1. 浙江大学医学院附属第一医院乳腺疾病诊治中心
2. 浙江大学医学院附属第一医院肝胆胰外科卫生部多器官移植重点实验室
3. 天津医科大学解剖系
4. 浙江大学医学院附属第二医院骨科
网络出版:2017-08-31,
纸质出版:2017
移动端阅览
陈璐艳, 徐小波, 洪良杰, 等. 纳秒脉冲消融乳腺癌及免疫激活效应的实验研究[J]. 高电压技术, 2017,43(8):2513-2517.
CHEN Luyan, XU Xiaobo, HONG Liangjie, et al. Experimental Study on Immune Stimulation Effect Caused by Nanosecond Pulsed Electric Fields Ablation on Breast Cancer[J]. 2017, 43(8): 2513-2517.
近20年的动物实验及临床前期研究表明
纳秒脉冲具有能量高、微创治疗、不需联合化疗药物等优点。因此本研究将纳秒脉冲作用于MDA–MB–231乳腺癌荷瘤小鼠
观察局部原发肿瘤的消融效果
随访局部消融对免疫细胞亚群的影响情况
探索其非热消融的免疫机制。本实验在小鼠皮下接种小鼠乳腺癌MDA–MB–231细胞
2周肿瘤直径达到10 mm时进行纳秒脉冲局部消融治疗
治疗参数选择脉冲宽度为300 ns
电场强度为40 k V/cm
脉冲个数为100
治疗频率为隔日重复共3次。研究结果表明原位接种的MDA–MB–231乳腺癌细胞成瘤率达到100%。纳秒脉冲治疗后随访肿瘤大小、形态及体积至1个月
肿瘤直径达到20 mm时结束动物实验
B超监测数据显示
纳秒脉冲局部消融对原位肿瘤的消融率为83%
显著降低了原发肿瘤的体积
与对照组相比具有显著性降低;用流式细胞术检测脾脏中各淋巴细胞亚群的变化。射频消融后
小鼠脾脏CD4+T细胞、CD8+T细胞数量和比例升高
提示局部使用的纳秒脉冲刺激脾脏T细胞增殖能力。纳秒脉冲消融不但能够抑制原发肿瘤
还能增强小鼠免疫功能
使得肿瘤生长和转移侵袭力下降
有助于抑制肿瘤的生成及发展。
During recent decades of years
animal experiments and preclinical studies have shown that nanosecond pulsed electric fields(nsPEFs) have characteristics with high energy
minimally invasive
approach without combined chemotherapy drugs. Consequently
we applied ns PEFs to MDA–MB–231 breast cancer bearing mice to observe the ablation effect of local primary tumor. The immune stimulation effect of local ablation on the T cell subsets were explored to investigate its immune mechanism as a non-thermal ablation. The mice with normal immune function were subcutaneously inoculated with breast cancer MDA–MB–231 cells for 2 weeks till the tumor diameter was around 10 mm. The ns PEFs treatment parameters were selected to be pulse duration 300 ns
electric field strength 40 k V/cm and pulse number 100 pulse
3 treatments every other day. The tumor formation rate was 100%. The tumor size
morphology and volume were followed up to 1 month. The animals were euthanized when the tumor volume was 20 mm. The ablation rate of the local tumor was 83%
and the volume of the primary tumor in ablation group was significantly lower than that of the control group. The flow cytometry was used to detect the spleen lymphocyte subsets. After ablation
the number and proportion of CD4 + T cells and CD8 + T cells in the spleen of mice were increased
suggesting that the localized nanosecond pulse stimulated the proliferation of spleen T cells. The results reveal that the ns PEF ablation can not only inhibit the primary tumor
but also enhance the immune function of mice
making the tumor growth and metastasis invasiveness decreased
help to inhibit tumor formation and development.
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