Tong Huan, Li Xiao, Zhang Chun-LE, Gao Jin-Hang, Wen Shi-Lei, Huang Zhi-Yin, Tang Cheng-Wei
Department of Gastroenterology, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu 610041, P.R. China.
Exp Ther Med. 2013 Mar;5(3):777-782. doi: 10.3892/etm.2013.897. Epub 2013 Jan 16.
To evaluate the encapsulation of VX2 hepatic allografts in rabbits induced by octreotide and celecoxib administration following transcatheter arterial embolisation (TAE), rabbits with hepatic VX2 allografts were divided into four groups: control, TAE, octreotide + celecoxib (O+C) and the multimodality therapy (TAE+O+C). Allograft metastasis, capsule thickness and percentage of clear cells were measured and vascular endothelial growth factor (VEGF) and CD31 were detected by immunohistochemistry and reverse transcription-polymerase chain reaction (RT-PCR) analysis. The extrahepatic metastases of each intervention group were significantly fewer than those of the control group, with the TAE+O+C group exhibiting the fewest extrahepatic metastases. The TAE+O+C group had the greatest proportion of clear cells and thickest capsule on day 30. Increased capsule thickness was negatively correlated with tumour metastasis. In addition, VEGF expression levels assessed by immunohistochemistry and RT-PCR in the three intervention groups were significantly lower than those in the control group. Furthermore, the TAE+O+C group had a significantly reduced CD31 count induced by TAE. These results demonstrate that TAE, followed by long-term administration of octreotide and celecoxib, synergistically inhibits VX2 hepatic allograft metastasis by increasing the proportion of clear cells, promoting encapsulation and inhibiting angiogenesis.
为评估经导管动脉栓塞术(TAE)后给予奥曲肽和塞来昔布对兔VX2肝移植瘤包膜形成的影响,将VX2肝移植瘤兔分为四组:对照组、TAE组、奥曲肽+塞来昔布(O+C)组和多模式治疗组(TAE+O+C)。测量移植瘤转移情况、包膜厚度和透明细胞百分比,并通过免疫组织化学和逆转录-聚合酶链反应(RT-PCR)分析检测血管内皮生长因子(VEGF)和CD31。各干预组的肝外转移均明显少于对照组,其中TAE+O+C组肝外转移最少。TAE+O+C组在第30天时透明细胞比例最高,包膜最厚。包膜增厚与肿瘤转移呈负相关。此外,免疫组织化学和RT-PCR评估的三个干预组的VEGF表达水平均明显低于对照组。此外,TAE诱导的TAE+O+C组CD31计数明显降低。这些结果表明,TAE联合长期给予奥曲肽和塞来昔布,通过增加透明细胞比例、促进包膜形成和抑制血管生成,协同抑制VX2肝移植瘤转移。