Cohen D, Yron I, Grover N B, Weiss D W
Ann N Y Acad Sci. 1976;277(00):195-208. doi: 10.1111/j.1749-6632.1976.tb41698.x.
Isografts of two mammary carcinomas, one spontaneously arising in a BALB/cfC3H female infected with MTV and one free of MTV (tumor D7T4S), were removed surgically from Balb/c (MTV free) female hosts, and fragments of each tumor were immediately reimplanted in situ (simulated local recurrence challenge). The animals were then subjected to treatment with the MER fraction of tubercle bacilli, with one of three chemotherapeutic drugs (5-FU, cyclophosphamide, and methotrexate), or with both MER and one of the chemotherapeutic agents (chemoimmunotherapy). The incidence of progressively developing recurrence tumors and the longevity of the animals were determined. The therapeutic effects of treatment with MER alone were ascertained by comparing groups of mice that received the fraction by various schedules with saline-injected control groups; the efficacy of chemoimmunotherapy was assassed by comparing groups that received MER plus one of the drugs with groups subjected to drug intervention by itself. MER administered alone did not reduce the incidence of recurrent tumors but was consistently efficacious in prolonging the lives of animals challenged with the MTV (+) carcinoma, although considerably less so in animals tested with the weakly immunogenic tumor D7T4S. A negative effect by MER on tumor frequency did not occur and was seen only once with regard to host life duration. Combined intervention with MER and 5-FU proved to be significantly and consistently superior to similar treatment with only 5-FU in animals challenged with the MTV(+) carcinoma. No such additive action by MER plus 5-FU was seen in mice challenged with D7T4S, however, nor did the other two chemoimmunotherapeutic regimens differ significantly in therapeutic efficacy from the corresponding chemotherapy alone in most of the trials with both tumors.
从无MTV的Balb/c雌性宿主中手术切除两只乳腺癌的同基因移植瘤,其中一个是在感染MTV的BALB/cfC3H雌性小鼠中自发产生的,另一个不含MTV(肿瘤D7T4S),然后将每个肿瘤的碎片立即原位重新植入(模拟局部复发挑战)。然后,对动物进行结核杆菌MER组分治疗、三种化疗药物之一(5-氟尿嘧啶、环磷酰胺和甲氨蝶呤)治疗或MER与一种化疗药物联合治疗(化学免疫疗法)。测定逐渐发展的复发肿瘤的发生率和动物的寿命。通过将按不同方案接受该组分的小鼠组与注射生理盐水的对照组进行比较,确定单独使用MER治疗的疗效;通过将接受MER加一种药物的组与单独接受药物干预治疗的组进行比较,评估化学免疫疗法的疗效。单独给予MER并没有降低复发肿瘤的发生率,但在延长感染MTV(+)癌的动物的寿命方面一直有效,尽管在用弱免疫原性肿瘤D7T4S进行测试的动物中效果要差得多。MER对肿瘤发生率没有负面影响,仅在宿主寿命方面出现过一次。在感染MTV(+)癌的动物中,MER与5-氟尿嘧啶联合干预被证明明显且始终优于仅用5-氟尿嘧啶的类似治疗。然而,在用D7T4S进行攻击的小鼠中,未观察到MER加5-氟尿嘧啶的这种相加作用,在对两种肿瘤进行的大多数试验中,其他两种化学免疫治疗方案在治疗效果上与相应的单纯化疗也没有显著差异。