低频低强度超声介导的微血管破坏增强了射频消融对裸鼠前列腺癌异种移植瘤的作用。
Low-frequency and low-intensity ultrasound-mediated microvessel disruption enhance the effects of radiofrequency ablation on prostate cancer xenografts in nude mice.
作者信息
Yang Yu, Bai Wenkun, Chen Yini, Zhang Wei, Wang Meiwen, Hu Bing
机构信息
Department of Ultrasound in Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Institute of Ultrasound in Medicine, Shanghai 200233, P.R. China.
出版信息
Mol Med Rep. 2015 Nov;12(5):7517-25. doi: 10.3892/mmr.2015.4375. Epub 2015 Sep 28.
The aim of the present study was to examine the impact of low-frequency, low-intensity ultrasound (US)-stimulated microbubbles (USMB) on radiofrequency ablation (RFA) in the treatment of nude mice with human prostate cancer xenografts. The tumor‑bearing nude mice were divided into three groups: The USMB+RFA group was treated with USMB immediately followed by RFA, the RFA group was treated with RFA alone, and the control group remained untreated. The animals underwent enhanced US to calculate the tumor volumes, ablation volumes and ablation rates. Subsequently, the tumors were excised for hematoxylin and eosin staining, to identify necrosis in the tumors following the treatments, and immunohistochemical staining, to analyze the apoptotic index (AI), proliferative index (PI) and microvessel density (MVD) at 1, 4 and 7 days post-treatment. Each group contained five mice at each time‑point. Necrosis was apparent in the center of the tumors in the treatment groups. Ablation lesion volumes of the USMB+RFA group were larger than those in the RFA group at 1 and 4 days post‑treatment (P=0.002 and P=0.022, respectively), and the ablation rates of the USMB+RFA group were significantly higher, compared with the RFA group at the three time‑points (all P<0.001). There were fewer apoptotic cells and more proliferative cells in the RFA group, compared with the control group 1,4 and 7 days post‑treatment (all P<0.05). The AI of the USMB+RFA group was higher than that of the control group and lower than that of the RFA group 1 day post-treatment (P=0.034 and P=0.016, respectively). The PI of the USMB+RFA group was lower than that of the control group and higher than that of the RFA group 4 and 7 days post-treatment (all P<0.05). No significant differences were observed in MVD among the three groups throughout the experiment. In conclusion, exposure to USMB prior to RFA produced larger volumes of ablation, compared with treatment with RFA alone, and increased AI and reduced PI in the residual carcinoma cells induced by RFA.
本研究的目的是检测低频、低强度超声(US)激发微泡(USMB)对人前列腺癌异种移植裸鼠射频消融(RFA)治疗效果的影响。将荷瘤裸鼠分为三组:USMB+RFA组先进行USMB治疗,随后立即进行RFA治疗;RFA组仅接受RFA治疗;对照组不进行任何处理。对动物进行增强超声检查以计算肿瘤体积、消融体积和消融率。随后,切除肿瘤进行苏木精-伊红染色,以确定治疗后肿瘤中的坏死情况,并进行免疫组化染色,以分析治疗后1天、4天和7天的凋亡指数(AI)、增殖指数(PI)和微血管密度(MVD)。每个时间点每组包含五只小鼠。治疗组肿瘤中心可见明显坏死。治疗后1天和4天,USMB+RFA组的消融灶体积大于RFA组(分别为P=0.002和P=0.022),且在三个时间点,USMB+RFA组的消融率均显著高于RFA组(所有P<0.001)。与对照组相比,治疗后1天、4天和7天,RFA组的凋亡细胞较少,增殖细胞较多(所有P<0.05)。治疗后1天,USMB+RFA组的AI高于对照组,低于RFA组(分别为P=0.034和P=0.016)。治疗后4天和7天,USMB+RFA组的PI低于对照组,高于RFA组(所有P<0.05)。在整个实验过程中,三组之间的MVD未观察到显著差异。总之,与单纯RFA治疗相比,RFA前暴露于USMB可产生更大的消融体积,并增加RFA诱导的残留癌细胞中的AI,降低PI。