Tumor cell-specific bioluminescence platform to identify stroma-induced changes to anticancer drug activity.

Related Articles

Tumor cell-specific bioluminescence platform to identify stroma-induced changes to anticancer drug activity.

Nat Med. 2010 Mar 14;

Authors: McMillin DW, Delmore J, Weisberg E, Negri JM, Geer DC, Klippel S, Mitsiades N, Schlossman RL, Munshi NC, Kung AL, Griffin JD, Richardson PG, Anderson KC, Mitsiades CS

Conventional anticancer drug screening is typically performed in the absence of accessory cells of the tumor microenvironment, which can profoundly alter antitumor drug activity. To address this limitation, we developed the tumor cell-specific in vitro bioluminescence imaging (CS-BLI) assay. Tumor cells (for example, myeloma, leukemia and solid tumors) stably expressing luciferase are cultured with nonmalignant accessory cells (for example, stromal cells) for selective quantification of tumor cell viability, in presence versus absence of stromal cells or drug treatment. CS-BLI is high-throughput scalable and identifies stroma-induced chemoresistance in diverse malignancies, including imatinib resistance in leukemic cells. A stroma-induced signature in tumor cells correlates with adverse clinical prognosis and includes signatures for activated Akt, Ras, NF-kappaB, HIF-1alpha, myc, hTERT and IRF4; for biological aggressiveness; and for self-renewal. Unlike conventional screening, CS-BLI can also identify agents with increased activity against tumor cells interacting with stroma. One such compound, reversine, shows more potent activity in an orthotopic model of diffuse myeloma bone lesions than in conventional subcutaneous xenografts. Use of CS-BLI, therefore, enables refined screening of candidate anticancer agents to enrich preclinical pipelines with potential therapeutics that overcome stroma-mediated drug resistance and can act in a synthetic lethal manner in the context of tumor-stroma interactions.

PMID: 20228816 [PubMed - as supplied by publisher]

[...]

HIV-1 replication and immune dynamics are affected by raltegravir intensification of HAART-suppressed subjects.

Related Articles

HIV-1 replication and immune dynamics are affected by raltegravir intensification of HAART-suppressed subjects.

Nat Med. 2010 Mar 14;

Authors: J Buzón M, Massanella M, Llibre JM, Esteve A, Dahl V, Puertas MC, Gatell JM, Domingo P, Paredes R, Sharkey M, Palmer S, Stevenson M, Clotet B, Blanco J, Martinez-Picado J

Highly active antiretroviral therapy (HAART) results in potent and durable suppression of HIV-1 viremia. However, HIV-1 replication resumes if therapy is interrupted. Although it is generally believed that active replication has been halted in individuals on HAART, immune activation and inflammation continue at abnormal levels, suggesting continued, low-level viral replication. To assess whether active replication might be driving immune activation in HAART, we examined the impact of treatment intensification with the integrase inhibitor raltegravir on viral complementary DNA and immune activation parameters. In the presence of raltegravir, linear HIV-1 cDNA is prevented from integrating into chromatin and is subsequently converted to episomal cDNAs. Raltegravir intensification of a three-drug suppressive HAART regimen resulted in a specific and transient increase in episomal DNAs in a large percentage of HAART-suppressed subjects. Furthermore, in subjects with these episomal DNAs, immune activation was higher at baseline and was subsequently normalized after raltegravir intensification. These results suggest that, despite suppressive HAART, active replication persists in some infected individuals and drives immune activation. The ability of raltegravir intensification to perturb the reservoir that supports active replication has implications for therapeutic strategies aimed at achieving viral eradication.

PMID: 20228817 [PubMed - as supplied by publisher]

[...]



Peering into review.

Related Articles

Peering into review.

Nat Med. 2010 Mar;16(3):239

Authors:

PMID: 20208482 [PubMed - in process]

[...]

FDA initiative may crack wall of secrecy.

Related Articles

FDA initiative may crack wall of secrecy.

Nat Med. 2010 Mar;16(3):244

Authors: Schubert C

PMID: 20208488 [PubMed - in process]

[...]

Vaccine funds will save lives.

Related Articles

Vaccine funds will save lives.

Nat Med. 2010 Mar;16(3):243

Authors: Willyard C

PMID: 20208487 [PubMed - in process]

[...]



Pharma spends big to buy influence.

Related Articles

Pharma spends big to buy influence.

Nat Med. 2010 Mar;16(3):243

Authors:

PMID: 20208486 [PubMed - in process]

[...]

Obama’s budget boosts biomedicine.

Related Articles

Obama’s budget boosts biomedicine.

Nat Med. 2010 Mar;16(3):243

Authors:

PMID: 20208485 [PubMed - in process]

[...]

In Haiti, collapsed AIDS clinics fret over new challenges.

Related Articles

In Haiti, collapsed AIDS clinics fret over new challenges.

Nat Med. 2010 Mar;16(3):242

Authors: Dolgin E

PMID: 20208484 [PubMed - in process]

[...]

Rare opportunities appear on the horizon to treat rare diseases.

Related Articles

Rare opportunities appear on the horizon to treat rare diseases.

Nat Med. 2010 Mar;16(3):241

Authors: Torres C

PMID: 20208483 [PubMed - in process]

[...]

Patent disputes could trip up genome wide scans for disease.

Related Articles

Patent disputes could trip up genome wide scans for disease.

Nat Med. 2010 Mar;16(3):245

Authors: Borrell B

PMID: 20208490 [PubMed - in process]

[...]