Hondo H
Department of Neurosurgery, Brain Research Institute, Niigata University, Japan.
No To Shinkei. 1988 May;40(5):477-84.
Photoradiation therapy using the photosensitizing agent, hematoporphyrin derivative (HpD), and laser light has been currently employed as a new modality for the treatment of cancer. At present, however, the application of this therapy is limited to superficial tumors because of difficulties in achieving light penetration, whereas 13.56 MHz radiofrequency (RF) used in hyperthermia is capable to penetrate into deeper regions and elevate the temperature of brain tumors. In the present studies, the author evaluated an anti-tumor effect of hyperthermic treatment with HpD administration on experimental malignant brain tumors both in vitro and in vivo and, moreover, investigated the histological changes of subcutaneous tumors following water bath heating and the uptake of HpD into the brain and subcutaneous tumors. In vitro, C-6 and Rous sarcoma virus-induced mouse glioma cells (RSV glioma cells) were incubated in the medium containing HpD (0-125 micrograms/ml) for 24 hours. Hyperthermia was performed either in a water bath or by 13.56 MHz RF heating in the range of 37-43 degrees C. All procedures were carried out in the dark. The anti-tumor effect was evaluated by counting the viable glioma cells. HpD itself showed a growth inhibitory effect on C-6 and RSV glioma cells dose-dependently, while synergistic effect was observed in combination with hyperthermia. C-6 cells were more sensitive to this treatment than RSV glioma cells. The degree of response depended on the heating time and the temperature. In both cells, the effect of heating by water bath and 13.56 MHz RF was similar at each temperature.(ABSTRACT TRUNCATED AT 250 WORDS)
使用光敏剂血卟啉衍生物(HpD)和激光进行的光辐射疗法目前已被用作治疗癌症的一种新方法。然而,目前由于难以实现光穿透,这种疗法的应用仅限于浅表肿瘤,而热疗中使用的13.56兆赫射频(RF)能够穿透到更深区域并升高脑肿瘤的温度。在本研究中,作者评估了给予HpD的热疗对实验性恶性脑肿瘤的体外和体内抗肿瘤作用,此外,还研究了水浴加热后皮下肿瘤的组织学变化以及HpD在脑和皮下肿瘤中的摄取情况。在体外,将C-6和劳氏肉瘤病毒诱导的小鼠胶质瘤细胞(RSV胶质瘤细胞)在含有HpD(0 - 125微克/毫升)的培养基中孵育24小时。热疗通过水浴或在37 - 43摄氏度范围内的13.56兆赫射频加热进行。所有操作均在黑暗中进行。通过计数存活的胶质瘤细胞来评估抗肿瘤作用。HpD本身对C-6和RSV胶质瘤细胞呈剂量依赖性生长抑制作用,而与热疗联合时观察到协同作用。C-6细胞对这种治疗比RSV胶质瘤细胞更敏感。反应程度取决于加热时间和温度。在两种细胞中,水浴加热和13.56兆赫射频加热在每个温度下的效果相似。(摘要截短于250字)