Yeh K A, Biade S, Lanciano R M, Brown D Q, Fenning M C, Babb J S, Hanks G E, Chapman D C
Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA 19111. USA.
Int J Radiat Oncol Biol Phys. 1995 Aug 30;33(1):111-8. doi: 10.1016/0360-3016(95)00036-x.
The oxygenation status of tumors may be important for predicting tumor response to therapy. Previous studies with the anaplastic (R3327-AT) and well-differentiated (R3327-H) Dunning rat prostate tumors using indirect assays of tumor oxygenation indicated the relative hypoxic and radioresistant nature of the anaplastic tumor. We now report direct measurements of oxygen in these tumors made with the pO2 histograph to determine: (a) whether a significant difference in oxygenation status could be detected between them: (b) whether sequential measurements on the same tumor gave similar values; and (c) whether tumor oxygenation correlated with tumor volume.
R3327-AT and R3327-H tumors were grown in Fischer X Copenhagen rat to volumes of 1.0-7.0 cm3. Electrode measurements (100-200) were made in tumors in anesthetized animals along two parallel tracks. Repeat measurements were made at 1-5 days along different parallel tracks. Oxygen partial pressures of muscle tissue were measured and served as a normal tissue control. Statistical analyses were applied to determine whether tumor oxygen levels were different between the two tumor histologies, whether sequential measurements in the same tumor were reproducible, and whether tumor oxygenation correlated with tumor volume.
The average median pO2 of the well-differentiated (n = 15) and the anaplastic (n = 15) tumors was 6.0 mmHg (SE +/- 1.3) and 2.2 mmHg (SE +/- 0.3), respectively. The average median pO2 of normal rat muscle (n = 15) was 23.6 mmHg (SE +/- 2.0). These values represent highly significant differences in oxygen concentration between the two tumors and rat muscle. The differences in average mean pO2 values were also highly significant. Repeat measurements in the same tumors on different days gave average median values of 4.7 and 2.2 mmHg in the R3327-H (n = 15) and R3327-AT (n = 15) tumors, respectively. For these repeat measurements, median pO2 values decreased in 15 and increased in 15 tumors, and were not significantly different from the first measurements. The average differences observed in median pO2 were 37% (SE +/- 7) and 58% (SE +/- 10) for the R3327-H and R3327-AT tumors, respectively. No significant correlation was observed between pO2 levels and the tumor volumes investigated in this study.
The median pO2 values of the anaplastic Dunning tumors were significantly lower than those of the well-differentiated tumors (p < 0.001). Oxygen levels in both tumors were significantly lower than those measured in normal rat muscle (p < 0.00005). Repeat measurements of median pO2 in the same tumors were not significantly different for either tumor model (p > 0.5). The changes observed in pO2 distributions within individual tumors from day to day may indicate true dynamics of its oxygenation status and/or the limits of electrode measurements, by sampling along only two insertion sites. The electrode measurements of pO2 in these tumor models are reproducible and confirm previously detected oxygenation differences between the anaplastic and well-differentiated tumors.
肿瘤的氧合状态对于预测肿瘤对治疗的反应可能很重要。先前使用间接肿瘤氧合测定法对间变性(R3327 - AT)和高分化(R3327 - H)邓宁大鼠前列腺肿瘤进行的研究表明,间变性肿瘤具有相对缺氧和放射抗性的特性。我们现在报告使用pO2组织图像仪对这些肿瘤中的氧气进行的直接测量,以确定:(a)它们之间是否能检测到氧合状态的显著差异;(b)对同一肿瘤进行连续测量是否能得到相似的值;以及(c)肿瘤氧合是否与肿瘤体积相关。
将R3327 - AT和R3327 - H肿瘤种植在费希尔×哥本哈根大鼠体内,使其体积达到1.0 - 7.0 cm³。在麻醉动物的肿瘤中沿两条平行轨迹进行电极测量(100 - 200次)。在1 - 5天内沿不同的平行轨迹进行重复测量。测量肌肉组织的氧分压并将其作为正常组织对照。应用统计分析来确定两种肿瘤组织学之间的肿瘤氧水平是否不同,同一肿瘤的连续测量是否可重复,以及肿瘤氧合是否与肿瘤体积相关。
高分化肿瘤(n = 15)和间变性肿瘤(n = 15)的平均中位pO2分别为6.0 mmHg(标准误±1.3)和2.2 mmHg(标准误±0.3)。正常大鼠肌肉(n = 15)的平均中位pO2为23.6 mmHg(标准误±2.0)。这些值代表了两种肿瘤与大鼠肌肉之间氧浓度的高度显著差异。平均pO2值的差异也具有高度显著性。在不同日期对同一肿瘤进行重复测量时,R3327 - H肿瘤(n = 15)和R3327 - AT肿瘤(n = 15)的平均中位值分别为4.7和2.2 mmHg。对于这些重复测量,15个肿瘤的中位pO2值下降,15个肿瘤的中位pO2值上升,且与首次测量无显著差异。R3327 - H和R3327 - AT肿瘤中位pO2的平均差异分别为37%(标准误±7)和58%(标准误±10)。在本研究中,未观察到pO2水平与所研究的肿瘤体积之间存在显著相关性。
间变性邓宁肿瘤的中位pO2值显著低于高分化肿瘤(p < 0.001)。两种肿瘤中的氧水平均显著低于正常大鼠肌肉中的测量值(p < 0.00005)。对于任一肿瘤模型,同一肿瘤中中位pO2的重复测量均无显著差异(p > 0.5)。从一天到另一天在单个肿瘤内观察到的pO2分布变化可能表明其氧合状态的真实动态变化和/或电极测量的局限性,因为仅沿两个插入位点进行采样。这些肿瘤模型中pO2的电极测量是可重复的,并证实了先前检测到的间变性肿瘤和高分化肿瘤之间的氧合差异。