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Published in: Journal of Cancer Research and Clinical Oncology 12/2010

01-12-2010 | Original Paper

Induction of antigen-specific CTL and antibody responses in mice by a novel recombinant tandem repeat DNA vaccine targeting at mucin 1 of pancreatic cancer

Authors: Wen-Chuan Wu, Da-Yong Jin, Wen-Hui Lou, Dan-Song Wang, Xin-Yu Qin

Published in: Journal of Cancer Research and Clinical Oncology | Issue 12/2010

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Abstract

Purpose

Tandem repeat (TR) is the key epitope of mucin 1 (MUC1) for inducing cytotoxic T lymphocytes (CTL) to kill the tumor cells specifically. This study aimed to construct a new recombinant DNA vaccine based on single TR and to investigate the induced immune responses in mice.

Materials and methods

After the synthesis of a recombinant human TR(rhTR)and the construction of the recombinant plasmid pcDNA3.1-TR/Myc-his (+) A (pTR plasmid), C57BL/6 (H-2b) mice were immunized with it (TR group, n = 15). Mice inoculated with the empty vector (EV group, n = 15) and normal saline (NS group, n = 15) were used as vector and blank control, respectively. Cytotoxic assay was carried out to measure the CTL activity. And indirect enzyme-linked immunosorbent assay (ELISA) was used to detect anti-TR-specific antibodies.

Results

TR group resulted in more efficient induction of CTL-specific cytolysis against TR polypeptide than both EV and NS groups (both P < 0.01). Vaccine-immunized mice had a higher equivalent concentration of anti-TR-specific antibodies (2,324 ± 238 μg/ml) than either of EV group (1,896 ± 533 μg/ml, P < 0.01) or NS group (1,736 ± 142 μg/ml, P < 0.01).

Conclusion

The novel recombinant TR DNA vaccine targeting at MUC1 of pancreatic cancer was constructed successfully, effectively expressing TR polypeptide in the transfected mammalian cells and inducing TR-specific CTL and antibody response.
Literature
go back to reference Acres B, Limacher JM (2005) MUC1 as a target antigen for cancer immunotherapy. Expert Rev Vaccines 4:493–502CrossRefPubMed Acres B, Limacher JM (2005) MUC1 as a target antigen for cancer immunotherapy. Expert Rev Vaccines 4:493–502CrossRefPubMed
go back to reference Brossart P, Wirths S, Stuhler G, Reichardt VL, Kanz L, Brugger W (2000) Induction of cytotoxic T lymphocyte responses in vivo after vaccinations with peptide-pulsed dendritic cells. Blood 96:3102–3108PubMed Brossart P, Wirths S, Stuhler G, Reichardt VL, Kanz L, Brugger W (2000) Induction of cytotoxic T lymphocyte responses in vivo after vaccinations with peptide-pulsed dendritic cells. Blood 96:3102–3108PubMed
go back to reference Chaudhuri D, Suriano R, Mittelman A, Tiwari RK (2009) Targeting the immune system in cancer. Curr Pharm Biotechnol 10:166–184CrossRefPubMed Chaudhuri D, Suriano R, Mittelman A, Tiwari RK (2009) Targeting the immune system in cancer. Curr Pharm Biotechnol 10:166–184CrossRefPubMed
go back to reference Chen QR, Kumar D, Stass SA, Mixson AJ (1999) Liposomes complexed to plasmids encoding angiostatin and endostatin inhibit breast cancer in nude mice. Cancer Res 59:3308–3312PubMed Chen QR, Kumar D, Stass SA, Mixson AJ (1999) Liposomes complexed to plasmids encoding angiostatin and endostatin inhibit breast cancer in nude mice. Cancer Res 59:3308–3312PubMed
go back to reference Chu Y, Xia M, Lin Y, Li A, Wang Y, Liu R, Xiong S (2006) Th2-dominated antitumor immunity induced by DNA immunization with the genes coding for a basal core peptide PDTRP and GM-CSF. Cancer Gene Ther 13:510–519CrossRefPubMed Chu Y, Xia M, Lin Y, Li A, Wang Y, Liu R, Xiong S (2006) Th2-dominated antitumor immunity induced by DNA immunization with the genes coding for a basal core peptide PDTRP and GM-CSF. Cancer Gene Ther 13:510–519CrossRefPubMed
go back to reference Collins A, Bloomston M (2009) Diagnosis and management of pancreatic cancer. Minerva Gastroenterol Dietol 55:445–454PubMed Collins A, Bloomston M (2009) Diagnosis and management of pancreatic cancer. Minerva Gastroenterol Dietol 55:445–454PubMed
go back to reference Felgner PL, Gadek TR, Holm M, Roman R, Chan HW, Wenz M, Northrop JP, Ringold GM, Danielsen M (1987) Lipofection: a highly efficient, lipid-mediated DNA-transfection procedure. Proc Natl Acad Sci USA 84:7413–7417CrossRefPubMed Felgner PL, Gadek TR, Holm M, Roman R, Chan HW, Wenz M, Northrop JP, Ringold GM, Danielsen M (1987) Lipofection: a highly efficient, lipid-mediated DNA-transfection procedure. Proc Natl Acad Sci USA 84:7413–7417CrossRefPubMed
go back to reference Fong CL, Mok CL, Hui KM (2006) Intramuscular immunization with plasmid coexpressing tumour antigen and Flt-3L results in potent tumour regression. Gene Ther 13:245–256CrossRefPubMed Fong CL, Mok CL, Hui KM (2006) Intramuscular immunization with plasmid coexpressing tumour antigen and Flt-3L results in potent tumour regression. Gene Ther 13:245–256CrossRefPubMed
go back to reference Freelove R, Walling AD (2006) Pancreatic cancer: diagnosis and management. Am Fam Physician 73:485–492PubMed Freelove R, Walling AD (2006) Pancreatic cancer: diagnosis and management. Am Fam Physician 73:485–492PubMed
go back to reference Garmory HS, Brown KA, Titball RW (2003) DNA vaccines: improving expression of antigens. Genet Vaccines Ther 1:2CrossRefPubMed Garmory HS, Brown KA, Titball RW (2003) DNA vaccines: improving expression of antigens. Genet Vaccines Ther 1:2CrossRefPubMed
go back to reference Gaudernack G (2006) Prospects for vaccine therapy for pancreatic cancer. Best Pract Res Clin Gastroenterol 20:299–314CrossRefPubMed Gaudernack G (2006) Prospects for vaccine therapy for pancreatic cancer. Best Pract Res Clin Gastroenterol 20:299–314CrossRefPubMed
go back to reference Harty JT, Bevan MJ (1999) Responses of CD8(+) T cells to intracellular bacteria. Curr Opin Immunol 11:89–93CrossRefPubMed Harty JT, Bevan MJ (1999) Responses of CD8(+) T cells to intracellular bacteria. Curr Opin Immunol 11:89–93CrossRefPubMed
go back to reference Hayashi A, Wakita H, Yoshikawa T, Nakanishi T, Tsutsumi Y, Mayumi T, Mukai Y, Yoshioka Y, Okada N, Nakagawa S (2007) A strategy for efficient cross-presentation of CTL-epitope peptides leading to enhanced induction of in vivo tumor immunity. J Control Release 117:11–19CrossRefPubMed Hayashi A, Wakita H, Yoshikawa T, Nakanishi T, Tsutsumi Y, Mayumi T, Mukai Y, Yoshioka Y, Okada N, Nakagawa S (2007) A strategy for efficient cross-presentation of CTL-epitope peptides leading to enhanced induction of in vivo tumor immunity. J Control Release 117:11–19CrossRefPubMed
go back to reference He J, Shen D, O’Donnell MA, Chang HR (2002) Induction of MUC1-specific cellular immunity by a recombinant BCG expressing human MUC1 and secreting IL2. Int J Oncol 20:1305–1311PubMed He J, Shen D, O’Donnell MA, Chang HR (2002) Induction of MUC1-specific cellular immunity by a recombinant BCG expressing human MUC1 and secreting IL2. Int J Oncol 20:1305–1311PubMed
go back to reference Jani D, Singh NK, Bhattacharya S, Meena LS, Singh Y, Upadhyay SN, Sharma AK, Tyagi AK (2004) Studies on the immunogenic potential of plant-expressed cholera toxin B subunit. Plant Cell Rep 22:471–477CrossRefPubMed Jani D, Singh NK, Bhattacharya S, Meena LS, Singh Y, Upadhyay SN, Sharma AK, Tyagi AK (2004) Studies on the immunogenic potential of plant-expressed cholera toxin B subunit. Plant Cell Rep 22:471–477CrossRefPubMed
go back to reference Johnen H, Kulbe H, Pecher G (2001) Long-term tumor growth suppression in mice immunized with naked DNA of the human tumor antigen mucin (MUC1). Cancer Immunol Immunother 50:356–360CrossRefPubMed Johnen H, Kulbe H, Pecher G (2001) Long-term tumor growth suppression in mice immunized with naked DNA of the human tumor antigen mucin (MUC1). Cancer Immunol Immunother 50:356–360CrossRefPubMed
go back to reference Kawaoka T, Oka M, Takashima M, Ueno T, Yamamoto K, Yahara N, Yoshino S, Hazama S (2008) Adoptive immunotherapy for pancreatic cancer: cytotoxic T lymphocytes stimulated by the MUC1-expressing human pancreatic cancer cell line YPK-1. Oncol Rep 20:155–163PubMed Kawaoka T, Oka M, Takashima M, Ueno T, Yamamoto K, Yahara N, Yoshino S, Hazama S (2008) Adoptive immunotherapy for pancreatic cancer: cytotoxic T lymphocytes stimulated by the MUC1-expressing human pancreatic cancer cell line YPK-1. Oncol Rep 20:155–163PubMed
go back to reference Knutson KL, Disis ML (2005) Tumor antigen-specific T helper cells in cancer immunity and immunotherapy. Cancer Immunol Immunother 54:721–728CrossRefPubMed Knutson KL, Disis ML (2005) Tumor antigen-specific T helper cells in cancer immunity and immunotherapy. Cancer Immunol Immunother 54:721–728CrossRefPubMed
go back to reference Kontani K, Taguchi O, Ozaki Y, Hanaoka J, Tezuka N, Sawai S, Inoue S, Fujino S, Maeda T, Itoh Y, Ogasawara K, Sato H, Ohkubo I, Kudo T (2002) Novel vaccination protocol consisting of injecting MUC1 DNA and nonprimed dendritic cells at the same region greatly enhanced MUC1-specific antitumor immunity in a murine model. Cancer Gene Ther 9:330–337CrossRefPubMed Kontani K, Taguchi O, Ozaki Y, Hanaoka J, Tezuka N, Sawai S, Inoue S, Fujino S, Maeda T, Itoh Y, Ogasawara K, Sato H, Ohkubo I, Kudo T (2002) Novel vaccination protocol consisting of injecting MUC1 DNA and nonprimed dendritic cells at the same region greatly enhanced MUC1-specific antitumor immunity in a murine model. Cancer Gene Ther 9:330–337CrossRefPubMed
go back to reference Lees CJ, Apostolopoulos V, Acres B, Ong CS, Popovski V, McKenzie IF (2000) The effect of T1 and T2 cytokines on the cytotoxic T cell response to mannan-MUC1. Cancer Immunol Immunother 48:644–652CrossRefPubMed Lees CJ, Apostolopoulos V, Acres B, Ong CS, Popovski V, McKenzie IF (2000) The effect of T1 and T2 cytokines on the cytotoxic T cell response to mannan-MUC1. Cancer Immunol Immunother 48:644–652CrossRefPubMed
go back to reference Lepisto AJ, Moser AJ, Zeh H, Lee K, Bartlett D, McKolanis JR, Geller BA, Schmotzer A, Potter DP, Whiteside T, Finn OJ, Ramanathan RK (2008) A phase I/II study of a MUC1 peptide pulsed autologous dendritic cell vaccine as adjuvant therapy in patients with resected pancreatic and biliary tumors. Cancer Ther 6(B):955–964 Lepisto AJ, Moser AJ, Zeh H, Lee K, Bartlett D, McKolanis JR, Geller BA, Schmotzer A, Potter DP, Whiteside T, Finn OJ, Ramanathan RK (2008) A phase I/II study of a MUC1 peptide pulsed autologous dendritic cell vaccine as adjuvant therapy in patients with resected pancreatic and biliary tumors. Cancer Ther 6(B):955–964
go back to reference Lichtenfels R, Biddison WE, Schulz H, Vogt AB, Martin R (1994) CARE-LASS (calcein-release-assay), an improved fluorescence based test system to measure cytotoxic T lymphocyte activity. J Immunol Methods 172:227–239CrossRefPubMed Lichtenfels R, Biddison WE, Schulz H, Vogt AB, Martin R (1994) CARE-LASS (calcein-release-assay), an improved fluorescence based test system to measure cytotoxic T lymphocyte activity. J Immunol Methods 172:227–239CrossRefPubMed
go back to reference Limacher JM, Acres B (2007) MUC1, a therapeutic target in oncology. Bull Cancer 94:253–257PubMed Limacher JM, Acres B (2007) MUC1, a therapeutic target in oncology. Bull Cancer 94:253–257PubMed
go back to reference Mitchell MS, Lund TA, Sewell AK, Marincola FM, Paul E, Schroder K, Wilson DB, Kan-Mitchell J (2007) The cytotoxic T cell response to peptide analogs of the HLA-A*0201-restricted MUC1 signal sequence epitope, M1.2. Cancer Immunol Immunother 56:287–301CrossRefPubMed Mitchell MS, Lund TA, Sewell AK, Marincola FM, Paul E, Schroder K, Wilson DB, Kan-Mitchell J (2007) The cytotoxic T cell response to peptide analogs of the HLA-A*0201-restricted MUC1 signal sequence epitope, M1.2. Cancer Immunol Immunother 56:287–301CrossRefPubMed
go back to reference Mukherjee P, Ginardi AR, Madsen CS, Tinder TL, Jacobs F, Parker J, Agrawal B, Longenecker BM, Gendler SJ (2001) MUC1-specific CTLs are non-functional within a pancreatic tumor microenvironment. Glycoconj J 18:931–942CrossRefPubMed Mukherjee P, Ginardi AR, Madsen CS, Tinder TL, Jacobs F, Parker J, Agrawal B, Longenecker BM, Gendler SJ (2001) MUC1-specific CTLs are non-functional within a pancreatic tumor microenvironment. Glycoconj J 18:931–942CrossRefPubMed
go back to reference Mushenkova N, Moiseeva E, Chaadaeva A, Den Otter W, Svirshchevskaya E (2005) Antitumor effect of double immunization of mice with mucin 1 and its coding DNA. Anticancer Res 25:3893–3898PubMed Mushenkova N, Moiseeva E, Chaadaeva A, Den Otter W, Svirshchevskaya E (2005) Antitumor effect of double immunization of mice with mucin 1 and its coding DNA. Anticancer Res 25:3893–3898PubMed
go back to reference Pisarev VM, Kinarsky L, Caffrey T, Hanisch FG, Sanderson S, Hollingsworth MA et al (2005) T cells recognize PD(N/T)R motif common in a variable number of tandem repeat and degenerate repeat sequences of MUC1. Int Immunopharmacol 5:315–330CrossRefPubMed Pisarev VM, Kinarsky L, Caffrey T, Hanisch FG, Sanderson S, Hollingsworth MA et al (2005) T cells recognize PD(N/T)R motif common in a variable number of tandem repeat and degenerate repeat sequences of MUC1. Int Immunopharmacol 5:315–330CrossRefPubMed
go back to reference Radosevich M, Ono SJ (2003) Novel mechanisms of class II major histocompatibility complex gene regulation. Immunol Res 27:85–106CrossRefPubMed Radosevich M, Ono SJ (2003) Novel mechanisms of class II major histocompatibility complex gene regulation. Immunol Res 27:85–106CrossRefPubMed
go back to reference Ryan SO, Vlad AM, Islam K, Gariépy J, Finn OJ (2009) Tumor-associated MUC1 glycopeptide epitopes are not subject to self-tolerance and improve responses to MUC1 peptide epitopes in MUC1 transgenic mice. Biol Chem 3907:611–618CrossRef Ryan SO, Vlad AM, Islam K, Gariépy J, Finn OJ (2009) Tumor-associated MUC1 glycopeptide epitopes are not subject to self-tolerance and improve responses to MUC1 peptide epitopes in MUC1 transgenic mice. Biol Chem 3907:611–618CrossRef
go back to reference Sangha R, Butts C (2007) L-BLP25: a peptide vaccine strategy in non small cell lung cancer. Clin Cancer Res 13:s4652–s4654CrossRefPubMed Sangha R, Butts C (2007) L-BLP25: a peptide vaccine strategy in non small cell lung cancer. Clin Cancer Res 13:s4652–s4654CrossRefPubMed
go back to reference Sharav T, Wiesmüller KH, Walden P (2007) Mimotope vaccines for cancer immunotherapy. Vaccine 25:3032–3037CrossRefPubMed Sharav T, Wiesmüller KH, Walden P (2007) Mimotope vaccines for cancer immunotherapy. Vaccine 25:3032–3037CrossRefPubMed
go back to reference Shi FF, Gunn GR, Snyder LA, Goletz TJ (2007) Intradermal vaccination of MUC1 transgenic mice with MUC1/IL-18 plasmid DNA suppresses experimental pulmonary metastases. Vaccine 25:3338–3346CrossRefPubMed Shi FF, Gunn GR, Snyder LA, Goletz TJ (2007) Intradermal vaccination of MUC1 transgenic mice with MUC1/IL-18 plasmid DNA suppresses experimental pulmonary metastases. Vaccine 25:3338–3346CrossRefPubMed
go back to reference Snyder LA, Goletz TJ, Gunn GR, Shi FF, Harris MC, Cochlin K, McCauley C, McCarthy SG, Branigan PJ, Knight DM (2006) A MUC1/IL-18 DNA vaccine induces anti-tumor immunity and increased survival in MUC1 transgenic mice. Vaccine 24:3340–3352CrossRefPubMed Snyder LA, Goletz TJ, Gunn GR, Shi FF, Harris MC, Cochlin K, McCauley C, McCarthy SG, Branigan PJ, Knight DM (2006) A MUC1/IL-18 DNA vaccine induces anti-tumor immunity and increased survival in MUC1 transgenic mice. Vaccine 24:3340–3352CrossRefPubMed
go back to reference Steinberg T, Ohlschläger P, Sehr P, Osen W, Gissmann L (2005) Modification of HPV 16 E7 genes: correlation between the level of protein expression and CTL response after immunization of C57BL/6 mice. Vaccine 23:1149–1157CrossRefPubMed Steinberg T, Ohlschläger P, Sehr P, Osen W, Gissmann L (2005) Modification of HPV 16 E7 genes: correlation between the level of protein expression and CTL response after immunization of C57BL/6 mice. Vaccine 23:1149–1157CrossRefPubMed
go back to reference Sugiura D, Aida S, Denda-Nagai K, Takeda K, Kamata-Sakurai M, Yagita H, Irimura T (2008) Differential effector mechanisms induced by vaccination with MUC1 DNA in the rejection of colon carcinoma growth at orthotopic sites and metastases. Cancer Sci 99:2477–2484CrossRefPubMed Sugiura D, Aida S, Denda-Nagai K, Takeda K, Kamata-Sakurai M, Yagita H, Irimura T (2008) Differential effector mechanisms induced by vaccination with MUC1 DNA in the rejection of colon carcinoma growth at orthotopic sites and metastases. Cancer Sci 99:2477–2484CrossRefPubMed
go back to reference Tang CK, Apostolopoulos V (2008) Strategies used for MUC1 immunotherapy: preclinical studies. Expert Rev Vaccines 7:951–962CrossRefPubMed Tang CK, Apostolopoulos V (2008) Strategies used for MUC1 immunotherapy: preclinical studies. Expert Rev Vaccines 7:951–962CrossRefPubMed
go back to reference Ueda M, Miura Y, Kunihiro O, Ishikawa T, Ichikawa Y, Endo I, Sekido H, Togo S, Shimada H (2005) MUC1 overexpression is the most reliable marker of invasive carcinoma in intraductal papillary-mucinous tumor (IPMT). Hepatogastroenterology 52:398–403PubMed Ueda M, Miura Y, Kunihiro O, Ishikawa T, Ichikawa Y, Endo I, Sekido H, Togo S, Shimada H (2005) MUC1 overexpression is the most reliable marker of invasive carcinoma in intraductal papillary-mucinous tumor (IPMT). Hepatogastroenterology 52:398–403PubMed
go back to reference Wobser M, Keikavoussi P, Kunzmann V, Weininger M, Andersen MH, Becker JC (2006) Complete remission of liver metastasis of pancreatic cancer under vaccination with a HLA-A2 restricted peptide derived from the universal tumor antigen survivin. Cancer Immunol Immunother 55:1294–1298CrossRefPubMed Wobser M, Keikavoussi P, Kunzmann V, Weininger M, Andersen MH, Becker JC (2006) Complete remission of liver metastasis of pancreatic cancer under vaccination with a HLA-A2 restricted peptide derived from the universal tumor antigen survivin. Cancer Immunol Immunother 55:1294–1298CrossRefPubMed
go back to reference Wolff JA, Ludtke JJ, Acsadi G, Williams P, Jani A (1992) Long-term persistence of plasmid DNA and foreign gene expression in mouse muscle. Hum Mol Genet 1:363–369CrossRefPubMed Wolff JA, Ludtke JJ, Acsadi G, Williams P, Jani A (1992) Long-term persistence of plasmid DNA and foreign gene expression in mouse muscle. Hum Mol Genet 1:363–369CrossRefPubMed
go back to reference Yamamoto K, Ueno T, Kawaoka T, Hazama S, Fukui M, Suehiro Y, Hamanaka Y, Ikematsu Y, Imai K, Oka M, Hinoda Y (2005) MUC1 peptide vaccination in patients with advanced pancreas or biliary tract cancer. Anticancer Res 25:3575–3579PubMed Yamamoto K, Ueno T, Kawaoka T, Hazama S, Fukui M, Suehiro Y, Hamanaka Y, Ikematsu Y, Imai K, Oka M, Hinoda Y (2005) MUC1 peptide vaccination in patients with advanced pancreas or biliary tract cancer. Anticancer Res 25:3575–3579PubMed
go back to reference Zalatnai A (2007) Novel therapeutic approaches in the treatment of advanced pancreatic carcinoma. Cancer Treat Rev 33:289–298CrossRefPubMed Zalatnai A (2007) Novel therapeutic approaches in the treatment of advanced pancreatic carcinoma. Cancer Treat Rev 33:289–298CrossRefPubMed
go back to reference Zhang S, Graeber LA, Helling F, Ragupathi G, Adluri S, Lloyd KO, Livingston PO (1996) Augmenting the immunogenicity of synthetic MUC1 peptide vaccines in mice. Cancer Res 56:3315–3319PubMed Zhang S, Graeber LA, Helling F, Ragupathi G, Adluri S, Lloyd KO, Livingston PO (1996) Augmenting the immunogenicity of synthetic MUC1 peptide vaccines in mice. Cancer Res 56:3315–3319PubMed
go back to reference Zhang Y, Taylor MG, Johansen MV, Bickle QD (2001) Vaccination of mice with a cocktail DNA vaccine induces a Th1-type immune response and partial protection against Schistosoma japonicum infection. Vaccine 20:724–730CrossRefPubMed Zhang Y, Taylor MG, Johansen MV, Bickle QD (2001) Vaccination of mice with a cocktail DNA vaccine induces a Th1-type immune response and partial protection against Schistosoma japonicum infection. Vaccine 20:724–730CrossRefPubMed
go back to reference Zhang S, Zhang H, Shi H, Yu X, Kong W, Li W (2008) Induction of immune response and anti-tumor activities in mice with a DNA vaccine encoding human mucin 1 variable-number tandem repeats. Hum Immunol 69:250–258CrossRefPubMed Zhang S, Zhang H, Shi H, Yu X, Kong W, Li W (2008) Induction of immune response and anti-tumor activities in mice with a DNA vaccine encoding human mucin 1 variable-number tandem repeats. Hum Immunol 69:250–258CrossRefPubMed
Metadata
Title
Induction of antigen-specific CTL and antibody responses in mice by a novel recombinant tandem repeat DNA vaccine targeting at mucin 1 of pancreatic cancer
Authors
Wen-Chuan Wu
Da-Yong Jin
Wen-Hui Lou
Dan-Song Wang
Xin-Yu Qin
Publication date
01-12-2010
Publisher
Springer-Verlag
Published in
Journal of Cancer Research and Clinical Oncology / Issue 12/2010
Print ISSN: 0171-5216
Electronic ISSN: 1432-1335
DOI
https://doi.org/10.1007/s00432-010-0845-4

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