American Association for Cancer Research

November 15 Clinical Cancer Research Highlights

PDF Version for Printing pdf4.gif

Selected Articles from the November 15, 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 November 15 issue of Clinical Cancer Research.


Circumferential Margin is the Most Important Parameter after RCT

Gosens et al.

Page 6617

Histological determinants for prognostification after preoperative (radio) chemotherapy (RCT) have changed. Gosens and colleagues evaluated patients with locally advanced rectal cancer presenting with an involved or at least threatened circumferential margin (CRM) on preoperative imaging to investigate which factors, including assessment of tumor regression, are the best indicators for local recurrence and survival after preoperative RCT. Their results indicated that the assessment of CRM involvement is the most important pathologic parameter after RCT. Although tumor regression increases the chance on a free CRM, patients’ prognoses after a positive CRM are poor, regardless of the degree of therapy-induced regression.

Radiopeptides Promising for Medullary Thyroid Cancer

Iten et al.

Page 6696

No systemic therapy is established for metastasized medullary thyroid cancer yet. In this context, Iten and colleagues investigated response, survival, and the long-term safety profile of systemic radiopeptide treatment with [90Y-DOTA]-TOC in 31 medullary thyroid cancer patients. Four patients (12.9%) developed hematologic toxicities and 7 patients (22.6%) developed renal toxicities. Response was found in 9 cases (29.0%). It was associated with longer survival from time of diagnosis and time of first [90Y-DOTA]-TOC therapy. [90Y-DOTA]-TOC can potentially develop into a useful tool for treating metastasized medullary thyroid cancer. 


Celastrol Inhibits Growth of Melanoma

Abbas et al.

Page 6769

Abbas et al. Expression of ATF2-driven peptides effectively sensitizes melanomas to apoptosis and inhibits their growth and metastatic potential. To identify compounds that mimic the activities of ATF2-driven peptides, Abbas and colleagues screened a small molecule chemical library consisting of 3,280 compounds. Two compounds, celastrol and acetyl isogambogic acid, could, within a low micromolar range, efficiently elicit cell death in melanoma cells. Further, derivatives of celastrol efficiently inhibited growth of human and mouse melanoma tumors and reduced the number of lung metastases. These compounds may offer new approaches for the treatment of this tumor type. 


Gene Expression Analysis Proposes Alternative COX-2 Pathways

Sagiv et al.

Page 6807

Celecoxib, a COX-2 inhibitor, was recently confirmed to be a highly efficient preventive agent against colorectal polyp formation. Sagiv and colleagues searched for genes and pathways that mediate the cancer preventive function of celecoxib other than the prostaglandin synthesis, by using a gene expression array analysis of transformed vs. non-transformed cells following short and long incubation time with the physiological concentrations of the drug. Pathways such as those of Ras and related kinases, metabolism of glycohydrates and nucleic acids and others are suggested to be affected by celecoxib. It was also shown that cyclin-D1 gene plays an important role in cell transformation and that celecoxib down-regulated cyclin-D1 expression.