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      High interstitial fluid pressure - an obstacle in cancer therapy.

      Nature reviews. Cancer
      Alprostadil, pharmacology, Animals, Antineoplastic Agents, pharmacokinetics, Biological Transport, Bradykinin, antagonists & inhibitors, Extracellular Fluid, physiology, Humans, Hyaluronoglucosaminidase, Hydrostatic Pressure, Mice, Neoplasms, blood supply, drug therapy, physiopathology, Niacinamide, Platelet-Derived Growth Factor, Signal Transduction, drug effects, Transforming Growth Factor beta, Tumor Necrosis Factor-alpha, Vascular Endothelial Growth Factor A

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          Abstract

          Many solid tumours show an increased interstitial fluid pressure (IFP), which forms a barrier to transcapillary transport. This barrier is an obstacle in tumour treatment, as it results in inefficient uptake of therapeutic agents. There are a number of factors that contribute to increased IFP in the tumour, such as vessel abnormalities, fibrosis and contraction of the interstitial matrix. Lowering the tumour IFP with specific signal-transduction antagonists might be a useful approach to improving anticancer drug efficacy.

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