Yang Qiuhong, Aires Daniel J, Cai Shuang, Fraga Garth R, Zhang Da, Li Cicy Z, Forrest M Laird
J Drugs Dermatol. 2014 Mar;13(3):283-7.
Melanoma is a deadly skin cancer with rapidly rising incidence. While localized melanoma can be treated with excision, there are at present no similarly effective treatments for regional and distant disease, so survival rates are low. One problem is that melanoma is chemo-resistant, and most chemotherapy doses are limited by systemic toxicity. A method for delivering high-dose chemotherapy directly to tumors and draining lymph nodes could have the advantage of allowing much higher effective doses with reduced systemic exposure.
Human melanoma cell line A-2058 tumor cells were injected into athymic mice. After tumors grew to 50~100 mm³ mice were divided into five groups: (1) nontreated (2) intravenous (i.v.) cisplatin, (3) i.v. nano hyaluronan-conjugated cisplatin (HA-Pt), (4) subcutaneous (s.c.) peri-tumoral cisplatin, and (5) s.c. peri-tumoral HA-Pt. All treatment groups received 3 weekly doses of 10 mg/kg.
Tumors grew progressively in all control, i.v. cisplatin, and s.c. cisplatin groups. Tumors showed a trend toward slower growth in the i.v. HA-Pt group, but all animals died or were euthanized per protocol within 3 weeks of treatment. Tumors showed shrinkage only in the subcutaneous peri-tumoral HA-cisplatin group; one of these mice appeared to be cured.
Peri-tumoral HA-cisplatin may be shown potential as a therapeutic option in treatment of certain types of melanoma.
黑色素瘤是一种发病率迅速上升的致命性皮肤癌。虽然局限性黑色素瘤可通过手术切除进行治疗,但目前对于区域性和远处性疾病尚无类似有效的治疗方法,因此生存率较低。一个问题是黑色素瘤具有化疗耐药性,大多数化疗剂量受到全身毒性的限制。一种将高剂量化疗药物直接输送到肿瘤和引流淋巴结的方法可能具有优势,即可以在减少全身暴露的情况下允许使用更高的有效剂量。
将人黑色素瘤细胞系A-2058肿瘤细胞注射到无胸腺小鼠体内。待肿瘤长至50~100立方毫米后,将小鼠分为五组:(1)未治疗组;(2)静脉注射顺铂组;(3)静脉注射纳米透明质酸偶联顺铂(HA-Pt)组;(4)皮下肿瘤周围注射顺铂组;(5)皮下肿瘤周围注射HA-Pt组。所有治疗组均接受每周3次、每次10毫克/千克的剂量。
在所有对照组、静脉注射顺铂组和皮下注射顺铂组中,肿瘤均持续生长。静脉注射HA-Pt组的肿瘤生长有减缓趋势,但所有动物在治疗后3周内均按照方案死亡或实施安乐死。仅皮下肿瘤周围注射HA-顺铂组的肿瘤出现缩小;其中一只小鼠似乎被治愈。
肿瘤周围注射HA-顺铂可能显示出作为某些类型黑色素瘤治疗选择的潜力。