Vaupel P W, Frinak S, Bicher H I
Cancer Res. 1981 May;41(5):2008-13.
Severe disturbances in microcirculation during advanced phases of tumor growth lead to restrictions of convective and diffusive transport. In addition, an inhomogeneous distribution of transport conditions develops, resulting in insufficient and heterogeneous substrate supply and an inadequate drainage of wastes. Polarographic measurements of the local tissue oxygen tension (PO2) using gold microelectrodes reveal that very low PO2 values are prevalent in C3H mouse mammary carcinomas. The tissue PO2 frequency distributions are shifted to low PO2 values and limited in variability. The mean PO2 value is 7 mm Hg. The median is 4 mm Hg, the modal class being 0 to 5 mm Hg. Within different microareas of the same tumor, pronounced heterogeneities exist. Due to an elevated rate of lactic acid production and its subsequent inadequate removal, a severe tissue acidosis is evidenced in malignant tumors. For C3H mouse mammary carcinomas, most of the measured pH values are in the range of 6.4 to 7.1, the modal class being 6.7 to 6.8 (mean pH, 6.73; median pH, 6.75). Within different microareas of the same tumor, clear heterogeneities in the pH distribution do occur. Very low pH values (5.8 to 6.3) have been observed in large ulcerated tumors. In extensively necrotic areas, pH values even higher than the arterial pH could be detected.
肿瘤生长晚期微循严重紊乱导致对流和扩散运输受限。此外,运输条件的分布变得不均匀,导致底物供应不足且不均匀,废物排出不畅。使用金微电极对局部组织氧张力(PO2)进行极谱测量显示,C3H小鼠乳腺癌中普遍存在极低的PO2值。组织PO2频率分布向低PO2值偏移且变异性有限。平均PO2值为7 mmHg。中位数为4 mmHg,众数区间为0至5 mmHg。在同一肿瘤的不同微区域内,存在明显的异质性。由于乳酸产生速率升高及其随后清除不足,恶性肿瘤中出现严重的组织酸中毒。对于C3H小鼠乳腺癌,大多数测量的pH值在6.4至7.1范围内,众数区间为6.7至6.8(平均pH值为6.73;中位数pH值为6.75)。在同一肿瘤的不同微区域内,pH分布确实存在明显的异质性。在大的溃疡肿瘤中观察到非常低的pH值(5.8至6.3)。在广泛坏死区域,甚至可以检测到高于动脉pH值的pH值。