Gene transcription abnormalities in canine atopic dermatitis and related human eosinophilic allergic diseases . Canine atopic dermatitis ( AD ) is clinically similar to human AD , implicating it as a useful model of human eosinophilic allergic disease . To identify cutaneous gene transcription changes in relatively early inflammation of canine AD , microarrays were used to monitor transcription in normal skin ( n = 13 ) and in acute lesional AD (
P13716
REA
) and nearby visibly nonlesional AD ( NLAD ) skin ( n = 13 ) from dogs . Scanning the putative abnormally transcribed genes , several potentially relevant genes , some abnormally transcribed in both NLAD and
P13716
REA
( e . g .
P05231
REA
, Q8NET5 , Q9UJ68 , and
P43405
REA
) , were observed . Comparison for abnormally transcribed genes common to two related human diseases , human AD and asthmatic chronic rhinosinusitis with nasal polyps ( aCRSwNP ) , further identified genes or gene sets likely relevant to eosinophilic allergic inflammation . These included : ( 1 ) genes associated with alternatively activated monocyte-derived cells , including members of the monocyte chemotactic protein ( MCP ) gene cluster , ( 2 ) members of the IL1 family gene cluster , ( 3 ) eosinophil-associated seven transmembrane receptor
Q14246
REA
and Q9BY15 genes , ( 4 ) interferon-inducible genes , and ( 5 ) keratin genes associated with hair and nail formation . Overall , numerous abnormally transcribed genes were observed only in canine AD ; however , many others are common to related human eosinophilic allergic diseases and represent therapeutic targets testable in dogs with AD .
1
DB08877
SUB
for the treatment of primary myelofibrosis . PURPOSE : The pharmacology , pharmacokinetics , pharmacogenomics , clinical efficacy , and safety profile of ruxolitinib for the treatment of primary myelofibrosis are reviewed . SUMMARY :
DB08877
SUB
, an oral tyrosine kinase inhibitor that targets the Janus-associated kinases ( JAKs ) 1 and 2 , has been recently approved for the treatment of patients with intermediate - or high-risk myelofibrosis . Unlike previous treatment options for patients with myelofibrosis , ruxolitinib offers a targeted therapy option for these patients who often suffer with severe and debilitating symptoms associated with the disease process . After oral administration , ruxolitinib is rapidly absorbed and can be given without regard to meals .
DB08877
SUB
is primarily metabolized by the cytochrome P - 450 ( CYP ) 3A4 isoenzyme system ; therefore , if concomitant use with a strong
P08684
REA
inhibitor is unavoidable , an initial dosage reduction is warranted . Two Phase III randomized trials comparing ruxolitinib to either placebo or best available therapy found a rapid and sustained response in the reduction of spleen size and improvements in constitutional symptoms and quality of life , with one study demonstrating an improvement in overall survival . The most commonly reported serious adverse effects of ruxolitinib are anemia and thrombocytopenia .
DB08877
SUB
is administered as an oral tablet given twice daily , with the initial starting dosage based on the baseline platelet count . Dosage reductions are based on the development of thrombocytopenia . CONCLUSION : By directly targeting both
P23458
REA
and
O60674
REA
through small-molecule inhibition , ruxolitinib elicits a reduction in splenomegaly and disease-related symptoms in patients with intermediate - or high-risk myelofibrosis while maintaining an acceptable toxicity profile and a low treatment-discontinuation rate .
2
IL - 12 , IL - 23 , and Q8TAD2 enhance human beta-defensin - 2 production in human keratinocytes . IL - 12 , IL - 23 , and Q8TAD2 , which are produced by
P25054
REA
, modulate innate and adaptive immunities . Human beta-defensin - 2 (
O15263
REA
) produced by epidermal keratinocytes promotes cutaneous antimicrobial defense and inflammation . We examined the in vitro effects of IL - 12 , IL - 23 , and Q8TAD2 on
O15263
REA
production in human keratinocytes . IL - 12 , IL - 23 , and Q8TAD2 enhanced IL - 1beta - induced
O15263
REA
secretion and mRNA expression in keratinocytes . The stimulatory effects of IL - 12 , IL - 23 , and Q8TAD2 were suppressed by antisense oligonucleotides against NF-kappaB p50 and p65 . In addition , the effects of IL - 12 and Q8TAD2 were suppressed by antisense
P40763
REA
and
P42224
REA
, respectively . All the three IL enhanced the basal and IL - 1beta - induced transcriptional activities of NF-kappaB , while IL - 12 and Q8TAD2 enhanced
P40763
REA
and
P42224
REA
activities , respectively . Further , IL - 12 , IL - 23 , and Q8TAD2 promoted basal and IL - 1beta - induced phosphorylation of
P25963
REA
. IL - 12 and IL - 23 tyrosine phosphorylated
P40763
REA
and
P42224
REA
, respectively ; IL - 12 , IL - 23 , and Q8TAD2 tyrosine phosphorylated
O60674
REA
and tyrosine kinase - 2 ; and Q8TAD2 tyrosine phosphorylated
P23458
REA
. These results suggest that IL - 12 , IL - 23 , and Q8TAD2 may enhance IL - 1beta - induced
O15263
REA
production in keratinocytes by activating NF-kappaB .
P40763
REA
and
P42224
REA
are involved in the effects of IL - 12 and Q8TAD2 , respectively . Thus , IL - 12 , IL - 23 , and Q8TAD2 may promote cutaneous antimicrobial defense and inflammation via
O15263
REA
.
3
DB08877
SUB
, a selective
P23458
REA
and
O60674
REA
inhibitor for the treatment of myeloproliferative neoplasms and psoriasis .
DB08877
SUB
( INCB - 018424 ) is a potent , orally available , selective inhibitor of both
P23458
REA
and
O60674
REA
of the JAK - P35610 signaling pathway , being developed by Incyte Corp and Novartis AG .
DB08877
SUB
was initially developed to target the constitutive activation of the JAK - P35610 pathway in patients with myeloproliferative neoplasms ( MPNs ) . Meaningful reductions in spleen size and constitutional symptoms have been noted in patients with myelofibrosis ( both primary and post-essential thrombocythemia / polycythemia vera ) . Data from a phase I / II clinical trial led to ongoing registration trials in the US and Europe . Toxicity ( primarily decreased erythropoiesis and thrombocytopoiesis ) has been managed by close control of dosing . The inhibition of inflammatory cytokine signaling through
P23458
REA
inhibition has led to intriguing results in patients with rheumatoid arthritis and psoriasis ( using a topical cream formulation ) .
DB08877
SUB
is a well tolerated , first-in-class
O60674
REA
inhibitor with various potential clinical indications .
4
P43490
REA
/
P43490
REA
/ visfatin and cancer .
P43490
REA
/
P43490
REA
/ visfatin is the rate-limiting enzyme that catalyzes the first step in NAD biosynthesis from nicotinamide and regulates growth , apoptosis and angiogenesis of mammalian cells . This enzyme was originally cloned as a putative cytokine shown to enhance the B cell precursor maturation in the presence of
P13232
REA
and stem cell factor . A number of cancers have increased expression of
P43490
REA
/
P43490
REA
/ visfatin , which regulates a variety of different signaling pathways such as PI3K / Akt ,
P27361
REA
/ 2 and
P40763
REA
. FK866 / APO 866 and CHS 828 /
DB05217
MEN
are two known inhibitors of
P43490
REA
/
P43490
REA
/ visfatin and have been evaluated as anticancer agents in the clinic . This review will focus on its role in carcinogenesis and cancer progression and its inhibitors as therapeutic target for cancer treatment .
5
P15018
REA
upregulates expression of
P25103
REA
in NHBE cells .
P15018
REA
(
P15018
REA
) , a cytokine at the interface between neurobiology and immunology , is mainly mediated through JAK / P35610 pathway and MAPK /
P29323
REA
pathway . Evidence suggested
P15018
REA
is related to the higher expression of neurokinin - 1 receptor (
P25103
REA
) in asthma . In this study , the immunohistochemistry stain showed the expressions of
P25103
REA
,
P15018
REA
, p -
P40763
REA
, and p -
P27361
REA
/ 2 in the lung tissues of allergic rats were increased compared with the controls , and the main positive cell type was airway epithelial cell . Normal human bronchial epithelial cells were treated with
P15018
REA
in the presence or absence of AG490 (
O60674
REA
inhibitor ) , PD98059 ( MEK inhibitor ) , and the siRNA against
P40763
REA
. Western blot and RT-PCR indicated that
P15018
REA
induced the expression of
P25103
REA
, which was inhibited by the inhibitors mentioned above . No significant interaction was found between JAK / P35610 pathway and MAPK /
P29323
REA
pathway . In summary , bronchial epithelial cell changes in asthma are induced by
P15018
REA
which promotes the expression of
P25103
REA
, and JAK / P35610 pathway and MAPK /
P29323
REA
pathway may participate in this process .
6
TNFα and IFNγ synergistically enhance transcriptional activation of
P02778
REA
in human airway smooth muscle cells via P35610 - 1 , NF-κB , and the transcriptional coactivator
Q92793
REA
. Asthmatic airway smooth muscle (
P17405
REA
) expresses interferon-γ-inducible protein - 10 (
P02778
REA
) , a chemokine known to mediate mast cell migration into
P17405
REA
bundles that has been reported in the airways of asthmatic patients .
P02778
REA
is elevated in patients suffering from viral exacerbations of asthma and in patients with chronic obstructive pulmonary disease (
P48444
REA
) , diseases in which corticosteroids are largely ineffective . IFNγ and TNFα synergistically induce
P02778
REA
release from human
P17405
REA
cells in a steroid-insensitive manner , via an as yet undefined mechanism . We report that TNFα activates the classical NF-κB ( nuclear factor κB ) pathway , whereas IFNγ activates
O60674
REA
/ P35610 - 1α and that inhibition of the JAK / P35610 pathway is more effective in abrogating
P02778
REA
release than the steroid fluticasone . The synergy observed with TNFα and IFNγ together , however , did not lie at the level of NF-κB activation , P35610 - 1α phosphorylation , or in vivo binding of these transcription factors to the
P02778
REA
promoter . Stimulation of human
P17405
REA
cells with TNFα and IFNγ induced histone H4 but not histone H3 acetylation at the
P02778
REA
promoter , although no synergism was observed when both cytokines were combined . We show , however , that TNFα and IFNγ exert a synergistic effect on the recruitment of
Q92793
REA
( CBP ) to the
P02778
REA
, which is accompanied by increased RNA polymerase II . Our results provide evidence that synergism between TNFα and IFNγ lies at the level of coactivator recruitment in human
P17405
REA
and suggest that inhibition of JAK / P35610 signaling may be of therapeutic benefit in steroid-resistant airway disease .
7
Targeted agents for the treatment of advanced renal cell carcinoma . Renal cell carcinoma ( RCC ) is a highly treatment-resistant tumor type ; however , advances in elucidating the molecular pathophysiology underlying RCC has led to the identification of promising targets for therapeutic intervention . In clear-cell RCC , mutations to the von Hippel-Lindau (
P40337
REA
) gene results in the up regulation of many proteins necessary for tumor growth and survival - - such as vascular endothelial growth factor (
P15692
REA
) , basic fibroblast growth factor (
P09038
REA
) and platelet derived growth factor ( PDGF ) , which are involved in tumor-initiated angiogenesis .
Q16790
REA
and signaling via the epidermal growth factor receptor (
P00533
REA
) are involved in tumor cell proliferation and are also up regulated by mutation in the
P40337
REA
gene . The intracellular messenger pathways phosphoinositide 3 - kinase ( PI3K ) and Raf / MEK /
P29323
REA
act as convergence points for positive growth signaling ; the Raf / MEK /
P29323
REA
pathway is also implicated in apoptosis . Several agents in development target
P15692
REA
( bevacizumab ) , the
P15692
REA
receptor ( PTK 787 , SU11248 ,
P15692
REA
- trap , and BAY 43-9006 ) , the PDGF receptor ( SU11248 and BAY 43-9006 ) , or the
P01133
REA
receptor ( gefitinib , cetuximab , DB01269 , and erlotinib ) . The intracellular Raf / MEK /
P29323
REA
signaling cascade has been targeted at either the level of Raf ( BAY 43-9006 , ISIS 5132 ) or MEK ( CI - 1040 , PD184352 and ARRY - 142886 ) , and PI3K signaling is disrupted by CCI - 779 .
DB05304
MEN
targets the
Q16790
REA
antigen , and PS - 341 disrupts the 26S proteasome mediating the degradation of intracellular proteins . Given that multiple pathways contribute to tumor growth , anti-tumor activity may be increased by agents targeting multiple pathways , or by combining agents to allow horizontal or vertical inhibition of multiple pathways .
8
Inhibition of
P23458
REA
, 2 /
P40763
REA
signaling induces apoptosis , cell cycle arrest , and reduces tumor cell invasion in colorectal cancer cells . Abnormalities in the
P40763
REA
pathway are involved in the oncogenesis of several cancers . However , the mechanism by which dysregulated
P40763
REA
signaling contributes to the progression of human colorectal cancer ( CRC ) has not been elucidated , nor has the role of JAK , the physiological activator of
P40763
REA
, been evaluated . To investigate the role of both JAK and
P40763
REA
in CRC progression , we inhibited JAK with AG490 and depleted
P40763
REA
with a SiRNA . Our results demonstrate that
P40763
REA
and both
P23458
REA
and 2 are involved in CRC cell growth , survival , invasion , and migration through regulation of gene expression , such as Bcl - 2 , p1 ( 6ink4a ) ,
P38936
REA
( waf 1 / cip 1 ) , p27 ( kip 1 ) ,
P12830
REA
,
P15692
REA
, and MMPs . Importantly , the
Q05397
REA
is not required for
P40763
REA
- mediated regulation , but does function downstream of JAK . In addition , our data show that proteasome-mediated proteolysis promotes dephosphorylation of the
O60674
REA
, and consequently , negatively regulates
P40763
REA
signaling in CRC . Moreover , immunohistochemical staining reveals that nuclear staining of phospho -
P40763
REA
mostly presents in adenomas and adenocarcinomas , and a positive correlation is found between phospho -
O60674
REA
immunoreactivity and the differentiation of colorectal adenocarcinomas . Therefore , our findings illustrate the biologic significance of
P23458
REA
, 2 /
P40763
REA
signaling in CRC progression and provide novel evidence that the JAK /
P40763
REA
pathway may be a new potential target for therapy of CRC .
9
Novel treatments of GERD : focus on the lower esophageal sphincter . Up to 50 % of patients with gastroesophageal reflux disease ( GERD ) still suffer from GERD symptoms despite proton pump inhibitor ( PPI ) therapy , indicating a need for new treatments . The lower esophageal sphincter ( LES ) plays a crucial role in maintaining the mechanical barrier necessary for prevention of gastric reflux . Transient LES relaxation ( TLESR ) is an important factor behind the occurrence of reflux , and preclinical studies have identified a number of targets for pharmacologic modification of TLESR . However , only gamma-aminobutyric acid ( GABA ) type B receptor ( GABA ( B ) ) agonists and metabotropic glutamate receptor 5 (
P41594
REA
) modulators have shown positive proof of concept in the clinical setting . The
P41594
REA
negative allosteric modulator
DB05070
MEN
improved symptoms in GERD patients , but was associated with central side effects such as dizziness . DB00181 , a GABA ( B ) receptor agonist , reduces the incidence of TLESR and improves GERD symptoms in both adult and pediatric GERD patients . However , the utility of baclofen is similarly limited by poor tolerability and recent research has focused on the development of GABA ( B ) receptor agonists with improved tolerability . DB05031 , a prodrug of R-baclofen , reduced the number of reflux episodes in a dose-ranging study and was similarly tolerated to placebo . AZD 3355 and AZD 9343 are GABA ( B ) receptor agonists with limited central nervous system activity that have been shown in preclinical studies to reduce the incidence of TLESR and decrease esophageal acid exposure ; data from clinical studies of these agents in GERD patients are awaited with interest . Agents that target TLESR activity may therefore offer a promising new add-on treatment for patients who suffer from GERD symptoms despite PPI therapy .
10
Constitutive NF-kappaB activation confers interleukin 6 (
P05231
REA
) independence and resistance to dexamethasone and Janus kinase inhibitor
DB08877
SUB
in murine plasmacytoma cells . Myeloma cells are dependent on
P05231
REA
for their survival and proliferation during the early stages of disease , and independence from
P05231
REA
is associated with disease progression . The role of the NF-κB pathway in the
P05231
REA
- independent growth of myeloma cells has not been studied . Because human herpesvirus 8 - encoded
P13646
REA
selectively activates the NF-κB pathway , we have used it as a molecular tool to examine the ability of the NF-κB pathway to confer
P05231
REA
independence on murine plasmacytomas . We demonstrated that ectopic expression of
P13646
REA
, but not its NF-κB-defective mutant or a structural homolog , protected plasmacytomas against
P05231
REA
withdrawal-induced apoptosis and resulted in emergence of
P05231
REA
- independent clones that could proliferate long-term in vitro in the absence of
P05231
REA
and form abdominal plasmacytomas with visceral involvement when injected intraperitoneally into syngeneic mice . These
P05231
REA
- independent clones were dependent on NF-κB activity for their survival and proliferation but were resistant to dexamethasone and
DB08877
SUB
, a selective
P23458
REA
/ 2 inhibitor . Ectopic expression of human T cell leukemia virus 1 - encoded Tax protein , which resembles
P13646
REA
in inducing constitutive NF-κB activation , similarly protected plasmacytoma cells against
P05231
REA
withdrawal-induced apoptosis . Although
P13646
REA
is known to up-regulate
P05231
REA
gene expression , its protective effect was not due to induction of endogenous
P05231
REA
production but instead was associated with sustained expression of several antiapoptotic members of the Bcl 2 family upon
P05231
REA
withdrawal . Collectively , these results demonstrate that NF-κB activation can not only promote the emergence of
P05231
REA
independence during myeloma progression but can also confer resistance to dexamethasone and
DB08877
SUB
.
11
Role of the JAK - P35610 pathway in protection against myocardial ischemia / reperfusion injury . The Janus kinase ( JAK ) - signal transducers and activators of transcription ( P35610 ) pathway is a stress-responsive mechanism that transduces signals from the cell surface to the nucleus , thereby modulating gene expression . Recent studies have demonstrated that myocardial ischemia and reperfusion induce rapid activation of this pathway . Although the functional consequences of this event remain to be elucidated , there is emerging evidence that JAK - P35610 signaling plays an important role in the development of the cardioprotected phenotype associated with ischemic preconditioning . Specifically , brief episodes of myocardial ischemia / reperfusion activate
P23458
REA
and
O60674
REA
, followed by recruitment of
P42224
REA
and
P40763
REA
, resulting in transcriptional upregulation of inducible nitric oxide synthase (
P35228
REA
) and cyclooxygenase - 2 (
P35354
REA
) , which then mediate the infarct-sparing effects of the late phase of preconditioning . The present review focuses on this novel cardioprotective role of JAK - P35610 signaling and on its potential exploitation for developing therapeutic strategies aimed at limiting ischemia / reperfusion injury .
12
Roles of nitric oxide and prostaglandins in the increased permeability of the blood-brain barrier caused by lipopolysaccharide . We investigated the involvement of nitric oxide ( NO ) and prostaglandins ( PGs ) in the damage to the blood-brain barrier ( BBB ) induced by lipopolysaccharide ( LPS ) , using fluorescein as a tracer in mice .
DB02533
MEN
, a competitive inhibitor of inducible NO synthase (
P35228
REA
) , when administered s . c . at 5 mg / kg , but not 500 mg / kg , reduced significantly the increase in brain fluorescein level after its i . v . injection in LPS-treated mice . When 1000 mg / kg of l-arginine , a substrate of NOS , were co-administered with 5 mg / kg of aminoguanidine to LPS-treated mice , the inhibitory effect of aminoguanidine on the increased fluorescein level disappeared . N ( G ) - DB04223 methyl ester ( l-NAME ) , a non-isoenzyme-selective NOS inhibitor , when administered s . c . at 5 mg / kg , only slightly reduced the LPS-induced increase in the brain fluorescein level . A pretreatment with dexamethasone , which suppressed the induction of both
P35228
REA
and cyclooxygenase 2 (
P35354
REA
) , tended to decrease the brain fluorescein level in LPS-treated mice . Indomethacin , a
P36551
REA
inhibitor , at 5 mg / kg , but not 10 mg / kg , suppressed significantly the LPS-induced increase in the brain fluorescein level . These results involve that both the NO produced by
P35228
REA
and the PGs produced by
P36551
REA
contribute to enhance BBB permeability in LPS-administered mice .
13
Altered gene expression in the spleen of adolescent rats following high ethanol concentration binge drinking . Binge drinking of alcoholic beverages among adolescents is a common practice that can have serious health consequences . DB00898 is a potent immunomodulator that alters a wide range of immune responses . However , it is unclear whether there is a differential immune response to alcoholic beverages with a high versus low concentration of ethanol . In this study , we used a PCR array containing 46 primer pairs of selected genes to compare mRNA expression in the spleen , an immune system organ , of adolescent rats following binge drinking of alcohol solutions containing either 20 % or 52 % ethanol ( v / v , 4.8 g / kg daily dosage ) , or water ( control ) for 3 d . We found that , expression of IL - 1β ,
P05231
REA
,
P13500
REA
, and GABA ( A ) receptor α2 subunit in the spleen were decreased , and
P41594
REA
and
P46098
REA
receptor expression were increased after administration of an ethanol solution containing 52 % ethanol , but not one with 20 % ethanol . Our data suggest that alcohol-mediated immunomodulatory effects are , in part , dependent on the ethanol by volume concentration . This is the first study to show that exposure to a high ethanol percentage beverage can have more profound effects on immune responses than one with a low percentage of ethanol .
14
Efficacy and safety of repeated dosing of netupitant , a neurokinin - 1 receptor antagonist , in treating overactive bladder . AIM : NK - 1 receptors in sensory nerves , the spinal cord and bladder smooth muscle participate in complex sensory mechanisms that regulate bladder activity . This study was designed to assess the efficacy and safety of a new
P25103
REA
antagonist , netupitant , in patients with OAB . METHODS : This was a phase II , multicenter , double-blind study in which adults with OAB symptoms > 6 months were randomized to receive 1 of 3 doses of netupitant ( 50 , 100 , 200 mg ) or placebo once daily for 8 weeks . The primary efficacy endpoint was percentage change from baseline in average number of daily micturitions at week 8 . Urinary incontinence , urge urinary incontinence ( UUI ) , and urgency episodes were also assessed . RESULTS : The primary efficacy endpoint was similar in the treatment groups ( -13.85 for placebo to -16.17 in the netupitant 200 mg group ) with no statistically significant differences between netupitant and placebo . The same was true for most secondary endpoints although a significant difference for improvement in UUI episodes and a trend for the greatest decrease in urgency episodes were seen in the netupitant 100 mg group .
DB09048
MENMAX
DB09048
MEN
was well tolerated with most treatment emergent adverse events ( AEs ) being mild . While the overall incidence of AEs increased with netupitant dose , there was no evidence for this dose dependency based on relationship to treatment , intensity , or time to onset . CONCLUSIONS : The study failed to demonstrate superiority of netupitant versus placebo in decreasing OAB symptoms , despite a trend favoring netupitant 100 mg . There were no safety concerns with daily administration of netupitant over 8 weeks .
15
DB04998
MEN
inhibits activation of nuclear factor-kappaB ( NF-kappaB ) by forming a complex with NF-kappaB essential modulator (
Q9Y6K9
REA
) and nucleolin .
DB04998
MEN
, also known as
DB04998
MEN
, is an experimental anticancer drug that recently entered human clinical trials . It is a member of a novel class of antiproliferative agents known as G-rich oligonucleotides (
P09341
REA
) , which are non-antisense , guanosine-rich phosphodiester oligodeoxynucleotides that form stable G-quadruplex structures . The biological activity of GROs results from their binding to specific cellular proteins as aptamers . One important target protein of GROs has been previously identified as nucleolin , a multifunctional protein expressed at high levels by cancer cells . Here , we report that
DB04998
MEN
also associates with nuclear factor-kappaB ( NF-kappaB ) essential modulator (
Q9Y6K9
REA
) , which is a regulatory subunit of the inhibitor of kappaB ( IkappaB ) kinase ( IKK ) complex , and also called IKKgamma . In the classic NF-kappaB pathway , the IKK complex is required for phosphorylation of
P25963
REA
and subsequent activation of the transcription factor NF-kappaB . We found that treatment of cancer cells with
DB04998
MEN
inhibits IKK activity and reduces phosphorylation of
P25963
REA
in response to tumor necrosis factor-alpha stimulation . Using a reporter gene assay , we showed that
DB04998
MEN
blocks both tumor necrosis factor-alpha-induced and constitutive NF-kappaB activity in human cancer cell lines derived from cervical , prostate , breast , and lung carcinomas . In addition , we showed that , in
DB04998
MEN
- treated cancer cells ,
Q9Y6K9
REA
is coprecipitated by nucleolin , indicating that both proteins are present in the same complex . Our studies suggest that abrogation of NF-kappaB activity may contribute to the anticancer effects of
DB04998
MEN
and that nucleolin may play a previously unknown role in regulating the NF-kappaB pathway .
16
Silencing of ALA dehydratase affects ALA-photodynamic therapy efficacy in K562 erythroleukemic cells . Synthesis of protoporphyrin IX ( PpIX ) by malignant cells is essential for the success of ALA-based photodynamic therapy ( PDT ) . Two key enzymes that were described as affecting PpIX accumulation during ALA treatment are porphobilinogen deaminase (
P08397
REA
) and ferrochelatase . Here , we show that down regulation of ALA dehydratase (
P13716
REA
) expression and activity by specific shRNA induced a marked decrease in PpIX synthesis in K562 erythroleukemic cells . Photo-inactivation efficacy following
DB00855
MEN
was directly correlated with
P13716
REA
- silencing and cellular levels of PpIX . MTT metabolism following
DB00855
MEN
was shown to be 60 % higher in
P13716
REA
- silenced cells in comparison to control cells , indicating that mitochondria were protected in the silenced cells . Morphological analysis by scanning electron microscopy ( SEM ) of cells treated by
DB00855
MEN
showed no morphological changes in
P13716
REA
- silenced cells , in contrast to controls exhibiting cell deformations and lysis . Membrane integrity following
DB00855
MEN
was kept intact and undamaged in
P13716
REA
- silenced cells as examined by
P08758
REA
- FITC / PI staining and LDH-L leakage . We conclude that
P13716
REA
, although it is present in the cell at abundant levels , has a major and limiting role in regulating PpIX synthesis and
DB00855
MEN
outcome .
17
Molecular targeted therapy in acute myeloid leukemia . The treatment of acute myeloid leukemia has not changed significantly over the last 40 years . Recent progress in understanding the biology of this disease and identification of driver mutations has ushered in a new era of molecular therapeutics . Although a number of molecular markers and pathways have been identified and may serve as potential therapeutic targets , the best studied amongst these include
P07333
REA
like tyrosine kinase 3 (
P36888
REA
) , DB01367 / RAF / MEK /
P29323
REA
and Janus kinase (
O60674
REA
) . In this review we discuss the molecular biology of AML , with a special focus on the above mentioned pathways . We discuss novel molecular targeted therapies that are in preclinical and clinical development . These include AC - 220 , sorafenib and midostaurin in
P36888
REA
mutated patients ; GSK 1120212 and MSC 1936369 B in DB01367 mutated patients ; and
DB08877
SUB
in
O60674
REA
mutated patients . Identification of such molecular mutations and appropriate use of targeted therapies , either alone or in combinations , may eventually revolutionize the treatment of AML .
18
P23458
REA
/
P40763
REA
activation directly inhibits IL - 12 production in dendritic cells by preventing
P50750
REA
/ P-TEFb recruitment to the p35 promoter . Inhibition of Janus-activated kinase - 1 (
P23458
REA
) is a promising clinical concept for post-transplant immunosuppression and autoimmunity . However , it also raises concerns regarding possible immunosuppressive side effects . Our study investigates
P23458
REA
signalling in the context of
P29965
REA
and bacterially activated human MoDC using siRNA and biological inhibitors . We demonstrate that strong stimuli ( e . g . intact Escherichia coli or LPS in addition to IL - 1β ) induce IL - 12p70 via a ROS /
Q04206
REA
/
P50750
REA
pathway that is inhibited by simultaneous
P23458
REA
/
P40763
REA
signalling . Transcription is effective if
Q04206
REA
recruits the positive transcription elongation factor b ( P-TEFb ) component
P50750
REA
to a combined
Q04206
REA
/
P40763
REA
binding site - 50 to - 20bp upstream of the start site of the IL - 12p35 promoter .
P40763
REA
simultaneously attaches to this site and inhibits
P50750
REA
binding . In the presence of IFNγ ,
P23458
REA
/ 2 inhibitors block
P42224
REA
/
P10914
REA
/
Q02556
REA
- dependent activation and simultaneously enhance
P50750
REA
- dependent activation signals . This inverse regulation of IFNγ - vs . E . coli-induced cytokine production by JAK inhibitors including
DB08877
SUB
was similarly observed for
P05231
REA
and
P01375
REA
- α production , but not for
P22301
REA
production . Thus ,
P23458
REA
inhibition enhances IL - 12p70 production in this context by increased DNA binding of
P50750
REA
. In contrast , weak
Q04206
REA
- activation signals (
P29965
REA
, LPS ) depended on IFN-γ induced
P42224
REA
/
P10914
REA
/
Q02556
REA
co-signalling , which was completely blocked by JAK inhibitors as reported before . Our results suggest a novel molecular mechanism of how cytokine responses to invading pathogens are separable from IFNγ-dependent autoimmunity by targeting
P23458
REA
/
P40763
REA
activation .
19
P08246
REA
inhibitors as treatment for
P48444
REA
. Chronic obstructive pulmonary disease , characterised by a slowly progressive , irreversible airways limitation , is a major worldwide cause of chronic morbidity and mortality . The imbalance between human neutrophil elastase and endogenous antiproteases may cause excess human neutrophil elastase in pulmonary tissues , which may be considered a major pathogenic factor in chronic obstructive pulmonary disease . Great effort has been devoted to finding a method to restore the balance , resulting in the discovery of potent two-typed small-molecular-weight human neutrophil elastase inhibitors . In the application of chronic obstructive pulmonary disease therapy , the human neutrophil elastase inhibitors mainly focused upon include ONO - 5046 , MR - 889 , L -694,458 , CE - 1037 , GW - 311616 and TEI - 8362 as the acyl-enzyme inhibitors ; and
DB03925
MEN
, AE - 3763 , FK - 706 , ICI -200,880 , ZD - 0892 and ZD - 8321 as the transition-state inhibitors . In this review , various problems that remain to be solved in the clinical use of human neutrophil elastase inhibitors are discussed .
20
δEF 1 associates with
P26358
REA
and maintains DNA methylation of the
P12830
REA
promoter in breast cancer cells . Abnormal DNA methylation at the C - 5 position of cytosine ( 5mC ) of CpG dinucleotides is a well-known epigenetic feature of cancer . Levels of
P12830
REA
, which is regularly expressed in epithelial tissues , are frequently reduced in epithelial tumors due to transcriptional repression , sometimes accompanied by hypermethylation of the promoter region . δEF 1 family proteins ( δEF 1 /
P37275
REA
and SIP 1 / O60315 ) , key regulators of the epithelial-mesenchymal transition ( EMT ) , suppress
P12830
REA
expression at the transcriptional level . We recently showed that levels of mRNAs encoding δEF 1 proteins are regulated reciprocally with
P12830
REA
level in breast cancer cells . Here , we examined the mechanism underlying downregulation of
P12830
REA
expression in three basal-type breast cancer cells in which the
P12830
REA
promoter region is hypermethylated ( Hs578T ) or moderately methylated ( BT549 and MDA-MB - 231 ) . Regardless of methylation status , treatment with
DB01262
MEN
( 5 - aza ) , which inhibits DNA methyltransferases , had no effect on
P12830
REA
expression . Knockdown of δEF 1 and SIP 1 resulted in recovery of
P12830
REA
expression in cells lacking hypermethylation , whereas combined treatment with 5 - aza synergistically restored
P12830
REA
expression , especially when the
P12830
REA
promoter was hypermethylated . Moreover , δEF 1 interacted with DNA methyltransferase 1 (
P26358
REA
) through the Smad-binding domain . Sustained knockdown of δEF 1 family proteins reduced the number of 5mC sites in the
P12830
REA
promoter region , suggesting that these proteins maintain 5mC through interaction with
P26358
REA
in breast cancer cells . Thus , δEF 1 family proteins appear to repress expression of
P12830
REA
during cancer progression , both directly at the transcriptional level and indirectly at the epigenetic level .