Effect of ultrasound combined with microbubbles therapy on tumor hypoxic microenvironment

IntroductionTumor tissues exhibit significantly lower oxygen partial pressure compared to normal tissues, leading to hypoxia in the tumor microenvironment and result in resistance to tumor treatments. Strategies to mitigate hypoxia include enhancing blood perfusion and oxygen supply, for example,by...

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Main Authors: Yuyi Feng, Danxia Qiu, Yangcheng He, Hai Jin, Liping Chen, Fen Xi, Zhiwen Hu, Yanlin Xie, Yucai Li, Minhua Lin, Pengxiao Sun, Yan He, Jianhua Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2024.1502349/full
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author Yuyi Feng
Danxia Qiu
Yangcheng He
Hai Jin
Liping Chen
Fen Xi
Zhiwen Hu
Yanlin Xie
Yucai Li
Minhua Lin
Pengxiao Sun
Yan He
Jianhua Liu
author_facet Yuyi Feng
Danxia Qiu
Yangcheng He
Hai Jin
Liping Chen
Fen Xi
Zhiwen Hu
Yanlin Xie
Yucai Li
Minhua Lin
Pengxiao Sun
Yan He
Jianhua Liu
author_sort Yuyi Feng
collection DOAJ
description IntroductionTumor tissues exhibit significantly lower oxygen partial pressure compared to normal tissues, leading to hypoxia in the tumor microenvironment and result in resistance to tumor treatments. Strategies to mitigate hypoxia include enhancing blood perfusion and oxygen supply, for example,by decomposing hydrogen peroxide within the tumor. Improving hypoxia in the tumor microenvironment could potentially improve the efficacy of cancer treatments. Previous studies have demonstrated that ultrasound of appropriate intensity when combined with microbubbles, can improve tumor blood perfusion. However, its effects on tumor hypoxia remain unclear. This study aimed to assess the effects of low-frequency non-focused ultrasound combined with microbubbles at different intensities on tumor microenvironment hypoxia and to identify the optimal ultrasound parameters for alleviating tumor hypoxia.MethodRabbits with VX2 tumors received ultrasound and microbubble treatments at different acoustic pressures and pulse repetition frequencies. The changes in tumor tissue blood perfusion before and after treatment were observed by contrast enhanced ultrasound (CEUS). The changes in tumor tissue hypoxia before and after treatment were observed by measuring oxygen partial pressure directly with in tumor tissue and immunohistochemical staining for hypoxia-inducible factor-1α (HIF-1α).ResultsResults indicated that low frequency, non-focused ultrasound at 0.5 MPa/20 Hz and 0.5 MPa/40 Hz, when combined with microbubbles, could increase tumor tissue blood perfusion and improve the hypoxia in tumor tissues.DiscussionThis study provides a new method for improving hypoxia in the tumor microenvironment (TME) which could potentially improve the cancer treatments resistance.
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spelling doaj-art-b05e6f66e4bb49f8b1470ec019ac65ba2025-01-13T05:10:14ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-01-011510.3389/fphar.2024.15023491502349Effect of ultrasound combined with microbubbles therapy on tumor hypoxic microenvironmentYuyi FengDanxia QiuYangcheng HeHai JinLiping ChenFen XiZhiwen HuYanlin XieYucai LiMinhua LinPengxiao SunYan HeJianhua LiuIntroductionTumor tissues exhibit significantly lower oxygen partial pressure compared to normal tissues, leading to hypoxia in the tumor microenvironment and result in resistance to tumor treatments. Strategies to mitigate hypoxia include enhancing blood perfusion and oxygen supply, for example,by decomposing hydrogen peroxide within the tumor. Improving hypoxia in the tumor microenvironment could potentially improve the efficacy of cancer treatments. Previous studies have demonstrated that ultrasound of appropriate intensity when combined with microbubbles, can improve tumor blood perfusion. However, its effects on tumor hypoxia remain unclear. This study aimed to assess the effects of low-frequency non-focused ultrasound combined with microbubbles at different intensities on tumor microenvironment hypoxia and to identify the optimal ultrasound parameters for alleviating tumor hypoxia.MethodRabbits with VX2 tumors received ultrasound and microbubble treatments at different acoustic pressures and pulse repetition frequencies. The changes in tumor tissue blood perfusion before and after treatment were observed by contrast enhanced ultrasound (CEUS). The changes in tumor tissue hypoxia before and after treatment were observed by measuring oxygen partial pressure directly with in tumor tissue and immunohistochemical staining for hypoxia-inducible factor-1α (HIF-1α).ResultsResults indicated that low frequency, non-focused ultrasound at 0.5 MPa/20 Hz and 0.5 MPa/40 Hz, when combined with microbubbles, could increase tumor tissue blood perfusion and improve the hypoxia in tumor tissues.DiscussionThis study provides a new method for improving hypoxia in the tumor microenvironment (TME) which could potentially improve the cancer treatments resistance.https://www.frontiersin.org/articles/10.3389/fphar.2024.1502349/fulltumor hypoxic microenvironmentultrasoundmicrobubbleshypoxiaoxygen partial pressurecontrast enhance ultrasound
spellingShingle Yuyi Feng
Danxia Qiu
Yangcheng He
Hai Jin
Liping Chen
Fen Xi
Zhiwen Hu
Yanlin Xie
Yucai Li
Minhua Lin
Pengxiao Sun
Yan He
Jianhua Liu
Effect of ultrasound combined with microbubbles therapy on tumor hypoxic microenvironment
Frontiers in Pharmacology
tumor hypoxic microenvironment
ultrasound
microbubbles
hypoxia
oxygen partial pressure
contrast enhance ultrasound
title Effect of ultrasound combined with microbubbles therapy on tumor hypoxic microenvironment
title_full Effect of ultrasound combined with microbubbles therapy on tumor hypoxic microenvironment
title_fullStr Effect of ultrasound combined with microbubbles therapy on tumor hypoxic microenvironment
title_full_unstemmed Effect of ultrasound combined with microbubbles therapy on tumor hypoxic microenvironment
title_short Effect of ultrasound combined with microbubbles therapy on tumor hypoxic microenvironment
title_sort effect of ultrasound combined with microbubbles therapy on tumor hypoxic microenvironment
topic tumor hypoxic microenvironment
ultrasound
microbubbles
hypoxia
oxygen partial pressure
contrast enhance ultrasound
url https://www.frontiersin.org/articles/10.3389/fphar.2024.1502349/full
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