Popp M B, Wagner S C, Enrione E B, Brito O J
Department of Surgery, Cincinnati Veterans, Administration Medical Center, Ohio 45220.
Ann Surg. 1988 Jan;207(1):80-9. doi: 10.1097/00000658-198801000-00016.
The influence of variations in nitrogen content of nutritional substrate available to the tumor-bearing (TB) host on tumor growth and host have not yet been completely defined. One hundred fifty-two growing Fischer 344 rats were either transplanted with a sarcoma (TB) or injected with saline (NTB, day 0), had aseptic placement of superior vena cava catheter (day 14), and were infused with total parenteral nutrition solutions (days 18-28). Isocaloric solutions (approximately 50 kcal/d) contained either 0%, 5%, 16%, 33%, 67%, 100%, 133%, or 167% of normal intake of an adequate amino acid mixture. Final tumor weight in the 5% group (23.4 +/- 3.0 g) was significantly less than tumor weights of all other groups (range: 33.3 +/- 3.3 to 42.6 +/- 11.3) (p less than 0.05). The carcasses of TB animals were slightly smaller than NTB animals but showed no major alterations in protein, fat, or water composition. This study suggests that the tumor can be starved selectively by strictly nutritional means with complex accompanying host carcass and organ changes.
可供荷瘤(TB)宿主使用的营养底物中氮含量的变化对肿瘤生长和宿主的影响尚未完全明确。152只生长中的Fischer 344大鼠,一部分移植肉瘤(TB),另一部分注射生理盐水(NTB,第0天),第14天无菌放置上腔静脉导管,第18 - 28天输注全胃肠外营养溶液。等热量溶液(约50千卡/天)含有正常摄入量的0%、5%、16%、33%、67%、100%、133%或167%的适量氨基酸混合物。5%组的最终肿瘤重量(23.4±3.0克)显著低于所有其他组的肿瘤重量(范围:33.3±3.3至42.6±11.3)(p<0.05)。TB动物的尸体略小于NTB动物,但在蛋白质、脂肪或水分组成方面未显示出重大变化。这项研究表明,通过严格的营养手段可以选择性地使肿瘤饥饿,同时伴有复杂的宿主尸体和器官变化。