Liu Qidong, Sheng Zhihao, Cheng Chun, Zheng Hui, Lanuti Michael, Liu Rong, Wang Ping, Shen Yuan, Xie Zhongcong
Anesthesia and Brain Research Institute, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, P. R. China.
Department of Anesthesiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, P. R. China.
Adv Sci (Weinh). 2021 Sep;8(18):e2102079. doi: 10.1002/advs.202102079. Epub 2021 Jul 15.
Generation of circulating tumor cells (CTCs), a key step in tumor metastasis, occurs during surgical tumor resection, often performed under general anesthesia. Propofol is the commonly used anesthetic, but its effects on CTCs and tumor metastasis remain largely unknown. Propofol effects are investigated in an experimental metastasis model by injecting tumor cells and, subsequently, low- or standard-dose propofol to nude mice through tail vein. Propofol- or vehicle-treated tumor cells are also injected to the mice. An in vitro tumor cell-vascular endothelial cell adhesion assay, immunofluorescence, and other methods are employed to assess how propofol affects tumor cell adhesion and extension. Propofol induces more lung tumor metastasis in mice than control. Mechanistically, propofol enhances tumor cell adhesion and extension through GABA R to downregulate TRIM21 expression, leading to upregulation of Src, a protein associated with cell adhesion. These results demonstrate that propofol may promote tumor metastasis through GABA R-TRIM21-Src mechanism.
循环肿瘤细胞(CTC)的生成是肿瘤转移的关键步骤,发生在通常在全身麻醉下进行的肿瘤手术切除过程中。丙泊酚是常用的麻醉剂,但其对循环肿瘤细胞和肿瘤转移的影响在很大程度上仍不清楚。通过向裸鼠尾静脉注射肿瘤细胞,随后注射低剂量或标准剂量的丙泊酚,在实验性转移模型中研究丙泊酚的作用。也将经丙泊酚或赋形剂处理的肿瘤细胞注射到小鼠体内。采用体外肿瘤细胞 - 血管内皮细胞粘附试验、免疫荧光和其他方法来评估丙泊酚如何影响肿瘤细胞的粘附和伸展。与对照组相比,丙泊酚诱导小鼠发生更多的肺肿瘤转移。从机制上讲,丙泊酚通过γ-氨基丁酸受体(GABA R)增强肿瘤细胞的粘附和伸展,从而下调TRIM21的表达,导致与细胞粘附相关的蛋白质Src上调。这些结果表明,丙泊酚可能通过GABA R - TRIM21 - Src机制促进肿瘤转移。