Department of Radiation Oncology, Molecular Imaging Program at Stanford, Stanford University, 269 Campus Dr., CCSR South Rm. 1255A, Stanford, CA, 94305-5152, USA.
Clin Exp Metastasis. 2018 Apr;35(4):247-254. doi: 10.1007/s10585-018-9877-y. Epub 2018 Mar 13.
Recently it has been observed in preclinical models that that radiation enhances the recruitment of circulating tumor cells to primary tumors, and results in tumor regrowth after treatment. This process may have implications for clinical radiotherapy, which improves control of a number of tumor types but which, despite continued dose escalation and aggressive fractionation, is unable to fully prevent local recurrences. By irradiating a single tumor within an animal bearing multiple lesions, we observed an increase in tumor cell migration to irradiated and unirradiated sites, suggesting a systemic component to this process. Previous work has identified the cytokine GM-CSF, produced by tumor cells following irradiation, as a key effector of this process. We evaluated the ability of systemic injections of a PEGylated form of GM-CSF to stimulate tumor cell migration. While increases in invasion and migration were observed for tumor cells in a transwell assay, we found that daily injections of PEG-GM-CSF to tumor-bearing animals did not increase migration of cells to tumors, despite the anticipated changes in circulating levels of granulocytes and monocytes produced by this treatment. Combination of PEG-GM-CSF treatment with radiation also did not increase tumor cell migration. These findings suggest that clinical use of GM-CSF to treat neutropenia in cancer patients will not have negative effects on the aggressiveness of residual cancer cells. However, further work is needed to characterize the mechanism by which GM-CSF facilitates systemic recruitment of trafficking tumor cells to tumors.
最近在临床前模型中观察到,辐射增强了循环肿瘤细胞向原发性肿瘤的募集,并导致治疗后肿瘤复发。这一过程可能对临床放射治疗具有重要意义,放射治疗改善了对多种肿瘤类型的控制,但尽管继续增加剂量和积极分割,仍无法完全防止局部复发。通过辐照动物体内多个病变中的单个肿瘤,我们观察到肿瘤细胞向辐照和未辐照部位的迁移增加,表明这一过程具有系统性。先前的工作已经确定了细胞因子 GM-CSF,它是这一过程的关键效应物,由肿瘤细胞在辐照后产生。我们评估了全身注射聚乙二醇化形式的 GM-CSF 刺激肿瘤细胞迁移的能力。虽然在 Transwell 测定中观察到肿瘤细胞的侵袭和迁移增加,但我们发现,尽管这种治疗预期会改变循环中的粒细胞和单核细胞水平,但每天向荷瘤动物注射 PEG-GM-CSF 并不会增加细胞向肿瘤的迁移。PEG-GM-CSF 联合放射治疗也不会增加肿瘤细胞的迁移。这些发现表明,临床上使用 GM-CSF 治疗癌症患者的中性粒细胞减少症不会对残留癌细胞的侵袭性产生负面影响。然而,需要进一步的工作来描述 GM-CSF 促进循环肿瘤细胞向肿瘤转移的机制。
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