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Pathophysiological Basis for the Formation of the Tumor Microenvironment

Open access
Horsman, Michael R., Vaupel, Peter·2016·Frontiers in Oncology

Abstract

Poor microenvironmental conditions are a characteristic feature of solid tumors. Such conditions occur because the tumor vascular supply, which develops from the normal host vasculature by the process of angiogenesis, is generally inadequate in meeting the oxygen and nutrient demands of the growing tumor mass. Regions of low oxygenation (hypoxia) is believed to be the most critical deficiency, since it has been well documented to play a significant role in influencing the response to conventional radiation and chemotherapy treatments, as well as influencing malignant progression in terms of aggressive growth and recurrence of the primary tumor and its metastatic spread. As a result, significant emphasis has been placed on finding clinically applicable approaches to identify those tumors that contain hypoxia and realistic methods to target this hypoxia. However, most studies consider hypoxia as a single entity, yet we now know that it is multifactorial. Furthermore, hypoxia is often associated with other microenvironmental parameters, such as elevated interstitial fluid pressure, glycolysis, low pH, and reduced bioenergetic status, and these can also influence the effects of hypoxia. Here, we review the various aspects of hypoxia, but also discuss the role of the other microenvironmental parameters associated with hypoxia.

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Metadata

Authors
Horsman, M. R., & Vaupel, P.
Venue
Frontiers in Oncology
Published
2016-04-12
Volume
6
Pages
66-66
ISSN
2234-943X (ISSN-L)
OpenAlex
W2326609405
Cited by
189
References
13
FWCI
7.40
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Pathophysiological Basis for the Formation of the Tumor Microenvironment. https://app.cochat.ai/papers/10.3389/fonc.2016.00066
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Horsman, M. R., & Vaupel, P. (2016). Pathophysiological Basis for the Formation of the Tumor Microenvironment. Frontiers in Oncology. https://doi.org/10.3389/fonc.2016.00066

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