首页|曲氟尿苷替匹嘧啶片联合贝伐珠单抗对结直肠癌小鼠肿瘤增殖的抑制作用及其机制

曲氟尿苷替匹嘧啶片联合贝伐珠单抗对结直肠癌小鼠肿瘤增殖的抑制作用及其机制

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目的 探究曲氟尿苷替匹嘧啶片(TAS-102)联合贝伐珠单抗对结直肠腺癌小鼠肿瘤增殖的抑制作用及机制.方法 60只BALB/c裸鼠经采用皮下肿瘤接种法制备皮下结直肠腺癌肿瘤裸鼠模型后,随机数字表分为4组,各组15只,对照组(不进行任何处理)、TAS-102组(第1~14天每天两次口服TAS-102,每次75 mg/kg)、贝伐单抗组(每3天腹腔注射5 mg/kg贝伐珠单抗)、联合干预组(每天口服两次TAS-102,每次75 mg/kg,每3 d腹腔注射5 mg/kg贝伐珠单抗).末次给药24 h后处死小鼠,称量瘤组织重量,计算肿瘤体积及肿瘤生长抑制比(TGI).采用蛋白质印迹法(Western blot)实验测定血管内皮生长因子(VEGF)、血管内皮生长因子受体1(VEGFR-1/Flt-1)、细胞周期蛋白A(Cyclin A)、细胞周期蛋白E(Cyclin E)、周期蛋白依赖性激酶4(CDK4)、周期蛋白依赖性激酶6(CDK6)的表达水平.组间比较采用t检验.结果 TAS-102组、贝伐单抗组及联合干预组小鼠肿瘤重量低于对照组[(2.10±0.32、2.76±0.35、1.64±0.14)比(3.45±0.37),t=8.617,P<0.05]、肿瘤体积均低于对照组[(6 833.82±821.95、7 958.06±994.61、5 021.38±633.52)比(13 625.67±1 182.42),t=7.503,P<0.05];TAS-102 组肿瘤重量低于贝伐单抗组[(2.10±0.32)比(2.76±0.35),t=6.357,P<0.05]、肿瘤体积低于贝伐单抗组[(6 833.82±821.95)比(7 958.06±994.61),t=5.015,P<0.05];联合干预组肿瘤重量低于TAS-102组和贝伐单抗组[(1.64±0.14)比(2.10±0.32、6833.82±821.95),t=5.136、6.742,P<0.05]、肿瘤体积低于TAS-102 组及贝伐单抗组[(5 021.38±633.52)比(2.76±0.35、7 958.06±994.61),t=6.472、4.197,P<0.05];联合干预组TGI低于TAS-102组和贝伐单抗组[(66.93±5.68)比(55.72±4.82、40.80±3.25),t=4.178、6.032、P<0.05].TAS-102 组、贝伐单抗组及联合干预组小鼠 VEGF蛋白表达低于对照组[(0.63±0.10、0.75±0.13、0.45±0.11)比(1.00±0.08),t=3.052、4.102、2.573,P<0.05]、Flt-1 蛋白表达低于对照组[(0.56±0.09、0.68±0.10、0.39±0.10)比(1.00±0.08),t=2.763、4.982、3.362,P<0.05];且 TAS-102 组 VEGF 和 Flt-1 蛋白表达均低于对照组[(0.63±0.10、0.56±0.09)比(1.00±0.08、1.00±0.10),t=4.712、3.516,P<0.05];联合干预组VEGF 和 Flt-1 蛋白均低于 TAS-102 组[(0.45±0.11、0.39±0.10)比(0.63±0.10、0.56±0.09),t=4.032、3.154,P<0.05]和贝伐单抗组[(0.45±0.11、0.39±0.10)比(0.75±0.13、0.68±0.10),t=4.358、5.921,P<0.05].TAS-102 组小鼠 cyclin A、cyclinE、CDK4 和 CDK6 蛋白表达均低于对照组[(0.61±0.09、0.57±0.09、0.53±0.08、0.66±0.10)比(1.00±0.10、1.02±0.08、1.00±0.10、1.03±0.11),t=3.251、5.407、4.096、3.157,P<0.05];贝伐单抗组 cyclin A、cyclinE、CDK4 和 CDK6 蛋白表达均低于对照组[(0.82±0.10、0.79±0.11、0.69±0.11、0.85±0.09)比(1.00±0.10、1.02±0.08、1.00±0.10、1.03±0.11),t=5.381、4.702、5.107、3.092,P<0.05];联合干预 cyclin A、cyclinE、CDK4 和 CDK6 蛋白表达均低于对照组[(0.33±0.07、0.40±0.08、0.35±0.09、0.42±0.07)比(1.00±0.10、1.02±0.08、1.00±0.10、1.03±0.11),t=5.892、4.219、4.031、3.175,P<0.05];且TAS-102组cyclin A、cyclinE、CDK4和CDK6蛋白表达均低于贝伐单抗组[(0.61±0.09、0.57±0.09、0.53±0.08、0.66±0.10)比(0.82±0.10、0.79±0.11、0.69±0.11、0.85±0.09),t=4.762、5.321、3.073、4.054,P<0.05];联合干预组 cyclin A、cyclinE、CDK4 和 CDK6蛋白表达均低于 TAS-102 组[(0.33±0.07、0.79±0.11、0.35±0.09、0.42±0.07)比(0.61±0.09、0.57±0.09、0.53±0.08、0.66±0.10),t=3.175、5.321、3.073,P<0.05]和贝伐单抗组[(0.33±0.07、0.79±0.11、0.35±0.09、0.42±0.07)比(0.82±0.10、0.79±0.11、0.69±0.11、0.85±0.09),t=4.081、5.732、4.193,P<0.05].结论 TAS-102联合贝伐珠单抗对结直肠腺癌小鼠肿瘤增殖具有较好的抑制作用,其机制与抗血管生成和调控细胞周期过程相关.
The inhibitory effect and mechanism of trastuzumab combined with clopidogrel tablets and bevaci-zumab on tumor proliferation in colorectal cancer mice
Objective To explore the inhibitory effect and mechanism of trafluridine pyrimidine tablets(TAS-102)combined with bevacizumab on tumor proliferation in colorectal Adenocarcinoma mice.Methods Sixty BALB/c nude mice were prepared with subcutaneous colorectal Adenocarcinoma cancer tumor model by subcutaneous tumor inoculation method,and were randomly divided into 4 groups with 15 mice in each group,which were named as follows:Control group(without any treatment),TAS-102 group(from day 1 to 14,oral TAS-102 twice a day,75 mg/kg each time),bevacizumab group(intrabitoneal in-jection of 5 mg/kg bevacizumab every 3 days),combined intervention group(oral TAS-102 twice a day,75 mg/kg each time),Intraperitoneal injection of 5 mg/kg bevacizumab every 3 days).The mice were sacri-ficed 24 hours after the last administration,the tumor tissue weight was weighed,the tumor volume and tumor growth inhibition ratio(TGI)were calculated.Western blotting assay was used to determine vascular endothelial growth factor(VEGF),vascular endothelial growth factor receptor-1(Flt-1)and cell cycle pro-tein A(Cyclin A)Expression levels of cell cycle protein E(Cyclin E),cyclin dependent kinase 4(CDK4),cyclin dependent kinase 6(CDK6).Results The tumor weight of mice in the TAS-102 group,bevacizumab group,and combined intervention group was lower than that of the control group[(2.10±0.32,2.76±0.35,1.64±0.14)vs.(3.45±0.37),t=8.617,P<0.05],the tumor volume was lower than that of the control group[(6 833.82±821.95,7 958.06±994.61,5 021.38±633.52)vs.(13 625.67±1 182.42),t=7.503,P<0.05];The tumor weight in the TAS-102 group was lower than that in the bevacizumab group[(2.10±0.32)vs.(2.76±0.35),t=6.357,P<0.05],tumor volume lower than Bevacizumab group[(6 833.82±821.95)vs.(7 958.06±994.61),t=5.015,P<0.05];The tumor weight in the combined intervention group was lower than that in the TAS-102 group and bevaci-zumab group[(1.64±0.14)vs.(2.10±0.32,6 833.82±821.95),t=5.136,6.742,P<0.05],Tumor volume lower than TAS-102 group and bevacizumab group[(5 021.38±633.52 vs.(2.76±0.35,7 958.06±994.61),t=6.472,4.197,P<0.05];The TGI of the combined intervention group was low-er than that of the TAS-102 group and the bevacizumab group[(66.93±5.68)vs.(55.72±4.82,40.80±3.25),t=4.178,6.032,P<0.05].The expression of VEGF protein in TAS-102 group,bevaci-zumab group,and combined intervention group mice was lower than that in the control group[(0.63±0.10),(0.75±0.13),(0.45±0.11)vs.(1.00±0.08),t=3.052,4.102,2.573,P<0.05],Flt-1 protein expression is lower than the control group[(0.56±0.09,0.68±0.10,0.39±0.10)vs.(1.00±0.08),t=2.763,4.982,3.362,P<0.05];And the expression of VEGF and Flt-1 proteins in the TAS-102 group was lower than that in the control group[(0.63±0.10,0.56±0.09)vs.(1.00±0.08,1.00±0.10),t=4.712,3.516,P<0.05];The VEGF and Flt-1 proteins in the combined inter-vention group were lower than those in the TAS-102 group[(0.45±0.11,0.39±0.10)vs.(0.63±0.10,0.56±0.09),t=4.032,3.154,P<0.05]and Bevacizumab group[(0.45±0.11,0.39±0.10)vs.(0.75±0.13,0.68±0.10),t=4.358,5.921,P<0.05].The protein expression of Cyclin A,Cyc-lin E,CDK4,and CDK6 in TAS-102 group mice was lower than that in the control group[(0.61±0.09,0.57±0.09,0.53±0.08,0.66±0.10)vs.(1.00±0.10,1.02±0.08,1.00±0.10,1.03±0.11),t=3.251,5.407,4.096,3.157,P<0.05];The protein expression of Cyclin A,Cyclin E,CDK4,and CDK6 in the bevacizumab group was lower than that in the control group[(0.82±0.10,0.79±0.11,0.69±0.11,0.85±0.09)vs.(1.00±0.10,1.02±0.08,1.00±0.10,1.03±0.11),t=5.381,4.702,5.107,3.092,P<0.05];The combined intervention resulted in lower protein expression of Cyc-lin A,Cyclin E,CDK4,and CDK6 compared to the control group[(0.33±0.07,0.40±0.08,0.35±0.09,0.42±0.07)vs.(1.00±0.10,1.02±0.08,1.00±0.10,1.03±0.11),t=5.892,4.219,4.031,3.175,P<0.05];And the protein expression of Cyclin A,Cyclin E,CDK4,and CDK6 in the TAS-102 group was lower than that in the bevacizumab group[(0.61±0.09,0.57±0.09,0.53±0.08,0.66±0.10)vs.(0.82±0.10,0.79±0.11,0.69±0.11,0.85±0.09),t=4.762,5.321,3.073,4.054,P<0.05];The protein expression of Cyclin A,Cyclin E,CDK4,and CDK6 in the combined in-tervention group was lower than that in the TAS-102 group[(0.33±0.07,0.79±0.11,0.35±0.09,0.42±0.07)vs.(0.61±0.09,0.57±0.09,0.53±0.08,0.66±0.10),t=3.175,5.321,3.073,P<0.05]and Bevacizumab group[(0.33±0.07,0.79±0.11,0.35±0.09,0.42±0.07)vs.(0.82±0.10,0.79±0.11,0.69±0.11,0.85±0.09),t=4.081,5.732,4.193,P<0.05].Conclusion TAS-102 combined with bevacizumab has a good inhibitory effect on tumor proliferation in colorectal cancer mice,and its mechanism is related to anti angiogenesis and regulation of cell cycle processes.

Colorectal cancerTAS-102BevacizumabBALB/c miceAntiangiogenesis

俞彦文、曹晨曦、He Chunhua

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浙江中医药大学嘉兴大学联培基地,嘉兴 314000

嘉兴大学附属第二医院胃肠外科,嘉兴 314000

结直肠癌 曲氟尿苷替匹嘧啶片 贝伐珠单抗 BALB/c小鼠 抗血管生成

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(12)