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研究生: 謝承霖
Chen-lin Hsieh
論文名稱: 結合放射治療與腺病毒-細胞激素3基因治療以治療攝護腺癌
Combining Radiotherapy and Adv-IL3 Gene Therapy for Prostate Cancer Therapy
指導教授: 江啟勳
Chi-shiun Chiang
口試委員:
學位類別: 碩士
Master
系所名稱: 原子科學院 - 生醫工程與環境科學系
Department of Biomedical Engineering and Environmental Sciences
論文出版年: 2003
畢業學年度: 91
語文別: 中文
論文頁數: 77
中文關鍵詞: 細胞激素3腺病毒放射治療攝護腺癌
外文關鍵詞: IL-3, adenovirus, radiotherapy, prostate cancer, Interleukin-3
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  • 本論文嘗試以放射治療結合腺病毒-IL3基因治療的方式對小鼠攝護腺癌 (TRAMP C-1) 進行治療,IL-3不但是調控幹細胞增生及分化成各型細胞的重要造血因子,也是癌症的免疫基因療法中可有效讓細胞毒性T細胞侵入腫瘤組織,引發毒殺腫瘤細胞免疫反應的重要因子,過去基因治療的相關實驗多是建立IL-3基因轉殖的腫瘤細胞來治療,耗時較久,若以腺病毒載體將IL-3基因帶入腫瘤細胞則更適合於臨床上的應用。雖然從受治療小鼠腫瘤生長曲線中看出放射治療結合腺病毒-IL3基因治療與單獨放射治療相比沒有明顯成效,但從RNA層面的RT-PCR結果可以得知是因為此款腺病毒載體引起的宿主免疫反應超過了IL3基因治療的效果所造成,可以改用其他類型的腺病毒載體來降低宿主免疫反應。
    本論文另一主題是不同週齡攝護腺癌基因轉殖鼠 (TRAMP,transgenic adenocarcinoma of the mice prostate) 的基因表現與切片觀察,TRAMP轉殖鼠的轉殖基因段是以大鼠PB (probasin) 基因為啟動子,SV 40-Tag當致癌基因而製造出來的基因轉殖鼠,藉由RNA層面的RT-PCR結果可以看出TRAMP轉殖鼠的攝護腺及肺臟確實都攜帶SV 40-Tag致癌基因,而原本只應該在攝護腺組織才會表現的PB基因卻也能在肺臟裡找到。另一欲觀察的基因mSTEAP原本只特異表現於攝護腺、腎臟及睪丸,但卻在正常小鼠肺臟組織中也可發現,使用mSTEAP當攝護線治療目標的方式是否可行仍須再評估。而mTEM1基因應只會較高程度的表現於血管新生時的腫瘤中,但我們卻從RT-PCR結果可以看到TRAMP轉殖鼠連肺臟都有很大量的mTEM1表現。

    TRAMP轉殖鼠攝護腺切片H & E stain的部分可明顯看出其攝護腺管體在癌化過程中上皮細胞增生的情況,細部觀察更可看出其細胞核逐漸變形,逐步邁向未分化完全的癌細胞及微指狀突起消失的現象。


    The aim of this research is to combine radiation therapy and adenovirus-IL3 gene therapy for TRAMP C-1 prostate cancer. Interleukin 3 (IL-3) is known as a hematopoietic factor. Its function is not only to stimulate stem cell proliferation and differentiation, but is also able to stimulate cytotoxic T cell recognizing and killing cancer cells in the model of cancer immunogene therapy. Adenovirus vector is a useful vector to deliver genes into cancer cells in situ and is more practical for clinical application. This study showed that there was not significant difference between the group of combining radiation therapy and adenovirus-IL3 gene therapy and the group of radiation therapy only. The results of RT-PCR suggested that adenovirus vector induced stronger host immune response than IL-3 gene therapy. The choice of other vectors that do not elicit host immune response is suggested.
    The second topic of this research is to study the histological changes and the pattern of gene expression profile in TRAMP mice (transgenic adenocarcinoma of the mice prostate) at different ages. RT-PCR results showed that both prostate and lung tissues expressed SV 40-Tag oncogene and probasin mRNAs. The mSTEAP gene should be expressed only in prostate, kidney and testis, but its expression was also found in lung tissue. mTEM1 gene should be expressed and up-regulated only in angiogenesis tumors. However, the result showed that mTEM1 was also highly expressed in lung tissue in TRAMP mice.

    目錄 中文摘要…………………………………………………………………I 英文摘要…………………………………………………………………III 誌謝………………………………………………………………………IV 目錄………………………………………………………………………V 第一章 緒論 1.1癌症治療的演進 1.1.1傳統癌症療法簡史…………………………………………………1 1.1.2放射治療的原理……………………………………………………2 1.1.3綜合癌症療法………………………………………………………3 1.2腺病毒感染過程及腺病毒載體………………………………5 1.3細胞激素-3的功能及對腫瘤的影響 1.3.1細胞激素-3在體內扮演的角色……………………………………7 1.3.2細胞激素-3在腫瘤基因治療的功能………………………………8 1.4 攝護腺癌目前的治療方法………………………………….8 1.5 基因轉殖攝護腺癌小鼠 (TRAMP model)………………….9 1.6 研究目的與內容……………………………………………………13 第二章 材料與方法 2.1 細胞株與細胞培養…………………………………………15 2.2 攜帶IL-3基因片段的腺病毒量產,純化及定量 2.2.1量產腺病毒………………………………………….15 2.2.2純化腺病毒………………………………………….16 2.2.3腺病毒感染能力的定量…………………………….17 2.3 細胞實驗的Colony Assay 2.3.1對攝護腺癌細胞進行照射………………………….18 2.3.2細胞群落的固定及染色…………………………….19 2.3.3細胞群落的計算…………………………………….19 2.3.4細胞放置效率及細胞存活率的算法……………….20 2.4動物實驗 2.4.1實驗動物來源…………………………………………20 2.4.2肌肉注射 (Intramuscular Injection,I.M.)……20 2.4.3腫瘤直徑量測…………………………………………20 2.4.4進行治療前動物的分組………………………………21 2.4.5對小鼠右腿腫瘤照射放射線…………………………21 2.4.6施打重組腺病毒………………………………………21 2.5動物實驗後基因表現的觀察 2.5.1組織RNA的萃取……………………………………….22 2.5.2 RT-PCR……………………………………………….22 2.6老鼠器官組織切片 (Histology)………………………….24 第三章 實驗結果 3.1腺病毒CPE反應的觀察………………………………………25 3.2用PCR檢查量產且純化過後的腺病毒………………………25 3.3以End Point Dilution Assay測試病毒感染能力……….26 3.4從照片上觀察Colony Assay各組所形成群落數的差異….26 3.5以存活率來比較加腺病毒-IL3對照射後TRAMP C-1細胞的影 響…………………………………………………………….27 3.6受治療小鼠的腫瘤生長曲線……………………………….28 3.6.1第一次動物實驗腫瘤生長曲線圖……………………29 3.6.2第二次動物實驗腫瘤生長曲線圖……………………29 3.6.3第二次動物實驗腫瘤生長曲線圖………………………………30 3.7動物實驗之後RNA的RT-PCR電泳圖 3.7.1檢驗腫瘤組織RNA反轉錄後β-actin的表現量………31 3.7.2檢驗腫瘤組織RNA反轉錄後IL-3的表現…………….32 3.7.3檢驗腫瘤組織RNA反轉錄後IL-2的表現…………….32 3.7.4檢驗腫瘤組織RNA反轉錄後IL-4的表現…………….33 3.7.5檢驗腫瘤組織RNA反轉錄後IFN-r的表現……………33 3.7.6檢驗腫瘤組織RNA反轉錄後TNF-α的表現……………34 3.7.7檢驗腫瘤組織RNA反轉錄後COX 2的表現……………34 3.8不同週數TRAMP轉殖鼠器官RNA的RT-PCR電泳圖 3.8.1檢驗TRAMP轉殖鼠器官RNA反轉錄後β-actin的表現 量………………………………………………………34 3.8.2偵測SV 40-Tag基因在TRAMP轉殖鼠器官的表現……35 3.8.3偵測PB基因在TRAMP轉殖鼠器官的表現…………….35 3.8.4偵測mSTEAP基因在TRAMP轉殖鼠器官的表現……….36 3.8.5偵測mTEM基因在TRAMP轉殖鼠器官的表現………….36 3.9 TRAMP轉殖鼠攝護腺H & E染色的組織切片 3.9.1以低倍數放大觀察攝護腺上皮細胞異常增生………37 3.9.2以高倍數放大觀察攝護腺上皮細胞核癌化過程的變化 …………………………………………………………38 第四章 結論……………………………………………………………40 第五章 未來展望……………………….…………………………….46 第六章 參考文獻……………………….…………………………….47 第七章 圖表…………………………….…………………………….48 附錄一 End Point Dilution Assay…………………………………73 附錄二 正常小鼠攝護腺解剖學圖片…………………………………74 附錄三 聚合酵素連鎖反應(PCR)中所使用的引子(primer)……….75

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