辐射诱导靶向基因治疗与α粒子联合抗肿瘤作用的旁效应

Antitumor bystander effect induced by radiation-inducible target gene therapy combined with α particle irradiation

为探索辐射诱导(Egr-1)靶向基因治疗与α粒子照射联合作用对靶区周围肿瘤及正常细胞的影响,将经辐射诱导腺病毒(Ad-ET)处理后的辐照与未受辐照细胞通过共培养体系进行培养,观察受体肿瘤细胞A549和正常细胞MRC-5的生存率和凋亡情况。结果显示,辐射诱导腺病毒Ad-ET联合剂量为0.5 Gy的粒子照射可以对肿瘤细胞A549产生显著的协同抗肿瘤作用,且辐射联合处理组中受体肿瘤细胞的存活率比单独病毒处理组的下降6%,凋亡率显著上升4.9%,而正常细胞中没有此现象发生。结果说明Ad-ET与α粒子照射联合可显著抑制旁区肿瘤细胞生长并引起凋亡,而对正常细胞几乎无影响。证明了辐射诱导的靶向TRAIL基因治疗与辐射联合,可通过特异性增强对靶区周围肿瘤细胞的杀伤进一步提高放射治疗疗效。

In this work, we investigated the bystander effect of the tumor and normal cells surrounding the target region caused by radiation-inducible target gene therapy combined with c^-particle irradiation. The receptor tumor cell A549 and normal cell MRC-5 were co-cultured with the donor cells irradiated to 0.5 Gy or the non-irradiated donor cells, and their survival and apoptosis fractions were evaluated. The results showed that the combined treatment of Ad-ET and α particle irradiation could induce synergistic antitumor effect on A549 tumor cell, and the survival fraction of receptor cells co-cultured with the irradiated cells decreased by 6%, compared with receptor cells co-cultured with non-irradiated cells, and the apoptosis fraction increased in the same circumstance, but no difference was observed with the normal cells. This study demonstrates that Ad-ET combined with α-particle irradiation can significantly cause the bystander effect on neighboring tumor cells by inhibiting cell growth and inducing apoptosis, without obvious toxicity to normal cells. This suggests that combining radiation-inducible TRAIL gene therapy and irradiation may improve tumor treatment efficacy by specifically targeting tumor cells and even involving the neighboring tumor cells.