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  • 1
    In: Journal of Clinical Oncology, American Society of Clinical Oncology (ASCO), Vol. 26, No. 16 ( 2008-06-01), p. 2699-2706
    Abstract: Preclinically, HIV protease inhibitors radiosensitize tumors with activated PI3-kinase/Akt pathway. We determined the toxicity of nelfinavir chemoradiotherapy in borderline resectable and unresectable pancreatic cancer. Patients and Methods Oral nelfinavir (2 × 1,250 mg) was started 3 days before and continued throughout chemoradiotherapy to 50.4 Gy (boost, 59.4 Gy) in 12 patients. Two gemcitabine dose levels (DL) were tested (200 mg/m 2 and 300 mg/m 2 on days 1, 8, 22, and 29). Cisplatin was administered on the same days at 30 mg/m 2 . Phospho-Akt downregulation by nelfinavir was monitored by immunoblotting in patient leukocytes. Restaging positron emission tomography (PET)/computed tomography (CT) and CA19-9 levels served to assess response, and responding tumors were resected. Results At each DL, five of six patients completed chemoradiotherapy, and two of 12 patients had incomplete chemoradiotherapy because of clinical depression (DL1) and peritoneal metastasis (DL2). Grade 4 toxicities were a transaminase elevation (DL2) as a result of biliary stent occlusion and acute cholecystitis as a result of peritoneal metastasis (DL2). Stent occlusions led to dose-limiting toxicities of grade 3 liver enzyme and bilirubin elevations (two patients at DL1, one patient at DL2). Grade 3 nausea and vomiting occurred in a DL2 patient, and weight loss occurred in a DL1 patient who refused supportive feeding. Secondary complete resection was possible in six of 10 patients with complete chemoradiotherapy, including one tumor with pathologic sterilization. Partial CT responses were observed in five of 10 patients who completed chemoradiotherapy. Of nine patients assessable by PET,responses were complete in five patients and partial patients, and stable disease was observed in two patients. Conclusion The combination of nelfinavir and chemoradiotherapy showed acceptable toxicity and promising activity in patients with pancreatic cancer.
    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: 2008
    detail.hit.zdb_id: 2005181-5
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  • 2
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2011
    In:  Cancer Research Vol. 71, No. 10 ( 2011-05-15), p. 3453-3458
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 71, No. 10 ( 2011-05-15), p. 3453-3458
    Abstract: Pancreatic ductal adenocarcinoma (PDAC) is characterized by a strong desmoplastic reaction where the stromal compartment often accounts for more than half of the tumor volume. Pancreatic stellate cells (PSC) are a central mediator of desmoplasia. There is increasing evidence that desmoplasia is contributing to the poor therapeutic response of PDAC. We show that PSCs promote radioprotection and stimulate proliferation in pancreatic cancer cells (PCC) in direct coculture. Our in vivo studies show PSC-dependent radioprotection in response to a single dose and to fractionated radiation. Abrogating β1-integrin signaling abolishes the PSC-mediated radioprotection in PCCs. Furthermore, this effect is independent of PI3K (phosphoinositide 3-kinase) but dependent on FAK. Taken together, we show for the first time that PSCs promote radioprotection of PCCs in a β1-integrin–dependent manner. Cancer Res; 71(10); 3453–8. ©2011 AACR.
    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: 2011
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
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  • 3
    Online Resource
    Online Resource
    Elsevier BV ; 2009
    In:  International Journal of Radiation Oncology*Biology*Physics Vol. 75, No. 4 ( 2009-11), p. 1216-1225
    In: International Journal of Radiation Oncology*Biology*Physics, Elsevier BV, Vol. 75, No. 4 ( 2009-11), p. 1216-1225
    Type of Medium: Online Resource
    ISSN: 0360-3016
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2009
    detail.hit.zdb_id: 1500486-7
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  • 4
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2010
    In:  Cancer Research Vol. 70, No. 8_Supplement ( 2010-04-15), p. 1417-1417
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 70, No. 8_Supplement ( 2010-04-15), p. 1417-1417
    Abstract: Background Pancreatic ductal adenocarcinoma (PDAC) is characterised by a strong desmoplasmic reaction where the stromal compartment encounts for up to half the tumour volume. The enriched stroma is believed to be a contributing factor to the poor therapeutic response of PDAC, which is reflected in only 13% surviving the first year after diagnosis. A central mediator of the desmoplastic reaction is the pancreatic stellate cells (PSC). Signalling between PSC and tumour cells stimulates proliferation and migration of both cell types as well as secretion of extracellular matrix (ECM) proteins by the PSC. We aim to gain a better understanding of the crosstalk between PSC and tumour cells and how this affects tumour cell response to ionising radiation. Methods We have set up a co-culture system, which allow studies of tumour cells directly and indirectly co-cultured with PSC. Clonogenic survival assays were used to assess the radiosensitivity of mono- and co-cultured tumour cells. We also use in vivo mouse models to study the effects of PSC on tumour proliferation and tumour regrowth in response to radiation. Results and conclusion We demonstrate that PSC promote radioprotection and stimulate proliferation in pancreatic tumour cells in both direct and indirect co-culture. This is a PSC specific response as fibroblasts do not have a radioprotective effect on the tumour cells. Our in vivo studies of xenograft tumours in mice likewise demonstrate PSC dependent radioprotection and increased tumour proliferation. The kinetics of DNA repair in tumour cells were investigated but showed no changes in the presence of PSC and was therefore concluded not to form part of this radioprotective response. Previous studies have shown that cell adhesion to ECM proteins by integrin molecules mediates resistance to genotoxic stress. We here show that abrogating β1-integrin signalling by means of a blocking antibody results in a significant decrease in the PSC mediated radioresistance in tumour cells. Taken together we here demonstrate for the first time that PSC promote radioprotection of pancreatic tumour cells in vitro and in vivo. Our data points towards a role of β1-integrin signalling in this radioprotective response. Note: This abstract was not presented at the AACR 101st Annual Meeting 2010 because the presenter was unable to attend. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2010;70(8 Suppl):Abstract nr 1417.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2010
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
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  • 5
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2006
    In:  Cancer Research Vol. 66, No. 18 ( 2006-09-15), p. 8966-8970
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 66, No. 18 ( 2006-09-15), p. 8966-8970
    Abstract: Germ line mutations in CHEK2, the gene that encodes the Chk2 serine/threonine kinase activated in response to DNA damage, have been found to confer an increased risk of some cancers. We have previously reported the presence of the common deleterious 1100delC and four rare CHEK2 mutations in inherited breast cancer. Here, we report that predictions made by bioinformatic analysis on the rare mutations indicate that two of these, delE161 (483-485delAGA) and R117G, are likely to be deleterious. We show that the proteins encoded by 1100delC and delE161 are both unstable and inefficiently phosphorylated at Thr68 in response to DNA damage, a step necessary for the oligomerization of Chk2. Oligomerization is in turn necessary for additional phosphorylation and full activation of the protein. A second rare mutation, R117G, is phosphorylated at Thr68 but fails to show a mobility shift on DNA damage, suggesting that it fails to become further phosphorylated and hence fully activated. Our results indicate that delE161 and R117G encode nonfunctional proteins and are therefore likely to be pathogenic. The findings from the biochemical analysis correlate well with predictions made by bioinformatics analysis. In addition, the results imply that these mutations, as well as 1100delC, cannot act in a dominant-negative manner to cause cancer, and tumorigenesis in association with these mutations may be due to haploinsufficiency. (Cancer Res 2006; 66(18): 8966-70)
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2006
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
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  • 6
    In: Cancer Biology & Therapy, Informa UK Limited, Vol. 7, No. 11 ( 2008-11), p. 1806-1815
    Type of Medium: Online Resource
    ISSN: 1538-4047 , 1555-8576
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2008
    detail.hit.zdb_id: 2088895-8
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