目的:探究中频交变微电流是否可以改变人乳腺癌细胞株耐药性;针对实验结果,分析其可能机制。方法:对人乳腺癌细胞MCF-7施加不同参数中频交变微电流,选出较优参数。测定人乳腺癌细胞MCF-7及其耐药株MCF-7/Adr的IC50值。将处于对数生长期的人乳腺癌耐药细胞MCF-7/Adr接板,分为化疗药物组和联合处理组,施加不同的处理方法。CCK-8法检测以上各组细胞存活率,分析中频交变微电流对乳腺癌细胞株耐药性的影响。将处于对数生长期的人乳腺癌细胞MCF-7分为对照组和电刺激组,用激光扫描共聚焦显微镜(CLSM)定性观察荧光标记的耐药蛋白P-gp,Western blot法半定量P-gp,流式细胞仪FITC标记定量测定荧光标记的P-gp。结果:中频交变微电流能降低耐药株MCF-7/Adr的IC50和耐药指数(≥80μg/ml,协同作用)。定性、半定量和定量三种方法均显示中频交变微电流刺激后,细胞P-gp蛋白表达量均有下降趋势。结论:中频交变微电流能够增强人乳腺癌耐药细胞药物敏感性,有可能成为辅助化疗的治疗手段,其机制尚不明确,有可能是通过降低细胞P-gp的表达,抑制细胞内药物外排发挥作用的。
Objective: To investigate weather micro-current at intermediate frequency( ACIF) can change the drug resistance of human breast cancer cells,then the possible mechanism was analyzed. Methods: ACIF of different parameters was applied in human breast cancer cells of MCF-7 to choose the optimal parameters. Measuring the IC50 of MCF-7 and MCF-7/Adr. The human breast cancer cells drug resistance mutants MCF-7/Adr in logarithmic growth phase were planted in 24-well plates,then divided into chemotherapy groups and combination groups randomly,which applied different treatment. The growth inhibiting rates of MCF-7 were determined by cell counting Kit-8( CCK-8) method to evaluate the change on drug resistance of human breast cancer cells. The human breast cancer cells MCF-7 in logarithmic growth phase were planted in 24-well plates,then we divided it into 2 groups: control groups and electrical stimulation groups. Confocal laser scanning microscope( CLSM) was applied to observe the P-gp expression. Western blot was used to semi-quantitatively analyze the expression of P-gp. The quantitative analysis of P-gp was measured by Flow Cytometry. Results: ACIF could decrease the the IC50 and the resistance index( RI) of MCF-7/Adr( ≥80μg/ml,synergistic effect). Analysis of qualitative,semi-quantitative,quantitative all showed that after applied ACIF,the expression of P-gp was downregulated( P = 0. 44). Conclusion: Alternating micro-current at intermediate frequency could increase the drug sensitivity,which may be applied as an effective adjuvant that enhanced chemotherapy. The possible mechanism is decrease the expression of P-gp,so as to increase of intracellular drug concentration.