2003
DOI: 10.1055/s-2003-44557
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Tumor Microenvironment and Hemorheological Abnormalities

Abstract: This article reviews the various mechanisms in a malignant tumor that lead to hypoxia, production of tumor interstitial fluid, and rheological changes in its microenvironment. In addition, the associated procoagulant effects are described. The latter phenomenon is the result of complex and dynamic interplay among tumor cells, endothelial cells, circulating blood cells, and angiogenic, clotting, and hemorheological factors. The implications of these abnormalities on therapeutic approach are discussed.

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Cited by 26 publications
(9 citation statements)
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“…Tissue interstitial fluid (TIF) is another sample that has gained increasing attention as a substrate from which candidate protein biomarker discovery can be made. The production of TIF results from build-up of fluid derived from cell secretions due to a lack of a vascular and lymphatic system within the tumor [5]. Because this fluid is directly associated with the tumor, it may be a rich source of tumor-specific biomarkers.…”
Section: Introductionmentioning
confidence: 99%
“…Tissue interstitial fluid (TIF) is another sample that has gained increasing attention as a substrate from which candidate protein biomarker discovery can be made. The production of TIF results from build-up of fluid derived from cell secretions due to a lack of a vascular and lymphatic system within the tumor [5]. Because this fluid is directly associated with the tumor, it may be a rich source of tumor-specific biomarkers.…”
Section: Introductionmentioning
confidence: 99%
“…Interestingly, the receptor for CSF2, CSF2RA, is also significantly overexpressed in THP-1. Clearly, future experiments will be needed to address other roles of CSF2 in the tumor-stroma crosstalk such as suggested contributions in the recruitment of monocytes, macrophages and neutrophils into the tumor vicinity [ 89 , 90 , 91 ]. Our organotypic 3D models consisting of human tumor cells, stromal FBs and immune cells (or their respective precursors) represent valuable models which will allow to appropriately characterize the mechanisms of crosstalk in those triple cultures.…”
Section: Resultsmentioning
confidence: 99%
“…Some of these differences are reversible, whereas others persist when the fibroblasts are removed from the vicinity of the carcinoma cells. Their gene expression differences are due to epigenetic and genetic alterations [13,14] and relate to the stage of their differentiation [15]. The evidence above shows that CAFs, like tumor cells, are heterogenous, not only between different but also within the same type of cancer.…”
Section: Introductionmentioning
confidence: 99%
“…Macrophage density in the tumor generally negatively correlates with relapse-free and overall survival but localization also seems to be important. The association between TAM (tumor associated macrophage)-density and survival of cancer patients depends on the intratumoral or peritumoral macrophages counted [15]. TAMs promote the metastatic capacity of cancer cells in stromal or perivascular areas, while around the necrosis, in a hypoxic state, they stimulate angiogenesis [64].…”
Section: Introductionmentioning
confidence: 99%