biomarkers – Page 3 – Oral Cancer News

Beaumont Researchers: biomarkers predict effectiveness of radiation treatments for head and neck cancer

Source: www.healthcanal.com Author: staff An international team of researchers, led by Beaumont Health System’s Jan Akervall, M.D., Ph.D., looked at biomarkers to determine the effectiveness of radiation treatments for patients with squamous cell cancer of the head and neck. They identified two markers that were good at predicting a patient’s resistance to radiation therapy. Their findings were published in the February issue of the European Journal of Cancer. Explains Dr. Akervall, co-director, Head and Neck Cancer Multidisciplinary Clinic, Beaumont Hospital, Royal Oak, and clinical director of Beaumont’s BioBank, “Radiation therapy is a common treatment for people with squamous cell cancer of the head and neck. However, it’s not always well-tolerated. It can take two months, resulting in lots of side effects. Some of these complications are permanent. Before my patient goes down that path, I really want to know if their tumors are going to respond to radiation. That’s where the patient’s biomarkers can shed some light. If not, we can look at other treatment options - saving time, possible risk for complications and expense.” A biomarker is a gene or a set of genes or its products, RNA and proteins, that researchers use to predict a key clinical issue such as diagnosis, prognosis, and response to treatment, choice of treatment or recurrence. Biomarker studies can provide a bridge between emerging molecular information and clinical treatment. Biomarkers may also lead to personalized treatment, in contrast to protocol-based medicine of today. “Personalized treatment decisions based on biomarkers go beyond traditional cancer [...]

Oral Cancer Foundation News Team - A2014-03-30T10:18:00-07:00March, 2014|Oral Cancer News|

Changes in circulating microRNAs after radiochemotherapy in head and neck cancer patients

Source: 7thspace.com Author: staff Introduction: Circulating microRNAs (miRNAs) are easily accessible and have already proven to be useful as prognostic markers in cancer patients. However, their origin and function in the circulation is still under discussion. In the present study we analyzed changes in the miRNAs in blood plasma of head and neck squamous cell carcinoma (HNSCC) patients in response to radiochemotherapy and compared them to the changes in a cell culture model of primary HNSCC cells undergoing simulated anti-cancer therapy.Materials and methods: MiRNA-profiles were analyzed by qRT-PCR arrays in paired blood plasma samples of HNSCC patients before therapy and after two days of treatment. Candidate miRNAs were validated by single qRT-PCR assays. An in vitro radiochemotherapy model using primary HNSCC cell cultures was established to test the possible tumor origin of the circulating miRNAs. Microarray analysis was performed on primary HNSCC cell cultures followed by validation of deregulated miRNAs via qRT-PCR. Results: Unsupervised clustering of the expression profiles using the six most regulated miRNAs (miR-425-5p, miR-21-5p, miR-106b-5p, miR-590-5p, miR-574-3p, miR-885-3p) significantly (p = 0.012) separated plasma samples collected prior to treatment from plasma samples collected after two days of radiochemotherapy. MiRNA profiling of primary HNSCC cell cultures treated in vitro with radiochemotherapy revealed differentially expressed miRNAs that were also observed to be therapy-responsive in blood plasma of the patients (miR-425-5p, miR-21-5p, miR-106b-5p, miR-93-5p) and are therefore likely to stem from the tumor. Of these candidate marker miRNAs we were able to validate by qRT-PCR a deregulation of eight plasma [...]

Oral Cancer Foundation News Team - A2013-12-30T06:35:28-07:00December, 2013|Oral Cancer News|

DNA alone inadequate to identify HPV-related cancers

Source: www.oncologypractice.com Author: Mary Ann Moon Testing for the presence of human papillomavirus DNA alone, especially using polymerase chain reaction methods, is not adequate to identify which head and neck squamous cell carcinomas are caused by the virus, according to two studies published online Sept. 18 in Cancer Research. Identifying HPV-driven malignancies is important because they respond better to treatment and have better outcomes than those unrelated to HPV infection. Indeed, treatment of head and neck squamous cell carcinoma (HNSCC) may soon be guided by the tumor’s HPV status, since trials are now underway to determine whether de-escalation of chemo- and radiotherapy is safe and effective in such patients. At present, however, the biomarkers that are best suited to making this identification are unclear. Case Series Assesses Biomarkers In the first study, researchers assessed the usefulness of four biomarkers in determining which HNSCCs in a case series were driven by HPV. They began by examining fresh-frozen tumor biopsy samples from 199 German adults diagnosed as having oropharyngeal squamous cell cancer between 1990 and 2008. The four biomarkers were HPV-16 viral load, viral oncogene RNA (E6 and E7), p16INK4a, and RNA patterns similar to those characteristic of cervical carcinomas (CxCa RNA), said Dr. Dana Holzinger of the German Cancer Research Center at Heidelberg (Germany) University and her associates. The simple presence of HPV DNA in a tumor sample was found to be a poor indicator of prognosis, likely because it often signaled past HPV infections or recent oral exposure, rather than [...]

Oral Cancer Foundation News Team - A2012-09-24T13:36:21-07:00September, 2012|Oral Cancer News|

Rating HPV biomarkers in head, neck cancers

Source: www.sciencecodex.com Not all head and neck cancers are created equal. Those started by infection with the human papillomavirus are less often fatal than those with other causes, such as smoking. Detection of a reliable fingerprint for HPV could help patients avoid unnecessarily harsh treatment. A new study finds that while one popular biomarker for HPV is not a reliable predictor of mortality from the cancers alone, combinations of some biomarkers showed much more promise. "Everybody who has studied it has shown that people with virally associated disease do better," said Karl Kelsey, aprofessor of epidemiology and pathology and laboratory medicine at Brown University, and corresponding author of the study in Cancer Research. "There are now clinical trials underway to determine if they should be treated differently. The problem is that you need to appropriately diagnose virally related disease, and our data suggests that people need to take a close look at that." In the study, Kelsey and his multi-institutional team of co-authors measured the ability of a variety of biomarkers to predict mortality from head and neck squamous cell carcinoma (HNSCC). Their data came from hundreds of adult head and neck cancer patients in the Boston area that they have been tracking since late 1999. As part of that data set, they were able to look at blood serology and tumor tissue samples, and they interviewed participants about risk behaviors such as smoking and drinking. DNA alone not reliable One of the most important findings of the study, Kelsey [...]

Oral Cancer Foundation News Team - A2012-09-18T13:41:39-07:00September, 2012|Oral Cancer News|

Biosciences aims to lower oral cancer mortality with simple screening test

Source: www.proactiveinvestors.com Author: Amanda Brandon Vigilant Biosciences is a privately held medical technology company based in Norcross, Georgia focused on improving healthcare products to improve patient care. Their most recent research efforts center on early oral cancer detection. In the United States, approximately 37,000 people will be diagnosed with oral cancer this year and its most common risk factor is exposure to the human papillomavirus (HPV). Nearly 40 percent of oral cancer patients will die within five years of diagnosis. The high mortality rate for oral cancer is due to late discovery of the malignancy. In its early stages, the disease can either present no symptoms or the symptoms are often mistaken for other conditions. VigilantBIO is currently trialing an easy-to-use, low-cost and noninvasive oral cancer screening product which tests the saliva (a very desirable biofluid). The patient and practitioners (e.g. dentists, hygienists, periodontists) benefit from the simplicity of the test – no venipuncture means higher test participation and no specialized staff is required to perform the test. In the oral clinical setting, this is ideal because it does not interfere with chair turnover ratio. In addition, test results can be delivered at the point of care. When oral cancer is detected early, patients experience an 80-90 percent survival rate. Combined with the lowered treatment cost (an estimated 36 percent) and easy-to-implement product for oral care practitioners, the early detection product appears to be a winner for all involved. With two clinical trials in process at the University of Miami, [...]

Oral Cancer Foundation News Team - A2011-12-22T15:21:40-07:00December, 2011|Oral Cancer News|

A spitting image of health

Source: http://www.sciencenews.org Author: Susan Galdos Rinse and spit. Someday soon, doctors may join dentists in issuing these simple instructions. And before leaving the office, you might know whether you’re at risk for oral cancer. Additional tests on that same ptui may reveal whether you show signs of certain other cancers or diseases such as diabetes and Alzheimer’s. Saliva — the frothy fluid that helps clean the mouth, digest food and fight tooth decay — carries many of the same proteins and other molecules found in blood and urine. Scientists have long been interested in mining a person’s mix of these compounds for clues to diagnosing diseases. Three years ago, these efforts got a boost when researchers completed a preliminary master list of the proteins found in spit — 1,166 of them. Since then, scientists have nearly doubled the length of the protein list, while identifying changes in the salivary protein profile that are linked to disease. Other labs are delving into genetic material found in human saliva, looking for variations in gene activity that might signal disease risk. Already, studies show that diseases such as breast cancer, type 2 diabetes and Alzheimer’s leave specific and identifiable signatures in saliva. Such biomarkers have also been found for Sjögren syndrome, an autoimmune condition that affects production of tears and saliva. And proteins known to be related to heart activity, including a handful whose levels are elevated during a heart attack, have also shown up in spittle. Such findings — combined with the [...]

Oral Cancer Foundation News Team - A2011-11-06T10:34:31-07:00November, 2011|Oral Cancer News|

Detection of squamous cell carcinoma and corresponding biomarkers using optical spectroscopy

Source: oto.sagepub.com Author: H. Wolfgang Beumer, MD et al. Objectives: Investigate the use of optical reflectance spectroscopy to differentiate malignant and nonmalignant tissues in head and neck lesions and characterize corresponding oxygen tissue biomarkers that are associated with pathologic diagnosis. Study Design: Cross-sectional study. Setting: Tertiary Veterans Administration Medical Center. Subjects and Methods: All patients undergoing panendoscopy with biopsy for suspected head and neck cancer were eligible. Prior to taking tissue samples, the optical probe was placed at 3 locations to collect diffuse reflectance data. These locations were labeled “tumor,” “immediately adjacent,” and “distant normal tissue.” Biopsies were taken of each of these respective sites. The diffuse reflectance spectra were analyzed, and biomarker-specific absorption data were extracted using an inverse Monte Carlo algorithm for malignant and nonmalignant tissues. Histopathological analysis was performed and used as the gold standard to analyze the optical biomarker data. Results: Twenty-one patients with mucosal squamous cell carcinoma of the head and neck were identified and selected to participate in the study. Statistically significant differences in oxygen saturation (P = .001) and oxygenated hemoglobin (P = .019) were identified between malignant and nonmalignant tissues. Conclusion: This study established proof of principle that optical spectroscopy can be used in the head and neck areas to detect malignant tissue. Furthermore, tissue biomarkers were correlated with a diagnosis of malignancy. Authors: 1. H. Wolfgang Beumer, MD1 2. Karthik Vishwanath, PhD2 3. Liana Puscas, MD1,3 4. Hamid R. Afshari, DDS5 5. Nimmi Ramanujam, PhD2 6. Walter T. Lee, MD1,3 Authors' [...]

Oral Cancer Foundation News Team - A2011-01-29T11:07:44-07:00January, 2011|Oral Cancer News|

Cost of cancer in the United States to go up, up, up

Source: www.medscape.com Author: Nick Mulcahy Because of the growth in the number of older Americans, there will be 18.1 million cancer survivors by 2020 in the United States — 4.3 million more than in 2010. And the associated costs of cancer care will be $157.77 billion — $33.20 billion more than in 2010, according to a new study published online January 12 in the Journal of the National Cancer Institute. However, these long-term cost projections assume that the incidence, survival, and annual costs remain the same, note the study authors, led by Angela Mariotto, PhD, from the National Cancer Institute. Dr. Mariotto and her colleagues also crunched the numbers in the event of an annual increase in costs. They estimate that the cost of care might increase annually by 2% in the initial and last-year-of-life phases of care. If such increases happen, then the total cost in 2020 is projected to be $173 billion, a 39% increase from 2010. These are conservative numbers, even with the 2% increase in annual costs, said a healthcare policy expert not involved in the study. The projected 2% annual cost increase should be considered a "lower bound or minimum estimate," Gary Lyman, MD, MPH, told Medscape Medical News. He is a senior fellow at the Duke Center for Clinical Health Policy Research in Durham, North Carolina. "The true increase in the cost of cancer to patients, families, and society is likely to be considerably greater over this period." The study's scenarios seem unlikely because [...]

Oral Cancer Foundation News Team - A2011-01-14T14:46:23-07:00January, 2011|Oral Cancer News|

SIBLING proteins may predict oral cancer

Source: www.sciencedaily.com Author: Medical College of Georgia The presence of certain proteins in premalignant oral lesions may predict oral cancer development, Medical College of Georgia researchers said. SIBLINGs, or Small Integrin-Binding Ligand N-linked Glycoproteins, are a family of five proteins that help mineralize bone but can also spread cancer. SIBLINGs have been found in cancers including breast, lung, colon and prostate. "Several years ago we discovered that three SIBLINGs -- osteopontin, bone sialoprotein and dentin sialophosphoprotein -- were expressed at significantly high levels in oral cancers," said Dr. Kalu Ogbureke, an oral and maxillofacial pathologist in the MCG School of Dentistry. "Following that discovery, we began to research the potential role of SIBLINGs in oral lesions before they become invasive cancers." The study, published online in the journal Cancer, examined 60 archived surgical biopsies of precancerous lesions sent to MCG for diagnosis and the patients' subsequent health information. Eighty-seven percent of the biopsies were positive for at least one SIBLING protein -- which the researchers discovered can be good or bad, depending on the protein. For instance, they found that the protein, dentin sialophosphoprotein, increases oral cancer risk fourfold, while bone sialoprotein significantly decreases the risk. "The proteins could be used as biomarkers to predict [the potential of a lesion to become cancerous]," said Dr. Ogbureke, the study's lead author. "That is very significant, because we would then be in a position to modify treatment for the individual patient's need in the near future." Precancerous oral lesions, which can develop [...]

Oral Cancer Foundation News Team - A2010-09-21T12:49:42-07:00September, 2010|Oral Cancer News|

Nano-bio-chip checks for oral cancer

Source: www.nanotech-now.com Author: press release The gentle touch of a brush on the tongue or cheek can help detect oral cancer with success rates comparable to more invasive techniques like biopsies, according to preliminary studies by researchers at Rice University, the University of Texas Health Science Centers at Houston and San Antonio and the University of Texas M.D. Anderson Cancer Center. A new test that uses Rice's diagnostic nano-bio-chip was found to be 97 percent "sensitive" and 93 percent specific in detecting which patients had malignant or premalignant lesions, results that compared well with traditional tests. The results of this study, which was led by John McDevitt, were published in the journal Cancer Prevention Research. Oral cancer afflicts more than 300,000 people a year, including 35,000 in the United States alone. The five-year survival rate is 60 percent, but if oral cancer is detected early, that rate rises to 90 percent. "One of the key discoveries in this paper is to show that the miniaturized, noninvasive approach produces about the same result as the pathologists do," said Dr. McDevitt, whose group developed the novel nano-bio-chip technology. Dr. McDevitt and his team are working to create an inexpensive chip that can differentiate premalignant lesions from the 95 percent of lesions that will not become cancerous. The minimally invasive technique would deliver results in 15 minutes instead of several days, as lab-based diagnostics do now. Instead of an invasive, painful biopsy, the new procedure requires just a light brush of the lesion [...]

Oral Cancer Foundation News Team - A2010-05-23T16:01:08-07:00May, 2010|Oral Cancer News|