首页|高强度聚焦超声对大鼠肝癌及外周血淋巴细胞功能的影响

高强度聚焦超声对大鼠肝癌及外周血淋巴细胞功能的影响

High Intensity Focused ultrasound for liver cancer and activities of lymphocytes from peripheral blood in rats

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目的 通过组织学和淋巴细胞功能的变化,探讨高强度聚焦超声(high intensity focused ultrasound,HIFU)对大鼠肝癌及其免疫的影响。方法 利用Wistar大鼠,采用癌块包埋法建立大鼠W256肝癌模型(40只);同时,以相同程序建立正常肝对照组(C组,大鼠20只)。10 d后,应用HIFU(10 MHz,1 528.7 W/cm2,20 s×2次)对治疗组(A组)20只大鼠的癌灶进行照射,以同样方式照射C组大鼠相同部位的正常肝组织;荷癌肝对照组(B组)则按同样步骤对20只大鼠的癌灶进行假照射。2周后采集大鼠外周血分离淋巴细胞,应用4甲基偶氮唑盐(MTT)法对各组大鼠淋巴细胞活性进行检测;并对病灶与正常组织交界区进行光镜、电镜观察。结果 靶区组织凝固坏死,无癌细胞或肝细胞残存。A组的淋巴细胞杀肿瘤细胞活性(2.054 1±0.664 2)与C组的(1.910 8±0.554 1)相似,两者差异无显著性(P>0.05)。但均明显高于B组的淋巴细胞活性(1.391 3±0.606 8),(t=3.294 9,P<0.005;t=2.827 4,P<0.02)。结论 HIFU可以杀灭大鼠肝癌细胞;并能诱发机体抗癌免疫反应,改善和恢复荷癌大鼠外周血淋巴细胞的免疫活性。
Objective To study the effect of high intensity focused ultrasound(HIFU)on the liver cancer and the immunity of rats via the change of histology and activity of lymphocytes.Methods 60 Wistar rats were experimented.Forty of them were established the tumor models by implanting a W256 tumor mass (size,1mm3)into left liver, Another 20 rats were as normal control group without tumor implantation.Among 40 tumor model rats,20 rats were irradiated by HIFU (10 MHz, 1 528.7 W/cm2) 20 seconds/per time to tumor focus for two times(group A). Other 20 tumor models(group B) were sham irradiated, the way as same as group A after 10 days of implanting tumor.20 normal rats as group C were also received the HIFU irradiation to liver tissues.After two weeks of treatment,the lymphocytes were isolated from the peripheral blood,the activity of lymphocytes was measured by MTT method.The tissues of border between the tumor focus and normal tissues were observed by light and electron microscope.Results It was found that the target tissues were already coagulative necrosis without tumor cells or hepatic cells survival. The cancerocidal activities of lymphocytes in Group A was similar to that of group C (2.054 1±0.664 2)Vs(1.910 8±0.554 1).There was no obvious difference(P>0.05).But these parameters were markedly higher than the lymphocyte activity of group B(1.391 3±0.606 8)(t=3.294 9,P<0.005;t=2.827 4,P<0.02).Conclusion It shows that HIFU could destroy the liver cancer of rats. It could induce the immune reaction of anti-tumor and improve the immune activity of lymphocyte in rats with cancer.

王文见、欧阳茂、罗亿治、伍烽、王芷龙、王智彪

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400016 重庆医科大学医学超声工程研究所

四川省江油市九0三医院检验科

重庆医科大学附属第一医院

重庆医科大学医学超声工程研究所

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超声疗法 癌256,Walker 大鼠 淋巴细胞 免疫活性

国家科技攻关项目

96-905-02-01

2001

中华理疗杂志
中华医学会

中华理疗杂志

ISSN:0254-1408
年,卷(期):2001.24(1)
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