Gebhardt M C, Lippiello L, Bringhurst F R, Mankin H J
Clin Orthop Relat Res. 1985 Jun(196):300-5.
Prostaglandin E2 (PGE2) is known to stimulate osteolysis in vitro and has been implicated in mediating bone resorption in several animal and human tumors. Little attention has yet to be directed toward local humoral control (including PGE2) of bone resorption in primary and metastatic bone tumors. For investigation of whether histologically identified areas of osteolytic or osteoblastic bone tumors differentially secrete PGE2 under in vitro conditions, culture media from explants of central and peripheral areas of tissue were sterilely collected from 13 surgical specimens of primary and metastatic bone tumors and assayed for (PGE2) radioimmunoassay. The results indicate a marked heterogeneity in the concentration of immunoreactive (I-PGE2) synthesis by tumors of different as well as similar cell type. PGE2 production was time-dependent in culture, and at 72 hours substantial increases were apparent compared to cultures of non-neoplastic fascia controls. Significantly higher levels of I-PGE2 were found in cultures derived from "bone-destructive" tumors. No difference in I-PGE2 synthesis was found between explants of peripheral versus central tissue of the same tumors. PGE2 is synthesized in culture by bone tumors characterized as destructive of bone at higher levels than "bone-forming" tumors, and this synthesis is inhibited by indomethacin.
前列腺素E2(PGE2)在体外可刺激骨溶解,并且在多种动物和人类肿瘤中参与介导骨吸收。然而,原发性和转移性骨肿瘤中骨吸收的局部体液控制(包括PGE2)尚未受到足够关注。为了研究在体外条件下,经组织学鉴定的溶骨性或成骨性骨肿瘤区域是否会差异分泌PGE2,从13例原发性和转移性骨肿瘤手术标本中无菌采集组织中央和周边区域外植体的培养基,并进行PGE2放射免疫测定。结果表明,不同细胞类型以及相似细胞类型的肿瘤在免疫反应性(I-PGE2)合成浓度上存在显著异质性。培养过程中PGE2的产生具有时间依赖性,与非肿瘤性筋膜对照培养相比,72小时时明显增加。在源自“骨破坏性”肿瘤的培养物中发现I-PGE2水平显著更高。同一肿瘤的周边组织与中央组织外植体之间在I-PGE2合成上未发现差异。与“骨形成性”肿瘤相比,被表征为具有骨破坏作用的骨肿瘤在培养中合成PGE2的水平更高,并且这种合成可被吲哚美辛抑制。