WO2000070085A2 - Method for detecting the effect of different chemotherapeutic agents and/or radiation therapy in malignant diseases - Google Patents
Method for detecting the effect of different chemotherapeutic agents and/or radiation therapy in malignant diseases Download PDFInfo
- Publication number
- WO2000070085A2 WO2000070085A2 PCT/DE2000/001444 DE0001444W WO0070085A2 WO 2000070085 A2 WO2000070085 A2 WO 2000070085A2 DE 0001444 W DE0001444 W DE 0001444W WO 0070085 A2 WO0070085 A2 WO 0070085A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- therapy
- bax
- genes
- mutations
- expression
- Prior art date
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K41/00—Medicinal preparations obtained by treating materials with wave energy or particle radiation ; Therapies using these preparations
-
- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
- C12Q1/68—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
- C12Q1/6809—Methods for determination or identification of nucleic acids involving differential detection
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- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
- C12Q1/68—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
- C12Q1/6876—Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes
- C12Q1/6883—Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material
- C12Q1/6886—Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material for cancer
Definitions
- the invention relates to a method for detecting the effect of different chemotherapeutic agents and / or radiation therapy in malignant diseases, the expression profiles of tumor and / or cell growth and / or apoptosis-associated genes and / or the individual differences (mutations) in the Gene sequences can be determined. Changes in connection with chemotherapeutic agents and / or radiation therapy are identified, represented and diagnosed. Furthermore, the invention relates to a method for selecting effective therapeutic agents for the treatment of malignant diseases. The status of cell cycle genes and / or of apoptosis-associated target genes or of their gene products in body fluids, cells and / or organs is determined and their effects on corresponding therapeutic agents are evaluated diagnostically. In a preferred embodiment, Bax and p53 expression or mutations are examined, and information derived therefrom for individual-specific therapy decisions in leukemic diseases and other tumor diseases is provided.
- the process of a malignant change in a cell begins very early, often with just a single change in the genetic material. It runs through various stages up to the degenerated cell and is not yet finished even at this stage.
- the object of the invention was therefore to use knowledge at the molecular level for an individual-specific tumor therapy and to find an effective selection of therapeutic agents for the patients concerned in order to enable effective treatment.
- Tumor development, tumor progression and resistance to therapy are determined by cell cycle and apoptosis regulating factors.
- the basis of the present invention was the surprising finding that by determining their expression profile this tumor or.
- an effective and promising form of therapy for the patient can be derived from this.
- the invention therefore relates to a method for detecting the effect of different chemotherapeutic agents and / or radiation therapy in the case of malignant diseases.
- the expression profiles of tumor and / or cell growth-associated genes and / or the individual differences (mutations) in the gene sequences are determined and interactions (correlations) with chemotherapeutic agents and / or radiation therapy are identified, represented and diagnostically evaluated.
- the expression profiles and / or mutations of the said genes are preferably determined by means of protein or DNA / RNA analysis.
- the expression profiles and / or mutations of the respective individual genes are evaluated.
- the profiles and / or mutations of different genes can also be combined, whereby the creation of an individual therapy scheme is improved and an individual prognosis and risk assessment is possible.
- the expression profiles of Bax, p53, pl6, caspase and / or Rb genes or their mutations are preferably used and evaluated for diagnosis.
- the status of p53 genes and of Bax genes or of their gene products is particularly preferably identified.
- the invention relates in particular to a method for selecting effective therapeutic agents for the treatment of malignant diseases. It is characterized by determining the status of cell cycle genes and / or apoptosis-associated target genes or their gene products ex vivo in body fluids, cells and organs, which is evaluated diagnostically in connection with the action of appropriate therapeutic agents.
- Therapeutic agents in the sense of the invention are known agents for the therapy of leukemic or lymphoma diseases and other malignant diseases, such as e.g. tumors of the gastrointestinal tract, pancreas, prostate, gynecological tumors (such as ovaries, cervix, breast), sarcomas, brain tumors, tumors of the skin and lungs, and tumors of endocrine organs, such as the thyroid gland
- cytostatics preferably steroid hormones (e.g. prednisone, prednisolone, methylprednisolone, and other glucocorticoids), antimetabolites (cladribine (2-CDA), fludarabine, mercaptopurine, arabinoside C, 5-substituted dideoxynucleosides, such as 5-fluorouracil, azidothymidine) to alkylants (e.g. mafosfamide, chlorambucil, melphalan, cyclophosphamide), taxanes (such as paclitaxel, docetaxel), anthracyclines (e.g.
- idarubicin doxorubicin, epirubicin, mitoxanthrons
- topos-isomerase topos-isomerase
- Vinca alkaloids (vincristine, vinblastine, vinorelbine), cis-platinum and other platinum analogues u. v. a. m. as well as radiation therapy.
- CLL chronic lymphoblastic leukemia
- an individualized form of therapy can be applied via the combined diagnosis of the two candidate genes p53 and Bax by creating individual therapy schemes by combining the genetic status of the p53 and Bax genes or their gene products and / or mutations.
- the invention further relates to the use of the status determination of cell cycle genes and / or of apoptosis-associated target genes or of their gene products or mutations by means of protein or DNA / RNA analysis for determining therapy resistance and for the targeted selection of therapeutic agents for cytotoxic therapies.
- the analysis is preferably carried out using Bax expression or mutations or using p53 expression or mutations.
- the status determination of Bax and p53 genes is particularly preferably used for risk-adapted tumor therapy in leukemic diseases, such as CLL and other tumors.
- leukemic diseases such as CLL and other tumors.
- the use is made in combination of p53 and Bax with further cell cycle and apoptosis regulators, which can also be used either alone or in combination as a molecular pathway (signal path) diagnosis in malignant tumors or precancerous diseases .
- the present investigations were carried out as examples for the tumor suppressor protein p53 and the proapoptotic gene Bax in patients with chronic lymphoblastic leukemia (CLL). Further data are e.g. B. also for these and other apoptosis and cell cycle regulators before in tumors of the gastrointestinal tracts, such as gastric carcinoma, esophageal carcinoma and sarcomas.
- the two apoptosis-influencing proteins p53 and Bax were able to provide conclusive evidence that diagnostic characterization of corresponding tumor genes at the molecular level (DNA) and at the expression level (protein) makes it possible to selectively select cytostatics, and thus to achieve improved treatment.
- the findings on the molecular pathogenesis and resistance to therapy of tumors can, according to the invention, be used as the basis for an individual-specific tumor therapy and in this way achieve a more targeted treatment and ultimately a maximum success for the affected patient.
- the invention makes it possible to use changed cellular tumor markers as a decision criterion for the selection of different standard chemotherapeutic agents, i.e. also to take advantage of positive correlations between changed tumor markers and the effectiveness or ineffectiveness of chemotherapy drugs. This offers the possibility, for the first time after a characterization of selected cellular tumor markers, to selectively select the form of the chemotherapeutic agent to be used or also a radiation therapy or a combination thereof.
- Figure 2 shows the correlation between Bax expression and the LC90 dose of doxorubicin in 37 CLL patients.
- Figure 3 shows the reduced cytostatics sensitivity of CLL cells in vitro against the alkylating agents chlorambucil and melphalan as well as against fludarabine in p53-mutated CLL patients compared to the p53 wild type.
- the p53 mutations were determined by means of SSCP-PCR for exons 5 to 8.
- the bar height corresponds to the dose of the cytostatic in ⁇ g / ml.
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- Chemical & Material Sciences (AREA)
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Organic Chemistry (AREA)
- Engineering & Computer Science (AREA)
- Wood Science & Technology (AREA)
- Zoology (AREA)
- General Health & Medical Sciences (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Analytical Chemistry (AREA)
- Molecular Biology (AREA)
- Biophysics (AREA)
- Medicinal Chemistry (AREA)
- Epidemiology (AREA)
- Pharmacology & Pharmacy (AREA)
- Biotechnology (AREA)
- Immunology (AREA)
- Microbiology (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Biochemistry (AREA)
- Bioinformatics & Cheminformatics (AREA)
- General Engineering & Computer Science (AREA)
- Genetics & Genomics (AREA)
- Measuring Or Testing Involving Enzymes Or Micro-Organisms (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP00941910A EP1181394A2 (en) | 1999-05-14 | 2000-05-10 | Method for detecting the effect of different chemotherapeutic agents and/or radiation therapy in malignant diseases and method for selecting more effective therapeutic agents for the therapy thereof |
AU56720/00A AU5672000A (en) | 1999-05-14 | 2000-05-10 | Method for detecting the effect of different chemotherapeutic agents and/or radiation therapy in malignant diseases and method for selecting more effective therapeutic agents for the therapy thereof |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19922052.2 | 1999-05-14 | ||
DE19922052A DE19922052A1 (en) | 1999-05-14 | 1999-05-14 | Determining the effect of chemotherapy and/or radiotherapy on malignancies comprises determining the expression profiles of or mutations in genes that regulate apoptosis and/or cell growth |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2000070085A2 true WO2000070085A2 (en) | 2000-11-23 |
WO2000070085A3 WO2000070085A3 (en) | 2001-08-09 |
Family
ID=7907938
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/DE2000/001444 WO2000070085A2 (en) | 1999-05-14 | 2000-05-10 | Method for detecting the effect of different chemotherapeutic agents and/or radiation therapy in malignant diseases |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP1181394A2 (en) |
AU (1) | AU5672000A (en) |
DE (1) | DE19922052A1 (en) |
WO (1) | WO2000070085A2 (en) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2005100606A2 (en) * | 2004-04-09 | 2005-10-27 | Genomic Health, Inc. | Gene expression markers for predicting response to chemotherapy |
EP2474625A1 (en) * | 2011-01-05 | 2012-07-11 | Daniela Kandioler | Response prediction in cancer treatment |
WO2012093155A1 (en) | 2011-01-05 | 2012-07-12 | Daniela Kandioler | Response prediction in cancer treatment (p53 adapted cancer therapy) |
US9292660B2 (en) | 2006-05-18 | 2016-03-22 | Caris Mpi, Inc. | Molecular profiling of tumors |
US9372193B2 (en) | 2006-05-18 | 2016-06-21 | Caris Mpi, Inc. | System and method for determining individualized medical intervention for a disease state |
WO2022216725A1 (en) * | 2021-04-05 | 2022-10-13 | Brown University | Methods for optimizing the treatment of colorectal cancer |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8624027B2 (en) * | 2005-05-12 | 2014-01-07 | Abbvie Inc. | Combination therapy for treating cancer and diagnostic assays for use therein |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1998053103A1 (en) * | 1997-05-21 | 1998-11-26 | Clontech Laboratories, Inc. | Nucleic acid arrays |
-
1999
- 1999-05-14 DE DE19922052A patent/DE19922052A1/en not_active Withdrawn
-
2000
- 2000-05-10 AU AU56720/00A patent/AU5672000A/en not_active Abandoned
- 2000-05-10 EP EP00941910A patent/EP1181394A2/en not_active Withdrawn
- 2000-05-10 WO PCT/DE2000/001444 patent/WO2000070085A2/en not_active Application Discontinuation
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1998053103A1 (en) * | 1997-05-21 | 1998-11-26 | Clontech Laboratories, Inc. | Nucleic acid arrays |
Non-Patent Citations (8)
Title |
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DATABASE BIOSIS [Online] BIOSCIENCES INFORMATION SERVICE, PHILADELPHIA, PA, US; August 1998 (1998-08) TAI YU-TZU ET AL: "BAX protein expression and clinical outcome in epithelial ovarian cancer." Database accession no. PREV199800406324 XP002161066 & JOURNAL OF CLINICAL ONCOLOGY, Bd. 16, Nr. 8, August 1998 (1998-08), Seiten 2583-2590, ISSN: 0732-183X * |
FINDLEY HARRY W ET AL: "Expression and regulation of Bcl-2, Bcl-xl, and Bax correlate with p53 status and sensitivity to apoptosis in childhood acute lymphoblastic leukemia." BLOOD, Bd. 89, Nr. 8, 1997, Seiten 2986-2993, XP002161054 ISSN: 0006-4971 * |
KRAJEWSKI STANISLAW ET AL: "Reduced expression of proapoptotic gene BAX is associated with poor response rates to combination chemotherapy and shorter survival in women with metastatic breast adenocarcinoma." CANCER RESEARCH, Bd. 55, Nr. 19, 1995, Seiten 4471-4478, XP002161055 ISSN: 0008-5472 * |
LOWE SCOTT W ET AL: "P53 status and the efficacy of cancer therapy in vivo." SCIENCE (WASHINGTON D C), Bd. 266, Nr. 5186, 1994, Seiten 807-810, XP002161052 ISSN: 0036-8075 * |
MCCURRACH MILA E ET AL: "Bax-deficiency promotes drug resistance and oncogenic transformation by attenuating p53-dependent apoptosis." PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES, Bd. 94, Nr. 6, 1997, Seiten 2345-2349, XP002161053 1997 ISSN: 0027-8424 * |
MEIJERINK JULES P P ET AL: "Hematopoietic malignancies demonstrate loss-of-function mutations of BAX." BLOOD, Bd. 91, Nr. 8, 15. April 1998 (1998-04-15), Seiten 2991-2997, XP002161056 ISSN: 0006-4971 * |
REED JOHN C ET AL: "BCL-2 Family proteins: Regulators of cell death involved in the pathogenesis of cancer and resistance to therapy." JOURNAL OF CELLULAR BIOCHEMISTRY, Bd. 60, Nr. 1, 1996, Seiten 23-32, XP002161051 ISSN: 0730-2312 * |
STURM ISRID ET AL: "Analysis of the p53/BAX pathway in colorectal cancer: Low BAX is a negative prognostic factor in patients with resected liver metastases." JOURNAL OF CLINICAL ONCOLOGY, Bd. 17, Nr. 5, Mai 1999 (1999-05), Seiten 1364-1374, XP000982432 ISSN: 0732-183X * |
Cited By (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2005100606A2 (en) * | 2004-04-09 | 2005-10-27 | Genomic Health, Inc. | Gene expression markers for predicting response to chemotherapy |
WO2005100606A3 (en) * | 2004-04-09 | 2006-06-22 | Genomic Health Inc | Gene expression markers for predicting response to chemotherapy |
US7871769B2 (en) | 2004-04-09 | 2011-01-18 | Genomic Health, Inc. | Gene expression markers for predicting response to chemotherapy |
US9605318B2 (en) | 2004-04-09 | 2017-03-28 | Genomic Health, Inc. | Gene expression markers for predicting response to chemotherapy |
US9383365B2 (en) | 2006-05-18 | 2016-07-05 | Caris Mpi, Inc. | System and method for determining individualized medical intervention for a disease state |
US9292660B2 (en) | 2006-05-18 | 2016-03-22 | Caris Mpi, Inc. | Molecular profiling of tumors |
US9322067B2 (en) | 2006-05-18 | 2016-04-26 | Caris Mpi, Inc. | Molecular profiling of tumors |
US9372193B2 (en) | 2006-05-18 | 2016-06-21 | Caris Mpi, Inc. | System and method for determining individualized medical intervention for a disease state |
US9389234B2 (en) | 2009-02-11 | 2016-07-12 | Caris Mpi, Inc. | Molecular profiling of tumors |
WO2012093152A1 (en) | 2011-01-05 | 2012-07-12 | Daniela Kandioler | Response prediction in cancer treatment |
WO2012093155A1 (en) | 2011-01-05 | 2012-07-12 | Daniela Kandioler | Response prediction in cancer treatment (p53 adapted cancer therapy) |
EP2474625A1 (en) * | 2011-01-05 | 2012-07-11 | Daniela Kandioler | Response prediction in cancer treatment |
WO2022216725A1 (en) * | 2021-04-05 | 2022-10-13 | Brown University | Methods for optimizing the treatment of colorectal cancer |
Also Published As
Publication number | Publication date |
---|---|
EP1181394A2 (en) | 2002-02-27 |
DE19922052A1 (en) | 2000-11-16 |
WO2000070085A3 (en) | 2001-08-09 |
AU5672000A (en) | 2000-12-05 |
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