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[血浆置换疗法治疗恶性肿瘤的实验研究]

[Experimental studies of plasma exchange therapy for malignant tumor].

作者信息

Suzuki M, Yamasaki T, Watanabe H, Akimoto R, Shirasawa K, Horie K, Tsujimoto Y, Kidokoro T, Kaminagayoshi S, Miyauchi Y

出版信息

Gan To Kagaku Ryoho. 1984 Jan;11(1):75-80.

PMID:6421244
Abstract

We conducted the experiment to evaluate the effect of plasma exchange in treatment of cancer. Donryu rats of 8-10 week old female were used: 1 X 10(6) AH109A were inoculated subcutaneously in the back of rats. We performed comparative study on four groups: 1) untreated group; 2) plasma exchanged group; 3) MMC treated group; and 4) plasma exchange + MMC treated group. Plasma exchange was conducted from 8th day of the tumor inoculation for three consecutive days. The plasma contained in 6ml blood was taken out from the tumor-bearing rats and same volume of fresh frozen normal serum was replaced. MMC (0.5 mg/kg/day) was administered intraperitoneally from 13th day of the tumor inoculation for five consecutive days. Efficacy of plasma exchange therapy was evaluated by tumor inhibition effect as well as by 50% survival time. Plasma exchanged group showed no tumor inhibition effect, however a considerable extention of survival of 36 days was observed compared with the untreated group (29.3 days). Five out of 14 cases of MMC treated group showed tumor inhibition effect and survived for 36.5 days. Six out of 10 cases of plasma exchange + MMC treated group showed tumor inhibition effect and the survival time was 49 days. The above findings indicate: plasma exchange therapy has effects on prolongation in survival time, but has no effects on tumor inhibition and; a combination of plasma exchange and chemotherapy (MMC) produces greater tumor inhibition effect and longer survival compared to plasma exchange therapy alone and chemotherapy alone.

摘要

我们进行了该实验以评估血浆置换在癌症治疗中的效果。使用8 - 10周龄的雌性Donryu大鼠:将1×10(6)个AH109A皮下接种于大鼠背部。我们对四组进行了比较研究:1)未治疗组;2)血浆置换组;3)丝裂霉素C(MMC)治疗组;4)血浆置换 + MMC治疗组。从接种肿瘤的第8天开始连续3天进行血浆置换。从荷瘤大鼠体内取出6ml血液中的血浆,并用相同体积的新鲜冷冻正常血清进行置换。从接种肿瘤的第13天开始连续5天腹腔注射MMC(0.5mg/kg/天)。通过肿瘤抑制效果以及50%存活时间来评估血浆置换疗法的疗效。血浆置换组未显示出肿瘤抑制效果,然而与未治疗组(29.3天)相比,观察到存活时间显著延长至36天。MMC治疗组的14例中有5例显示出肿瘤抑制效果,存活时间为36.5天。血浆置换 + MMC治疗组的10例中有6例显示出肿瘤抑制效果,存活时间为49天。上述结果表明:血浆置换疗法对延长存活时间有作用,但对肿瘤抑制无作用;与单独的血浆置换疗法和单独的化疗相比,血浆置换与化疗(MMC)联合使用产生更大的肿瘤抑制效果和更长的存活时间。

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