Tumor lactate content predicts for response to fractionated irradiation of human squamous cell carcinomas in nude mice☆
Received 18 January 2006; received in revised form 24 July 2006; accepted 11 August 2006. published online 18 September 2006.
Abstract
Background and purpose
The present study was performed to test the hypothesis that lactate accumulation correlates with the radioresistance of malignant tumors due to the radical scavenging capacity of lactate or metabolic intermediates of glycolysis, such as pyruvate.
Materials and methods
Five human head and neck squamous cell carcinoma cell lines (HNSCCs) xenografted in nude mice were treated with a clinically relevant irradiation protocol with 30 fractions within 6 weeks. The radiation dose necessary to locally control 50% of the tumors (TCD50) ranged from 47.4 to 129.8Gy. Concentrations of glucose, lactate, and ATP in viable tumor regions as potential indicators of glycolytic activity were assessed with structure-associated quantitative bioluminescence imaging.
Results
Mean lactate concentrations of the different tumor cell lines were in the range of 7.3–25.9μmol/g. TCD50 values were positively correlated with tumor lactate levels (R=0.9824, p=0.0028).
Conclusions
The data obtained support the hypothesis that tissue lactate content correlates with radioresistance in solid human tumors. Furthermore, the results suggest that tumor lactate content determined non-invasively by proton magnetic resonance spectroscopy imaging may be used to predict for radioresistance of malignancies in the clinic; the data also imply that transient inhibition of glycolysis during treatment might possibly sensitize tumors to irradiation.
dOncoRay-Centre for Radiation Research in Oncology, University of Technology Dresden Germany
Corresponding author. Wolfgang Mueller-Klieser, Institute of Physiology and Pathophysiology, University of Mainz, Duesbergweg 6, D-55128 Mainz, Germany.
☆ Financial support: This investigation was supported by grants of the Deutsche Forschungsgemeinschaft to W.M.K. (Mu 576/14-1) and to M.B. and D.Z. (Ba 1433/4-2).
ABSTRACT