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Biochemical Aspects of Heat Sensitivity of Tumour Cells

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Abstract

As mentioned in the Introduction, and as shall be taken up in the following chapter, several lines of evidence have indicated, starting from the first observation by BUSCH (17) over a century ago, that temperatures above the physiologic value might have destructive effects on cancer. As shall be described in the next chapter, in vivo therapeutic applications require the solution of a number of problems: validity and verification, in every case, of the assumption that hyperthermia will be beneficial, i.e., that tumor cells will be more temperature-sensitive than the surrounding normal ones; decisions as to the level of hyperthermia that must be reached, as well as its duration, and the rate at which the final level is to be attained; possible use of substances that act as potentiators of hyperthermia, or of procedures which, associated with the high temperature, result in a more selective and/or extensive damage of the tumor, or that limit the danger of metastatic diffusion; evaluation of the immune status of the patient, in view of the possibility (which shall be discussed in this chapter and elsewhere in this volume that immunity plays a role in tumor regression and prevention of metastasis; technical difficulties in maintaining, with minimal oscillations and for the time required, a given high temperature in the whole tumor mass, controlling it constantly and avoiding the appearance in the patient of adverse effects, such as heat stroke, fluid and/or electrolyte loss, shock, acidosis, renal failure, local edema, etc.; subsequent treatment of the patient in order to avoid not only recurrences and/or metastases but also, as has sometimes been the case in large tumor masses undergoing rapid necrosis (19), late complications due to resorption of heat-damaged tumor tissues.

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Strom, R., Crifo, C., Rossi-Fanelli, A., Mondovi, B. (1977). Biochemical Aspects of Heat Sensitivity of Tumour Cells. In: Rossi-Fanelli, A., Cavaliere, R., Mondovì, B., Moricca, G. (eds) Selective Heat Sensitivity of Cancer Cells. Recent Results in Cancer Research / Fortschritte der Krebsforschung / Progrès dans les recherches sur le cancer, vol 59. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-81080-0_2

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