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1.
Ann Oncol ; 34(10): 899-906, 2023 10.
Article in English | MEDLINE | ID: mdl-37597579

ABSTRACT

BACKGROUND: We aimed to examine circulating tumor DNA (ctDNA) and its association with residual cancer burden (RCB) using an ultrasensitive assay in patients with triple-negative breast cancer (TNBC) receiving neoadjuvant chemotherapy. PATIENTS AND METHODS: We identified responders (RCB 0/1) and matched non-responders (RCB 2/3) from the phase II TBCRC 030 prospective study of neoadjuvant paclitaxel versus cisplatin in TNBC. We collected plasma samples at baseline, 3 weeks and 12 weeks (end of therapy). We created personalized ctDNA assays utilizing MAESTRO mutation enrichment sequencing. We explored associations between ctDNA and RCB status and disease recurrence. RESULTS: Of 139 patients, 68 had complete samples and no additional neoadjuvant chemotherapy. Twenty-two were responders and 19 of those had sufficient tissue for whole-genome sequencing. We identified an additional 19 non-responders for a matched case-control analysis of 38 patients using a MAESTRO ctDNA assay tracking 319-1000 variants (median 1000 variants) to 114 plasma samples from 3 timepoints. Overall, ctDNA positivity was 100% at baseline, 79% at week 3 and 55% at week 12. Median tumor fraction (TFx) was 3.7 × 10-4 (range 7.9 × 10-7-4.9 × 10-1). TFx decreased 285-fold from baseline to week 3 in responders and 24-fold in non-responders. Week 12 ctDNA clearance correlated with RCB: clearance was observed in 10 of 11 patients with RCB 0, 3 of 8 with RCB 1, 4 of 15 with RCB 2 and 0 of 4 with RCB 3. Among six patients with known recurrence, five had persistent ctDNA at week 12. CONCLUSIONS: Neoadjuvant chemotherapy for TNBC reduced ctDNA TFx by 285-fold in responders and 24-fold in non-responders. In 58% (22/38) of patients, ctDNA TFx dropped below the detection level of a commercially available test, emphasizing the need for sensitive tests. Additional studies will determine whether ctDNA-guided approaches can improve outcomes.


Subject(s)
Breast Neoplasms , Circulating Tumor DNA , Triple Negative Breast Neoplasms , Humans , Female , Circulating Tumor DNA/genetics , Neoadjuvant Therapy/adverse effects , Triple Negative Breast Neoplasms/drug therapy , Triple Negative Breast Neoplasms/genetics , Neoplasm, Residual/genetics , Neoplasm, Residual/pathology , Prospective Studies , Breast Neoplasms/etiology , Neoplasm Recurrence, Local/drug therapy , Neoplasm Recurrence, Local/genetics
3.
Breast Cancer Res Treat ; 192(2): 235-243, 2022 Apr.
Article in English | MEDLINE | ID: mdl-34973083

ABSTRACT

PURPOSE: Inflammatory breast cancer is a deadly and aggressive type of breast cancer. A key challenge relates to the need for a more detailed, formal, objective definition of IBC, the lack of which compromises clinical care, hampers the conduct of clinical trials, and hinders the search for IBC-specific biomarkers and treatments because of the heterogeneity of patients considered to have IBC. METHODS: Susan G. Komen, the Inflammatory Breast Cancer Research Foundation, and the Milburn Foundation convened patient advocates, clinicians, and researchers to review the state of IBC and to propose initiatives to advance the field. After literature review of the defining clinical, pathologic, and imaging characteristics of IBC, the experts developed a novel quantitative scoring system for diagnosis. RESULTS: The experts identified through consensus several "defining characteristics" of IBC, including factors related to timing of onset and specific symptoms. These reflect common pathophysiologic changes, sometimes detectable on biopsy in the form of dermal lymphovascular tumor emboli and often reflected in imaging findings. Based on the importance and extent of these characteristics, the experts developed a scoring scale that yields a continuous score from 0 to 48 and proposed cut-points for categorization that can be tested in subsequent validation studies. CONCLUSION: To move beyond subjective 'clinical diagnosis' of IBC, we propose a quantitative scoring system to define IBC, based on clinical, pathologic, and imaging features. This system is intended to predict outcome and biology, guide treatment decisions and inclusion in clinical trials, and increase diagnostic accuracy to aid basic research; future validation studies are necessary to evaluate its performance.


Subject(s)
Breast Neoplasms , Inflammatory Breast Neoplasms , Breast Neoplasms/diagnosis , Breast Neoplasms/pathology , Breast Neoplasms/therapy , Female , Humans , Inflammatory Breast Neoplasms/diagnosis , Inflammatory Breast Neoplasms/epidemiology , Inflammatory Breast Neoplasms/therapy
4.
Oncogene ; 37(2): 185-196, 2018 01 11.
Article in English | MEDLINE | ID: mdl-28892047

ABSTRACT

Tumor complexity and intratumor heterogeneity contribute to subclonal diversity. Despite advances in next-generation sequencing (NGS) and bioinformatics, detecting rare mutations in primary tumors and metastases contributing to subclonal diversity is a challenge for precision genomics. Here, in order to identify rare mutations, we adapted a recently described epithelial reprograming assay for short-term propagation of epithelial cells from primary and metastatic tumors. Using this approach, we expanded minor clones and obtained epithelial cell-specific DNA/RNA for quantitative NGS analysis. Comparative Ampliseq Comprehensive Cancer Panel sequence analyses were performed on DNA from unprocessed breast tumor and tumor cells propagated from the same tumor. We identified previously uncharacterized mutations present only in the cultured tumor cells, a subset of which has been reported in brain metastatic but not primary breast tumors. In addition, whole-genome sequencing identified mutations enriched in liver metastases of various cancers, including Notch pathway mutations/chromosomal inversions in 5/5 liver metastases, irrespective of cancer types. Mutations/rearrangements in FHIT, involved in purine metabolism, were detected in 4/5 liver metastases, and the same four liver metastases shared mutations in 32 genes, including mutations of different HLA-DR family members affecting OX40 signaling pathway, which could impact the immune response to metastatic cells. Pathway analyses of all mutated genes in liver metastases showed aberrant tumor necrosis factor and transforming growth factor signaling in metastatic cells. Epigenetic regulators including KMT2C/MLL3 and ARID1B, which are mutated in >50% of hepatocellular carcinomas, were also mutated in liver metastases. Thus, irrespective of cancer types, organ-specific metastases may share common genomic aberrations. Since recent studies show independent evolution of primary tumors and metastases and in most cases mutation burden is higher in metastases than primary tumors, the method described here may allow early detection of subclonal somatic alterations associated with metastatic progression and potentially identify therapeutically actionable, metastasis-specific genomic aberrations.


Subject(s)
DNA Mutational Analysis/methods , Gene Expression Regulation, Neoplastic/genetics , Genomics/methods , Neoplasms/genetics , Animals , Biopsy , Epigenesis, Genetic/genetics , Epithelial Cells/pathology , Feasibility Studies , Fibroblasts , Gene Regulatory Networks/genetics , High-Throughput Nucleotide Sequencing/methods , Humans , Mice , Mutation , Neoplasms/pathology , Primary Cell Culture , Signal Transduction/genetics , Tumor Cells, Cultured , Whole Genome Sequencing
5.
Br J Cancer ; 111(6): 1241-8, 2014 Sep 09.
Article in English | MEDLINE | ID: mdl-25117820

ABSTRACT

BACKGROUND: Bevacizumab has broad anti-tumour activity, but substantial risk of hypertension. No reliable markers are available for predicting bevacizumab-induced hypertension. METHODS: A genome-wide association study (GWAS) was performed in the phase III bevacizumab-based adjuvant breast cancer trial, ECOG-5103, to evaluate for an association between genotypes and hypertension. GWAS was conducted in those who had experienced systolic blood pressure (SBP) >160 mm Hg during therapy using binary analysis and a cumulative dose model for the total exposure of bevacizumab. Common toxicity criteria (CTC) grade 3-5 hypertension was also assessed. Candidate SNP validation was performed in the randomised phase III trial, ECOG-2100. RESULTS: When using the phenotype of SBP>160 mm Hg, the most significant association in SV2C (rs6453204) approached and met genome-wide significance in the binary model (P=6.0 × 10(-8); OR=3.3) and in the cumulative dose model (P=4.7 × 10(-8); HR=2.2), respectively. Similar associations with rs6453204 were seen for CTC grade 3-5 hypertension but did not meet genome-wide significance. Validation study from ECOG-2100 demonstrated a statistically significant association between this SNP and grade 3/4 hypertension using the binary model (P-value=0.037; OR=2.4). CONCLUSIONS: A genetic variant in SV2C predicted clinically relevant bevacizumab-induced hypertension in two independent, randomised phase III trials.


Subject(s)
Angiogenesis Inhibitors/adverse effects , Antibodies, Monoclonal, Humanized/adverse effects , Breast Neoplasms/drug therapy , Hypertension/chemically induced , Hypertension/genetics , Membrane Glycoproteins/genetics , Nerve Tissue Proteins/genetics , Angiogenesis Inhibitors/therapeutic use , Antibodies, Monoclonal, Humanized/therapeutic use , Bevacizumab , Biomarkers , Blood Pressure , Female , Genome-Wide Association Study , Genotype , Humans , Polymorphism, Single Nucleotide
6.
Ann Oncol ; 23(2): 331-7, 2012 Feb.
Article in English | MEDLINE | ID: mdl-21821545

ABSTRACT

BACKGROUND: E2104 was designed to evaluate the safety of two different strategies incorporating bevacizumab into anthracycline-containing adjuvant therapy as a precursor to a definitive randomized phase III trial. PATIENTS AND METHODS: Patients were sequentially assigned to one of two treatment arms. In addition to dose-dense doxorubicin and cyclophosphamide followed by paclitaxel (Taxol) (ddAC→T), all patients received bevacizumab (10 mg/kg every 2 weeks × 26) initiated either concurrently with AC (Arm A: ddBAC→BT→B) or with paclitaxel (Arm B: ddAC→BT→B). The primary end point was incidence of clinically apparent cardiac dysfunction (CHF). RESULTS: Patients enrolled were 226 in number (Arm A 104, Arm B 122). Grade 3 hypertension, thrombosis, proteinuria and hemorrhage were reported for 12, 2, 2 and <1% of patients, respectively. Two patients developed grade 3 or more cerebrovascular ischemia. Three patients in each arm developed CHF. There was no significant difference between arms in the proportion of patients with an absolute decrease in left ventricular ejection fraction of >15% or >10% to below the lower limit of normal post AC or post bevacizumab. CONCLUSIONS: Incorporation of bevacizumab into anthracycline-containing adjuvant therapy does not result in prohibitive cardiac toxicity. The definitive phase III trial (E5103) was activated with systematic and extensive cardiac monitoring to define the true impact of bevacizumab on cardiac function.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Breast Neoplasms/drug therapy , Breast Neoplasms/pathology , Heart Diseases/chemically induced , Adult , Aged , Antibodies, Monoclonal, Humanized/administration & dosage , Antibodies, Monoclonal, Humanized/adverse effects , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Bevacizumab , Cyclophosphamide/administration & dosage , Cyclophosphamide/adverse effects , Doxorubicin/administration & dosage , Doxorubicin/adverse effects , Female , Humans , Middle Aged , Paclitaxel/administration & dosage , Paclitaxel/adverse effects , Pilot Projects
7.
Meat Sci ; 81(3): 533-9, 2009 Mar.
Article in English | MEDLINE | ID: mdl-20416594

ABSTRACT

Effects of ractopamine hydrochloride (RAC) on carcass parameters in heavy weight (133.24±8.07kg) finishing pigs (n=278) given amino acid fortified (AA) or 16% crude protein (CP) diets were evaluated. A total of seven experimental diets were formulated; RAC was added at 0, 5 and 20ppm to the 16% CP diets (CP0, CP5 and CP20, respectively) and at 0, 5, 10 and 20ppm to the AA fortified diets (AA0, AA5, AA10 and AA20, respectively). Carcass, tenderloin, and ham weights were heavier (P<0.05) for RAC AA diets vs. AA0. Loin weight was heavier (P<0.05) for AA20 vs. AA0 and CP20 vs. CP0. No differences (P>0.05) were observed for color or firmness scores. Carcass muscle score, ham weight and protein% were greater (P<0.05) for RAC diets. Moisture was greater (P<0.05) and fat was lower (P<0.05) for AA5 and AA20 vs. AA0 and CP5 and CP20 vs. CP0. Feeding RAC to late finishing swine increases carcass yields and protein% with lower fat% for pigs weighing up to 136kg.

8.
Cancer Metastasis Rev ; 24(3): 441-67, 2005 Sep.
Article in English | MEDLINE | ID: mdl-16258731

ABSTRACT

This review surveys the biological activities of an alpha-fetoprotein (AFP) derived peptide termed the Growth Inhibitory Peptide (GIP), which is a synthetic 34 amino acid segment produced from the full length 590 amino acid AFP molecule. The GIP has been shown to be growth-suppressive in both fetal and tumor cells but not in adult terminally-differentiated cells. The mechanism of action of this peptide has not been fully elucidated; however, GIP is highly interactive at the plasma membrane surface in cellular events such as endocytosis, cell contact inhibition and cytoskeleton-induced cell shape changes. The GIP was shown to be growth-suppressive in nine human tumor types and to suppress the spread of tumor infiltrates and metastases in human and mouse mammary cancers. The AFP-derived peptide and its subfragments were also shown to inhibit tumor cell adhesion to extracellular matrix (ECM) proteins and to block platelet aggregation; thus it was expected that the GIP would inhibit cell spreading/migration and metastatic infiltration into host tissues such as lung and pancreas. It was further found that the cyclic versus linear configuration of GIP determined its biological and anti-cancer efficacy. Genbank amino acid sequence identities with a variety of integrin alpha/beta chain proteins supported the GIP's linkage to inhibition of tumor cell adhesion and platelet aggregation. The combined properties of tumor growth suppression, prevention of tumor cell-to-ECM adhesion, and inhibition of platelet aggregation indicate that tumor-to-platelet interactions present promising targets for GIP as an anti-metastatic agent. Finally, based on cholinergic studies, it was proposed that GIP could influence the enzymatic activity of membrane acetylcholinesterases during tumor growth and metastasis. It was concluded that the GIP derived from full-length AFP represents a growth inhibitory motif possessing instrinsic properties that allow it to interfere in cell surface events such as adhesion, migration, metastasis, and aggregation of tumor cells.


Subject(s)
Biological Products/therapeutic use , Growth Inhibitors/therapeutic use , Neoplasms/drug therapy , Neoplasms/pathology , Neoplasms/therapy , Peptides/therapeutic use , alpha-Fetoproteins/therapeutic use , Amino Acid Sequence , Animals , Cell Adhesion , Cell Line, Tumor , Cell Membrane/metabolism , Cell Movement , Cytoskeleton/metabolism , Disease Progression , Endocytosis , Growth Inhibitors/chemistry , Humans , Mice , Models, Biological , Molecular Sequence Data , Neoplasm Metastasis , Neoplasm Transplantation , Neoplasms, Experimental/drug therapy , Peptides/chemistry , Platelet Aggregation , Protein Conformation , Protein Structure, Tertiary , Time Factors
9.
J Anim Sci ; 82(8): 2405-9, 2004 Aug.
Article in English | MEDLINE | ID: mdl-15318741

ABSTRACT

The objective of this study was to determine the effect of live weight on the plasma acid-base response of pigs subjected to various handling intensities. Eighty pigs (equal numbers of barrows and gilts) were used in a completely randomized block design with a 2 x 2 x 2 factorial arrangement of the following treatments: 1) live weight (light [104 kg] vs. heavy [128 kg]), 2) handling intensity (low vs. high), and 3) gender (barrows vs. gilts). Before the handling test, pigs were weighed, venous blood samples were taken to establish baseline levels, and rectal temperature was measured. Pigs were allowed to rest for 2 h before being subjected to the handling treatments, which consisted of moving the pigs through a course (12.2 m long x 0.91 m wide), for a total of eight laps. Animals on the high-intensity treatment were moved rapidly through the course and subjected to a total of 16 single shocks (two shocks per lap) with an electric livestock goad, whereas pigs on the low-intensity treatment were moved at their own pace using a moving panel and a paddle. Rectal temperature and a venous blood sample were taken immediately after handling and at 2 h after handling. Blood plasma was assayed for pH, partial pressure of carbon dioxide (PCO2), partial pressure of oxygen (PO2), saturated oxygen (SO2), total carbon dioxide (TCO2), bicarbonate (HCO3), base excess, and lactate. Live weight had no effect on the baseline measurements. After handling, light pigs had higher (P < 0.05) blood SO2 (65.6 vs. 57.2+/-2.80%) and showed a greater (P < 0.05) increase in PO2 from baseline to post-handling than heavy pigs (15.6 vs. 8.3+/-2.63 mmHg). Post-handling, pigs on the high- compared with the low-intensity handling treatment had greater (P < 0.001) lactate (19.1 vs. 4.9+/-0.56 mmol/L) and PO2 (51.6 vs. 36.5+/-2.44 mmHg) with lower (P < 0.001) TCO2 (18.6 vs. 34.7+/-0.64 mmol/L), pH (7.02 vs. 7.36+/-0.015), HCO3 (16.7 vs. 33.0+/-0.62 mmol/L), and base excess (-14.2 vs. 7.5+/-0.75) values. There were no effects of gender on blood measurements or rectal temperatures. Results from this study highlight a major effect of pig handling intensity, a limited effect of live weight, and no effect of gender on blood acid-base responses to handling.


Subject(s)
Acid-Base Equilibrium/physiology , Animal Husbandry/methods , Body Weight/physiology , Handling, Psychological , Swine/blood , Animals , Bicarbonates/blood , Body Temperature , Carbon Dioxide/blood , Female , Hydrogen-Ion Concentration , Male , Oxygen/blood , Partial Pressure , Random Allocation , Sex Factors
10.
J Neurosci Methods ; 135(1-2): 95-105, 2004 May 30.
Article in English | MEDLINE | ID: mdl-15020094

ABSTRACT

Tetrodes allow isolation of multiple neurons at a single recording site by clustering spikes. Due to electrode drift and perhaps due to time-varying neuronal properties, positions and shapes of clusters change in time. As data is typically collected in sequential files, to track neurons across files one has to decide which clusters from different files belong to the same neuron. We report on a semi-automated neuron tracking procedure that uses computed similarities between the mean spike waveforms of the clusters. The clusters with the most similar waveforms are assigned to the same neuron, provided their similarity exceeds a threshold. To set this threshold, we calculate two distributions: of within-file similarities, and of best matches in the across adjacent file similarities. The threshold is set to the value that optimally separates the two distributions. We compare different measures of similarity (metrics) by their ability to separate these distributions. We find that these metrics do not differ drastically in their performance, but that taking into account the cross-channel noise correlation significantly improves performance of all metrics. We also demonstrate the method on an independent dataset and show that neurons, as assigned by the procedure, have consistent physiological properties across files.


Subject(s)
Action Potentials/physiology , Electrodes , Electrophysiology/methods , Neurons/physiology , Visual Cortex/cytology , Animals , Cats , Cluster Analysis , Models, Neurological , Signal Processing, Computer-Assisted/instrumentation , Time Factors
11.
Proc SPIE Int Soc Opt Eng ; (5467): 212-222, 2004.
Article in English | MEDLINE | ID: mdl-18633451

ABSTRACT

One way to characterize neural feature selectivity is to model the response probability as a nonlinear function of the output of a set of linear filters applied to incoming signals. Traditionally these linear filters are measured by probing neurons with correlated Gaussian noise ensembles and calculating correlation functions between incoming signals and neural responses. It is also important to derive these filters in response to natural stimuli, which have been shown to have strongly non-Gaussian spatiotemporal correlations. An information-theoretic method has been proposed recently for reconstructing neural filters using natural stimuli in which one looks for filters whose convolution with the stimulus ensemble accounts for the maximal possible part of the overall information carried the sequence of neural responses. Here we give a first-time demonstration of this method on real neural data, and compare responses of neurons in cat primary visual cortex driven with natural stimuli, noise ensembles, and moving gratings. We show that the information-theoretic method achieves the same quality of filter reconstruction for natural stimuli as that of well-established white-noise methods. Major parameters of neural filters derived from noise ensembles and natural stimuli, as well as from moving gratings are consistent with one another. We find that application of the reverse correlation method to natural stimuli ensembles leads to significant distortions in filters for a majority of studied cells with non-zero reverse-correlation filter.

12.
J Anim Sci ; 81(9): 2206-12, 2003 Sep.
Article in English | MEDLINE | ID: mdl-12968695

ABSTRACT

The relationships between glycolytic potential and growth performance, carcass traits, and pork quality were investigated in a group of 72 pigs from the same genetic line. Glycolytic potential (GP) was determined on live-animal biopsy samples and postmortem samples taken from the longissimus muscle, and free glucose concentration was measured on the exudate from the longissimus muscle taken postmortem. The mean live-animal and postmortem GP and free glucose values were 201.6 micromol/g (range = 113.8 to 301.1), 149.8 micromol/g (range = 91.0 to 270.5) and 110.1 mg/dL (range = 30.0 to 406.0), respectively. Correlations between live-animal and postmortem GP and free glucose ranged from 0.47 to 0.70; however, all three measures were weakly related to growth and carcass traits (r = 0.03 to -0.22; P > 0.05). Correlations of GP and free glucose values with fresh pork quality measurements were moderate (r = 0.23 [P < 0.05] to -0.63 [P < 0.001]). Regression analysis suggested that a one standard deviation increase in live-animal and postmortem GP and free glucose resulted in an increase in L* values (0.99, 1.32, and 2.05, respectively) and drip loss (0.85, 1.10, and 1.39 percentage units, respectively), as well as a decrease in ultimate pH (0.05, 0.11, and 0.16, respectively). Correlations between GP and cooking loss and tenderness and juiciness scores ranged between 0.16 (P > 0.05) to 0.34 (P < 0.01). Free glucose concentration showed no relationship (P > 0.05) with cooking loss, tenderness, and juiciness. Regression analysis suggested that a one standard deviation increase in live-animal and postmortem GP increased cooking loss (1.26% and 1.65%, respectively) and would improve taste panel tenderness (0.54 and 0.44, respectively) and juiciness (0.40 and 0.48, respectively) scores. Increasing GP and free glucose was also associated with decreased longissimus fat and protein, and increased moisture contents (r = 0.14 [P > 0.05] to -0.45 [P < 0.001]). Overall, relationships with fresh meat quality characteristics were stronger for free glucose values than either live-animal or postmortem GP. Results from this study indicate that decreasing longissimus GP and free glucose concentrations may improve pork color and water-holding capacity.


Subject(s)
Glucose/metabolism , Glycolysis , Meat/standards , Muscle, Skeletal/metabolism , Swine/growth & development , Animal Feed , Animals , Body Composition/physiology , Body Constitution , Cooking , Female , Hydrogen-Ion Concentration , Male , Regression Analysis , Swine/metabolism
13.
Ann Oncol ; 14(7): 1072-7, 2003 Jul.
Article in English | MEDLINE | ID: mdl-12853349

ABSTRACT

BACKGROUND: As screening central nervous system (CNS) imaging is not routinely performed, the incidence and clinical relevance of occult CNS metastases in advanced breast cancer is unknown. PATIENTS AND METHODS: All patients screened for participation in one of four clinical trials were included; each of the trials excluded patients with known CNS involvement and required screening CNS imaging. A cohort of breast cancer patients with symptomatic CNS metastases was identified from the IU Cancer Center Tumor Registry for comparison. RESULTS: From November 1998 to August 2001, 155 screening imaging studies were performed. Twenty-three patients (14.8%) had occult CNS metastases. HER-2 overexpression (P = 0.02) and number of metastatic sites (P = 0.03) were predictive of CNS involvement by multivariate analysis. Median survival from time of metastasis (1.78 versus 2.76 years; P <0.0001) and from screening (4.67 versus 10.4 months; P = 0.0013) was shorter in patients with than without occult CNS metastasis. Survival among patients with occult CNS metastasis was similar to patients with symptomatic CNS disease. CONCLUSIONS: Patients with CNS involvement, whether occult or symptomatic, have an impaired survival. Occult CNS metastasis is relatively common, but impact on survival of treating occult CNS disease in patients with progressive systemic metastases is questionable.


Subject(s)
Breast Neoplasms/pathology , Central Nervous System Neoplasms/secondary , Mass Screening , Registries/statistics & numerical data , Adult , Aged , Biomarkers, Tumor/analysis , Clinical Trials as Topic , Female , Gene Expression Regulation, Neoplastic , Humans , Middle Aged , Predictive Value of Tests , Prevalence , Prognosis , Prospective Studies , Receptor, ErbB-2/biosynthesis , Survival Analysis
14.
Eur J Cancer ; 39(12): 1668-75, 2003 Aug.
Article in English | MEDLINE | ID: mdl-12888360

ABSTRACT

What separates a malignant from a normal cell? This question has occupied scientists for decades. Although a simple answer remains elusive, several hallmarks of malignancy have been identified. These critical features include uncontrolled proliferation, insensitivity to negative growth regulation, evasion of apoptosis, lack of senescence, invasion and metastasis, angiogenesis and genomic elasticity. Existing therapies predominantly target proliferation either with cytotoxic agents, ionising radiation or more targeted attacks on growth factor signalling pathways. Our most successful therapies to date inhibit proliferation via the oestrogen receptor (ER) and HER2 pathways. Further improvements in therapy must attack the other hallmarks of malignancy and will undoubtedly be accompanied by a better means of individual patient selection for such therapies. Indeed, each of these hallmarks presents a therapeutic opportunity. To believe otherwise would be to assume that a feature is both biologically crucial, yet therapeutically unimportant, an unlikely paradox. Here, we suggest the hallmarks of malignancy as a conceptual framework for understanding novel breast cancer therapies.


Subject(s)
Breast Neoplasms/prevention & control , Apoptosis , Breast Neoplasms/pathology , Cell Transformation, Neoplastic , Female , Forecasting , Genome, Human , Growth Substances/physiology , Humans , Neoplasm Invasiveness/prevention & control , Neoplasm Metastasis/prevention & control , Neovascularization, Pathologic/prevention & control , Receptor, ErbB-2/antagonists & inhibitors , Receptors, Estrogen/antagonists & inhibitors
15.
Ann Oncol ; 14(1): 20-8, 2003 Jan.
Article in English | MEDLINE | ID: mdl-12488288

ABSTRACT

If your Snark be a Snark, that is right: Fetch it home by all means-you may serve it with greens, And it's handy for striking a light. "But oh, beamish nephew, beware of the day, If your Snark be a Boojum! For then You will softly and suddenly vanish away, And never be met with again!" Lewis Carroll The Hunting of the Snark


Subject(s)
Angiogenesis Inhibitors/therapeutic use , Antineoplastic Agents/therapeutic use , Drug Resistance, Neoplasm , Neoplasms, Experimental/drug therapy , Neovascularization, Pathologic/drug therapy , Humans , Neoplasms, Experimental/blood supply , Neoplasms, Experimental/pathology , Neovascularization, Pathologic/etiology
16.
Ann Oncol ; 13(10): 1612-5, 2002 Oct.
Article in English | MEDLINE | ID: mdl-12377650

ABSTRACT

BACKGROUND: Docetaxel and estramustine exert anti-tumor effects by inhibiting microtubule function. In vitro data suggest synergism with this combination. This phase II study evaluated the response rate and toxicity of docetaxel and estramustine in patients with metastatic breast cancer (MBC). PATIENTS AND METHODS: Patients were treated with docetaxel 35 mg/m(2) on day 2 and estramustine phosphate 280 mg p.o. tds days 1-3 weekly for 3 of 4 weeks, for a maximum of six treatment cycles. RESULTS: Thirty-nine patients were enrolled between August 1999 and March 2001; 36 were eligible. Of 31 evaluable patients, responses were observed in 15 patients (47%); two patients (6%) obtained a complete response. Median time to treatment failure was 6 months; median survival was 1 year. Thromboembolic toxicity occurred in 11% of patients: three experienced deep venous thromboses and one had a fatal pulmonary embolism. Myelosuppression was minimal with this regimen. CONCLUSIONS: Despite modest activity in metastatic breast cancer, the toxicity observed with the combination of estramustine and docetaxel precludes the routine use of this combination in the treatment of breast cancer. Further studies using this compound in metastatic breast cancer are not warranted.


Subject(s)
Adenocarcinoma/drug therapy , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Breast Neoplasms/drug therapy , Paclitaxel/analogs & derivatives , Taxoids , Adenocarcinoma/pathology , Adult , Aged , Aged, 80 and over , Breast Neoplasms/pathology , Docetaxel , Drug Administration Schedule , Estramustine/administration & dosage , Female , Humans , Microtubules/physiology , Middle Aged , Neoplasm Metastasis , Paclitaxel/administration & dosage , Survival , Treatment Outcome , Venous Thrombosis/chemically induced
17.
Ann Oncol ; 13(8): 1220-4, 2002 Aug.
Article in English | MEDLINE | ID: mdl-12181245

ABSTRACT

BACKGROUND: This pilot trial was performed to evaluate the safety, toxicity and pharmacokinetics of chronic therapy with the matrix metalloproteinase inhibitor marimastat in the adjuvant treatment of breast cancer. PATIENTS AND METHODS: Patients with high-risk node negative or node positive breast cancer received marimastat either 5 or 10 mg p.o. b.i.d. for 12 months. Marimastat was given either as a single agent following completion of adjuvant chemotherapy or concurrently with tamoxifen. RESULTS: Sixty-three patients were enrolled from June 1997 to May 1998. All patients have completed 12 months of treatment or have discontinued therapy due to toxicity, relapse or intercurrent illness. Moderate (WHO criteria) arthralgia/arthritis was reported by 34% of patients receiving 5 mg b.i.d. and 45% of patients receiving 10 mg b.i.d.; severe arthralgia/arthritis was reported by 6% and 23% of patients, respectively. Six patients (19%) receiving 5 mg b.i.d. and 11 (35%) receiving 10 mg b.i.d. discontinued marimastat therapy due to toxicity. Trough plasma levels were rarely within the target range for biological activity (40-200 ng/ml) with mean concentration for patients receiving: 5 mg b.i.d. = 7.5; 5 mg b.i.d. plus tamoxifen = 6.9; 10 mg b.i.d. = 11.9; 10 mg b.i.d. plus tamoxifen = 12.8. CONCLUSIONS: A randomized adjuvant trial with marimastat is not warranted as chronic administration cannot maintain plasma levels with the target range.


Subject(s)
Breast Neoplasms/metabolism , Enzyme Inhibitors/pharmacokinetics , Hydroxamic Acids/pharmacokinetics , Adult , Aged , Antineoplastic Agents/therapeutic use , Breast Neoplasms/drug therapy , Breast Neoplasms/pathology , Chemotherapy, Adjuvant , Enzyme Inhibitors/adverse effects , Enzyme Inhibitors/therapeutic use , Female , Humans , Hydroxamic Acids/adverse effects , Hydroxamic Acids/therapeutic use , Matrix Metalloproteinase Inhibitors , Maximum Tolerated Dose , Middle Aged , Neoplasm Staging , Pilot Projects , Safety , Survival Rate , Treatment Outcome
18.
J Anim Sci ; 80(6): 1586-92, 2002 Jun.
Article in English | MEDLINE | ID: mdl-12078740

ABSTRACT

The objective of this study was to compare the effects of longissimus glycolytic potential (GP) and of time of feeding of supplemental magnesium sulfate heptahydrate on carcass and pork quality traits. The study was carried out in a 2 x 2 x 4 factorial arrangement; the treatments were sex (castrate vs gilt), GP (Low [normal] vs High), and time of feeding of magnesium sulfate-fortified diets (0 [control] vs 2 vs 3 vs 5 d prior to slaughter). Glycolytic potential was determined on a biopsy sample of longissimus from the live animal prior to the start of the study. A total of 144 pigs were allotted to the feeding-time treatments on the basis of sex (castrate and gilt), weight, and GP. Pigs were placed in individual pens and had free access to water. Prior to the start of the study, pigs were given ad libitum access to a standard finisher diet. During the study, animals were fed at a fixed level of 2.75 kg of a standard finisher diet/day; the fortified diet contained 3.2 g/d of additional magnesium. At the end of the feeding period, animals were transported to a commercial packing facility and slaughtered within 15 min of arrival. Fresh meat quality was measured on the longissimus. There were no treatment interactions. Carcass traits were similar across time of feeding treatments. Backfat thickness at the last lumbar vertebra and 10th rib were lower (P < 0 .05) for High than for Low GP pigs. High GP pigs had lower ultimate pH (P < 0.001) and higher drip (P < 0.05) and purge loss (P < 0.01) than Low GP pigs. Drip loss was reduced (P < 0.05) for pigs fed the magnesium-fortified diet for 5 and 2 but not for 3 d compared to controls (8.98, 7.29, 7.89, and 7.41 for the 0-, 2-, 3-, and 5-d treatments, respectively, SEM 0.447). Purge loss was similar for all of the time of feeding treatments. Longissimus L* values were lower (P < 0.05) for the 2-d treatment than for the controls. Results from this study suggest an inconsistent effect of short-term feeding of magnesium sulfate on muscle color and drip loss in pigs with both Low (normal) and High GP.


Subject(s)
Glycolysis/drug effects , Magnesium Sulfate/pharmacology , Meat/standards , Swine/growth & development , Adipose Tissue/anatomy & histology , Animal Feed , Animals , Dietary Supplements , Female , Genotype , Hydrogen-Ion Concentration , Male , Muscle, Skeletal/metabolism , Random Allocation , Sex Factors , Swine/genetics , Time Factors
19.
J Neurophysiol ; 86(6): 2789-806, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11731537

ABSTRACT

A central theme in neural coding concerns the role of response variability and noise in determining the information transmission of neurons. This issue was investigated in single cells of the lateral geniculate nucleus of barbiturate-anesthetized cats by quantifying the degree of precision in and the information transmission properties of individual spike train responses to full field, binary (bright or dark), flashing stimuli. We found that neuronal responses could be highly reproducible in their spike timing (approximately 1-2 ms standard deviation) and spike count (approximately 0.3 ratio of variance/mean, compared with 1.0 expected for a Poisson process). This degree of precision only became apparent when an adequate length of the stimulus sequence was specified to determine the neural response, emphasizing that the variables relevant to a cell's response must be controlled to observe the cell's intrinsic response precision. Responses could carry as much as 3.5 bits/spike of information about the stimulus, a rate that was within a factor of two of the limit the spike train could transmit. Moreover, there appeared to be little sign of redundancy in coding: on average, longer response sequences carried at least as much information about the stimulus as would be obtained by adding together the information carried by shorter response sequences considered independently. There also was no direct evidence found for synergy between response sequences. These results could largely, but not entirely, be explained by a simple model of the response in which one filters the stimulus by the cell's impulse response kernel, thresholds the result at a fairly high level, and incorporates a postspike refractory period.


Subject(s)
Geniculate Bodies/physiology , Neurons/physiology , Algorithms , Animals , Cats , Evoked Potentials/physiology , Geniculate Bodies/cytology , Models, Neurological , Photic Stimulation , Refractory Period, Electrophysiological/physiology
20.
Horm Res ; 55(5): 249-53, 2001.
Article in English | MEDLINE | ID: mdl-11740148

ABSTRACT

OBJECTIVE: To further evaluate whether fertility is decreased among a cohort of men with previous unilateral cryptorchidism as compared with a control group of men. SUBJECTS AND METHODS: Formerly unilateral cryptorchid men who had undergone orchiopexy between the years of 1955 and 1975 at the Children's Hospital of Pittsburgh and a control group of men who were matched for age of an unrelated surgery at the same institution were evaluated by review of medical records and by completion of a questionnaire. 359 previously cryptorchid men were identified as having attempted paternity. Of these men, 320 had information concerning preoperative testicular location and 163 for preoperative testicular size. 106 of these men had levels of testosterone, inhibin B, FSH, and LH measured, while 95 of the men had semen analyses. RESULTS: Among men who had attempted paternity, there was no statistical difference in success of paternity between the previously unilateral group (89.7%) and the control group (93.7%). There was no difference in the mean time to conception (7.1 +/- 0.7 months for the unilateral group vs. 6.9 +/- 2.3 for the control group). Within the unilateral group in regard to success at paternity, no difference was found compared with the age of orchiopexy, preoperative testicular location, or preoperative testicular size. Inhibin B levels were lower among the unilateral group. FSH, LH, testosterone, sperm density, motility and morphology were not different, but considerable variation was noted within the cryptorchid group. CONCLUSIONS: In this continued evaluation of a cohort of previously cryptorchid men who had undergone unilateral orchiopexy, paternity does not appear to be significantly compromised after unilateral cryptorchidism. Unilateral cryptorchidism appears to be one of several factors contributing to infertility, similar to those found in the general population. No correlation was found between success at paternity and the age of orchiopexy, preoperative testicular size or preoperative testicular location. Inhibin B levels were lower while FSH, LH, T and sperm parameters did not differ.


Subject(s)
Cryptorchidism/surgery , Fertility , Adult , Cohort Studies , Humans , Inhibins/blood , Male , Paternity , Reference Values , Spermatozoa/physiology , Treatment Outcome
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