Department of Experimental Radiology, Institute for Diagnostic and Interventional Radiology, Jena University Hospital - Friedrich Schiller University Jena, Am Klinikum 1, D-07747, Jena, Germany.
Department of Medical Engineering and Biotechnology, University of Applied Science Jena, Carl-Zeiss Promenade 2, 07745, Jena, Germany.
Sci Rep. 2017 Jul 31;7(1):6916. doi: 10.1038/s41598-017-06100-7.
The outcome of tumor treatment via hyperthermia in the clinic has been reported to be heterogeneous. Here, we assessed how the presence of gastrin-releasing peptide receptor (GRPR) and αβ integrin together with the morphology of the vascularization reflects the growth behavior of tumors after hyperthermia treatment. MDA-MB-231 tumor bearing mice were treated either with high (46 °C) or low dose (42 °C) water hyperthermia for 60 min. Changes of GRPR and αβ integrin expression were assessed via multiplexed optical imaging. Vascularization was reconstructed and quantified by µCT imaging after contrast agent injection. We found that high dose hyperthermia is capable of increasing the expression of GRPR, αβ integrin, CD31, and Ki67 in tumors. Also the morphology of tumor vasculature changed (increased relative blood volume and small-diameter vessel density, decreased expression of α-SMA). Low dose hyperthermia induced comparatively moderate effects on the investigated protein expression pattern and vascular remodeling. We conclude that under defined circumstances, specific temperature doses affect the reorganization of tumor regrowth, which is triggered by residual "dormant" cells even though tumor volumes are transiently decreasing. Further on, GRPR, αβ integrin expression are versatile tools to surveil potential tumor regrow during therapy, beyond the conventional determination of tumor volumes.
热疗治疗肿瘤的临床疗效存在异质性。在这里,我们评估了胃泌素释放肽受体 (GRPR) 和 αβ 整合素的存在以及血管生成的形态如何反映热疗治疗后肿瘤的生长行为。将 MDA-MB-231 肿瘤荷瘤小鼠分别用高(46°C)或低剂量(42°C)水热疗处理 60 分钟。通过多重光学成像评估 GRPR 和 αβ 整合素表达的变化。在注射造影剂后通过 µCT 成像重建和量化血管生成。我们发现高热疗能够增加肿瘤中 GRPR、αβ 整合素、CD31 和 Ki67 的表达。肿瘤血管形态也发生了变化(相对血容量增加,小直径血管密度增加,α-SMA 表达减少)。低热疗对所研究的蛋白表达模式和血管重塑的影响相对温和。我们得出的结论是,在特定情况下,特定的温度剂量会影响肿瘤复发的重新组织,即使肿瘤体积暂时减小,残留的“休眠”细胞也会引发这种情况。此外,GRPR、αβ 整合素的表达是监测治疗期间潜在肿瘤复发的多功能工具,超出了传统的肿瘤体积测定。
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