Jia Yuping, Zhou Dongshun, Jia Qingwen, Ying Yong, Chen Shuntai
Shandong Academy of pharmaceutical Sciences, Ji'nan, Shandong 250101, China.
Shandong Laboratory Animal Center, Shandong Academy of Medical Science, Ji'nan 250002, China.
Biomed Pharmacother. 2016 Apr;79:27-34. doi: 10.1016/j.biopha.2016.01.043. Epub 2016 Feb 12.
Platinum based combination regimens are first-line treatment option in treatment of non-small cell lung cancer (NSCLC) but the clinical utility has been limited because of their toxicities. Many reports indicated that patients with tumors can benefit from adjuvant chemotherapy drugs. The aim of this study was to confirm adjuvant chemotherapy of HSS with docetaxel plus cisplatin (DP) against NSCLC by evaluating antitumor activity and attenuated effect. In vivo SPC-A-1 xenograft model was established to evaluate antitumor activity and toxicity of HSS along or combination with DP. Evaluation indexes include the relative tumor proliferation rate, tumor growth inhibition rate, body weight, food consumption, hematological and biochemical analysis. HSS treatment showed inhibited tumor growth and increased tumor inhibition of DP treatment at doses of 250 mg/kg and 500 mg/kg. No significant toxicity was found in HSS-treated mice, but significant toxicity was found in DP-treated mice. HSS combination with DP could reduce toxicity of DP treatment by improving body weight and food consumption, and increasing the number of WBC and PLT, decreasing the level of ALT, AST and BUN. HSS combined with DP treatment has additive effect which contributes to enhance tumor growth inhibition of DP treatment and attenuated effect which contributes to reduce toxicity of DP treatment. These findings indicate potential benefit for use of HSS adjuvant chemotherapy for NSCLC treatment.
铂类联合方案是治疗非小细胞肺癌(NSCLC)的一线治疗选择,但由于其毒性,临床应用受到限制。许多报告表明,肿瘤患者可从辅助化疗药物中获益。本研究的目的是通过评估抗肿瘤活性和减毒效果,证实人参皂苷(HSS)联合多西他赛和顺铂(DP)对NSCLC的辅助化疗作用。建立体内SPC-A-1异种移植模型,以评估HSS单独或联合DP的抗肿瘤活性和毒性。评估指标包括相对肿瘤增殖率、肿瘤生长抑制率、体重、食物摄入量、血液学和生化分析。在250mg/kg和500mg/kg剂量下,HSS治疗显示出抑制肿瘤生长并增强了DP治疗的肿瘤抑制作用。HSS治疗的小鼠未发现明显毒性,但DP治疗的小鼠发现明显毒性。HSS联合DP可通过改善体重和食物摄入量、增加白细胞和血小板数量、降低谷丙转氨酶、谷草转氨酶和尿素氮水平来降低DP治疗的毒性。HSS联合DP治疗具有相加作用,有助于增强DP治疗的肿瘤生长抑制作用,且具有减毒作用,有助于降低DP治疗的毒性。这些发现表明HSS辅助化疗用于NSCLC治疗具有潜在益处。