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View the Table of Contents for the November 15 issue of Cancer Research.
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Abolhassani et al. Page 9423
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The prevalence of metabolic syndrome is increasing worldwide and evidence indicates a link to breast cancer incidence. Because fenretinide, a synthetic retinoid, improves insulin action and glucose tolerance in obese mice and because tamoxifen regulates markers of metabolic syndrome, Johannson and colleagues investigated the effect of fenretinide and low-dose tamoxifen on insulin resistance in premenopausal women at risk for breast cancer. Overweight women had a seven-fold greater probability of normalizing HOMA, an index of insulin sensitivity, after two years of fenretinide, whereas tamoxifen had an opposite effect. These results support a role for fenretinide in improving metabolic syndrome, which may favorably affect breast cancer risk. In addition, the features of metabolic syndrome should be incorporated in the decision-making process regarding the use of tamoxifen as a breast cancer preventive agent.
Venables et al. Page 9525 Venables and colleagues describe a new approach for the identification of breast cancer markers that uses the ratio of alternatively spliced mRNAs as the indicator, rather than gene expression levels. The authors used a high-throughput reverse transcription-PCR–based system to monitor the alternative splicing profiles of 600 cancer-associated genes. In a blind screen, a classifier based on the 12 best cancer-associated splicing events correctly identified cancer tissues with 96% accuracy and a subset of these alternative splicing events could order tissues according to histopathologic grade. These results provide a simple alternative for the classification of normal and cancerous breast tumor tissues and underscore the putative role of alternative splicing in the biology of cancer.
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