淋巴瘤
Bertolini等[7]将分别用CXCR4抗体和SDF-1抗体孵育过的淋巴瘤细胞株Namalwa,用经腹腔和经静脉二种方式注入小鼠建立了肿瘤模型,结果发现在腹腔注射组中注射了经孵育过的Namalwa细胞的小鼠比注射未孵育过的Namalwa细胞小鼠的体内肿瘤体积小,重量轻,以CXCR4抗体的作用最明显。而在静脉注射组中发现,所有注射未孵育过的Namalwa细胞的小鼠在36天内死亡,注射经SDF-1抗体孵育过的Namalwa细胞的小鼠在60天内死亡。而83%的注射CXCR4抗体孵育过的Namalwa细胞小鼠仍然存活,在150天内未发病,对此类小鼠的注射24小时后的外周血检测显示,32%-47%的Namalwa细胞表达凋亡标志物-膜联蛋白V,提示CXCR4抗体能有效地促使淋巴瘤细胞凋亡。为了证实CXCR4抗体治疗非霍奇金淋巴瘤的可行性,Bertolini等[7]还做了有关CXCR4抗体毒性实验,结果证实体内实验和尸检中均未发现其毒性作用。研究表明,EB病毒在Burkitt淋巴瘤、霍奇金病、B细胞淋巴组织增生性疾病的发病机制中发挥着重要作用[24]。其中,仅经腹腔注射EBV(+)患者外周血单个核细胞的SCID小鼠长出 EBV(+)的人B细胞淋巴瘤(hu/SCID),且肿瘤多向高表达SDF-1的腹膜、肝脏和淋巴结处转移,其机制尚不清楚,推测SDF-1/CXCR4在淋巴瘤的生长和转移过程中起着积极作用。Piovan等[25]在体内对hu/SCID肿瘤细胞CXCR4的表达情况进行研究发现,hu/SCID肿瘤细胞可分为CD23low和 CD23int 2种亚型。CD23low细胞表面大量表达功能性的CXCR4受体,而CD23int细胞则以分泌 SDF-1为主。在SDF-1的刺激作用下CD23int细胞可向CD23low细胞转变。这一结果提示SDF-1/CXCR4轴在维持此二型细胞的稳态中起了关键的作用,很好地促进了hu/SCID肿瘤的生长。用SDF-1抗体或小分子CXCR4拮抗剂TC14012均能显著抑制hu/SCID肿瘤细胞的增殖。随着近年来RNA干扰技术的兴起和发展, Lapteva等[26]报道了用干扰性小分子RNA(siRNA)干扰乳腺癌细胞MDA-MB-231的CXCR4表达,结果发现乳腺癌细胞的侵袭力和黏附力明显下降,肿瘤生长缓慢,并且进一步证明缺乏CXCR4表达的乳腺癌细胞不能在SCID小鼠体内生长,此研究结果提示CXCR4对体内肿瘤生长和转移起着重要的作用,有可能作为乳腺癌治疗的靶点。总之,SDF-1/CXCR4在许多生理和病理过程中都发挥着重要的效应。随着其在血液系统肿瘤生长、浸润和耐药过程中作用机制的研究深入,SDF-1/CXCR4可能成为血液系统肿瘤治疗上的新靶点。
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