[1]秦焕蓉,程芝梅,吴祥锴,等.经导管动脉化疗栓塞和微波消融治疗VX2肝癌诱导低氧诱导因子-1α调节糖酵解与微血管密度相关性分析研究[J].介入放射学杂志,2024,33(04):390-396.
 QIN Huanrong,CHENG Zhimei,WU Xiangkai,et al.Correlation between HIF-1α regulation of glycolysis and microvessel density induced by transcatheter arterial chemoembolization and microwave ablation in experimental rabbits with VX2 hepatocellular carcinoma[J].journal interventional radiology,2024,33(04):390-396.
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经导管动脉化疗栓塞和微波消融治疗VX2肝癌诱导低氧诱导因子-1α调节糖酵解与微血管密度相关性分析研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年04
页码:
390-396
栏目:
实验研究
出版日期:
2024-05-04

文章信息/Info

Title:
Correlation between HIF-1α regulation of glycolysis and microvessel density induced by transcatheter arterial chemoembolization and microwave ablation in experimental rabbits with VX2 hepatocellular carcinoma
作者:
秦焕蓉 程芝梅 吴祥锴 何慧州 郭韵涵 王黎洲 张 帅 周 石
Author(s):
QIN Huanrong CHENG Zhimei WU Xiangkai HE Huizhou GUO Yunhan WANG Lizhou ZHANG Shuai ZHOU Shi.
School of Imaging, Guizhou Medical University, Guiyang, Guizhou Province 550004, China
关键词:
【关键词】 肝肿瘤经导管动脉化疗栓塞术微波消融模型糖酵解
文献标志码:
A
摘要:
【摘要】 目的 探讨经导管动脉化疗栓塞术(TACE)和微波消融(MWA)治疗VX2肝癌诱导的低氧诱导因子(HIF)- 1α糖酵解与微血管密度相关性。方法 选取19只新西兰兔,建立18只VX2肝癌模型。随机分为对照组(建模不做处理,n=6)、TACE组(经肝动脉注射碘化油和吡柔比星乳剂,n=6)、MWA组(经皮穿刺肿瘤后行MWA,n=6)。肿瘤长至1.5~2 cm时行相应手术治疗。术后2周处死实验兔,取肿瘤及瘤周些许肝组织。苏木精- 伊红(HE)染色观察肿瘤细胞形态。免疫组化检测肿瘤HIF- 1α、微血管密度(CD34、CD105标记)、血管内皮细胞生长因子(VEGF)、Ki67表达。蛋白质印迹实验检测糖酵解关键酶己糖激酶(HK)2、丙酮酸激酶(PK)M2、乳酸脱氢酶(LDH)A、葡萄糖转运体(GLUT)1、GLUT4及丙酮酸脱氢酶激酶(PDK)1蛋白表达。结果 18只兔均建模成功,手术成功率为100%。HE染色显示肿瘤细胞排列紊乱。免疫组化检测显示,TACE组、MWA组与对照组相比,HIF- 1α、CD34、CD105、VEGF及Ki67表达升高(均P<0.05);蛋白印迹实验分析显示,与对照组相比,TACE组、MWA组术后GLUT1、GLUT4表达升高(均P<0.05);PKM2、HK2表达量MWA组升高(均P<0.05),但TACE组的差异无统计学意义(均P>0.05);LDHA、PDK1表达量TACE组升高(均P<0.05),但MWA组的差异无统计学意义(均P>0.05)。Pearson相关性分析结果表明,肿瘤内微血管密度与糖酵解代谢呈正相关。结论 TACE和MWA治疗后VX2肝癌模型糖酵解代谢上调,且与肿瘤血管新生正相关。

参考文献/References:

[1] Zhang CH, Cheng Y, Zhang S, et al. Changing epidemiology of hepatocellular carcinoma in Asia[J]. Liver Int, 2022, 42: 2029- 2041.
[2] Llovet JM,Kelley RK,Villanueva A,et al. Hepatocellular carcinoma[J]. Nat Rev Dis Primers, 2021, 7: 6.
[3] Vogel A,Meyer T,Sapisochin G,et al. Hepatocellular carcinoma [J]. Lancet, 2022, 400: 1345- 1362.
[4] Xue J, Ni H, Wang F, et al. Advances in locoregional therapy for hepatocellular carcinoma combined with immunotherapy and targeted therapy[J]. J Interv Med, 2021, 4: 105- 113.
[5] Wang Z, Liu M, Zhang DZ, et al. Microwave ablation versus laparoscopic resection as first- line therapy for solitary 3- 5- cm HCC[J]. Hepatology, 2022, 76: 66- 77.
[6] Duan X,Chen P,Han X,et al. Publisher correction:the influence of liposomal quercetin on liver damage induced by microwave ablation[J]. Sci Rep, 2017, 7: 16063.
[7] Li H, Chen P, Wang M, et al. Liposome quercetin enhances the ablation effects of microwave ablation in treating the rabbit VX2 liver tumor model[J]. Int J Hyperthermia, 2022, 39: 162- 172.
[8] 贾中芝,冯耀良,施海彬. 原发性肝癌TACE前后血清HIF- 1α与VEGF的相关性[J]. 中国介入影像与治疗学, 2010, 7:117- 120.
[9] Cheng Z, Zhang S, Wang L, et al. Ultrasound- guided percutaneous implantation of rabbit VX2 carcinoma, using a coaxial technique and gelfoam pellet injection combination to establish a rabbit liver tumor model[J]. Diagn Interv Radiol, 2022, 28: 103- 107.
[10] Chen L,Yu CX, Zhong BY,et al. Development of TACE refrac- toriness scores in hepatocellular carcinoma[J]. Front Mol Biosci, 2021, 8: 615133.
[11] Xu W, Kwon JH, Moon YH, et al. Influence of preoperative transcatheter arterial chemoembolization on gene expression in the HIF- 1α pathway in patients with hepatocellular carcinoma[J]. J Cancer Res Clin Oncol, 2014, 140: 1507- 1515.
[12] 沈海洋,刘瑞宝,刘 岩,等. 肝右叶前、后段原发性肝癌TACE后VEGF及CD34的表达水平[J]. 介入放射学杂志, 2012, 21:469- 472.
[13] Xiong XX,Qiu XY,Hu DX,et al. Advances in hypoxia- mediated mechanisms in hepatocellular carcinoma[J]. Mol Pharmacol, 2017, 92: 246- 255.
[14] Morse MA, Sun W, Kim R, et al. The role of angiogenesis in hepatocellular carcinoma[J]. Clin Cancer Res, 2019, 25: 912- 920.
[15] Yasuda S,Arii S,Mori A,et al. Hexokinase II and VEGF expression in liver tumors: correlation with hypoxia- inducible factor- 1α and its significance[J]. J Hepatol, 2004, 40: 117- 123.
[16] Koppenol WH,Bounds PL,Dang CV. Otto Warburg’s contributions to current concepts of cancer metabolism[J]. Nat Rev Cancer, 2011, 11: 325- 337.
[17] Du D,Liu C,Qin M,et al. Metabolic dysregulation and emerging therapeutical targets for hepatocellular carcinoma[J]. Acta Pharm Sin B, 2022, 12: 558- 580.
[18] DeWaal D,Nogueira V,Terry AR, et al. Hexokinase- 2 depletion inhibits glycolysis and induces oxidative phosphorylation in hepatocellular carcinoma and sensitizes to metformin[J]. Nat Commun, 2018, 9: 446.
[19] Meng YM,Jiang X,Zhao X,et al. Hexokinase 2- driven glycolysis in pericytes activates their contractility leading to tumor blood vessel abnormalities[J]. Nat Commun, 2021, 12: 6011.
[20] 李玉茹.磷酸果糖激酶- 2(PFKFBs)参与脑微血管生成的机制研究[D]. 沈阳:中国医科大学, 2021.
[21] He X,Zeng H,Chen ST,et al. Endothelial specific SIRT3 deletion impairs glycolysis and angiogenesis and causes diastolic dysfunction[J]. J Mol Cell Cardiol, 2017, 112: 104- 113.

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备注/Memo

备注/Memo:
(收稿日期:2023- 08- 17)
(本文编辑:谷 珂)
更新日期/Last Update: 2024-05-04