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超声在重复模式下与载多柔比星声敏脂质体联合应用对乳腺癌的疗效比较。

Comparison of the effects of ultrasound in a repetitive mode and acoustically active lipospheres in the presence of doxorubicin on breast adenocarcinoma.

机构信息

Department of Medical Physics and Physiology, School of Medical Sciences, Arak University of Medical Science, Arak, Iran.

Department of Biophysics, Faculty of Biological Sciences, Tarbiat Modares University, Tehran, Iran.

出版信息

J Cancer Res Ther. 2020 Oct-Dec;16(6):1250-1257. doi: 10.4103/jcrt.JCRT_839_16.

DOI:10.4103/jcrt.JCRT_839_16
PMID:33342780
Abstract

PURPOSE

We want to compare the synergistic effect of low-intensity, dual-frequency (dual) ultrasound (US), applied in a repetitive sonication mode, and acoustically active lipospheres (AALs) containing doxorubicin (DOX) in a murine model (Balb/C).

SUBJECTS AND METHODS

The tumor-bearing mice were divided into nine groups, namely two untreated groups (control and sham), and seven experimental groups, including treated with dual-frequency US (150 kHz + 1MHz), triple exposure (3×30min) dual-frequency US, DOX (2 mg/kg intravenous), DOX in combination with single exposure (30 min) to dual-frequency US (drug + dual), DOX in combination with triple (3 × 30 min) exposure to dual-frequency US (drug + dual [REP]), AALs containing the drug-loaded (AAL), and a group receiving AAL in combination with single exposure (30 min) dual-frequency US (AAL + dual), respectively.

RESULTS

The effectiveness of DOX on tumor growth was enhanced by a factor of three when combined with the triple exposures of dual US (drug + dual [REP]). This combination protocol further increased the times needed for each tumor to 2 and 7 times its initial volume, respectively by 94% and 36% compared to the drug group. During the 30 days, following the treatment of tumors, the relative volume of tumors in AAL group was 118% less than that of the drug group. The survival rate of the groups treated with drug and AAL + dual was increased by 78.7% and 167% compared with sham, respectively.

CONCLUSION

Although as a short treatment, a major improvement in treatment was observed by (drug + dual [REP]) compared with other treatments, the AAL + dual treatment compared with (drug + dual [REP]) showed an increase in the survival rates, hence more preferable over long periods.

摘要

目的

我们希望在 Balb/C 小鼠模型中比较低强度双频(双)超声(US)的协同效应,该超声以重复超声模式应用,并与含有阿霉素(DOX)的声敏脂质体(AAL)联合使用。

受试者和方法

荷瘤小鼠分为 9 组,即两组未处理组(对照和假处理)和 7 组实验组,分别用双频 US(150 kHz+1MHz)、三次(3×30min)双频 US 处理、DOX(2mg/kg 静脉内)、DOX 联合单次(30min)双频 US(药物+双)、DOX 联合三次(3×30min)双频 US(药物+双[REP])、载药 AAL 组和单次(30min)双频 US 联合 AAL 组(AAL+双)处理。

结果

DOX 与三次双频 US (药物+双[REP])联合使用时,肿瘤生长的效果增强了三倍。与药物组相比,该联合方案使每个肿瘤的倍增时间分别增加了 2 倍和 7 倍,达到初始体积的 94%和 36%。在治疗后 30 天,AAL 组肿瘤的相对体积比药物组小 118%。与假处理组相比,药物组和 AAL+双组的存活率分别提高了 78.7%和 167%。

结论

虽然(药物+双[REP])作为一种短期治疗方法与其他治疗方法相比有明显改善,但与(药物+双[REP])相比,AAL+双治疗方法提高了存活率,因此在长期内更可取。

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