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[显微CT结构成像对肝细胞癌化疗药物在ACI大鼠原位移植瘤临床前评估的贡献]

[Contribution of microCT structural imaging to preclinical evaluation of hepatocellular carcinoma chemotherapeutics on orthotopic graft in ACI rats].

作者信息

Akladios Cherif Youssef, Bour Gaëtan, Balboni Ginette, Mutter Didier, Marescaux Jacques, Aprahamian Marc

机构信息

Institut de recherche contre les cancers de l'appareil digestif, Strasbourg, France.

出版信息

Bull Cancer. 2011 Feb;98(2):120-32. doi: 10.1684/bdc.2011.1303.

Abstract

Animal experimentation is a prerequisite for preclinical evaluation of treatments such as chemotherapy. It's strictly regulated with the purpose of reducing the number of experimental animal as well as their pain. Small animal imaging should provide a painless longitudinal follow up of tumor progression on a single animal. The aim of the study is to validate small animal imaging by microscanner (μscan) in longitudinal follow up of a hepatocellular carcinoma (HCC) and to demonstrate its interest for in vivo evaluation of tumor response to different therapeutics. An HCC model achieved by orthotopic graft of the MH3924A cell line in ACI rats was followed using a Imtek/Siemens microscanner (μscan) with contrast agents (Fenestra(®) LC/VC). The procedures giving the optimal enhancement of the liver as well as a reliable determination of tumor volumes by μscan were validated. Three protocols for therapeutic assessment through μscan longitudinal follow up were performed. Each consisted in three groups testing a chemotherapy (gemcitabine, gemcitabine-oxaliplatine or sorafenib) versus two control groups (placebo and doxorubicine). Comparison was done on tumor volumes, median and actual survivals. There was a significant correlation between tumor volumes measured by μscan and autopsy. Treatment by sorafenib, at the contrary of gemcitabine alone or with oxaliplatine, resulted in a significant reduction in tumor volumes and prolongation of actuarial survival. These results are consistent with available clinical data for these diverse therapeutics. In conclusion, small animal imaging with μscan is a non-invasive, reliable, and reproducible method for preclinical evaluation of antitumor agents.

摘要

动物实验是化疗等治疗方法临床前评估的前提条件。其受到严格监管,目的是减少实验动物数量及其痛苦。小动物成像应能在单只动物身上对肿瘤进展进行无痛的纵向跟踪。本研究的目的是在肝细胞癌(HCC)的纵向跟踪中通过微型扫描仪(μscan)验证小动物成像,并证明其在体内评估肿瘤对不同治疗反应方面的价值。使用配备造影剂(Fenestra(®) LC/VC)的Imtek/西门子微型扫描仪(μscan)对通过将MH3924A细胞系原位移植到ACI大鼠中建立的HCC模型进行跟踪。验证了能使肝脏获得最佳增强效果以及通过μscan可靠测定肿瘤体积的程序。通过μscan纵向跟踪进行了三种治疗评估方案。每种方案都包括三组,分别测试一种化疗药物(吉西他滨、吉西他滨 - 奥沙利铂或索拉非尼)与两个对照组(安慰剂和阿霉素)。对肿瘤体积、中位生存期和实际生存期进行了比较。通过μscan测量的肿瘤体积与尸检结果之间存在显著相关性。与单独使用吉西他滨或与奥沙利铂联合使用相反,索拉非尼治疗导致肿瘤体积显著减小和精算生存期延长。这些结果与这些不同治疗方法的现有临床数据一致。总之,使用μscan进行小动物成像是一种用于抗肿瘤药物临床前评估的非侵入性、可靠且可重复的方法。

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