Research Article
Variations of dose and electrode spacing for rat breast cancer
electrochemical treatment
Ru-Long Ren 1, Nayana Vora 2, Frank Yang 3, Jeff Longmate 4, Warner Wang
1, Helen Sun 3, Jian-Ren Li 1, Lawrence Weiss 3, Cecil Staud 2, John A.
McDougall 1, Chung-Kwang Chou 1 *
1Department of Radiation Research, City of Hope National Medical Center,
Duarte, California
2Division of Radiation Oncology, City of Hope National Medical Center,
Duarte, California
3Division of Pathology, City of Hope National Medical Center, Duarte,
California
4Department of Biostatistics, City of Hope National Medical Center,
Duarte, California

email: Chung-Kwang Chou (ck.c...@motorola.com)

*Correspondence to Chung-Kwang Chou, Motorola Florida Research
Laboratories, 8000 West Sunrise Blvd., Plantation, Florida 33322.

Funded by:
 U.S. Army Medical Research and Material Command; Grant Number: DAMD
17-96-1-6184

Keywords
tumor; alternative therapy; necrosis; survival; direct current; EChT


Abstract
Electrochemical treatment (EChT) with direct current delivered through
implanted electrodes has been used for local control of solid tumors in
humans. This study tested the hypothesis that rat breast cancer
responses to EChT are dependent on electrode spacing and dose, and
explored suitable parameters for treating breast cancers with EChT. Rat
breast cancers were initiated by injecting 1 × 106 MTF-7 cells to the
right mammary gland fat pad of Fisher 344 female rats. The rats were
randomly divided into designated experimental groups when the tumors
grew to approximately 2 × 2 × 2 cm. One hundred and thirty rats were
used for a survival study and 129 for a pathology study. A 4-channel
EChT machine was used to administer coulometric doses. The survival
study indicated that local tumor control rate is less than 40% in the 40
coulomb (C) and 60 C groups and more than 70% in the 80 and 100 C
groups. Sixty six rats died of primary tumors, including all 10 rats in
the control group. Once a rat's primary tumor was controlled, no
recurrence was found. The main reason for terminating the primary
tumor-free rats (51) was lymph node metastasis. Thirteen tumor-free rats
survived for more than 6 months. The pathology study showed a
significant dose effect on EChT induced tumor necrosis. At 10, 20, 40,
and 80 C, the fraction showing necrosis were 39.7, 52.3, 62, and 77.7%,
respectively (P  0.001). Electrodes spacing was not an important factor
within a given range. At 5, 10, and 15 mm spacing, the fraction showing
the necrosis were 54.1, 60.4, and 59.2%, respectively (P = 0.552). The
overlap rate of necroses was similar in the 5 and 10 mm groups (82.5 and
85%) and lower in the 15 mm group (65%). We conclude that the tumor
responses to EChT, local control, survival rates, and necrosis
percentages were significantly increased with increasing dose. The
changes in electrode spacing (3, 5, and 10 mm) did not significantly
affect the tumor responses to EChT within the same dose. For a diameter
of 2.0-2.5 cm rat breast cancer, EChT should be applied with 5-10 mm
spacing and a minimum dosage of 80 C. Bioelectromagnetics 22:205-211,
2001. © 2001 Wiley-Liss, Inc.



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Received: 2 August 1999; Revised: 17 May 2000


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