5-Methoxy-1,2-dimethyl-3-[(4-nitrophenoxy)methyl]indole-4,7-dione, a mechanism-based inhibitor of NAD(P)H:quinone oxidoreductase 1, exhibits activity against human pancreatic cancer in vitro and in vivo

The enzyme NAD(P)H:quinone oxidoreductase 1 (NQO1) has been found to be up-regulated in pancreatic cancer as well as many other solid tumors. A recent study showed that inhibition of NQO1 in pancreatic cancer cells using the nonselective inhibitor dicumarol suppressed the malignant phenotype. The au...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Molecular cancer therapeutics 2006-07, Vol.5 (7), p.1702-1709
Hauptverfasser: Dehn, Donna L, Siegel, David, Zafar, Khan Shoeb, Reigan, Philip, Swann, Elizabeth, Moody, Christopher J, Ross, David
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1709
container_issue 7
container_start_page 1702
container_title Molecular cancer therapeutics
container_volume 5
creator Dehn, Donna L
Siegel, David
Zafar, Khan Shoeb
Reigan, Philip
Swann, Elizabeth
Moody, Christopher J
Ross, David
description The enzyme NAD(P)H:quinone oxidoreductase 1 (NQO1) has been found to be up-regulated in pancreatic cancer as well as many other solid tumors. A recent study showed that inhibition of NQO1 in pancreatic cancer cells using the nonselective inhibitor dicumarol suppressed the malignant phenotype. The authors suggested that inhibition of cell growth might result from an increase in intracellular superoxide production due to inhibition of NQO1. We have recently shown that NQO1 can directly scavenge superoxide and this effect may become physiologically relevant in cells containing high NQO1 levels. We therefore tested the hypothesis that 5-methoxy-1,2-dimethyl-3-[(4-nitrophenoxy)methyl]indole-4,7-dione (ES936), a specific mechanism-based inhibitor of NQO1, would be an effective agent for the treatment of pancreatic tumors. The human pancreatic tumor cell lines BxPC-3 and MIA PaCa-2 contain high levels of NQO1 activity and protein as verified by immunoblot and immunocytochemical staining of human pancreatic tumor cells. ES936 treatment inhibited NQO1 activity by >98% in MIA PaCa-2 and BxPC-3 cells. In addition, ES936 treatment induced growth inhibition [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay] in MIA PaCa-2 and BxPC-3 cells with an IC 50 of 108 and 365 nmol/L, respectively. Treatment of MIA PaCa-2 cells with ES936 also inhibited the ability of these cells to form colonies and grow in soft agar in a dose-dependent manner. Treatment of mice carrying MIA PaCa-2 xenograft tumors with ES936 resulted in a significant difference in growth rates in ES936-treated and DMSO-treated (control) tumors. Our data did not show an increase in either intracellular superoxide production or oxygen consumption after treatment of cells with ES936, contrary to the effects seen with dicumarol. In summary, mechanism-based inhibitors of NQO1, such as ES936, may be useful therapeutic agents for the treatment of pancreatic cancer, although the underlying mechanism seems to be independent of superoxide generation. [Mol Cancer Ther 2006;5(7):1702–9]
doi_str_mv 10.1158/1535-7163.MCT-06-0105
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68717427</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68717427</sourcerecordid><originalsourceid>FETCH-LOGICAL-c339t-ab6856ce2ad8f930ca8b11f265a30a5652f44d0f7f97cebb93f7c50d0086aa4f3</originalsourceid><addsrcrecordid>eNpFkcFu1DAQQCMEoqXwCSCfoJXWxU5iJ-mtWgpFaoFDOSFkTZxJY5TYWztZdn-Rr6rTrMTJM543M5Zfkrzl7JxzUX7kIhO04DI7v13fUSYp40w8S47jfUlLwfPnT_HCHCWvQvjDGC-rlL9MjrgsK54LeZz8E_QWx87t9pSvUtqYIWb7nmb012lOrRm923RoY_1sqfw2tnE90nxVRNpZXBEgA-oOrAkDrSFgQ4ztTG1G54lrybfLT6c_zq4vHiZjI0_czjTOYzPpMcKErwjunvBAQI9ma8Y9gXswNoykmwawZANWe4TRaKJjiD4uINv5bQRssyRb9zp50UIf8M3hPEl-fr66W1_Tm-9fvq4vb6jOsmqkUMtSSI0pNGVbZUxDWXPeplJAxkBIkbZ53rC2aKtCY11XWVtowRrGSgmQt9lJ8n6Zu_HuYcIwqsEEjX0PFt0UlCwLXuRpEUGxgNq7EDy2auPNAH6vOFOzRDULUrMgFSUqJtUsMfa9OyyY6gGb_10HaxH4sACdue_-Go9q-RaPAcHrTsWhihcszR4BoeCpEA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68717427</pqid></control><display><type>article</type><title>5-Methoxy-1,2-dimethyl-3-[(4-nitrophenoxy)methyl]indole-4,7-dione, a mechanism-based inhibitor of NAD(P)H:quinone oxidoreductase 1, exhibits activity against human pancreatic cancer in vitro and in vivo</title><source>MEDLINE</source><source>American Association for Cancer Research</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Dehn, Donna L ; Siegel, David ; Zafar, Khan Shoeb ; Reigan, Philip ; Swann, Elizabeth ; Moody, Christopher J ; Ross, David</creator><creatorcontrib>Dehn, Donna L ; Siegel, David ; Zafar, Khan Shoeb ; Reigan, Philip ; Swann, Elizabeth ; Moody, Christopher J ; Ross, David</creatorcontrib><description>The enzyme NAD(P)H:quinone oxidoreductase 1 (NQO1) has been found to be up-regulated in pancreatic cancer as well as many other solid tumors. A recent study showed that inhibition of NQO1 in pancreatic cancer cells using the nonselective inhibitor dicumarol suppressed the malignant phenotype. The authors suggested that inhibition of cell growth might result from an increase in intracellular superoxide production due to inhibition of NQO1. We have recently shown that NQO1 can directly scavenge superoxide and this effect may become physiologically relevant in cells containing high NQO1 levels. We therefore tested the hypothesis that 5-methoxy-1,2-dimethyl-3-[(4-nitrophenoxy)methyl]indole-4,7-dione (ES936), a specific mechanism-based inhibitor of NQO1, would be an effective agent for the treatment of pancreatic tumors. The human pancreatic tumor cell lines BxPC-3 and MIA PaCa-2 contain high levels of NQO1 activity and protein as verified by immunoblot and immunocytochemical staining of human pancreatic tumor cells. ES936 treatment inhibited NQO1 activity by &gt;98% in MIA PaCa-2 and BxPC-3 cells. In addition, ES936 treatment induced growth inhibition [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay] in MIA PaCa-2 and BxPC-3 cells with an IC 50 of 108 and 365 nmol/L, respectively. Treatment of MIA PaCa-2 cells with ES936 also inhibited the ability of these cells to form colonies and grow in soft agar in a dose-dependent manner. Treatment of mice carrying MIA PaCa-2 xenograft tumors with ES936 resulted in a significant difference in growth rates in ES936-treated and DMSO-treated (control) tumors. Our data did not show an increase in either intracellular superoxide production or oxygen consumption after treatment of cells with ES936, contrary to the effects seen with dicumarol. In summary, mechanism-based inhibitors of NQO1, such as ES936, may be useful therapeutic agents for the treatment of pancreatic cancer, although the underlying mechanism seems to be independent of superoxide generation. [Mol Cancer Ther 2006;5(7):1702–9]</description><identifier>ISSN: 1535-7163</identifier><identifier>EISSN: 1538-8514</identifier><identifier>DOI: 10.1158/1535-7163.MCT-06-0105</identifier><identifier>PMID: 16891456</identifier><language>eng</language><publisher>United States: American Association for Cancer Research</publisher><subject>Animals ; Antineoplastic Agents - pharmacology ; Cell Proliferation - drug effects ; Cell Respiration - drug effects ; dicumarol ; diphtheria toxin diaphorase ; Enzyme Inhibitors - pharmacology ; Female ; Humans ; Indolequinones - pharmacology ; mechanism-based inhibitor ; Mice ; Mice, Nude ; NAD(P)H Dehydrogenase (Quinone) - analysis ; NAD(P)H Dehydrogenase (Quinone) - antagonists &amp; inhibitors ; NQO1 ; Oxygen Consumption - drug effects ; pancreatic cancer ; Pancreatic Neoplasms - enzymology ; quinone ; superoxide ; Superoxides - analysis ; Superoxides - metabolism ; Tumor Cells, Cultured ; Xenograft Model Antitumor Assays</subject><ispartof>Molecular cancer therapeutics, 2006-07, Vol.5 (7), p.1702-1709</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-ab6856ce2ad8f930ca8b11f265a30a5652f44d0f7f97cebb93f7c50d0086aa4f3</citedby><cites>FETCH-LOGICAL-c339t-ab6856ce2ad8f930ca8b11f265a30a5652f44d0f7f97cebb93f7c50d0086aa4f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3342,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16891456$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dehn, Donna L</creatorcontrib><creatorcontrib>Siegel, David</creatorcontrib><creatorcontrib>Zafar, Khan Shoeb</creatorcontrib><creatorcontrib>Reigan, Philip</creatorcontrib><creatorcontrib>Swann, Elizabeth</creatorcontrib><creatorcontrib>Moody, Christopher J</creatorcontrib><creatorcontrib>Ross, David</creatorcontrib><title>5-Methoxy-1,2-dimethyl-3-[(4-nitrophenoxy)methyl]indole-4,7-dione, a mechanism-based inhibitor of NAD(P)H:quinone oxidoreductase 1, exhibits activity against human pancreatic cancer in vitro and in vivo</title><title>Molecular cancer therapeutics</title><addtitle>Mol Cancer Ther</addtitle><description>The enzyme NAD(P)H:quinone oxidoreductase 1 (NQO1) has been found to be up-regulated in pancreatic cancer as well as many other solid tumors. A recent study showed that inhibition of NQO1 in pancreatic cancer cells using the nonselective inhibitor dicumarol suppressed the malignant phenotype. The authors suggested that inhibition of cell growth might result from an increase in intracellular superoxide production due to inhibition of NQO1. We have recently shown that NQO1 can directly scavenge superoxide and this effect may become physiologically relevant in cells containing high NQO1 levels. We therefore tested the hypothesis that 5-methoxy-1,2-dimethyl-3-[(4-nitrophenoxy)methyl]indole-4,7-dione (ES936), a specific mechanism-based inhibitor of NQO1, would be an effective agent for the treatment of pancreatic tumors. The human pancreatic tumor cell lines BxPC-3 and MIA PaCa-2 contain high levels of NQO1 activity and protein as verified by immunoblot and immunocytochemical staining of human pancreatic tumor cells. ES936 treatment inhibited NQO1 activity by &gt;98% in MIA PaCa-2 and BxPC-3 cells. In addition, ES936 treatment induced growth inhibition [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay] in MIA PaCa-2 and BxPC-3 cells with an IC 50 of 108 and 365 nmol/L, respectively. Treatment of MIA PaCa-2 cells with ES936 also inhibited the ability of these cells to form colonies and grow in soft agar in a dose-dependent manner. Treatment of mice carrying MIA PaCa-2 xenograft tumors with ES936 resulted in a significant difference in growth rates in ES936-treated and DMSO-treated (control) tumors. Our data did not show an increase in either intracellular superoxide production or oxygen consumption after treatment of cells with ES936, contrary to the effects seen with dicumarol. In summary, mechanism-based inhibitors of NQO1, such as ES936, may be useful therapeutic agents for the treatment of pancreatic cancer, although the underlying mechanism seems to be independent of superoxide generation. [Mol Cancer Ther 2006;5(7):1702–9]</description><subject>Animals</subject><subject>Antineoplastic Agents - pharmacology</subject><subject>Cell Proliferation - drug effects</subject><subject>Cell Respiration - drug effects</subject><subject>dicumarol</subject><subject>diphtheria toxin diaphorase</subject><subject>Enzyme Inhibitors - pharmacology</subject><subject>Female</subject><subject>Humans</subject><subject>Indolequinones - pharmacology</subject><subject>mechanism-based inhibitor</subject><subject>Mice</subject><subject>Mice, Nude</subject><subject>NAD(P)H Dehydrogenase (Quinone) - analysis</subject><subject>NAD(P)H Dehydrogenase (Quinone) - antagonists &amp; inhibitors</subject><subject>NQO1</subject><subject>Oxygen Consumption - drug effects</subject><subject>pancreatic cancer</subject><subject>Pancreatic Neoplasms - enzymology</subject><subject>quinone</subject><subject>superoxide</subject><subject>Superoxides - analysis</subject><subject>Superoxides - metabolism</subject><subject>Tumor Cells, Cultured</subject><subject>Xenograft Model Antitumor Assays</subject><issn>1535-7163</issn><issn>1538-8514</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkcFu1DAQQCMEoqXwCSCfoJXWxU5iJ-mtWgpFaoFDOSFkTZxJY5TYWztZdn-Rr6rTrMTJM543M5Zfkrzl7JxzUX7kIhO04DI7v13fUSYp40w8S47jfUlLwfPnT_HCHCWvQvjDGC-rlL9MjrgsK54LeZz8E_QWx87t9pSvUtqYIWb7nmb012lOrRm923RoY_1sqfw2tnE90nxVRNpZXBEgA-oOrAkDrSFgQ4ztTG1G54lrybfLT6c_zq4vHiZjI0_czjTOYzPpMcKErwjunvBAQI9ma8Y9gXswNoykmwawZANWe4TRaKJjiD4uINv5bQRssyRb9zp50UIf8M3hPEl-fr66W1_Tm-9fvq4vb6jOsmqkUMtSSI0pNGVbZUxDWXPeplJAxkBIkbZ53rC2aKtCY11XWVtowRrGSgmQt9lJ8n6Zu_HuYcIwqsEEjX0PFt0UlCwLXuRpEUGxgNq7EDy2auPNAH6vOFOzRDULUrMgFSUqJtUsMfa9OyyY6gGb_10HaxH4sACdue_-Go9q-RaPAcHrTsWhihcszR4BoeCpEA</recordid><startdate>20060701</startdate><enddate>20060701</enddate><creator>Dehn, Donna L</creator><creator>Siegel, David</creator><creator>Zafar, Khan Shoeb</creator><creator>Reigan, Philip</creator><creator>Swann, Elizabeth</creator><creator>Moody, Christopher J</creator><creator>Ross, David</creator><general>American Association for Cancer Research</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>7X8</scope></search><sort><creationdate>20060701</creationdate><title>5-Methoxy-1,2-dimethyl-3-[(4-nitrophenoxy)methyl]indole-4,7-dione, a mechanism-based inhibitor of NAD(P)H:quinone oxidoreductase 1, exhibits activity against human pancreatic cancer in vitro and in vivo</title><author>Dehn, Donna L ; Siegel, David ; Zafar, Khan Shoeb ; Reigan, Philip ; Swann, Elizabeth ; Moody, Christopher J ; Ross, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-ab6856ce2ad8f930ca8b11f265a30a5652f44d0f7f97cebb93f7c50d0086aa4f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Animals</topic><topic>Antineoplastic Agents - pharmacology</topic><topic>Cell Proliferation - drug effects</topic><topic>Cell Respiration - drug effects</topic><topic>dicumarol</topic><topic>diphtheria toxin diaphorase</topic><topic>Enzyme Inhibitors - pharmacology</topic><topic>Female</topic><topic>Humans</topic><topic>Indolequinones - pharmacology</topic><topic>mechanism-based inhibitor</topic><topic>Mice</topic><topic>Mice, Nude</topic><topic>NAD(P)H Dehydrogenase (Quinone) - analysis</topic><topic>NAD(P)H Dehydrogenase (Quinone) - antagonists &amp; inhibitors</topic><topic>NQO1</topic><topic>Oxygen Consumption - drug effects</topic><topic>pancreatic cancer</topic><topic>Pancreatic Neoplasms - enzymology</topic><topic>quinone</topic><topic>superoxide</topic><topic>Superoxides - analysis</topic><topic>Superoxides - metabolism</topic><topic>Tumor Cells, Cultured</topic><topic>Xenograft Model Antitumor Assays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dehn, Donna L</creatorcontrib><creatorcontrib>Siegel, David</creatorcontrib><creatorcontrib>Zafar, Khan Shoeb</creatorcontrib><creatorcontrib>Reigan, Philip</creatorcontrib><creatorcontrib>Swann, Elizabeth</creatorcontrib><creatorcontrib>Moody, Christopher J</creatorcontrib><creatorcontrib>Ross, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Molecular cancer therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dehn, Donna L</au><au>Siegel, David</au><au>Zafar, Khan Shoeb</au><au>Reigan, Philip</au><au>Swann, Elizabeth</au><au>Moody, Christopher J</au><au>Ross, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>5-Methoxy-1,2-dimethyl-3-[(4-nitrophenoxy)methyl]indole-4,7-dione, a mechanism-based inhibitor of NAD(P)H:quinone oxidoreductase 1, exhibits activity against human pancreatic cancer in vitro and in vivo</atitle><jtitle>Molecular cancer therapeutics</jtitle><addtitle>Mol Cancer Ther</addtitle><date>2006-07-01</date><risdate>2006</risdate><volume>5</volume><issue>7</issue><spage>1702</spage><epage>1709</epage><pages>1702-1709</pages><issn>1535-7163</issn><eissn>1538-8514</eissn><abstract>The enzyme NAD(P)H:quinone oxidoreductase 1 (NQO1) has been found to be up-regulated in pancreatic cancer as well as many other solid tumors. A recent study showed that inhibition of NQO1 in pancreatic cancer cells using the nonselective inhibitor dicumarol suppressed the malignant phenotype. The authors suggested that inhibition of cell growth might result from an increase in intracellular superoxide production due to inhibition of NQO1. We have recently shown that NQO1 can directly scavenge superoxide and this effect may become physiologically relevant in cells containing high NQO1 levels. We therefore tested the hypothesis that 5-methoxy-1,2-dimethyl-3-[(4-nitrophenoxy)methyl]indole-4,7-dione (ES936), a specific mechanism-based inhibitor of NQO1, would be an effective agent for the treatment of pancreatic tumors. The human pancreatic tumor cell lines BxPC-3 and MIA PaCa-2 contain high levels of NQO1 activity and protein as verified by immunoblot and immunocytochemical staining of human pancreatic tumor cells. ES936 treatment inhibited NQO1 activity by &gt;98% in MIA PaCa-2 and BxPC-3 cells. In addition, ES936 treatment induced growth inhibition [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay] in MIA PaCa-2 and BxPC-3 cells with an IC 50 of 108 and 365 nmol/L, respectively. Treatment of MIA PaCa-2 cells with ES936 also inhibited the ability of these cells to form colonies and grow in soft agar in a dose-dependent manner. Treatment of mice carrying MIA PaCa-2 xenograft tumors with ES936 resulted in a significant difference in growth rates in ES936-treated and DMSO-treated (control) tumors. Our data did not show an increase in either intracellular superoxide production or oxygen consumption after treatment of cells with ES936, contrary to the effects seen with dicumarol. In summary, mechanism-based inhibitors of NQO1, such as ES936, may be useful therapeutic agents for the treatment of pancreatic cancer, although the underlying mechanism seems to be independent of superoxide generation. [Mol Cancer Ther 2006;5(7):1702–9]</abstract><cop>United States</cop><pub>American Association for Cancer Research</pub><pmid>16891456</pmid><doi>10.1158/1535-7163.MCT-06-0105</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1535-7163
ispartof Molecular cancer therapeutics, 2006-07, Vol.5 (7), p.1702-1709
issn 1535-7163
1538-8514
language eng
recordid cdi_proquest_miscellaneous_68717427
source MEDLINE; American Association for Cancer Research; EZB-FREE-00999 freely available EZB journals
subjects Animals
Antineoplastic Agents - pharmacology
Cell Proliferation - drug effects
Cell Respiration - drug effects
dicumarol
diphtheria toxin diaphorase
Enzyme Inhibitors - pharmacology
Female
Humans
Indolequinones - pharmacology
mechanism-based inhibitor
Mice
Mice, Nude
NAD(P)H Dehydrogenase (Quinone) - analysis
NAD(P)H Dehydrogenase (Quinone) - antagonists & inhibitors
NQO1
Oxygen Consumption - drug effects
pancreatic cancer
Pancreatic Neoplasms - enzymology
quinone
superoxide
Superoxides - analysis
Superoxides - metabolism
Tumor Cells, Cultured
Xenograft Model Antitumor Assays
title 5-Methoxy-1,2-dimethyl-3-[(4-nitrophenoxy)methyl]indole-4,7-dione, a mechanism-based inhibitor of NAD(P)H:quinone oxidoreductase 1, exhibits activity against human pancreatic cancer in vitro and in vivo
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T11%3A40%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=5-Methoxy-1,2-dimethyl-3-%5B(4-nitrophenoxy)methyl%5Dindole-4,7-dione,%20a%20mechanism-based%20inhibitor%20of%20NAD(P)H:quinone%20oxidoreductase%201,%20exhibits%20activity%20against%20human%20pancreatic%20cancer%20in%20vitro%20and%20in%20vivo&rft.jtitle=Molecular%20cancer%20therapeutics&rft.au=Dehn,%20Donna%20L&rft.date=2006-07-01&rft.volume=5&rft.issue=7&rft.spage=1702&rft.epage=1709&rft.pages=1702-1709&rft.issn=1535-7163&rft.eissn=1538-8514&rft_id=info:doi/10.1158/1535-7163.MCT-06-0105&rft_dat=%3Cproquest_cross%3E68717427%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=68717427&rft_id=info:pmid/16891456&rfr_iscdi=true