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Cancer Research in Switzerland - Krebsliga Schweiz

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156<br />

Riggi Nicolò | BIL KFS 02717-08-2010 | CHF 88,400.–<br />

The role of microRNAs <strong>in</strong> Ew<strong>in</strong>g’s sarcoma cancer stem cells<br />

Zielort: Institut universitaire de pathologie de Lausanne (IUP), Centre hospitalier universitaire vaudois (CHUV),<br />

Lausanne<br />

Sùva Mario | BIL KFS 02590-02-2010 | CHF 104,300.–<br />

Role of the polycomb group prote<strong>in</strong> EZH2 <strong>in</strong> glioblastoma cancer stem cells<br />

Zielort: Harvard Medical School, Massachusetts General Hospital, Boston, USA<br />

Wirth Johann Gregory | BIL KLS 02593-02-2010 | CHF 41,000.–<br />

Apoptosis resistance <strong>in</strong> prostate cancer, with a focus on the use of patient tissue samples<br />

Zielort: Harvard Medical School, Massachusetts General Hospital, Boston, USA<br />

Cl<strong>in</strong>ical research<br />

Presentation of approved research projects <strong>in</strong> 2009/2010<br />

Aebi Stefan | IBCSG39-10/MA.32: A phase III randomized<br />

trial of the effect of metform<strong>in</strong> versus placebo<br />

on recurrence and survival <strong>in</strong> early stage breast cancer<br />

(KFS 02689-08-2010)<br />

Duration: 01.09.2010 – 01.09.2013<br />

A large cl<strong>in</strong>ical trial is <strong>in</strong>vestigat<strong>in</strong>g whether metform<strong>in</strong>, a<br />

drug used for the treatment of diabetes, dim<strong>in</strong>ishes the<br />

risk of recurrence <strong>in</strong> patients with early breast cancer. The<br />

trial was organized by the National <strong>Cancer</strong> Institute of<br />

Canada (NCIC) Cl<strong>in</strong>ical Trials Group. Swiss patients can<br />

participate through the International Breast <strong>Cancer</strong> Study<br />

Group.<br />

All patients will receive prophylactic (adjuvant) therapy<br />

accord<strong>in</strong>g to current standards; this study aims to compare<br />

the frequency of relapses of patients on additional<br />

metform<strong>in</strong> with patients on standard therapy. Patients<br />

who consent will be randomly allocated to the control<br />

group or to the metform<strong>in</strong> group. In addition to the number<br />

of relapses, biological properties of the tumours will<br />

be studied (e. g. presence of <strong>in</strong>sul<strong>in</strong> receptors) to f<strong>in</strong>d out<br />

which patients are most likely to respond to therapy. This<br />

trial will <strong>in</strong>clude 3,500 patients worldwide. It is be<strong>in</strong>g conducted<br />

by academic researchers without any fund<strong>in</strong>g from<br />

the pharmaceutical <strong>in</strong>dustry. This cl<strong>in</strong>ical trial will demonstrate<br />

whether a simple therapy with a well-known drug<br />

improves the prognosis of women with breast cancer.<br />

Project coord<strong>in</strong>ator<br />

Prof. Dr. Stefan Aebi<br />

Mediz<strong>in</strong>ische Onkologie<br />

Luzerner Kantonsspital<br />

CH-6000 Luzern 16<br />

Phone +41 (0)41 205 58 60<br />

Fax +41 (0)41 205 58 62<br />

Anderle Pedone Pascale | Exploit<strong>in</strong>g transporters <strong>in</strong><br />

the tumor-stroma <strong>in</strong>terface to aim for a more efficient<br />

chemotherapy (OCS 02303-08-2008)<br />

Duration: 01.06.2009 – 01.06.2012<br />

Tumour cells with<strong>in</strong> the same carc<strong>in</strong>oma are heterogeneous<br />

and contribute to different aspects of tumour progression.<br />

Whereas some are ma<strong>in</strong>ly responsible for tumour<br />

growth and are <strong>in</strong> a proliferat<strong>in</strong>g state, others at the<br />

<strong>in</strong>vasive front are responsible for <strong>in</strong>vasion <strong>in</strong>to the surround<strong>in</strong>g<br />

tissue. It has become clear <strong>in</strong> recent years that<br />

the behaviour of a tumour does not solely depend on the<br />

tumour cells alone but also on the <strong>in</strong>teraction of the tumour<br />

cells with the surround<strong>in</strong>g tissue. However, still little<br />

is known on how tumour cells respond to their microenvironment.<br />

A better understand<strong>in</strong>g of the underly<strong>in</strong>g processes<br />

could eventually lead to improved therapy.<br />

In this project we are study<strong>in</strong>g the expression and functions<br />

of membrane transporters that are known or very<br />

likely to be <strong>in</strong>volved <strong>in</strong> tumour progression and may also<br />

serve as drug carriers. Us<strong>in</strong>g laser-dissection microscopy<br />

of tumour and healthy colon tissue from freshly operated<br />

patients, we will extract RNA to perform genome-wide<br />

profil<strong>in</strong>g. Microarray expression data will be further validated<br />

with RT-PCR and prote<strong>in</strong> expression patterns with<br />

immunofluorescence <strong>in</strong> human colon sections. Appropriate<br />

cell l<strong>in</strong>es will be selected based on the gene expression<br />

profile and used for drug sensitivity and resistance test<strong>in</strong>g.<br />

Eventually, we will test the effect of selected chemotherapeutics<br />

<strong>in</strong> vivo <strong>in</strong> mouse tumour models.<br />

In general, study<strong>in</strong>g the tumour-stroma <strong>in</strong>teraction is still<br />

an emerg<strong>in</strong>g field. In particular, the expression of transporters<br />

has hardly been studied <strong>in</strong> the context of tumourstroma<br />

<strong>in</strong>teraction or <strong>in</strong> the context of the heterogeneity<br />

of a solid tumour. Thus, a better understand<strong>in</strong>g of the role

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