Zhou Ming, Li Min, Yang Huaping, Hu Chengping
Department of Respiratory Medicine, Xiangya Hospital, Center South University, Hunan 410008, China.
Zhongguo Fei Ai Za Zhi. 2015 May;18(5):266-71. doi: 10.3779/j.issn.1009-3419.2015.05.03.
The prognosis of malignant pleural effusion (MPE) was poor, injecting anti-angiogenesis agents in pleural cavity might be to reducing the volume of pleural effusion. The aim of this study is to investigate the therapeutical effect of pleural injection of recombinant human endostain, cisplatin and recombinant human endostain combined with cisplatin to MPE nude mice.
MPE model was built by intrpleural injection of Lewis lung cancer cells (LCC) into BALB/c nude mice. Intrpleural injection of recombinant human endostain (E), cisplatin (P) and recombinant human endostain combined with cisplatin (EP) was performed, MPE volume was measured, immunohistochemistry of CD31 was carried out to calculate micro vessel density (MVD), angiogenesis and apoptosis gene expression was detected.
MPE volume was reduced by intrapleiral injection of recombinant human endostain and recombinant human endostain combined with cisplatin, MPE volume was positive correlated with MVD. Vescular epidermal growth factor-α (VEGF-α) expression reduced simultaneously with expression of hypoxia induced factor-1 (HIF1-α) elevated at the same time.
CONCLUSIONS: MPE model could be made by intrapleural injection of LLC. Intrapleural injection of recombinant human endostain could reduce MPE volume of nude mice. The potential molecular mechanism of the therapeutical effects of intapleural injection of recombiant endostatin might be related to the downregulation of VEGF-α expression and neovascularization. .
恶性胸腔积液(MPE)预后较差,向胸腔内注射抗血管生成药物可能有助于减少胸腔积液量。本研究旨在探讨胸腔注射重组人血管内皮抑素、顺铂以及重组人血管内皮抑素联合顺铂对MPE裸鼠的治疗效果。
通过向BALB/c裸鼠胸腔内注射Lewis肺癌细胞(LCC)建立MPE模型。进行胸腔注射重组人血管内皮抑素(E)、顺铂(P)以及重组人血管内皮抑素联合顺铂(EP),测量MPE体积,进行CD31免疫组化以计算微血管密度(MVD),检测血管生成和凋亡基因表达。
胸腔注射重组人血管内皮抑素以及重组人血管内皮抑素联合顺铂可使MPE体积减小,MPE体积与MVD呈正相关。血管内皮生长因子-α(VEGF-α)表达降低,同时缺氧诱导因子-1(HIF1-α)表达升高。
通过胸腔注射LLC可建立MPE模型。胸腔注射重组人血管内皮抑素可减少裸鼠MPE体积。胸腔注射重组人血管内皮抑素治疗效果的潜在分子机制可能与VEGF-α表达下调和新生血管形成有关。