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抗氧化剂 MnTE-2-PyP 可预防前列腺癌放疗的副作用。

The antioxidant, MnTE-2-PyP, prevents side-effects incurred by prostate cancer irradiation.

机构信息

Pulmonary Division, Department of Medicine, National Jewish Health, Denver, Colorado, United States of America.

出版信息

PLoS One. 2012;7(9):e44178. doi: 10.1371/journal.pone.0044178. Epub 2012 Sep 12.

Abstract

Prostate cancer is the most commonly diagnosed cancer, with an estimated 240,000 new cases reported annually in the United States. Due to early detection and advances in therapies, more than 90% of patients will survive 10 years post diagnosis and treatment. Radiation is a treatment option often used to treat localized disease; however, while radiation is very effective at killing tumor cells, normal tissues are damaged as well. Potential side-effects due to prostate cancer-related radiation therapy include bowel inflammation, erectile dysfunction, urethral stricture, rectal bleeding and incontinence. Currently, radiation therapy for prostate cancer does not include the administration of therapeutic agents to reduce these side effects and protect normal tissues from radiation-induced damage. In the current study, we show that the small molecular weight antioxidant, MnTE-2-PyP, protects normal tissues from radiation-induced damage in the lower abdomen in rats. Specifically, MnTE-2-PyP protected skin, prostate, and testes from radiation-induced damage. MnTE-2-PyP also protected from erectile dysfunction, a persistent problem regardless of the type of radiation techniques used because the penile neurovascular bundles lay in the peripheral zones of the prostate, where most prostate cancers reside. Based on previous studies showing that MnTE-2-PyP, in combination with radiation, further reduces subcutaneous tumor growth, we believe that MnTE-2-PyP represents an excellent radioprotectant in combination radiotherapy for cancer in general and specifically for prostate cancer.

摘要

前列腺癌是最常见的癌症之一,据估计,每年在美国有 24 万例新发病例。由于早期检测和治疗方法的进步,超过 90%的患者在诊断和治疗后 10 年内存活。放射治疗是一种常用的治疗局部疾病的方法;然而,尽管放射治疗非常有效地杀死肿瘤细胞,但正常组织也会受到损伤。由于前列腺癌放射治疗引起的潜在副作用包括肠道炎症、勃起功能障碍、尿道狭窄、直肠出血和失禁。目前,前列腺癌的放射治疗不包括给予治疗剂来减少这些副作用并保护正常组织免受辐射引起的损伤。在目前的研究中,我们表明,小分子抗氧化剂 MnTE-2-PyP 可保护大鼠下腹部的正常组织免受辐射损伤。具体而言,MnTE-2-PyP 可保护皮肤、前列腺和睾丸免受辐射损伤。MnTE-2-PyP 还可预防勃起功能障碍,这是一个无论使用何种放射技术都存在的持续问题,因为阴茎的神经血管束位于前列腺的外周区,大多数前列腺癌就存在于这个区域。基于先前的研究表明,MnTE-2-PyP 与放射治疗相结合,进一步减少了皮下肿瘤的生长,我们认为 MnTE-2-PyP 是一种优秀的放射保护剂,可与癌症的放射治疗联合使用,特别是对前列腺癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc13/3440381/bc24cc52be11/pone.0044178.g001.jpg

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