Abstract
Most malignant neoplasms are believed to be composed of heterogeneous populations of cells with a variety of phenotypic properties associated with different important malignancy traits1–3. Many of these phenotypes have been shown to be unstable, so that a tumor cell population may be a dynamic mixture of relatively stable and very transient phenotypes4,5. This steady-state population of cells may be perturbed by a variety of host-tumor factors as well as by therapeutic interventions6–8 The cause of this cellular heterogeneity has been considered traditionally to be due to increased genetic mutation frequencies associated with the inherent instability of the malignant phenotype4. However, more recently the possible importance of epigenetic factors has arisen9. Among such factors, one area which has received increased attention is the role of the different microenvironments within solid tumors that arise due to various pathophysiological factors related to growth of the cells and the inefficient vascular supply10,11.
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Sutherland, R.M. (1990). Induction of Stress Proteins and Drug Resistance by Hypoxia and Applications of Magnetic Resonance Spectroscopy and Cryospectrophotometry for Detecting Hypoxia in Tumors. 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_9
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