Abstract
The use of drugs selectively activated by redox processes has been suggested as a way to deal with radiation resistant hypoxic cells1,2,3, a cell population within solid tumors which may limit tumor control4,5. The rationale for this suggestion is as follows. Solid tumors contain poorly vascularized regions in which cells are present at a range of oxygen concentrations created by the cellular consumption of oxygen as it diffuses from the widely spaced capillaries or by fluctuating blood flow6. A number of electron affinic drugs are preferentially reduced to more active forms in the hypoxic regions because the low levels of oxygen are ineffective in back oxidizing the drug to its less active parent form7.
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Rauth, A.M., Marshall, R.S. (1990). Mechanisms of Activation of Mitomycin C and AZQ in Aerobic and Hypoxic Mammalian Cells. In: Adams, G.E., Breccia, A., Fielden, E.M., Wardman, P. (eds) Selective Activation of Drugs by Redox Processes. NATO ASI Series, vol 198. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3768-7_10
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