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用人乳脂肪球制备的131I标记单克隆抗体对人乳腺肿瘤进行实验性治疗。

Experimental therapy of human breast tumors with 131I-labeled monoclonal antibodies prepared against the human milk fat globule.

作者信息

Ceriani R L, Blank E W

机构信息

John Muir Cancer and Aging Research Institute, Walnut Creek, California 94596.

出版信息

Cancer Res. 1988 Aug 15;48(16):4664-72.

PMID:3396015
Abstract

Breast tumors are susceptible to attack by unconjugated anti-human milk fat globule monoclonal antibodies (MoAbs) and most particularly by their mixture (cocktail) (Cancer Res., 47: 532-540, 1987). In the present study the same MoAbs (Mc1, Mc3, Mc5, and Mc8) labeled with 131I, either singly or in cocktails, were used for a similar purpose. Biodistribution studies showed that a transplantable human breast tumor line (MX-1) implanted in BALB/c nude mice (nu/nu) had the maximum incorporation of injected 131I-MoAbs at day 4 while levels in circulation and in normal tissue declined steadily from day 1. Also, these studies showed that the amount of radiolabeled Mc3 MoAb incorporated by MX-1 tumors was greater than that for cocktail of MoAbs and MoAb Mc5. Tumor destruction by injected 131I-MoAb cocktail was shown in therapy experiments to be dose dependent. A single injection (1500 [corrected] microCi/mouse) of 131I-MoAb Mc3, or of cocktail, produced large breast tumor volume diminution and inhibition of growth for up to 30 days while a similar dose of 131I-labeled control IgG had no effect. A second dose of 1500 [corrected] microCi 131I-MoAb of Mc3 or of cocktail, injected at an appropriate interval, again diminished tumor mass significantly and inhibited its growth for another 20 days. In control experiments, non-breast tumors (colon) were marginally affected by the 131I-MoAbs. These results show that the systemic injection of radioiodinated MoAbs against human milk fat globule destroy the epithelial cells of human breast tumors and control their growth for an appreciable length of time. Radioiodoconjugated MoAbs proved to be more effective than unconjugated MoAbs in reducing breast tumor mass and also in inhibiting growth for longer periods of time at immunoglobulin doses 100 to 200 times lower. Further exploration of their role in breast cancer treatment seems warranted by these results.

摘要

乳腺肿瘤易受未结合的抗人乳脂肪球单克隆抗体(MoAbs)攻击,尤其是其混合物(鸡尾酒疗法)(《癌症研究》,47: 532 - 540,1987年)。在本研究中,同样的用131I标记的MoAbs(Mc1、Mc3、Mc5和Mc8),单独或混合使用,用于类似目的。生物分布研究表明,植入BALB/c裸鼠(nu/nu)体内的可移植人乳腺肿瘤细胞系(MX - 1)在第4天对注射的131I - MoAbs摄取量最大,而循环系统和正常组织中的水平从第1天开始稳步下降。此外,这些研究表明,MX - 1肿瘤摄取的放射性标记的Mc3 MoAb量大于MoAbs混合物和MoAb Mc5。在治疗实验中,注射的131I - MoAb混合物对肿瘤的破坏显示出剂量依赖性。单次注射(1500 [校正后]微居里/小鼠)131I - MoAb Mc3或混合物,可使乳腺肿瘤体积大幅减小并抑制生长长达30天,而相似剂量的131I标记的对照IgG则无效果。在适当间隔注射第二剂1500 [校正后]微居里的131I - MoAb Mc3或混合物,再次显著减小肿瘤质量并抑制其生长另外20天。在对照实验中,非乳腺肿瘤(结肠)受131I - MoAbs的影响很小。这些结果表明,全身注射针对人乳脂肪球的放射性碘化MoAbs可破坏人乳腺肿瘤的上皮细胞并在相当长的时间内控制其生长。放射性碘结合的MoAbs在降低乳腺肿瘤质量以及在免疫球蛋白剂量低100至200倍的情况下更长时间抑制生长方面,被证明比未结合的MoAbs更有效。这些结果似乎有必要进一步探索它们在乳腺癌治疗中的作用。

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