Kaye A H, Morstyn G, Ashcroft R G
Neurosurgery. 1985 Dec;17(6):883-90. doi: 10.1227/00006123-198512000-00002.
Photoirradiation treatment depends on exposing tumors to a photosensitizer and light to achieve selective tumor kill. We evaluated the kinetics of uptake of a photosensitizer, hematoporphyrin derivative (HpD), in an animal model of cerebral glioma to ascertain the optimal time for photoirradiation therapy. Animal models of cerebral glioma were established by implanting cells from the rat C6 glioma cell line into rat brains or as xenografts in adult mouse brains. C6 cells (10(7] injected into the frontal lobe of adult Wistar rats produced intracranial tumors greater than 5 mm in diameter in 90% of the animals at 21 days. Tumors greater than 4 mm in diameter developed in adult mouse brains within 14 days after 10(6) cells were implanted into the frontal lobe. These two tumor models were used to investigate the localization of HpD. After HpD administration, its presence was detected in fresh, unfixed specimens by fluorescence emission after excitation with an ultraviolet lamp. Fluorescence was determined quantitatively by an image analysis method using an optical data digitometer. The fluorescence, which was highly localized selectively to the intracerebral tumor, was just detectable 5 minutes after an intravenous injection of HpD. Patchy, bright fluorescence was evident 4 hours after injection, and the tumor was uniformly fluorescent after 6 hours. A minimal dose of 0.5 mg of HpD per kg of body weight was necessary to produce detectable fluorescence, and the dose of HpD necessary to produce detectable fluorescence was 4 mg/kg of body weight. The intracarotid route of administration was unsatisfactory because seizures were induced, and intrathecal injection did not produce significant fluorescence in the tumor.(ABSTRACT TRUNCATED AT 250 WORDS)
光照射治疗依赖于将肿瘤暴露于光敏剂和光线下以实现选择性肿瘤杀伤。我们在脑胶质瘤动物模型中评估了一种光敏剂血卟啉衍生物(HpD)的摄取动力学,以确定光照射治疗的最佳时间。通过将大鼠C6胶质瘤细胞系的细胞植入大鼠脑内或作为异种移植物植入成年小鼠脑内来建立脑胶质瘤动物模型。将10⁷个C6细胞注入成年Wistar大鼠额叶,90%的动物在21天时产生直径大于5mm的颅内肿瘤。将10⁶个细胞植入成年小鼠额叶后,14天内形成直径大于4mm的肿瘤。使用这两种肿瘤模型研究HpD的定位。给予HpD后,通过用紫外灯激发后的荧光发射在新鲜、未固定的标本中检测其存在。使用光学数据数字仪通过图像分析方法对荧光进行定量测定。静脉注射HpD后5分钟即可检测到高度选择性地定位于脑内肿瘤的荧光。注射后4小时可见斑片状明亮荧光,6小时后肿瘤呈现均匀荧光。产生可检测荧光所需的HpD最小剂量为每千克体重0.5mg,产生可检测荧光所需的HpD剂量为4mg/kg体重。经颈动脉给药途径不理想,因为会诱发癫痫,鞘内注射在肿瘤中未产生明显荧光。(摘要截断于250字)