Zhao Dawen, Constantinescu Anca, Hahn Eric W, Mason Ralph P
Advanced Radiological Sciences, Department of Radiology, The University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9058, USA.
Int J Radiat Oncol Biol Phys. 2002 Jul 1;53(3):744-56. doi: 10.1016/s0360-3016(02)02822-5.
Since hypoxia may influence tumor response to therapy and prognosis, we have compared oxygenation of tumors known to exhibit differential growth rate and tissue differentiation.
Regional tumor oxygen tension was measured using 19F nuclear magnetic resonance echo planar imaging relaxometry of hexafluorobenzene, which provided dynamic maps with respect to respiratory intervention. Investigations used two Dunning prostate R3327 rat tumor sublines: the fast growing, highly metastatic MAT-Lu and the moderately well-differentiated, slower growing HI.
Both sublines showed significantly higher oxygen tension in smaller tumors (<2 cm(3)) than in larger tumors (>3.5 cm(3)). Pooled data showed that MAT-Lu tumors exhibited greater hypoxia compared with the size-matched HI tumors (p < 0.0001). Respiratory challenge (oxygen or carbogen) produced significant increases in mean pO(2) for tumors of both sublines (p < 0.0001). However, initially hypoxic regions displayed very different behavior in each subline: those in the HI tumors responded rapidly with significant elevation in pO(2), while those in the MAT-Lu tumors showed little response to respiratory intervention.
These results concur with hypotheses that hypoxia is related to tumor growth rate and degree of differentiation. Under baseline conditions, the differences were subtle. However, response to respiratory intervention revealed highly significant differences, which, if held valid in the clinic, could have prognostic value.
由于缺氧可能影响肿瘤对治疗的反应及预后,我们比较了已知具有不同生长速率和组织分化的肿瘤的氧合情况。
使用六氟苯的19F核磁共振回波平面成像弛豫测量法测量局部肿瘤氧张力,该方法可提供关于呼吸干预的动态图谱。研究采用两种邓宁前列腺R3327大鼠肿瘤亚系:快速生长、高转移性的MAT-Lu和分化中等良好、生长较慢的HI。
两个亚系在较小肿瘤(<2 cm³)中的氧张力均显著高于较大肿瘤(>3.5 cm³)。汇总数据显示,与大小匹配的HI肿瘤相比,MAT-Lu肿瘤表现出更严重的缺氧(p < 0.0001)。呼吸刺激(氧气或卡波金)使两个亚系肿瘤的平均pO₂均显著升高(p < 0.0001)。然而,每个亚系中最初缺氧区域的表现非常不同:HI肿瘤中的缺氧区域pO₂显著升高,反应迅速,而MAT-Lu肿瘤中的缺氧区域对呼吸干预反应很小。
这些结果与缺氧与肿瘤生长速率和分化程度相关的假设一致。在基线条件下,差异不明显。然而,对呼吸干预的反应显示出高度显著的差异,如果在临床上成立,可能具有预后价值。