Citations

This article provides nomenclature recommendations developed by an international workgroup to increase transparency and standardization of pharmacogenetic (PGx) result reporting. Presently, sequence variants identified by PGx tests are described using different nomenclature systems. In addition, PGx analysis may detect different sets of variants for each gene, which can affect interpretation of results. This practice has caused confusion and may thereby impede the adoption of clinical PGx testing. Standardization is critical to move PGx forward.

AbstractThe Metastatic Spine Disease Multidisciplinary Working Group consists of medical and radiation oncologists, surgeons, and interventional radiologists from multiple comprehensive cancer centers who have developed evidence- and expert opinion-based algorithms for managing metastatic spine disease. The purpose of these algorithms is to facilitate interdisciplinary referrals by providing physicians with straightforward recommendations regarding the use of available treatment options, including emerging modalities such as stereotactic body radiation therapy and percutaneous tumor ablation. This consensus document details the evidence supporting the Working Group algorithms and includes illustrative cases to demonstrate how the algorithms may be applied.Implications for Practice:The Metastatic Spine Disease Multidisciplinary Working Group algorithms can facilitate interdisciplinary referrals by providing physicians with straightforward recommendations regarding available treatment options, including emerging modalities such as stereotactic body radiation therapy and percutaneous tumor ablation.

1. Whewellite (calcium oxalate monohydrate) crystals were found to induce epitaxially the heterogeneous nucleation of brushite (calcium monohydrogen phosphate dihydrate) from its metastable supersaturated solution in approximately one-quarter of the time required for spontaneous precipitation in the absence of added nucleating agents. Scanning electron-microscope observation of the crystalline phase showed brushite crystals originating from the whewellite seed crystals. 2. Crystal growth, upon nucleation, proceeded rapidly, and the metastable solutions quickly approached saturation. 3. Brushite crystals also induced the precipitation of calcium oxalate crystals in about one-quarter of the time required for spontaneous precipitation; however, the rate of crystal growth was considerably slower. In support of the chemical data, scanning electron micrographs showed few crystals of calcium oxalate nucleated on the surface of the brushite seed. 4. The results provide some insight into the cause of stones containing calcium oxalate or calcium phosphate (or both), which form in the normally acid environment of human urine.

Chemical kinetic data, complemented with scanning electron-microscope observations of the crystalline phase, show that seed crystals of hydroxyapatite have the ability to induce the growth of calcium oxalate monohydrate crystals epitaxially from a metastable supersaturated solution of calcium oxalate. The rate of growth of calcium oxalate crystals is dependent on the surface area of the seed material and follows a second-order rate law. It is suggested that there may be a causal relationship between the occurrence of apatite crystals in the urinary tract and the formation of both ‘pure’ and mixed urinary stones containing calcium oxalate. Under similar experimental conditions, however, seed crystals of calcium oxalate monohydrate appeared unable to induce epitaxially the growth of calcium phosphate crystals from a supersaturated calcium phosphate solution, indicating the absence of an epitaxial relationship between calcium oxalate monohydrate and the initially precipitating calcium phosphate phase(s).

A small number of common susceptibility loci have been identified for pancreatic cancer, one of which is marked by rs401681 in the TERT–CLPTM1L gene region on chromosome 5p15.33. Because this region is characterized by low linkage disequilibrium, we sought to identify whether additional single nucleotide polymorphisms (SNPs) could be related to pancreatic cancer risk, independently of rs401681. We performed an in‐depth analysis of genetic variability of the telomerase reverse transcriptase (TERT) and the telomerase RNA component (TERC) genes, in 5,550 subjects with pancreatic cancer and 7,585 controls from the PANcreatic Disease ReseArch (PANDoRA) and the PanScan consortia. We identified a significant association between a variant in TERT and pancreatic cancer risk (rs2853677, odds ratio = 0.85; 95% confidence interval = 0.80–0.90, p = 8.3 × 10−8). Additional analysis adjusting rs2853677 for rs401681 indicated that the two SNPs are independently associated with pancreatic cancer risk, as suggested by the low linkage disequilibrium between them (r2 = 0.07, D′ = 0.28). Three additional SNPs in TERT reached statistical significance after correction for multiple testing: rs2736100 (p = 3.0 × 10−5), rs4583925 (p = 4.0 × 10−5) and rs2735948 (p = 5.0 × 10−5). In conclusion, we confirmed that the TERT locus is associated with pancreatic cancer risk, possibly through several independent variants.

Abstract The mechanisms by which ovarian cancer cells are released from the primary tumor, seed throughout the peritoneal cavity, attach to local organs, and then invade these organs, are not understood. In this study, the cell adhesion molecule, Nectin-4, was investigated as a potential mediator of several steps involved in ovarian cancer progression. In particular, due to the ability of Nectin-4 to promote cell-cell adhesions, we were interested in determining its role in mediating the formation of cell-cell aggregates (spheroids) which are commonly seen in the peritoneal fluid of ovarian cancer patients. Furthermore, since spheroids are known to have a decreased rate of cell proliferation and are chemoresistant, we were also interested in the role of Nectin-4 in ovarian cancer cell proliferation and invasion. In our previous studies, we performed gene microarray analysis and identified Nectin-4 overexpression in ovarian cancer tissues compared to normal ovaries and other normal tissues. By ELISA, we found soluble Nectin-4 in the sera of 50% of women with ovarian cancer. In this study, we performed a series of experiments in which two human ovarian cancer cells lines were transfected with Nectin-4 or shRNA targeting Nectin-4, and then the resultant cells were tested in functional assays. In the first case, MA148 cells, which do not express Nectin-4, were transfected with full-length Nectin-4. The resultant MA148 cells which expressed high levels of Nectin-4 showed an increased rate of proliferation compared to control cells which did not express Nectin-4. They also formed the initial cell-cell adhesions involved in spheroid formation faster than control cells. Furthermore, the spheroids which expressed Nectin-4 were slower to disaggregate and invade through monolayers of mesothelial cells. In the second case, NIH:OVCAR5 cells, which express moderate levels of Nectin-4, were transfected with shRNA targeting Nectin-4, resulting in the partial knockdown of Nectin-4 expression. We found that the NIH:OVCAR5 cells that express lower levels of Nectin-4 on their surface required a substantially longer time to form spheroids and migrated more slowly in a wound healing assay. In both cases, we verified the expression of Nectin-4 in the transfected cells by Western immunoblotting and flow cytometry. These results suggest that Nectin-4: (a) is important in the early events of cell-cell adhesion, (b) plays a role in multicellular aggregation within the ascites of ovarian cancer patients, and (c) causes tight spheroid formations that may impede disaggregation. Additional functional studies leading to a better understanding of the role of Nectin-4 overexpression and shedding in ovarian cancer are currently underway. Understanding the role of Nectin-4 in ovarian cancer progression is critical in order to facilitate its development as a novel therapeutic target for ovarian cancer. Citation Format: Kristin L. Boylan, Adam Meyer, Petra C. Buchanan, Melissa S. DeRycke, Amy P. Skubitz. Role of nectin-4 in the progression of ovarian cancer. [abstract]. In: Proceedings of the 105th Annual Meeting of the American Association for Cancer Research; 2014 Apr 5-9; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2014;74(19 Suppl):Abstract nr 1984. doi:10.1158/1538-7445.AM2014-1984