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全身或半身照射癌症治疗的放射生物学基础。

Radiobiological basis for cancer therapy by total or half-body irradiation.

作者信息

Sakamoto Kiyohiko

机构信息

Tohoku Radiological Science Center, Sendai, Miyagi 980-0811, Japan.

出版信息

Nonlinearity Biol Toxicol Med. 2004 Oct;2(4):293-316. doi: 10.1080/15401420490900254.

Abstract

The tumor control effects by total-body irradiation (TBI) or half-body irradiation (HBI) on tumor-bearing mice and human cancer were investigated. In fundamental studies using a murine experimental system, mice that received 10 or 15 cGy of TBI showed a high value of TD(50) (number of tumor cells required for successful transplantation to a half group of injected sites) compared with nonirradiated control mice. The combination of low doses of TBI and local irradiation on tumor-bearing mice demonstrated enhanced tumor cell killing compared with only local irradiation, but this tumor-cell killing effect was not observed following 10 or 15 cGy of TBI alone. However, the suppression of distant metastasis of tumor cells was observed following low doses of TBI alone. Immunological studies on these effects suggested that TBI or HBI caused immunopotentiating effects. In clinical studies, malignant lymphoma (non-Hodgkin's lymphoma) was selected as the first disease for clinical trial. The results were promising for tumor control applications, except for advanced cases and very aged patients.

摘要

研究了全身照射(TBI)或半身照射(HBI)对荷瘤小鼠和人类癌症的肿瘤控制效果。在使用小鼠实验系统的基础研究中,与未照射的对照小鼠相比,接受10或15 cGy TBI的小鼠显示出较高的TD(50)值(成功移植到一半注射部位组所需的肿瘤细胞数量)。与仅局部照射相比,低剂量TBI与荷瘤小鼠局部照射的联合应用显示出增强的肿瘤细胞杀伤作用,但单独给予10或15 cGy TBI后未观察到这种肿瘤细胞杀伤效果。然而,单独给予低剂量TBI后观察到肿瘤细胞远处转移受到抑制。对这些效应的免疫学研究表明,TBI或HBI具有免疫增强作用。在临床研究中,恶性淋巴瘤(非霍奇金淋巴瘤)被选为第一个进行临床试验的疾病。除晚期病例和高龄患者外,结果在肿瘤控制应用方面很有前景。

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