Kanesada H
1st Department of Surgery, Yamaguchi University School of Medicine.
Nihon Gan Chiryo Gakkai Shi. 1990 Nov 20;25(11):2640-8.
Using high voltage pulse (initial electric field strength 3kV/cm, duration 4 msec, applied energy 14.9 joule) as a local load, and concentration dependent anticancer drugs such as peplomycin (PEP) 20 mg/kg, cyclophosphamide (CPA) 100 mg/kg, mitomycin C (MMC) 3 mg/kg and cisplatin (CDDP) 5 mg/kg administrated intraperitoneally, the effects on the suppression of primary lesions and on formation of pulmonary metastasis in the spontaneous pulmonary metastatic system of Lewis lung carcinoma were investigated. Though only CPA among single administrated anticancer drugs showed a suppressive effect against tumor growth, remarkable reduction in the size of primary lesions was obtained with a combination of high voltage pulse and an anticancer drug, regardless of various kinds of drug. A maximal ratio of size before and after treatment was 0.05 in PEP, 0.2 in CPA, 0.38 in MMC and 0.14 in CDDP. A combination of PEP or CPA with high voltage pulse had a particularly good effect, reducing the volume of the primary tumor after treatment less than levels before treatment throughout 2 weeks. The use of high voltage pulse alone did not affect any growth kinetics of the primary lesion. The number of pulmonary metastatic nodules was significantly reduced only by CPA among various kinds of single administrated drugs, whereas it was reduced by all treatments with a combination of high voltage pulse and each anticancer drug. The use of high voltage pulse alone did not result in any increase of the number of pulmonary metastatic nodules.(ABSTRACT TRUNCATED AT 250 WORDS)
以高压脉冲(初始电场强度3kV/cm,持续时间4毫秒,施加能量14.9焦耳)作为局部负荷,并腹腔注射浓度依赖性抗癌药物,如培普利霉素(PEP)20mg/kg、环磷酰胺(CPA)100mg/kg、丝裂霉素C(MMC)3mg/kg和顺铂(CDDP)5mg/kg,研究其对Lewis肺癌自发性肺转移系统中原发灶抑制及肺转移形成的影响。虽然单一使用的抗癌药物中只有CPA对肿瘤生长有抑制作用,但无论使用何种药物,高压脉冲与抗癌药物联合使用均能使原发灶大小显著减小。治疗前后大小的最大比值在PEP中为0.05,CPA中为0.2,MMC中为0.38,CDDP中为0.14。PEP或CPA与高压脉冲联合使用效果特别好,在整个2周内治疗后原发肿瘤体积均小于治疗前水平。单独使用高压脉冲对原发灶的生长动力学没有任何影响。在各种单一使用的药物中,只有CPA能显著减少肺转移结节的数量,而高压脉冲与每种抗癌药物联合使用的所有治疗方法均能减少肺转移结节的数量。单独使用高压脉冲不会导致肺转移结节数量增加。(摘要截短至250字)