Mobilized CD34+ cells as a biomarker candidate for the efficacy of combined maximal tolerance dose and continuous infusional chemotherapy and G-CSF surge in gastric cancer

Abstract We investigated whether the level of bone marrow-derived progenitor cells and mature endothelial cells could be used as predictors of clinical outcome in patients receiving taxotere-based chemotherapy for advanced gastric cancer. Peripheral blood mononuclear cells were obtained from 49 gast...

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Veröffentlicht in:Cancer letters 2008-11, Vol.270 (2), p.269-276
Hauptverfasser: Shin, Sang Joon, Jeung, Hei-Cheul, Ahn, Joong Bae, Rha, Sun Young, Yoo, Nae Choon, Roh, Jae Kyung, Noh, Sung Hoon, Chung, Hyun Cheol
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container_end_page 276
container_issue 2
container_start_page 269
container_title Cancer letters
container_volume 270
creator Shin, Sang Joon
Jeung, Hei-Cheul
Ahn, Joong Bae
Rha, Sun Young
Yoo, Nae Choon
Roh, Jae Kyung
Noh, Sung Hoon
Chung, Hyun Cheol
description Abstract We investigated whether the level of bone marrow-derived progenitor cells and mature endothelial cells could be used as predictors of clinical outcome in patients receiving taxotere-based chemotherapy for advanced gastric cancer. Peripheral blood mononuclear cells were obtained from 49 gastric cancer patients who received taxotere combined with 5-FU and leucovorin and prophylactic G-CSF treatment. To categorize the cells, the cell markers CD34, vWF, P1H12, and CD31 were stained. Changes in these cells were examined before and after chemotherapy, and the clinical significance of these changes to response prediction and prognosis were investigated. Before the second cycle of chemotherapy, the number of CD34+ /vWF+ and CD34+ cells was higher in non-responders as compared to the responders. Patients with ⩾6.2 CD34+ /vWF+ cells/ml had a shorter progression free survival (3.7 months) as against patients with
doi_str_mv 10.1016/j.canlet.2008.05.011
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Peripheral blood mononuclear cells were obtained from 49 gastric cancer patients who received taxotere combined with 5-FU and leucovorin and prophylactic G-CSF treatment. To categorize the cells, the cell markers CD34, vWF, P1H12, and CD31 were stained. Changes in these cells were examined before and after chemotherapy, and the clinical significance of these changes to response prediction and prognosis were investigated. Before the second cycle of chemotherapy, the number of CD34+ /vWF+ and CD34+ cells was higher in non-responders as compared to the responders. Patients with ⩾6.2 CD34+ /vWF+ cells/ml had a shorter progression free survival (3.7 months) as against patients with &lt;6.2 CD34+ /vWF+ /ml (6.0 months, p = 0.076). Patients with ⩾5.8 CD34+ cells/ml had shorter progression free survival (4.0 months) than patients with &lt;5.8 CD34+ cells/ml (6.1 months, p = 0.046). In an ex vivo pharmacokinetic study, the maximum inhibition ( Imax ) for HUVEC and YCC3 cells was 13.0 ± 6.6% and 74.0 ± 2.0%, respectively. The time to reach Imax ( Tmax ) was 72 h in all HUVEC cells and 0.5 hours in YCC3 cells. We suggested that CD34+ /vWF+ and CD34+ cells can be used as a biomarker for prediction and CD34+ cells for prognosis.</description><identifier>ISSN: 0304-3835</identifier><identifier>EISSN: 1872-7980</identifier><identifier>DOI: 10.1016/j.canlet.2008.05.011</identifier><identifier>PMID: 18555590</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adenocarcinoma - drug therapy ; Adenocarcinoma - immunology ; Adenocarcinoma - pathology ; Adult ; Aged ; Angiogenesis ; Antigens, CD34 - analysis ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Biomarker ; Biomarkers ; Biomarkers - analysis ; Bone marrow ; Bone Marrow Cells - drug effects ; Bone Marrow Cells - immunology ; Cancer therapies ; CD34 + cells ; Cell growth ; Cell Line, Tumor ; Cell Movement - drug effects ; Cell Survival - drug effects ; Cells, Cultured ; Disease-Free Survival ; Endothelial Cells - drug effects ; Endothelial Cells - immunology ; Female ; Flow cytometry ; Fluorouracil - administration &amp; dosage ; Gastric cancer ; Granulocyte Colony-Stimulating Factor - administration &amp; dosage ; Hematology, Oncology and Palliative Medicine ; Humans ; Infusions, Intravenous ; Leucovorin - administration &amp; dosage ; Male ; Maximum Tolerated Dose ; Middle Aged ; Patients ; Stem Cells - drug effects ; Stem Cells - immunology ; Stomach Neoplasms - drug therapy ; Stomach Neoplasms - immunology ; Stomach Neoplasms - pathology ; Studies ; Taxoids - administration &amp; dosage ; Time Factors ; Treatment Outcome</subject><ispartof>Cancer letters, 2008-11, Vol.270 (2), p.269-276</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2008 Elsevier Ireland Ltd</rights><rights>Copyright Elsevier Limited Nov 8, 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-b582b4d145007a3a3513525b75a02616f6de7fff06949936761416287a09b8a3</citedby><cites>FETCH-LOGICAL-c443t-b582b4d145007a3a3513525b75a02616f6de7fff06949936761416287a09b8a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0304383508003856$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18555590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shin, Sang Joon</creatorcontrib><creatorcontrib>Jeung, Hei-Cheul</creatorcontrib><creatorcontrib>Ahn, Joong Bae</creatorcontrib><creatorcontrib>Rha, Sun Young</creatorcontrib><creatorcontrib>Yoo, Nae Choon</creatorcontrib><creatorcontrib>Roh, Jae Kyung</creatorcontrib><creatorcontrib>Noh, Sung Hoon</creatorcontrib><creatorcontrib>Chung, Hyun Cheol</creatorcontrib><title>Mobilized CD34+ cells as a biomarker candidate for the efficacy of combined maximal tolerance dose and continuous infusional chemotherapy and G-CSF surge in gastric cancer</title><title>Cancer letters</title><addtitle>Cancer Lett</addtitle><description>Abstract We investigated whether the level of bone marrow-derived progenitor cells and mature endothelial cells could be used as predictors of clinical outcome in patients receiving taxotere-based chemotherapy for advanced gastric cancer. Peripheral blood mononuclear cells were obtained from 49 gastric cancer patients who received taxotere combined with 5-FU and leucovorin and prophylactic G-CSF treatment. To categorize the cells, the cell markers CD34, vWF, P1H12, and CD31 were stained. Changes in these cells were examined before and after chemotherapy, and the clinical significance of these changes to response prediction and prognosis were investigated. Before the second cycle of chemotherapy, the number of CD34+ /vWF+ and CD34+ cells was higher in non-responders as compared to the responders. Patients with ⩾6.2 CD34+ /vWF+ cells/ml had a shorter progression free survival (3.7 months) as against patients with &lt;6.2 CD34+ /vWF+ /ml (6.0 months, p = 0.076). Patients with ⩾5.8 CD34+ cells/ml had shorter progression free survival (4.0 months) than patients with &lt;5.8 CD34+ cells/ml (6.1 months, p = 0.046). In an ex vivo pharmacokinetic study, the maximum inhibition ( Imax ) for HUVEC and YCC3 cells was 13.0 ± 6.6% and 74.0 ± 2.0%, respectively. The time to reach Imax ( Tmax ) was 72 h in all HUVEC cells and 0.5 hours in YCC3 cells. We suggested that CD34+ /vWF+ and CD34+ cells can be used as a biomarker for prediction and CD34+ cells for prognosis.</description><subject>Adenocarcinoma - drug therapy</subject><subject>Adenocarcinoma - immunology</subject><subject>Adenocarcinoma - pathology</subject><subject>Adult</subject><subject>Aged</subject><subject>Angiogenesis</subject><subject>Antigens, CD34 - analysis</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biomarker</subject><subject>Biomarkers</subject><subject>Biomarkers - analysis</subject><subject>Bone marrow</subject><subject>Bone Marrow Cells - drug effects</subject><subject>Bone Marrow Cells - immunology</subject><subject>Cancer therapies</subject><subject>CD34 + cells</subject><subject>Cell growth</subject><subject>Cell Line, Tumor</subject><subject>Cell Movement - drug effects</subject><subject>Cell Survival - drug effects</subject><subject>Cells, Cultured</subject><subject>Disease-Free Survival</subject><subject>Endothelial Cells - drug effects</subject><subject>Endothelial Cells - immunology</subject><subject>Female</subject><subject>Flow cytometry</subject><subject>Fluorouracil - administration &amp; dosage</subject><subject>Gastric cancer</subject><subject>Granulocyte Colony-Stimulating Factor - administration &amp; dosage</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>Infusions, Intravenous</subject><subject>Leucovorin - administration &amp; dosage</subject><subject>Male</subject><subject>Maximum Tolerated Dose</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Stem Cells - drug effects</subject><subject>Stem Cells - immunology</subject><subject>Stomach Neoplasms - drug therapy</subject><subject>Stomach Neoplasms - immunology</subject><subject>Stomach Neoplasms - pathology</subject><subject>Studies</subject><subject>Taxoids - administration &amp; dosage</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0304-3835</issn><issn>1872-7980</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksFu1DAQhi0EokvhDRCyxBEljGM7cS5IaKEFqYhDe7ccZ9x6m8SLnVQsr8RL4rArVeKCZcmXb_6Z3_8Q8ppByYDV73elNdOAc1kBqBJkCYw9IRummqpoWgVPyQY4iIIrLs_Ii5R2ACBFI5-TM6ZkPi1syO9vofOD_4U93X7i4h21OAyJmnxp58No4j1Gmjv1vjczUhcine-QonPeGnugwVEbxs5PWWE0P_1oBjqHAaOZLNI-JKS5ODPT7KclLIn6yS3JhymD9g7HkOWi2R_-YpfF9vqCpiXeYuborUlz9HbtbzG-JM-cGRK-Or3n5Obi8832S3H1_fLr9uNVYYXgc9FJVXWiZ0ICNIYbLhmXlewaaaCqWe3qHhvnHNStaFteNzUTrK5UY6DtlOHn5O1Rdh_DjwXTrHdhiXncpJlcf7BWUmVKHCkbQ0oRnd7HbD4eNAO9BqR3-hiQXgPSIHUOKJe9OYkv3Yj9Y9EpkQx8OAKYHT54jDpZj9l-7yPaWffB_6_DvwJ28FMOa7jHA6ZHLzpVGvT1uiTrjoAC4ErW_A8Bpric</recordid><startdate>20081108</startdate><enddate>20081108</enddate><creator>Shin, Sang Joon</creator><creator>Jeung, Hei-Cheul</creator><creator>Ahn, Joong Bae</creator><creator>Rha, Sun Young</creator><creator>Yoo, Nae Choon</creator><creator>Roh, Jae Kyung</creator><creator>Noh, Sung Hoon</creator><creator>Chung, Hyun Cheol</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20081108</creationdate><title>Mobilized CD34+ cells as a biomarker candidate for the efficacy of combined maximal tolerance dose and continuous infusional chemotherapy and G-CSF surge in gastric cancer</title><author>Shin, Sang Joon ; Jeung, Hei-Cheul ; Ahn, Joong Bae ; Rha, Sun Young ; Yoo, Nae Choon ; Roh, Jae Kyung ; Noh, Sung Hoon ; Chung, Hyun Cheol</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-b582b4d145007a3a3513525b75a02616f6de7fff06949936761416287a09b8a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adenocarcinoma - drug therapy</topic><topic>Adenocarcinoma - immunology</topic><topic>Adenocarcinoma - pathology</topic><topic>Adult</topic><topic>Aged</topic><topic>Angiogenesis</topic><topic>Antigens, CD34 - analysis</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Biomarker</topic><topic>Biomarkers</topic><topic>Biomarkers - analysis</topic><topic>Bone marrow</topic><topic>Bone Marrow Cells - drug effects</topic><topic>Bone Marrow Cells - immunology</topic><topic>Cancer therapies</topic><topic>CD34 + cells</topic><topic>Cell growth</topic><topic>Cell Line, Tumor</topic><topic>Cell Movement - drug effects</topic><topic>Cell Survival - drug effects</topic><topic>Cells, Cultured</topic><topic>Disease-Free Survival</topic><topic>Endothelial Cells - drug effects</topic><topic>Endothelial Cells - immunology</topic><topic>Female</topic><topic>Flow cytometry</topic><topic>Fluorouracil - administration &amp; dosage</topic><topic>Gastric cancer</topic><topic>Granulocyte Colony-Stimulating Factor - administration &amp; dosage</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Infusions, Intravenous</topic><topic>Leucovorin - administration &amp; dosage</topic><topic>Male</topic><topic>Maximum Tolerated Dose</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Stem Cells - drug effects</topic><topic>Stem Cells - immunology</topic><topic>Stomach Neoplasms - drug therapy</topic><topic>Stomach Neoplasms - immunology</topic><topic>Stomach Neoplasms - pathology</topic><topic>Studies</topic><topic>Taxoids - administration &amp; dosage</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shin, Sang Joon</creatorcontrib><creatorcontrib>Jeung, Hei-Cheul</creatorcontrib><creatorcontrib>Ahn, Joong Bae</creatorcontrib><creatorcontrib>Rha, Sun Young</creatorcontrib><creatorcontrib>Yoo, Nae Choon</creatorcontrib><creatorcontrib>Roh, Jae Kyung</creatorcontrib><creatorcontrib>Noh, Sung Hoon</creatorcontrib><creatorcontrib>Chung, Hyun Cheol</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>Cancer letters</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shin, Sang Joon</au><au>Jeung, Hei-Cheul</au><au>Ahn, Joong Bae</au><au>Rha, Sun Young</au><au>Yoo, Nae Choon</au><au>Roh, Jae Kyung</au><au>Noh, Sung Hoon</au><au>Chung, Hyun Cheol</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mobilized CD34+ cells as a biomarker candidate for the efficacy of combined maximal tolerance dose and continuous infusional chemotherapy and G-CSF surge in gastric cancer</atitle><jtitle>Cancer letters</jtitle><addtitle>Cancer Lett</addtitle><date>2008-11-08</date><risdate>2008</risdate><volume>270</volume><issue>2</issue><spage>269</spage><epage>276</epage><pages>269-276</pages><issn>0304-3835</issn><eissn>1872-7980</eissn><abstract>Abstract We investigated whether the level of bone marrow-derived progenitor cells and mature endothelial cells could be used as predictors of clinical outcome in patients receiving taxotere-based chemotherapy for advanced gastric cancer. Peripheral blood mononuclear cells were obtained from 49 gastric cancer patients who received taxotere combined with 5-FU and leucovorin and prophylactic G-CSF treatment. To categorize the cells, the cell markers CD34, vWF, P1H12, and CD31 were stained. Changes in these cells were examined before and after chemotherapy, and the clinical significance of these changes to response prediction and prognosis were investigated. Before the second cycle of chemotherapy, the number of CD34+ /vWF+ and CD34+ cells was higher in non-responders as compared to the responders. Patients with ⩾6.2 CD34+ /vWF+ cells/ml had a shorter progression free survival (3.7 months) as against patients with &lt;6.2 CD34+ /vWF+ /ml (6.0 months, p = 0.076). Patients with ⩾5.8 CD34+ cells/ml had shorter progression free survival (4.0 months) than patients with &lt;5.8 CD34+ cells/ml (6.1 months, p = 0.046). In an ex vivo pharmacokinetic study, the maximum inhibition ( Imax ) for HUVEC and YCC3 cells was 13.0 ± 6.6% and 74.0 ± 2.0%, respectively. The time to reach Imax ( Tmax ) was 72 h in all HUVEC cells and 0.5 hours in YCC3 cells. We suggested that CD34+ /vWF+ and CD34+ cells can be used as a biomarker for prediction and CD34+ cells for prognosis.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>18555590</pmid><doi>10.1016/j.canlet.2008.05.011</doi><tpages>8</tpages></addata></record>
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subjects Adenocarcinoma - drug therapy
Adenocarcinoma - immunology
Adenocarcinoma - pathology
Adult
Aged
Angiogenesis
Antigens, CD34 - analysis
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biomarker
Biomarkers
Biomarkers - analysis
Bone marrow
Bone Marrow Cells - drug effects
Bone Marrow Cells - immunology
Cancer therapies
CD34 + cells
Cell growth
Cell Line, Tumor
Cell Movement - drug effects
Cell Survival - drug effects
Cells, Cultured
Disease-Free Survival
Endothelial Cells - drug effects
Endothelial Cells - immunology
Female
Flow cytometry
Fluorouracil - administration & dosage
Gastric cancer
Granulocyte Colony-Stimulating Factor - administration & dosage
Hematology, Oncology and Palliative Medicine
Humans
Infusions, Intravenous
Leucovorin - administration & dosage
Male
Maximum Tolerated Dose
Middle Aged
Patients
Stem Cells - drug effects
Stem Cells - immunology
Stomach Neoplasms - drug therapy
Stomach Neoplasms - immunology
Stomach Neoplasms - pathology
Studies
Taxoids - administration & dosage
Time Factors
Treatment Outcome
title Mobilized CD34+ cells as a biomarker candidate for the efficacy of combined maximal tolerance dose and continuous infusional chemotherapy and G-CSF surge in gastric cancer
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