Mikuriya S, Hatano K, Konoeda K, Kamimura S, Sagara M, Oda T, Ooami H
Division of Radiology, National Medical Center Hospital.
Gan No Rinsho. 1987 Aug;33(10):1239-52.
As reported by several authors, abscopal effect and favorable cellular infiltrations into the tumor nest caused by irradiation suggest the existence of cell immunity in the host. In our present study, as first step to elucidate the mechanism of the fact mentioned above, effects of radiation with a single dose irradiation was estimated in terms of the increase of survival rate and the inhibition of pulmonary metastasis, i.e. abscopal effect in the mice of irradiated tumor burden. Therefore, we examined the resected and pulmonary specimen after irradiation histopathologically. We also examined the effects of the administration of immune modulator PSK and OK-432. Results; 1) Increase of survival rate and inhibition of pulmonary metastasis were observed in groups of mice with inoculated tumor and with again inoculated tumor treated by a single dose irradiation, compared to either the control groups. 2) Also administration of immune potentiator with radiation enhanced the survival rate and inhibition of pulmonary metastasis in all experimental protocols. 3) Remarkable cellular infiltrations of tumor nest after irradiation were observed, and these cellular infiltrations suggest participation of immunoreaction. In the group of using immune modulator, the cellular infiltrations were observed more remarkable than the other groups. 4) Optimal radiation dose was proved to be 30 Gy in this study.
正如几位作者所报道的,辐射引起的远隔效应以及肿瘤巢内有利的细胞浸润表明宿主中存在细胞免疫。在我们目前的研究中,作为阐明上述事实机制的第一步,通过存活率的提高和肺转移的抑制来评估单次辐射的效果,即对荷瘤小鼠的远隔效应。因此,我们对辐射后的切除标本和肺标本进行了组织病理学检查。我们还研究了免疫调节剂PSK和OK-432给药的效果。结果:1)与对照组相比,接种肿瘤和再次接种肿瘤并接受单次辐射治疗的小鼠组观察到存活率提高和肺转移受到抑制。2)在所有实验方案中,免疫增强剂与辐射联合给药均提高了存活率并抑制了肺转移。3)辐射后观察到肿瘤巢有明显的细胞浸润,这些细胞浸润表明有免疫反应参与。在使用免疫调节剂的组中,细胞浸润比其他组更明显。4)本研究证明最佳辐射剂量为30 Gy。