Electrochemical sensor spots oral cancer

Source: cen.acs.org Author: Erika Gebel Medical Diagnostics: A simple and inexpensive device detects multiple cancer biomarkers When doctors spot cancerous lesions in patients’ mouths, it’s often too late: The disease has already reached a difficult-to-treat stage. As a result, oral cancer has a high death rate. To help doctors catch the disease earlier, researchers have developed a simple, low-cost method to identify multiple oral cancer biomarkers at once (Anal. Chem., DOI: 10.1021/ac301392g). Scientists previously have shown that oral cancer patients have altered levels of several proteins, including vascular endothelial growth factor C (VEGF-C), in their blood (J. Clin. Pathol., DOI: 10.1136/jcp.2007.047662). Doctors would like to use these biomarkers to diagnose the disease. But James Rusling of the University of Connecticut, Storrs, says that to improve diagnostic accuracy, it’s necessary to detect multiple proteins at once. What’s more, current technology can’t easily measure subtle changes in the low concentrations of these proteins found in patients’ blood. Such tests would require trained technicians and expensive equipment, such as spectrometers, that most clinics don’t have. Rusling and his colleagues, including J. Silvio Gutkind of the National Institutes of Health, wanted to develop a low-cost test doctors could easily use. The team built a device that can measure concentrations of multiple biomarker proteins at once through easy-to-read electrical signals. For each protein they want to detect, the scientists use two antibodies that each bind to a different part of the biomarker. One antibody decorates magnetic microbeads. The team also coats these microbeads [...]

A cancer vaccine is born

Source: www.rochester.edu Author: Corydon Ireland Room 3-5135 at the Medical Center looks like a hundred other cubbyholes of basic science. A gray metal door decorated with the obligatory cartoon leads into a space the size of a motel room. White lab coats drape on wire hangers. Plain shelves, a desk, and a computer surround a breast-high bench arrayed with instrumentation. The paint scheme: early dorm room. “The posters are to cover the holes in the walls,” jokes William Bonnez, an associate professor of medicine and a veteran researcher who says not much has changed inside the room in a quarter century. But this is no ordinary workspace, and some day it may merit a plaque. Here, starting more than two decades ago, Bonnez and University colleagues Richard Reichman, a professor of medicine, and Robert Rose ’94M (PhD), an associate professor of medicine, developed the key technology behind two vaccines that may eliminate cervical cancer, a disease that each year kills 250,000 women internationally, including 4,500 Americans. One vaccine using the Rochester technology is Gardasil, developed by pharmaceutical giant Merck, that’s expected to be on the market some time this year. Another candidate is Cervarix, developed by GlaxoSmithKline, that could be ready by 2008. Gardasil “is a phenomenal breakthrough,” Gloria A. Bachmann told Newsday last fall when results of the final trial for the vaccine were released. She’s director of the Women’s Health Institute at the Robert Wood Johnson Medical School in New Jersey and was not involved with the Rochester [...]

Cel-Sci to bump standard of care in head, neck cancer

Source: www.bioworld.com Author: Catherine Shaffer Cel-Sci Corp. began a carefully designed Phase III trial of Multikine, its investigational immunotherapy for head and neck cancer. Because Multikine is designed to recruit the support of a mostly healthy immune system, Cel-Sci is making a headlong charge at the goal of first-line therapy, instead of trying to develop the product in patients who have already received surgery, radiation and chemotherapy, and have suppressed or damaged immune systems as a result. If Cel-Sci can prove the therapy works in the narrow three-week testing window granted by the FDA, Multikine stands to replace a standard of care that has changed little in half a century. "It makes no sense to develop an immunotherapy product for late-stage patients. You should develop it as a first line therapy, ahead of radiation or chemotherapy," Cel-Sci CEO Geert Kersten told BioWorld Today. Vienna, Va.-based Cel-Sci's clinical trial plan takes advantage of a nearly inevitable delay of up to six weeks between diagnosis and surgery in most head and neck cancers. The FDA has allowed Cel-Sci a three-week period to give Multikine to patients before they commence with surgery, radiation, and chemotherapy. This will not deprive any patients of the best possible standard-of-care while they also try an experimental therapy. Head and neck cancer strikes about 500,000 people annually worldwide. Some causal factors include smoking, drinking and chewing tobacco. Most cases are diagnosed outside the U.S., and about two-thirds of patients appear with advanced disease. The standard treatment for it [...]

2010-12-30T16:16:36-07:00December, 2010|Oral Cancer News|

Comparing the HPV vaccines

Source: www.hemonctoday.com Author: Debbie Blamble, PharmD, BCOP HPVs are double-stranded DNA viruses that affect epithelial cells. More than 100 strains of HPV have been detected. Approximately 40 strains are known to infect genital mucosa, of which about 15 strains are known to cause cancer. HPV types 16 and 18 are the most common cancer-causing strains, leading to about 70% of all cervical cancer cases worldwide. HPV types 6 and 11 are associated with about 90% of all cases of genital warts. Cervical intraepithelial neoplasia is an abnormality of the cervical epithelium associated with HPV infection and is thought to be a precursor to cervical cancer. CIN is classified into three grades: 1, 2, 3. With CIN-1, mild dysplasia is present and affects only the lowest third of the cervical epithelium; 70% to 90% of CIN-1 lesions undergo spontaneous regression. CIN-2 and CIN-3 show moderate to severe dysplasia and affect the lowest two-thirds to full thickness of the cervical epithelium, respectively. More than half of CIN-2 and CIN-3 cases are estimated to persist or progress to squamous cell cancer. Persistent HPV infection may also lead to cervical adenocarcinoma in situ. In the United States, screening with the Pap test identifies these precancerous lesions and has led to a decrease in the rates of cervical cancer. These precancerous lesions may develop less than five years after HPV infection. HPV infection HPV infection is most frequently acquired through sexual contact. It is estimated that more than 80% of men and women in the [...]

Laser and nanoparticles blow up cancer cells

Source: news.softpedia.com/ Author: Tudor Vieru In a new approach to fighting cancer cells, or cells ridden by several other types of diseases as well, researchers managed to combine the powers of lasers and nanoparticles most efficiently. The method relies on using short bursts of laser light to produce small explosions from gold particles that have been placed inside the targeted cells beforehand. The blasts, which cause no ill-effects to surrounding cells, are highly capable of dismembering the cancerous ones, acting like a “jackhammer” on their targets, and pounding relentlessly, LiveScience reports. Basically, the active elements in this therapy are nanobubbles, which form as the gold particles are subjected to intense, but short, laser pulses. The science group, which is based at the Rice University, was able to determine that the intensity of the lasers could be tuned in two ways, resulting in two different results. The end result could be either clear, bright and small bubbles, that were harmless, or larger explosions that took place inside the cell, which dismembered it. “Single-cell targeting is one of the most touted advantages of nanomedicine, and our approach delivers on that promise with a localized effect inside an individual cell. The idea is to spot and treat unhealthy cells early, before a disease progresses to the point of making people extremely ill,” says RU physicist Dmitri Lapotko. He was also the author of a new study detailing the method, which appears online, in the January 25 issue of the respected scientific journal Nanotechnology. [...]

2010-02-07T09:35:35-07:00February, 2010|Oral Cancer News|

Doctors using mouthwash to detect head, neck cancer

Source: www.king5.com Author: Jean Enersen For a patient with head and neck cancer, the cure rate is only 30 percent. That's because the disease is often detected in the late stages. Now catching the cancer earlier may be as simple as gargling with mouthwash. Edie Acosta's niece and nephew gave her the courage to fight neck cancer. "They cut from here, all the way down here," she said. On her neck, the scar marks where a stage four tumor was removed. "It seemed bigger and bigger 'til it got to the size of a fist, a man's fist," she said. "And I couldn't even move my neck. You feel like a little bird whose wings got cut and you can't fly anymore. I just, I thought I was really gonna die." For patients like Edie, late stage diagnosis makes treating neck cancer more difficult. Now, researchers have developed a quick, inexpensive mouthwash to detect these cancers earlier. The patient rinses with the saline mouthwash. After they spit it out, doctors add antibodies. In about 48 hours, if there's cancer detected in the saliva, the molecules show up in color. "We've found that these molecules show up differently in the oral rinses from patients that have cancer compared to patients that don't have cancer," said Dr. Elizabeth Franzmann, otolaryngologist, Sylvester Cancer Center at the University of Miami. In a study that included 102 head and neck cancer patients and 69 patients with benign disease, the oral rinse detected the cancer nearly [...]

2009-12-25T11:07:06-07:00December, 2009|Oral Cancer News|

Risk factors and survival by HPV-16 E6 and E7 antibody status in human papillomavirus positive head and neck cancer

Source: Int J Cancer, October 28, 2009 Author: Elaine M Smith et al. High-risk human papillomavirus types (HPV-HR) are associated with head and neck cancer (HNC) risk and better survival. Most patients with HPV-HR DNA-positive tumors develop anti-HPV E6/E7 antibodies; however, it is unclear whether those who mount an immune response have similar risk factors or clinical outcomes as those who do not. HPV-16 DNA tumor-positive HNC cases were evaluated for HPV-16 E6 and E7 antibodies using a GST capture ELISA system. Among 57 HPV-16 DNA tumor-positive HNC cases, 67% were detected with HPV-16 E6 and/or E7 antibodies. Male gender (76% versus 42%, p=0.02), younger age (63% versus 16%, p=0.001) but not tobacco or alcohol were associated with E6 and/or E7 seropositivity. Seropositivity was associated more often with late stage (76%), poor grade (65%), positive nodes (82%). and in the oropharynx (82%), Median disease-specific and recurrence-free survival were longer in E6 and/or E7 seropositive compared to E6/E7-negative cases (2.2 years vs. 1.4 years, both outcomes), although results were not statistically significant. When examined jointly with p16 expression, E6 and/or E7-positive/p16-positive cases had better disease-specific (2.1 years vs. 1.1 years, p=0.06) and recurrence-free (2.3 years vs. 1.1 years, p=0.03) survival compared to E6-/E7-/p16- cases. These findings suggest there are two distinct HNC patient groups with HPV DNA-positive tumors, distinguishable by E6 and/or E7 antibody status. Differences in antibody status are associated with distinct risk factors and clinical outcomes. This information can be available as a simple blood test at initial presentation, [...]

2009-11-05T07:38:00-07:00November, 2009|Oral Cancer News|

Nanomagnet in “Star-Trek style” wand could cure cancer

Source: www.telegraph.co.uk Author: staff The space-age technology, which uses microscopic iron particles to heat up and destroy tumours, may be ready for clinical trials in as little as three years. Different teams of UK scientists have been working together on the research, which could bring new hope to patients who are no longer responding to standard therapy. In future the ''nanomagnet'' cancer treatment may even be administered in GP surgeries or out-patient clinics. Crucially, the scientists believe it will be highly cost-effective. The technique literally ''cooks'' cancer cells as if they were in a microwave oven. But instead of microwaves, a rapidly changing magnetic field is generated by the paddle-shaped ''wand''. This heats up thousands of iron oxide ''nanoparticles'' placed inside the tumours. Heating the cells by only 5-6C is enough to send them into shock and kill them. Meanwhile, surrounding healthy tissue in which the iron oxide particles are absent is left unharmed. A major part of the research has involved finding ways to target tumours with the nanoparticles. Two approaches have been explored, one using bone marrow stem cells and the other using antibodies to ferry the particles to cancer sites. A major advantage of using a biological version of ''iron filings'' in the therapy is that they can easily be tracked by a magnetic resonance imaging (MRI) scanner. Doctors will be able to map exactly where the nanoparticles - and the cancer - are situated in the body. The ''wand'' can then be held over the hidden [...]

Screening could lead to more potent cancer drugs

Source: nytimes.com Author: Nicholas Wade Researchers have discovered a way to identify drugs that can specifically attack and kill cancer stem cells, a finding that could lead to a new generation of anticancer medicines and a new strategy of treatment. Many researchers believe that tumor growth is driven by cancerous stem cells that, for reasons not understood, are highly resistant to standard treatments. Chemotherapy agents may kill off 99 percent of cells in a tumor, but the stem cells that remain can make the cancer recur, the theory holds, or spread to other tissues to cause new cancers. Stem cells, unlike mature cells, can constantly renew themselves and are thought to be the source of cancers when, through mutations in their DNA, they throw off their natural restraints. A practical test of this theory has been difficult because cancer stem cells are hard to recognize and have proved elusive targets. But a team at the Broad Institute, a Harvard-M.I.T. collaborative for genomics research, has devised a way of screening for drugs that attack cancer stem cells but leave ordinary cells unharmed. Cancer stem cells are hard to maintain in sufficient numbers, but the Broad Institute team devised a genetic manipulation to keep breast cancer stem cells trapped in the stem cell state. The team, led by Piyush B. Gupta, screened 16,000 chemicals, including all known chemotherapeutic agents approved by the Food and Drug Administration. The team reported in the Thursday issue of Cell that 32 of the chemicals selectively went [...]

Does Pretreatment Seropositivity to Human Papillomavirus Have Prognostic Significance for Head and Neck Cancers?

Source: Cancer Epidemiology Biomarkers & Prevention 17, 2087-2096, August 1, 2008 Authors: Elaine M. Smith et al. Background: Human papillomavirus (HPV) is a risk factor for head and neck cancers (HNC), yet HPV-associated tumors have better prognosis than HPV-negative tumors. Methods: We evaluated whether pretreatment presence of antibodies to HPV capsids [virus-like particles (VLP)] or to HPV-16 oncoproteins E6 and E7 was a predictor of HPV-positive HNC and clinical outcomes. Sera from 156 HNC patients were tested for antibodies to HPV-16–derived antigens using ELISA. HPV-16 in tumors was evaluated by PCR and DNA sequencing. Results: HPV-16 antibodies were found in 33% with HPV-16 VLP, 21% with HPV-16 E6, and 21% with E7. HPV-16 was detected in 26% of tumors. There was a strong correlation between detection of HPV-16 tumor DNA and antibodies to HPV-16 E6 or E7 ( = 0.7) but not to HPV-16 VLP ( = 0.4). Multivariate analyses showed significantly better disease-specific survival in seropositive HPV-16 VLP [hazard ratio (HR), 0.4; 95% confidence interval (95% CI), 0.1-0.9], HPV-16 E6 (HR, 0.1; 95% CI, 0.02-0.5), and HPV-16 E7 (HR, 0.3; 95% CI, 0.1-0.9) cases. Less disease recurrence occurred among those with antibodies to both E6 and E7 compared with those negative to both (P = 0.003). There was better disease-specific survival in patients who were E6 positive at baseline and remained positive at follow-up compared with individuals who were E6 negative at both time points (P = 0.03; = 0.9). Conclusions: The presence of antibodies to HPV-16 E6 and [...]

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