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肿瘤和皮下小动脉的小动脉氧合:吸入气氧含量的影响。

Arteriolar oxygenation in tumour and subcutaneous arterioles: effects of inspired air oxygen content.

作者信息

Dewhirst M W, Ong E T, Rosner G L, Rehmus S W, Shan S, Braun R D, Brizel D M, Secomb T W

机构信息

Department of Radiation Oncology, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

Br J Cancer Suppl. 1996 Jul;27:S241-6.

Abstract

Carbogen is thought to be more effective than normobaric oxygen in reducing tumour hypoxia because it may reduce hyperoxic vasoconstriction. In this study, tumour and normal arteriolar diameters were measured simultaneously with perivascular pO2 during air breathing followed by either carbogen or 100% oxygen to determine whether the action of carbogen is the result of alterations in feeding vessel diameter. Fischer-344 rats bearing dorsal flap window chambers, with or without implanted R3230AC tumours, were the experimental subjects. Arteriolar diameters were measured using optical techniques and perivascular pO2 was measured using recessed-tip electrodes (3-6 microns tip diameter). Baseline arteriolar pO2 averaged 30-50% of blood gas pO2 (mean = 97 mmHg). Both hyperoxic gases increased blood gas pO2 by 4-to 5-fold, but relative improvements in arteriolar pO2 were < or = 2.5 for all arterioles studied. This means that these normobaric high O2 gases are not very efficient in increasing O2 delivery to tumours. In addition, improvements in tumour arteriolar pO2 were transient for both hyperoxic gases. Oxygen and carbogen caused no change and mild vasodilatory responses in tumour arterioles, respectively. Normal arterioles on the other hand, tended toward vasoconstriction by carbogen breathing. Peri-arteriolar pO2 in tumours increased within the first 5 min of breathing either hyperoxic gas, followed by a decline back toward values seen with air-breathing. These results suggest that temporal changes in tumour oxygenation after exposure to carbogen or O2 may not be due to changes in perfusion. Other factors, such as changes in O2 consumption rate may be involved.

摘要

人们认为,混合气在减轻肿瘤缺氧方面比常压氧更有效,因为它可能减少高氧性血管收缩。在本研究中,在动物呼吸空气后,分别给予混合气或100%氧气,同时测量肿瘤和正常小动脉直径以及血管周围的pO₂,以确定混合气的作用是否是由于供血血管直径的改变所致。实验对象为带有背部皮瓣开窗室、有或没有植入R3230AC肿瘤的Fischer-344大鼠。使用光学技术测量小动脉直径,使用尖端直径为3 - 6微米的凹尖电极测量血管周围的pO₂。小动脉的基线pO₂平均为血气pO₂的30 - 50%(平均 = 97 mmHg)。两种高氧气体均使血气pO₂增加了4至5倍,但对于所有研究的小动脉,小动脉pO₂的相对改善均≤2.5。这意味着这些常压高氧气体在增加氧气输送到肿瘤方面效率不高。此外,两种高氧气体使肿瘤小动脉pO₂的改善都是短暂的。氧气和混合气分别对肿瘤小动脉没有影响和引起轻度血管舒张反应。另一方面,混合气呼吸使正常小动脉趋于血管收缩。在呼吸任何一种高氧气体的最初5分钟内,肿瘤内血管周围的pO₂都会升高,随后又降至呼吸空气时所见的值。这些结果表明,暴露于混合气或氧气后肿瘤氧合的时间变化可能不是由于灌注变化所致。可能涉及其他因素,如氧气消耗率的变化。

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