Skip to main content

‘Oxygen Level in a Tissue’ – What Do Available Measurements Really Report?

  • Chapter
  • First Online:
Oxygen Transport to Tissue XLI

Abstract

The aim of the paper is to discuss what currently is feasible clinically to measure the level of oxygen and how that measurement can be clinically useful. Because oxygen in tissues is quite heterogeneous and all methods of measurement can only provide an average across heterogeneities at some spatial and temporal resolution, the values that are obtained may have limitations on their clinical utility. However, even if such limitations are significant, if one utilizes repeated measurements and focuses on changes in the measured levels, rather than ‘absolute levels’, it may be possible to obtain very useful clinical information. While these considerations are especially pertinent in cancer, they also pertain to most other types of pathology.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Harrison D, Vaupel P (2014) Heterogeneity in tissue oxygenation: from physiological variability in normal tissues to pathophysiological chaos in malignant tumors. Adv Exp Med Biol 812:25–31

    Article  CAS  Google Scholar 

  2. Erickson K, Braun RD, Yu D et al (2003) Effect of longitudinal oxygen gradients on effectiveness of manipulation of tumor oxygenation. Can Res 63(15):4705–4712

    CAS  Google Scholar 

  3. Khan N, Shen J, Chang TY et al (2003) Plasma membrane cholesterol: a possible barrier to intracellular oxygen in normal and mutant CHO cells defective in cholesterol metabolism. Biochemist 42:23–29

    Article  CAS  Google Scholar 

  4. Kurokawa H, Ito H, Inoue M et al (2015) High resolution imaging of intracellular oxygen con-centration by phosphorescence lifetime. Sci Rep 5:10657. https://doi.org/10.1038/srep10657

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Griffith TM (1996) Temporal chaos in the microcirculation. Cardiovasc Res 3:342–358

    Article  Google Scholar 

  6. Vaupel P, Mayer A (2016) Tumor hypoxia: causative mechanisms, microregional heterogeneities, and the role of tissue-based hypoxia markers. Adv Exp Med Biol 923:77–86

    Article  CAS  Google Scholar 

  7. Fukumura D, Duda DG, Munn LL et al (2010) Tumor microvasculature and microenvironment: novel insights through intravital imaging in pre-clinical models. Microcirculation 17(3):206–225

    Article  CAS  Google Scholar 

  8. Konerding MA, Fait E, Gaumann A (2001) 3D microvascular architecture of pre-cancerous lesions and invasive carcinomas of the colon. Brit J Cancer 84:1354–1362. https://doi.org/10.1054/bjoc.2001.1809

    Article  CAS  PubMed  Google Scholar 

  9. Vaupel P, Mayer A (2014) Hypoxia in tumors: pathogenesis-related classification, characterization of hypoxia subtypes, and associated biological and clinical implications. Adv Exp Med Biol 812:19–24

    Article  CAS  Google Scholar 

  10. Swartz HM, Williams BB, Zaki BI et al (2014) Clinical EPR: unique opportunities and some challenges. Acad Rad 21(2):197–206

    Article  Google Scholar 

  11. Hou H, Khan N, Gohain S et al (2018) Pre-clinical evaluation of OxyChip for long-term EPR oximetry. Biomed Microdevices 20(2):29

    Article  Google Scholar 

  12. Jarvis LA, Williams BB, Schaner PE et al (2016) Phase 1 clinical trial of OxyChip, an implantable absolute pO2 sensor for tumor oximetry. Int J Rad Onc Biol Phys 96(2):S109–S110

    Article  Google Scholar 

  13. Hou H, Khan N, Nagane M et al (2016) Skeletal muscle oxygenation measured by EPR oximetry using a highly sensitive polymer-encapsulated paramagnetic sensor. Adv Exp Med Bio 923:351–357. https://doi.org/10.1007/978-3-319-38810-6_46

    Article  CAS  Google Scholar 

  14. Flood AB, Schaner PE, Vaupel P et al (2019) Clinical and statistical considerations when assessing oxygen levels in tumors: illustrative results from clinical EPR oximetry studies. Adv Exp Med Bio. (In Press)

    Google Scholar 

  15. Overgaard J (2007) Hypoxic radiosensitization: adored and ignored. J Clin Oncol 10;25(26):4066–4074

    Article  Google Scholar 

  16. Swartz HM, Williams BB, Hou H et al (2016) Direct and repeated clinical measurements of pO2 for enhancing cancer therapy and other applications. Adv Exp Med Biol 923:95–104. https://doi.org/10.1007/978-3-319-38810-6_13

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Ansiaux R, Baudelet C, Jordan BF et al (2005) Thalidomide radiosensitizes tumors through early changes in the tumor microenvironment. Clin Cancer Res 11:743–750

    CAS  PubMed  Google Scholar 

  18. Gallez B, Neveu MA, Danhier P et al (2017) Manipulation of tumor oxygenation and radiosensitivity through modification of cell respiration: a critical review of approaches and imaging biomarkers for therapeutic guidance. Biochim Biophys Acta 1858(8):700–711

    Article  CAS  Google Scholar 

  19. Jordan BF, Sonveaux P, Feron O et al (2004) Nitric oxide as a radiosensitizer: evidence for an intrinsic role in addition to its effect on oxygen delivery and consumption. Int J Cancer 109(5):768–773

    Article  CAS  Google Scholar 

  20. Hou H, Khan N, O’Hara JA et al (2004) Effect of RSR13, an allosteric hemoglobin modifier, on oxygenation in murine tumors: an in vivo electron paramagnetic resonance oximetry and bold MRI study. Int J Radiat Oncol Biol Phys 59(3):834–843

    Article  CAS  Google Scholar 

  21. Vaupel P, Multhoff G (2019) Fatal alliance of hypoxia-/HIF-1α-driven microenvironmental traits promoting cancer progression and resistance to therapy. Adv Exp Med Biol. (In press)

    Google Scholar 

  22. O’Hara JA, Blumenthal RD, Grinberg OY et al (2001) Response to radioimmunotherapy correlates with tumor pO2 measured by EPR oximetry in human tumor xenografts. Radiat Res 155:466–473

    Article  Google Scholar 

  23. Noman MZ (2015) Hypoxia: a key player in antitumor immune response. A review in the theme: cellular responses to hypoxia. Am J Physiol Cell Physiol 309(9):C569–C579

    Article  Google Scholar 

  24. Vaupel P, Höckel M, Mayer A (2007) Detection and characterization of tumor hypoxia using pO2 histography. Antioxid Redox Signal 9:1221–1235

    Article  CAS  Google Scholar 

  25. Colliez F, Gallez B, Jordan BF (2017) Assessing tumor oxygenation for predicting outcome in radiation oncology: a review of studies correlating tumor hypoxic status and outcome in the preclinical and clinical settings. Front Oncol 25(7):10

    Google Scholar 

  26. Springett R, Swartz HM (2007) Measurements of oxygen in vivo: overview and perspectives on methods to measure oxygen within cells and tissues. Antioxid Redox Signal 9(8):1295–1301

    Article  CAS  Google Scholar 

  27. Flood AB, Satinsky VA, Swartz HM (2016) Comparing the effectiveness of methods to measure oxygen in tissues for prognosis and treatment of cancer. Adv Exp Med Biol 923:113–112. https://doi.org/10.1007/978-3-319-38810-6_15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

Major funding is from the National Cancer Institute, PPG Grant P01CA190193. We gratefully acknowledge all the other scientists, clinicians, engineers and coordinators on the PPG. Disclaimer: ABF and HMS are owners of Clin-EPR, LLC which manufacturers clinical EPR instruments for investigational use only.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to H. M. Swartz .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Swartz, H.M. et al. (2020). ‘Oxygen Level in a Tissue’ – What Do Available Measurements Really Report?. In: Ryu, PD., LaManna, J., Harrison, D., Lee, SS. (eds) Oxygen Transport to Tissue XLI. Advances in Experimental Medicine and Biology, vol 1232. Springer, Cham. https://doi.org/10.1007/978-3-030-34461-0_19

Download citation

Publish with us

Policies and ethics