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  • American Association for Cancer Research (AACR)  (3)
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  • American Association for Cancer Research (AACR)  (3)
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  • 1
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2012
    In:  Cancer Research Vol. 72, No. 8_Supplement ( 2012-04-15), p. 1464-1464
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 72, No. 8_Supplement ( 2012-04-15), p. 1464-1464
    Abstract: Over-expression of epidermal growth factor receptor (EGFR) had been correlated with poor prognosis in bladder cancer, but clinical trials using EGFR inhibitors alone in the treatment of bladder cancer did not show definite improvement. On the other hand, radiotherapy is the key element of bladder-preserving protocol for patients with muscle-invasive bladder cancer, and several preclinical data reported the advantage of combing radiation and tyrosine kinase inhibitor against EGFR. It is known that aberrantly activated signal transduction pathways can influence radiosensitivity of cancer cells. Herein, we attempt to demonstrate whether radiation can activate signal transduction pathways in bladder cancer cells, and whether the combined inhibition of such pathways can further enhance radiosensitivity. We used a RTK signaling antibody array to investigate the relative levels of phosphorylated signaling proteins. We detected that not only EGFR but also HER-2 and Akt (Ser473) were activated in T24 human bladder cancer cells after irradiation, and the phenomenon was more prominent in 10Gy dose than in 2.5Gy dose. The increased phosphorylation of EGFR and Her-2 was confirmed by Western blot. Then we performed colony formation assay of T24 and NTUB1 human bladder cancer cell lines for 7 days after treatment combining irradiation and erlotinib (an EGFR inhibitor), lapatinib (a reversible EGFR/Her-2 dual inhibitor) or afatinib (an irreversible EGFR/Her-2 dual inhibitor) in different doses. The combination index (CI) analysis revealed synergy between radiation (2.5Gy and 10 Gy) and afatinib in various doses. For T24 cells with afatinib 100nM, the CI was 0.97 in 2.5Gy and 0.66 in 10Gy. For NTUB1 cells with afatinib 100nM, the CI was 0.92 in 2.5Gy and 0.80 in 10Gy. In contrast, erlotinib or lapatinib showed only minor influence to enhance radiation effect in human bladder cancer cells. Using flow cytometry, the relative distribution of cells among various cell cycle phases were determined in cell lines treated with either DMSO, radiation 2.5Gy, afatinib 200nM, or the combination of radiation and afatinib. When compared with radiation alone, treatment combining radiation and afatinib resulted in accumulation of cells in sub-G1 phase but decrease in G2-M phase. Western blot showed the expression of cleaved poly (ADP-ribose) polymerase (PARP) was increased in the combination group when compared with radiation or afatinib alone. The results implicated that the adding of afatinib might enhance radiation effect by increasing apoptosis in bladder cancer cells. Our data clearly show that both EGFR and Her-2 signaling can be activated after radiation in human bladder cancer cells. Afatinib, an EGFR/Her-2 dual inhibitor, effectively radiosensitizes the bladder cancer cells by enhancing apoptosis. The result provides a basis for future in vivo and human studies. 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 1464. doi:1538-7445.AM2012-1464
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2012
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
    Location Call Number Limitation Availability
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  • 2
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 72, No. 8_Supplement ( 2012-04-15), p. 3872-3872
    Abstract: Background: Combined chemotherapy and radiotherapy (CCRT) has been successful in phase II trials with selected patients for preserving bladder after transurethral resection of bladder tumor. However, the obstacles remain in the unsatisfactory effect of CCRT for unresectable disease of bladder or upper urinary tract. The purpose of this study was to determine whether the EGFR/HER2 targeting agent combined with radiotherapy has the potential of radiosensitization in urothelial carcinoma. Methods: BIBW2992, an irreversible EGFR/HER2 inhibitor, was selected as the target agent to combine with radiotherapy. Murine bladder tumor cell line, MBT-2, was used to evaluate the in vitro and in vivo synergism of combining BIBW2992 with irradiation. Colony formation assay was conducted to evaluate the synergistic effect of BIBW2992 and radiation on colony number analyzed using CompuSyn software. The related signaling protein expressions were investigated by Western blot assay. Flow cytometry analyzed the cell cycle changes. Ectopic xenografts were established by subcutaneous injection of MBT-2 cell (2× 106) into the right hind leg of C3H mouse. As the tumors became established (mean starting tumor volume= 200 mm3), the mice were randomized into 4 groups (n = 4) that received BIBW2992 and/or radiotherapy (10 mg/kg/day for 7 days and/or radiotherapy of 15 Gy on day 4). The tumor size was measured weekly using calipers and the volumes were calculated. Positron emission tomography (PET) was obtained on day 7 as the imaging modality to evaluate the early treatment response. Results: BIBW2992 (0-1000 nM) synergistically sensitized MBT-2 cells to radiation (0-10 Gy) in clonogenic cell survivals. Based on the rapid increase of phosphorylation of Her2 and EGFR shortly (2-6 hrs) after irradiation, pre-treatment of BIBW2992 on irradiated MBT-2 cells inhibited Her2 and EGFR phosphorylation dramatically. As compared to either treatment alone, combined BIBW2992 and irradiation increased the cleavage form of PARP. It was compatible with the flow cytometry finding of significantly increased cells in subG1 phase, indicating the synergistic induction of cell apoptosis. Besides, the combination of BIBW2992 and irradiation enhanced p-γH2AX (double-strand DNA damage) expression compared with either treatment alone. The inhibitory effect on ectopic tumor metabolism was early observed on PET after combined BIBW2992 and radiotherapy, as compared to either modality alone or sham treatment. The tumor growth delay between irradiation and combined treatment was 8.5 days. Conclusions: BIBW2992 is an orally bioavailable dual EGFR/HER2 inhibitor with therapeutic value as a radiosensitizer of murine bladder cancer. The synergism likely associates with the enhanced effect on radiation induced DNA damage, and leads to the increased cell apoptosis. 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 3872. doi:1538-7445.AM2012-3872
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2012
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
    Location Call Number Limitation Availability
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  • 3
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 72, No. 8_Supplement ( 2012-04-15), p. 2767-2767
    Abstract: Heat shock protein 90 (Hsp90) is the most abundant cellular chaperone and has nearly 100 pivotal client proteins, which are commonly dysregulated in cancers. The positive rate of Hsp90beta in gastric cancer (GC) tissue was approximately 30%, and was higher than non-cancerous gastric mucosa. Hsp90 inhibitors should have great potentials in the exploration for treatment strategy in gastric cancer (GC). NYP-AUY922-AG (AUY922), kindly provided by Novartis Pharma AG, is a novel resorcinylic isoxazole amide Hsp90 inhibitor. Using 72-hour MTT colorimetric assay, we have demonstrated that AUY922 has highly active growth inhibitory effects as a single agent of IC50 in the nanomolar ranges between 8.1 ± 0.2 and 14.7 ± 0.8 nM in the gastric cancer cell line panels (except c-met-overexpressing KATO-III cells with a IC50 of 158.1 ± 5.1 nM). In the gastric cancer MKN45 xenograft model, MKN45 cells (2 × 106) were injected subcutaneously in 100 αl of Matrigel/Hanks’ balanced salt solution to the flank of nude mice. AUY922 50 mg/kgw and 100 mg/kgw intraperitoneal weekly injection (i.p.) were used. Tumor inhibitory effects of AUY922 in the MKN45 human gastric cancer xenograft model were statistically evident in a dose-dependent and time-dependent manner. Several important growth factor receptors are overexpressed in GC, namely EGFR (epidermal growth factor receptor, HER1), HER-2/neu, and c-met (hepatocyte growth factor receptor, HGF receptor), etc. By immunohistochemical staining of xenograft tumor tissues using specific antibodies, AUY922 100 mg/kgw i.p. weekly significantly down regulates multiple growth factor receptors and oncoproteins, including c-met, HER-2/neu, IGF1-R, EGFR, Akt, and notably thymidylate synthase (TS), etc. While the effects of AUY922 50 mg/kgw are less statistically significant. Up to date, 5-fluorouracil (5-FU) or oral fluoropyrimidines are the current mainstay agents for first-line treatment in gastric cancer. By combining AUY922 100 mg/kgw i.p. and 5-fluorouracil (5-FU) 40 mg/kgw i.p. weekly (wk), tumor inhibitory effects of AUY922 and 5-FU were synergistically effective. Combining AUY922 50 mg/kgw or 100 mg/kgw i.p. weekly and other relevant chemotherapeutic agents has been also actively exploring. Our data indicate that AUY922 plus 5-fluorouracil (5-FU) inhibits tumors synergistically in gastric cancer MKN45 xenograft via down regulation of multiple pivotal growth factor receptors and oncoproteins. Since phase I study of AUY922 has been completed with favorable toxicity profiles, it is highly reasonable to combine AUY922 with 5-FU or other relevant chemotherapeutic agents in future development of clinical trials for gastric cancers. 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 2767. doi:1538-7445.AM2012-2767
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2012
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
    Location Call Number Limitation Availability
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