Department of General, Visceral and Transplantation Surgery, University Hospital of Essen, Essen, Germany.
Eur J Med Res. 2012 Jun 21;17(1):20. doi: 10.1186/2047-783X-17-20.
Liver transplantation is an important treatment option for patients with liver-originated tumors including biliary tract carcinomas (BTCs). Post-transplant tumor recurrence remains a limiting factor for long-term survival. The mammalian target of rapamycin-targeting immunosuppressive drug rapamycin could be helpful in lowering BTC recurrence rates. Therein, we investigated the antiproliferative effect of rapamycin on BTC cells and compared it with standard immunosuppressants.
We investigated two human BTC cell lines. We performed cell cycle and proliferation analyses after treatment with different doses of rapamycin and the standard immunosuppressants, cyclosporine A and tacrolimus.
Rapamycin inhibited the growth of two BTC cell lines in vitro. By contrast, an increase in cell growth was observed among the cells treated with the standard immunosuppressants.
These results support the hypothesis that rapamycin inhibits BTC cell proliferation and thus might be the preferred immunosuppressant for patients after a liver transplantation because of BTC.
肝移植是治疗肝源性肿瘤(包括胆道癌)患者的重要手段。移植后肿瘤复发仍然是长期生存的限制因素。雷帕霉素是一种哺乳动物雷帕霉素靶蛋白靶向免疫抑制剂,有助于降低胆道癌的复发率。在此,我们研究了雷帕霉素对胆道癌细胞的增殖抑制作用,并将其与标准免疫抑制剂进行了比较。
我们研究了两种人胆道癌细胞系。我们用不同剂量的雷帕霉素和标准免疫抑制剂环孢素 A 和他克莫司处理细胞后,进行细胞周期和增殖分析。
雷帕霉素在体外抑制了两种胆道癌细胞系的生长。相比之下,用标准免疫抑制剂处理的细胞中观察到细胞生长增加。
这些结果支持雷帕霉素抑制胆道癌细胞增殖的假说,因此雷帕霉素可能是肝移植后因胆道癌而需要免疫抑制治疗的患者的首选免疫抑制剂。