George K C, van Beuningen D, Streffer C
Institut für Medizinische Strahlenbiologie, Universitätsklinikum Essen, FRG.
Recent Results Cancer Res. 1988;107:113-7. doi: 10.1007/978-3-642-83260-4_15.
A C57 mouse mammary carcinoma was irradiated with 10, 20 or 30 Gy of X-rays or heated to 43 degrees C for 30 min preceded or not by exposure to 10 Gy. Tumour growth, cell proliferation kinetics, induction of micronuclei and morphological changes in necrosis and vascular density were simultaneously determined. Treatment with radiation and/or hyperthermia produced only a delay in tumour growth of between 1 and 3.8 days. However, the effects of the treatments became more apparent when the amounts of muscle and necrosis were deducted from the originally measured tumour volume. Radiation-induced G2 block of the cells was observed at 12 h after irradiation alone. After the combined treatment, however, the G2 block was delayed beyond 12 h. Moreover, 24 h after the various treatments, the proportion of S-phase cells decreased considerably although the formation of micronuclei showed only a marginal increase. However, the ratio of S-phase cells to micronuclei was significantly reduced during this period. Whereas the amount of necrosis was markedly enhanced 5 days following treatment with 10 Gy plus heat, as well as after 30 Gy, no alterations in the density of small blood vessels could be observed during this period. These results clearly demonstrate that the apparent changes in tumour volume after X-rays and hyperthermia do not truly reflect the response of the constituent cells and that there are many other factors, for instance cell proliferation and morphological alterations, that influence the effects of radiation and hyperthermia on tumours.
用10、20或30 Gy的X射线照射C57小鼠乳腺癌,或在照射10 Gy之前或之后将其加热至43摄氏度30分钟。同时测定肿瘤生长、细胞增殖动力学、微核诱导以及坏死和血管密度的形态学变化。放疗和/或热疗仅使肿瘤生长延迟1至3.8天。然而,从最初测量的肿瘤体积中扣除肌肉和坏死量后,治疗效果变得更加明显。单独照射后12小时观察到辐射诱导的细胞G2期阻滞。然而,联合治疗后,G2期阻滞延迟至12小时以上。此外,各种治疗后24小时,S期细胞比例显著下降,尽管微核形成仅略有增加。然而,在此期间S期细胞与微核的比例显著降低。虽然10 Gy加加热治疗后以及30 Gy照射后5天坏死量明显增加,但在此期间未观察到小血管密度的改变。这些结果清楚地表明,X射线和热疗后肿瘤体积的明显变化并未真正反映组成细胞的反应,并且存在许多其他因素,例如细胞增殖和形态学改变,会影响放疗和热疗对肿瘤的作用。