Oxygen saturation imaging elucidates tumor heterogeneity in gastric cancer

Abstract Oxygen saturation imaging is a new technology that determines biological features from the perspective of oxygen concentration. Therefore, this exploratory study aimed to evaluate the biological implications of oxygen saturation imaging and further assess tumor heterogeneity in gastric canc...

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Main Authors: Tatsunori Minamide, Nobuhisa Minakata, Riu Yamashita, Shingo Sakashita, Yusuke Yoda, Akihiro Ohashi, Masato Aoshima, Susumu Kobayashi, Tomonori Yano
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:DEN Open
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Online Access:https://doi.org/10.1002/deo2.70077
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author Tatsunori Minamide
Nobuhisa Minakata
Riu Yamashita
Shingo Sakashita
Yusuke Yoda
Akihiro Ohashi
Masato Aoshima
Susumu Kobayashi
Tomonori Yano
author_facet Tatsunori Minamide
Nobuhisa Minakata
Riu Yamashita
Shingo Sakashita
Yusuke Yoda
Akihiro Ohashi
Masato Aoshima
Susumu Kobayashi
Tomonori Yano
author_sort Tatsunori Minamide
collection DOAJ
description Abstract Oxygen saturation imaging is a new technology that determines biological features from the perspective of oxygen concentration. Therefore, this exploratory study aimed to evaluate the biological implications of oxygen saturation imaging and further assess tumor heterogeneity in gastric cancer. Biopsy samples were selectively obtained from treatment‐naïve patients with gastric cancer under real‐time oxygen saturation imaging. Tissue oxygen saturation level calculations, immunohistochemistry, and RNA sequencing were performed. The mean tissue oxygen saturation levels at the sampling sites were 32.2%, 70.8%, and 56.2% for hypoxic, hyperoxic, and non‐tumor areas, respectively, with significant differences between each pair. CD‐31 and glucose transporter 1 protein expression were significantly upregulated in hypoxic tumors. Comprehensive transcriptomic analysis revealed enriched biological processes related to the regulation of insulin‐like growth factor transport and uptake by insulin‐like growth factor‐binding proteins in hypoxic tumors and the type I interferon signaling pathway in hyperoxic tumors. Oxygen saturation imaging has the potential to clarify hypoxia‐induced heterogeneity in gastric cancer from both clinical and fundamental perspectives.
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series DEN Open
spelling doaj-art-cc7bc02fc21e471ab5b87930046ec9f52025-08-20T03:13:51ZengWileyDEN Open2692-46092025-04-0151n/an/a10.1002/deo2.70077Oxygen saturation imaging elucidates tumor heterogeneity in gastric cancerTatsunori Minamide0Nobuhisa Minakata1Riu Yamashita2Shingo Sakashita3Yusuke Yoda4Akihiro Ohashi5Masato Aoshima6Susumu Kobayashi7Tomonori Yano8Department of Gastroenterology and EndoscopyNational Cancer Center Hospital EastChibaJapanDepartment of Gastroenterology and EndoscopyNational Cancer Center Hospital EastChibaJapanDivision of Translational Informatics, Exploratory Oncology Research & Clinical Trial CenterNational Cancer CenterChibaJapanDepartment of Pathology and Clinical LaboratoriesNational Cancer Center Hospital EastChibaJapanDepartment of Gastroenterology and EndoscopyNational Cancer Center Hospital EastChibaJapanDivision of Translational Genomics, Exploratory Oncology Research & Clinical Trial CenterNational Cancer CenterChibaJapanDivision of Translational Informatics, Exploratory Oncology Research & Clinical Trial CenterNational Cancer CenterChibaJapanDivision of Translational Genomics, Exploratory Oncology Research & Clinical Trial CenterNational Cancer CenterChibaJapanDepartment of Gastroenterology and EndoscopyNational Cancer Center Hospital EastChibaJapanAbstract Oxygen saturation imaging is a new technology that determines biological features from the perspective of oxygen concentration. Therefore, this exploratory study aimed to evaluate the biological implications of oxygen saturation imaging and further assess tumor heterogeneity in gastric cancer. Biopsy samples were selectively obtained from treatment‐naïve patients with gastric cancer under real‐time oxygen saturation imaging. Tissue oxygen saturation level calculations, immunohistochemistry, and RNA sequencing were performed. The mean tissue oxygen saturation levels at the sampling sites were 32.2%, 70.8%, and 56.2% for hypoxic, hyperoxic, and non‐tumor areas, respectively, with significant differences between each pair. CD‐31 and glucose transporter 1 protein expression were significantly upregulated in hypoxic tumors. Comprehensive transcriptomic analysis revealed enriched biological processes related to the regulation of insulin‐like growth factor transport and uptake by insulin‐like growth factor‐binding proteins in hypoxic tumors and the type I interferon signaling pathway in hyperoxic tumors. Oxygen saturation imaging has the potential to clarify hypoxia‐induced heterogeneity in gastric cancer from both clinical and fundamental perspectives.https://doi.org/10.1002/deo2.70077endoscopyheterogeneityoxygen saturationstomach neoplasmstumor hypoxia
spellingShingle Tatsunori Minamide
Nobuhisa Minakata
Riu Yamashita
Shingo Sakashita
Yusuke Yoda
Akihiro Ohashi
Masato Aoshima
Susumu Kobayashi
Tomonori Yano
Oxygen saturation imaging elucidates tumor heterogeneity in gastric cancer
DEN Open
endoscopy
heterogeneity
oxygen saturation
stomach neoplasms
tumor hypoxia
title Oxygen saturation imaging elucidates tumor heterogeneity in gastric cancer
title_full Oxygen saturation imaging elucidates tumor heterogeneity in gastric cancer
title_fullStr Oxygen saturation imaging elucidates tumor heterogeneity in gastric cancer
title_full_unstemmed Oxygen saturation imaging elucidates tumor heterogeneity in gastric cancer
title_short Oxygen saturation imaging elucidates tumor heterogeneity in gastric cancer
title_sort oxygen saturation imaging elucidates tumor heterogeneity in gastric cancer
topic endoscopy
heterogeneity
oxygen saturation
stomach neoplasms
tumor hypoxia
url https://doi.org/10.1002/deo2.70077
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