Rappaport D S, Song C W
Int J Radiat Oncol Biol Phys. 1983 Apr;9(4):539-47. doi: 10.1016/0360-3016(83)90073-1.
The effects of hyperthermia on blood flow and intravascular volume were studied in mammary adenocarcinoma 13762A growing subcutaneously in the leg of Fischer F344 rats. The blood flow was determined using microspheres labelled with 125I, and the blood volume was determined using red blood cells labelled with 51Cr. At the end of heating with water bath at 43.5 degrees C for 1 hour, there was a marked elevation of 51Cr in tumor. The 125I content in tumor also was mildly elevated. Histologically there was a greater number of patent blood vessels per unit area, and they were dilated and hyperemic. In addition, widespread and diffuse hemorrhage could be seen. It appeared, therefore, that the increased 51Cr and 125I label in the tumors immediately after heating was, at least in part, a result of leakage of the labels to extravascular space in addition to possible vasodilation and increased blood flow. At 1 and 5 hours after heating, tumor blood flow was considerably reduced, and at 16 hours both tumor blood flow and blood volume were considerably reduced. Histological examination demonstrated that the tumor blood vessels remained dilated and hyperemic after heating. The effect of heat on blood flow and blood volume in the skin and muscle adjacent to the tumors was also investigated. Blood flow and blood volume in the surrounding normal tissues were significantly elevated at the end of heating. Blood flow was relatively unchanged at 1, 5, and 16 hours after heating, but blood volume was reduced to about one half. These findings indicate that hyperthermia may induce greater damage to vasculature of tumors than normal tissues, and that vascular damage in tumors may take some time to express itself following moderate hyperthermia.
在皮下生长于Fischer F344大鼠腿部的乳腺腺癌13762A中,研究了热疗对血流和血管内容量的影响。使用用125I标记的微球测定血流,使用用51Cr标记的红细胞测定血容量。在43.5℃水浴加热1小时结束时,肿瘤中的51Cr显著升高。肿瘤中的125I含量也轻度升高。组织学上,每单位面积有更多的开放血管,且血管扩张、充血。此外,可见广泛弥漫性出血。因此,加热后肿瘤中51Cr和125I标记立即增加,至少部分是由于标记物渗漏到血管外间隙,此外还可能有血管舒张和血流增加。加热后1小时和5小时,肿瘤血流显著减少,16小时时肿瘤血流和血容量均显著减少。组织学检查表明,加热后肿瘤血管仍扩张、充血。还研究了热对肿瘤邻近皮肤和肌肉中血流和血容量的影响。加热结束时,周围正常组织中的血流和血容量显著升高。加热后1小时、5小时和16小时血流相对无变化,但血容量减少至约一半。这些发现表明,热疗对肿瘤血管的损伤可能比正常组织更大,并且在中度热疗后肿瘤中的血管损伤可能需要一些时间才会显现出来。