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恩度对胃肠间质瘤移植瘤血管生成及生长的抑制作用。

The inhibition of Endostar on the angiogenesis and growth of gastrointestinal stromal tumor xenograft.

机构信息

Department of Surgery, The First Affiliated Hospital, SUN Yat-sen University, Guangzhou, Guangdong Province, China.

出版信息

Clin Exp Med. 2012 Jun;12(2):89-95. doi: 10.1007/s10238-011-0143-8. Epub 2011 Jun 10.

DOI:10.1007/s10238-011-0143-8
PMID:21660447
Abstract

To investigate whether Endostar can inhibit the angiogenesis and growth of gastrointestinal stromal tumor (GIST) xenografts in nude mice and the feasibility of antiangiogenesis as a treatment modality for GIST. Twenty Balb/c-nu/nu mice burdened with GIST were randomly divided into two groups. Endostar (2 mg/kg) was injected around the tumor once per day for 10 days in the experimental group and with normal saline (NS) (0.1 ml) in the control group. The tumor bulk was measured every 5 days until 5 days after the end of the injections. The inhibition tumor rate (ITR) was calculated. Tumor bulk, microvascular density (MVD), rate of bcl-2-positive expression, and AI were assessed in the two groups. Tumor volumes were compared before and after treatment in the experimental group. The difference in tumor bulk between the two groups was not statistically significant before treatment (P = 0.628), but at the end of test, the difference was significant (P < 0.0001), and in the test group, the tumor bulk was also decreased significantly after treatment (P < 0.0001). The ITR was 86.5%. All xenografts showed CD117-positive staining. MVD and bcl-2-positive rate were lower in the experimental group than in the control group (P = 0.020 and P = 0.023, respectively). AI increased significantly in the experimental group compared with the control group (P = 0.020). Endostar can reduce angiogenesis,promote cell apoptosis, and inhibit the growth of a GIST xenograft. It is possible that Endostar will be used as an effective drug for GIST in the future.

摘要

目的

探讨恩度能否抑制裸鼠胃肠间质瘤(GIST)移植瘤的血管生成和生长,并探讨抗血管生成作为 GIST 治疗方法的可行性。

方法

将 20 只荷 GIST 裸鼠随机分为实验组和对照组,每组 10 只。实验组瘤周注射恩度(2mg/kg),每日 1 次,连续 10 天;对照组注射生理盐水(NS)(0.1ml)。每 5 天测量肿瘤体积 1 次,直至停药后 5 天。计算肿瘤抑制率(ITR)。评估两组肿瘤体积、微血管密度(MVD)、bcl-2 阳性表达率及凋亡指数(AI)。观察实验组治疗前后肿瘤体积的变化。

结果

治疗前两组肿瘤体积比较差异无统计学意义(P=0.628),但治疗结束时差异有统计学意义(P<0.0001),实验组治疗后肿瘤体积明显减小(P<0.0001)。肿瘤抑制率为 86.5%。所有移植瘤均 CD117 阳性表达。实验组 MVD 和 bcl-2 阳性表达率均低于对照组(P=0.020 和 P=0.023),AI 明显高于对照组(P=0.020)。

结论

恩度能抑制 GIST 移植瘤的血管生成,促进细胞凋亡,抑制肿瘤生长,有可能成为 GIST 有效的治疗药物。

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本文引用的文献

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Prognostic impact of blood vessel invasion in gastrointestinal stromal tumor of the stomach.胃胃肠间质瘤血管侵犯对预后的影响。
Hum Pathol. 2010 Oct;41(10):1422-30. doi: 10.1016/j.humpath.2010.02.013. Epub 2010 Jun 22.
2
The radiosensitization effects of Endostar on human lung squamous cancer cells H-520.恩度对人肺鳞癌细胞 H-520 的放射增敏作用。
Cancer Cell Int. 2010 May 24;10:17. doi: 10.1186/1475-2867-10-17.
3
Autophagic cell death of human hepatoma cells induced by endostar, a recombinant human endostatin.内皮抑素重组蛋白(恩度)诱导人肝癌细胞自噬性细胞死亡。
Cancer Biother Radiopharm. 2008 Dec;23(6):735-40. doi: 10.1089/cbr.2008.0518.
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The synergistic effect of recombinant human endostatin (YH-16) combined with oxaliplatin on human colorectal carcinoma.重组人内皮抑素(YH-16)联合奥沙利铂对人结肠癌的协同作用
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[Optimization of extracting method and inhibitory action of recombinant human endostatin in bladder cancer].[重组人内皮抑素对膀胱癌提取方法的优化及抑制作用]
Zhonghua Yi Xue Za Zhi. 2009 Dec 15;89(46):3285-8.
6
Recombinant human endostatin improves anti-tumor efficacy of paclitaxel by normalizing tumor vasculature in Lewis lung carcinoma.重组人血管内皮抑制素通过使 Lewis 肺癌血管正常化增强紫杉醇的抗肿瘤疗效。
J Cancer Res Clin Oncol. 2010 Aug;136(8):1201-11. doi: 10.1007/s00432-010-0770-6. Epub 2010 Feb 4.
7
The effect of endostatin and gemcitabine combined with HIFU on the animal xenograft model of human pancreatic cancer.内皮抑素和吉西他滨联合高强度聚焦超声治疗人胰腺癌动物异种移植模型的效果。
Biomed Pharmacother. 2010 May;64(5):309-12. doi: 10.1016/j.biopha.2009.09.011. Epub 2009 Nov 5.
8
Gastrointestinal stromal tumor.胃肠道间质瘤
World J Surg Oncol. 2009 Aug 1;7:61. doi: 10.1186/1477-7819-7-61.
9
[Endostar reduces the growth and metastasis by inhibiting angiogenesis and lymphangiogenesis in nude mouse models of human cervical cancer].恩度通过抑制人宫颈癌裸鼠模型中的血管生成和淋巴管生成来降低肿瘤生长和转移
Zhonghua Zhong Liu Za Zhi. 2009 Apr;31(4):254-7.
10
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Cancer Sci. 2009 Aug;100(8):1510-9. doi: 10.1111/j.1349-7006.2009.01193.x. Epub 2009 May 21.