, unpublished data), although the impact of this interaction Apitolisib purchase in the endothelial cells of certain organs or that of interactions with other target protein(s) or receptor(s) on the organ-specific therapeutic outcomes mediated by rhLK8 remains unclear. Moreover, tumor cell features such as the activation of some oncogenes and interactions with components of the
tumor microenvironment, such as immune cells, may affect the angiogenic phenotype of the tumors [41]. Therefore, the effects of rhLK8 on those factors cannot be ruled out. This possibility is supported by the finding that plasminogen kringle 5, which has significant sequence homology with rhLK8, can exert its antitumor activity either by inhibiting the recruitment of tumor-associated macrophages or by promoting the recruitment of neutrophils or NKT lymphocytes [42] and [43]. In conclusion, our results suggest that antiangiogenic therapy with rhLK8 in combination with taxane-based conventional chemotherapy could
be a promising therapeutic approach to the treatment of patients with ovarian cancer. Furthermore, the level of VEGF expressed or produced by tumor cells may not be the absolute determinant as the indication of antivascular therapy with rhLK8. Human apo(a) KV, rhLK8, has recently entered phase I clinical trials in patients with cancer. The safety and therapeutic outcomes of the combination check details of rhLK8 with conventional chemotherapy should also be assessed. Figure W1. Effect of rhLK8 on VEGF production by human Montelukast Sodium ovarian cancer cells. Supplementary data to this article can be found online at http://dx.doi.org/10.1016/j.tranon.2014.04.005. “
“Despite significant advances in anti-emetic drug therapy, chemotherapy-induced nausea and vomiting (CINV) remains a significant problem in the practice of clinical oncology [1]. CINV ranks among the most distressing side effects of chemotherapy and therefore contributes to patient non-compliance, treatment curtailment, and poor nutritional status. CINV is commonly classified into one of three categories: acute-onset CINV that occurs within 24
hours of initial administration of chemotherapy, delayed-type CINV occurring 1 to 5 days after initial treatment, and anticipatory CINV in patients whose emetic episodes are triggered by senses, thoughts, or anxiety associated with prior chemotherapy. Various mechanisms for delayed-type CINV have been proposed, including disruption of the blood-brain barrier, disruption of gastrointestinal motility and/or changes in its permeability, influence of endogenous adrenal hormones, and accumulation of emetogenic chemotherapy metabolites [2]. Damage to intestinal crypt cells after exposure to cytotoxic drugs can result in delayed-type CINV through release of 5-hydroxytryptamine 3, substance P, and cholecystokinin.