Weshler Z, Kapp D S, Lord P F, Hayes T
Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT.
Isr J Med Sci. 1989 Jan;25(1):15-9.
The development and decay of thermotolerance to the lethal effect of systemic hyperthermia was investigated in Sprague-Dawley rats. Systemic hyperthermia was induced by partial submersion of gas-anesthetized rats into a temperature-controlled water bath. Survival was determined in rats challenged for periods of 10 to 90 min at 42.5 C, 24 to 144 h after a sublethal conditioning exposure of 41.8 C for 1 h. Survival curves of various exposure times at 42.5 C lethal to 50% of the animals (LD50) were determined for the conditioned animals and compared with those obtained for simultaneously treated control (unconditioned) rats. The thermotolerance ratios (TTR-LD50 for conditioned animals at various times after sublethal conditioning exposure divided by the LD50 for the control animals) were calculated and compared with the ratios reported in the literature for cells heated in vitro and for tissues heated locally in vivo. Pretreatment of rats at 41.8 C for 1 h resulted in an increase in the LD50 when rats were challenged 24 to 96 h later, with a maximum increased noted at 48 h (56.5 vs. 25.0 min for control; TTR = 2.3). The animals remained relatively resistant to the second heat treatment at 96 h and returned to control levels of heat sensitivity by 120 h. The development and kinetics of thermotolerance to lethality induced by whole-body hyperthermia need to be considered when multiple-fraction hyperthermia treatment plans are designed.
在斯普拉格-道利大鼠中研究了对全身热疗致死效应的热耐受性的发展和衰退情况。通过将气体麻醉的大鼠部分浸入温度可控的水浴中来诱导全身热疗。在41.8℃进行1小时亚致死预处理暴露后24至144小时,测定在42.5℃下接受10至90分钟挑战的大鼠的存活率。确定了对50%动物致死的42.5℃不同暴露时间的存活曲线(半数致死剂量,LD50),用于预处理动物,并与同时处理的对照(未预处理)大鼠的存活曲线进行比较。计算热耐受比率(亚致死预处理暴露后不同时间预处理动物的TTR-LD50除以对照动物的LD50),并与文献中报道的体外加热细胞和体内局部加热组织的比率进行比较。在41.8℃对大鼠预处理1小时后,当在24至96小时后对大鼠进行挑战时,LD50增加,在48小时时增加最大(对照为25.0分钟,预处理后为56.5分钟;TTR = 2.3)。动物在96小时时对第二次热疗仍保持相对抗性,并在120小时时恢复到对照的热敏感水平。在设计多分次热疗治疗方案时,需要考虑对全身热疗致死性的热耐受性的发展和动力学。