Horsman M R, Grau C, Overgaard J
Danish Cancer Society, Department of Experimental Clinical Oncology, Aarhus.
Acta Oncol. 1995;34(3):325-8. doi: 10.3109/02841869509093983.
The role that chronic and acute hypoxia play in tumour reoxygenation after irradiation was investigated in a C3H mouse mammary carcinoma grown in the feet of female CDF1 mice. Tumours at 200 mm3 in size were locally irradiated with a priming dose of 20 Gy and then at various times after given a range of radiation doses under normal or clamped conditions. Local tumour control was determined 90 days later from which the tumour hypoxic fractions were calculated. Untreated tumours contained 23% hypoxic cells. Immediately after 20 Gy this increased to 52% and by 24 h had fallen to 10%. These reoxygenation experiments were repeated, giving either nicotinamide (1000 mg/kg; i.p. injected 30 min before each irradiation) to remove acute hypoxia, or carbogen breathing (for 5 min before and during irradiation) to decrease chronic hypoxia. With nicotinamide the normal hypoxic fraction was reduced to 7%, but after irradiation it had risen to 46% and by 24 h there was full reoxygenation with a value of 5% being observed. Carbogen breathing also decreased the normal hypoxic fraction to 6%, and immediately after irradiation this was increased to 38%. However, by 24 h it was still elevated at around 23%. These results suggest that chronic rather than acute hypoxia is necessary for reoxygenation in this tumour.
在雌性CDF1小鼠足部生长的C3H小鼠乳腺癌中,研究了慢性和急性缺氧在放疗后肿瘤再氧合中所起的作用。对大小为200立方毫米的肿瘤进行局部照射,初始剂量为20 Gy,然后在正常或钳夹条件下给予一系列辐射剂量后的不同时间进行照射。90天后确定局部肿瘤控制情况,并据此计算肿瘤缺氧分数。未治疗的肿瘤含有23%的缺氧细胞。20 Gy照射后立即增至52%,24小时后降至10%。重复这些再氧合实验,分别给予烟酰胺(1000毫克/千克;每次照射前30分钟腹腔注射)以消除急性缺氧,或给予碳合气呼吸(照射前及照射期间5分钟)以减少慢性缺氧。使用烟酰胺时,正常缺氧分数降至�%,但照射后升至46%,24小时后完全再氧合,观察到的值为5%。碳合气呼吸也将正常缺氧分数降至6%,照射后立即升至38%。然而,24小时后仍升高至约23%。这些结果表明,在该肿瘤中,再氧合需要慢性而非急性缺氧。