Izumoto S, Arita N, Ushio Y, Hayakawa T, Yoshimine T, Tzuu-Yuan H, Nagatani M, Oku Y, Mogami H
Department of Neurosurgery, Kansai Rosai Hospital, Hyohgo, Japan.
No To Shinkei. 1988 Nov;40(11):1095-9.
We have studied the efficacy of intrathecal ACNU against experimental leptomeningeal tumors. In the present report, the effect of ACNU on the growth kinetics of the tumor was evaluated by the immunohistochemical technique using anti-BrdU monoclonal antibody. The experimental leptomeningeal tumor was developed by inoculation of Walker 256 carcinosarcoma cells into the cisterna magna of rats. Seven days after the inoculation of tumor cells, the animals were treated either by intravenous (15 mg/kg) or intrathecal (1.5 mg/kg) ACNU. Four, 12, 24, 48, 96 or 144 hours after treatment, the animals received intravenous BrdU (200 mg/kg). Thirty minutes thereafter, they were sacrificed and the brain was removed. L. I. was calculated by counting the immunoreactive tumor cells. L. I. of the tumor without treatment on the seventh day after inoculation was over 40%. L. I. began to decrease 24 hours after intravenous ACNU, and remained 11% up to 96 hours. On the other hand, L. I. already decreased to 20% 4 hours after intrathecal ACNU and remained to be low (17%) up to 48 hours. However, L. I. increased to 38% at 96 hours. Thus, the effect on the growth kinetics of the tumor differs between intravenous and intrathecal ACNU. These results are considered to be useful informations for determining the optimal dosage of the antineoplastic agent against the brain tumor and developing the effective combination chemotherapy.
我们研究了鞘内注射阿糖胞苷(ACNU)治疗实验性柔脑膜瘤的疗效。在本报告中,使用抗溴脱氧尿苷(BrdU)单克隆抗体,通过免疫组织化学技术评估了阿糖胞苷对肿瘤生长动力学的影响。实验性柔脑膜瘤是通过将Walker 256癌肉瘤细胞接种到大鼠的小脑延髓池而形成的。接种肿瘤细胞7天后,动物接受静脉注射(15mg/kg)或鞘内注射(1.5mg/kg)阿糖胞苷治疗。治疗后4、12、24、48、96或144小时,动物接受静脉注射BrdU(200mg/kg)。此后30分钟,将它们处死并取出大脑。通过计数免疫反应性肿瘤细胞来计算标记指数(L.I.)。接种后第7天未经治疗的肿瘤的L.I.超过40%。静脉注射阿糖胞苷后24小时L.I.开始下降,直至96小时一直保持在11%。另一方面,鞘内注射阿糖胞苷后4小时L.I.已降至20%,直至48小时一直保持较低水平(17%)。然而,96小时时L.I.升至38%。因此,静脉注射和鞘内注射阿糖胞苷对肿瘤生长动力学的影响不同。这些结果被认为对于确定抗肿瘤药物治疗脑肿瘤的最佳剂量以及开发有效的联合化疗是有用的信息。