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Tumor Biology |
Departments of Biomedical Engineering [A. K., J. M., F. Y.] and Radiation Oncology [M. W. D.], Duke University, Durham, North Carolina 27708
Steric exclusion of molecules in the extravascular space of tissues can be quantified by the available volume fraction (KAV). Despite its clinical importance, however, there is a paucity of data in the literature regarding the available volume fraction of macromolecules in the extravascular space of tumor tissues. In this study, we quantified KAV of inulin, BSA, and dextran molecules of Mr 10,0002,000,000 in polymer gels and fibrosarcoma tissues. The measurement involved: (a) sectioning of gels or tumor tissues into thin slices (
600 µm) using a Vibratome, (b) ex vivo incubation of the slices in solutions containing fluorescently labeled tracers, and (c) quantification of the equilibrium tracer concentrations in both slices and solutions. We found that KAV in gels decreased monotonically when the Mr of dextran was increased from Mr 10,000 to 2,000,000. However, KAV in tumor tissues was insensitive to the molecular weight of dextran in the range between Mr 10,000 and 40,000. There was a sharp decrease in KAV from 0.28 ± 0.14 to 0.10 ± 0.06 when the molecular weight was increased from Mr 40,000 to 70,000. In addition to the molecular weight dependence, KAV was heterogeneous in tumors, with intertumoral difference being greater than intratumoral variation. The interstitial fluid space, which was quantified by KAV of inulin, was 50% of the total tissue volume. These data indicate that the fraction of the extravascular volume in tumors that is accessible to large therapeutic agents is heterogeneous and depends on the size of agents.
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