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阿司匹林和吲哚美辛抑制肿瘤生长的机制。

Mechanism of inhibition of tumour growth by aspirin and indomethacin.

作者信息

Lynch N R, Castes M, Astoin M, Salomon J C

出版信息

Br J Cancer. 1978 Oct;38(4):503-12. doi: 10.1038/bjc.1978.237.

Abstract

The growth of a 3-methylcholanthrene-induced fibrosarcoma of C3H mice was inhibited by aspirin and indomethacin. While the tumour contained relatively high concentrations of PGE2-like material, that were markedly diminished by indomethacin treatment, our results did not confirm the recently proposed hypothesis that the anti-tumour effect arises from a restoration of depressed immune function. For example, mice that had completely eliminated their tumours under indomethacin administration were not immune to rechallenge. The tumour-bearing animals were not non-specifically immunodepressed, as their splenic PFC responses against SRBC were enhanced. However, while indomethacin augmented the PFC response in normal mice, this adjuvant effect was depressed in tumour-bearing animals. The spleen-cell PHA responses of tumour bearers were severely depressed, and such cells suppressed the PHA response of normal cells. Only after prolonged indomethacin treatment did animals (with comparable tumour burdens) show weak PHA responses and somewhat diminished suppressive activity. Possible alternative mechanisms, such as direct cytotoxicity, or inhibition of inflammation, phosphodiesterase activity, blood coagulation or calcium availability were not implicated (nor definitively excluded) in the anti-tumour effect.

摘要

阿司匹林和消炎痛可抑制3-甲基胆蒽诱导的C3H小鼠纤维肉瘤的生长。虽然肿瘤中含有相对较高浓度的类PGE2物质,消炎痛处理后其浓度显著降低,但我们的结果并未证实最近提出的假说,即抗肿瘤作用源于恢复受抑制的免疫功能。例如,在消炎痛给药下完全消除肿瘤的小鼠对再次攻击并无免疫力。荷瘤动物并非非特异性免疫抑制,因为它们对SRBC的脾PFC反应增强。然而,虽然消炎痛增强了正常小鼠的PFC反应,但这种佐剂效应在荷瘤动物中受到抑制。荷瘤动物的脾细胞PHA反应严重受抑,且此类细胞抑制正常细胞的PHA反应。仅在长时间消炎痛治疗后,动物(肿瘤负荷相当)才表现出微弱的PHA反应和略有降低的抑制活性。抗肿瘤作用中并未涉及(也未明确排除)诸如直接细胞毒性、炎症抑制、磷酸二酯酶活性、血液凝固或钙可用性等可能的替代机制。

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