2004
DOI: 10.1038/427695a
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Cancer cells compress intratumour vessels

Abstract: The delivery of therapeutic drugs to solid tumours may be impaired by structural and functional abnormalities in blood and lymphatic vessels. Here we provide evidence that proliferating cancer cells cause intratumour vessels to compress and collapse. By reducing this compressive mechanical force and opening vessels, cytotoxic cancer treatments have the potential to increase blood perfusion, thereby improving drug delivery.

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Cited by 757 publications
(585 citation statements)
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“…These results are supported by well-known clinical observations (e.g., [148]). As the tumor grows and engulfs vessels in its vicinity, the tumor may compress the vessels [155] and disrupt flow of nutrients, leading to further necrosis and even temporary mass and vascular regression [211,99]. A growing tumor contends with increasing mechanical resistance from normal brain tissue, which has physical properties resembling a gel [153,68].…”
Section: Resultsmentioning
confidence: 99%
“…These results are supported by well-known clinical observations (e.g., [148]). As the tumor grows and engulfs vessels in its vicinity, the tumor may compress the vessels [155] and disrupt flow of nutrients, leading to further necrosis and even temporary mass and vascular regression [211,99]. A growing tumor contends with increasing mechanical resistance from normal brain tissue, which has physical properties resembling a gel [153,68].…”
Section: Resultsmentioning
confidence: 99%
“…In addition, reduced PVC coverage, EC dissociation, and an excess of vesiculo-vaculor organelles (VVOs) results in marked tumor vessel permeability, with excess extravasation of fluid and protein into the extracellular compartment (Jain 2005b). This leakiness, together with a relative absence of functional intratumoral lymphatic vessels (Padera et al 2004;Hagendoorn et al 2006), leads to a marked increase in the tumor interstitial fluid pressure (IFP) to a level that equilibrates with intravascular pressure, which results in reduced transvascular flow (Boucher et al 1990Roh et al 1991;Less et al 1992;Leunig et al 1992;Stohrer et al 2000;Tong et al 2004;Willett et al 2004). Furthermore, the compressive forces applied by the proliferating mass of cancer cells can cause vascular compression and collapse (Padera et al 2004).…”
Section: Vascular Abnormalities In Solid Tumorsmentioning
confidence: 99%
“…For example, an endothelial cell within a tumor microenvironment will experience hypoxia that alone can change the expression of up to 2000 genes (Dachs and Chaplin, 1998). Tumors also show nutrient (for example, glucose) deprivation, acidic extracellular pH, high interstitial pressure (Helmlinger et al, 1997), excess of pro-angiogenic activity (for example, vascular endothelial (VE) growth factor) and increased mechanical compression (Padera et al, 2004). Each of these factors may influence the transcriptome.…”
Section: Introductionmentioning
confidence: 99%