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紫杉醇奥曲肽偶合物对A549裸鼠移植瘤的靶向治疗研究
引用本文:申洪昌,王秀问,刘延国,王亚伟,魏军民,马道新,王朴,李蕾,孙美丽.紫杉醇奥曲肽偶合物对A549裸鼠移植瘤的靶向治疗研究[J].中华医学杂志,2008,88(35):2498-2503.
作者姓名:申洪昌  王秀问  刘延国  王亚伟  魏军民  马道新  王朴  李蕾  孙美丽
作者单位:1. 山东大学齐鲁医院肿瘤防治中心化疗科,济南,250012
2. 山东大学齐鲁医院肿瘤防治中心血液科,济南,250012
3. 药学院药物化学研究所
4. 山东省济南市中心医院化疗科
基金项目:山东省科技厅科技计划基金 
摘    要:目的 研究生长抑素类似物奥曲肽(OCT)与紫杉醇(FTX)的偶合物对人肺腺癌细胞株A549裸鼠移植瘤的靶向治疗作用.方法 构建1分子紫杉醇-1分子奥曲肽偶合物(PTX-OCT)和2分子紫杉醇-1分子奥曲肽偶合物(2PTX-OCT),建立裸鼠腋部皮下移植瘤模型,将荷瘤裸鼠随机分为8组.在l、7、21 d尾静脉分别注射150 nmol/kg PTX-OCT;2FTX-OCT;OCT、PTX混合物(OP);OCT;PTX;300 nmol/kg PTX(2PTX)和2PTX-OCT2(2PTX-OCT)].测各组小鼠体重及肿瘤体积;计算肿瘤倍增时间;眼内眦静脉取血测每组小鼠白细胞数量;组织切片HE染色及核仁区银染(AgNOR)观察肿瘤细胞生长情况;DNA梯度法检测细胞凋亡;RT-PCR法测肿瘤细胞生长抑素受体(SSTR)1至5亚型(SSTRI-SSTR5)mRNA表达情况;免疫组化SP法检测肿瘤微血管密度(MVD)以及生长抑素受体2和5亚型表达情况.结果 2PTX-OCT与2(2PTX-OCT)处理组在3次给药后与对照组相比:肿瘤生长显著抑制(均P<0.01);肿瘤倍增时间延长(均P<0.01).PTX与2PTX-OCT处理组相比,在每次给药后5 d裸鼠体重减轻差异有统计学意义(P<0.05);PTX与2PTX组的白细胞总数在26 d降到最低,与对照组、2PTX-OCT组及2(2VTX-OCT)组相比差异均有统计学意义(均P<0.05).2PTX.OCT组及2(2PTX-OCT)组MVD均明显少于对照组(均P
关 键 词:  非小细胞肺  受体  生长抑素  奥曲肽  紫杉醇

Tumor growth Inhibition of paclitaxel-octreotide conjugates on human non small cell lung cancer: experiment with mice
SHEN Hong-chang,WANG Xiu-wen,LIU Yan-guo,WANG Ya-wei,WEI Jun-min,MA Dao-xin,WANG Pu,LI Lei,SUN Mei-li.Tumor growth Inhibition of paclitaxel-octreotide conjugates on human non small cell lung cancer: experiment with mice[J].National Medical Journal of China,2008,88(35):2498-2503.
Authors:SHEN Hong-chang  WANG Xiu-wen  LIU Yan-guo  WANG Ya-wei  WEI Jun-min  MA Dao-xin  WANG Pu  LI Lei  SUN Mei-li
Abstract:Objective To evaluate the antitumor effects of the conjugates synthesized by coupling cytotoxlc paclitaxel (PTX) to somatostatin analog octreotide (OCT) on human non small cell lung cancer (NSCLC). Methods Two cytotoxic somatostatin analog, PTX-OCT and 2PTX-OCT, were developed in which PIX was linked to octreotide. Forty-five BALB/c nu/nu nude mice were injected with human NSCLC cells of the line A549 into the fight armpit The nude mice that were xenografted were randomly divided into 8 groups. ①control group (n=6), ②FIX-OCT group (n=5), injected intravenously with PTC-OCT 150 nmol/kg on days 1,7, and 21, ③ 2PTX-OCT group (n=6), injected intravenously with PTrc-ocT 150 nmoL/kg, ④ OP group (n=6), injected with mixture of FIX and OCT 150 nmol/kg, ⑤ OCT group (n=5) injected with OCT 150 nmoL/kg ⑤ PTX group (n=6), injected with PTX 150 nmoL/kg, ⑦ 2PTX group, injected with PTX 300 nmol/kg, and ⑧2(PTX-OCT) injected with PTX-OCT 300 nmol/kg, The tumor volume and body weight (BW) were observed regularly. The tumor volume doubling time was calculated. White blood cells were counted by collecting peripheral blood sample. By the end of experiment the mice were killed with the tumors taken out. The expression of mRNA of subtypesl-5 of human somatostatin receptor (SSTR1-SSTR5 ) were investigated using RT-PCR Histological apoptosis was detected by DNA ladder. Immunohistoehemistry was used to examine the SSTR2 and SSTR5 expression and tumor microvessel density (MVD). Results The tumor volumes of 2PTX-OCT and 2 (2PTX-OCT) groups were significantly smaller than those of other groups (all P< 0.01 ). The tumor doubling times of the 2tPTX-OCT and 2(2PTX-OCT) groups were significantly longer than those of the other groups too (al.1P<0.01). The MVD levels of the 2tTX-OCT and 2(2PTX-OCT) groups were significant lower than those of the other groups (all P<0.01 ). The toxicity of the PTX group was more obvious. The WBC count levels of the PTX and 2PTX groups were significantly lower than those of the other groups ( all P< 0.05 ). mRNA expression could be found for SSTR1, 2, 4, and 5 in the A549 xenngrafts. Immunohistochemistry showed that SSTR2 was maiuly found in the tumor cell membrane, and $STR5 was found in the tumor cell membrane and cytoplasm. More histological apoptosis bands were shown by DNA ladder method in the 2PTX-OCT and 2 (PTX-OCT) groups. Conclusion The targeting conjugate 2PTX-OCT inhibits the proliferation of tumor ceils, reduces microvessel, and decreases the toxicity in comparison with the cytotoxic radical PTX.
Keywords:Carcinoma  non-small cell lung  Receptors  sematastatin  Octreotide  Paclitaxel
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