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生长抑素类似物奥曲肽(SMS 201-995)抗癌活性的临床前研究。

Preclinical studies on the anticancer activity of the somatostatin analog octreotide (SMS 201-995).

作者信息

Weckbecker G, Tolcsvai L, Liu R, Bruns C

机构信息

Preclinical Research, Sandoz Pharma Ltd., Basle, Switzerland.

出版信息

Digestion. 1993;54 Suppl 1:98-103. doi: 10.1159/000201086.

Abstract

The antiproliferative effect of somatostatin-14 and its analog octreotide on in vitro pancreatic and breast tumor cells has led to the suggestion that octreotide may have further oncological indications in addition to gastroenteropancreatic tumors. To extend these in vitro observations, we evaluated the effect of octreotide in rodent models of pancreatic and breast tumors. Octreotide of 5 or 50 micrograms b.i.d. in nude mice bearing solid MiaPaCa pancreatic tumors (subline 21) or ZR-75-1 breast tumors induced significant inhibition of tumor growth from week 2 until the end of treatment at week 5. After 5 weeks the mean volume of ZR-75-1 tumors in animals treated with the 50-micrograms regimen was 48% that of control. Autoradiographic studies showed a high percentage (71%) of ZR-75-1 tumors to be somatostatin receptor-positive. In addition, the growth of ZR-75-1 cells in vitro was significantly inhibited by octreotide. The drug was also tested in a second breast cancer model, DMBA-induced mammary tumors in rats, and continuous administration of 10 micrograms/kg/h over 6 weeks led to an approximately 50% reduction in the number of tumors arising in the rat mammary gland. These data suggest that pancreatic and breast cancer may be among the malignant diseases clinically susceptible to octreotide.

摘要

生长抑素-14及其类似物奥曲肽对体外培养的胰腺和乳腺肿瘤细胞具有抗增殖作用,这提示奥曲肽除了对胃肠胰腺肿瘤有治疗作用外,可能还有其他肿瘤学适应证。为了拓展这些体外研究结果,我们评估了奥曲肽在胰腺和乳腺肿瘤啮齿动物模型中的作用。对携带实体MiaPaCa胰腺肿瘤(21亚系)或ZR-75-1乳腺肿瘤的裸鼠,皮下注射5或50微克奥曲肽,每日2次,从第2周直到第5周治疗结束,均能显著抑制肿瘤生长。5周后,接受50微克剂量方案治疗的动物体内ZR-75-1肿瘤的平均体积为对照组的48%。放射自显影研究显示,71%的ZR-75-1肿瘤为生长抑素受体阳性。此外,奥曲肽能显著抑制ZR-75-1细胞的体外生长。该药物还在第二个乳腺癌模型——二甲基苯蒽(DMBA)诱导的大鼠乳腺肿瘤模型中进行了测试,连续6周给予10微克/千克/小时的药物,可使大鼠乳腺中出现的肿瘤数量减少约50%。这些数据表明,胰腺癌和乳腺癌可能是临床上对奥曲肽敏感的恶性疾病。

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