Ando K, Koike S, Shikita M, Hayata I, Otsu H, Satoh S
Division of Clinical Research, National Institute of Radiological Sciences, Chiba, Japan.
Radiat Res. 1988 Feb;113(2):334-45.
Radiosensitivity of late recurrent tumors which emerged after radiotherapy was investigated. Tumors observed were fibrosarcomas. Recurrences emerged in the irradiated area approximately 200 days after a 50% tumor control dose of radiation of 60Co gamma rays or mixed irradiation with fast neutrons and gamma rays. The recurrent and radiation-induced tumors were differentiated by karyotype analysis. Once transplanted into fresh mice, the recurrent tumors grew more slowly than the original tumor. Tumorigenicity of the late recurrences was lower than that of the original tumor. Radiosensitivity of the late recurrences, which was examined using methods to assess control, tumor growth delay, and colony forming assays, was significantly higher than that of the original tumor. D0 values of hypoxic tumor cells were significantly smaller in two of the three recurrences compared to the original tumor. Oxic cells, when irradiated in vitro, also showed smaller D0 values for the recurrent tumors than the original tumor. Hypoxic cell fractions were between 0 and 14% in the late recurrences and 10% in the original tumor. These results are consistent with the hypothesis that radiotherapy causes mutation of tumor cells which results in increased radiosensitivity of surviving tumor cells.
对放疗后出现的晚期复发性肿瘤的放射敏感性进行了研究。观察到的肿瘤为纤维肉瘤。复发发生在照射区域,时间约为60Coγ射线50%肿瘤控制剂量照射或快中子与γ射线混合照射后200天左右。通过核型分析区分复发性肿瘤和辐射诱导的肿瘤。一旦移植到新鲜小鼠体内,复发性肿瘤的生长比原始肿瘤更缓慢。晚期复发肿瘤的致瘤性低于原始肿瘤。使用评估控制、肿瘤生长延迟和集落形成试验的方法检测的晚期复发性肿瘤的放射敏感性明显高于原始肿瘤。与原始肿瘤相比,三个复发性肿瘤中有两个的乏氧肿瘤细胞的D0值明显更小。当在体外照射时,复发性肿瘤的有氧细胞的D0值也比原始肿瘤小。晚期复发性肿瘤的乏氧细胞分数在0%至14%之间,原始肿瘤为10%。这些结果与放疗导致肿瘤细胞发生突变从而使存活的肿瘤细胞放射敏感性增加这一假设一致。