Hewitt H B, Blake E R
Br J Cancer. 1977 Jul;36(1):23-34. doi: 10.1038/bjc.1977.150.
Of 193 CBA mice kept under prolonged observation after excision of small intradermal transplants of a non-immunogenic tumour (CBA Carcinoma NT), 27 (14%) presented with local recurrence, 19 (10%) with regional lymphnodal metastasis (RNM) and 72 (37%), with pulmonary metastasis +/- other systemic metastases. When mice were exposed to sublethal whole-body irradiation (WBI) before tumour transplantation, the incidence of RNM rose to approximately 80% and the latent period was reduced from approximately 60 days to approximately 40 days after tumour transplantation. This enhancement of RNM by WBI was undiminished when the interval between WBI and tumour transplantation was increased from 1 to 90 days. An explanation for this effect in terms of immunosuppression by the WBI is unlikely for the following reasons: the tumour was non-immunogenic by standard quantitative tests; the effect persisted long after the expected time for recovery of immune reactivity; and i.v. injection of normal marrow and lymphoid cells after WBI failed to reduce the effect. That the effect was systemic was proved by failure of local pre-irradiation of the tumour bed or regional node to enhance RNM. The effect was not observed when WBI was given 4 days after excision of tumours. These and other experiments failed to indicate the mechanism of the effect of WBI, but its long persistence suggests that it may relate to stored lethal radiation damage in migrating cells of slow turnover tissues.
在对193只CBA小鼠进行观察后发现,在切除非免疫原性肿瘤(CBA癌NT)的小皮内移植瘤后,27只(14%)出现局部复发,19只(10%)出现区域淋巴结转移(RNM),72只(37%)出现肺转移及/或其他全身转移。当小鼠在肿瘤移植前接受亚致死剂量的全身照射(WBI)时,RNM的发生率升至约80%,潜伏期从肿瘤移植后的约60天缩短至约40天。当WBI与肿瘤移植之间的间隔从1天增加到90天时,WBI对RNM的这种增强作用并未减弱。基于以下原因,用WBI诱导的免疫抑制来解释这种效应不太可能:通过标准定量试验,该肿瘤是非免疫原性的;在预期的免疫反应恢复时间之后,这种效应仍持续存在;WBI后静脉注射正常骨髓和淋巴细胞未能减轻这种效应。肿瘤床或区域淋巴结的局部预照射未能增强RNM,这证明了这种效应是全身性的。在肿瘤切除后4天给予WBI时未观察到这种效应。这些及其他实验未能表明WBI效应的机制,但其长期持续性表明,它可能与周转缓慢组织的迁移细胞中储存的致死性辐射损伤有关。