Regions of hypoxia, or low oxygen tension, are known to exist within tumours (Raleigh et al, 1996;Brown and Giaccia, 1998;Dewhirst, 1998). Since radiotherapy and some forms of chemotherapy are less effective at killing cancer cells in hypoxic environments, much effort has been directed toward identifying tumours containing such regions. Measurement of oxygen tension by needle electrodes in lymph node metastasis of cancer of the head and neck found that radiation was less effective at inducing regression when the lymph nodes were hypoxic (Gatenby et al, 1988) and such measurements have been reported to identify patients with poor locoregional tumour control (Nordsmark et al, 1996). Similar work in advanced cancer of the uterine cervix (Hockel et al, 1993(Hockel et al, , 1996Fyles et al, 1998;Hockel and Vaupel, 1998) showed that increased levels of hypoxia in the primary tumour mass correlated with poorer treatment outcome. These results suggested that hypoxia in cervical cancers correlated with a greater likelihood of both local failure and nodal metastasis. Metastases were also found to be more frequent in patients with the most hypoxic soft tissue sarcoma of the extremities (Brizel et al, 1996). Furthermore, exposure of cancer cells to hypoxia (Young et al, 1988;Jang and Hill, 1997) and hypoxia-induced increases in vascular endothelial growth factor (VEGF) secretion have been associated with an increased metastatic ability (Danielsen and Rofstad, 1998).VEGF is the most selective vascular endothelial cell mitogen known . In cancer cells, the four VEGF isoforms which have been most frequently described contain 121, 165, 189 and 206 amino acids (Tischer et al, 1991). In some studies, increased intra-tumoural VEGF mRNA and protein has been associated with poor prognosis (Berger et al, 1995;Toi et al, 1995), increased metastasis Takahashi et al, 1995), and increased microvessel density Toi et al, 1995;Fontini et al, 1997). Antibodies directed towards VEGF can inhibit angiogenesis and the proliferation of cancer cells in vivo (Kim et al, 1993;Kondo et al, 1993). Cancer cells constitutively produce VEGF and can up-regulate its expression under hypoxic stress (Shweiki et al, 1992) via the transcription factor hypoxia-inducible factor 1 (Forsythe et al, 1996) and by stabilization of the mRNA (Levy et al, 1996(Levy et al, , 1998. The qualitative relationship between oxygen level and VEGF up-regulation has been examined in a variety of different tumour systems but has not been quantitatively documented in most of the studies performed (Shweiki et al, 1992;Minchenko et al, 1994;Leith and Michelson, 1995;Mukhapadhyay et al, 1995). The purpose of the present work was to examine the relationship between VEGF mRNA level and oxygen concentration in detail and to determine the extent of its variation between different tumour cells of similar histopathological type. Cell lines derived from human cancer of the uterine cervix were chosen for the study based on the abundance of clinical data relating tumour A quantitative analysis ...