Blocking of The Prostaglandin E2 Receptor as a Therapeutic Strategy for Treatment of Breast Cancer: Promising Findings in a Mouse Model

OBJECTIVE

The study aimed to investigate the anticancer effect of E-prostanoid receptor 1 (EP1) antagonist, SC19220, alone or in combination with the COX-2 inhibitor Celecoxob(CXB)® in mice bearing solid Ehrlich carcinoma (SEC).

METHODS

The tumors were induced in 40 female mice, which were divided randomly into four equal groups (n= 10 in each group): Tumor control, CXB, EP1 antagonist, and co-treatment. CXB (10mg/kg) and EP1 antagonist (2mg/kg) were given intraperitoneally every three days, six times in total, then tissue was extracted and prepared for histopathology and measurement of weight, PGE2, and gene expression of EP1 and β 1 integrin.

RESULTS

Both inhibitors, alone or in combination, showed a significant (p<0.001) antitumorigenic effect by decreasing, significantly (p<0.001), each of the tumor weights, tumor volumes, PGE2 levels, EP1 and β1-integrin gene expression along with increasing, significantly (p<0.001), the P53 tumor suppressor protein. The survival rate was improved from 80% in the control group to reach 100% in the treated groups. The co-treatment by CXB and EP1 antagonist showed a marked decrease in tumor weights and volumes as compared with the single treatment. In parallel, the histopathological findings showed enhanced apoptosis and diminished necrosis in the co-treated group.

CONCLUSION

EP1 antagonist proved an antitumorigenic effect alone or combined with CXB and could play a new therapeutic strategy against breast cancer.

Inhibition of PKC/MEK pathway suppresses β1-integrin and mitigates breast cancer cells proliferation

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PGE2 enhanced β1- integrin expression via EP1 receptor, PKC, MEK and NfҡB.

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FOXC2, E2F1 and survivin play a role in PGE2 mediated effect in MCF7 cells.

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PGE2 enhances breast cancer cell cycle through E2F1, FOXC2, survivin and β integrin.

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Biochemical mediators of PKC/MEK pathway could be considered as targets for breast cancer treatment.

Prostaglandin E2 (PGE2) and β1-integrin have been correlated with breast cancer, where both could enhance progression and metastasis. Protein kinase C (PKC) and MEK have played a vital role in breast cancer development. Our study was conducted to elucidate the effect of inhibition of E-prostanoid receptor 1 (EP1)/ PKC/ MEK/ β1-integrin pathway in mitigating breast cancer progression and to evaluate the role of the intermediate signals FOXC2, E2F1, NF-ҡB and survivin. MCF7 cells were treated with 17 -PT-PGE2, an EP1 agonist, for 24 h, and β1-integrin was measured. To MCF7 cells treated with 17-PT-PGE2, inhibitors of either EP1, MEK, PKC or NF-ҡB were added followed by measurement of β1-integrin gene expression and cell proliferation in each case. Addition of 17- PT-PGE2 to MCF7 cells showed enhancement of both cell proliferation, and cell cycle transition from G1 to S phase. In addition, activation of EP1 receptor increased β1-integrin expression. On the contrary, inhibition of EP1 receptor showed a decrease in the cell proliferation, β1-integrin expression and cells transition to S phase, but increased cell count in apoptotic phase. Selective inhibition of each of MEK, PKC, and NF-ҡB suppressed 17 -PT-PGE2-mediated β1-integrin expression as well as cell proliferation. Furthermore, FOXC2, phosphorylated NF-ҡB, E2F1, and survivin levels were upregulated with 17- PT-PGE2 and suppressed by MEK, PKC and NF-ҡB inhibitors. Targeting the biochemical mediators of PKC/MEK pathway may be of value in developing new chemical entities for cancer treatment.

Modeling approaches of competitive sorption and transport of trace metals and metalloids in soils: a review

Competition among various heavy metal species for available adsorption sites on soil matrix surfaces can enhance the mobility of contaminants in the soil environment. Accurate predictions of the fate and behavior of heavy metals in soils and geologic media requires the understanding of the underlying competitive-sorption and transport processes. In this review, we present equilibrium and kinetic models for competitive heavy metal sorption and transport in soils. Several examples are summarized to illustrate the impact of competing ions on the reactivities and mobility of heavy metals in the soil-water environment. We demonstrate that equilibrium Freundlich approaches can be extended to account for competitive sorption of cations and anions with the incorporation of competition coefficients associated with each reaction. Furthermore, retention models of the multiple-reaction type including the two-site nonlinear equilibrium-kinetic models and the concurrent- and consecutive-multireaction models were modified to describe commonly observed time-dependent behaviors of heavy metals in soils. We also show that equilibrium Langmuir and kinetic second-order models can be extended to simulate the competitive sorption and transport in soils, although the use of such models is limited due to their simplifying assumptions. A major drawback of the empirically based Freundlich and Langmuir approaches is that their associated parameters are specific for each soil. Alternatively, geochemical models that are based on ion-exchange and surface-complexation concepts are capable of quantifying the competitive behavior of several chemical species under a wide range of environmental conditions. Such geochemical models, however, are incapable of describing the time-dependent sorption behavior of heavy metal ions in competitive systems. Further research is needed to develop a general-purpose model based on physical and chemical mechanisms governing competitive sorption in soils.

Heavy metal contaminations in a soil-rice system: identification of spatial dependence in relation to soil properties of paddy fields

In order to identify spatial relationship of heavy metals in soil-rice system at a regional scale, 96 pairs of rice and soil samples were collected from Wenling in Zhejiang province, China, which is one of the well-known electronic and electric waste recycling centers. The results indicated some studied areas had potential contaminations by heavy metals, especially by Cd. The spatial distribution of Cd, Cu, Pb and Zn illustrated that the highest concentrations were located in the northwest areas and the accumulation of these metals may be due to the industrialization, agricultural chemicals and other human activities. In contrast, the concentration of Ni decreased from east to west and the mean concentration was below the background value, indicating the distribution of Ni may be naturally controlled. Enrichment index (EI) was used to describe the availability of soil heavy metals to rice. The spatial distribution of EIs for Cd, Ni and Zn exhibited a west-east structure, which was similar with the spatial structures of pH, OM, sand and clay. Cross-correlograms further quantitatively illustrated the EIs were significantly correlated with most soil properties, among which; soil pH and OM had the strongest correlations with EIs. However, EI of Cu showed relative weak correlations with soil properties, especially soil pH and OM had no correlations with EI of Cu, indicating the availability of Cu may be influenced by other factors.

Reactivity of nickel in soils: evidence of retention kinetics

The bioavailability and mobility of nickel (Ni) is highly dependent on the mechanisms associated with Ni adsorption-desorption and its kinetics in soils. To examine the characteristics of Ni retention and release, kinetic sorption batch experiments were performed on three soils having different properties, followed by Ni desorption using successive dilutions. Sorption of Ni by all soils was highly nonlinear and strongly kinetic, where the rate of Ni retention was rapid initially and was followed by gradual or somewhat slow retention behavior with increasing reaction time. Desorption of Ni was strongly irreversible and hysteretic in nature, indicating lack of equilibrium retention and/or irreversible or slowly reversible processes. A sequential extraction procedure provided evidence that a significant amount of Ni was irreversibly adsorbed on all soils. A nonlinear multireaction model with equilibrium-kinetic-irreversible reaction sites successfully described the retention (adsorption) and subsequent release of Ni on the different soils. The model was also capable of predicting Ni desorption kinetics based on adsorption data sets only.

Mercury adsorption-desorption and transport in soils

Kinetic sorption and column miscible displacement transport experiments were performed to quantify the extent of retention/release and the mobility of mercury in different soils. Results indicated that adsorption of mercury was rapid and highly nonlinear with sorption capacities having the following sequence: Sharkey clay > Olivier loam > Windsor sand. Mercury adsorption by all soils was strongly irreversible where the amounts released or desorbed were often less than 1% of that applied. Moreover, the removal of soil organic matter resulted in a decrease of mercury adsorption in all soils. Adsorption was described with limited success using a nonlinear (Freundlich) model. Results from the transport experiments indicated that the mobility of mercury was highly retarded, with extremely low concentrations of mercury in column effluents. Furthermore, mercury breakthrough curves exhibited erratic patterns with ill-distinguished peaks. Therefore, mercury is best regarded as strongly retained and highly "immobile" in the soils investigated. This is most likely due to highly stable complex formation (irreversible forms) and strong binding to high-affinity sites. In a column packed with reference sand material, a symmetric breakthrough curve was obtained where the recovery of mercury in the leachate was only 17.3% of that applied. Mercury retention by the reference sand was likely due to adsorption by quartz and metal-oxides.

Colloid mobilization and arsenite transport in soil columns: effect of ionic strength

Colloid generation and transport in soils is of significance because of suspected colloid-facilitated transport of contaminants to the groundwater. In this study, colloid mobilization and its effect on the transport of arsenite [As(III)] were investigated in Olivier (fine-silty, mixed, active, thermic Aquic Fraglossudalfs) and Windsor (mixed, mesic typic Udipsamments) soil columns. Input solution of 10 mg L(-1) As(III) in 0.01 M NaCl was applied to water-saturated columns, and followed by leaching with deionized water (DIW). Flow interruptions were performed during the As(III) input and DIW leaching phases. Turbidity, electrical conductivity (EC), and pH of column effluents were monitored with time. Total and dissolved concentrations of As, Fe, and Al were analyzed. Effluent results demonstrated that colloid-facilitated transport contributed little to arsenic movement when the solution ionic strength was maintained constant. Mobilization of colloidal amorphous material and enhanced transport of As(III) were observed as a result of changes in ionic strength of the input solution. The peak of colloid generation coincided with peak concentrations of Fe, suggesting mobilization of Fe oxides and facilitated transport of As(III) adsorbed on oxide surfaces. Colloid mobilization was enhanced due to flow interruption in the Olivier column, which suggests slow dissociation of aggregated colloidal particles. Moreover, effluent results indicate significant effect of organic matter in stabilizing aggregates of colloidal particles.

Kinetics of arsenate adsorption-desorption in soils

Adsorption-desorption of arsenic is the primary factor that impacts the bioavailability and mobility of arsenic in soils. To examine the characteristics of arsenate [As(V)] adsorption-desorption, kinetic batch experiments were carried out on three soils having different properties, followed by arsenic release using successive dilutions. Adsorption of As(V) was highly nonlinear, with a Freundlich reaction order N much less than 1 for Olivier loam, Sharkey clay, and Windsor sand. Adsorption of arsenate by all soils was strongly kinetic, where the rate of As(V) retention was rapid initially and was followed by gradual or somewhat slow retention behavior with increasing reaction time. Freundlich distribution coefficients and Langmuir adsorption maxima exhibited continued increase with reaction time for all soils. Desorption of As(V) was hysteretic in nature and is an indication of lack of equilibrium retention and/or irreversible or slowly reversible processes. A sequential extraction procedure provided evidence that a significant amount of As(V) was irreversibly adsorbed on all soils. A multireaction model (MRM) with nonlinear equilibrium and kinetic sorption successfully described the adsorption kinetics of As(V) for Olivier loam and Windsor sand. The model was also capable of predicting As(V) desorption kinetics for both soils. However, for Sharkey clay, which exhibited strongest affinity for arsenic, an additional irreversible reaction phase was required to predict As(V) desorption or release with time.

Atrazine sorption-desorption hysteresis by sugarcane mulch residue

Sorption and desorption kinetics are essential components for modeling the movement and retention of applied agricultural chemicals in soils and the fraction of chemicals susceptible to runoff. In this study, we investigated the retention characteristics of sugarcane (Saccharum spp. hybrid) mulch residue for atrazine (2-chloro-4-ethylamino-6-isopropylamino-1,3,5-triazine) based on studies of sorption-desorption kinetics. A sorption kinetic batch method was used to quantify retention of the mulch residue for a wide range of atrazine concentrations and reaction times. Desorption was performed following 504 h of sorption using successive dilutions, followed by methanol extraction. Atrazine retention by the mulch residue was well described using a linear model where the partitioning coefficient (K(d)) increased with reaction time from 10.40 to 23.4 cm3 g(-1) after 2 and 504 h, respectively. Values for mulch residue K(d) were an order of magnitude higher than those found for Commerce silt loam (fine-silty, mixed, superactive, nonacid, thermic Fluvaquentic Endoaquepts) where the sugarcane crop was grown. A kinetic multireaction model was successful in describing sorption behavior with reaction time. The model was equally successful in describing observed hysteretic atrazine behavior during desorption for all input concentrations. The model was concentration independent where one set of model parameters, which was derived from all batch results, was valid for the entire atrazine concentration range. Average atrazine recovery following six successive desorption steps were 63.67 +/- 4.38% of the amount adsorbed. Moreover, a hysteresis coefficient based on the difference in the area between sorption and desorption isotherms was capable of quantifying hysteresis of desorption isotherms.

Arsenic solubility and distribution in poultry waste and long-term amended soil

The purpose of this study was to quantify the solubility and distribution of As among solid-phase components in poultry wastes and soils receiving long-term poultry waste applications. Arsenic in the water-soluble, NaOCl-extractable (organically bound), NH(2)OH x HCl-extractable (oxide bound) and residual fractions were quantified in an Upper Coastal Plain soil (Neshoba County, MS) that received annual waste applications. After 25 years, As in the amended soil had a mean of 8.4 mg kg(-1) compared to 2.68 mg kg(-1) for a non-amended soil. Arsenic in the amended soil was mainly in the residual fraction (72% of total), which is generally considered the least bioavailable fraction. Arsenic in poultry waste samples was primarily water-soluble (5.3-25.1 mg kg(-1)), representing 36-75% of the total As. To assess the extent of spatial heterogeneity, total As in a 0.5-ha area within the long-term waste-amended field was quantified. Soil surface samples were taken on 10-m grid points and results for total As appeared negatively skewed and approximated a bimodal distribution. Total As in the amended soil was strongly correlated with Fe oxides, clay and hydroxy interlayered vermiculite concentrations, and negatively correlated with Mehlich III-P, mica and quartz contents.

Mobility of sulfate in forest soils: kinetic modeling

Understanding sulfate transport and retention dynamics in forest soils is a prerequisite in predicting SO4 concentration in the soil solution and in lake and stream waters. In this study forest soil samples from the Gårdsjön catchments, Sweden, were used to study SO4 transport in soil columns from the upper three soil horizons (E, Bs, and BC). The columns were leached using a sequential leaching technique. The input solutions were CaSO4 equilibrated with forest floor material. Leaching behavior of SO4 and concentration in the effluent were measured from columns from individual horizons. Sulfate was always retained in the Bs and BC horizons, while the pattern for the E horizon varied. Attempts were also made to model SO4 breakthrough results based on miscible displacement approaches and solute convection-dispersion equation (CDE) in porous media. Several retention mechanisms were incorporated into the CDE to account for possible reversible and irreversible SO4 reactions in individual soil layers. Our modeling efforts were inadequate in describing the mobility of SO4 in the top (E) horizon. Moreover, a linear equilibrium approach was generally inadequate for describing SO4 sorption during transport in the Bs and BC horizons. In contrast, we found that the model provided good descriptions of all breakthrough results when SO4 reactivity was accounted for based on nonlinear equilibrium or first-order kinetic processes. Moreover, based on model parameter estimates, the reactivity or retention of SO4 during transport is concentration dependent. We conclude that sulfate retention during transport in this forest soil is most likely controlled by kinetic reactivity of SO4 of the reversible and irreversible mechanisms.

Herbicide retention in soil as affected by sugarcane mulch residue

Reducing surface and subsurface losses of herbicides in the soil and thus their potential contamination of water resources is a national concern. This study evaluated the effectiveness of sugarcane (Saccharum spp.) residue (mulch cover) in reducing nonpoint-source contamination of applied herbicides from sugarcane fields. Specifically, the effect of mulch residue on herbicide retention was quantified. Two main treatments were investigated: a no-till treatment and a no-mulch treatment. The amounts of extractable atrazine [2-chloro-4-(isopropylamino)-6-ethylamino-s-triazine], metribuzin [4-amino-6-(1,1-dimethylethyl)-3-(methylthio)-1,2,4-triazin-5(4H)-one], and pendimethalin [N-(ethylpropyl)-3,4-dimethyl-2,6-dinitroaniline] from the mulch residue and the surface soil layer were quantified during the 1999 and 2000 growing seasons. Significant amounts of applied herbicides were intercepted by the mulch residue. Extractable concentrations were at least one order of magnitude higher for the mulch residue compared with that retained by the soil. Moreover, the presence of mulch residue on the sugarcane rows was highly beneficial in minimizing runoff losses of the herbicides applied. When the residue was not removed, a reduction in runoff-effluent concentrations, as much as 50%, for atrazine and pendimethalin was realized. Moreover, the presence of mulch residue resulted in consistently lower estimates for rates of decay or disappearance of atrazine and pendimethalin in the surface soil.

Retention and runoff losses of atrazine and metribuzin in soil

Minimizing herbicide runoff and mobility in the soil and thus potential contamination of water resources is a national concern. Metribuzin [4-amino-6-(1,1-dimethylethyl)-3-(methylthio)-1,2,4-triazin-5(4H)-one] and atrazine [2-chloro-4-ethylamino-6-isopropylamino-1,3,5-triazine] dynamics in surface soils and in runoff waters were studied on six 0.2-ha sugarcane (Saccharum spp.) plots of a Commerce silt loam (fine-silty, mixed, superactive, nonacid, thermic Fluvaquentic Endoaquept) during three growing seasons under different best management practices. Metribuzin was applied in the spring as a postemergence herbicide and atrazine was applied following winter harvest. Both herbicides were applied on top of the sugarcane rows as 0.6- or 0.9-m band width application, or broadcast application, where the entire area was treated. Maximum effluent concentrations were measured from the broadcast treatment and ranged from 600 to 1100 microg L(-1) for atrazine and 250 to 450 microg L(-1) for metribuzin. Atrazine runoff losses were highest for the broadcast treatment (2.8-11% of that applied) and lowest for the 0.6-m band treatment (1.9-7.6%), with a similar trend for metribuzin losses. Measured extractable herbicides from the surface soil exhibited a sharp decrease with time and were well described with a simple first-order decay model. For atrazine, estimates for the decay rate (lambda) were higher than for metribuzin. Results based on laboratory adsorption-desorption (kinetic-batch) measurements were consistent with field observations. The distribution coefficients (Kd) for atrazine exhibited stronger retention over time in comparison with metribuzin on the Commerce soil. Moreover, discrepancies between adsorption isotherm and desorption indicated slower release and that hysteresis was more pronounced for atrazine compared with metribuzin.

Rumen bacteria are involved in the onset of onion-induced hemolytic anemia in sheep

The mechanism of onion-induced hemolytic anemia in ruminants was investigated. The ether-extract obtained from the mixture of rumen fluid and onion juice incubated at 38.5 degrees C for 9 hr induced oxidative damage in sheep erythrocytes in vitro, indicating the production of certain oxidants in the mixture. The increase of the oxidative effect in the mixture was inhibited completely by the removal of rumen microorganisms and partly by treatment with antibiotics and by oxygen gas. The sheep fed onions (50 g/kg body weight/day) for 15 days developed more severe Heinz body hemolytic anemia than did the sheep fed the equivalent amount of onions with 5 g/day ampicillin sodium salt. The results indicated that certain rumen bacteria appear to be involved in the onset of onion-induced hemolytic anemia in sheep.

Rumen ciliate protozoal fauna of native sheep, friesian cattle and dromedary camel in Libya

Rumen ciliate species and composition were surveyed on the native sheep, Friesian-cattle and dromedary (one-humped) camels kept in Libya. As a result of survey, 5 genera including 14 species with 5 formae in native sheep, 9 genera including 27 species with 6 formae in Friesian-cattle and 6 genera including 13 species and 7 formae in dromedary camels were identified. All of the ciliate species and their percentage composition detected from the Libyan sheep and cattle in this examination were similar to those found from corresponding animals in the other countries. Libyan camels lacked some peculiar ciliate species found from camels in the other countries, but had many cosmopolitan species common with those in the domestic ruminants, suggesting that ciliate faunae of camel are easily affected by the other domestic ruminants kept together. The ciliate density was estimated as 105/ml in every host species.

Ciliate protozoa in the forestomach of the dromedary camel, (Camelus dromedarius), in Egypt, with description of a new species

The composition of ciliates obtained from the forestomachs of eleven dromedary (one-humped) camels in Egypt was examined. As a result, eight genera containing 24 species with 11 forms were identified. Of them, one species was concluded to be new, then described as Dasytricha kabanii n. sp. This new species was clearly distinguished from D. ruminantium, the other species of the genus, by its lack of somatic cilia on the posterior one-fifth of the body surface. Entodinium nanellum and Epidinium ecaudatum f. caudatum were found in all camels examined. Although the percentage composition of respective species varied with the individual camel, the rate of Entodinium spp. was high in general. Total ciliate density in forestomach fluid was 1.9 x 10(5)/ml on average. Ciliate composition in Egyptian camels was similar to that in Bactrian camels, Camelus bactrianus, in China reported previously. However, more Entodinium species were detected from Egyptian camels than from Bactrian camels.

Comparative study of rumen ciliates in buffalo, cattle and sheep in Egypt

Rumen ciliates species and composition of the sheep, Friesian-cattle and water buffaloes in Egypt were surveyed. As a result, 7 genera with 18 species and 6 formae in sheep, 10 genera with 28 species and 11 formae in cattle and 12 genera with 29 species and 7 formae in water buffaloes were detected. Twenty-two species were common in both cattle and buffaloes, while 12 species in sheep were common with the other ruminants. Entodinium spp., such as E. simplex, E. nanellum and E. exigum, appeared most frequently in every host. In general, Egyptian domestic ruminants had the rumen ciliate composition similar to that of domestic ruminants in temperate zone, though the water buffaloes had several tropical species such as Entodinium longinucleatum forma spinonucleatum. The ciliate density was estimated as 10(5)/ml in every host species.

Atrazine retention and transport in soils

No pesticide has been studied as extensively as atrazine. The study of atrazine has contributed to our general understanding of the behavior of pesticides in soils. New knowledge and concepts were evaluated, such as atrazine adsorption kinetics, desorption hysteresis, and preferential flow. Corresponding conceptual models were also proposed to explain the behavior of atrazine in soils. Atrazine adsorption-desorption is the major process affecting atrazine behavior in soils and is mainly affected by organic matter and soil pH. Atrazine in soils is subject to biological and chemical degradations. Hydroxyatrazine, the chemical degradation product, is more strongly adsorbed to soil than atrazine. Deethylatrazine and deisopropylatrazine, the major biological degradation products, are more mobile than atrazine. Hydrolysis of atrazine is soil-surface catalyzed and favored by low soil pH. The overall dissipation rate of atrazine was found to be pseudo first-order. Two distinct and different processes are involved in atrazine movement: slow transport through the soil matrix and rapid movement through macropores. The first process is controlled by adsorption kinetics and degradation reactions and can be well explained by models based on chemical heterogeneity, such as the two-site models and second-order models. The second flow process results from preferential flow through large pores and can be explained by physical nonequilibrium models such as the mobile-immobile and two-flow domain models. Because both processes coexist in atrazine transport, coupling of physical and chemical nonequilibrium models is often necessary and has shown promise in atrazine transport modeling. However, more efforts are needed in estimating model parameters and in developing management-oriented models.

Interruptions adversely affect local control and survival with hyperfractionated radiation therapy of carcinomas of the upper respiratory and digestive tracts. New evidence for accelerated proliferation from Radiation Therapy Oncology Group Protocol 8313

Hyperfractionated radiation therapy (HFX) attempts to overcome tumor proliferation during treatment by permitting higher total doses in the same overall time as standard fractionation. Whereas interruptions, including splits, reduce local control with standard fractionation in carcinoma of the upper respiratory and digestive tracts, HFX might compensate for interruptions. Patients were randomized to receive total doses of 6720, 7200, 7680, and 8160 cGy, using 120 cGy twice daily, 5 days per week. Those analyzed received +/- 4% of assigned total dose and lived 90 days or more. Treatment was completed within 5 days of the time specified for each treatment arm in 233 patients; 48, 80, and 131 patients had delays 14, 10, and 5 days or more, respectively. Locoregional control and survival were significantly (P less than or equal to 0.03) reduced with delays of 5 days or more when corrected for prognostic factors. Late effects of radiation therapy were not affected by interruptions. These data support the hypothesis that proliferation (possibly accelerated) of tumor clonogens during treatment influences the outcome.

Prophylactic cranial irradiation for lung cancer patients at high risk for development of cerebral metastasis: results of a prospective randomized trial conducted by the Radiation Therapy Oncology Group

Beginning in February 1984, 187 evaluable patients with adenocarcinoma or large cell carcinoma of the lung clinically confined to the chest were randomized to receive either conventionally fractionated thoracic irradiation alone or thoracic irradiation with concurrent, prophylactic cranial irradiation. The study population included 161 patients treated for medically or surgically inoperable primary cancers, and 26 patients undergoing adjuvant postoperative mediastinal irradiation following attempted curative resection of primary cancers found to have metastasized to hilar or mediastinal lymph nodes. Elective brain irradiation was not effective in preventing the clinical appearance of brain metastases, although the time to develop brain metastases appears to have been delayed. Eighteen of 94 patients (19%) randomized to chest irradiation alone have developed brain metastases as opposed to 8/93 patients (9%) randomized to receive prophylactic cranial irradiation (p = .10). No survival difference was observed between the treatment arms. Among the 26 patients undergoing prior resection of all gross intrathoracic disease, brain metastases were observed in 3/12 patients (25%) receiving adjuvant chest irradiation alone, compared to none of 14 receiving prophylactic cranial irradiation (p = .06). In the absence of fully reliable therapy for the primary disease, and without effective systemic therapy preventing dissemination to other, extrathoracic sites, prophylactic cranial irradiation for inoperable non-small cell lung cancer cannot be justified in routine clinical practice. Further investigation in the adjuvant, postoperative setting may be warranted.

Prediction of contaminant retention and transport in soils using kinetic multireaction models

Mathematical models that describe the retention reactions of contaminants in the soil system are presented. Single and multireaction-type models for simultaneous retention and transport in the soil profile are discussed. Single retention models are classified into two types: equilibrium and kinetic models. Emphasis is given to the nonlinearity and kinetic behavior of solute retention processes in soils. Two-site models that include the equilibrium-kinetic types as well as the fully kinetic type are also examined. A multireaction-type model is also presented, which includes reversible and irreversible retention processes of the equilibrium and kinetic types. Advantages of the multireaction approach over the single or two-site models are discussed. The predictive capability of the two-site model and the multireaction model for their description of experimental results for phosphorus and two heavy metals (Cd and Cr) are examined.

Sequential hemibody radiotherapy in poor prognosis localized adenocarcinoma of the prostate gland: a preliminary study of the RTOG

Ten patients with poor prognosis localized adenocarcinoma of the prostate gland received local regional radiotherapy to the prostate gland followed by sequential radiation therapy to the lower hemibody and the upper hemibody. The treatment technique is presented and its feasibility demonstrated. Five patients are alive, free of disease, with a minimum of 20 months follow-up. The most common adverse effect was prolonged reversible bone marrow suppression.