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Publication Year: 2000

2630

Treating Nasopharyngeal Carcinoma with EGFR Antagonists. Anne E. Hagey, Jianyu Rao, Genhong Cheng, UCLA Medical Ctr, Los Angeles, CA.

Our research seeks to define the role the Epstein-Barr virus (EBV) plays in the development of carcinomas it is consistently associated with, specifically nasopharyngeal carcinoma (NPC). We propose that the latent membrane protein 1 (LMP-1) of EBV is upregulated in NPC. It is thought that LMP-1 uses signal transduction pathways similar to tumor necrosis factor (TNF) family members, especially CD40, which is involved in B-cell dependent T-cell activation. Like CD40, LMP-1 uses TRAF family proteins as its immediate early mediators and promotes cell survival and proliferation. Unlike CD40, which requires CD40L for activation, LMP-1 is constitutively active, providing great potential for cell transformation. We believe that LMP-1 upregulates epidermal growth factor receptor (EGFR) and Bcl-X via an NF-kB mediated pathway. We aim to further characterize the molecular role that EGFR and Bcl-X play in LMP-1-mediated cellular transformation. Moreover, we plan to exploit LMP-1-induced EGFR upregulation as a potential diagnostic marker and therapeutic target for EBV-associated NPC. Antibodies against EGFR may be used as adjunctive, specific therapy for NPC, similar to the use of Herceptin in treatment of Her2/neu positive breast carcinomas. Initially, our methods included transformation of 293t cells with LMP-1 via calcium-phosphate mediated infection and transfection. Western blot analysis confirmed the presence of LMP-1. Subsequent gel shift assay revealed upregulation of NF-kB. Tumor samples were stained immunohistochemically for LMP-1, EGFR, and Bcl-X. Our results thus far indicate that EGFR is definitely upregulated versus normal controls in NPC tumor samples. Preliminarily, it appears as if Bcl-X is also upregulated in NPC tumor samples. Further studies must be undertaken to correlate the degree of EGFR upregulation in metastatic versus in situ NPC. Mouse studies will be done using implanted LMP-1-transformed HaCaT cells (a human epithelial cell line) and then blocking EGFR using the small inhibitory molecule PD153035, an EGFR tyrosine kinase inhibitor. We will assess the mice for tumor involution, thereby enabling us to draw some conclusions about the therapeutic portion of our project.

 

 

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