Toyonaga M, Hiraoka T, Tanaka H, Miyauchi Y
First Department of Surgery, Kumamoto University Medical School, Japan.
J Surg Oncol. 1993 Jun;53(2):113-9; discussion 119-20. doi: 10.1002/jso.2930530213.
The effect of pathophysiological conditions due to disturbance of the spleen is still unclear. We studied the effects of splenectomy in normal and methylcellulose-induced hypersplenic rats on the development of pulmonary metastases created by intravenous injection of ascites containing AH130 hepatoma cells from male Hos-Donryu rats. Growth of metastatic lesions in the lung was not affected by splenectomy in normal rats, but was increased by splenectomy in hypersplenic rats. Overall, there were fewer pulmonary metastases in rats with hypersplenism, but after splenectomy rats with hypersplenism had a significantly greater number of metastases than did normal rats. The metastases rate correlated somewhat with changes in the blood coagulation and T lymphocyte profile. There is a relationship between the spleen and formation of metastases in cancer. Formation of metastases in the lung was affected most by splenectomy in hypersplenism. To elucidate the mechanism by which metastases are formed in the lung under these pathologic conditions, further studies on the exact role of the spleen are required.
脾脏功能紊乱所导致的病理生理状况的影响仍不明确。我们研究了正常大鼠和甲基纤维素诱导的脾功能亢进大鼠行脾切除术后,对通过静脉注射含有雄性Hos-Donryu大鼠AH130肝癌细胞的腹水所形成的肺转移瘤发展的影响。正常大鼠行脾切除术后,肺内转移瘤的生长未受影响,但脾功能亢进大鼠行脾切除术后,转移瘤生长增加。总体而言,脾功能亢进大鼠的肺转移瘤较少,但脾切除术后,脾功能亢进大鼠的转移瘤数量明显多于正常大鼠。转移率与血液凝固和T淋巴细胞谱的变化有一定相关性。脾脏与癌症转移的形成之间存在关联。脾功能亢进时,脾切除对肺转移瘤形成的影响最大。为阐明在这些病理状况下肺内转移瘤形成的机制,需要进一步研究脾脏的确切作用。