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[兔VX-2肝植入瘤肝动脉灌注抗癌药物的增强效应]

[Enhanced effect of hepatic arterial infusion of anticancer drugs of rabbit VX-2 hepatic implants].

作者信息

Koyama Y, Hoshino M, Ono T, Inoue N, Tsuchiya A, Abe R

机构信息

Dept. of Surgery 2, Fukushima Medical College.

出版信息

Gan To Kagaku Ryoho. 1990 Aug;17(8 Pt 2):1721-4.

PMID:2167643
Abstract

To obtain a high concentration of adriamycin (ADR) in hepatic malignant tumors, intraarterial injection method was devised depending upon the different application with Lipiodol. The VX-2 carcinoma was implanted in the domestic rabbit after laparotomy. When the tumor grew to 2 cm in size, ADR was infused through the hepatic artery by the following four methods; Group 1, one shot injection of ADR (n = 5); Group 2, ADR infusion between Lipiodol injections (n = 6); Group 3, infusion of Lipiodol suspended with Urographin dissolved in Lipiodol (n = 7); Group 4, ADR dissolved in Lipiodol by Sonicator (n = 5). ADR concentration of the tumor, liver, heart, kidney and bone marrow were measured by HPLC one hour after ADR administration. In Group 3, the concentrations of ADR within tumor were significantly higher than in the other three groups (p less than 0.01 or less than 0.02). In addition, the tumor-to-liver ratio of ADR was significantly higher in the other three groups (p less than 0.05 or less than 0.10). ADR concentration of heart and kidney was lower in Group 3 than in the other groups. These results suggest that Lipiodol may enhance the therapeutic effects of hepatic arterial ADR infusion by hepatic arterial ADR infusion by increasing its tumor uptake.

摘要

为了在肝脏恶性肿瘤中获得高浓度的阿霉素(ADR),根据与碘油的不同应用方式设计了动脉内注射方法。通过剖腹术将VX-2癌植入家兔体内。当肿瘤长到2厘米大小时,采用以下四种方法通过肝动脉注入ADR:第1组,单次注射ADR(n = 5);第2组,在注射碘油之间注入ADR(n = 6);第3组,注入用泛影葡胺溶解于碘油中混悬的碘油(n = 7);第4组,通过超声处理将ADR溶解于碘油中(n = 5)。在给予ADR 1小时后,通过高效液相色谱法测量肿瘤、肝脏、心脏、肾脏和骨髓中的ADR浓度。在第3组中,肿瘤内的ADR浓度显著高于其他三组(p小于0.01或小于0.02)。此外,其他三组中ADR的肿瘤与肝脏比值显著更高(p小于0.05或小于0.10)。第3组中心脏和肾脏的ADR浓度低于其他组。这些结果表明,碘油可能通过增加肿瘤摄取来增强肝动脉注入ADR对肝脏动脉内ADR注入的治疗效果。

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