Tang Ning, Zhang Qianqian, Fang Shu, Han Xiao, Wang Zhehai
Department of Oncology, Shandong Cancer Hospital and Institute, Jinan, China.
Department of Jining Number One People's Hospital, Jinan, China.
Oncotarget. 2017 Feb 7;8(6):9134-9143. doi: 10.18632/oncotarget.13327.
Treatment of non-small-cell lung cancer (NSCLC) with wild-type epidermal growth factor receptor (EGFR) is still a challenge. This study explored antitumor activity of high-dose icotinib (an EGFR tyrosine kinase inhibitor) plus sequential docetaxel against wild-type EGFR NSCLC cells-generated nude mouse xenografts. Nude mice were subcutaneously injected with wild-type EGFR NSCLC A549 cells and divided into different groups for 3-week treatment. Tumor xenograft volumes were monitored and recorded, and at the end of experiments, tumor xenografts were removed for Western blot and immunohistochemical analyses. Compared to control groups (negative control, regular-dose icotinib [IcoR], high-dose icotinib [IcoH], and docetaxel [DTX]) and regular icotinib dose (60 mg/kg) with docetaxel, treatment of mice with a high-dose (1200 mg/kg) of icotinib plus sequential docetaxel for 3 weeks (IcoH-DTX) had an additive effect on suppression of tumor xenograft size and volume (P < 0.05). Icotinib-containing treatments markedly reduced phosphorylation of EGFR, mitogen activated protein kinase (MAPK), and protein kinase B (Akt), but only the high-dose icotinib-containing treatments showed an additive effect on CD34 inhibition (P < 0.05), an indication of reduced microvessel density in tumor xenografts. Moreover, high-dose icotinib plus docetaxel had a similar effect on mouse weight loss (a common way to measure adverse reactions in mice), compared to the other treatment combinations. The study indicate that the high dose of icotinib plus sequential docetaxel (IcoH-DTX) have an additive effect on suppressing the growth of wild-type EGFR NSCLC cell nude mouse xenografts, possibly through microvessel density reduction. Future clinical trials are needed to confirm the findings of this study.
用野生型表皮生长因子受体(EGFR)治疗非小细胞肺癌(NSCLC)仍然是一项挑战。本研究探讨了高剂量埃克替尼(一种EGFR酪氨酸激酶抑制剂)联合序贯多西他赛对野生型EGFR NSCLC细胞生成的裸鼠异种移植瘤的抗肿瘤活性。将野生型EGFR NSCLC A549细胞皮下注射到裸鼠体内,并分为不同组进行为期3周的治疗。监测并记录肿瘤异种移植瘤的体积,实验结束时,取出肿瘤异种移植瘤进行蛋白质印迹和免疫组织化学分析。与对照组(阴性对照、常规剂量埃克替尼[IcoR]、高剂量埃克替尼[IcoH]和多西他赛[DTX])以及常规剂量埃克替尼(60 mg/kg)联合多西他赛相比,用高剂量(1200 mg/kg)埃克替尼联合序贯多西他赛治疗小鼠3周(IcoH-DTX)对抑制肿瘤异种移植瘤的大小和体积具有相加作用(P < 0.05)。含埃克替尼的治疗显著降低了EGFR、丝裂原活化蛋白激酶(MAPK)和蛋白激酶B(Akt)的磷酸化,但只有含高剂量埃克替尼的治疗对CD34抑制具有相加作用(P < 0.05),这表明肿瘤异种移植瘤中的微血管密度降低。此外,与其他治疗组合相比,高剂量埃克替尼联合多西他赛对小鼠体重减轻(测量小鼠不良反应的常用方法)具有相似的作用。该研究表明,高剂量埃克替尼联合序贯多西他赛(IcoH-DTX)对抑制野生型EGFR NSCLC细胞裸鼠异种移植瘤的生长具有相加作用,可能是通过降低微血管密度实现的。需要进一步的临床试验来证实本研究的结果。
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