The cell-killing effect of hypethermic chemotherapy on gastric cancer
- Author:
Rui TANG
1
Author Information
1. Institute of Digestive Surgery
- Publication Type:Journal Article
- Keywords:
Cells;
Cultured;
Diathermy;
Drug therapy;
Stomach neoplasms
- From:
Tumor
2007;27(6):419-424
- CountryChina
- Language:Chinese
-
Abstract:
Objective: This study was undertaken to access the impact of hyperthermic chemotherapy (HTCT) on human gastric cancer cells in vitro. Methods: Six human gastric cancer cell lines (AGS, MKN45, SGC7901, NCI-N87, SNU-1 and SNU-16) and gastric cancer cells originated from clinical patients were used in this study. Treatment conditions were categorized into 4 modes: normothermic control (NT, 37°C), hyperthermia (HT, 43°C), normothermic chemotherapy (NTCT) and HTCT. The cells were treated with different concentrations of cis-diammine dichloroplatinum (CDDP, 0 to 32 mg/L) in combination with hyperthermia for 2 h. MTT assay was adopted to evaluate cell proliferation and cytotoxicity after HTCT. Preliminary morphological changes were observed under light microscope (LM) while ultrastructure changes and the definite cell death type were determined by transmission electron microscopy (TEM) and fluorescent microscopy (FM). The quantitative ratio of apoptosis and necrosis was determined by Annexin V-FITC and PI double staining using flow cytometry (FCM). Results: According to MTT assay and LM observation, there was a synergistic effect between hyperthermia and chemotherapy in inhibiting proliferation of the different types of gastric cancer cells. Hyperthermia enhanced the sensitivity of gastric cancer cells to CDDP chemotherapy. The concentration of CDDP required for inhibiting cell proliferation and inducing cell death was much lower in HTCT group than that of NTCT group. TEM and FCM examination showed that HTCT induced both apoptosis and necrosis of AGS and SNU-1 cells and apoptosis was the major type of cell death. Conclusion: There exists significant synergistic effect between hyperthermia and chemotherapy in inhibiting the proliferation of gastric cancer cells. Hyperthermia enhances the sensitivity of gastric cancer cells to chemotherapy. HTCT induces two patterns of cell death, apoptosis and necrosis, in gastric cancer cells. Apoptosis was the major type of cell death.
