High interstitial fluid pressure - an obstacle in cancer therapy

Nat Rev Cancer. 2004 Oct;4(10):806-13. doi: 10.1038/nrc1456.

Abstract

Many solid tumours show an increased interstitial fluid pressure (IFP), which forms a barrier to transcapillary transport. This barrier is an obstacle in tumour treatment, as it results in inefficient uptake of therapeutic agents. There are a number of factors that contribute to increased IFP in the tumour, such as vessel abnormalities, fibrosis and contraction of the interstitial matrix. Lowering the tumour IFP with specific signal-transduction antagonists might be a useful approach to improving anticancer drug efficacy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Alprostadil / pharmacology
  • Animals
  • Antineoplastic Agents / pharmacokinetics*
  • Biological Transport
  • Bradykinin / antagonists & inhibitors
  • Extracellular Fluid / physiology*
  • Humans
  • Hyaluronoglucosaminidase / pharmacology
  • Hydrostatic Pressure*
  • Mice
  • Neoplasms / blood supply
  • Neoplasms / drug therapy
  • Neoplasms / physiopathology*
  • Niacinamide / pharmacology
  • Platelet-Derived Growth Factor / antagonists & inhibitors
  • Signal Transduction / drug effects
  • Transforming Growth Factor beta / antagonists & inhibitors
  • Tumor Necrosis Factor-alpha / antagonists & inhibitors
  • Vascular Endothelial Growth Factor A / antagonists & inhibitors

Substances

  • Antineoplastic Agents
  • Platelet-Derived Growth Factor
  • Transforming Growth Factor beta
  • Tumor Necrosis Factor-alpha
  • Vascular Endothelial Growth Factor A
  • Niacinamide
  • Hyaluronoglucosaminidase
  • Alprostadil
  • Bradykinin