Sensky P L, Prise V E, Tozer G M, Shaffi K M, Hirst D G
CRC Gray Laboratory, Mount Vernon Hospital, Northwood, Middlesex, UK.
Br J Cancer. 1993 Jun;67(6):1337-41. doi: 10.1038/bjc.1993.247.
The perfusion characteristics of the P22 carcinosarcoma were investigated in tissue-isolated tumour preparations in the ovarian and inguinal fat pads of BD9 rats. Tumours were perfused with a physiological buffer of known viscosity and changes in perfusion pressure were recorded at different perfusion rates in an ex vivo system. At perfusion pressures exceeding 30-40 mmHg tumour flow rate was directly proportional to the perfusion pressure in all tumours, indicating a constant resistance to flow. An apparent positive pressure difference across the tumour vasculature of 20-30 mmHg occurred under conditions of zero flow in either site. At low perfusion pressures, the flow resistance increased sharply due to increases in the geometric resistance of the tumours. These findings are in accord with previously published data. Geometric resistance increased with tumour volume in both sites and was approximately five times greater in the inguinal tumours than it was in the ovarian tumours, on a weight to weight basis. The dependence of tumour geometric resistance on perfusion pressure differs from the situation in normal tissues and may provide a means of manipulating the tumour microcirculation to the exclusion of the systemic blood supply. The dependence of geometric resistance on tumour site may partly explain why tumours located in different sites respond differently to various forms of therapy.
在BD9大鼠的卵巢和腹股沟脂肪垫的组织分离肿瘤制剂中,研究了P22癌肉瘤的灌注特征。用已知粘度的生理缓冲液灌注肿瘤,并在体外系统中以不同的灌注速率记录灌注压力的变化。在灌注压力超过30 - 40 mmHg时,所有肿瘤的肿瘤流速与灌注压力成正比,表明流动阻力恒定。在任一部位零流量的情况下,肿瘤血管系统上出现了20 - 30 mmHg的明显正压差。在低灌注压力下,由于肿瘤几何阻力的增加,流动阻力急剧增加。这些发现与先前发表的数据一致。两个部位的几何阻力均随肿瘤体积增加,以重量对重量为基础,腹股沟肿瘤的几何阻力比卵巢肿瘤大约大五倍。肿瘤几何阻力对灌注压力的依赖性不同于正常组织的情况,可能提供一种操纵肿瘤微循环以排除全身血液供应的方法。几何阻力对肿瘤部位的依赖性可能部分解释了为什么位于不同部位的肿瘤对各种治疗形式的反应不同。