American Association for Cancer Research

July 1 Clinical Cancer Research Highlights

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Selected Articles from the July 1, 2008 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 July 1 issue of Clinical Cancer Research.


Invasive Breast Carcinomas with Wnt Pathway Mutations

Hayes et al.

Page 4038

Hayes et al.The Wnt pathway is central to mammary gland development, and its deregulation plays a role in breast cancer. Although mutations of Wnt pathway components are found commonly in malignancies, they are rare in breast cancer. By performing immunohistochemical staining along with a comprehensive mutational analysis, Hayes and colleagues found that mutations in several Wnt pathway genes (CTNNB1, APC, and WISP3) are present in over 40% of cases of metaplastic carcinoma, a type of invasive breast carcinoma. These results not only increase our understanding of the molecular etiology of these tumors, but may pave the way for targeted treatments.
 

Screening and Breast Cancer Subtype Distributions

Sihto et al.

Page 4103

Women whose breast cancer has been found in mammography screening generally present with a small tumor and have favorable prognosis. Using 247 cancers found by screening and 989 cancers detected outside of screening, Sihto and colleagues examined immunohistochemical surrogates for gene expression profile-derived molecular subtypes. The luminal A subtype that carries favorable prognosis was common among cancers found in screening, whereas the basal-like and the HER2+/ER– subtypes that are associated with poor outcome were rare. Besides tumor size, a favorable distribution of the molecular subtypes likely explains the generally favorable outcome of cancers found in screening.


Predicting Chemoradiotherapy Response in Esophageal Cancer

Kim et al.

Page 4225

A reliable method to identify subgroups of patients most likely to benefit from chemoradiotherapy could improve treatment outcome in resectable esophageal cancer. ERCC1, an enzyme in the nucleotide excision repair pathway, is thought to be involved in resistance to chemoradiotherapy. In this study, Kim and colleagues analyzed the effects of preoperative chemoradiotherapy on survival relative to ERCC1 status in 175 patients with locally advanced operable esophageal cancer. They found that patients with ERCC1-negative esophageal tumors show a greater benefit from preoperative chemoradiotherapy followed by esophagectomy than those who undergo esophagectomy alone. These results may help lead to providing individualized therapy to patients with operable esophageal cancer.


A Fusion Gene Target in Lung Cancer

Koivunen et al.

Page 4275

The EML4-ALK fusion gene has recently been identified as a new oncogene in about 7% of Japanese non-small cell lung cancers (NSCLC), but its association with ethnic and patient characteristics is unknown. In this study, Koivunen and colleagues identified EML4-ALK in about 3% of NSCLC tumors from patients of different ethnic backgrounds. EML4-ALK is related to adenocarcinoma histology, limited smoking history of a patient, and Asian ethnicity. Furthermore, they identified three NSCLC cell lines carrying the EML4-ALK fusion. One of these lines was sensitive to the ALK specific inhibitor TAE684, and another was sensitive to TAE684 in combination with an EGFR/HER2 inhibitor. These results suggest that EML4-ALK is a potential target for drug therapies in NSCLC. 


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