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Cryochirurgie prépératoire : mécanismes cellulaires et moléculaires et dynamique d'une cryothérapie améliorée grâce au facteur de nécrose tumorale (TNF-a) dans un système de modélisation du cancer de la prostate in vivo.

Pre-conditioning cryosurgery: cellular and molecular mechanisms and dynamics of TNF-a enhanced cryotherapy in an in vivo prostate cancer model system.

Auteurs : JIANG J., GOEL R., SCHMECHEL S., et al.

Type d'article : Article

Résumé

Cryosurgery is increasingly being used to treat prostate cancer; however, a major limitation is local recurrence of disease within the previously frozen tissue. We have recently demonstrated that tumor necrosis factor alpha (TNF-a), given 4 h prior to cryosurgery can yield complete destruction of prostate cancer within a cryosurgical iceball. The present work continues the investigation of the cellular and molecular mechanisms and dynamics of TNF-a enhancement on cryosurgery. In vivo prostate tumor (LNCaP Pro 5) was grown in a dorsal skin fold chamber (DSFC) on a male nude mouse. Intravital imaging, thermography, and post-sacrifice histology and immunohistochemistry were used to assess iceball location and the ensuing biological effects after cryosurgery with and without TNF-a pre-treatment. Destruction was specifically measured by vascular stasis and by the size of histologic zones of injury (i.e., inflammatory infiltrate and necrosis). TNF-a induced vascular pre-conditioning events that peaked at 4 h and diminished over several days. Early events (4–24 h) include upregulation of inflammatory markers (nuclear factor-?B (NF?B) and vascular cell adhesion molecule-1 (VCAM)) and caspase activity in the tumor prior to cryosurgery. TNF-a pre-conditioning resulted in recruitment of an augmented inflammatory infiltrate at day 3 post treatment vs. cryosurgery alone. Finally, pre-conditioning yielded enhanced cryosurgical destruction up to the iceball edge at days 1 and 3 vs. cryosurgery alone. Thus, TNF-a pre-conditioning enhances cryosurgical lesions by vascular mechanisms that lead to tumor cell injury via promotion of inflammation and leukocyte (esp. neutrophil) recruitment. [Reprinted with permission from Elsevier. Copyright, 2010].

Détails

  • Titre original : Pre-conditioning cryosurgery: cellular and molecular mechanisms and dynamics of TNF-a enhanced cryotherapy in an in vivo prostate cancer model system.
  • Identifiant de la fiche : 30003655
  • Langues : Anglais
  • Source : Cryobiology - vol. 61 - n. 3
  • Date d'édition : 12/2010
  • DOI : http://dx.doi.org/10.1016/j.cryobiol.2010.09.006

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