Joiner M C, Steel G G, Stephens T C
Br J Cancer. 1982 Jan;45(1):17-26. doi: 10.1038/bjc.1982.3.
The in vivo response of B16 melanoma and Lewis lung carcinoma to combinations of hyperthermia and graded doses of CCNU or Melphalan was studied. To obtain dose-response curves and quantitative comparisons of different treatments, an agar-colony assay was used to measure survival of cells from excised tumours. For heating experiments, the use of 2 tumours per animal, one heated and one not, allowed all other factors to be kept constant. When tumours were immersed in a water-bath at 43 degrees C for 1 h, Thermal Enhancement Ratios (TER) measured from the slopes of the dose-response curves were up to 1.6 for CCNU and 2.4 for Melphalan. Direct heat killing of about 1 decade was seen for 1 h at 43 degrees C. The anaesthetic Saffan also enhanced drug cell kill; the largest Dose Modifying Factor (2.7) was measured for Melphalan in the Lewis lung tumour. The duration of heating, and waterbath temperature, both influenced the enhancement of cell killing by CCNU, as did the time of excision of tumours between 0 and 3 1/2 h after treatment. There was no difference in effect between 3 1/2 and 24 h. The interaction between heat and CCNU varied if the interval between them was altered. The maximum effect was found if the heat and drug were given in close sequence.
研究了B16黑色素瘤和Lewis肺癌在体内对热疗与不同剂量CCNU或美法仑联合治疗的反应。为了获得剂量反应曲线并对不同治疗进行定量比较,采用琼脂集落测定法来测量切除肿瘤细胞的存活率。在加热实验中,每只动物使用2个肿瘤,一个加热,一个不加热,从而使所有其他因素保持恒定。当肿瘤在43℃水浴中浸泡1小时时,根据剂量反应曲线斜率测得的热增强比(TER),CCNU高达1.6,美法仑高达2.4。在43℃下1小时可直接杀死约1个对数级的细胞。麻醉剂沙芬也增强了药物对细胞的杀伤作用;在Lewis肺癌中,美法仑测得的最大剂量修正因子为2.7。加热持续时间和水浴温度均影响CCNU对细胞杀伤的增强作用,治疗后0至3.5小时之间肿瘤切除时间也有影响。3.5小时和24小时之间效果无差异。如果它们之间的间隔改变,热与CCNU之间的相互作用也会不同。如果热疗和药物紧密相继给予,则效果最佳。