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同步化后实体移植瘤的化疗(作者译)

[Chemotherapy in solid transplantation tumors following synchronization (author's transl)].

作者信息

Volm M, Krieg L, Mattern J, Wayss K

出版信息

Strahlentherapie. 1979 Feb;155(2):137-44.

PMID:425128
Abstract

In order to examine whether the effects due to cytostatics might be improved by synchronization, cytosin-arabinoside, hydroxyurea or Vincristin were administered to rats bearing solid transplantation tumors, at different intervals following synchronization. The three substances, interfering with the S-phase of the cells, show significantly improved therapeutic results with quickly proliferating Walker-carcinosarcoma after a synchronization by hydroxyurea. Cyclophosphamide on the other hand, being effective through several phases of the cell cycle, furnishes no evidence of any essential therapeutic result. Analogous therapeutic experimentation using slowly growing neurosarcomas yielded no better results after synchronization. The concept of synchronization treatment may be approved, therefore, with certain limitations: firstly, synchronization with hydroxyurea can be maintained for a short time only, and the cancerous cells pass throught the first phases of the cell cycle following synchronization for the most part together with normal cells; secondly, only tumors with an important growth fraction and only cytostatics that do not affect several phases of the cell cycle are appropriate for synchronization therapy.

摘要

为了研究同步化是否能提高细胞抑制剂的效果,在同步化后的不同时间间隔,给患有实体移植瘤的大鼠施用阿糖胞苷、羟基脲或长春新碱。这三种干扰细胞S期的物质,在经羟基脲同步化后,对快速增殖的沃克癌肉瘤显示出显著改善的治疗效果。另一方面,环磷酰胺通过细胞周期的几个阶段发挥作用,没有提供任何实质性治疗效果的证据。使用生长缓慢的神经肉瘤进行的类似治疗实验在同步化后也没有产生更好的结果。因此,同步化治疗的概念在一定限制下可能是可行的:首先,与羟基脲的同步化只能维持很短时间,并且癌细胞在同步化后大多与正常细胞一起通过细胞周期的最初阶段;其次,只有生长分数较高的肿瘤以及只影响细胞周期单个阶段的细胞抑制剂才适合同步化治疗。

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