In vivo effects of focused shock waves on tumor tissue visualized by fluorescence staining techniques

Petr Lukes1, Jan Zeman2, Vratislav Horak3

  • 1Institute of Plasma Physics AS CR, v.v.i., Za Slovankou 3, 182 00 Prague 8, Czech Republic.

Insights

Focused shock waves cause significant tumor tissue damage. While TUNEL assay suggested apoptosis, caspase-3 markers indicated mechanical stress, not programmed cell death, was the primary damage mechanism.

Area of Science:

  • Biophysics
  • Oncology
  • Biomedical Engineering

Background:

  • Shock waves exhibit cytotoxic effects on tumor cells and tissues.
  • Mechanisms of shock wave-tissue interaction require further elucidation.

Purpose of the Study:

  • To investigate the in vivo effects of focused shock waves on a syngeneic sarcoma tumor model.
  • To differentiate between apoptosis and mechanical stress as mechanisms of shock wave-induced tumor damage.

Main Methods:

  • Utilized a multichannel pulsed-electrohydraulic discharge generator for shock wave production.
  • Employed TUNEL assay, caspase-3 immunohistochemistry, and hematoxylin-eosin staining for tissue analysis.
  • High-speed shadowgraphy was used to visualize shock wave propagation.

Main Results:

  • Observed a distinct cone-shaped region of damaged tumor tissue correlating with shock wave propagation.
  • TUNEL assay indicated nuclear fragmentation, initially suggesting apoptosis.
  • Caspase-3 staining did not confirm apoptosis, indicating false positives from the TUNEL assay due to mechanical damage.

Conclusions:

  • Focused shock waves induce significant mechanical damage in sarcoma tumors.
  • Nuclear fragmentation observed via TUNEL assay is not a reliable indicator of apoptosis in this context.
  • Mechanical stress, rather than apoptosis, is the dominant mechanism of tumor damage induced by high-pressure shock waves.

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