Berndt Kersten, Vogel Johannes, Buehler Christopher, Vogt Peter, Born Walter, Fuchs Bruno
Laboratory for Orthopaedic Research, Department of Orthopaedics, Balgrist University Hospital, Switzerland.
J Am Assoc Lab Anim Sci. 2012 Nov;51(6):825-31.
Intraarterial chemotherapy (IAC) is considered effective for the treatment of solid tumors with high local doses of systemically toxic chemotherapeutics. Osteosarcoma, which is often located in the extremities, is a potential target for IAC. However, the efficacy of this treatment modality has varied, and standardized protocols are difficult to establish due to tumor heterogeneity and the limited numbers of patients available for clinical trials. Reproducible experimental models are needed to further investigate IAC in osteosarcoma. Here, we describe a new microsurgical technique for repeated infusion of drugs into the mouse femoral artery for local treatment of experimental intratibial metastasizing osteosarcoma. We successfully achieved 5 catheterizations at 3-d intervals in 70% of the mice tested. Laser speckle imaging indicated a maximal 50% reduction in blood flow around the ankle region of catheterized legs infused with 0.5 mg/kg cisplatin. However, blood flow in the front feet was affected only minimally. Histologic examination of catheterized arteries of saline control or cisplatin-treated mice showed circular fibrinoid media necrosis and partial thrombosis, but total occlusion of the arteries was not observed. The method we describe for repeated transient catheterization of the mouse femoral artery likely will be useful in future studies comparing the efficacies of intraarterial and systemic cisplatin treatment of intratibial metastasizing osteosarcoma in mice under standardized conditions.
动脉内化疗(IAC)被认为对于使用全身毒性化疗药物的高局部剂量治疗实体瘤有效。骨肉瘤常位于四肢,是IAC的潜在靶点。然而,这种治疗方式的疗效各不相同,由于肿瘤异质性以及可用于临床试验的患者数量有限,难以建立标准化方案。需要可重复的实验模型来进一步研究骨肉瘤的IAC治疗。在此,我们描述一种新的显微外科技术,用于将药物反复注入小鼠股动脉,以局部治疗实验性胫骨内转移性骨肉瘤。在70%的受试小鼠中,我们成功以3天的间隔进行了5次插管。激光散斑成像显示,注入0.5mg/kg顺铂的插管腿部踝关节区域周围血流最大减少50%。然而,前脚的血流仅受到极小影响。对生理盐水对照或顺铂处理小鼠的插管动脉进行组织学检查显示,有环状纤维蛋白样中层坏死和部分血栓形成,但未观察到动脉完全闭塞。我们所描述的对小鼠股动脉进行反复短暂插管的方法,可能在未来标准化条件下比较动脉内和顺铂全身治疗小鼠胫骨内转移性骨肉瘤疗效的研究中有用。