Europe PMC
Nothing Special   »   [go: up one dir, main page]

Europe PMC requires Javascript to function effectively.

Either your web browser doesn't support Javascript or it is currently turned off. In the latter case, please turn on Javascript support in your web browser and reload this page.

This website requires cookies, and the limited processing of your personal data in order to function. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy.

Abstract 


The cause of the frequent localization of secondary tumors at points of injury is not known. Our work deals with this problem. For the experiments the peritoneal cavity has been employed as offering relatively uncomplicated conditions, and the fate of mouse tumor brought into contact with a peritoneal lining injured in various ways has been studied. The injection of a suspension of mouse tumor into a healthy peritoneal cavity has little success as a rule compared with a similar injection into the subcutaneous tissue. We have found that the resistance of the peritoneal lining thus indicated can be largely if not completely abolished by the preliminary injection of a mechanical irritant (Kieselguhr, lycopodium). That the change thus brought about is independent of general immunity phenomena is shown by the fact that a local injury renders susceptible the part of the peritoneum immediately affected and that part only. Special tests show that the factor important in rendering the peritoneum more susceptible is the injury to the subendothelial connective tissue. Susceptibility persists after the endothelium has regenerated over the reacting connective tissue. Schmidt has found that the cells of tumor emboli in the pulmonary arterioles are able to penetrate the endothelium of the vessel only after they have been provided with a stroma from the subendothelial connective tissue. Our findings are easily explained on the basis thus suggested. A connective tissue highly cellular and perhaps still proliferating as the result of injury may well elaborate the stroma for a tumor more rapidly than normal connective tissue. Tests of growth in vitro support this idea. Connective tissue reacting to an injury grows profusely and almost immediately when incubated in plasma, whereas normal tissue from the same region shows usually no growth whatever. Dead tumor fragments in contact with the peritoneum cause a change favorable to the lodgment and growth of later tumor fragments. It seems not improbable that the peritoneal dissemination of certain human neoplasms may be accomplished indirectly through the death of the first tumor fragments cast off. Our observations have been purposely confined to the effects of injury on the peritoneal lining ; but they seem to afford the basis for a generalization. The secondary localization of tumors at points of injury may be attributed with good reason to the presence at such points of an active connective tissue capable of elaborating a stroma rapidly and abundantly. For it is the proliferation of the subendothelial connective tissue to form a supporting stroma that determines the fate of free tumor cells, whether these lie on the peritoneum or within a vessel.

Free full text 


Logo of jexpmedLink to Publisher's site
J Exp Med. 1914 Oct 1; 20(4): 404–412.
PMCID: PMC2125216
PMID: 19867830

ON THE CAUSE OF THE LOCALIZATION OF SECONDARY TUMORS AT POINTS OF INJURY

Abstract

The cause of the frequent localization of secondary tumors at points of injury is not known. Our work deals with this problem. For the experiments the peritoneal cavity has been employed as offering relatively uncomplicated conditions, and the fate of mouse tumor brought into contact with a peritoneal lining injured in various ways has been studied. The injection of a suspension of mouse tumor into a healthy peritoneal cavity has little success as a rule compared with a similar injection into the subcutaneous tissue. We have found that the resistance of the peritoneal lining thus indicated can be largely if not completely abolished by the preliminary injection of a mechanical irritant (Kieselguhr, lycopodium). That the change thus brought about is independent of general immunity phenomena is shown by the fact that a local injury renders susceptible the part of the peritoneum immediately affected and that part only. Special tests show that the factor important in rendering the peritoneum more susceptible is the injury to the subendothelial connective tissue. Susceptibility persists after the endothelium has regenerated over the reacting connective tissue. Schmidt has found that the cells of tumor emboli in the pulmonary arterioles are able to penetrate the endothelium of the vessel only after they have been provided with a stroma from the subendothelial connective tissue. Our findings are easily explained on the basis thus suggested. A connective tissue highly cellular and perhaps still proliferating as the result of injury may well elaborate the stroma for a tumor more rapidly than normal connective tissue. Tests of growth in vitro support this idea. Connective tissue reacting to an injury grows profusely and almost immediately when incubated in plasma, whereas normal tissue from the same region shows usually no growth whatever. Dead tumor fragments in contact with the peritoneum cause a change favorable to the lodgment and growth of later tumor fragments. It seems not improbable that the peritoneal dissemination of certain human neoplasms may be accomplished indirectly through the death of the first tumor fragments cast off. Our observations have been purposely confined to the effects of injury on the peritoneal lining ; but they seem to afford the basis for a generalization. The secondary localization of tumors at points of injury may be attributed with good reason to the presence at such points of an active connective tissue capable of elaborating a stroma rapidly and abundantly. For it is the proliferation of the subendothelial connective tissue to form a supporting stroma that determines the fate of free tumor cells, whether these lie on the peritoneum or within a vessel.

Full Text

The Full Text of this article is available as a PDF (941K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Levin I. STUDIES ON IMMUNITY IN CANCERS OF THE WHITE RAT : THE "PRECANCEROUS STATE" AND THE MECHANISM OF THE ORGAN RESISTANCE TO TUMOR GROWTH. J Exp Med. 1912 Feb 1;15(2):163–173. [Europe PMC free article] [Abstract] [Google Scholar]

Articles from The Journal of Experimental Medicine are provided here courtesy of The Rockefeller University Press

Citations & impact 


Impact metrics

Jump to Citations

Citations of article over time

Article citations


Go to all (69) article citations

Similar Articles 


To arrive at the top five similar articles we use a word-weighted algorithm to compare words from the Title and Abstract of each citation.