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Epidermal growth factor receptor regulates beta-catenin location, stability, and transcriptional activity in oral cancer

Source: 7thspace.com/headlines Author: staff Many cancerous cells accumulate beta-catenin in the nucleus. We examined the role of epidermal growth factor receptor (EGFR) signaling in the accumulation of beta-catenin in the nuclei of oral cancer cells. Results: We used two strains of cultured oral cancer cells, one with reduced EGFR expression (OECM1 cells) and one with elevated EGFR expression (SAS cells), and measured downstream effects, such as phosphorylation of beta-catenin and GSK-3beta, association of beta-catenin with E-cadherin, and target gene regulation. We also studied the expression of EGFR, beta-catenin, and cyclin D1 in 112 samples of oral cancer by immunostaining. Activation of EGFR signaling increased the amount of beta-catenin in the nucleus and decreased the amount in the membranes. EGF treatment increased phosphorylation ofbeta-catenin (tyrosine) and GSK-3beta(Ser-9), resulting in a loss of beta-catenin association with E-cadherin. TOP-FLASH and FOP-FLASH reporter assays demonstrated that the EGFR signal regulates beta-catenin transcriptional activity and mediates cyclin D1 expression. Chromatin immunoprecipitation experiments indicated that the EGFR signal affects chromatin architecture at the regulatory element of cyclin D1, and that the CBP, HDAC1, and Suv39h1 histone/chromatin remodeling complex is involved in this process. Immunostaining showed a significant association between EGFR expression and aberrant accumulation of beta-catenin in oral cancer. Conclusions: EGFR signaling regulates beta-catenin localization and stability, target gene expression, and tumor progression in oral cancer. Moreover, our data suggest that aberrant accumulation of beta-catenin under EGFR activation is a malignancy marker of oral cancer. Author: Chien-Hsing LeeHsing-Wen HungPei-Hsin HungYi-Shing Shieh Source: Molecular Cancer 2010, 9:64

Tobacco usage affects risk of metastases of HPV-related oropharynx cancer

Source: professional.cancerconsultants.com Author: staff Researchers from the University of Michigan have reported that current tobacco users with advanced, human papillomavirus (HPV)-positive oropharyngeal cancer are at increased risk of disease recurrence. The details of this study were published in the February 15, 2010 issue of Clinical Cancer Research.[1] Human papillomaviruses are probably the sole cause of cancers of the cervix and have been associated with cancers of the vulva, vagina, penis, and rectum. Epidemiologic and molecular biology studies have also suggested that HPV infection may be associated with cancers of the head and neck. The overall frequency of HPV in benign and precancerous lesions ranges from 18.5% to 35.9%, depending upon the detection methodology. Researchers affiliated with an international study have also that reported that oral infection with HPV is associated with the development of head and neck cancers. These authors concluded that HPV infection increased the risk of oropharyngeal cancer in both users and non-users of alcohol and tobacco. These authors also suggested that the more prevalent practice of oral sex may explain the increased incidence of tonsillar and base-of-the-tongue cancers since 1973. Researchers from the University of Maryland and Harvard University have also reported that the better survival among White patients compared with African-American patients with oropharyngeal cancer appears to be due, at least in part, to the higher prevalence of human papillomavirus (HPV)-related cancers in White patients. The current study evaluated the effect of tobacco usage on the outcomes of patients with HPV-related advanced oropharyngeal cancer. These authors [...]

Effects of external irradiation of the neck region on intima media thickness of the common carotid artery

Source: 7thspace.com/headlines Author: staff Several studies have shown that common carotid intima-media thickness (IMT) is increased after radiotherapy (RT) to the head and neck. However, further studies are needed to define the exact mechanism of radiation-induced injury in large vessels, investigate the relationship between radiation dose and large vessel injury and evaluate the rate of progress of atherosclerosis in irradiated vessels. Objectives: To investigate whether external irradiation to the carotid area has any effect on IMT of the common carotid artery in a group of patients who received RT vs control group matched for age, gender and race. Methods: We studied 19 patients (10 male; 47.8 +/- 17.4 years) during a 5-month period (January 2009- July 2009); they had completed RT with a mean of 2.9 years before (range: 1 month-6 years) The mean radiation dose to the neck in the irradiated patients was 41.2 +/- 15.6 Gy (range: 25-70 Gy). Common carotid IMT was measured with echo-color Doppler. Nineteen healthy adult patients (10 male; 47.8 +/- 17.6) were recruited as a control group. Results: IMT was not significantly higher in patients when compared to the control group (0.59 +/- 0.16 vs 0.56 +/- 0.16 mm, p=0.4). There was no significant difference between the two groups in relation to the absence (p= 0.7) or presence (p= 0.6) of vascular risk factors. Although the difference did not reach statistical significance (p=0.1), the irradiated young patients (age [less than or equal to] 52 years) had IMT measurements higher (0.54 +/- 0.08 mm) [...]

Needed: HPV vaccine, simple screening test, for women and men

Source: jhu.edu/~gazette Author: Valerie Mehl, Johns Hopkins Medicine A call to explore a broader use of human papillomavirus vaccines and the validation of a simple oral screening test for HPV-caused oral cancers are reported in two studies by an investigator at the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins. Leading HPV expert Maura Gillison, the first to identify HPV infection as the cause of certain oral cancers and who identified multiple sex partners as the most important risk factor for these cancers, reports her latest work Nov. 3 in the journal Clinical Cancer Research and in a Centers for Disease Control and Prevention monograph. The CDC report on HPV-associated cancers appears online Nov. 3 and in the Nov. 15 supplement edition of Cancer. In the CDC report, believed to be the first and most comprehensive assessment of HPV-associated cancer data in the United States, investigators analyzed cancer registry data from 1998 to 2003 and found 25,000 cancer cases each year occurred at cancer sites associated with HPV infection. In additional analysis, Gillison and colleagues at the National Cancer Institute identified HPV infection as the underlying cause of approximately 20,000 of these cancers. Gillison and her team found that approximately 20,000 cases of cancer in the United States each year are caused by HPV infection. Oral cancers are the second most common type of HPV- associated cancers and are increasing in incidence in the United States, particularly among men. Add to that anal, penile, vaginal and vulvar cancers that are [...]

With cancer, let’s face it: words are inadequate

Source: nytimes.com Author: Dana Jennings We’re all familiar with sentences like this one: Mr. Smith died yesterday after a long battle with cancer. We think we know what it means, but we read it and hear it so often that it carries little weight, bears no meaning. It’s one of the clichés of cancer. It is easy shorthand. But it says more about the writer or speaker than it does about the deceased. We like to say that people “fight” cancer because we wrestle fearfully with the notion of ever having the disease. We have turned cancer into one of our modern devils. But after staggering through prostate cancer and its treatment — surgery, radiation and hormone therapy — the words “fight” and “battle” make me cringe and bristle. I sometimes think of cancer as a long and difficult journey, a quest out of Tolkien, or a dark waltz — but never a battle. How can it be a battle when we patients are the actual battleground? We are caught in the middle, between our doctors and their potential tools of healing and the cell-devouring horde. We become a wasteland, at once infested by the black dust of cancer and damaged by the “friendly fire” of treatment. And ordinary language falls far short of explaining that keen sense of oblivion. As a patient, it’s hard to articulate how being seriously ill feels. In a profound way, we are boiled down to our essential animal selves. We crave survival. We long [...]

Metabolic activity of head and neck cancer may help guide treatment

Source: www.oncologystat.com Author: Staff The metabolic activity of head and neck squamous cell carcinoma on pretreatment imaging independently predicts outcomes in patients who undergo intensity-modulated radiation therapy, new data show. This imaging information can be used to tailor treatment, especially to reduce the risk of distant metastases, lead investigator Dr. Min Yao said at a head and neck cancer symposium sponsored by the American Society for Radiation Oncology. Higher standardized uptake value (SUV) of the primary tumor and of the lymph nodes predicted worse outcomes in multivariate analyses presented by Dr. Yao, a radiation oncologist at the Case Western Reserve University, Cleveland. "Several papers have shown that the standardized uptake value (SUV) is a prognostic factor in head and neck cancer," Dr. Yao told attendees. Most of these studies were small series, involved patients receiving conventional radiation therapy, and did not evaluate SUV of the primary tumor and lymph nodes separately. Dr. Yao and his colleagues analyzed outcomes in 177 patients treated for head and neck squamous cell carcinoma with intensity-modulated radiation therapy (IMRT) between 1999 and 2006. The patients had a pretreatment positron emission tomography scan using fluorodeoxyglucose as the tracer (FDG-PET), and the maximal SUV was determined for both the primary tumor and the involved lymph nodes. The patients then underwent IMRT with curative intent. Seventy-seven percent of the patients were male. Twenty-nine percent were receiving IMRT postoperatively, whereas the rest were receiving it as definitive therapy. The cancer was most commonly located in the oropharynx (49%) and [...]

HPV vaccine reduced further disease in women treated for cancer precursors

Source: www.hemonctoday.com Author: staff HPV vaccine quadrivalent (types 6, 11, 16 and 18) decreased HPV-related disease in women previously treated for cancer precursors, according to the post-hoc analysis of findings from two trials. Warner Huh, MD, associate professor in the department of obstetrics and gynecology at the University of Alabama at Birmingham, presented these findings at The Society for Gynecologic Oncologists’ 2010 Annual Meeting on Women’s Cancer in San Francisco. Although the HPV4 (Merck, Gardisil) has been shown to prevent cervical intraepithelial neoplasia (CIN), vulvar intraepithelial neoplasia, vaginal intraepithelial neoplasia, genital warts and adenocarcinoma, it is unclear if the vaccine may benefit patients who have already been exposed to the virus and had subsequent surgery. Researchers analyzed data from 17,622 women who were randomly assigned to the HPV4 or placebo. Overall, 587 women assigned to the vaccine and 763 assigned to placebo underwent cervical definitive therapy. Patients in the placebo group were at higher risk for incidence of CIN, vulvar intraepithelial neoplasia, vaginal intraepithelial neoplasia, genital warts and adenocarcinoma at a rate of 11.1 per 100 person-years, with an average of 1.4 years after surgery, compared with patients assigned to HPV4. Regardless of causal HPV type, patients who were vaccinated had a reduced risk for developing further disease, with a rate of 45% (95% CI, 21-62). Women treated for vulvar intraepithelial neoplasia, vaginal intraepithelial neoplasia and genital warts assigned to placebo had the highest risk for further disease, with a rate of 33.7 per 100 person-years. The risk for further [...]

Lymphedema common in head and neck cancer

Source: www.medpagetoday.com Author: Charles Bankhead, Staff Writer, MedPage Today Treatment of head and neck cancer causes potentially severe lymphedema, which responds to complete decongestive therapy in most cases, a retrospective chart review showed. The most severe lymphedema occurred in patients treated with surgery and radiation therapy, followed by definitive surgery alone. Complete decongestive therapy led to clinical improvement in a majority of the patients, including 83% of those treated with surgery alone. "Lymphedema is vastly under-recognized and under-reported in patients with head and neck cancer," Jan S. Lewin, PhD, of M.D. Anderson Cancer Center in Houston, said in an interview at the Multidisciplinary Head and Neck Cancer Symposium (MHNCS). "The lymphedema can be just as severe as what's seen after treatment of breast and other types of cancer. Lymphedema in patients with head and neck cancer can be terribly disfiguring and cause severe functional problems." "Complete decongestive therapy leads to clinically significant improvement in most patients, whether it's performed in a clinic or at home," she added. Available evidence suggests that fewer than half of patients with head and neck cancer develop lymphedema after treatment. However, cosmetic and functional sequelae can be severe, including problems with speaking, eating, airway obstruction, and drooling, as well as self-image. As compared with lymphedema in other cancers, a paucity of information exists about the presentation and treatment of the condition in patients with head and neck cancer, said Lewin. In an effort to add to the information base, she and her colleagues retrospectively reviewed [...]

Coalition to Stop Contraband Tobacco applauds Senate for passage of the Prevent All Cigarette Trafficking Act of 2009

Source: prnewswire.com Author: press release The Coalition to Stop Contraband Tobacco today praised the U.S. Senate for passing S. 1147, the Prevent All Cigarette Trafficking (PACT) Act of 2009. Sponsored by Sen. Herb Kohl (D-WI) and co-sponsored by a bipartisan group of 20 senators, this legislation will help combat online cigarette sales that have robbed hundreds of millions of dollars in tax revenues from the states and that undermine state laws that prevent youth access to tobacco products. "Passage of the PACT Act is a huge victory for American taxpayers, American small business owners and America's youth," said Scott Ramminger, AWMA president and CEO and coalition spokesperson. "We applaud the Senate for its action today and thank Sen. Kohl for his leadership in ensuring that contraband tobacco sales are eliminated." Numerous stakeholders have worked with Sen. Kohl through the years to pass the PACT Act, which was passed in the House of Representatives last May. The PACT Act closes gaps in current federal laws regulating "remote" or "delivery" sales of cigarettes and smokeless tobacco products. "In a recent study we found that illegal cigarette sales cost states $5 billion per year, and that with online sales there is almost no age verification at the time of purchase," continued Ramminger. "We hope the House will pass this bill quickly and that President Obama will act swiftly to sign this common sense legislation into law so that we can put an end to the illegal sale of tobacco products," conclude Ramminger. The [...]

Smokeless tobacco launches an attack on U.S. market

Source: www.tobacco-facts.net Author: staff General Snus, a smoke-free moist tobacco product originated in Scandinavian countries in the 19th century, is currently holding a massive promotional campaign across the United States. Swedish Match, the manufacturer of General Snus brand has introduced a multi-million-dollar marketing drive intended for bringing the steam-cured tobacco pouches to wealthy tobacco-lovers in major markets across the nation. The General Snus are also promoted at high-end events, such as New York Fashion Week and several notable Film Festivals. Snus are made and sold in cooled pouches packed in cans. The consumers put these tobacco items between cheek and lip and sip it getting their portion of nicotine. Snus is extremely famous among upscale professionals in Sweden, where the product saw the world for the first time almost two centuries ago. Whereas these products are still relatively unknown to the majority of American smokers, they are going through an outstanding growth of popularity since the initial nationwide launch in 2000, according to Swedish Match. The latest General Snus promotional campaign – under slogan “Satisfaction: the Original Pursuit”— was launched at the Sundance Film Festival held in Salt Lake City in January, where Swedish Match has acquired sponsorship deal. Other venues for the marketing campaign include art shows in New York, Boston and Los Angeles, and New York’s Fashion Week. Lars Hansson, the communication director for Swedish Match told the press that in Scandinavian countries snus has been generally used by the upscale audience, and that has been the major [...]

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