Twentyman P R
Br J Cancer Suppl. 1980 Apr;4:279-87.
In a limited number of experimental tumour systems the response to chemotherapy has been measured in terms of both cell survival and tumour growth delay. Both of these endpoints have complicating factors which lead to problems in interpretation of results. The time after drug administration at which cell survival is measured can be of predominant importance. If the time is too short, drug action may be incomplete and recovery from potentially lethal damage may still be occurring. If the time is too long, proliferation of surviving clonogenic cells may have begun. Tumour growth delay on the other hand is likely to be influenced by the effect of the chemotherapy on the host, as well as on the tumour. This may be particularly important when the tumour is significantly immunogenic. The rate of regenerative proliferation of the surviving clonogenic cells can be different following treatment with different cytotoxic drugs, hence resulting in different periods of growth delay from the same initial level of cell killing. Also some agents appear to be significantly cytostatic, producing considerable growth delay in the absence of cell killing. New data are also presented for the RIF-1 tumour and for multicellular tumour spheroids of the EMT6/Ca/VJAC line.
在少数实验性肿瘤系统中,已从细胞存活和肿瘤生长延迟两方面来衡量对化疗的反应。这两个终点都存在一些复杂因素,导致结果解释出现问题。测量细胞存活的给药时间可能至关重要。如果时间太短,药物作用可能不完全,潜在致死性损伤的恢复可能仍在发生。如果时间太长,存活的克隆形成细胞可能已经开始增殖。另一方面,肿瘤生长延迟可能受到化疗对宿主以及肿瘤的影响。当肿瘤具有显著免疫原性时,这一点可能尤为重要。用不同细胞毒性药物处理后,存活的克隆形成细胞的再生增殖速率可能不同,因此从相同初始细胞杀伤水平会导致不同的生长延迟期。此外,一些药物似乎具有显著的细胞抑制作用,在没有细胞杀伤的情况下产生相当程度的生长延迟。还给出了关于RIF - 1肿瘤和EMT6/Ca/VJAC系多细胞肿瘤球体的新数据。