Cassim Sm, Giustini Aj, Petryk Aa, Strawbridge Ra, Hoopes Pj
Thayer School of Engineering, Dartmouth College, Hanover, NH 03755 USA.
Dartmouth-Hitchcock Medical Center, Dartmouth Medical School, Lebanon, NH 03766 USA ; Thayer School of Engineering, Dartmouth College, Hanover, NH 03755 USA.
Proc SPIE Int Soc Opt Eng. 2009 Feb 23;7181:71810O. doi: 10.1117/12.810035.
UNLABELLED: It is established that heat can enhance the effect of radiation cancer treatment. Due to the ability to localize thermal energy using nanoparticle hyperthermia, as opposed to other, less targeted, hyperthermia modalities, it appears such enhancement could be accomplished without complications normally associated with systemic or regional hyperthermia. This study employs non-curative (suboptimal), doses of heat and radiation, in an effort to determine the therapeutic enhancement potential for IONP hyperthermia and radiation. METHODS: MTG-B murine breast adenocarcinoma cell are inoculated into the right flanks of female CH3/HEJ mice and grown to volumes of 150mm/ 40 mm. A single dose of 15 Gy (6 MeV) radiation was uniformly delivered to the tumor. A pre-defined thermal dose is delivered by direct injection of iron oxide nanoparticles into the tumor. By adjusting the field strength of the 160 KHz alternating magnetic field (AMF) an intra-tumoral temperature between 41.5 and 43 degrees Celsius was maintained for 10min. The alternating magnetic field was delivered by a water-cooled 36mm diameter square copper tube induction coil operating at 160 kHz with variable magnet field strengths up to 450 Oe. The primary endpoint of the study is the number of days required for the tumor to achieve a volume 3 fold greater than the volume at the time of treatment (tumor regrowth delay). RESULTS: Preliminary results suggest the addition of a modest IONP hyperthermia to 15 Gy radiation achieved an approximate 50% increase in tumor regrowth delay as compared to a 15 Gy radiation treatment alone. The therapeutic effects of IONP heat and radiation combined were considered additive, however in mice that demonstrated complete response (no tumor present after 30 days), the effect was considered superadditive or synergistic. Although this data is very encouraging from a multimodality cancer therapy standpoint, additional temporal and dose related information is clearly necessary to optimize the therapy.
未标注:已知热可增强放射治疗癌症的效果。与其他靶向性较差的热疗方式不同,由于能够利用纳米颗粒热疗来定位热能,似乎可以在不出现通常与全身或区域热疗相关并发症的情况下实现这种增强效果。本研究采用非治愈性(次优)剂量的热和辐射,以确定离子纳米颗粒热疗和辐射的治疗增强潜力。 方法:将MTG - B小鼠乳腺腺癌细胞接种到雌性CH3/HEJ小鼠的右侧胁腹,待肿瘤生长至体积为150mm³/40mm³。对肿瘤均匀给予单次剂量15Gy(6MeV)的辐射。通过将氧化铁纳米颗粒直接注射到肿瘤中来给予预先确定的热剂量。通过调整160kHz交变磁场(AMF)的场强,使瘤内温度维持在41.5至43摄氏度之间10分钟。交变磁场由一个水冷的直径36mm的方形铜管感应线圈提供,该线圈以160kHz运行,可变磁场强度高达450奥斯特。该研究的主要终点是肿瘤体积达到治疗时体积的3倍所需的天数(肿瘤再生长延迟)。 结果:初步结果表明,与单独的15Gy放射治疗相比,在15Gy辐射基础上添加适度的离子纳米颗粒热疗可使肿瘤再生长延迟增加约50%。离子纳米颗粒热疗与辐射联合的治疗效果被认为是相加的,然而,在表现出完全缓解(30天后无肿瘤)的小鼠中,该效果被认为是超相加或协同的。尽管从多模态癌症治疗的角度来看,这些数据非常令人鼓舞,但显然还需要更多与时间和剂量相关的信息来优化治疗。
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