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[抗血管生成治疗诱导的A549肺腺癌移植瘤模型中肿瘤灌注演变的定量评估]

[Quantitatively evaluating the evolution of the tumor perfusion in A549 lung adenocarcinoma transplantation model induced by antiangiogenic treatment].

作者信息

Xiong Zeng, Deng Pengbo, Hu Chengping, Liu Jinkang, Yang Huaping, Zhou Jianhua, Wang Ying, Zhou Hui, Zhu Zhiming

机构信息

Department of Radiology, Xiangya Hospital, Central South University, Changsha 410008, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2016 Jan 26;96(4):306-10. doi: 10.3760/cma.j.issn.0376-2491.2016.04.017.

Abstract

OBJECTIVE

To quantitatively evaluate the evolution of the tumor perfusion in A549 lung adenocarcinoma transplantation model induced by antiangiogenic treatment.

METHODS

To establish the preclinical transplantation model of lung adenocarcinoma, 60 BALB/c nu/nu mice was inoculated with A549 cell lines via axilla. Sixty mice were randomly divided into 2 groups. The treatment group was treated with intravenous Bevacizumab (10 mg/kg weight, in a single injection), and the control group received saline only in the same dose. Five times of volume perfusion CT (VPCT) scan was performed before treatment, and on the second, forth, sixth and tenth days of treatment, respectively. The values of blood flow (BF) in the A549 tumors were measured after scanning. The microvessel density (MVD), vessel maturity index (VMI) in the tumors were determined using multiplexed QDs-based immunohistochemical staining.

RESULTS

Comparing the values of BF, VMI and MVD between the two groups on the same day before treatment, the values of BF, VMI and MVD of the treatment group were (13.5±1.5) ml·(100 ml)(-1)·min(-1,) 0.14±0.04, (45.7±16.5)/HPF, respectively, and those in the control group were (13.4±1.6) ml·(100 ml)(-1)·min(-1) , 0.14±0.05, (48.0±7.0) /HPF , respectively. There was no significant difference between the two groups (all P>0.05). And on the second, forth, sixth, tenth days of treatment, the values of BF of the treatment group were (17.9±7.3), (32.2±6.9), (18.5±2.4) and (13.8±1.8) ml·(100 ml)(-1)·min(-1,) respectively, and those in the control group were (10.5±0.6), (9.6±0.8), (5.7±1.2) and (1.9±1.0) ml·(100 ml)(-1)·min(-1,) respectively. The values of VMI of the treatment group were 1.17±0.22, 3.25±0.23, 2.94±0.31 and 1.07±0.18, respectively, and those in the control group were 0.12±0.03, 0.13±0.03, 0.15±0.03, and 0.13±0.03, respectively. The values of MVD of the treatment group were (38.0±6.3), (24.3±5.4), (15.2±3.4) and (13.5±4.7)/HPF, respectively, and those in the control group were (44.8±5.9), (48.0±12.8), (41.8±5.7) and (45.7±20.3)/HPF, respectively. In treated mice, BF and VMI were significantly higher than those in the control group (all P<0.01). BF and VMI increased from day2, and reached the peak at day4 (P<0.01), then decreased at day6, however the value of BF at day6 was still higher than that in the baseline (P<0.01) and decreased to the baseline level at day10; while the value of VMI was still higher than that in the baseline at day10. And on the forth, sixth, tenth days of treatment, in treated mice, the values of MVD were significantly lower than those in the control group and the baseline level before treatment (all P<0.01). In control mice, BF decreased (all P<0.01) with the time, while MVD and VMI had no changes.

CONCLUSIONS

The tumor perfusion and vessel maturity are transiently increased in A549 lung adenocarcinoma transplantation model induced by antiangiogenic treatment. VPCT is helpful to quantify the evolution of the tumor perfusion and then evaluate the functional changes of tumor vessel maturity.

摘要

目的

定量评估抗血管生成治疗诱导的A549肺腺癌移植模型中肿瘤灌注的演变。

方法

为建立肺腺癌临床前移植模型,将60只BALB/c裸鼠通过腋窝接种A549细胞系。60只小鼠随机分为2组。治疗组静脉注射贝伐单抗(10mg/kg体重,单次注射),对照组仅注射相同剂量的生理盐水。在治疗前、治疗第2、4、6和10天分别进行5次容积灌注CT(VPCT)扫描。扫描后测量A549肿瘤中的血流(BF)值。采用基于量子点的多重免疫组化染色法测定肿瘤中的微血管密度(MVD)和血管成熟指数(VMI)。

结果

治疗前两组同一天的BF、VMI和MVD值比较,治疗组的BF、VMI和MVD值分别为(13.5±1.5)ml·(100 ml)(-1)·min(-1)、0.14±0.04、(45.7±16.5)/HPF,对照组分别为(13.4±1.6)ml·(100 ml)(-1)·min(-1)、0.14±0.05、(48.0±7.0)/HPF。两组间差异无统计学意义(均P>0.05)。治疗第2、4、6、10天,治疗组的BF值分别为(17.9±7.3)、(32.2±6.9)、(18.5±2.4)和(13.8±1.8)ml·(100 ml)(-1)·min(-1),对照组分别为(10.5±0.6)、(9.6±0.8)、(5.7±1.2)和(1.9±1.0)ml·(100 ml)(-1)·min(-1)。治疗组的VMI值分别为1.17±0.22、3.25±0.23、2.94±0.31和1.07±0.18,对照组分别为0.12±0.03、0.13±0.03、0.15±0.03和0.13±0.03。治疗组的MVD值分别为(38.0±6.3)、(24.3±5.4)、(15.2±3.4)和(13.5±4.7)/HPF,对照组分别为(44.8±5.9)、(48.0±12.8)、(41.8±5.7)和(45.7±20.3)/HPF。治疗组小鼠的BF和VMI显著高于对照组(均P<0.01)。BF和VMI从第2天开始升高,第4天达到峰值(P<0.01),第6天下降,但第6天的BF值仍高于基线(P<0.01),第10天降至基线水平;而第10天的VMI值仍高于基线。治疗第4、6、10天,治疗组小鼠的MVD值显著低于对照组及治疗前基线水平(均P<0.01)。对照组小鼠的BF随时间下降(均P<0.01),而MVD和VMI无变化。

结论

抗血管生成治疗诱导的A549肺腺癌移植模型中肿瘤灌注和血管成熟短暂增加。VPCT有助于定量肿瘤灌注的演变,进而评估肿瘤血管成熟的功能变化。

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