Data are presented indicating that the growth of 5 out of 5 murine lymphoid tumors can be inhibited in a synergistic fashion in vitro by combined treatment with the iron chelator deferoxamine (DFO) and an immunoglobulin G (IgG) monoclonal anti-transferrin receptor antibody (ATRA). A two-way dose/response analysis shows that the ATRA becomes more efficient as an inhibitor with increasing doses of DFO. Flow cytometric studies further support the view that IgG ATRAS impair transferrin receptor (TR) function by causing TR down-modulation and degradation, even when the presence of DFO acts to promote increased cell surface TR expression. It is also shown that an IgG ATRA is nearly as effective as an IgM ATRA in inhibiting tumor cell growth when used in combination with DFO. Finally, studies with the iron chelator picolinic acid show that it produces only additive, or very slightly supra-additive, effects when used in combination with the ATRA. Therefore, these studies not only continue to suggest that combination chelator/ATRA therapy warrants further investigation as a tool in the therapy of hematopoietic malignancies, but also make the following new points: (1) the clinically familiar iron chelator deferoxamine, but not all iron chelators, produces synergistic inhibition of tumor growth in vitro with ATRAS; and (2) IgG ATRAS, which may be clinically more attractive reagents than IgA or IgM ATRAS because of better access to extra vascular tissue spaces, have unexpectedly been found to function as powerful growth inhibitors when used in combination with DFO.

译文

提供的数据表明,通过与铁螯合剂去铁胺 (DFO) 和免疫球蛋白G (IgG) 单克隆抗转铁蛋白受体联合治疗,可以在体外以协同方式抑制5种鼠淋巴样肿瘤中的5种的生长抗体 (ATRA)。双向剂量/反应分析表明,随着DFO剂量的增加,ATRA作为抑制剂变得更有效。流式细胞术研究进一步支持以下观点: 即使DFO的存在促进细胞表面TR表达增加,IgG ATRAS也会通过引起TR下调和降解而损害运铁蛋白受体 (TR) 的功能。还显示,当与DFO组合使用时,IgG ATRA在抑制肿瘤细胞生长方面几乎与IgM ATRA一样有效。最后,对铁螯合剂吡啶甲酸的研究表明,与ATRA结合使用时,它仅产生添加剂或非常轻微的超添加剂效应。因此,这些研究不仅继续表明,螯合剂/ATRA联合治疗值得进一步研究作为治疗造血系统恶性肿瘤的工具,而且还提出了以下新的观点 :( 1) 临床上熟悉的铁螯合剂去铁胺,但不是所有的铁螯合剂,与ATRAS在体外产生肿瘤生长的协同抑制; 和 (2) IgG ATRAS在临床上可能比IgA或IgM ATRAS更具吸引力,因为更好地进入额外的血管组织空间,当与DFO组合使用时,已意外地发现IgG ATRAS具有强大的生长抑制剂的功能。

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