Mokyr M B, Hengst J C, Dray S
Cancer Res. 1982 Mar;42(3):974-9.
Previously, we had reported that a single i.p. injection of 15 mg cyclophosphamide (CY) per kg cured most mice bearing large MOPC-315 tumors (20 to 25 mm; Day 12 to Day 16 tumors) but rarely cured mice bearing nonpalpable tumors (Day 4 tumors). Also, mice that were not cured if treated with CY, 15 mg/kg, when they had nonpalpable tumors could not be cured if treated again with CY, 15 mg/kg, when they had large tumors (14). Here, we show that CY therapy with 15 mg/kg at early stages of tumor growth did not lead to alteration in the biology of the tumor so as to cause an increased resistance to CY-tumoricidal effects, increased resistance to immune lysis, and/or decreased immunogenicity. Treatment of nonpalpable tumor bearers with CY, 15 mg/kg, prior to in vitro immunization of their spleen cells did not reduce the ability of the spleen cells to generate antitumor cytotoxicity in vitro. However, the level of antitumor cytotoxicity generated was lower than that exhibited by in vitro-immunized spleen cells from mice treated with CY, 15 mg/kg, when they had large tumors. With CY, 15 mg/kg, mice bearing nonpalpable tumors could be cured in two ways: (a) by treating a mouse bearing a nonpalpable tumor in the presence of a contralateral large tumor; (b) by adoptive transfer of immune spleen cells given 1 day post-CY therapy. Both procedures resulted in higher levels of antitumor immunity which was apparently responsible for the cure of the mice in cooperation with CY. Thus, the ineffectiveness of CY therapy with 15 mg/kg at early stages of tumor growth correlated with the presence of relatively low levels of host antitumor immunity.
此前,我们曾报道,每千克体重腹腔注射15毫克环磷酰胺(CY)可治愈大多数携带大的MOPC - 315肿瘤(直径20至25毫米;第12天至第16天的肿瘤)的小鼠,但很少能治愈携带不可触及肿瘤(第4天的肿瘤)的小鼠。此外,在肿瘤不可触及阶段接受15毫克/千克CY治疗未治愈的小鼠,在肿瘤变大(14)时再次接受15毫克/千克CY治疗也无法治愈。在此,我们表明,在肿瘤生长早期阶段使用15毫克/千克的CY治疗不会导致肿瘤生物学特性改变,从而不会引起对CY杀瘤作用的抗性增加、对免疫裂解的抗性增加和/或免疫原性降低。在对不可触及肿瘤携带者的脾细胞进行体外免疫之前,用15毫克/千克CY治疗并不会降低脾细胞在体外产生抗肿瘤细胞毒性的能力。然而,所产生的抗肿瘤细胞毒性水平低于在肿瘤变大时接受15毫克/千克CY治疗的小鼠的体外免疫脾细胞所表现出的水平。对于携带不可触及肿瘤的小鼠,使用15毫克/千克CY可通过两种方式治愈:(a)在对侧存在大肿瘤的情况下治疗携带不可触及肿瘤的小鼠;(b)在CY治疗后1天进行免疫脾细胞的过继转移。这两种方法均导致更高水平的抗肿瘤免疫力,这显然与CY协同作用治愈了小鼠。因此,在肿瘤生长早期阶段使用15毫克/千克CY治疗无效与宿主抗肿瘤免疫力水平相对较低有关。