Nonhomologous end joining is essential for cellular resistance to the novel antitumor agent, beta-lapachone

New treatment options for advanced pancreatic cancer

Pancreatic cancer has a very high mortality rate and affects approximately 230,000 individuals worldwide. Gemcitabine has become established as the standard therapy for advanced pancreatic cancer; however, the survival advantage is small. Adjuvant chemotherapy using either 5-fluorouracil or gemcitabine is now established in pancreatic cancer as an alternative therapy. Combinations of gemcitabine with either platin agents or capecitabine may be advantageous. Anti-EGFR and anti-VEGF agents have been unsuccessful but multiple tyrosine kinase inhibitors are under investigation. Of the increasing number of immunological agents, the GV1001 antitelomerase vaccine holds some interest. Targeted agents against important mitogenic pathways, including MEK/ERK, Src, PI3K/Akt, mTOR, Hedgehog and NF-kappaB, as well as agents targeting histone deacetylase, poly(ADP-ribose) polymerase, heat shock protein 90 and other agents such as beta-lapachone, hold considerable interest for further development. However, the probability of individual success is low.

Natural products to drugs: natural product-derived compounds in clinical trials

Natural product and natural product-derived compounds that are being evaluated in clinical trials or are in registration (as at 31st December 2007) have been reviewed, as well as natural product-derived compounds for which clinical trials have been halted or discontinued since 2005. Also discussed are natural product-derived drugs launched since 2005, new natural product templates and late-stage development candidates.

Over-expression of DNA-PKcs in hepatocarcinoma tissues and the antiproliferative effect mediated by down-regulating its expression with siRNA

AIM: To characterize the difference in DNA-dependent protein kinase catalytic subunit (DNA-PKcs) expression between hepatocarcinoma tissues and non-tumor liver tissues, and to understand the biological significance of the altered expression of DNA-PKcs in cancer cells.

METHODS: DNA-PKcs expression was examined in 86 specimens of hepatocarcinoma and hepatic cholangiocarcinoma by immunohistochemistry analysis on tissue-arrays and ordinary pathological tissue slices. DNA-PKcs protein was detected in culture cells by Western blotting analysis. The siRNA was used to silence DNA-PKcs expression in HepG2 cells. Cell proliferation was evaluated by growth curve analysis, and radiosensitivity was tested using a colony-forming ability assay.

RESULTS: Tissue-array analysis showed that the proportions of cases with a DNA-PKcs expression level of < 25% (very low), 25%-50% (low), 51%-75% (medium) and > 75% (high) were 15%, 20%, 23.3% and 41.7%, respectively, among the 60 hepatocarcinoma tissue specimens. The proportions of the 64 normal liver tissues showing these DNA-PKcs expression levels were 68.7%, 10.9%, 12.6% and 7.8%, respectively. This result indicated that DNA-PKcs expression in cancer tissues was significantly higher than that in normal tissues (P = 0.0008). Immunohistochemistry analysis of ordinary pathological tissue slices also showed that DNA-PKcs levels in the hepatocarcinoma and hepatic cholangiocarcinoma tissues (total 26 specimens) were higher than those in the non-tumor liver tissues (P = 0.001). Moreover, the cultured human liver cancer cell lines HepG2, 7721 and 7402 also exhibited much higher levels of DNA-PKcs than normal liver LO2 cells. Silencing of DNA-PKcs mediated by siRNA resulted in not only an increased sensitivity of HepG2 cells to ionizing radiation, but also decreased proliferation HepG2 cells. We further demonstrated that the expression of c-Myc oncoprotein was also depressed following the down-regulation of DNA-PKcs.

CONCLUSION: DNA-PKcs is overexpressed in hepatocarcinoma tissues as well as cultured liver cancer cells. Targeting DNA-PKcs is an anticancer strategy acting through at least two mechanisms: directly decreasing the proliferation of cancer cells via, at least, depressing c-Myc oncoprotein; and sensitizing cancer cells to radiotherapy or chemotherapy with DNA-damaging agents.