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View the Table of Contents for the January 15 issue of Cancer Research.
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Growing tumors usually suffer from a lack of oxygen and nutrients. To survive, they engage hypoxia-inducible factors (HIFs) that activate genes controlling angiogen-esis, glucose consumption, and energy metabolism. Normal cells keep HIF factors at low levels through the mechanism that involves HIF-α prolyl hydroxylation, fol-lowed by ubiquitination by von Hippel- Lindau tumor suppressor protein and proteasomal degradation. Apreliko-va and colleagues report that the cancer-testis antigen MAGE-A11 inhib-its prolyl hydroxylase and stabilizes the HIF-1α subunit. MAGE-A family members are not expressed in normal tissues with the exception of testis, but are aberrantly expressed in tumors. When overexpressed, MAGE-11 may trigger a prosurvival program through HIF stabilization at the very early stages of tumor development, even in the presence of oxygen.
Kim et al. Page 700 Kim and colleagues report on a new treatment option for prostate cancer based on metabolic stress, which complements conventional treat-ments based on genotoxic stress. Accordingly, arginine deprivation with pegylated arginine deiminase (ADI-PEG20) has proven effective in other cancers. For reasons still unclear, prostate cancers preferentially lack expression of argininosuccinate synthetase (ASS), becoming particularly sensitive to arginine deprivation. CWR22Rv1 prostate cancer cells do not express ASS and undergo caspase-independent apoptosis with ADI-PEG20 treatment. ADI-PEG20 synergizes with docetaxel to greatly reduce tumor growth in CWR22Rv1 mouse xenografts. Significantly, autophagy is induced by ADI-PEG20 as a protective response. The inhibition of autophagy therefore enhances ADI-PEG20-induced cell death, pointing to an interrelationship among ASS deficiency, autophagy, and apoptosis. Finally, a tissue microarray of prostate tissues demonstrated a complete lack of ASS in prostate cancer specimens, indicating that ADI-PEG20 is a potential novel therapy for prostate cancer, especially in combination with docetaxel and the autophagy modulator choloroquine.
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