"Artificial lymphatic system": A new approach to reduce interstitial hypertension and increase blood flow, pH and pO2 in solid tumors Journal Article
| Authors: | DiResta, G. R.; Lee, J.; Healey, J. H.; Levchenko, A.; Larson, S. M.; Arbit, E. |
| Article Title: | "Artificial lymphatic system": A new approach to reduce interstitial hypertension and increase blood flow, pH and pO2 in solid tumors |
| Abstract: | A mechanical drainage system, the "artificial lymphatic system" (ALS), consisting of a vacuum source and drain, is evaluated for its ability to aspirate the interstitial fluids responsible for the elevated interstitial fluid pressure (IFP) observed in solid tumors. IFP, pH, and pO2 radial profiles were measured before and after aspiration using wick-in-needle (WIN) probes, needle pH and oxygen electrodes, respectively. Laser Doppler flowmetry measured temporal changes in blood flow rate (BFR) at the tumor surface during aspiration. The WIN probe and IFP profile data were analyzed using numerical simulation and distributed mathematical models, respectively. The model parameter, pE, reflecting central tumor IFP, was reduced from 15.3 to 5.7 mm Hg in neuroblastoma and from 13.3 to 12.1 mm Hg in Walker 256, respectively, following aspiration. The simulation demonstrated that spatial averaging inherent in WIN measurements reduced the calculated magnitude of the model parameter changes. IFP was significantly lower (p<0.05), especially in regions surrounding the drain, and BFR was significantly higher (p<0.05) following 25 and 45 min of aspiration, respectively; pH and pO2 profiles increased following aspiration. The experimental and mathematical findings suggest that ALS aspiration may be a viable way of reducing IFP and increasing BFR, pO2, and pH and should enhance solid tumor chemo and radiation therapy. © 2000 Biomedical Engineering Society. |
| Keywords: | pathophysiology; animal; metabolism; animals; oxygen; ph; vascularization; physiology; lymphatic system; instrumentation; rat; neoplasms, experimental; rats; experimental neoplasm; nude rat; rats, nude; rats, sprague-dawley; pressure; sprague dawley rat; extracellular space; hydrogen-ion concentration; monoclonal antibody 3f8; biomedical engineering; blood flow velocity; lymph; tumor blood flow; artificial lymphatic system; interstitial fluid pressure; artificial organ; artificial organs; male; article; nmb-7 neuroblastoma; ph and po2; walker 256 mammary carcinoma |
| Journal Title: | Annals of Biomedical Engineering |
| Volume: | 28 |
| Issue: | 5 |
| ISSN: | 0090-6964 |
| Publisher: | Springer |
| Date Published: | 2000-05-01 |
| Start Page: | 543 |
| End Page: | 555 |
| Language: | English |
| PUBMED: | 10925952 |
| PROVIDER: | scopus |
| DOI: | 10.1114/1.295 |
| DOI/URL: | |
| Notes: | Export Date: 18 November 2015 -- Source: Scopus |
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