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  • 1
    In: Blood, American Society of Hematology, Vol. 120, No. 21 ( 2012-11-16), p. 2674-2674
    Abstract: Abstract 2674 Vascular endothelial growth factor (VEGF) plays an important role in angiogenesis and progression of many types of cancer, and VEGF expression has been known to be associated with polymorphism of gene. However, the impact of polymorphisms of the VEGF gene on non-Hodgkin lymphoma (NHL) prognosis has not been fully elucidated. Here we investigated the association between VEGF polymorphisms and prognosis of NHL. The study involved 96 NHL patients treated at National Cancer Center, Korea. The median patient age was 57 years, and 60 patients (62.5%) were men. A total of 5 polymorphisms with heterozygous allele were analyzed. Clinical characteristics (e.g., cell lineage) and international prognostic index (IPI), including age, performance, LDH, stage and extra-nodal involvement, were evaluated and related to VEGF polymorphism. Hazard ratios (HRs) were determined in terms of risk for overall survival using Cox proportional hazard regression analysis. Diffuse large B cell lymphoma (n=73) was most common histologic type, and others were as follows: T-cell lymphoma (n=14), mantle cell lymphoma (n=6), and Burkitt lymphoma (n=3). IPI and stage were predictors for prognosis (p 〈 0.01), and both index did not have correlation with VEGF polymorphisms. The genotype frequency of rs1570360 was GG (70%), GA (26%), and AA (4%), and it has significantly association with poor prognosis with HRs of 2.52 [95% confidence interval (CI), 1.36 to 4.67] in NHL patients and 2.41 [95% confidence interval (CI), 1.15 to 5.05] in DLBCL treated by rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP), respectively. In IPI subgroup analysis, rs1570360 had association in higher IPI group (IPI ≥ 3) (p=0.02). These findings suggest that VEGF polymorphisms may be significant prognostic indicators for patients with NHL and DLBCL. Disclosures: No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
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    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2012
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  • 2
    In: Blood, American Society of Hematology, Vol. 122, No. 21 ( 2013-11-15), p. 3007-3007
    Abstract: Vascular endothelial growth factor (VEGF) plays an important role in angiogenesis and progression of cancer, and blood level of VEGF has been known to predict of outcome in several types of cancer. However, the impact of blood VEGF levels on prognosis of diffuse large B-cell lymphoma (DLBCL) has not been fully elucidated. Here we investigated the prognostic implication of circulating VEGF levels in patients with DLBCL. Patients and Methods The study involved 127 DLBCL patients treated by rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) at National Cancer Center, Korea. Both serum and plasma of the patients were obtained at diagnosis. VEGF were measured using ELISA kit (R & D systems) according to manufacturer’s guidance. We investigated the correlation between clinical parameters and blood VEGF levels. Survival rates and hazard ratios (HRs) in terms of risk for overall survival were determined using Kaplan-Meier method and Cox proportional hazard regression analysis. Results The median patient age was 56 years, and 75 (59%) patients were men. Clinical characteristics and international prognostic index (IPI), including age, performance, lactate dehydrogenase (LDH), Ann Arbor stage and extranodal involvement were evaluated. The mean (±SD) value of serum and plasma VEGFs were 713 (±599.8) and 107 (±164.4) pg/mL, and they were correlated as r=0.61 (p 〈 0.001). Both serum and plasma VEGF showed the significant (p 〈 0.01) correlation with serum LDH level, Ann Arbor stage and multiple extranodal involvement, but not with age, gender nor performance. IPI showed strong prediction for prognosis in our data set (HR 3.80, 95%CI 1.64-8.81, p=0.02), and the VEGF levels of high/high-intermediate IPI group were significantly higher than those of low/low-intermediate group [serum VEGF 1088(±838.0) and 557(±377.2), p 〈 0.001 and plasma VEGF 79(±131.6) and 176(±212.2), p=0.002]. With the median follow-up of 44 months, high serum VEGF levels (higher than the median) were significantly associated with short survival (HR 2.74, 95%CI 1.13-6.60, p=0.025), though the plasma VEGF levels did not show the association similar to the serum samples (HR 1.40, 95%CI 0.63-3.12, p=0.414). The patients with higher serum VEGF than the median value showed significantly lower survival rate compared to the low group (3-year survival rates, 68.6% vs. 85.6%, p=0.019). Conclusion These findings suggest that high serum VEGF levels can predict poor clinical outcome in patients with DLBCL. This study also represents the different type of specimen for VEGF measurement affected the results. We might have to select adequate specimen type for VEGF measurement, although further validation in large cohort and mechanism studies for this data are warranted. Disclosures: No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2013
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
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  • 3
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 74, No. 19_Supplement ( 2014-10-01), p. 1702-1702
    Abstract: Background: Multiple myeloma (MM) is a fatal disease characterized by clonal proliferation of plasma cells in the bone marrow. Recently novel therapeutic drugs such as bortezomib and lenalidomide have been improved survival of MM. However, we still need to find out new drugs for treatment MM. Here we performed a high-throughput cell-based screening using a FDA-approved 380 drug library (Selleckchem, USA) to find out sensitizer in combination with bortezomib. Materials and methods: We carried out high-throughput screening using cell counting kit-8 (CCK-8, Dojindo, USA). RPMI8226 MM cells were plated 1x104 cells/well in 96-well assay plates then treated with 0.25 nM bortezomib and combination with 1 uM drug libraries for 48 hours. Analysis was done by four different methods (non-controls-based normalization, median-based activities, Z scores, and B scores). Then we selected 30 high ranking drugs for inhibition of proliferation and albendazole was selected through literature review. To investigate of albendazole effect, we performed cell proliferation assay using 0, 0.1, 1, 10 uM of albendazole and combination with 0, 0.25, 0.5, 1 nM of bortezomib at 24, 48, 72 hr in four MM cell lines (RPMI8226, MM.1S, MM.1R and U266). Inhibitory concentration 50 (IC50) and combination index (CI) calculated by compusyn software (Combosyn, USA). Cell cycle and apoptosis was analyzed by flow cytometry using the PI and Annexin V/7AAD staining kit (BD Biosciences, USA) with 0, 0.1, 1, 10 uM of albendazole at 24, 48, 72 hr in RPMI8226 and MM.1S cells. Results: Total of 180 drugs showed inhibitory effects compared with that of single treatment with bortezomib. High ranking drugs belonged to anthracycline, cytotoxic antibiotic, antihelmintic, target DNA topoisomerase I, II and microtubule function inhibitor. For albendazole, IC50 values in RPMI8226, MM.1S, MM.1R, and U266 were 0.63, 2.78, 7.26, and 5.93 uM, respectively. Peripheral blood mononuclear cells from blood donor separated by ficoll density gradient were treated by albendazole represented IC50 over 9000 uM which implicated high therapeutic index. MM cells of treatment with 1 uM albendazole for 24 hr were induced G2/M phase cell cycle arrest and increased significantly late stages of apoptosis. Finally, combination treatments with albendazole and bortezomib synergistically induced cytotoxicity against MM cell lines. Conclusions: This study showed that albendazole had potent anti-myeloma activities and enhanced the activity of bortezomib. These results indicate that albendazole may have therapeutic potential in multiple myeloma and provide the framework for future studies of albendazole in multiple myeloma. Citation Format: Min Kyeong Kim, Sunshin Kim, So Jin Park, Hyewon Lee, Tae Sik Kim, So Youn Jung, Hyun Guy Kang, Hyeon-Seok Eom, Kong Sun-Young. High-throughput cell-based screening of drug library identifies albendazole as a sensitizer with combination of bortezomib for treatment multiple myeloma. [abstract]. In: Proceedings of the 105th Annual Meeting of the American Association for Cancer Research; 2014 Apr 5-9; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2014;74(19 Supp l):Abstract nr 1702. doi:10.1158/1538-7445.AM2014-1702
    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: 2014
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    detail.hit.zdb_id: 410466-3
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