Department of Ultrasound, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
J Ultrasound Med. 2023 Sep;42(9):1951-1963. doi: 10.1002/jum.16212. Epub 2023 Mar 14.
The objective of this study was to investigate the treatment effects of acoustic droplet vaporization (ADV) on tumors.
Experiments were conducted on subcutaneous C6 glioma implanted in 37 rats. Twenty-five rats were divided into five groups treated by ultrasound (US) + dodecafluoropentane (DDFP), US + microbubble (MB), US, DDFP, or saline, respectively. ADV was performed using DDFP droplets (2-5 μm) triggered by non-focused pulsed ultrasound. Macroscopic and histological changes of the tumor were compared with investigation of the tumor ablation effect of ADV. Tumor temperature was measured before and immediately after treatment to explore temperature changes. Furthermore, another 12 rats with bilateral tumors were divided into two groups. Six animals received ADV treatment on unilateral tumor, while another six received saline injection on unilateral tumor. The tumor blood perfusion, tumor volume and related immune response were measured.
The tumors treated by ADV were partially damaged without significant temperature rise. For the animals with bilateral tumors, the tumor blood perfusion around the damaged area on the side receiving ADV still existed. Additionally, the bilateral tumors of animals treated with ADV were smaller than those of animals treated with saline, along with stronger immune response and more tumor cell apoptosis in tumors on both sides.
The study demonstrated that ADV treatment could damage subcutaneous glioma in rats by mechanical effect and enhance systemic immune response to furtherly inhibit the tumor growth.
本研究旨在探讨声击穿(ADV)治疗肿瘤的效果。
在 37 只皮下 C6 神经胶质瘤植入大鼠中进行实验。25 只大鼠分为 5 组,分别接受超声(US)+全氟戊烷(DDFP)、US+微泡(MB)、US、DDFP 或生理盐水治疗。采用非聚焦脉冲超声触发的 DDFP 液滴(2-5μm)进行 ADV 治疗。比较肿瘤的大体和组织学变化,研究 ADV 对肿瘤消融效果的影响。在治疗前后测量肿瘤温度,以探讨温度变化。另外,将 12 只双侧肿瘤大鼠分为两组。6 只动物接受单侧肿瘤 ADV 治疗,另 6 只动物接受单侧肿瘤生理盐水注射。测量肿瘤血流灌注、肿瘤体积和相关免疫反应。
ADV 治疗的肿瘤部分受损,无明显温升。对于接受 ADV 治疗的双侧肿瘤动物,接受 ADV 治疗一侧损伤区域周围的肿瘤血流灌注仍然存在。此外,接受 ADV 治疗的动物的双侧肿瘤体积小于接受生理盐水治疗的动物,双侧肿瘤的免疫反应更强,肿瘤细胞凋亡更多。
本研究表明,ADV 治疗可通过机械效应破坏大鼠皮下神经胶质瘤,并增强全身免疫反应,进一步抑制肿瘤生长。