J. Schmidt et al., Influence of gastrointestinal hormones on tumor microcirculation of experimental pancreatic cancer in the rat, DIGEST SURG, 17(3), 2000, pp. 250-255
Background/Aims: Gastrointestinal hormones influence the microcirculation i
n the normal pancreas. In the present study, we studied the effect of cerul
ein and somatostatin on pancreatic cancer microcirculation after orthotopic
and nonorthotopic tumor implantation, Methods: In 36 male Lewis rats (150-
180 g) induction of a ductlike pancreatic cancer was achieved by intrapancr
eatic or intraperitoneal tumor fragment interposition between two inert tra
nsparent polymethyl methacrylate plates. After 4 weeks, intravital microsco
py of the tumor microcirculation was performed in a temperature-controlled
immersion chamber. The animals received 5 mu g/kg cerulein or 3 mg/kg somat
ostatin for 1 h intravenously. The erythrocyte velocity in normal pancreati
c capillaries or in tumor vessels was measured, Results: The erythrocyte ve
locity in the capillaries of the normal pancreas was 1.01 +/- 0.11 mm/s at
baseline and increased to 1.64 +/- 0.09 mm/s after cerulein stimulation (p
= 0.007). Pancreatic cancer vessels demonstrated no increase in erythrocyte
velocity after orthotopic (baseline 0.95 +/- 0.14 mm/s, after 1 h 0.86 +/-
0.13 mm/s; n.s.) and nonorthotopic tumor implantation (baseline 0.91 +/- 0
.12 mm/s, after 1 h 0.95 +/- 0.14 mm/s; n.s.) after cerulein stimulation. S
omatostatin decreased the erythrocyte velocity both in normal pancreas (bas
eline 0.87 +/- 0.02 mm/s, after 1 h 0.60 +/- 0.07 mm/s; p = 0.01) and in pa
ncreatic cancer (baseline 0.85 +/- 0.20 mm/s, after 1 h 0.63 +/- 0.18 mm/s;
p = 0.02) after orthotopic tumor implantation. There was no effect of soma
tostatin after nonorthotopic tumor implantation (baseline 0.90 +/- 0.10 mm/
s, after 1 h 0.88 +/- 0.14 mm/s; n.s.). Conclusion: These data suggest that
pancreatic cancer microcirculation lacks physiological blood flow control
by stimulatory hormones, in contrast to the normal pancreas. Copyright (C)
2000 S. Karger AG, Basel.