標題: Use of Irinotecan for Treatment of Small Cell Carcinoma of the Prostate
作者: Tung, Wei-Lin
Wang, Yuwei
Gout, Peter W.
Liu, Dean-Mo
Gleave, Martin
Wang, Yuzhuo
材料科學與工程學系
Department of Materials Science and Engineering
關鍵字: small cell carcinoma;prostate;irinotecan;subrenal capsule xenografts;autophagy
公開日期: 15-May-2011
摘要: BACKGROUND. Prostatic small cell carcinoma (SCC) is a rare variant of prostate cancer. It is extremely aggressive and resistant to available therapies with a median survival range of 5-17 months. No standard chemotherapeutic regimen has been established for its treatment. In search of a new therapeutic approach, we examined the response of patient-derived prostatic SCC tissue xenografts to irinotecan, a topoisomerase I inhibitor. METHODS. A tumor tissue line was established from a patient's prostatic SCC by subrenal capsule grafting using NOD-SCID mice. Mice carrying subcutaneous transplants of the tumor line were then treated for 2 weeks with irinotecan alone and in combination with cisplatin. The effect on tumor volume, histopathology, and apoptosis were determined. RESULTS. The prostatic SCC tissue line resembled the donor tissue in morphologic and immunohistochemical features. Irinotecan (20 mg/kg/day; days 1-3, 8-10) completely arrested xenograft growth with a small reduction in tumor volume and only minor weight loss of the hosts (7%); irinotecan (12 mg/kg; same schedule) + cisplatin (2.5 mg/kg/day; days 1 and 8) had a similar effect, but with lower weight loss. While the growth inhibition involved apoptosis, it was also associated with a marked increase in autophagy. CONCLUSIONS. Tumor tissue lines established via subrenal capsule xenografting provide models with clinical relevance and the present study suggests that irinotecan could be useful for therapy of refractory prostatic SCC, in particular in combination with cisplatin. Prostate 71: 675-681, 2011. (C) 2010 Wiley-Liss, Inc.
URI: http://dx.doi.org/10.1002/pros.21283
http://hdl.handle.net/11536/8859
ISSN: 0270-4137
DOI: 10.1002/pros.21283
期刊: PROSTATE
Volume: 71
Issue: 7
起始頁: 675
結束頁: 681
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