DOCSLIB.ORG

Highly Halaven-Resistant KBV20C Cancer Cells Can Be Sensitized by Co-Treatment with Fluphenazine JI HYUN CHEON, BYUNG MU LEE, HYUNG SIK KIM and SUNGPIL YOON

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Highly Halaven-Resistant KBV20C Cancer Cells Can Be Sensitized by Co-Treatment with Fluphenazine JI HYUN CHEON, BYUNG MU LEE, HYUNG SIK KIM and SUNGPIL YOON ANTICANCER RESEARCH 36 : 5867-5874 (2016) doi:10.21873/anticanres.11172 Highly Halaven-resistant KBV20C Cancer Cells Can Be Sensitized by Co-treatment with Fluphenazine JI HYUN CHEON, BYUNG MU LEE, HYUNG SIK KIM and SUNGPIL YOON School of Pharmacy, Sungkyunkwan University, Suwon, Republic of Korea Abstract. Aim: To identify conditions that induce an increase developed and used in the clinic to treat resistant or metastatic in the sensitivity of highly Halaven (HAL)-resistant cancer cells cancer. HAL has been developed to overcome the resistance compared to sensitive cells. Materials and Methods: We of cancer cells to routinely used antimitotic drugs. HAL observed that drug-resistant KBV20C cells are highly resistant targets the depolymerization of microtubules (5, 6). HAL is to HAL compared to other antimitotic drugs. The concentration considered a promising drug for triple-negative breast cancer required to treat KBV20C cells was almost 500-fold higher than or certain resistant cancers (7, 8). Since patients are expected that used to treat sensitive parent KB cells. In order to increase to develop resistance to HAL, identifying the mechanism(s) sensitization, HAL-treated KBV20C cells were co-treated with that underlie cell sensitization to HAL would be an important the repositioned drug, fluphenazine (FLU). Results: HAL and step in the development of more effective treatments by FLU co-treatment inhibited the growth and increased apoptosis designing approaches to increase HAL-associated apoptosis. via G 2 arrest in HAL-treated KBV20C cancer cells. In the present study, we determined that P-glycoprotein Sensitization by HAL-FLU affected retinoblastoma protein (P-gp)-overexpressing KBV20C cells are highly resistant to (pRB), pHistone H3 and pH2AX protein levels. FLU could also HAL compared to their resistance to other antimitotic drugs. inhibit p-glycoprotein (P-gp) activity in HA-resistant KBV20C Fluphenazine (FLU) was used as a neuroleptic or anti-emetic cells. These observations suggest that the mechanisms agent (9, 10). However, FLU has been recently shown to underlying FLU-HAL sensitization in resistant KBV20C cells inhibit P-gp and is considered an anti-cancer involve both apoptosis and P-gp inhibition. Furthermore, both chemopreventive agent (11, 12). We then tested whether co- thioridazine (THIO) and mefloquine (MEF), but not treatment using HAL and FLU increases the sensitivity of azathioprine (AZA), sensitized HAL-treated KBV20C cells. highly HAL-resistant KBV20C cells. We further investigated Conclusion: These findings provide important information the mechanism underlying HAL-FLU sensitization using regarding the sensitization of HAL-resistant cells and indicate various apoptotic assays and molecular signatures to that FLU, THIO and MEF may have similar sensitization effects determine the factors involved in the effects observed in in highly HAL-resistant cells. HAL-resistant cancer cells co-treated with HAL and FLU. Additionally, we tested whether co-treatment with Antimitotic drugs, which target different binding sites on thioridazine (THIO), azathioprine (AZA) or mefloquine tubulin, are widely used for treating different cancers (1, 2). (MEF) sensitized HAL-treated KBV20C cells. Since these These compounds inhibit mitosis by targeting microtubules drugs have already been approved for the treatment of and preventing their polymerization or depolymerization (1- humans (13), they, as repositioned drugs, could be readily 4). Halaven (HAL), also called eribulin, was recently available for clinical use once their anti-cancer activities are better understood. These results will contribute to the development of FLU-, THIO- and MEF-based therapy for Τhis article is freely accessible online. co-treatment of cancer in highly HAL-resistant patients. Correspondence to: Hyung Sik Kim, Ph.D. and Sungpil Yoon, Materials and Methods Ph.D., School of Pharmacy, Sungkyunkwan University, 2066 Seobu-ro, Jangan-gu, Suwon, Gyeonggi-do, 16419, Republic of Reagents. FLU, THIO, MEF and verapamil (VER) were purchased Korea. Tel: +82 312907789, Fax: +82 312928800, e-mail: from Sigma-Aldrich (St.Louis, MO, USA). AZA was purchased [email protected], [email protected] from Selleckchem (Houston, TX, USA). Vinblastine (VIB) was purchased from Enzo Life Sciences (Farmingdale, NY, USA). Key Words: Halaven, fluphenazine, mefloquine, thioridazine, P-gp, Aqueous solutions of HAL (Eisai Korea, Seoul, South Korea) were drug-resistance. obtained from the National Cancer Center in South Korea. 0250-7005/2016 $2.00+.40 5867 ANTICANCER RESEARCH 36 : 5867-5874 (2016) Antibodies. Antibodies against pGSK3 β, pHistone H3, proliferating Briefly, cells grown in 60-mm dishes were washed three times with cell nuclear antigen (PCNA) and cleaved-poly(ADP-ribose) 5 ml PBS. Next, 500 μl of 20% trichloroacetic acid (TCA) was polymerase (C-PARP) were from Cell Signaling Technology added to each plate. The cells were then dislodged by scraping and (Danvers, MA, USA). Antibodies against glyceraldehyde 3- transferred to Eppendorf tubes. Proteins were pelleted by phosphate dehydrogenase (GAPDH), survivin and retinoblastoma centrifugation for 5 min at 3,000 rpm and re-suspended in 1M Tris- protein (pRb) were from Santa Cruz Biotechnology (Santa Cruz, CA, HCl (pH 8.0) buffer. The total protein concentrations were USA). Antibody against pH2AX was from Abcam (Cambridge, UK). estimated. The proteins were resolved by sodium dodecyl sulfate- polyacrylamide gel electrophoresis (SDS-PAGE) and subjected to Cell culturing. Human oral squamous carcinoma cell lines, KB and its Western blot analysis as previously described (17-19). multidrug-resistant subline, KBV20C, were obtained from Dr. Yong Kee Kim (College of Pharmacy, Sookmyung Women’s University, Results Seoul, Republic of Korea) and have been previously described (14- 16). All cell lines were cultured in RPMI 1640 containing 10% fetal bovine serum, 100 U/ml penicillin and 100 μg/ml streptomycin KBV20C cells, highly resistant to HAL, are sensitized by FLU (WelGENE, Daegu, South Korea). co-treatment. KBV20C cells present an antimitotic drug- resistant phenotype via P-gp overexpression (14-16). When Microscopic observation. Cells grown in 6-well plates were treated testing the degree of resistance of KBV20C cells to HAL, we with the indicated drugs for the indicated times. The medium was determined that KBV20C cells are highly resistance to HAL. removed and PBS was added in each dish. Cells were examined in In fact, in KBV20C cells, the necessary concentration of two independent experiments immediately using an Axio observer.Z1 HAL required to observe a similar phenotype was fluorescence inverted microscope (Carl Zeiss, Oberkochen, Germany) approximately 500-fold higher than that used in parent drug- with a 5× or 10× objective lens (Carl Zeiss EC Plan-Neofluar). sensitive KB cells (Figure 1A). These data suggest a 500-fold Fluorescence-activated cell sorting (FACS) analysis. FACS analysis difference in HAL half-maximal inhibitory concentration was performed as previously described (17-19). Cells were grown (IC 50 ) between sensitive KB and resistant KBV20C cells. in 60-mm diameter dishes and treated with the indicated drugs for Compared to previous studies assessing the IC 50 of KB and the prescribed times. The cells were then dislodged by trypsin and KBV20C cells using other antimitotic drugs, such as pelleted by centrifugation. The pelleted cells were washed vinblastine, vincristine, paclitaxcel, docetaxcel and thoroughly with PBS, suspended in 75% ethanol for at least 1 h at colchicines (1-4), KBV20C cells are highly resistant to HAL. 4˚C, washed with PBS and re-suspended in a cold propidium iodide (PI) staining solution (100 μg/ml RNase A and 50 μg/ml PI in PBS) Verapamil co-treatment with HAL overcame KBV20C for 30 min at 37˚C. The stained cells were analyzed in two resistance (data not shown or see Figure 3C and D) independent experiments for relative DNA content using a confirming that HAL-resistance in KBV20C cells involves FACSCalibur flow cytometry system (BD Bioscience, Franklin the pumping-out ability of the cells associated with P-gp Lakes, NJ, USA). overexpression. It also suggests that HAL is a highly selective substrate pumped-out by P-gp in KBV20C cells. Therefore, Annexin V analysis. Annexin V analysis was conducted using the we assumed that identifying the sensitization mechanisms of annexin V-fluorescein isothiocyanate (FITC) staining kit (BD KBV20C cells can provide important information to Bioscience) as previously described (17-19). Cells were grown in 60-mm diameter dishes and treated with the indicated drugs for the overcome HAL-resistant phenotypes in the clinic. prescribed times. The cells were then dislodged by trypsin and FLU is a potential anti-cancer drug and a potential inhibitor pelleted by centrifugation. The pelleted cells were washed with of cancer-related Akt pathways (20). First, we tested whether PBS. Cells in 100 μl of binding buffer received 5 μl of Annexin V- FLU was a substrate for P-gp in drug-resistant KBV20C cells. FITC and 5 μl of PI and were, then, incubated for 15 min at room As shown in Figure 1B, using various concentrations of FLU, temperature. The stained cells were analyzed using a FACSCalibur we determined that KB and KBV20C presented a similar flow cytometry system (BD Bioscience). Two independent sensitization level, suggesting that FLU is not a substrate of experiments were performed. P-gp in drug-resistant KBV20C cells. It also suggests that Rhodamine and calcein-AM uptake tests. These tests were used for FLU can be used as an anti-cancer drug in resistant cells, determination of ability for inhibition of P-gp using a previously including HAL-resistant cancer cells. Furthermore, we tested described method (17-19). Briefly, cells grown in 6-well plates were whether co-treatment with FLU could sensitize HAL-treated treated with indicated drugs and incubated for 24 h at 37˚C. Cells KBV20C cells. As shown in Figure 1C and D, HAL-FLU co- were then incubated with and 1 μg/ml rhodamine or 0.1 μg/ml treatment reduced cellular proliferation and increased G 2 arrest calcein-AM for 1 h 30 min at 37˚C.
Load more

Recommended publications
  • Modifications of Nucleic Acid Precursors That Inhibit Plant Virus Multiplication
    Molecular Plant Pathology Modifications of Nucleic Acid Precursors That Inhibit Plant Virus Multiplication William 0. Dawson and Carol Boyd Department of Plant Pathology, University of California, Riverside 92521. This work was supported in part by U.S. Department of Agriculture Grant 84-CTC-1-1402. Accepted for publication 4 April 1986. ABSTRACT Dawson, W. 0., and Boyd, C. 1987. Modifications of nucleic acid precursors that inhibit plant virus multiplication. Phytopathology 77:477-480. The relationship between chemical modifications of normal nucleic acid highest proportion of antiviral activity were modification of the sugar base or nucleoside precursors and ability to inhibit multiplication of moiety (five of 13 chemicals were inhibitory) and addition of abnormal side tobacco mosaic virus or cowpea chlorotic mottle virus in disks from groups (three of seven chemicals were inhibitory). Eight new inhibitors of mechanically inoculated leaves was tested with 131 analogues. Chemicals virus multiplication were identified: 6-aminocytosine; 6-ethyl- tested were selected from 10 general classes of modifications to determine mercaptopurine; isopentenyladenosine; 2-thiopyrimidine; 2,4-dithio- the types of modifications of normal nucleic acid precursors that have pyrimidine; melamine; 5'-iodo-5'-deoxyadenosine; and 5'- greater probabilities of inhibiting virus multiplication. No inhibitory methyl-5'-deoxythioadenosine. chemicals were found in several classes. Classes of modifications with the Additionalkey words: antivirals, chemotherapy, control, virus diseases. The ability to control virus diseases of plants with chemicals different taxonomic groups, tobacco mosaic virus (TMV) in would be a valuable addition to existing control strategies. This tobacco and cowpea chlorotic mottle virus (CCMV) in cowpea. could be particularly useful in in vitro culture procedures to Chemicals were chosen to be tested based on two different criteria.
    [Show full text]
  • Cancer Drug Pharmacology Table
    CANCER DRUG PHARMACOLOGY TABLE Cytotoxic Chemotherapy Drugs are classified according to the BC Cancer Drug Manual Monographs, unless otherwise specified (see asterisks). Subclassifications are in brackets where applicable. Alkylating Agents have reactive groups (usually alkyl) that attach to Antimetabolites are structural analogues of naturally occurring molecules DNA or RNA, leading to interruption in synthesis of DNA, RNA, or required for DNA and RNA synthesis. When substituted for the natural body proteins. substances, they disrupt DNA and RNA synthesis. bendamustine (nitrogen mustard) azacitidine (pyrimidine analogue) busulfan (alkyl sulfonate) capecitabine (pyrimidine analogue) carboplatin (platinum) cladribine (adenosine analogue) carmustine (nitrosurea) cytarabine (pyrimidine analogue) chlorambucil (nitrogen mustard) fludarabine (purine analogue) cisplatin (platinum) fluorouracil (pyrimidine analogue) cyclophosphamide (nitrogen mustard) gemcitabine (pyrimidine analogue) dacarbazine (triazine) mercaptopurine (purine analogue) estramustine (nitrogen mustard with 17-beta-estradiol) methotrexate (folate analogue) hydroxyurea pralatrexate (folate analogue) ifosfamide (nitrogen mustard) pemetrexed (folate analogue) lomustine (nitrosurea) pentostatin (purine analogue) mechlorethamine (nitrogen mustard) raltitrexed (folate analogue) melphalan (nitrogen mustard) thioguanine (purine analogue) oxaliplatin (platinum) trifluridine-tipiracil (pyrimidine analogue/thymidine phosphorylase procarbazine (triazine) inhibitor)
    [Show full text]
  • Structural Basis for the Inhibition of Human 5,10-Methenyltetrahydrofolate Synthetase by N10-Substituted Folate Analogues
    Published OnlineFirst September 8, 2009; DOI: 10.1158/0008-5472.CAN-09-1927 Experimental Therapeutics, Molecular Targets, and Chemical Biology Structural Basis for the Inhibition of Human 5,10-Methenyltetrahydrofolate Synthetase by N10-Substituted Folate Analogues Dong Wu,1 Yang Li,1 Gaojie Song,1 Chongyun Cheng,1 Rongguang Zhang,2 Andrzej Joachimiak,2 NeilShaw, 1 and Zhi-Jie Liu1 1National Laboratory of Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China and 2Structural Biology Center, Argonne National Laboratory, Argonne, Illinois Abstract of the one-carbon metabolic network, dihydrofolate reductase, 5,10-Methenyltetrahydrofolate synthetase (MTHFS) regulates which catalyzes the conversion of dihydrofolate to tetrahydrofolate. the flow of carbon through the one-carbon metabolic network, Similarly, colorectal and pancreatic cancers are routinely treated by which supplies essential components for the growth and administration of the pyrimidine analogue 5-fluorouracil (5-FU), proliferation of cells. Inhibition of MTHFS in human MCF-7 which inhibits thymidylate synthase (TS; ref. 6). TS converts breast cancer cells has been shown to arrest the growth of deoxyuridylate to deoxythymidylate using a carbon donated by cells. Absence of the three-dimensional structure of human 5,10-methylenetetrahydrofolate (Fig. 1). This conversion is essential MTHFS (hMTHFS) has hampered the rational design and for DNA synthesis (7). To increase the clinical efficiency of the optimization of drug candidates. Here, we report the treatment, 5-formyltetrahydrofolate is often coadministered along structures of native hMTHFS, a binary complex of hMTHFS with 5-FU. The beneficial effect of administering 5-formyltetrahy- with ADP, hMTHFS bound with the N5-iminium phosphate drofolate during the therapy with 5-FU is a consequence of the reaction intermediate, and an enzyme-product complex of 5,10-methenyltetrahydrofolate synthetase (MTHFS)–catalyzed hMTHFS.
    [Show full text]
  • Bendamustine and Cytosine Arabinoside: a Highly Synergistic Combination Visco C*, Carli G and Rodeghiero F Further DNA Synthesis [24]
    Open Access Austin Journal of Cancer and Clinical Research Editorial Bendamustine and Cytosine Arabinoside: A Highly Synergistic Combination Visco C*, Carli G and Rodeghiero F further DNA synthesis [24]. The synergistic effect of bendamustine Department of Cell Therapy and Hematology, San Bortolo and cytarabine could be related to the individual mechanism of Hospital, Italy action of the two drugs, whose serial administration would avoid *Corresponding author: Carlo Visco, Department of the saturation of the common pathways. Cells escaping the cell cycle Cell Therapy and Hematology, San Bortolo Hospital, Via arrest induced by bendamustine and trying to repair their damage Rodolfi 37, 36100 Vicenza, Italy, Tel: +39 0444 753626; would be prone to incorporate the metabolite ara-CTP into DNA, Fax: +39 0444 920708; Email: [email protected] as reported by Staib [19] in acute myeloid leukemia cells. Indeed, the Received: January 07, 2015; Accepted: March 16, sequential treatment with bendamustine followed by cytarabine was 2015; Published: April 03, 2015 proven to be more effective than simultaneous addition of the two drugs (Figure 2) [21-23]. The S phase of the cell cycle is a crucial step Editorial of replication in mantle cell lymphoma (MCL) cells, where cyclin D1 Bendamustine is a bifunctional compound that has shown clinical overexpression deregulates the cell cycle at the G1/S phase transition, activity against various human cancers including non-Hodgkin’s and and is likely the engine continuously pushing cells towards S-phase Hodgkin’s lymphoma [1,2], chronic lymphocytic leukemia (CLL) [3], (Figure 3). Indeed, both drugs are known to be particularly active in multiple myeloma [4,5], breast cancer [6], and small-cell lung cancer patients with MCL.
    [Show full text]
  • PD-1 / PD-L1 Combination Therapies
    PD-1 / PD-L1 Combination Therapies Jacob Plieth & Edwin Elmhirst – November 2015 Foreword Biopharma owes much of the past few years’ bull run to advances in cancer – specifically to immuno-oncology approaches that harness the natural power of the immune system to combat disease. The charge has been led by antibodies against CTLA4 and PD-1, which have seen the launches of Yervoy, Opdivo and Keytruda, initially for melanoma but with additional indications now getting under way. What does the industry do for an encore? There are several late-stage antibodies that work in identical or similar ways – tremelimumab, atezolizumab and durvalumab – and slightly further away stands an amazing array of novel immuno-oncology approaches, which target novel antigens or novel immune system checkpoints. But most experts are now looking to combinations to build on the success of the first few immuno-oncology drugs to hit the market. This is a vital theme because, in investment terms, biopharma looks like it might at last have overheated, and as such it is desperate for another lift. The coming 18 months could provide several. The key lies in the first clinical evidence from early trials of anti-PD-1 and anti-PD-L1 antibodies combined with novel immune system agents, as well as in combination with a barrage of old and new small-molecule and antibody drugs, chemotherapies, cancer vaccines and gene therapies. Combining numerous new and old approaches with anti-PD-1/PD-L1 agents is logical given that the latter already look like they are becoming standard treatment in certain populations within certain tumour types.
    [Show full text]
  • Drug Therapy of Cancer Curt Peterson
    Drug therapy of cancer Curt Peterson To cite this version: Curt Peterson. Drug therapy of cancer. European Journal of Clinical Pharmacology, Springer Verlag, 2011, 67 (5), pp.437-447. 10.1007/s00228-011-1011-x. hal-00671936 HAL Id: hal-00671936 https://hal.archives-ouvertes.fr/hal-00671936 Submitted on 20 Feb 2012 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. 1 110130 Drug therapy of cancer Curt Peterson Professor, MD, PhD Departments of Clinical Pharmacology and Oncology University hospital SE-581 85 Linköping Sweden [email protected], tel: +46101031090, fax: +4613104195 2 Abstract Cancer chemotherapy was introduced at the same time as antibacterial chemotherapy but has not at all been such a success. However, there is a growing optimism in oncology today due to the introduction of several more or less target specific drugs as complement to the conventional cytotoxic drugs introduced half a century ago. The success in the treatment of chronic myelogenous leukemia by imatinib, inhibiting the bcr-abl activated tyrosine kinase thereby interrupting the signal transduction pathways that lead to leukemic transformation. with impressive survival benefit has paved the way for this new optimism.
    [Show full text]
  • VOL. XXVII, No. 3-4, 2011 20112011 Heart Diseases in Essential Thrombocythemia Review
    VOL. XXVII, No. 3-4, 2011 20112011 Heart diseases in essential Thrombocythemia review Mihaela Rugină1 , L. Predescu 1, V.Molfea 1, I. M. Coman 1,2,Ş . Bubenek- Turconi 1,2 1. “C.C.Iliescu" Emergency Institute for Cardiovascular Diseases 2. “Carol Davila” University of Medicine and Pharmacy, Bucharestepartment of the Emergency Universitary Hospital –Bucharest Contact address: Dr. Mihaela Rugină,Ş , “C.C.Iliescu" Emergency Institute for Cardiovascular Diseases os. Fundeni 258, Sector 2, 022328, Bucharest • E-mail: [email protected] Abstract Essential thrombocythemia (ET) is a myeloproliferative disorder that raises questions about the characteristics of the disease treatment. ET evolution is grafted to a predisposition to bleeding and thrombotic events and microvascular events. Thrombotic events often affects medium-sized and large arteries including cerebral arteries, coronary and peripheral, but can also affect the veins causing recurrent venous thrombosis of the legs with thromboembolic complications. The most common cardiac complications occurred in the ET are the acute coronary syndromes or coronary thrombosis, and in some cases has been incriminated and coronary spasm. Possible cardiac valvular damage that can occur in ET (thickening, calcification, valvular regurgitation) and the possibility of associating with pulmonary arterial hypertension who aren't associated to a pulmonary embolism are reported in the literature but with an extremely rare incidence. Key words: essential thrombocythemia, acute coronary syndroms, thrombosis
    [Show full text]
  • Dihydropyrimidine Dehydrogenase in the Metabolism of the Anticancer Drugs
    Cancer Chemotherapy and Pharmacology (2019) 84:1157–1166 https://doi.org/10.1007/s00280-019-03936-w REVIEW ARTICLE Dihydropyrimidine dehydrogenase in the metabolism of the anticancer drugs Vinay Sharma1 · Sonu Kumar Gupta1 · Malkhey Verma1 Received: 3 May 2019 / Accepted: 21 August 2019 / Published online: 4 September 2019 © Springer-Verlag GmbH Germany, part of Springer Nature 2019 Abstract Cancer caused by fundamental defects in cell cycle regulation leads to uncontrolled growth of cells. In spite of the treatment with chemotherapeutic agents of varying nature, multiple resistance mechanisms are identifed in cancer cells. Similarly, numerous variations, which decrease the metabolism of chemotherapeutics agents and thereby increasing the toxicity of anticancer drugs have been identifed. 5-Fluorouracil (5-FU) is an anticancer drug widely used to treat many cancers in the human body. Its broad targeting range is based upon its capacity to act as a uracil analogue, thereby disrupting RNA and DNA synthesis. Dihydropyrimidine dehydrogenase (DPD) is an enzyme majorly involved in the metabolism of pyrimidines in the human body and has the same metabolising efect on 5-FU, a pyrimidine analogue. Multiple mutations in the DPD gene have been linked to 5-FU toxicity and inadequate dosages. DPD inhibitors have also been used to inhibit excessive degradation of 5-FU for meeting appropriate dosage requirements. This article focusses on the role of dihydropyrimidine dehydrogenase in the metabolism of the anticancer drug 5-FU and other associated drugs. Keywords Cancer · Anticancer drugs · Dihydropyrimidine dehydrogenase (DPD) · 5-Fluorouracil (5-FU) · Drug resistance · Drug metabolism Introduction by Dihydropyrimidine dehydrogenase (DPD) through the pyrimidine degradation pathway.
    [Show full text]
  • Peri-Operative Medicine John Cohn
    Perioperative Medicine Steven L. Cohn (Editor) Perioperative Medicine Editor Steven L. Cohn Director – Medical Consultation Service Kings County Hospital Center Clinical Professor of Medicine SUNY Downstate Brooklyn, NY ISBN 978-0-85729-497-5 e-ISBN 978-0-85729-498-2 DOI 10.1007/978-0-85729-498-2 Springer London Dordrecht Heidelberg New York British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2011931531 © Springer-Verlag London Limited 2011 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permit- ted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Cover design: eStudioCalamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) Preface Preoperative risk assessment and perioperative management are important aspects of clinical practice in internal medicine.
    [Show full text]
  • University of California, San Diego
    UNIVERSITY OF CALIFORNIA, SAN DIEGO Development and implementation of isomorphic and isofunctional fluorescent nucleosides A dissertation submitted in partial satisfaction of the requirements for the degree Doctor of Philosophy in Chemistry by Alexander Raymond Rovira Committee in Charge: Professor Yitzhak Tor, Chair Professor Guy Bertrand Professor Stephen Dowdy Professor Joseph O’Connor Professor Francesco Paesani 2017 Copyright Alexander Raymond Rovira, 2017 All rights reserved. The dissertation of Alexander Raymond Rovira is approved, and it is acceptable in quality and form for publication on microfilm and electronically: Chair University of California, San Diego 2017 iii DEDICATION I dedicate this thesis to my parents. iv EPIGRAPH “Whatever our field - science, technology, humanities, art - we are excited by the challenge of research at an endless frontier, and also humbled by the vastness of our ignorance.” Elias James Corey, Nobel Prize Speech, December 10, 1990 v TABLE OF CONTENTS SIGNATURE PAGE ................................................................................................................................... iii DEDICATION ............................................................................................................................................. iv EPIGRAPH ................................................................................................................................................... v TABLE OF CONTENTS ............................................................................................................................
    [Show full text]
  • Biological Basis for Chemo-Radiotherapy Interactions
    European Journal of Cancer 38 (2002) 223–230 www.ejconline.com Biological basis for chemo-radiotherapy interactions C. Hennequina,a,*, V. Favaudonbb aaService de Cance´ ´ rologie-Radiothe´ ´ rapie, Ho ˆ ˆ pital Saint-Louis, 1 avenue Claude Vellefeaux, 75010 Paris, France bbUnite´ ´ 350 INSERM, Institut Curie-Recherche, Labs. 110-112, Centre Universitaire, 91405 Orsay Cedex, France Received 29 June 2001; accepted 29 August 2001 Abstract For over 10 years, chemo-radiotherapeutic combinations have been used to treat locally advanced epithelial tumours. The rationale for these combinations relies on spatial cooperation or interaction between modalities. Interactions may take place (i) at the molecular level, with altered DNA repair or modification of the lesions induced by drugs or radiation, (ii) at the cellular level, notably through cytokinetic cooperation arising from differential sensitivity of the various compartments of the cell cycle to the drug or radiation, and (iii) at the tissue level, including reoxygenation, increased drug uptake or inhibition of repopulation or angiogenesis. Some mechanisms underlying interaction of radiation with ciscis-diammino-platinum (II) (ciscis-Pt), 5-fluoro-200 -deoxy- uridine (5-FU), taxanes and gemcitabine are described. It is shown how various mechanisms including cell synchronisation and reoxygenation concur to paclitaxel-induced radiosensitisation. In the future, specific targeting of tumours, for example, with the epidermal growth factor receptor (EGFR) or angiogenesis inhibitors, should be achieved in order to increase the therapeutic index. ## 2002 Published by Elsevier Science Ltd. Keywords: Chemo-radiotherapy; Taxane; Gemcitabine In In 1979, Steel and his coworkers proposed a theo-o- Where the drug carrieries protection againsinst radiatiatioionn retical frame for the prediction of the outcome of com- damage to normal healthy tissues, this would theoretically bined tretreatments with cytotoxic chemotherapy and allow the radiation dose to the tumour to be increased.
    [Show full text]
  • (Azacitidine) Manufacturer/Sponsor Submission of Evidence
    NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SINGLE TECHNOLOGY APPRAISAL OF VIDAZA® (AZACITIDINE) MANUFACTURER/SPONSOR SUBMISSION OF EVIDENCE 20 MARCH 2009 1. Description of technology under assessment 1.1. Give the brand name, approved name and, where appropriate, therapeutic class. For devices please provide details of any different versions of the same device. Name: Vidaza® (azacitidine). Pharmacotherapeutic group: Pyrimidine analogue. It is a first-in-class epigenetic therapy that is believed to exert its disease-modifying effect through its incorporation into RNA and DNA, resulting in DNA hypomethylation and direct cytotoxicity in abnormal haematopoietic cells in the bone marrow.1,2 ATC code: L01BC07. 1.2. Does the technology have a UK marketing authorisation/CE marking for the indications detailed in this submission? If so, please give the date on which authorisation was received. If not, please state current UK regulatory status, with relevant dates (for example, date of application and/or expected approval dates). The European Commission granted a marketing authorisation valid throughout the EU for Vidaza to Celgene Europe Ltd on 17 December 2008. Azacitidine was designated as an orphan medicinal product (EU/3/01/084) on 6 February 2002 for the treatment of myelodysplastic syndromes (MDS). 1.3. What are the (anticipated) indication(s) in the UK? For devices, please provide the (anticipated) CE marking, including the indication for use. The licensed indication is as follows: Azacitidine is indicated for the treatment of adult patients who are not eligible for haematopoietic stem cell transplantation with: • Intermediate-2 and high-risk MDS according to the International Prognostic Scoring System • Chronic myelomonocytic leukaemia with 10–29% marrow blasts without myeloproliferative disorder 2 • Acute myeloid leukaemia (AML) with 20–30% blasts and multilineage dysplasia, according to the World Health Organization classification.1 1.4.
    [Show full text]