Gottlieb C F, Seibert G B, Block N L
Department of Radiation Oncology, University of Miami School of Medicine, FL 33101.
NCI Monogr. 1988(6):147-53.
The interaction of doxorubicin and radiation has been systematically studied in the Dunning R3327G prostatic adenocarcinoma, the preeminent animal model for human prostatic cancer. Subcutaneous tumors (produced by injection of 10(7) cells) were treated when about 1 cm3 in volume (19-22 days postimplant). Each modality was used at 1 of 3 dose levels; 2, 4, and 9 mg/kg for doxorubicin; and 5, 15, and 25 Gy for radiation. Single treatment with each agent was combined, in both sequences and five delay times (0.5, 12, 24, 48, and 120 hr) between agents. Growth of individual tumors was fit to a quadratic exponential growth model which was solved for the growth delay and growth rate at twice initial volume. Analysis of variance identified significant interactions for doxorubicin and radiation (due to drug toxicity), sequence and delay, and sequence and radiation, in addition to the four factors individually. The effect on the tumor of combined doxorubicin and radiation is basically additive. Sequence and delay are important in overall tumor control.
在邓宁R3327G前列腺腺癌(一种用于人类前列腺癌研究的卓越动物模型)中,已对阿霉素与放疗的相互作用进行了系统研究。皮下肿瘤(通过注射10⁷个细胞产生)在体积约为1 cm³时(植入后19 - 22天)进行治疗。每种治疗方式均采用3种剂量水平中的1种;阿霉素的剂量为2、4和9 mg/kg;放疗的剂量为5、15和25 Gy。将每种药物的单次治疗进行组合,包括两种顺序以及两种药物之间的5个延迟时间(0.5、12、24、48和120小时)。个体肿瘤的生长符合二次指数生长模型,该模型用于求解在初始体积两倍时的生长延迟和生长速率。方差分析确定了阿霉素与放疗(由于药物毒性)、顺序与延迟、顺序与放疗之间存在显著相互作用,此外这四个因素各自也有显著作用。阿霉素与放疗联合对肿瘤的影响基本是相加的。顺序和延迟在总体肿瘤控制中很重要。