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Two-hit therapy untuk tumor payudara menggunakan obat yang disetujui tampak menjanjikan dalam studi hewan
Date:
October 7, 2015
Source:
University of Pennsylvania School of Medicine
Summary:
Menonaktifkan jalur penyebab kanker dan pemberian terapi sapu bersih berbasis kekebalan-molekul memberantas jenis tertentu tumor payudara pada tikus, laporan peneliti . Terapi ini, bila diterjemahkan untuk digunakan pada manusia, akan bermanfaat dalam mengurangi toksisitas karena jumlah antibodi dapat menurun dua pertiga dan jumlah kemoterapi setidaknya setengah, kata mereka.
........... "Garis penelitian penting untuk terapi masa depan untuk kanker payudara positif HER2 karena mendefinisikan cara untuk membuat pengobatan lebih baik saat ini dan menggunakan lebih sedikit obat kanker seperti Herceptin pada penggunaan kombinasi/ordered combination dengan sebelum interferon-gamma, yang juga merupakan penggunaan obat klinis , "kata rekan penulis Hongtao Zhang, PhD, seorang asisten peneliti profesor Patologi dan Laboratorium Kedokteran. Anti-erbB2 / antibodi monoklonal neu (mAbs) saja hanya efektif dalam 30 persen pasien kanker payudara yang membawa target diperkuat dan biaya sekitar $ 100.000 setahun. Saat ini, pengobatan antibodi ini harus dikombinasikan dengan kemoterapi untuk meningkatkan proporsi membantu pasien....more
Two-hit therapy
for breast tumors using approved drugs looks promising in animal study
Date:
October 7, 2015
Source:
University of Pennsylvania School of Medicine
Summary:
Disabling a cancer-causing pathway and administering an
immune-molecule-based mop-up therapy eradicated a specific type of breast tumor
in mice, report investigators. This therapy, when translated for use in people
humans, would be beneficial in reducing toxicity because the amount of antibody
could be decreased by two-thirds and the amount of chemotherapy by at least
half, they say.
.........................
Disabling a cancer-causing pathway and administering an
immune-molecule-based mop-up therapy eradicated a specific type of breast tumor
in mice, according to researchers in the Perelman School of Medicine at the
University of Pennsylvania. They describe their findings in Cell Reports.
"This line of research is important to future therapy for
Her2-positive breast cancers because it defines a way to make the current
treatment better and to use less amount of cancer drugs such as Herceptin by an
ordered combination use with before interferon-gamma, which is also a
clinically used drug," said coauthor Hongtao Zhang, PhD, a research
assistant professor of Pathology and Laboratory Medicine. Anti-erbB2/neu
monoclonal antibodies (mAbs) alone are only effective in 30 percent of breast
cancer patients carrying the amplified target and cost about $100,000 a year.
Currently, this antibody treatment must be combined with chemotherapy to increase
the proportion of patients it helps.
The major take-away from this study is that treatment with herceptin or
lapatanib followed by interferon-gamma dramatically improves tumor eradication
in the mice, said senior author Mark Greene, MD, PhD, the John W. Eckman
Professor of Medical Science. This one-two punch, which is a continuation of
the pioneered antibody based Her-2 targeted therapy from this lab, renders the
tumors highly sensitive to chemotherapy, which is needed to make the targeted
therapy work.
This therapy, when translated for use in people humans, would be beneficial
in reducing toxicity because the amount of antibody could be decreased by
two-thirds and the amount of chemotherapy by at least half. This in turn,
"reduces the cost of treatment so that individuals previously not able to
afford targeted therapy will be able to do so. All of the therapeutic agents
used in this preclinical study are approved and we expect to try ordered
therapy plus interferon in clinical trials soon," Greene said.
"We examined the biologic effects of interferon-gamma alone or after
anti-erbB2/neu antibody treatment of erbB2-positive cells and mice," said
co-first author Yasuhiro Nagai, PhD, a postdoctoral fellow in the department of
Pathology and Laboratory Medicine.
Interferon-gamma is a small protein called a cytokine normally produced by
T cells as part of the immune response. Interferon-gamma is a well-known
cytokine to immunologists but is not used by oncologists so much because of
other side effects. Interferon-gamma works by rendering the tumor cells much
more susceptible to Her-2 inhibitors so that tumor cells can be killed more
effectively. In addition, this combination therapy also augments host tumor
immunity, which can be a good advantage for this therapy.
In a series of experiments in breast cancer cell lines and transgenic mice
that develop breast cancer as adults, the team found that interferon-gamma on
its own had no effect on tumors. Treatment of the tumors with anti-erbB2/neu
mAbs followed by interferon-gamma led to a considerable inhibition of tumor
growth and reduction of tumor size in the mice when the therapy is combined
with a typical chemotherapeutic agent.
Story Source:
The above post is reprinted from materials provided byUniversity of Pennsylvania School
of Medicine. Note: Materials may be edited
for content and length.
Journal Reference:
1. Yasuhiro Nagai, Hiromichi Tsuchiya, E. Aaron Runkle, Peter D.
Young, Mei Q. Ji, Larry Norton, Jeffrey A. Drebin, Hongtao Zhang,
Mark I. Greene. Disabling of the erbB Pathway Followed by IFN-γ
Modifies Phenotype and Enhances Genotoxic Eradication of Breast Tumors.Cell
Reports, 2015; 12 (12): 2049 DOI:10.1016/j.celrep.2015.08.044