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[通过给予蛋白结合多糖云芝(PSK)增强辐射对子宫颈癌的作用——辐射后的定量核DNA分析]

[Enhancing effect of irradiation on carcinoma of the uterine cervix by administering the protein-bound polysaccharide kureha (PSK)--quantitative nuclear DNA analysis following irradiation].

作者信息

Hayashi Y

机构信息

Department of Obstetrics and Gynecology, Okayama University Medical School.

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1988 Feb;40(2):179-86.

PMID:3361173
Abstract

The combined effect of PSK and radiation therapy has been studied in 34 patients with squamous cell carcinoma of the uterine cervix by noting the tumor cell kinetics change following irradiation. The DNA content of Pararosanillin-Feulgen stained tumor cells was measured by cytofluorometry to elucidate tumor cell kinetics. Twenty-one cases (PSK group) were administrated 3g. or 6g. of PSK daily until at least 30Gy. Thirteen cases (control group) were treated with external cobalt-60 irradiation without PSK. In radiosensitive cases (n = 29; PSK group: 19, control group: 10), the PSK group had a smaller Over 4C Cell population in the DNA histogram after 14Gy than the control group, and the population at 20 Gy in the PSK group was significantly smaller (p less than 0.05). At 20Gy, the PSK group showed better histopathological response than the control group according to the Ooboshi-Shimosato classification, and the PSK group showed a smaller giant cell formation and more colliquative necrosis. These findings indicated that Over 4C cell (giant cell) formation due to endomitosis was decreased because of the increase in lethal damage to tumor cells following PSK administration with irradiation. In radioresistant cases (n = 5) also, there seemed to be an advantage.

摘要

通过观察照射后肿瘤细胞动力学变化,对34例子宫颈鳞状细胞癌患者研究了PSK与放射治疗的联合效果。采用细胞荧光光度法测量副蔷薇苯胺-福尔根染色肿瘤细胞的DNA含量,以阐明肿瘤细胞动力学。21例(PSK组)患者每天服用3g或6g PSK,直至至少照射30Gy。13例(对照组)患者仅接受外部钴-60照射,未使用PSK。在放射敏感病例(n = 29;PSK组:19例,对照组:10例)中,PSK组在14Gy照射后DNA直方图中超过4C细胞群体比对照组小,且PSK组在20Gy时的该群体显著更小(p < 0.05)。根据大星-下里分类法,在20Gy时,PSK组的组织病理学反应比对照组更好,且PSK组巨细胞形成更少,液化性坏死更多。这些发现表明,由于PSK联合照射后对肿瘤细胞致死性损伤增加,因核内有丝分裂导致的超过4C细胞(巨细胞)形成减少。在放射抗拒病例(n = 5)中似乎也有优势。

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