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Cancer Research in Switzerland - Krebsliga Schweiz

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162<br />

Körner Meike | In vitro evaluation of the glucagon-<br />

like peptide 2 receptor expression <strong>in</strong> human cancer:<br />

Molecular basis for <strong>in</strong> vivo tumor radiotarget<strong>in</strong>g<br />

(OCS 02349-02-2009)<br />

Duration: 01.07.2009 – 01.07.2011<br />

Peptide receptors that are highly overexpressed <strong>in</strong> human<br />

tumours represent potential molecular targets for important<br />

cl<strong>in</strong>ical applications, namely, <strong>in</strong> vivo peptide receptor<br />

target<strong>in</strong>g of tumours. Radioactively labelled peptide analogues<br />

that b<strong>in</strong>d specifically to tumoural receptors can be<br />

used for imag<strong>in</strong>g or radiotherapy of tumours. Moreover,<br />

cold, long-act<strong>in</strong>g peptide analogues may <strong>in</strong>terfere with<br />

biologic functions of tumour cells regulated by peptide<br />

receptors, such as hormone release or proliferation.<br />

The glucagon-like peptide 2 (GLP-2) receptor represents<br />

a potential new candidate for such applications. It is closely<br />

related to the glucagon-like peptide 1 (GLP-1) receptor,<br />

which was recently identified as an important cl<strong>in</strong>ical target<br />

<strong>in</strong> <strong>in</strong>sul<strong>in</strong>omas. The GLP-2 receptor had been of <strong>in</strong>terest<br />

because of its stimulatory role <strong>in</strong> <strong>in</strong>test<strong>in</strong>al growth<br />

and, consequently, potential therapeutic use <strong>in</strong> short<br />

bowel syndrome. Lately, evidence has emerged on its possible<br />

role <strong>in</strong> cancer. The GLP-2 receptor was identified<br />

<strong>in</strong> tumours <strong>in</strong> s<strong>in</strong>gle <strong>in</strong>stances. Moreover, <strong>in</strong> vitro data <strong>in</strong>dicate<br />

that it may stimulate tumour cell migration and<br />

growth. These prelim<strong>in</strong>ary results call for an <strong>in</strong>-depth<br />

evaluation of the GLP-2 receptor for its suitability as tumour<br />

target.<br />

The aim of our project was to perform the first step <strong>in</strong> that<br />

evaluation, namely, to assess the GLP-2 receptor expression<br />

quantitatively <strong>in</strong> a large spectrum of human tumours.<br />

We analyzed approximately 200 different human tissue<br />

samples for their GLP-2 receptor expression with <strong>in</strong> vitro<br />

receptor autoradiography. This method identifies receptor<br />

b<strong>in</strong>d<strong>in</strong>g sites, i.e. the actual cl<strong>in</strong>ical target, <strong>in</strong> tissues. It allows<br />

specific receptor identification based on receptor<br />

pharmacology as well as quantification of receptor levels<br />

<strong>in</strong> tissues. We found a marked GLP-2 receptor expression<br />

<strong>in</strong> several tumour types mostly of gastro<strong>in</strong>test<strong>in</strong>al orig<strong>in</strong>,<br />

<strong>in</strong> particular <strong>in</strong> gastro<strong>in</strong>test<strong>in</strong>al stromal tumours (GIST).<br />

The b<strong>in</strong>d<strong>in</strong>g data were confirmed by RT-PCR. This tumoural<br />

GLP-2 receptor expression represents the molecular<br />

basis for an <strong>in</strong> vivo GLP-2 receptor target<strong>in</strong>g of GIST.<br />

In future studies it has to be <strong>in</strong>vestigated whether therapy<br />

with long-act<strong>in</strong>g GLP-2 analogues of short bowel syndrome<br />

may affect the biologic behaviour of GIST.<br />

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

PD Dr. Meike Körner<br />

Abteilung für Zellbiologie und<br />

experimentelle Krebsforschung<br />

Institut für Pathologie<br />

Universität Bern<br />

Murtenstrasse 31<br />

Postfach 62<br />

CH-3010 Bern<br />

Phone +41 (0)31 632 99 60<br />

Fax +41 (0)31 632 89 99<br />

meike.koerner@pathology.unibe.ch<br />

Kristiansen Glen | Identification of a cl<strong>in</strong>ically<br />

applicable prognostic RNA signature of prostate<br />

cancer (KFS 2465-08-2009)<br />

Duration: 01.01.2010 – 01.01.2012<br />

A major problem <strong>in</strong> the treatment of prostate cancer relates<br />

to the difficulty <strong>in</strong> estimat<strong>in</strong>g tumour aggressiveness.<br />

This probably leads to over-treatment <strong>in</strong> up to 35 % of<br />

prostate cancer patients. Unfortunately, current cl<strong>in</strong>ical or<br />

histopathological approaches are still unsatisfactory with<br />

regard to predict<strong>in</strong>g the aggressiveness of prostate cancer.<br />

The aim of our study is to develop and validate novel,<br />

mRNA-based methods that will allow estimation of prostate<br />

cancer prognosis. In previous studies the applicant<br />

identified several mRNA-based markers that are prognostically<br />

relevant. Modern high-throughput technologies allow<br />

their measurement simultaneously <strong>in</strong> many tumours.<br />

By compar<strong>in</strong>g expression profiles <strong>in</strong> retrospective samples<br />

represent<strong>in</strong>g both aggressive and <strong>in</strong>dolent tumours, comb<strong>in</strong>ations<br />

of markers or profiles will be developed that aid<br />

estimation of the risk of <strong>in</strong>dividual prostate cancers to<br />

progress and eventually lead to the patient’s death or stay<br />

benign. In future, this approach may become an important<br />

tool for physicians that would allow them to apply<br />

tailored therapies to each patient based on a personal risk<br />

profile.<br />

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

Prof. Dr. Glen Kristiansen<br />

Institut für kl<strong>in</strong>ische Pathologie<br />

UniversitätsSpital Zürich<br />

Schmelzbergstrasse 12<br />

CH-8091 Zürich<br />

Phone +41 (0)44 255 34 57<br />

glen.kristiansen@usz.ch<br />

Mermod Nicolas | Evaluation of AP2 prote<strong>in</strong>-b<strong>in</strong>d<strong>in</strong>g<br />

microarrays for breast tumor profil<strong>in</strong>g and for<br />

the prognosis of the response to chemotherapies<br />

(KFS 02446-08-2009)<br />

Duration: 01.01.2010 – 01.01.2013<br />

In <strong>Switzerland</strong>, about 5,000 new cases of breast cancer<br />

are recorded each year, and despite significant progress,<br />

about 1,500 patients still die of this pathology. This is a<br />

very heterogeneous disease whose accurate classification<br />

rema<strong>in</strong>s difficult. Although the diagnosis makes it possible<br />

to tailor treatment to <strong>in</strong>dividual cases, some tumours do<br />

not respond to the therapy, and it is generally difficult to<br />

predict with certa<strong>in</strong>ty whether a treatment will be effective<br />

for a given patient. With the ability to predict the lack<br />

of therapeutic response <strong>in</strong> case of neoadjuvant therapy<br />

(chemotherapy before surgery), unnecessary treatments<br />

could be avoided and the patient could be operated on<br />

without undue delays. Most molecular methods <strong>in</strong>vestigat<strong>in</strong>g<br />

tumour biology are explor<strong>in</strong>g solely DNA, mRNAs<br />

or prote<strong>in</strong>s, and they are often unaware of the activity or<br />

functional <strong>in</strong>teraction of prote<strong>in</strong>s with each other and<br />

with target genes. In this project, we hope to develop an<br />

approach based on analyz<strong>in</strong>g the <strong>in</strong>teractions of prote<strong>in</strong>s<br />

from the tumour with the genes responsible for tumour<br />

progression and resistance to chemotherapy, so as to provide<br />

a more comprehensive analysis of the tumour type<br />

and to potentially better predict its treatment response<br />

potential.

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