Hypoxic cervical cancers with low apoptotic index are highly aggressive.

Abstract:

:There is evidence from experimental work that hypoxia induces apoptosis in apoptosis-sensitive neoplastic cells and that this apoptotic sensitivity is lost during malignant progression. Oxygenation profiles and apoptotic indices in human squamous cell cancer of the uterine cervix have been determined, and a subgroup of tumors has been identified with low apoptotic index despite pronounced hypoxia representing carcinomas that consist of neoplastic cells with diminished apoptotic potential. These hypoxic low-apoptotic tumors show a high probability for lymphatic spread and for recurrence despite adjuvant treatment with radiation or chemotherapy in addition to radical surgery. The clinical results presented strongly support the hypothesis derived from experimental studies that the selection of apoptosis-insensitive neoplastic cell phenotypes in a hypoxic microenvironment is an important mechanism for malignant progression in solid tumors.

journal_name

Cancer Res

journal_title

Cancer research

authors

Höckel M,Schlenger K,Höckel S,Vaupel P

subject

Has Abstract

pub_date

1999-09-15 00:00:00

pages

4525-8

issue

18

eissn

0008-5472

issn

1538-7445

journal_volume

59

pub_type

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