Lanzen Jennifer, Braun Rod D, Klitzman Bruce, Brizel David, Secomb Timothy W, Dewhirst Mark W
Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.
Cancer Res. 2006 Feb 15;66(4):2219-23. doi: 10.1158/0008-5472.CAN-03-2958.
To test the hypothesis that temporal variations in microvessel red cell flux cause unstable oxygen levels in tumor interstitium, extravascular oxygenation of R3230Ac mammary tumors grown in skin-fold window chambers was measured using recessed tip polarographic microelectrodes. Red cell fluxes in microvessels surrounding pO2 measurement locations were measured using fluorescently labeled red cells. Temporal pO2 instability was observed in all experiments. Median pO2 was inversely related to radial distance from microvessels. Transient fluctuations above and below 10 mm Hg were consistently seen, except in one experiment near the oxygen diffusion distance limit (140 microm) where pO2 fluctuations were <2 mm Hg and median pO2 was <5 mm Hg. Vascular stasis was not seen in these experiments. These results show that fluctuations in red cell flux, as opposed to vascular stasis, can cause temporal variations in pO2 that extend from perivascular regions to the maximum oxygen diffusion distance.
为了验证微血管红细胞通量的时间变化会导致肿瘤间质中氧水平不稳定这一假设,使用凹陷尖端极谱微电极测量了在皮肤褶皱窗口室中生长的R3230Ac乳腺肿瘤的血管外氧合情况。使用荧光标记的红细胞测量了pO2测量位置周围微血管中的红细胞通量。在所有实验中均观察到了pO2的时间不稳定性。pO2中位数与距微血管的径向距离呈负相关。除了在一个接近氧扩散距离极限(140微米)的实验中pO2波动<2毫米汞柱且pO2中位数<5毫米汞柱外,始终能观察到高于和低于10毫米汞柱的短暂波动。在这些实验中未观察到血管淤滞。这些结果表明,与血管淤滞相反,红细胞通量的波动可导致pO2的时间变化,这种变化从血管周围区域延伸至最大氧扩散距离。