Skip to main content
Top
Published in: Cancer Chemotherapy and Pharmacology 3/2007

01-03-2007 | Original Article

Irinotecan changes gene expression in the small intestine of the rat with breast cancer

Authors: Joanne M. Bowen, Rachel J. Gibson, Adrian G. Cummins, Anna Tyskin, Dorothy M. K. Keefe

Published in: Cancer Chemotherapy and Pharmacology | Issue 3/2007

Login to get access

Abstract

Purpose

The aetiology of mucositis is complex involving change in gene expression, altered apoptosis and interaction between epithelial and subepithelial compartments. This is the first investigation using microarray to assess chemotherapy-induced changes in the gut. The aims of this study were to identify genes that are altered by irinotecan, to determine how these genes contribute to apoptosis and to identify any potential gene families and pathways that are important for mucositis development.

Methods

Tumour-bearing female dark Agouti rats were administered twice with 150 mg/kg of irinotecan and killed 6 h after the final dose. Jejunal tissue was harvested and RNA was isolated. cDNA was synthesised and purified, prior to hybridisation and microarray analysis. A 5-K oligo clone set was used to investigate gene expression. Results from the microarray were quantified using RT-PCR.

Results

Many genes were significantly up- or down-regulated by irinotecan. In particular, multiple genes implicated in the mitogen-activated protein kinase (MAPK) signalling pathway were differentially regulated following treatment. These included interleukin 1 receptor, caspases, protein kinase C and dual-specificity phosphatase 6. RT-PCR was used to confirm effects of irinotecan on caspase-1 expression in jejunal tissue and was significantly increased 6 h after treatment with irinotecan.

Conclusions

This study has identified MAP kinase signalling as being involved with irinotecan-induced intestinal damage and confirms previous findings with radiation-induced oral mucosal damage, which also implicated this pathway. Microarrays are emerging as a valuable tool in mucositis research by linking such findings. The common pathway of chemotherapy- and radiotherapy-induced damage, which utilises the caspase-cascade, may be a useful target to prevent apoptosis following cancer treatment.
Literature
1.
go back to reference Alimonti A, Gelibter A, Pavese I, Satta F, Cognetti F, Ferretti G et al (2004) New approaches to prevent intestinal toxicity of irinotecan-based regimens. Cancer Treat Rev 30(6):555–562PubMedCrossRef Alimonti A, Gelibter A, Pavese I, Satta F, Cognetti F, Ferretti G et al (2004) New approaches to prevent intestinal toxicity of irinotecan-based regimens. Cancer Treat Rev 30(6):555–562PubMedCrossRef
2.
go back to reference Altmann SW, Davis HR Jr, Zhu LJ, Yao X, Hoos LM, Tetzloff G et al (2004) Niemann-Pick C1 Like 1 protein is critical for intestinal cholesterol absorption. Science 303(5661): 1201–1204PubMedCrossRef Altmann SW, Davis HR Jr, Zhu LJ, Yao X, Hoos LM, Tetzloff G et al (2004) Niemann-Pick C1 Like 1 protein is critical for intestinal cholesterol absorption. Science 303(5661): 1201–1204PubMedCrossRef
3.
go back to reference Ando Y, Hasegawa Y (2005) Clinical pharmacogenetics of irinotecan (CPT-11). Drug Metab Rev 37(3):565–574PubMedCrossRef Ando Y, Hasegawa Y (2005) Clinical pharmacogenetics of irinotecan (CPT-11). Drug Metab Rev 37(3):565–574PubMedCrossRef
4.
go back to reference Barisani D, Parafioriti A, Bardella MT, Zoller H, Conte D, Armiraglio E et al (2004) Adaptive changes of duodenal iron transport proteins in celiac disease. Physiol Genomics 17(3):316–325PubMedCrossRef Barisani D, Parafioriti A, Bardella MT, Zoller H, Conte D, Armiraglio E et al (2004) Adaptive changes of duodenal iron transport proteins in celiac disease. Physiol Genomics 17(3):316–325PubMedCrossRef
5.
go back to reference Boushey RP, Yusta B, Drucker DJ (2001) Glucagon-like peptide (GLP)-2 reduces chemotherapy-associated mortality and enhances cell survival in cells expressing a transfected GLP-2 receptor. Cancer Res 61(2):687–693PubMed Boushey RP, Yusta B, Drucker DJ (2001) Glucagon-like peptide (GLP)-2 reduces chemotherapy-associated mortality and enhances cell survival in cells expressing a transfected GLP-2 receptor. Cancer Res 61(2):687–693PubMed
6.
go back to reference Bowen JM, Gibson RJ, Keefe DM, Cummins AG (2005) Cytotoxic chemotherapy upregulate pro-apoptotic Bax and Bak in the small intestine of rats and humans. Pathology 37(1):56–62PubMedCrossRef Bowen JM, Gibson RJ, Keefe DM, Cummins AG (2005) Cytotoxic chemotherapy upregulate pro-apoptotic Bax and Bak in the small intestine of rats and humans. Pathology 37(1):56–62PubMedCrossRef
7.
go back to reference Bruno ME, Kaetzel CS (2005) Long-term exposure of the HT-29 human intestinal epithelial cell line to TNF causes sustained up-regulation of the polymeric Ig receptor and proinflammatory genes through transcriptional and post-transcriptional mechanisms. J Immunol 174(11):7278–7284PubMed Bruno ME, Kaetzel CS (2005) Long-term exposure of the HT-29 human intestinal epithelial cell line to TNF causes sustained up-regulation of the polymeric Ig receptor and proinflammatory genes through transcriptional and post-transcriptional mechanisms. J Immunol 174(11):7278–7284PubMed
8.
go back to reference Cairo G, Pietrangelo A (1995) Nitric oxide-mediated activation of iron-regulatory protein controls hepatic iron metabolism during acute inflammation. Eur J Biochem 232(2):358–363PubMedCrossRef Cairo G, Pietrangelo A (1995) Nitric oxide-mediated activation of iron-regulatory protein controls hepatic iron metabolism during acute inflammation. Eur J Biochem 232(2):358–363PubMedCrossRef
9.
go back to reference Cao S, Black JD, Troutt AB, Rustum YM (1998) Interleukin 15 offers selective protection from irinotecan-induced intestinal toxicity in a preclinical animal model. Cancer Res 58(15): 3270–3274PubMed Cao S, Black JD, Troutt AB, Rustum YM (1998) Interleukin 15 offers selective protection from irinotecan-induced intestinal toxicity in a preclinical animal model. Cancer Res 58(15): 3270–3274PubMed
10.
go back to reference Chu QS, Hammond LA, Schwartz G, Ochoa L, Rha SY, Denis L et al (2004) Phase I and pharmacokinetic study of the oral fluoropyrimidine S-1 on a once-daily-for-28-day schedule in patients with advanced malignancies. Clin Cancer Res 10(15):4913–4921PubMedCrossRef Chu QS, Hammond LA, Schwartz G, Ochoa L, Rha SY, Denis L et al (2004) Phase I and pharmacokinetic study of the oral fluoropyrimidine S-1 on a once-daily-for-28-day schedule in patients with advanced malignancies. Clin Cancer Res 10(15):4913–4921PubMedCrossRef
11.
go back to reference Creagh EM, Conroy H, Martin SJ (2003) Caspase activation pathways in apoptosis and immunity. Immunol Rev 193:10–21PubMedCrossRef Creagh EM, Conroy H, Martin SJ (2003) Caspase activation pathways in apoptosis and immunity. Immunol Rev 193:10–21PubMedCrossRef
12.
go back to reference Gibson RJ, Bowen JM, Inglis MR, Cummins AG, Keefe DM (2003) Irinotecan causes severe small intestinal damage, as well as colonic damage, in the rat with implanted breast cancer. J Gastroenterol Hepatol 18(9):1095–1100PubMedCrossRef Gibson RJ, Bowen JM, Inglis MR, Cummins AG, Keefe DM (2003) Irinotecan causes severe small intestinal damage, as well as colonic damage, in the rat with implanted breast cancer. J Gastroenterol Hepatol 18(9):1095–1100PubMedCrossRef
13.
go back to reference Gibson RJ, Bowen JM, Keefe DM (2005) Palifermin reduces diarrhea and increases survival following irinotecan treatment in tumor-bearing DA rats. Int J Cancer 116(3):464–470PubMedCrossRef Gibson RJ, Bowen JM, Keefe DM (2005) Palifermin reduces diarrhea and increases survival following irinotecan treatment in tumor-bearing DA rats. Int J Cancer 116(3):464–470PubMedCrossRef
14.
go back to reference Gibson RJ, Keefe DM, Clarke JM, Regester GO, Thompson FM, Goland GJ et al (2002) The effect of keratinocyte growth factor on tumour growth and small intestinal mucositis after chemotherapy in the rat with breast cancer. Cancer Chemother Pharmacol 50(1):53–58PubMedCrossRef Gibson RJ, Keefe DM, Clarke JM, Regester GO, Thompson FM, Goland GJ et al (2002) The effect of keratinocyte growth factor on tumour growth and small intestinal mucositis after chemotherapy in the rat with breast cancer. Cancer Chemother Pharmacol 50(1):53–58PubMedCrossRef
15.
go back to reference Gibson RJ, Keefe DM, Thompson FM, Clarke JM, Goland GJ, Cummins AG (2002) Effect of interleukin-11 on ameliorating intestinal damage after methotrexate treatment of breast cancer in rats. Digestive Dis Sci 47(12): 2751–2757CrossRef Gibson RJ, Keefe DM, Thompson FM, Clarke JM, Goland GJ, Cummins AG (2002) Effect of interleukin-11 on ameliorating intestinal damage after methotrexate treatment of breast cancer in rats. Digestive Dis Sci 47(12): 2751–2757CrossRef
16.
go back to reference Grutter MG (2000) Caspases: key players in programmed cell death. Curr Opin Struct Biol 10(6):649–655PubMedCrossRef Grutter MG (2000) Caspases: key players in programmed cell death. Curr Opin Struct Biol 10(6):649–655PubMedCrossRef
17.
go back to reference Ikuno N, Soda H, Watanabe M, Oka M (1995) Irinotecan (CPT-11) and characteristic mucosal changes in the mouse ileum and cecum. J Natl Cancer Inst 87(24):1876–1883PubMed Ikuno N, Soda H, Watanabe M, Oka M (1995) Irinotecan (CPT-11) and characteristic mucosal changes in the mouse ileum and cecum. J Natl Cancer Inst 87(24):1876–1883PubMed
18.
go back to reference Jarry A, Vallette G, Cassagnau E, Moreau A, Bou-Hanna C, Lemarre P et al (1999) Interleukin 1 and interleukin 1 beta converting enzyme (caspase 1) expression in the human colonic epithelial barrier. Caspase 1 downregulation in colon cancer. Gut 45(2):246–251PubMedCrossRef Jarry A, Vallette G, Cassagnau E, Moreau A, Bou-Hanna C, Lemarre P et al (1999) Interleukin 1 and interleukin 1 beta converting enzyme (caspase 1) expression in the human colonic epithelial barrier. Caspase 1 downregulation in colon cancer. Gut 45(2):246–251PubMedCrossRef
19.
go back to reference Johnson MR, Hageboutros A, Wang K, High L, Smith JB, Diasio RB (1999) Life-threatening toxicity in a dihydropyrimidine dehydrogenase-deficient patient after treatment with topical 5-fluorouracil. Clin Cancer Res 5(8):2006–2011PubMed Johnson MR, Hageboutros A, Wang K, High L, Smith JB, Diasio RB (1999) Life-threatening toxicity in a dihydropyrimidine dehydrogenase-deficient patient after treatment with topical 5-fluorouracil. Clin Cancer Res 5(8):2006–2011PubMed
20.
go back to reference Katona C, Kralovanszky J, Rosta A, Pandi E, Fonyad G, Toth K, et al. (1998) Putative role of dihydropyrimidine dehydrogenase in the toxic side effect of 5-fluorouracil in colorectal cancer patients. Oncology 55(5):468–474PubMedCrossRef Katona C, Kralovanszky J, Rosta A, Pandi E, Fonyad G, Toth K, et al. (1998) Putative role of dihydropyrimidine dehydrogenase in the toxic side effect of 5-fluorouracil in colorectal cancer patients. Oncology 55(5):468–474PubMedCrossRef
21.
go back to reference Keefe DM (2004) Gastrointestinal mucositis: a new biological model. Support Care Cancer 12(1):6–9PubMedCrossRef Keefe DM (2004) Gastrointestinal mucositis: a new biological model. Support Care Cancer 12(1):6–9PubMedCrossRef
22.
go back to reference Keefe DM, Brealey J, Goland GJ, Cummins AG (2000) Chemotherapy for cancer causes apoptosis that precedes hypoplasia in crypts of the small intestine in humans. Gut 47(5):632–637PubMedCrossRef Keefe DM, Brealey J, Goland GJ, Cummins AG (2000) Chemotherapy for cancer causes apoptosis that precedes hypoplasia in crypts of the small intestine in humans. Gut 47(5):632–637PubMedCrossRef
23.
go back to reference Keefe DM, Gibson RJ, Hauer-Jensen M (2004) Gastrointestinal mucositis. Semin Oncol Nurs 20(1):38–47PubMedCrossRef Keefe DM, Gibson RJ, Hauer-Jensen M (2004) Gastrointestinal mucositis. Semin Oncol Nurs 20(1):38–47PubMedCrossRef
24.
go back to reference Kondo S, Barna BP, Morimura T, Takeuchi J, Yuan J, Akbasak A et al (1995) Interleukin-1 beta-converting enzyme mediates cisplatin-induced apoptosis in malignant glioma cells. Cancer Res 55(24):6166–6171PubMed Kondo S, Barna BP, Morimura T, Takeuchi J, Yuan J, Akbasak A et al (1995) Interleukin-1 beta-converting enzyme mediates cisplatin-induced apoptosis in malignant glioma cells. Cancer Res 55(24):6166–6171PubMed
25.
go back to reference Lamkanfi M, Kalai M, Saelens X, Declercq W, Vandenabeele P (2004) Caspase-1 activates nuclear factor of the kappa-enhancer in B cells independently of its enzymatic activity. J Biol Chem 279(23):24785–24793PubMedCrossRef Lamkanfi M, Kalai M, Saelens X, Declercq W, Vandenabeele P (2004) Caspase-1 activates nuclear factor of the kappa-enhancer in B cells independently of its enzymatic activity. J Biol Chem 279(23):24785–24793PubMedCrossRef
26.
go back to reference Launay S, Hermine O, Fontenay M, Kroemer G, Solary E, Garrido C (2005) Vital functions for lethal caspases. Oncogene 24(33):5137–5148PubMedCrossRef Launay S, Hermine O, Fontenay M, Kroemer G, Solary E, Garrido C (2005) Vital functions for lethal caspases. Oncogene 24(33):5137–5148PubMedCrossRef
27.
go back to reference Lavrik IN, Golks A, Krammer PH (2005) Caspases: pharmacological manipulation of cell death. J Clin Invest 115(10):2665–2672PubMedCrossRef Lavrik IN, Golks A, Krammer PH (2005) Caspases: pharmacological manipulation of cell death. J Clin Invest 115(10):2665–2672PubMedCrossRef
28.
go back to reference Lonnstedt I, Britton T (2005) Hierarchical Bayes models for cDNA microarray gene expression. Biostatistics 6(2):279–291PubMedCrossRef Lonnstedt I, Britton T (2005) Hierarchical Bayes models for cDNA microarray gene expression. Biostatistics 6(2):279–291PubMedCrossRef
29.
go back to reference Lönnstedt I, Speed TP (2002) Replicated microarray data. Statistica Sinica 12:31–46 Lönnstedt I, Speed TP (2002) Replicated microarray data. Statistica Sinica 12:31–46
30.
go back to reference Marshman E, Ottewell PD, Potten CS, Watson AJ (2001) Caspase activation during spontaneous and radiation-induced apoptosis in the murine intestine. J Pathol 195(3):285–292PubMedCrossRef Marshman E, Ottewell PD, Potten CS, Watson AJ (2001) Caspase activation during spontaneous and radiation-induced apoptosis in the murine intestine. J Pathol 195(3):285–292PubMedCrossRef
31.
go back to reference Martinon F, Tschopp J (2004) Inflammatory caspases: linking an intracellular innate immune system to autoinflammatory diseases. Cell 117(5):561–574PubMedCrossRef Martinon F, Tschopp J (2004) Inflammatory caspases: linking an intracellular innate immune system to autoinflammatory diseases. Cell 117(5):561–574PubMedCrossRef
32.
go back to reference Morelli D, Menard S, Colnaghi MI, Balsari A (1996) Oral administration of anti-doxorubicin monoclonal antibody prevents chemotherapy-induced gastrointestinal toxicity in mice. Cancer Res 56(9):2082–2085PubMed Morelli D, Menard S, Colnaghi MI, Balsari A (1996) Oral administration of anti-doxorubicin monoclonal antibody prevents chemotherapy-induced gastrointestinal toxicity in mice. Cancer Res 56(9):2082–2085PubMed
33.
go back to reference Morvan FO, Baroukh B, Ledoux D, Caruelle JP, Barritault D, Godeau G et al (2004) An engineered biopolymer prevents mucositis induced by 5-fluorouracil in hamsters. Am J Pathol 164(2):739–746PubMed Morvan FO, Baroukh B, Ledoux D, Caruelle JP, Barritault D, Godeau G et al (2004) An engineered biopolymer prevents mucositis induced by 5-fluorouracil in hamsters. Am J Pathol 164(2):739–746PubMed
34.
go back to reference Mulder TP, van der Sluys Veer A, Verspaget HW, Griffioen G, Pena AS, Janssens AR et al (1994) Effect of oral zinc supplementation on metallothionein and superoxide dismutase concentrations in patients with inflammatory bowel disease. J Gastroenterol Hepatol 9(5):472–477PubMed Mulder TP, van der Sluys Veer A, Verspaget HW, Griffioen G, Pena AS, Janssens AR et al (1994) Effect of oral zinc supplementation on metallothionein and superoxide dismutase concentrations in patients with inflammatory bowel disease. J Gastroenterol Hepatol 9(5):472–477PubMed
35.
go back to reference Philchenkov A (2004) Caspases: potential targets for regulating cell death. J Cell Mol Med 8(4):432–444PubMed Philchenkov A (2004) Caspases: potential targets for regulating cell death. J Cell Mol Med 8(4):432–444PubMed
36.
go back to reference Pico J, Avila-Garavito A, Naccache P (1998) Mucositis: its occurrence, consequences and treatment in the oncology setting. Oncologist 3:446–451PubMed Pico J, Avila-Garavito A, Naccache P (1998) Mucositis: its occurrence, consequences and treatment in the oncology setting. Oncologist 3:446–451PubMed
37.
go back to reference Russo A, Corsale S, Cammareri P, Agnese V, Cascio S, Di Fede G et al (2005) Pharmacogenomics in colorectal carcinomas: future perspectives in personalized therapy. J Cell Physiol 204(3):742–749PubMedCrossRef Russo A, Corsale S, Cammareri P, Agnese V, Cascio S, Di Fede G et al (2005) Pharmacogenomics in colorectal carcinomas: future perspectives in personalized therapy. J Cell Physiol 204(3):742–749PubMedCrossRef
38.
go back to reference Scheinin T, Bohling T, Halme L, Kontiainen S, Bjorge L, Meri S (1999) Decreased expression of protectin (CD59) in gut epithelium in ulcerative colitis and Crohn’s disease. Hum Pathol 30(12):1427–1430PubMedCrossRef Scheinin T, Bohling T, Halme L, Kontiainen S, Bjorge L, Meri S (1999) Decreased expression of protectin (CD59) in gut epithelium in ulcerative colitis and Crohn’s disease. Hum Pathol 30(12):1427–1430PubMedCrossRef
39.
go back to reference Schreiber S, MacDermott RP, Raedler A, Pinnau R, Bertovich MJ, Nash GS (1991) Increased activation of isolated intestinal lamina propria mononuclear cells in inflammatory bowel disease. Gastroenterology 101(4):1020–1030PubMed Schreiber S, MacDermott RP, Raedler A, Pinnau R, Bertovich MJ, Nash GS (1991) Increased activation of isolated intestinal lamina propria mononuclear cells in inflammatory bowel disease. Gastroenterology 101(4):1020–1030PubMed
40.
go back to reference Shibata Y, Takiguchi H, Tamura K, Yamanaka K, Tezuka M, Abiko Y (1996) Stimulation of interleukin-1 beta-converting enzyme activity during growth inhibition by CPT-11 in the human myeloid leukemia cell line K562. Biochem Mol Med 57(1):25–30PubMedCrossRef Shibata Y, Takiguchi H, Tamura K, Yamanaka K, Tezuka M, Abiko Y (1996) Stimulation of interleukin-1 beta-converting enzyme activity during growth inhibition by CPT-11 in the human myeloid leukemia cell line K562. Biochem Mol Med 57(1):25–30PubMedCrossRef
41.
go back to reference Smyth GK (2004) Linear models and empirical Bayes methods for assessing differential expression in microarray experiments. Statist Appl Genet Mol Biol 3(1):2004 Smyth GK (2004) Linear models and empirical Bayes methods for assessing differential expression in microarray experiments. Statist Appl Genet Mol Biol 3(1):2004
42.
go back to reference Sonis ST (2004) A biological approach to mucositis. J Support Oncol 2(1):21–32; discussion 35–36PubMed Sonis ST (2004) A biological approach to mucositis. J Support Oncol 2(1):21–32; discussion 35–36PubMed
45.
go back to reference Sonis ST, Elting LS, Keefe D, Peterson DE, Schubert M, Hauer-Jensen M et al (2004) Perspectives on cancer therapy-induced mucosal injury: pathogenesis, measurement, epidemiology, and consequences for patients. Cancer 100(9 suppl):1995–2025PubMedCrossRef Sonis ST, Elting LS, Keefe D, Peterson DE, Schubert M, Hauer-Jensen M et al (2004) Perspectives on cancer therapy-induced mucosal injury: pathogenesis, measurement, epidemiology, and consequences for patients. Cancer 100(9 suppl):1995–2025PubMedCrossRef
46.
go back to reference Sonis ST, Scherer J, Phelan S, Lucey CA, Barron JE, O’Donnell KE et al (2002) The gene expression sequence of radiated mucosa in an animal mucositis model. Cell Prolif 35(suppl 1):93–102PubMedCrossRef Sonis ST, Scherer J, Phelan S, Lucey CA, Barron JE, O’Donnell KE et al (2002) The gene expression sequence of radiated mucosa in an animal mucositis model. Cell Prolif 35(suppl 1):93–102PubMedCrossRef
47.
go back to reference Takasuna K, Hagiwara T, Hirohashi M, Kato M, Nomura M, Nagai E et al (1996) Involvement of beta-glucuronidase in intestinal microflora in the intestinal toxicity of the antitumor camptothecin derivative irinotecan hydrochloride (CPT-11) in rats. Cancer Res 56(16):3752–3757PubMed Takasuna K, Hagiwara T, Hirohashi M, Kato M, Nomura M, Nagai E et al (1996) Involvement of beta-glucuronidase in intestinal microflora in the intestinal toxicity of the antitumor camptothecin derivative irinotecan hydrochloride (CPT-11) in rats. Cancer Res 56(16):3752–3757PubMed
48.
go back to reference Tran CD, Howarth GS, Coyle P, Philcox JC, Rofe AM, Butler RN (2003) Dietary supplementation with zinc and a growth factor extract derived from bovine cheese whey improves methotrexate-damaged rat intestine. Am J Clin Nutr 77(5):1296–1303PubMed Tran CD, Howarth GS, Coyle P, Philcox JC, Rofe AM, Butler RN (2003) Dietary supplementation with zinc and a growth factor extract derived from bovine cheese whey improves methotrexate-damaged rat intestine. Am J Clin Nutr 77(5):1296–1303PubMed
49.
go back to reference Vakeva A, Laurila P, Meri S (1992) Loss of expression of protectin (CD59) is associated with complement membrane attack complex deposition in myocardial infarction. Lab Invest 67(5):608–616PubMed Vakeva A, Laurila P, Meri S (1992) Loss of expression of protectin (CD59) is associated with complement membrane attack complex deposition in myocardial infarction. Lab Invest 67(5):608–616PubMed
50.
go back to reference Yang YH, Buckley MJ, Speed TP (2001) Analysis of cDNA microarray images. Brief Bioinform 2(4):341–349PubMedCrossRef Yang YH, Buckley MJ, Speed TP (2001) Analysis of cDNA microarray images. Brief Bioinform 2(4):341–349PubMedCrossRef
51.
go back to reference Yu J, Shannon WD, Watson MA, McLeod HL (2005) Gene expression profiling of the irinotecan pathway in colorectal cancer. Clin Cancer Res 11(5):2053–2062PubMedCrossRef Yu J, Shannon WD, Watson MA, McLeod HL (2005) Gene expression profiling of the irinotecan pathway in colorectal cancer. Clin Cancer Res 11(5):2053–2062PubMedCrossRef
Metadata
Title
Irinotecan changes gene expression in the small intestine of the rat with breast cancer
Authors
Joanne M. Bowen
Rachel J. Gibson
Adrian G. Cummins
Anna Tyskin
Dorothy M. K. Keefe
Publication date
01-03-2007
Publisher
Springer-Verlag
Published in
Cancer Chemotherapy and Pharmacology / Issue 3/2007
Print ISSN: 0344-5704
Electronic ISSN: 1432-0843
DOI
https://doi.org/10.1007/s00280-006-0275-9

Other articles of this Issue 3/2007

Cancer Chemotherapy and Pharmacology 3/2007 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine