumor model and to explore the role of intratumoral dendritic cells (ITDCs) in mediating this effect.

MATERIALS AND METHODS

Animal work was performed according to an approved protocol and in compliance with the National Cancer Institute Animal Care and Use Committee guidelines and regulations. A murine urothelial carcinoma (MB49) model expressing the male minor histocompatibility (HY) antigen was inoculated subcutaneously in female mice. Fourteen days later, splenic T cells were analyzed with enzyme-linked immunosorbent spot for HY immune response (n = 57). In subsequent experiments, mice were randomized into control (n = 7), RF ablation, ITDC (n = 9), and RF ablation + ITDC (n = 9) groups and monitored for tumor growth. Eleven days after treatment, tumors were harvested for histologic and immunohistochemical analysis. Animals demonstrating complete tumor regression were rechallenged in the contralateral flank.

RESULTS

Animals treated with subtotal RF ablation showed significant increases in tumor-specific class I and II responses to HY antigens and tumor regression. RF ablation, ITDC, and combined groups demonstrated similar levels of antigen-presenting cell infiltration; all groups demonstrated greater levels of infiltration compared with untreated controls. ITDC injection also resulted in tumor regression. However, combination therapy did not enhance tumor regression when compared with either treatment alone. Rechallenged mice in RF ablation, ITDC, and combination groups demonstrated significant tumor growth inhibition compared with controls.

CONCLUSION

Subtotal RF ablation treatment results in enhanced systemic antitumor T-cell immune responses and tumor regression that is associated with increased dendritic cell infiltration. ITDC injection mimics the RF ablation effect but does not increase immune responses when injected immediately after RF ablation.

摘要

目的

评估在小鼠肿瘤模型中,部分射频(RF)消融对肿瘤特异性免疫反应的影响,并探讨肿瘤内树突状细胞(ITDCs)在介导这种效应中的作用。

材料与方法

动物实验按照批准的方案进行,并符合美国国立癌症研究所动物护理和使用委员会的指南及规定。将表达雄性次要组织相容性(HY)抗原的小鼠尿路上皮癌(MB49)模型皮下接种于雌性小鼠。14天后,用酶联免疫吸附斑点法分析脾T细胞的HY免疫反应(n = 57)。在随后的实验中,将小鼠随机分为对照组(n = 7)、射频消融组、ITDC组(n = 9)和射频消融+ITDC组(n = 9),并监测肿瘤生长情况。治疗11天后,采集肿瘤进行组织学和免疫组织化学分析。对显示肿瘤完全消退的动物在对侧腹侧再次接种肿瘤。

结果

接受部分射频消融治疗的动物对HY抗原的肿瘤特异性I类和II类反应以及肿瘤消退均显著增加。射频消融组、ITDC组和联合治疗组的抗原呈递细胞浸润水平相似;与未治疗的对照组相比,所有组的浸润水平均更高。注射ITDC也导致肿瘤消退。然而,与单独任何一种治疗相比,联合治疗并未增强肿瘤消退效果。与对照组相比,射频消融组、ITDC组和联合治疗组再次接种肿瘤的小鼠显示出显著的肿瘤生长抑制。

结论

部分射频消融治疗可增强全身抗肿瘤T细胞免疫反应和肿瘤消退,这与树突状细胞浸润增加有关。注射ITDC可模拟射频消融效应,但在射频消融后立即注射时不会增加免疫反应。