Dvorak H F, Dvorak A M, Manseau E J, Wiberg L, Churchill W H
J Natl Cancer Inst. 1979 Jun;62(6):1459-72.
Line 1 and line 10 tumors became invested in a fibrin-gel cocoon within hours after transplantation to the subcutaneous spaces of unsensitized syngeneic inbred Sewall Wright strain 2 guinea pigs. The fibrin gel comprised more than 80% of the line 1 tumor mass and, after day 3, became organized and was subsequently replaced by fibrous connective tissue, which gave the tumor the appearance of a scirrhous carcinoma. A cellular infiltrate of lymphocytes and basophils developed at the periphery of line 1 tumors after day 8, and tumors regressed by day 13. The fibrin gel investing the highly malignant line 10 tumors accounted for less than 10% of the tumor mass and persisted without fibrous organization as a tumor grew progressively and invaded adjacent tissues. These data provide new and potentially important insights into the biology of solid tumor growth and the mechanisms of immunologic tumor rejection. Envelopment of tumors in a fibrin gel created an anatomic barrier separating the tumors from the host. Neovascularization mimicking that about line 1 and line 10 tumors was induced by sc fibrin implants; these data suggest that activation of the clotting and/or fibrinolytic systems by tumor cells may itself provide sufficient stimulus for induction of tumor angiogenesis without requiring a separate tumor angiogenesis factor. The scirrhous pattern of growth characteristic of line 1 tumors apparently was achieved by organization of an abundant fibrin gel. Line 1 tumor regression did not for the most part involve direct contacts between tumor cells and any type of inflammatory cell, including macrophages; rather, tumor destruction was effected by ischemic necrosis secondary to widespread microvascular injury. The mechanisms of such injury are uncertain, but tumor rejection was correlated with evidence of developing cellular immunity and anatomic associations between lymphocytes and myofibroblasts. Further experiments will be necessary before these findings can be generalized to other tumor systems.
将1号线和10号线肿瘤移植到未致敏的同基因近交系休厄尔·赖特2号豚鼠的皮下空间后数小时内,肿瘤就被纤维蛋白凝胶包囊所包裹。纤维蛋白凝胶占1号线肿瘤块的80%以上,在第3天后开始组织化,随后被纤维结缔组织取代,使肿瘤呈现出硬癌的外观。在第8天后,1号线肿瘤周边出现淋巴细胞和嗜碱性粒细胞的细胞浸润,到第13天时肿瘤消退。包裹高恶性10号线肿瘤的纤维蛋白凝胶占肿瘤块的比例不到10%,随着肿瘤逐渐生长并侵犯邻近组织,该凝胶持续存在且未发生纤维组织化。这些数据为实体瘤生长生物学和免疫性肿瘤排斥机制提供了新的、潜在重要的见解。肿瘤被纤维蛋白凝胶包绕形成了将肿瘤与宿主分隔开的解剖屏障。皮下纤维蛋白植入物诱导出了类似于1号线和10号线肿瘤周围的新生血管形成;这些数据表明肿瘤细胞激活凝血和/或纤维蛋白溶解系统本身可能就为诱导肿瘤血管生成提供了足够的刺激,而无需单独的肿瘤血管生成因子。1号线肿瘤特有的硬癌生长模式显然是由丰富的纤维蛋白凝胶组织化形成的。1号线肿瘤消退在很大程度上并不涉及肿瘤细胞与任何类型的炎性细胞(包括巨噬细胞)之间的直接接触;相反,肿瘤破坏是由广泛微血管损伤继发的缺血性坏死所致。这种损伤的机制尚不确定,但肿瘤排斥与细胞免疫发展的证据以及淋巴细胞与肌成纤维细胞之间的解剖学关联有关。在将这些发现推广到其他肿瘤系统之前,还需要进一步的实验。