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鼻咽鼻腔癌前病变的化学预防与治疗
EXPERIMENTAL STUDIES ON CHEMOPREVENTION OF PRECANCEROUS LESIONS AND CANCER OF THE NASOPHARYNX AND NASOCAVITY
【摘要】 作者在建立鼻咽癌前期病变模型的基础上,研究中药复方抗癌Ⅱ片、抗癌Ⅲ片,维胺酯(RI)等对大鼠鼻腔上皮癌前病变的抑制作用:给予20 mg/kg或40 mg/kg二亚硝基哌嗪(DNP),全部动物鼻腔粘膜发生不典型增生。RI治疗组癌变率由对照组100%下降至61.5%和76.5%,预防组癌变率由对照组85.7%下降至38.4%(P<0.01);抗癌Ⅱ片、抗癌Ⅱ片与RI的联合使用预防癌变,癌变率由对照组60%分别下降至36.5%和20.1%(P<0.05);抗癌Ⅱ片.抗癌Ⅲ片治疗癌变,癌变率由对照组60%分别下降至24.1%和31.4%(P<0.05)。
【Abstract】 Experimental prevention and treatment of precancerous lesions and cancer of nasoca-vity and nasopharynx have not been report in the literature. This paper reports the inhibitory effect of the Chinese Herbs Complex, anticancer Ⅱ and anticancer Ⅲ), and the reti-noids, N-(4-ethoxycarbophenyl) retinamide (R Ⅰ ) and the combination of anticancer Ⅱ plus R Ⅰ on the carcinogenesis of the epithelia of nasocavity in rats. The results showed that in precancerous lesions, dysplasia occurred in all animals at doses of 20 or 40 mg/ kg body weight of dinitrosopiperazine (DNP) in the control group. In the studies of the treated group, in which R Ⅰ was given after the last dose of DNP, the percentage of precancerous lesions that developed into cancer decreased from 100% in the control group to 61.5% and 76.5% in the treated groups.If RⅠ was given before the DNP, i. e. the prevention group, the incidence decreased from 85.7% in the control group to 38.4% in the prevention group. The anticancer Ⅱ, Ⅲ and the combination of anticancer Ⅱ with RⅠ had significant inhibitory effects on the carcinogenesis (P<0.05). The malignant change rate of the control group was 60%; while it decreased to 36.5% in the anticancer Ⅱ prevention group; 24.1% in the anticancer Ⅱ treated group; 31.4% in the anticancer Ⅲ treated group; and 29.1% in the combination group. But only mild decreases were observed in the anticancer Ⅲ prevention group (46.0%) and asparagus group (40.0%) (P> 0.05). These studies showed that by using anticancer Ⅱ with or without the combination of R Ⅰ is a good way to decrease the malignant changes in the nasopharynx and nasocavi-ty of rats. As the anticancer Ⅱ has no side effect, it can be used in humans, especially in the high incidence area of nasopharyngeal carcinoma, to decrease the incidence rate of nasopharyngeal cancer.
【Key words】 precancerous lesions; nasocavity and nasopharynx; Chinese herbs; chemoprevention N-(4-ethoxycarbophenyl); retinamide; dinitrosopiperazine;
- 【文献出处】 中山医科大学学报 , 编辑部邮箱 ,1992年04期
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