1.广州医科大学附属第二医院麻醉科,广东 广州,510260
2.广州市红十字会医院,广东 广州,510220
3.中山大学肿瘤防治中心,广东 广州,510060
梁沛彰,硕士生,研究方向:镇痛药与肿瘤免疫,E-mail: liangpeizhang@163.com
朱浩乾,共同第一作者,研究方向:镇痛药与肿瘤免疫, E-mail: zhq199611@163.com;
收稿:2022-09-05,
纸质出版:2022-11-20
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梁沛彰,朱浩乾,张小敏等.吗啡对小鼠黑色素瘤的生长及免疫治疗效果的影响[J].中山大学学报(医学科学版),2022,43(06):938-945.
LIANG Pei-zhang,ZHU Hao-qian,ZHANG Xiao-min,et al.The Effect of Morphine On Tumor Growth of Melanoma And The Immunotherapy Efficacy[J].Journal of Sun Yat-sen University(Medical Sciences),2022,43(06):938-945.
梁沛彰,朱浩乾,张小敏等.吗啡对小鼠黑色素瘤的生长及免疫治疗效果的影响[J].中山大学学报(医学科学版),2022,43(06):938-945. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0609.
LIANG Pei-zhang,ZHU Hao-qian,ZHANG Xiao-min,et al.The Effect of Morphine On Tumor Growth of Melanoma And The Immunotherapy Efficacy[J].Journal of Sun Yat-sen University(Medical Sciences),2022,43(06):938-945. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0609.
目的
2
研究吗啡对CD8
+
T细胞功能的影响以及对小鼠黑色素瘤肿瘤生长和PD-1抗体免疫治疗效果的影响。
方法
2
体外激活CD8
+
T细胞,并给予不同浓度的吗啡刺激,流式细胞术分析CD8
+
T细胞激活和分泌IFN
+
的情况;雌性C57小鼠接种小鼠黑色素瘤肿瘤细胞,接种第7天开始腹腔注射中等剂量的吗啡,检测肿瘤体积的变化,观察小鼠黑色素瘤生长曲线和小鼠生存曲线;雌性C57/BL6小鼠接种小鼠黑色素瘤肿瘤细胞,连续腹腔注射给予PD-1抗体3次,同时腹腔注射中等剂量的吗啡,检测肿瘤体积的变化和小鼠生存曲线。
结果
2
与对照组相比,中、高剂量吗啡可以显著抑制CD8
+
T细胞的激活和IFN
+
的分泌(
P
<
0.05);与对照组相比,腹腔注射中剂量吗啡可以显著增加黑色素瘤的生长体积(
P
<
0.01),明显缩短荷瘤小鼠的生存期。与单独应用PD-1抗体组相比,吗啡与PD-1联合应用后,小鼠黑色素瘤的生长体积明显增加(
P
<
0.01),荷瘤小鼠生存期明显缩短。
结论
2
吗啡促进黑色素瘤的生长,并拮抗PD-1抗体免疫治疗效果,其作用可能与其抑制CD8
+
T细胞的激活和功能有关。
Objective
2
To study the effect of morphine on the function of CD8
+
T cells, tumor growth of melanoma and immunotherapy efficacy of PD-1.
Method
2
Isolated CD8
+
T cells were activated in vitro and stimulated with different concentrations of morphine. Flow cytometry was used to analyze the percentage of activated CD8
+
T cell and the secretion of IFN
+
. Female C57/BL6 mice were inoculated with mouse melanoma tumor cells. On day 7 after inoculation, middle dose of morphine was injected intraperitoneally and the tumor volume was recorded. The tumor growth curve and survival curve of mice were plotted. Female C57/BL6 mice were inoculated with mouse melanoma tumor cells and were intraperitoneally treated with 200ug PD-1 antibody for 3 times continuously. Meanwhile, middle dose of morphine was injected intraperitoneally and tumor volume was measured. The tumor growth curve and survival curve of the mice were plotted.
Results
2
Compared with control group , middle and high doses of morphine significantly inhibited the activation of CD8
+
T cells and the secretion of IFN
+
(
P
<
0.05); middle doses of morphine also promoted tumor growth (
P
<
0.01) and shortened the survival time of tumor bearing mice. Combined treatment with PD-1 antibody, morphine significantly increased tumor growth(
P
<
0.01) and shortened the survival time of bearing tumor mice.
Conclusions
2
Morphine promote tumor growth and antagonize the efficacy of PD-1 immunotherapy. These effects may be related to the inhibition of morphine on the activation and function of CD8
+
T cells.
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