IN a previous paper (van den Brenk, 1961a) the effect of breathing high pressure oxygen (OHP) on the cure rate of solid Ehrlich tumours by local X-irradiation in immunologically attenuated hybrid mice was reported. It was found that OHP gave a dosage reduction factor of 2-4 relative to that of breathing air at ambient pressure, and the LD50 dose was reduced from 4000 r (air) to 1670 r (OHP). However normal tissue reactions were found to be considerably enhanced by OHP, and other evidence was also presented to show that in mice breathing air, both normal tissues and tumour tissues were at suboptimal oxygen tensions in respect to radiosensitivity.These studies have been extended to determine the effect of tourniquet compression on cure rate and tissue reactions by irradiation, and the effect of fractionation of dose over limited periods and at different oxygen tensions.
MATERIALS AND METHODSAs in previously reported experiments, hybrid Walter and Eliza Hall mice (40 g. weight) were used. The mice were given 400 rads whole body X-irradiation 24 hr. preceding inoculation of hind limbs (one per animal) with 106 hyperdiploid Ehrlich ascites (EAT) cells. After 7 days' growth the palpable tumours were irradiated using 250 kv X-rays in a specially constructed pressure vessel, and the details of the irradiation, dosimetry and apparatus have been described (van den Brenk, 1961a). Previous experiments had shown that 400 r whole body irradiation reduced the ED50/50 inoculation dose of EAT cells from 281 cells (untreated mice) to <10 cells (irradiated mice) if 24 hr. elapsed between irradiation and inoculation. If this interval was extended to 7 days the ED50/50 was increased to 31 cells. In the present experiments the doses were prescribed in rads, and the whole body dose increased somewhat (from 400 r to 400 rads). The tumour irradiations were performed under pentobarbital anaesthesia, and the dose of anaesthetic reduced from 70 to 50 mg. pentobarbital sodium per kg. weight, with a view to lessening barbiturate hypoxia (Moore, 1961) and the morbidity due to repeated anaesthesia in fractionation experiments. Also in the present experiments OHP pressures were reduced from 45 psi (gauge) pressure to 30 psi to reduce lethality due to possible oxygen poisoning at 45 psi.Whilst after care of the mice and scoring of tumour response were similar to that reported previously, scoring of local tissue reactions was modified to give more reproducible results, in accordance with the classification shown in Table I.