Néri C, Blangy D, Schatz B, Drieu K, Berebbi M, Martin P M
Laboratoire de Cancérologie Expérimentale, Faculté de Médecine Nord, Marseille, France.
Cancer Res. 1990 Sep 15;50(18):5892-7.
The direct antitumoral effects of gonadotropin-releasing hormone (GnRH) analogues on breast tumors have been surmised from clinical observations and in vitro studies. The present study aimed to determine the effects of the GnRH agonist [D-Trp6]GnRH (Decapeptyl) on steps of experimental mammary carcinogenesis, and the mechanisms, other than the chemical castration, involved. We chose a recent model, i.e., mammary tumors induced by wild-type A2 polyoma (Py) virus in BALB/c female nu/nu mice, which displays the following characteristics. Tumors are mammary adenocarcinomas similar to well differentiated breast carcinomas. Tumor promotion period ends 20 days after Py virus inoculation and is estradiol dependent. The first palpable tumors occur 60 days after Py virus inoculation, and tumor growth is ovarian hormone independent. The effects of Decapeptyl treatment on tumor induction and tumor growth were studied in normal or ovariectomized 6-week-old nude mice inoculated with 10(7) plaque-forming units Py virus (day 0 of experiments). Normal mice and ovariectomized mice percutaneously supplemented with 0.6 micrograms 17 beta-estradiol every other day until day 30 (OvE2 mice) were treated with monthly s.c. injections of the sustained release form of Decapeptyl (5 mg/kg) until the end of 180-day experiments. Overall values for latency periods were included within a day 60 to day 130 time interval. Hormone-independent outgrowth was not affected. We focused on tumor progression before the outgrowth. Incidences on tumor appearance kinetics account for effects at this stage. 17 beta-Estradiol repletion strongly antagonized (P less than 0.001) the slowing effect of ovariectomy on the tumor appearance kinetics, indicating that tumor progression is estradiol sensitive in its early stages. [D-Trp6]GnRH treatment antagonized tumor appearance profiles, inducing similar kinetics in both normal and OvE2 mice. In normal mice, the antagonism (P less than 0.01) was concomitant with significant decreases (P less than 0.05) in serum levels of estradiol and prolactin, which are critical hormones for mammary tumor development in mice, suggesting a pituitary-mediated effect. In OvE2 mice, the antagonism (P less than 0.01) occurs independently of estradiol and prolactin, suggesting a direct effect at the mammary cell level. Because of alterations in kinetics, this effect is exerted at the early stages of tumor progression on Py virus-transformed, ovarian hormone-sensitive cells in the mammary tissue. This new animal model of breast cancer is shown to be useful in characterizing direct antitumoral effects of GnRH analogues and studying the basic mechanisms of mammary carcinogenesis.
促性腺激素释放激素(GnRH)类似物对乳腺肿瘤的直接抗肿瘤作用已从临床观察和体外研究中推测出来。本研究旨在确定GnRH激动剂[D-Trp6]GnRH(曲普瑞林)对实验性乳腺癌发生步骤的影响,以及除化学去势外所涉及的机制。我们选择了一种最新的模型,即野生型A2多瘤(Py)病毒在BALB/c雌性裸鼠中诱导的乳腺肿瘤,其具有以下特征。肿瘤为乳腺腺癌,类似于高分化乳腺癌。肿瘤促进期在接种Py病毒后20天结束,且依赖于雌二醇。首次可触及肿瘤在接种Py病毒后60天出现,且肿瘤生长不依赖卵巢激素。在接种10⁷空斑形成单位Py病毒(实验第0天)的6周龄正常或去卵巢裸鼠中研究了曲普瑞林治疗对肿瘤诱导和肿瘤生长的影响。正常小鼠和每隔一天经皮补充0.6微克17β-雌二醇直至第30天的去卵巢小鼠(OvE2小鼠),每月皮下注射缓释形式的曲普瑞林(5毫克/千克),直至180天实验结束。潜伏期的总体值包含在60天至130天的时间间隔内。激素非依赖性生长不受影响。我们关注肿瘤生长前的肿瘤进展。肿瘤出现动力学的发生率解释了此阶段的影响。17β-雌二醇补充强烈拮抗(P<0.001)去卵巢对肿瘤出现动力学的减缓作用,表明肿瘤进展在早期阶段对雌二醇敏感。[D-Trp6]GnRH治疗拮抗肿瘤出现情况,在正常小鼠和OvE2小鼠中诱导出相似的动力学。在正常小鼠中,这种拮抗作用(P<0.01)伴随着血清雌二醇和催乳素水平的显著降低(P<0.05),而这两种激素对小鼠乳腺肿瘤发展至关重要,提示存在垂体介导的效应。在OvE2小鼠中,这种拮抗作用(P<0.01)独立于雌二醇和催乳素发生,提示在乳腺细胞水平存在直接作用。由于动力学改变,这种作用在肿瘤进展的早期阶段作用于乳腺组织中Py病毒转化的、对卵巢激素敏感的细胞。这种新的乳腺癌动物模型被证明可用于表征GnRH类似物的直接抗肿瘤作用以及研究乳腺癌发生的基本机制。