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154


Management of Massive (>10cm) Hepatocellular Carcinoma at a Tertiary Referral Public Hospital [Meeting Abstract]

Rosen, Y; Winer, A; Lu, F; Berman, R; Melis, M; Miller, G; Pachter, H; Newman, E; Hatzaras, I
ISI:000368185000294
ISSN: 1534-4681
CID: 1930842

gamma delta T-Cells Support Pancreatic Oncogenesis by Inducing alpha beta T Cell Exhaustion [Meeting Abstract]

Daley, D; Tomkoetter, L; Zambirinis, C; Akkad, N; Narayanan, R; Miller, G
ISI:000368185000428
ISSN: 1534-4681
CID: 1930852

Comparative effectiveness of combination TACE/ablation vs. monotherapy in hepatocellular carcinoma. [Meeting Abstract]

Winer, Arthur; Rosen, Yohei; Lu, Frederick; Berman, Russell S; Melis, Marcovalerio; Miller, George; Pachter, HLeon; Newman, Elliot; Hatzaras, Ioannis
ISI:000378109600339
ISSN: 1527-7755
CID: 2169622

Dectin-1 Regulates Hepatic Fibrosis and Hepatocarcinogenesis by Suppressing TLR4 Signaling Pathways

Seifert, Lena; Deutsch, Michael; Alothman, Sara; Alqunaibit, Dalia; Werba, Gregor; Pansari, Mridul; Pergamo, Matthew; Ochi, Atsuo; Torres-Hernandez, Alejandro; Levie, Elliot; Tippens, Daniel; Greco, Stephanie H; Tiwari, Shaun; Ly, Nancy Ngoc Giao; Eisenthal, Andrew; van Heerden, Eliza; Avanzi, Antonina; Barilla, Rocky; Zambirinis, Constantinos P; Rendon, Mauricio; Daley, Donnele; Pachter, H Leon; Hajdu, Cristina; Miller, George
Dectin-1 is a C-type lectin receptor critical in anti-fungal immunity, but Dectin-1 has not been linked to regulation of sterile inflammation or oncogenesis. We found that Dectin-1 expression is upregulated in hepatic fibrosis and liver cancer. However, Dectin-1 deletion exacerbates liver fibro-inflammatory disease and accelerates hepatocarcinogenesis. Mechanistically, we found that Dectin-1 protects against chronic liver disease by suppressing TLR4 signaling in hepatic inflammatory and stellate cells. Accordingly, Dectin-1(-/-) mice exhibited augmented cytokine production and reduced survival in lipopolysaccharide (LPS)-mediated sepsis, whereas Dectin-1 activation was protective. We showed that Dectin-1 inhibits TLR4 signaling by mitigating TLR4 and CD14 expression, which are regulated by Dectin-1-dependent macrophage colony stimulating factor (M-CSF) expression. Our study suggests that Dectin-1 is an attractive target for experimental therapeutics in hepatic fibrosis and neoplastic transformation. More broadly, our work deciphers critical cross-talk between pattern recognition receptors and implicates a role for Dectin-1 in suppression of sterile inflammation, inflammation-induced oncogenesis, and LPS-mediated sepsis.
PMCID:4681001
PMID: 26655905
ISSN: 2211-1247
CID: 1877642

TLR9 ligation in pancreatic stellate cells promotes tumorigenesis

Zambirinis, Constantinos P; Levie, Elliot; Nguy, Susanna; Avanzi, Antonina; Barilla, Rocky; Xu, Yijie; Seifert, Lena; Daley, Donnele; Greco, Stephanie H; Deutsch, Michael; Jonnadula, Saikiran; Torres-Hernandez, Alejandro; Tippens, Daniel; Pushalkar, Smruti; Eisenthal, Andrew; Saxena, Deepak; Ahn, Jiyoung; Hajdu, Cristina; Engle, Dannielle D; Tuveson, David; Miller, George
Modulation of Toll-like receptor (TLR) signaling can have protective or protumorigenic effects on oncogenesis depending on the cancer subtype and on specific inflammatory elements within the tumor milieu. We found that TLR9 is widely expressed early during the course of pancreatic transformation and that TLR9 ligands are ubiquitous within the tumor microenvironment. TLR9 ligation markedly accelerates oncogenesis, whereas TLR9 deletion is protective. We show that TLR9 activation has distinct effects on the epithelial, inflammatory, and fibrogenic cellular subsets in pancreatic carcinoma and plays a central role in cross talk between these compartments. Specifically, TLR9 activation can induce proinflammatory signaling in transformed epithelial cells, but does not elicit oncogene expression or cancer cell proliferation. Conversely, TLR9 ligation induces pancreatic stellate cells (PSCs) to become fibrogenic and secrete chemokines that promote epithelial cell proliferation. TLR9-activated PSCs mediate their protumorigenic effects on the epithelial compartment via CCL11. Additionally, TLR9 has immune-suppressive effects in the tumor microenvironment (TME) via induction of regulatory T cell recruitment and myeloid-derived suppressor cell proliferation. Collectively, our work shows that TLR9 has protumorigenic effects in pancreatic carcinoma which are distinct from its influence in extrapancreatic malignancies and from the mechanistic effects of other TLRs on pancreatic oncogenesis.
PMCID:4647258
PMID: 26481685
ISSN: 1540-9538
CID: 1810412

Antitumor activity of melinjo (Gnetum gnemon L.) seed extract in human and murine tumor models in vitro and in a colon-26 tumor-bearing mouse model in vivo

Narayanan, Narayanan K; Kunimasa, Kazuhiro; Yamori, Yukio; Mori, Mari; Mori, Hideki; Nakamura, Kazuki; Miller, George; Manne, Upender; Tiwari, Amit K; Narayanan, Bhagavathi
Melinjo (Gnetum gnemon L.) seed extract (MSE) and its active ingredient gnetin C (GC), a resveratrol dimer, have been shown to possess a broad spectrum of pharmacological activities. In this study, we investigated the antitumor activity of MSE and GC using human and murine tumor cell culture models in vitro. The antitumor activity of GC was compared with trans-resveratrol (tRV), a stilbenoid polyphenol. Our results show that MSE and GC at clinically achievable concentrations significantly inhibited the proliferation of pancreatic, prostate, breast, and colon cancer cell types (P < 0.05), without affecting normal cells. Interestingly, GC exerts enhanced antitumor activity than that of tRV (P < 0.05). MSE and GC significantly induced apoptosis in all the cancer cells, indicating MSE and GC inhibit tumor cell growth by inducing apoptosis (P < 0.001). Our findings provide evidence that MSE might induce apoptosis in cancer cells via caspase-3/7-dependent and -independent mechanisms. However, GC might trigger both early and late stage apoptosis in cancer cells, at least in part by activating caspase 3/7-dependent mechanisms. Furthermore, the antitumor efficacy of MSE observed in vitro was also validated in a widely used colon-26 tumor-bearing mouse model. Oral administration of MSE at 50 and 100 mg/kg per day significantly inhibited tumor growth, intratumoral angiogenesis, and liver metastases in BALB/c mice bearing colon-26 tumors (P < 0.05). In conclusion, our findings provide evidence that MSE and GC have potent antitumor activity. Most importantly, we provide the first evidence that MSE inhibits tumor growth, intratumoral angiogenesis, and liver metastasis in a colon-26 tumor-bearing mice.
PMCID:4674003
PMID: 26408414
ISSN: 2045-7634
CID: 1787112

Mincle Signaling Exacerbates Autoimmune Hepatitis [Meeting Abstract]

Greco, Stephanie; Torres-Hernandez, Alejandro; Rokosh, SRae; Deutsch, Micheael; Tomkoetter, Lena; Daley, Donnele; Pansari, Mridul; Salyana, Atif; Tippens, Daniel; Miller, George
ISI:000361119700332
ISSN: 1879-1190
CID: 2802912

Mincle signaling exacerbates autoimmune hepatitis [Meeting Abstract]

Hernandez, A T; Greco, S; Rokosh, S R; Tomkoetter, L; Daley, D; Salyana, M A; Kalabin, A; Werba, G; Miller, G
Introduction: Autoimmune hepatitis (AIH) is a T cell-mediated inflammatory process which frequently necessitates liver transplantation. Mincle is a novel pro-inflammatory pattern recognition receptor which is critical in the immune response to mycobacteria, but has not been implicated in liver disease. Methods: C57BL/6 or Mincle-/- mice were treated with Concanavalin- A (ConA) to induce AIH. Alternatively, Mincle inhibitor (6G5), Syk inhibitor (Piceatannol), Hif-1alpha inhibitor (LW6), or C/ EBPbeta inhibitor (Genistein) were employed. Survival, AST, ALT, serum cytokines, liver inflammatory infiltrate and transcription factors were assessed. Results: Mincle was highly expressed on hepatic innate inflammatory cells. Furthermore, Mincle ligand (SAP130) and Mincle signaling intermediates (including p-Syk) were increased in murine and human AIH. Most significantly, Mincle deletion or blockade protected against AIH. Mincle-/- mice had decreased mortality, transaminase levels, and CD45+ hepatic influx as compared to WT mice (Table). p-Syk inhibition also attenuated ConA injury. Mechanistically, we found that Mincle blockade decreased NF-kappabeta related signaling intermediates, including Hif-1alpha, and C/EBPbeta, which is critical for normal macrophage inflammatory responses, specifically nitric oxide production. Accordingly, Mincle-/- macrophages had impaired activation of CD4+ T cells, and Hif-1alpha and C/ EBPbeta blockade reduced the severity of AIH. Conclusions: Our work is the first to show that Mincle is a critical mediator of the hepatotoxic inflammatory response in AIH. Mincle signaling mediates hepatic injury through upregulation of Hif-1alpha and C/ EBPbeta transcription factors leading to robust macrophage-mediated NO production. Our research suggests that targeting Mincle may have efficacy in the treatment of AIH. (Table Presented)
EMBASE:72079254
ISSN: 0270-9139
CID: 1874642

Divergent effects of RIP1 or RIP3 blockade in murine models of acute liver injury

Deutsch, M; Graffeo, C S; Rokosh, R; Pansari, M; Ochi, A; Levie, E M; Van Heerden, E; Tippens, D M; Greco, S; Barilla, R; Tomkotter, L; Zambirinis, C P; Avanzi, N; Gulati, R; Pachter, H L; Torres-Hernandez, A; Eisenthal, A; Daley, D; Miller, G
Necroptosis is a recently described Caspase 8-independent method of cell death that denotes organized cellular necrosis. The roles of RIP1 and RIP3 in mediating hepatocyte death from acute liver injury are incompletely defined. Effects of necroptosis blockade were studied by separately targeting RIP1 and RIP3 in diverse murine models of acute liver injury. Blockade of necroptosis had disparate effects on disease outcome depending on the precise etiology of liver injury and component of the necrosome targeted. In ConA-induced autoimmune hepatitis, RIP3 deletion was protective, whereas RIP1 inhibition exacerbated disease, accelerated animal death, and was associated with increased hepatocyte apoptosis. Conversely, in acetaminophen-mediated liver injury, blockade of either RIP1 or RIP3 was protective and was associated with lower NLRP3 inflammasome activation. Our work highlights the fact that diverse modes of acute liver injury have differing requirements for RIP1 and RIP3; moreover, within a single injury model, RIP1 and RIP3 blockade can have diametrically opposite effects on tissue damage, suggesting that interference with distinct components of the necrosome must be considered separately.
PMCID:4669705
PMID: 25950489
ISSN: 2041-4889
CID: 1578632

Human pancreatic cancer tumors are nutrient poor and tumor cells actively scavenge extracellular protein

Kamphorst, Jurre J; Nofal, Michel; Commisso, Cosimo; Hackett, Sean R; Lu, Wenyun; Grabocka, Elda; Vander Heiden, Matthew G; Miller, George; Drebin, Jeffrey A; Bar-Sagi, Dafna; Thompson, Craig B; Rabinowitz, Joshua D
Glucose and amino acids are key nutrients supporting cell growth. Amino acids are imported as monomers, but an alternative route induced by oncogenic KRAS involves uptake of extracellular proteins via macropinocytosis and subsequent lysosomal degradation of these proteins as a source of amino acids. In this study, we examined the metabolism of pancreatic ductal adenocarcinoma (PDAC), a poorly vascularized lethal KRAS-driven malignancy. Metabolomic comparisons of human PDAC and benign adjacent tissue revealed that tumor tissue was low in glucose, upper glycolytic intermediates, creatine phosphate, and the amino acids glutamine and serine, two major metabolic substrates. Surprisingly, PDAC accumulated essential amino acids. Such accumulation could arise from extracellular proteins being degraded through macropinocytosis in quantities necessary to meet glutamine requirements, which in turn produces excess of most other amino acids. Consistent with this hypothesis, active macropinocytosis is observed in primary human PDAC specimens. Moreover, in the presence of physiologic albumin, we found that cultured murine PDAC cells grow indefinitely in media lacking single essential amino acids and replicate once in the absence of free amino acids. Growth under these conditions was characterized by simultaneous glutamine depletion and essential amino acid accumulation. Overall, our findings argue that the scavenging of extracellular proteins is an important mode of nutrient uptake in PDAC. Cancer Res; 75(3); 544-53. (c)2014 AACR.
PMCID:4316379
PMID: 25644265
ISSN: 0008-5472
CID: 1456382