2013
DOI: 10.1016/b978-0-12-394274-6.00005-4
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Hypoxia, Therapeutic Resistance, and Sphingosine 1-Phosphate

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Cited by 42 publications
(34 citation statements)
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“…Tumor tissues often contain hypoxic regions, and studies have shown that tumor cells respond differently to chemotherapeutic agents in hypoxic conditions (≤ 1% O 2 ) compared to tumor cells with physiological oxygen supply (5~7% O 2 ) (18, 19). Moreover, tumor hypoxia is significantly associated with lower overall survival and disease-free survival in several cancers (2022), and hypoxic tumor cells are known to be more resistant to conventional chemotherapies and radiotherapy than non-hypoxic tumor cells within the same tumor (23, 24).…”
Section: Discussionmentioning
confidence: 99%
“…Tumor tissues often contain hypoxic regions, and studies have shown that tumor cells respond differently to chemotherapeutic agents in hypoxic conditions (≤ 1% O 2 ) compared to tumor cells with physiological oxygen supply (5~7% O 2 ) (18, 19). Moreover, tumor hypoxia is significantly associated with lower overall survival and disease-free survival in several cancers (2022), and hypoxic tumor cells are known to be more resistant to conventional chemotherapies and radiotherapy than non-hypoxic tumor cells within the same tumor (23, 24).…”
Section: Discussionmentioning
confidence: 99%
“…Much evidence has demonstrated that a hypoxic microenvironment is conducive to the development and maintenance of cancers [17]. Moreover, cancer cells in hypoxic conditions show more resistance to antineoplastic drugs [18], [19]. Some studies that have tried to explain this phenomenon have found that cells in hypoxic conditions generally divide slower than those in normoxic conditions, rendering therapies that target rapidly growing cells less effective [17].…”
Section: Discussionmentioning
confidence: 99%
“…Chronic hypoxic conditions caused by growing tumor results in release of cytokines/chemokines such as IL-1β, IL-6, IL-8, IL-12, IFN-γ, TNF-α and VEGF causing influx of leukocytes and endothelial cells creating inflammatory conditions. Influx of cells into the hypoxic environment of the tumor microenvironment (TME) can trigger induction of cytokines/growth factors such as IL-6 and VEGF by the endothelial cells that can further support neoangiogenesis and tumor growth [41]. Endothelial cells in the TME are known to express multi-drug resistance genes that contribute to therapy resistance [42].…”
Section: Hypoxia and Its Role In Therapy Resistancementioning
confidence: 99%
“…Altered cell metabolism due to hypoxia is known to be one of the mechanisms contributing to therapy resistance [34,35].…”
Section: Hypoxia and Its Role In Therapy Resistancementioning
confidence: 99%