Gerharz C D, Gabbert H E, Engers R, Ramp U, Mayer H, Biesalski H K, Luley C
Department of Pathology, Johannes Gutenberg University of Mainz, Federal Republic of Germany.
Cancer Res. 1989 Dec 15;49(24 Pt 1):7132-40.
Three clonal subpopulations (A, B, C) isolated from the same rhabdomyosarcoma of the rat were tested and compared for their susceptibility to differentiation induction using retinoic acid (RA), dimethylformamide (DMF), and N-monomethylformamide (NMF). These subpopulations differ in that a block to spontaneous differentiation is imposed at different stages which are characteristic for each subpopulation. Whereas tumor cell proliferation was significantly inhibited (P less than 0.001) in all three subpopulations, the effects of RA, DMF, and NMF on tumor cell differentiation were strikingly heterogeneous. The response was most marked in subpopulation C, as evidenced by a significant increase in the number of terminally differentiated myotube-like giant cells (P less than 0.001) and in biochemical differentiation, as indicated by the creatine kinase activity (P less than 0.05). Between 5% (DMF and NMF) and 30% (RA) of the mononuclear cells in subpopulation C exhibited thick and thin myofilaments, which were never observed in the mononuclear cells of the control. In contrast, subpopulation A and B responded to RA, DMF, and NMF quite heterogeneously with an increase in biochemical differentiation, whereas terminally differentiated myotube-like giant cells were never observed. These results demonstrate that the therapeutic potential of differentiation induction in malignant tumors may be impaired by tumor heterogeneity.
从大鼠的同一横纹肌肉瘤中分离出三个克隆亚群(A、B、C),使用视黄酸(RA)、二甲基甲酰胺(DMF)和N-单甲基甲酰胺(NMF)对它们诱导分化的敏感性进行了测试和比较。这些亚群的不同之处在于,在每个亚群特有的不同阶段存在对自发分化的阻滞。虽然在所有三个亚群中肿瘤细胞增殖均受到显著抑制(P<0.001),但RA、DMF和NMF对肿瘤细胞分化的影响却显著不同。亚群C的反应最为明显,终末分化的肌管样巨细胞数量显著增加(P<0.001)以及肌酸激酶活性所表明的生化分化显著增加(P<0.05)证明了这一点。亚群C中5%(DMF和NMF)至30%(RA)的单核细胞表现出粗细肌丝,而在对照组的单核细胞中从未观察到这种情况。相比之下,亚群A和B对RA、DMF和NMF的反应相当不同,生化分化增加,而从未观察到终末分化的肌管样巨细胞。这些结果表明,肿瘤异质性可能会损害恶性肿瘤诱导分化的治疗潜力。