By Andrew D Shaw; et al

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Oral administration of PKI-166 or PKI-166 plus paclitaxel reduced the incidence and size of bone tumors and the destruction of bone. The combination therapy resulted in a significant inhibition of phosphorylation of EGF-R on tumor and endothelial cells and induced significant apoptosis of endothelial cells within the tumor lesions. Baker et al. 6pl, EGF=TGF-aþ), EGF=TGF-a-negative renal cell carcinoma (SN12-PM6), and EGF=TGF-aþ renal cell carcinoma (RBM1-IT). Treatment with orally administered PKI-166 alone, intraperitoneal paclitaxel alone (253J-BV), gemcitabine alone (SN12-PM6), or combination of PKI-166 and chemotherapy produced 60%, 32%, or 81% reduction in the tumor volume of 253J-BV bladder tumors, respectively, and 26%, 23%, or 51% reduction in the tumor volume of SN12-PM6 kidney tumors, respectively.

For much of the 50 years, revisions to TNM have been largely concerned with fine-tuning the assessment of tumor size and regional and distant metastases. , tumor grade, serum factors) have shown themselves to be of prognostic significance for specific types of cancer. In the current environment of explosive change in our technical abilities to find and analyze tumor cells, it is to be expected that the diversification of the TNM system will increase in the future. With the incorporation of new tools of molecular biology, the staging system of the future is likely to approach the goal of becoming patient-specific.

In this technique, RNA from tumor cells is isolated and used to prepare complementary RNA (cRNA), which is then labeled and hybridized to microarray panels containing up to 25,000 oligonucleotides. Positive labeling, indicating binding of an oligonucleotide to a cRNA molecule, indicates that the genetic material was being actively expressed in the tumor cells. Van’t Veer et al. (15) have used RNA-based microarrays to investigate the relationship between gene expression profiles and breast cancer prognosis.

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