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View the Table of Contents for the June 1 issue of Cancer Research.
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Vascular endothelial growth factor (VEGF) is produced in human melanomas. The VEGF receptor 2 (VEGFR-2) is also expressed by most advanced stage melanomas, suggesting the possibility of an autocrine loop. Molhoek and colleagues show that the anti-VEGF antibody bevacizumab inhibits proliferation of melanoma cells and that the combination of bevacizumab and rapamycin, a drug that inhibits mammalian target of rapamycin (mTOR), causes a net loss in cell number. Both of these effects are dependent on the presence of VEGFR-2. The effects of bevacizumab alone and in combination with rapamycin are eliminated by VEGFR-2 knockdown with siRNA. These results identify an autocrine growth loop active in VEGFR-2+ melanoma and a possible therapeutic role for a combination of inhibitors of mTOR plus VEGF in selected melanomas.
Montgomery et al. Page 4447 Testosterone suppression remains the most effective therapy for metastatic prostate cancer; however, nearly all patients develop castration-resistant disease. Intracrine androgen production may play a role in castration-resistant growth. Montgomery and colleagues report that metastases from castration-resistant prostate cancers exhibit significantly elevated testosterone levels as well as significant increases in the expression of several key enzymes required for testosterone synthesis and metabolism. They also show that castration-resistant tumor xenografts maintain similar intratumoral androgen levels in castrate, compared with eugonadal, animals. These results suggest that intracrine steroidogenesis may permit tumors to circumvent low levels of circulating androgens and identify intracrine steroidogenic pathways within the prostate tumor microenvironment as novel therapeutic targets.
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