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1.
Environ Pollut ; 308: 119608, 2022 Sep 01.
Article in English | MEDLINE | ID: mdl-35697139

ABSTRACT

Nowadays, microplastics represent emergent pollutants in terrestrial ecosystems that exert impacts on soil properties, affecting key soil ecological functions. In agroecosystems, plastic mulching is one of the main sources of plastic residues in soils. The present research aimed to evaluate the effects of two types of plastic sheets (un-biodegradable and biodegradable) on soil abiotic (pH, water content, concentrations of organic and total carbon, and total nitrogen) and biotic (respiration, and activities of hydrolase, dehydrogenase, ß-glucosidase and urease) properties, and on phytotoxicity (germination index of Sorghum saccharatum L. and Lepidium sativum L.). Results revealed that soil properties were mostly affected by exposure time to plastics rather than the kind (un-biodegradable and biodegradable) of plastics. After six months since mesocosm setting up, the presence of un-biodegradable plastic sheets significantly decreased soil pH, respiration and dehydrogenase activity and increased total and organic carbon concentrations, and toxicity highlighted by S. saccharatum L. Instead, the presence of biodegradable plastic sheets significantly decreased dehydrogenase activity and increased organic carbon concentrations. An overall temporal improvement of the investigated properties in soils covered by biodegradable plastic sheets occurred.


Subject(s)
Biodegradable Plastics , Soil Pollutants , Agriculture , Carbon , Ecosystem , Oxidoreductases , Plastics , Soil/chemistry , Soil Pollutants/analysis
2.
Oncogene ; 26(7): 1046-55, 2007 Feb 15.
Article in English | MEDLINE | ID: mdl-16909105

ABSTRACT

Although it had previously been suggested that the hedgehog (HH) pathway might be activated in some lung tumors, the dependence of non-small cell lung carcinomas (NSCLC) for HH activity had not been comprehensively studied. During a screen of a panel of 60 human tumor cell lines with an HH antagonist, we observed that the proliferation of a subset of NSCLC cell lines was inhibited. These NSCLC cell lines express HH, as well as key HH target genes, consistent with them being activated through an autocrine mechanism. Interestingly, we also identified a number of NSCLC cell lines that express high levels of the downstream transcription factor GLI1 and harbor enhanced levels of HH activity, but appear insensitive to known HH antagonists. We hypothesized that the high levels of GLI1 in these cells would function downstream of the HH antagonist target, allowing them to bypass the antagonist-mediated block in proliferation. Consistent with this hypothesis, when the levels of GLI1 are knocked down in such cells, they become sensitive to these inhibitors. We go on to show that a large percentage of primary NSCLC samples express GLI1, consistent with constitutive activation of the HH pathway in these samples. Taken together, these results establish the involvement of the HH signaling pathway in a subset of NSCLCs.


Subject(s)
Carcinoma, Non-Small-Cell Lung/metabolism , Hedgehog Proteins/physiology , Signal Transduction/physiology , Carcinoma, Non-Small-Cell Lung/classification , Carcinoma, Non-Small-Cell Lung/drug therapy , Female , HCT116 Cells , HL-60 Cells , HT29 Cells , Humans , K562 Cells , Lung Neoplasms/drug therapy , Lung Neoplasms/metabolism , Male , Piperazines/pharmacology , Pyrazoles/pharmacology
3.
Lung Cancer ; 33(2-3): 115-23, 2001.
Article in English | MEDLINE | ID: mdl-11551406

ABSTRACT

Several studies have suggested that non-small cell lung cancer (NSCLC) patients whose tumors have neuroendocrine (NE) features may be more responsive to chemotherapy. In addition, increased expression of p53 and HER2 may confer relative chemotherapy resistance and shortened survival. The Cancer and Leukemia Group B performed a series of studies involving sequential chemotherapy followed by radiation for patients with unresectable stage III NSCLC. The objectives of this study were to analyze pathological specimens using immunohistochemistry for NE markers, p53 and HER2 to determine if there was a correlation between marker expression and response or survival. Of 160 eligible patients, 28 (18%) were not evaluable because of inadequate material. The percentage of specimens positive for markers was as follows: neuron-specific enolase 38%, Leu-7 2%, chromogranin A 0%, synaptophysin 5%, > or =2+NE markers 3%, p53 61%, and HER2 65%. There was no statistically significant correlation between any individual marker and response to induction chemotherapy or response to combined chemotherapy/radiation except for synaptophysin. Six of 6 (100%) synaptophysin positive tumors responded by the completion of all therapy compared with 69/125 (55%) synaptophysin negative tumors (P=0.04). None of the individual markers had a significant effect on survival in univariate analysis. Neuron-specific enolase was marginally significant in multivariate analysis (P=0.08). In conclusion, this study did not demonstrate that expression of NE markers, p53 and HER2 were predictive of response to chemotherapy, combined chemotherapy/radiation or for survival in this group of patients with stage III NSCLC. Future studies must employ either different markers or be performed on more adequate surgical specimens.


Subject(s)
Antineoplastic Agents/therapeutic use , Biomarkers, Tumor/analysis , Carcinoma, Non-Small-Cell Lung/drug therapy , Lung Neoplasms/drug therapy , Receptor, ErbB-2/analysis , Tumor Suppressor Protein p53/analysis , Carcinoembryonic Antigen/analysis , Carcinoma, Non-Small-Cell Lung/chemistry , Carcinoma, Non-Small-Cell Lung/classification , Combined Modality Therapy , Female , Humans , Lung Neoplasms/chemistry , Lung Neoplasms/classification , Male , Middle Aged , Neoplasm Staging , Prognosis , Survival Rate
4.
Methods Mol Med ; 39: 793-806, 2001.
Article in English | MEDLINE | ID: mdl-21340841

ABSTRACT

A large number of monoclonal antibodies (MAbs) to various tumor cell lines have been developed (1). However, MAbs have thus far had limited therapeutic impact in oncology, probably in part because many murine MAbs do not effectively recruit immune effector mechanisms, such as complement fixation and antibody-dependent cell-mediated cytotoxicity (ADCC) in humans. Additionally, although humanized MAbs are being developed, when used therapeutically their immunological effectiveness may be limited by high concentrations of nonspecific immunoglobulin (Ig) in patient serum. These nonspecific Ig will compete with conventional MAbs for binding to Type I Fc receptors (FcγRI) on immune effector cells, and may therefore limit conventional MAbs ability to recruit an immune response. Recently, however, clinical efficacy of a humanized MAb directed against HER-2/neu in patients with advanced breast cancer has been demonstrated (2-4). Preclinical data suggests that mechanistically this activity may be as a consequence of modulation of important biologic properties of the HER-2/neu receptor itself, as opposed to through an immunologic mechanism of tumor cell destruction.

5.
Lung Cancer ; 21(3): 203-11, 1998 Sep.
Article in English | MEDLINE | ID: mdl-9857998

ABSTRACT

Several studies have suggested that biochemical or molecular markers examined in non-small cell lung cancer carry prognostic or treatment response information. Non-small cell lung cancer patients whose tumors have neuroendocrine (NE) features may be more responsive to chemotherapy. In addition, increased expression of HER2 (c-erbB-2), a membrane-bound receptor with tyrosine kinase activity, has been associated with shortened survival. The Cancer and Leukemia Group B (CALGB) performed a study of patients with stage IIIA (N2 nodes positive) non-small cell lung cancer in which patients received initial chemotherapy followed by surgery, then post-operative therapy consisting of sequential chemotherapy and radiation therapy. Since all patients underwent mediastinoscopy, this provided an opportunity to compare pre- and post-chemotherapy tumor specimens to test the hypothesis that these proteins would predict treatment response. In particular, we hypothesized that the post-chemotherapy specimens would be enriched for NE marker negative cells because of the increased sensitivity of NE positive cells to chemotherapy. We performed immunohistochemical analysis for a panel of NE markers [neuron-specific enolase (NSE), Leu-7, chromogranin A (ChrA), synaptophysin (Syn)], HER2 and CEA to determine if there was an effect of therapy on the percentage of cells expressing these markers. Secondary endpoints were a correlation with chemotherapy response and survival. Slides were scored for intensity (0-4) and percentage of cells positive (0-4). Of 61 eligible patients, there were 38 with both pre- and post-chemotherapy specimens. When both intensity of staining and percentage of positive cells were considered, post-chemotherapy specimens had a higher percentage of positive NE markers compared with pre-chemotherapy. In addition, there was no correlation between NE marker, HER2 or CEA expression (prior to or post treatment) and response to chemotherapy or survival. These data do not support the hypothesis that NE positive tumor cells are preferentially killed by chemotherapy in patients with stage IIIA non-small cell lung cancer.


Subject(s)
Biomarkers, Tumor/analysis , Carcinoembryonic Antigen/analysis , Carcinoma, Non-Small-Cell Lung/chemistry , Lung Neoplasms/chemistry , Receptor, ErbB-2/analysis , Carcinoma, Non-Small-Cell Lung/diagnosis , Carcinoma, Non-Small-Cell Lung/drug therapy , Carcinoma, Non-Small-Cell Lung/surgery , Combined Modality Therapy , Humans , Lung Neoplasms/diagnosis , Lung Neoplasms/drug therapy , Lung Neoplasms/surgery , Neoplasm Staging , Prognosis
6.
Proc Natl Acad Sci U S A ; 95(12): 6989-94, 1998 Jun 09.
Article in English | MEDLINE | ID: mdl-9618526

ABSTRACT

Enhanced long chain fatty acid synthesis may occur in breast cancer, where it is necessary for tumor growth and predicts a poor prognosis. "Spot 14" (S14) is a carbohydrate- and thyroid hormone-inducible nuclear protein specific to liver, adipose, and lactating mammary tissues that functions to activate genes encoding the enzymes of fatty acid synthesis. Amplification of chromosome region 11q13, where the S14 gene (THRSP) resides, also predicts a poor prognosis in breast tumors. We localized the S14 gene between markers D11S906 and D11S937, at the telomeric end of the amplified region at 11q13, and found that it was amplified and expressed in breast cancer-derived cell lines. Moreover, concordant expression of S14 and a key lipogenic enzyme (acetyl-CoA carboxylase) in a panel of primary breast cancer specimens strongly supported a role for S14 as a determinant of tumor lipid metabolism. S14 expression provides a pathophysiological link between two prognostic indicators in breast cancer: enhanced lipogenesis and 11q13 amplification.


Subject(s)
Breast Neoplasms/genetics , Breast Neoplasms/metabolism , Chromosomes, Human, Pair 11 , Lipolysis/genetics , Proteins/genetics , Chromosome Mapping , Female , Gene Amplification , Humans , Molecular Sequence Data , Nuclear Proteins , Telomere/genetics , Transcription Factors , Tumor Cells, Cultured
8.
Pancreas ; 16(1): 6-12, 1998 Jan.
Article in English | MEDLINE | ID: mdl-9436856

ABSTRACT

Mutation of the p53 tumor suppressor gene is found in a large number of exocrine pancreatic tumors. The majority of these tumors is of the ductal cell phenotype. We examined 12 human acinar cell carcinomas and 42 transgenic mouse carcinomas (including 36 acinar cell tumors, four islet cell tumors, and two liver metastases of primary acinar cell tumors) for evidence of p53 mutation. Immunohistochemistry was used to identify p53 protein in tumor sections. To evaluate p53 exons 5-8, heteroduplex analysis was used on formalin-fixed, paraffin-embedded human tumor DNA, and single-strand conformation polymorphism analysis was used on frozen mouse tumor DNA. No molecular evidence of p53 mutation was found in any of the tumor DNAs and immunohistochemical data were regarded as negative. This study provides evidence that acinar cell carcinogenesis in both humans and transgenic mice is independent of p53 mutation.


Subject(s)
Carcinoma, Acinar Cell/genetics , Genes, p53 , Mutation , Pancreatic Neoplasms/genetics , Animals , Antibodies, Monoclonal , DNA, Neoplasm/analysis , Humans , Immunoenzyme Techniques , Mice , Mice, Transgenic , Nucleic Acid Heteroduplexes/analysis , Polymerase Chain Reaction , Polymorphism, Single-Stranded Conformational , Tumor Suppressor Protein p53/analysis
9.
J Histochem Cytochem ; 45(8): 1069-82, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9267468

ABSTRACT

The molecular basis for Marfan's syndrome (MS), a heritable disorder of connective tissue, is now known to reside in mutations in FBN1, the gene for fibrillin-1. Classic phenotypic manifestations of MS include several skeletal abnormalities associated primarily with overgrowth of long bones. As a first step towards understanding how mutations in FBN1 result in skeletal abnormalities, the developmental expression of fibrillin-1 (Fib-1) in human skeletal tissues is documented using immunohistochemistry and monoclonal antibodies demonstrated here to be specific for Fib-1. At around 10-11 weeks of fetal gestation, Fib-1 is limited in tissue distribution to the loose connective tissue surrounding skeletal muscle and tendon in developing limbs. By 16 weeks, Fib-1 is widely expressed in developing limbs and digits, especially in the perichondrium, but it is apparently absent within cartilage matrix. Fib-1 appears as a loose meshwork of fibers within cartilage matrix by 20 weeks of fetal gestation. Until early adolescence, Fib-1 forms loose bundles of microfibrils within cartilage. However, by late adolescence, broad banded fibers composed of Fib-1 are found accumulated pericellularly within cartilage. Because these fibers can be extracted from cartilage using dissociative conditions, we postulate that they are laterally packed and crosslinked microfibrils. On the basis of these findings, we suggest that the growth-regulating function of Fib-1 may reside persistently within the perichondrium. In addition, the accumulation of special laterally crosslinked Fib-1 microfibrils around chondrocytes during late adolescence suggests that growth-regulating activities may also be performed by Fib-1 at these sites.


Subject(s)
Cartilage/metabolism , Microfilament Proteins/metabolism , Adolescent , Adult , Aged , Aged, 80 and over , Antibodies, Monoclonal , Arm , Bone and Bones/embryology , Bone and Bones/metabolism , Bone and Bones/ultrastructure , Cartilage/embryology , Cartilage/ultrastructure , Child , Collagen/metabolism , Extracellular Matrix Proteins/metabolism , Fibrillin-1 , Fibrillins , Gene Expression Regulation, Developmental , Humans , Immunoblotting , Immunohistochemistry , Infant , Microfilament Proteins/immunology , Microscopy, Confocal , Microscopy, Electron , Tissue Distribution
10.
J Immunol ; 158(6): 3017-27, 1997 Mar 15.
Article in English | MEDLINE | ID: mdl-9058841

ABSTRACT

The human female reproductive tract (RT) has been analyzed by others with respect to NK cell cytolytic activity, but not CD3+ T cell (CTL) cytolytic activity. Here, we describe the cytolytic capacity of mucosal CD3+ T cells both longitudinally within the RT (Fallopian tube, uterine endometrium, endocervix, ectocervix, and vaginal mucosa) and temporally throughout the menstrual cycle, using a redirected lysis assay system. Cytolysis by CD3+ CD8+ T cells is found throughout the RT and appears to be hormonally regulated, since in the uterine endometrium, the capacity for CD3+ T cell cytolytic activity is present during the proliferative phase of the menstrual cycle and absent during the subsequent secretory (postovulatory) phase. In contrast, in postmenopausal women the entire RT, including the uterus, retains the capacity for strong CD3+ T cell cytolytic activity. These findings suggest that the high levels of estradiol and progesterone present during days 14 to 28 of the menstrual cycle down-regulate CTL activity in the uterus. As a consequence, the absence of this activity may allow implantation of a semiallogeneic embryo that would otherwise be rejected. Further, these studies indicate that CTL activity is regulated differentially in different regions of the RT, persisting in the cervix and vagina throughout the menstrual cycle.


Subject(s)
CD3 Complex/immunology , CD8 Antigens/immunology , Cytotoxicity, Immunologic/physiology , Genitalia, Female/immunology , Menopause/immunology , Menstrual Cycle/immunology , T-Lymphocytes, Cytotoxic/immunology , Adult , Antibody-Dependent Cell Cytotoxicity , Endometrium/immunology , Endometrium/metabolism , Female , Humans , Menopause/physiology , Menstrual Cycle/physiology , Middle Aged , Muromonab-CD3/pharmacology , Postmenopause/immunology , Receptors, IgG/immunology , T-Lymphocytes, Cytotoxic/classification
11.
Mod Pathol ; 10(12): 1247-52, 1997 Dec.
Article in English | MEDLINE | ID: mdl-9436971

ABSTRACT

The combination of in situ hybridization and immunohistochemical techniques can successfully identify viral DNA/RNA in specific subsets of cellular populations. We recently modified this method to evaluate amplification of the oncogene Her2/neu and overexpression of its protein c-erbB-2 in a series of 15 breast carcinomas. This combination allows the simultaneous evaluation of the oncogene and its corresponding protein expression in single cells and specific cellular populations in histologic tissue sections. Double staining demonstrated heterogeneity within breast carcinomas. In addition, both nuclear and cytoplasmic signals were often detected in morphologically normal-appearing adjacent breast epithelium. The ability to view both the oncogene and its corresponding protein in single cells offers a unique look at the biology of c-erbB-2.


Subject(s)
Breast Neoplasms, Male/metabolism , Breast Neoplasms/metabolism , Breast/metabolism , Genes, erbB-2/genetics , Receptor, ErbB-2/metabolism , Carcinoma, Ductal, Breast/metabolism , Carcinoma, Papillary/metabolism , Humans , Immunohistochemistry , In Situ Hybridization, Fluorescence , Male , Paraffin Embedding , Tissue Fixation
12.
Mod Pathol ; 9(11): 1066-70, 1996 Nov.
Article in English | MEDLINE | ID: mdl-8933517

ABSTRACT

The female genital tract is an infrequent site of metastasis, particularly for extragenital primaries. The ovary and vagina are the sites within the female genital tract that are the most frequently affected. The uterine corpus, especially the endometrium, is a distinctly unusual site of involvement. Primary lung cancer is the source of metastatic tumor to the female genital tract in less than 5% of patients. In the reported instances of endometrial involvement by a primary lung cancer, adenocarcinoma has been the reported subtype. Here, we report a case of well-differentiated neuroendocrine carcinoma of the lung metastatic to the endometrium in a 68-year-old woman with postmenopausal bleeding. Immunohistochemical studies were performed to confirm the neuroendocrine nature of the neoplasm.


Subject(s)
Carcinoma, Neuroendocrine/secondary , Endometrial Neoplasms/secondary , Lung Neoplasms/pathology , Aged , Biomarkers, Tumor/analysis , Carcinoma, Neuroendocrine/chemistry , Endometrial Neoplasms/chemistry , Female , Humans , Immunoenzyme Techniques , Keratins/analysis , Lung Neoplasms/chemistry , Nerve Tissue Proteins/analysis
13.
Cancer ; 78(6): 1168-78, 1996 Sep 15.
Article in English | MEDLINE | ID: mdl-8826937

ABSTRACT

BACKGROUND: The functional significance of cytokines expressed in situ by tumor cells and tumor infiltrating lymphocytes (TIL) in human colon carcinomas is largely unknown. METHODS: We assessed TIL expression of interleukin-2 (IL-2), IL-4, tumor necrosis factor-alpha (TNF-alpha), interferon-gamma (IFN-gamma), granulocyte-macrophage colony stimulating factor (GM-CSF), IL-10, and transforming growth factor-beta (TGF-beta), and tumor cell expression of IL-10 and TGF-beta in situ in 49 primary colon carcinomas and 20 metastases using immunohistochemistry. RESULTS: The percentage of primary colon carcinoma samples in which > 20% of TIL expressed each cytokine was as follows: IL-4: 47%; TNF-alpha: 22%; TGF-beta: 10%; IFN-gamma: 6%; IL-2:2%; IL-10: 0%; and GM-CSF: 0%. Lymphocytes more commonly infiltrated colon carcinoma primaries than metastases, and TIL expression of IL-4 and TNF-alpha was more common in primary than metastastatic carcinomas. Expression of TNF-alpha by even a small proportion (> or = 3%) of the TIL in a colon carcinoma specimen was associated with better overall survival (P = 0.01) when compared with patients with little or no TIL TNF-alpha expression (5-year survival 82% vs. 47%). Expression of IL-4 by > or = 20% of colon carcinoma TIL was also associated with improved survival (P = 0.01; 5-year survival 87% vs. 50%). The expression of IL-10 or TGF-beta by colon carcinoma TIL or colon tumor cells themselves was not associated with impaired survival. Benign epithelial cells stained positively for IL-10 and TGF-beta more frequently than tumor cells (P < 0.001). CONCLUSIONS: There are differences between the immune microenvironment of primary tumors and metastases. Although IL-10 is expressed by colon carcinoma cells and TIL, it is unlikely that it plays an important immunosuppressive role. TNF-alpha and IL-4 are commonly expressed by colon carcinoma TIL and both are associated with improved survival.


Subject(s)
Carcinoma/immunology , Colonic Neoplasms/immunology , Cytokines/biosynthesis , Interleukin-4/biosynthesis , Lymphocytes, Tumor-Infiltrating/immunology , Tumor Necrosis Factor-alpha/biosynthesis , Carcinoma/secondary , Cytokines/genetics , Epithelium/immunology , Epithelium/pathology , Follow-Up Studies , Forecasting , Gene Expression Regulation, Neoplastic , Granulocyte-Macrophage Colony-Stimulating Factor/biosynthesis , Granulocyte-Macrophage Colony-Stimulating Factor/genetics , Humans , Immunohistochemistry , Immunosuppressive Agents/pharmacology , Interferon-gamma/biosynthesis , Interferon-gamma/genetics , Interleukin-10/biosynthesis , Interleukin-10/genetics , Interleukin-10/physiology , Interleukin-2/biosynthesis , Interleukin-2/genetics , Interleukin-4/genetics , Lymphotoxin-alpha/biosynthesis , Lymphotoxin-alpha/genetics , Survival Rate , Tumor Necrosis Factor-alpha/genetics
14.
Ann Surg Oncol ; 3(2): 176-84, 1996 Mar.
Article in English | MEDLINE | ID: mdl-8646519

ABSTRACT

BACKGROUND: Human breast cancers progressively grow despite the presence of extensive lymphocytic infiltration and specific antitumor immune recognition, thereby calling into question the competency of breast tumor-infiltrating lymphocytes (TIL). The function of breast TILs in vivo and their possible role in the suppression of an antitumor immune response are largely unknown. METHODS: The cytokines produced in situ by lymphocytes in 89 breast carcinomas and 14 benign breast lesions were assessed using immunohistochemistry. RESULTS: The majority of tumor and benign breast samples contained T-cell infiltrates, which were disclosed using an anti-CD3 antibody stain. The percentage of tumor samples in which > or =3% of the lymphocytes were producing cytokines was as follows: interleukin (IL)-2 45%, IL-4 36%, tumor necrosis factor-alpha (TNF-alpha) 28%, transforming growth factor-beta 1 (TGF-beta 1) 20%, IL-10 11%, interferon-gamma (IFN-gamma) 4%, and granulocyte-macrophage colony-stimulating factor (GM-CSF) 3%. Production of IL-2, IL-4, and TGF-beta 1 by TILs in breast cancers exceeded that detected in benign breast lesions (p < 0.005). Significantly more tumor samples contained lymphocytes producing IL-2, IL-4, TGF-beta 1, and TNF-alpha than IFN-gamma and GM-CSF (p < 0.002 for each comparison). One or more of the potentially immunoinhibitory cytokines-IL-4, IL-10, or TGF-beta 1-were produced by lymphocytes in 44% of the specimens. No significant associations were seen between lymphocyte production of a particular cytokine and disease-free survival (median follow-up 43 months). CONCLUSIONS: Immunohistochemical techniques can be used to detect cytokine secretion by TILs in preserved tissue. The relative lack of secretion of IFN-gamma and GM-CSF, rather than a deficiency of IL-2, may explain why the antitumor immune response to breast cancer is impaired.


Subject(s)
Breast Neoplasms/metabolism , Carcinoma, Ductal, Breast/metabolism , Cytokines/biosynthesis , Lymphocytes, Tumor-Infiltrating/metabolism , Breast Neoplasms/mortality , Breast Neoplasms/pathology , Carcinoma, Ductal, Breast/mortality , Carcinoma, Ductal, Breast/pathology , Female , Humans , Immunoenzyme Techniques , Lymphatic Metastasis , Paraffin Embedding , Prognosis , Survival Rate
15.
J Hematother ; 4(5): 471-5, 1995 Oct.
Article in English | MEDLINE | ID: mdl-8581387

ABSTRACT

MDX-210 is a bispecific antibody (BsAb) that recognizes Fc gamma R1 on monocytes and macrophages and the cell surface product of the HER-2/neu oncogene, which is overexpressed on some breast and ovarian cancers. Clinical trials have demonstrated that treatment with MDX-210 is well tolerated and that MDX-210 is both immunologically and clinically active. Optimization of the dose and schedule of MDX-210 and development of combination treatments with cytokines that modulate immune effector cells will greatly enhance the efficacy of this novel BsAb construct for treatment of tumours that overexpress HER-2/neu. We envision that MDX-210 will be effective for treating patients with tumors that overexpress HER-2/neu, especially in the minimal disease setting.


Subject(s)
Antibodies, Bispecific/therapeutic use , Antibodies, Monoclonal/therapeutic use , Antibodies, Neoplasm/therapeutic use , Breast Neoplasms/therapy , Neoplasm Proteins/immunology , Ovarian Neoplasms/therapy , Receptor, ErbB-2/immunology , Receptors, IgG/immunology , Antibodies, Anti-Idiotypic/biosynthesis , Antibodies, Bispecific/administration & dosage , Antibodies, Bispecific/adverse effects , Antibodies, Bispecific/immunology , Antibodies, Monoclonal/administration & dosage , Antibodies, Monoclonal/adverse effects , Antibodies, Monoclonal/immunology , Antibodies, Neoplasm/administration & dosage , Antibodies, Neoplasm/adverse effects , Antibodies, Neoplasm/immunology , Antibody Specificity , Antibody-Dependent Cell Cytotoxicity , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Breast Neoplasms/drug therapy , Breast Neoplasms/immunology , Cohort Studies , Combined Modality Therapy , Cytokines/metabolism , Drug Administration Schedule , Female , Humans , Hypotension/chemically induced , Immunization, Passive , Ovarian Neoplasms/drug therapy , Ovarian Neoplasms/immunology , Receptors, Fc/immunology
16.
J Clin Oncol ; 13(9): 2281-92, 1995 Sep.
Article in English | MEDLINE | ID: mdl-7545221

ABSTRACT

PURPOSE: MDX-210 is a bispecific antibody that binds simultaneously to type I Fc receptors for immunoglobulin G (IgG) (Fc gamma RI) and to the HER-2/neu oncogene protein product. MDX-210 effectively directs Fc gamma RI-positive effector cells such as monocytes and macrophages to phagocytose or kill tumor cells that overexpress HER-2/neu. The goals of this phase Ia/Ib trial were to determine the maximum-tolerated dose (MTD) and/or the optimal biologic dose (OBD) of MDX-210. PATIENTS AND METHODS: Patients with advanced breast or ovarian cancer that overexpressed HER-2/neu were eligible for treatment. Cohorts of three patients received a single intravenous (IV) infusion of MDX-210 at increasing dose levels from 0.35 to 10.0 mg/m2. RESULTS: Treatment was well tolerated, with most patients experiencing transient grade 1 to 2 fevers, malaise, and hypotension only. Two patients experienced transient grade 3 hypotension at 10.0 mg/m2. Transient monocytopenia and lymphopenia developed at 1 to 2 hours, but no other hematologic changes were observed. Doses of MDX-210 > or = 3.5 mg/m2 saturated > or = 80% of monocyte Fc gamma RI and produced peak plasma concentrations > or = 1 microgram/mL, which is greater than the concentration for optimal monocyte/macrophage activation in vitro. Elevated plasma levels of the monocyte products tumor necrosis factor alpha (TNF alpha), interleukin-6 (IL-6), granulocyte colony-stimulating factor (G-CSF), and neopterin were observed with maximal levels at doses > or = 7.0 mg/m2. Localization of MDX-210 in tumor tissue was demonstrated in two patients. One partial and one mixed tumor response were observed among 10 assessable patients. CONCLUSION: MDX-210 is immunologically active at well-tolerated doses. The MTD and OBD is 7 to 10 mg/m2.


Subject(s)
Antibodies, Monoclonal/administration & dosage , Breast Neoplasms/therapy , Gene Expression , Genes, erbB-2 , Ovarian Neoplasms/therapy , Receptor, ErbB-2/immunology , Receptors, IgG/immunology , Adult , Aged , Antibodies, Monoclonal/adverse effects , Antibodies, Monoclonal/pharmacokinetics , Biopterins/analogs & derivatives , Biopterins/blood , Breast Neoplasms/genetics , Breast Neoplasms/immunology , Cohort Studies , Female , Fever/etiology , Granulocyte Colony-Stimulating Factor/blood , Humans , Hypotension/etiology , Infusions, Intravenous , Interleukin-6/blood , Middle Aged , Neopterin , Ovarian Neoplasms/genetics , Ovarian Neoplasms/immunology , Proto-Oncogene Mas , Receptor, ErbB-2/metabolism , Tumor Necrosis Factor-alpha/metabolism
17.
Breast Cancer Res Treat ; 34(3): 229-35, 1995 Jun.
Article in English | MEDLINE | ID: mdl-7579487

ABSTRACT

Immunohistochemical analysis for products of vasopressin and oxytocin gene expression was performed on acetone-fixed tissues from 19 breast cancers representing a variety of tumor sub-types. Studies employed the avidin-biotin complex (ABC) immunohistochemical procedure and utilized rabbit polyclonal antibodies to arginine vasopressin (VP), provasopressin (ProVP), vasopressin-associated human glycopeptide (VAG), oxytocin (OT), oxytocin-associated human neurophysin (OT-HNP), and a mouse monoclonal antibody to vasopressin-associated human neurophysin (VP-HNP). Western Blot analysis was performed on protein extracts of fresh-frozen tissues from 12 additional breast tumors. While VP gene related proteins were not detected in normal breast tissue, immunohistochemistry revealed the presence of VP, ProVP, and VAG in all neoplastic cells for all of the tumor tissues examined. Vasopressin-associated human neurophysin was evident in only one of 19 acetone-fixed tumor preparations. However, Western blot analysis for all 12 fresh-frozen tumor samples showed the presence of two proteins, 42,000 and 20,000 daltons, that were immunoreactive with antibodies to VP, VP-HNP, and VAG. Oxytocin and OT-HNP, by immunohistochemistry, were found to be common to cells of normal breast tissues. For tumors, positive staining for OT was observed in 8 of 18 tumors, while OT-HNP was not detected in any of the tumors examined. These findings indicate that VP gene expression is a selective feature of all breast cancers, and that products of this expression might therefore be useful as markers for early detection of this disease and as possible targets for immunotherapy.


Subject(s)
Biomarkers, Tumor/analysis , Breast Neoplasms/chemistry , Oxytocin/analysis , Oxytocin/genetics , Vasopressins/analysis , Vasopressins/genetics , Antibodies, Monoclonal , Arginine Vasopressin/analysis , Arginine Vasopressin/genetics , Blotting, Western , Breast Neoplasms/genetics , Female , Glycopeptides/analysis , Glycopeptides/genetics , Humans , Immunohistochemistry , Neurophysins/analysis , Neurophysins/genetics , Protein Precursors/analysis , Protein Precursors/genetics
18.
Thromb Haemost ; 73(5): 793-7, 1995 May.
Article in English | MEDLINE | ID: mdl-7482405

ABSTRACT

Cellular sites of coagulation activation within complex, intact tissues have been studied by immunohistochemical techniques. Hirudin, a specific and high affinity inhibitor of the active site of thrombin, together with antibody to hirudin were applied to sections of AMeX-fixed specimens of normal lung, kidney, placenta, freshly incised skin and unperturbed skin obtained at fresh autopsy; to rheumatoid synovial tissue; and to malignant tissue from a variety of tumor types. Staining for thrombin was observed selectively on pulmonary alveolar, rheumatoid synovial, and placental macrophages that express an intact extrinsic coagulation pathway. Staining was also observed restricted to the endothelium of capillaries in freshly incised skin but not in either unperturbed skin or in aged incisions. Staining of tumor cell bodies was observed in small cell carcinoma of the lung, renal cell carcinoma, and malignant melanoma tissues that we found previously to show tumor cell-associated procoagulant activity. This staining occurred commonly on cells within the tumor mass that were distant from stromal fibrinogen/fibrin. By contrast, tumor-associated macrophage but not tumor cell staining was seen in adenocarcinoma and squamous cell carcinoma of the lung, and little or no staining was seen colon cancer tissue. Negative controls in which either the hirudin probe or its antibody were omitted failed to show staining. These results are in accord with previous findings and suggest that such techniques may be useful for studying the cellular sites of thrombin generation in intact tissues. We postulate that administration of potent and specific thrombin antagonists, such as hirudin, to patients with relevant tumor types might be followed by homing of hirudin to tumor cells in vivo so that effects of local thrombin generation on malignant progression can be determined.


Subject(s)
Hirudins/metabolism , Subcellular Fractions/chemistry , Thrombin/analysis , Arthritis, Rheumatoid/metabolism , Arthritis, Rheumatoid/pathology , Blood Coagulation , Endothelium, Vascular/chemistry , Endothelium, Vascular/injuries , Endothelium, Vascular/ultrastructure , Humans , Immunoenzyme Techniques , Macrophages/chemistry , Macrophages/ultrastructure , Neoplasm Proteins/analysis , Neoplasms/chemistry , Neoplasms/ultrastructure , Organ Specificity , Placenta/chemistry , Placenta/ultrastructure , Protein Binding , Skin/chemistry , Skin/ultrastructure , Synovial Fluid/chemistry , Thrombin/metabolism , Viscera/chemistry , Viscera/ultrastructure
19.
Blood Coagul Fibrinolysis ; 6(2): 105-12, 1995 Apr.
Article in English | MEDLINE | ID: mdl-7605874

ABSTRACT

Urokinase-type plasminogen activator has been administered by other investigators to patients with small cell carcinoma of the lung (SCCL) in an attempt to induce lysis of fibrin that is known to exist in the connective tissue stroma of this tumour type and that may support tumour growth. To study the fate of infused urokinase in this disease, a biopsy of a scalp metastasis was obtained from a patient with SCCL (entered on a phase I clinical trial of urokinase plus combination chemotherapy) immediately following urokinase infusion during the fourth course of therapy a time when this tumour mass had decreased to approximately 25% of its original size. Immunohistochemical procedures revealed abundant stromal fibrin in accord with previous observations from this laboratory. By contrast, urokinase, that is not a feature of small cell tumour cells, was present on the tumour cells in this specimen. Urokinase infusion was associated with a rapid increase in the amount of this enzyme associated with isolated peripheral blood monocytes. These results are consistent with uptake of infused urokinase onto monocytes and possibly tumour cells. It is postulated that substantial tumour fibrinolysis may not accompany such therapy and that urokinase, or its amino terminal fragment that bears the growth factor domain of this molecule, may bind to and alter the growth of the tumour cells.


Subject(s)
Carcinoma, Small Cell/drug therapy , Lung Neoplasms/drug therapy , Urokinase-Type Plasminogen Activator/therapeutic use , Warfarin/therapeutic use , Aged , Carcinoma, Small Cell/metabolism , Drug Therapy, Combination , Humans , Immunohistochemistry , Infusions, Intravenous , Lung Neoplasms/metabolism , Male , Monocytes/drug effects , Urokinase-Type Plasminogen Activator/pharmacokinetics
20.
Neuropeptides ; 28(3): 183-9, 1995 Mar.
Article in English | MEDLINE | ID: mdl-7540734

ABSTRACT

Expression of the vasopressin gene appears to be a property common to all small-cell lung tumours. For some cultures of small-cell lung carcinoma (SCCL), Northern and Western Blot analyses have revealed that expression of this gene and its protein products are regulated by cAMP and glucocorticoids. In this study, these evaluations have been extended by examining the production of vasopressin-associated human neurophysin (VP-HNP) by computer-enhanced quantitative immunocytochemistry in a classical cell-line (H69) of SCCL, and defining the amount of protein in cells by area of positive staining above an arbitrarily set threshold. Intracellular cAMP was raised by incubating cells with either 8,Br-cAMP (0.5 mM) and IBMX (0.5 mM), or with forskolin (25 microM) and IBMX (0.5 mM). Both of these treatments caused a significant increase in the amount of positive VP-HNP immunoreactivity in the cells, an increase that was further enhanced by simultaneous administration of dexamethasone (0.1 microM). Addition of dexamethasone alone, however, caused a significant decrease in VP-HNP levels. Results confirm earlier findings from Western Blot analysis revealing the influence these agents have on production of vasopressin gene-related proteins by H69 cells, and indicate that computer-enhanced quantitative immunocytochemistry can be effectively used to provide a suitable index of this production.


Subject(s)
Carcinoma, Small Cell/pathology , Cyclic AMP/physiology , Densitometry/methods , Gene Expression Regulation, Neoplastic , Image Processing, Computer-Assisted , Immunoenzyme Techniques , Lung Neoplasms/pathology , Neoplasm Proteins/biosynthesis , Neurophysins/biosynthesis , Vasopressins/pharmacology , 1-Methyl-3-isobutylxanthine/pharmacology , 8-Bromo Cyclic Adenosine Monophosphate/pharmacology , Colforsin/pharmacology , Cyclic AMP-Dependent Protein Kinases/metabolism , Dexamethasone/pharmacology , Enzyme Activation/drug effects , Gene Expression Regulation, Neoplastic/drug effects , Humans , Neoplasm Proteins/genetics , Neurophysins/genetics , Tumor Cells, Cultured/drug effects
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