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  • 1
    In: The American Journal of Pathology, Elsevier BV, Vol. 163, No. 1 ( 2003-7), p. 217-229
    Type of Medium: Online Resource
    ISSN: 0002-9440
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    Language: English
    Publisher: Elsevier BV
    Publication Date: 2003
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  • 2
    In: Modern Pathology, Elsevier BV, Vol. 17, No. 11 ( 2004-11), p. 1386-1391
    Type of Medium: Online Resource
    ISSN: 0893-3952
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2004
    detail.hit.zdb_id: 2041318-X
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  • 3
    In: Journal of Gastrointestinal Oncology, AME Publishing Company, Vol. 8, No. 6 ( 2017-12), p. 925-935
    Type of Medium: Online Resource
    ISSN: 2078-6891 , 2219-679X
    Language: Unknown
    Publisher: AME Publishing Company
    Publication Date: 2017
    detail.hit.zdb_id: 2594644-4
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  • 4
    In: Journal of Proteome Research, American Chemical Society (ACS), Vol. 7, No. 11 ( 2008-11-07), p. 4651-4658
    Type of Medium: Online Resource
    ISSN: 1535-3893 , 1535-3907
    Language: English
    Publisher: American Chemical Society (ACS)
    Publication Date: 2008
    detail.hit.zdb_id: 2065254-9
    SSG: 12
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  • 5
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 68, No. 8 ( 2008-04-15), p. 2841-2849
    Abstract: The epidermal growth factor receptor (EGFR) inhibitor erlotinib is approved for treatment of pancreatic cancer but the overall activity is minimal, and known predictive factors for EGFR inhibitor efficacy are infrequent in this disease. We tested the hypothesis that global activation of the EGFR pathway is predictive of EGFR inhibitor efficacy. Pancreatic cancer tumors directly xenografted at surgery were treated with the EGFR inhibitors erlotinib and cetuximab and analyzed for biological features. Two of 10 tumors were sensitive, and by global gene expression profiling with gene set enrichment analysis, the EGFR pathway was highly expressed in sensitive compared with resistant tumors. The core gene components driving EGFR pathway overexpression were pathway ligands and positive effectors. In a prospective validation, the EGFR pathway-based signature correctly predicted anti-EGFR treatment response in eight additional tumors and was not predictive of response to gemcitabine and CI1040 (a MEK inhibitor). Analysis of EGFR, KRAS, and PIK3CA mutations and gene amplification by fluorescence in situ hybridization and multiplex ligation-dependent probe amplification showed that none of these genetic abnormalities were neither predictive nor responsible for the EGFR pathway activation. Coordinated overexpression of the EGFR pathway predicts susceptibility to EGFR inhibitors in pancreatic cancer. These results suggest a phenomenon of pathway addiction and support the value of unbiased system biology approaches in drug development. [Cancer Res 2008;68(8):2841–9]
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2008
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    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
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  • 6
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 72, No. 8_Supplement ( 2012-04-15), p. LB-61-LB-61
    Abstract: Background and Aim: Tumor cells depend on metabolic alterations for their continued growth and survival, and such changes make cancer cells peculiarly addicted to the rapacious uptake of glucose. The Warburg effect is such a metabolic feature of cancers that helps to preferentially metabolize pyruvate via glycolytic pathway to lactate by lactate dehydrogenase A (LDHA). Our recent findings indicated that LDHA is required not only for tumor initiation but for tumor maintenance and progression (Le et al., PNAS, 2010). Here, we investigated the therapeutic potential of LDHA inhibition in pancreatic cancer, and attempt to delineate the factors responsible for tumor response. Methods: We evaluated the in vivo efficacy of FX11, a small molecule inhibitor of LDHA, in a panel of pancreatic cancer xenografts with annotated mutational status. Non-invasive quantitative assessment of lactate production was measured by real-time hyperpolarization experiments with 1-13C-labeled pyruvate using a DNP polarizer (HyperSense). [18F]-fluorodeoxyglucose (FDG) positron emission tomography-computed tomography (PET) combined with computed tomography (CT) imaging was conducted to evaluate the effect of FX11 treatment on glucose metabolism. Liquid chromatography - mass spectrometry (LC-MS) was used to quantify the tumor metabolites. Ki-67 and TUNEL staining were performed to determine the effect of FX11 treatment on apoptosis and tumor cell proliferation. Results: p53-deficient pancreatic cancer xenografts showed higher baseline metabolic activity and FX11 treatment down-regulated the tumor metabolic activity. Real-time imaging of pyruvate to lactate conversion using nuclear magnetic resonance (NMR) spectroscopy revealed that FX11 treatment inhibits pyruvate to lactate conversion in p53-deficient pancreatic cancer xenografts. Importantly, p53 promotes the expression of TP53-induced glycolysis regulator (TIGAR) and loss of p53 in tumors results in reduced TIGAR levels. The metabolic profiles of p53-deficient versus p53-proficient pancreatic cancer xenografts were remarkably different. FX11 treatment attenuates tumor progression, induces apoptosis and reduces tumor cell proliferation, preferentially in p53-deficient pancreatic cancer xenografts. Conclusions: Because the Warburg effect is characteristic of virtually all cancers and p53 is frequently mutated in vast majority of human cancers, our finding that p53, a key regulator of glycolysis and a major factor deciding the therapeutic outcome of targeting the Warburg effect may have broad clinical implications. Our findings may help to identify patient subsets that may be particularly responsive to LDHA targeted agents in clinical trials. Acknowledgement: Stand Up To Cancer-AACR Dream Team Translational Cancer Research Grant No. SU2C-AACR DT0509. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr LB-61. doi:1538-7445.AM2012-LB-61
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2012
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    detail.hit.zdb_id: 1432-1
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  • 7
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2005
    In:  Molecular Cancer Therapeutics Vol. 4, No. 12 ( 2005-12-01), p. 1860-1866
    In: Molecular Cancer Therapeutics, American Association for Cancer Research (AACR), Vol. 4, No. 12 ( 2005-12-01), p. 1860-1866
    Abstract: The p16INK4A/CDKN2A gene on chromosome 9p21 is a site of frequent allelic loss in human cancers, and in a subset of cases, homozygous deletions at this locus encompass the telomeric methylthioadenosine phosphorylase (MTAP) gene. The MTAP gene product is the principal enzyme involved in purine synthesis via the salvage pathway, such that MTAP-negative cancers are solely dependent on de novo purine synthesis mechanisms. Inhibitors of the de novo pathway can then be used to selectively blockade purine synthesis in cancer cells while causing minimal collateral damage to normal cells. In this study, we determine that 10 of 28 (35%) biliary tract cancers show complete lack of Mtap protein expression. In vitro analysis using a selective inhibitor of the de novo purine synthesis pathway, l-alanosine, shows robust growth inhibition in MTAP-negative biliary cancer cell lines CAK-1 and GBD-1 accompanied by striking depletion of intracellular ATP and failure to rescue this depletion via addition of exogenous methylthioadenosine, the principal substrate of the MTAP gene product; in contrast, no significant effects were observed in MTAP-expressing HuCCT1 and SNU308 cell lines. Colony formation studies confirmed that l-alanosine reduced both number and size of CAK-1 colonies in soft agar assays. Knockdown of Mtap protein by RNA interference in l-alanosine-resistant HuCCT1 cells conferred sensitivity to this agent, confirming that intracellular Mtap protein levels determine response to l-alanosine. Inhibitors of de novo purine synthesis can be a potential mechanism-based strategy for treatment of biliary tract cancers, one third of which show complete loss of MTAP function. [Mol Cancer Ther 2005;4(12):1860–6]
    Type of Medium: Online Resource
    ISSN: 1535-7163 , 1538-8514
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2005
    detail.hit.zdb_id: 2062135-8
    SSG: 12
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  • 8
    In: Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, Vol. 109, No. 5 ( 2012-01-31)
    Abstract: Pancreatic cancer is the fourth most deadly cancer in the United States. The 5-y survival rate remains less than 5%, highlighting the inadequacy of current therapies. A better molecular understanding of the disease will aid in the development of novel diagnostic methods and clinical therapies. Using modern-day genetics, we redefine an old complex as a mutational mountain in pancreatic cancer. This is a transformative finding with significant implications in the future fight against this deadly disease. To gain additional insight into the mechanisms behind this tumor suppression, we profile SWI/SNF-associated gene expression changes. To do this, we use a method called RNAi to specifically block, or “knock down,” the production of specific SWI/SNF subunits in pancreatic cells. Given that we find inactivating alterations in multiple components of SWI/SNF, we sought to identify the gene expression changes shared by knockdown of the different subunits. From these studies, we conclude that SWI/SNF appears to oppose down-regulation (or reduced expression) of genes caused by a different protein complex known as polycomb repressive complex 2 (PRC2). This is consistent with the findings of previous studies that the SWI/SNF and PRC2 complexes are antagonistic. This result is notable because emerging evidence suggests that overactivation of PRC2 contributes to the development of cancer (as does inactivation of SWI/SNF). The recurrent structural alterations in SWI/SNF subunits imply that the complex plays a tumor-suppressive role in pancreatic cancer. We functionally validate such a role through “add back” experiments of SMARCA4, one of the SWI/SNF ATP-using subunits. In other words, we re-express SMARCA4 in SMARCA4-deficient pancreatic cancer cells, which leads to tumor-suppressive traits, including reduced cell growth, and to cellular senescence (irreversible growth arrest) in some cases. On the other hand, the overexpression of SMARCA4 in a SWI/SNF-intact cell line has no discernible growth effects. We report here recurrent genetic changes (including deletions, rearrangements, and mutations) in five different components of SWI/SNF in pancreatic cancer: ARID1A, ARID1B, PBRM1, SMARCA4, and SMARCA2. These structural alterations target specific biochemical subunits of the complex, including both those thought to contact DNA and those that use ATP for energy to reorganize chromatin. Each individual subunit is altered by the genetic changes in 3–10% of pancreatic cancers. Cumulatively, however, SWI/SNF subunits are altered in 34% of tumors ( Fig. P1 ), making it the fourth most commonly altered tumor suppressor in pancreatic cancer, following CDKN2A (90%), SMAD4 (55%), and TP53 (50%). Thus, borrowing a metaphor from the cancer geneticist Bert Vogelstein and his colleagues ( 5 ), we have identified mutational “hills” that collectively represent a mutational “mountain” in pancreatic cancer. The field of genomics, a subdiscipline of genetics, has transformed substantially since 1984, especially in the past decade, with the advent of novel technologies for analyzing DNA (including DNA microarrays and high-throughput DNA sequencing). Some of the techniques used in this study are array-based comparative genomic hybridization to enumerate DNA copy number changes (a common source of genetic change and mutation), expression profiling to quantify levels of mRNA (an intermediary in the reading of genes to produce proteins), and high-throughput sequencing of mRNAs to discover novel (and aberrant) transcripts (mRNA sequences derived from genes). Applying these modern genomic techniques to profile human pancreatic cancers, we discover genetic hits converging on the SWI/SNF complex. In 1984, two seminal studies independently identified five genes crucial for several functions in yeast. These genes were found using genetic screens, studies that link specific genes to certain traits ( 1 , 2 ). Although these genes performed very different functions, biochemical and genetic studies revealed that they all encoded subunits of the same complex, later named SWItch/Sucrose NonFermentable (SWI/SNF) ( 3 , 4 ). Subsequent studies revealed SWI/SNF to be a so-called “chromatin remodeler,” functioning to reorganize chromatin (the protein-DNA structure that packs DNA into the nucleus) so as to control the expression of genes, and that it is conserved in humans. Using modern DNA analysis technology, we now link aberrant SWI/SNF complexes to human pancreatic cancer.
    Type of Medium: Online Resource
    ISSN: 0027-8424 , 1091-6490
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    Language: English
    Publisher: Proceedings of the National Academy of Sciences
    Publication Date: 2012
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    SSG: 11
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  • 9
    In: Journal of Clinical Oncology, American Society of Clinical Oncology (ASCO), Vol. 40, No. 16_suppl ( 2022-06-01), p. TPS4188-TPS4188
    Abstract: TPS4188 Background: The success rate of drug development in PDAC is disappointingly low.PrP is a transformative, adaptive platform clinical trial designed to continuously evaluate many novel therapeutic options while increasing the probability that patients (pts) are randomized to effective experimental therapies. It cultivates enhanced cooperation among groups representing pts advocacy, pharmaceutical companies, academia, and the FDA. This patient-centric study aims to become the largest Phase 3 registrational study in PDAC and represents a fundamental shift in drug development for PDAC in the United States (US). Methods: PrP (NCT04229004) is a platform clinical trial sponsored by the Pancreatic Cancer Action Network (PanCAN), developed based on the FDA 2020 guidance document regarding "complex innovative designs" in registration trials https://www.fda.gov/media/130897/download . It utilizes adaptive randomization and other Bayesian statistical innovations provided by Berry Consultants LLC, including the “time machine” which uses all previously randomized controls for each arm, suitably adjusted for line of therapy and the time period of the arm. Focused on 1 st and 2 nd line treatment of mPDAC, PrP uses an adaptive platform design with randomization to one of 2 control arms (gemcitabine + nab-paclitaxel (GA) or mFOLFIRINOX, 30% of pts) or experimental therapy (70% of pts). Candidate experimental arms are reviewed by an Arm Selection Committee based on validity of the treatment target and strength of the pre-clinical and clinical data. The primary endpoint is overall survival (OS). Pts undergo pre- and on-treatment biopsies with state-of-the-art genomic, transcriptomic, and immune analysis, along with a serial collection of blood-based research samples. Pts are managed using novel supportive care techniques; PrP contains 3 sub-protocols evaluating quality of life, sarcopenia, and actigraphy. PrP launched in 2020 and has enrolled 〉 130 pts; 30 US sites have been selected with 17 currently active. Current experimental arms include: (i) GA + Pamrevlumab, an anti-CTGF Ab, (ii) Racemetyrosine monotherapy, a cancer metabolism-based therapy (for follow-up of patients) and (iii) an immuno-oncology arm in activation. Other arms are in the planning stages. Compared to traditional designs, PrP offers several advantages: multiple investigational treatments evaluated in parallel over time; ̃175 pts per experimental arm required to initiate a regulatory registration; and continuous learning from every patient, resulting in significant savings of time and resources. PrP has created an entirely new learning environment for accelerating drug development in PDAC. Clinical trial information: NCT04229004.
    Type of Medium: Online Resource
    ISSN: 0732-183X , 1527-7755
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    Language: English
    Publisher: American Society of Clinical Oncology (ASCO)
    Publication Date: 2022
    detail.hit.zdb_id: 2005181-5
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  • 10
    Online Resource
    Online Resource
    Massachusetts Medical Society ; 2009
    In:  New England Journal of Medicine Vol. 361, No. 21 ( 2009-11-19), p. 2094-2096
    In: New England Journal of Medicine, Massachusetts Medical Society, Vol. 361, No. 21 ( 2009-11-19), p. 2094-2096
    Type of Medium: Online Resource
    ISSN: 0028-4793 , 1533-4406
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    Language: English
    Publisher: Massachusetts Medical Society
    Publication Date: 2009
    detail.hit.zdb_id: 1468837-2
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