Department of Ultrasonography, Affiliated Union Hospital of Fujian Medical University, Fuzhou, China.
J Cancer Res Clin Oncol. 2010 Apr;136(4):537-45. doi: 10.1007/s00432-009-0686-1. Epub 2009 Sep 24.
This study aims to investigate the therapeutic effect of paclitaxel temperature-responsive gel (PTRG) for interstitial chemotherapy on breast cancer, and to explore a new minimally invasive treatment for breast cancer.
Breast cancer models were induced in rats using subcutaneous transplantation of tumor cells. The rats were then divided into control, paclitaxel injection, gel injection and paclitaxel-gel (PG) group. Following treatment, all animals were checked regularly by ultrasonography to observe changes in the tumors. Biopsy tumor tissues were processed for histopathological examination, and apoptotic index was determined by the terminal deoxynucleotidyl transferase dUTP nick end labeling method. In addition, blood cell count and liver transaminase activity were monitored, and the survival time of rats with cancer recorded.
Rats in PG group exhibited liquefaction necrosis of tumors. Ninety days after the experiment, four rats exhibited complete extinction of tumors, indicating full recovery. Pathological examination revealed that the tumor tissues in these rats were mostly necrotic, and the apoptotic index of tumor cells increased markedly compared to PI group. Also, the red blood cell, hemoglobin and white blood cell levels declined significantly in the PI group compared with PG group, while glutamic-pyruvic transaminase and glutamic-oxalacetic transaminase activities significantly increased. Meanwhile, no toxicity due to treatment was observed in PG group.
Interstitial chemotherapy mediated by PTRG appeared to be a safe and effective treatment for breast cancer in rats. It might have clinical applications for treating human breast cancer.
本研究旨在探讨紫杉醇温度响应凝胶(PTRG)用于乳腺癌间质化疗的治疗效果,探索乳腺癌的一种新的微创治疗方法。
采用皮下接种肿瘤细胞的方法建立大鼠乳腺癌模型。将大鼠随机分为对照组、紫杉醇注射组、凝胶注射组和紫杉醇-凝胶(PG)组。治疗后,所有动物均定期行超声检查,观察肿瘤变化。取活检肿瘤组织行病理检查,末端脱氧核苷酸转移酶介导的 dUTP 缺口末端标记法检测细胞凋亡指数。同时监测血细胞计数和肝转氨酶活性,记录癌症大鼠的生存时间。
PG 组大鼠肿瘤出现液化性坏死。实验 90 天后,4 只大鼠肿瘤完全消失,完全恢复。病理检查显示,这些大鼠的肿瘤组织大部分坏死,肿瘤细胞的凋亡指数明显高于 PI 组。此外,PI 组大鼠的红细胞、血红蛋白和白细胞水平明显低于 PG 组,而谷氨酸-丙酮酸转氨酶和谷氨酸-草酰乙酸转氨酶活性明显升高。同时,PG 组未观察到因治疗导致的毒性。
PTRG 介导的间质化疗似乎是一种安全有效的治疗大鼠乳腺癌的方法。它可能具有治疗人类乳腺癌的临床应用价值。