Tumourigenic non-small-cell lung cancer mesenchymal circulating tumour cells: a clinical case study.

BACKGROUND: Over the past decade, numerous reports describe the generation and increasing utility of non-small-cell lung cancer (NSCLC) patient-derived xenografts (PDX) from tissue biopsies. While PDX have proven useful for genetic profiling and preclinical drug testing, the requirement of a tissue biopsy limits the available patient population, particularly those with advanced oligometastatic disease. Conversely, 'liquid biopsies' such as circulating tumour cells (CTCs) are minimally invasive and easier to obtain. Here, we present a clinical case study of a NSCLC patient with advanced metastatic disease, a never smoker whose primary tumour was EGFR and ALK wild-type. We demonstrate for the first time, tumorigenicity of their CTCs to generate a patient CTC-derived eXplant (CDX). PATIENTS AND METHODS: CTCs were enriched at diagnosis and again 2 months later during disease progression from 10 ml blood from a 48-year-old NSCLC patient and implanted into immunocompromised mice. Resultant tumours were morphologically, immunohistochemically, and genetically compared with the donor patient's diagnostic specimen. Mice were treated with cisplatin and pemetrexed to assess preclinical efficacy of the chemotherapy regimen given to the donor patient. RESULTS: The NSCLC CDX expressed lung lineage markers TTF1 and CK7 and was unresponsive to cisplatin and pemetrexed. Examination of blood samples matched to that used for CDX generation revealed absence of CTCs using the CellSearch EpCAM-dependent platform, whereas size-based CTC enrichment revealed abundant heterogeneous CTCs of which ∼80% were mesenchymal marker vimentin positive. Molecular analysis of the CDX, mesenchymal and epithelial CTCs revealed a common somatic mutation confirming tumour origin and showed CDX RNA and protein profiles consistent with the predominantly mesenchymal phenotype. CONCLUSIONS: This study shows that the absence of NSCLC CTCs detected by CellSearch (EpCAM(+)) does not preclude CDX generation, highlighting epithelial to mesenchymal transition and the functional importance of mesenchymal CTCs in dissemination of this disease.

Thrombosis in ovarian cancer: a case control study.

BACKGROUND: Thrombotic events are common in cancer patients and have been associated with an adverse prognosis in large registry-based studies. METHODS: A retrospective cohort of 417 patients with ovarian cancer treated at a tertiary cancer centre between 2006 and 2009 was studied to identify the incidence and risk factors for thrombotic events and the prognostic impact of thrombosis. Patient outcomes were evaluated against a matched control group without thrombosis. RESULTS: Ninety-nine thrombotic events occurred in 90 patients (21.6%) from 8 months before diagnosis to 56 months following diagnosis, peaking in the 4 months following diagnosis. Patients with thrombosis were older (mean 65 vs 61 years, P=0.007), had a worse performance status (PS ≥2: 29.9% vs 9.5%, P<0.0001) and had a more advanced FIGO stage (FIGO III/IV 75.6% vs 56.9%, P<0.0001) than patients without thrombosis. Shorter overall survival was seen in patients with pulmonary embolism and pelvic/lower limb deep vein thrombosis than without thrombosis (P=0.001). When the control group was matched for stage and PS, no survival difference was seen (P=0.91). CONCLUSION: Ovarian cancer patients with thrombotic events had a shorter survival. However, when matched for prognostic factors (PS and FIGO stage), thrombosis did not impact upon prognosis.

Maternal and developmental toxicity of halogenated 4'-nitrodiphenyl ethers in mice.

In an ongoing effort to delineate structure-activity relationships in the developmental toxicity of diphenyl ethers, we evaluated the maternal and developmental toxicity of 10 diphenyl ethers related to the herbicide nitrofen. All possible trichlorophenyl 4'-nitrophenyl ethers were evaluated, as were the 2,4-difluorophenyl and 2,4-dibromophenyl 4'-nitrophenyl ethers. We also evaluated bifenox and chlomethoxyfen, which are 2,4-dichlorophenyl congeners with meta-substituents on the 4'-nitrophenyl ring. Nitrofen (2,4-dichlorophenyl 4'-nitrophenyl ether) was included for comparison. Identity of the halogen affected the postnatal (but not prenatal) mortality induced by 2,4-dihalogenated 4'-nitrophenyl ethers. The presence of 3'-substituents on the 4'-nitrophenyl ring reduced both pre- and postnatal toxicity of 2,4-dichlorinated congeners. Among chlorinated 4'-nitrophenyl congeners without meta-substituents on the nitrophenyl ring, the position of chlorine substituents strongly affected the congener's potential for inducing prenatal vs. postnatal syndromes. All congeners increased liver to body weight ratios in unmated females, but such increases were not well-correlated with either prenatal or postnatal embryotoxicity.

Indole as an olfactory synergist for volatile kairomones for diabroticite beetles.

Olfactory synergism, where combinations of plant volatile kairomones are quantitatively more attractive to insects than the sum of attraction of the individual components, is an important but little-studied phenomenon in host plant selection and feeding and in pollination ecology. Diabroticite beetles (Coleoptera: Chrysomelidae) are strongly attracted toCucurbita blossoms, and 2- to 3-fold olfactory synergism has been demonstrated in four species by combinations of the key blossom volatiles, 1,2,4-trimethoxybenzene, indole, and (E)-cinnamaldehyde. This TIC mixture represents an optimizedCurcurbita blossom volatile kairomone mixture useful in monitoring Diabroticite populations and in studying their behavior and ecology. Indole, which exhibits a spectrum of attraction to these beetles ranging from moderate forDiabrotica virgifera virgifera andAcalymma vittatum to very weak forD. barberi, is the primary synergistic component. Indole combined with 4-methoxycinnamaldehyde was significantly synergistic toD. v. virgifera at a ratio of 1:300 and produced 4-fold synergism at a ratio of 1:1. Indole combined with 4-methoxyphenethanol was less synergistic toD. barberi with 1.5- to 2-fold synergism at a 1:1 ratio. These consistent variations in diabroticite beetle olfactory responses presumably indicate evolutionary divergences in the numbers of relict indole antennal receptors.

Evolution of diabroticite rootworm beetle (Chrysomelidae) receptors for Cucurbita blossom volatiles.

The diabroticite rootworm beetles coevolved with plants of the family Cucurbitaceae as demonstrated by their feeding dependence on the tetracyclic triterpenoid cucurbitacins. These beetles also exhibit strong attraction to phenylpropanoid volatile components of Cucurbita blossoms. A mixture of 1,2,4-trimethoxybenzene, indole, and (E)-cinnamaldehyde, all blossom components, is highly attractive to the several species of diabroticite cucumber beetles and corn rootworms and is considered a simplified Cucurbita blossom kairomone odor. The evolutionary divergence in antennal receptor complementarity is best understood by comparing the species-specific responses of several Diabrotica to structural analogues of (E)-cinnamaldehyde, the major attractant for Diabrotica undecimpunctata howardi. Cinnamyl alcohol is a strong attractant for Diabrotica barberi, and 4-methoxycinnamaldehyde is an exceptional attractant for Diabrotica virgifera. The very closely related species D. barberi and Diabrotica cristata are most strongly attracted to 4-methoxyphenethanol, which is unattractive to the other species studied.

Extractable hydrocarbons and kin recognition in honeybee (Apis mellifera L.).

Hydrocarbons of worker honeybees of known pedigree were extracted and analyzed using gas chromatography and mass spectrometry. Variability in hydrocarbon extracts of individual workers is determined at least in part genetically. Correlations in hydrocarbon composition of extracts were highest among more closely related individuals. Individuals maintained in groups exchange hydrocarbons but still maintain enough self-produced compounds to retain genetically determined individual characteristics. These results demonstrate that extractable hydrocarbons of bees provide sufficiently reliable genetic information to function as labels for use during kin recognition.

Factors influencing distribution ofDiabrotica spp. in blossoms of cultivatedCucurbita spp.

Cultivars representing three species ofCucurbita were examined for blossom preference byDiabrotica spp.C. maxima cultivars were found to be preferred byD. undecimpunctata howardi over those ofC. pepo andC. moschata.D. virgifera virgifera preferredC. maxima and the "Connecticut Field" cultivar ofC. pepo.C. moschata and other cultivars ofC. pepo were not preferred. Cultivars were examined for differences in floral volatile release, blossom cucurbitacin content, and pollen content of male blossoms.C. maxima male blossoms released a larger quantity of volatiles thanC. pepo orC. moschata. Also, onlyC. maxima male blossoms contained cucurbitacins. Cultivars ofC. moschata contained the largest quantities of pollen, but all three species contained relatively large quantities. The data indicate a correspondence ofD. u. howardi distribution in the field with high volatile release rates and high cucurbitacin levels that are found inC. maxima blossoms.D. v. virgifera distribution appears to be somewhat independent of these factors since this species was abundant in blossoms of aC. pepo cultivar as well as cultivars ofC. maxima.

Semiochemical attractants ofDiabrotica undecimpunctata howardi barber, southern corn rootworm, andDiabrotica virgifera virgifera leconte, the western corn rootworm (Coleoptera: Chrysomelidae).

During the summers of 1984 and 1985, a variety of structurally related benzenoid compounds was evaluated in sweet corn plots as attractants for adult southern corn rootworms (SCR), western com rootworms (WCR), and northern corn rootworms (NCR). Field response to the volatiles was measured by beetle counts on baited cylindrical sticky traps placed inside the corn plots at a height of l m above ground level. SCR adults were attracted late in the season (last week of August through September, 1984 and 1985) to numerous aromatic compounds, including phenylacetaldehyde, benzyl acetone, phenethyl alcohol, phenyl acetate, indole, veratrole, methyl eugenol, methyl isoeugenol, eugenol, and isoeugenol. Although many compounds attracted SCR adults late in the season, only veratrole, phenylacetaldehyde, and chavicol were significantly active in early and middle August 1985. WCR adults were attracted to a different group of compounds, namely estragole,trans-anethole, and indole. Estragole (4-methoxy-1-allylbenzene) was an effective WCR attractant from corn tasseling in early August 1985, until the end of the trapping period in late September and early October 1985. Indole andtrans-anethole (4-methoxy-1-propenylbenzene) were less effective attractants than estragole and were most active at the beginning and/or end of the corn season. Traps baited with 100 mg of estragole caught an average of 20 times more WCR adults than unbaited control traps, and the females outnumbered the males in the baited traps. Estragole dosage tests were conducted in three sweet corn plots on different dates in 1985 and the minimum effective dose ranged between 5 and 30 mg/trap. Field tests with structural analogs revealed the importance of the site of unsaturation in the allylic side chain of estragole and the effect of different ring substituents on WCR response. The phenylpropanoids, eugenol and isoeugenol, significantly attracted NCR adults, even though these beetles were in low abundance in the test corn plots. Field tests indicate there is no cross-species response by WCR and NCR adults to their related phenylpropanoid attractants. However, in late August, SCR adults do respond to some WCR and NCR attractants (indole and several eugenol analogs). Electroantennographic analysis of SCR males revealed they can perceive peripherally a wide range of benzenoid compounds.

Benzyl acetates as attractants for the male oriental fruit fly, Dacus dorsalis, and the male melon fly, Dacus cucurbitae.

Fifty compounds related to benzyl acetate were evaluated quantitatively as attractants to the male oriental fruit fly (Dacus dorsalis) and the male melon fly (Dacus cucurbitae). Thienylmethyl acetate was nearly as attractive as benzyl acetate to both species, but cyclohexylmethyl acetate was completely unattractive, emphasizing the role of the planar aromatic ring in receptor interaction. Although benzyl acetate was equally attractive to both species, para substituents invariably reduced attraction to the oriental fruit fly. A number of derivatives, including p-hydroxy-, p-methoxy-, p-acetoxy-, and p-cyanobenzyl acetates were highly attractive to the melon fly. Selective fluorination indicated that the polarizability of the carbonyl carbon is important in receptor interaction with the melon fly but is not specifically involved in the oriental fruit fly. Attraction to the melon fly was lost with ortho, meta, or dimethoxy substitution of benzyl acetate, but the 3,4- and 2,5-dimethoxybenzyl acetates were attractive to the oriental fruit fly. These results are interpreted in terms of specific olfactory receptor interactions for the two species of fruit flies.

Identification of a volatile attractant for Diabrotica and Acalymma spp. from blossoms of Cucurbita maxima duchesne.

Fractionation of headspace volatiles from Cucurbita maxima blossoms by high-performance liquid chromatography resulted in the isolation of a single component which was highly active in an electroantennogram bioassay on Diabrotica undecimpunctata howardi antennae. This compound was identified as indole by gas chromatography-mass spectrometry. Field-trapping bioassays were conducted which indicated that indole is a potent attractant of the western corn rootworm,D. virgifera virgifera, and the striped cucumber beetle,Acalymma vittatum. The southern corn rootworm,D. u. howardi, did not respond, despite its strong EAG response. The sex ratio ofD. v. virgifera found in indole-baited traps varied seasonally. Males were trapped in abundance in late July and later September, 1983, while females were more abundant August and early September. The effectiveness of indole as aD. v. virgifera attractant also varied seasonally. A prolonged period of depressed trap catches occurred in early August 1983, during the silking and tasseling period of the corn in the field where trapping was carried out.

Coevolutionary adaptations of rootworm beetles (Coleoptera: Chrysomelidae) to cucurbitacins.

The cucurbitacins are oxygenated tetracyclic triterpenoids produced as secondary plant compounds by nearly all genera of Cucurbitaceae. The very bitter and toxic cucurbitacins are effective semiochemicals acting ecologically as allomones to protect the Cucurbitaceae from attack by a variety of invertebrate and vertebrate herbivores. For the Luperini (Coleoptera: Chrysomelidae: Galerucinae) the cucurbitacins have become kairomones for host selection, affecting the behavior of this large group of 1500 species of Aulacophorina (Old World) and Diabroticina (New World) by arrest and compulsive feeding. When feeding on bitter cucurbits these beetles sequester large amounts of cucurbitacins in their blood and tissues, and these act as allomones to deter predation. Specific detoxification and excretory mechanisms of the Diabroticina enable these beetles to avoid the toxic effects of the cucurbitacins.

Neurotoxicity of diallate and triallate when administered orally or topically to hens.

Two allylthiocarbamate herbicides, diallate and triallate, were evaluated for neurotoxicity by oral and topical dosing studies with mature white leghorn hens. Diallate was tolerated for 90 days at topical doses of 40 mg/kg/day and oral doses of 20 mg/kg/day. Reversible ataxia and narcosis occurred at diallate doses of 80 mg/kg/day and higher by either route of administration. Triallate did not elicit signs of neurotoxicity at 300 mg/kg/day topically or 400 mg/kg/day orally. The oral dose, however, resulted in gastrointestinal irritation and severe weight loss, such that dosing was terminated after 25 days. Triallate was tolerated at oral dosages of 90 mg/kg/day and topical doses up to 330 mg/kg/day.

Toxicity of organophosphorus esters to laying hens after oral and dermal administration.

Fourteen organophosphorus esters (OPs) were evaluated for their potential to cause organophosphorus ester induced delayed neurotoxicity (OPIDN) when administered dermally and/or orally to white leghorn hens. The compounds were chlorpyrifos, DEF, dichlorvos, dimethoate, EPN, ethoprop, fenthion, isofenphos, leptophos, merphos, ronnel, tetrachlorvinphos, terbufos, and trichlorfon. DEF induced ataxia if given dermally or orally at over 21 mg/kg/day for up to 90 days. Hens treated with EPN developed irreversible ataxia after repeated exposure to as little as 1.3 mg/kg dermally or 5 mg/kg/day orally, while leptophos was neurotoxic at doses of 6-7 mg/kg/day dermally and 10 mg/kg/day orally. Multiple treatments of chlorpyrifos, terbufos, dichlorvos and dimethoate caused death after varying periods of increasing debility; although birds had difficulty walking, they did not display typical symptoms of OPIDN. Fenthion and isofenphos induced drastic weight loss in hens at low levels of treatment; Isofenphos treated hens developed OPIDN, but died soon afterwards. Dichlorvos given at greater than 6 mg/kg/day po or dermally at 1 mg/kg/day produced cholinergic symptoms and most hens died before the end of the treatment period. At lower levels, dichlorvos did not induce overt ataxia. None of the other compounds in this series induced consistent ataxia whether administered orally or dermally. Ethoprop, with an acute oral LD50 near 5 mg/kg and an acute dermal LD50 of approximately 3 mg/kg, was the most toxic compound tested and could not be fully evaluated for its potential to cause OPIDN.

Cucurbitacins : Plant-derived defense compounds for diabroticites (Coleoptera: Chrysomelidae).

Four species of diabroticites with different host specificities are shown for the first time to sequester cucurbitacins. While all beetles fed on an artificial diet (no cucurbitacins) were readily consumed by Chinese praying mantids, a significant proportion of adultDiabrotica balteata (72%),D. undecimpunctata howardi (46%), andD. virgifera virgifera (24%) fed on squash fruit containing cucurbitacins B and D were rejected. Moreover, even when adults did not feed on cucurbitacins, 21-24% ofAcalymma vittatum were rejected by the mantids which is consistent with larval sequestration of cucurbitacins. The mantids failed to learn to avoid any of the beetle species despite adverse effects associated with ingestion, i.e., uncoordination, regurgitation, etc. A cucurbitacin D metabolite accumulated and was sequestered for extended periods of time in the hemolymph of all four species. In addition, female beetles that had ingested cucurbitacins laid eggs containing substantial amounts of cucurbitacins.

Disposition and fate of cucurbitacin B in five species of diabroticites.

Five species of diabroticites with different host-plant preferences produced an essentially identical array of metabolites when fed radiolabeled cucurbitacin B synthesized in vivo and purified fromCucurbita maxima Duchesne seedlings. All species excreted the bulk of the cucurbitacin (67,17-94.59% total dpm), permanently sequestered a small proportion of a cucurbitacin conjugate in the hemolymph (0.98-2.76%), and apportioned the remainder between the gut, the body, and the eggs (when present). Markedly different ratios between the excretory metabolites (i.e., polar vs. unmetabolized cuc) suggest thatDibrotica virgifera virgifera, a grass specialist, andAcalymma vittatum, a cucurbit specialist, have lower rates of metabolic alteration than the polyphagousD. undecimpunctata howardi, D. balteata, andD. cristata, which is associated with relict prairies. Mean life-spans ofD. balteata and D. v. virgifera and maleA. vittatum decreased significantly with continuous feeding onCucurbita fruit containing cucurbitacins (vs. fruit devoid of cucs). The longevity of femaleA. vittatum, however, was unaffected by the presence of cucurbitacins.

Evaluation of mirex, photomirex and chlordecone in the terrestrial aquatic laboratory model ecosystem.

The insecticides mirex and chlordecone and the mirex photodegradation product, photomirex, were evaluated in a terrestrial aquatic laboratory model ecosystem. Although chlordecone was to some extent degraded during the 33 days, neither mirex nor photomirex produced identifiable levels of decomposition products in the water or in any of the organisms of the model ecosystem. All three compounds accumulated significantly in the organisms of the model ecosystem, with chlordecone the least bioaccumulative and photomirex the most bioaccumulative.

In vitro neurotoxic esterase assay using leptophos oxon analogs as inhibitors.

In comparing neurotoxic esterase (NTE) inhibition properties of a series of phenylphosphonates, it was discovered that certain compounds including leptophos inhibited mipafox-insensitive phenylvalerate hydrolases. This leads to erroneous values for NTE inhibition which can be corrected by a differential assay: the total amount of mipafox-insensitive activity is determined with O-(2,6-dichlorophenyl)O-methyl phenylphosphonate and subtracted from the apparent NTE determined with the test compound before calculating pI50's.

Olfactory receptors in the melon fly Dacus cucurbitae and the oriental fruit fly Dacus dorsalis.

Male melon flies (Dacus cucurbitae) from a colony in Hawaii were evaluated for limit of response to the olfactory stimulant raspberry ketone and to more than 40 related molecules. The results were compared with the limits of response of oriental fruit flies (Dacus dorsalis) under identical conditions. The nature of the response of the two species to attractive compounds appeared to be identical with regard to orientation, searching, pulsating mouthparts, and compulsive feeding. However, there was very little overlap in the response of the two species to phenylpropanoid-type compounds. D. cucurbitae responded most strongly to p-hydroxyphenylpropanoids while D. dorsalis responded most strongly to 3,4-dimethoxyphenylpropanoids. The results are discussed in terms of antennal receptor site geometry and with regard to the coevolution of two major groups of Dacini with plant kairomones.