American Association for Cancer Research

January 1 Clinical Cancer Research Highlights

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Selected Articles from the January 1, 2007 Issue

The articles referenced in this Highlights section will be available online in HTML and PDF formats to all interested users at no charge until the next issue of Clinical Cancer Research is published. Click on the article title to view the complete article.

View the Table of Contents for the January 1 issue of Clinical Cancer Research.


Second Cancer Risk Not Increased by Nongastric MALT Lymphomas

Arcaini et al.
Page 182

There is epidemiologic evidence that non-Hodgkin’s lymphoma patients are at risk for second cancers. Arcaini et al. examined the hypothesis that the genetic susceptibility of marginal zone B-cell lymphomas of mucosa-associated lymphoid tissue (MALT) might be the link between chronic infection and immunosuppression. The authors calculated the risk of second neoplasms in a series of patients from Northern Italy who had nongastric MALT lymphoma and compared them with the background population from the Lombardia Tumor Registry. The data showed that the relative rates for second cancers are not increased in patients with nongastric MALT lymphomas, independently of the timing and type of additional cancer diagnosis.


Removing Resistance to Immunotherapy for Ewing Sarcoma

de Hooge et al.
Page 206

For the past 20 years, treatment of Ewing sarcoma patients had reached a plateau of approximately 60% response to current protocols. Immunotherapy could be a new treatment option; however, expression of anti-apoptotic proteins can lead to tumor resistance against immuno- or chemotherapy. de Hooge et al. studied the expression of the death receptor pathway inhibitor cFLIP and granzyme B inhibitor PI-9 in Ewing sarcoma cell lines and tumor sections. cFLIP was abundantly expressed in both cell lines and tumors. Anti-Fas resistance was, however, only observed in caspase-8 deficient cell lines. Caspase-8 was heterogeneously expressed in tumors. All tested cell lines were perforin/granzyme-sensitive, although some expressed PI-9 at low levels. PI-9 was undetectable in tumors, providing a rationale to preferentially exploit the perforin/granzyme-mediated pathway against Ewing sarcoma. 


Increased Dose Density Is Feasible

Fornier et al.
Page 223

Because Cancer and Leukemia Group B 9741 trial demonstrated a benefit for every 14-day “dose-dense” administration of chemotherapy compared with every 21-day treatment, Fornier et al. conducted a pilot trial to assess the feasibility of a “denser” adjuvant/neoadjuvant regime consisting of epirubicin and cyclophosphamide followed by paclitaxel at 10- to 11-day intervals for patients with breast carcinoma. This regime was found to be feasible, although there was a high incidence of febrile neutropenia and a high hospitalization rate. The nearly 30% reduction in intertreatment interval compared with every 14-day treatment might increase the efficacy of adjuvant chemotherapy and should be further explored in a phase III setting.


4-1BB Targeting Enhances Leukemia-Specific T-Cell Reactivity

Houtenbos et al.
Page 307

Acute myelogenous leukemia (AML) blasts can differentiate into leukemia-derived dendritic cells (AML-DC), thereby enabling efficient presentation of known and unknown leukemic antigens. Advances in culture techniques and AML-DC characterization justify clinical application. However, additional measures are likely needed to potentiate vaccines and overcome the intrinsic tolerant state of the patient’s immune system. Potentiation of vaccines can be achieved by engaging the costimulatory molecule 4-1BB. In this study, Houtenbos et al. showed that targeting 4-1BB increases T-cell proliferation, differentiation, and function and therefore may be an effective adjuvant to enhance T-cell responses elicited by AML-DC.


Blueberry Compound Promising for Colon Cancer Prevention

Suh et al.
Page 350

Suh et al.Epidemiologic studies have linked consumption of fruits and vegetables to reduced risk of several types of cancer. Laboratory animal model studies have provided evidence that stilbenes, phenolic compounds present in grapes and blueberries, play a role in reducing the risk of certain cancers. Suh et al. tested pterostilbene, a naturally occurring stilbene from blueberries, for its preventive activity against colon carcinogenesis. Administration of pterostilbene significantly suppressed azoxymethane-induced formation of colonic aberrant crypt foci and multiple clusters of aberrant crypts. Importantly, dietary pterostilbene also suppressed azoxymethane-induced colonic cell proliferation and inducible nitric oxide synthase expression. The results suggest that pterostilbene present in blueberries is of great interest for preventing colon cancer.