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자료유형
학술저널
저자정보
곽소정 (연세대학교)
저널정보
연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제61권 제12호
발행연도
2020.1
수록면
1,042 - 1,049 (8page)

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Purpose: Malignant gliomas are aggressive spinal cord tumors. In this study, we hypothesized that combination therapy using ananti-angiogenic agent, bevacizumab, and hypoxia-inducible glioblastoma-specific suicide gene could reduce tumor growth. Materials and Methods: In the present study, we evaluated the effect of combination therapy using bevacizumab and pEpo-NI2-SV-TK in reducing the proliferation of C6 cells and tumor growth in the spinal cord. Spinal cord tumor was generated by the injectionof C6 cells into the T5 level of the spinal cord. Complexes of branched polyethylenimine (bPEI)/pEpo-NI2-SV-TK were injectedinto the spinal cord tumor. Bevacizumab was then administered by an intraperitoneal injection at a dose of 7 mg/kg. The anti-cancereffects of combination therapy were analyzed by histological analyses and magnetic resonance imaging (MRI). The Basso, Beattieand Bresnahan scale scores for all of the treatment groups were recorded every other day for 15 days to assess the rat hindlimbstrength. Results: The complexes of bPEI/pEpo-NI2-SV-TK inhibited the viability of C6 cells in the hypoxia condition at 5 days after treatmentwith ganciclovir. Bevacizumab was decreased in the cell viability of human umbilical vein endothelial cells. Combinationtherapy reduced the tumor size by histological analyses and MRI. The combination therapy group showed improved hind-limbfunction compared to the other groups that were administered pEpo-NI2-SV-TK alone or bevacizumab alone. Conclusion: This study suggests that combination therapy using bevacizumab with the pEpo-NI2-SV-TK therapeutic gene couldbe useful for increasing its therapeutic benefits for intramedullary spinal cord tumors.

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