ÕCANCERRESEARCH 27, 1306-1311,July 1967] Influence of Pineal in the Hamster1 TAPOSH Gland on the Growth and Spread of Melanoma K. DAS GUPTA AND JOSE TERZ Andre and Bella Meyer Laboratory of the Division of Experimental Surgery and Physiology of the Sloan-Kettering Institute for Cancer Research, New York, New York, and the Department of Anatomy, Guy's Hospital Medical School, London S.E.Õ, England SUMMARY Pigmented malignant melanoma (M Mel No. 1) was trans planted into the subcutaneous tissue of the dorsum of control, sham-operated, and pinealectomized Syrian hamsters of both sexes and weighing between 80 and 110 gm. Animals from each group were sacrificed at regular intervals and autopsied. The pinealectomized group of hamsters had significantly larger pri mary tumors and more extensive métastasesthan the control or sham-operated animals at every phase of the study. It is felt that these findings are possible indications of a rela tionship between the pineal gland and growth and spread of pigmented melanomata in hamsters. INTRODUCTION Biologists for a long time considered the pineal as a rudimen tary organ. Marburg (11), at the beginning of this century, was the first to postulate that the mammalian pineal could have an endocrine function. The first comprehensive account on the comparative anatomy along with some clinical considerations was published by Gladstone and Wakeley in 1940 (9). Today it is agreed that pineal»in all animals are derivatives of the dorsal wall of the diencephalon and their microscopic anatomy varies among adult forms of various vertebrate groups. For example, in fish (18), amphibians (12), and reptiles (5, 6), the ultrastructure of the principle cell is similar to photoreceptive cells of the verte brate retina (4) and invertebrate light-sensitive organs (2). The main cell types of the mammalian pineal, however, show no such cytologie specializations (1). The experimental work on the pineal remained inadequate un til the 1950's. In 1954 Kitay and Altschule (13) reviewed the literature and concluded that little was known about the function of the mammalian pineal. Lerner et al. (14) generated the real interest in the study of pineal in 1959 by successfully isolating from cattle pineals a hormone, "Melatonin," which had a blanch ing effect on amphibian skin (23). He and his associates gave a further impetus by describing the structure of Melatonin later (15). There is no question at present that mammalian pineal is a functioning organ; the only problem is to define the function or functions. Histochemical studies on the pineal organ have shown that 1This work was partially supported by USPHS Grant 5110. Received December 12, 1966; accepted March 28, 1967. 1306 CRT pinealocytes have an abundance of dihydroxyphenylalaninepositive material, succinic dehydrogenase, and acid and alkaline phosphatases, as well as nonspecific esterase and monoamine oxidases. Axelrod et al. (3) have isolated hydroxyindole-0-methyl transferase from rat pinealocytes. Quay (20) has demonstrated that the 3 most abundant 5-hydroxy and 5-methoxy Ã-ndolesof the rat pineal (serotonin, melatonin, and 5-hydroxyindole-3-acetic acid) have different patterns of distribution according to the time of day and pharmacologie treatment. It has also been shown that highest concentration of serotonin, an amine with structure simi lar to melatonin, is found in the rat pineal (23). This information suggests a considerable metabolic rate and biochemical specificity of adult pinealocytes in mammals, particularly in terms of probable synthesis of secretory material. The Syrian hamster is not only a pigmented animal but also contains pigment granules in its pinealocytes. On the basis of studies made by Santamarina and Meyer Arndt (22), these can be assumed to be melanin pigment granules. The structure of the pinealocytes in hamsters, because of the presence of smooth mem brane system, is compatible with pigment production (19). Con sequently, it is conceivable that the hamster pineal not only has a structure suitable for pigment production but is possibly capable of inducing some form of change in the pigmentation. No data is available at present about the effects of pineal ablation on pig mentation of hamsters. However, Syrian hamsters spontaneously develop a highly pigmented malignant melanoma (7). The hamster with this type of tumor was considered an ideal model in the study of one of the functions of the pineal gland. Thus a study was undertaken to observe the effects of pineal ablation on growth and spread of transplantable pigmented melanotic mela noma in Syrian hamsters. MATERIALS AND METHODS One hundred fourteen Syrian hamsters of both sexes weighing between 80 and 110 gm were used. The animals were divided into 3 groups. Thirty-eight hamsters were pinealectomized. Thirtysix hamsters were subjected to a comparative trauma and bleed ing but the pineal gland and its stalk was left undamaged and intact (sham pinealectomy). The remaining 40 animals were used as straight controls. All animals were fed standard laboratory diet and water ad libitum. Five weeks following either surgical procedure, hamsters were considered ready for tumor inoculation. These experiments were carried out in 4 stages, each of which contained an equal proportion of animals from the original 3 groups receiving tumor transplant simultaneously. CANCER RESEARCH VOL. 27 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1967 American Association for Cancer Research. Pineal Gland and Hamster Melanoma Jnd stalk CHART 1. Technic of pinealectomy. In /, a longitudinal incision about 2 cm long is made on the vertex and the incision deepened to the periosteum. In 2 and 3, the periosteum is seen reflected laterally exposing the parietal and occipital bones. At this stage the straight sinus and the lateral sinuses become visible underneath the bones. In 4, an electric saw helps raise the bone flap. 5, shows the actual method of raising the flap —this is the most delicate step of the procedure. 6, the operative field after the bone flap has been raised — at this stage the straight sinus and one of the lateral sinuses are doubly ligated and resected. In 7, the pineal gland and its stalk is brought into view and can be easily removed by using a fine (watch maker's) forceps. Melanotic Melanoma No. 1 (M Mel No. 1), kindly supplied by J. G. Fortner, was chopped into very small pieces and injected through a large-bore needle in the subcutaneous tissue of the dorsum of the hamsters. In each transplant animal, 0.4 ml by volume of tumor was used. After tumor inoculation, measure ment of hamster weight, mean tumor volume, and time of ap pearance of skin ulcérationswere recorded every 2 days, until the animals were sacrificed. Calculation of tumor volume was based on the method described by Mori et al. (16). All animals were autopsied, and a detailed examination of the primary tumors as well as of the metastatic deposits was made. In pinealectomized hamsters the pineal area was looked into to assure completeness of pinealectomy. Technic of Pinealectomy (Chart 1) The hamsters were anesthetized by intraperitoneal injection of veterinary Nembutal. The dose used was 4 mg/kg body weight. The head was shaved and the animals were held in position by using the index and thumb of the left hand over the jaws, care being taken to allow the animals to breathe freely. A longitudinal incision was made on the vertex about 2 cm long. The skin inci- JULY 1967 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1967 American Association for Cancer Research. 1307 Taposh K. Das Gupta and Jose Terz sion was deepened to the periosteum and the periosteum reflected laterally—exposing a square area of the skull. The muscle attach ments to the parietal bones were occasionally reflected to obtain better exposure. A square-shaped bone flap encompassing parts of both parietal and occipital bone was designed, and the bone was actually cut on 3 sides using an electric saw. The posterior boundary of the square was left intact; thus by applying mild pressure the bone flap could be raised in front and held posteriorly On the anterior boundary of the square, the saw usually trau matized the straight sinus with some bleeding. This could easily be controlled by gentle pressure. The flap was raised very care fully without injuring the dura, and the confluence of sinuses was •exposed over the triangular space at the junction of the parietal and occipital lobes. The lateral sinus of one side and the straight sinus were ligated with seven zero silk. The dura was then cut and reflected laterally. The pineal organ with its stalk was exposed lying beneath the confluence of sinuses. The pineal was removed without any difficulty. A few minutes of gentle pressure controlled ¡illbleeding. The bone flap was replaced and the wound closed using four zero chromic atraumatic catgut. The use of electrocautery to control bleeding did not seem justifiable as it could produce some damage to the surrounding area of the brain with out the operator's being aware of it. It is felt that atraumatic raising of the bone flap held the key to a successful operation. Rough handling at this stage led to a tear in the dura with injury to the confluence of sinuses. The bleeding became brisk and often fatal. Moreover, the hamster pineals are intimately adherent to the undersurface of the confluence and the pineals were occasionally lost while attempts to control the bleeding were made. The postoperative period was usually quite smooth and the animals started to eat and drink 8 hours after the operation. The majority of poetoperative deaths occurred within 48 hours and have been invariably due to continued bleeding. A small number died during the later part due to infection of the operative site. No antibiotics have been used postoperatively. The use of gelfoam to stop bleeding was found unsatisfactory because it led to the development of brain abscesses. The technic described here is easy and can be performed in any laboratory. The initial mortality was quite high but as experience grew the operative mortality has come down to less than 5%. The operation takes about 10-15 minutes to perform and can be used for all rodents. In cases where a sham operation was desired, the pineal body with the stalk was exposed as described above, but left intact. The bone flap was replaced and the wound closed. RESULTS The growth of tumors in pinealectomized hamsters did not differ from that in the control animals during the 1st week of tumor inoculation. However, the progressive increase in the size of the primary tumors and visceral métastasesin pinealectomized hamsters after the 1st week of tumor transplantation compared to the sham-operated and control animals were the striking fea tures in this study. Table 1 describes the observations at autopsy on the 14th day of tumor inoculation. The increase in volume of the tumors in pinealectomized hamsters as opposed to the other 2 groups is highly significant (P «0.001). Metastatic deposits in the lung were found in 7 of 10 pinealectomized hamsters whereas only in 2 of 10 in sham-operated and 1 of 10 in control animals. This in crease in pinealectomized animals compared to the control and sham-operated groups was significant (P < 0.001 and < 0.02, respectively). None of the other viscera was involved in either the control or sham-operated group. On the other hand, in the pin ealectomized group metastatic melanoma was found in the liver, kidney, and spleen. The axillary lymph nodes were the site of metastatic melanoma on 8 occasions in the pinealectomized group and were involved only 3 times in both the control or shamoperated group (P < 0.02). A similar trend for rapid progression of the primary tumor and métastases,as in the first 14-day period, was noted in the 2nd group (Table 2). The progressive increase in the tumor volume in the pinealectomized group was consistently maintained (Chart 2). With increasing tumor volume, the incidence of skin ulcération increased and 11 of 12 pinealectomized hamsters showed some form of skin ulcérationover the tumors. The lung was again the principal site of increased visceral métastases.Nine of 12 in the pinealectomized group had lung métastases.All the remaining major viscera in the pinealectomized group had metastatic de posits compared to the other 2 groups who had none. The regional lymphatic métastasesincreased in all groups with passage of time. TABLE 1 Observations at Autopsy Fourteen Days following Tumor Inoculation The difference in tumor volume in pinealectomized compared to sham-operated and control hamsters was significant (P < 0.001), whereas the difference between control and sham-operated animals was insignificant. pattern"Lung721Liver200Kidney600Spleen200Axillary No. groupPinealectomized of hamsters in each of tumor volume ulcérationsof S.E.1.736 (ml) ± primarytumor831Metastatic nodes833 [10]Sham [10]Control -operated [10]Mean 0.1270.172 ± 0.0260.110 ± ± 0.019No. " The figures shown represent the number of times each viscus has been involved. Comparison of percentages of metastatic involvement of any site in pinealectomized hamsters with the other groups were significant (e.g. in lung, P < 0.001). 1308 CANCER RESEARCH VOL. 27 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1967 American Association for Cancer Research. Pineal Gland and Hamster Melanoma TABLE 2 Observations al Autopsy Twenty-one Days following Tumor Inoculation The difference in tumor volume in pinealectomized compared to sham-operated and control hamsters was significant (P < 0.001). Not so in the other 2 groups. No. groupPinealectomized of hamsters in each tumor volume S.E.20.3 (ml) ± pattern"Lung911Liver400Kidney700Spleen200Axillary of ulcérationsof primary tumor1183Metastatic nodes843 [12]Sham-operated [10]Control [10]Mean 0.474.50 ± 0.552.390 ± db 0.085No. " The figures shown represent the number of times each viscus has been involved. Comparison of percentages of metastatic involvement of any site in pinealectomized hamsters with the other groups were significant (e.g. in lung, P < 0.001). The 3rd group of hamsters were sacrificed on the 28th day of tumor inoculation and Table 3 summarizes the results at autopsy. The marked difference in tumor volume between pinealectomized hamsters and the sham-operated and control groups is obvious (Chart 2). Incidence of visceral métastaseswas high in all the 3 groups of hamsters. All animals had lung métastasesin the pinealablated group, whereas in sham-operated and controls the in cidence of pulmonary métastaseswas 40% and 30%, respectively. Pinealectomized hamsters were overwhelmed with multivisceral métastases,whereas the 2 control groups had negligible incidence of metastatic deposits in other viscera. In the terminal stage of the experiment (Table 4), the rapid progression of melanoma was maintained in the pinealectomized animals. However, it was also evident that in the other 2 groups the melanoma was progressing at a rapid pace and the incidence of lung métastaseswas high in these 2 groups, 6 of 10 in control animals and 4 of 6 in sham-operated animals. Kidney métastases were also recorded in these 2 control groups. Histologie study of the primary tumors and the metastatic deposits did not show any significant differences in any of the 3 groups studied. Detailed examination of the pineal area in the pinealectomized hamsters demonstrated that removal of the gland was complete in each case. DISCUSSION The results obtained in this study suggest that pinealectomy alters the course of pigmented melanoma in Syrian hamsters. The validity of these experimental results depend on the accuracy of the measurement of different parameters. All the animals in each group were transplanted and sacrificed at the same time so the question of time interval and appearance of métastasesor the size of the tumors could be accurately checked. Inclusion of a sham-operated group automatically allowed a further check on the effects of pinealectomy in these experiments. The interval of 5 weeks between any surgical trauma and tumor inoculation obviates the possible effects of trauma. The pinealectomized animals weighed more than the other 2 groups of hamsters at the time of sacrifice. This could be either due to pinealectomy alone or the increased tumor volume, or both. From these experiments no statement can be made. Fortner et al. (8) have reported a current host survival time JULY 1967 14 21 28 35 Days after transplantation CHART2. Graph showing the progressive increase of tumor volume in the pinealectomized, sham-operated, and control animals at 14-, 21-, 28-, and 35-day intervals. varying from 34 to 82 days after inoculation of these tumors. They (8) further reported that there was always a high incidence of lung and other visceral métastases,from these tumors at the 1309 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1967 American Association for Cancer Research. Taposh K. Dos Gupta and Jose Terz TABLE 3 Observations at Autopsy Twenty-eight Days following Tumor Inoculation The difference in tumor volume in pinealectomized compared to sham-operated and control hamsters was significant (P < 0.001), whereas the difference between control and sham-operated animals was insignificant. Xo. groupPinealectomized of hamsters in each tumor volume S.E.33.61 (ml) ± pattern"Lung843Liver300Kidney510Spleen100Axillary of ulcérationsof primarytumor875Metastatic nodes745 [8]Sham-operated [10]Control [10]Mean 2.76.887± 1.07.45± 0.891Xo. ± 0 The figures shown represent the number of times each viscus has been involved. TABLE 4 Observations at Autopsy Thirty-five Days following Tumor Inoculation The difference in tumor volume in pinealectomized compared to sham-operated and control hamsters was significant (P < 0.001). The difference between the other 2 groups was insignificant. Xo. groupPinealectomized of hamsters in each tumor volume S.E.80.22 (ml) ± pattern"Lung846Liver300Kidney743Spleen200Aiilliry of ulcérationsof primarytumor857Metastatic nodes867 [8]Sham-operated [6]Control [10]Mean 2.525.209± 2.222.74± ± 0.65Xo. ' The figures shown represent the number of times each viscus has been involved. time of death of these hamsters. But this remarkable rapidity of increase in tumor volume as well as metastatic spread after 1 week of tumor inoculation as seen in this experiment following pinealectomy was not observed on any occasion by Fortner el al. (8). These results were further corroborated by using a sham-operated group along with a standard control group in the present study. The data obtained here tends to support a concept that the pineal body exerts some control on the growth and spread of pigmented neoplasms in hamsters. The changes noted in the pinealocytes in pineals of the animals dying of melanoma suggest a possible increase in function of the gland as proposed by Rodin (21). These experiments, however, do not explain whether the control is mediated via a pineal hormone acting on melanophores or whether ablation of the pineal depressed host resistance to tumors and homografts in general. Rodin (21), reporting a small series of pinealectomized albino rats, observed an increased trend in the rate of growth and spread of Walker 256 carcinoma. This trend observed by Rodin (21), though considerably less in magni tude than that which has been demonstrated here, nevertheless was statistically significant. Consequently, the question of whether ablation of the pineal gland depresses host resistance to tumors becomes an interesting problem and will need further investigation. Similar reports of marked accentuation of growth of sarcoma in pinealectomized animals have come from Japan (10, 17) but these experiments have been performed without adequate control and should be viewed with caution. On the other hand, Kitay and Altschule (13) collected reports on the effect of pineal extract administration on tumors and other 1310 diseases. These authors after a review of these papers concluded, "Reports on the use of pineal extract in various diseases afford no information on the physiologic role of the gland. This is owing to incompleteness or poor quality of most of the reported clinical studies." Thus it seems that the role of the pineal gland on growth and spread of tumor is still open to several interpretations. How ever, the fact that the hamster pinealocyte is capable of pigment production, and ablation of the gland increases the growth and spread of malignant melanoma in such a striking fashion tempts one to postulate a probable cause and effect relationship. To what extent these results obtained in hamsters under laboratory conditions could be applied to human melanoma is highly conjectural. However, one might feel encouraged to in vestigate the status of the pineal gland in patients suffering from malignant melanoma, especially those with diffuse metastatic disease. ACKNOWLEDGMENTS The authors are grateful for the advice and constructive criti cisms received from Dr. Walter Lawrence, Jr., of the SloanKettering Institute, New York, and Professor R. Warwick of the Department of Anatomy, Guy's Hospital Medical School, London, throughout this study. The technical assistance of Mr. Serge Denecko of the SloanKettering Institute, New York, and Mr. Graham Stevens and Miss Linda Rogers of the Department of Anatomy, Guy's Hospital Medical School, London, are highly appreciated. CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1967 American Association for Cancer Research. VOL. 27 Pineal Gland and Hamster Melanoma REFERENCES 12. Kelley, D. E. Ultrastructure and Development of the Am phibian Pineal Organ. Progr. Brain Res., 10: 270-287, 1965. 1. Anderson, E. Some Cytological Observations on the Fine 13. Kitay, J. I., and Altschule, M. D. The Pineal Gland. Cam Structure of a Mammalian Pineal Organ. Anat. Ree., 136: bridge, Massachusetts: Harvard Univ. Press, 1954. 328-329, 1960. 14. Lerner, A. B., Case, J. D., Biemann, K., Heinzelman, II. W., 2. Anderson, E. The Anatomy of Ovine and Bovine Pineals. J. Szmuskoviez, J., Anthony, W. C., and Kervis, A. Isolation of Ultrastruct. 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Influence of Pineal Gland on the Growth and Spread of Melanoma in the Hamster Taposh K. Das Gupta and Jose Terz Cancer Res 1967;27:1306-1311. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/27/7/1306 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. To request permission to re-use all or part of this article, contact the AACR Publications Department at [email protected]. Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1967 American Association for Cancer Research.
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