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    題名: 發展可誘導性之幹細胞傳送系統作為腎細胞癌之標靶治療;Developing an inducible stem cell-based gene delivery system for renal cell carcinoma targeted therapy
    作者: 蕭琬錡;Wan-Chi Hsiao
    貢獻者: 中國醫藥大學:癌症生物學研究所
    關鍵詞: 腎細胞癌;人類間質幹細胞;RCC;hMSC
    日期: 2009-07-01
    上傳時間: 2009-08-12 13:50:03 (UTC+8)
    摘要: 腎細胞癌是對放射線及化學治療極具抗性的癌症之一,基因治療也許可以作為腎細胞癌的另一治療策略。然而目前發展出來的基因治療策略在系統性傳遞和腫瘤辨識特異性成效皆不佳。近期研究發現人類間質幹細胞(human mesenchymal stem cells, hMSCs)具有自導引至腫瘤位置的特性,且已被廣為研究作為攜帶抗腫瘤藥物包括融瘤腺病毒(oncolytic adenoviruses)的工具,之前研究發表在特殊條件下具複製能力的腺病毒: Ad-hOC-E1,會選擇地於有表現osteocalcin的細胞內進行複製造成細胞毒殺效果,且其複製能力可被vitamin D3誘導放大。在這邊我們評估人類間質幹細胞做為攜帶Ad-hOC-E1的工具帶至腎細胞癌的可行性,並藉由vitamin D3增進治療效果,成功地引誘病毒複製更有效率地殺死目標細胞。 在我們的體外細胞移行實驗(Migration assay)顯示腎細胞癌細胞比人類正常腎表皮細胞更具吸引人類間質幹細胞的能力。另一方面,人類間質幹細胞相較於已分化的人類骨髓基質細胞(HS27A),可很快速地移行至腎細胞癌。利用人類細胞激素抗體微陣列(human cytokine antibody array)顯示血小板原生長因子AA (PDGF AA)可能參與影響腎細胞癌對人類間質幹細胞的化學趨性現象。在定量反轉錄聚合酶連鎖反應(qRT-PCR)可以發現人類間質幹細胞基本表現量很低的osteocalcin(OC)在vitamin D3引誘下表現量可增加達四百倍之高,此現象也可在腎細胞癌看到。同時,Ad-hOC-E1一般情況下對人類間質幹細胞不會造成細胞毒殺作用,但是當施予vitamin D3會導致顯著地細胞死亡。此外,Ad-hOC-E1導入後的人類間質幹細胞,在vitamin D3引誘下,可以釋放病毒並轉移到共培養的腎細胞癌內,達到殺死癌細胞的效果,而無複製能力的Ad-CMV-PA則無此作用。這些結果是第一次發展出運用幹細胞做為運送系統攜帶融瘤腺病毒的可誘導式腎細胞基因治療, 這些結果將進一步在動物實驗中證實。

    Renal cell carcinoma (RCC) is one of the most resistant tumors to radiation and chemotherapy. Gene therapy represents a promising treatment for patient with RCC. However, the efficiency of systemic delivery and tumor specific targeting using currently developed gene therapy approach is limited. Human mesenchymal stem cells (hMSCs) have been recently reported to home to tumor sites and could act as a vehicle for anti-cancer agents including oncolytic Adenoviruses. Previous studies have demonstrated that conditional replication-competent adenoviral vector, Ad-hOC-E1, selectively replicated in osteocalcin(OC)-expressing cells with the enhancement of cytotoxicity upon vitamin D3 induction. Here, we test the feasibility of using hMSCs as a targeting cellular vehicle to deliver Ad-hOC-E1 into RCC and successively induce tumor-kill by vitamin D3 treatment to improve the therapeutic efficiency. Our in vitro migration assay demonstrated that RCC attracted hMSCs much more than normal human renal epithelial cells did. On the other hand, hMSCs rapidly migrated toward RCC compared to differentiated bone marrow stromal cells, HS27A. Antibody array analysis revealed PDGF-AA might be a candidate of RCC-derived chemoattractant for hMSCs. In addition, like RCC, the nearly undetectable basal-level of OC in hMSCs can be dramatically induced by vitamin D3 up to 160 folds, as determined by qRT-PCR. Similarly, Ad-hOC-E1 has no cytotoxic effect on hMSCs but markedly kill cells upon vitamin D3 treatment. Moreover, with vitamin D3 induction, Ad-hOC-E1 but not a replication-defective Ad-CMV-PA pre-infected hMSCs released viruses and then transferred to co-cultured RCC cells, which resulted in cancer cell-kill. Taken together, these results present for the first time to develop an inducible stem cell-based gene delivery system carrying oncolytic adenoviruses for renal cell carcinoma targeted therapy. Our in vitro results warrant a future evaluation in vivo.
    顯示於類別:[癌症生物學研究所] 博碩士論文

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