Bibby M C, Phillips R M, Double J A
Clinical Oncology Unit, University of Bradford, U.K.
Cancer Chemother Pharmacol. 1989;24(2):87-94. doi: 10.1007/BF00263126.
A number of experimental studies have demonstrated significant responses of s.c. solid tumours to flavone acetic acid (FAA). Clinical studies to date have been disappointing, with no objective responses being seen. The present study demonstrated that the tumour site is important for the anti-tumour action of FAA against two transplantable adenocarcinoma lines (MAC) in NMRI mice. Responses were achievable only when the tumours were implanted s.c. Ascitic or systemic tumours did not respond to FAA. Experimentally achievable plasma levels of FAA were not sufficient to induce significant cell kills in either MAC 15A or MAC 26 cell lines in vitro. A poor correlation exists between in vitro and in vivo responses, as the clonogenic assay could not predict the response of the solid MAC tumours grown s.c. The in vitro data indicated that the length of exposure to FAA was important, with long exposure times being necessary for cytotoxicity to develop, in these tumour cell lines. These studies imply that more than one mechanism is involved, and it is likely that the activity of FAA against s.c. tumours relies at least in part on a specific biological feature of tumours in this site. However, it may still be possible to achieve systemic tumour cell kill in vivo by increasing drug-exposure times.
多项实验研究表明,皮下实体瘤对黄酮醋酸(FAA)有显著反应。然而,迄今为止的临床研究结果令人失望,未观察到客观反应。本研究表明,肿瘤部位对于FAA对NMRI小鼠体内两种可移植腺癌系(MAC)的抗肿瘤作用很重要。只有当肿瘤皮下植入时,才会出现反应。腹水型或全身性肿瘤对FAA无反应。实验可达到的FAA血浆水平不足以在体外诱导MAC 15A或MAC 26细胞系发生显著的细胞杀伤。体外和体内反应之间存在较差的相关性,因为克隆形成试验无法预测皮下生长的实体MAC肿瘤的反应。体外数据表明,FAA的暴露时间很重要,在这些肿瘤细胞系中,需要较长的暴露时间才能产生细胞毒性。这些研究表明,涉及不止一种机制,FAA对皮下肿瘤的活性可能至少部分依赖于该部位肿瘤的特定生物学特征。然而,通过增加药物暴露时间,仍有可能在体内实现全身性肿瘤细胞杀伤。