交变电场(TTFields)可抑制实体瘤向肺部的转移扩散。

Alternating electric fields (TTFields) inhibit metastatic spread of solid tumors to the lungs.

作者信息

Kirson Eilon D, Giladi Moshe, Gurvich Zoya, Itzhaki Aviran, Mordechovich Daniel, Schneiderman Rosa S, Wasserman Yoram, Ryffel Bernhard, Goldsher Dorit, Palti Yoram

机构信息

NovoCure Limited, Matam Advanced Technology Centre, 31905, Haifa, Israel.

出版信息

Clin Exp Metastasis. 2009;26(7):633-40. doi: 10.1007/s10585-009-9262-y. Epub 2009 Apr 23.

Abstract

Tumor treating fields (TTFields) are low intensity, intermediate frequency, alternating electric fields used to treat cancerous tumors. This novel treatment modality effectively inhibits the growth of solid tumors in vivo and has shown promise in pilot clinical trials in patients with advanced stage solid tumors. TTFields were tested for their potential to inhibit metastatic spread of solid tumors to the lungs in two animal models: (1) Mice injected with malignant melanoma cells (B16F10) into the tail vein, (2) New Zealand White rabbits implanted with VX-2 tumors within the kidney capsule. Mice and rabbits were treated using two-directional TTFields at 100-200 kHz. Animals were either monitored for survival, or sacrificed for pathological and histological analysis of the lungs. The total number of lung surface metastases and the absolute weight of the lungs were both significantly lower in TTFields treated mice then in sham control mice. TTFields treated rabbits survived longer than sham control animals. This extension in survival was found to be due to an inhibition of metastatic spread, seeding or growth in the lungs of TTFields treated rabbits compared to controls. Histologically, extensive peri- and intra-tumoral immune cell infiltration was seen in TTFields treated rabbits only. These results raise the possibility that in addition to their proven inhibitory effect on the growth of solid tumors, TTFields may also have clinical benefit in the prevention of metastatic spread from primary tumors.

摘要

肿瘤治疗电场(TTFields)是用于治疗癌性肿瘤的低强度、中频交变电场。这种新型治疗方式可有效抑制实体瘤在体内的生长,并在晚期实体瘤患者的初步临床试验中显示出前景。在两种动物模型中测试了TTFields抑制实体瘤向肺部转移扩散的潜力:(1)通过尾静脉注射恶性黑色素瘤细胞(B16F10)的小鼠,(2)在肾包膜内植入VX-2肿瘤的新西兰白兔。使用100 - 200 kHz的双向TTFields对小鼠和兔子进行治疗。对动物进行生存监测,或处死后对肺部进行病理和组织学分析。与假手术对照小鼠相比,接受TTFields治疗的小鼠肺表面转移灶总数和肺绝对重量均显著降低。接受TTFields治疗的兔子比假手术对照动物存活时间更长。发现这种生存时间的延长是由于与对照组相比,接受TTFields治疗的兔子肺部转移扩散、种植或生长受到抑制。组织学上,仅在接受TTFields治疗的兔子中观察到广泛的肿瘤周围和肿瘤内免疫细胞浸润。这些结果增加了一种可能性,即除了已证实的对实体瘤生长的抑制作用外,TTFields在预防原发性肿瘤的转移扩散方面可能也具有临床益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2973/2776150/4c691054f4eb/10585_2009_9262_Fig1_HTML.jpg

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