教育的氛圍及環境對兒童發展的影響極為強大,能否為下一代提供理想的學習環境,絕對是家長們需要深思的一道問題。582Please respect copyright.PENANA8SatHznG2N
582Please respect copyright.PENANAlTvVgB5vtm
582Please respect copyright.PENANASYIlyl49Xu
同樣道理,癌細胞的周遭環境亦為它提供了有利抵禦外來藥物侵襲的能力。582Please respect copyright.PENANA8e0y6CTueh
要消滅癌細胞的話,必須了解它如何與周遭環境互動,再對其加以入手。582Please respect copyright.PENANAAN8Vxv1YJ5
582Please respect copyright.PENANAIAz4AIs11m
(圖2)癌細胞的周遭環境極為複雜,事實上學界不少會以「器官」而非「細胞」來冠稱癌症,皆因它與多款周遭細胞建立了不少互利關係並寄予依賴,而非以單一個體的方式生存。582Please respect copyright.PENANAX8cen3Qbel
582Please respect copyright.PENANAtZtpaDqHGd
582Please respect copyright.PENANAJdAybHzRbv
基於癌細胞與周遭環境互動所涉及的範圍非常之多,本篇將只會粗略講及營養及氧氣這一範疇。582Please respect copyright.PENANAfrGDPFWzLQ
582Please respect copyright.PENANAoOcNXQM2rG
(圖3)血管是運送營養及氧氣的主要途徑,基於癌細胞的血管結構並不完整及參差不齊,以及腫瘤過度生長使靠近核心部份的區域遠離血管,腫瘤的某部份區域是經常性處於低氧氣及缺乏營養的狀態。582Please respect copyright.PENANAE4JBY7VTne
582Please respect copyright.PENANA8kFeXPOuSS
582Please respect copyright.PENANATgpt6jWKvR
當然,這是實體腫癌才會遇上的情景,血癌或者浮遊在血液循環系統的癌細胞則較少會面對營養或氧氣缺乏的局面。582Please respect copyright.PENANAouNRBIT0RO
582Please respect copyright.PENANAEgyEGLcmpu
然而,從右圖可見,距離血管超過60μm的區域已經沒有氧氣能夠抵達,而腫瘤半徑超過100μm基本上是等閒之事,所以很多時候均會把腫瘤的環境定性為低氧狀態(Hypoxia),或完全缺氧(Anoxia)。582Please respect copyright.PENANAwsFWJe5EU0
582Please respect copyright.PENANAJtoUK4PUJ2
外來的藥物需要經由血管輸送抵達癌細胞才能發揮功用,藥物基乎無法抵達癌細胞與血管距離較遠的區域,導致藥物沒能以有效的濃度抵達腫瘤各處。582Please respect copyright.PENANAlVwTJrGmYf
582Please respect copyright.PENANA42qKwZAYOt
而且癌細胞在缺氧缺營養的狀態下,生長速度會有所減慢,這正好避過不少針對快速生長細胞特性的化療藥物追捕。582Please respect copyright.PENANAgMxc7HWeOD
582Please respect copyright.PENANAQ1juhUATgm
除藥物外,放射性治療的放射線必需依靠氧氣作為媒體才能傳遞及散播,因此這方法沒能有效根治在低氧環境下的癌細胞區域。582Please respect copyright.PENANAM2rrJxDCWK
582Please respect copyright.PENANA16mZPiao07
582Please respect copyright.PENANA2ulL5fLYoQ
如果想我快啲出文的話,請入去Penana網站科普專欄–薯不揀單俾一個like以及Bookmark,這對我非常之重要。582Please respect copyright.PENANAp96IxlR0No
582Please respect copyright.PENANA6P6KWNWZKo
Link: https://www.penana.com/story/66244/%E7%A7%91%E6%99%AE%E5%B0%88%E6%AC%84-%E8%96%AF%E4%B8%8D%E6%8F%80%E5%96%AE/toc582Please respect copyright.PENANA9zSzolLbWa
582Please respect copyright.PENANAeGEfwL9bwX
同時亦可以在Penana網站裡按「買一嚿/半嚿薯仔」,以課金的方式推動我繼續搜羅資料寫文,多謝。582Please respect copyright.PENANAlxOPzrvO1R
582Please respect copyright.PENANAKAJleksCt1
Link:582Please respect copyright.PENANAJWN6EzK35J
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio582Please respect copyright.PENANAC6ByCfxZok
582Please respect copyright.PENANArsjkyYyG9w
582Please respect copyright.PENANAWShj5EkKOM
除非Facebook及IG重開侵侵的account,否則我的IG將不會再作更新,只會寄居本土LIHKG及Penana。582Please respect copyright.PENANAPYFgj59rbx
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Ref1:https://academic.oup.com/jnci/article/99/19/1441/2544230582Please respect copyright.PENANAiMqcVEyGbV
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科普專欄–薯不揀單
Author:
薯仔聞茱莉
ISSUE #161
三十秒科學–腫瘤的周遭環境
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