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. 1980 Mar;132(3):179–185.

Hyperthermia in Cancer Therapy

Kenneth H Luk 1,2, R Michael Hulse 1,2, Theodore L Phillips 1,2
PMCID: PMC1272016  PMID: 7376656

Abstract

Many malignant cell lines exhibit a therapeutic response to supernormal temperatures. Selective destruction of tumor cells has been observed following moderate hyperthermia (42° to 43° C) in vivo, and tumor eradication by heat has been achieved without normal tissue morbidity. Thermal cell killing appears to be independent of oxygen tension, and the sensitivity of S-phase cells to thermal damage is complementary to that for cellular radiation response. Hyperthermia is therefore a promising adjunct to radiotherapy. At the Claire Zellerbach Saroni Tumor Institute, Mount Zion Hospital and Medical Center, San Francisco, the differential thermal sensitivity of malignant cells is being studied to achieve improved tumor control in patients refractory to more conventional treatments. Preliminary results of a two-year clinical trial indicated increased local objective responses when hyperthermia and radiation were used in combination.

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Selected References

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  1. Alfieri A. A., Hahn E. W., Kim J. H. The relationship between the time of fractionated and single doses of radiation and hyperthermia on the sensitization of an in vivo mouse tumor. Cancer. 1975 Sep;36(3):893–903. doi: 10.1002/1097-0142(197509)36:3<893::aid-cncr2820360310>3.0.co;2-u. [DOI] [PubMed] [Google Scholar]
  2. Auersperg N. Differential heat sensitivity of cells in tissue culture. Nature. 1966 Jan 22;209(5021):415–416. doi: 10.1038/209415a0. [DOI] [PubMed] [Google Scholar]
  3. BOXER G. E., DEVLIN T. M. Pathways of intracellular hydrogen transport. Science. 1961 Nov 10;134(3489):1495–1501. doi: 10.1126/science.134.3489.1495. [DOI] [PubMed] [Google Scholar]
  4. BURGESS E. A., SYLVEN B. Changes in glucose and lactate content of ascites fluid and blood plasma during growth and decay of the ELD ascites tumour. Br J Cancer. 1962 Jun;16:298–305. doi: 10.1038/bjc.1962.35. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Ben-Hur E., Elkind M. M., Bronk B. V. Thermally enhanced radioresponse of cultured Chinese hamster cells: inhibition of repair of sublethal damage and enhancement of lethal damage. Radiat Res. 1974 Apr;58(1):38–51. [PubMed] [Google Scholar]
  6. Brenner H. J., Yerushalmi A. Combined local hyperthermia and x-irradiation in the treatment of metastatic tumours. Br J Cancer. 1976 Jan;33(1):91–95. doi: 10.1038/bjc.1976.9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. CRILE G., Jr Heat as an adjunct to the treatment of cancer; experimental studies. Cleve Clin Q. 1961 Apr;28:75–89. doi: 10.3949/ccjm.28.2.75. [DOI] [PubMed] [Google Scholar]
  8. CRILE G., Jr Selective destruction of cancers after exposure to heat. Ann Surg. 1962 Sep;156:404–407. doi: 10.1097/00000658-196209000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. CRILE G., Jr The effects of heat and radiation on cancers implanted on the feet of mice. Cancer Res. 1963 Mar;23:372–380. [PubMed] [Google Scholar]
  10. Cavaliere R., Ciocatto E. C., Giovanella B. C., Heidelberger C., Johnson R. O., Margottini M., Mondovi B., Moricca G., Rossi-Fanelli A. Selective heat sensitivity of cancer cells. Biochemical and clinical studies. Cancer. 1967 Sep;20(9):1351–1381. doi: 10.1002/1097-0142(196709)20:9<1351::aid-cncr2820200902>3.0.co;2-#. [DOI] [PubMed] [Google Scholar]
  11. Christiansen E. N., Kvamme E. Effects of thermal treatment on mitochondria of brain, liver and ascites cells. Acta Physiol Scand. 1969 Aug;76(4):472–484. doi: 10.1111/j.1748-1716.1969.tb04494.x. [DOI] [PubMed] [Google Scholar]
  12. DALES S. Effects of anaerobiosis on the rates of multiplication of mammalian cells cultured in vitro. Can J Biochem Physiol. 1960 Aug;38:871–878. [PubMed] [Google Scholar]
  13. Dewey W. C., Hopwood L. E., Sapareto S. A., Gerweck L. E. Cellular responses to combinations of hyperthermia and radiation. Radiology. 1977 May;123(2):463–474. doi: 10.1148/123.2.463. [DOI] [PubMed] [Google Scholar]
  14. Dewey W. C., Thrall D. E., Gillette E. L. Hyperthermia and radiation--a selective thermal effect on chronically hypoxic tumor cells in vivo. Int J Radiat Oncol Biol Phys. 1977 Jan-Feb;2(1-2):99–103. doi: 10.1016/0360-3016(77)90013-x. [DOI] [PubMed] [Google Scholar]
  15. Dickson J. A., Ellis H. A. Stimulation of tumour cell dissemination by raised temperature (42 degrees C) in rats with transplanted Yoshida tumours. Nature. 1974 Mar 22;248(446):354–358. doi: 10.1038/248354a0. [DOI] [PubMed] [Google Scholar]
  16. Dickson J. A., Muckle D. S. Total-body hyperthermia versus primary tumor hyperthermia in the treatment of the rabbit VX-2 carcinoma. Cancer Res. 1972 Sep;32(9):1916–1923. [PubMed] [Google Scholar]
  17. Dickson J. A., Oswald B. E. The sensitivity of a malignant cell line to hyperthermia (42 degrees C) at low intracellular pH. Br J Cancer. 1976 Sep;34(3):262–271. doi: 10.1038/bjc.1976.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Dickson J. A., Shah D. M. The effects of hyperthermia (42 degrees C) on the biochemistry and growth of a malignant cell line. Eur J Cancer. 1972 Oct;8(5):561–571. doi: 10.1016/0014-2964(72)90110-7. [DOI] [PubMed] [Google Scholar]
  19. Durand R. E. Potentiation of radiation lethality by hyperthermia in a tumor model: effects of sequence, degree, and duration of heating. Int J Radiat Oncol Biol Phys. 1978 May-Jun;4(5-6):401–405. doi: 10.1016/0360-3016(78)90069-x. [DOI] [PubMed] [Google Scholar]
  20. GULLINO P. M., CLARK S. H., GRANTHAM F. H. THE INTERSTITIAL FLUID OF SOLID TUMORS. Cancer Res. 1964 Jun;24:780–794. [PubMed] [Google Scholar]
  21. Gerner E. W., Connor W. G., Boone M. L., Doss J. D., Mayer E. G., Miller R. C. The potential of localized heating as a adjunct to radiation therapy. Radiology. 1975 Aug;116(02):433–439. doi: 10.1148/116.2.433. [DOI] [PubMed] [Google Scholar]
  22. Gerweck L. E., Gillette E. L., Dewey W. C. Effect of heat and radiation on synchronous Chinese hamster cells: killing and repair. Radiat Res. 1975 Dec;64(3):611–623. [PubMed] [Google Scholar]
  23. Gerweck L. E. Modification of cell lethality at elevated temperatures. The pH effect. Radiat Res. 1977 Apr;70(1):224–235. [PubMed] [Google Scholar]
  24. Goldenberg D. M., Langner M. Direct and abscopal antitumor action of local hyperthermia. Z Naturforsch B. 1971 Apr;26(4):359–361. doi: 10.1515/znb-1971-0419. [DOI] [PubMed] [Google Scholar]
  25. Gullino P. M., Grantham F. H., Smith S. H., Haggerty A. C. Modifications of the acid-base status of the internal milieu of tumors. J Natl Cancer Inst. 1965 Jun;34(6):857–869. [PubMed] [Google Scholar]
  26. Hahn E. W., Alfieri A. A., Kim J. H. Increased cures using fractionated exposures of X irradiation and hyperthermia in the local treatment of the Ridgway osteogenic sarcoma in mice. Radiology. 1974 Oct;113(1):199–202. doi: 10.1148/113.1.199. [DOI] [PubMed] [Google Scholar]
  27. Hall R. R., Schade R. O., Swinney J. Effects of hyperthermia on bladder cancer. Br Med J. 1974 Jun 15;2(5919):593–594. doi: 10.1136/bmj.2.5919.593. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Harisiadis L., Hall E. J., Kraljevic U., Borek C. Hyperthermia: biological studies at the cellular level. Radiology. 1975 Nov;117(2):447–452. doi: 10.1148/117.2.447. [DOI] [PubMed] [Google Scholar]
  29. Kase K., Hahn G. M. Differential heat response of normal and transformed human cells in tissue culture. Nature. 1975 May 15;255(5505):228–230. doi: 10.1038/255228a0. [DOI] [PubMed] [Google Scholar]
  30. Kim J. H., Hahn E. W., Tokita N., Nisce L. Z. Local tumor hyperthermia in combination with radiation therapy. 1. Malignant cutaneous lesions. Cancer. 1977 Jul;40(1):161–169. doi: 10.1002/1097-0142(197707)40:1<161::aid-cncr2820400127>3.0.co;2-a. [DOI] [PubMed] [Google Scholar]
  31. Kim J. H., Kim S. H., Hahn E. Thermal enhancement of the radiosensitivity using cultured normal and neoplastic cells. Am J Roentgenol Radium Ther Nucl Med. 1974 Aug;121(4):860–864. doi: 10.2214/ajr.121.4.860. [DOI] [PubMed] [Google Scholar]
  32. Kim S. H., Kim J. H., Hahn E. W. The enhanced killing of irradiated HeLa cells in synchronous culture by hyperthermia. Radiat Res. 1976 May;66(2):337–345. [PubMed] [Google Scholar]
  33. Li G. C., Evans R. G., Hahn G. M. Modification and inhibition of repair of potentially lethal x-ray damage by hyperthermia. Radiat Res. 1976 Sep;67(3):491–501. [PubMed] [Google Scholar]
  34. Marmor J. B., Hahn N., Hahn G. M. Tumor cure and cell survival after localized radiofrequency heating. Cancer Res. 1977 Mar;37(3):879–883. [PubMed] [Google Scholar]
  35. Mondovì B., Santoro A. S., Strom R., Faiola R., Fanelli A. R. Increased immunogenicity of Ehrlich ascites cells after heat treatment. Cancer. 1972 Oct;30(4):885–888. doi: 10.1002/1097-0142(197210)30:4<885::aid-cncr2820300404>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
  36. Muckle D. S., Dickson J. A. The selective inhibitory effect of hyperthermia on the metabolism and growth of malignant cells. Br J Cancer. 1971 Dec;25(4):771–778. doi: 10.1038/bjc.1971.91. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. NAESLUND J., SWENSON K. E. Investigations on the pH of malignant tumors in mice and humans after the administration of glucose. Acta Obstet Gynecol Scand. 1953;32(3):359–367. doi: 10.3109/00016345309157588. [DOI] [PubMed] [Google Scholar]
  38. Overgaard J., Bichel P. The influence of hypoxia and acidity on the hyperthermic response of malignant cells in vitro. Radiology. 1977 May;123(2):511–514. doi: 10.1148/123.2.511. [DOI] [PubMed] [Google Scholar]
  39. Overgaard J. Effect of hyperthermia on malignant cells in vivo. A review and a hypothesis. Cancer. 1977 Jun;39(6):2637–2646. doi: 10.1002/1097-0142(197706)39:6<2637::aid-cncr2820390650>3.0.co;2-s. [DOI] [PubMed] [Google Scholar]
  40. Overgaard K., Overgaard J. Hyperthermic tumour-cell devitalization in vivo. Acta Radiol Ther Phys Biol. 1977 May;16(1):1–16. doi: 10.3109/02841867709133928. [DOI] [PubMed] [Google Scholar]
  41. Overgaard K., Overgaard J. Investigation on the possibility of a thermic tumour therapy. II. Action of combined heat-roentgen treatment on a transplanted mouse mammary carcinoma. Eur J Cancer. 1972 Oct;8(5):573–575. doi: 10.1016/0014-2964(72)90111-9. [DOI] [PubMed] [Google Scholar]
  42. Overgaard K., Overgaard J. Investigation on the possibility of a thermic tumour therapy. II. Action of combined heat-roentgen treatment on a transplanted mouse mammary carcinoma. Eur J Cancer. 1972 Oct;8(5):573–575. doi: 10.1016/0014-2964(72)90111-9. [DOI] [PubMed] [Google Scholar]
  43. Palzer R. J., Heidelberger C. Influence of drugs and synchrony on the hyperthermic killing of HeLa cells. Cancer Res. 1973 Feb;33(2):422–427. [PubMed] [Google Scholar]
  44. Patterson J., Strang R. The role of blood flow in hyperthermia. Int J Radiat Oncol Biol Phys. 1979 Feb;5(2):235–241. doi: 10.1016/0360-3016(79)90725-9. [DOI] [PubMed] [Google Scholar]
  45. Pettigrew R. T., Galt J. M., Ludgate C. M., Horn D. B., Smith A. N. Circulatory and biochemical effects of whole body hyperthermia. Br J Surg. 1974 Sep;61(9):727–730. doi: 10.1002/bjs.1800610914. [DOI] [PubMed] [Google Scholar]
  46. Pettigrew R. T., Galt J. M., Ludgate C. M., Smith A. N. Clinical effects of whole-body hyperthermia in adnanced malignancy. Br Med J. 1974 Dec 21;4(5946):679–682. doi: 10.1136/bmj.4.5946.679. [DOI] [PMC free article] [PubMed] [Google Scholar]
  47. Power J. A., Harris J. W. Response of extremely hypoxic cells to hyperthermia: survival and oxygen enhancement ratios. Radiology. 1977 Jun;123(3):767–770. doi: 10.1148/123.3.767. [DOI] [PubMed] [Google Scholar]
  48. SELAWRY O. S., CARLSON J. C., MOORE G. E. Tumor response to ionizing rays at elevated temperatures: a review and discussion. Am J Roentgenol Radium Ther Nucl Med. 1958 Nov;80(5):833–839. [PubMed] [Google Scholar]
  49. Schechter M., Stowe S. M., Moroson H. Effects of hyperthermia on primary and metastatic tumor growth and host immune response in rats. Cancer Res. 1978 Mar;38(3):498–502. [PubMed] [Google Scholar]
  50. Stehlin J. S., Giovanella B. C., de Ipolyi P. D., Muenz L. R., Anderson R. F. Results of hyperthermic perfusion for melanoma of the extremities. Surg Gynecol Obstet. 1975 Mar;140(3):339–348. [PubMed] [Google Scholar]
  51. Stehlin J. S., Jr Hyperthermic perfusion with chemotherapy for cancers of the extremities. Surg Gynecol Obstet. 1969 Aug;129(2):305–308. [PubMed] [Google Scholar]
  52. Strauss A. A., Appel M., Saphir O., Rabinovitz A. J. Immunologic resistance to carcinoma produced by electrocoagulation. Surg Gynecol Obstet. 1965 Nov;121(5):989–996. [PubMed] [Google Scholar]
  53. Sugaar S., LeVeen H. H. A histopathologic study on the effects of radiofrequency thermotherapy on malignant tumors of the lung. Cancer. 1979 Feb;43(2):767–783. doi: 10.1002/1097-0142(197902)43:2<767::aid-cncr2820430254>3.0.co;2-x. [DOI] [PubMed] [Google Scholar]
  54. Suit H. D. Hyperthermic effects on animal tissues. Radiology. 1977 May;123(2):483–487. doi: 10.1148/123.2.483. [DOI] [PubMed] [Google Scholar]
  55. Thrall D. E., Gillette E. L., Dewey W. C. Effect of heat and ionizing radiation on normal and neoplastic tissue of the C3H mouse. Radiat Res. 1975 Aug;63(2):363–377. [PubMed] [Google Scholar]
  56. Turano C., Ferraro A., Strom R., Cavaliere R., Fanelli A. R. The biochemical mechanism of selective heat sensitivity of cancer cells. 3. Studies on lysosomes. Eur J Cancer. 1970 Apr;6(2):67–72. doi: 10.1016/0014-2964(70)90003-4. [DOI] [PubMed] [Google Scholar]
  57. Wells P. N. Ultrasonics in medicine and biology. Phys Med Biol. 1977 Jul;22(4):629–669. doi: 10.1088/0031-9155/22/4/001. [DOI] [PubMed] [Google Scholar]
  58. Westra A., Dewey W. C. Variation in sensitivity to heat shock during the cell-cycle of Chinese hamster cells in vitro. Int J Radiat Biol Relat Stud Phys Chem Med. 1971;19(5):467–477. doi: 10.1080/09553007114550601. [DOI] [PubMed] [Google Scholar]

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