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Prognostic Potential Of The Pretherapeutic Tumor Oxygenation Status

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Oxygen Transport to Tissue XXX

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 645))

Abstract

Hypoxia, a characteristic feature of locally advanced solid tumors, has emerged as a key factor of the tumor pathophysiome, since it can promote tumor progression and resistance to therapy. Independent of established prognostic parameters, such as clinical tumor stage, histology, histological grade and nodal status, hypoxia has been identified as an adverse prognostic factor for patient outcome. Studies of pretreatment tumor hypoxia involving direct assessment (polarographic oxygen tension measurements) have suggested a poor prognosis for patients with hypoxic tumors. These investigations indicate a worse disease-free survival for patients with hypoxic cancers of the uterine cervix or soft tissue sarcomas. In head & neck cancers, the studies suggest that pretherapeutic hypoxia is prognostic for survival and local control.

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References

  1. M. Höckel, K. Schlenger, B. Aral, M. Mitze, U. Schäfer, and P. Vaupel, Association between tumor hypoxia and malignant progression in advanced cancer of the uterine cervix, Cancer Res.56, 4509-4515 (1996).

    PubMed  Google Scholar 

  2. M. Höckel and P. Vaupel, Tumor hypoxia: Definitions and current clinical, biologic and molecular aspects, J. Natl. Cancer Inst.93, 266-276 (2001).

    Article  PubMed  Google Scholar 

  3. P. Vaupel, O. Thews, and M. Höckel, Treatment resistance of solid tumors: Role of hypoxia and anemia, Med. Oncol.18, 243-259 (2001).

    Google Scholar 

  4. P. Vaupel, A. Mayer, and M. Höckel, Tumor hypoxia and malignant progression, Methods Enzymol.381, 335-354 (2004).

    Article  PubMed  CAS  Google Scholar 

  5. P. Vaupel, The role of hypoxia-induced factors in tumor progression, Oncologist9 (Suppl. 5), 10-17 (2004).

    Article  Google Scholar 

  6. P. Vaupel and A. Mayer, Hypoxia in cancer: significance and impact on clinical outcome, Cancer Metastasis Rev.26, 225-239 (2007).

    Article  PubMed  CAS  Google Scholar 

  7. G.L. Semenza, Hypoxia, clonal selection, and the role of HIF-1 in tumor progression, Crit. Rev. Biochem. Mol. Biol.35, 71-103 (2000).

    Article  PubMed  CAS  Google Scholar 

  8. G.L. Semenza, Involvement of hypoxia-inducible factor 1 in human cancer, Intern. Med.41, 79-83 (2002).

    Article  PubMed  CAS  Google Scholar 

  9. G.L. Semenza, HIF-1 and tumor progression: Pathophysiology and therapeutics, Trends Mol. Med.8, S62- S67 (2002).

    Article  PubMed  CAS  Google Scholar 

  10. A.L. Harris, Hypoxia – A key regulatory factor in tumour growth, Nature Rev. Cancer2, 38-47 (2002).

    Article  CAS  Google Scholar 

  11. P. Vaupel and A. Mayer, Effects of anaemia and hypoxia on tumour biology, in: Anaemia in Cancer, edited by C. Bokemeyer and H. Ludwig, 2nd Edition (Elsevier, Edinburgh, London, 2005), pp. 47-66.

    Google Scholar 

  12. B.J. Moeller, R.A. Richardson, and M.W. Dewhirst, Hypoxia and radiotherapy: opportunities for improved outcomes in cancer treatment, Cancer Metastasis Rev.26, 241-248 (2007).

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  14. M. Höckel, C. Knoop, K. Schlenger, B. Vorndran, E. Baussmann, M. Mitze, P.G. Knapstein, and P. Vaupel, Intratumoral pO2 predicts survival in advanced cancer of the uterine cervix, Radiother. Oncol.26, 45-50 (1993).

    Article  PubMed  Google Scholar 

  15. A. Fyles, M. Milosevic, D. Hedley, M. Pintilie, W. Levin, L. Manchul, and R.P. Hill, Tumor hypoxia has independent predictor impact only in patients with node-negative cervix cancer, J. Clin. Oncol.20, 680- 687 (2002).

    Article  PubMed  CAS  Google Scholar 

  16. T.H. Knocke, H.D. Weitmann, H.J. Feldmann, E. Selzer, and R. Potter, Intratumoral pO2-measurements as predictive assay in the treatment of carcinoma of the uterine cervix, Radiother. Oncol.53, 99-104 (1999).

    Article  PubMed  CAS  Google Scholar 

  17. K. Sundfør, H. Lyng, C.G. Trope, and E.K. Rofstad, Treatment outcome in advanced squamous cell carcinomas of the uterine cervix: relationship to pretreatment tumor oxygenation and vascularization, Radiother. Oncol.54, 101-107 (2000).

    Article  PubMed  Google Scholar 

  18. M. Nordsmark, J. Loncaster, C. Aquino-Parsons, S.C. Chou, V. Gebski, C. West, J.C. Lindgaard, H. Havsteen, S.E. Davidson, R. Hunter, J.A. Raleigh, and J. Overgaard, The prognostic value of pimonidazole and tumour pO2 in human cervix carcinomas after radiation therapy: A prospective international multi-center study, Radiother. Oncol.80, 123-131 (2006).

    Article  PubMed  CAS  Google Scholar 

  19. R.A. Gatenby, H.B. Kessler, J.S. Rosenblum, L.R. Coia, P.J. Moldofsky, W.H. Hartz, and G.J. Broder, Oxygen distribution in squamous cell carcinoma metastases and its relationship to outcome of radiation therapy, Int. J. Radiat. Oncol. Biol. Phys.14, 831-838 (1988).

    PubMed  CAS  Google Scholar 

  20. M. Nordsmark, S.M. Bentzen, V. Rudat, D. Brizel, E. Lartigau, P. Stadler, A. Becker, M. Adam, M. Molls, J. Dunst, and D.J. Terris, Prognostic value of tumor oxygenation in 397 head and neck tumors after primary radiation therapy. An international multi-center study, Radiother. Oncol.77, 18-24 (2005).

    Google Scholar 

  21. M. Nordsmark and J. Overgaard, Tumor hypoxia is independent of hemoglobin and prognostic for locoregional tumor control after primary radiotherapy in advanced head and neck cancer, Acta Oncol.43, 396- 403 (2004).

    Article  PubMed  Google Scholar 

  22. J. Dunst, P. Stadler, A. Becker, C. Lautenschläger, T. Pelz, G. Hänsgen, M. Molls, and T. Kuhnt, Tumor volume and tumor hypoxia in head and neck cancers: The amount of the hypoxic volume is important, Strahlenther. Onkol.179, 521-526 (2003).

    Article  PubMed  Google Scholar 

  23. D.M. Brizel, R.K. Dodge, R.W. Clough, and M.W. Dewhirst, Oxygenation of head and neck cancer: changes during radiotherapy and impact on treatment outcome, Radiother. Oncol.53, 113-117 (1999).

    Article  PubMed  CAS  Google Scholar 

  24. V. Rudat, P. Stadler, A. Becker, B. Vanselow, A. Dietz, M. Wannenmacher, M. Molls, J. Dunst, and H.J. Feldmann, Predictive value of the tumor oxygenation by means of pO2 histography in patients with advanced head and neck cancer, Strahlenther. Onkol.177, 462-468 (2001).

    Article  PubMed  CAS  Google Scholar 

  25. M.F. Adam, E.C. Gabalski, D.A. Bloch, J.W. Oehlert, J.M. Brown, A.A. Elsaid, H.A. Pinto, and D.J. Terris, Tissue oxygen distribution in head and neck cancer patients, Head Neck21, 146-153 (1999).

    Article  PubMed  CAS  Google Scholar 

  26. D.M. Brizel, S.P. Scully, J.M. Harrelson, L.J. Layfield, J.M. Bean, L.R. Prosnitz, and M.W. Dewhirst, Tumor oxygenation predicts for the likelihood of distant metastases in human soft tissue sarcoma, Cancer Res.56, 941-943 (1996).

    PubMed  CAS  Google Scholar 

  27. M. Nordsmark, J. Alsner, J. Keller, O.S. Nielsen, O.M. Jensen, M.R. Horsman, and J. Overgaard, Hypoxia in human soft tissue sarcomas: Adverse impact on survival and no association with p53 mutations, Brit. J. Cancer84, 1070-1075 (2001).

    Article  PubMed  CAS  Google Scholar 

  28. G. Pitson and A. Fyles, Uterine Cervix Cancer, in: Prognostic Factors in Cancer, edited by M.K. Gospodarowicz, D.E. Henson, R.V.P. Hutter, B. O’Sullivan, L.H. Sobin, and Ch. Wittekind, 2nd Edition (Wiley-Liss, New York, Chichester, 2001), pp. 501-514.

    Google Scholar 

  29. P. Okunieff, I. Ding, P. Vaupel, and M. Höckel, Evidence against hypoxia as the primary cause of tumor aggressiveness. Adv. Exp. Med. Biol. 510, 69-75 (2003).

    PubMed  CAS  Google Scholar 

  30. J.M. Brown and A.J. Giaccia, The unique physiology of solid tumors: opportunities (and problems) for cancer therapy, Cancer Res.58, 1408-1416 (1998).

    PubMed  CAS  Google Scholar 

  31. J.M. Brown, Exploiting the hypoxic cancer cell: mechanisms and therapeutic strategies, Mol. Med. Today 6, 157-162 (2000).

    Article  PubMed  CAS  Google Scholar 

  32. S. Kizaka-Kondoh, M. Inoue, H. Harada, and M. Hiraoka, Tumor hypoxia: A target for selective cancer therapy, Cancer Sci.94, 1021-1028 (2003).

    Article  PubMed  CAS  Google Scholar 

  33. S.M. Evans and C.J. Koch, Prognostic significance of tumor oxygenation in humans, Cancer Lett.195, 1- 16 (2003).

    Article  PubMed  CAS  Google Scholar 

  34. C. Menon and D.L. Fraker, Tumor oxygenation status as prognostic marker, Cancer Lett.221, 225-235 (2005).

    Google Scholar 

  35. J.L. Tatum, G.J. Kelloff, R.J. Gillies, J.M. Arbeit, J.M. Brown, K.S. Chao, J.D. Chapman, W.C. Eckelman, A.W. Fyles, A.J. Giaccia, R.P. Hill, C.J. Koch, M.C. Krishna, K.A. Krohn, J.S. Lewis, R.P. Mason, G. Melillo, A.R. Padhani, G. Powis, J.G. Rajendran, R. Reba, S.P. Robinson, G.L. Semenza, H.M. Swartz, P. Vaupel, D. Yang, B. Croft, J. Hoffman, G. Liu, H. Stone, and D. Sullivan, Hypoxia: importance in tumor biology, noninvasive measurement by imaging, and value of its measurement in the management of cancer therapy, Int. J. Radiat. Biol.82, 699-757 (2006).

    Article  PubMed  CAS  Google Scholar 

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Vaupel, P. (2009). Prognostic Potential Of The Pretherapeutic Tumor Oxygenation Status. In: Liss, P., Hansell, P., Bruley, D.F., Harrison, D.K. (eds) Oxygen Transport to Tissue XXX. Advances in Experimental Medicine and Biology, vol 645. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-85998-9_36

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