Retinoblastoma Treatment: Utilization of the Glycolytic Inhibitor, 2-deoxy-2-fluoro-d-glucose (2-FG), to Target the Chemoresistant Hypoxic Regions in LHBETATAG.

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Retinoblastoma Treatment: Utilization of the Glycolytic Inhibitor, 2-deoxy-2-fluoro-d-glucose (2-FG), to Target the Chemoresistant Hypoxic Regions in LHBETATAG Retinal Tumors Invest. Ophthalmol. Vis. Sci.. 2012;53(2):996-1002. doi:10.1167/iovs.11-8265 Figure Legend: Spatial distribution of hypoxia after treatment with 2-FG. The spatial distribution of hypoxia in the different areas of the tumor (i.e., apex, center, lateral, base) was evaluated by counting the amount of small, medium, large, and very large areas of hypoxia in each of the intratumoral regions (i.e., apex, center, lateral, and base; 100 × HPF). Grading scale measuring the size of the hypoxic areas and the amount of these areas per intratumoral region: Small size hypoxic areas were represented by ≤20 hypoxic cells and were assigned a value of 1; medium size hypoxic areas were represented by 21 to 40 hypoxic cells and were assigned a value of 2; large size hypoxic areas were represented by 41 to 80 hypoxic cells and were assigned a value of 4; and very large size hypoxic areas were represented by ≥81 hypoxic cells and were assigned a value of 8. The difference between treated and untreated was highly significant (*P < 0.001) and there is a statistically significant interaction in the differences between treatments by location (P < 0.008). 2-FG has a differential effect on hypoxia depending on the intratumoral area: apex (88%), center (81%), lateral (79%), and base (95%). Date of download: 12/26/2017 The Association for Research in Vision and Ophthalmology Copyright © 2017. All rights reserved.