Abstract
Objective
To investigate the efficacy of gefitinib combined with iodine-125 (125I) radioactive particles in the treatment of transplanted tumors of the lung cancer cell line A549 in nude mice.
Materials and Methods
Twenty-four nude mice were inoculated with A549-luc human lung adenocarcinoma cells stably expressing luciferase. The tumor size was approximately 8–10 mm after 20 days. The mice were randomly divided into four groups: a control group (n = 6), an 125I particles group (n = 6), a gefitinib group (n = 6) and a gefitinib combined 125I particles implantation group (n = 6). Tumor growth was observed, and changes in tumor size were continuously measured. Bioluminescence imaging was used to detect the bioluminescence activity of human lung adenocarcinoma A549-luc cells containing the luciferase reporter gene in vivo. After 35 days, the nude mice were sacrificed, and a tumor growth curve was drawn.
Results
Before treatment, the tumor volumes of the four groups were not significantly different. The tumor volume difference was statistically significant in the four groups (control group, 125I radioactive particles, gefitinib group and combined drug group) at 5 weeks after treatment (F = 10.305, P < 0.05). The tumor size in the gefitinib combined with 125I particles group was significantly smaller than that in the gefitinib, 125I particles and control groups and significantly smaller than that before treatment. There was no significant difference in the bioluminescence signal intensity between the four groups before treatment. The numbers of biofluorescence photons difference were statistically significant in the four groups (F = 28.975, P < 0.05). The bioluminescence signal intensity in the gefitinib combined with 125I particles group was significantly lower than that in the 125I particles, gefitinib and control groups and significantly lower than that before treatment.
Conclusion
Gefitinib combined with 125I radioactive particles brachytherapy can significantly inhibit tumor growth.
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Funding
This study was supported by China Postdoctoral Research Fund (No. 2015T80489); Shanghai Municipal Health Bureau (No. 201640015); Shanghai Nature Science Foundation (19ZR1432600); Shanghai Key Specialty Construction Project (No. ZK2019A02); Shanghai Science and Technology Commission (No. 18411968600); and Shanghai Municipal Key Clinical Specialty (Nos. shslczdzk06002 and shslczdzk07002).
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The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest Author contribution statement. Zhongmin Wang and Jian Lu designed the research and supervised the report. Chaojie Li, Linyan Yao and Ju Gong performed research and wrote the paper. Haopeng Pang, Qungang Shan and Ziyin Wang analyzed data. The authors declare that they have no conflict of interest. All procedures performed in studies involving animals were in accordance with the ethical standards of the institution or practice at which the studies were conducted.
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Studies involving animal subjects Generated Statement: The animal study was reviewed and approved by Ruijin Hospital Luwan Branch Ethics Committee Shanghai Jiao Tong University School of Medicine.
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Li, C., Yao, L., Gong, J. et al. Efficacy of Gefitinib Combined with 125I Radioactive Particles in the Treatment of Transplanted Lung Cancer Tumors in Nude Mice. Cardiovasc Intervent Radiol 43, 1364–1370 (2020). https://doi.org/10.1007/s00270-020-02550-1
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DOI: https://doi.org/10.1007/s00270-020-02550-1