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    <title>Weerden, W.M. van</title>
    <link>http://repub.eur.nl/res/aut/8582/</link>
    <description>List of Publications</description>
    <language>en</language>
    <image>
      <url>http://repub.eur.nl/static-eur/img/logo.png</url>
      <title>RePub, Erasmus University Rotterdam</title>
      <link>http://repub.eur.nl</link>
    </image>
    <item>
      <title>Activation of c-MET induces a Stem-Like phenotype in human prostate cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/34646/</link>
      <pubDate>2011-11-14T00:00:00Z</pubDate>
      <description>Prostate cancer consists of secretory cells and a population of immature cells. The function of immature cells and their mutual relation with secretory cells are still poorly understood. Immature cells either have a hierarchical relation to secretory cells (stem cell model) or represent an inducible population emerging upon appropriate stimulation of differentiated cells. Hepatocyte Growth Factor (HGF) receptor c-MET is specifically expressed in immature prostate cells. Our objective is to determine the role of immature cells in prostate cancer by analysis of the HGF/c-MET pathway. Gene-expression profiling of DU145 prostate cancer cells stimulated with HGF revealed induction of a molecular signature associated with stem cells, characterized by up-regulation of CD49b, CD49f, CD44 and SOX9, and down-regulation of CD24 ('stem-like signature'). We confirmed the acquisition of a stem-like phenotype by quantitative PCR, FACS analysis and Western blotting. Further, HGF led to activation of the stem cell related Notch pathway by up-regulation of its ligands Jagged-1 and Delta-like 4. Small molecules SU11274 and PHA665752 targeting c-MET activity were both able to block the molecular and biologic effects of HGF. Knock-down of c-MET by shRNA infection resulted in significant reduction and delay of orthotopic tumour-formation in male NMRI mice. Immunohistochemical analysis in prostatectomies revealed significant enrichment of c-MET positive cells at the invasive front, and demonstrated co-expression of c-MET with stem-like markers CD49b and CD49f. In conclusion, activation of c-MET in prostate cancer cells induced a stem-like phenotype, indicating a dynamic relation between differentiated and stem-like cells in this malignancy. Its mediation of efficient tumour-formation in vivo and predominant receptor expression at the invasive front implicate that c-MET regulates tumour infiltration in surrounding tissues putatively by acquisition of a stem-like phenotype. </description>
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      <title>Imaging of prostate cancer with immuno-PET and immuno-SPECT using a radiolabeled anti-EGP-1 monoclonal antibody (Article)</title>
      <link>http://repub.eur.nl/res/pub/33614/</link>
      <pubDate>2011-10-01T00:00:00Z</pubDate>
      <description>hRS7 is a humanized IgG1 monoclonal antibody directed against the epithelial glycoprotein-1 (EGP-1; also known as TROP2). This antigen is found in many epithelial cancers, including prostate cancer, and therefore this antibody could be suitable for targeting this cancer. In this study, the characteristics of hRS7 for targeting prostate cancer were examined. The potential for immuno-PET with89Zr-hRS7 and immuno-SPECT with111In-hRS7 was assessed using nude mice with human prostate cancer xenografts. Methods: EGP-1 expression was assessed by immunohistology in human primary and metastatic prostate cancer samples and in PC3 xenografts. The optimal antibody protein dose for prostate cancer targeting was examined in nude mice with subcutaneous PC3 xenografts, and then the biodistribution of111In-,125I-, and89Zr-labeled hRS7 was determined in subcutaneous PC3 xenografts at 1, 3, and 7 d after injection. Immuno-PET and immuno-SPECT were performed with89Zr-hRS7 and111In-hRS7 in mice with subcutaneous and intraprostatic PC3 xenografts, respectively. Results: Immunohistochemical analysis showed abundant EGP-1 expression in human primary and metastatic prostate cancers and in PC3 xenografts.111In-hRS7 and89Zr-hRS7 preferentially and specifically accumulated in PC3 xenografts, with tumor uptake as high as 60% injected dose per gram at a protein dose of 0.1 μg per mouse. PC3 tumors in nude mice were clearly visualized with both tracers with immuno-PET and immuno-SPECT. Conclusion: hRS7 shows excellent in vivo tumor targeting in human prostate cancer xenografts. Therefore, hRS7 is a potential vehicle for targeting prostate cancer. Copyright </description>
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      <title>Modulation of androgen receptor signaling in hormonal therapy-resistant prostate cancer cell lines (Article)</title>
      <link>http://repub.eur.nl/res/pub/34661/</link>
      <pubDate>2011-08-10T00:00:00Z</pubDate>
      <description>Background: Prostate epithelial cells depend on androgens for survival and function. In (early) prostate cancer (PCa) androgens also regulate tumor growth, which is exploited by hormonal therapies in metastatic disease. The aim of the present study was to characterize the androgen receptor (AR) response in hormonal therapy-resistant PC346 cells and identify potential disease markers. Methodology/Principal Findings: Human 19K oligoarrays were used to establish the androgen-regulated expression profile of androgen-responsive PC346C cells and its derivative therapy-resistant sublines: PC346DCC (vestigial AR levels), PC346Flu1 (AR overexpression) and PC346Flu2 (T877A AR mutation). In total, 107 transcripts were differentially-expressed in PC346C and derivatives after R1881 or hydroxyflutamide stimulations. The AR-regulated expression profiles reflected the AR modifications of respective therapy-resistant sublines: AR overexpression resulted in stronger and broader transcriptional response to R1881 stimulation, AR down-regulation correlated with deficient response of AR-target genes and the T877A mutation resulted in transcriptional response to both R1881 and hydroxyflutamide. This AR-target signature was linked to multiple publicly available cell line and tumor derived PCa databases, revealing that distinct functional clusters were differentially modulated during PCa progression. Differentiation and secretory functions were up-regulated in primary PCa but repressed in metastasis, whereas proliferation, cytoskeletal remodeling and adhesion were overexpressed in metastasis. Finally, the androgen-regulated genes ENDOD1, MCCC2 and ACSL3 were selected as potential disease markers for RT-PCR quantification in a distinct set of human prostate specimens. ENDOD1 and ACSL3 showed down-regulation in high-grade and metastatic PCa, while MCCC2 was overexpressed in low-grade PCa. Conclusions/Significance: AR modifications altered the transcriptional response to (anti)androgens in therapy-resistant cells. Furthermore, selective down-regulation of genes involved in differentiation and up-regulation of genes promoting proliferation and invasion suggest a disturbed balance between the growth and differentiation functions of the AR pathway during PCa progression. These findings may have implications in the current treatment and development of novel therapeutical approaches for metastatic PCa. </description>
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      <title>Do androgens control the uptake of 18F-FDG, 11C-choline and 11C-acetate in human prostate cancer cell lines? (Article)</title>
      <link>http://repub.eur.nl/res/pub/26549/</link>
      <pubDate>2011-07-06T00:00:00Z</pubDate>
      <description>Purpose: The aim of this study was to evaluate the impact of androgen ablation therapy in different prostate cancer (PCa) cell lines-reflecting different stages of the disease-on18F-fluorodeoxyglucose (FDG),11C-choline and11C-acetate uptake. Methods: Uptake experiments were performed in androgen-sensitive (LNCaP, PC346C) and independent cell lines (22Rv1, PC346DCC, PC-3) as well as in a benign prostatic hyperplasia (BPH-1) cell line. Tracer uptake was assessed under androgen ablation. Results of the cancer cell lines were normalized to those of BPH-1. To evaluate the effect of androgen on the uptake of18F-FDG,11C-choline and11C-acetate in PCa cell lines, 10-8M R1881, 10-10M R1881, the combination of 10-10M R1881 plus 10-6M Casodex or 10-6M Casodex alone were added in parallel cell cultures 1 day before uptake experiments. Uptake in androgen-supplemented cell cultures was compared to the uptake under androgen deprivation. Uptake was corrected for cell number using protein content. Results: Compared to BPH-1, a higher18F-FDG uptake was observed only in PC346C cells, whereas a higher11C-choline and markedly increased11C-acetate uptake was seen in all cancer cell lines. Androgens significantly modulated the uptake of18F-FDG in LNCaP, PC346C and 22Rv1 cells, and of11C-choline in the PC346C and 22Rv1 cell line. No androgenic effect on11C-choline and18F-FDG uptake was observed in PC-3 and PC346DCC cells.11C-Acetate uptake was independent of androgen status in all PCa cell lines studied. Conclusion:18F-FDG uptake in PCa cell lines showed the highest variability and strongest androgen effect, suggesting its poor potential for metabolic imaging of advanced PCa. In contrast to18F-FDG and11C-choline,11C-acetate uptake was unaffected by androgens and thus11C-acetate seems best for monitoring PCa progression. </description>
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      <title>Gastrin-releasing peptide receptor-based targeting using bombesin analogues is superior to metabolism-based targeting using choline for in vivo imaging of human prostate cancer xenografts (Article)</title>
      <link>http://repub.eur.nl/res/pub/24025/</link>
      <pubDate>2011-07-01T00:00:00Z</pubDate>
      <description>Purpose: Prostate cancer (PC) is a major health problem. Overexpression of the gastrin-releasing peptide receptor (GRPR) in PC, but not in the hyperplastic prostate, provides a promising target for staging and monitoring of PC. Based on the assumption that cancer cells have increased metabolic activity, metabolism-based tracers are also being used for PC imaging. We compared GRPR-based targeting using the68Ga-labelled bombesin analogue AMBA with metabolism-based targeting using18F-methylcholine (18F-FCH) in nude mice bearing human prostate VCaP xenografts. Methods: PET and biodistribution studies were performed with both68Ga-AMBA and18F-FCH in all VCaP tumour-bearing mice, with PC-3 tumour-bearing mice as reference. Scanning started immediately after injection. Dynamic PET scans were reconstructed and analysed quantitatively. Biodistribution of tracers and tissue uptake was expressed as percent of injected dose per gram tissue (%ID/g). Results: All tumours were clearly visualized using68Ga-AMBA.18F-FCH showed significantly less contrast due to poor tumour-to-background ratios. Quantitative PET analyses showed fast tumour uptake and high retention for both tracers. VCaP tumour uptake values determined from PET at steady-state were 6.7±1.4%ID/g (20-30 min after injection, N=8) for68Ga-AMBA and 1.6±0.5%ID/g (10-20 min after injection, N=8) for18F-FCH, which were significantly different (p&lt;0.001). The results in PC-3 tumour-bearing mice were comparable. Biodistribution data were in accordance with the PET results showing VCaP tumour uptake values of 9.5±4.8%ID/g (N=8) for68Ga-AMBA and 2.1±0.4%ID/g (N=8) for18F-FCH. Apart from the GRPR-expressing organs, uptake in all organs was lower for68Ga-AMBA than for18F-FCH. Conclusion: Tumour uptake of68Ga-AMBA was higher while overall background activity was lower than observed for18F-FCH in the same PC-bearing mice. These results suggest that peptide receptor-based targeting using the bombesin analogue AMBA is superior to metabolism-based targeting using choline for scintigraphy of PC. </description>
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      <title>Overexpression of full-length ETV1 transcripts in clinical prostate cancer due to gene translocation (Article)</title>
      <link>http://repub.eur.nl/res/pub/23994/</link>
      <pubDate>2011-02-07T00:00:00Z</pubDate>
      <description>ETV1 is overexpressed in a subset of clinical prostate cancers as a fusion transcript with many different partners. However, ETV1 can also be overexpressed as a full-length transcript. Full-length ETV1 protein functions differently from truncated ETV1 produced by fusion genes. In this study we describe the genetic background of full-length ETV1 overexpression and the biological properties of different full-length ETV1 isoforms in prostate cancer. Break-apart FISH showed in five out of six patient samples with overexpression of full-length ETV1 a genomic rearrangement of the gene, indicating frequent translocation. We were able to study the rearrangements in more detail in two tumors. In the first tumor 59′-RACE on cDNA showed linkage of the complete ETV1 transcript to the first exon of a prostate-specific two exon ncRNA gene that maps on chromosome 14 (EST14). This resulted in the expression of both full-length ETV1 transcripts and EST14-ETV1 fusion transcripts. In chromosome spreads of a xenograft derived from the second prostate cancer we observed a complex ETV1 translocation involving a chromosome 7 fragment that harbors ETV1 and fragments of chromosomes 4 and 10. Further studies revealed the overexpression of several different full-length transcripts, giving rise to four protein isoforms with different N-terminal regions. Even the shortest isoform synthesized by full-length ETV1 stimulated in vitro anchorage-independent growth of PNT2C2 prostate cells. This contrasts the lack of activity of even shorter N-truncated ETV1 produced by fusion transcripts. Our findings that in clinical prostate cancer overexpression of full-length ETV1 is due to genomic rearrangements involving different chromosomes and the identification of a shortened biologically active ETV1 isoform are highly relevant for understanding the mechanism of ETV1 function in prostate cancer. </description>
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      <title>Intraprostatic steroidogenic enzymes - Response (Letter To Editor)</title>
      <link>http://repub.eur.nl/res/pub/21649/</link>
      <pubDate>2010-10-15T00:00:00Z</pubDate>
      <description></description>
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      <title>A standardised study to compare prostate cancer targeting efficacy of five radiolabelled bombesin analogues (Article)</title>
      <link>http://repub.eur.nl/res/pub/18561/</link>
      <pubDate>2010-07-01T00:00:00Z</pubDate>
      <description>Purpose: Prostate-specific antigen (PSA)-based screening for prostate cancer (PC) has dramatically increased early diagnosis. Current imaging techniques are not optimal to stage early PC adequately. A promising alternative to PC imaging is peptide-based scintigraphy using radiolabelled bombesin (BN) analogues that bind to gastrin-releasing peptide receptors (GRPR) being overexpressed in PC. When labelled to appropriate radionuclides BN targeting of GRPRs may also provide applications for peptide radionuclide receptor therapy (PRRT). Assessment studies under identical experimental conditions allowing a reliable comparison of the potential of such analogues are lacking. This study was performed to evaluate and directly compare five promising radiolabelled BN analogues for their targeting efficacy for PC under standardised conditions. Methods: The BN agonists [111In]DOTA-PESIN, [111In]AMBA, [111In]MP2346 and [111In]MP2653 and one antagonist [99mTc]Demobesin-1 were evaluated in GRPR-overexpressing human PC-3 tumour-bearing mice to determine peptide stability in vivo, biodistribution and GRPR targeting potential by animal SPECT/CT imaging and ex vivo autoradiography. Results: HPLC analysis of blood showed intact Demobesin-1 at 5 and 15 min after injection (64.1 ± 1.6% and 41.0 ± 01%, respectively) being much less for the other compounds. AMBA, the second most stable analogue, showed 36.1 ± 2.7% and 9.8 ± 1.1% intact peptide after 5 and 15 min. PC-3 tumour uptake at 1 h was comparable for Demobesin-1, AMBA, PESIN and MP2346 (3.0 ± 0.4, 2.7 ± 0.5, 2.3 ± 0.5 and 2.1 ± 0.9%ID/g, respectively), but very low for MP2653 (0.9 ± 0.2%ID/g). In addition, MP2346 showed undesirably high uptake in the kidneys (7.9 ± 1.9%ID/g) being significantly less for the other analogues. AMBA, MP2346 and PESIN revealed favourable increases in tumour to blood ratios over time while changes in tumour to kidney and pancreas ratios for Demobesin-1 from 1 to 24 h after injection were significantly better than for the other analogues. All analogues visualised PC-3 tumours by SPECT/CT and autoradiography. Conclusion: In the present study the BN antagonist Demobesin-1 was the best performing analogue showing superior in vivo stability, highest tumour uptake and retention while pancreatic and renal clearance were rapid. PESIN and AMBA were the best GRP agonists with sufficient in vivo stabilities as well as high tumour uptake and retention. Based on these results all three analogues deserve further evaluation for clinical use in PC patients.</description>
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      <title>Androgen-regulated gastrin-releasing peptide receptor expression in androgen-dependent human prostate tumor xenografts (Article)</title>
      <link>http://repub.eur.nl/res/pub/25934/</link>
      <pubDate>2010-06-15T00:00:00Z</pubDate>
      <description>Human prostate cancer (PC) overexpresses the gastrin-releasing peptide receptor (GRPR). Radiolabeled GRPR-targeting analogs of bombesin (BN) have successfully been introduced as potential tracers for visualization and treatment of GRPR-overexpressing tumors. A previous study showed GRPR-mediated binding of radiolabeled BN analogs in androgen-dependent but not in androgen-independent xenografts representing the more advanced stages of PC. We have further investigated the effect of androgen modulation on GRPR-expression in three androgen-dependent human PC-bearing xenografts: PC295, PC310 and PC82 using the androgen-independent PC3-model as a reference. Effects of androgen regulation on GRPR expression were initially studied on tumors obtained from our biorepository of xenograft tissues performing reverse transcriptase polymerase chain reaction (RT-PCR) and autoradiography (125I-universal-BN). A prospective biodistribution study (111In-MP2653) and subsequent autoradiography (125I-GRP and111In-MP2248) was than performed in castrated and testosterone resupplemented tumor-bearing mice. For all androgen-dependent xenografts, tumor uptake and binding decreased drastically after 7 days of castration. Resupplementation of testosterone to castrated animals restored GRPR expression extensively. Similar findings were concluded from the initial autoradiography and RT-PCR studies. Results from RT-PCR, for which human specific primers are used, indicate that variations in GRPR expression can be ascribed to mRNA downregulation and not to castration-induced reduction in the epithelial fraction of the xenograft tumor tissue. In conclusion, expression of human GRPR in androgendependent PC xenografts is reduced by androgen ablation and is reversed by restoring the hormonal status of the animals. This knowledge suggests that hormonal therapy may affect GRPR expression in PC tissue making GRPR-based imaging and therapy especially suitable for non-hormonally treated PC patients. </description>
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      <title>Evidence of limited contributions for intratumoral steroidogenesis in prostate cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/27641/</link>
      <pubDate>2010-02-01T00:00:00Z</pubDate>
      <description>Androgen-deprivation therapy for prostate cancer (PC) eventually leads to castration-resistant PC (CRPC). Intratumoral androgen production might contribute to tumor progression despite suppressed serum androgen concentrations. In the present study, we investigated whether PC or CRPC tissue may be capable of intratumoral androgen synthesis. Steroidogenic enzyme mRNAs were quantified in hormonally manipulated human PC cell lines and xenografts as well as in human samples of normal prostate, locally confined and advanced PC, local nonmetastatic CRPC, and lymph node metastases. Overall, the majority of samples showed low or absent mRNA expression of steroidogenic enzymes required for de novo steroid synthesis. Simultaneous but low expression of the enzymes CYP17A1 and HSD3B1, essential for the synthesis of androgens from pregnenolone, could be detected in 19 of 88 patient samples. Of 19 CRPC tissues examined, only 5 samples expressed both enzymes. Enzymes that convert androstenedione to testosterone (AKR1C3) and testosterone to dihydrotestosterone (DHT; SRD5A1) were abundantly expressed. AKR1C3 expression was negatively regulated by androgens in the experimental models and was increased in CRPC samples. Expression of SRD5A1 was upregulated in locally advanced cancer, CRPC, and lymph node metastases. We concluded that intratumoral steroid biosynthesis contributes less than circulating adrenal androgens, implying that blocking androgen production and its intraprostatic conversion into DHT, such as via CYP17A1 inhibition, may represent favorable therapeutic options in patients with CRPC. </description>
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      <title>Prostate cancer - chemoprevention (Article)</title>
      <link>http://repub.eur.nl/res/pub/17554/</link>
      <pubDate>2009-09-01T00:00:00Z</pubDate>
      <description></description>
    </item> <item>
      <title>Changes in the penile arteries of the rat after fractionated irradiation of the prostate: A pilot study (Article)</title>
      <link>http://repub.eur.nl/res/pub/32598/</link>
      <pubDate>2009-07-10T00:00:00Z</pubDate>
      <description>Introduction. External beam radiotherapy for prostate cancer leads to erectile dysfunction in 36%-43% of patients. The underlying mechanism is largely unknown, although some clinical studies suggest that the arterial supply to the corpora cavernosa is responsible. Two animal experimental studies reported on the effects of a single fraction of prostate irradiation on the penile structures. However, irradiation in multiple fractions is more representative of the actual clinical treatment. Aim. The present prospective, controlled study was initiated to investigate the effect of fractionated prostate irradiation on the arteries of the corpora cavernosa. Main Outcome Measures. Histological evaluation of the penile tissue in comparison with control rats at 2, 4, and 9 weeks after irradiation. Methods. The prostate of twelve rats was treated with external beam radiation in 5 daily fractions of 7.4 gray. Three control rats were treated with sham irradiation. Prostatic and penile tissue was evaluated for general histology (hematoxylin-eosin). The penile tissue was further evaluated after combined staining for collagen (resorcin fuchsin) and α-smooth muscle actin (SMA) (Biogenex). Results. The prostate showed adequate irradiation with fibrosis occurring at 9 weeks after irradiation. The corpora cavernosa showed arteries that had developed loss of smooth muscle cells expressing SMA, thickening of the intima, and occlusions. All the control rats maintained normal anatomy. Conclusion. This is the first animal experimental study that demonstrates changes in the arteries of the corpora cavernosa after fractionated irradiation to the prostatic area. The preliminary data suggests that erectile dysfunction after radiotherapy might be caused by radiation damage to the arterial supply of the corpora cavernosa. </description>
    </item> <item>
      <title>Exosomal secretion of cytoplasmic prostate cancer xenograft-derived proteins (Article)</title>
      <link>http://repub.eur.nl/res/pub/25192/</link>
      <pubDate>2009-06-01T00:00:00Z</pubDate>
      <description>Novel markers for prostate cancer (PCa) are needed because current established markers such as prostate-specific antigen lack diagnostic specificity and prognostic value. Proteomics analysis of serum from mice grafted with human PCa xenografts resulted in the identification of 44 tumor-derived proteins. Besides secreted proteins we identified several cytoplasmic proteins, among which were most subunits of the proteasome. Native gel electrophoresis and sandwich ELISA showed that these subunits are present as proteasome complexes in the serum from xenograft-bearing mice. We hypothesized that the presence of proteasome subunits and other cytoplasmic proteins in serum of xenografted mice could be explained by the secretion of small vesicles by cancer cells, so-called exosomes. Therefore, mass spectrometry and Western blotting analyses of the protein content of exosomes isolated from PCa cell lines was performed. This resulted in the identification of mainly cytoplasmic proteins of which several had previously been identified in the serum of xenografted mice, including proteasome subunits. The isolated exosomes also contained RNA, including the gene fusion TMPRSS2-ERG product. These observations suggest that although their function is not clearly defined cancer-derived exosomes offer possibilities for the identification of novel biomarkers for PCa. </description>
    </item> <item>
      <title>Peptide receptor imaging of prostate cancer with radiolabelled bombesin analogues (Article)</title>
      <link>http://repub.eur.nl/res/pub/25935/</link>
      <pubDate>2009-06-01T00:00:00Z</pubDate>
      <description>Prostate Cancer (PC) is a type of cancer that is often diagnosed at very early stages due to improved detection among man in the Western world. Current imaging techniques are not optimal to determine extent of minimal early stage PC even though this is of great clinical importance. Human PC and high-grade PIN have shown high Gastrin-Releasing Peptide Receptor (GRPR) expression, while normal prostate tissue and BPH revealed to be predominantly GRPR-negative. Radiolabelled Gastrin-Releasing Peptide (GRP) or bombesin (BN) analogues targeting the GRPR can be used as non-invasive tools to diagnose, monitor and potentially treat PC. These BN analogues have already proven to be able to image PC in both tumour-bearing mice and clinical patients showing no important side effects. It's desirable that new peptides require fast-track standardised comparative testing in relevant PC models to select the best performing BN analogues for further evaluation in patients. Although knowledge about GRPR expression and development of new BN analogues can be extended, it is time to study performance of BN analogues for peptide receptor based imaging in patients validating results of PC imaging using histopathology as a golden standard. </description>
    </item> <item>
      <title>Human xenograft models as useful tools to assess the potential of novel therapeutics in prostate cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/27068/</link>
      <pubDate>2009-01-13T00:00:00Z</pubDate>
      <description>With docetaxel as effective chemotherapy for hormone refractory prostate cancer (HRPC), the number of new treatment combinations for HRPC is expanding demanding a fast-track screening system. This review elaborates on the use of xenograft models to select the most promising combination therapies for entering into phase II clinical trials. </description>
    </item> <item>
      <title>The use of PSA as biomarker in nutritional intervention studies of prostate cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/28760/</link>
      <pubDate>2008-01-30T00:00:00Z</pubDate>
      <description>Epidemiological evidence suggests that environmental factors, such as diet, play a role in the development and progression of prostate cancer (PC). The number of potential protective dietary compounds or whole dietary products that are indicated to have preventive effects is piling up and demands further evaluation. The number of options urges for a reliable high-throughput screening system. To face this growing field, we suggest a strategy that combines prostate-specific antigen (PSA)-based clinical trials with experimental human xenograft studies to evaluate potential chemopreventive agents for PC. This review describes the first results that have come available using this method. In Rotterdam, two nutrition-based tertiary chemoprevention trials were conducted in patients aiming to delay progression of minimal PC. In these studies two different supplements were used both consisting of a (different) mixture of components reported to be related to cancer prevention. PC patients that were locally treated but had rising levels of circulating PSA of unknown origin were randomised into a double-blind, placebo-controlled study with a crossover design. PSA kinetics was followed during the two intervention periods. The time frame of the study design was 6 months. Results of these intervention studies showed increased PSA doubling times after dietary supplementation as compared to placebo. The lack of information on tumor burden in these patients requires the need for additional xenograft studies that can provide supplement-induced PSA and tumor responses. Such parallel experimental studies will enable to validate PSA as a biomarker for tumor volume response and may link clinical PSA kinetics to actual tumor response. For one of the clinical study, such an experimental confirmation study was performed. The dietary supplement similar to what was used in the clinical study was administered to animals that were injected intraprostatically with human PC-346C cells. Responses on tumor growth and PSA were recorded over time and allowed to monitor a potential differential effect on PSA or tumor growth. This animal study revealed no difference in response as determined by tumor volume or PSA release between supplemented and placebo mice, and confirmed that PSA levels reflected tumor response under this specific dietary intervention. We propose that the strategy of PSA-based early phase II clinical trials accompanied by experimental human xenograft studies, to assess the reliability of PSA response to reflect tumor response, allows for a concise, relatively fast test system that is able to screen the various treatment options for chemoprevention in a relatively short period of time. </description>
    </item> <item>
      <title>A novel gene on human chromosome 2p24 is differentially expressed between androgen-dependent and androgen-independent prostate cancer cells (Article)</title>
      <link>http://repub.eur.nl/res/pub/15090/</link>
      <pubDate>2001-11-01T00:00:00Z</pubDate>
      <description>Identification of genes involved in the transition from androgen-dependent to androgen-independent prostate cancer is important to extend our current knowledge of the disease. Using differential display RT-PCR analysis between androgen-dependent and androgen-independent prostate cancer cells, we have identified a novel gene, designated GC109. GC109 harbours a putative Cys-His cluster, a nuclear localisation signal, a leucine zipper and a ret finger protein (rfp)-like domain. GC109 mRNA expression in normal human tissues was found not to be restricted to the prostate. However, using a variety of 15 human cancer cell lines, GC109 mRNA was preferentially expressed in androgen-dependent LNCaP-FGC, compared with androgen-independent LNCaP-LNO, DU145 and PC3 human prostate cancer cells. Finally, the GC109 gene was mapped on human chromosome 2p24. Based on its protein domain structure and chromosomal localisation, we hypothesise that GC109 may be involved in chromosomal rearrangements in prostate cancer.</description>
    </item> <item>
      <title>Androgen deprivation of the PC-310 [correction of prohormone convertase-310] human prostate cancer model system induces neuroendocrine differentiation (Article)</title>
      <link>http://repub.eur.nl/res/pub/9257/</link>
      <pubDate>2000-01-01T00:00:00Z</pubDate>
      <description>Neuroendocrine (NE) cells are androgen-independent cells and secrete
          growth-modulating neuropeptides via a regulated secretory pathway (RSP).
          We studied NE differentiation after androgen withdrawal in the
          androgen-dependent prostate cancer xenograft PC-310. Expression patterns
          of chromogranin A, secretogranin III, and prohormone convertase-1 were
          analyzed at both protein and mRNA level to mark the kinetics of NE
          differentiation both in vivo and in vitro. PC-310 tumor-bearing nude mice
          were killed at 0, 2, 5, 7, 14, and 21 days postcastration. PC-310C
          cultures initiated from collagenase-treated tumor tissue could be
          maintained up to four passages, and androgen-deprivation experiments were
          performed similarly. PC-310 tumor volumes decreased by 50% in 10 days
          postcastration. Proliferative activity and prostate-specific antigen (PSA)
          serum levels decreased to zero postcastration, whereas PSA levels in
          PC-310C culture media first decreased and subsequently increased after 5
          days. In vivo, androgen receptor (AR) expression decreased initially but
          returned to control level from 5 days postcastration on. CgA,
          secretogranin III, and secretogranin V expression increased in vivo from 5
          days postcastration on. Subsequently, prohormone convertase-1 and peptidyl
          alpha-amidating monooxygenase as well as the vascular endothelial growth
          factor were expressed from 7 days postcastration on, and, finally, growth
          factors such as gastrin-releasing peptide and serotonin were expressed in
          a small part of the NE cells 21 days postcastration. The PC-310 tumors did
          not show colocalization of the AR on the NE cells in the tumor residues
          after 21 days. As in the PC-310 xenograft, NE differentiation was induced
          and AR expression relapsed after prolonged androgen suppression in
          PC-310C. For PC-310C cells, this relapse was associated with the secretion
          of PSA. PC-310C is the first culture of human prostatic cancer cells
          having the NE phenotype. The PC-310 model system is a potential
          androgen-dependent model for studying the role of NE cells in the
          progression of clinical prostate cancer. Androgen deprivation of
          NE-differentiated prostate cancer may induce the formation of both NE- and
          AR-positive dormant tumor residues, capable of actively producing NE
          growth factors via a RSP, possibly leading to hormone refractory disease.</description>
    </item> <item>
      <title>Characterization of a zinc-finger protein and its association with apoptosis in prostate cancer cells (Article)</title>
      <link>http://repub.eur.nl/res/pub/9451/</link>
      <pubDate>2000-01-01T00:00:00Z</pubDate>
      <description>BACKGROUND: The transition from androgen-dependent to androgen-independent
          prostate cancer is not fully understood but appears to involve multiple
          genetic changes. We have identified a gene, GC79, that is more highly
          expressed in androgen-dependent LNCaP-FGC human prostate cancer cells than
          in androgen-independent LNCaP-LNO human prostate cancer cells. Physiologic
          levels (0.1 nM:) of androgens repress expression of GC79 messenger RNA
          (mRNA) in LNCaP-FGC cells. To determine the role of GC79, we cloned its
          complementary DNA (cDNA) and functionally characterized its product.
          METHODS: The differentially expressed GC79 gene was cloned from human
          prostate cDNA libraries, sequenced, and transfected into mammalian cells
          to study its function. Expression of GC79 was analyzed in various adult
          and fetal human tissues and in prostate glands of castrated rats. The
          association of GC79 expression and apoptosis was investigated in COS-1 and
          LNCaP cells transfected with GC79 cDNA. All statistical tests are
          two-sided. RESULTS: Sequence analysis indicates that GC79 encodes a large,
          complex, multitype zinc-finger protein, containing nine C(2)H(2)-type
          zinc-finger domains, a cysteine-rich region, and a GATA C(4)-type
          zinc-finger domain. Castration-induced androgen withdrawal increased the
          expression of GC79 mRNA in the regressing rat ventral prostate, suggesting
          that the expression of GC79 mRNA is associated with the process of
          apoptotic cell death in the rat ventral prostate. Transfection and
          induction of GC79 cDNA in both COS-1 and LNCaP prostate cancer cells led
          to an apoptotic index that was eightfold higher (P:&lt;.001, two-sided
          Student's t test) than that observed in uninduced transfected cells.
          CONCLUSIONS: We have cloned an androgen-repressible gene, GC79, that is
          potentially involved in apoptosis. This finding may have implications for
          the development of androgen-independent prostate cancer and, ultimately,
          for the treatment of prostate cancer.</description>
    </item> <item>
      <title>Kinetics of neuroendocrine differentiation in an androgen-dependent human prostate xenograft model (Article)</title>
      <link>http://repub.eur.nl/res/pub/9049/</link>
      <pubDate>1999-01-01T00:00:00Z</pubDate>
      <description>It was previously shown in the PC-295 xenograft that the number of
      chromogranin A (CgA)-positive neuroendocrine (NE) cells increased after
      androgen withdrawal. NE cells did not proliferate and differentiated from
      G0-phase-arrested cells. Here we further characterized NE differentiation,
      androgen receptor status, and apoptosis-associated Bcl-2 expression in the
      PC-295 model after androgen withdrawal to assess the origin of NE cells.
      PC-295 tumor volumes decreased by 50% in 4 days. Intraperitoneal
      bromodeoxyuridine (BrdU) incorporation and MIB-1 labeling decreased to 0%,
      and the apoptosis was maximal at day 4. Androgen receptor expression and
      prostate-specific antigen (PSA) serum levels decreased rapidly within 2
      days. The number of NE cells increased 6-fold at day 4 and 30-fold at day
      7. Five and ten percent of the CgA-positive cells were BrdU positive after
      continuous BrdU labeling for 2 and 4 days, respectively. However, no MIB-1
      expression was observed in CgA-positive cells. NE cells expressed the
      regulated secretory pathway marker secretogranin III but were negative for
      androgen receptor and Bcl-2. Bcl-2 expression did increase in the non-NE
      tumor cells. In conclusion, androgen withdrawal leads to a rapid PC-295
      tumor regression and a proliferation-independent induction of NE
      differentiation. The strictly androgen-independent NE cells that were
      still present after 21 days differentiated mainly from G0-phase-arrested
      cells.</description>
    </item> <item>
      <title>Differentially expressed genes in androgen-dependent and -independent prostate carcinomas (Article)</title>
      <link>http://repub.eur.nl/res/pub/8869/</link>
      <pubDate>1997-01-01T00:00:00Z</pubDate>
      <description>Differential gene expression between androgen-dependent (LNCaP-FGC) and
      androgen-independent (LNCaP-LNO) prostate cancer cells has been
      investigated using RNA arbitrarily primed and differential display PCR of
      mRNA. Four differentially expressed cDNA transcripts were identified, of
      which differential expression was confirmed by Northern blot analysis.
      Sequence analysis revealed two unknown (JC19 and GC79) and two known genes
      [B-cell translocation gene 1 and UDP-glucuronosyltransferase 2B15
      (UGT2B15)]. JC19, GC79, and B-cell translocation gene 1 were more highly
      expressed in LNCaP-FGC cells compared with LNCaP-LNO cells, whereas
      UGT2B15 was only expressed in LNCaP-LNO cells. Androgens and
      1,25-dihydroxyvitamin D3 were able to down-regulate UGT2B15 mRNA in
      LNCaP-LNO cells. For GC79 mRNA, down-regulation was only observed with
      androgens in LNCaP-FGC cells. Expression of JC19 mRNA was studied using a
      panel of human prostate cancer xenografts. In androgen-dependent
      xenografts, expression of JC19 mRNA was much higher compared with
      androgen-independent xenografts, in which significant expression was
      hardly detectable. The mRNA expression pattern in the xenografts is in
      good agreement with that observed in the cell culture system. In
      conclusion, the differential display technique used in the present study
      allows analysis of gene expression in vitro and in vivo and can be used
      for the identification of important genes involved in androgen-independent
      prostate cancer development.</description>
    </item>
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