The mechanisms by which hyperbaric oxygen and carbogen improve tumour oxygenation

The mechanisms by which hyperbaric oxygen and carbogen improve tumour oxygenation


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ABSTRACT Hyperbaric oxygen (HBO) has been proposed to reduce tumour hypoxia by increasing the amount of dissolved oxygen in the plasma. That this actually occurs has not been verified


experimentally. This study was performed to explore changes in tumour oxygenation induced by treatment with normobaric and hyperbaric oxygen and carbogen. R3230Ac mammary adenocarcinomas


were implanted into Fisher 344 rats. Arterial blood gases, blood pressure and heart rate were monitored. Tumour oxygenation was measured polarographically in five sets of animals. They


received either normobaric 100% oxygen, hyperbaric (3 atmospheres; atm) 100% oxygen, normobaric carbogen or hyperbaric (3 atm) carbogen (HBC) +/- bretylium. HBO reduced the mean level of low


pO2 values (< 5 mmHg) from 0.49 to 0.07 (P = 0.0003) and increased the average median pO2 from 8 mmHg to 55 mmHg (P = 0.001). HBC reduced the level of low pO2 values from 0.82 to 0.51 (P


= 0.002) an increased median pO2 from 2 mmHg to 6 mmHg (P = 0.05). Normobaric oxygen and carbogen did not change tumour oxygenation significantly. Sympathetic blockade with bretylium before


HBC exposure improved oxygenation significantly more than HBC alone (low pO2 0.55-0.17, median pO2 4-17 mmHg). HBO and hyperbaric carbogen improved tumour oxygenation in this model, while


normobaric oxygen or carbogen had no effect. Sympathetic-mediated vasoconstriction during hyperbaric carbogen caused it to be less effective than HBO. This mechanism also appeared to operate


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Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS HYPERBARIC OXYGEN SUPPRESSED TUMOR PROGRESSION THROUGH THE IMPROVEMENT OF TUMOR HYPOXIA AND INDUCTION OF TUMOR


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INFORMATION AUTHORS AND AFFILIATIONS * Department of Radiation Oncology, Duke University Medical Center, Durham, 27710, North Carolina, USA DM Brizel Authors * DM Brizel View author


publications You can also search for this author inPubMed Google Scholar * S Lin View author publications You can also search for this author inPubMed Google Scholar * JL Johnson View author


publications You can also search for this author inPubMed Google Scholar * J Brooks View author publications You can also search for this author inPubMed Google Scholar * MW Dewhirst View


author publications You can also search for this author inPubMed Google Scholar * CA Piantadosi View author publications You can also search for this author inPubMed Google Scholar RIGHTS


AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Brizel, D., Lin, S., Johnson, J. _et al._ The mechanisms by which hyperbaric oxygen and carbogen improve tumour


oxygenation. _Br J Cancer_ 72, 1120–1124 (1995). https://doi.org/10.1038/bjc.1995.474 Download citation * Issue Date: 01 November 1995 * DOI: https://doi.org/10.1038/bjc.1995.474 SHARE THIS


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