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1. 携带MDR1基因的逆转录病毒载体的安全性研究 2. 大剂量阿霉素化疗联合全反式维甲酸对肝癌小鼠的影响实验研究
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摘要
题目1携带MDR1基因的逆转录病毒载体的安全性研究
     目的:探讨携带MDR1基因的逆转录病毒载体在转染入小鼠骨髓单个核细胞(BM-MNCs)前后,转染MDR1基因的BM-MNCs回输或种植在小鼠体内后有无自我复制能力的逆转录病毒产生或致瘤性,为进一步临床应用提供安全性实验依据。
     方法: (1)收集产病毒包装细胞PA317-HaMDR1/A的细胞上清液,浓缩后用RT-PCR法检测MDR1和env基因的表达情况;(2)浓缩病毒上清液转染小鼠BM-MNCs后,RT-PCR法检测BM-MNCs中MDR1和env基因的表达情况;(3)20只BALB/c小鼠(经60Co-γ放疗预处理)随机分为两组,每组10只:实验组回输转染MDR1基因的BM-MNCs,对照组回输等量生理盐水,监测外周血白细胞计数变化情况;每月检测骨髓和外周血单个核细胞中MDR1和env基因的表达情况;(4)20只裸鼠随机分为两组,每组10只,实验组在裸鼠腋部皮下注射转染MDR1基因的BM-MNCs,对照组注射等量的生理盐水,观察注射部位有无肿块生成;监测外周血白细胞计数;RT-PCR法检测腋部皮下结缔组织、骨髓和外周血单个核细胞中MDR1和env基因的表达情况;HE染色、电镜检测裸鼠腋部皮下结缔组织结构有无改变。
     结果: (1)RT-PCR法在PA317-HaMDR1/A细胞浓缩的病毒上清液中检测到MDR1基因表达的特异性条带,未检测到env基因的表达条带;(2)RT-PCR法在转染的小鼠BM-MNCs中检测到MDR1基因的表达,未检测到env基因的表达;(3)实验组BALB/c小鼠外周血白细胞计数下降较对照组缓慢,在第7天白细胞计数开始回升,在12天后两组差异有显著性意义(P<0.05);RT-PCR法在实验组小鼠骨髓和外周血单个核细胞中均检测到MDR1基因的表达,未检测到env基因的表达;(4)两组裸鼠外周血白细胞计数未见明显异常,差异无统计学意义(P<0.05);RT-PCR法在裸鼠腋部皮下结缔组织、骨髓和外周血单个核细胞中均未检测到MDR1和env基因的表达;透射电镜在裸鼠腋部皮下结缔组织中未检测到逆转录病毒颗粒,结缔组织结构未见明显异常;病理HE染色见结缔组织形态结构无异常,未见病理性核分裂像。
     结论:病毒上清液及转染MDR1基因的BM-MNCs回输入体内前后均未检测到有复制能力的逆转录病毒产生;转染MDR1基因的BM-MNCs无致瘤性。
     题目2大剂量阿霉素化疗联合全反式维甲酸对肝癌小鼠的影响实验研究
     目的:维甲酸类化合物对多种恶性肿瘤具有诱导分化、抑制增殖、诱导凋亡等作用,是一类疗效确切的抗肿瘤药物。本研究将MDR1基因转染入骨髓单个核细胞(BM-MNCs)后回输入肝癌小鼠体内,观察阿阿霉素大剂量化疗联合应用全反式维甲酸(ATRA)后对肝癌组织生长、外周血白细胞计数、肝癌组织P-gp及增殖凋亡因子表达的影响,和外源性MDR1基因在体内的分布情况。
     方法:收集产病毒包装细胞PA317-HaMDR1/A的病毒上清液并浓缩,采用病毒上清转染法转染BALB/c小鼠BM-MNCs,RT-PCR法检测小鼠BM-MNCs中MDR1基因的表达情况;将40只肝癌荷瘤BALB/c小鼠随机分为5组:A正常对照组(不照射不回输),B空白对照组(照射并回输等量生理盐水),C阴性对照组(照射并回输未转染MDR1基因的BM-MNCs),D1联合用药组(照射并回输转染MDR1基因的BM-MNCs),D2阿霉素组(照射并回输转染MDR1基因的BM-MNCs),每组8只。B、C、D1组进行大剂量阿霉素化疗同时联合应用ATRA,D2组单用阿霉素大剂量化疗,每三天监测各组肝癌组织的大小、外周血白细胞计数变化情况,每周用FISH和RT-PCR法检测各组小鼠外周血和BM-MNCs、肿瘤组织和重要脏器中MDR1基因的表达和分布情况,每周用免疫组织化学法检测各组肝癌组织P-gp和增殖凋亡因子的表达情况。
     结果:(1)RT-PCR法证实外源性MDR1基因可有效地整合到小鼠BM-MNCs基因组中并进行转录表达;RT-PCR法在联合用药组D1和阿霉素组D2肝癌小鼠的外周血和BM-MNCs中均检测到MDR1基因的表达;(2)联合用药组D1组和阿霉素组D2组肝癌小鼠肿瘤组织的瘤重较对照组轻,化疗18天后差异有统计学意义(P<0.05);联合用药组D1组肝癌小鼠的肿瘤组织的瘤重总体较阿霉素组D2组的轻,但差异无统计学意义(P>0.05);(3)联合用药组D1组和阿霉素组D2组肝癌小鼠外周血白细胞计数高于两个对照组,化疗第2周后差异有统计学意义(P<0.01);联合用药组D1组和阿霉素组D2组肝癌小鼠外周血白细胞计数差异无统计学意义(P>0.05);(4)FISH和RT-PCR法在转染组小鼠小鼠重要脏器和肿瘤组织中均未检测到BM-MNCs和外源性MDR1基因定植和表达;(5)随着化疗剂量的增加,联合用药组D1组与阿霉素组D2组比较肝癌组织中P53、bax、PCNA和Ki-67表达的阳性率差异无统计学意义(P>0.05);化疗4周后联合用药组D1组肝癌组织中P-gp表达阳性率高于阿霉素组D2组,增高有统计学意义(P<0.05);化疗3周后联合用药组D1组肝癌组织Bcl-2的表达阳性率均高于阿霉素组D2组,差异有统计学意义(P<0.05)。
     结论:(1)通过逆转录病毒载体可在体外将外源性MDR1基因转入小鼠BM-MNCs中,外源性MDR1基因转染回输后在小鼠骨髓和外周血单个核细胞有持续表达;(2)ATRA和阿霉素联用后不能增强或减弱阿霉素化疗的疗效,ATRA和阿霉素联用无协同或拮抗作用;(3)ATRA和阿霉素联用后与单用阿霉素比较,两者对骨髓造血功能的影响差异无统计学意义;(4)外源性MDR1基因转染移植后在小鼠重要脏器和肿瘤组织无表达;(5)全反式维甲酸能增加肝癌组织中P-gp表达的阳性率,增强了肝癌组织的耐药性,推测可能与上调抗凋亡因子Bcl-2的表达有关,而与增殖相关因子PCNA、Ki-67,凋亡相关因子P53、Bax的表达无直接关系。
THE SAFETY RESEARCH OF RETROVIRAL VECTOR WHICH CARRIED MDR1 GENE
     Objective : To detecte wether there have producted replication -competent retroviral before or after the MDR1 gene which carried by retroviral vector transfect into BM-MNCs,and the BM-MNCs transfected with MDR1 gene import into mice, and observe wether the BM-MNCs transfected with MDR1 gene have oncogenicity,in order to offer a experimental support for retrovirol as a vector of gene therapy .
     Method: (1)Collected and concentrated the supernatant fluid of PA317-MDR1/A cell, detect the expression of MDR1 gene and env gene by RT-PCR;(2)after transfected mouse bone marrow mononuclear cells (BM-MNCs) with concentrated supernatant of retroviral, detect the expression of MDR1 gene and env gene by RT-PCR;(3)BM-MNCs transfected with MDR1 gene input into BALB/c mouse through vena caudalis primed by 60CO-γ,the control group input tales dose physiological saline, each group have 10 mouses, monitor the white blood cells’(WBC) change, detect the expression of MDR1 and env gene in bone marrow and peripheral blood mononuclearcells;(4)BM-MNCs transfect with MDR1 gene growth in axil subcutaneous, the control group inject physiological saline, each group have 10 mouse,observe wether there have oncologesis; survey wether there have abnormality change by electron microscope; monitor the WBC change; detect the expression of MDR1 and eenv gene in subcutaneous connective tissue of axil of athymic mouse、bone marrow and peripheral blood mononuclear cells.
     Result: (1)the MDR1 gene in concentrated supernanant fluid can be detected by RT-PCR assay, but no env gene detected;(2)MDR1 gene was detected in BM-MNCs transfected with MDR1gene by RT-PCR assay, but no env gene detected;(3)the white cell count of experimental group decreased slowly than the control group’s, and there are difference between two groups after 12 days;MDR1 gene was detected in bone marrow and peripheral blood mononuclear cells of the experimental group,there was no env gene expression;(4)The white cell count were no difference between the two group of nude mouse(P<0.05);there were no MDR1 or env gene express in axil subcutaneous connective tissue、bone marrow and peripheral blood mononuclear cells of nude mouse detected by RT-PCR assay; rrtroviral particle can not be detected in axil subcutaneous connective tissue. There was no retroviral particle in oxter connective tissue of node mouse detected by transmission electron microscope;the morphous and structure of the connective tissue have no abnormalities detected by HE staining,and there had no patho-caryocinesia in the connective tissue.
     Conclusion : the env gene can not be detected before or after BM-MNCs which carried MDR1 gene import into mouse;the BM-MNCs that transfected MDR1 gene have no oncogenicity
     EXPERIMENTAL RESEARCH ON THE OVER DOSE ADRIAMYCIN CHEM COMBINED WITH ALL-TRAN- RATINOIC ACID TO MICE WITH LIVER CANCER
     Objective:Retinoid compound have many effectiveness to kinds of malignant tumour ,such as induce differentiation、suppress proliferation、derivn apoptosis、et al,it is an antitumor drug. Our research used BM-MNCs transfected with MDR1 gene import into mouse with liver cancer,to observe the growth of liver cancer、the count of WBC in peripheral blood、the express of P-gp、proliferation and apoptosis factor in liver cancer,the distribute of MDR1 gene in vivo.
     Method: Collected and condensed the virus supernatant liquid of incasing cell PA317-HaMDR1/A which product retroviral,using virus supernatant liquid to transfect the BM-MNCs of BALB/c mouse,detected the expression of MDR1 gene in BM-MNCs by RT-PCR; 40 BALB/c mousse with liver cancer divided into 5 groups randomly: A control group(nor exposure or import), B blank(exposure and impore physiological saline),C nagtive control(exposure and impore BM-MNCs non-transfected MDR1 gene)D1 transfected group(exposure and impore BM-MNCs transfected MDR1 gene), D2 transfected group(exposure and impore BM-MNCs transfected MDR1 gene),each group has 8 mouses. B、Cand D1 group treated with Over dose ADM chem Combined with ATRA , D2group treated with over dose ADM chem only, monitor the size of liver cancer、the count of peripheral white blood cells every three days, detect the expression and distribute of MDR1 gene in tumor and the important organs by RT-PCR and FISH,detect the expression of P-gp、proliferation and apoptosis factor in liver cancer every week by immunohistochemical method。
     Result:(1) It’s confirm by RT-PCR that exogenous MDR1gene can integrate and express in BM-MNCs of mouse;the expression of MDR1 gene can be detected in peripheral blood and BM-MNCs of liver cancer mouse in both the drug combination D1 and the ADM group D2. (2) the weight of the tumor in the drug combination group D1 and the ADM group D2 lighter than the control groups 18 days after chem (P<0.05), the weight of liver cancer in mouse of D1 group lighter than the D2 group,but the difference has no statisticsal significance (P> 0.05).(3) White cell count in peripheral blood of the mouse in MDR1 transferring group D1 and D2 groups are more than the control groups, There was statistically significant between the two groups 2 weeks later after chemotherapy (P<0.01);but the count of perithal blood whith cell in the drug combination group D1 compared with the ADM D2 group’s have no significant difference (P>0.05);(4)there were no MDR1 gene expression in important organ and tumor detected by FISH and RT-PCR assay;(5) following the increase of the chem dose, the expression of P53、bax、PCNA and Ki-67 in liver cancer between D1 and D2 group have no difference(P>0.05); the expression of P-gp in liver cancer of the drug combination group D1 was higher than the ADM group D2 after chem two weeks(P<0.05); the expression of Bcl-2 in liver cancer of the drug combination D1 group was higher than the ADM group D2 on every week (P<0.05).
     Conclusion: (1) The exogenous MDR1 gene can be transfected into BM-MNCs of mouse through retroviral vector, and it can express in BM and PB-MNCs of mouse after transfection;(2) ATRA combined with ADM can’t enhance or attenuate the curative effect of ADM chem.,usingADM combined with ATRA have no synergistic or rivalry effect;(3) ATRA have no influence on the haemopoiesis of bone marrow;(4) there were no extrogen MDR1 gene expressed in important organ and tumor;(5) ATRA can increase the expression of P-gp and reinforce the drug resistance in liver cancer, we suppose that maybe related with up-regulation the expression of Bcl-2, but may not related with the expression of PCNA、Ki-67、P53 and bax.
引文
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