Overgaard J
Cancer Res. 1976 Sep;36(9 pt.1):3077-81.
A study was made of the effect of combined adriamycin and hyperthermic treatment in a solid mouse mammary carcinoma in vivo. This study demonstrated: (a) that, when given separately, adriamycin and hyperthermia enhance the destruction of a solid mouse mammary carcinoma in vivo; hyperthermia (40.5-42.5 degreesy greatly increases tumor destruction and, in a number of cases, caused initial and long-time regression; (c) that whole-body hyperthermia in combination with adriamycin gives a significant delay in tumor growth as compared with the controls, but not to the same degree as the local combined therapy; and (d) that treatment with local hyperthermia and adriamycin gives a pronounced decrease in the lethal toxicitity of adriamycin. The effect of adriamycin and heat treatment may be due to hyperthermic cell destruction in the central area of the solid tumor, together with a synergistic effect of heat and adriamycin on the proliferating peripheral tumor cells. Furthermore, local heat application may increase the adriamycin concentration in the heated tumor area, which causes a high destructive effect and a less toxic influence on the nonheated normal tissue.
对阿霉素与热疗联合治疗小鼠实体性乳腺癌的体内效果进行了研究。该研究表明:(a) 单独使用时,阿霉素和热疗均可增强对小鼠实体性乳腺癌的体内破坏作用;热疗(40.5 - 42.5摄氏度)可显著增强肿瘤破坏作用,在一些病例中可导致肿瘤初期及长期消退;(c) 与对照组相比,全身热疗联合阿霉素可显著延缓肿瘤生长,但程度不及局部联合治疗;(d) 局部热疗与阿霉素联合治疗可显著降低阿霉素的致死毒性。阿霉素与热处理的效果可能归因于实体瘤中心区域的热致细胞破坏,以及热与阿霉素对增殖的外周肿瘤细胞的协同作用。此外,局部加热可提高加热肿瘤区域的阿霉素浓度,这对加热的肿瘤区域具有高度破坏作用,而对未加热的正常组织毒性较小。