The study of direct and indirect effects of radiofrequency ablation on tumor microenvironment in liver tumor animal model

Abstract Background Direct and indirect effects of radiofrequency ablation (RFA) on tumor microenvironment of the liver tumor have been noted, which was reported to be related to a variety of tyrosine protein kinase or cytokinetic pathway, but have not been thoroughly investigated and conclusive. Pu...

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Main Authors: An-Na Jiang, Bing Wang, Song Wang, Kun Zhao, Hao Wu, Kun Yan, Wei Wu, Wei Yang
Format: Article
Language:English
Published: BMC 2022-06-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-022-09730-x
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author An-Na Jiang
Bing Wang
Song Wang
Kun Zhao
Hao Wu
Kun Yan
Wei Wu
Wei Yang
author_facet An-Na Jiang
Bing Wang
Song Wang
Kun Zhao
Hao Wu
Kun Yan
Wei Wu
Wei Yang
author_sort An-Na Jiang
collection DOAJ
description Abstract Background Direct and indirect effects of radiofrequency ablation (RFA) on tumor microenvironment of the liver tumor have been noted, which was reported to be related to a variety of tyrosine protein kinase or cytokinetic pathway, but have not been thoroughly investigated and conclusive. Purpose To elucidate direct and indirect effects of RFA on tumor microenvironment in the liver tumor model, and to explore the role of the specific inhibitor in tumor growth by targeting the key pathway of RFA. Materials and methods One hundred and ten mice with H22 liver tumor were used in animal experiments. Eighty-four mice were randomized into three groups: control, direct RFA and indirect RFA (a block slide was inside the middle of the tumor). The growth rate of the residual tumor after RFA was calculated (n = 8 each group) and the pathologic changes at different time points (6 h, 24 h, 72 h and 7d after RFA) were evaluated (n = 5 in each subgroup). After semi-quantitative analysis of the pathological staining, the most significant marker after RFA was selected. Then, the specific inhibitor (PHA) was applied with RFA and the tumor growth and pathological changes were evaluated and compared with RFA alone. The Kruskal-Wallis test was used for evaluating the significance of different treatments in the pathological positive rate of specific markers in tumor. The two-way analysis of variance was used to determine the significance of treatment in tumor growth or body weight. Results The growth rate of the residual tumor in the direct RFA group was faster than the indirect RFA group (P = 0.026). The pathological analysis showed the expression of HSP70 (73 ± 13% vs 27 ± 9% at 24 h, P < 0.001), SMA (70 ± 18% vs 18 ± 7% at 6 h, P < 0.001) and Ki-67 (51 ± 11% vs 33 ± 14% at 7d, P < 0.001) in the direct RFA group was higher than those in the indirect RFA group after RFA. On the other hand, the expression of c-Met (38 ± 11% vs 28 ± 9% at 24 h, P = 0.01), IL-6 (41 ± 10% vs 25 ± 9% at 24 h, P < 0.001) and HIF-α (48 ± 10% vs 28 ± 8% at 24 h, P < 0.001) in the indirect RFA group was higher than those in the direct RFA group. And the expression of c-Met increased mostly in both direct and indirect RFA group compared to the baseline (53 and 65% at 72 h). Then the specific inhibitor of c-Met-PHA was applied with RFA. The growth rate of the tumor was significantly slower in the RFA + PHA group than the RFA alone group (1112.9 ± 465.6 mm3 vs 2162.7 ± 911.1 mm3 at day 16, P = 0.02). Conclusion Direct and indirect effects of RFA on tumor microenvironment changed at different time points and resulted in increased residual tumor growth in the animal model. It can be potentially neutralized with specific inhibitor of related pathways, such as tyrosine-protein kinase c-Met.
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spelling doaj.art-e82f9746df8d41c3a3b8995a4d4d14bd2022-12-22T02:33:08ZengBMCBMC Cancer1471-24072022-06-0122111110.1186/s12885-022-09730-xThe study of direct and indirect effects of radiofrequency ablation on tumor microenvironment in liver tumor animal modelAn-Na Jiang0Bing Wang1Song Wang2Kun Zhao3Hao Wu4Kun Yan5Wei Wu6Wei Yang7Department of Ultrasound, Peking University Cancer Hospital & Institute, Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing)Department of Ultrasound, Peking University Cancer Hospital & Institute, Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing)Department of Ultrasound, Peking University Cancer Hospital & Institute, Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing)Department of Ultrasound, Peking University Cancer Hospital & Institute, Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing)Department of Ultrasound, Peking University Cancer Hospital & Institute, Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing)Department of Ultrasound, Peking University Cancer Hospital & Institute, Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing)Department of Ultrasound, Peking University Cancer Hospital & Institute, Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing)Department of Ultrasound, Peking University Cancer Hospital & Institute, Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing)Abstract Background Direct and indirect effects of radiofrequency ablation (RFA) on tumor microenvironment of the liver tumor have been noted, which was reported to be related to a variety of tyrosine protein kinase or cytokinetic pathway, but have not been thoroughly investigated and conclusive. Purpose To elucidate direct and indirect effects of RFA on tumor microenvironment in the liver tumor model, and to explore the role of the specific inhibitor in tumor growth by targeting the key pathway of RFA. Materials and methods One hundred and ten mice with H22 liver tumor were used in animal experiments. Eighty-four mice were randomized into three groups: control, direct RFA and indirect RFA (a block slide was inside the middle of the tumor). The growth rate of the residual tumor after RFA was calculated (n = 8 each group) and the pathologic changes at different time points (6 h, 24 h, 72 h and 7d after RFA) were evaluated (n = 5 in each subgroup). After semi-quantitative analysis of the pathological staining, the most significant marker after RFA was selected. Then, the specific inhibitor (PHA) was applied with RFA and the tumor growth and pathological changes were evaluated and compared with RFA alone. The Kruskal-Wallis test was used for evaluating the significance of different treatments in the pathological positive rate of specific markers in tumor. The two-way analysis of variance was used to determine the significance of treatment in tumor growth or body weight. Results The growth rate of the residual tumor in the direct RFA group was faster than the indirect RFA group (P = 0.026). The pathological analysis showed the expression of HSP70 (73 ± 13% vs 27 ± 9% at 24 h, P < 0.001), SMA (70 ± 18% vs 18 ± 7% at 6 h, P < 0.001) and Ki-67 (51 ± 11% vs 33 ± 14% at 7d, P < 0.001) in the direct RFA group was higher than those in the indirect RFA group after RFA. On the other hand, the expression of c-Met (38 ± 11% vs 28 ± 9% at 24 h, P = 0.01), IL-6 (41 ± 10% vs 25 ± 9% at 24 h, P < 0.001) and HIF-α (48 ± 10% vs 28 ± 8% at 24 h, P < 0.001) in the indirect RFA group was higher than those in the direct RFA group. And the expression of c-Met increased mostly in both direct and indirect RFA group compared to the baseline (53 and 65% at 72 h). Then the specific inhibitor of c-Met-PHA was applied with RFA. The growth rate of the tumor was significantly slower in the RFA + PHA group than the RFA alone group (1112.9 ± 465.6 mm3 vs 2162.7 ± 911.1 mm3 at day 16, P = 0.02). Conclusion Direct and indirect effects of RFA on tumor microenvironment changed at different time points and resulted in increased residual tumor growth in the animal model. It can be potentially neutralized with specific inhibitor of related pathways, such as tyrosine-protein kinase c-Met.https://doi.org/10.1186/s12885-022-09730-xRadiofrequency ablationLiver tumorTumor microenvironmentDirect effectIndirect effect
spellingShingle An-Na Jiang
Bing Wang
Song Wang
Kun Zhao
Hao Wu
Kun Yan
Wei Wu
Wei Yang
The study of direct and indirect effects of radiofrequency ablation on tumor microenvironment in liver tumor animal model
BMC Cancer
Radiofrequency ablation
Liver tumor
Tumor microenvironment
Direct effect
Indirect effect
title The study of direct and indirect effects of radiofrequency ablation on tumor microenvironment in liver tumor animal model
title_full The study of direct and indirect effects of radiofrequency ablation on tumor microenvironment in liver tumor animal model
title_fullStr The study of direct and indirect effects of radiofrequency ablation on tumor microenvironment in liver tumor animal model
title_full_unstemmed The study of direct and indirect effects of radiofrequency ablation on tumor microenvironment in liver tumor animal model
title_short The study of direct and indirect effects of radiofrequency ablation on tumor microenvironment in liver tumor animal model
title_sort study of direct and indirect effects of radiofrequency ablation on tumor microenvironment in liver tumor animal model
topic Radiofrequency ablation
Liver tumor
Tumor microenvironment
Direct effect
Indirect effect
url https://doi.org/10.1186/s12885-022-09730-x
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