Koh J
Department of Surgery, School of Medicine, Keio University, Tokyo, Japan.
Nihon Geka Gakkai Zasshi. 1988 Jan;89(1):91-102.
Four human breast carcinoma strains serially transplanted into nude mice were used for the experimental chemotherapy and combination chemoendocrine therapy. Whereas three of these strains (MCF-7, Br-10, TM-61) possessed cytosol estrogen receptor (ERc) and were dependent on estradiol for the tumor growth, the other strain (MX-1) without ERc was hormone independent. For the chemotherapy, mitomycin C (MMC), adriamycin (ADM), cyclophosphamide (CPM) and 5-fluorouracil (5-FU) were administered 3 times every 4 days. To know the stability of ERc after chemotherapy, binding sites of ERc were measured 4 days after MMC administration at doses of 1, 2 and 4.5 mg/kg. For the chemoendocrine therapy, 1 or 2 mg/kg of MMC was administered once followed by treatment by tamoxifen (TAM). The effect of treatment was evaluated by T/C ratio of the tumor weight. MMC showed the most excellent antitumor effect and CPM and ADM showed a moderate effect. As ERc was found to be stable by MMC treatment, TAM was used after MMC, and this combination of MMC and TAM revealed an additive effect against ERc positive strains and no combination effect was observed in MX-1 without ERc. The dose response curves of 4 strains to MMC alone against 4 strains were made and the effect of combination chemoendocrine therapy was converted to the effect of MMC alone, showing the dose of MMC could be significantly reduced. Binding sites of ERc which were measured 4 days after MMC administration (1, 2 and 4.5 mg/kg) was found to be stable, suggesting TAM treatment after MMC might be reasonable. From these results, chemoendocrine therapy of MMC followed by TAM was considered to be beneficial modality for clinical treatment of the cytotoxic agent and increasing the antitumor effect.
将四株人乳腺癌细胞系连续移植到裸鼠体内,用于实验性化疗及联合化疗内分泌治疗。其中三株细胞系(MCF - 7、Br - 10、TM - 61)具有胞质雌激素受体(ERc),肿瘤生长依赖雌二醇,而另一株细胞系(MX - 1)无ERc,为激素非依赖性。化疗时,丝裂霉素C(MMC)、阿霉素(ADM)、环磷酰胺(CPM)和5 - 氟尿嘧啶(5 - FU)每4天给药3次。为了解化疗后ERc的稳定性,在给予剂量为1、2和4.5 mg/kg的MMC后4天,测定ERc的结合位点。联合化疗内分泌治疗时,先给予1或2 mg/kg的MMC一次,随后给予他莫昔芬(TAM)治疗。通过肿瘤重量的T/C比值评估治疗效果。MMC显示出最优异的抗肿瘤效果,CPM和ADM显示出中等效果。由于发现MMC治疗后ERc稳定,因此在MMC后使用TAM,MMC与TAM的联合对ERc阳性细胞系显示出相加作用,而在无ERc的MX - 1中未观察到联合作用。绘制了4株细胞系单独对MMC的剂量反应曲线,并将联合化疗内分泌治疗的效果换算为单独MMC的效果,结果显示MMC的剂量可显著降低。在给予MMC(1、2和4.5 mg/kg)后4天测定的ERc结合位点被发现是稳定的,这表明MMC后给予TAM治疗可能是合理的。从这些结果来看,MMC后序贯TAM的化疗内分泌治疗被认为是临床治疗细胞毒性药物及增强抗肿瘤效果的有益方式。