Quantification of oxygen consumption in head and neck cancer using fluorescent sensor foil technology

IntroductionHead and neck squamous cell carcinoma (HNSCC) patients suffer from frequent local recurrences that negatively impact on prognosis. Hence, distinguishing tumor and normal tissue is of clinical importance as it may improve the detection of residual tumor tissue in surgical resection margin...

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Main Authors: Magdalena Stocker, Alexandra Blancke Soares, Gregor Liebsch, Robert J. Meier, Martin Canis, Olivier Gires, Frank Haubner
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1002798/full
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author Magdalena Stocker
Alexandra Blancke Soares
Gregor Liebsch
Robert J. Meier
Martin Canis
Olivier Gires
Frank Haubner
author_facet Magdalena Stocker
Alexandra Blancke Soares
Gregor Liebsch
Robert J. Meier
Martin Canis
Olivier Gires
Frank Haubner
author_sort Magdalena Stocker
collection DOAJ
description IntroductionHead and neck squamous cell carcinoma (HNSCC) patients suffer from frequent local recurrences that negatively impact on prognosis. Hence, distinguishing tumor and normal tissue is of clinical importance as it may improve the detection of residual tumor tissue in surgical resection margins and during imaging-based surgery planning. Differences in O2 consumption (OC) can be used to this aim, as they provide options for improved surgical, image-guided approaches.MethodsIn the present study, the potential of a fluorescent sensor foil-based technology to quantify OC in HNSCC was evaluated in an in vitro 3D model and in situ in patients. ResultsIn vitro measurements of OC using hypopharyngeal and esophageal cell lines allowed a specific detection of tumor cell spheroids embedded together with cancer-associated fibroblasts in type I collagen extracellular matrix down to a diameter of 440 µm. Pre-surgery in situ measurements were conducted with a handheld recording device and sensor foils with an oxygen permeable membrane and immobilized O2-reactive fluorescent dyes. Lateral tongue carcinoma and carcinoma of the floor of the mouth were chosen for analysis owing to their facilitated accessibility. OC was evaluated over a time span of 60 seconds and was significantly higher in tumor tissue compared to healthy mucosa in the vicinity of the tumor.DiscussionHence, OC quantification using fluorescent sensor foil-based technology is a relevant parameter for the differentiation of tumor tissue of the head and neck region and may support surgery planning.
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spelling doaj.art-def4c067729e4e8abf3f24c6288cdc542024-02-08T05:17:48ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2024-02-011410.3389/fonc.2024.10027981002798Quantification of oxygen consumption in head and neck cancer using fluorescent sensor foil technologyMagdalena Stocker0Alexandra Blancke Soares1Gregor Liebsch2Robert J. Meier3Martin Canis4Olivier Gires5Frank Haubner6Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Ludwig Maximilians University (LMU) Munich, Munich, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Ludwig Maximilians University (LMU) Munich, Munich, GermanyPreSens Precision Sensing GmbH, Imaging Solutions, Regensburg, GermanyPreSens Precision Sensing GmbH, Imaging Solutions, Regensburg, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Ludwig Maximilians University (LMU) Munich, Munich, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Ludwig Maximilians University (LMU) Munich, Munich, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Ludwig Maximilians University (LMU) Munich, Munich, GermanyIntroductionHead and neck squamous cell carcinoma (HNSCC) patients suffer from frequent local recurrences that negatively impact on prognosis. Hence, distinguishing tumor and normal tissue is of clinical importance as it may improve the detection of residual tumor tissue in surgical resection margins and during imaging-based surgery planning. Differences in O2 consumption (OC) can be used to this aim, as they provide options for improved surgical, image-guided approaches.MethodsIn the present study, the potential of a fluorescent sensor foil-based technology to quantify OC in HNSCC was evaluated in an in vitro 3D model and in situ in patients. ResultsIn vitro measurements of OC using hypopharyngeal and esophageal cell lines allowed a specific detection of tumor cell spheroids embedded together with cancer-associated fibroblasts in type I collagen extracellular matrix down to a diameter of 440 µm. Pre-surgery in situ measurements were conducted with a handheld recording device and sensor foils with an oxygen permeable membrane and immobilized O2-reactive fluorescent dyes. Lateral tongue carcinoma and carcinoma of the floor of the mouth were chosen for analysis owing to their facilitated accessibility. OC was evaluated over a time span of 60 seconds and was significantly higher in tumor tissue compared to healthy mucosa in the vicinity of the tumor.DiscussionHence, OC quantification using fluorescent sensor foil-based technology is a relevant parameter for the differentiation of tumor tissue of the head and neck region and may support surgery planning.https://www.frontiersin.org/articles/10.3389/fonc.2024.1002798/fulltumor hypoxiaHNSCCtumor imaginghead and neck canceroxygen consumption
spellingShingle Magdalena Stocker
Alexandra Blancke Soares
Gregor Liebsch
Robert J. Meier
Martin Canis
Olivier Gires
Frank Haubner
Quantification of oxygen consumption in head and neck cancer using fluorescent sensor foil technology
Frontiers in Oncology
tumor hypoxia
HNSCC
tumor imaging
head and neck cancer
oxygen consumption
title Quantification of oxygen consumption in head and neck cancer using fluorescent sensor foil technology
title_full Quantification of oxygen consumption in head and neck cancer using fluorescent sensor foil technology
title_fullStr Quantification of oxygen consumption in head and neck cancer using fluorescent sensor foil technology
title_full_unstemmed Quantification of oxygen consumption in head and neck cancer using fluorescent sensor foil technology
title_short Quantification of oxygen consumption in head and neck cancer using fluorescent sensor foil technology
title_sort quantification of oxygen consumption in head and neck cancer using fluorescent sensor foil technology
topic tumor hypoxia
HNSCC
tumor imaging
head and neck cancer
oxygen consumption
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1002798/full
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