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2016 ; 11
(4
): e0153692
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The Role of Oxygen in Avascular Tumor Growth
#MMPMID27088720
Grimes DR
; Kannan P
; McIntyre A
; Kavanagh A
; Siddiky A
; Wigfield S
; Harris A
; Partridge M
PLoS One
2016[]; 11
(4
): e0153692
PMID27088720
show ga
The oxygen status of a tumor has significant clinical implications for treatment
prognosis, with well-oxygenated subvolumes responding markedly better to
radiotherapy than poorly supplied regions. Oxygen is essential for tumor growth,
yet estimation of local oxygen distribution can be difficult to ascertain in
situ, due to chaotic patterns of vasculature. It is possible to avoid this
confounding influence by using avascular tumor models, such as tumor spheroids, a
much better approximation of realistic tumor dynamics than monolayers, where
oxygen supply can be described by diffusion alone. Similar to in situ tumours,
spheroids exhibit an approximately sigmoidal growth curve, often approximated and
fitted by logistic and Gompertzian sigmoid functions. These describe the basic
rate of growth well, but do not offer an explicitly mechanistic explanation. This
work examines the oxygen dynamics of spheroids and demonstrates that this growth
can be derived mechanistically with cellular doubling time and oxygen consumption
rate (OCR) being key parameters. The model is fitted to growth curves for a range
of cell lines and derived values of OCR are validated using clinical measurement.
Finally, we illustrate how changes in OCR due to gemcitabine treatment can be
directly inferred using this model.