首页|小剂量纳洛酮联合吗啡对肺癌荷瘤小鼠肿瘤微环境的影响

小剂量纳洛酮联合吗啡对肺癌荷瘤小鼠肿瘤微环境的影响

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目的 观察小剂量纳洛酮联合吗啡对肺癌荷瘤小鼠肿瘤微环境的影响。方法 建立肺癌荷瘤小鼠模型,将 24 只小鼠随机分为 4组:模型组(A组)、纳洛酮组(B组)、吗啡组(C组)、纳洛酮联合吗啡组(D组),每组 6 只,成瘤后在A组颈背部皮下注射生理盐水 100μl;B组在颈背部皮下注射纳洛酮 0。357 mg/kg;C组在颈背部皮下注射吗啡 0。357 mg/kg;D组在颈背部皮下注射纳洛酮 0。357 mg/kg+吗啡0。357 mg/kg;每日 2 次,连续注射 14 d。每 3 天测定 1 次肿瘤的长径和短径,计算肿瘤的相对体积(RTV);ELISA法检测血清中小鼠肿瘤坏死因子(TNF-α)、小鼠白细胞介素 10(IL-10)、小鼠γ干扰素(IFN-γ)、小鼠β-内啡肽(β-EP)、小鼠谷氨酰胺(Gln)的变化情况;免疫组织化学方法检测CD4、CD8、CD158 的表达;Western blot法检测肿瘤组织中B细胞淋巴瘤基因-2(Bcl-2)、μ-阿片受体(MOR)、阿片类生长因子受体(OGFR)及程序性死亡蛋白-1 受体(PD-1)的表达。结果 小剂量纳洛酮联合吗啡组能够抑制RTV;纳洛酮联合吗啡组小鼠血清中IL-10、β-EP水平明显低于模型组;纳洛酮联合吗啡组小鼠荷瘤组织内CD4、CD158 蛋白的表达高于模型组,PD-1、MOR、Bcl-2 表达明显低于模型组。结论 小剂量纳洛酮联合吗啡能够改善肿瘤微环境,其机制可能与其上调CD4、CD158 的表达,下调PD-1、MOR、Bcl-2 表达有关。
Effects of low-dose naloxone combined with morphine on tumor microenvironment in lung cancer tumor-bearing mice
Objective To observe the effect of low-dose naloxone combined with morphine on the tumor microenvironment of lung tumor-bearing mice.Methods To established a lung tumor-bearing mouse model and randomly divided 24 mice into four groups:model group(group A),naloxone group(group B),morphine group(group C),and naloxone combined with morphine group(Group D),with 6 in each group.After tumor formation,group A was injected with 100 μl of normal saline subcutaneously at the back of the neck;group B was injected with naloxone 0.357 mg/kg subcutaneously at the back of the neck;group C was injected with morphine 0.357 mg/kg subcutaneously at the back of the neck;group D was injected naloxone 0.357 mg/kg+morphine 0.357 mg/kg subcutaneously with the back of the neck.2 times a day,continuous injection for 14 days.The long and short diameters of the tumor were measured every three days,calculated the relative volume of the tumor(RTV).The level of mouse tumor necrosis factor(TNF-α),mouse interleukin 10(IL-10),changes in mouse gamma interferon(IFN-γ),mouse β-endorphin(β-EP),and mouse glutamine(Gln)were detected by ELISA kit.The expressions of CD4,CD8 and CD158 were detected by immunohistochemistry.The expression of Bcl-2,MOR,OGFR,and PD-1 in tumor tissues was detected by the Western blot method.Results Low-dose naloxone combined with morphine group can inhibit RTV;the levels of IL-10 and β-EP in serum of mice in naloxone combined with morphine group were significantly lower than those in model group.The expression of CD4,CD158 protein in tumor-bearing tissues of mice in naloxone combined with morphine group were higher than that in model group,and the expression of PD-1,MOR、Bcl-2 and was significantly lower than that in model group.Conclusion Low-dose naloxone combined with morphine can improve the tumor microenvironment,and its mechanism may be related to up-regulating the expression of CD4,CD158 and down-regulating the expression of PD-1,MOR,Bcl-2.

MorphineNaloxoneLung cancerTumor microenvironment

赵娜、杜欢、裴晓宁、李明

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深圳市光明区人民医院,广东 深圳 518000

联勤保障部队第九八O(白求恩国际和平)医院,石家庄 050000

吗啡 纳洛酮 肺癌 肿瘤微环境

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(10)