J.
M. DENEUFBOURG
local without deep infiltration or visible metastases.
After a phase of active growth, a stabilization period
eventually occurs and a constant proportion of
animais exhibit a complete tumour regression. Treat-
ment with aramatic retinoic acid analog significantly
improves the rate of complete tumour regression
(60
%
versus 40
%
in contrais). The median survival
time of progressors mice rises from 22 days to 31 days.
ln animais cured of a primary tumeur, the specifie
resistance towards a subsequent sarcomatous graft is
also more important in the trcutcd group (Table 1).
TABLE 1
Results of treatment of Sarcoma
J wit
h aromatic retinoic acid
analog : complete regression rate, median survival lime of
progrcssors
rnice
and reject ion raie of tumeur challenge
graft in cured animais. (signifieant differences :
*
p
<
0.05,
•• p
<
0.01)
Treated group
Control group
Sarcoma
J
complete
60
%
(27/45) 40
%
(19/47)
regression rate
Median survival
31.1
±
12 da ys 22.6
±
8.7 days
of pr ogressors
••
Immunization of
100 :;,~(27/27) 85
%
(16/19)
cured animais
Retinoids have been shown to exert some anti-
turnour effects. A preventive role was pointed out
as regard skin, colon and bladder chernical carcino-
genesis in mice and rats (4, 9).lnduced skin carcinornas
regressed to some extent in their primary host fol-
lowing administration of retinoic acid analog. Howe-
ver, this compound did not inhibit the growth of
several transplanted turnours : Ehrlich carcinoma
in solid and ascitic forms, Sarcoma 180 and leukemia
LI21O(2).
Present results are at variance with these obser-
vations as treatment significantly influences regression
123
rate of sarcoma
J
and survival of progressors animals,
Our syngcneic transplantable tumeur posscsscs clear-
'eut
imrnunological
control mechanisms and mani-
pulation of host defenses sharply modifies growth
pattern (1). This feature should be taken into account
to explain discrepancies of activity according to
tumour systems.
Direct inhibition of cell proliferation (6)
rnight
only constitute one aspect of retinoids eflects. Recent
reports have cmphasizcd the importance of vitamin A
analogs in immune resistance to tumeurs (5). 1n lung
cancer patients, high dosage vitamin A therapy
potentiates lymphocyte blastogenesis to PHA and
delayed cutaneous hypersensitivity reactions (8).
Moreover, retinoic acid has been shown to be a
specifie adjuvant for the induction of cytotoxic thymus
derived lymphocytes (3) .
ln our experiment, mice cured of sarcorna
J
achieved
a better antitumour irnmunity when treated with
retinoic acid analog. The hypothesis of an irnmuno-
logical effect responsible for anti-tumour activity
is presently under investigation.
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ta n
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