Ultrasound-guided percutaneous radiofrequency ablation combined with anti-PD-1 for the treatment of prostate cancer: an experimental study.

IF 3.5 3区 医学 Q2 ONCOLOGY
Frontiers in Oncology Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI:10.3389/fonc.2025.1527763
Si Chen, Ruiqing Liu, Shaobo Duan, Beibei Zhang, Yuzhou Wang, Xiaoxiao Li, Yingying Zhao, Zesheng Li, Qi Zhou, Rui Zhang, Linlin Zhang, Xiaoxia Xu, Ru Jang, Juan Zhang, Yaqiong Li, Xiguo Cai, Lianzhong Zhang
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Abstract

Background: This study seeks to investigate the potential synergistic effects of combining ultrasound-guided percutaneous radiofrequency ablation with anti-PD-1 therapy on prostate cancer, utilizing animal models.

Methods: A mouse model of prostate cancer was established by subcutaneous injection of 1 × 106 Myc-Cap cells on the right side of FVB mice. When the volume of the tumors reached about 400mm3, the mice were randomly divided into four groups and received corresponding intervention treatments. Among them, Group 1 was the blank control group, Group 2 was the simple anti-PD-1 treatment group, Group 3 was the simple radiofrequency ablation group, and Group 4 is the group that received percutaneous radiofrequency ablation combined with anti-PD-1 therapy under ultrasound guidance. The growth of the tumors was observed in mice after treatment in each group, tumor tissues were collected, and the immune status of the mice was analyzed through flow cytometry, immunohistochemistry, immunofluorescence, and other methods.

Results: Compared with other treatment groups, ultrasound-guided percutaneous radiofrequency ablation combined with anti-PD-1 therapy significantly reduced the weight and volume of the tumors, demonstrating more effective tumor suppression. At the same time, combination therapy can promote the aggregation of T-cells within the tumor and increase the proportion of cytotoxic T-cells, increase the proportion of M1 macrophages and iNOS expression, and decrease the proportion of M2 macrophages and Arg expression in the local area of the tumors.

Conclusion: Local ablation can improve the therapeutic effect of PD-1 monoclonal antibody. Our preliminary results suggest that ultrasound-guided percutaneous radiofrequency ablation, in combination with anti-PD-1 treatment, produces synergistic effects. These effects may be driven by changes in immune cell populations within the tumor's immunosuppressive microenvironment.

超声引导下经皮射频消融联合抗pd -1治疗前列腺癌的实验研究
背景:本研究旨在通过动物模型探讨超声引导下经皮射频消融联合抗pd -1治疗前列腺癌的潜在协同效应。方法:在FVB小鼠右侧皮下注射1 × 106个Myc-Cap细胞,建立小鼠前列腺癌模型。当肿瘤体积达到400mm3左右时,将小鼠随机分为4组,分别进行相应的干预治疗。其中,第1组为空白对照组,第2组为单纯抗pd -1治疗组,第3组为单纯射频消融组,第4组为超声引导下经皮射频消融联合抗pd -1治疗组。各组小鼠治疗后观察肿瘤生长情况,收集肿瘤组织,通过流式细胞术、免疫组织化学、免疫荧光等方法分析小鼠免疫状态。结果:与其他治疗组相比,超声引导下经皮射频消融联合抗pd -1治疗可显著降低肿瘤重量和体积,抑瘤效果更明显。同时,联合治疗可促进肿瘤内t细胞聚集,增加细胞毒性t细胞比例,增加肿瘤局部M1巨噬细胞比例和iNOS表达,降低肿瘤局部M2巨噬细胞比例和Arg表达。结论:局部消融术可提高PD-1单克隆抗体的治疗效果。我们的初步结果表明,超声引导下的经皮射频消融与抗pd -1治疗相结合,可产生协同效应。这些效应可能是由肿瘤免疫抑制微环境中免疫细胞群的变化所驱动的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Oncology
Frontiers in Oncology Biochemistry, Genetics and Molecular Biology-Cancer Research
CiteScore
6.20
自引率
10.60%
发文量
6641
审稿时长
14 weeks
期刊介绍: Cancer Imaging and Diagnosis is dedicated to the publication of results from clinical and research studies applied to cancer diagnosis and treatment. The section aims to publish studies from the entire field of cancer imaging: results from routine use of clinical imaging in both radiology and nuclear medicine, results from clinical trials, experimental molecular imaging in humans and small animals, research on new contrast agents in CT, MRI, ultrasound, publication of new technical applications and processing algorithms to improve the standardization of quantitative imaging and image guided interventions for the diagnosis and treatment of cancer.
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