Hill S A, Pigott K H, Saunders M I, Powell M E, Arnold S, Obeid A, Ward G, Leahy M, Hoskin P J, Chaplin D J
Tumour Microcirculation Group, Gray Laboratory Cancer Research Trust, Mount Vernon Hospital, Northwood, UK.
Br J Cancer Suppl. 1996 Jul;27:S260-3.
A multichannel laser Doppler system has been used to measure microregional fluctuations in perfusion in the HT29 human tumour xenograft and in patients with advanced malignant disease. A comparison is made with previously obtained data for the SaF, a transplantable murine tumour. The 300 microns diameter probes recorded fluctuations in erythrocyte flux in tumour microregions with an estimated volume of 10(-2) mm3. Of the 66 human tumour microregions sampled, 26% showed a change in erythrocyte flux by a factor of 2 or more over the 60 min measurement period, compared with 37% of HT29 and 48% of SaF microregions. In each of the studies more than 50% of changes were completed within 20 min, although slower changes were more common in the human tumours than in the experimental systems. Within the 1 h monitoring period at least 30% of the changes were reversed (human tumours 30%, HT29 45%, SaF 31%). These findings demonstrate that microregional changes in erythrocyte flux, consistent with transient, perfusion-driven changes in oxygenation, are a feature of human malignancies as well as experimental transplanted tumours.
一种多通道激光多普勒系统已被用于测量HT29人肿瘤异种移植模型以及晚期恶性疾病患者体内灌注的微区波动情况。并与之前获得的可移植性鼠肿瘤SaF的数据进行了比较。直径300微米的探头记录了肿瘤微区内红细胞通量的波动,估计体积为10(-2)立方毫米。在66个人类肿瘤微区样本中,26%的样本在60分钟的测量期内红细胞通量变化了2倍或更多,相比之下,HT29微区的这一比例为37%,SaF微区为48%。在每项研究中,超过50%的变化在20分钟内完成,不过人类肿瘤中较慢的变化比实验系统中更为常见。在1小时的监测期内,至少30%的变化出现了逆转(人类肿瘤为30%,HT29为45%,SaF为31%)。这些发现表明,红细胞通量的微区变化与由灌注驱动的氧合瞬时变化一致,是人类恶性肿瘤以及实验性移植肿瘤的一个特征。