Sk. Hobbs et al., REGULATION OF TRANSPORT PATHWAYS IN TUMOR VESSELS - ROLE OF TUMOR TYPE AND MICROENVIRONMENT, Proceedings of the National Academy of Sciences of the United Statesof America, 95(8), 1998, pp. 4607-4612
Novel anti-neoplastic agents such as gene targeting vectors and encaps
ulated carriers are quite large (approximately 100-300 nm in diameter)
. An understanding of the functional size and physiological regulation
of transvascular pathways is necessary to optimize delivery of these
agents. Here we analyze the functional limits of transvascular transpo
rt and its modulation by the microenvironment. One human and five muri
ne tumors including mammary and colorectal carcinomas, hepatoma, gliom
a, and sarcoma were implanted in the dorsal skin-fold chamber or crani
al window, and the pore cutoff size, a functional measure of transvasc
ular gap size, was determined. The microenvironment was modulated: (i)
spatially, by growing tumors in subcutaneous or cranial locations and
(ii) temporally, by inducing vascular regression in hormone-dependent
tumors. Tumors grown subcutaneously exhibited a characteristic pore c
utoff size ranging from 200 nm to 1.2 mu m. This pore cutoff size was
reduced in tumors grown in the cranium or in regressing tumors after h
ormone withdrawal. Vessels induced in basic fibroblast growth factor c
ontaining gels had a pore cutoff size of 200 nm. Albumin permeability
was independent of pore cutoff size. These results have three major im
plications for the delivery of therapeutic agents: (i) delivery may be
less efficient in cranial tumors than in subcutaneous tumors, (ii) de
livery may be reduced during tumor regression induced by hormonal abla
tion, and (iii) permeability to a molecule is independent of pore cuto
ff size as long as the diameter of the molecule is much less than the
pore diameter.