The vascular system plays a role of key importance during tumour growth and metastasis formation. In addition, the effectiveness of almost all therapeutic modalities, including drug therapy and radiotherapy, is influenced by the micro-architecture and the gradients of essential nutrients around each vessel. This underlines the importance of the vascular architecture, its origin and effectiveness as a nutrient delivery system. The knowledge that tumour vasculature is abnormal has led to concepts such as angiogenic attack and vascular targeting (Folkman, 1976;Denekamp, 1984;Bicknell, 1994;Folkman and D'Amore, 1996). This, in turn, has led to many more studies of tumour vasculature and primary as well as secondary angiogenesis. However, even though our knowledge of the mechanisms underlying angiogenesis has increased dramatically in the past 25 years, few quantitative data are available on the vascular network architecture and pattern formation in tumours.The fact that the tumour vascularity differs in many aspects from the vasculature of normal organs and tissues was already recognized in the last century (Virchow, 1863; Thiersch, 1865). Thomlinson and Gray (1955) indicated the importance of intervessel spacing because of the threefold increase in radioresistance that accompanies reduction of pO 2 concentrations below critical level. The important question as to whether the vascular architecture of an individual tumour is tumour type-specific has been controversial (Warren, 1979;Vaupel and Gabbert, 1986.) This is due, at least in part, to the methodologies used. Most reports confine themselves to qualitative observations and comparisons of gross vascular patterns in host and tumour, or to blood vessel density, length and diameter measurements, which in turn vary with the staining and counting techniques (Davidson et al, 1994;Endrich and Vaupel, 1998). Recently, morphometric analyses have been introduced in which the features of tumour cells (proliferation rate, oxygenation, angiogenic growth factor production) have been mapped by sequential staining of the same section, allowing the influence of the vascular assay on clinically relevant aspects of cell populations to be mapped. Vascular and metabolic profiles (VAMP) have illustrated marked differences between different types of tumour of the same general histology, for brain tumours and those from the head and neck region. Less et al (1991) introduced the first suitable approach for determining branching patterns and vessel dimensions in corrosion casts of mammary carcinomas. They established a quantitative classification scheme which takes account of the unique features of tumour microvascular network topology. However, it should be recognized that measurements were made on planar twodimensional (2D) projected images of three-dimensional (3D) specimens. All attempts to determine distances in corrosion casts geometrically after 2D projection inevitably include a considerable error. Measurements of vascular parameters such as intercapillary distance and vessel se...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.