Newman E, Ho M, Heslin M J, Chapman D S, Brennan M F
Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY 10021, USA.
Ann Surg Oncol. 1996 Jan;3(1):74-9. doi: 10.1007/BF02409055.
The effect of blood transfusion on tumor growth is controversial. Under experimental conditions, even similar animal models can give varied results. This study was undertaken to characterize the nature of the effect of blood transfusion on tumor growth.
Sixty-five Fischer 344 rats subcutaneously implanted with a methylcholanthrene-induced sarcoma were studied with additive blood transfusion at 1% tumor burden in two separate experiments. In experiment 1, the effects of syngeneic fresh whole blood transfusion (5, 10, and 15 ml/kg) and allogeneic (5 ml/kg) were tested. To determine if stored blood influenced the results, experiment 2 was performed with syngeneic blood transfusion (15 ml/kg) and allogeneic blood transfusion at 5 ml/kg. Tumor dimensions were determined daily by external measurement, and tumor weight and growth rate were calculated.
No significant differences in final tumor weights or tumor growth rates were found in transfused rats compared with controls. This held true for syngeneic blood transfusion regardless of dose, allogeneic blood transfusion, and regardless of whether the blood was fresh or stored.
Additive blood transfusion does not affect tumor growth in this animal model. This finding, together with the general inconclusiveness in the reported literature on this topic, speaks against a dominant role for the effect of blood transfusion on tumor behavior.
输血对肿瘤生长的影响存在争议。在实验条件下,即使是相似的动物模型也可能得出不同的结果。本研究旨在明确输血对肿瘤生长影响的本质。
在两个独立实验中,对65只皮下植入甲基胆蒽诱导肉瘤的Fischer 344大鼠进行输血,肿瘤负荷为1%时进行补充输血。在实验1中,测试了同基因新鲜全血输血(5、10和15毫升/千克)和异基因输血(5毫升/千克)的效果。为了确定储存血液是否会影响结果,在实验2中进行了同基因输血(15毫升/千克)和5毫升/千克的异基因输血。每天通过外部测量确定肿瘤大小,并计算肿瘤重量和生长速率。
与对照组相比,输血大鼠的最终肿瘤重量或肿瘤生长速率没有显著差异。无论剂量如何,同基因输血、异基因输血以及血液是新鲜的还是储存的,均是如此。
在该动物模型中,补充输血不影响肿瘤生长。这一发现,连同已发表文献中关于该主题的普遍不确定性,反对输血对肿瘤行为的影响起主导作用。