2 32033249 However, asbestos has been historically shown to cause pleural malignant mesothelioma and lung cancer by inhalation exposure. ('asbestos', 'Var', (9, 17)) ('asbestos', 'Chemical', 'MESH:D001194', (9, 17)) ('lung cancer', 'Phenotype', 'HP:0100526', (90, 101)) ('pleural malignant mesothelioma', 'Phenotype', 'HP:0100002', (55, 85)) ('cause', 'Reg', (49, 54)) ('cancer', 'Phenotype', 'HP:0002664', (95, 101)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (63, 85)) ('pleural malignant mesothelioma and lung cancer', 'Disease', 'MESH:C562839', (55, 101)) 59 32033249 This suggests that MWCNTs, at lower concentrations, and do not exhibit cytotoxicity, may promote bone formation. ('promote', 'PosReg', (89, 96)) ('cytotoxicity', 'Disease', (71, 83)) ('MWCNTs', 'Chemical', '-', (19, 25)) ('rat', 'Species', '10116', (43, 46)) ('MWCNTs', 'Var', (19, 25)) ('bone formation', 'biological_process', 'GO:0001503', ('97', '111')) ('bone formation', 'CPA', (97, 111)) ('cytotoxicity', 'Disease', 'MESH:D064420', (71, 83)) 100 32033249 PEGylated SWCNTs showed prolonged blood circulation half-life and stability in serum. ('PEGylated', 'Var', (0, 9)) ('prolonged blood circulation', 'Phenotype', 'HP:0011028', (24, 51)) ('blood', 'MPA', (34, 39)) ('SWCNTs', 'Chemical', '-', (10, 16)) ('PEG', 'Chemical', 'MESH:D011092', (0, 3)) ('blood circulation', 'biological_process', 'GO:0008015', ('34', '51')) 135 32033249 The production of antioxidant glutathione also decreased with impure SWCNTs. ('decreased', 'NegReg', (47, 56)) ('production of antioxidant glutathione', 'MPA', (4, 41)) ('SWCNTs', 'Chemical', '-', (69, 75)) ('impure', 'Var', (62, 68)) ('glutathione', 'Chemical', 'MESH:D005978', (30, 41)) 140 32033249 In addition, when inflammatory cytokines in the culture medium were measured with a cytometric bead array flex set system, the greatest amount of IL-6 and IL-8 were produced in the order of gelatin, DPPC, and CMC in the same manner as the amount of MWCNTs uptake into the cells. ('IL-6', 'molecular_function', 'GO:0005138', ('146', '150')) ('IL-8', 'Gene', '20309', (155, 159)) ('CMC', 'Chemical', '-', (209, 212)) ('IL-8', 'molecular_function', 'GO:0005153', ('155', '159')) ('MWCNTs', 'Chemical', '-', (249, 255)) ('uptake', 'biological_process', 'GO:0098657', ('256', '262')) ('uptake', 'biological_process', 'GO:0098739', ('256', '262')) ('DPPC', 'Var', (199, 203)) ('IL-6', 'Gene', (146, 150)) ('IL-6', 'Gene', '16193', (146, 150)) ('DPPC', 'Chemical', 'MESH:C081581', (199, 203)) ('IL-8', 'Gene', (155, 159)) 156 32033249 Although, there were models that showed mesothelioma in the lung (Figure 5a) in the group receiving MWCNTs, there was no significant difference in the incidence of tumor with the vehicle group. ('MWCNTs', 'Var', (100, 106)) ('tumor', 'Disease', (164, 169)) ('mesothelioma', 'Disease', 'MESH:D008654', (40, 52)) ('tumor', 'Disease', 'MESH:D009369', (164, 169)) ('mesothelioma', 'Disease', (40, 52)) ('tumor', 'Phenotype', 'HP:0002664', (164, 169)) ('MWCNTs', 'Chemical', '-', (100, 106)) 309 30272283 It has previously been demonstrated that mitochondria or activation of the death receptor pathway converge to induce the activation of caspases, which are the final executioners of cell death. ('cell death', 'biological_process', 'GO:0008219', ('181', '191')) ('mitochondria', 'Var', (41, 53)) ('death receptor pathway', 'Pathway', (75, 97)) ('mitochondria', 'cellular_component', 'GO:0005739', ('41', '53')) ('caspases', 'Gene', (135, 143)) ('activation', 'PosReg', (121, 131)) ('caspases', 'Gene', '841;12370;842;12371', (135, 143)) 320 30272283 4A and B, treatment with increasing doses of curcumin resulted in significant downregulation of PI3K, p-Akt, p-mTOR and p-p70S6K; however, no significant differences were detected with regards to the total expression levels of Akt, mTOR and p70S6K. ('p-p70S6K', 'Var', (120, 128)) ('p70S6K', 'Var', (241, 247)) ('downregulation', 'NegReg', (78, 92)) ('PI3K', 'Pathway', (96, 100)) ('curcumin', 'Chemical', 'MESH:D003474', (45, 53)) ('p-mTOR', 'MPA', (109, 115)) ('p-Akt', 'Pathway', (102, 107)) ('PI3K', 'molecular_function', 'GO:0016303', ('96', '100')) 325 30272283 The mean tumor volumes in mice treated with cisplatin and a high dose of curcumin were 58 and 72 mm3, respectively, whereas the tumor volumes in mice treated with the solvent and a low dose of curcumin were 161 and 120 mm3 on day 25. ('tumor', 'Disease', (128, 133)) ('tumor', 'Disease', 'MESH:D009369', (128, 133)) ('tumor', 'Disease', 'MESH:D009369', (9, 14)) ('tumor', 'Phenotype', 'HP:0002664', (9, 14)) ('cisplatin', 'Var', (44, 53)) ('tumor', 'Phenotype', 'HP:0002664', (128, 133)) ('tumor', 'Disease', (9, 14)) ('mice', 'Species', '10090', (145, 149)) ('cisplatin', 'Chemical', 'MESH:D002945', (44, 53)) ('curcumin', 'Chemical', 'MESH:D003474', (193, 201)) ('curcumin', 'Chemical', 'MESH:D003474', (73, 81)) ('mice', 'Species', '10090', (26, 30)) 346 30272283 In the present study, cleaved caspase-3 expression was significantly upregulated by cisplatin treatment, whereas cleaved caspase-3, -8 and -9 expression was not detected following curcumin treatment. ('expression', 'MPA', (40, 50)) ('cisplatin', 'Var', (84, 93)) ('cleaved', 'MPA', (22, 29)) ('cisplatin', 'Chemical', 'MESH:D002945', (84, 93)) ('upregulated', 'PosReg', (69, 80)) ('curcumin', 'Chemical', 'MESH:D003474', (180, 188)) 378 29520212 Reactive oxygen species may play an important role in the mechanism of carcinogenesis; therefore, genetic variability in antioxidative defence may modify an individual's susceptibility to this cancer. ('cancer', 'Disease', 'MESH:D009369', (193, 199)) ('antioxidative defence', 'MPA', (121, 142)) ('cancer', 'Disease', (193, 199)) ('carcinogenesis', 'Disease', (71, 85)) ('genetic variability', 'Var', (98, 117)) ('susceptibility', 'MPA', (170, 184)) ('cancer', 'Phenotype', 'HP:0002664', (193, 199)) ('modify', 'Reg', (147, 153)) ('carcinogenesis', 'Disease', 'MESH:D063646', (71, 85)) ('Reactive oxygen species', 'Chemical', 'MESH:D017382', (0, 23)) 380 29520212 In total, 150 cases with malignant mesothelioma and 122 controls with no asbestos-related disease were genotyped for NQO1, CAT, SOD2 and hOGG1 polymorphisms. ('NQO1', 'Gene', (117, 121)) ('malignant mesothelioma', 'Disease', (25, 47)) ('hOGG1', 'Gene', '4968', (137, 142)) ('NQO1', 'Gene', '1728', (117, 121)) ('SOD2', 'Gene', '6648', (128, 132)) ('SOD2', 'Gene', (128, 132)) ('CAT', 'molecular_function', 'GO:0004096', ('123', '126')) ('polymorphisms', 'Var', (143, 156)) ('asbestos', 'Chemical', 'MESH:D001194', (73, 81)) ('CAT', 'Gene', (123, 126)) ('CAT', 'Gene', '847', (123, 126)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (25, 47)) ('SOD2', 'molecular_function', 'GO:0004784', ('128', '132')) ('hOGG1', 'Gene', (137, 142)) ('NQO1', 'molecular_function', 'GO:0003955', ('117', '121')) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (25, 47)) 383 29520212 NQO1 rs1800566 was significantly associated with increased malignant mesothelioma risk, OR 1.73 (95% CI 1.02-2.96). ('OR 1.73', 'Gene', (88, 95)) ('malignant mesothelioma', 'Disease', (59, 81)) ('NQO1', 'molecular_function', 'GO:0003955', ('0', '4')) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (59, 81)) ('rs1800566', 'Var', (5, 14)) ('NQO1', 'Gene', (0, 4)) ('rs1800566', 'Mutation', 'rs1800566', (5, 14)) ('OR 1.73', 'Gene', '401637', (88, 95)) ('NQO1', 'Gene', '1728', (0, 4)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (59, 81)) 384 29520212 Although there was no independent association between either CAT rs1001179 or hOGG1 rs1052133 polymorphism and malignant mesothelioma, interaction between both polymorphisms showed a protective effect, ORint 0.27 (95% CI 0.10-0.77). ('rs1001179', 'Mutation', 'rs1001179', (65, 74)) ('hOGG1', 'Gene', (78, 83)) ('malignant mesothelioma', 'Disease', (111, 133)) ('CAT', 'Gene', '847', (61, 64)) ('rs1001179', 'Var', (65, 74)) ('rs1052133', 'Var', (84, 93)) ('CAT', 'molecular_function', 'GO:0004096', ('61', '64')) ('CAT', 'Gene', (61, 64)) ('rs1052133', 'Mutation', 'rs1052133', (84, 93)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (111, 133)) ('hOGG1', 'Gene', '4968', (78, 83)) ('interaction', 'Interaction', (135, 146)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (111, 133)) 385 29520212 Our findings suggest a role of both genetic variability in antioxidative defence and repair as well as the impact of gene-gene interactions in the development of malignant mesothelioma. ('malignant mesothelioma', 'Disease', (162, 184)) ('interactions', 'Interaction', (127, 139)) ('genetic variability', 'Var', (36, 55)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (162, 184)) ('antioxidative defence', 'MPA', (59, 80)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (162, 184)) 399 29520212 CAT helps to maintain the oxidative balance by catalysing H2O2 to H2O and O2 Numerous polymorphisms of CAT gene (CAT) have been described, rs1001179 being the most commonly studied one. ('rs1001179', 'Mutation', 'rs1001179', (140, 149)) ('H2O2', 'Chemical', 'MESH:D006861', (58, 62)) ('CAT', 'Gene', '847', (114, 117)) ('CAT', 'molecular_function', 'GO:0004096', ('0', '3')) ('H2O', 'Chemical', 'MESH:D014867', (58, 61)) ('rs1001179', 'Var', (140, 149)) ('H2O', 'Chemical', 'MESH:D014867', (66, 69)) ('O2', 'Chemical', '-', (74, 76)) ('O2', 'Chemical', '-', (60, 62)) ('CAT', 'Gene', '847', (0, 3)) ('CAT', 'molecular_function', 'GO:0004096', ('104', '107')) ('CAT', 'molecular_function', 'GO:0004096', ('114', '117')) ('CAT', 'Gene', (0, 3)) ('CAT', 'Gene', (104, 107)) ('CAT', 'Gene', '847', (104, 107)) ('oxidative balance', 'MPA', (26, 43)) ('CAT', 'Gene', (114, 117)) 404 29520212 The most common polymorphism is rs4880, resulting in C to T substitution at position 201 (c.201C>T), which causes the change of alanine to valine at position 16 (p.Ala16Val). ('C to T substitution at position 201', 'Mutation', 'c.201C>T', (53, 88)) ('alanine to valine at position 16', 'MPA', (128, 160)) ('p.Ala16Val', 'Mutation', 'rs4880', (162, 172)) ('alanine to valine at position 16', 'Mutation', 'rs4880', (128, 160)) ('rs4880', 'Var', (32, 38)) ('rs4880', 'Mutation', 'rs4880', (32, 38)) ('c.201C>T', 'Mutation', 'c.201C>T', (90, 98)) ('change', 'Reg', (118, 124)) ('c.201C>T', 'Var', (90, 98)) 406 29520212 HOGG1 catalyses the repair of 8-oxoguanine that may result from ROS damage to the DNA. ('ROS', 'Chemical', 'MESH:D017382', (64, 67)) ('8-oxoguanine', 'Chemical', 'MESH:C024829', (30, 42)) ('damage', 'Var', (68, 74)) ('HOGG1', 'Gene', '4968', (0, 5)) ('ROS', 'Gene', (64, 67)) ('DNA', 'cellular_component', 'GO:0005574', ('82', '85')) ('result from', 'Reg', (52, 63)) ('HOGG1', 'Gene', (0, 5)) 407 29520212 In rs1052133 polymorphism, C replaces G in exon 7, causing the substitution of serine with cysteine in codon 326 (p.Ser326Cys). ('rs1052133', 'Var', (3, 12)) ('C replaces', 'Var', (27, 37)) ('causing', 'Reg', (51, 58)) ('serine with cysteine in codon 326', 'Mutation', 'rs1052133', (79, 112)) ('p.Ser326Cys', 'Mutation', 'rs1052133', (114, 125)) ('substitution', 'Var', (63, 75)) ('serine with cysteine', 'MPA', (79, 99)) ('Ser', 'cellular_component', 'GO:0005790', ('116', '119')) ('rs1052133', 'Mutation', 'rs1052133', (3, 12)) 408 29520212 Although a changed structure of the polymorphic enzyme has not been proved, several studies have shown the association between hOGG1 Ser326Cys polymorphism and lung cancer risk. ('hOGG1', 'Gene', '4968', (127, 132)) ('cancer', 'Phenotype', 'HP:0002664', (165, 171)) ('Ser326Cys', 'Var', (133, 142)) ('hOGG1', 'Gene', (127, 132)) ('lung cancer', 'Disease', 'MESH:D008175', (160, 171)) ('Ser326Cys', 'SUBSTITUTION', 'None', (133, 142)) ('Ser', 'cellular_component', 'GO:0005790', ('133', '136')) ('association', 'Interaction', (107, 118)) ('lung cancer', 'Disease', (160, 171)) ('lung cancer', 'Phenotype', 'HP:0100526', (160, 171)) 410 29520212 The most frequently studied single nucleotide polymorphism (SNP), rs1800566, results in C to T change (c.609C>T), which causes proline to serine substitution (p.Pro187Ser). ('Ser', 'cellular_component', 'GO:0005790', ('167', '170')) ('proline', 'Chemical', 'MESH:D011392', (127, 134)) ('c.609C>T', 'Var', (103, 111)) ('causes', 'Reg', (120, 126)) ('rs1800566', 'Mutation', 'rs1800566', (66, 75)) ('rs1800566', 'Var', (66, 75)) ('C to T', 'MPA', (88, 94)) ('serine', 'Chemical', 'MESH:D012694', (138, 144)) ('results', 'Reg', (77, 84)) ('c.609C>T', 'Mutation', 'rs1800566', (103, 111)) ('p.Pro187Ser', 'Mutation', 'rs1800566', (159, 170)) ('proline to serine substitution', 'MPA', (127, 157)) 411 29520212 Some studies found this polymorphism to be associated with an increased risk of several malignant diseases: lung cancer, colorectal cancer, breast cancer and bladder cancer. ('cancer', 'Phenotype', 'HP:0002664', (147, 153)) ('colorectal cancer', 'Disease', (121, 138)) ('cancer', 'Phenotype', 'HP:0002664', (113, 119)) ('breast cancer', 'Phenotype', 'HP:0003002', (140, 153)) ('lung cancer', 'Disease', (108, 119)) ('bladder cancer', 'Disease', 'MESH:D001749', (158, 172)) ('bladder cancer', 'Disease', (158, 172)) ('breast cancer', 'Disease', 'MESH:D001943', (140, 153)) ('bladder cancer', 'Phenotype', 'HP:0009725', (158, 172)) ('breast cancer', 'Disease', (140, 153)) ('malignant diseases', 'Disease', (88, 106)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (121, 138)) ('cancer', 'Phenotype', 'HP:0002664', (166, 172)) ('associated', 'Reg', (43, 53)) ('malignant diseases', 'Disease', 'MESH:D009369', (88, 106)) ('lung cancer', 'Disease', 'MESH:D008175', (108, 119)) ('polymorphism', 'Var', (24, 36)) ('cancer', 'Phenotype', 'HP:0002664', (132, 138)) ('lung cancer', 'Phenotype', 'HP:0100526', (108, 119)) ('colorectal cancer', 'Disease', 'MESH:D015179', (121, 138)) 413 29520212 Nevertheless, the interaction between asbestos exposure and genetic susceptibility due to genetic polymorphism of antioxidant enzymes has been shown for asbestosis. ('asbestosis', 'Disease', (153, 163)) ('asbestos', 'Chemical', 'MESH:D001194', (38, 46)) ('interaction', 'Interaction', (18, 29)) ('asbestos', 'Chemical', 'MESH:D001194', (153, 161)) ('asbestosis', 'Disease', 'MESH:D001195', (153, 163)) ('genetic polymorphism', 'Var', (90, 110)) 416 29520212 This study aimed to investigate whether functional polymorphisms in NQO1, CAT, SOD2 and hOGG1 genes influence the risk of MM, to investigate the interactions between genetic variability in antioxidative and DNA repair mechanisms and to investigate the interactions between asbestos exposure and the investigated polymorphisms in MM patients. ('interactions', 'Interaction', (252, 264)) ('patients', 'Species', '9606', (332, 340)) ('NQO1', 'Gene', '1728', (68, 72)) ('polymorphisms', 'Var', (51, 64)) ('SOD2', 'Gene', (79, 83)) ('SOD2', 'molecular_function', 'GO:0004784', ('79', '83')) ('NQO1', 'molecular_function', 'GO:0003955', ('68', '72')) ('NQO1', 'Gene', (68, 72)) ('CAT', 'Gene', (74, 77)) ('interactions', 'Interaction', (145, 157)) ('investigate', 'Reg', (129, 140)) ('DNA repair', 'biological_process', 'GO:0006281', ('207', '217')) ('asbestos', 'Chemical', 'MESH:D001194', (273, 281)) ('CAT', 'molecular_function', 'GO:0004096', ('74', '77')) ('SOD2', 'Gene', '6648', (79, 83)) ('DNA', 'cellular_component', 'GO:0005574', ('207', '210')) ('hOGG1', 'Gene', '4968', (88, 93)) ('influence', 'Reg', (100, 109)) ('hOGG1', 'Gene', (88, 93)) ('CAT', 'Gene', '847', (74, 77)) 430 29520212 Real-time polymerase chain reaction (PCR) based TaqMan assays were used for the analysis of NQO1 rs1800566, CAT rs1001179, SOD2 rs4880 and hOGG1 rs1052133 polymorphisms as recommended by the manufacturer (Thermo Fisher Scientific, SNP genotyping assay C_2091255_30, C_11468118_10, C_8709053_10 and C_3095552_1_, respectively). ('rs4880', 'Mutation', 'rs4880', (128, 134)) ('rs4880', 'Var', (128, 134)) ('rs1800566', 'Mutation', 'rs1800566', (97, 106)) ('NQO1', 'Gene', '1728', (92, 96)) ('NQO1', 'molecular_function', 'GO:0003955', ('92', '96')) ('C_11468118_10', 'Var', (266, 279)) ('rs1001179', 'Mutation', 'rs1001179', (112, 121)) ('CAT', 'molecular_function', 'GO:0004096', ('108', '111')) ('C_2091255_30', 'Var', (252, 264)) ('NQO1', 'Gene', (92, 96)) ('rs1052133', 'Mutation', 'rs1052133', (145, 154)) ('hOGG1', 'Gene', '4968', (139, 144)) ('CAT', 'Gene', '847', (108, 111)) ('SOD2', 'molecular_function', 'GO:0004784', ('123', '127')) ('hOGG1', 'Gene', (139, 144)) ('C_3095552_1_', 'Var', (298, 310)) ('rs1001179', 'Var', (112, 121)) ('SOD2', 'Gene', (123, 127)) ('rs1800566', 'Var', (97, 106)) ('C_8709053_10', 'Var', (281, 293)) ('rs1052133', 'Var', (145, 154)) ('SOD2', 'Gene', '6648', (123, 127)) ('CAT', 'Gene', (108, 111)) 443 29520212 Minor allele frequencies were 13.9% for NQO1 rs1800566, 22.4% for CAT rs1001179, 52.5% for SOD2 rs4880 and 18.8% for hOGG1 rs1052133. ('rs4880', 'Mutation', 'rs4880', (96, 102)) ('hOGG1', 'Gene', '4968', (117, 122)) ('SOD2', 'Gene', '6648', (91, 95)) ('CAT', 'Gene', (66, 69)) ('hOGG1', 'Gene', (117, 122)) ('rs1052133', 'Mutation', 'rs1052133', (123, 132)) ('rs1001179', 'Mutation', 'rs1001179', (70, 79)) ('NQO1', 'Gene', '1728', (40, 44)) ('rs1800566', 'Var', (45, 54)) ('CAT', 'Gene', '847', (66, 69)) ('NQO1', 'molecular_function', 'GO:0003955', ('40', '44')) ('rs1052133', 'Var', (123, 132)) ('NQO1', 'Gene', (40, 44)) ('CAT', 'molecular_function', 'GO:0004096', ('66', '69')) ('rs1800566', 'Mutation', 'rs1800566', (45, 54)) ('rs1001179', 'Var', (70, 79)) ('SOD2', 'molecular_function', 'GO:0004784', ('91', '95')) ('SOD2', 'Gene', (91, 95)) ('rs4880', 'Var', (96, 102)) 449 29520212 The interaction between CAT rs1001179 and hOGG1 rs1052133 had a protective effect on the risk of MM (ORint = 0.27; 95% CI = 0.10-0.77; p = 0.014). ('hOGG1', 'Gene', '4968', (42, 47)) ('rs1052133', 'Mutation', 'rs1052133', (48, 57)) ('rs1052133', 'Var', (48, 57)) ('CAT', 'molecular_function', 'GO:0004096', ('24', '27')) ('rs1001179', 'Var', (28, 37)) ('hOGG1', 'Gene', (42, 47)) ('CAT', 'Gene', '847', (24, 27)) ('CAT', 'Gene', (24, 27)) ('rs1001179', 'Mutation', 'rs1001179', (28, 37)) 455 29520212 According to the free radical hypothesis of aging, ROS and RNS can drive the accumulation of cell and DNA damage leading to carcinogenesis and cancer. ('cancer', 'Phenotype', 'HP:0002664', (143, 149)) ('ROS', 'Chemical', 'MESH:D017382', (51, 54)) ('ROS', 'Var', (51, 54)) ('cancer', 'Disease', (143, 149)) ('cancer', 'Disease', 'MESH:D009369', (143, 149)) ('carcinogenesis', 'Disease', 'MESH:D063646', (124, 138)) ('RNS', 'Chemical', 'MESH:D026361', (59, 62)) ('aging', 'biological_process', 'GO:0007568', ('44', '49')) ('carcinogenesis', 'Disease', (124, 138)) ('DNA', 'cellular_component', 'GO:0005574', ('102', '105')) 463 29520212 Another important finding of the current study indicates a higher risk of MM among subjects with the NQO1 rs1800566 T allele. ('NQO1', 'Gene', (101, 105)) ('rs1800566 T', 'Var', (106, 117)) ('NQO1', 'Gene', '1728', (101, 105)) ('NQO1', 'molecular_function', 'GO:0003955', ('101', '105')) ('rs1800566', 'Mutation', 'rs1800566', (106, 115)) 464 29520212 According to the available literature, the association between NQO1 polymorphisms and MM has not been investigated yet. ('NQO1', 'Gene', '1728', (63, 67)) ('NQO1', 'molecular_function', 'GO:0003955', ('63', '67')) ('polymorphisms', 'Var', (68, 81)) ('NQO1', 'Gene', (63, 67)) 465 29520212 However, some studies have found an increased risk of lung cancer, colorectal cancer and bladder cancer among the carriers of the polymorphic allele. ('polymorphic allele', 'Var', (130, 148)) ('lung cancer', 'Disease', (54, 65)) ('lung cancer', 'Phenotype', 'HP:0100526', (54, 65)) ('bladder cancer', 'Phenotype', 'HP:0009725', (89, 103)) ('cancer', 'Phenotype', 'HP:0002664', (59, 65)) ('colorectal cancer', 'Disease', 'MESH:D015179', (67, 84)) ('lung cancer', 'Disease', 'MESH:D008175', (54, 65)) ('bladder cancer', 'Disease', 'MESH:D001749', (89, 103)) ('bladder cancer', 'Disease', (89, 103)) ('cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (67, 84)) ('cancer', 'Phenotype', 'HP:0002664', (78, 84)) ('colorectal cancer', 'Disease', (67, 84)) 469 29520212 Even though there was no association between CAT rs1001179 or hOGG1 rs1052133 alone and MM, one of the key findings of this study was that the interactions between CAT rs1001179 and hOGG1 rs1052133 have a protective effect on the risk of MM. ('rs1001179', 'Mutation', 'rs1001179', (168, 177)) ('interactions', 'Interaction', (143, 155)) ('hOGG1', 'Gene', '4968', (182, 187)) ('hOGG1', 'Gene', '4968', (62, 67)) ('rs1001179', 'Mutation', 'rs1001179', (49, 58)) ('CAT', 'Gene', '847', (164, 167)) ('rs1052133', 'Mutation', 'rs1052133', (68, 77)) ('CAT', 'Gene', (164, 167)) ('CAT', 'molecular_function', 'GO:0004096', ('45', '48')) ('hOGG1', 'Gene', (182, 187)) ('CAT', 'Gene', '847', (45, 48)) ('CAT', 'Gene', (45, 48)) ('CAT', 'molecular_function', 'GO:0004096', ('164', '167')) ('hOGG1', 'Gene', (62, 67)) ('rs1052133', 'Mutation', 'rs1052133', (188, 197)) ('rs1052133', 'Var', (188, 197)) 472 29520212 We have also previously reported slightly increased risk of asbestosis among the carriers of the CAT rs1001179 TT genotype. ('CAT', 'Gene', (97, 100)) ('rs1001179', 'Mutation', 'rs1001179', (101, 110)) ('asbestosis', 'Disease', 'MESH:D001195', (60, 70)) ('asbestosis', 'Disease', (60, 70)) ('rs1001179 TT', 'Var', (101, 113)) ('CAT', 'molecular_function', 'GO:0004096', ('97', '100')) ('CAT', 'Gene', '847', (97, 100)) 473 29520212 have observed an association between hOGG1 Ser326Cys polymorphism and higher DNA damage levels in healthy young population. ('hOGG1', 'Gene', (37, 42)) ('DNA', 'cellular_component', 'GO:0005574', ('77', '80')) ('higher DNA damage levels', 'MPA', (70, 94)) ('Ser326Cys', 'Var', (43, 52)) ('Ser', 'cellular_component', 'GO:0005790', ('43', '46')) ('Ser326Cys', 'SUBSTITUTION', 'None', (43, 52)) ('hOGG1', 'Gene', '4968', (37, 42)) 481 29520212 In conclusion, our study showed for the first time that NQO1 polymorphism influences the risk of MM both independently and after adjustment by smoking. ('influences', 'Reg', (74, 84)) ('NQO1', 'Gene', (56, 60)) ('NQO1', 'Gene', '1728', (56, 60)) ('polymorphism', 'Var', (61, 73)) ('NQO1', 'molecular_function', 'GO:0003955', ('56', '60')) 482 29520212 Another key observation is the protective effect of the interaction between CAT rs1001179 and hOGG1 rs1052133 polymorphisms, indicating the importance of interaction between antioxidative and DNA repair mechanisms. ('CAT', 'Gene', (76, 79)) ('CAT', 'Gene', '847', (76, 79)) ('rs1052133', 'Mutation', 'rs1052133', (100, 109)) ('rs1052133', 'Var', (100, 109)) ('rs1001179', 'Mutation', 'rs1001179', (80, 89)) ('hOGG1', 'Gene', '4968', (94, 99)) ('interaction', 'Interaction', (56, 67)) ('CAT', 'molecular_function', 'GO:0004096', ('76', '79')) ('rs1001179', 'Var', (80, 89)) ('DNA repair', 'biological_process', 'GO:0006281', ('192', '202')) ('hOGG1', 'Gene', (94, 99)) ('DNA', 'cellular_component', 'GO:0005574', ('192', '195')) 484 28062663 A population-based analysis of germline BAP1 mutations in melanoma Germline mutation of the BRCA1 associated protein-1 (BAP1) gene has been linked to uveal melanoma, mesothelioma, meningioma, renal cell carcinoma and basal cell carcinoma. ('basal cell carcinoma', 'Disease', (217, 237)) ('meningioma', 'Disease', 'MESH:D008577', (180, 190)) ('melanoma', 'Disease', 'MESH:D008545', (156, 164)) ('protein', 'cellular_component', 'GO:0003675', ('109', '116')) ('BRCA1 associated protein-1', 'Gene', '8314', (92, 118)) ('linked to', 'Reg', (140, 149)) ('BAP1', 'Gene', (40, 44)) ('BAP1', 'Gene', (120, 124)) ('renal cell carcinoma', 'Disease', (192, 212)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (192, 212)) ('basal cell carcinoma', 'Disease', 'MESH:D002280', (217, 237)) ('melanoma', 'Disease', 'MESH:D008545', (58, 66)) ('melanoma', 'Phenotype', 'HP:0002861', (156, 164)) ('melanoma', 'Disease', (156, 164)) ('carcinoma', 'Phenotype', 'HP:0030731', (228, 237)) ('meningioma', 'Disease', (180, 190)) ('mesothelioma', 'Disease', (166, 178)) ('uveal melanoma', 'Disease', (150, 164)) ('uveal melanoma', 'Disease', 'MESH:C536494', (150, 164)) ('mesothelioma', 'Disease', 'MESH:D008654', (166, 178)) ('meningioma', 'Phenotype', 'HP:0002858', (180, 190)) ('carcinoma', 'Phenotype', 'HP:0030731', (203, 212)) ('BRCA1 associated protein-1', 'Gene', (92, 118)) ('basal cell carcinoma', 'Phenotype', 'HP:0002671', (217, 237)) ('mutations', 'Var', (45, 54)) ('BAP1', 'Gene', '8314', (40, 44)) ('BAP1', 'Gene', '8314', (120, 124)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (150, 164)) ('melanoma', 'Phenotype', 'HP:0002861', (58, 66)) ('renal cell carcinoma', 'Disease', 'MESH:C538614', (192, 212)) ('melanoma', 'Disease', (58, 66)) 487 28062663 A missense change (S98R) in a case that completely abolished BAP1 deubiquitinase activity was identified. ('S98R', 'Mutation', 'rs371168635', (19, 23)) ('deubiquitinase activity', 'molecular_function', 'GO:0004843', ('66', '89')) ('S98R', 'Var', (19, 23)) ('abolished', 'NegReg', (51, 60)) ('BAP1 deubiquitinase', 'Enzyme', (61, 80)) ('activity', 'MPA', (81, 89)) ('deubiquitinase activity', 'molecular_function', 'GO:0101005', ('66', '89')) 488 28062663 Analysis of cancers in the pedigree of the proband carrying the S98R variant and in two other pedigrees carrying clear loss-of-function alleles showed the presence of BAP1-associated cancers such as renal cell carcinoma, mesothelioma and meningioma, but not uveal melanoma. ('carcinoma', 'Phenotype', 'HP:0030731', (210, 219)) ('uveal melanoma', 'Disease', (258, 272)) ('BAP1-associated', 'Gene', (167, 182)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (258, 272)) ('cancers', 'Phenotype', 'HP:0002664', (183, 190)) ('cancers', 'Disease', 'MESH:D009369', (12, 19)) ('cancers', 'Disease', (183, 190)) ('renal cell carcinoma', 'Disease', 'MESH:C538614', (199, 219)) ('cancer', 'Phenotype', 'HP:0002664', (183, 189)) ('S98R', 'Var', (64, 68)) ('meningioma', 'Disease', (238, 248)) ('meningioma', 'Phenotype', 'HP:0002858', (238, 248)) ('mesothelioma', 'Disease', (221, 233)) ('renal cell carcinoma', 'Disease', (199, 219)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (199, 219)) ('cancers', 'Disease', 'MESH:D009369', (183, 190)) ('mesothelioma', 'Disease', 'MESH:D008654', (221, 233)) ('cancers', 'Phenotype', 'HP:0002664', (12, 19)) ('S98R', 'Mutation', 'rs371168635', (64, 68)) ('cancers', 'Disease', (12, 19)) ('meningioma', 'Disease', 'MESH:D008577', (238, 248)) ('cancer', 'Phenotype', 'HP:0002664', (12, 18)) ('uveal melanoma', 'Disease', 'MESH:C536494', (258, 272)) ('melanoma', 'Phenotype', 'HP:0002861', (264, 272)) 489 28062663 Two of these three probands carrying BAP1 loss-of-function variants also had melanomas with histopathological features suggestive of a germline BAP1 mutation. ('melanomas', 'Disease', (77, 86)) ('BAP1', 'Gene', (144, 148)) ('variants', 'Var', (59, 67)) ('melanomas', 'Disease', 'MESH:D008545', (77, 86)) ('melanoma', 'Phenotype', 'HP:0002861', (77, 85)) ('melanomas', 'Phenotype', 'HP:0002861', (77, 86)) ('loss-of-function', 'NegReg', (42, 58)) ('BAP1', 'Gene', (37, 41)) ('mutation', 'Var', (149, 157)) 490 28062663 The remaining cases with germline mutations, which were predominantly missense mutations, were associated with less typical pedigrees and tumours lacking a characteristic BAP1-associated histopathological appearances, but may still represent less penetrant variants. ('tumour', 'Phenotype', 'HP:0002664', (138, 144)) ('tumours', 'Phenotype', 'HP:0002664', (138, 145)) ('missense mutations', 'Var', (70, 88)) ('germline mutations', 'Var', (25, 43)) ('tumours', 'Disease', 'MESH:D009369', (138, 145)) ('tumours', 'Disease', (138, 145)) 493 28062663 Additionally, studies in melanoma-prone families have found inactivating variants in CDKN2A and CDK4, and more recently, activating variants in the promoter of TERT. ('TERT', 'Gene', '7015', (160, 164)) ('CDKN2A', 'Gene', (85, 91)) ('CDK4', 'Gene', (96, 100)) ('CDKN2A', 'Gene', '1029', (85, 91)) ('variants', 'Var', (132, 140)) ('CDK', 'molecular_function', 'GO:0004693', ('96', '99')) ('melanoma', 'Disease', 'MESH:D008545', (25, 33)) ('melanoma', 'Phenotype', 'HP:0002861', (25, 33)) ('TERT', 'Gene', (160, 164)) ('melanoma', 'Disease', (25, 33)) ('CDK4', 'Gene', '1019', (96, 100)) 494 28062663 Loss-of-function variants in the protection of telomeres 1 (POT1) gene, and other members of the shelterin complex, have also been found. ('Loss-of-function', 'NegReg', (0, 16)) ('variants', 'Var', (17, 25)) ('POT1', 'Gene', '25913', (60, 64)) ('POT1', 'Gene', (60, 64)) ('shelterin complex', 'cellular_component', 'GO:0070187', ('97', '114')) 495 28062663 Collectively, these findings indicate that strong and weakly penetrant variants influencing the same genes or biological pathways may contribute to disease development in familial and sporadic melanoma, respectively. ('variants', 'Var', (71, 79)) ('familial', 'Disease', (171, 179)) ('melanoma', 'Phenotype', 'HP:0002861', (193, 201)) ('contribute', 'Reg', (134, 144)) ('sporadic melanoma', 'Disease', (184, 201)) ('biological pathways', 'Pathway', (110, 129)) ('sporadic melanoma', 'Disease', 'MESH:D008545', (184, 201)) ('weakly penetrant variants', 'Var', (54, 79)) 499 28062663 Subsequently, it was recognised that germline BAP1 mutations are associated with a risk of disparate cancers such as lung cancer, meningioma, mesothelioma, and renal cell carcinoma, with a recent pan-cancer analysis revealing that BAP1 is significantly enriched for somatic truncating mutations across a range of tumour types. ('mutations', 'Var', (51, 60)) ('meningioma', 'Disease', (130, 140)) ('cancer', 'Phenotype', 'HP:0002664', (200, 206)) ('lung cancer', 'Disease', (117, 128)) ('meningioma', 'Phenotype', 'HP:0002858', (130, 140)) ('renal cell carcinoma', 'Disease', 'MESH:C538614', (160, 180)) ('cancer', 'Disease', 'MESH:D009369', (101, 107)) ('cancers', 'Disease', 'MESH:D009369', (101, 108)) ('cancer', 'Disease', 'MESH:D009369', (122, 128)) ('tumour', 'Phenotype', 'HP:0002664', (313, 319)) ('associated with', 'Reg', (65, 80)) ('BAP1', 'Gene', (46, 50)) ('cancer', 'Disease', 'MESH:D009369', (200, 206)) ('meningioma', 'Disease', 'MESH:D008577', (130, 140)) ('tumour', 'Disease', 'MESH:D009369', (313, 319)) ('tumour', 'Disease', (313, 319)) ('lung cancer', 'Disease', 'MESH:D008175', (117, 128)) ('renal cell carcinoma', 'Disease', (160, 180)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (160, 180)) ('lung cancer', 'Phenotype', 'HP:0100526', (117, 128)) ('mesothelioma', 'Disease', (142, 154)) ('carcinoma', 'Phenotype', 'HP:0030731', (171, 180)) ('mesothelioma', 'Disease', 'MESH:D008654', (142, 154)) ('germline', 'Var', (37, 45)) ('cancers', 'Phenotype', 'HP:0002664', (101, 108)) ('cancers', 'Disease', (101, 108)) ('cancer', 'Disease', (101, 107)) ('cancer', 'Disease', (122, 128)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) ('cancer', 'Phenotype', 'HP:0002664', (122, 128)) ('cancer', 'Disease', (200, 206)) 500 28062663 Intriguingly, while germline loss of Bap1 in the mouse results in embryonic lethality, somatic loss has been associated with the development of a myelodysplastic syndrome, a disease not normally associated with loss of BAP1 in humans. ('associated', 'Reg', (109, 119)) ('myelodysplastic syndrome', 'Phenotype', 'HP:0002863', (146, 170)) ('mouse', 'Species', '10090', (49, 54)) ('embryonic lethality', 'Disease', 'MESH:D020964', (66, 85)) ('embryonic lethality', 'Disease', (66, 85)) ('loss', 'Var', (29, 33)) ('myelodysplastic syndrome', 'Disease', (146, 170)) ('myelodysplastic syndrome', 'Disease', 'MESH:D009190', (146, 170)) ('humans', 'Species', '9606', (227, 233)) ('Bap1', 'Gene', '104416', (37, 41)) ('loss', 'NegReg', (95, 99)) ('Bap1', 'Gene', (37, 41)) 501 28062663 Thus, mutation of BAP1, either somatically or in the germline, is associated with a range of cancers, and the biological effects of BAP1 loss are likely to manifest through a range of downstream pathways. ('cancers', 'Disease', (93, 100)) ('cancers', 'Phenotype', 'HP:0002664', (93, 100)) ('mutation', 'Var', (6, 14)) ('associated', 'Reg', (66, 76)) ('BAP1', 'Gene', (132, 136)) ('BAP1', 'Gene', (18, 22)) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('loss', 'NegReg', (137, 141)) ('cancers', 'Disease', 'MESH:D009369', (93, 100)) 502 28062663 Wiesner et al first reported a characteristic clinical and histopathological appearance of melanocytic lesions in two families with inherited BAP1 mutations, and showed somatic loss of the wildtype allele in these tumours. ('mutations', 'Var', (147, 156)) ('tumours', 'Phenotype', 'HP:0002664', (214, 221)) ('melanocytic lesions', 'Disease', 'MESH:D009508', (91, 110)) ('melanocytic lesions', 'Disease', (91, 110)) ('tumours', 'Disease', 'MESH:D009369', (214, 221)) ('tumours', 'Disease', (214, 221)) ('loss', 'NegReg', (177, 181)) ('BAP1', 'Gene', (142, 146)) ('tumour', 'Phenotype', 'HP:0002664', (214, 220)) 503 28062663 The mutation carriers in that study developed multiple, pink melanocytic lesions from the second decade, which had an innocuous clinical appearance but were quite remarkable at a histopathological level. ('melanocytic lesions', 'Disease', 'MESH:D009508', (61, 80)) ('mutation', 'Var', (4, 12)) ('melanocytic lesions', 'Disease', (61, 80)) 506 28062663 One report however, described cytological findings typical of melanocytic lesions from germline BAP1 mutation carriers, including the presence of both epithelioid and naevoid-like cells except that there was no sparing of the dermo-epidermal junction. ('BAP1', 'Gene', (96, 100)) ('mutation', 'Var', (101, 109)) ('melanocytic lesions', 'Disease', 'MESH:D009508', (62, 81)) ('melanocytic lesions', 'Disease', (62, 81)) 508 28062663 Notably, similar histological appearances have been recorded for tumours with either somatic or germline BAP1 mutations. ('mutations', 'Var', (110, 119)) ('tumour', 'Phenotype', 'HP:0002664', (65, 71)) ('tumours', 'Phenotype', 'HP:0002664', (65, 72)) ('tumours', 'Disease', 'MESH:D009369', (65, 72)) ('BAP1', 'Gene', (105, 109)) ('tumours', 'Disease', (65, 72)) 509 28062663 Here we report germline mutations of the BAP1 gene in a sample of 1977 melanoma patients and 754 controls ascertained from the UK population as part of the Leeds Melanoma Case-Control Study. ('patients', 'Species', '9606', (80, 88)) ('BAP1', 'Gene', (41, 45)) ('Melanoma', 'Phenotype', 'HP:0002861', (162, 170)) ('melanoma', 'Phenotype', 'HP:0002861', (71, 79)) ('melanoma', 'Disease', (71, 79)) ('Melanoma', 'Disease', 'MESH:D008545', (162, 170)) ('melanoma', 'Disease', 'MESH:D008545', (71, 79)) ('Melanoma', 'Disease', (162, 170)) ('germline mutations', 'Var', (15, 33)) 510 28062663 We also performed an evaluation of cancer incidence in BAP1 variant carriers and their families, and estimated the degree to which the histopathological features of primary tumours predict germline BAP1 variant status. ('cancer', 'Phenotype', 'HP:0002664', (35, 41)) ('BAP1', 'Gene', (55, 59)) ('primary tumours', 'Disease', 'MESH:D009369', (165, 180)) ('variant', 'Var', (60, 67)) ('primary tumours', 'Disease', (165, 180)) ('tumour', 'Phenotype', 'HP:0002664', (173, 179)) ('tumours', 'Phenotype', 'HP:0002664', (173, 180)) ('cancer', 'Disease', 'MESH:D009369', (35, 41)) ('cancer', 'Disease', (35, 41)) 513 28062663 Nine of the variants present in cases were predicted to be deleterious by either the SIFT or PolyPhen-2 algorithms (Table 1). ('SIFT', 'Disease', 'None', (85, 89)) ('SIFT', 'Disease', (85, 89)) ('variants', 'Var', (12, 20)) 514 28062663 To do this, we generated cDNA constructs in a pcDNA3.1 expression vector, each carrying a different BAP1 missense or frameshift variant and transfected these into BAP1-null H226 cells (Supplementary Material, Fig. ('H226', 'CellLine', 'CVCL:J621', (173, 177)) ('missense', 'Var', (105, 113)) ('BAP1', 'Gene', (100, 104)) ('frameshift', 'Var', (117, 127)) 515 28062663 All protein-changing variants in both cases and controls were tested with the exception of R728H found in a control, the missense alleles E406A, T613M and T613A, and the splice acceptor variant Chr3: 52442623 C/T (in intron 3-4), which were found in cases and identified in a second round of sequencing (Table 1, Fig. ('R728H', 'Var', (91, 96)) ('T613A', 'Mutation', 'rs749728488', (155, 160)) ('T613M', 'Var', (145, 150)) ('E406A', 'Mutation', 'rs535695655', (138, 143)) ('T613M', 'Mutation', 'rs35448940', (145, 150)) ('T613A', 'Var', (155, 160)) ('E406A', 'Var', (138, 143)) ('52442623 C/T', 'Mutation', 'g.52442623C>T', (200, 212)) ('R728H', 'Mutation', 'rs773230722', (91, 96)) ('protein', 'cellular_component', 'GO:0003675', ('4', '11')) 516 28062663 A truncating frameshift mutant that disrupts BAP1 at codon 618 (Chr3: 52437191 -/A, P618fs) produced two bands inconsistent with the expected size shift seen with the WT BAP1 cDNA construct. ('P618fs', 'Var', (84, 90)) ('disrupts', 'NegReg', (36, 44)) ('P618fs', 'Mutation', 'p.P618fsX', (84, 90)) ('BAP1', 'Gene', (45, 49)) 519 28062663 In addition to the frameshift mutation, we also identified a missense variant (S98R) falling into the UCH domain that completely abolished deubiquitinase activity (Figs 1 and 2). ('S98R', 'Var', (79, 83)) ('deubiquitinase activity', 'MPA', (139, 162)) ('deubiquitinase activity', 'molecular_function', 'GO:0101005', ('139', '162')) ('deubiquitinase activity', 'molecular_function', 'GO:0004843', ('139', '162')) ('S98R', 'Mutation', 'rs371168635', (79, 83)) ('falling', 'Phenotype', 'HP:0002527', (85, 92)) ('abolished', 'NegReg', (129, 138)) 522 28062663 Group 1 alleles were found in 3/1,977 cases (and 0/754 controls); these three definite loss-of-function variants were S98R, a frameshift and a splice acceptor variant (Fig. ('frameshift', 'Var', (126, 136)) ('S98R', 'Mutation', 'rs371168635', (118, 122)) ('loss-of-function', 'NegReg', (87, 103)) ('S98R', 'Var', (118, 122)) 523 28062663 This study therefore suggests that complete loss-of-function germline BAP1 mutations underlie susceptibility to cutaneous melanoma in ~0.2% of the population-ascertained melanoma cases in the UK. ('melanoma', 'Phenotype', 'HP:0002861', (170, 178)) ('melanoma', 'Disease', (170, 178)) ('melanoma', 'Disease', 'MESH:D008545', (170, 178)) ('BAP1', 'Gene', (70, 74)) ('cutaneous melanoma', 'Disease', (112, 130)) ('mutations', 'Var', (75, 84)) ('cutaneous melanoma', 'Disease', 'MESH:C562393', (112, 130)) ('cutaneous melanoma', 'Phenotype', 'HP:0012056', (112, 130)) ('melanoma', 'Disease', (122, 130)) ('melanoma', 'Phenotype', 'HP:0002861', (122, 130)) ('melanoma', 'Disease', 'MESH:D008545', (122, 130)) ('loss-of-function', 'NegReg', (44, 60)) 524 28062663 Even when variants defined by SIFT and PolyPhen-2 as possibly damaging or deleterious are also considered (n = 9, discussed below) the overall frequency of BAP1 mutations remains low (<1%) (Table 1). ('BAP1', 'Gene', (156, 160)) ('SIFT', 'Disease', (30, 34)) ('mutations', 'Var', (161, 170)) ('SIFT', 'Disease', 'None', (30, 34)) 525 28062663 Previous reports have defined a spectrum of malignancies associated with loss-of-function germline variants of BAP1. ('malignancies', 'Disease', (44, 56)) ('variants', 'Var', (99, 107)) ('loss-of-function', 'NegReg', (73, 89)) ('BAP1', 'Gene', (111, 115)) ('malignancies', 'Disease', 'MESH:D009369', (44, 56)) 531 28062663 Thus, all three of the probands had pedigrees consistent with the described germline cancer predisposition syndrome associated with loss-of-function BAP1 alleles. ('cancer', 'Disease', 'MESH:D009369', (85, 91)) ('cancer', 'Disease', (85, 91)) ('BAP1', 'Gene', (149, 153)) ('loss-of-function', 'NegReg', (132, 148)) ('cancer', 'Phenotype', 'HP:0002664', (85, 91)) ('alleles', 'Var', (154, 161)) 532 28062663 In addition to the three families with clear loss-of-function BAP1 mutations described, there were six families with BAP1 variants that were predicted to be deleterious by SIFT/PolyPhen-2 (Group 2 [pedigrees 4-9], Table 1). ('SIFT', 'Disease', 'None', (172, 176)) ('SIFT', 'Disease', (172, 176)) ('BAP1', 'Gene', (117, 121)) ('variants', 'Var', (122, 130)) 533 28062663 3D), carrying the R150C variant, had a history of melanoma, BCC and lymphoma and had first-degree relatives, each with a history of one of the following cancers: BCC, leukaemia and uterine cancer. ('cancers', 'Disease', (153, 160)) ('cancer', 'Disease', (153, 159)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('cancer', 'Disease', 'MESH:D009369', (189, 195)) ('lymphoma', 'Disease', (68, 76)) ('R150C', 'Mutation', 'rs548946316', (18, 23)) ('lymphoma', 'Disease', 'MESH:D008223', (68, 76)) ('melanoma', 'Disease', 'MESH:D008545', (50, 58)) ('leukaemia', 'Disease', (167, 176)) ('uterine cancer', 'Phenotype', 'HP:0010784', (181, 195)) ('cancer', 'Disease', 'MESH:D009369', (153, 159)) ('cancers', 'Disease', 'MESH:D009369', (153, 160)) ('cancer', 'Disease', (189, 195)) ('R150C', 'Var', (18, 23)) ('BCC', 'Disease', (60, 63)) ('leukaemia', 'Disease', 'MESH:D007938', (167, 176)) ('melanoma', 'Phenotype', 'HP:0002861', (50, 58)) ('cancer', 'Phenotype', 'HP:0002664', (189, 195)) ('melanoma', 'Disease', (50, 58)) ('lymphoma', 'Phenotype', 'HP:0002665', (68, 76)) ('cancers', 'Phenotype', 'HP:0002664', (153, 160)) ('BCC', 'Disease', (162, 165)) 534 28062663 3E), in which the proband carried an R548H missense mutation, there was a case of stomach cancer in a first-degree relative and of uterine cancer in a second-degree relative. ('cancer', 'Disease', 'MESH:D009369', (139, 145)) ('uterine cancer', 'Phenotype', 'HP:0010784', (131, 145)) ('cancer', 'Phenotype', 'HP:0002664', (90, 96)) ('R548H missense', 'Var', (37, 51)) ('cancer', 'Phenotype', 'HP:0002664', (139, 145)) ('R548H', 'Mutation', 'rs779877855', (37, 42)) ('stomach cancer', 'Disease', 'MESH:D013274', (82, 96)) ('stomach cancer', 'Phenotype', 'HP:0012126', (82, 96)) ('cancer', 'Disease', (90, 96)) ('cancer', 'Disease', 'MESH:D009369', (90, 96)) ('stomach cancer', 'Disease', (82, 96)) ('cancer', 'Disease', (139, 145)) 537 28062663 Of the remaining three individuals with predicted hazardous BAP1 mutations, each carrying either A130V, S292C or Y418C missense mutations, there was limited information available for family history and thus their pedigrees are not shown. ('A130V', 'Var', (97, 102)) ('Y418C missense mutations', 'Var', (113, 137)) ('S292C', 'Var', (104, 109)) ('Y418C', 'Mutation', 'rs773947541', (113, 118)) ('A130V', 'Mutation', 'rs1211721310', (97, 102)) ('BAP1', 'Gene', (60, 64)) ('mutations', 'Var', (65, 74)) ('S292C', 'Mutation', 'p.S292C', (104, 109)) 540 28062663 3) had features reported in the literature as being suggestive of the atypical melanocytic tumours of germline BAP1 mutation carriers (Fig. ('tumours', 'Phenotype', 'HP:0002664', (91, 98)) ('melanocytic tumours', 'Disease', 'MESH:D009508', (79, 98)) ('mutation', 'Var', (116, 124)) ('melanocytic tumours', 'Disease', (79, 98)) ('germline', 'Gene', (102, 110)) ('tumour', 'Phenotype', 'HP:0002664', (91, 97)) 541 28062663 Here, we discuss in detail the melanocytic lesions identified in the three probands carrying confirmed loss-of-function variants (Fig. ('melanocytic lesions', 'Disease', 'MESH:D009508', (31, 50)) ('loss-of-function', 'NegReg', (103, 119)) ('variants', 'Var', (120, 128)) ('melanocytic lesions', 'Disease', (31, 50)) 543 28062663 This melanoma had a Breslow thickness of 1.5mm, without evidence of ulceration, and it resembled the reported features of melanocytic lesions found in BAP1 mutation carriers, being distinctly dermal in silhouette and composed of pleomorphic, epithelioid melanocytes. ('BAP1', 'Gene', (151, 155)) ('melanoma', 'Phenotype', 'HP:0002861', (5, 13)) ('melanoma', 'Disease', (5, 13)) ('melanoma', 'Disease', 'MESH:D008545', (5, 13)) ('melanocytic lesions', 'Disease', (122, 141)) ('melanocytic lesions', 'Disease', 'MESH:D009508', (122, 141)) ('mutation', 'Var', (156, 164)) 547 28062663 Given that the majority of published melanoma cases in BAP1 families consist of epithelioid rather than spindled melanocytes, this histopathological appearance would be unlikely to alert a pathologist to the presence of a BAP1 mutation, not being remarkably different from melanomas seen among BAP1 wild-type individuals. ('melanomas', 'Disease', (273, 282)) ('BAP1', 'Gene', (55, 59)) ('melanoma', 'Phenotype', 'HP:0002861', (273, 281)) ('melanoma', 'Disease', (273, 281)) ('melanoma', 'Phenotype', 'HP:0002861', (37, 45)) ('melanoma', 'Disease', (37, 45)) ('melanomas', 'Phenotype', 'HP:0002861', (273, 282)) ('melanoma', 'Disease', 'MESH:D008545', (273, 281)) ('melanomas', 'Disease', 'MESH:D008545', (273, 282)) ('melanoma', 'Disease', 'MESH:D008545', (37, 45)) ('mutation', 'Var', (227, 235)) ('BAP1', 'Gene', (222, 226)) 550 28062663 Such changes have previously been reported in a range of melanocytic lesions and are not known to be unique to BAP1 mutant tumours, although they have been reported to be prominent within melanocytic lesions from BAP1 syndrome families. ('BAP1 syndrome', 'Disease', 'MESH:D013577', (213, 226)) ('reported', 'Reg', (34, 42)) ('melanocytic lesions', 'Disease', 'MESH:D009508', (57, 76)) ('tumours', 'Phenotype', 'HP:0002664', (123, 130)) ('melanocytic lesions', 'Disease', (57, 76)) ('tumours', 'Disease', 'MESH:D009369', (123, 130)) ('melanocytic lesions', 'Disease', 'MESH:D009508', (188, 207)) ('melanocytic lesions', 'Disease', (188, 207)) ('BAP1', 'Gene', (111, 115)) ('tumours', 'Disease', (123, 130)) ('mutant', 'Var', (116, 122)) ('BAP1 syndrome', 'Disease', (213, 226)) ('tumour', 'Phenotype', 'HP:0002664', (123, 129)) 551 28062663 In summary, two of these three probands had a melanoma that demonstrated some features of a pathogenic germline BAP1 mutation and were most prominent in the proband in family 1. ('BAP1', 'Gene', (112, 116)) ('melanoma', 'Disease', 'MESH:D008545', (46, 54)) ('melanoma', 'Phenotype', 'HP:0002861', (46, 54)) ('melanoma', 'Disease', (46, 54)) ('mutation', 'Var', (117, 125)) 553 28062663 The median age at diagnosis of melanoma was 57 years in cases carrying no variant or a benign variant in BAP1, compared to 49 years in cases within the 'predicted deleterious' group (Table 1). ('variant', 'Var', (94, 101)) ('melanoma', 'Disease', 'MESH:D008545', (31, 39)) ('melanoma', 'Phenotype', 'HP:0002861', (31, 39)) ('melanoma', 'Disease', (31, 39)) ('BAP1', 'Gene', (105, 109)) 554 28062663 There were very few cases of mesothelioma or meningioma within the cohort, so these data are based upon small numbers, but statistical analysis revealed that cases were more likely to carry a deleterious BAP1 variant compared to no variant if there was a history of meningioma or mesothelioma in the proband or their pedigree (Table 2; P = 0.02, OR = 58.3 (95% CI 1.1-670.5) and P = 3 x 10-6, OR = 233 (95% CI 26.7-1660.1), respectively). ('mesothelioma or meningioma', 'Disease', (29, 55)) ('meningioma or mesothelioma', 'Disease', 'MESH:D008654', (266, 292)) ('variant', 'Var', (209, 216)) ('mesothelioma or meningioma', 'Disease', 'MESH:D008654', (29, 55)) ('meningioma', 'Phenotype', 'HP:0002858', (266, 276)) ('meningioma or mesothelioma', 'Disease', (266, 292)) ('meningioma', 'Phenotype', 'HP:0002858', (45, 55)) ('BAP1', 'Gene', (204, 208)) 555 28062663 It was notable that no cases with a predicted deleterious variant had a personal or family history of ocular melanoma. ('ocular melanoma', 'Phenotype', 'HP:0007716', (102, 117)) ('melanoma', 'Phenotype', 'HP:0002861', (109, 117)) ('variant', 'Var', (58, 65)) ('ocular melanoma', 'Disease', (102, 117)) ('ocular melanoma', 'Disease', 'MESH:D008545', (102, 117)) 556 28062663 Interestingly, cases with the 'BAP-like phenotype (in the family)' were more likely to carry a predicted deleterious variant compared to none (Table 2; P = 0.006, OR 8.2 (95% CI 1.6-38.4)). ('variant', 'Var', (117, 124)) ("'BAP-like", 'Disease', (30, 39)) ('BAP', 'Chemical', '-', (31, 34)) 558 28062663 The presence of suggestive histological features ('BAP-like histology present (in the proband's melanoma)'), however, was not significantly predictive of a predicted deleterious BAP1 variant compared to no variant (Table 2; P = 0.1). ('variant', 'Var', (183, 190)) ('BAP', 'Chemical', '-', (51, 54)) ('BAP1', 'Gene', (178, 182)) ('melanoma', 'Disease', 'MESH:D008545', (96, 104)) ('melanoma', 'Phenotype', 'HP:0002861', (96, 104)) ('melanoma', 'Disease', (96, 104)) ('BAP', 'Chemical', '-', (178, 181)) 560 28062663 Whilst two out of three of probands with a loss-of-function BAP1 variant had BAP-like histology in the proband's melanoma, none of the remaining six cases classified as 'predicted deleterious' had such features (not shown). ('BAP-like histology', 'MPA', (77, 95)) ('loss-of-function', 'NegReg', (43, 59)) ('melanoma', 'Phenotype', 'HP:0002861', (113, 121)) ('melanoma', 'Disease', (113, 121)) ('melanoma', 'Disease', 'MESH:D008545', (113, 121)) ('BAP', 'Chemical', '-', (77, 80)) ('variant', 'Var', (65, 72)) ('BAP', 'Chemical', '-', (60, 63)) ('BAP1', 'Gene', (60, 64)) 561 28062663 It is possible that some variants that were not identified as loss-of-function alleles by functional testing (deubiquitinase assays), may still impair BAP1 function and predispose to cancer types associated with the BAP1 syndrome phenotype. ('impair', 'NegReg', (144, 150)) ('variants', 'Var', (25, 33)) ('cancer', 'Disease', (183, 189)) ('BAP1 syndrome', 'Disease', 'MESH:D013577', (216, 229)) ('BAP1', 'Gene', (151, 155)) ('cancer', 'Disease', 'MESH:D009369', (183, 189)) ('cancer', 'Phenotype', 'HP:0002664', (183, 189)) ('deubiquitinase', 'molecular_function', 'GO:0004843', ('110', '124')) ('function', 'MPA', (156, 164)) ('BAP1 syndrome', 'Disease', (216, 229)) ('predispose to', 'Reg', (169, 182)) 562 28062663 Germline mutations in BAP1 are rare, being present in <1% of the population-ascertained melanoma cases in the UK. ('Germline mutations', 'Var', (0, 18)) ('melanoma', 'Phenotype', 'HP:0002861', (88, 96)) ('melanoma', 'Disease', (88, 96)) ('melanoma', 'Disease', 'MESH:D008545', (88, 96)) ('BAP1', 'Gene', (22, 26)) 563 28062663 It has been noted that high-penetrance variants found in melanoma-prone families can also contribute to sporadic disease, for example, germline mutations of CDKN2A have been identified in around 2% of cases in European and Australian cohorts. ('melanoma', 'Phenotype', 'HP:0002861', (57, 65)) ('melanoma', 'Disease', (57, 65)) ('CDKN2A', 'Gene', (157, 163)) ('melanoma', 'Disease', 'MESH:D008545', (57, 65)) ('sporadic disease', 'Disease', 'MESH:D004421', (104, 120)) ('sporadic disease', 'Disease', (104, 120)) ('CDKN2A', 'Gene', '1029', (157, 163)) ('contribute', 'Reg', (90, 100)) ('identified', 'Reg', (174, 184)) ('variants', 'Var', (39, 47)) 564 28062663 As such, we sought to determine the contribution of BAP1 variants to sporadic melanoma, and here we present the most comprehensive such analysis to-date. ('sporadic melanoma', 'Disease', (69, 86)) ('BAP1', 'Gene', (52, 56)) ('melanoma', 'Phenotype', 'HP:0002861', (78, 86)) ('sporadic melanoma', 'Disease', 'MESH:D008545', (69, 86)) ('variants', 'Var', (57, 65)) 565 28062663 We sequenced 1,977 melanoma cases and 754 controls, identifying a total of 30 BAP1 variants. ('variants', 'Var', (83, 91)) ('melanoma', 'Phenotype', 'HP:0002861', (19, 27)) ('melanoma', 'Disease', (19, 27)) ('melanoma', 'Disease', 'MESH:D008545', (19, 27)) ('BAP1', 'Gene', (78, 82)) 567 28062663 The close relatives of the 9 probands carrying these predicted deleterious variants were an estimated 8 times more likely to report a cancer previously associated with BAP1 germline variants than among probands without a BAP1 variant allele (Table 2); however, most of this increase is due to the 3 families with loss-of-function mutations who all reported a family history of BAP1-associated cancers (mesothelioma, renal cancer). ('loss-of-function', 'NegReg', (313, 329)) ('cancer', 'Disease', (422, 428)) ('cancer', 'Disease', 'MESH:D009369', (393, 399)) ('variants', 'Var', (75, 83)) ('cancers', 'Disease', 'MESH:D009369', (393, 400)) ('cancer', 'Phenotype', 'HP:0002664', (422, 428)) ('renal cancer', 'Phenotype', 'HP:0009726', (416, 428)) ('cancer', 'Disease', (134, 140)) ('BAP1', 'Gene', (168, 172)) ('cancer', 'Phenotype', 'HP:0002664', (134, 140)) ('cancer', 'Disease', 'MESH:D009369', (422, 428)) ('BAP1-associated', 'Gene', (377, 392)) ('mesothelioma, renal cancer', 'Disease', 'MESH:D007680', (402, 428)) ('cancers', 'Phenotype', 'HP:0002664', (393, 400)) ('cancer', 'Disease', (393, 399)) ('cancers', 'Disease', (393, 400)) ('mutations', 'Var', (330, 339)) ('variants', 'Var', (182, 190)) ('cancer', 'Phenotype', 'HP:0002664', (393, 399)) ('cancer', 'Disease', 'MESH:D009369', (134, 140)) 569 28062663 Overall, less than ~0.2% of melanoma cases had identifiable loss-of-function BAP1 variants. ('variants', 'Var', (82, 90)) ('melanoma', 'Disease', (28, 36)) ('BAP1', 'Gene', (77, 81)) ('loss-of-function', 'NegReg', (60, 76)) ('melanoma', 'Disease', 'MESH:D008545', (28, 36)) ('melanoma', 'Phenotype', 'HP:0002861', (28, 36)) 570 28062663 3A-C), their family histories of cancer were suggestive of a deleterious BAP1 variant, although the reported cancers most strongly associated with the mutation were mesotheliomas, meningiomas and BCC rather than the uveal melanomas in which germline BAP1 mutations were first reported (Fig. ('cancer', 'Disease', (33, 39)) ('cancer', 'Disease', 'MESH:D009369', (109, 115)) ('meningiomas', 'Disease', 'MESH:D008577', (180, 191)) ('cancers', 'Disease', 'MESH:D009369', (109, 116)) ('BAP1', 'Gene', (73, 77)) ('melanomas', 'Phenotype', 'HP:0002861', (222, 231)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('meningiomas', 'Phenotype', 'HP:0002858', (180, 191)) ('meningiomas', 'Disease', (180, 191)) ('melanoma', 'Phenotype', 'HP:0002861', (222, 230)) ('uveal melanomas', 'Disease', 'MESH:C536494', (216, 231)) ('mesotheliomas', 'Disease', (165, 178)) ('cancer', 'Disease', 'MESH:D009369', (33, 39)) ('cancers', 'Phenotype', 'HP:0002664', (109, 116)) ('cancers', 'Disease', (109, 116)) ('associated', 'Reg', (131, 141)) ('variant', 'Var', (78, 85)) ('mutation', 'Var', (151, 159)) ('BCC', 'Disease', (196, 199)) ('cancer', 'Disease', (109, 115)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('mesotheliomas', 'Disease', 'MESH:D008654', (165, 178)) ('meningioma', 'Phenotype', 'HP:0002858', (180, 190)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (216, 230)) ('uveal melanomas', 'Disease', (216, 231)) ('uveal melanomas', 'Phenotype', 'HP:0007716', (216, 231)) 571 28062663 The remaining six probands with BAP1 variants predicted to be deleterious by SIFT or PolyPhen-2 had equivocal pedigrees. ('variants', 'Var', (37, 45)) ('SIFT', 'Disease', 'None', (77, 81)) ('SIFT', 'Disease', (77, 81)) ('BAP1', 'Gene', (32, 36)) 572 28062663 We examined the cancer history in BAP1 variant carrier cases, comparing groups with predicted deleterious variants, benign variants, and no variants. ('carrier', 'molecular_function', 'GO:0005215', ('47', '54')) ('cancer', 'Disease', 'MESH:D009369', (16, 22)) ('BAP1', 'Gene', (34, 38)) ('cancer', 'Disease', (16, 22)) ('variant', 'Var', (39, 46)) ('cancer', 'Phenotype', 'HP:0002664', (16, 22)) 573 28062663 The presence of a predicted deleterious variant was associated with several observations (Table 2): particularly a personal history of mesothelioma and a family history of BCC, meningioma, mesothelioma or cutaneous melanoma. ('mesothelioma', 'Disease', 'MESH:D008654', (135, 147)) ('meningioma', 'Disease', (177, 187)) ('melanoma', 'Phenotype', 'HP:0002861', (215, 223)) ('meningioma', 'Phenotype', 'HP:0002858', (177, 187)) ('mesothelioma', 'Disease', (189, 201)) ('variant', 'Var', (40, 47)) ('associated', 'Reg', (52, 62)) ('cutaneous melanoma', 'Disease', (205, 223)) ('meningioma', 'Disease', 'MESH:D008577', (177, 187)) ('BCC', 'Disease', (172, 175)) ('cutaneous melanoma', 'Disease', 'MESH:C562393', (205, 223)) ('mesothelioma', 'Disease', (135, 147)) ('cutaneous melanoma', 'Phenotype', 'HP:0012056', (205, 223)) ('mesothelioma', 'Disease', 'MESH:D008654', (189, 201)) ('presence', 'Var', (4, 12)) 574 28062663 The presence of a 'BAP-like phenotype' in the family history highlights the importance of taking the extended pedigree into account when assessing the risk of carrying a deleterious BAP1 variant. ('variant', 'Var', (187, 194)) ('BAP1', 'Gene', (182, 186)) ("'BAP-like", 'Disease', (18, 27)) ('BAP', 'Chemical', '-', (19, 22)) ('BAP', 'Chemical', '-', (182, 185)) 575 28062663 1B) suggesting that weaker alleles, or variants that may influence BAP1 beyond its role as a deubiquitinase, may underlie some of the cancer incidence in mutation carriers. ('influence', 'Reg', (57, 66)) ('cancer', 'Disease', (134, 140)) ('cancer', 'Disease', 'MESH:D009369', (134, 140)) ('underlie', 'Reg', (113, 121)) ('deubiquitinase', 'molecular_function', 'GO:0004843', ('93', '107')) ('cancer', 'Phenotype', 'HP:0002664', (134, 140)) ('variants', 'Var', (39, 47)) ('BAP1', 'Gene', (67, 71)) 576 28062663 Also of note was the observation that none of the cases with predicted deleterious variants had a personal or family history of ocular melanoma. ('melanoma', 'Phenotype', 'HP:0002861', (135, 143)) ('variants', 'Var', (83, 91)) ('ocular melanoma', 'Disease', (128, 143)) ('ocular melanoma', 'Disease', 'MESH:D008545', (128, 143)) ('ocular melanoma', 'Phenotype', 'HP:0007716', (128, 143)) 577 28062663 Primary melanomas in 2/3 probands with clear loss of function mutations demonstrated some of the histopathological features described in melanocytic lesions associated with a BAP1 mutation (Fig. ('melanoma', 'Phenotype', 'HP:0002861', (8, 16)) ('BAP1', 'Gene', (175, 179)) ('Primary melanomas', 'Disease', (0, 17)) ('melanomas', 'Phenotype', 'HP:0002861', (8, 17)) ('loss of function', 'NegReg', (45, 61)) ('melanocytic lesions', 'Disease', (137, 156)) ('Primary melanomas', 'Disease', 'MESH:D008545', (0, 17)) ('melanocytic lesions', 'Disease', 'MESH:D009508', (137, 156)) ('mutation', 'Var', (180, 188)) ('mutations', 'Var', (62, 71)) 579 28062663 None of the remaining six probands with BAP1 variants, predicted to be deleterious by SIFT or PolyPhen-2, had suggestive histology and importantly, similar histological changes were seen in a significant proportion of melanoma patients without a germline BAP1 mutation. ('SIFT', 'Disease', (86, 90)) ('variants', 'Var', (45, 53)) ('melanoma', 'Phenotype', 'HP:0002861', (218, 226)) ('melanoma', 'Disease', (218, 226)) ('melanoma', 'Disease', 'MESH:D008545', (218, 226)) ('SIFT', 'Disease', 'None', (86, 90)) ('BAP1', 'Gene', (40, 44)) ('patients', 'Species', '9606', (227, 235)) 580 28062663 Our study therefore suggests that in the absence of a family history of cancers such as mesothelioma, or meningioma, the presence of histological changes described in BAP1 mutated families is a poor predictor of a germline BAP1 mutation. ('mutation', 'Var', (228, 236)) ('mesothelioma', 'Disease', 'MESH:D008654', (88, 100)) ('meningioma', 'Disease', (105, 115)) ('meningioma', 'Phenotype', 'HP:0002858', (105, 115)) ('cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('BAP1', 'Gene', (223, 227)) ('meningioma', 'Disease', 'MESH:D008577', (105, 115)) ('BAP1', 'Gene', (167, 171)) ('cancers', 'Phenotype', 'HP:0002664', (72, 79)) ('cancers', 'Disease', (72, 79)) ('cancers', 'Disease', 'MESH:D009369', (72, 79)) ('mesothelioma', 'Disease', (88, 100)) ('mutated', 'Var', (172, 179)) ('germline', 'Var', (214, 222)) 581 28062663 The term 'BAPomas' is sometimes coined by pathologists to denote melanocytic lesions with consistent histology that occur within families with germline BAP1 mutations, which have either benign behaviour or are of uncertain malignant potential. ('BAP', 'Chemical', '-', (10, 13)) ('BAP', 'Chemical', '-', (152, 155)) ('mutations', 'Var', (157, 166)) ('behaviour', 'biological_process', 'GO:0007610', ('193', '202')) ('BAP1', 'Gene', (152, 156)) ('melanocytic lesions', 'Disease', 'MESH:D009508', (65, 84)) ('melanocytic lesions', 'Disease', (65, 84)) 582 28062663 We hope that this work presents a framework for considering the management of individuals found to carry germline BAP1 mutations in the context of sporadic melanoma. ('sporadic melanoma', 'Disease', (147, 164)) ('melanoma', 'Phenotype', 'HP:0002861', (156, 164)) ('sporadic melanoma', 'Disease', 'MESH:D008545', (147, 164)) ('BAP1', 'Gene', (114, 118)) ('mutations', 'Var', (119, 128)) 585 28062663 We transfected pcDNA3.1 constructs containing BAP1 variants into H226 lung cancer cells and measured deubiquitinase activity using a HA-Ub-VME activity probe, as described previously. ('lung cancer', 'Disease', 'MESH:D008175', (70, 81)) ('deubiquitinase activity', 'molecular_function', 'GO:0101005', ('101', '124')) ('deubiquitinase activity', 'MPA', (101, 124)) ('variants', 'Var', (51, 59)) ('lung cancer', 'Disease', (70, 81)) ('lung cancer', 'Phenotype', 'HP:0100526', (70, 81)) ('deubiquitinase activity', 'molecular_function', 'GO:0004843', ('101', '124')) ('BAP1', 'Gene', (46, 50)) ('H226', 'CellLine', 'CVCL:J621', (65, 69)) ('cancer', 'Phenotype', 'HP:0002664', (75, 81)) 594 28062663 We used the phenotypes of all BAP1 variant carrier cases to explore the influence of BAP1 alleles on cancer presentation. ('cancer', 'Disease', 'MESH:D009369', (101, 107)) ('BAP1', 'Gene', (30, 34)) ('cancer', 'Disease', (101, 107)) ('carrier', 'molecular_function', 'GO:0005215', ('43', '50')) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) ('variant', 'Var', (35, 42)) 595 28062663 Cases carrying confirmed loss-of-function alleles were classified into group 1 (n = 3) and those carrying variants predicted to be hazardous by SIFT and/or PolyPhen-2 were classified as group 2 (n = 6). ('SIFT', 'Disease', (144, 148)) ('alleles', 'Var', (42, 49)) ('SIFT', 'Disease', 'None', (144, 148)) ('loss-of-function', 'NegReg', (25, 41)) 596 28062663 Cases carrying variants predicted to be benign by SIFT and PolyPhen-2 (n = 14, as one case carries variants at both 3:52440269 and 3:52437206) were classified as group 3 and those carrying variants of uncertain significance (n = 86, as one case carries variants at both 3:52436441 and 3:52437424) were classified as group 4. ('3:52437424', 'Var', (285, 295)) ('3:52437206', 'Var', (131, 141)) ('variants', 'Var', (99, 107)) ('3:52436441', 'Var', (270, 280)) ('SIFT', 'Disease', (50, 54)) ('3:52440269', 'Var', (116, 126)) ('SIFT', 'Disease', 'None', (50, 54)) 597 28062663 The rest of the melanoma patient cohort who did not carry a variant were grouped together and defined as 'None' (n = 1,868). ('variant', 'Var', (60, 67)) ('melanoma', 'Disease', 'MESH:D008545', (16, 24)) ('melanoma', 'Phenotype', 'HP:0002861', (16, 24)) ('melanoma', 'Disease', (16, 24)) ('patient', 'Species', '9606', (25, 32)) 606 28062663 The Fisher's exact test was used to assess the association between the reported history of cancer and BAP1 variant categories (Tables 1 and 2, Supplementary Material, Fig. ('BAP1', 'Gene', (102, 106)) ('variant', 'Var', (107, 114)) ('cancer', 'Disease', (91, 97)) ('cancer', 'Disease', 'MESH:D009369', (91, 97)) ('cancer', 'Phenotype', 'HP:0002664', (91, 97)) 628 26805818 MV6401 (pyropheophorbide derivative), a second generation PS, has been shown to cause a biphasic response in the vasculature, which includes constriction of the vessels followed by necrosis, thereby delaying tumour growth and proliferation. ('necrosis', 'Disease', (181, 189)) ('MV6401', 'Var', (0, 6)) ('biphasic response', 'MPA', (88, 105)) ('MV6401', 'Chemical', 'MESH:C453421', (0, 6)) ('tumour growth', 'Disease', 'MESH:D006130', (208, 221)) ('constriction', 'cellular_component', 'GO:0005702', ('141', '153')) ('delaying', 'NegReg', (199, 207)) ('necrosis', 'Disease', 'MESH:D009336', (181, 189)) ('necrosis', 'biological_process', 'GO:0070265', ('181', '189')) ('necrosis', 'biological_process', 'GO:0008219', ('181', '189')) ('constriction', 'CPA', (141, 153)) ('necrosis', 'biological_process', 'GO:0019835', ('181', '189')) ('tumour', 'Phenotype', 'HP:0002664', (208, 214)) ('necrosis', 'biological_process', 'GO:0008220', ('181', '189')) ('tumour growth', 'Disease', (208, 221)) ('pyropheophorbide', 'Chemical', '-', (8, 24)) ('necrosis', 'biological_process', 'GO:0001906', ('181', '189')) ('cause', 'Reg', (80, 85)) 672 26805818 Although reporting of symptom control and quality of life was poor, PDT appeared to significantly reduce hemoptysis, dyspnea and coughing as compared to baseline. ('cough', 'Phenotype', 'HP:0012735', (129, 134)) ('hemoptysis', 'Phenotype', 'HP:0002105', (105, 115)) ('PDT', 'Var', (68, 71)) ('coughing', 'Phenotype', 'HP:0012735', (129, 137)) ('dyspnea', 'Disease', 'MESH:D004417', (117, 124)) ('hemoptysis', 'Disease', (105, 115)) ('reduce', 'NegReg', (98, 104)) ('cough', 'Disease', (129, 134)) ('dyspnea', 'Phenotype', 'HP:0002094', (117, 124)) ('hemoptysis', 'Disease', 'MESH:D006469', (105, 115)) ('dyspnea', 'Disease', (117, 124)) ('cough', 'Disease', 'MESH:D003371', (129, 134)) 712 26805818 Thymoma patients treated with PDT also experienced better local control of disease than their non-PDT counterparts. ('local control of disease', 'CPA', (58, 82)) ('PDT', 'Var', (30, 33)) ('Thymoma', 'Phenotype', 'HP:0100522', (0, 7)) ('Thymoma', 'Disease', (0, 7)) ('Thymoma', 'Disease', 'MESH:D013945', (0, 7)) ('patients', 'Species', '9606', (8, 16)) 807 23211021 We observed that the serum starvation-induced activation of p53 is ATM-dependent because it was inhibited by Ku-55933, a specific inhibitor of ATM (Figure 2A). ('activation', 'PosReg', (46, 56)) ('ATM', 'Gene', '472', (67, 70)) ('Ku-55933', 'Chemical', 'MESH:C495818', (109, 117)) ('Ku-55933', 'Var', (109, 117)) ('p53', 'Gene', (60, 63)) ('inhibited', 'NegReg', (96, 105)) ('ATM', 'Gene', (143, 146)) ('p53', 'Gene', '7157', (60, 63)) ('ATM', 'Gene', '472', (143, 146)) ('ATM', 'Gene', (67, 70)) 822 23211021 While serum starvation strongly inhibited the phosphorylating of S6, ATM inhibitor Ku55933 and AMPK inhibitor Compound C did not show any effect on the S6 phosphorylation (Figure 2G), suggesting that ATM inhibitor (Ku55933) and AMPK inhibitor (Compound C) were quite target-specific and do not interfere activity of mTOR signaling. ('AMPK', 'molecular_function', 'GO:0050405', ('95', '99')) ('Ku55933', 'Chemical', 'MESH:C495818', (216, 223)) ('AMPK', 'molecular_function', 'GO:0004691', ('229', '233')) ('signaling', 'biological_process', 'GO:0023052', ('322', '331')) ('ATM', 'Gene', '472', (69, 72)) ('Ku55933', 'Var', (216, 223)) ('AMPK', 'molecular_function', 'GO:0047322', ('229', '233')) ('AMPK', 'molecular_function', 'GO:0004691', ('95', '99')) ('phosphorylating', 'MPA', (46, 61)) ('AMPK', 'Gene', '5563', (229, 233)) ('mTOR', 'Gene', (317, 321)) ('AMPK', 'Gene', '5563', (95, 99)) ('ATM', 'Gene', '472', (201, 204)) ('AMPK', 'molecular_function', 'GO:0047322', ('95', '99')) ('ATM', 'Gene', (69, 72)) ('AMPK', 'molecular_function', 'GO:0050405', ('229', '233')) ('AMPK', 'Gene', (229, 233)) ('mTOR', 'Gene', '2475', (317, 321)) ('phosphorylation', 'biological_process', 'GO:0016310', ('155', '170')) ('inhibited', 'NegReg', (32, 41)) ('AMPK', 'Gene', (95, 99)) ('Ku55933', 'Chemical', 'MESH:C495818', (83, 90)) ('ATM', 'Gene', (201, 204)) 861 23211021 One of the potential reasons for ATM/Chk2/p53 activation by serum starvation may be due to a temporary loss of coordination between the cell proliferation driven by oncogenic mutations and the paracrine growth factors-stimulated cell growth, thus resulting in cellular stress. ('p53', 'Gene', (42, 45)) ('Chk2', 'Gene', '11200', (37, 41)) ('p53', 'Gene', '7157', (42, 45)) ('Chk2', 'Gene', (37, 41)) ('activation', 'PosReg', (46, 56)) ('cellular stress', 'MPA', (260, 275)) ('ATM', 'Gene', (33, 36)) ('ATM', 'Gene', '472', (33, 36)) ('mutations', 'Var', (175, 184)) ('coordination', 'MPA', (111, 123)) ('cell proliferation', 'biological_process', 'GO:0008283', ('136', '154')) ('cell proliferation', 'CPA', (136, 154)) ('cell growth', 'biological_process', 'GO:0016049', ('229', '240')) ('loss', 'NegReg', (103, 107)) 868 23211021 Although Ser15 phosphorylation generally stabilizes the p53 protein, Ser15-phosphorylation-unrelated p53 stabilization has also been reported and potential mechanisms include acetylation and methylation. ('Ser', 'cellular_component', 'GO:0005790', ('9', '12')) ('Ser', 'cellular_component', 'GO:0005790', ('69', '72')) ('p53', 'Gene', (56, 59)) ('protein', 'cellular_component', 'GO:0003675', ('60', '67')) ('Ser15', 'Chemical', '-', (69, 74)) ('p53', 'Gene', '7157', (56, 59)) ('p53', 'Gene', (101, 104)) ('p53', 'Gene', '7157', (101, 104)) ('Ser15', 'Chemical', '-', (9, 14)) ('Ser15', 'Var', (9, 14)) ('phosphorylation', 'biological_process', 'GO:0016310', ('75', '90')) ('methylation', 'biological_process', 'GO:0032259', ('191', '202')) ('phosphorylation', 'biological_process', 'GO:0016310', ('15', '30')) 869 23211021 However, an acetylation-dependent mechanism was excluded because of the absence of change of the Lys373 and Lys320 acetylation status of p53 under starvation condition (data not shown). ('Lys320', 'Chemical', '-', (108, 114)) ('Lys373', 'Var', (97, 103)) ('Lys320', 'Var', (108, 114)) ('Lys373', 'Chemical', '-', (97, 103)) ('p53', 'Gene', (137, 140)) ('p53', 'Gene', '7157', (137, 140)) 896 23211021 Ku55933 and Compound C (Merck) were used at concentrations of 5 muM and 20 muM, respectively. ('muM', 'Gene', (64, 67)) ('Ku55933', 'Chemical', 'MESH:C495818', (0, 7)) ('Ku55933', 'Var', (0, 7)) ('muM', 'Gene', '56925', (75, 78)) ('muM', 'Gene', '56925', (64, 67)) ('muM', 'Gene', (75, 78)) 961 22666659 AG 2037 is a GARFT inhibitor being evaluated for its activity in NSCLC and colorectal cancer (Webber et al.,). ('colorectal cancer', 'Disease', (75, 92)) ('GARFT', 'Gene', (13, 18)) ('NSCLC', 'Disease', 'MESH:D002289', (65, 70)) ('cancer', 'Phenotype', 'HP:0002664', (86, 92)) ('colorectal cancer', 'Disease', 'MESH:D015179', (75, 92)) ('AG 2037', 'Var', (0, 7)) ('GARFT', 'Gene', '2618', (13, 18)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (75, 92)) ('NSCLC', 'Disease', (65, 70)) 996 22666659 A possible explanation of absence of significant benefit from using EGFR-TKIs could be due to the absence of activating somatic mutation in EGFR-TKI domain that is strongly predictive of response to EGFR-TKIs (Cortese et al.,). ('EGFR', 'Gene', (140, 144)) ('EGFR', 'Gene', (199, 203)) ('EGFR', 'molecular_function', 'GO:0005006', ('199', '203')) ('EGFR', 'molecular_function', 'GO:0005006', ('140', '144')) ('EGFR', 'Gene', '1956', (68, 72)) ('mutation', 'Var', (128, 136)) ('EGFR', 'molecular_function', 'GO:0005006', ('68', '72')) ('EGFR', 'Gene', (68, 72)) ('EGFR', 'Gene', '1956', (140, 144)) ('EGFR', 'Gene', '1956', (199, 203)) 1006 22666659 Mesothelial cell transfected with SV40 or only with SV40 Tag antigen releases great amount of VEGF proteins and mRNA that leads to cell line proliferation. ('VEGF', 'Gene', (94, 98)) ('leads to', 'Reg', (122, 130)) ('cell line proliferation', 'CPA', (131, 154)) ('mRNA', 'MPA', (112, 116)) ('VEGF', 'Gene', '7422', (94, 98)) ('SV40', 'Var', (34, 38)) 1007 22666659 The inactivation of VEGF signal transduction pathway abolished this proliferation. ('inactivation', 'Var', (4, 16)) ('signal transduction', 'biological_process', 'GO:0007165', ('25', '44')) ('VEGF', 'Gene', '7422', (20, 24)) ('abolished', 'NegReg', (53, 62)) ('VEGF', 'Gene', (20, 24)) 1048 22666659 In vitro and in vivo experiments demonstrated that STI-571 can cause MPM cell apoptosis and death through inhibition of the AKT/PI3K pathway and that it can also enhances MPM sensitivity to gemcitabine or pemetrexed (Bertino et al.,). ('apoptosis', 'biological_process', 'GO:0006915', ('78', '87')) ('pemetrexed', 'Chemical', 'MESH:D000068437', (205, 215)) ('MPM cell apoptosis', 'CPA', (69, 87)) ('apoptosis', 'biological_process', 'GO:0097194', ('78', '87')) ('AKT', 'Gene', '207', (124, 127)) ('AKT', 'Gene', (124, 127)) ('gemcitabine', 'Chemical', 'MESH:C056507', (190, 201)) ('PI3K', 'molecular_function', 'GO:0016303', ('128', '132')) ('STI-571', 'Var', (51, 58)) ('death', 'CPA', (92, 97)) ('inhibition', 'NegReg', (106, 116)) ('MPM sensitivity to gemcitabine', 'MPA', (171, 201)) ('STI-571', 'Chemical', 'MESH:D000068877', (51, 58)) ('enhances', 'PosReg', (162, 170)) 1057 22666659 Therefore, both histone and non-histone protein-mediated effects of HDAC inhibitors are thought to be responsible for their anticancer effects (Deroanne et al.,). ('cancer', 'Disease', 'MESH:D009369', (128, 134)) ('protein', 'cellular_component', 'GO:0003675', ('40', '47')) ('histone', 'MPA', (16, 23)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('non-histone protein-mediated', 'MPA', (28, 56)) ('HDAC', 'Gene', (68, 72)) ('HDAC', 'Gene', '9734', (68, 72)) ('inhibitors', 'Var', (73, 83)) ('cancer', 'Disease', (128, 134)) 1073 22666659 High levels of VEGF and FGF2 or co-expression of TGFbeta, VEGF, FGF1, and FGF2 have been found to be associated with a poor outcome. ('FGF2', 'Gene', (74, 78)) ('VEGF', 'Gene', (58, 62)) ('FGF2', 'Gene', '2247', (24, 28)) ('FGF1', 'Gene', '2246', (64, 68)) ('TGFbeta', 'Gene', (49, 56)) ('VEGF', 'Gene', (15, 19)) ('FGF2', 'Gene', (24, 28)) ('VEGF', 'Gene', '7422', (58, 62)) ('FGF2', 'Gene', '2247', (74, 78)) ('associated', 'Reg', (101, 111)) ('FGF1', 'Gene', (64, 68)) ('VEGF', 'Gene', '7422', (15, 19)) ('TGFbeta', 'Gene', '7040', (49, 56)) ('co-expression', 'Var', (32, 45)) 1103 22666659 The results of this study showed that mice treated with low-dose radiation and SS1P or high-dose radiation and SS1P had a statistically significant prolongation in time to tumor doubling or tripling compared with control, SS1P or radiation alone treated mice. ('SS1P', 'Chemical', 'MESH:C474515', (111, 115)) ('tumor', 'Phenotype', 'HP:0002664', (172, 177)) ('SS1P', 'Var', (111, 115)) ('mice', 'Species', '10090', (38, 42)) ('tumor', 'Disease', 'MESH:D009369', (172, 177)) ('tumor', 'Disease', (172, 177)) ('mice', 'Species', '10090', (254, 258)) ('SS1P', 'Chemical', 'MESH:C474515', (222, 226)) ('SS1P', 'Chemical', 'MESH:C474515', (79, 83)) ('tripling', 'CPA', (190, 198)) ('prolongation', 'PosReg', (148, 160)) 1116 22666659 Laboratory studies show that MORAb-009 kills mesothelin expressing cell lines via antibody dependent cellular cytoxicity (ADCC) and in addition it inhibits the binding of mesothelin to CA-125. ('antibody', 'cellular_component', 'GO:0019814', ('82', '90')) ('ADCC', 'biological_process', 'GO:0001788', ('122', '126')) ('antibody', 'molecular_function', 'GO:0003823', ('82', '90')) ('toxicity', 'Disease', (112, 120)) ('binding', 'molecular_function', 'GO:0005488', ('160', '167')) ('CA-125', 'Protein', (185, 191)) ('MORAb-009', 'Chemical', 'MESH:C526187', (29, 38)) ('antibody', 'cellular_component', 'GO:0042571', ('82', '90')) ('MORAb-009', 'Var', (29, 38)) ('binding', 'Interaction', (160, 167)) ('mesothelin', 'Protein', (171, 181)) ('antibody', 'cellular_component', 'GO:0019815', ('82', '90')) ('toxicity', 'Disease', 'MESH:D064420', (112, 120)) ('inhibits', 'NegReg', (147, 155)) 1121 22666659 The engineered vector CRS-100, has deletions of the two genes that encode the virulence determinants actA and internalin B (inlB), which results in a greater than 1000-fold decrease in virulence compared to the wild type Lm. ('decrease', 'NegReg', (173, 181)) ('virulence', 'biological_process', 'GO:0016032', ('78', '87')) ('virulence', 'biological_process', 'GO:0009406', ('185', '194')) ('Lm', 'Species', '1639', (221, 223)) ('virulence', 'biological_process', 'GO:0009405', ('78', '87')) ('virulence', 'biological_process', 'GO:0009405', ('185', '194')) ('deletions', 'Var', (35, 44)) ('virulence', 'MPA', (185, 194)) ('CRS', 'Chemical', 'MESH:D002857', (22, 25)) ('virulence', 'biological_process', 'GO:0016032', ('185', '194')) ('virulence', 'biological_process', 'GO:0009406', ('78', '87')) 1169 22666659 A large retrospective uncontrolled series reports that P/D might prolong survival as compared to EPP and that a less invasive procedure might hence be preferable in selected patients, provided it is standardized (Flores et al.,). ('patients', 'Species', '9606', (174, 182)) ('survival', 'MPA', (73, 81)) ('prolong', 'PosReg', (65, 72)) ('P/D', 'Var', (55, 58)) 1277 30967648 New results from the Cancer Genome Atlas Research Project have identified genetic mutations that are common among 12 different types of cancer, including carcinomas, adenocarcinomas and melanomas. ('melanomas', 'Disease', 'MESH:D008545', (186, 195)) ('Cancer', 'Disease', (21, 27)) ('cancer', 'Disease', (136, 142)) ('melanomas', 'Disease', (186, 195)) ('cancer', 'Phenotype', 'HP:0002664', (136, 142)) ('carcinomas', 'Disease', (171, 181)) ('common', 'Reg', (101, 107)) ('Cancer', 'Disease', 'MESH:D009369', (21, 27)) ('carcinomas', 'Disease', (154, 164)) ('melanomas', 'Phenotype', 'HP:0002861', (186, 195)) ('cancer', 'Disease', 'MESH:D009369', (136, 142)) ('carcinoma', 'Phenotype', 'HP:0030731', (171, 180)) ('carcinomas', 'Disease', 'MESH:D009369', (171, 181)) ('carcinomas', 'Phenotype', 'HP:0030731', (171, 181)) ('melanoma', 'Phenotype', 'HP:0002861', (186, 194)) ('mutations', 'Var', (82, 91)) ('adenocarcinomas', 'Disease', 'MESH:D000230', (166, 181)) ('carcinomas', 'Disease', 'MESH:D009369', (154, 164)) ('Cancer', 'Phenotype', 'HP:0002664', (21, 27)) ('adenocarcinomas', 'Disease', (166, 181)) ('carcinoma', 'Phenotype', 'HP:0030731', (154, 163)) ('carcinomas', 'Phenotype', 'HP:0030731', (154, 164)) 1298 30967648 Usually this occurs by mutations in the CDKN2A gen. ('mutations', 'Var', (23, 32)) ('occurs by', 'Reg', (13, 22)) ('CDKN2A', 'Gene', '1029', (40, 46)) ('CDKN2A', 'Gene', (40, 46)) 1331 29774102 In conclusion, disrupting Ang-Tie-2 signaling limits mesothelioma angiogenesis and halts tumor progression. ('Ang', 'Gene', '11727', (26, 29)) ('mesothelioma', 'Disease', 'MESH:D008654', (53, 65)) ('angiogenesis', 'biological_process', 'GO:0001525', ('66', '78')) ('tumor', 'Disease', 'MESH:D009369', (89, 94)) ('disrupting', 'Var', (15, 25)) ('limits', 'NegReg', (46, 52)) ('halts', 'NegReg', (83, 88)) ('signaling', 'biological_process', 'GO:0023052', ('36', '45')) ('Ang', 'Gene', (26, 29)) ('tumor', 'Phenotype', 'HP:0002664', (89, 94)) ('tumor', 'Disease', (89, 94)) ('mesothelioma', 'Disease', (53, 65)) 1353 29774102 Overall, the Balbc-AB1 mesothelioma model is characterized by elevated host- and tumor-derived Ang-2, lower Ang-1 tumor content and increased vascularity and higher Tie-2 expression by endothelial cells compared to the C57BL-AE17 model. ('host- and', 'MPA', (71, 80)) ('expression', 'MPA', (171, 181)) ('lower', 'NegReg', (102, 107)) ('tumor', 'Disease', 'MESH:D009369', (114, 119)) ('Ang-1', 'Gene', (108, 113)) ('mesothelioma', 'Disease', 'MESH:D008654', (23, 35)) ('tumor', 'Phenotype', 'HP:0002664', (114, 119)) ('Balbc-AB1', 'Var', (13, 22)) ('higher', 'PosReg', (158, 164)) ('tumor', 'Disease', (114, 119)) ('vascularity', 'CPA', (142, 153)) ('increased', 'PosReg', (132, 141)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('Tie-2', 'Protein', (165, 170)) ('mesothelioma', 'Disease', (23, 35)) ('elevated', 'PosReg', (62, 70)) ('tumor', 'Disease', (81, 86)) 1414 29774102 To investigate whether angiopoietins or the inhibitor, impact tumor cell growth, 3x103 tumor cells were seeded on 96-well plates and 24h later were treated with 300-1000 ng/ml Ang-1 or Ang-2 and 1-100 mug/ml Murine Tek-deltaFc or vehicle for 24h. ('Tek', 'Gene', '21687', (215, 218)) ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('cell growth', 'biological_process', 'GO:0016049', ('68', '79')) ('impact tumor', 'Disease', 'MESH:D004834', (55, 67)) ('tumor', 'Disease', (62, 67)) ('tumor', 'Disease', (87, 92)) ('tumor', 'Disease', 'MESH:D009369', (87, 92)) ('impact tumor', 'Disease', (55, 67)) ('mug', 'molecular_function', 'GO:0043739', ('201', '204')) ('Tek', 'Gene', (215, 218)) ('Ang-2', 'Var', (185, 190)) ('tumor', 'Disease', 'MESH:D009369', (62, 67)) ('Murine', 'Species', '10090', (208, 214)) 1419 29774102 Four days upon tumor cell implantation, when pleural tumors are already evident animals were divided into two groups, receiving either Murine Tek-deltaFc or vehicle. ('tumor', 'Disease', 'MESH:D009369', (15, 20)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('pleural tumors', 'Disease', (45, 59)) ('tumor', 'Phenotype', 'HP:0002664', (15, 20)) ('pleural tumors', 'Disease', 'MESH:D010997', (45, 59)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('Tek', 'Gene', (142, 145)) ('tumor', 'Disease', (15, 20)) ('tumor', 'Disease', (53, 58)) ('tumors', 'Phenotype', 'HP:0002664', (53, 59)) ('Murine', 'Var', (135, 141)) ('Tek', 'Gene', '21687', (142, 145)) ('Murine', 'Species', '10090', (135, 141)) 1435 29774102 Mesothelioma tumor tissue sections were stained for Ang-1 (ab8451) and -2 (ab153934) (Abcam, Cambridge, UK) and staining was evaluated by an experienced pathologist. ('Mesothelioma tumor', 'Disease', 'MESH:D008654', (0, 18)) ('ab8451', 'Var', (59, 65)) ('Mesothelioma tumor', 'Disease', (0, 18)) ('ab153934', 'Var', (75, 83)) ('tumor', 'Phenotype', 'HP:0002664', (13, 18)) ('Mesothelioma tumor', 'Phenotype', 'HP:0100001', (0, 18)) 1524 23411061 Overall, the suicide gene therapy was well-tolerated with minimal side effects and no dose-limiting toxicity. ('toxicity', 'Disease', 'MESH:D064420', (100, 108)) ('toxicity', 'Disease', (100, 108)) ('suicide gene therapy', 'Var', (13, 33)) 1592 23103606 To demonstrate proof of principle and evaluate utility, we performed a retrospective investigation into tumour response for malignant pleural mesothelioma (MPM) patients treated at the University of Chicago Medical Center with either of two analogous chemotherapy regimens and consented to at least one of two UCMC IRB protocols, 9571 and 13473A. ('9571', 'Var', (330, 334)) ('13473A', 'Var', (339, 345)) ('MPM', 'Chemical', '-', (156, 159)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (134, 154)) ('men', 'Species', '9606', (268, 271)) ('tumour', 'Phenotype', 'HP:0002664', (104, 110)) ('tumour', 'Disease', 'MESH:D009369', (104, 110)) ('patients', 'Species', '9606', (161, 169)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (124, 154)) ('malignant pleural mesothelioma', 'Disease', (124, 154)) ('tumour', 'Disease', (104, 110)) 1820 12569381 In human malignant mesothelioma, p53 is generally not mutated, but may be inactivated by SV40 early region T antigen (SV40 Tag). ('human', 'Species', '9606', (3, 8)) ('malignant mesothelioma', 'Disease', (9, 31)) ('p53', 'Gene', (33, 36)) ('p53', 'Gene', '7157', (33, 36)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (9, 31)) ('SV40', 'Var', (89, 93)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (9, 31)) ('inactivated', 'NegReg', (74, 85)) 1822 12569381 Here, we investigated the function of the cell cycle checkpoints in six human mesothelioma cell lines (HMCLs) by studying the cell distribution in the different phases of the cell cycle by flow cytometry, and expression of cell cycle proteins, p53, p21WAF1/CIP1 and p27KIP1. ('cell cycle', 'biological_process', 'GO:0007049', ('223', '233')) ('cell cycle', 'biological_process', 'GO:0007049', ('42', '52')) ('p53', 'Gene', (244, 247)) ('p53', 'Gene', '7157', (244, 247)) ('p21WAF1/CIP1', 'Gene', (249, 261)) ('mesothelioma', 'Disease', 'MESH:D008654', (78, 90)) ('human', 'Species', '9606', (72, 77)) ('cell cycle', 'biological_process', 'GO:0007049', ('175', '185')) ('HMCLs', 'Chemical', '-', (103, 108)) ('p21WAF1/CIP1', 'Gene', '1026', (249, 261)) ('mesothelioma', 'Disease', (78, 90)) ('p27KIP1', 'Var', (266, 273)) 1826 12569381 Lack of arrest in G1 was not related to p53 mutation or binding to SV40 Tag, except in one HMCL presenting a missense mutation at codon 248. ('mutation', 'Var', (44, 52)) ('p53', 'Gene', (40, 43)) ('binding', 'molecular_function', 'GO:0005488', ('56', '63')) ('HM', 'CellLine', 'CVCL:M679', (91, 93)) ('p53', 'Gene', '7157', (40, 43)) 1836 12569381 This has been carried out following gene transfer, either by the overexpression of p53 (Giuliano et al, 2000), by the expression of regulators of p53 levels such as p14ARF (Yang et al, 2000) or by the expression of antisense transcripts to Tag (Waheed et al, 1999). ('p53', 'Gene', (83, 86)) ('p53', 'Gene', '7157', (83, 86)) ('p53', 'Gene', (146, 149)) ('p53', 'Gene', '7157', (146, 149)) ('p14ARF', 'Gene', (165, 171)) ('antisense', 'Var', (215, 224)) ('overexpression', 'PosReg', (65, 79)) ('p14ARF', 'Gene', '1029', (165, 171)) 1872 12569381 The following antibodies were used: primary mouse monoclonal antibodies against human p21WAF1/CIP1, p27KIP1, p53 (D01) and SV40 Tag (Ab-1), all from Santa Cruz. ('mouse', 'Species', '10090', (44, 49)) ('p21WAF1/CIP1', 'Gene', '1026', (86, 98)) ('human', 'Species', '9606', (80, 85)) ('p27KIP1', 'Var', (100, 107)) ('p53', 'Gene', (109, 112)) ('SV40 Tag', 'Var', (123, 131)) ('p53', 'Gene', '7157', (109, 112)) ('p21WAF1/CIP1', 'Gene', (86, 98)) 1896 12569381 p27KIP1 protein expression was markedly lowered in a dose-dependent manner in the HMCLs that did not arrest in G1 (RV and BT) (data not shown). ('protein', 'cellular_component', 'GO:0003675', ('8', '15')) ('lowered', 'NegReg', (40, 47)) ('HMCLs', 'Chemical', '-', (82, 87)) ('protein', 'Protein', (8, 15)) ('p27KIP1', 'Var', (0, 7)) 1900 12569381 In this study, we investigated cell cyle control in HMCLs exposed to gamma-radiation by flow cytometry, and characterised their p53 status through analysis of p53 mutation status and Tag SV40 expression. ('p53', 'Gene', '7157', (128, 131)) ('p53', 'Gene', (128, 131)) ('p53', 'Gene', (159, 162)) ('p53', 'Gene', '7157', (159, 162)) ('HMCLs', 'Chemical', '-', (52, 57)) ('mutation', 'Var', (163, 171)) 1907 12569381 The inhibitor of the cyclin E- (cyclin-dependent kinase) (CDK2) p27KIP1, of which accumulation is observed in response to antiproliferative signals, does not appear to be involved in the response of MM cells to gamma-radiation. ('p27KIP1', 'Var', (64, 71)) ('cyclin', 'molecular_function', 'GO:0016538', ('32', '38')) ('rat', 'Species', '10116', (133, 136)) ('CDK2', 'Gene', (58, 62)) ('CDK', 'molecular_function', 'GO:0004693', ('58', '61')) ('CDK2', 'Gene', '1017', (58, 62)) ('cyclin', 'molecular_function', 'GO:0016538', ('21', '27')) 1908 12569381 This result agrees with the literature findings showing that p27KIP1 degradation, because of the phosphorylation and ubiquitination of the protein, occurs in cells that are not in G1 phase (Desdouets et al, 2000). ('degradation', 'MPA', (69, 80)) ('rat', 'Species', '10116', (32, 35)) ('p27KIP1', 'Var', (61, 68)) ('degradation', 'biological_process', 'GO:0009056', ('69', '80')) ('ubiquitination', 'MPA', (117, 131)) ('phosphorylation', 'biological_process', 'GO:0016310', ('97', '112')) ('phosphorylation', 'MPA', (97, 112)) ('G1 phase', 'biological_process', 'GO:0051318', ('180', '188')) ('protein', 'cellular_component', 'GO:0003675', ('139', '146')) 1910 12569381 We believe that this is the first report of such a point mutation in a characterised human mesothelioma cell line. ('mesothelioma', 'Disease', 'MESH:D008654', (91, 103)) ('point mutation', 'Var', (51, 65)) ('mesothelioma', 'Disease', (91, 103)) ('human', 'Species', '9606', (85, 90)) 1916 12569381 p53 is likely to be inactivated by mutation in BT, but no mutation was found in RV. ('p53', 'Gene', (0, 3)) ('p53', 'Gene', '7157', (0, 3)) ('mutation', 'Var', (35, 43)) 1931 12569381 Abrogation of p53 by E6 transfection results in loss of G1 control, but not G2 in human colon carcinoma cells (Wouters et al, 1999). ('loss', 'NegReg', (48, 52)) ('colon carcinoma', 'Disease', (88, 103)) ('G1 control', 'MPA', (56, 66)) ('colon carcinoma', 'Disease', 'MESH:D015179', (88, 103)) ('carcinoma', 'Phenotype', 'HP:0030731', (94, 103)) ('p53', 'Gene', (14, 17)) ('E6 transfection', 'Var', (21, 36)) ('p53', 'Gene', '7157', (14, 17)) ('Abrogation', 'NegReg', (0, 10)) ('human', 'Species', '9606', (82, 87)) 1932 12569381 Our results are consistent with these observations since HMCLs defective in p53 either by mutation (BT) or by failure of p21WAF1/CIP1 induction (RV) arrested in the G2/M phase. ('failure', 'NegReg', (110, 117)) ('HMCLs', 'Chemical', '-', (57, 62)) ('p53', 'Gene', (76, 79)) ('p53', 'Gene', '7157', (76, 79)) ('p21WAF1/CIP1', 'Gene', '1026', (121, 133)) ('defective', 'NegReg', (63, 72)) ('M phase', 'biological_process', 'GO:0000279', ('168', '175')) ('mutation', 'Var', (90, 98)) ('p21WAF1/CIP1', 'Gene', (121, 133)) 1935 12569381 From another source, in HMCLs with p53 deficiency, an enhancement of the amount of p53 by transfection with an adenovirus carrying human p14(ARF) cDNA has been found to reduce cell proliferation and enhance apoptosis (Yang et al, 2000). ('deficiency', 'Var', (39, 49)) ('p53', 'Gene', (35, 38)) ('p53', 'Gene', (83, 86)) ('apoptosis', 'CPA', (207, 216)) ('enhance', 'PosReg', (199, 206)) ('cell proliferation', 'CPA', (176, 194)) ('ARF', 'Disease', (141, 144)) ('p14', 'Gene', '1029', (137, 140)) ('rat', 'Species', '10116', (188, 191)) ('enhancement', 'PosReg', (54, 65)) ('apoptosis', 'biological_process', 'GO:0097194', ('207', '216')) ('apoptosis', 'biological_process', 'GO:0006915', ('207', '216')) ('p14', 'Gene', (137, 140)) ('cell proliferation', 'biological_process', 'GO:0008283', ('176', '194')) ('ARF', 'Disease', 'MESH:D058186', (141, 144)) ('reduce', 'NegReg', (169, 175)) ('p53', 'Gene', '7157', (35, 38)) ('p53', 'Gene', '7157', (83, 86)) ('HMCLs', 'Chemical', '-', (24, 29)) ('human', 'Species', '9606', (131, 136)) 1943 33537296 In humans, the dysregulation of Notch pathway potentially contributes to cancer onset/progression, including MPM. ('cancer', 'Disease', (73, 79)) ('cancer', 'Disease', 'MESH:D009369', (73, 79)) ('MPM', 'Disease', (109, 112)) ('contributes', 'Reg', (58, 69)) ('cancer', 'Phenotype', 'HP:0002664', (73, 79)) ('Notch pathway', 'Pathway', (32, 45)) ('humans', 'Species', '9606', (3, 9)) ('dysregulation', 'Var', (15, 28)) 1953 33537296 These alterations include dysregulated activity of growth factors and their specific receptors, apoptosis inhibition, alteration of cellular and circulating microRNAs and remodeling of intracellular calcium homeostasis and Ca2+-dependent pathways. ('Ca2+-dependent pathways', 'Pathway', (223, 246)) ('Ca2+', 'Chemical', 'MESH:D000069285', (223, 227)) ('growth', 'Protein', (51, 57)) ('alteration', 'Reg', (118, 128)) ('intracellular', 'cellular_component', 'GO:0005622', ('185', '198')) ('homeostasis', 'biological_process', 'GO:0042592', ('207', '218')) ('activity', 'MPA', (39, 47)) ('apoptosis', 'CPA', (96, 105)) ('calcium', 'Chemical', 'MESH:D002118', (199, 206)) ('apoptosis', 'biological_process', 'GO:0097194', ('96', '105')) ('inhibition', 'NegReg', (106, 116)) ('dysregulated', 'Var', (26, 38)) ('apoptosis', 'biological_process', 'GO:0006915', ('96', '105')) 1955 33537296 Furthermore, mutations in specific genes have been associated to the development of MPM, such as germline mutations/inactivations discovered in the tumor suppressor gene BRCA1-associated protein 1 (BAP1) in cases with a family history of cancer. ('cancer', 'Disease', (238, 244)) ('cancer', 'Disease', 'MESH:D009369', (238, 244)) ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('MPM', 'Disease', (84, 87)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('148', '164')) ('tumor', 'Disease', (148, 153)) ('BAP1', 'Gene', '8314', (198, 202)) ('BRCA1-associated protein 1', 'Gene', '8314', (170, 196)) ('associated', 'Reg', (51, 61)) ('cancer', 'Phenotype', 'HP:0002664', (238, 244)) ('protein', 'cellular_component', 'GO:0003675', ('187', '194')) ('BAP1', 'Gene', (198, 202)) ('BRCA1-associated protein 1', 'Gene', (170, 196)) ('mutations', 'Var', (13, 22)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('148', '164')) ('tumor', 'Disease', 'MESH:D009369', (148, 153)) ('mutations/inactivations', 'Var', (106, 129)) 1958 33537296 Patients with untreated diabetes and T2DM have an increased cancer risk, attributed mostly to the growth-promoting effect of chronic elevated plasma glucose and insulin levels. ('diabetes', 'Disease', (24, 32)) ('glucose', 'Chemical', 'MESH:D005947', (149, 156)) ('T2DM', 'Var', (37, 41)) ('cancer', 'Disease', 'MESH:D009369', (60, 66)) ('elevated', 'PosReg', (133, 141)) ('insulin', 'molecular_function', 'GO:0016088', ('161', '168')) ('elevated plasma glucose', 'Phenotype', 'HP:0003074', (133, 156)) ('cancer', 'Disease', (60, 66)) ('diabetes', 'Disease', 'MESH:D003920', (24, 32)) ('insulin', 'Gene', (161, 168)) ('Patients', 'Species', '9606', (0, 8)) ('untreated diabetes', 'Phenotype', 'HP:0005978', (14, 32)) ('insulin', 'Gene', '3630', (161, 168)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) 1960 33537296 The interest in potential anti-neoplastic and cancer preventive properties of metformin is based on numerous clinical studies that showed a significantly reduced incidence of neoplastic diseases and cancer mortality in diabetic patients treated with metformin compared to diabetic patients treated with other antidiabetic drugs. ('cancer mortality', 'Disease', (199, 215)) ('cancer', 'Disease', 'MESH:D009369', (46, 52)) ('diabetic', 'Disease', 'MESH:D003920', (272, 280)) ('cancer', 'Disease', (199, 205)) ('diabetic', 'Disease', (272, 280)) ('metformin', 'Var', (250, 259)) ('cancer', 'Phenotype', 'HP:0002664', (199, 205)) ('metformin', 'Chemical', 'MESH:D008687', (250, 259)) ('patients', 'Species', '9606', (228, 236)) ('cancer mortality', 'Disease', 'MESH:D003643', (199, 215)) ('neoplastic diseases', 'Disease', (175, 194)) ('cancer', 'Disease', (46, 52)) ('patients', 'Species', '9606', (281, 289)) ('cancer', 'Disease', 'MESH:D009369', (199, 205)) ('cancer', 'Phenotype', 'HP:0002664', (46, 52)) ('diabetic', 'Disease', 'MESH:D003920', (219, 227)) ('metformin', 'Chemical', 'MESH:D008687', (78, 87)) ('diabetic', 'Disease', 'MESH:D003920', (313, 321)) ('diabetic', 'Disease', (219, 227)) ('reduced', 'NegReg', (154, 161)) ('diabetic', 'Disease', (313, 321)) ('neoplastic diseases', 'Disease', 'MESH:D009386', (175, 194)) 1995 33537296 For immunoblotting analysis, the PVDF membranes were blocked with 5% non-fat milk and incubated overnight at 4 C with following primary antibodies: anti-cleaved Notch1 (Val1744) (1:1000), anti-pRPS6 (Ser240/244) (1:1000), anti-Noxa (1:1000), anti-Bcl2 (1:1000), anti-caspase-3 (1:1000), anti-caspase-8 (1:1000), anti-caspase-9 (1:1000), anti-PARP (1:1000) (all purchased from Cell Signaling Technology, Danvers, MA, United States), anti-Notch1 (C-20) (1:500) (Santa Cruz Biotechnology, Inc., Dallas, TX, United States) and anti-beta actin (1:10000) (Sigma-Aldrich). ('RPS6', 'Gene', '6194', (194, 198)) ('Notch1', 'Gene', (161, 167)) ('Notch1', 'Gene', '4851', (161, 167)) ('Ser', 'cellular_component', 'GO:0005790', ('200', '203')) ('caspase-8', 'Gene', '841', (292, 301)) ('Notch1', 'Gene', (437, 443)) ('Noxa', 'Gene', '5366', (227, 231)) ('PVDF', 'Chemical', 'MESH:C024865', (33, 37)) ('Notch1', 'Gene', '4851', (437, 443)) ('caspase-3', 'Gene', '836', (267, 276)) ('Bcl2', 'Gene', (247, 251)) ('Signaling', 'biological_process', 'GO:0023052', ('381', '390')) ('Bcl2', 'Gene', '596', (247, 251)) ('caspase-9', 'Gene', '842', (317, 326)) ('caspase-3', 'Gene', (267, 276)) ('PARP', 'Gene', '142', (342, 346)) ('Noxa', 'Gene', (227, 231)) ('RPS6', 'Gene', (194, 198)) ('anti-beta', 'Var', (523, 532)) ('PARP', 'Gene', (342, 346)) ('caspase-8', 'Gene', (292, 301)) ('Bcl2', 'molecular_function', 'GO:0015283', ('247', '251')) ('caspase-9', 'Gene', (317, 326)) 2041 33537296 Epidemiological evidence show that diabetes is strongly associated with cancer and retrospective analyses have shown that metformin, a drug used to treat T2DM, possesses antineoplastic properties since it increases survival in diabetic patients affected by several types of tumors with less toxicity compared to existing anti-cancer drugs. ('tumors', 'Disease', 'MESH:D009369', (274, 280)) ('cancer', 'Disease', (72, 78)) ('metformin', 'Var', (122, 131)) ('diabetes', 'Disease', 'MESH:D003920', (35, 43)) ('patients', 'Species', '9606', (236, 244)) ('cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('metformin', 'Chemical', 'MESH:D008687', (122, 131)) ('cancer', 'Disease', (326, 332)) ('tumors', 'Phenotype', 'HP:0002664', (274, 280)) ('toxicity', 'Disease', 'MESH:D064420', (291, 299)) ('cancer', 'Phenotype', 'HP:0002664', (326, 332)) ('tumor', 'Phenotype', 'HP:0002664', (274, 279)) ('cancer', 'Disease', 'MESH:D009369', (72, 78)) ('tumors', 'Disease', (274, 280)) ('diabetes', 'Disease', (35, 43)) ('toxicity', 'Disease', (291, 299)) ('diabetic', 'Disease', 'MESH:D003920', (227, 235)) ('cancer', 'Disease', 'MESH:D009369', (326, 332)) ('increases', 'PosReg', (205, 214)) ('diabetic', 'Disease', (227, 235)) ('survival', 'CPA', (215, 223)) 2046 33537296 Our results are in agreement with previous investigations reporting similar effects of metformin in other tumor cell lines and show, for the first time, that metformin arrests cell growth and induces apoptosis in MPM cells. ('apoptosis', 'biological_process', 'GO:0097194', ('200', '209')) ('induces', 'Reg', (192, 199)) ('cell growth', 'biological_process', 'GO:0016049', ('176', '187')) ('metformin', 'Var', (158, 167)) ('cell growth', 'CPA', (176, 187)) ('apoptosis', 'biological_process', 'GO:0006915', ('200', '209')) ('metformin', 'Chemical', 'MESH:D008687', (158, 167)) ('tumor', 'Disease', 'MESH:D009369', (106, 111)) ('metformin', 'Chemical', 'MESH:D008687', (87, 96)) ('arrests', 'NegReg', (168, 175)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('apoptosis', 'CPA', (200, 209)) ('tumor', 'Disease', (106, 111)) 2048 33537296 These results suggest that metformin induces an up-regulation of Noxa, which per se entailed significant cell death (Figure 2), as demonstrated in some systems and this increase is accompanied by cytochrome c release and subsequent caspase activation. ('cell death', 'CPA', (105, 115)) ('cytochrome c', 'Gene', '54205', (196, 208)) ('cytochrome c', 'molecular_function', 'GO:0045155', ('196', '208')) ('regulation', 'biological_process', 'GO:0065007', ('51', '61')) ('cytochrome c', 'molecular_function', 'GO:0009461', ('196', '208')) ('metformin', 'Var', (27, 36)) ('caspase activation', 'biological_process', 'GO:0006919', ('232', '250')) ('Noxa', 'Gene', '5366', (65, 69)) ('caspase', 'Gene', '841;842', (232, 239)) ('cell death', 'biological_process', 'GO:0008219', ('105', '115')) ('cytochrome c', 'Gene', (196, 208)) ('Noxa', 'Gene', (65, 69)) ('metformin', 'Chemical', 'MESH:D008687', (27, 36)) ('activation', 'PosReg', (240, 250)) ('up-regulation', 'PosReg', (48, 61)) ('caspase', 'Gene', (232, 239)) 2049 33537296 In order to demonstrate that metformin induces a caspases-depend cell death, experiments with various peptide inhibitors, either directed against individual caspases, or the zVAD-fmk broad-spectrum inhibitor will be performed. ('metformin', 'Chemical', 'MESH:D008687', (29, 38)) ('caspases', 'Gene', '841;842', (49, 57)) ('caspases', 'Gene', (157, 165)) ('cell death', 'biological_process', 'GO:0008219', ('65', '75')) ('caspases', 'Gene', (49, 57)) ('cell death', 'CPA', (65, 75)) ('metformin', 'Var', (29, 38)) ('zVAD-fmk', 'Chemical', 'MESH:C096713', (174, 182)) ('caspases', 'Gene', '841;842', (157, 165)) ('induces', 'Reg', (39, 46)) 2051 33537296 In addition, the employment of caspase inhibitors in breast cancer cells, revealed that metformin induces both caspase-dependent and poly(ADPribose) polymerase-dependent cell death. ('breast cancer', 'Phenotype', 'HP:0003002', (53, 66)) ('metformin', 'Chemical', 'MESH:D008687', (88, 97)) ('caspase', 'Gene', '841;842', (31, 38)) ('cell death', 'biological_process', 'GO:0008219', ('170', '180')) ('caspase', 'Gene', '841;842', (111, 118)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) ('breast cancer', 'Disease', 'MESH:D001943', (53, 66)) ('caspase', 'Gene', (31, 38)) ('metformin', 'Var', (88, 97)) ('caspase', 'Gene', (111, 118)) ('breast cancer', 'Disease', (53, 66)) 2069 33537296 As shown in Figure 4A and Supplementary Figure 2, MMP89 cells have Notch1 basal level significantly higher compared to IST-Mes-2 cells. ('MMP89', 'Var', (50, 55)) ('Notch1', 'Gene', (67, 73)) ('higher', 'PosReg', (100, 106)) ('IST-Mes', 'Chemical', '-', (119, 126)) ('MMP', 'molecular_function', 'GO:0004235', ('50', '53')) ('Notch1', 'Gene', '4851', (67, 73)) 2075 33537296 Additionally, as with GSIs, there is concern with the side effect profile of metformin: even though clinical trials have revealed a low incidence of dose limiting toxicity with metformin in combination with a wide variety of chemotherapy regimens, metformin is well known for causing gastrointestinal problems. ('gastrointestinal problems', 'Disease', (284, 309)) ('metformin', 'Chemical', 'MESH:D008687', (177, 186)) ('metformin', 'Chemical', 'MESH:D008687', (77, 86)) ('GSIs', 'Chemical', '-', (22, 26)) ('gastrointestinal problems', 'Phenotype', 'HP:0011024', (284, 309)) ('metformin', 'Var', (248, 257)) ('toxicity', 'Disease', 'MESH:D064420', (163, 171)) ('metformin', 'Chemical', 'MESH:D008687', (248, 257)) ('causing', 'Reg', (276, 283)) ('toxicity', 'Disease', (163, 171)) 2076 33537296 Our study, by showing that Notch1 inhibitors could act downstream or in parallel to metformin in inhibiting viability proliferation and inducing apoptosis of MPM cells, provides new data on a novel therapeutic strategy based on the combination of these two agents to treat MPM. ('inducing', 'Reg', (136, 144)) ('metformin', 'Chemical', 'MESH:D008687', (84, 93)) ('Notch1', 'Gene', (27, 33)) ('MPM', 'Disease', (273, 276)) ('inhibitors', 'Var', (34, 44)) ('Notch1', 'Gene', '4851', (27, 33)) ('apoptosis', 'biological_process', 'GO:0097194', ('145', '154')) ('viability proliferation', 'CPA', (108, 131)) ('apoptosis', 'biological_process', 'GO:0006915', ('145', '154')) ('inhibiting', 'NegReg', (97, 107)) ('apoptosis', 'CPA', (145, 154)) 2080 33537296 Nevertheless, in breast cancer, metformin has been reported to reduce the levels of M2 macrophages in favor of M1 and this has been explained on the basis of cytokines production by cancer cells induced by metformin. ('metformin', 'Var', (32, 41)) ('cancer', 'Phenotype', 'HP:0002664', (182, 188)) ('cancer', 'Phenotype', 'HP:0002664', (24, 30)) ('breast cancer', 'Disease', 'MESH:D001943', (17, 30)) ('breast cancer', 'Disease', (17, 30)) ('metformin', 'Chemical', 'MESH:D008687', (32, 41)) ('breast cancer', 'Phenotype', 'HP:0003002', (17, 30)) ('cancer', 'Disease', 'MESH:D009369', (182, 188)) ('cancer', 'Disease', (24, 30)) ('cancer', 'Disease', 'MESH:D009369', (24, 30)) ('cancer', 'Disease', (182, 188)) ('reduce', 'NegReg', (63, 69)) ('levels of M2 macrophages', 'MPA', (74, 98)) ('metformin', 'Chemical', 'MESH:D008687', (206, 215)) 2082 33537296 This treatment could be especially relevant for heterozygous carriers of germline BAP1 mutation more at risk of MPM development due to high levels of M2 in pleural fluid. ('BAP1', 'Gene', (82, 86)) ('MPM development', 'Disease', (112, 127)) ('germline', 'Var', (73, 81)) ('BAP1', 'Gene', '8314', (82, 86)) ('mutation', 'Var', (87, 95)) ('pleural fluid', 'Phenotype', 'HP:0002202', (156, 169)) 2097 32181989 Anaplastic lymphoma kinase (ALK) was first discovered in 1994 in anaplastic large cell lymphoma (ALCL).1 Subsequent studies have found that inflammatory myofibroblastic tumors and neuroblastomas are associated with ALK gene mutations.2 In 2007, Soda et al. ('lymphoma', 'Phenotype', 'HP:0002665', (11, 19)) ('neuroblastomas', 'Phenotype', 'HP:0003006', (180, 194)) ('ALK', 'Gene', '238', (28, 31)) ('Anaplastic lymphoma', 'Phenotype', 'HP:0012193', (0, 19)) ('anaplastic large cell lymphoma', 'Phenotype', 'HP:0012193', (65, 95)) ('neuroblastomas', 'Disease', (180, 194)) ('inflammatory myofibroblastic tumors', 'Disease', 'MESH:D009369', (140, 175)) ('ALK', 'Gene', (28, 31)) ('Anaplastic lymphoma kinase', 'Gene', '238', (0, 26)) ('lymphoma', 'Phenotype', 'HP:0002665', (87, 95)) ('neuroblastomas', 'Disease', 'MESH:D009447', (180, 194)) ('cell lymphoma', 'Phenotype', 'HP:0012191', (82, 95)) ('myofibroblastic tumors', 'Phenotype', 'HP:0020135', (153, 175)) ('lymphoma', 'Disease', (11, 19)) ('ALK', 'Gene', '238', (215, 218)) ('tumors', 'Phenotype', 'HP:0002664', (169, 175)) ('lymphoma', 'Disease', 'MESH:D008223', (11, 19)) ('inflammatory myofibroblastic tumors', 'Disease', (140, 175)) ('ALK', 'Gene', (215, 218)) ('mutations.2', 'Var', (224, 235)) ('tumor', 'Phenotype', 'HP:0002664', (169, 174)) ('lymphoma', 'Disease', (87, 95)) ('Anaplastic lymphoma kinase', 'Gene', (0, 26)) ('ALCL', 'Phenotype', 'HP:0012193', (97, 101)) ('lymphoma', 'Disease', 'MESH:D008223', (87, 95)) 2110 32181989 Preliminary clinical trial results have been reported in the 2017 European Society for Medical Oncology Asia Congress.11 Adult patients (aged 18-65) with a locally advanced or metastatic malignancy harboring a genetic alteration in ALK, who had disease progression despite underlying standard chemotherapy or had no effective standard therapy, were included in this study. ('genetic alteration', 'Var', (211, 229)) ('Oncology', 'Phenotype', 'HP:0002664', (95, 103)) ('malignancy', 'Disease', (188, 198)) ('ALK', 'Gene', (233, 236)) ('patients', 'Species', '9606', (128, 136)) ('malignancy', 'Disease', 'MESH:D009369', (188, 198)) ('ALK', 'Gene', '238', (233, 236)) 2141 32181989 ALK positivity in patients with mesothelioma was confirmed by immunohistochemistry. ('mesothelioma', 'Disease', 'MESH:D008654', (32, 44)) ('positivity', 'Var', (4, 14)) ('ALK', 'Gene', (0, 3)) ('mesothelioma', 'Disease', (32, 44)) ('patients', 'Species', '9606', (18, 26)) ('ALK', 'Gene', '238', (0, 3)) 2153 32181989 Grade 3 elevated alkaline phosphatase and glutamyl transpeptidase (>2.0-5.0 x upper normal [ULN]) occurred in a patient who was treated with CT-707450 mg once a day. ('elevated', 'PosReg', (8, 16)) ('patient', 'Species', '9606', (112, 119)) ('phosphatase', 'molecular_function', 'GO:0016791', ('26', '37')) ('elevated alkaline phosphatase', 'Phenotype', 'HP:0003155', (8, 37)) ('glutamyl transpeptidase', 'Enzyme', (42, 65)) ('CT-707450', 'Chemical', '-', (141, 150)) ('alkaline phosphatase', 'MPA', (17, 37)) ('CT-707450 mg', 'Var', (141, 153)) 2172 32181989 Patient 2010 had a temporal lobe metastasis, and the metastasis was significantly reduced after taking CT-707600 mg once a day for one week. ('CT-707600 mg', 'Var', (103, 115)) ('reduced', 'NegReg', (82, 89)) ('temporal lobe metastasis', 'CPA', (19, 43)) ('Patient', 'Species', '9606', (0, 7)) ('CT-707600', 'Chemical', '-', (103, 112)) 2188 32181989 The kinase inhibition studies of four ALK mutant kinases expressed by eukaryotic insect expression systems revealed that CT-707 more effectively inhibits four common crizotinib-resistant ALK kinase mutants, including ALK L1196M, ALK F1174L, ALK G1296S, and ALK R1275Q in vitro. ('ALK', 'Gene', (229, 232)) ('ALK', 'Gene', '238', (38, 41)) ('crizotinib', 'Chemical', 'MESH:D000077547', (166, 176)) ('ALK', 'Gene', '238', (187, 190)) ('R1275Q', 'Mutation', 'rs113994087', (261, 267)) ('ALK', 'Gene', (38, 41)) ('ALK', 'Gene', (187, 190)) ('ALK', 'Gene', '238', (241, 244)) ('L1196M', 'Var', (221, 227)) ('ALK', 'Gene', '238', (257, 260)) ('ALK', 'Gene', (257, 260)) ('ALK', 'Gene', (241, 244)) ('L1196M', 'Mutation', 'rs1057519784', (221, 227)) ('G1296S', 'Mutation', 'p.G1296S', (245, 251)) ('R1275Q', 'Var', (261, 267)) ('ALK', 'Gene', '238', (217, 220)) ('G1296S', 'Var', (245, 251)) ('F1174L', 'Mutation', 'rs863225281', (233, 239)) ('F1174L', 'Var', (233, 239)) ('ALK', 'Gene', (217, 220)) ('CT-707', 'Chemical', '-', (121, 127)) ('ALK', 'Gene', '238', (229, 232)) ('inhibits', 'NegReg', (145, 153)) 2198 32181989 In conclusion, the results of this study suggest that CT-707 is effective in Chinese patients with tumors harboring ALK rearrangements. ('rearrangements', 'Var', (120, 134)) ('tumors', 'Disease', 'MESH:D009369', (99, 105)) ('CT-707', 'Chemical', '-', (54, 60)) ('ALK', 'Gene', (116, 119)) ('patients', 'Species', '9606', (85, 93)) ('tumors', 'Disease', (99, 105)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('tumors', 'Phenotype', 'HP:0002664', (99, 105)) ('ALK', 'Gene', '238', (116, 119)) ('CT-707', 'Var', (54, 60)) 2391 21412769 Until 1999, under ICD-9, MM death was coded as ICD-163 (malignant neoplasm of the pleura) or ICD 162 (malignant tumor of the trachea bronchus and lung) or ICD 199 (malignant neoplasm without specification of site). ('malignant neoplasm', 'Disease', (56, 74)) ('malignant tumor of the trachea bronchus', 'Disease', 'MESH:C557675', (102, 141)) ('neoplasm', 'Phenotype', 'HP:0002664', (174, 182)) ('malignant neoplasm', 'Disease', 'MESH:D009369', (164, 182)) ('malignant neoplasm', 'Disease', 'MESH:D009369', (56, 74)) ('MM death', 'Disease', (25, 33)) ('neoplasm', 'Phenotype', 'HP:0002664', (66, 74)) ('tumor', 'Phenotype', 'HP:0002664', (112, 117)) ('MM death', 'Disease', 'MESH:D003643', (25, 33)) ('neoplasm of the pleura', 'Disease', 'MESH:D054363', (66, 88)) ('tumor of the trachea', 'Phenotype', 'HP:0100551', (112, 132)) ('malignant neoplasm', 'Disease', (164, 182)) ('malignant tumor of the trachea bronchus', 'Disease', (102, 141)) ('neoplasm of the pleura', 'Disease', (66, 88)) ('neoplasm of the pleura', 'Phenotype', 'HP:0100527', (66, 88)) ('ICD 162', 'Var', (93, 100)) 2400 21412769 However, it is accepted that chrysotile can cause lung cancer in man and MM in rats, and some authors have proposed that even if chrysotile is less potent than amphiboles, it is a known carcinogen that accounts for about 95% of the asbestos used worldwide, and therefore chrysotile is the main cause of MM. ('lung cancer', 'Disease', (50, 61)) ('chrysotile', 'Var', (29, 39)) ('cause', 'Reg', (44, 49)) ('cancer', 'Phenotype', 'HP:0002664', (55, 61)) ('lung cancer', 'Disease', 'MESH:D008175', (50, 61)) ('rats', 'Species', '10116', (79, 83)) ('man', 'Species', '9606', (65, 68)) ('asbestos', 'Chemical', 'MESH:D001194', (232, 240)) ('lung cancer', 'Phenotype', 'HP:0100526', (50, 61)) 2435 21412769 By eliminating mesothelial cells that have accumulated asbestos-induced mutations without promoting inflammation, apoptosis may be regarded as a protective mechanism against the development of MM. ('inflammation', 'Disease', (100, 112)) ('mutations', 'Var', (72, 81)) ('men', 'Species', '9606', (185, 188)) ('inflammation', 'biological_process', 'GO:0006954', ('100', '112')) ('asbestos', 'Chemical', 'MESH:D001194', (55, 63)) ('inflammation', 'Disease', 'MESH:D007249', (100, 112)) ('apoptosis', 'biological_process', 'GO:0097194', ('114', '123')) ('apoptosis', 'biological_process', 'GO:0006915', ('114', '123')) 2439 21412769 A recent study from Japan proposed that ferruginous bodies that often form around amphibole asbestos contain high concentrations of radium, a finding that led the authors to suggest that ionizing radiation from these bodies may cause DNA damage and cancer, including MM. ('cause', 'Reg', (228, 233)) ('cancer', 'Disease', 'MESH:D009369', (249, 255)) ('DNA damage', 'CPA', (234, 244)) ('cancer', 'Disease', (249, 255)) ('ionizing radiation', 'Var', (187, 205)) ('DNA', 'cellular_component', 'GO:0005574', ('234', '237')) ('asbestos', 'Chemical', 'MESH:D001194', (92, 100)) ('cancer', 'Phenotype', 'HP:0002664', (249, 255)) 2442 21412769 The hepatocyte growth/scatter factor (HGF) and its receptor tyrosine kinase c-Met are highly expressed in most MM, especially those containing SV40; HGF activation is mediated through a PI3K/ERK5/Fra-1 feedback pathway. ('Fra-1', 'Gene', (196, 201)) ('Fra-1', 'Gene', '8061', (196, 201)) ('hepatocyte', 'MPA', (4, 14)) ('HGF', 'Gene', (38, 41)) ('c-Met', 'Gene', (76, 81)) ('SV40', 'Species', '1891767', (143, 147)) ('c-Met', 'Gene', '4233', (76, 81)) ('HGF', 'Gene', (149, 152)) ('ERK', 'molecular_function', 'GO:0004707', ('191', '194')) ('SV40', 'Var', (143, 147)) ('HGF', 'Gene', '3082', (149, 152)) ('HGF', 'Gene', '3082', (38, 41)) ('PI3K', 'molecular_function', 'GO:0016303', ('186', '190')) 2504 21412769 In human MM biopsies, SV40 has been shown to bind and inactivate p53 and pRb, and to activate c-met, IGF-I and other oncogenes. ('pRb', 'Gene', (73, 76)) ('activate', 'PosReg', (85, 93)) ('inactivate', 'NegReg', (54, 64)) ('human', 'Species', '9606', (3, 8)) ('c-met', 'Gene', (94, 99)) ('SV40', 'Species', '1891767', (22, 26)) ('SV40', 'Var', (22, 26)) ('c-met', 'Gene', '4233', (94, 99)) ('p53', 'Protein', (65, 68)) ('bind', 'Interaction', (45, 49)) ('IGF-I', 'Gene', (101, 106)) ('oncogenes', 'Gene', (117, 126)) 2506 21412769 Other studies found that only a low percentage, 5-6%, of MM contained SV40 and suggested that both the low incidence and the low amunt of SV40 present argued against a pathogenic role. ('SV40', 'Species', '1891767', (138, 142)) ('SV40', 'Var', (70, 74)) ('contained', 'Reg', (60, 69)) ('SV40', 'Species', '1891767', (70, 74)) 2508 21412769 Among the 8 women, 3 contained SV40. ('SV40', 'Var', (31, 35)) ('women', 'Species', '9606', (12, 17)) ('SV40', 'Species', '1891767', (31, 35)) ('contained', 'Reg', (21, 30)) 2517 21412769 Although it is well accepted that SV40 causes MM in animals and data unequivocally show that SV40 acts as a co-factor for asbestos carcinogenesis, the role of SV40 in causing human MM is controversial. ('causes', 'Reg', (39, 45)) ('human', 'Species', '9606', (175, 180)) ('SV40', 'Species', '1891767', (93, 97)) ('SV40', 'Species', '1891767', (159, 163)) ('asbestos carcinogenesis', 'Disease', 'MESH:D063646', (122, 145)) ('SV40', 'Species', '1891767', (34, 38)) ('asbestos carcinogenesis', 'Disease', (122, 145)) ('SV40', 'Var', (34, 38)) 2562 21412769 Multivariate analysis of 78 MM patients indicated that high levels of ER beta was an independent protective factor of all-cause mortality (HR= 0.2; 95% CI, 0.05-0.6), although only 4 out of 19 women (21.1%) and 8 out of 59 men (13.6%) were classified as having high levels. ('men', 'Species', '9606', (223, 226)) ('all-cause', 'Disease', (118, 127)) ('ER beta', 'Gene', (70, 77)) ('high levels', 'Var', (55, 66)) ('women', 'Species', '9606', (193, 198)) ('patients', 'Species', '9606', (31, 39)) ('ER beta', 'Gene', '2100', (70, 77)) ('men', 'Species', '9606', (195, 198)) 2698 20591913 FISH assay development for the detection of p16/CDKN2A deletion in malignant pleural mesothelioma To develop a fluorescence in-situ hybridisation (FISH) assay for detecting p16/CDKN2A deletion on paraffin tissue sections for use as an ancillary test to distinguish reactive from malignant mesothelial proliferations. ('CDKN2A', 'Gene', (177, 183)) ('p16', 'Gene', (44, 47)) ('pleural mesothelioma', 'Disease', 'MESH:D008654', (77, 97)) ('p16', 'Gene', '1029', (173, 176)) ('CDKN2A', 'Gene', '1029', (177, 183)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (77, 97)) ('pleural mesothelioma', 'Disease', (77, 97)) ('CDKN2A', 'Gene', (48, 54)) ('p16', 'Gene', '1029', (44, 47)) ('deletion', 'Var', (55, 63)) ('p16', 'Gene', (173, 176)) ('CDKN2A', 'Gene', '1029', (48, 54)) ('paraffin', 'Chemical', 'MESH:D010232', (196, 204)) 2699 20591913 Dual-colour FISH for p16/CDKN2A and chromosome 9 (CEP-9) was performed on 11 benign mesothelial proliferations and 54 malignant pleural mesothelioma (MPM) cases to establish cut-off values for p16/CDKN2A deletion. ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (118, 148)) ('deletion', 'Var', (204, 212)) ('p16', 'Gene', '1029', (193, 196)) ('CDKN2A', 'Gene', (197, 203)) ('malignant pleural mesothelioma', 'Disease', (118, 148)) ('p16', 'Gene', (21, 24)) ('CDKN2A', 'Gene', '1029', (197, 203)) ('chromosome', 'cellular_component', 'GO:0005694', ('36', '46')) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (128, 148)) ('CDKN2A', 'Gene', (25, 31)) ('p16', 'Gene', (193, 196)) ('CEP', 'molecular_function', 'GO:0047849', ('50', '53')) ('p16', 'Gene', '1029', (21, 24)) ('CDKN2A', 'Gene', '1029', (25, 31)) 2700 20591913 Cut-off values for p16/CDKN2A deletion were calculated based on FISH signalling patterns obtained from the benign controls (mean percent nuclei plus three standard deviations). ('p16', 'Gene', (19, 22)) ('CDKN2A', 'Gene', (23, 29)) ('deletion', 'Var', (30, 38)) ('p16', 'Gene', '1029', (19, 22)) ('CDKN2A', 'Gene', '1029', (23, 29)) ('signalling', 'biological_process', 'GO:0023052', ('69', '79')) 2701 20591913 Hemizygous deletion was defined as >44% of nuclei showing the hemizygous (one p16/CDKN2A, two CEP-9 signals) or >15% of nuclei showing the monosomy (one p16/CDKN2A, one CEP-9 signal) deletion patterns. ('p16', 'Gene', (153, 156)) ('p16', 'Gene', (78, 81)) ('p16', 'Gene', '1029', (153, 156)) ('CDKN2A', 'Gene', (82, 88)) ('CEP', 'molecular_function', 'GO:0047849', ('169', '172')) ('CDKN2A', 'Gene', (157, 163)) ('CDKN2A', 'Gene', '1029', (82, 88)) ('p16', 'Gene', '1029', (78, 81)) ('CEP', 'molecular_function', 'GO:0047849', ('94', '97')) ('CDKN2A', 'Gene', '1029', (157, 163)) ('deletion', 'Var', (183, 191)) 2703 20591913 P16/CDKN2A deletion was detected in 61% (33/54) of MPM cases. ('detected', 'Reg', (24, 32)) ('P16', 'Gene', (0, 3)) ('CDKN2A', 'Gene', '1029', (4, 10)) ('P16', 'Gene', '1029', (0, 3)) ('deletion', 'Var', (11, 19)) ('CDKN2A', 'Gene', (4, 10)) ('MPM', 'Disease', (51, 54)) 2704 20591913 Among the equivocal biopsies, four showed homozygous and one showed hemizygous p16/CDKN2A deletion. ('deletion', 'Var', (90, 98)) ('p16', 'Gene', '1029', (79, 82)) ('CDKN2A', 'Gene', '1029', (83, 89)) ('p16', 'Gene', (79, 82)) ('CDKN2A', 'Gene', (83, 89)) 2705 20591913 Age over 60 years, asbestos exposure and p16/CDKN2A deletion were associated with a worse prognosis. ('p16', 'Gene', (41, 44)) ('asbestos', 'Chemical', 'MESH:D001194', (19, 27)) ('CDKN2A', 'Gene', (45, 51)) ('deletion', 'Var', (52, 60)) ('p16', 'Gene', '1029', (41, 44)) ('CDKN2A', 'Gene', '1029', (45, 51)) 2706 20591913 FISH for p16/CDKN2A deletion is a useful test for confirming the diagnosis of MPM. ('MPM', 'Disease', (78, 81)) ('CDKN2A', 'Gene', (13, 19)) ('p16', 'Gene', '1029', (9, 12)) ('deletion', 'Var', (20, 28)) ('CDKN2A', 'Gene', '1029', (13, 19)) ('p16', 'Gene', (9, 12)) 2712 20591913 Deletion involving the 9p21 locus, the site of the cyclin-dependent kinase inhibitor 2A/p16 gene (p16/CDKN2A), frequently occurs in mesothelioma. ('p16', 'Gene', (88, 91)) ('kinase inhibitor', 'biological_process', 'GO:0033673', ('68', '84')) ('p16', 'Gene', (98, 101)) ('occurs', 'Reg', (122, 128)) ('CDKN2A', 'Gene', (102, 108)) ('p16', 'Gene', '1029', (88, 91)) ('cyclin-dependent kinase inhibitor', 'molecular_function', 'GO:0004861', ('51', '84')) ('mesothelioma', 'Disease', (132, 144)) ('CDKN2A', 'Gene', '1029', (102, 108)) ('p16', 'Gene', '1029', (98, 101)) ('mesothelioma', 'Disease', 'MESH:D008654', (132, 144)) ('Deletion', 'Var', (0, 8)) 2713 20591913 Homozygous deletion has been reported in 22-74% of mesotheliomas. ('Homozygous deletion', 'Var', (0, 19)) ('mesotheliomas', 'Disease', (51, 64)) ('reported', 'Reg', (29, 37)) ('mesotheliomas', 'Disease', 'MESH:D008654', (51, 64)) 2714 20591913 The objectives of this study were to: (a) develop a FISH assay for clinical use in the diagnosis of MPM, by establishing cut-off values for the detection of p16/CDKN2A deletion on formalin-fixed paraffin-embedded (FFPE) material; and (b) test the assay on tissue sections from equivocal cases with known clinical outcome. ('formalin', 'Chemical', 'MESH:D005557', (180, 188)) ('paraffin', 'Chemical', 'MESH:D010232', (195, 203)) ('p16', 'Gene', (157, 160)) ('CDKN2A', 'Gene', (161, 167)) ('MPM', 'Disease', (100, 103)) ('deletion', 'Var', (168, 176)) ('p16', 'Gene', '1029', (157, 160)) ('CDKN2A', 'Gene', '1029', (161, 167)) 2730 20591913 As monosomy pattern could be interpreted as hemizygous deletion, hemizygous p16/CDKN2A deletion was defined as >44% of nuclei showing 1SpO/1SpG or >15% of nuclei showing 1SpO/2SpG (table 2). ('CDKN2A', 'Gene', '1029', (80, 86)) ('1SpO/1SpG', 'Var', (134, 143)) ('p16', 'Gene', '1029', (76, 79)) ('p16', 'Gene', (76, 79)) ('deletion', 'Var', (87, 95)) ('CDKN2A', 'Gene', (80, 86)) 2731 20591913 To mitigate uncertainty from artifactual loss of signals due to nuclear sectioning, a cut-off of >10% for 0SpO/1-2SpG was defined for homozygous deletion (table 2). ('artifactual loss', 'Disease', 'MESH:D015431', (29, 45)) ('artifactual loss', 'Disease', (29, 45)) ('deletion', 'Var', (145, 153)) 2732 20591913 Using this cut-off, homozygous p16/CDKN2A deletion was detected in 23/54 (43%) of MPM cases (table 3, figure 1). ('p16', 'Gene', '1029', (31, 34)) ('CDKN2A', 'Gene', '1029', (35, 41)) ('detected', 'Reg', (55, 63)) ('MPM', 'Disease', (82, 85)) ('p16', 'Gene', (31, 34)) ('deletion', 'Var', (42, 50)) ('CDKN2A', 'Gene', (35, 41)) 2735 20591913 P16/CDKN2A deletion shows 61% sensitivity and 100% specificity for MPM. ('MPM', 'Disease', (67, 70)) ('P16', 'Gene', (0, 3)) ('CDKN2A', 'Gene', (4, 10)) ('P16', 'Gene', '1029', (0, 3)) ('deletion', 'Var', (11, 19)) ('CDKN2A', 'Gene', '1029', (4, 10)) 2736 20591913 Four cases showed homozygous p16/CDKN2A deletion (mean 49%, range 16-75%) and one showed hemizygous (1SpO/2SpG) deletion. ('p16', 'Gene', (29, 32)) ('CDKN2A', 'Gene', (33, 39)) ('deletion', 'Var', (40, 48)) ('CDKN2A', 'Gene', '1029', (33, 39)) ('p16', 'Gene', '1029', (29, 32)) 2741 20591913 Correlation of patient characteristics and p16/CDKN2A FISH status with clinical outcome showed that age >=60 (35% vs 20% survival at 2 years; p=0.026), asbestos exposure (39% vs 17% survival at 2 years; p=0.039) and p16/CDKN2A deletion by FISH (50% vs 17% survival at 2 years; p=0.039) were significantly associated with reduced survival on univariate analysis (figure 2). ('p16', 'Gene', (43, 46)) ('patient', 'Species', '9606', (15, 22)) ('CDKN2A', 'Gene', (47, 53)) ('asbestos', 'Chemical', 'MESH:D001194', (152, 160)) ('p16', 'Gene', (216, 219)) ('reduced', 'NegReg', (321, 328)) ('CDKN2A', 'Gene', '1029', (47, 53)) ('p16', 'Gene', '1029', (43, 46)) ('CDKN2A', 'Gene', (220, 226)) ('survival', 'MPA', (329, 337)) ('deletion', 'Var', (227, 235)) ('p16', 'Gene', '1029', (216, 219)) ('CDKN2A', 'Gene', '1029', (220, 226)) 2742 20591913 There was no association between p16/CDKN2A deletion status and any of the clinical parameters. ('p16', 'Gene', (33, 36)) ('CDKN2A', 'Gene', (37, 43)) ('CDKN2A', 'Gene', '1029', (37, 43)) ('deletion status', 'Var', (44, 59)) ('p16', 'Gene', '1029', (33, 36)) 2743 20591913 We demonstrate that FISH for p16/CDKN2A deletion can be a clinically useful marker to confirm a diagnosis of malignancy, particularly in biopsies with limited material that lack definitive evidence of invasion. ('p16', 'Gene', (29, 32)) ('CDKN2A', 'Gene', (33, 39)) ('malignancy', 'Disease', (109, 119)) ('deletion', 'Var', (40, 48)) ('CDKN2A', 'Gene', '1029', (33, 39)) ('p16', 'Gene', '1029', (29, 32)) ('malignancy', 'Disease', 'MESH:D009369', (109, 119)) 2744 20591913 Moreover, we determined cut-off values for homozygous and hemizygous p16/CDKN2A deletion by FISH on routine FFPE tissue sections and tested our assay using equivocal cases. ('deletion', 'Var', (80, 88)) ('CDKN2A', 'Gene', '1029', (73, 79)) ('p16', 'Gene', (69, 72)) ('p16', 'Gene', '1029', (69, 72)) ('CDKN2A', 'Gene', (73, 79)) 2745 20591913 Using the established criteria, we show that hemizygous deletion alone may occur in mesothelioma and is, in and of itself, sufficient for the diagnosis of malignancy. ('mesothelioma', 'Disease', 'MESH:D008654', (84, 96)) ('malignancy', 'Disease', 'MESH:D009369', (155, 165)) ('malignancy', 'Disease', (155, 165)) ('hemizygous deletion', 'Var', (45, 64)) ('mesothelioma', 'Disease', (84, 96)) ('occur', 'Reg', (75, 80)) 2746 20591913 The establishment of cut-off values for detecting deletions in FFPE material requires special consideration because sectioning creates truncation artifacts; therefore cut-offs need to be higher than in samples containing intact nuclei, and criteria for deletion must account for this artifactual loss of signals. ('artifactual loss', 'Disease', (284, 300)) ('truncation', 'MPA', (135, 145)) ('deletions', 'Var', (50, 59)) ('artifactual loss', 'Disease', 'MESH:D015431', (284, 300)) 2747 20591913 Our overall rate of p16/CDKN2A deletion in MPM was 61%; 43% homozygous and 18% hemizygous. ('p16', 'Gene', (20, 23)) ('CDKN2A', 'Gene', (24, 30)) ('deletion', 'Var', (31, 39)) ('MPM', 'Gene', (43, 46)) ('CDKN2A', 'Gene', '1029', (24, 30)) ('p16', 'Gene', '1029', (20, 23)) 2748 20591913 Half of the homozygous deletion samples included a concurrent hemizygous pattern suggesting genetic tumour progression. ('tumour', 'Disease', (100, 106)) ('tumour', 'Phenotype', 'HP:0002664', (100, 106)) ('tumour', 'Disease', 'MESH:D009369', (100, 106)) ('deletion', 'Var', (23, 31)) 2749 20591913 Alternatively, haploid deficiency by hemizygous deletion in combination with other oncogenic events could be sufficient for malignant transformation. ('malignant transformation', 'CPA', (124, 148)) ('haploid deficiency', 'Disease', (15, 33)) ('haploid deficiency', 'Disease', 'MESH:D007153', (15, 33)) ('hemizygous deletion', 'Var', (37, 56)) 2750 20591913 Using FISH on 32 cytological specimens (whole cell nuclei), Illei et al identified homozygous p16/CDKN2A deletion in 85.7% (6/7) of cases with malignant cytology and 100% (6/6) with suspicious cytology; no deletion was detected in 19 cytologically negative specimens. ('deletion', 'Var', (105, 113)) ('p16', 'Gene', '1029', (94, 97)) ('CDKN2A', 'Gene', (98, 104)) ('p16', 'Gene', (94, 97)) ('CDKN2A', 'Gene', '1029', (98, 104)) 2751 20591913 They subsequently reported FISH on freshly imprinted tumour cells of 95 MPM and showed homozygous p16/CDKN2A deletion in 74% of cases and hemizygous loss in five cases (5%). ('p16', 'Gene', (98, 101)) ('deletion', 'Var', (109, 117)) ('tumour', 'Disease', (53, 59)) ('CDKN2A', 'Gene', (102, 108)) ('p16', 'Gene', '1029', (98, 101)) ('CDKN2A', 'Gene', '1029', (102, 108)) ('tumour', 'Phenotype', 'HP:0002664', (53, 59)) ('tumour', 'Disease', 'MESH:D009369', (53, 59)) 2753 20591913 More recently, a study that combined FFPE whole sections and tissue microarray (TMA) cores identified homozygous p16/CDKN2A deletion in 67% (35/52) of MPM and 25% (5/20) of peritoneal mesotheliomas. ('peritoneal mesotheliomas', 'Phenotype', 'HP:0100003', (173, 197)) ('p16', 'Gene', (113, 116)) ('CDKN2A', 'Gene', '1029', (117, 123)) ('p16', 'Gene', '1029', (113, 116)) ('peritoneal mesotheliomas', 'Disease', 'MESH:D008654', (173, 197)) ('MPM', 'Disease', (151, 154)) ('CDKN2A', 'Gene', (117, 123)) ('deletion', 'Var', (124, 132)) ('peritoneal mesotheliomas', 'Disease', (173, 197)) 2754 20591913 In these latter two studies, homozygous p16/CDKN2A deletion was defined by the same cut-off used by Illei et al, but without the rationale to justify the use of this cut-off in tissue sections. ('p16', 'Gene', (40, 43)) ('CDKN2A', 'Gene', (44, 50)) ('p16', 'Gene', '1029', (40, 43)) ('CDKN2A', 'Gene', '1029', (44, 50)) ('deletion', 'Var', (51, 59)) 2756 20591913 P16/CDKN2A deletion was associated with a worse outcome, with a 50% two-year survival for lack of p16/CDKN2A deletion versus 17% survival for patients with the deletion. ('p16', 'Gene', (98, 101)) ('deletion', 'Var', (109, 117)) ('P16', 'Gene', (0, 3)) ('CDKN2A', 'Gene', (102, 108)) ('lack', 'NegReg', (90, 94)) ('CDKN2A', 'Gene', '1029', (4, 10)) ('P16', 'Gene', '1029', (0, 3)) ('p16', 'Gene', '1029', (98, 101)) ('CDKN2A', 'Gene', '1029', (102, 108)) ('deletion', 'Var', (11, 19)) ('patients', 'Species', '9606', (142, 150)) ('CDKN2A', 'Gene', (4, 10)) 2757 20591913 This is consistent with previous studies identifying loss of p16/CDKN2A as a poor prognostic indicator. ('CDKN2A', 'Gene', '1029', (65, 71)) ('CDKN2A', 'Gene', (65, 71)) ('p16', 'Gene', (61, 64)) ('loss', 'Var', (53, 57)) ('p16', 'Gene', '1029', (61, 64)) 2759 20591913 In conclusion, FISH for p16/CDKN2A deletion on FFPE sections is a clinically relevant confirmatory test for diagnosing MPM. ('p16', 'Gene', '1029', (24, 27)) ('MPM', 'Disease', (119, 122)) ('p16', 'Gene', (24, 27)) ('CDKN2A', 'Gene', (28, 34)) ('deletion', 'Var', (35, 43)) ('CDKN2A', 'Gene', '1029', (28, 34)) 2760 20591913 Establishing cut-off values for p16/CDKN2A deletion using appropriate controls is essential to fluorescence in situ hybridisation (FISH) assay development on paraffin sections. ('paraffin', 'Chemical', 'MESH:D010232', (158, 166)) ('CDKN2A', 'Gene', (36, 42)) ('deletion', 'Var', (43, 51)) ('p16', 'Gene', '1029', (32, 35)) ('CDKN2A', 'Gene', '1029', (36, 42)) ('p16', 'Gene', (32, 35)) 2761 20591913 Detection of hemizygous p16/CDKN2A deletion alone is supportive of the diagnosis of malignant pleural mesothelioma. ('p16', 'Gene', '1029', (24, 27)) ('p16', 'Gene', (24, 27)) ('CDKN2A', 'Gene', (28, 34)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (94, 114)) ('deletion', 'Var', (35, 43)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (84, 114)) ('CDKN2A', 'Gene', '1029', (28, 34)) ('malignant pleural mesothelioma', 'Disease', (84, 114)) 2762 20591913 Presence of p16/CDKN2A deletion by FISH is associated with a worse prognosis in malignant pleural mesothelioma (MPM). ('deletion', 'Var', (23, 31)) ('p16', 'Gene', '1029', (12, 15)) ('CDKN2A', 'Gene', (16, 22)) ('CDKN2A', 'Gene', '1029', (16, 22)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (90, 110)) ('malignant pleural mesothelioma', 'Disease', (80, 110)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (80, 110)) ('p16', 'Gene', (12, 15)) 2781 28168071 Mesothelioma is caused by a mutation of mesothelial cells that make up the lining of organs as lung, pericardium, peritoneum, and testicles. ('mutation', 'Var', (28, 36)) ('Mesothelioma', 'Disease', (0, 12)) ('Mesothelioma', 'Disease', 'MESH:D008654', (0, 12)) ('caused by', 'Reg', (16, 25)) 2802 26467803 Despite the import of asbestos into the UK having been banned for two decades, Health and Safety Executive data for 2012 shows that MPM caused 2535 deaths in England, Wales and Scotland. ('MPM', 'Var', (132, 135)) ('death', 'Disease', 'MESH:D003643', (148, 153)) ('asbestos', 'Chemical', 'MESH:D001194', (22, 30)) ('death', 'Disease', (148, 153)) 2888 23868066 Polyubiquitinated RIPK1 then serves as a docking site for the downstream kinases that activate the canonical nuclear factor-kappaB (NF-kappaB, RelA/p50) signaling pathway. ('NF-kappaB', 'Gene', (132, 141)) ('p50', 'Gene', '4790', (148, 151)) ('Polyubiquitinated', 'Var', (0, 17)) ('RelA', 'Gene', (143, 147)) ('RIPK1', 'Gene', (18, 23)) ('RelA', 'Gene', '5970', (143, 147)) ('activate', 'PosReg', (86, 94)) ('signaling pathway', 'biological_process', 'GO:0007165', ('153', '170')) ('NF-kappaB', 'Gene', '4790', (132, 141)) ('RIPK1', 'Gene', '8737', (18, 23)) ('p50', 'Gene', (148, 151)) 2890 23868066 Thus, by ubiquitinating RIPK1, cIAP1 and cIAP2 act as positive regulators of the generally antiapoptotic, pro-inflammatory canonical NF-kappaB signaling pathway and at the same time inhibit caspase 8 activation in response to ligation of TNFR1. ('NF-kappaB', 'Gene', '4790', (133, 142)) ('caspase 8', 'Gene', '841', (190, 199)) ('TNFR1', 'Gene', '7132', (238, 243)) ('RIPK1', 'Gene', (24, 29)) ('NF-kappaB', 'Gene', (133, 142)) ('cIAP1', 'Gene', (31, 36)) ('cIAP1', 'Gene', '329', (31, 36)) ('caspase 8', 'Gene', (190, 199)) ('ubiquitinating', 'Var', (9, 23)) ('activation', 'MPA', (200, 210)) ('inhibit', 'NegReg', (182, 189)) ('cIAP2', 'Gene', (41, 46)) ('TNFR1', 'Gene', (238, 243)) ('cIAP2', 'Gene', '330', (41, 46)) ('ligation', 'MPA', (226, 234)) ('signaling pathway', 'biological_process', 'GO:0007165', ('143', '160')) ('RIPK1', 'Gene', '8737', (24, 29)) 2893 23868066 Moreover, FLIP is the product of an NFkappaB target gene (CFLAR) and therefore is upregulated following TNFR1 ligation. ('ligation', 'Var', (110, 118)) ('TNFR1', 'Gene', '7132', (104, 109)) ('NFkappaB', 'Gene', '4790', (36, 44)) ('CFLAR', 'Gene', '8837', (58, 63)) ('upregulated', 'PosReg', (82, 93)) ('CFLAR', 'Gene', (58, 63)) ('TNFR1', 'Gene', (104, 109)) ('FLIP', 'MPA', (10, 14)) ('NFkappaB', 'Gene', (36, 44)) 2895 23868066 Under certain conditions Complex II can induce cell death through an non-apoptotic, programmed necrosis pathway, which is dependent on RIPK1 and 3. ('Complex II', 'molecular_function', 'GO:0008177', ('25', '35')) ('non-apoptotic', 'Pathway', (69, 82)) ('programmed necrosis', 'biological_process', 'GO:0070266', ('84', '103')) ('cell death', 'CPA', (47, 57)) ('Complex', 'Var', (25, 32)) ('necrosis', 'Disease', (95, 103)) ('RIPK1 and 3', 'Gene', '8737;11035', (135, 146)) ('necrosis', 'Disease', 'MESH:D009336', (95, 103)) ('cell death', 'biological_process', 'GO:0008219', ('47', '57')) 2933 23868066 Indeed, we found that FLIP silencing did not promote formation of complex IIb formation either in response to SMC or TNFalpha treatment (Supplementary Figure 4C). ('formation', 'biological_process', 'GO:0009058', ('78', '87')) ('TNFalpha', 'Gene', (117, 125)) ('SMC', 'cellular_component', 'GO:0016029', ('110', '113')) ('TNFalpha', 'Gene', '7124', (117, 125)) ('formation', 'biological_process', 'GO:0009058', ('53', '62')) ('FLIP silencing', 'Var', (22, 36)) 2936 23868066 To further prove that it is FLIP's recruitment to complex IIb that modulates sensitivity to AT-IAP/TNFalpha, we utilized a FLIP mutant (F114A) that cannot interact with the critical adapter protein in the complex, FADD (Figure 4c). ('TNFalpha', 'Gene', (99, 107)) ('IAP', 'Gene', '961', (95, 98)) ('F114A', 'Mutation', 'p.F114A', (136, 141)) ('protein', 'cellular_component', 'GO:0003675', ('190', '197')) ('TNFalpha', 'Gene', '7124', (99, 107)) ('IAP', 'Gene', (95, 98)) ('modulates', 'Reg', (67, 76)) ('F114A', 'Var', (136, 141)) 2937 23868066 When endogenous FLIP(L) and FLIP(S) proteins were depleted with a 5'-UTR-targeting siRNA (Supplementary Figure 4D), an exogenously expressed wild-type FLIP(S) protein was able to completely rescue the cell death induced by AT-IAP/TNFalpha treatment, however, the exogenously expressed F114A FLIP(S) mutant failed to rescue the cell death phenotype (Figure 4d), indicating that FLIP(S) must be able to interact with FADD to inhibit cell death induced by AT-IAP/TNFalpha. ('TNFalpha', 'Gene', (460, 468)) ('IAP', 'Gene', (456, 459)) ('inhibit', 'NegReg', (423, 430)) ('TNFalpha', 'Gene', (230, 238)) ('cell death', 'CPA', (431, 441)) ('cell death', 'biological_process', 'GO:0008219', ('201', '211')) ('protein', 'cellular_component', 'GO:0003675', ('159', '166')) ('TNFalpha', 'Gene', '7124', (460, 468)) ('F114A', 'Var', (285, 290)) ('TNFalpha', 'Gene', '7124', (230, 238)) ('cell death', 'biological_process', 'GO:0008219', ('327', '337')) ('cell death', 'biological_process', 'GO:0008219', ('431', '441')) ('IAP', 'Gene', '961', (226, 229)) ('cell death', 'CPA', (201, 211)) ('F114A', 'Mutation', 'p.F114A', (285, 290)) ('IAP', 'Gene', '961', (456, 459)) ('IAP', 'Gene', (226, 229)) 2944 23868066 However, these results demonstrate that although cisplatin can induce downregulation of FLIP(S) in some MPM cell lines, it has little effect on FLIP(L) expression. ('downregulation', 'NegReg', (70, 84)) ('cisplatin', 'Chemical', 'MESH:D002945', (49, 58)) ('FLIP(S', 'Gene', (88, 94)) ('cisplatin', 'Var', (49, 58)) 2954 23868066 Consistent with FLIP downregulation being necessary for SAHA treatment to promote AT-IAP/TNFalpha-induced cell death, overexpression of either FLIP(S) or FLIP(L) blocked the effects of SAHA and AT-IAP/TNFalpha cotreatment on cell death (Figure 7b). ('FLIP', 'Var', (154, 158)) ('TNFalpha', 'Gene', (89, 97)) ('SAHA', 'Chemical', '-', (185, 189)) ('IAP', 'Gene', '961', (197, 200)) ('TNFalpha', 'Gene', '7124', (89, 97)) ('cell death', 'biological_process', 'GO:0008219', ('225', '235')) ('IAP', 'Gene', (197, 200)) ('downregulation', 'NegReg', (21, 35)) ('TNFalpha', 'Gene', (201, 209)) ('IAP', 'Gene', (85, 88)) ('SAHA', 'Chemical', '-', (56, 60)) ('IAP', 'Gene', '961', (85, 88)) ('TNFalpha', 'Gene', '7124', (201, 209)) ('cell death', 'biological_process', 'GO:0008219', ('106', '116')) 2965 23868066 Thus, the central tenet of our approach was that inhibition of IAP function would divert microenvironment-derived, pro-inflammatory signaling from activating pro-tumorigenic NF-kappaB-driven responses towards apoptosis-promoting and anti-inflammatory signaling phenotypes. ('IAP', 'Gene', (63, 66)) ('divert', 'NegReg', (82, 88)) ('tumor', 'Phenotype', 'HP:0002664', (162, 167)) ('microenvironment-derived', 'MPA', (89, 113)) ('activating', 'PosReg', (147, 157)) ('NF-kappaB', 'Gene', '4790', (174, 183)) ('tumor', 'Disease', (162, 167)) ('signaling', 'biological_process', 'GO:0023052', ('251', '260')) ('NF-kappaB', 'Gene', (174, 183)) ('apoptosis', 'biological_process', 'GO:0097194', ('209', '218')) ('signaling', 'biological_process', 'GO:0023052', ('132', '141')) ('inhibition', 'Var', (49, 59)) ('apoptosis', 'biological_process', 'GO:0006915', ('209', '218')) ('IAP', 'Gene', '961', (63, 66)) ('tumor', 'Disease', 'MESH:D009369', (162, 167)) 2999 23868066 REN cell lines overexpressing FLIP(L) and FLIP(S) were generated as previously described. ('REN', 'Gene', '5972', (0, 3)) ('FLIP', 'Var', (30, 34)) ('REN', 'Gene', (0, 3)) 3041 22569537 Staining for anti-EAAT1 and anti-GS antibodies was positive in H2052, H513, MS-1, 211H and H290, and negative in H28 and LP9. ('H290', 'CellLine', 'CVCL:A555', (91, 95)) ('GS', 'Gene', '2752', (33, 35)) ('EAAT1', 'Gene', (18, 23)) ('EAAT1', 'Gene', '6507', (18, 23)) ('H513', 'CellLine', 'CVCL:A570', (70, 74)) ('LP9', 'CellLine', 'CVCL:E109', (121, 124)) ('H2052', 'Var', (63, 68)) 3049 22569537 Western blot analysis showed that EAAT1 protein expression was high in H2052, MS-1, 211H, H513 and H290, but low in H28 and LP9. ('H290', 'CellLine', 'CVCL:A555', (99, 103)) ('low', 'NegReg', (109, 112)) ('EAAT1', 'Gene', (34, 39)) ('EAAT1', 'Gene', '6507', (34, 39)) ('expression', 'MPA', (48, 58)) ('protein', 'cellular_component', 'GO:0003675', ('40', '47')) ('H2052', 'Var', (71, 76)) ('LP9', 'CellLine', 'CVCL:E109', (124, 127)) ('H513', 'CellLine', 'CVCL:A570', (90, 94)) ('high', 'PosReg', (63, 67)) 3099 22043159 According to the literature, the main positive MM markers include HBME-1, 34betaE12, calretinin, WT-1 and vimentin, and the negative markers mainly include TTF-1 and villin. ('vimentin', 'cellular_component', 'GO:0045099', ('106', '114')) ('34betaE12', 'Var', (74, 83)) ('vimentin', 'cellular_component', 'GO:0045098', ('106', '114')) ('HBME-1', 'CellLine', 'CVCL:U718', (66, 72)) ('calretinin', 'Gene', '794', (85, 95)) ('TTF-1', 'Gene', '7080', (156, 161)) ('TTF-1', 'Gene', (156, 161)) ('WT-1 and vimentin', 'Gene', '7490;7431', (97, 114)) ('calretinin', 'Gene', (85, 95)) ('HBME-1', 'Gene', (66, 72)) 3126 18662397 The effects of these mutations and additional effects from environmental risk factors have begun to explain how malignant mesothelioma cells form malignant tumors. ('malignant mesothelioma', 'Disease', 'MESH:C562839', (112, 134)) ('iron', 'Chemical', 'MESH:D007501', (62, 66)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (112, 134)) ('malignant mesothelioma', 'Disease', (112, 134)) ('tumor', 'Phenotype', 'HP:0002664', (156, 161)) ('tumors', 'Phenotype', 'HP:0002664', (156, 162)) ('malignant tumors', 'Disease', (146, 162)) ('malignant tumors', 'Disease', 'MESH:D018198', (146, 162)) ('mutations', 'Var', (21, 30)) 3132 18662397 Epigenetic methods may also contribute to TSG inactivation. ('TSG', 'Gene', '57045', (42, 45)) ('contribute', 'Reg', (28, 38)) ('inactivation', 'NegReg', (46, 58)) ('Epigenetic methods', 'Var', (0, 18)) ('TSG', 'Gene', (42, 45)) 3138 18662397 The most well-known mechanism is the inactivation of p53's upstream regulator p14ARF. ('p53', 'Gene', (53, 56)) ('inactivation', 'Var', (37, 49)) ('p14ARF', 'Gene', (78, 84)) ('p14ARF', 'Gene', '1029', (78, 84)) 3139 18662397 With the loss of p14ARF, the cell loses its ability to inhibit MDM2. ('loses', 'NegReg', (34, 39)) ('ability', 'MPA', (44, 51)) ('p14ARF', 'Gene', (17, 23)) ('loss', 'Var', (9, 13)) ('MDM2', 'Gene', '4193', (63, 67)) ('MDM2', 'Gene', (63, 67)) ('inhibit', 'NegReg', (55, 62)) ('p14ARF', 'Gene', '1029', (17, 23)) 3145 18662397 Homozygous deletion of p16/CDKN2A has been reported in >70% of malignant mesotheliomas, and has been associated with poor prognosis. ('p16', 'Gene', (23, 26)) ('malignant mesotheliomas', 'Phenotype', 'HP:0100001', (63, 86)) ('malignant mesotheliomas', 'Disease', (63, 86)) ('CDKN2A', 'Gene', (27, 33)) ('malignant mesotheliomas', 'Disease', 'MESH:C562839', (63, 86)) ('p16', 'Gene', '1029', (23, 26)) ('Homozygous deletion', 'Var', (0, 19)) ('reported', 'Reg', (43, 51)) ('CDKN2A', 'Gene', '1029', (27, 33)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (63, 85)) 3151 18662397 found that the re-expression of merlin in two human malignant mesothelioma cell lines significantly decreased cell motility and invasion. ('re-expression', 'Var', (15, 28)) ('cell motility', 'biological_process', 'GO:0048870', ('110', '123')) ('malignant mesothelioma', 'Disease', (52, 74)) ('merlin', 'Gene', '4771', (32, 38)) ('human', 'Species', '9606', (46, 51)) ('decreased', 'NegReg', (100, 109)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (52, 74)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (52, 74)) ('merlin', 'Gene', (32, 38)) 3154 18662397 While the loss of TSGs allows the cell to grow in light of aberrant changes in cellular DNA and function, it is the activation of oncogenes that inspires cell growth and proliferation. ('loss', 'Var', (10, 14)) ('TSG', 'Gene', (18, 21)) ('cell growth', 'biological_process', 'GO:0016049', ('154', '165')) ('function', 'MPA', (96, 104)) ('rat', 'Species', '10116', (177, 180)) ('changes', 'Reg', (68, 75)) ('proliferation', 'CPA', (170, 183)) ('cell growth', 'CPA', (154, 165)) ('TSG', 'Gene', '57045', (18, 21)) ('DNA', 'cellular_component', 'GO:0005574', ('88', '91')) 3167 18662397 SV40tag is known to inhibit protein phosphatase 2A (PP2A). ('SV40tag', 'Var', (0, 7)) ('protein', 'Protein', (28, 35)) ('inhibit', 'NegReg', (20, 27)) ('PP2A', 'Gene', '5524', (52, 56)) ('protein phosphatase 2A', 'molecular_function', 'GO:0050115', ('28', '50')) ('PP2A', 'Gene', (52, 56)) ('protein', 'cellular_component', 'GO:0003675', ('28', '35')) ('phosphatase 2A', 'Gene', (36, 50)) ('phosphatase 2A', 'Gene', '5524', (36, 50)) 3174 18662397 It is interesting that activating mutations in the GSK3beta phosphorylation sites of beta-catenin have not been detected since mutations in the p53 and pRb tumor suppressors also do not appear to play an important role in MPM pathogenesis as discussed above. ('beta-catenin', 'Gene', '1499', (85, 97)) ('pRb', 'Gene', (152, 155)) ('GSK3beta', 'Gene', '2932', (51, 59)) ('tumor', 'Disease', 'MESH:D009369', (156, 161)) ('MPM', 'Disease', (222, 225)) ('pRb', 'Gene', '5925', (152, 155)) ('tumor', 'Phenotype', 'HP:0002664', (156, 161)) ('phosphorylation', 'biological_process', 'GO:0016310', ('60', '75')) ('pathogenesis', 'biological_process', 'GO:0009405', ('226', '238')) ('tumor', 'Disease', (156, 161)) ('beta-catenin', 'Gene', (85, 97)) ('mutations', 'Var', (127, 136)) ('GSK3beta', 'Gene', (51, 59)) ('GSK', 'molecular_function', 'GO:0050321', ('51', '54')) ('p53', 'Gene', (144, 147)) 3176 18662397 For example, an increase in disheveled expression has been observed in patient samples and mesothelioma cell lines, and a lack of staining in some mesotheliomas for the C-terminus of APC has led to the hypothesis that inactivating mutations of APC may be involved. ('mesothelioma', 'Disease', 'MESH:D008654', (91, 103)) ('mesotheliomas', 'Disease', (147, 160)) ('mesothelioma', 'Disease', (147, 159)) ('disheveled expression', 'MPA', (28, 49)) ('APC', 'Phenotype', 'HP:0005227', (244, 247)) ('APC', 'Disease', 'MESH:D011125', (244, 247)) ('increase', 'PosReg', (16, 24)) ('mesothelioma', 'Disease', 'MESH:D008654', (147, 159)) ('APC', 'Phenotype', 'HP:0005227', (183, 186)) ('inactivating mutations', 'Var', (218, 240)) ('APC', 'cellular_component', 'GO:0005680', ('183', '186')) ('APC', 'cellular_component', 'GO:0005680', ('244', '247')) ('mesothelioma', 'Disease', (91, 103)) ('APC', 'Disease', 'MESH:D011125', (183, 186)) ('APC', 'Disease', (244, 247)) ('patient', 'Species', '9606', (71, 78)) ('APC', 'Disease', (183, 186)) ('mesotheliomas', 'Disease', 'MESH:D008654', (147, 160)) 3180 18662397 Lastly, SV40tag may also be involved in the activation of the Wnt pathway, in addition to its role of ERK activation. ('Wnt pathway', 'Pathway', (62, 73)) ('ERK', 'molecular_function', 'GO:0004707', ('102', '105')) ('ERK', 'Gene', '5594', (102, 105)) ('involved', 'Reg', (28, 36)) ('ERK', 'Gene', (102, 105)) ('SV40tag', 'Var', (8, 15)) 3198 18662397 The use of antisense oligonucleotides (ODN) to inhibit the production of both VEGF and VEGF-C slowed mesothelioma cell growth. ('VEGF-C', 'Gene', (87, 93)) ('VEGF', 'Gene', '7422', (78, 82)) ('VEGF', 'Gene', (78, 82)) ('inhibit', 'NegReg', (47, 54)) ('oligonucleotides', 'Chemical', 'MESH:D009841', (21, 37)) ('VEGF', 'Gene', '7422', (87, 91)) ('mesothelioma', 'Disease', (101, 113)) ('production', 'MPA', (59, 69)) ('cell growth', 'biological_process', 'GO:0016049', ('114', '125')) ('slowed', 'NegReg', (94, 100)) ('VEGF-C', 'Gene', '7424', (87, 93)) ('antisense', 'Var', (11, 20)) ('VEGF', 'Gene', (87, 91)) ('mesothelioma', 'Disease', 'MESH:D008654', (101, 113)) 3199 18662397 In addition, antibodies to VEGF receptor (VEGFR-2) and VEGF-C receptor (VEGFR-3) had a synergistic effect in inhibiting mesothelioma cell growth. ('inhibiting', 'NegReg', (109, 119)) ('VEGF-C', 'Gene', (55, 61)) ('VEGF', 'Gene', '7422', (27, 31)) ('VEGFR-3', 'Gene', (72, 79)) ('VEGF-C', 'Gene', '7424', (55, 61)) ('EGF receptor', 'Gene', (28, 40)) ('VEGF', 'Gene', (27, 31)) ('VEGF', 'Gene', '7422', (42, 46)) ('VEGF', 'Gene', (42, 46)) ('VEGFR-2', 'Gene', '3791', (42, 49)) ('mesothelioma', 'Disease', (120, 132)) ('VEGF', 'Gene', '7422', (55, 59)) ('mesothelioma', 'Disease', 'MESH:D008654', (120, 132)) ('VEGF', 'Gene', '7422', (72, 76)) ('cell growth', 'biological_process', 'GO:0016049', ('133', '144')) ('VEGF', 'Gene', (55, 59)) ('VEGFR-3', 'Gene', '2324', (72, 79)) ('antibodies', 'Var', (13, 23)) ('VEGF', 'Gene', (72, 76)) ('EGF receptor', 'Gene', '1956', (28, 40)) ('VEGFR-2', 'Gene', (42, 49)) 3201 18662397 Production and release of VEGF was greater in SV40Tag-positive MPM cells than in MPM cells that did not show evidence of SV40 infection. ('greater', 'PosReg', (35, 42)) ('SV40 infection', 'Disease', (121, 135)) ('Production', 'MPA', (0, 10)) ('VEGF', 'Gene', (26, 30)) ('SV40Tag-positive', 'Var', (46, 62)) ('SV40 infection', 'Disease', 'MESH:D007239', (121, 135)) ('VEGF', 'Gene', '7422', (26, 30)) 3202 18662397 It appears that this effect is mediated through more than just SV40Tag, since mesothelial cells transfected with the full length SV40 genome produced higher levels of VEGF as compared to cells transfected with SV40Tag only. ('SV40 genome', 'Var', (129, 140)) ('higher', 'PosReg', (150, 156)) ('VEGF', 'Gene', '7422', (167, 171)) ('VEGF', 'Gene', (167, 171)) 3219 18662397 The activation of telomerase allows MPM cells to escape this mechanism of cell death and to perpetuate mutations that might have otherwise been discarded in the normal process of "cell aging." ('mutations', 'Var', (103, 112)) ('cell death', 'biological_process', 'GO:0008219', ('74', '84')) ('death', 'Disease', 'MESH:D003643', (79, 84)) ('telomerase', 'Protein', (18, 28)) ('death', 'Disease', (79, 84)) ('activation', 'PosReg', (4, 14)) 3222 18662397 Asbestos induces mutations in mesothelial cells. ('induces', 'Reg', (9, 16)) ('Asbestos', 'Chemical', 'MESH:D001194', (0, 8)) ('mutations', 'Var', (17, 26)) 3234 18662397 In addition, polymorphisms in some genes of important free radical scavenging enzymes such as mitochondrial manganese superoxide dismutase (MnSOD), glutathione-S-transferase M1 and mEH have been associated with MPM. ('associated', 'Reg', (195, 205)) ('manganese superoxide dismutase', 'Gene', '6648', (108, 138)) ('MPM', 'Disease', (211, 214)) ('mEH', 'molecular_function', 'GO:0033961', ('181', '184')) ('polymorphisms', 'Var', (13, 26)) ('glutathione-S-transferase M1', 'Gene', '2946', (148, 176)) ('mEH', 'Gene', '13849', (181, 184)) ('manganese superoxide dismutase', 'Gene', (108, 138)) ('MnSOD', 'Gene', '6648', (140, 145)) ('mEH', 'Gene', (181, 184)) ('glutathione-S-transferase M1', 'Gene', (148, 176)) ('MnSOD', 'Gene', (140, 145)) 3259 18662397 Briefly, SV40Tag can bind to and inhibit p53 and pRb TSGs, and SV40tag has been shown to inhibit PP2A, which may lead to the activation of Wnt and ERK signaling pathways. ('PP2A', 'Gene', (97, 101)) ('pRb', 'Gene', (49, 52)) ('ERK', 'Gene', (147, 150)) ('activation', 'PosReg', (125, 135)) ('inhibit', 'NegReg', (33, 40)) ('pRb', 'Gene', '5925', (49, 52)) ('PP2A', 'Gene', '5524', (97, 101)) ('ERK', 'Gene', '5594', (147, 150)) ('SV40tag', 'Var', (63, 70)) ('TSG', 'Gene', (53, 56)) ('SV40Tag', 'Var', (9, 16)) ('inhibit', 'NegReg', (89, 96)) ('ERK', 'molecular_function', 'GO:0004707', ('147', '150')) ('signaling', 'biological_process', 'GO:0023052', ('151', '160')) ('p53', 'Protein', (41, 44)) ('bind', 'Interaction', (21, 25)) ('TSG', 'Gene', '57045', (53, 56)) 3267 18662397 10 out of 11 tumors with detectable SV40Tag expression also stained positively for activated Akt. ('Akt', 'Gene', (93, 96)) ('tumors', 'Disease', (13, 19)) ('tumors', 'Disease', 'MESH:D009369', (13, 19)) ('tumors', 'Phenotype', 'HP:0002664', (13, 19)) ('stained', 'Reg', (60, 67)) ('SV40Tag', 'Var', (36, 43)) ('tumor', 'Phenotype', 'HP:0002664', (13, 18)) ('Akt', 'Gene', '207', (93, 96)) 3269 18662397 expressed SV40Tag and SV40tag in human mesothelial and fibroblast cells, cells that had been treated with asbestos showed a larger number of transformed foci as compared to cells that only expressed SV40. ('SV40tag', 'Var', (22, 29)) ('SV40Tag', 'Var', (10, 17)) ('human', 'Species', '9606', (33, 38)) ('transformed foci', 'CPA', (141, 157)) ('asbestos', 'Chemical', 'MESH:D001194', (106, 114)) 3270 18662397 Not only does the above data supply strong mechanistic support for the role of SV40 infection in MPM pathogenesis, but in vitro experiments have also demonstrated a high susceptibility of mesothelial cells to develop stable infections by SV40 as compared to human fibroblasts, which quickly lyse after only semipermissive infection. ('SV40 infection', 'Disease', (79, 93)) ('human', 'Species', '9606', (258, 263)) ('infection', 'Disease', 'MESH:D007239', (84, 93)) ('infection', 'Disease', (224, 233)) ('SV40 infection', 'Disease', 'MESH:D007239', (79, 93)) ('infection', 'Disease', 'MESH:D007239', (224, 233)) ('SV40', 'Var', (238, 242)) ('pathogenesis', 'biological_process', 'GO:0009405', ('101', '113')) ('rat', 'Species', '10116', (157, 160)) ('infection', 'Disease', (84, 93)) ('infection', 'Disease', (322, 331)) ('infection', 'Disease', 'MESH:D007239', (322, 331)) 3279 18662397 In a study by Manfredi et al., SV40Tag DNA was not detectable in tumor tissue of 69 mesothelioma patients. ('mesothelioma', 'Disease', 'MESH:D008654', (84, 96)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) ('tumor', 'Disease', (65, 70)) ('DNA', 'cellular_component', 'GO:0005574', ('39', '42')) ('SV40Tag DNA', 'Var', (31, 42)) ('mesothelioma', 'Disease', (84, 96)) ('tumor', 'Disease', 'MESH:D009369', (65, 70)) ('patients', 'Species', '9606', (97, 105)) 3280 18662397 SV40Tag protein was also undetectable in tumor samples and mesothelioma cell lines by immunohistochemistry. ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('protein', 'cellular_component', 'GO:0003675', ('8', '15')) ('mesothelioma', 'Disease', (59, 71)) ('SV40Tag', 'Var', (0, 7)) ('tumor', 'Disease', (41, 46)) ('protein', 'Protein', (8, 15)) ('mesothelioma', 'Disease', 'MESH:D008654', (59, 71)) ('undetectable', 'NegReg', (25, 37)) ('tumor', 'Disease', 'MESH:D009369', (41, 46)) 3301 18662397 It is unclear if the time lag between asbestos exposure and diagnosis reflects a slow-growing tumor after early genetic mutations, or if the accumulation of genetic changes reaches a threshold of malignant transformation since the late stage of diagnosis makes it difficult to determine the temporality of various genetic and molecular events. ('tumor', 'Disease', 'MESH:D009369', (94, 99)) ('asbestos', 'Chemical', 'MESH:D001194', (38, 46)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('tumor', 'Disease', (94, 99)) ('mutations', 'Var', (120, 129)) 3306 29524617 In addition, other promising targeted therapies including ADI-PEG20 focusing on argininosuccinate synthase 1 deficient tumors and Tazemetostat, an EZH2 inhibitor of BAP1 deficient tumors are currently being explored. ('tumors', 'Phenotype', 'HP:0002664', (119, 125)) ('deficient tumors', 'Disease', 'MESH:D009369', (109, 125)) ('EZH2', 'Gene', '2146', (147, 151)) ('argininosuccinate synthase 1', 'Gene', (80, 108)) ('tumor', 'Phenotype', 'HP:0002664', (180, 185)) ('EZH2', 'Gene', (147, 151)) ('Tazemetostat', 'Chemical', 'MESH:C000593333', (130, 142)) ('tumors', 'Phenotype', 'HP:0002664', (180, 186)) ('ADI-PEG20', 'Var', (58, 67)) ('tumor', 'Phenotype', 'HP:0002664', (119, 124)) ('deficient tumors', 'Disease', (109, 125)) ('deficient tumors', 'Disease', (170, 186)) ('argininosuccinate synthase 1', 'Gene', '445', (80, 108)) ('deficient tumors', 'Disease', 'MESH:D009369', (170, 186)) 3346 29524617 The role of heredity in familial MPM predisposition, even without occupational asbestos exposure, has finally been proven by the discovery of germline BAP1 mutations, and supported by murine modeling. ('asbestos', 'Chemical', 'MESH:D001194', (79, 87)) ('BAP1', 'Gene', (151, 155)) ('familial MPM', 'Disease', (24, 36)) ('mutations', 'Var', (156, 165)) ('murine', 'Species', '10090', (184, 190)) 3352 29524617 Furthermore, frequent germline mutations in other genes associated with DNA repair have been identified in asbestos-exposed individuals who developed MPM, suggesting theses pathways to be associated with MPM predisposition. ('associated', 'Reg', (188, 198)) ('DNA', 'cellular_component', 'GO:0005574', ('72', '75')) ('MPM', 'Disease', (204, 207)) ('germline mutations', 'Var', (22, 40)) ('MPM', 'Disease', (150, 153)) ('asbestos', 'Chemical', 'MESH:D001194', (107, 115)) ('identified', 'Reg', (93, 103)) ('DNA repair', 'biological_process', 'GO:0006281', ('72', '82')) 3353 29524617 Interestingly common germline BAP1 variants appear to mediate the risk of developing renal cell carcinoma and lung cancer, and possibly also MPM. ('carcinoma', 'Phenotype', 'HP:0030731', (96, 105)) ('renal cell carcinoma', 'Disease', 'MESH:C538614', (85, 105)) ('lung cancer', 'Disease', 'MESH:D008175', (110, 121)) ('BAP1', 'Gene', (30, 34)) ('variants', 'Var', (35, 43)) ('cancer', 'Phenotype', 'HP:0002664', (115, 121)) ('renal cell carcinoma', 'Disease', (85, 105)) ('lung cancer', 'Disease', (110, 121)) ('lung cancer', 'Phenotype', 'HP:0100526', (110, 121)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (85, 105)) ('MPM', 'Disease', (141, 144)) 3354 29524617 When mesothelioma develops in carriers of germline BAP1 mutations, these malignancies have a much better prognosis, and survival of 5 or more years is commonly seen. ('mutations', 'Var', (56, 65)) ('BAP1', 'Gene', (51, 55)) ('mesothelioma', 'Disease', 'MESH:D008654', (5, 17)) ('germline', 'Var', (42, 50)) ('malignancies', 'Disease', 'MESH:D009369', (73, 85)) ('malignancies', 'Disease', (73, 85)) ('mesothelioma', 'Disease', (5, 17)) 3357 29524617 In 2017 it was reported that these patients show distinctive clinical, pathologic and genetic features, such as: higher likelihood of a past history of mantle radiation, family history of breast cancer, and lower rates of CDKN2A deletion than older patients. ('breast cancer', 'Disease', 'MESH:D001943', (188, 201)) ('breast cancer', 'Phenotype', 'HP:0003002', (188, 201)) ('deletion', 'Var', (229, 237)) ('breast cancer', 'Disease', (188, 201)) ('CDKN2A', 'Gene', (222, 228)) ('patients', 'Species', '9606', (249, 257)) ('CDKN2A', 'Gene', '1029', (222, 228)) ('patients', 'Species', '9606', (35, 43)) ('lower', 'NegReg', (207, 212)) ('cancer', 'Phenotype', 'HP:0002664', (195, 201)) 3367 29524617 In 87 evaluable patients (44 nintedanib, 43 placebo), nintedanib improved progression-free survival (PFS) by 3.7 months as compared with placebo (p=0.01), most notably in those with epithelioid histology (4 months PFS, p=0.006). ('improved', 'PosReg', (65, 73)) ('patients', 'Species', '9606', (16, 24)) ('nintedanib', 'Var', (54, 64)) ('nintedanib', 'Chemical', 'MESH:C530716', (29, 39)) ('nintedanib', 'Chemical', 'MESH:C530716', (54, 64)) ('progression-free survival', 'CPA', (74, 99)) 3371 29524617 CTLA-4 inhibition enhances T-cell activation and increases antitumor efficacy in other cancers. ('cancers', 'Disease', (87, 94)) ('T-cell activation', 'CPA', (27, 44)) ('tumor', 'Disease', (63, 68)) ('CTLA-4', 'Gene', (0, 6)) ('T-cell activation', 'biological_process', 'GO:0042110', ('27', '44')) ('cancer', 'Phenotype', 'HP:0002664', (87, 93)) ('cancers', 'Phenotype', 'HP:0002664', (87, 94)) ('increases', 'PosReg', (49, 58)) ('inhibition', 'Var', (7, 17)) ('CTLA-4', 'Gene', '1493', (0, 6)) ('tumor', 'Disease', 'MESH:D009369', (63, 68)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('enhances', 'PosReg', (18, 26)) ('cancers', 'Disease', 'MESH:D009369', (87, 94)) 3419 29524617 No dose-limiting toxicities were encountered, and only nine reported adverse events were related to ADI-PEG20, most commonly rash. ('rash', 'Phenotype', 'HP:0000988', (125, 129)) ('toxicities', 'Disease', 'MESH:D064420', (17, 27)) ('rash', 'Disease', 'MESH:D005076', (125, 129)) ('ADI-PEG20', 'Var', (100, 109)) ('rash', 'Disease', (125, 129)) ('toxicities', 'Disease', (17, 27)) 3425 29524617 Hippo pathway dysregulation leads to constitutive activation of YAP1/TAZ transcriptional coactivators and enhances malignant phenotypes of MM cells. ('Hippo', 'Gene', (0, 5)) ('YAP1', 'Gene', '10413', (64, 68)) ('activation', 'PosReg', (50, 60)) ('dysregulation', 'Var', (14, 27)) ('TAZ', 'Gene', '6901', (69, 72)) ('enhances', 'PosReg', (106, 114)) ('TAZ', 'Gene', (69, 72)) ('malignant phenotypes of MM cells', 'CPA', (115, 147)) ('YAP1', 'Gene', (64, 68)) 3436 29524617 Other promising therapeutic candidates include the monopolar spindle 1 kinase, a kinase of the spindle assembly checkpoint that controls cell division and cell fate; the mTOR/PI3K/AKT axis for the aggressive subset of MPM harboring simultaneous inactivating mutations of the genes LATS2 and NF2; the sialylated protein HEG1 which can be targeted by a specific monoclonal antibody; and targeting of MYC which is upregulated in MPM cells. ('HEG1', 'Gene', (319, 323)) ('spindle', 'cellular_component', 'GO:0005819', ('61', '68')) ('mTOR', 'Gene', (170, 174)) ('spindle assembly checkpoint', 'biological_process', 'GO:0071173', ('95', '122')) ('HEG1', 'Gene', '57493', (319, 323)) ('MYC', 'Gene', (398, 401)) ('antibody', 'cellular_component', 'GO:0019814', ('371', '379')) ('mTOR', 'Gene', '2475', (170, 174)) ('AKT', 'Gene', (180, 183)) ('monopolar spindle 1 kinase', 'Gene', (51, 77)) ('protein', 'cellular_component', 'GO:0003675', ('311', '318')) ('antibody', 'molecular_function', 'GO:0003823', ('371', '379')) ('NF2', 'Gene', '4771', (291, 294)) ('MYC', 'Gene', '4609', (398, 401)) ('inactivating mutations', 'Var', (245, 267)) ('antibody', 'cellular_component', 'GO:0042571', ('371', '379')) ('monopolar spindle 1 kinase', 'Gene', '7272', (51, 77)) ('NF2', 'Gene', (291, 294)) ('AKT', 'Gene', '207', (180, 183)) ('spindle', 'cellular_component', 'GO:0005819', ('95', '102')) ('cell division', 'biological_process', 'GO:0051301', ('137', '150')) ('PI3K', 'molecular_function', 'GO:0016303', ('175', '179')) ('LATS2', 'Gene', (281, 286)) ('LATS2', 'Gene', '26524', (281, 286)) ('antibody', 'cellular_component', 'GO:0019815', ('371', '379')) 3446 29524617 A recently published comprehensive review on quality of life (QoL) in MPM showed that QoL was generally better for patients undergoing P/D compared to EPP. ('MPM', 'Disease', (70, 73)) ('patients', 'Species', '9606', (115, 123)) ('QoL', 'MPA', (86, 89)) ('P/D', 'Var', (135, 138)) ('better', 'Reg', (104, 110)) 3456 29524617 Of note, carriers of germline BAP1 mutations may have a high risk of developing a second malignancy when treated with radiation therapy. ('malignancy', 'Disease', (89, 99)) ('BAP1', 'Gene', (30, 34)) ('malignancy', 'Disease', 'MESH:D009369', (89, 99)) ('mutations', 'Var', (35, 44)) 3484 29193587 injection of iron saccharate, an in situ depositable form of iron, induced MM, in which the homozygous deletion of Cdkn2a/2b was observed in the sarcomatoid subtype.19 The same genetic alteration is observed in most (92.6%) of the asbestos-induced peritoneal MM in rats.20 Homozygous deletion of CDKN2A (p16 INK4A) is one of the most common genetic alterations in human MM.21, 22 Moreover, we observed that repeated administration of nitrilotriacetate, an iron chelator to increase the catalytic activity of iron, significantly shortened the period of asbestos-induced MM carcinogenesis, confirming the involvement of iron in this carcinogenesis.20 Therefore, we hypothesized that iron removal may reduce free radical generation even after exposure to asbestos fibers. ('free radical generation', 'MPA', (705, 728)) ('iron', 'Chemical', 'MESH:D007501', (508, 512)) ('asbestos', 'Chemical', 'MESH:D001194', (752, 760)) ('iron', 'Chemical', 'MESH:D007501', (681, 685)) ('CDKN2A', 'Gene', '25163', (296, 302)) ('MM carcinogenesis', 'Disease', 'MESH:D063646', (569, 586)) ('reduce', 'NegReg', (698, 704)) ('CDKN2A', 'Gene', (296, 302)) ('rat', 'Species', '10116', (24, 27)) ('rat', 'Species', '10116', (722, 725)) ('p16', 'Gene', (304, 307)) ('iron', 'Chemical', 'MESH:D007501', (13, 17)) ('iron', 'Chemical', 'MESH:D007501', (618, 622)) ('INK4A', 'Gene', '25163', (308, 313)) ('asbestos', 'Chemical', 'MESH:D001194', (552, 560)) ('deletion', 'Var', (284, 292)) ('MM carcinogenesis', 'Disease', (569, 586)) ('rats', 'Species', '10116', (265, 269)) ('rat', 'Species', '10116', (189, 192)) ('catalytic activity', 'molecular_function', 'GO:0003824', ('486', '504')) ('iron', 'Chemical', 'MESH:D007501', (61, 65)) ('Cdkn2a', 'Gene', (115, 121)) ('Cdkn2a', 'Gene', '1029', (115, 121)) ('human', 'Species', '9606', (364, 369)) ('iron', 'Chemical', 'MESH:D007501', (456, 460)) ('asbestos', 'Chemical', 'MESH:D001194', (231, 239)) ('rat', 'Species', '10116', (353, 356)) ('sarcomatoid subtype', 'Disease', (145, 164)) ('rat', 'Species', '10116', (265, 268)) ('sarcomatoid subtype', 'Disease', 'MESH:C538614', (145, 164)) ('rat', 'Species', '10116', (424, 427)) ('p16', 'Gene', '25163', (304, 307)) ('INK4A', 'Gene', (308, 313)) 3487 29193587 Phlebotomy has been applied in Japan to patients with chronic active hepatitis C16, 17, 28, 29 and polycythemia vera.30 We found that phlebotomy significantly decreased the tumor weight, modestly prolonged survival, and reduced the fraction of the sarcomatoid subtype. ('polycythemia vera', 'Disease', 'MESH:D011087', (99, 116)) ('phlebotomy', 'Var', (134, 144)) ('sarcomatoid subtype', 'Disease', (248, 267)) ('reduced', 'NegReg', (220, 227)) ('tumor', 'Disease', 'MESH:D009369', (173, 178)) ('hepatitis', 'Phenotype', 'HP:0012115', (69, 78)) ('survival', 'CPA', (206, 214)) ('polycythemia vera', 'Disease', (99, 116)) ('patients', 'Species', '9606', (40, 48)) ('polycythemia', 'Phenotype', 'HP:0001901', (99, 111)) ('prolonged', 'PosReg', (196, 205)) ('tumor', 'Phenotype', 'HP:0002664', (173, 178)) ('tumor', 'Disease', (173, 178)) ('chronic active hepatitis C', 'Disease', 'MESH:D019698', (54, 80)) ('decreased', 'NegReg', (159, 168)) ('chronic active hepatitis', 'Phenotype', 'HP:0200120', (54, 78)) ('chronic active hepatitis C', 'Disease', (54, 80)) ('sarcomatoid subtype', 'Disease', 'MESH:C538614', (248, 267)) 3497 29193587 For adult rats, (body weight x 60) x (1/12) x (18/12) x (120/40) = 22.5 x body weight mL/month 6 x body weight mL/time every week (calculated as 40 days of turnover), or (body weight x 60) x (1/12) x (18/12) x (120/60) = 15 x body weight mL/month 8 x body weight mL/time every other week (calculated as 60 days of turnover). ('rats', 'Species', '10116', (10, 14)) ('body', 'Var', (17, 21)) ('body', 'Var', (173, 177)) 3517 29193587 There are several variants in the epithelioid or sarcomatoid subtypes of MM.2 In our model, MMs were present with one or more variants, and we regarded them as a variant when they occupied >10% of the tumor area with H&E staining. ('variants', 'Var', (126, 134)) ('tumor', 'Disease', 'MESH:D009369', (201, 206)) ('tumor', 'Phenotype', 'HP:0002664', (201, 206)) ('MM.2', 'Gene', (73, 77)) ('tumor', 'Disease', (201, 206)) ('sarcomatoid subtype', 'Disease', 'MESH:C538614', (49, 68)) ('sarcomatoid subtype', 'Disease', (49, 68)) 3530 29193587 The serum iron level was measured at 20, 30, 40, 50, and 60 weeks, showing lower levels in the Phleb-4 group than in the NT group during the whole period (P < .05; Figure 1E,F). ('serum iron level', 'MPA', (4, 20)) ('lower', 'NegReg', (75, 80)) ('iron', 'Chemical', 'MESH:D007501', (10, 14)) ('Phleb-4', 'Var', (95, 102)) ('levels', 'MPA', (81, 87)) ('NT', 'Chemical', '-', (121, 123)) 3535 29193587 Alternatively, the survival fraction at week 103 of male Phleb-2 + Phleb-4 rats (7 alive and 12 dead) was significantly higher (P = .032; Fisher's exact test) than that of male NT rats (0 alive and 10 dead). ('Phleb-2 + Phleb-4', 'Var', (57, 74)) ('rats', 'Species', '10116', (75, 79)) ('higher', 'PosReg', (120, 126)) ('rats', 'Species', '10116', (180, 184)) ('survival fraction', 'CPA', (19, 36)) ('NT', 'Chemical', '-', (177, 179)) 3544 29193587 The tumor weight was significantly lower in male Phleb-4 rats (P = .039; Figure 4B) than in male NT rats. ('tumor', 'Disease', (4, 9)) ('NT', 'Chemical', '-', (97, 99)) ('rats', 'Species', '10116', (100, 104)) ('tumor', 'Disease', 'MESH:D009369', (4, 9)) ('lower', 'NegReg', (35, 40)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) ('rats', 'Species', '10116', (57, 61)) ('Phleb-4', 'Var', (49, 56)) 3551 29193587 Regarding histological variants, we observed more cases in the phlebotomy group with variant histology, especially the osteosarcomatoid variant (Figure S1i) belonging to the sarcomatoid subtype (Table S2). ('osteosarcomatoid', 'Disease', (119, 135)) ('osteosarcomatoid', 'Disease', 'None', (119, 135)) ('variant', 'Var', (85, 92)) ('sarcomatoid subtype', 'Disease', 'MESH:C538614', (174, 193)) ('sarcomatoid subtype', 'Disease', (174, 193)) ('osteosarcomatoid variant', 'Phenotype', 'HP:0002669', (119, 143)) 3571 29193587 Phlebotomy reduced serum 8-OHdG in the Phleb-2 group but not in the Phleb-4 group, which might be affected by the acute inflammatory changes associated with repeated phlebotomy. ('reduced', 'NegReg', (11, 18)) ('repeated phlebotomy', 'Phenotype', 'HP:0004419', (157, 176)) ('8-OHdG', 'Chemical', 'MESH:C067134', (25, 31)) ('Phleb-2', 'Var', (39, 46)) ('serum 8-OHdG', 'MPA', (19, 31)) 3604 28111991 NCRDs can significantly impact various aspects of patient outcomes. ('impact', 'Reg', (24, 30)) ('NCRDs', 'Var', (0, 5)) ('patient', 'Species', '9606', (50, 57)) 3730 24497793 proposed the following criteria for malignant glomangiosarcoma: tumors with a deep location and a size of more than 2 cm, or atypical mitotic figures or marked atypia with mitotic activity. ('malignant glomangiosarcoma', 'Disease', 'MESH:D009369', (36, 62)) ('tumor', 'Phenotype', 'HP:0002664', (64, 69)) ('tumors', 'Disease', (64, 70)) ('tumors', 'Disease', 'MESH:D009369', (64, 70)) ('atypia', 'Disease', 'None', (160, 166)) ('tumors', 'Phenotype', 'HP:0002664', (64, 70)) ('malignant glomangiosarcoma', 'Disease', (36, 62)) ('atypia', 'Disease', (160, 166)) ('atypical', 'Var', (125, 133)) 3799 16925806 Tumor suppressor gene alterations in patients with malignant mesothelioma due to environmental asbestos exposure in Turkey Environmental asbestos exposure can cause the grave lung and pleura malignancies with a high mortality rate, and it is also associated with increased rate of other organ malignancies. ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('malignant mesothelioma', 'Disease', (51, 73)) ('pleura malignancies', 'Disease', (184, 203)) ('malignancies', 'Disease', 'MESH:D009369', (191, 203)) ('Tumor suppressor', 'Gene', '7248', (0, 16)) ('cause', 'Reg', (159, 164)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (51, 73)) ('men', 'Species', '9606', (130, 133)) ('malignancies', 'Disease', (191, 203)) ('patients', 'Species', '9606', (37, 45)) ('malignancies', 'Disease', 'MESH:D009369', (293, 305)) ('men', 'Species', '9606', (88, 91)) ('asbestos', 'Chemical', 'MESH:D001194', (137, 145)) ('malignancies', 'Disease', (293, 305)) ('pleura malignancies', 'Disease', 'MESH:D054363', (184, 203)) ('asbestos', 'Chemical', 'MESH:D001194', (95, 103)) ('Tumor suppressor', 'Gene', (0, 16)) ('Tumor suppressor', 'molecular_function', 'GO:0008181', ('0', '16')) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (51, 73)) ('alterations', 'Var', (22, 33)) ('Tumor suppressor', 'biological_process', 'GO:0051726', ('0', '16')) 3804 16925806 Loss of Heterozygosity (LOH) was determined at D6S275 in one patient, at D6S301 in another, at D6S474 in 2, at ARG1 in 2, at D6S1038 in 2 and at D6S1008 in 3 patients. ('D6S1008', 'Var', (145, 152)) ('Heterozygosity', 'MPA', (8, 22)) ('patient', 'Species', '9606', (61, 68)) ('D6S275', 'Chemical', '-', (47, 53)) ('D6S1008', 'Chemical', '-', (145, 152)) ('D6S301', 'Chemical', '-', (73, 79)) ('patient', 'Species', '9606', (158, 165)) ('ARG1', 'Gene', (111, 115)) ('D6S275', 'Var', (47, 53)) ('D6S1038', 'Var', (125, 132)) ('Loss', 'NegReg', (0, 4)) ('D6S474', 'Var', (95, 101)) ('D6S1038', 'Chemical', '-', (125, 132)) ('patients', 'Species', '9606', (158, 166)) ('ARG1', 'Gene', '383', (111, 115)) ('D6S301', 'Var', (73, 79)) ('D6S474', 'Chemical', '-', (95, 101)) 3834 16925806 DNA samples obtained by being used to primers such as D6S251, D6S275, D6S301, D6S474, D6S1039, ARG1, D6S1038, D6S441 and D6S1008 primers on the long arm (q) of chromosome 6, and D9S169, D9S126 and D9S171 primers on the short arm (p) of chromosome 9 were amplified by PCR. ('D6S441', 'Var', (110, 116)) ('ARG1', 'Gene', '383', (95, 99)) ('DNA', 'cellular_component', 'GO:0005574', ('0', '3')) ('D6S275', 'Chemical', '-', (62, 68)) ('short arm', 'Phenotype', 'HP:0009824', (219, 228)) ('D6S474', 'Chemical', '-', (78, 84)) ('chromosome', 'cellular_component', 'GO:0005694', ('236', '246')) ('chromosome', 'cellular_component', 'GO:0005694', ('160', '170')) ('D6S1008', 'Var', (121, 128)) ('D6S301', 'Chemical', '-', (70, 76)) ('D9S169', 'Var', (178, 184)) ('D6S1039', 'Chemical', '-', (86, 93)) ('D6S1038', 'Var', (101, 108)) ('D6S1008', 'Chemical', '-', (121, 128)) ('D9S126', 'Chemical', '-', (186, 192)) ('ARG1', 'Gene', (95, 99)) ('D6S1039', 'Var', (86, 93)) ('D6S301', 'Var', (70, 76)) ('D9S126', 'Var', (186, 192)) ('D6S275', 'Var', (62, 68)) ('D6S474', 'Var', (78, 84)) ('D6S1038', 'Chemical', '-', (101, 108)) ('D6S251', 'Var', (54, 60)) ('D9S171', 'Var', (197, 203)) 3836 16925806 Conditions for the amplification of D6S251, D6S1038, D6S441, D9S126 and D9S169 primers consisted of an initial denaturation for 3 min at 94 C, followed by 32 cycles: 30 sec at 94 C, 30 sec at 53 C and 30 sec at 72 C, and then by a 3 min extension at 72 C. Conditions for the amplification of D6S275, D6S301, D6S474, D6S1039, ARG1, D6S1008 and D9S171 primers consisted of an initial denaturation for 3 min at 94 C followed by 32 cycles: 30 sec at 94 C, 30 sec at 55 C and 30 sec at 72 C, and then by a 3 min extension at 72 C. PCR products were diluted 1:1 with a 95% formamide gel-loading buffer. ('D6S441', 'Var', (53, 59)) ('D6S275', 'Chemical', '-', (292, 298)) ('ARG1', 'Gene', '383', (325, 329)) ('D6S1008', 'Chemical', '-', (331, 338)) ('D6S251', 'Var', (36, 42)) ('D6S474', 'Chemical', '-', (308, 314)) ('formamide', 'Chemical', 'MESH:C031066', (567, 576)) ('D9S126', 'Chemical', '-', (61, 67)) ('D6S301', 'Chemical', '-', (300, 306)) ('D9S171', 'Var', (343, 349)) ('D9S126', 'Var', (61, 67)) ('D6S1039', 'Chemical', '-', (316, 323)) ('ARG1', 'Gene', (325, 329)) ('D6S301', 'Var', (300, 306)) ('D6S1038', 'Var', (44, 51)) ('D6S1039', 'Var', (316, 323)) ('D6S1008', 'Var', (331, 338)) ('D6S474', 'Var', (308, 314)) ('D6S275', 'Var', (292, 298)) ('D6S1038', 'Chemical', '-', (44, 51)) ('D9S169', 'Var', (72, 78)) 3844 16925806 Of the 13 cases of which pleural effusion and blood genomic DNA were compared, 7 (54%) showed allelic loss in 6q. ('pleural effusion', 'Disease', 'MESH:D010996', (25, 41)) ('pleural effusion', 'Phenotype', 'HP:0002202', (25, 41)) ('pleural effusion', 'Disease', (25, 41)) ('DNA', 'cellular_component', 'GO:0005574', ('60', '63')) ('allelic loss', 'Var', (94, 106)) 3846 16925806 The boundaries of the most centromeric region of deletion, SRO1, were defined by marker D6S251 proximally and by D6S249 distally. ('SRO1', 'Chemical', '-', (59, 63)) ('D6S249', 'Var', (113, 119)) ('deletion', 'Var', (49, 57)) ('D6S251', 'Var', (88, 94)) 3847 16925806 Allelic losses affecting SRO1 were detected in 1 of 13 (8%) MPMs analyzed. ('SRO1', 'Gene', (25, 29)) ('Allelic losses', 'Var', (0, 14)) ('SRO1', 'Chemical', '-', (25, 29)) 3849 16925806 The distance between D6S301 and D6S474 was ~8 cM, and D6S301 was localized to 6q16.3-21. ('D6S301', 'Var', (54, 60)) ('D6S474', 'Var', (32, 38)) ('D6S301', 'Chemical', '-', (54, 60)) ('D6S301', 'Var', (21, 27)) ('D6S474', 'Chemical', '-', (32, 38)) ('D6S301', 'Chemical', '-', (21, 27)) 3850 16925806 The 3rd minimally deleted region, SRO3 was defined by an interstitial deletion in 4 of 13 cases (31%). ('deletion', 'Var', (70, 78)) ('SRO3', 'Gene', (34, 38)) ('SRO3', 'Chemical', '-', (34, 38)) 3851 16925806 SRO3 was flanked by D6S1039 proximally and by D6S1038 distally. ('SRO3', 'Chemical', '-', (0, 4)) ('D6S1039', 'Chemical', '-', (20, 27)) ('D6S1038', 'Var', (46, 53)) ('D6S1038', 'Chemical', '-', (46, 53)) ('D6S1039', 'Var', (20, 27)) 3852 16925806 A 4th discrete region of deletion, SRO4, was defined proximally by the terminal deletion in cases 2, 6 and 10, and distally by deletion in none. ('SRO4', 'Chemical', '-', (35, 39)) ('deletion', 'Var', (80, 88)) ('SRO4', 'Gene', (35, 39)) 3853 16925806 SRO4 lies between D6S441 and D6S1008, a region of ~13 cM. ('D6S1008', 'Var', (29, 36)) ('D6S441', 'Var', (18, 24)) ('D6S1008', 'Chemical', '-', (29, 36)) ('SRO4', 'Chemical', '-', (0, 4)) 3854 16925806 On the basis of the position of markers adjacent to D6S441 and D6S1008, SRO4 was probably located within band 6q25. ('D6S1008', 'Var', (63, 70)) ('D6S1008', 'Chemical', '-', (63, 70)) ('SRO4', 'Chemical', '-', (72, 76)) ('SRO4', 'Gene', (72, 76)) ('D6S441', 'Var', (52, 58)) 3863 16925806 No LOH case was determined with D9S171, D9S126 and D9S169 markers on 9p (Table 3). ('D9S169 markers', 'Var', (51, 65)) ('D9S126', 'Var', (40, 46)) ('D9S171', 'Var', (32, 38)) ('D9S126', 'Chemical', '-', (40, 46)) 3872 16925806 Although there is no common specific chromosomal alteration in MPM patients, inactivation and/or loss of TSG caused by frequent cytogenetic deletions of MPM are thought to be responsible in neoplastic development and progression of mesothelial cells. ('loss', 'NegReg', (97, 101)) ('patients', 'Species', '9606', (67, 75)) ('neoplastic development', 'CPA', (190, 212)) ('TSG', 'Gene', (105, 108)) ('deletions', 'Var', (140, 149)) ('men', 'Species', '9606', (208, 211)) ('MPM', 'Gene', (153, 156)) ('TSG', 'Gene', '57045', (105, 108)) ('responsible', 'Reg', (175, 186)) ('inactivation', 'Var', (77, 89)) 3873 16925806 Complex profiles of characteristic somatic-genetic alterations of MPM show that tumorigenesis of this malignancy is a multi-directional and multi-step period. ('tumor', 'Disease', 'MESH:D009369', (80, 85)) ('alterations', 'Var', (51, 62)) ('malignancy', 'Disease', (102, 112)) ('tumor', 'Phenotype', 'HP:0002664', (80, 85)) ('tumor', 'Disease', (80, 85)) ('malignancy', 'Disease', 'MESH:D009369', (102, 112)) ('MPM', 'Gene', (66, 69)) 3875 16925806 Loss of function of one or more TSG, determined by LOH at 6q, is interpreted as an important genetic change which contributes development of this malignancy. ('LOH at', 'Var', (51, 57)) ('TSG', 'Gene', (32, 35)) ('malignancy', 'Disease', 'MESH:D009369', (146, 156)) ('Loss of function', 'NegReg', (0, 16)) ('TSG', 'Gene', '57045', (32, 35)) ('men', 'Species', '9606', (133, 136)) ('malignancy', 'Disease', (146, 156)) ('contributes', 'PosReg', (114, 125)) 3879 16925806 Allelic losses for SRO1 were detected in 1 of 13 (8%). ('Allelic losses', 'Var', (0, 14)) ('SRO1', 'Gene', (19, 23)) ('SRO1', 'Chemical', '-', (19, 23)) 3880 16925806 SRO2 was also deleted in 3 of 13 cases (23%). ('SRO2', 'Chemical', '-', (0, 4)) ('SRO2', 'Gene', (0, 4)) ('deleted', 'Var', (14, 21)) 3881 16925806 SRO3 was defined by an interstitial deletion in 4 of 13 cases (31%), whereas SRO4 was defined in 3 cases (23%). ('SRO4', 'Chemical', '-', (77, 81)) ('SRO3', 'Chemical', '-', (0, 4)) ('SRO3', 'Disease', (0, 4)) ('deletion', 'Var', (36, 44)) 3883 16925806 Although some important TSG losses in 6q and 9p, which may have an important effect in the development of this malignity, have been reported, the presence of TSG losses at 6q in the early stages of MPM and 9p in advanced stage of MPM are stressed. ('TSG', 'Gene', '57045', (158, 161)) ('TSG', 'Gene', '57045', (24, 27)) ('losses', 'Var', (162, 168)) ('MPM', 'Disease', (198, 201)) ('TSG', 'Gene', (158, 161)) ('men', 'Species', '9606', (98, 101)) ('TSG', 'Gene', (24, 27)) 3887 16925806 Three or 4 SRO sites of genomic loss from 6q have also been described in other malignancy types, such as breast cancer, ovary cancer, and Non-Hodgkin's lymphoma. ('malignancy', 'Disease', 'MESH:D009369', (79, 89)) ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('malignancy', 'Disease', (79, 89)) ('ovary cancer', 'Disease', (120, 132)) ("Hodgkin's lymphoma", 'Phenotype', 'HP:0012189', (142, 160)) ('genomic loss', 'Var', (24, 36)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) ('lymphoma', 'Phenotype', 'HP:0002665', (152, 160)) ("Non-Hodgkin's lymphoma", 'Disease', 'MESH:D008228', (138, 160)) ('ovary cancer', 'Phenotype', 'HP:0100615', (120, 132)) ('ovary cancer', 'Disease', 'MESH:D010051', (120, 132)) ('breast cancer', 'Disease', 'MESH:D001943', (105, 118)) ('described', 'Reg', (60, 69)) ('breast cancer', 'Disease', (105, 118)) ("Non-Hodgkin's lymphoma", 'Disease', (138, 160)) ('breast cancer', 'Phenotype', 'HP:0003002', (105, 118)) 3888 16925806 In DNA analysis, deletions of interferon locus at 9p21-p22 were also detected in acute lymphoblastic leukemia, glioma, melanoma, lung cancer and bladder cancer. ('detected', 'Reg', (69, 77)) ('melanoma', 'Phenotype', 'HP:0002861', (119, 127)) ('melanoma', 'Disease', (119, 127)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('bladder cancer', 'Phenotype', 'HP:0009725', (145, 159)) ('lung cancer', 'Disease', 'MESH:D008175', (129, 140)) ('p22', 'Gene', '11261', (55, 58)) ('lung cancer', 'Phenotype', 'HP:0100526', (129, 140)) ('leukemia', 'Phenotype', 'HP:0001909', (101, 109)) ('cancer', 'Phenotype', 'HP:0002664', (134, 140)) ('acute lymphoblastic leukemia', 'Disease', (81, 109)) ('glioma', 'Disease', (111, 117)) ('glioma', 'Disease', 'MESH:D005910', (111, 117)) ('deletions', 'Var', (17, 26)) ('acute lymphoblastic leukemia', 'Disease', 'MESH:D054198', (81, 109)) ('melanoma', 'Disease', 'MESH:D008545', (119, 127)) ('acute lymphoblastic leukemia', 'Phenotype', 'HP:0006721', (81, 109)) ('lung cancer', 'Disease', (129, 140)) ('p22', 'Gene', (55, 58)) ('glioma', 'Phenotype', 'HP:0009733', (111, 117)) ('lymphoblastic leukemia', 'Phenotype', 'HP:0005526', (87, 109)) ('DNA', 'cellular_component', 'GO:0005574', ('3', '6')) ('bladder cancer', 'Disease', 'MESH:D001749', (145, 159)) ('bladder cancer', 'Disease', (145, 159)) 3890 16925806 LOH at p53 TSG accelerates tumor progression. ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('accelerates', 'PosReg', (15, 26)) ('TSG', 'Gene', '57045', (11, 14)) ('LOH', 'Var', (0, 3)) ('tumor', 'Disease', (27, 32)) ('p53', 'Gene', '7157', (7, 10)) ('TSG', 'Gene', (11, 14)) ('tumor', 'Disease', 'MESH:D009369', (27, 32)) ('p53', 'Gene', (7, 10)) 3929 32423432 Personality has been associated with depressive symptoms in chronic illnesses and reduced emotional HRQoL in heart failure patients. ('depressive symptoms', 'Disease', (37, 56)) ('depressive symptoms', 'Phenotype', 'HP:0000716', (37, 56)) ('depressive symptoms', 'Disease', 'MESH:D000275', (37, 56)) ('patients', 'Species', '9606', (123, 131)) ('heart failure', 'Phenotype', 'HP:0001635', (109, 122)) ('emotional HRQoL in heart failure', 'Disease', 'MESH:D006333', (90, 122)) ('emotional HRQoL in heart failure', 'Disease', (90, 122)) ('Personality', 'Var', (0, 11)) ('reduced', 'NegReg', (82, 89)) 3939 32423432 In addition, we estimated neuroticism and trait anxiety to be associated with decreased HRQoL and QoL scores. ('anxiety', 'Disease', (48, 55)) ('anxiety', 'Phenotype', 'HP:0000739', (48, 55)) ('neuroticism', 'Var', (26, 37)) ('decreased HRQoL and QoL', 'Disease', 'MESH:D002303', (78, 101)) ('anxiety', 'Disease', 'MESH:D001007', (48, 55)) 4233 26962828 For lung adenocarcinoma-mesothelioma discrimination, combining CA19-9, CA15-3, and kallikrein-12 had maximal discriminatory capacity (65% sensitivity, 100% specificity, AUC 0.94); figures which also refer to the validation set. ('kallikrein-12', 'Gene', '43849', (83, 96)) ('CA15-3', 'Gene', (71, 77)) ('lung adenocarcinoma-mesothelioma discrimination', 'Disease', 'MESH:D000077192', (4, 51)) ('lung adenocarcinoma-mesothelioma discrimination', 'Disease', (4, 51)) ('kallikrein', 'molecular_function', 'GO:0004293', ('83', '93')) ('kallikrein-12', 'Gene', (83, 96)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (4, 23)) ('CA19-9', 'Var', (63, 69)) ('kallikrein', 'molecular_function', 'GO:0003807', ('83', '93')) ('CA15-3', 'Gene', '4582', (71, 77)) 4276 26962828 In the second comparison, a classification tree which sequentially included the proteins CA19-9, CA15-3, MMP-3, and kallikrein-12 (Figure 2B) yielded a sensitivity of 83% (95% CI 64.2-94.2%) and a specificity of 89.7% (95% CI 73-98%) for separating 29 lung adenocarcinomas from 29 mesotheliomas. ('CA15-3', 'Gene', (97, 103)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (252, 271)) ('kallikrein', 'molecular_function', 'GO:0003807', ('116', '126')) ('kallikrein-12', 'Gene', (116, 129)) ('CA19-9', 'Var', (89, 95)) ('lung adenocarcinomas', 'Disease', (252, 272)) ('lung adenocarcinomas', 'Disease', 'MESH:D000077192', (252, 272)) ('MMP-3', 'Gene', '4314', (105, 110)) ('kallikrein', 'molecular_function', 'GO:0004293', ('116', '126')) ('MMP-3', 'Gene', (105, 110)) ('lung adenocarcinomas', 'Phenotype', 'HP:0030078', (252, 272)) ('kallikrein-12', 'Gene', '43849', (116, 129)) ('mesotheliomas', 'Disease', 'MESH:D008654', (281, 294)) ('CA15-3', 'Gene', '4582', (97, 103)) ('mesotheliomas', 'Disease', (281, 294)) ('MMP-3', 'molecular_function', 'GO:0004248', ('105', '110')) 4279 26962828 We established a score system as follows: MMP-9 < 15.5 ng/mL (3 points), chondroitin sulfate >1.25 ng/mL (3 points), cathepsin-B <0.42 ng/mL (2 points), and C-reactive protein <12.5 mg/L (1 point). ('MMP-9', 'Gene', '4318', (42, 47)) ('protein', 'cellular_component', 'GO:0003675', ('168', '175')) ('chondroitin sulfate', 'MPA', (73, 92)) ('MMP-9', 'Gene', (42, 47)) ('MMP-9', 'molecular_function', 'GO:0004229', ('42', '47')) ('cathepsin-B', 'Gene', (117, 128)) ('chondroitin sulfate', 'Chemical', 'MESH:D002809', (73, 92)) ('cathepsin-B', 'Gene', '1508', (117, 128)) ('C-reactive protein', 'Gene', (157, 175)) ('C-reactive protein', 'Gene', '1401', (157, 175)) ('<0.42', 'Var', (129, 134)) 4281 26962828 Similarly, 20 lung adenocarcinomas and 20 mesotheliomas were tested for the expression of the pleural fluid proteins CA19-9, CA15-3, kallikrein-12, and MMP-3. ('mesotheliomas', 'Disease', (42, 55)) ('CA19-9', 'Var', (117, 123)) ('kallikrein-12', 'Gene', (133, 146)) ('lung adenocarcinomas', 'Disease', 'MESH:D000077192', (14, 34)) ('mesotheliomas', 'Disease', 'MESH:D008654', (42, 55)) ('kallikrein', 'molecular_function', 'GO:0003807', ('133', '143')) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (14, 33)) ('pleural fluid', 'Phenotype', 'HP:0002202', (94, 107)) ('lung adenocarcinomas', 'Phenotype', 'HP:0030078', (14, 34)) ('kallikrein', 'molecular_function', 'GO:0004293', ('133', '143')) ('CA15-3', 'Gene', '4582', (125, 131)) ('lung adenocarcinomas', 'Disease', (14, 34)) ('MMP-3', 'Gene', (152, 157)) ('MMP-3', 'molecular_function', 'GO:0004248', ('152', '157')) ('pleural', 'Disease', 'MESH:D010995', (94, 101)) ('pleural', 'Disease', (94, 101)) ('CA15-3', 'Gene', (125, 131)) ('kallikrein-12', 'Gene', '43849', (133, 146)) ('MMP-3', 'Gene', '4314', (152, 157)) 4282 26962828 The last was dismissed by the following best scoring model, which had an AUC of 0.94 (95% CI 0.88-1) (Figure 3B): CA19-9 >=13.3 U/mL (3 points), kallikrein-12 <55 ng/mL (2 points), and CA15-3 >110 U/mL (1 point). ('kallikrein-12', 'Gene', '43849', (145, 158)) ('kallikrein', 'molecular_function', 'GO:0003807', ('145', '155')) ('kallikrein', 'molecular_function', 'GO:0004293', ('145', '155')) ('CA15-3', 'Gene', '4582', (185, 191)) ('CA15-3', 'Gene', (185, 191)) ('CA19-9 >=13.3', 'Var', (114, 127)) ('kallikrein-12', 'Gene', (145, 158)) 4287 26962828 In particular, patients who scored 2 points, in which 1 point each was assigned to both pleural fluid cathepsin-B concentrations <0.31 ng/mL and age >=50 years, were most likely to have lymphomas rather than TB (sensitivity 72.2%, 95% CI 46.5-90.3%; specificity 100%, 95% CI 89.7-100%; LR positive 25.3, 95% CI 3.6-178.2; LR negative 0.28, 95% CI 0.13-0.59; and AUC 0.94, 95% CI 0.88-0.99). ('pleural', 'Disease', (88, 95)) ('cathepsin-B', 'Gene', (102, 113)) ('patients', 'Species', '9606', (15, 23)) ('lymphoma', 'Phenotype', 'HP:0002665', (186, 194)) ('pleural fluid', 'Phenotype', 'HP:0002202', (88, 101)) ('lymphomas', 'Disease', (186, 195)) ('cathepsin-B', 'Gene', '1508', (102, 113)) ('lymphomas', 'Disease', 'MESH:D008223', (186, 195)) ('lymphomas', 'Phenotype', 'HP:0002665', (186, 195)) ('pleural', 'Disease', 'MESH:D010995', (88, 95)) ('<0.31', 'Var', (129, 134)) 4303 26962828 In a recent meta-analysis of 49 studies, pleural fluid CA15-3 and CA19-9 exhibited 50.7% and 37.6% pooled sensitivities, respectively, and 98% specificities for diagnosing malignant effusions. ('pleural', 'Disease', 'MESH:D010995', (41, 48)) ('pleural fluid', 'Phenotype', 'HP:0002202', (41, 54)) ('pleural', 'Disease', (41, 48)) ('malignant effusions', 'Disease', (172, 191)) ('CA19-9', 'Var', (66, 72)) ('CA15-3', 'Gene', '4582', (55, 61)) ('CA15-3', 'Gene', (55, 61)) 4306 26962828 Significantly higher levels of CA15-3 (138.6 U/mL vs 21.3 U/mL) and CA19-9 (516.6 U/mL vs 181.5 U/mL) were found in 128 lung adenocarcinoma cases than in 18 mesotheliomas. ('lung adenocarcinoma', 'Disease', (120, 139)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (120, 139)) ('CA19-9', 'Var', (68, 74)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (120, 139)) ('CA15-3', 'Gene', '4582', (31, 37)) ('CA15-3', 'Gene', (31, 37)) ('mesotheliomas', 'Disease', 'MESH:D008654', (157, 170)) ('higher', 'PosReg', (14, 20)) ('mesotheliomas', 'Disease', (157, 170)) 4327 26462016 The growth of REN, in vivo, and metastasis are reduced by either Enzastaurin treatment or eIF6 shRNA. ('growth', 'CPA', (4, 10)) ('metastasis', 'CPA', (32, 42)) ('eIF6 shRNA', 'Var', (90, 100)) ('Enzastaurin', 'Chemical', 'MESH:C504878', (65, 76)) ('reduced', 'NegReg', (47, 54)) 4328 26462016 Molecular analysis reveals that eIF6 manipulation affects the metabolic status of malignant mesothelioma cells. ('affects', 'Reg', (50, 57)) ('manipulation', 'Var', (37, 49)) ('metabolic status', 'MPA', (62, 78)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (82, 104)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (82, 104)) ('malignant mesothelioma', 'Disease', (82, 104)) ('eIF6', 'Gene', (32, 36)) 4333 26462016 Furthermore, mutations of ribosome-associated factors have been described in sporadic cancer, i.e. ('mutations', 'Var', (13, 22)) ('cancer', 'Phenotype', 'HP:0002664', (86, 92)) ('ribosome', 'cellular_component', 'GO:0005840', ('26', '34')) ('ribosome-associated', 'Gene', (26, 45)) ('cancer', 'Disease', 'MESH:D009369', (86, 92)) ('described', 'Reg', (64, 73)) ('cancer', 'Disease', (86, 92)) 4348 26462016 In contrast, cancer cells with mutations in the RAS pathway are resistant to mTORc1 inhibition, demonstrating the existence of either alternative initiation factors or pathways converging on translation which control tumor growth. ('tumor', 'Phenotype', 'HP:0002664', (217, 222)) ('tumor', 'Disease', (217, 222)) ('mutations', 'Var', (31, 40)) ('cancer', 'Phenotype', 'HP:0002664', (13, 19)) ('cancer', 'Disease', (13, 19)) ('cancer', 'Disease', 'MESH:D009369', (13, 19)) ('mTORc1', 'cellular_component', 'GO:0031931', ('77', '83')) ('tumor', 'Disease', 'MESH:D009369', (217, 222)) ('mTORc1', 'Gene', (77, 83)) ('translation', 'biological_process', 'GO:0006412', ('191', '202')) ('mTORc1', 'Gene', '382056', (77, 83)) 4349 26462016 eIF6 is an initiation factor driven by RACK1-PKCbetaII axis, independently from mTORc1. ('mTORc1', 'cellular_component', 'GO:0031931', ('80', '86')) ('mTORc1', 'Gene', (80, 86)) ('eIF6', 'Var', (0, 4)) ('RACK1', 'Gene', (39, 44)) ('mTORc1', 'Gene', '382056', (80, 86)) ('RACK1', 'Gene', '10399', (39, 44)) 4350 26462016 In general, eIF6 is rate limiting for tumor onset and progression. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumor', 'Disease', (38, 43)) ('tumor', 'Disease', 'MESH:D009369', (38, 43)) ('eIF6', 'Var', (12, 16)) 4352 26462016 In a mouse model of Myc-driven lymphomagenesis, eIF6 heterozygous mice survive much longer, even more than one year, when compared to the 4-months life expectancy of wt mice. ('lymphoma', 'Disease', (31, 39)) ('mice', 'Species', '10090', (66, 70)) ('lymphoma', 'Disease', 'MESH:D008223', (31, 39)) ('eIF6', 'Var', (48, 52)) ('lymphoma', 'Phenotype', 'HP:0002665', (31, 39)) ('mice', 'Species', '10090', (169, 173)) ('mouse', 'Species', '10090', (5, 10)) 4353 26462016 eIF6 phosphorylation of Ser235 has been reported in several tumor cells. ('phosphorylation', 'MPA', (5, 20)) ('tumor', 'Disease', (60, 65)) ('Ser235', 'Chemical', '-', (24, 30)) ('phosphorylation', 'biological_process', 'GO:0016310', ('5', '20')) ('tumor', 'Disease', 'MESH:D009369', (60, 65)) ('eIF6', 'Var', (0, 4)) ('tumor', 'Phenotype', 'HP:0002664', (60, 65)) ('reported', 'Reg', (40, 48)) ('Ser', 'cellular_component', 'GO:0005790', ('24', '27')) ('Ser235', 'Gene', (24, 30)) 4362 26462016 We found that eIF6 is overexpressed and hyperactivated in mesotheliomas and that inhibition of its expression or phosphorylation delays tumor progression. ('delays tumor', 'Disease', 'MESH:D009369', (129, 141)) ('hyperactivated in mesotheliomas', 'Disease', (40, 71)) ('delays tumor', 'Disease', (129, 141)) ('inhibition', 'Var', (81, 91)) ('phosphorylation', 'biological_process', 'GO:0016310', ('113', '128')) ('tumor', 'Phenotype', 'HP:0002664', (136, 141)) ('hyperactivated in mesotheliomas', 'Disease', 'MESH:D008654', (40, 71)) ('overexpressed', 'PosReg', (22, 35)) ('eIF6', 'Protein', (14, 18)) 4377 26462016 Strikingly, high eIF6/high PRKCB expression correlated with lower survival, p <= 0.005 (Figure 1D). ('PRKCB', 'Gene', (27, 32)) ('survival', 'MPA', (66, 74)) ('high', 'Var', (12, 16)) ('PRKCB', 'Gene', '5579', (27, 32)) ('expression', 'MPA', (33, 43)) ('lower', 'NegReg', (60, 65)) 4390 26462016 In summary eIF6 depletion caused a significant protein synthesis reduction (Figure 3B) and led to a slight decrease of polysomes accompanied by 80S increase, as shown in Figure 3C. ('protein synthesis reduction', 'Disease', 'MESH:C536766', (47, 74)) ('increase', 'PosReg', (148, 156)) ('depletion', 'Var', (16, 25)) ('protein', 'cellular_component', 'GO:0003675', ('47', '54')) ('protein synthesis', 'biological_process', 'GO:0006412', ('47', '64')) ('polysomes', 'MPA', (119, 128)) ('protein synthesis reduction', 'Disease', (47, 74)) ('decrease', 'NegReg', (107, 115)) ('eIF6', 'Gene', (11, 15)) 4397 26462016 We analysed MPM cells growth at 24, 48 and 72 hours after plating and upon eIF6 depletion (Figure 4A, REN cells; Supplementary Figure S4, MM98, sarcomatous, MSTO-211H, biphasic). ('sarcomatous', 'Disease', (144, 155)) ('MSTO-211H', 'Chemical', '-', (157, 166)) ('depletion', 'Var', (80, 89)) ('sarcomatous', 'Disease', 'MESH:D018316', (144, 155)) 4404 26462016 In conclusion, both shRNA for eIF6 or Enzastaurin treatment slightly reduce proliferation in cultured REN cells, in vitro. ('reduce', 'NegReg', (69, 75)) ('eIF6', 'Var', (30, 34)) ('Enzastaurin', 'Chemical', 'MESH:C504878', (38, 49)) ('proliferation in cultured REN cells', 'CPA', (76, 111)) 4415 26462016 These findings may be in agreement with the protective role of eIF6 depletion and/or inactivation by Enzastaurin in neo-angiogenesis and metastasis development. ('inactivation', 'Var', (85, 97)) ('angiogenesis', 'biological_process', 'GO:0001525', ('120', '132')) ('depletion', 'Var', (68, 77)) ('eIF6', 'Gene', (63, 67)) ('Enzastaurin', 'Chemical', 'MESH:C504878', (101, 112)) 4420 26462016 We show that eIF6 is highly expressed and activated in malignant mesotheliomas, and that inhibition of either its activity or phosphorylation reduces tumor burden and tumor growth. ('activity', 'MPA', (114, 122)) ('eIF6', 'Gene', (13, 17)) ('inhibition', 'Var', (89, 99)) ('malignant mesotheliomas', 'Phenotype', 'HP:0100001', (55, 78)) ('tumor', 'Disease', 'MESH:D009369', (150, 155)) ('reduces', 'NegReg', (142, 149)) ('tumor', 'Disease', 'MESH:D009369', (167, 172)) ('phosphorylation', 'biological_process', 'GO:0016310', ('126', '141')) ('tumor', 'Phenotype', 'HP:0002664', (150, 155)) ('malignant mesotheliomas', 'Disease', (55, 78)) ('malignant mesotheliomas', 'Disease', 'MESH:C562839', (55, 78)) ('tumor', 'Phenotype', 'HP:0002664', (167, 172)) ('activated', 'PosReg', (42, 51)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (55, 77)) ('tumor', 'Disease', (150, 155)) ('tumor', 'Disease', (167, 172)) 4437 26462016 Emu-Myc/ eIF6+/- mice have increased survival, up to 1 year and do not show overt negative phenotypes. ('Emu-Myc/ eIF6+/-', 'Var', (0, 16)) ('increased', 'PosReg', (27, 36)) ('survival', 'CPA', (37, 45)) ('mice', 'Species', '10090', (17, 21)) 4438 26462016 Even in the p53-/- genotype, where p53 deletion further accelerates lymphomagenesis due to suppression of apoptosis, eIF6 depletion delays tumor development. ('lymphoma', 'Disease', (68, 76)) ('p53', 'Gene', (35, 38)) ('lymphoma', 'Disease', 'MESH:D008223', (68, 76)) ('apoptosis', 'CPA', (106, 115)) ('deletion', 'Var', (39, 47)) ('lymphoma', 'Phenotype', 'HP:0002665', (68, 76)) ('tumor', 'Phenotype', 'HP:0002664', (139, 144)) ('apoptosis', 'biological_process', 'GO:0097194', ('106', '115')) ('delays tumor', 'Disease', 'MESH:D009369', (132, 144)) ('apoptosis', 'biological_process', 'GO:0006915', ('106', '115')) ('delays tumor', 'Disease', (132, 144)) ('accelerates', 'PosReg', (56, 67)) 4440 26462016 The phosphorylation of Ser235 residue on eIF6 is necessary for transformation and cancer development. ('cancer', 'Phenotype', 'HP:0002664', (82, 88)) ('Ser235', 'Chemical', '-', (23, 29)) ('Ser235 residue', 'Var', (23, 37)) ('transformation', 'CPA', (63, 77)) ('eIF6', 'Gene', (41, 45)) ('cancer', 'Disease', (82, 88)) ('cancer', 'Disease', 'MESH:D009369', (82, 88)) ('Ser', 'cellular_component', 'GO:0005790', ('23', '26')) ('phosphorylation', 'biological_process', 'GO:0016310', ('4', '19')) 4443 26462016 We previously showed that inhibition of eIF6 phosphorylation by genetic inactivation of Ser235 is a way to block eIF6 activity. ('Ser', 'cellular_component', 'GO:0005790', ('88', '91')) ('genetic inactivation', 'Var', (64, 84)) ('activity', 'MPA', (118, 126)) ('eIF6', 'Protein', (40, 44)) ('eIF6', 'Protein', (113, 117)) ('block', 'NegReg', (107, 112)) ('inhibition', 'NegReg', (26, 36)) ('Ser235', 'Gene', (88, 94)) ('phosphorylation', 'MPA', (45, 60)) ('Ser235', 'Chemical', '-', (88, 94)) ('phosphorylation', 'biological_process', 'GO:0016310', ('45', '60')) 4455 26462016 These data suggested that a similar event might occur in cancer cells, namely eIF6 favors a glycolytic switch. ('cancer', 'Disease', 'MESH:D009369', (57, 63)) ('eIF6', 'Var', (78, 82)) ('cancer', 'Disease', (57, 63)) ('glycolytic switch', 'MPA', (92, 109)) ('cancer', 'Phenotype', 'HP:0002664', (57, 63)) 4458 26462016 Our data are in agreement with the observation that mutation of eIF6 Ser235 to Ala greatly reduces cancer growth in vivo, more efficiently than in vitro. ('Ser235 to Ala', 'Mutation', 'p.S235A', (69, 82)) ('eIF6', 'Gene', (64, 68)) ('cancer', 'Disease', 'MESH:D009369', (99, 105)) ('cancer', 'Disease', (99, 105)) ('reduces', 'NegReg', (91, 98)) ('mutation', 'Var', (52, 60)) ('Ser', 'cellular_component', 'GO:0005790', ('69', '72')) ('cancer', 'Phenotype', 'HP:0002664', (99, 105)) 4460 26462016 In conclusion, we suggest that modulation of eIF6 levels and activity may lead to a therapeutical avenue in tumor therapy, especially where eIF4E inhibition by rapalogs is not effective, as in malignant mesothelioma. ('tumor', 'Disease', 'MESH:D009369', (108, 113)) ('modulation', 'Var', (31, 41)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (193, 215)) ('lead to', 'Reg', (74, 81)) ('tumor', 'Phenotype', 'HP:0002664', (108, 113)) ('malignant mesothelioma', 'Disease', (193, 215)) ('eIF4E', 'Gene', '1977', (140, 145)) ('tumor', 'Disease', (108, 113)) ('eIF4E', 'Gene', (140, 145)) ('activity', 'MPA', (61, 69)) ('eIF4', 'cellular_component', 'GO:0008304', ('140', '144')) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (193, 215)) 4572 23128478 We found increased cell migration in the mesothelioma cell lines MSTO-211H and TUM1 following in vitro shRNA-mediated knockdown of CD9 expression. ('CD9', 'Gene', (131, 134)) ('MSTO-211H', 'Chemical', '-', (65, 74)) ('knockdown', 'Var', (118, 127)) ('TUM1', 'Gene', '4357', (79, 83)) ('mesothelioma', 'Disease', (41, 53)) ('cell migration', 'biological_process', 'GO:0016477', ('19', '33')) ('increased', 'PosReg', (9, 18)) ('TUM1', 'Gene', (79, 83)) ('mesothelioma', 'Disease', 'MESH:D008654', (41, 53)) ('cell migration in', 'CPA', (19, 36)) 4576 23128478 Patients with CD9 expression showed higher 1- and 2-year survival rates (63 and 25%) compared to the patients without CD9 expression (39 and 11%). ('Patients', 'Species', '9606', (0, 8)) ('CD9 expression', 'Var', (14, 28)) ('higher', 'PosReg', (36, 42)) ('patients', 'Species', '9606', (101, 109)) 4577 23128478 Univariate analysis revealed that patients with CD9 expression demonstrated a more favorable survival (P=0.0025) along with other clinicopathological factors, including age younger than 60 years, IMIG stage I-II, epithelioid histology, EM-D and patients who underwent extrapleural pneumonectomy or received chemotherapy. ('patients', 'Species', '9606', (245, 253)) ('survival', 'CPA', (93, 101)) ('patients', 'Species', '9606', (34, 42)) ('CD9', 'Gene', (48, 51)) ('expression', 'Var', (52, 62)) ('favorable', 'PosReg', (83, 92)) 4578 23128478 Multivariate analysis identified CD9 expression as an independent prognostic factor with a hazard ratio (HR) of 1.99 in the analysis of all mesotheliomas (P=0.0261) and an HR of 2.60 in the analysis of EMs (P=0.0376). ('expression', 'Var', (37, 47)) ('mesotheliomas', 'Disease', 'MESH:D008654', (140, 153)) ('CD9', 'Gene', (33, 36)) ('mesotheliomas', 'Disease', (140, 153)) 4581 23128478 In malignancies, its expression usually suppresses tumor progression and metastasis by inhibition of tumor proliferation and survival. ('inhibition', 'NegReg', (87, 97)) ('tumor', 'Phenotype', 'HP:0002664', (51, 56)) ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('tumor', 'Disease', (101, 106)) ('suppresses', 'NegReg', (40, 50)) ('tumor', 'Disease', (51, 56)) ('malignancies', 'Disease', 'MESH:D009369', (3, 15)) ('malignancies', 'Disease', (3, 15)) ('survival', 'CPA', (125, 133)) ('expression', 'Var', (21, 31)) ('tumor', 'Disease', 'MESH:D009369', (101, 106)) ('tumor', 'Disease', 'MESH:D009369', (51, 56)) 4627 23128478 Among the patients receiving best supportive care, patients with CD9 expression had higher survival (mean survival time 8 months) compared to those without CD9 expression (mean survival time, 2.5 months) (P=0.0376). ('survival', 'MPA', (91, 99)) ('CD9 expression', 'Var', (65, 79)) ('patients', 'Species', '9606', (51, 59)) ('patients', 'Species', '9606', (10, 18)) ('higher', 'PosReg', (84, 90)) 4628 23128478 A similar result was found among the patients treated with chemotherapy alone with a mean survival time of 16.2 months for patients with CD9 expression and 9.7 months for patients without CD9 expression (P=0.0037) (Fig. ('patients', 'Species', '9606', (37, 45)) ('patients', 'Species', '9606', (123, 131)) ('CD9', 'Gene', (137, 140)) ('patients', 'Species', '9606', (171, 179)) ('expression', 'Var', (141, 151)) 4633 23128478 The tetraspanin superfamily proteins (TM4SF) mainly CD9, CD63, CD82, CD151 and CD81 have been implicated in cell migration, proliferation and tumor cell metastasis. ('CD81', 'Gene', '975', (79, 83)) ('tumor', 'Phenotype', 'HP:0002664', (142, 147)) ('CD82', 'Gene', (63, 67)) ('tumor', 'Disease', (142, 147)) ('CD63', 'Gene', '967', (57, 61)) ('cell migration', 'biological_process', 'GO:0016477', ('108', '122')) ('implicated', 'Reg', (94, 104)) ('cell migration', 'CPA', (108, 122)) ('CD151', 'Gene', '977', (69, 74)) ('CD9', 'Var', (52, 55)) ('CD82', 'Gene', '3732', (63, 67)) ('CD63', 'Gene', (57, 61)) ('CD81', 'Gene', (79, 83)) ('tumor', 'Disease', 'MESH:D009369', (142, 147)) ('CD151', 'Gene', (69, 74)) 4636 23128478 In this migration assay experiment using MSTO-211H cells, we found a decrease in CD9 expression after CD9-shRNA transfection which led to increased cell migration compared to control-shRNA-transfected cells. ('expression', 'MPA', (85, 95)) ('MSTO-211H', 'Chemical', '-', (41, 50)) ('increased', 'PosReg', (138, 147)) ('transfection', 'Var', (112, 124)) ('cell migration', 'biological_process', 'GO:0016477', ('148', '162')) ('CD9', 'Gene', (81, 84)) ('cell migration', 'CPA', (148, 162)) ('decrease', 'NegReg', (69, 77)) 4649 23128478 Patients with CD9 expression had higher survival compared to those without CD9 expression in patients receiving best supportive care or patients treated with chemotherapy. ('higher', 'PosReg', (33, 39)) ('survival', 'MPA', (40, 48)) ('Patients', 'Species', '9606', (0, 8)) ('patients', 'Species', '9606', (136, 144)) ('CD9', 'Gene', (14, 17)) ('patients', 'Species', '9606', (93, 101)) ('expression', 'Var', (18, 28)) 4663 23028939 In addition, we also observed significantly elevated levels of SphK1 and SphK2 mRNA and SphK1 protein expression in MPM cell lines such as H2691, H513 and H2461 compared to the non-malignant mesothelial Met5 cells. ('SphK1', 'Gene', (88, 93)) ('H2461', 'CellLine', 'CVCL:A536', (155, 160)) ('elevated', 'PosReg', (44, 52)) ('levels', 'MPA', (53, 59)) ('SphK1', 'Gene', (63, 68)) ('H2461', 'Var', (155, 160)) ('protein expression', 'MPA', (94, 112)) ('SphK2', 'Gene', '56848', (73, 78)) ('SphK2', 'Gene', (73, 78)) ('protein', 'cellular_component', 'GO:0003675', ('94', '101')) 4677 23028939 S1P, generated intracellularly either by SphK1 or SphK2, is transported out of the cells where it acts as ligand for five G protein coupled S1P1-5 receptors and regulates several vital cellular processes such as growth and differentiation, survival, cytoskeletal rearrangements and motility, angiogenesis, and immune defense. ('growth', 'CPA', (212, 218)) ('SphK2', 'Gene', '56848', (50, 55)) ('SphK2', 'Gene', (50, 55)) ('angiogenesis', 'biological_process', 'GO:0001525', ('292', '304')) ('motility', 'CPA', (282, 290)) ('SphK1', 'Var', (41, 46)) ('survival', 'CPA', (240, 248)) ('cytoskeletal rearrangements', 'CPA', (250, 277)) ('S1P1-5', 'Gene', '1901;9294;1903;8698;53637', (140, 146)) ('regulates', 'Reg', (161, 170)) ('protein', 'cellular_component', 'GO:0003675', ('124', '131')) ('angiogenesis', 'CPA', (292, 304)) ('immune defense', 'CPA', (310, 324)) ('ligand', 'molecular_function', 'GO:0005488', ('106', '112')) ('S1P1-5', 'Gene', (140, 146)) 4688 23028939 Given the positive role of SphK1 in cancer, we hypothesized that high expression of SphK1 may play an important role in the development of mesothelioma. ('mesothelioma', 'Disease', 'MESH:D008654', (139, 151)) ('cancer', 'Disease', 'MESH:D009369', (36, 42)) ('cancer', 'Disease', (36, 42)) ('high expression', 'Var', (65, 80)) ('mesothelioma', 'Disease', (139, 151)) ('cancer', 'Phenotype', 'HP:0002664', (36, 42)) ('SphK1', 'Gene', (84, 89)) 4692 23028939 H2691 (epithelioid), H2461 (epithelioid), H513 (epithelioid), H2596 (sarcomatoid), H2373 (sarcomatoid), and non-malignant mesothelial cells (Met5A) were obtained from the American Type Culture Collection. ('sarcomatoid', 'Disease', (69, 80)) ('sarcomatoid', 'Disease', (90, 101)) ('H2461', 'Var', (21, 26)) ('H2373', 'Var', (83, 88)) ('H2373', 'CellLine', 'CVCL:A533', (83, 88)) ('H513', 'Var', (42, 46)) ('Met5A', 'Chemical', '-', (141, 146)) ('sarcomatoid', 'Disease', 'MESH:C538614', (90, 101)) ('sarcomatoid', 'Disease', 'MESH:C538614', (69, 80)) ('H2596', 'Var', (62, 67)) ('H2596', 'CellLine', 'CVCL:A546', (62, 67)) ('H2461', 'CellLine', 'CVCL:A536', (21, 26)) 4705 23028939 After 3 h post-transfection, 1 ml of fresh complete Medium 199 containing 10% FBS for Met5A or RPMI1640 with 10% FBS for mesothelioma cell lines was added and cells were cultured for an additional 48 h for analysis of SphK1 and SphK2 by Western blotting. ('SphK1', 'Gene', (218, 223)) ('SphK2', 'Gene', '56848', (228, 233)) ('RPMI1640', 'Var', (95, 103)) ('Met5A', 'Chemical', '-', (86, 91)) ('mesothelioma', 'Disease', (121, 133)) ('RPMI1640', 'Chemical', '-', (95, 103)) ('mesothelioma', 'Disease', 'MESH:D008654', (121, 133)) ('SphK2', 'Gene', (228, 233)) 4748 23028939 In comparison, siSphK1 transduced cells when treated with Sph (5 microM) did not reveal any increase in [32 P]S1P generation and the increased production of S1P in presence of sphingosine was only inhibited by siSphK1 but not siSphK2 ( Fig. ('Sph', 'Chemical', 'MESH:D013110', (228, 231)) ('siSphK1', 'Var', (210, 217)) ('SphK2', 'Gene', (228, 233)) ('Sph', 'Chemical', 'MESH:D013110', (58, 61)) ('Sph', 'Chemical', 'MESH:D013110', (212, 215)) ('Sph', 'Chemical', 'MESH:D013110', (17, 20)) ('[32 P]S1P generation', 'MPA', (104, 124)) ('sphingosine', 'Chemical', 'MESH:D013110', (176, 187)) ('SphK2', 'Gene', '56848', (228, 233)) 4775 23028939 Hematoxylin and eosin stained histology sections show the presence of dose dependent increase in granulamatous inflammation (early mesothelioma like symptom) in C57BL/6 mice which were exposed to MWNT, compared to PBS injected mice ( Fig. ('inflammation', 'biological_process', 'GO:0006954', ('111', '123')) ('PBS', 'Chemical', 'MESH:D007854', (214, 217)) ('MWNT', 'Var', (196, 200)) ('granulamatous inflammation', 'Disease', 'MESH:D007249', (97, 123)) ('granulamatous inflammation', 'Phenotype', 'HP:0002955', (97, 123)) ('mice', 'Species', '10090', (227, 231)) ('mesothelioma', 'Disease', (131, 143)) ('granulamatous inflammation', 'Disease', (97, 123)) ('mice', 'Species', '10090', (169, 173)) ('eosin', 'Chemical', 'MESH:D004801', (16, 21)) ('Hematoxylin', 'Chemical', 'MESH:D006416', (0, 11)) ('increase', 'PosReg', (85, 93)) ('mesothelioma', 'Disease', 'MESH:D008654', (131, 143)) 4777 23028939 Semi-quantification of granulamatous inflammation by Image analyzer confirmed attenuation of MWNT-mediated inflammation in SphK1 deficient mouse [Relative area of the granulomas (mm2): wild type mice- sham,0; 50 microg, 19055; 3 mg, 38197; SphK1-/- mice - sham, 0; 50 microg, 4483; 3 mg, 15988]. ('inflammation', 'Disease', 'MESH:D007249', (37, 49)) ('attenuation', 'NegReg', (78, 89)) ('granulamatous inflammation', 'Phenotype', 'HP:0002955', (23, 49)) ('inflammation', 'Disease', 'MESH:D007249', (107, 119)) ('granulomas', 'Disease', (167, 177)) ('mice', 'Species', '10090', (195, 199)) ('SphK1', 'Gene', (123, 128)) ('inflammation', 'Disease', (37, 49)) ('mice', 'Species', '10090', (249, 253)) ('granulomas', 'Phenotype', 'HP:0032252', (167, 177)) ('deficient', 'Var', (129, 138)) ('inflammation', 'Disease', (107, 119)) ('MWNT-mediated', 'MPA', (93, 106)) ('mouse', 'Species', '10090', (139, 144)) ('granulamatous inflammation', 'Disease', (23, 49)) ('granulamatous inflammation', 'Disease', 'MESH:D007249', (23, 49)) ('granulomas', 'Disease', 'MESH:D006099', (167, 177)) ('inflammation', 'biological_process', 'GO:0006954', ('37', '49')) ('inflammation', 'biological_process', 'GO:0006954', ('107', '119')) 4785 23028939 Finally, using a mouse model, we demonstrated that abrogation of SphK1 resulted in significantly reduced MWNT-induced peritoneal granulomas. ('abrogation', 'Var', (51, 61)) ('mouse', 'Species', '10090', (17, 22)) ('SphK1', 'Gene', (65, 70)) ('reduced', 'NegReg', (97, 104)) ('peritoneal granulomas', 'Disease', 'MESH:D010534', (118, 139)) ('peritoneal granulomas', 'Disease', (118, 139)) ('granulomas', 'Phenotype', 'HP:0032252', (129, 139)) 4796 23028939 Although the levels of SphK1 are detectable in Met5A control cells, knocking down SphK1 in these cells had no discernable effect on cell proliferation thereby suggesting that SphK1's growth promoting role may be specific to mesothelioma cancer cells. ('SphK1', 'Gene', (82, 87)) ('knocking down', 'Var', (68, 81)) ('cancer', 'Phenotype', 'HP:0002664', (237, 243)) ('cell proliferation', 'CPA', (132, 150)) ('mesothelioma cancer', 'Disease', (224, 243)) ('mesothelioma cancer', 'Disease', 'MESH:D008654', (224, 243)) ('cell proliferation', 'biological_process', 'GO:0008283', ('132', '150')) ('mesothelioma cancer', 'Phenotype', 'HP:0100001', (224, 243)) ('growth', 'MPA', (183, 189)) ('Met5A', 'Chemical', '-', (47, 52)) 4802 23028939 Further investigation into the mechanism underlying the role of SphK1 in mesothelial cell proliferation revealed that abrogation of SpkK1 expression results in a dramatic loss in CDK2 phosphorylation ( Fig. ('CDK2', 'Gene', (179, 183)) ('cell proliferation', 'biological_process', 'GO:0008283', ('85', '103')) ('abrogation', 'Var', (118, 128)) ('CDK2', 'Gene', '1017', (179, 183)) ('phosphorylation', 'biological_process', 'GO:0016310', ('184', '199')) ('CDK', 'molecular_function', 'GO:0004693', ('179', '182')) ('loss', 'NegReg', (171, 175)) ('phosphorylation', 'MPA', (184, 199)) ('SpkK1', 'Gene', (132, 137)) 4803 23028939 As CDK2 activity is required for early cell cycle progression, it is not surprising that DNA replication is arrested in SphK1 knockdown H2691 cells. ('cell cycle', 'biological_process', 'GO:0007049', ('39', '49')) ('SphK1', 'Gene', (120, 125)) ('CDK2', 'Gene', (3, 7)) ('DNA replication', 'biological_process', 'GO:0006260', ('89', '104')) ('CDK2', 'Gene', '1017', (3, 7)) ('CDK', 'molecular_function', 'GO:0004693', ('3', '6')) ('DNA', 'cellular_component', 'GO:0005574', ('89', '92')) ('knockdown', 'Var', (126, 135)) 4820 23028939 We also demonstrated specificity by clearly showing that abrogation of SphK1 in H2691 cell resulted in marked reduction in p300 (CBP) and PCAF transcripts but not that of MYST2 ( Fig. ('SphK1', 'Gene', (71, 76)) ('p300', 'Gene', (123, 127)) ('reduction', 'NegReg', (110, 119)) ('MYST2', 'Gene', (171, 176)) ('PCAF', 'Gene', '8850', (138, 142)) ('p300', 'Gene', '2033', (123, 127)) ('CBP', 'molecular_function', 'GO:0008140', ('129', '132')) ('MYST2', 'Gene', '11143', (171, 176)) ('abrogation', 'Var', (57, 67)) ('PCAF', 'Gene', (138, 142)) ('CBP', 'Gene', (129, 132)) ('CBP', 'Gene', '1387', (129, 132)) 4835 23028939 Here, we observed inflamed granulamatous tissue lining the diaphragm of mice exposed to MWNT that was significantly suppressed in SphK1 knockout mice ( Fig. ('suppressed', 'NegReg', (116, 126)) ('SphK1', 'Gene', (130, 135)) ('knockout', 'Var', (136, 144)) ('mice', 'Species', '10090', (72, 76)) ('mice', 'Species', '10090', (145, 149)) 4868 21037025 In tumor xenograft studies combination treatment with MORAb-009 plus chemotherapy led to a greater reduction in the growth of mesothelin expressing tumors than either MORAb-009 or chemotherapy alone. ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('tumor', 'Disease', (3, 8)) ('growth', 'MPA', (116, 122)) ('tumor', 'Disease', (148, 153)) ('MORAb-009', 'Chemical', 'MESH:C526187', (54, 63)) ('reduction', 'NegReg', (99, 108)) ('MORAb-009', 'Chemical', 'MESH:C526187', (167, 176)) ('mesothelin', 'Protein', (126, 136)) ('MORAb-009', 'Var', (54, 63)) ('tumors', 'Disease', (148, 154)) ('tumor', 'Disease', 'MESH:D009369', (3, 8)) ('tumors', 'Disease', 'MESH:D009369', (148, 154)) ('tumors', 'Phenotype', 'HP:0002664', (148, 154)) ('tumor', 'Phenotype', 'HP:0002664', (3, 8)) ('tumor', 'Disease', 'MESH:D009369', (148, 153)) 4876 21037025 Other eligibility criteria included a life expectancy >= 3 months; Eastern Cooperative Oncology Group (ECOG) performance score of 0-2; adequate bone marrow, hepatic, and renal function (absolute neutrophil count >= 1.5 x 109/L; platelet count >= 100 x 109/L; hemoglobin >= 9 g/dL; serum aspartate transaminase (AST), alanine transaminase (ALT) and alkaline phosphatase <= 5 x upper limit of normal; serum bilirubin <= 2.0 mg/dL; serum creatinine <= 2.0 mg/dL) determined <= 2 weeks before starting therapy. ('AST', 'Gene', '26503', (311, 314)) ('alanine transaminase', 'MPA', (317, 337)) ('aspartate transaminase', 'Gene', '26503', (287, 309)) ('serum bilirubin', 'MPA', (399, 414)) ('>= 100 x 109/L', 'Var', (243, 257)) ('alkaline phosphatase', 'MPA', (348, 368)) ('aspartate transaminase', 'Gene', (287, 309)) ('AST', 'Gene', (311, 314)) ('phosphatase', 'molecular_function', 'GO:0016791', ('357', '368')) ('Oncology', 'Phenotype', 'HP:0002664', (87, 95)) ('serum creatinine', 'MPA', (429, 445)) ('ALT', 'molecular_function', 'GO:0004021', ('339', '342')) 4950 21037025 The mean Cmax of MORAb-009 at the MTD (200 mg/m2) is significantly higher than the concentration of MORAb-009 required for ADCC against mesothelin expressing cell lines or to inhibit the mesothelin CA125 interaction in vitro. ('MORAb-009', 'Chemical', 'MESH:C526187', (17, 26)) ('higher', 'PosReg', (67, 73)) ('Cmax', 'MPA', (9, 13)) ('MORAb-009', 'Var', (17, 26)) ('MORAb-009', 'Chemical', 'MESH:C526187', (100, 109)) ('ADCC', 'biological_process', 'GO:0001788', ('123', '127')) ('CA125', 'Gene', (198, 203)) ('inhibit', 'NegReg', (175, 182)) ('CA125', 'Gene', '94025', (198, 203)) 4956 21037025 These results suggest that MORAb-009 can potentially inhibit the interaction between mesothelin and CA125 and therefore inhibit heterotypic adhesion and intra-cavitary metastasis in patients with mesothelioma and ovarian cancer. ('mesothelioma and ovarian cancer', 'Disease', 'MESH:D010051', (196, 227)) ('inhibit', 'NegReg', (53, 60)) ('MORAb-009', 'Chemical', 'MESH:C526187', (27, 36)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (213, 227)) ('interaction', 'Interaction', (65, 76)) ('MORAb-009', 'Var', (27, 36)) ('heterotypic adhesion', 'MPA', (128, 148)) ('CA125', 'Gene', '94025', (100, 105)) ('intra-cavitary metastasis', 'CPA', (153, 178)) ('inhibit', 'NegReg', (120, 127)) ('cancer', 'Phenotype', 'HP:0002664', (221, 227)) ('patients', 'Species', '9606', (182, 190)) ('mesothelin', 'Protein', (85, 95)) ('CA125', 'Gene', (100, 105)) 5053 29150040 This combination of massive malignant effusion and malignant pleural rind will distort the respiratory mechanics by preventing normal chest wall excursion and enhancing the ventilation perfusion mismatch. ('malignant', 'Var', (51, 60)) ('distort', 'Reg', (79, 86)) ('ventilation perfusion mismatch', 'MPA', (173, 203)) ('preventing', 'NegReg', (116, 126)) ('normal chest wall excursion', 'MPA', (127, 154)) ('respiratory mechanics', 'MPA', (91, 112)) ('malignant effusion', 'Disease', (28, 46)) ('enhancing', 'PosReg', (159, 168)) ('malignant effusion', 'Disease', 'MESH:D016066', (28, 46)) 5122 29150040 The overall survival at 1 year was in fact similar between the 2 groups (52% vs 57%, respectively), but surgical complications and pulmonary complications (including prolonged air leak) were significantly more prevalent in the VATS-PP group. ('pulmonary complications', 'Disease', 'MESH:D008171', (131, 154)) ('surgical complications', 'CPA', (104, 126)) ('more prevalent', 'PosReg', (205, 219)) ('pulmonary complications', 'Phenotype', 'HP:0006532', (131, 154)) ('pulmonary complications', 'Disease', (131, 154)) ('VATS-PP', 'Var', (227, 234)) 5140 29150040 It is believed that PDT can directly kill cancer cells, destroy the tumor neovasculature, and induce a tumor-directed immune response. ('tumor', 'Disease', (68, 73)) ('tumor neovasculature', 'Disease', 'MESH:D009369', (68, 88)) ('tumor', 'Phenotype', 'HP:0002664', (103, 108)) ('cancer', 'Phenotype', 'HP:0002664', (42, 48)) ('PDT', 'Var', (20, 23)) ('tumor', 'Disease', (103, 108)) ('destroy', 'NegReg', (56, 63)) ('immune response', 'biological_process', 'GO:0006955', ('118', '133')) ('tumor neovasculature', 'Disease', (68, 88)) ('induce', 'Reg', (94, 100)) ('cancer', 'Disease', (42, 48)) ('cancer', 'Disease', 'MESH:D009369', (42, 48)) ('tumor', 'Disease', 'MESH:D009369', (68, 73)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) ('tumor', 'Disease', 'MESH:D009369', (103, 108)) 5341 31366157 Frequent mutations in BAP1 (BRCA-associated protein 1) have been reported in many types of cancer including uveal melanoma, renal cancer and MM. ('uveal melanoma', 'Disease', 'MESH:C536494', (108, 122)) ('uveal melanoma', 'Disease', (108, 122)) ('mutations', 'Var', (9, 18)) ('renal cancer', 'Disease', (124, 136)) ('renal cancer', 'Phenotype', 'HP:0009726', (124, 136)) ('cancer', 'Disease', 'MESH:D009369', (130, 136)) ('reported', 'Reg', (65, 73)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (108, 122)) ('cancer', 'Disease', 'MESH:D009369', (91, 97)) ('renal cancer', 'Disease', 'MESH:D007680', (124, 136)) ('BAP1', 'Gene', '8314', (22, 26)) ('BRCA-associated protein 1', 'Gene', (28, 53)) ('melanoma', 'Phenotype', 'HP:0002861', (114, 122)) ('BAP1', 'Gene', (22, 26)) ('BRCA-associated protein 1', 'Gene', '8314', (28, 53)) ('cancer', 'Disease', (91, 97)) ('cancer', 'Disease', (130, 136)) ('cancer', 'Phenotype', 'HP:0002664', (130, 136)) ('cancer', 'Phenotype', 'HP:0002664', (91, 97)) ('protein', 'cellular_component', 'GO:0003675', ('44', '51')) 5342 31366157 A recent study proposed that germline BAP1 mutations are linked with cancer syndrome which is associated with familiar cases of MM in the above-mentioned Cappadocian villages. ('cancer syndrome', 'Disease', 'MESH:D009369', (69, 84)) ('BAP1', 'Gene', (38, 42)) ('cancer', 'Phenotype', 'HP:0002664', (69, 75)) ('mutations', 'Var', (43, 52)) ('linked', 'Reg', (57, 63)) ('germline', 'Var', (29, 37)) ('BAP1', 'Gene', '8314', (38, 42)) ('cancer syndrome', 'Disease', (69, 84)) 5414 30223066 Next, we summarize the incidence data and potential mechanisms of sexual dimorphism in ten human cancer types with higher incidence ratios of at least 2-fold. ('cancer', 'Disease', (97, 103)) ('sexual', 'Var', (66, 72)) ('cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('human', 'Species', '9606', (91, 96)) ('cancer', 'Disease', 'MESH:D009369', (97, 103)) 5463 30223066 Although neither ERbeta nor GPER1 is expressed in normal liver and liver tumors from rodents and humans, one recent study showed that global but not liver-specific ablation of Gper1 accelerated hepatocarcinogenesis. ('GPER1', 'Gene', (28, 33)) ('liver tumors', 'Phenotype', 'HP:0002896', (67, 79)) ('liver tumors', 'Disease', (67, 79)) ('humans', 'Species', '9606', (97, 103)) ('GPER1', 'Gene', '2852', (28, 33)) ('Gper1', 'Gene', '2852', (176, 181)) ('hepatocarcinogenesis', 'Disease', 'MESH:D063646', (194, 214)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('ERbeta', 'Gene', '2100', (17, 23)) ('tumors', 'Phenotype', 'HP:0002664', (73, 79)) ('accelerated', 'PosReg', (182, 193)) ('ablation', 'Var', (164, 172)) ('Gper1', 'Gene', (176, 181)) ('ERbeta', 'Gene', (17, 23)) ('hepatocarcinogenesis', 'Disease', (194, 214)) ('liver tumors', 'Disease', 'MESH:D008113', (67, 79)) 5467 30223066 Li et al found that both of the ERalpha-mediated protection and AR-mediated facilitation of hepatic tumorigenesis in mice depended on Foxa1/2, while deficiency of Foxa1 and Foxa2 in the mouse liver would reverse the protective role of ERalpha and the detrimental role of AR for HCC; and genetic variants that affected the binding of FOXA2 and ERalpha were associated with the increased incidence of HCC in patients. ('Foxa1', 'Gene', (163, 168)) ('FOXA2', 'Gene', (333, 338)) ('tumor', 'Disease', (100, 105)) ('mice', 'Species', '10090', (117, 121)) ('men', 'Species', '9606', (256, 259)) ('deficiency', 'Var', (149, 159)) ('HCC', 'Disease', (278, 281)) ('tumor', 'Disease', 'MESH:D009369', (100, 105)) ('binding', 'Interaction', (322, 329)) ('HCC', 'Disease', 'MESH:D006528', (399, 402)) ('HCC', 'Phenotype', 'HP:0001402', (278, 281)) ('associated', 'Reg', (356, 366)) ('Foxa1/2', 'Gene', '15375;15376', (134, 141)) ('Foxa1', 'Gene', '15375', (134, 139)) ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('genetic variants', 'Var', (287, 303)) ('Foxa1', 'Gene', (134, 139)) ('mouse', 'Species', '10090', (186, 191)) ('HCC', 'Disease', 'MESH:D006528', (278, 281)) ('HCC', 'Disease', (399, 402)) ('Foxa2', 'Gene', '15376', (173, 178)) ('patients', 'Species', '9606', (406, 414)) ('HCC', 'Phenotype', 'HP:0001402', (399, 402)) ('binding', 'molecular_function', 'GO:0005488', ('322', '329')) ('Foxa1/2', 'Gene', (134, 141)) ('Foxa2', 'Gene', (173, 178)) ('Foxa1', 'Gene', '15375', (163, 168)) ('FOXA2', 'Gene', '15376', (333, 338)) ('ERalpha', 'Gene', (343, 350)) 5483 30223066 For example, estrogen signaling, through ERalpha or a splicing variant of ERalpha, promoted the growth of gastric cancer cells whereas ERbeta-mediated estrogen signaling inhibited the growth of gastric cancer cells and genetic variants in the ESR2 gene were highly associated with survival in patients with locally advanced gastric cancer. ('cancer', 'Phenotype', 'HP:0002664', (202, 208)) ('ERbeta', 'Gene', (135, 141)) ('associated with', 'Reg', (265, 280)) ('genetic variants', 'Var', (219, 235)) ('cancer', 'Phenotype', 'HP:0002664', (114, 120)) ('gastric cancer', 'Phenotype', 'HP:0012126', (194, 208)) ('gastric cancer', 'Phenotype', 'HP:0012126', (106, 120)) ('inhibited', 'NegReg', (170, 179)) ('gastric cancer', 'Disease', (324, 338)) ('estrogen', 'Chemical', 'MESH:D004967', (151, 159)) ('signaling', 'biological_process', 'GO:0023052', ('160', '169')) ('growth', 'MPA', (184, 190)) ('ESR2', 'Gene', '2100', (243, 247)) ('gastric cancer', 'Disease', 'MESH:D013274', (324, 338)) ('gastric cancer', 'Disease', (194, 208)) ('estrogen', 'Chemical', 'MESH:D004967', (13, 21)) ('ESR2', 'Gene', (243, 247)) ('gastric cancer', 'Disease', (106, 120)) ('growth', 'MPA', (96, 102)) ('promoted', 'PosReg', (83, 91)) ('splicing variant', 'Var', (54, 70)) ('cancer', 'Phenotype', 'HP:0002664', (332, 338)) ('signaling', 'biological_process', 'GO:0023052', ('22', '31')) ('gastric cancer', 'Disease', 'MESH:D013274', (194, 208)) ('gastric cancer', 'Phenotype', 'HP:0012126', (324, 338)) ('gastric cancer', 'Disease', 'MESH:D013274', (106, 120)) ('splicing', 'biological_process', 'GO:0045292', ('54', '62')) ('ERbeta', 'Gene', '2100', (135, 141)) ('patients', 'Species', '9606', (293, 301)) ('ERalpha', 'Gene', (74, 81)) 5489 30223066 The evidence of estrogen signaling in the growth of kidney cancer cells is limited, e.g., ESR1 polymorphism was associated with the risk of kidney cancer; GPER1 promoted the growth and metastasis of kidney cancer cells; and AR-mediated androgen signaling promoted the growth of kidney cancer cells. ('cancer', 'Phenotype', 'HP:0002664', (147, 153)) ('kidney cancer', 'Disease', (140, 153)) ('kidney cancer', 'Phenotype', 'HP:0009726', (52, 65)) ('cancer', 'Phenotype', 'HP:0002664', (59, 65)) ('kidney cancer', 'Disease', (52, 65)) ('GPER1', 'Gene', '2852', (155, 160)) ('signaling', 'biological_process', 'GO:0023052', ('25', '34')) ('kidney cancer', 'Disease', 'MESH:D007680', (199, 212)) ('kidney cancer', 'Disease', 'MESH:D007680', (278, 291)) ('metastasis of kidney cancer', 'Disease', 'MESH:D009362', (185, 212)) ('GPER1', 'Gene', (155, 160)) ('signaling', 'biological_process', 'GO:0023052', ('245', '254')) ('growth', 'CPA', (174, 180)) ('ESR1', 'Gene', '2099', (90, 94)) ('cancer', 'Phenotype', 'HP:0002664', (206, 212)) ('kidney cancer', 'Phenotype', 'HP:0009726', (199, 212)) ('kidney cancer', 'Phenotype', 'HP:0009726', (278, 291)) ('metastasis of kidney cancer', 'Disease', (185, 212)) ('estrogen', 'Chemical', 'MESH:D004967', (16, 24)) ('cancer', 'Phenotype', 'HP:0002664', (285, 291)) ('kidney cancer', 'Disease', (278, 291)) ('ESR1', 'Gene', (90, 94)) ('polymorphism', 'Var', (95, 107)) ('kidney cancer', 'Disease', 'MESH:D007680', (140, 153)) ('kidney cancer', 'Disease', 'MESH:D007680', (52, 65)) ('androgen', 'Chemical', 'MESH:D000728', (236, 244)) ('promoted', 'PosReg', (255, 263)) ('growth', 'CPA', (268, 274)) ('promoted', 'PosReg', (161, 169)) ('associated', 'Reg', (112, 122)) ('kidney cancer', 'Phenotype', 'HP:0009726', (140, 153)) 5638 29540358 These changes may have impacted the outcome for mesothelioma, too. ('changes', 'Var', (6, 13)) ('impacted', 'Reg', (23, 31)) ('mesothelioma', 'Disease', (48, 60)) ('mesothelioma', 'Disease', 'MESH:D008654', (48, 60)) 5680 28460459 In some cases, mesothelin expression has been associated with increased tumor aggressiveness and poor clinical outcome, however, its impact on the clinical outcome of malignant pleural mesothelioma patients has not been extensively evaluated. ('tumor aggressiveness', 'Disease', 'MESH:D001523', (72, 92)) ('increased', 'PosReg', (62, 71)) ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('malignant pleural mesothelioma', 'Disease', (167, 197)) ('patients', 'Species', '9606', (198, 206)) ('expression', 'Var', (26, 36)) ('mesothelin', 'Protein', (15, 25)) ('aggressiveness', 'Phenotype', 'HP:0000718', (78, 92)) ('tumor aggressiveness', 'Disease', (72, 92)) ('associated', 'Reg', (46, 56)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (177, 197)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (167, 197)) 5683 28460459 Although the mechanism(s) and/or tumor biological significances were unclear, high mesothelin expression was associated with KRAS gene mutation in lung adenocarcinoma. ('associated', 'Reg', (109, 119)) ('KRAS', 'Gene', (125, 129)) ('tumor', 'Disease', 'MESH:D009369', (33, 38)) ('high', 'PosReg', (78, 82)) ('KRAS', 'Gene', '3845', (125, 129)) ('mesothelin', 'Protein', (83, 93)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (147, 166)) ('tumor', 'Phenotype', 'HP:0002664', (33, 38)) ('carcinoma', 'Phenotype', 'HP:0030731', (157, 166)) ('tumor', 'Disease', (33, 38)) ('expression', 'MPA', (94, 104)) ('mutation', 'Var', (135, 143)) ('lung adenocarcinoma', 'Disease', (147, 166)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (147, 166)) 5714 28460459 Multivariable Cox hazards regression analysis revealed diffuse membranous mesothelin expression in mesothelioma tumor cells to be a favorable prognostic factor (HR, 0.36; 95% CI, 0.21-0.64; P < 0.001) (Table 4). ('Cox', 'Gene', '1351', (14, 17)) ('Cox', 'Gene', (14, 17)) ('mesothelioma tumor', 'Phenotype', 'HP:0100001', (99, 117)) ('tumor', 'Phenotype', 'HP:0002664', (112, 117)) ('mesothelioma tumor', 'Disease', (99, 117)) ('diffuse', 'Var', (55, 62)) ('mesothelioma tumor', 'Disease', 'MESH:D008654', (99, 117)) 5717 28460459 Arbitrary selected 75 colorectal tumors were analyzed for BRAF, KRAS, and NRAS gene mutations. ('NRAS', 'Gene', (74, 78)) ('KRAS', 'Gene', (64, 68)) ('tumor', 'Phenotype', 'HP:0002664', (33, 38)) ('mutations', 'Var', (84, 93)) ('NRAS', 'Gene', '4893', (74, 78)) ('tumors', 'Phenotype', 'HP:0002664', (33, 39)) ('colorectal tumors', 'Disease', (22, 39)) ('colorectal tumors', 'Disease', 'MESH:D015179', (22, 39)) ('BRAF', 'Gene', '673', (58, 62)) ('KRAS', 'Gene', '3845', (64, 68)) ('BRAF', 'Gene', (58, 62)) 5750 28460459 In case of lung adenocarcinoma high-level of mesothelin expression is associated with aggressiveness, poor prognosis and KRAS gene mutation status. ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (11, 30)) ('aggressiveness', 'Phenotype', 'HP:0000718', (86, 100)) ('KRAS', 'Gene', (121, 125)) ('KRAS', 'Gene', '3845', (121, 125)) ('high-level', 'Var', (31, 41)) ('aggressiveness', 'Disease', 'MESH:D001523', (86, 100)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (11, 30)) ('associated', 'Reg', (70, 80)) ('expression', 'MPA', (56, 66)) ('aggressiveness', 'Disease', (86, 100)) ('carcinoma', 'Phenotype', 'HP:0030731', (21, 30)) ('lung adenocarcinoma', 'Disease', (11, 30)) 5751 28460459 Based on these observations, in the present study, gene mutation analyses were performed in colorectal adenocarcinomas since they commonly harbor KRAS mutations. ('carcinoma', 'Phenotype', 'HP:0030731', (108, 117)) ('KRAS', 'Gene', (146, 150)) ('harbor', 'Reg', (139, 145)) ('KRAS', 'Gene', '3845', (146, 150)) ('carcinomas', 'Phenotype', 'HP:0030731', (108, 118)) ('colorectal adenocarcinomas', 'Disease', (92, 118)) ('mutations', 'Var', (151, 160)) ('colorectal adenocarcinomas', 'Disease', 'MESH:D015179', (92, 118)) 5752 28460459 Among 75 arbitrarily selected colorectal adenocarcinomas, 20 and 31 tumors carried BRAF and RAS mutations, respectively. ('colorectal adenocarcinomas', 'Disease', 'MESH:D015179', (30, 56)) ('tumors', 'Disease', (68, 74)) ('tumors', 'Disease', 'MESH:D009369', (68, 74)) ('tumors', 'Phenotype', 'HP:0002664', (68, 74)) ('carcinoma', 'Phenotype', 'HP:0030731', (46, 55)) ('RAS', 'Gene', (92, 95)) ('carried', 'Reg', (75, 82)) ('carcinomas', 'Phenotype', 'HP:0030731', (46, 56)) ('colorectal adenocarcinomas', 'Disease', (30, 56)) ('BRAF', 'Gene', '673', (83, 87)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) ('BRAF', 'Gene', (83, 87)) ('mutations', 'Var', (96, 105)) 5792 27323398 Furthermore, in a large group of human MPM samples it results that CYP19A1 was expressed as a cytoplasmic protein and its expression was significantly associated with poor survival of patients. ('expression', 'MPA', (122, 132)) ('CYP19A1', 'Var', (67, 74)) ('patients', 'Species', '9606', (184, 192)) ('protein', 'cellular_component', 'GO:0003675', ('106', '113')) ('associated', 'Reg', (151, 161)) ('poor', 'NegReg', (167, 171)) ('MPM', 'Chemical', '-', (39, 42)) ('human', 'Species', '9606', (33, 38)) 5799 27323398 Interestingly, exemestane induces cell death in MSTO-211H (MSTO) by PI3K and cAMP inhibition, pathways involved in the action of GPR30. ('cAMP', 'Gene', (77, 81)) ('cAMP', 'Gene', '820', (77, 81)) ('cell death', 'CPA', (34, 44)) ('exemestane', 'Chemical', 'MESH:C056516', (15, 25)) ('MSTO', 'Chemical', '-', (59, 63)) ('PI3K', 'molecular_function', 'GO:0016303', ('68', '72')) ('GPR30', 'Gene', (129, 134)) ('MSTO', 'Chemical', '-', (48, 52)) ('inhibition', 'NegReg', (82, 92)) ('GPR30', 'Gene', '2852', (129, 134)) ('cell death', 'biological_process', 'GO:0008219', ('34', '44')) ('PI3K', 'Var', (68, 72)) ('MSTO-211H', 'CellLine', 'CVCL:1430', (48, 57)) 5818 27323398 This allows us to highlight a significant difference (P < 0.05) between patients with low, intermediate and high E2compared to patients without E2 that the Kaplan-Meier survival plot would neglect. ('patients', 'Species', '9606', (127, 135)) ('low', 'Var', (86, 89)) ('E2compared', 'Gene', (113, 123)) ('patients', 'Species', '9606', (72, 80)) 5834 27323398 Using RNAi silencing and G15, a selective GPR30 antagonist, it is possible to demonstrate the involvement of GPR30 in cell proliferation. ('silencing', 'Var', (11, 20)) ('GPR30', 'Gene', '2852', (42, 47)) ('G15', 'Gene', (25, 28)) ('RNAi', 'biological_process', 'GO:0016246', ('6', '10')) ('G15', 'Gene', '10181', (25, 28)) ('involvement', 'Reg', (94, 105)) ('cell proliferation', 'biological_process', 'GO:0008283', ('118', '136')) ('cell proliferation', 'CPA', (118, 136)) ('GPR30', 'Gene', (109, 114)) ('GPR30', 'Gene', '2852', (109, 114)) ('GPR30', 'Gene', (42, 47)) 5873 27323398 When the cohort of patients was divided according to the E2 levels, we noted that median survival times for patients low, intermediate and high E2 levels were significantly less than the patients without E2 levels (P < 0.05), 27 months for negative E2 levels and about 14 for others (Figure 2A). ('patients', 'Species', '9606', (187, 195)) ('patients', 'Species', '9606', (19, 27)) ('less', 'NegReg', (173, 177)) ('patients', 'Species', '9606', (108, 116)) ('high', 'Var', (139, 143)) 5975 22607910 However, IMRT can be associated with increased toxicity, including fatal pneumonitis, if radiation exposure to the remaining lung is not carefully restricted. ('IMRT', 'Var', (9, 13)) ('toxicity', 'Disease', 'MESH:D064420', (47, 55)) ('pneumonitis', 'Disease', (73, 84)) ('toxicity', 'Disease', (47, 55)) ('pneumonitis', 'Disease', 'MESH:D011014', (73, 84)) 5976 22607910 A report compiling data on 663 patients with MPM managed surgically suggested that those who underwent EPP had an inferior survival compared to patients who had P/D. ('EPP', 'Var', (103, 106)) ('patients', 'Species', '9606', (144, 152)) ('patients', 'Species', '9606', (31, 39)) ('man', 'Species', '9606', (49, 52)) ('inferior', 'NegReg', (114, 122)) 6045 22607910 Additionally, while the decision between EPP and P/D remains controversial, a multi-institutional retrospective analysis reported improved survival among patients receiving P/D compared to those receiving EPP. ('patients', 'Species', '9606', (154, 162)) ('P/D', 'Var', (173, 176)) ('survival', 'MPA', (139, 147)) ('improved', 'PosReg', (130, 138)) 6067 22607910 Thus, IMRT after other treatment modalities appears to improve progression free and overall survival in these patients. ('overall survival', 'CPA', (84, 100)) ('improve', 'PosReg', (55, 62)) ('IMRT', 'Var', (6, 10)) ('progression free', 'CPA', (63, 79)) ('patients', 'Species', '9606', (110, 118)) 6077 22082164 However, functionalization of CNTs to modulate aspect ratio, biodegradability and to remove residual metals could allow for safe design of CNTs for use in drug delivery in certain circumstances. ('biodegradability', 'MPA', (61, 77)) ('rat', 'Species', '10116', (54, 57)) ('metal', 'Chemical', 'MESH:D008670', (101, 106)) ('aspect ratio', 'MPA', (47, 59)) ('modulate', 'Var', (38, 46)) 6116 22082164 These metals are well known to cause pulmonary diseases in humans including pulmonary fibrosis, asthma or cancer. ('asthma', 'Disease', 'MESH:D001249', (96, 102)) ('pulmonary fibrosis', 'Disease', (76, 94)) ('asthma', 'Disease', (96, 102)) ('cancer', 'Phenotype', 'HP:0002664', (106, 112)) ('metals', 'Var', (6, 12)) ('cancer', 'Disease', 'MESH:D009369', (106, 112)) ('pulmonary diseases', 'Disease', (37, 55)) ('asthma', 'Phenotype', 'HP:0002099', (96, 102)) ('cancer', 'Disease', (106, 112)) ('pulmonary fibrosis', 'Phenotype', 'HP:0002206', (76, 94)) ('cause', 'Reg', (31, 36)) ('pulmonary diseases', 'Disease', 'MESH:D008171', (37, 55)) ('pulmonary fibrosis', 'Disease', 'MESH:D011658', (76, 94)) ('humans', 'Species', '9606', (59, 65)) ('metal', 'Chemical', 'MESH:D008670', (6, 11)) 6125 22082164 More recent work by these investigators suggested that SWCNT also can exacerbate murine allergic airway inflammation via enhanced activation of Th2 immunity and increased oxidative stress, and that this exacerbation may be partly through the inappropriate activation of antigen-presenting cells, including dendritic cells. ('allergic airway inflammation', 'Disease', 'MESH:D004342', (88, 116)) ('exacerbate', 'PosReg', (70, 80)) ('Th2', 'Gene', '15111', (144, 147)) ('increased oxidative stress', 'Phenotype', 'HP:0025464', (161, 187)) ('oxidative stress', 'Phenotype', 'HP:0025464', (171, 187)) ('allergic airway inflammation', 'Phenotype', 'HP:0002099', (88, 116)) ('murine', 'Species', '10090', (81, 87)) ('enhanced activation', 'PosReg', (121, 140)) ('SWCNT', 'Var', (55, 60)) ('oxidative stress', 'MPA', (171, 187)) ('increased', 'PosReg', (161, 170)) ('allergic airway inflammation', 'Disease', (88, 116)) ('inflammation', 'biological_process', 'GO:0006954', ('104', '116')) ('Th2', 'Gene', (144, 147)) 6132 22082164 Moreover, pulmonary exposure to nanometals exacerbates airway hyper-responsiveness in mice. ('nanometals', 'Var', (32, 42)) ('mice', 'Species', '10090', (86, 90)) ('exacerbates', 'PosReg', (43, 54)) ('hyper-responsiveness', 'Disease', 'MESH:D012130', (62, 82)) ('hyper-responsiveness', 'Disease', (62, 82)) ('metal', 'Chemical', 'MESH:D008670', (36, 41)) 6138 22082164 SWCNTs or MWCNTs have been shown to exacerbate lung inflammation, pulmonary vascular permeability and lung expression of proinflammatory cytokines induced by LPS. ('LPS', 'Var', (158, 161)) ('lung expression of proinflammatory cytokines', 'MPA', (102, 146)) ('pulmonary vascular permeability', 'CPA', (66, 97)) ('inflammation', 'biological_process', 'GO:0006954', ('52', '64')) ('lung inflammation', 'Disease', 'MESH:D011014', (47, 64)) ('exacerbate', 'PosReg', (36, 46)) ('MWCNTs', 'Chemical', '-', (10, 16)) ('lung inflammation', 'Disease', (47, 64)) 6139 22082164 Pre-exposure to LPS also exacerbates the fibrogenic potential of MWCNT delivered to the lungs of rats. ('Pre', 'molecular_function', 'GO:0003904', ('0', '3')) ('fibrogenic potential', 'CPA', (41, 61)) ('rats', 'Species', '10116', (97, 101)) ('LPS', 'Var', (16, 19)) ('exacerbates', 'PosReg', (25, 36)) ('MWCNT', 'Chemical', '-', (65, 70)) 6141 22082164 The precise mechanism through which LPS enhances CNT-induced lung fibrosis remains to be elucidated. ('enhances', 'PosReg', (40, 48)) ('lung fibrosis', 'Phenotype', 'HP:0002206', (61, 74)) ('lung fibrosis', 'Disease', 'MESH:D005355', (61, 74)) ('LPS', 'Var', (36, 39)) ('lung fibrosis', 'Disease', (61, 74)) 6150 22082164 As mentioned previously in the discussion of immune cell reactions, inhaled MWCNTs have been reported to cause systemic immunosuppression and splenic oxidative stress. ('MWCNTs', 'Chemical', '-', (76, 82)) ('oxidative stress', 'Phenotype', 'HP:0025464', (150, 166)) ('systemic immunosuppression', 'CPA', (111, 137)) ('cause', 'Reg', (105, 110)) ('inhaled MWCNTs', 'Var', (68, 82)) ('splenic', 'MPA', (142, 149)) 6155 22082164 SWCNTs have been shown to cause fragmented centrosomes, multiple mitotic spindle poles, anaphase bridges and aneuploid chromosome number in cultured primary or immortalized human airway epithelial cell types. ('chromosome', 'cellular_component', 'GO:0005694', ('119', '129')) ('cause', 'Reg', (26, 31)) ('mitotic spindle', 'cellular_component', 'GO:0072686', ('65', '80')) ('anaphase', 'biological_process', 'GO:0051322', ('88', '96')) ('anaphase bridges', 'CPA', (88, 104)) ('human', 'Species', '9606', (173, 178)) ('SWCNTs', 'Var', (0, 6)) ('multiple mitotic spindle poles', 'CPA', (56, 86)) ('fragmented centrosomes', 'CPA', (32, 54)) ('aneuploid chromosome number', 'CPA', (109, 136)) 6163 22082164 Therefore, increased or decreased toxicity due to modification of CNTs depends on the specific type of functionalization. ('modification', 'Var', (50, 62)) ('decreased', 'NegReg', (24, 33)) ('toxicity', 'Disease', (34, 42)) ('toxicity', 'Disease', 'MESH:D064420', (34, 42)) 6212 33374980 Inhibitors of the Transcription Factor STAT3 Decrease Growth and Induce Immune Response Genes in Models of Malignant Pleural Mesothelioma (MPM) Malignant pleural mesothelioma (MPM) is characterized by the lack of effective long-term treatments and highly prevalent drug resistance. ('Malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (144, 174)) ('drug resistance', 'biological_process', 'GO:0009315', ('265', '280')) ('Malignant pleural mesothelioma', 'Disease', (144, 174)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (154, 174)) ('Decrease', 'NegReg', (45, 53)) ('Malignant Pleural Mesothelioma', 'Disease', 'MESH:C562839', (107, 137)) ('STAT3', 'Gene', '6774', (39, 44)) ('drug resistance', 'biological_process', 'GO:0042493', ('265', '280')) ('Inhibitors', 'Var', (0, 10)) ('drug resistance', 'Phenotype', 'HP:0020174', (265, 280)) ('Growth', 'MPA', (54, 60)) ('Immune Response', 'biological_process', 'GO:0006955', ('72', '87')) ('STAT3', 'Gene', (39, 44)) ('Induce', 'PosReg', (65, 71)) ('Decrease Growth', 'Phenotype', 'HP:0001510', (45, 60)) ('Immune Response Genes', 'Gene', (72, 93)) ('Malignant Pleural Mesothelioma', 'Disease', (107, 137)) ('Pleural Mesothelioma', 'Phenotype', 'HP:0100002', (117, 137)) 6216 33374980 Malignant pleural mesothelioma (MPM) is an aggressive cancer defined by loss-of-function mutations with few therapeutic options. ('Malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (0, 30)) ('Malignant pleural mesothelioma', 'Disease', (0, 30)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (10, 30)) ('aggressive cancer', 'Disease', 'MESH:D009369', (43, 60)) ('mutations', 'Var', (89, 98)) ('aggressive cancer', 'Disease', (43, 60)) ('loss-of-function', 'NegReg', (72, 88)) ('cancer', 'Phenotype', 'HP:0002664', (54, 60)) 6221 33374980 Biological changes were linked to modulation of gene expression associated with STAT3 signaling, including cell cycle progression and altered p53 response. ('gene expression', 'biological_process', 'GO:0010467', ('48', '63')) ('cell cycle', 'biological_process', 'GO:0007049', ('107', '117')) ('p53', 'Gene', '7157', (142, 145)) ('p53', 'Gene', (142, 145)) ('cell cycle progression', 'CPA', (107, 129)) ('signaling', 'biological_process', 'GO:0023052', ('86', '95')) ('gene expression', 'MPA', (48, 63)) ('modulation', 'Var', (34, 44)) 6222 33374980 Reflecting the role of STAT3 in inducing localized immune suppression, using both atovaquone and pyrimethamine resulted in the modulation of immunoregulatory genes predicted to enhance an immune response, including upregulation of ICOSLG (Inducible T-Cell Costimulator Ligand or B7H2). ('immune response', 'biological_process', 'GO:0006955', ('188', '203')) ('pyrimethamine', 'Var', (97, 110)) ('modulation', 'MPA', (127, 137)) ('upregulation', 'PosReg', (215, 227)) ('immune', 'MPA', (188, 194)) ('ICOSLG', 'Gene', (231, 237)) ('atovaquone', 'Chemical', 'MESH:D053626', (82, 92)) ('pyrimethamine', 'Chemical', 'MESH:D011739', (97, 110)) ('immunoregulatory genes', 'Gene', (141, 163)) ('enhance', 'PosReg', (177, 184)) 6229 33374980 MPM itself is characterized by mutations in tumor suppressor genes, which are not directly related to STAT3 activation. ('tumor suppressor', 'molecular_function', 'GO:0008181', ('44', '60')) ('mutations', 'Var', (31, 40)) ('tumor', 'Disease', 'MESH:D009369', (44, 49)) ('MPM', 'Disease', (0, 3)) ('tumor', 'Phenotype', 'HP:0002664', (44, 49)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('44', '60')) ('tumor', 'Disease', (44, 49)) 6230 33374980 Our previous data suggest that STAT3 can also be infrequently activated in MPM by EPHA2 mutations with oncogenic characteristics. ('EPHA2', 'Gene', (82, 87)) ('MPM', 'Disease', (75, 78)) ('mutations', 'Var', (88, 97)) ('STAT3', 'MPA', (31, 36)) ('EPHA2', 'Gene', '1969', (82, 87)) 6234 33374980 STAT3 was readily detected in all of these models, and there was variable phosphorylation of STAT3 at Tyr705 as an indicator of activation, but not necessarily STAT3 dependency, with the highest in the H2804 cell line. ('activation', 'PosReg', (128, 138)) ('phosphorylation', 'MPA', (74, 89)) ('Tyr705', 'Chemical', '-', (102, 108)) ('H2804', 'CellLine', 'CVCL:U998', (202, 207)) ('Tyr705', 'Var', (102, 108)) ('phosphorylation', 'biological_process', 'GO:0016310', ('74', '89')) 6240 33374980 Indeed, expression of activated STAT3 increased growth of these cells in the absence of epidermal growth factor (EGF) (52% increased growth versus control LP9.EV; p < 0.05), indicating a central role of this protein in the biology of these cells (Figure 1B). ('increased', 'PosReg', (123, 132)) ('epidermal growth factor', 'Gene', '1950', (88, 111)) ('EGF', 'Gene', (113, 116)) ('activated STAT3', 'Gene', (22, 37)) ('EGF', 'Gene', '1950', (113, 116)) ('growth', 'MPA', (48, 54)) ('LP9', 'CellLine', 'CVCL:E109', (155, 158)) ('epidermal growth factor', 'Gene', (88, 111)) ('protein', 'cellular_component', 'GO:0003675', ('208', '215')) ('epidermal growth factor', 'molecular_function', 'GO:0005154', ('88', '111')) ('EGF', 'molecular_function', 'GO:0005154', ('113', '116')) ('increased', 'PosReg', (38, 47)) ('expression', 'Var', (8, 18)) 6241 33374980 In additional control experiments, we also show that the modest growth of LP9 cells is only affected by STAT3 knockdown in the presence of EGF (Figure 1C). ('knockdown', 'Var', (110, 119)) ('LP9', 'CellLine', 'CVCL:E109', (74, 77)) ('EGF', 'Gene', (139, 142)) ('STAT3', 'Gene', (104, 109)) ('EGF', 'Gene', '1950', (139, 142)) ('EGF', 'molecular_function', 'GO:0005154', ('139', '142')) 6259 33374980 We found that atovaquone, pyrimethamine, and nifuroxazide all led to differential effects on MSTO-211H cells compared to nontransformed LP9 cells in 3D culture (Figure S7A,B), even though the same concentrations were toxic in monolayer culture settings (Figure 2A). ('MSTO-211H', 'Gene', (93, 102)) ('pyrimethamine', 'Chemical', 'MESH:D011739', (26, 39)) ('LP9', 'CellLine', 'CVCL:E109', (136, 139)) ('rat', 'Species', '10116', (204, 207)) ('nifuroxazide', 'Chemical', 'MESH:C013150', (45, 57)) ('pyrimethamine', 'Var', (26, 39)) ('effects', 'Reg', (82, 89)) ('atovaquone', 'Chemical', 'MESH:D053626', (14, 24)) 6266 33374980 Similar to atovaquone, pyrimethamine also significantly reduced tumor growth (p < 0.05), but, as expected from the in vitro data, the changes were smaller (Figure S7C). ('tumor', 'Disease', (64, 69)) ('pyrimethamine', 'Chemical', 'MESH:D011739', (23, 36)) ('reduced', 'NegReg', (56, 63)) ('atovaquone', 'Chemical', 'MESH:D053626', (11, 21)) ('tumor', 'Disease', 'MESH:D009369', (64, 69)) ('pyrimethamine', 'Var', (23, 36)) ('tumor', 'Phenotype', 'HP:0002664', (64, 69)) 6284 33374980 However, atovaquone and pyrimethamine treatments were associated with a significant change (q < 0.25) in the HALLMARK_IL6_JAK_STAT3 gene expression signature in H28 cells. ('HALLMARK_IL6_JAK_STAT3', 'MPA', (109, 131)) ('JAK', 'molecular_function', 'GO:0004713', ('122', '125')) ('change', 'Reg', (84, 90)) ('IL6', 'molecular_function', 'GO:0005138', ('118', '121')) ('gene expression', 'biological_process', 'GO:0010467', ('132', '147')) ('pyrimethamine', 'Chemical', 'MESH:D011739', (24, 37)) ('atovaquone', 'Chemical', 'MESH:D053626', (9, 19)) ('pyrimethamine', 'Var', (24, 37)) 6288 33374980 Overall, the results support the notion that targeting the STAT3 pathway through drugs such as atovaquone and pyrimethamine not only inhibits tumor growth but may also decrease the immunosuppressive microenvironment in MPM. ('pyrimethamine', 'Chemical', 'MESH:D011739', (110, 123)) ('tumor', 'Phenotype', 'HP:0002664', (142, 147)) ('atovaquone', 'Chemical', 'MESH:D053626', (95, 105)) ('tumor', 'Disease', (142, 147)) ('pyrimethamine', 'Var', (110, 123)) ('immunosuppressive microenvironment', 'MPA', (181, 215)) ('decrease', 'NegReg', (168, 176)) ('MPM', 'Disease', (219, 222)) ('tumor', 'Disease', 'MESH:D009369', (142, 147)) ('STAT3 pathway', 'Pathway', (59, 72)) ('inhibits', 'NegReg', (133, 141)) 6290 33374980 Since inhibition of STAT3 is well-tolerated in normal tissue, this approach has the potential to have a high therapeutic index. ('STAT3', 'Gene', (20, 25)) ('rat', 'Species', '10116', (38, 41)) ('inhibition', 'Var', (6, 16)) 6294 33374980 Due to the abundance of mutations in tumor suppressors, distinct mechanisms of activation are likely, including loss of expression of phosphatases and other negative regulators of this signaling pathway. ('tumor', 'Disease', 'MESH:D009369', (37, 42)) ('expression', 'MPA', (120, 130)) ('phosphatases', 'Protein', (134, 146)) ('tumor', 'Phenotype', 'HP:0002664', (37, 42)) ('tumor', 'Disease', (37, 42)) ('mutations', 'Var', (24, 33)) ('activation', 'PosReg', (79, 89)) ('signaling pathway', 'biological_process', 'GO:0007165', ('185', '202')) ('loss of', 'NegReg', (112, 119)) 6307 33374980 Mutations in CDKN2A, encoding for p16INK4A and p14ARF, regulators of cell cycle and apoptosis through Rb and p53, are common in MPM and render cells resistant to apoptotic stimuli. ('p14ARF', 'Gene', (47, 53)) ('CDKN2A', 'Gene', (13, 19)) ('p16INK4A', 'Gene', (34, 42)) ('cell cycle', 'biological_process', 'GO:0007049', ('69', '79')) ('Mutations', 'Var', (0, 9)) ('apoptosis', 'biological_process', 'GO:0097194', ('84', '93')) ('p53', 'Gene', (109, 112)) ('p53', 'Gene', '7157', (109, 112)) ('CDKN2A', 'Gene', '1029', (13, 19)) ('p14ARF', 'Gene', '1029', (47, 53)) ('apoptosis', 'biological_process', 'GO:0006915', ('84', '93')) ('p16INK4A', 'Gene', '1029', (34, 42)) 6311 33374980 Pyrimethamine, at least in breast cancer cells, is sufficient to induce an immune-stimulatory effect by inducing tumor infiltration of CD8+ T-cells with elevated Lamp1. ('cancer', 'Phenotype', 'HP:0002664', (34, 40)) ('tumor', 'Disease', (113, 118)) ('inducing', 'PosReg', (104, 112)) ('rat', 'Species', '10116', (125, 128)) ('Pyrimethamine', 'Chemical', 'MESH:D011739', (0, 13)) ('Pyrimethamine', 'Var', (0, 13)) ('immune-stimulatory effect', 'MPA', (75, 100)) ('breast cancer', 'Disease', 'MESH:D001943', (27, 40)) ('breast cancer', 'Disease', (27, 40)) ('Lamp1', 'Gene', (162, 167)) ('tumor', 'Disease', 'MESH:D009369', (113, 118)) ('breast cancer', 'Phenotype', 'HP:0003002', (27, 40)) ('Lamp1', 'Gene', '3916', (162, 167)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) 6314 33374980 STAT3 inhibitors induced cell cycle arrest and reduced growth; it is not known how interleukin-8 influences the MPM tumor microenvironment in vivo, but interleukin-8 has the potential to retain antigen-presenting dendritic cells in the tumor. ('cell cycle arrest', 'biological_process', 'GO:0007050', ('25', '42')) ('growth', 'CPA', (55, 61)) ('tumor', 'Disease', 'MESH:D009369', (116, 121)) ('tumor', 'Disease', 'MESH:D009369', (236, 241)) ('tumor', 'Disease', (236, 241)) ('arrest', 'Disease', 'MESH:D006323', (36, 42)) ('tumor', 'Phenotype', 'HP:0002664', (116, 121)) ('tumor', 'Phenotype', 'HP:0002664', (236, 241)) ('arrest', 'Disease', (36, 42)) ('tumor', 'Disease', (116, 121)) ('reduced', 'NegReg', (47, 54)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (25, 42)) ('interleukin-8', 'Var', (152, 165)) 6343 33374980 Our results suggest that STAT3 is likely to induce localized immune suppression, and both STAT3 inhibitors, atovaquone and pyrimethamine, resulted in the modulation of genes predicted to enhance an immune response. ('atovaquone', 'Chemical', 'MESH:D053626', (108, 118)) ('pyrimethamine', 'Var', (123, 136)) ('STAT3', 'Gene', (90, 95)) ('modulation', 'Reg', (154, 164)) ('genes', 'Gene', (168, 173)) ('pyrimethamine', 'Chemical', 'MESH:D011739', (123, 136)) ('enhance', 'PosReg', (187, 194)) ('STAT3', 'Var', (25, 30)) ('resulted in', 'Reg', (138, 149)) ('immune response', 'biological_process', 'GO:0006955', ('198', '213')) 6530 27813512 Genomic Profiling of Malignant Peritoneal Mesothelioma Reveals Recurrent Alterations in Epigenetic Regulatory Genes BAP1, SETD2, and DDX3X Malignant mesothelioma is a rare cancer that arises from the mesothelial cells that line the pleural cavity and less commonly from the peritoneal lining of the abdomen and pelvis. ('Malignant Peritoneal Mesothelioma', 'Disease', (21, 54)) ('BAP1', 'Gene', (116, 120)) ('cancer', 'Phenotype', 'HP:0002664', (172, 178)) ('Malignant mesothelioma', 'Phenotype', 'HP:0100001', (139, 161)) ('Malignant mesothelioma', 'Disease', (139, 161)) ('SETD2', 'Gene', '29072', (122, 127)) ('SETD2', 'Gene', (122, 127)) ('Alterations', 'Var', (73, 84)) ('Malignant mesothelioma', 'Disease', 'MESH:C562839', (139, 161)) ('cancer', 'Disease', 'MESH:D009369', (172, 178)) ('Malignant Peritoneal Mesothelioma', 'Disease', 'MESH:C562839', (21, 54)) ('Peritoneal Mesothelioma', 'Phenotype', 'HP:0100003', (31, 54)) ('DDX3', 'Gene', '1654', (133, 137)) ('cancer', 'Disease', (172, 178)) ('DDX3', 'Gene', (133, 137)) ('BAP1', 'Gene', '8314', (116, 120)) 6534 27813512 The most frequent genetic alteration was biallelic inactivation of the BAP1 gene, which occurred in 9/13 cases, with an additional 2 cases demonstrating monoallelic loss of BAP1. ('biallelic inactivation', 'Var', (41, 63)) ('BAP1', 'Gene', '8314', (173, 177)) ('BAP1', 'Gene', '8314', (71, 75)) ('BAP1', 'Gene', (173, 177)) ('BAP1', 'Gene', (71, 75)) 6537 27813512 While these genes are known to be recurrently mutated in pleural mesotheliomas, the frequencies are distinct in peritoneal mesotheliomas, with nearly 85% of peritoneal tumors harboring BAP1 alterations versus only 20-30% of pleural tumors. ('mesotheliomas', 'Disease', (123, 136)) ('mesotheliomas', 'Disease', (65, 78)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (57, 77)) ('BAP1', 'Gene', (185, 189)) ('peritoneal tumors', 'Disease', (157, 174)) ('mesotheliomas', 'Disease', 'MESH:D008654', (123, 136)) ('mesotheliomas', 'Disease', 'MESH:D008654', (65, 78)) ('peritoneal tumors', 'Disease', 'MESH:D010534', (157, 174)) ('pleural mesotheliomas', 'Phenotype', 'HP:0100002', (57, 78)) ('harboring', 'Reg', (175, 184)) ('pleural tumors', 'Disease', (224, 238)) ('pleural tumors', 'Disease', 'MESH:D010997', (224, 238)) ('tumors', 'Phenotype', 'HP:0002664', (232, 238)) ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (112, 135)) ('BAP1', 'Gene', '8314', (185, 189)) ('pleural mesotheliomas', 'Disease', 'MESH:D008654', (57, 78)) ('tumors', 'Phenotype', 'HP:0002664', (168, 174)) ('peritoneal mesotheliomas', 'Phenotype', 'HP:0100003', (112, 136)) ('pleural mesotheliomas', 'Disease', (57, 78)) ('alterations', 'Var', (190, 201)) ('tumor', 'Phenotype', 'HP:0002664', (232, 237)) ('tumor', 'Phenotype', 'HP:0002664', (168, 173)) 6538 27813512 Together, these findings demonstrate the importance of epigenetic modifiers including BAP1, SETD2, and DDX3X in mesothelial tumorigenesis and suggest opportunities for targeted therapies. ('epigenetic modifiers', 'Var', (55, 75)) ('BAP1', 'Gene', '8314', (86, 90)) ('SETD2', 'Gene', '29072', (92, 97)) ('tumor', 'Phenotype', 'HP:0002664', (124, 129)) ('DDX3X', 'Gene', '1654', (103, 108)) ('SETD2', 'Gene', (92, 97)) ('tumor', 'Disease', (124, 129)) ('BAP1', 'Gene', (86, 90)) ('DDX3X', 'Gene', (103, 108)) ('tumor', 'Disease', 'MESH:D009369', (124, 129)) 6544 27813512 These include deletion of the CDKN2A tumor suppressor gene (>60% of cases) that encodes the cell cycle kinase inhibitor protein p16INK4a, mutation of the NF2 tumor suppressor gene (20-40% of cases) that encodes the cytoskeletal scaffolding protein Merlin, and mutation or deletion of the BAP1 tumor suppressor gene (20-30% of cases) that encodes a deubiquitinating enzyme originally identified as a BRCA1 interacting protein.. ('p16INK4a', 'Gene', '1029', (128, 136)) ('tumor', 'Disease', 'MESH:D009369', (37, 42)) ('tumor', 'Disease', 'MESH:D009369', (293, 298)) ('mutation', 'Var', (260, 268)) ('CDKN2A', 'Gene', '1029', (30, 36)) ('deubiquitinating enzyme', 'molecular_function', 'GO:0004843', ('348', '371')) ('mutation', 'Var', (138, 146)) ('tumor', 'Phenotype', 'HP:0002664', (158, 163)) ('tumor', 'Phenotype', 'HP:0002664', (293, 298)) ('tumor', 'Phenotype', 'HP:0002664', (37, 42)) ('cell cycle', 'biological_process', 'GO:0007049', ('92', '102')) ('deletion', 'Var', (14, 22)) ('Merlin', 'Gene', '4771', (248, 254)) ('NF2', 'Gene', '4771', (154, 157)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('158', '174')) ('protein', 'cellular_component', 'GO:0003675', ('240', '247')) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('293', '309')) ('BAP1', 'Gene', '8314', (288, 292)) ('p16INK4a', 'Gene', (128, 136)) ('NF2', 'Gene', (154, 157)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('37', '53')) ('kinase inhibitor', 'biological_process', 'GO:0033673', ('103', '119')) ('tumor', 'Disease', (158, 163)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('158', '174')) ('protein', 'cellular_component', 'GO:0003675', ('120', '127')) ('CDKN2A', 'Gene', (30, 36)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('293', '309')) ('tumor', 'Disease', (37, 42)) ('tumor', 'Disease', (293, 298)) ('tumor', 'Disease', 'MESH:D009369', (158, 163)) ('protein', 'cellular_component', 'GO:0003675', ('417', '424')) ('deletion', 'Var', (272, 280)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('37', '53')) ('BAP1', 'Gene', (288, 292)) ('Merlin', 'Gene', (248, 254)) 6546 27813512 Inactivating mutations in two epigenetic regulatory genes, DDX3X and SETD2, were identified in a 4% and 8% of pleural mesotheliomas, respectively. ('Inactivating mutations', 'Var', (0, 22)) ('SETD2', 'Gene', '29072', (69, 74)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (110, 130)) ('DDX3X', 'Gene', (59, 64)) ('pleural mesotheliomas', 'Phenotype', 'HP:0100002', (110, 131)) ('SETD2', 'Gene', (69, 74)) ('identified', 'Reg', (81, 91)) ('pleural mesotheliomas', 'Disease', 'MESH:D008654', (110, 131)) ('DDX3X', 'Gene', '1654', (59, 64)) ('pleural mesotheliomas', 'Disease', (110, 131)) 6547 27813512 In addition to these somatic mutations found in sporadic mesotheliomas, germline mutation of BAP1 has been identified in rare patients with malignant mesothelioma as part of the BAP1 tumor predisposition syndrome (OMIM 603089), which in addition to mesothelioma includes increased incidence of uveal melanoma, meningioma, renal cell carcinoma, and other tumors. ('sporadic mesotheliomas', 'Disease', 'MESH:D008654', (48, 70)) ('BAP1', 'Gene', (178, 182)) ('tumor', 'Phenotype', 'HP:0002664', (183, 188)) ('tumor', 'Disease', (354, 359)) ('renal cell carcinoma', 'Disease', (322, 342)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (322, 342)) ('patients', 'Species', '9606', (126, 134)) ('mesothelioma', 'Disease', (249, 261)) ('sporadic mesotheliomas', 'Phenotype', 'HP:0100001', (48, 70)) ('tumor', 'Disease', 'MESH:D009369', (354, 359)) ('BAP1', 'Gene', '8314', (93, 97)) ('mesothelioma', 'Disease', 'MESH:D008654', (249, 261)) ('tumors', 'Phenotype', 'HP:0002664', (354, 360)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (140, 162)) ('sporadic mesotheliomas', 'Disease', (48, 70)) ('meningioma', 'Disease', (310, 320)) ('carcinoma', 'Phenotype', 'HP:0030731', (333, 342)) ('meningioma', 'Phenotype', 'HP:0002858', (310, 320)) ('mesothelioma', 'Disease', (57, 69)) ('melanoma', 'Phenotype', 'HP:0002861', (300, 308)) ('tumor', 'Phenotype', 'HP:0002664', (354, 359)) ('mutation', 'Var', (81, 89)) ('mesothelioma', 'Disease', 'MESH:D008654', (57, 69)) ('uveal melanoma', 'Disease', 'MESH:C536494', (294, 308)) ('tumor', 'Disease', (183, 188)) ('malignant mesothelioma', 'Disease', (140, 162)) ('BAP1', 'Gene', (93, 97)) ('tumors', 'Disease', (354, 360)) ('uveal melanoma', 'Disease', (294, 308)) ('renal cell carcinoma', 'Disease', 'MESH:C538614', (322, 342)) ('BAP1', 'Gene', '8314', (178, 182)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (140, 162)) ('mesothelioma', 'Disease', (150, 162)) ('tumor', 'Disease', 'MESH:D009369', (183, 188)) ('meningioma', 'Disease', 'MESH:D008577', (310, 320)) ('mesothelioma', 'Disease', 'MESH:D008654', (150, 162)) ('tumors', 'Disease', 'MESH:D009369', (354, 360)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (294, 308)) 6548 27813512 Given the frequent genetic inactivation of CDKN2A and BAP1 in malignant pleural mesothelioma, several recent studies have assessed the sensitivity and specificity of either fluorescence in situ hybridization (FISH) or imunohistochemistry against these two genes/proteins as helpful diagnostic markers to distinguish malignant mesothelioma from benign mesothelial proliferations and metastatic carcinoma in pleural fluid. ('pleural fluid', 'Phenotype', 'HP:0002202', (406, 419)) ('carcinoma in pleural fluid', 'Disease', 'MESH:D010997', (393, 419)) ('malignant mesothelioma', 'Disease', (316, 338)) ('genetic inactivation', 'Var', (19, 39)) ('carcinoma', 'Phenotype', 'HP:0030731', (393, 402)) ('CDKN2A', 'Gene', (43, 49)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (62, 92)) ('CDKN2A', 'Gene', '1029', (43, 49)) ('carcinoma in pleural fluid', 'Disease', (393, 419)) ('BAP1', 'Gene', '8314', (54, 58)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (316, 338)) ('malignant pleural mesothelioma', 'Disease', (62, 92)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (316, 338)) ('BAP1', 'Gene', (54, 58)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (72, 92)) 6551 27813512 Indeed, one study performed FISH on mesotheliomas from different sites of origin and found chromosome 9p21 deletion much more commonly in pleural than peritoneal tumors (85% versus 36%), whereas 5p15 and 7p12 gains were more common in peritoneal than pleural tumors. ('pleural tumors', 'Disease', (251, 265)) ('tumor', 'Phenotype', 'HP:0002664', (162, 167)) ('chromosome', 'Var', (91, 101)) ('pleural than peritoneal tumors', 'Disease', (138, 168)) ('pleural tumors', 'Disease', 'MESH:D010997', (251, 265)) ('tumor', 'Phenotype', 'HP:0002664', (259, 264)) ('chromosome', 'cellular_component', 'GO:0005694', ('91', '101')) ('tumors', 'Phenotype', 'HP:0002664', (259, 265)) ('tumors', 'Phenotype', 'HP:0002664', (162, 168)) ('mesotheliomas', 'Disease', 'MESH:D008654', (36, 49)) ('pleural than peritoneal tumors', 'Disease', 'MESH:D010997', (138, 168)) ('deletion', 'Var', (107, 115)) ('mesotheliomas', 'Disease', (36, 49)) 6552 27813512 A recent genome-wide analysis of 12 peritoneal mesotheliomas found BAP1 alterations (either deletions or truncating mutations) in 7 cases, but failed to identify alterations in CDKN2A or NF2 that are common in pleural mesotheliomas. ('mesotheliomas', 'Disease', 'MESH:D008654', (218, 231)) ('CDKN2A', 'Gene', (177, 183)) ('peritoneal mesotheliomas', 'Phenotype', 'HP:0100003', (36, 60)) ('truncating mutations', 'Var', (105, 125)) ('pleural mesotheliomas', 'Phenotype', 'HP:0100002', (210, 231)) ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (36, 59)) ('NF2', 'Gene', '4771', (187, 190)) ('mesotheliomas', 'Disease', (47, 60)) ('CDKN2A', 'Gene', '1029', (177, 183)) ('NF2', 'Gene', (187, 190)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (210, 230)) ('pleural mesotheliomas', 'Disease', 'MESH:D008654', (210, 231)) ('BAP1', 'Gene', '8314', (67, 71)) ('mesotheliomas', 'Disease', 'MESH:D008654', (47, 60)) ('pleural mesotheliomas', 'Disease', (210, 231)) ('alterations', 'Reg', (72, 83)) ('mesotheliomas', 'Disease', (218, 231)) ('deletions', 'Var', (92, 101)) ('BAP1', 'Gene', (67, 71)) 6575 27813512 BAP1 alterations were identified in 11 of 13 tumors (85%). ('tumor', 'Phenotype', 'HP:0002664', (45, 50)) ('BAP1', 'Gene', (0, 4)) ('tumors', 'Disease', (45, 51)) ('tumors', 'Phenotype', 'HP:0002664', (45, 51)) ('tumors', 'Disease', 'MESH:D009369', (45, 51)) ('alterations', 'Var', (5, 16)) ('BAP1', 'Gene', '8314', (0, 4)) 6576 27813512 Of these 11 cases, three had somatic BAP1 mutations accompanied by loss of heterozygosity (one with a frameshift mutation, p.D362fs; one with a splice site mutation, c.68-1G>A; and one with a missense mutation, p.L97Q). ('BAP1', 'Gene', '8314', (37, 41)) ('p.D362fs', 'Var', (123, 131)) ('loss', 'NegReg', (67, 71)) ('BAP1', 'Gene', (37, 41)) ('p.L97Q', 'Mutation', 'p.L97Q', (211, 217)) ('c.68-1G>A', 'Var', (166, 175)) ('heterozygosity', 'MPA', (75, 89)) ('mutations', 'Var', (42, 51)) ('p.D362fs', 'Mutation', 'p.D362fsX', (123, 131)) ('c.68-1G>A', 'Mutation', 'c.68-1G>A', (166, 175)) 6577 27813512 One case had two somatic BAP1 mutations (p.H669D and p.86_87del). ('BAP1', 'Gene', (25, 29)) ('p.H669D', 'Var', (41, 48)) ('p.86_87del', 'Var', (53, 63)) ('p.H669D', 'Mutation', 'p.H669D', (41, 48)) ('p.86_87del', 'Mutation', 'p.86_87del', (53, 63)) ('BAP1', 'Gene', '8314', (25, 29)) 6580 27813512 The final case had a germline frameshift mutation in BAP1 (p.L573fs) that was accompanied by loss of heterozygosity in the tumor. ('p.L573fs', 'Mutation', 'rs869025212', (59, 67)) ('tumor', 'Disease', (123, 128)) ('germline frameshift', 'Var', (21, 40)) ('BAP1', 'Gene', '8314', (53, 57)) ('tumor', 'Disease', 'MESH:D009369', (123, 128)) ('tumor', 'Phenotype', 'HP:0002664', (123, 128)) ('BAP1', 'Gene', (53, 57)) 6581 27813512 Of the 9 cases with biallelic BAP1 alterations, two cases also demonstrated inactivating frameshift mutations (p.V2345fs and p.Q1152fs) in the epigenetic regulatory gene SETD2 with accompanying loss of heterozygosity. ('p.V2345fs', 'Mutation', 'p.V2345fsX', (111, 120)) ('p.Q1152fs', 'Mutation', 'p.Q1152fsX', (125, 134)) ('BAP1', 'Gene', (30, 34)) ('alterations', 'Var', (35, 46)) ('SETD2', 'Gene', (170, 175)) ('p.Q1152fs', 'Var', (125, 134)) ('SETD2', 'Gene', '29072', (170, 175)) ('BAP1', 'Gene', '8314', (30, 34)) ('p.V2345fs', 'Var', (111, 120)) 6582 27813512 One of these tumors also harbored a truncating mutation (p.L1051fs) in the ARID1A gene, which encodes a subunit of the Swi/Snf chromatin remodeling complex. ('p.L1051fs', 'Var', (57, 66)) ('tumors', 'Disease', (13, 19)) ('tumors', 'Disease', 'MESH:D009369', (13, 19)) ('tumors', 'Phenotype', 'HP:0002664', (13, 19)) ('chromatin remodeling', 'biological_process', 'GO:0006338', ('127', '147')) ('tumor', 'Phenotype', 'HP:0002664', (13, 18)) ('chromatin remodeling complex', 'cellular_component', 'GO:0016585', ('127', '155')) ('ARID1A', 'Gene', '8289', (75, 81)) ('ARID1A', 'Gene', (75, 81)) ('p.L1051fs', 'Mutation', 'p.L1051fsX', (57, 66)) 6583 27813512 In addition, two other cases with biallelic BAP1 alteration demonstrated mutations in another epigenetic regulatory gene, DDX3X. ('DDX3X', 'Gene', (122, 127)) ('BAP1', 'Gene', '8314', (44, 48)) ('biallelic', 'Var', (34, 43)) ('alteration', 'Var', (49, 59)) ('DDX3X', 'Gene', '1654', (122, 127)) ('mutations', 'Var', (73, 82)) ('BAP1', 'Gene', (44, 48)) 6584 27813512 Three tumors harbored inactivating mutations in the NF2 tumor suppressor gene (p.Q428*, p.F47fs, and p.L176fs) including both of the two cases with heterozygous BAP1 loss and one case without BAP1 alteration or chromosome 3p loss. ('tumor', 'Phenotype', 'HP:0002664', (56, 61)) ('BAP1', 'Gene', (161, 165)) ('BAP1', 'Gene', (192, 196)) ('inactivating', 'Reg', (22, 34)) ('tumor', 'Phenotype', 'HP:0002664', (6, 11)) ('p.F47fs', 'Var', (88, 95)) ('p.Q428*', 'Mutation', 'p.Q428*', (79, 86)) ('tumors', 'Phenotype', 'HP:0002664', (6, 12)) ('p.Q428*', 'Var', (79, 86)) ('chromosome', 'cellular_component', 'GO:0005694', ('211', '221')) ('tumor', 'Disease', (56, 61)) ('tumors', 'Disease', (6, 12)) ('BAP1', 'Gene', '8314', (161, 165)) ('NF2', 'Gene', '4771', (52, 55)) ('BAP1', 'Gene', '8314', (192, 196)) ('tumor', 'Disease', 'MESH:D009369', (56, 61)) ('tumor', 'Disease', (6, 11)) ('p.L176fs', 'Var', (101, 109)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('56', '72')) ('loss', 'NegReg', (166, 170)) ('p.F47fs', 'Mutation', 'p.F47fsX', (88, 95)) ('NF2', 'Gene', (52, 55)) ('tumors', 'Disease', 'MESH:D009369', (6, 12)) ('tumor', 'Disease', 'MESH:D009369', (6, 11)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('56', '72')) ('p.L176fs', 'Mutation', 'p.L176fsX', (101, 109)) 6587 27813512 The two tumors without BAP1 alteration occurred in the oldest (age 85) and youngest (age 19) patients in this cohort and each demonstrated a solitary genetic alteration, NF2 truncating mutation with loss of heterozygosity in the 85 year old and TERT promoter mutation in the 19 year old. ('BAP1', 'Gene', (23, 27)) ('loss of', 'NegReg', (199, 206)) ('NF2', 'Gene', '4771', (170, 173)) ('TERT', 'Gene', '7015', (245, 249)) ('truncating mutation', 'Var', (174, 193)) ('tumor', 'Phenotype', 'HP:0002664', (8, 13)) ('BAP1', 'Gene', '8314', (23, 27)) ('NF2', 'Gene', (170, 173)) ('tumors', 'Disease', (8, 14)) ('tumors', 'Disease', 'MESH:D009369', (8, 14)) ('tumors', 'Phenotype', 'HP:0002664', (8, 14)) ('TERT', 'Gene', (245, 249)) ('patients', 'Species', '9606', (93, 101)) 6588 27813512 The one case of peritoneal mesothelioma with mixed epithelioid and sarcomatoid morphology was the only case found to harbor homozygous deletion of CDKN2A and focal high-level amplification of the MET oncogene in addition to a structural rearrangement involving BAP1. ('deletion', 'Var', (135, 143)) ('mesothelioma', 'Disease', (27, 39)) ('BAP1', 'Gene', '8314', (261, 265)) ('sarcomatoid morphology', 'Disease', (67, 89)) ('mesothelioma', 'Disease', 'MESH:D008654', (27, 39)) ('BAP1', 'Gene', (261, 265)) ('sarcomatoid morphology', 'Disease', 'MESH:C538614', (67, 89)) ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (16, 39)) ('CDKN2A', 'Gene', (147, 153)) ('sarcomatoid morphology', 'Phenotype', 'HP:0100242', (67, 89)) ('CDKN2A', 'Gene', '1029', (147, 153)) 6592 27813512 Moreover, BAP1 loss was seen uniformly throughout all tumor cells in each case, suggesting that BAP1 inactivation is an early or initiating event in mesothelial tumorigenesis. ('BAP1', 'Gene', (96, 100)) ('BAP1', 'Gene', (10, 14)) ('tumor', 'Disease', 'MESH:D009369', (54, 59)) ('loss', 'NegReg', (15, 19)) ('tumor', 'Disease', 'MESH:D009369', (161, 166)) ('tumor', 'Phenotype', 'HP:0002664', (54, 59)) ('tumor', 'Phenotype', 'HP:0002664', (161, 166)) ('inactivation', 'Var', (101, 113)) ('tumor', 'Disease', (54, 59)) ('tumor', 'Disease', (161, 166)) ('BAP1', 'Gene', '8314', (96, 100)) ('BAP1', 'Gene', '8314', (10, 14)) 6597 27813512 While CDKN2A deletion is very common in pleural mesotheliomas, it was only seen in one of 13 peritoneal mesotheliomas, which was the only case with a sarcomatoid component. ('pleural mesotheliomas', 'Disease', 'MESH:D008654', (40, 61)) ('mesotheliomas', 'Disease', 'MESH:D008654', (48, 61)) ('mesotheliomas', 'Disease', 'MESH:D008654', (104, 117)) ('sarcomatoid component', 'Disease', 'MESH:C538614', (150, 171)) ('mesotheliomas', 'Disease', (48, 61)) ('mesotheliomas', 'Disease', (104, 117)) ('pleural mesotheliomas', 'Disease', (40, 61)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (40, 60)) ('deletion', 'Var', (13, 21)) ('common', 'Reg', (30, 36)) ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (93, 116)) ('peritoneal mesotheliomas', 'Phenotype', 'HP:0100003', (93, 117)) ('CDKN2A', 'Gene', (6, 12)) ('CDKN2A', 'Gene', '1029', (6, 12)) ('pleural mesotheliomas', 'Phenotype', 'HP:0100002', (40, 61)) ('sarcomatoid component', 'Disease', (150, 171)) 6598 27813512 In contrast, BAP1 inactivation/loss is much more common in peritoneal than pleural mesotheliomas. ('BAP1', 'Gene', (13, 17)) ('pleural mesotheliomas', 'Disease', 'MESH:D008654', (75, 96)) ('common', 'Reg', (49, 55)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (75, 95)) ('pleural mesotheliomas', 'Disease', (75, 96)) ('inactivation/loss', 'Var', (18, 35)) ('inactivation/loss', 'NegReg', (18, 35)) ('peritoneal', 'Disease', (59, 69)) ('BAP1', 'Gene', '8314', (13, 17)) ('pleural mesotheliomas', 'Phenotype', 'HP:0100002', (75, 96)) 6599 27813512 DDX3X and SETD2 mutations appear to be present in a small subset (5-15%) of both pleural and peritoneal mesotheliomas. ('pleural and peritoneal mesotheliomas', 'Disease', 'MESH:D010997', (81, 117)) ('mutations', 'Var', (16, 25)) ('SETD2', 'Gene', '29072', (10, 15)) ('DDX3X', 'Gene', (0, 5)) ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (93, 116)) ('SETD2', 'Gene', (10, 15)) ('peritoneal mesotheliomas', 'Phenotype', 'HP:0100003', (93, 117)) ('present', 'Reg', (39, 46)) ('DDX3X', 'Gene', '1654', (0, 5)) 6600 27813512 A recent array comparative genomic hybridization study on 33 malignant peritoneal mesotheliomas identified focal deletions affecting BAP1 (61% of cases), NF2 (21% of cases), and CDKN2A (33% of cases), providing additional support for our conclusion that similar genetic alterations drive peritoneal mesothelioma but at different frequency compared to pleural mesothelioma. ('CDKN2A', 'Gene', (178, 184)) ('BAP1', 'Gene', '8314', (133, 137)) ('mesothelioma', 'Disease', (82, 94)) ('mesothelioma', 'Disease', 'MESH:D008654', (82, 94)) ('malignant peritoneal mesotheliomas', 'Disease', (61, 95)) ('mesothelioma', 'Disease', (359, 371)) ('CDKN2A', 'Gene', '1029', (178, 184)) ('mesothelioma', 'Disease', 'MESH:D008654', (359, 371)) ('BAP1', 'Gene', (133, 137)) ('pleural mesothelioma', 'Disease', (351, 371)) ('NF2', 'Gene', '4771', (154, 157)) ('deletions', 'Var', (113, 122)) ('NF2', 'Gene', (154, 157)) ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (288, 311)) ('peritoneal mesotheliomas', 'Phenotype', 'HP:0100003', (71, 95)) ('mesothelioma', 'Disease', (299, 311)) ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (71, 94)) ('pleural mesothelioma', 'Disease', 'MESH:D008654', (351, 371)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (351, 371)) ('mesothelioma', 'Disease', 'MESH:D008654', (299, 311)) ('malignant peritoneal mesotheliomas', 'Disease', 'MESH:C562839', (61, 95)) 6603 27813512 Finally, our genomic profiling of malignant peritoneal mesothelioma has identified recurrent mutations in the epigenetic regulatory genes BAP1, SETD2, and DDX3X. ('malignant peritoneal mesothelioma', 'Disease', (34, 67)) ('BAP1', 'Gene', '8314', (138, 142)) ('mutations', 'Var', (93, 102)) ('DDX3X', 'Gene', '1654', (155, 160)) ('BAP1', 'Gene', (138, 142)) ('SETD2', 'Gene', '29072', (144, 149)) ('malignant peritoneal mesothelioma', 'Disease', 'MESH:C562839', (34, 67)) ('SETD2', 'Gene', (144, 149)) ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (44, 67)) ('DDX3X', 'Gene', (155, 160)) 6605 27813512 Emerging preclinical evidence suggests that inhibitors of epigenetic modifiers including histone deacetylases and the histone methyltransferase EZH2 may be efficacious in the treatment of mesothelioma. ('mesothelioma', 'Disease', (188, 200)) ('inhibitors', 'Var', (44, 54)) ('EZH2', 'Gene', (144, 148)) ('EZH2', 'Gene', '2146', (144, 148)) ('mesothelioma', 'Disease', 'MESH:D008654', (188, 200)) ('histone', 'Protein', (89, 96)) 6606 27813512 Those mesotheliomas harboring inactivating events affecting both BAP1 and other transcriptional regulators such as SETD2, DDX3X, and ARID1A likely define a molecular subgroup with altered transcriptional programs that may respond favorably to these agents, compared to those mesotheliomas lacking these alterations. ('ARID1A', 'Gene', '8289', (133, 139)) ('SETD2', 'Gene', (115, 120)) ('mesotheliomas', 'Disease', 'MESH:D008654', (6, 19)) ('ARID1A', 'Gene', (133, 139)) ('mesotheliomas', 'Disease', (6, 19)) ('BAP1', 'Gene', '8314', (65, 69)) ('mesotheliomas', 'Disease', 'MESH:D008654', (275, 288)) ('transcriptional programs', 'MPA', (188, 212)) ('mesotheliomas', 'Disease', (275, 288)) ('BAP1', 'Gene', (65, 69)) ('altered', 'Reg', (180, 187)) ('DDX3X', 'Gene', (122, 127)) ('SETD2', 'Gene', '29072', (115, 120)) ('respond', 'MPA', (222, 229)) ('DDX3X', 'Gene', '1654', (122, 127)) ('inactivating events', 'Var', (30, 49)) 6607 27813512 cabozantinib) for the subset of peritoneal mesotheliomas harboring MET amplification, as well as small molecule inhibition of WEE1 (e.g. ('cabozantinib', 'Chemical', 'MESH:C558660', (0, 12)) ('mesotheliomas', 'Disease', (43, 56)) ('inhibition', 'NegReg', (112, 122)) ('WEE1', 'Gene', '7465', (126, 130)) ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (32, 55)) ('mesotheliomas', 'Disease', 'MESH:D008654', (43, 56)) ('WEE1', 'Gene', (126, 130)) ('MET amplification', 'Var', (67, 84)) ('peritoneal mesotheliomas', 'Phenotype', 'HP:0100003', (32, 56)) 6608 27813512 AZD1775) for the subset of tumors harboring SETD2 inactivation, a synthetic lethality that was recently reported in renal cell carcinoma and osteosarcoma. ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('AZD1775', 'Chemical', 'MESH:C549567', (0, 7)) ('SETD2', 'Gene', '29072', (44, 49)) ('tumors', 'Disease', (27, 33)) ('tumors', 'Disease', 'MESH:D009369', (27, 33)) ('tumors', 'Phenotype', 'HP:0002664', (27, 33)) ('osteosarcoma', 'Phenotype', 'HP:0002669', (141, 153)) ('SETD2', 'Gene', (44, 49)) ('osteosarcoma', 'Disease', (141, 153)) ('renal cell carcinoma', 'Disease', (116, 136)) ('osteosarcoma', 'Disease', 'MESH:D012516', (141, 153)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (116, 136)) ('carcinoma', 'Phenotype', 'HP:0030731', (127, 136)) ('inactivation', 'Var', (50, 62)) ('renal cell carcinoma', 'Disease', 'MESH:C538614', (116, 136)) 6617 24142973 The crude mortality rates for lung cancer were higher in Fengtian than in Taiwan for all age groups and both genders. ('lung cancer', 'Phenotype', 'HP:0100526', (30, 41)) ('lung cancer', 'Disease', (30, 41)) ('cancer', 'Phenotype', 'HP:0002664', (35, 41)) ('higher', 'PosReg', (47, 53)) ('Fengtian', 'Var', (57, 65)) ('lung cancer', 'Disease', 'MESH:D008175', (30, 41)) 6677 24142973 Yang et al have reported that the destruction of nephrite can release asbestiform fibres and that nephrite carvers have an increased risk of pulmonary fibrosis. ('nephrite', 'Chemical', '-', (98, 106)) ('pulmonary fibrosis', 'Disease', 'MESH:D011658', (141, 159)) ('pulmonary fibrosis', 'Disease', (141, 159)) ('destruction', 'Var', (34, 45)) ('nephrite', 'Chemical', '-', (49, 57)) ('pulmonary fibrosis', 'Phenotype', 'HP:0002206', (141, 159)) ('nephrite', 'Var', (98, 106)) ('release asbestiform fibres', 'MPA', (62, 88)) 6808 33509252 Beyond this "classical" pathway, ADCs can induce tumor cell death through the so-called bystander effect, which occurs when the cytotoxic warhead diffuses across the cell membrane to neighboring cells, thus inducing their apoptosis. ('ADCs', 'Var', (33, 37)) ('tumor', 'Disease', 'MESH:D009369', (49, 54)) ('cell membrane', 'cellular_component', 'GO:0005886', ('164', '177')) ('apoptosis', 'biological_process', 'GO:0097194', ('220', '229')) ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('induce', 'Reg', (42, 48)) ('apoptosis', 'biological_process', 'GO:0006915', ('220', '229')) ('apoptosis', 'CPA', (222, 231)) ('cell death', 'biological_process', 'GO:0008219', ('53', '63')) ('tumor', 'Disease', (49, 54)) ('inducing', 'Reg', (207, 215)) 6821 33509252 Conversely, conjugation into ADC hides the cytotoxic drug in the bloodstream to convey it directly into tumor cells, thus significantly reducing toxicity of these potent agents. ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('reducing', 'NegReg', (136, 144)) ('conjugation', 'biological_process', 'GO:0000746', ('12', '23')) ('tumor', 'Disease', (104, 109)) ('ADC', 'Gene', (29, 32)) ('conjugation', 'Var', (12, 23)) ('toxicity', 'Disease', 'MESH:D064420', (145, 153)) ('toxicity', 'Disease', (145, 153)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) 6827 33509252 Maytansinoids (DM1 and DM4) are synthetic derivatives of maytansine that also act by inhibiting microtubule polymerization. ('Maytansinoids', 'Chemical', '-', (0, 13)) ('DM1', 'Gene', (15, 18)) ('microtubule', 'cellular_component', 'GO:0005874', ('96', '107')) ('inhibiting', 'NegReg', (85, 95)) ('DM1', 'Gene', '28509', (15, 18)) ('microtubule polymerization', 'MPA', (96, 122)) ('microtubule polymerization', 'biological_process', 'GO:0046785', ('96', '122')) ('DM4', 'Chemical', 'MESH:D008453', (23, 26)) ('DM4', 'Var', (23, 26)) ('maytansine', 'Chemical', 'MESH:D008453', (57, 67)) 6843 33509252 Given the rarity of these mutations, their role as oncogenic drivers has been questioned for many years, and only recent studies proved their tumorigenic role along with their sensitivity to anti-HER2 agents. ('tumor', 'Phenotype', 'HP:0002664', (142, 147)) ('tumor', 'Disease', (142, 147)) ('HER2', 'Gene', (196, 200)) ('mutations', 'Var', (26, 35)) ('HER2', 'Gene', '2064', (196, 200)) ('tumor', 'Disease', 'MESH:D009369', (142, 147)) 6844 33509252 Bladder cancer has the highest prevalence of HER2 mutations (9-18%), followed by uterine cervix (6%), colorectal (5.8%), lung (4%) and breast cancer (4%). ('cancer', 'Disease', 'MESH:D009369', (142, 148)) ('breast cancer', 'Phenotype', 'HP:0003002', (135, 148)) ('cancer', 'Disease', (8, 14)) ('mutations', 'Var', (50, 59)) ('cancer', 'Phenotype', 'HP:0002664', (142, 148)) ('uterine cervix', 'Disease', (81, 95)) ('lung', 'Disease', (121, 125)) ('cancer', 'Phenotype', 'HP:0002664', (8, 14)) ('uterine cervix', 'Phenotype', 'HP:0030160', (81, 95)) ('colorectal', 'Disease', (102, 112)) ('HER2', 'Gene', (45, 49)) ('breast cancer', 'Disease', 'MESH:D001943', (135, 148)) ('Bladder cancer', 'Phenotype', 'HP:0009725', (0, 14)) ('HER2', 'Gene', '2064', (45, 49)) ('breast cancer', 'Disease', (135, 148)) ('cancer', 'Disease', 'MESH:D009369', (8, 14)) ('cancer', 'Disease', (142, 148)) 6849 33509252 Trastuzumab deruxtecan (DS-8201a; T-DXd) is an anti-HER2 ADC in which trastuzumab is conjugated with DXd, a novel topoisomerase I inhibitor payload. ('topoisomerase', 'molecular_function', 'GO:0003918', ('114', '127')) ('deruxtecan', 'Chemical', '-', (12, 22)) ('HER2', 'Gene', '2064', (52, 56)) ('DS-8201a', 'Var', (24, 32)) ('trastuzumab', 'Chemical', 'MESH:D000068878', (70, 81)) ('Trastuzumab', 'Chemical', 'MESH:D000068878', (0, 11)) ('topoisomerase', 'molecular_function', 'GO:0003917', ('114', '127')) ('HER2', 'Gene', (52, 56)) 6856 33509252 In preclinical studies, T-DXd showed antitumor activity across a wide range of HER2-expressing tumor models. ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('HER2', 'Gene', '2064', (79, 83)) ('tumor', 'Disease', (41, 46)) ('tumor', 'Disease', 'MESH:D009369', (95, 100)) ('tumor', 'Phenotype', 'HP:0002664', (95, 100)) ('T-DXd', 'Var', (24, 29)) ('tumor', 'Disease', 'MESH:D009369', (41, 46)) ('HER2', 'Gene', (79, 83)) ('tumor', 'Disease', (95, 100)) 6866 33509252 This gap has mainly been attributed to tumor heterogeneity of HER2-expression in GC/GEJC, eventual co-occurrence of HER2 amplification with other oncogenic mutations and to mechanisms of primary and secondary resistance to anti-HER2 treatments. ('amplification', 'Var', (121, 134)) ('HER2', 'Gene', '2064', (62, 66)) ('HER2', 'Gene', (228, 232)) ('GC/GEJC', 'Disease', (81, 88)) ('tumor', 'Disease', 'MESH:D009369', (39, 44)) ('HER2', 'Gene', '2064', (228, 232)) ('tumor', 'Phenotype', 'HP:0002664', (39, 44)) ('HER2', 'Gene', (116, 120)) ('co-occurrence', 'Reg', (99, 112)) ('tumor', 'Disease', (39, 44)) ('HER2', 'Gene', '2064', (116, 120)) ('HER2', 'Gene', (62, 66)) 6868 33509252 The trial met its primary endpoint, with an ORR of 51% in patients in the T-DXd group, as compared to 14% in the control arm (P < 0.001). ('met', 'Gene', (10, 13)) ('T-DXd', 'Var', (74, 79)) ('met', 'Gene', '79811', (10, 13)) ('patients', 'Species', '9606', (58, 66)) 6878 33509252 Noteworthy, many other anti-HER2 ADCs are under evaluation, including A166, XMT-1522, MEDI-4276, ARX788, RC48-ADC, BAT8001 and PF-06804103. ('HER2', 'Gene', '2064', (28, 32)) ('PF-06804103', 'Var', (127, 138)) ('BAT8001', 'Var', (115, 122)) ('HER2', 'Gene', (28, 32)) ('A166', 'Var', (70, 74)) 6907 33509252 This ADC is characterized by a high drug-to-antibody ratio (7.5-8), allowed by the significantly better toxicity profile of SN-38 than irinotecan, its prodrug. ('SN-38', 'Chemical', 'MESH:D000077146', (124, 129)) ('antibody', 'cellular_component', 'GO:0042571', ('44', '52')) ('antibody', 'cellular_component', 'GO:0019814', ('44', '52')) ('toxicity', 'Disease', 'MESH:D064420', (104, 112)) ('antibody', 'molecular_function', 'GO:0003823', ('44', '52')) ('antibody', 'cellular_component', 'GO:0019815', ('44', '52')) ('toxicity', 'Disease', (104, 112)) ('better', 'PosReg', (97, 103)) ('SN-38', 'Var', (124, 129)) ('irinotecan', 'Chemical', 'MESH:D000077146', (135, 145)) 6930 33509252 The TROPiCS-03 (NCT03964727) is a multi-cohort, open-label, phase 2 study that is currently open to enrollment for patients with metastatic solid tumors, presently NSCLC (adenocarcinoma and squamous cell carcinoma), head and neck squamous cell carcinoma, and endometrial cancer, all selected for Trop-2 overexpression by a validated IHC assay. ('met', 'Gene', (129, 132)) ('neck squamous cell carcinoma', 'Disease', 'MESH:D000077195', (225, 253)) ('neck', 'cellular_component', 'GO:0044326', ('225', '229')) ('Trop-2', 'Gene', '4070', (296, 302)) ('endometrial cancer', 'Phenotype', 'HP:0012114', (259, 277)) ('met', 'Gene', '79811', (263, 266)) ('met', 'Gene', (263, 266)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (230, 253)) ('Trop-2', 'Gene', (296, 302)) ('cancer', 'Phenotype', 'HP:0002664', (271, 277)) ('solid tumors', 'Disease', (140, 152)) ('NSCLC', 'Disease', 'MESH:D002289', (164, 169)) ('endometrial cancer', 'Disease', (259, 277)) ('squamous cell carcinoma', 'Phenotype', 'HP:0002860', (190, 213)) ('endometrial cancer', 'Disease', 'MESH:D016889', (259, 277)) ('head and neck squamous cell carcinoma', 'Phenotype', 'HP:0012288', (216, 253)) ('carcinoma', 'Phenotype', 'HP:0030731', (244, 253)) ('NSCLC', 'Disease', (164, 169)) ('patients', 'Species', '9606', (115, 123)) ('carcinoma', 'Phenotype', 'HP:0030731', (204, 213)) ('tumor', 'Phenotype', 'HP:0002664', (146, 151)) ('NSCLC', 'Phenotype', 'HP:0030358', (164, 169)) ('solid tumors', 'Disease', 'MESH:D009369', (140, 152)) ('tumors', 'Phenotype', 'HP:0002664', (146, 152)) ('NCT03964727', 'Var', (16, 27)) ('overexpression', 'PosReg', (303, 317)) ('adenocarcinoma and squamous cell carcinoma', 'Disease', 'MESH:D002294', (171, 213)) ('neck squamous cell carcinoma', 'Disease', (225, 253)) ('met', 'Gene', '79811', (129, 132)) ('carcinoma', 'Phenotype', 'HP:0030731', (176, 185)) 6951 33509252 SAR408701 is an ADC in which an anti-CEACAM5 antibody is conjugated to DM4, a maytansinoid cytotoxic agent. ('SAR408701', 'Chemical', '-', (0, 9)) ('CEACAM5', 'Gene', (37, 44)) ('antibody', 'cellular_component', 'GO:0019815', ('45', '53')) ('CEACAM5', 'Gene', '1048', (37, 44)) ('antibody', 'cellular_component', 'GO:0019814', ('45', '53')) ('antibody', 'molecular_function', 'GO:0003823', ('45', '53')) ('conjugated', 'Interaction', (57, 67)) ('DM4', 'Chemical', 'MESH:D008453', (71, 74)) ('antibody', 'cellular_component', 'GO:0042571', ('45', '53')) ('SAR408701', 'Var', (0, 9)) 6956 33509252 Given the manageable tolerability profile, SAR408701 was then subsequently investigated in three expansion cohorts, enrolling patients with CRC, lung cancers (both small-cell lung cancer and non-squamous NSCLC) and GC. ('small-cell lung cancer', 'Disease', 'MESH:D055752', (164, 186)) ('small-cell lung cancer', 'Disease', (164, 186)) ('non-squamous NSCLC', 'Disease', (191, 209)) ('CRC', 'Disease', (140, 143)) ('patients', 'Species', '9606', (126, 134)) ('lung cancer', 'Phenotype', 'HP:0100526', (145, 156)) ('lung cancers', 'Disease', 'MESH:D008175', (145, 157)) ('cancers', 'Phenotype', 'HP:0002664', (150, 157)) ('lung cancers', 'Disease', (145, 157)) ('SAR408701', 'Var', (43, 52)) ('NSCLC', 'Phenotype', 'HP:0030358', (204, 209)) ('cancer', 'Phenotype', 'HP:0002664', (150, 156)) ('SAR408701', 'Chemical', '-', (43, 52)) ('lung cancers', 'Phenotype', 'HP:0100526', (145, 157)) ('cancer', 'Phenotype', 'HP:0002664', (180, 186)) ('non-squamous NSCLC', 'Disease', 'MESH:D002294', (191, 209)) ('small-cell lung cancer', 'Phenotype', 'HP:0030357', (164, 186)) ('lung cancer', 'Phenotype', 'HP:0100526', (175, 186)) ('CR', 'Chemical', '-', (140, 142)) 6957 33509252 Most promising data came from the non-squamous NSCLC cohort, where a high antitumor activity was shown particularly in patients with high expression of CEACAM5 (>= 50%; ORR 20.3%, SD 42.2%), while responses were reduced in moderate expressors (1-49%; ORR 7.1%). ('high expression', 'Var', (133, 148)) ('NSCLC', 'Phenotype', 'HP:0030358', (47, 52)) ('tumor', 'Disease', 'MESH:D009369', (78, 83)) ('patients', 'Species', '9606', (119, 127)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('non-squamous NSCLC', 'Disease', 'MESH:D002294', (34, 52)) ('tumor', 'Disease', (78, 83)) ('CEACAM5', 'Gene', (152, 159)) ('non-squamous NSCLC', 'Disease', (34, 52)) ('CEACAM5', 'Gene', '1048', (152, 159)) 6958 33509252 Accordingly, subsequent development of SAR408701 was mainly focused on patients with CEACAM5-positive non-squamous NSCLC, and three ongoing trials are investigating it as monotherapy (CARMEN-LC03), in association with ramucirumab (CARMEN-LC04) or as first-line therapy in combination with PD-1 (CARMEN-LC05) are ongoing (Table 2). ('ramucirumab', 'Chemical', 'MESH:C543333', (218, 229)) ('CEACAM5', 'Gene', '1048', (85, 92)) ('CEACAM5', 'Gene', (85, 92)) ('patients', 'Species', '9606', (71, 79)) ('non-squamous NSCLC', 'Disease', 'MESH:D002294', (102, 120)) ('PD-1', 'Gene', '5133', (289, 293)) ('PD-1', 'Gene', (289, 293)) ('SAR408701', 'Var', (39, 48)) ('non-squamous NSCLC', 'Disease', (102, 120)) ('SAR408701', 'Chemical', '-', (39, 48)) ('NSCLC', 'Phenotype', 'HP:0030358', (115, 120)) 6959 33509252 Of note, despite the high expression of CEACAM5 by colorectal cancer cells, development of SAR408701 was discontinued in this subtype because of its low sensitivity to microtubule-inhibitors payload. ('SAR408701', 'Chemical', '-', (91, 100)) ('CEACAM5', 'Gene', '1048', (40, 47)) ('colorectal cancer', 'Disease', 'MESH:D015179', (51, 68)) ('cancer', 'Phenotype', 'HP:0002664', (62, 68)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (51, 68)) ('sensitivity to microtubule-inhibitors payload', 'MPA', (153, 198)) ('microtubule', 'cellular_component', 'GO:0005874', ('168', '179')) ('colorectal cancer', 'Disease', (51, 68)) ('SAR408701', 'Var', (91, 100)) ('CEACAM5', 'Gene', (40, 47)) 6979 33509252 A phase I trial then investigated this ADC in EGFR-mutated NSCLC progressing to first generation EGFR-TKIs and negative for T790M mutation, or after osimertinib failure. ('NSCLC', 'Disease', 'MESH:D002289', (59, 64)) ('EGFR', 'Gene', '1956', (97, 101)) ('EGFR', 'Gene', '1956', (46, 50)) ('NSCLC', 'Phenotype', 'HP:0030358', (59, 64)) ('EGFR', 'Gene', (97, 101)) ('EGFR', 'molecular_function', 'GO:0005006', ('46', '50')) ('EGFR', 'Gene', (46, 50)) ('T790M mutation', 'Var', (124, 138)) ('EGFR', 'molecular_function', 'GO:0005006', ('97', '101')) ('osimertinib failure', 'Disease', (149, 168)) ('NSCLC', 'Disease', (59, 64)) ('T790M', 'Mutation', 'rs121434569', (124, 129)) ('osimertinib failure', 'Disease', 'MESH:D006333', (149, 168)) 6982 33509252 Antitumor activity was seen regardless of the specific mechanism of resistance to EGFR-TKI (EGFR mutations, amplifications of non-EGFR mutations/fusions). ('tumor', 'Disease', (4, 9)) ('mutations', 'Var', (97, 106)) ('EGFR', 'Gene', (82, 86)) ('EGFR', 'molecular_function', 'GO:0005006', ('82', '86')) ('EGFR', 'molecular_function', 'GO:0005006', ('92', '96')) ('tumor', 'Disease', 'MESH:D009369', (4, 9)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) ('EGFR', 'molecular_function', 'GO:0005006', ('130', '134')) ('amplifications', 'Var', (108, 122)) ('EGFR', 'Gene', '1956', (92, 96)) ('EGFR', 'Gene', (92, 96)) ('EGFR', 'Gene', '1956', (82, 86)) ('EGFR', 'Gene', '1956', (130, 134)) ('EGFR', 'Gene', (130, 134)) 7006 33509252 Others anti-mesothelin ADCs, like DMOT4039A, RC88 and BMS-986148, are under clinical evaluation (Table 2). ('DMOT4039A', 'Var', (34, 43)) ('mesothelin', 'Gene', '10232', (12, 22)) ('mesothelin', 'Gene', (12, 22)) ('MS', 'Chemical', 'MESH:C000607289', (55, 57)) 7010 33509252 Physiologically, c-Met is primarily implicated in processes of cell motility occurring during embryogenesis and wound repair, while its pathological activation throughout mutation, amplification or overexpression has been detected in different cancer types. ('activation', 'PosReg', (149, 159)) ('embryogenesis', 'biological_process', 'GO:0009790', ('94', '107')) ('mutation', 'Var', (171, 179)) ('c-Met', 'Gene', '4233', (17, 22)) ('cancer', 'Phenotype', 'HP:0002664', (244, 250)) ('embryogenesis', 'biological_process', 'GO:0009793', ('94', '107')) ('cancer', 'Disease', 'MESH:D009369', (244, 250)) ('implicated', 'Reg', (36, 46)) ('cell motility', 'biological_process', 'GO:0048870', ('63', '76')) ('cell motility', 'CPA', (63, 76)) ('embryogenesis', 'biological_process', 'GO:0009792', ('94', '107')) ('cancer', 'Disease', (244, 250)) ('c-Met', 'Gene', (17, 22)) 7011 33509252 Aberrations of c-Met have been described as both primary events, leading to cancer cell transformation, and secondary events, responsible for cancer progression and treatment resistance. ('cancer', 'Disease', 'MESH:D009369', (142, 148)) ('cancer', 'Phenotype', 'HP:0002664', (142, 148)) ('c-Met', 'Gene', (15, 20)) ('cancer', 'Phenotype', 'HP:0002664', (76, 82)) ('c-Met', 'Gene', '4233', (15, 20)) ('cancer', 'Disease', 'MESH:D009369', (76, 82)) ('Aberrations', 'Var', (0, 11)) ('cancer', 'Disease', (76, 82)) ('leading to', 'Reg', (65, 75)) ('cancer', 'Disease', (142, 148)) 7028 33509252 Conversely, data from LUNG-MAP sub-study S1400K evaluating teliso-V in squamous NSCLC in ICI-refractory or ICI-naive patients were disappointing, with a ORR of 9% (2/23) and 7 high-grade events (3 G5 and 4 G3), leading to S1400K closure. ('S1400K', 'Mutation', 'p.S1400K', (222, 228)) ('NSCLC', 'Phenotype', 'HP:0030358', (80, 85)) ('squamous NSCLC', 'Disease', (71, 85)) ('MAP', 'molecular_function', 'GO:0004239', ('27', '30')) ('S1400K', 'Mutation', 'p.S1400K', (41, 47)) ('squamous NSCLC', 'Disease', 'MESH:D002294', (71, 85)) ('S1400K', 'Var', (222, 228)) ('patients', 'Species', '9606', (117, 125)) 7029 33509252 A phase II study (NCT03539536) investigating teliso-V in both squamous and non-squamous (EGFR mutated and wt) c-Met-positive NSCLC is open to enrollment, with data expected in 2021. ('mutated', 'Var', (94, 101)) ('EGFR', 'Gene', (89, 93)) ('NSCLC', 'Disease', (125, 130)) ('c-Met', 'Gene', (110, 115)) ('NSCLC', 'Disease', 'MESH:D002289', (125, 130)) ('c-Met', 'Gene', '4233', (110, 115)) ('EGFR', 'molecular_function', 'GO:0005006', ('89', '93')) ('NSCLC', 'Phenotype', 'HP:0030358', (125, 130)) ('EGFR', 'Gene', '1956', (89, 93)) 7081 33509252 Centyrins are small (~ 10 kDa) cysteine-free scaffolds based on the type-III fibronectin domain of human Tenascin C. These alternative scaffolds possess excellent biophysical properties, which allow for mutation and conjugation at one or even multiple positions and are easily internalized by tumor. ('Tenascin C', 'Gene', (105, 115)) ('tumor', 'Disease', 'MESH:D009369', (293, 298)) ('tumor', 'Phenotype', 'HP:0002664', (293, 298)) ('conjugation', 'MPA', (216, 227)) ('Tenascin C', 'Gene', '3371', (105, 115)) ('Tenascin C', 'cellular_component', 'GO:0090733', ('105', '115')) ('mutation', 'Var', (203, 211)) ('tumor', 'Disease', (293, 298)) ('conjugation', 'biological_process', 'GO:0000746', ('216', '227')) ('cysteine', 'Chemical', 'MESH:D003545', (31, 39)) ('human', 'Species', '9606', (99, 104)) 7087 33509252 Trastuzumab deruxtecan has been associated with development of grade 5 interstitial lung diseases (ILDs) across several tumor types, while maytansinoids or auristatins-based ADCs have been linked to high-grade ocular or neurological toxicities, not always reversible. ('Trastuzumab', 'Chemical', 'MESH:D000068878', (0, 11)) ('auristatins', 'Chemical', 'MESH:C543533', (156, 167)) ('neurological toxicities', 'Disease', 'MESH:D009422', (220, 243)) ('ILDs', 'Phenotype', 'HP:0006530', (99, 103)) ('deruxtecan', 'Var', (12, 22)) ('interstitial lung disease', 'Phenotype', 'HP:0006530', (71, 96)) ('associated with', 'Reg', (32, 47)) ('lung diseases', 'Disease', 'MESH:D008171', (84, 97)) ('ILD', 'Disease', 'MESH:D017563', (99, 102)) ('lung diseases', 'Phenotype', 'HP:0002088', (84, 97)) ('tumor', 'Disease', (120, 125)) ('ILD', 'Phenotype', 'HP:0006530', (99, 102)) ('maytansinoids', 'Chemical', '-', (139, 152)) ('tumor', 'Disease', 'MESH:D009369', (120, 125)) ('lung diseases', 'Disease', (84, 97)) ('ILD', 'Disease', (99, 102)) ('deruxtecan', 'Chemical', '-', (12, 22)) ('lung disease', 'Phenotype', 'HP:0002088', (84, 96)) ('neurological toxicities', 'Disease', (220, 243)) ('tumor', 'Phenotype', 'HP:0002664', (120, 125)) ('interstitial lung diseases', 'Phenotype', 'HP:0006530', (71, 97)) 7210 33383846 Moreover, using the functional enrichment tool FunRich and the Catalogue Of Somatic Mutations In Cancer (COSMIC) data, the network of the LOX family was shown to be associated with endometrium (78.9% of the network proteins), prostate (62.3%), ovary (74.7%), and skin (71.1%) cancers (Supplementary Table S5). ('endometrium', 'Disease', (181, 192)) ('Cancer', 'Disease', 'MESH:D009369', (97, 103)) ('cancers', 'Phenotype', 'HP:0002664', (276, 283)) ('Mutations', 'Var', (84, 93)) ('LOX', 'Gene', '4015', (138, 141)) ('ovary', 'Disease', (244, 249)) ('associated', 'Reg', (165, 175)) ('cancers', 'Disease', 'MESH:D009369', (276, 283)) ('skin', 'Disease', (263, 267)) ('cancers', 'Disease', (276, 283)) ('LOX', 'Gene', (138, 141)) ('prostate', 'Disease', (226, 234)) ('cancer', 'Phenotype', 'HP:0002664', (276, 282)) ('ovary', 'Disease', 'MESH:D010051', (244, 249)) ('Cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('Cancer', 'Disease', (97, 103)) 7228 33383846 "Epithelial-mesenchymal transition" (37% of proteins annotated, 12.6-fold-enrichment) and "Integrin cell surface interactions" (22%, 19.4-fold-enrichment) were the most significantly enriched pathways in the mesothelioma subnetwork (Supplementary Table S11A) but not in the ovarian cancer subnetwork (Supplementary Table S11B), which suggests that the changes in LOX and LOXL interactome associated with cancer might depend on the cancer type. ('cancer', 'Disease', 'MESH:D009369', (404, 410)) ('ovarian cancer', 'Disease', 'MESH:D010051', (274, 288)) ('cancer', 'Disease', (431, 437)) ('cancer', 'Disease', 'MESH:D009369', (282, 288)) ('cancer', 'Phenotype', 'HP:0002664', (431, 437)) ('S11A', 'Var', (253, 257)) ('LOXL', 'Gene', (371, 375)) ('S11A', 'SUBSTITUTION', 'None', (253, 257)) ('ovarian cancer', 'Disease', (274, 288)) ('LOX', 'Gene', '4015', (363, 366)) ('mesothelioma', 'Disease', (208, 220)) ('S11B', 'Var', (321, 325)) ('LOX', 'Gene', '4015', (371, 374)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (274, 288)) ('cancer', 'Disease', 'MESH:D009369', (431, 437)) ('mesothelioma', 'Disease', 'MESH:D008654', (208, 220)) ('cancer', 'Disease', (404, 410)) ('cancer', 'Phenotype', 'HP:0002664', (404, 410)) ('cancer', 'Disease', (282, 288)) ('LOX', 'Gene', (363, 366)) ('LOX', 'Gene', (371, 374)) ('S11B', 'SUBSTITUTION', 'None', (321, 325)) ('cancer', 'Phenotype', 'HP:0002664', (282, 288)) ('LOXL', 'Gene', '84695', (371, 375)) ('enriched', 'Reg', (183, 191)) 7283 33383846 The class "Cancer-Related-Condition" (C8278) is defined as "A disorder either associated with an increased risk for malignant transformation (e.g., intraepithelial neoplasia, leukoplakia, dysplastic nevus, myelodysplastic syndrome) or that develops as a result of the presence of an existing malignant neoplasm (e.g., paraneoplastic syndrome)". ('paraneoplastic syndrome', 'Disease', (318, 341)) ('C8278', 'Var', (38, 43)) ('leukoplakia', 'Disease', 'MESH:D007971', (175, 186)) ('Cancer', 'Phenotype', 'HP:0002664', (11, 17)) ('leukoplakia', 'Disease', (175, 186)) ('nevus', 'Phenotype', 'HP:0003764', (199, 204)) ('dysplastic nevus', 'Phenotype', 'HP:0001062', (188, 204)) ('malignant transformation', 'CPA', (116, 140)) ('myelodysplastic syndrome', 'Disease', (206, 230)) ('dysplastic nevus', 'Disease', (188, 204)) ('dysplastic nevus', 'Disease', 'MESH:D004416', (188, 204)) ('malignant neoplasm', 'Disease', 'MESH:D009369', (292, 310)) ('paraneoplastic syndrome', 'Disease', 'MESH:D010257', (318, 341)) ('Cancer', 'Disease', (11, 17)) ('malignant neoplasm', 'Disease', (292, 310)) ('intraepithelial neoplasia', 'Phenotype', 'HP:0032187', (148, 173)) ('associated', 'Reg', (78, 88)) ('neoplasia', 'Disease', 'MESH:D009369', (164, 173)) ('neoplasia', 'Disease', (164, 173)) ('Cancer', 'Disease', 'MESH:D009369', (11, 17)) ('myelodysplastic syndrome', 'Phenotype', 'HP:0002863', (206, 230)) ('myelodysplastic syndrome', 'Disease', 'MESH:D009190', (206, 230)) ('neoplasm', 'Phenotype', 'HP:0002664', (302, 310)) ('neoplasia', 'Phenotype', 'HP:0002664', (164, 173)) 7288 33383846 Further binding assays will be performed to increase the coverage of the LOX interactome with proteins containing domains found in the known partners of LOX and LOXLs (e.g., the triple helix), and to determine the influence of mutations reported in cancer patients on the interaction network, and on the functional network in order to refine our understanding of the role of LOX and LOXLs in cancer. ('cancer', 'Disease', (392, 398)) ('LOX', 'Gene', '4015', (73, 76)) ('LOX', 'Gene', (375, 378)) ('cancer', 'Disease', (249, 255)) ('LOX', 'Gene', '4015', (153, 156)) ('cancer', 'Phenotype', 'HP:0002664', (392, 398)) ('LOX', 'Gene', '4015', (383, 386)) ('cancer', 'Phenotype', 'HP:0002664', (249, 255)) ('LOX', 'Gene', (161, 164)) ('LOX', 'Gene', (73, 76)) ('LOXL', 'Gene', '84695', (161, 165)) ('LOX', 'Gene', (153, 156)) ('LOX', 'Gene', (383, 386)) ('binding', 'molecular_function', 'GO:0005488', ('8', '15')) ('cancer', 'Disease', 'MESH:D009369', (392, 398)) ('LOXL', 'Gene', '84695', (383, 387)) ('cancer', 'Disease', 'MESH:D009369', (249, 255)) ('mutations', 'Var', (227, 236)) ('LOXL', 'Gene', (161, 165)) ('LOX', 'Gene', '4015', (375, 378)) ('patients', 'Species', '9606', (256, 264)) ('LOXL', 'Gene', (383, 387)) ('LOX', 'Gene', '4015', (161, 164)) 7304 33383846 Table S11A,B: Enrichment analysis of the subnetworks of the LOX family in mesothelioma (A) and ovarian serous cystadenocarcinoma (B) using FunRich. ('ovarian serous cystadenocarcinoma', 'Phenotype', 'HP:0012887', (95, 128)) ('ovarian serous cystadenocarcinoma', 'Disease', (95, 128)) ('mesothelioma', 'Disease', 'MESH:D008654', (74, 86)) ('S11A', 'Var', (6, 10)) ('S11A', 'SUBSTITUTION', 'None', (6, 10)) ('LOX', 'Gene', '4015', (60, 63)) ('carcinoma', 'Phenotype', 'HP:0030731', (119, 128)) ('ovarian serous cystadenocarcinoma', 'Disease', 'MESH:D018284', (95, 128)) ('LOX', 'Gene', (60, 63)) ('mesothelioma', 'Disease', (74, 86)) 7365 31470859 Hallmarks of mesothelioma are epithelial cuboidal cells with microvilli, basement membranes, filaments and desmosomes.The criteria for malignancy are nuclear pleomorphism, mitotic activity and stromal invasion. ('stromal invasion', 'CPA', (193, 209)) ('malignancy', 'Disease', 'MESH:D009369', (135, 145)) ('men', 'Species', '9606', (97, 100)) ('men', 'Species', '9606', (77, 80)) ('malignancy', 'Disease', (135, 145)) ('mitotic activity', 'CPA', (172, 188)) ('microvilli', 'cellular_component', 'GO:0005902', ('61', '71')) ('Hallmarks of mesothelioma', 'Disease', (0, 25)) ('nuclear pleomorphism', 'Var', (150, 170)) ('Hallmarks of mesothelioma', 'Disease', 'MESH:D008654', (0, 25)) 7368 31470859 Epithelial membrane antigen and factor VIII are strongly suggestive for the diagnosis of MM; mesothelioma-related markers include calretinin, thrombomodulin, CK5/6 (pleural), WT1 (Wilms tumour antibody), D2-40, CK7 (tunica vaginalis), CD20 +, and calretinin +. ('pleural', 'Disease', 'MESH:D010995', (165, 172)) ('pleural', 'Disease', (165, 172)) ('CK7', 'Gene', '3855', (211, 214)) ('tumour', 'Phenotype', 'HP:0002664', (186, 192)) ('antibody', 'cellular_component', 'GO:0019815', ('193', '201')) ('calretinin', 'Gene', (130, 140)) ('CD20', 'Gene', '54474', (235, 239)) ('membrane', 'cellular_component', 'GO:0016020', ('11', '19')) ('Epithelial membrane antigen', 'Gene', (0, 27)) ('Wilms tumour', 'Disease', (180, 192)) ('CK5/6', 'Gene', '3852', (158, 163)) ('antibody', 'cellular_component', 'GO:0019814', ('193', '201')) ('calretinin', 'Gene', (247, 257)) ('calretinin', 'Gene', '794', (130, 140)) ('MM', 'Disease', (89, 91)) ('WT1', 'Gene', (175, 178)) ('thrombomodulin', 'Gene', (142, 156)) ('Epithelial membrane antigen', 'Gene', '4582', (0, 27)) ('thrombomodulin', 'Gene', '7056', (142, 156)) ('Wilms tumour', 'Phenotype', 'HP:0002667', (180, 192)) ('CK5/6', 'Gene', (158, 163)) ('antibody', 'molecular_function', 'GO:0003823', ('193', '201')) ('WT1', 'Gene', '7490', (175, 178)) ('CK7', 'Gene', (211, 214)) ('mesothelioma', 'Disease', (93, 105)) ('Wilms tumour', 'Disease', 'MESH:D009396', (180, 192)) ('antibody', 'cellular_component', 'GO:0042571', ('193', '201')) ('D2-40', 'Var', (204, 209)) ('calretinin', 'Gene', '794', (247, 257)) ('mesothelioma', 'Disease', 'MESH:D008654', (93, 105)) ('CD20', 'Gene', (235, 239)) 7417 31470859 Jean (Jean 2012) hypothesized that NF2 regulates cell growth function, and its inactivation could be related to tumour progression and patient survival. ('regulates', 'Reg', (39, 48)) ('patient', 'Species', '9606', (135, 142)) ('tumour', 'Disease', 'MESH:D009369', (112, 118)) ('NF2', 'Gene', (35, 38)) ('cell growth function', 'CPA', (49, 69)) ('inactivation', 'Var', (79, 91)) ('tumour', 'Disease', (112, 118)) ('cell growth', 'biological_process', 'GO:0016049', ('49', '60')) ('NF2', 'Gene', '4771', (35, 38)) ('tumour', 'Phenotype', 'HP:0002664', (112, 118)) ('related', 'Reg', (101, 108)) 7418 31470859 We are deepening the study of these new cases, all with ascertained exposure to asbestos, to understand whether there are specific DNA copy number changes in MMTVT and investigating the relative genes involved to define whether they are or are not the same as those reported in pleural MM, particularly in relation to asbestos exposure, and whether they might be useful in elucidating tumorigenesis and predicting prognosis. ('pleural MM', 'Disease', (278, 288)) ('MMTVT', 'Chemical', '-', (158, 163)) ('changes', 'Var', (147, 154)) ('MMTVT', 'Gene', (158, 163)) ('asbestos', 'Chemical', 'MESH:D001194', (318, 326)) ('asbestos', 'Chemical', 'MESH:D001194', (80, 88)) ('pleural MM', 'Disease', 'MESH:D010995', (278, 288)) ('DNA', 'cellular_component', 'GO:0005574', ('131', '134')) 7449 22748269 In mice, liposomal BLP25 induces a cellular immune response characterised by antigen-specific T-cell proliferation and production of interferon-gamma, indicating a T helper type 1 response. ('cellular immune response', 'biological_process', 'GO:0002443', ('35', '59')) ('production of interferon-gamma', 'MPA', (119, 149)) ('T-cell proliferation', 'biological_process', 'GO:0042098', ('94', '114')) ('cellular immune response', 'biological_process', 'GO:0002449', ('35', '59')) ('liposomal', 'Var', (9, 18)) ('mice', 'Species', '10090', (3, 7)) ('interferon-gamma', 'molecular_function', 'GO:0005133', ('133', '149')) ('cellular immune', 'MPA', (35, 50)) ('BLP25', 'Gene', (19, 24)) ('cellular immune response', 'biological_process', 'GO:0002456', ('35', '59')) 7453 22748269 Although not significant, median overall survival (the primary objective) was increased by 4 2 months for patients who received liposomal BLP25 (n=88; 17 2 vs 13 0 months, hazard ratio [HR] 0 745, 95% CI 0 533-1 042). ('liposomal', 'Var', (128, 137)) ('BLP25', 'Gene', (138, 143)) ('overall survival', 'MPA', (33, 49)) ('increased', 'PosReg', (78, 87)) ('patients', 'Species', '9606', (106, 114)) 7469 22748269 In preclinical studies, antisense inhibition of TGF-beta2 led to inhibition of cellular TGF-beta2 expression and increased immunogenicity of cancer cells. ('inhibition', 'NegReg', (65, 75)) ('cancer', 'Phenotype', 'HP:0002664', (141, 147)) ('TGF-beta2', 'Gene', '7042', (88, 97)) ('TGF-beta2', 'Gene', (88, 97)) ('TGF-beta2', 'Gene', '7042', (48, 57)) ('increased', 'PosReg', (113, 122)) ('cancer', 'Disease', 'MESH:D009369', (141, 147)) ('antisense inhibition', 'Var', (24, 44)) ('cancer', 'Disease', (141, 147)) ('TGF-beta2', 'Gene', (48, 57)) ('expression', 'MPA', (98, 108)) 7471 22748269 In a randomised, dose-variable, phase 2 trial, 75 NSCLC patients with stages II, IIIA, IIIB, and IV disease were randomly assigned to receive one of three doses (1 25x107, 2 5x107, or 5 0x107 cells per injection intra dermally) of belagenpumatucel-L on a monthly or alternate month schedule to a maximum of 16 doses. ('IIIA', 'Disease', (81, 85)) ('patients', 'Species', '9606', (56, 64)) ('NSCLC', 'Phenotype', 'HP:0030358', (50, 55)) ('IV disease', 'Disease', 'MESH:D020432', (97, 107)) ('IV disease', 'Disease', (97, 107)) ('NSCLC', 'Disease', (50, 55)) ('1 25x107', 'Var', (162, 170)) ('IIIB', 'Disease', (87, 91)) ('NSCLC', 'Disease', 'MESH:D002289', (50, 55)) 7490 22748269 By contrast, seven of the eight patients who received recombinant MAGE A3 with adjuvant had a substantial increase in serum anti-MAGE A3 antibodies, suggesting the importance of adjuvant for the development of immunity to MAGE A3. ('MAGE A3', 'Gene', (66, 73)) ('patients', 'Species', '9606', (32, 40)) ('recombinant', 'Var', (54, 65)) ('MAGE A3', 'Gene', '4102', (66, 73)) ('MAGE A3', 'Gene', (129, 136)) ('MAGE A3', 'Gene', '4102', (129, 136)) ('increase', 'PosReg', (106, 114)) ('MAGE A3', 'Gene', (222, 229)) ('MAGE A3', 'Gene', '4102', (222, 229)) 7503 22748269 Ipilimumab was associated with increased toxic effects; 41 patients (58%) in the concurrent group, 35 (52%) in the sequential group, and 18 (42%) in the chemotherapy only group had grade 3 or 4 adverse events. ('Ipilimumab', 'Chemical', 'MESH:D000074324', (0, 10)) ('patients', 'Species', '9606', (59, 67)) ('Ipilimumab', 'Var', (0, 10)) ('toxic', 'MPA', (41, 46)) 7509 22748269 CTLA-4 and PD-1 blockage are both associated with immune-related adverse events from uncontrolled T-cell lymphoproliferation, although these toxic effects are less frequent and milder for PD-1 inhibition than for CTLA-4 inhibition. ('PD-1', 'Gene', '5133', (188, 192)) ('PD-1', 'Gene', (188, 192)) ('CTLA-4', 'Gene', (0, 6)) ('immune-related', 'Disease', (50, 64)) ('CTLA-4', 'Gene', '1493', (213, 219)) ('blockage', 'Var', (16, 24)) ('CTLA-4', 'Gene', '1493', (0, 6)) ('PD-1', 'Gene', (11, 15)) ('PD-1', 'Gene', '5133', (11, 15)) ('CTLA-4', 'Gene', (213, 219)) 7514 22748269 PF-3512676 (formerly known as CpG 7909) is a synthetic TLR9-activating oligodeoxynucleotide that mimics the natural ligand of TLR9 (unmethylated CpG motifs), thereby inducing a cascade of immune reactions, potentially promoting an antitumour immune response. ('immune response', 'biological_process', 'GO:0006955', ('242', '257')) ('TLR9', 'Gene', '54106', (126, 130)) ('TLR9', 'Gene', '54106', (55, 59)) ('tumour', 'Disease', 'MESH:D009369', (235, 241)) ('oligodeoxynucleotide', 'Chemical', 'MESH:D009838', (71, 91)) ('inducing', 'PosReg', (166, 174)) ('tumour', 'Disease', (235, 241)) ('ligand', 'molecular_function', 'GO:0005488', ('116', '122')) ('PF-3512676', 'Var', (0, 10)) ('tumour', 'Phenotype', 'HP:0002664', (235, 241)) ('promoting', 'PosReg', (218, 227)) ('cascade', 'MPA', (177, 184)) ('TLR9', 'Gene', (126, 130)) ('TLR9', 'Gene', (55, 59)) ('PF', 'Chemical', 'MESH:C002997', (0, 2)) 7515 22748269 In mouse lung cancer models, PF-3512676 has single-agent activity, and a combination of PF-3512676 and paclitaxel improves survival compared with either treatment alone, without additive toxic eff ects. ('survival', 'CPA', (123, 131)) ('paclitaxel', 'Chemical', 'MESH:D017239', (103, 113)) ('mouse', 'Species', '10090', (3, 8)) ('improves', 'PosReg', (114, 122)) ('PF', 'Chemical', 'MESH:C002997', (29, 31)) ('cancer', 'Phenotype', 'HP:0002664', (14, 20)) ('lung cancer', 'Disease', 'MESH:D008175', (9, 20)) ('PF', 'Chemical', 'MESH:C002997', (88, 90)) ('PF-3512676', 'Var', (29, 39)) ('PF-3512676', 'Var', (88, 98)) ('lung cancer', 'Disease', (9, 20)) ('lung cancer', 'Phenotype', 'HP:0100526', (9, 20)) ('combination', 'Interaction', (73, 84)) 7517 22748269 In a phase 2 randomised controlled study, 111 chemotherapy-naive patients who received a combination of taxane and PF-3512676 had higher response rates (38% vs 19%; p=0 043) and a trend towards improved overall survival (12 3 vs 6 8 months; p=0 188), compared with patients who received chemotherapy alone. ('taxane', 'Chemical', 'MESH:C080625', (104, 110)) ('overall', 'MPA', (203, 210)) ('higher', 'PosReg', (130, 136)) ('PF', 'Chemical', 'MESH:C002997', (115, 117)) ('response', 'MPA', (137, 145)) ('PF-3512676', 'Var', (115, 125)) ('patients', 'Species', '9606', (265, 273)) ('patients', 'Species', '9606', (65, 73)) ('improved', 'PosReg', (194, 202)) 7550 22748269 In human mesothelioma cell lines, peptide epitopes from WT1 induce CD4 and cytotoxic CD8 WT1-specifi c T-cell responses. ('induce', 'PosReg', (60, 66)) ('WT1', 'Gene', (89, 92)) ('CD8', 'Gene', (85, 88)) ('human', 'Species', '9606', (3, 8)) ('CD8', 'Gene', '925', (85, 88)) ('CD4', 'Gene', (67, 70)) ('peptide', 'Var', (34, 41)) ('mesothelioma', 'Disease', (9, 21)) ('WT1', 'Gene', '7490', (56, 59)) ('CD4', 'Gene', '920', (67, 70)) ('WT1', 'Gene', (56, 59)) ('cytotoxic', 'CPA', (75, 84)) ('mesothelioma', 'Disease', 'MESH:D008654', (9, 21)) ('WT1', 'Gene', '7490', (89, 92)) 7573 22748269 The deletion of these coding sequences in mice causes a more than 1000-times attenuation of virulence. ('virulence', 'biological_process', 'GO:0016032', ('92', '101')) ('virulence', 'biological_process', 'GO:0009406', ('92', '101')) ('mice', 'Species', '10090', (42, 46)) ('attenuation', 'NegReg', (77, 88)) ('virulence', 'biological_process', 'GO:0009405', ('92', '101')) ('virulence', 'MPA', (92, 101)) ('deletion', 'Var', (4, 12)) 7574 22748269 However, uptake of CRS-207 by macrophages and phagocytic cells in the liver and spleen is retained and results in a local inflammatory response and activation and recruitment of immune effector cells, such as natural killer and T cells, to the liver. ('CRS', 'Chemical', 'MESH:D002857', (19, 22)) ('local inflammatory response', 'CPA', (116, 143)) ('activation', 'PosReg', (148, 158)) ('uptake', 'biological_process', 'GO:0098739', ('9', '15')) ('inflammatory response', 'biological_process', 'GO:0006954', ('122', '143')) ('recruitment', 'CPA', (163, 174)) ('uptake', 'biological_process', 'GO:0098657', ('9', '15')) ('CRS-207', 'Var', (19, 26)) ('results in', 'Reg', (103, 113)) 7577 22748269 In preclinical studies, CRS-207 elicited mesothelin-specific cellular immunity in mice and in non-human primates and was efficacious in tumour-bearing mice. ('mice', 'Species', '10090', (82, 86)) ('mice', 'Species', '10090', (151, 155)) ('CRS-207', 'Var', (24, 31)) ('tumour', 'Disease', 'MESH:D009369', (136, 142)) ('CRS', 'Chemical', 'MESH:D002857', (24, 27)) ('tumour', 'Disease', (136, 142)) ('elicited', 'Reg', (32, 40)) ('human', 'Species', '9606', (98, 103)) ('tumour', 'Phenotype', 'HP:0002664', (136, 142)) ('mesothelin-specific cellular immunity', 'CPA', (41, 78)) 7588 22748269 Some of the non-specif c immunotherapies assessed for NSCLC include PF-3512676, a TLR9 agonist, agents based on mycobacterial adjuvant, and talactoferrin. ('PF-3512676', 'Var', (68, 78)) ('TLR9', 'Gene', (82, 86)) ('NSCLC', 'Phenotype', 'HP:0030358', (54, 59)) ('PF', 'Chemical', 'MESH:C002997', (68, 70)) ('NSCLC', 'Disease', (54, 59)) ('TLR9', 'Gene', '54106', (82, 86)) ('NSCLC', 'Disease', 'MESH:D002289', (54, 59)) 7603 29698884 Pathology demonstrated an epithelioid necrotic intrahepatic mesothelioma that stained positive for calretinin, CK AE1/AE3, WT-1, D2-40 and CK7. ('positive', 'Reg', (86, 94)) ('D2-40', 'Var', (129, 134)) ('calretinin', 'Protein', (99, 109)) ('epithelioid necrotic intrahepatic mesothelioma', 'Disease', (26, 72)) ('CK AE1/AE3', 'Var', (111, 121)) ('epithelioid necrotic intrahepatic mesothelioma', 'Disease', 'MESH:D008654', (26, 72)) 7641 29698884 The tumor stained positive for calretinin, CK AE1/AE3, WT-1, D2-40 and CK7 (Fig. ('tumor', 'Disease', (4, 9)) ('CK AE1/AE3', 'Var', (43, 53)) ('calretinin', 'Protein', (31, 41)) ('CK7', 'Var', (71, 74)) ('tumor', 'Disease', 'MESH:D009369', (4, 9)) ('D2-40', 'Var', (61, 66)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) 7679 28670467 The cumulative probability of survival after 2 years of follow-up was 80% for subjects with high ERbeta expression versus 31% for subjects with negative of low ERbeta expression (p = 0.02, log-rank test). ('ERbeta', 'Gene', '2100', (160, 166)) ('high', 'Var', (92, 96)) ('ERbeta', 'Gene', (97, 103)) ('ERbeta', 'Gene', (160, 166)) ('ERbeta', 'Gene', '2100', (97, 103)) 7695 28670467 Conversely, ERbeta knockdown in ER-positive cells conferred a more invasive phenotype, increased anchorage independent growth and elevated EGFR-coupled signal transduction pathways. ('increased', 'PosReg', (87, 96)) ('ERbeta', 'Gene', '2100', (12, 18)) ('anchorage independent growth', 'CPA', (97, 125)) ('EGFR', 'molecular_function', 'GO:0005006', ('139', '143')) ('knockdown', 'Var', (19, 28)) ('EGFR', 'Gene', '1956', (139, 143)) ('ERbeta', 'Gene', (12, 18)) ('invasive phenotype', 'CPA', (67, 85)) ('elevated', 'PosReg', (130, 138)) ('more', 'PosReg', (62, 66)) ('ER', 'Gene', '2099', (32, 34)) ('ER', 'Gene', '2099', (12, 14)) ('EGFR', 'Gene', (139, 143)) ('signal transduction', 'biological_process', 'GO:0007165', ('152', '171')) 7699 28670467 Another study has described carbonic anhydrase IX positivity, proposed to serve as a surrogate marker of hypoxia, to be predominant in epithelioid MPMs, while not expressed in sarcomatoid and sarcomatoid areas of biphasic MPMs. ('hypoxia', 'Disease', (105, 112)) ('hypoxia', 'Disease', 'MESH:D000860', (105, 112)) ('carbonic anhydrase IX', 'Gene', (28, 49)) ('epithelioid', 'Disease', (135, 146)) ('sarcomatoid and sarcomatoid areas of biphasic MPMs', 'Disease', 'MESH:C538614', (176, 226)) ('carbonic anhydrase IX', 'Gene', '768', (28, 49)) ('positivity', 'Var', (50, 60)) 7708 28670467 We showed that KB9520 acted as a chemosensitizer through activation of ERbeta, increasing the antitumorigenic efficacy of cisplatin or the cisplatin/pemetrexed combination. ('KB9520', 'Var', (15, 21)) ('ERbeta', 'Gene', '2100', (71, 77)) ('cisplatin', 'Chemical', 'MESH:D002945', (122, 131)) ('activation', 'PosReg', (57, 67)) ('ERbeta', 'Gene', (71, 77)) ('tumor', 'Disease', 'MESH:D009369', (98, 103)) ('cisplatin', 'Chemical', 'MESH:D002945', (139, 148)) ('increasing', 'PosReg', (79, 89)) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('tumor', 'Disease', (98, 103)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (149, 159)) ('KB9520', 'Chemical', '-', (15, 21)) 7709 28670467 Treatment with KB9520 in combination with cisplatin/pemetrexed in vivo had greater efficacy than either treatment alone and caused a significantly reduced tumor burden compared with vehicle-treated animals. ('tumor', 'Disease', 'MESH:D009369', (155, 160)) ('cisplatin', 'Chemical', 'MESH:D002945', (42, 51)) ('KB9520', 'Var', (15, 21)) ('tumor', 'Phenotype', 'HP:0002664', (155, 160)) ('tumor', 'Disease', (155, 160)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (52, 62)) ('men', 'Species', '9606', (5, 8)) ('efficacy', 'MPA', (83, 91)) ('men', 'Species', '9606', (109, 112)) ('reduced', 'NegReg', (147, 154)) ('KB9520', 'Chemical', '-', (15, 21)) 7710 28670467 Importantly, KB9520 had no cytotoxic effect per se and reduced cisplatin toxicity in ERbeta-expressing non malignant mesothelial cells. ('ERbeta', 'Gene', '2100', (85, 91)) ('cisplatin', 'Chemical', 'MESH:D002945', (63, 72)) ('reduced', 'NegReg', (55, 62)) ('KB9520', 'Chemical', '-', (13, 19)) ('ERbeta', 'Gene', (85, 91)) ('KB9520', 'Var', (13, 19)) ('toxicity', 'Disease', (73, 81)) ('toxicity', 'Disease', 'MESH:D064420', (73, 81)) 7711 28670467 Thus, KB9520 may increase the sensitivity of MPM tumors to the standard of care in patients and perhaps result in higher response rates, without adding toxicity. ('sensitivity', 'MPA', (30, 41)) ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('patients', 'Species', '9606', (83, 91)) ('tumors', 'Phenotype', 'HP:0002664', (49, 55)) ('MPM tumors', 'Disease', (45, 55)) ('response rates', 'MPA', (121, 135)) ('KB9520', 'Chemical', '-', (6, 12)) ('toxicity', 'Disease', 'MESH:D064420', (152, 160)) ('toxicity', 'Disease', (152, 160)) ('KB9520', 'Var', (6, 12)) ('increase', 'PosReg', (17, 25)) ('MPM tumors', 'Disease', 'MESH:D009369', (45, 55)) ('higher', 'PosReg', (114, 120)) 7717 26807072 In this study, serum presence of mesothelioma-specific protein transcript variants of ecto-nicotinamide adenine dinucleotide oxidase disulfide-thiol exchanger 2 (ENOX2), a recently identified marker of malignancy, were investigated using the ONCOblot tissue of origin cancer detection test. ('cancer', 'Disease', (268, 274)) ('malignancy', 'Disease', 'MESH:D009369', (202, 212)) ('ENOX2', 'Gene', '10495', (162, 167)) ('mesothelioma', 'Disease', 'MESH:D008654', (33, 45)) ('ecto-nicotinamide adenine dinucleotide oxidase disulfide-thiol exchanger 2', 'Gene', '10495', (86, 160)) ('malignancy', 'Disease', (202, 212)) ('cancer', 'Phenotype', 'HP:0002664', (268, 274)) ('exchanger', 'molecular_function', 'GO:0015297', ('149', '158')) ('ENOX2', 'Gene', (162, 167)) ('protein', 'cellular_component', 'GO:0003675', ('55', '62')) ('variants', 'Var', (74, 82)) ('cancer', 'Disease', 'MESH:D009369', (268, 274)) ('mesothelioma', 'Disease', (33, 45)) 7718 26807072 Sequential serum samples collected from asbestos-exposed individuals prior to the development of frank mesothelioma were assayed for ENOX2 presence by 2-D gel immunoblot analysis to determine how long in advance of clinical symptoms mesothelioma-specific ENOX2 transcript variants could be detected. ('variants', 'Var', (272, 280)) ('mesothelioma', 'Disease', (233, 245)) ('ENOX2', 'Gene', '10495', (133, 138)) ('ENOX2', 'Gene', (255, 260)) ('mesothelioma', 'Disease', (103, 115)) ('asbestos', 'Chemical', 'MESH:D001194', (40, 48)) ('frank mesothelioma', 'Disease', 'MESH:D008654', (97, 115)) ('mesothelioma', 'Disease', 'MESH:D008654', (233, 245)) ('frank mesothelioma', 'Disease', (97, 115)) ('mesothelioma', 'Disease', 'MESH:D008654', (103, 115)) ('ENOX2', 'Gene', (133, 138)) ('ENOX2', 'Gene', '10495', (255, 260)) 7719 26807072 Two mesothelioma-specific ENOX2 protein transcript variants were detected in the serum of asbestos-exposed individuals 4-10 years prior to clinical diagnosis of malignant mesothelioma (average 6.2 years). ('mesothelioma', 'Disease', (171, 183)) ('detected', 'Reg', (65, 73)) ('ENOX2', 'Gene', (26, 31)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (161, 183)) ('mesothelioma', 'Disease', (4, 16)) ('asbestos', 'Chemical', 'MESH:D001194', (90, 98)) ('variants', 'Var', (51, 59)) ('mesothelioma', 'Disease', 'MESH:D008654', (171, 183)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (161, 183)) ('ENOX2', 'Gene', '10495', (26, 31)) ('malignant mesothelioma', 'Disease', (161, 183)) ('mesothelioma', 'Disease', 'MESH:D008654', (4, 16)) ('protein', 'cellular_component', 'GO:0003675', ('32', '39')) 7720 26807072 Either one or both ENOX2 protein transcript variants indicative of malignant mesothelioma were absent in 14 of 15 subjects diagnosed with benign pleural plaques either with or without accompanying asbestosis. ('asbestosis', 'Disease', 'MESH:D001195', (197, 207)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (67, 89)) ('ENOX2', 'Gene', '10495', (19, 24)) ('protein', 'cellular_component', 'GO:0003675', ('25', '32')) ('asbestosis', 'Disease', (197, 207)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (67, 89)) ('malignant mesothelioma', 'Disease', (67, 89)) ('pleura', 'Disease', (145, 151)) ('absent', 'NegReg', (95, 101)) ('variants', 'Var', (44, 52)) ('ENOX2', 'Gene', (19, 24)) ('pleura', 'Disease', 'MESH:D054363', (145, 151)) 7721 26807072 In a population of asbestos-exposed subjects who eventually developed malignant mesothelioma, ENOX2 protein transcript variants characteristic of malignant mesothelioma were present in serum 4-10 years in advance of clinical symptoms. ('ENOX2', 'Gene', '10495', (94, 99)) ('malignant mesothelioma', 'Disease', (70, 92)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (146, 168)) ('malignant mesothelioma', 'Disease', (146, 168)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (70, 92)) ('asbestos', 'Chemical', 'MESH:D001194', (19, 27)) ('protein', 'cellular_component', 'GO:0003675', ('100', '107')) ('ENOX2', 'Gene', (94, 99)) ('variants', 'Var', (119, 127)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (146, 168)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (70, 92)) 7730 26807072 The test is based on the discovery that there are cancer-specific transcript variants of ecto-nicotinamide adenine dinucleotide oxidase disulfide-thiol exchanger 2 (ENOX2) and consists of 2-D gel electrophoretic separation of serum proteins followed by immunoblot analysis with an ENOX2-specific recombinant antibody. ('exchanger', 'molecular_function', 'GO:0015297', ('152', '161')) ('variants', 'Var', (77, 85)) ('antibody', 'cellular_component', 'GO:0019814', ('308', '316')) ('cancer', 'Disease', (50, 56)) ('cancer', 'Disease', 'MESH:D009369', (50, 56)) ('ENOX2', 'Gene', (165, 170)) ('antibody', 'molecular_function', 'GO:0003823', ('308', '316')) ('antibody', 'cellular_component', 'GO:0019815', ('308', '316')) ('ENOX2', 'Gene', '10495', (281, 286)) ('antibody', 'cellular_component', 'GO:0042571', ('308', '316')) ('ENOX2', 'Gene', '10495', (165, 170)) ('cancer', 'Phenotype', 'HP:0002664', (50, 56)) ('ecto-nicotinamide adenine dinucleotide oxidase disulfide-thiol exchanger 2', 'Gene', '10495', (89, 163)) ('ENOX2', 'Gene', (281, 286)) 7732 26807072 At least 20 tissue of origin specific patterns of ENOX2 transcript variants have been described (and/or combinations of isoforms) indicative of the cancer tissue of origin. ('cancer', 'Disease', (148, 154)) ('cancer', 'Disease', 'MESH:D009369', (148, 154)) ('cancer', 'Phenotype', 'HP:0002664', (148, 154)) ('ENOX2', 'Gene', '10495', (50, 55)) ('variants', 'Var', (67, 75)) ('ENOX2', 'Gene', (50, 55)) 7734 26807072 ENOX2 transcript variants of specific molecular weights and isoelectric points (pIs) are produced uniquely by patients with cancer. ('cancer', 'Disease', (124, 130)) ('variants', 'Var', (17, 25)) ('ENOX2', 'Gene', (0, 5)) ('patients', 'Species', '9606', (110, 118)) ('cancer', 'Phenotype', 'HP:0002664', (124, 130)) ('ENOX2', 'Gene', '10495', (0, 5)) ('pIs', 'Chemical', '-', (80, 83)) ('cancer', 'Disease', 'MESH:D009369', (124, 130)) 7735 26807072 Identification of cancer presence by detecting ENOX2 transcript variants produces a low incidence of both false positives and false negatives (>1 % for subjects with clinically confirmed cancers), as they are molecular signature molecules produced specifically by cancer cells and are absent from non-cancer cells. ('ENOX2', 'Gene', '10495', (47, 52)) ('cancer', 'Disease', (18, 24)) ('cancer', 'Disease', (264, 270)) ('cancer', 'Disease', 'MESH:D009369', (187, 193)) ('cancers', 'Disease', 'MESH:D009369', (187, 194)) ('non-cancer', 'Disease', 'MESH:D009369', (297, 307)) ('cancer', 'Phenotype', 'HP:0002664', (264, 270)) ('cancer', 'Disease', (301, 307)) ('cancer', 'Phenotype', 'HP:0002664', (18, 24)) ('cancer', 'Phenotype', 'HP:0002664', (301, 307)) ('variants', 'Var', (64, 72)) ('false', 'biological_process', 'GO:0071877', ('126', '131')) ('false', 'biological_process', 'GO:0071877', ('106', '111')) ('non-cancer', 'Disease', (297, 307)) ('cancer', 'Disease', 'MESH:D009369', (18, 24)) ('ENOX2', 'Gene', (47, 52)) ('cancer', 'Disease', 'MESH:D009369', (264, 270)) ('cancers', 'Phenotype', 'HP:0002664', (187, 194)) ('cancer', 'Disease', (187, 193)) ('cancers', 'Disease', (187, 194)) ('cancer', 'Disease', 'MESH:D009369', (301, 307)) ('cancer', 'Phenotype', 'HP:0002664', (187, 193)) ('false', 'biological_process', 'GO:0071878', ('106', '111')) ('false', 'biological_process', 'GO:0071878', ('126', '131')) 7738 26807072 Therefore, the present study was undertaken to determine if cancer-specific ENOX2 transcript variants might serve as biomarkers to detect the presence of malignant mesothelioma in advance of clinical symptoms. ('malignant mesothelioma', 'Disease', 'MESH:C562839', (154, 176)) ('ENOX2', 'Gene', '10495', (76, 81)) ('cancer', 'Disease', 'MESH:D009369', (60, 66)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (154, 176)) ('variants', 'Var', (93, 101)) ('cancer', 'Disease', (60, 66)) ('ENOX2', 'Gene', (76, 81)) ('malignant mesothelioma', 'Disease', (154, 176)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) 7755 26807072 Overall, both of the mesothelioma-specific ENOX2 transcript variants were detected 4-10 years in advance of clinical symptoms and with an average of 6.2 +- 2.6 years in advance of clinical symptoms (Fig. ('mesothelioma', 'Disease', (21, 33)) ('ENOX2', 'Gene', (43, 48)) ('ENOX2', 'Gene', '10495', (43, 48)) ('mesothelioma', 'Disease', 'MESH:D008654', (21, 33)) ('variants', 'Var', (60, 68)) 7790 26807072 Within the ONCOblot test, the presence of only the high molecular weight mesothelioma-specific ENOX2 transcript variant would be identified as 'not in the database' as no malignancy characterized to date produces a single ENOX2 transcript variant with a similar molecular weight and pI as this ENOX2 transcript variant. ('ENOX2', 'Gene', (95, 100)) ('ENOX2', 'Gene', (294, 299)) ('mesothelioma', 'Disease', (73, 85)) ('ENOX2', 'Gene', '10495', (222, 227)) ('variant', 'Var', (239, 246)) ('ENOX2', 'Gene', '10495', (95, 100)) ('ENOX2', 'Gene', '10495', (294, 299)) ('mesothelioma', 'Disease', 'MESH:D008654', (73, 85)) ('malignancy', 'Disease', 'MESH:D009369', (171, 181)) ('ENOX2', 'Gene', (222, 227)) ('malignancy', 'Disease', (171, 181)) 7798 26807072 The presence of one of the mesothelioma-associated ENOX2 transcript variants may reflect this interaction. ('variants', 'Var', (68, 76)) ('mesothelioma', 'Disease', (27, 39)) ('mesothelioma', 'Disease', 'MESH:D008654', (27, 39)) ('ENOX2', 'Gene', (51, 56)) ('ENOX2', 'Gene', '10495', (51, 56)) 7802 26807072 In a population of asbestos-exposed subjects who eventually developed malignant mesothelioma, ENOX2 transcript variants characteristic of malignant mesothelioma were present in serum 4-10 years in advance of clinical symptoms. ('ENOX2', 'Gene', '10495', (94, 99)) ('malignant mesothelioma', 'Disease', (70, 92)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (70, 92)) ('variants', 'Var', (111, 119)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (138, 160)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (70, 92)) ('asbestos', 'Chemical', 'MESH:D001194', (19, 27)) ('ENOX2', 'Gene', (94, 99)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (138, 160)) ('malignant mesothelioma', 'Disease', (138, 160)) 7806 26807072 Serum samples were analyzed for the presence of ENOX2 protein transcript variants by using the ONCOblot Tissue of Origin Cancer Detection Test as described. ('protein', 'cellular_component', 'GO:0003675', ('54', '61')) ('variants', 'Var', (73, 81)) ('ENOX2', 'Gene', (48, 53)) ('Cancer', 'Phenotype', 'HP:0002664', (121, 127)) ('Cancer', 'Disease', (121, 127)) ('protein', 'Protein', (54, 61)) ('Cancer', 'Disease', 'MESH:D009369', (121, 127)) ('ENOX2', 'Gene', '10495', (48, 53)) 7810 26807072 The two reference serum proteins, serotransferrin and alpha-fetuin are detected on western blots because they both share a similar five amino acid sequence within the antibody combining site shared by all ENOX2 protein transcript variants. ('antibody', 'cellular_component', 'GO:0019815', ('167', '175')) ('variants', 'Var', (230, 238)) ('serotransferrin', 'Gene', (34, 49)) ('serotransferrin', 'Gene', '7018', (34, 49)) ('protein', 'cellular_component', 'GO:0003675', ('211', '218')) ('ENOX2', 'Gene', '10495', (205, 210)) ('antibody', 'cellular_component', 'GO:0019814', ('167', '175')) ('antibody', 'molecular_function', 'GO:0003823', ('167', '175')) ('antibody', 'cellular_component', 'GO:0042571', ('167', '175')) ('ENOX2', 'Gene', (205, 210)) 7812 26807072 Each transcript variant of ENOX2 migrates to a specific location defined by the two reference proteins and has a specific location (molecular weight and pI) on the blot that correlates to the known tissue of origin determined from banked sera samples collected from individuals with a clinically confirmed diagnosis of cancer (Table 1). ('variant', 'Var', (16, 23)) ('sera', 'molecular_function', 'GO:0004617', ('238', '242')) ('cancer', 'Disease', (319, 325)) ('ENOX2', 'Gene', (27, 32)) ('cancer', 'Disease', 'MESH:D009369', (319, 325)) ('ENOX2', 'Gene', '10495', (27, 32)) ('cancer', 'Phenotype', 'HP:0002664', (319, 325)) 7813 26807072 The protein chemistry differences that underlie the molecular weight and pI differences that distinguish tissue-specific ENOX2 transcript variants result from alternative splicing of the ENOX2 mRNA. ('alternative splicing', 'MPA', (159, 179)) ('ENOX2', 'Gene', '10495', (187, 192)) ('protein chemistry', 'MPA', (4, 21)) ('variants', 'Var', (138, 146)) ('splicing', 'biological_process', 'GO:0045292', ('171', '179')) ('result from', 'Reg', (147, 158)) ('ENOX2', 'Gene', (121, 126)) ('ENOX2', 'Gene', (187, 192)) ('ENOX2', 'Gene', '10495', (121, 126)) ('protein', 'cellular_component', 'GO:0003675', ('4', '11')) 7814 26807072 Each of the protein transcript variants share a common exon 5 which contains the ENOX2-specific antibody-combining site including the amino acid sequence EEMTE. ('protein', 'cellular_component', 'GO:0003675', ('12', '19')) ('variants', 'Var', (31, 39)) ('antibody', 'cellular_component', 'GO:0019815', ('96', '104')) ('ENOX2', 'Gene', '10495', (81, 86)) ('antibody', 'cellular_component', 'GO:0019814', ('96', '104')) ('antibody', 'molecular_function', 'GO:0003823', ('96', '104')) ('antibody', 'cellular_component', 'GO:0042571', ('96', '104')) ('ENOX2', 'Gene', (81, 86)) 7815 26807072 The different tissues of origin provide for non-overlapping patterns of ENOX2 protein transcript variants each with a characteristic number of protein transcript variants, molecular weights and pIs. ('ENOX2', 'Gene', '10495', (72, 77)) ('protein', 'cellular_component', 'GO:0003675', ('143', '150')) ('variants', 'Var', (97, 105)) ('ENOX2', 'Gene', (72, 77)) ('protein', 'cellular_component', 'GO:0003675', ('78', '85')) ('pIs', 'Chemical', '-', (194, 197)) ('protein', 'Protein', (78, 85)) 7842 26448888 Family history was significant for breast cancer and BRCA1 mutation positivity in two siblings; the patient's own BRCA status was unknown. ('BRCA', 'Gene', '672', (53, 57)) ('positivity', 'Var', (68, 78)) ('mutation positivity', 'Var', (59, 78)) ('cancer', 'Phenotype', 'HP:0002664', (42, 48)) ('BRCA', 'Gene', (53, 57)) ('breast cancer', 'Disease', 'MESH:D001943', (35, 48)) ('patient', 'Species', '9606', (100, 107)) ('BRCA', 'Gene', '672', (114, 118)) ('BRCA1', 'Gene', '672', (53, 58)) ('breast cancer', 'Disease', (35, 48)) ('breast cancer', 'Phenotype', 'HP:0003002', (35, 48)) ('BRCA', 'Gene', (114, 118)) ('BRCA1', 'Gene', (53, 58)) 7855 26448888 In this reported case, there were clinical findings concerning both primary mammary carcinoma (clinically palpable breast mass, family history of breast cancer and BRCA1 mutation, and recent benign pleural biopsy) and malignant mesothelioma (history of asbestos exposure and pleural thickening). ('pleural thickening', 'Phenotype', 'HP:0031944', (275, 293)) ('BRCA1', 'Gene', '672', (164, 169)) ('mammary carcinoma', 'Disease', 'MESH:D015674', (76, 93)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (218, 240)) ('BRCA1', 'Gene', (164, 169)) ('breast mass', 'Phenotype', 'HP:0032408', (115, 126)) ('mammary carcinoma', 'Phenotype', 'HP:0003002', (76, 93)) ('carcinoma', 'Phenotype', 'HP:0030731', (84, 93)) ('breast cancer', 'Disease', 'MESH:D001943', (146, 159)) ('malignant mesothelioma', 'Disease', (218, 240)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('breast cancer', 'Disease', (146, 159)) ('asbestos', 'Chemical', 'MESH:D001194', (253, 261)) ('breast cancer', 'Phenotype', 'HP:0003002', (146, 159)) ('mammary carcinoma', 'Disease', (76, 93)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (218, 240)) ('mutation', 'Var', (170, 178)) 7892 25575875 Of 61 patients recruited, 7 patients (23%) developed a PTM in the radiotherapy arm, compared with 3 patients (10%) in the control arm. ('developed', 'Reg', (43, 52)) ('PTM', 'Disease', (55, 58)) ('patients', 'Species', '9606', (100, 108)) ('patients', 'Species', '9606', (6, 14)) ('PTM', 'biological_process', 'GO:0043687', ('55', '58')) ('patients', 'Species', '9606', (28, 36)) ('radiotherapy', 'Var', (66, 78)) 7968 25147801 The presence of syndecan-1 on mesothelioma cells is associated with favourable prognosis, while high levels of syndecan-1 in breast cancer indicate poor prognosis. ('syndecan', 'molecular_function', 'GO:0015023', ('16', '24')) ('cancer', 'Phenotype', 'HP:0002664', (132, 138)) ('breast cancer', 'Disease', 'MESH:D001943', (125, 138)) ('syndecan', 'molecular_function', 'GO:0015023', ('111', '119')) ('breast cancer', 'Disease', (125, 138)) ('presence', 'Var', (4, 12)) ('breast cancer', 'Phenotype', 'HP:0003002', (125, 138)) 8011 17710208 Recent preclinical evidence suggests that inhibition of pdgfr signalling augments the antitumour and anti-angiogenic effects of vegfr inhibitors. ('vegf', 'Gene', (128, 132)) ('pdgfr', 'Gene', (56, 61)) ('vegf', 'Gene', '7422', (128, 132)) ('pdgfr', 'Gene', '5159', (56, 61)) ('signalling', 'biological_process', 'GO:0023052', ('62', '72')) ('tumour', 'Phenotype', 'HP:0002664', (90, 96)) ('inhibition', 'Var', (42, 52)) ('anti-angiogenic effects', 'CPA', (101, 124)) ('augments', 'NegReg', (73, 81)) ('tumour', 'Disease', 'MESH:D009369', (90, 96)) ('tumour', 'Disease', (90, 96)) 8123 17620119 The Tags of SV40, BKV and JCV strongly cross-react with the same antisera, while a less strong cross-reactivity is observed in most structural antigenic determinants of the viral proteins, named VP1, 2 and 3. ('SV40', 'Species', '1891767', (12, 16)) ('cross-react', 'Reg', (39, 50)) ('SV40', 'Var', (12, 16)) ('Tag', 'Gene', (4, 7)) ('Tag', 'Gene', '404663', (4, 7)) 8127 17620119 In monkeys, initial lytic infection by SV40 is controlled by the immune system. ('SV40', 'Species', '1891767', (39, 43)) ('lytic infection', 'Disease', (20, 35)) ('lytic infection', 'Disease', 'MESH:D007239', (20, 35)) ('SV40', 'Var', (39, 43)) 8138 17620119 Analysis of SV40 deletion mutants revealed that tag is not essential for lytic infection in culture. ('tag', 'Gene', (48, 51)) ('SV40', 'Species', '1891767', (12, 16)) ('SV40', 'Gene', (12, 16)) ('deletion mutants', 'Var', (17, 33)) ('lytic infection', 'Disease', (73, 88)) ('tag', 'Gene', '404663', (48, 51)) ('lytic infection', 'Disease', 'MESH:D007239', (73, 88)) 8144 17620119 Human mesothelial cells do not support the lytic infection efficiently and are transformed at a high rate (1,000 times higher than that of human fibroblasts) by SV40 or Tag alone, and release SV40 virions as a result of the persistent infection. ('Human', 'Species', '9606', (0, 5)) ('Tag', 'Gene', '404663', (169, 172)) ('lytic infection', 'Disease', 'MESH:D007239', (43, 58)) ('SV40', 'Species', '1891767', (161, 165)) ('SV40', 'Species', '1891767', (192, 196)) ('persistent infection', 'Phenotype', 'HP:0031035', (224, 244)) ('human', 'Species', '9606', (139, 144)) ('SV40', 'Var', (192, 196)) ('Tag', 'Gene', (169, 172)) ('lytic infection', 'Disease', (43, 58)) ('SV40', 'Var', (161, 165)) 8150 17620119 SV40 Tag may also lead to transformation by inducing mutations to the cellular genome or numerical and structural alterations of chromosomes, such as gaps, breaks, dicentric and ring chromosomes, chromatid exchanges, deletions, duplications and translocations. ('translocations', 'CPA', (245, 259)) ('breaks', 'CPA', (156, 162)) ('Tag', 'Gene', (5, 8)) ('chromatid', 'cellular_component', 'GO:0005694', ('196', '205')) ('Tag', 'Gene', '404663', (5, 8)) ('duplications', 'CPA', (228, 240)) ('mutations', 'Var', (53, 62)) ('chromatid exchanges', 'CPA', (196, 215)) ('deletions', 'CPA', (217, 226)) ('chromatid', 'cellular_component', 'GO:0005695', ('196', '205')) ('inducing', 'Reg', (44, 52)) ('SV40', 'Species', '1891767', (0, 4)) ('lead to', 'Reg', (18, 25)) ('gaps', 'CPA', (150, 154)) 8159 17620119 SV40 is highly oncogenic in rodents and when inoculated subcutaneously, intracerebrally or intravenously in newborn hamsters induces soft tissue sarcomas, osteosarcomas, ependymomas and choroid plexus papillomas, and neoplasms of the hematopoietic system, such as lymphocytic leukemia, histiocytic lymphomas and rarely, B-cell lymphomas. ('B-cell lymphomas', 'Disease', (320, 336)) ('lymphomas', 'Disease', (327, 336)) ('osteosarcomas', 'Disease', (155, 168)) ('choroid plexus papillomas', 'Disease', 'MESH:D020288', (186, 211)) ('leukemia', 'Phenotype', 'HP:0001909', (276, 284)) ('papillomas', 'Phenotype', 'HP:0012740', (201, 211)) ('ependymomas', 'Disease', (170, 181)) ('lymphoma', 'Phenotype', 'HP:0002665', (327, 335)) ('B-cell lymphomas', 'Phenotype', 'HP:0012191', (320, 336)) ('lymphocytic leukemia', 'Disease', 'MESH:D007945', (264, 284)) ('osteosarcomas', 'Phenotype', 'HP:0002669', (155, 168)) ('induces', 'Reg', (125, 132)) ('neoplasms', 'Phenotype', 'HP:0002664', (217, 226)) ('choroid plexus papillomas', 'Disease', (186, 211)) ('lymphomas', 'Disease', 'MESH:D008223', (298, 307)) ('lymphomas', 'Phenotype', 'HP:0002665', (298, 307)) ('soft', 'Disease', (133, 137)) ('neoplasms of the hematopoietic system', 'Disease', (217, 254)) ('lymphomas', 'Disease', 'MESH:D008223', (327, 336)) ('choroid plexus papillomas', 'Phenotype', 'HP:0200022', (186, 211)) ('osteosarcoma', 'Phenotype', 'HP:0002669', (155, 167)) ('lymphomas', 'Phenotype', 'HP:0002665', (327, 336)) ('soft tissue sarcomas', 'Phenotype', 'HP:0030448', (133, 153)) ('neoplasms of the hematopoietic system', 'Disease', 'MESH:D019337', (217, 254)) ('lymphocytic leukemia', 'Disease', (264, 284)) ('ependymoma', 'Phenotype', 'HP:0002888', (170, 180)) ('lymphoma', 'Phenotype', 'HP:0002665', (298, 306)) ('sarcomas', 'Disease', 'MESH:D012509', (145, 153)) ('sarcomas', 'Disease', 'MESH:D012509', (160, 168)) ('B-cell lymphomas', 'Disease', 'MESH:D016393', (320, 336)) ('ependymomas', 'Disease', 'MESH:D004806', (170, 181)) ('osteosarcomas', 'Disease', 'MESH:D012516', (155, 168)) ('sarcomas', 'Phenotype', 'HP:0100242', (145, 153)) ('lymphomas', 'Disease', (298, 307)) ('sarcomas', 'Disease', (145, 153)) ('SV40', 'Species', '1891767', (0, 4)) ('sarcomas', 'Phenotype', 'HP:0100242', (160, 168)) ('sarcomas', 'Disease', (160, 168)) ('SV40', 'Var', (0, 4)) 8160 17620119 Moreover, direct inoculation of SV40 into the pleural space induces malignant mesothelioma in 100% of the injected hamsters. ('induces', 'Reg', (60, 67)) ('SV40', 'Species', '1891767', (32, 36)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (68, 90)) ('SV40', 'Var', (32, 36)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (68, 90)) ('malignant mesothelioma', 'Disease', (68, 90)) 8162 17620119 SV40-transgenic mice, like rodents experimentally inoculated with the virus, develop ependymomas and choroid plexus papillomas, as well as other neoplasms. ('papillomas', 'Phenotype', 'HP:0012740', (116, 126)) ('ependymomas', 'Disease', (85, 96)) ('SV40-transgenic', 'Var', (0, 15)) ('choroid plexus papillomas', 'Phenotype', 'HP:0200022', (101, 126)) ('neoplasms', 'Disease', (145, 154)) ('transgenic mice', 'Species', '10090', (5, 20)) ('ependymoma', 'Phenotype', 'HP:0002888', (85, 95)) ('develop', 'PosReg', (77, 84)) ('choroid plexus papillomas', 'Disease', 'MESH:D020288', (101, 126)) ('neoplasms', 'Disease', 'MESH:D009369', (145, 154)) ('SV40', 'Species', '1891767', (0, 4)) ('ependymomas', 'Disease', 'MESH:D004806', (85, 96)) ('choroid plexus papillomas', 'Disease', (101, 126)) ('neoplasms', 'Phenotype', 'HP:0002664', (145, 154)) 8168 17620119 Inactivated vaccines against adenoviruses and hepatitis A virus also exposed humans to SV40, although the amount of infectious SV40 was almost certainly lower then that administered with OPV or live respiratory syncytial virus. ('SV40', 'Var', (87, 91)) ('humans', 'Species', '9606', (77, 83)) ('exposed', 'Reg', (69, 76)) ('SV40', 'Species', '1891767', (127, 131)) ('hepatitis', 'Phenotype', 'HP:0012115', (46, 55)) ('respiratory syncytial virus', 'Species', '12814', (199, 226)) ('lower', 'NegReg', (153, 158)) ('SV40', 'Species', '1891767', (87, 91)) 8172 17620119 Shah et al., detected antibodies to SV40 in children born after 1964, when IPV was free of SV40, as well as in people born before 1954. ('SV40', 'Species', '1891767', (36, 40)) ('antibodies', 'Var', (22, 32)) ('people', 'Species', '9606', (111, 117)) ('SV40', 'Gene', (36, 40)) ('SV40', 'Species', '1891767', (91, 95)) ('children', 'Species', '9606', (44, 52)) ('detected', 'Reg', (13, 21)) 8197 17620119 Other studies have examined seroprevalence for SV40 in cancer patients compared with controls using viral-like-particle (VLP)- based assays, which detect antibodies that are specific to the major capsid protein VP1 of SV40, BKV, and JCV. ('VLP', 'cellular_component', 'GO:0000943', ('121', '124')) ('SV40', 'Species', '1891767', (47, 51)) ('cancer', 'Phenotype', 'HP:0002664', (55, 61)) ('protein', 'cellular_component', 'GO:0003675', ('203', '210')) ('SV40', 'Species', '1891767', (218, 222)) ('SV40', 'Var', (218, 222)) ('cancer', 'Disease', 'MESH:D009369', (55, 61)) ('patients', 'Species', '9606', (62, 70)) ('cancer', 'Disease', (55, 61)) 8200 17620119 Carter et al., using recombinant SV40 VP1 virus-like particles (VLPs) as antigen in an ELISA test, detected antibodies to SV40 in 6,6% of human sera, whereas SV40 reactivity in the same sera disappeared after serum pre-adsorption with BKV and JCV VLPs. ('SV40', 'Species', '1891767', (33, 37)) ('human', 'Species', '9606', (138, 143)) ('SV40', 'Species', '1891767', (122, 126)) ('sera', 'molecular_function', 'GO:0004617', ('144', '148')) ('SV40', 'Gene', (122, 126)) ('sera', 'molecular_function', 'GO:0004617', ('186', '190')) ('SV40', 'Species', '1891767', (158, 162)) ('antibodies', 'Var', (108, 118)) ('pre', 'molecular_function', 'GO:0003904', ('215', '218')) ('detected', 'Reg', (99, 107)) 8216 17620119 Finally, SV40, as with other tumor viruses, tends to establish long-term persistent infection, as compared with the self-limited infection typical of most common viruses. ('SV40', 'Species', '1891767', (9, 13)) ('SV40', 'Var', (9, 13)) ('tumor', 'Phenotype', 'HP:0002664', (29, 34)) ('tumor viruses', 'Disease', (29, 42)) ('tumor viruses', 'Disease', 'MESH:D009369', (29, 42)) ('persistent infection', 'Phenotype', 'HP:0031035', (73, 93)) 8222 17620119 SV40 DNA was localized to renal tubular epithelial cell nuclei in renal biopsies of patients with focal segmental glomerulosclerosis as determined by in situ hybridization. ('patients', 'Species', '9606', (84, 92)) ('focal segmental glomerulosclerosis', 'Phenotype', 'HP:0000097', (98, 132)) ('SV40 DNA', 'Var', (0, 8)) ('renal tubular epithelial cell nuclei', 'Phenotype', 'HP:0031198', (26, 62)) ('focal segmental glomerulosclerosis', 'Disease', (98, 132)) ('glomerulosclerosis', 'Phenotype', 'HP:0000096', (114, 132)) ('SV40', 'Species', '1891767', (0, 4)) ('DNA', 'cellular_component', 'GO:0005574', ('5', '8')) ('focal segmental glomerulosclerosis', 'Disease', 'MESH:D005923', (98, 132)) 8224 17620119 One study reported that SV40 and BKV sequences have been co-detected in the kidneys of patients with post-transplantation interstitial nephritis thus suggesting that SV40 may cooperate in the etiopathogenesis of this chronic disease. ('SV40', 'Species', '1891767', (166, 170)) ('interstitial nephritis', 'Phenotype', 'HP:0001970', (122, 144)) ('SV40', 'Var', (166, 170)) ('cooperate', 'Reg', (175, 184)) ('nephritis', 'Phenotype', 'HP:0000123', (135, 144)) ('interstitial nephritis', 'Disease', 'MESH:D009395', (122, 144)) ('patients', 'Species', '9606', (87, 95)) ('BKV', 'Protein', (33, 36)) ('SV40', 'Species', '1891767', (24, 28)) ('interstitial nephritis', 'Disease', (122, 144)) ('SV40', 'Gene', (24, 28)) 8226 17620119 Other studies showed that SV40 DNA sequences from the viral regulatory region were detected and identified in the allografts of immunocompromised pediatric renal transplant recipients and in the native kidneys of a young adult lung transplant patient with polyomavirus nephropathy. ('polyomavirus nephropathy', 'Disease', (256, 280)) ('patient', 'Species', '9606', (243, 250)) ('SV40 DNA', 'Var', (26, 34)) ('SV40', 'Species', '1891767', (26, 30)) ('nephropathy', 'Phenotype', 'HP:0000112', (269, 280)) ('DNA', 'cellular_component', 'GO:0005574', ('31', '34')) ('polyomavirus nephropathy', 'Disease', 'MESH:D007674', (256, 280)) 8254 17620119 Indeed, many reports indicate that different SV40 strains and variants are distributed throughout the human population and consequently in human specimens. ('variants', 'Var', (62, 70)) ('human', 'Species', '9606', (139, 144)) ('SV40', 'Species', '1891767', (45, 49)) ('SV40', 'Gene', (45, 49)) ('human', 'Species', '9606', (102, 107)) 8255 17620119 Variations in the Tag-C gene region have frequently been detected in human tumor associated sequences. ('human', 'Species', '9606', (69, 74)) ('tumor', 'Disease', 'MESH:D009369', (75, 80)) ('Variations', 'Var', (0, 10)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('Tag', 'Gene', (18, 21)) ('Tag', 'Gene', '404663', (18, 21)) ('tumor', 'Disease', (75, 80)) 8257 17620119 In contrast, the SV40 regulatory region may contain large insertions, deletions or duplications, and rearrangements have been observed to occur within individual infected monkeys and during the passage of SV40 in certain cultured cells. ('SV40', 'Species', '1891767', (205, 209)) ('SV40', 'Species', '1891767', (17, 21)) ('SV40', 'Gene', (17, 21)) ('duplications', 'Var', (83, 95)) ('deletions', 'Var', (70, 79)) 8265 17620119 In addition, the presence of SV40 sequences in people born before and after the introduction of SV40-contaminated vaccine suggests that (i) SV40 is spreading by horizontal infection and probably (ii) other unidentified sources of SV40 infection may exist. ('SV40', 'Species', '1891767', (29, 33)) ('SV40', 'Gene', (29, 33)) ('SV40 infection', 'Disease', 'MESH:D007239', (230, 244)) ('SV40', 'Species', '1891767', (140, 144)) ('people', 'Species', '9606', (47, 53)) ('SV40', 'Species', '1891767', (230, 234)) ('SV40', 'Var', (140, 144)) ('SV40', 'Species', '1891767', (96, 100)) ('SV40 infection', 'Disease', (230, 244)) 8274 17620119 Therefore, in human cells SV40 could initiate the tumorigenic process by hitting the cell genome, then it could become dispensable and lost in the progression phase of the tumor, when the accumulation of genetic alterations renders the presence of viral transforming functions unnecessary. ('tumor', 'Phenotype', 'HP:0002664', (172, 177)) ('human', 'Species', '9606', (14, 19)) ('tumor', 'Disease', (172, 177)) ('SV40', 'Species', '1891767', (26, 30)) ('tumor', 'Disease', 'MESH:D009369', (50, 55)) ('SV40', 'Var', (26, 30)) ('tumor', 'Phenotype', 'HP:0002664', (50, 55)) ('tumor', 'Disease', 'MESH:D009369', (172, 177)) ('tumor', 'Disease', (50, 55)) 8275 17620119 Immunoselection may even be exerted against persistently SV40-infected cells, while genetically mutated and uninfected cells may have a proliferative advantage and become the prevalent population in the tumor tissue. ('tag', 'Gene', (155, 158)) ('tumor', 'Phenotype', 'HP:0002664', (203, 208)) ('tumor', 'Disease', (203, 208)) ('SV40', 'Species', '1891767', (57, 61)) ('SV40-infected', 'Var', (57, 70)) ('tumor', 'Disease', 'MESH:D009369', (203, 208)) ('tag', 'Gene', '404663', (155, 158)) 8285 17620119 Suggestive data are available on the role of SV40 Tag in the pathogenesis of human mesothelioma: (i) its ability to bind in vivo p53 and RB family proteins in human mesothelioma samples; (ii) activation of Notch-1, a gene promoting cell cycle progression and cell proliferation, in primary human mesothelial cells; (iii) induction of apoptosis in mesothelioma cells transfected with antisense DNA to the SV40 early region gene; (iv) the presence of SV40 Tag-specific cytotoxic T lymphocytes in sera of patients affected by mesothelioma; and (v) the poorer prognosis of mesotheliomas harboring SV40 early region sequences compared to SV40-negative mesotheliomas. ('Tag', 'Gene', (50, 53)) ('mesotheliomas', 'Disease', 'MESH:D008654', (569, 582)) ('SV40', 'Species', '1891767', (404, 408)) ('cell cycle', 'biological_process', 'GO:0007049', ('232', '242')) ('mesothelioma', 'Disease', (569, 581)) ('SV40', 'Species', '1891767', (593, 597)) ('Tag', 'Gene', '404663', (50, 53)) ('Notch-1', 'Gene', (206, 213)) ('mesothelioma', 'Disease', (83, 95)) ('mesothelioma', 'Disease', 'MESH:D008654', (569, 581)) ('p53', 'Gene', (129, 132)) ('Tag', 'Gene', (454, 457)) ('mesotheliomas', 'Disease', 'MESH:D008654', (647, 660)) ('SV40', 'Species', '1891767', (45, 49)) ('mesothelioma', 'Disease', 'MESH:D008654', (83, 95)) ('Tag', 'Gene', '404663', (454, 457)) ('induction of apoptosis', 'biological_process', 'GO:0006915', ('321', '343')) ('SV40', 'Species', '1891767', (633, 637)) ('SV40', 'Species', '1891767', (449, 453)) ('human', 'Species', '9606', (159, 164)) ('DNA', 'cellular_component', 'GO:0005574', ('393', '396')) ('mesothelioma', 'Disease', (523, 535)) ('patients', 'Species', '9606', (502, 510)) ('mesothelioma', 'Disease', 'MESH:D008654', (523, 535)) ('human', 'Species', '9606', (77, 82)) ('sera', 'molecular_function', 'GO:0004617', ('494', '498')) ('cell proliferation', 'biological_process', 'GO:0008283', ('259', '277')) ('mesotheliomas', 'Disease', (569, 582)) ('mesothelioma', 'Disease', (165, 177)) ('SV40 early region sequences', 'Var', (593, 620)) ('mesothelioma', 'Disease', (347, 359)) ('pathogenesis', 'biological_process', 'GO:0009405', ('61', '73')) ('Notch-1', 'Gene', '4851', (206, 213)) ('mesothelioma', 'Disease', 'MESH:D008654', (165, 177)) ('mesothelioma', 'Disease', (647, 659)) ('p53', 'Gene', '7157', (129, 132)) ('mesotheliomas', 'Disease', (647, 660)) ('mesothelioma', 'Disease', 'MESH:D008654', (347, 359)) ('human', 'Species', '9606', (290, 295)) ('mesothelioma', 'Disease', 'MESH:D008654', (647, 659)) 8310 31788004 High levels of GLI-1 expression is significantly associated with worst overall survival in two independent cohorts of patients [ and analysis of mesothelioma TCGA data using Progene2 ]. ('GLI-1', 'Gene', (15, 20)) ('High levels', 'Var', (0, 11)) ('mesothelioma', 'Disease', (145, 157)) ('overall survival', 'MPA', (71, 87)) ('patients', 'Species', '9606', (118, 126)) ('worst', 'NegReg', (65, 70)) ('GLI-1', 'Gene', '2735', (15, 20)) ('mesothelioma', 'Disease', 'MESH:D008654', (145, 157)) 8312 31788004 Interestingly, a recent pan-cancer analysis revealed that not only GLI-1 (p = 0.019584614) but also GLI-2 (p = 0.035063475) and SHH (p = 0.003447888) high expression have prognostic value in mesothelioma TCGA. ('mesothelioma', 'Disease', 'MESH:D008654', (191, 203)) ('GLI-1', 'Gene', '2735', (67, 72)) ('GLI-2', 'Gene', (100, 105)) ('cancer', 'Phenotype', 'HP:0002664', (28, 34)) ('GLI-1', 'Gene', (67, 72)) ('SHH', 'Gene', (128, 131)) ('high', 'Var', (150, 154)) ('cancer', 'Disease', 'MESH:D009369', (28, 34)) ('mesothelioma', 'Disease', (191, 203)) ('cancer', 'Disease', (28, 34)) ('GLI-2', 'Gene', '2736', (100, 105)) ('SHH', 'Gene', '6469', (128, 131)) 8314 31788004 Oncoprint analysis of TCGA data ( Figure 1A ) shows that few mesothelioma patients bear PTCH1 truncation mutations or SUFU deep deletions and there is a statistically significant co-occurrence between alterations of several components of Hh signaling ( Figure 1B ). ('SUFU', 'Gene', '51684', (119, 123)) ('signaling', 'biological_process', 'GO:0023052', ('242', '251')) ('PTCH1', 'Gene', (89, 94)) ('mesothelioma', 'Disease', (62, 74)) ('patients', 'Species', '9606', (75, 83)) ('truncation mutations', 'Var', (95, 115)) ('PTCH1', 'Gene', '5727', (89, 94)) ('mesothelioma', 'Disease', 'MESH:D008654', (62, 74)) ('SUFU', 'Gene', (119, 123)) 8327 31788004 Patients with PTCH1 driver mutations should respond to Smo inhibitors. ('mutations', 'Var', (27, 36)) ('Patients', 'Species', '9606', (0, 8)) ('PTCH1', 'Gene', '5727', (14, 19)) ('PTCH1', 'Gene', (14, 19)) 8332 31788004 Patients with Hh-ligand independent mutations may benefit from alternative therapeutic strategies. ('Hh-ligand', 'Protein', (14, 23)) ('Patients', 'Species', '9606', (0, 8)) ('ligand', 'molecular_function', 'GO:0005488', ('17', '23')) ('mutations', 'Var', (36, 45)) 8346 29587439 MM is a very aggressive tumor associated with asbestos exposure, and genetic alterations in NF2 that abrogate merlin's functional activity are found in about 40% of MMs, indicating the importance of NF2 inactivation in MM development and progression. ('tumor', 'Phenotype', 'HP:0002664', (24, 29)) ('genetic alterations', 'Var', (69, 88)) ('functional activity', 'MPA', (119, 138)) ('rat', 'Species', '10116', (81, 84)) ('very aggressive tumor', 'Disease', (8, 29)) ('asbestos', 'Chemical', 'MESH:D001194', (46, 54)) ('MMs', 'Disease', (165, 168)) ('very aggressive tumor', 'Disease', 'MESH:D000326', (8, 29)) ('NF2', 'Gene', (92, 95)) 8347 29587439 In this review, we summarize the current knowledge of molecular events triggered by NF2/merlin inactivation, which lead to the development of mesothelioma and other cancers, and discuss potential therapeutic targets in merlin-deficient mesotheliomas. ('deficient mesotheliomas', 'Disease', (226, 249)) ('mesothelioma', 'Disease', (236, 248)) ('cancer', 'Phenotype', 'HP:0002664', (165, 171)) ('mesothelioma', 'Disease', 'MESH:D008654', (236, 248)) ('mesothelioma', 'Disease', (142, 154)) ('NF2/merlin', 'Gene', (84, 94)) ('cancers', 'Disease', 'MESH:D009369', (165, 172)) ('cancers', 'Phenotype', 'HP:0002664', (165, 172)) ('cancers', 'Disease', (165, 172)) ('inactivation', 'Var', (95, 107)) ('deficient mesotheliomas', 'Disease', 'MESH:D008654', (226, 249)) ('mesothelioma', 'Disease', 'MESH:D008654', (142, 154)) ('lead to', 'Reg', (115, 122)) 8348 29587439 Mutations in the neurofibromatosis type 2 (NF2) gene are responsible for neurofibromatosis 2, a dominantly inherited familial cancer syndrome characterized by the formation of bilateral vestibular schwannomas and meningiomas. ('bilateral vestibular schwannomas', 'Phenotype', 'HP:0009589', (176, 208)) ('neurofibromatosis type 2', 'Disease', 'MESH:C537392', (17, 41)) ('vestibular schwannomas', 'Phenotype', 'HP:0009588', (186, 208)) ('familial cancer syndrome', 'Disease', 'MESH:D009386', (117, 141)) ('neurofibromatosis 2', 'Gene', (73, 92)) ('neurofibromatosis type 2', 'Disease', (17, 41)) ('bilateral vestibular schwannomas', 'Disease', (176, 208)) ('Mutations', 'Var', (0, 9)) ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('formation', 'biological_process', 'GO:0009058', ('163', '172')) ('bilateral vestibular schwannomas', 'Disease', 'MESH:D009464', (176, 208)) ('responsible', 'Reg', (57, 68)) ('meningiomas', 'Disease', 'MESH:D008577', (213, 224)) ('meningioma', 'Phenotype', 'HP:0002858', (213, 223)) ('neurofibromatosis', 'Phenotype', 'HP:0001067', (73, 90)) ('schwannomas', 'Phenotype', 'HP:0100008', (197, 208)) ('meningiomas', 'Phenotype', 'HP:0002858', (213, 224)) ('schwannoma', 'Phenotype', 'HP:0100008', (197, 207)) ('familial cancer syndrome', 'Disease', (117, 141)) ('meningiomas', 'Disease', (213, 224)) ('NF2', 'Gene', (43, 46)) ('neurofibromatosis 2', 'Gene', '4771', (73, 92)) ('neurofibromatosis', 'Phenotype', 'HP:0001067', (17, 34)) 8349 29587439 Besides sporadic schwannomas and meningiomas, frequent biallelic inactivation of NF2 was also found in malignant mesothelioma (MM), a very aggressive tumor which is not associated with the NF2 cancer syndrome. ('cancer syndrome', 'Disease', (193, 208)) ('cancer', 'Phenotype', 'HP:0002664', (193, 199)) ('tumor', 'Phenotype', 'HP:0002664', (150, 155)) ('malignant mesothelioma', 'Disease', (103, 125)) ('meningioma', 'Phenotype', 'HP:0002858', (33, 43)) ('very aggressive tumor', 'Disease', 'MESH:D000326', (134, 155)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (103, 125)) ('schwannomas', 'Phenotype', 'HP:0100008', (17, 28)) ('schwannoma', 'Phenotype', 'HP:0100008', (17, 27)) ('biallelic inactivation', 'Var', (55, 77)) ('meningiomas', 'Disease', 'MESH:D008577', (33, 44)) ('found', 'Reg', (94, 99)) ('meningiomas', 'Phenotype', 'HP:0002858', (33, 44)) ('schwannomas', 'Disease', 'MESH:D009442', (17, 28)) ('cancer syndrome', 'Disease', 'MESH:D009369', (193, 208)) ('meningiomas', 'Disease', (33, 44)) ('very aggressive tumor', 'Disease', (134, 155)) ('schwannomas', 'Disease', (17, 28)) ('NF2', 'Gene', (81, 84)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (103, 125)) 8350 29587439 Tumors carrying NF2 mutations are also observed, albeit infrequently, in multiple organs such as the breast, the prostate, the liver, and the kidney, indicating a significant role of NF2 in the development of various human malignancies. ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('human', 'Species', '9606', (217, 222)) ('observed', 'Reg', (39, 47)) ('NF2', 'Gene', (16, 19)) ('malignancies', 'Disease', 'MESH:D009369', (223, 235)) ('Tumors', 'Disease', (0, 6)) ('Tumors', 'Disease', 'MESH:D009369', (0, 6)) ('Tumors', 'Phenotype', 'HP:0002664', (0, 6)) ('malignancies', 'Disease', (223, 235)) ('mutations', 'Var', (20, 29)) 8355 29587439 Thus, heterozygous NF2+/- mice had a higher sensitivity to asbestos, which resulted in an increased risk of malignant mesothelioma formation compared to wild-type NF2+/+ mice. ('sensitivity', 'MPA', (44, 55)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (108, 130)) ('asbestos', 'Chemical', 'MESH:D001194', (59, 67)) ('malignant mesothelioma', 'Disease', (108, 130)) ('higher', 'PosReg', (37, 43)) ('formation', 'biological_process', 'GO:0009058', ('131', '140')) ('NF2+/-', 'Var', (19, 25)) ('mice', 'Species', '10090', (170, 174)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (108, 130)) ('mice', 'Species', '10090', (26, 30)) 8356 29587439 A direct injection of the Adeno-Cre virus into the pleural cavity of adult mice resulted in a conditional knockout of oncosuppressor genes, which further demonstrated that the loss of NF2, together with Tp53 or Ink4a/Arf, frequently causes the development of mesothelioma which closely mimicked human MM. ('Ink4a/Arf', 'Gene', (211, 220)) ('human', 'Species', '9606', (295, 300)) ('mesothelioma', 'Disease', 'MESH:D008654', (259, 271)) ('Tp53', 'Gene', (203, 207)) ('mice', 'Species', '10090', (75, 79)) ('loss', 'Var', (176, 180)) ('causes', 'Reg', (233, 239)) ('NF2', 'Gene', (184, 187)) ('Tp53', 'Gene', '22059', (203, 207)) ('rat', 'Species', '10116', (161, 164)) ('mesothelioma', 'Disease', (259, 271)) ('Ink4a/Arf', 'Gene', '12578', (211, 220)) 8357 29587439 It was also shown that the restoration of NF2 expression in NF2-deficient mesothelioma cells significantly inhibited their growth. ('restoration', 'Var', (27, 38)) ('NF2', 'Gene', (42, 45)) ('NF2-deficient mesothelioma', 'Disease', (60, 86)) ('rat', 'Species', '10116', (32, 35)) ('NF2-deficient mesothelioma', 'Disease', 'MESH:C537392', (60, 86)) ('expression', 'MPA', (46, 56)) ('inhibited', 'NegReg', (107, 116)) ('growth', 'CPA', (123, 129)) 8358 29587439 These in vitro and in vivo data strongly support the role of NF2 inactivation in mesothelioma development. ('inactivation', 'Var', (65, 77)) ('mesothelioma', 'Disease', 'MESH:D008654', (81, 93)) ('NF2', 'Gene', (61, 64)) ('mesothelioma', 'Disease', (81, 93)) 8368 29587439 Alanine substitution in, or deletion of, this region produces unique merlin mutants, which have dominant-negative activity and result in an excessive proliferation of wing epithelial cells in flies and a loss of contact inhibition in mammalian cells. ('Alanine substitution', 'Var', (0, 20)) ('Alanine', 'Chemical', 'MESH:D000409', (0, 7)) ('loss', 'NegReg', (204, 208)) ('contact inhibition', 'CPA', (212, 230)) ('mutants', 'Var', (76, 83)) ('merlin', 'Gene', (69, 75)) ('rat', 'Species', '10116', (157, 160)) ('mammalian', 'Species', '9606', (234, 243)) ('deletion', 'Var', (28, 36)) ('excessive', 'PosReg', (140, 149)) ('contact inhibition', 'biological_process', 'GO:0060242', ('212', '230')) 8369 29587439 Although a C-terminal phosphorylation site, threonine 576, critical for the conformational change in ERM proteins, is also conserved in merlin; the Thr576Ala substitution does not affect merlin's ability to suppress cell growth and motility. ('suppress', 'NegReg', (207, 215)) ('cell growth', 'biological_process', 'GO:0016049', ('216', '227')) ('Thr576Ala', 'Var', (148, 157)) ('phosphorylation', 'biological_process', 'GO:0016310', ('22', '37')) ('cell growth', 'CPA', (216, 227)) ('threonine', 'Chemical', 'MESH:D013912', (44, 53)) ('Thr576Ala', 'SUBSTITUTION', 'None', (148, 157)) 8370 29587439 Aside from this, the phosphorylation of merlin at serine 518 abrogates its growth inhibition activity. ('growth inhibition activity', 'CPA', (75, 101)) ('merlin', 'Protein', (40, 46)) ('phosphorylation', 'MPA', (21, 36)) ('abrogates', 'NegReg', (61, 70)) ('phosphorylation', 'biological_process', 'GO:0016310', ('21', '36')) ('serine 518', 'Var', (50, 60)) ('serine', 'Chemical', 'MESH:D012694', (50, 56)) 8371 29587439 Merlin phosphorylation at Ser518 was frequently observed in mesothelioma cells expressing full-length merlin. ('mesothelioma', 'Disease', 'MESH:D008654', (60, 72)) ('Ser518', 'Chemical', '-', (26, 32)) ('at Ser518', 'Var', (23, 32)) ('phosphorylation', 'biological_process', 'GO:0016310', ('7', '22')) ('Merlin', 'Gene', '4771', (0, 6)) ('Merlin', 'Gene', (0, 6)) ('mesothelioma', 'Disease', (60, 72)) ('Ser', 'cellular_component', 'GO:0005790', ('26', '29')) ('observed', 'Reg', (48, 56)) 8372 29587439 Moreover, CPI-17, a cellular inhibitor of myosin phosphatase targeting subunit 1 (MYPT1-PP1delta), was increased in mesothelioma cells with full-length NF2 compared to normal pleura or mesothelioma with truncated NF2. ('mesothelioma', 'Disease', (116, 128)) ('CPI-17', 'Gene', '94274', (10, 16)) ('MYPT1', 'Gene', '4659', (82, 87)) ('increased', 'PosReg', (103, 112)) ('mesothelioma', 'Disease', (185, 197)) ('phosphatase', 'molecular_function', 'GO:0016791', ('49', '60')) ('NF2', 'Gene', (152, 155)) ('pleura or mesothelioma', 'Disease', (175, 197)) ('mesothelioma', 'Disease', 'MESH:D008654', (116, 128)) ('mesothelioma', 'Disease', 'MESH:D008654', (185, 197)) ('CPI-17', 'Gene', (10, 16)) ('MYPT1', 'Gene', (82, 87)) ('full-length', 'Var', (140, 151)) ('pleura or mesothelioma', 'Disease', 'MESH:D008654', (175, 197)) 8374 29587439 These findings suggest that merlin can be inactivated not only by mutations but also through posttranslational modifications occurring in mesothelioma cells. ('mutations', 'Var', (66, 75)) ('mesothelioma', 'Disease', (138, 150)) ('inactivated', 'NegReg', (42, 53)) ('merlin', 'Protein', (28, 34)) ('mesothelioma', 'Disease', 'MESH:D008654', (138, 150)) 8375 29587439 The Ser518 phosphorylation in merlin is independently catalyzed by distinct protein kinases such as p21-activated kinase (PAK) and protein kinase A (PKA). ('merlin', 'Gene', (30, 36)) ('protein', 'cellular_component', 'GO:0003675', ('76', '83')) ('phosphorylation', 'MPA', (11, 26)) ('Ser', 'cellular_component', 'GO:0005790', ('4', '7')) ('phosphorylation', 'biological_process', 'GO:0016310', ('11', '26')) ('PKA', 'cellular_component', 'GO:0005952', ('149', '152')) ('protein', 'cellular_component', 'GO:0003675', ('131', '138')) ('PKA', 'molecular_function', 'GO:0004691', ('149', '152')) ('Ser518', 'Chemical', '-', (4, 10)) ('Ser518', 'Var', (4, 10)) 8376 29587439 PAK causes a phosphorylation-dependent inactivation of merlin and promotes the loss of contact inhibition of proliferation, whereas PKA, in addition to Ser518, also phosphorylates Ser10 that is not conserved in ERM proteins, which results in increased cell migration. ('phosphorylation', 'biological_process', 'GO:0016310', ('13', '28')) ('PKA', 'cellular_component', 'GO:0005952', ('132', '135')) ('PKA', 'molecular_function', 'GO:0004691', ('132', '135')) ('rat', 'Species', '10116', (260, 263)) ('Ser', 'cellular_component', 'GO:0005790', ('180', '183')) ('phosphorylation-dependent', 'MPA', (13, 38)) ('increased', 'PosReg', (242, 251)) ('cell migration', 'biological_process', 'GO:0016477', ('252', '266')) ('contact inhibition', 'MPA', (87, 105)) ('Ser10', 'Var', (180, 185)) ('merlin', 'Protein', (55, 61)) ('Ser518', 'Chemical', '-', (152, 158)) ('Ser', 'cellular_component', 'GO:0005790', ('152', '155')) ('contact inhibition', 'biological_process', 'GO:0060242', ('87', '105')) ('rat', 'Species', '10116', (116, 119)) ('inactivation', 'NegReg', (39, 51)) ('loss', 'NegReg', (79, 83)) ('Ser10', 'Chemical', '-', (180, 185)) ('cell migration', 'CPA', (252, 266)) 8377 29587439 Another protein kinase, AKT, phosphorylates merlin at Thr230 and Ser315, which appears to stimulate ubiquitin-dependent protein degradation. ('protein', 'cellular_component', 'GO:0003675', ('8', '15')) ('AKT', 'Gene', (24, 27)) ('Ser', 'cellular_component', 'GO:0005790', ('65', '68')) ('protein', 'cellular_component', 'GO:0003675', ('120', '127')) ('ubiquitin-dependent protein degradation', 'biological_process', 'GO:0006511', ('100', '139')) ('Thr230', 'Chemical', '-', (54, 60)) ('Ser315', 'Chemical', '-', (65, 71)) ('AKT', 'Gene', '207', (24, 27)) ('ubiquitin', 'molecular_function', 'GO:0031386', ('100', '109')) ('Ser315', 'Var', (65, 71)) ('stimulate', 'PosReg', (90, 99)) ('ubiquitin-dependent protein degradation', 'MPA', (100, 139)) 8378 29587439 Given the data on ERM proteins, Ser518 phosphorylation in merlin has been suggested to change its conformation from a 'closed' to an 'open' state. ('Ser518', 'Chemical', '-', (32, 38)) ('phosphorylation', 'biological_process', 'GO:0016310', ('39', '54')) ('merlin', 'Gene', (58, 64)) ('Ser518 phosphorylation', 'Var', (32, 54)) ('change', 'Reg', (87, 93)) ('Ser', 'cellular_component', 'GO:0005790', ('32', '35')) ('conformation', 'MPA', (98, 110)) 8379 29587439 Instead, phosphorylation was shown to rather strengthen the head-to-tail folding in merlin. ('phosphorylation', 'biological_process', 'GO:0016310', ('9', '24')) ('head-to-tail folding', 'CPA', (60, 80)) ('phosphorylation', 'Var', (9, 24)) ('merlin', 'Disease', (84, 90)) ('strengthen', 'PosReg', (45, 55)) ('rat', 'Species', '10116', (38, 41)) 8381 29587439 Cumulatively, these findings suggest that the phosphorylation at Ser518 would inactivate merlin without the accompanying dynamic conformational change observed in ERM proteins. ('phosphorylation', 'biological_process', 'GO:0016310', ('46', '61')) ('Ser518', 'Var', (65, 71)) ('Ser518', 'Chemical', '-', (65, 71)) ('Ser', 'cellular_component', 'GO:0005790', ('65', '68')) ('phosphorylation', 'Var', (46, 61)) ('inactivate', 'NegReg', (78, 88)) ('merlin', 'Protein', (89, 95)) 8382 29587439 In addition to a frequent loss of the 22q12 region, which is the locus of the NF2 gene, mutations within the entire NF2 coding region are common for mesothelioma (Figure 1B). ('mesothelioma', 'Disease', 'MESH:D008654', (149, 161)) ('NF2', 'Gene', (116, 119)) ('common', 'Reg', (138, 144)) ('mutations', 'Var', (88, 97)) ('mesothelioma', 'Disease', (149, 161)) 8384 29587439 Therefore, nonsense mutations in NF2, even those occurring close to the C-terminus, are suggested to produce functional defects and are responsible for mesothelioma development. ('nonsense mutations', 'Var', (11, 29)) ('responsible', 'Reg', (136, 147)) ('mesothelioma', 'Disease', (152, 164)) ('NF2', 'Gene', (33, 36)) ('mesothelioma', 'Disease', 'MESH:D008654', (152, 164)) ('functional', 'MPA', (109, 119)) 8385 29587439 In contrast, the impact of missense mutations that cause amino acid substitutions is less understood, and it is unclear as to how and to what extent individual mutations affect merlin tumor-suppressive function. ('merlin', 'Protein', (177, 183)) ('tumor', 'Disease', 'MESH:D009369', (184, 189)) ('tumor', 'Phenotype', 'HP:0002664', (184, 189)) ('affect', 'Reg', (170, 176)) ('missense mutations', 'Var', (27, 45)) ('tumor', 'Disease', (184, 189)) ('amino acid substitutions', 'Var', (57, 81)) 8386 29587439 Although the pathogenic activity of several missense mutants identified in tumors have been studied, further investigation is required for a complete understanding of the effect produced by merlin mutations on tumor progression. ('tumors', 'Disease', 'MESH:D009369', (75, 81)) ('tumor', 'Phenotype', 'HP:0002664', (210, 215)) ('mutations', 'Var', (197, 206)) ('tumor', 'Disease', (210, 215)) ('tumor', 'Disease', 'MESH:D009369', (75, 80)) ('tumors', 'Phenotype', 'HP:0002664', (75, 81)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('tumors', 'Disease', (75, 81)) ('merlin', 'Gene', (190, 196)) ('tumor', 'Disease', (75, 80)) ('tumor', 'Disease', 'MESH:D009369', (210, 215)) 8387 29587439 Regarding gene mutation frequency in MM, gene alterations in NF2 are considered to be the second most common after those in BAP1. ('BAP1', 'Gene', '8314', (124, 128)) ('rat', 'Species', '10116', (50, 53)) ('BAP1', 'Gene', (124, 128)) ('common', 'Reg', (102, 108)) ('gene alterations', 'Var', (41, 57)) ('NF2', 'Gene', (61, 64)) 8389 29587439 An expression analysis of 211 malignant plural mesothelioma samples suggested that among the subtypes, sarcomatoid tumors had the highest NF2 mutation rate, while epithelioid tumors had the lowest NF2 mutation rate (Figure 1D). ('malignant plural mesothelioma', 'Disease', (30, 59)) ('tumors', 'Phenotype', 'HP:0002664', (175, 181)) ('tumor', 'Phenotype', 'HP:0002664', (115, 120)) ('epithelioid tumors', 'Disease', (163, 181)) ('NF2', 'Gene', (138, 141)) ('malignant plural mesothelioma', 'Phenotype', 'HP:0100001', (30, 59)) ('sarcoma', 'Phenotype', 'HP:0100242', (103, 110)) ('sarcomatoid tumors', 'Disease', 'MESH:C538614', (103, 121)) ('tumors', 'Phenotype', 'HP:0002664', (115, 121)) ('malignant plural mesothelioma', 'Disease', 'MESH:C562839', (30, 59)) ('epithelioid tumors', 'Disease', 'MESH:D012509', (163, 181)) ('rat', 'Species', '10116', (151, 154)) ('sarcomatoid tumors', 'Disease', (103, 121)) ('mutation', 'Var', (142, 150)) ('rat', 'Species', '10116', (210, 213)) ('sarcomatoid tumors', 'Phenotype', 'HP:0100242', (103, 121)) ('tumor', 'Phenotype', 'HP:0002664', (175, 180)) 8391 29587439 These data suggest that NF2 inactivation might be involved in the epithelial-mesenchymal transition during metastasis, and that the development of sarcomatoid mesotheliomas is characterized by a poorer overall survival compared to the epithelioid subtype. ('sarcomatoid mesotheliomas', 'Disease', 'MESH:C538614', (147, 172)) ('NF2', 'Gene', (24, 27)) ('sarcomatoid mesotheliomas', 'Disease', (147, 172)) ('inactivation', 'Var', (28, 40)) ('sarcoma', 'Phenotype', 'HP:0100242', (147, 154)) ('involved', 'Reg', (50, 58)) ('poorer', 'NegReg', (195, 201)) ('overall', 'MPA', (202, 209)) ('epithelial-mesenchymal transition', 'biological_process', 'GO:0001837', ('66', '99')) 8396 29587439 Although the localization of the wild-type or the mutant merlin in mesothelial and mesothelioma cells is not defined, we have observed exogenously expressed full-length V5-tagged merlin both at the plasma membrane and in the cytoplasm of merlin-negative mesothelioma cells. ('cytoplasm', 'cellular_component', 'GO:0005737', ('225', '234')) ('plasma membrane', 'cellular_component', 'GO:0005886', ('198', '213')) ('mesothelioma', 'Disease', (254, 266)) ('merlin', 'Gene', (179, 185)) ('mesothelioma', 'Disease', (83, 95)) ('mesothelioma', 'Disease', 'MESH:D008654', (254, 266)) ('mutant', 'Var', (50, 56)) ('mesothelioma', 'Disease', 'MESH:D008654', (83, 95)) ('merlin', 'Gene', (57, 63)) ('localization', 'biological_process', 'GO:0051179', ('13', '25')) 8400 29587439 Alternatively, Hippo pathway inactivation induces an accumulation of underphosphorylated YAP and TAZ in the nucleus and their association with DNA-binding TEAD (TEA Domain Transcription Factor) family proteins, which upregulates the transcription of multiple oncogenic genes. ('YAP', 'Protein', (89, 92)) ('DNA', 'cellular_component', 'GO:0005574', ('143', '146')) ('nucleus', 'cellular_component', 'GO:0005634', ('108', '115')) ('association', 'Interaction', (126, 137)) ('transcription', 'MPA', (233, 246)) ('underphosphorylated', 'MPA', (69, 88)) ('DNA-binding', 'molecular_function', 'GO:0003677', ('143', '154')) ('transcription', 'biological_process', 'GO:0006351', ('233', '246')) ('upregulates', 'PosReg', (217, 228)) ('TAZ', 'Gene', '6901', (97, 100)) ('Hippo', 'Gene', (15, 20)) ('TAZ', 'Gene', (97, 100)) ('inactivation', 'Var', (29, 41)) ('accumulation', 'PosReg', (53, 65)) 8401 29587439 Along with NF2 mutations, gene alterations are also frequently observed in Hippo pathway components, including LATS1/2, SAV1, and LIM-domain containing protein AJUBA, a Drosophila djub homolog and LATS1/2 binding partner. ('alterations', 'Var', (31, 42)) ('AJUBA', 'Gene', '32351', (160, 165)) ('NF2', 'Gene', (11, 14)) ('Drosophila', 'Species', '7227', (169, 179)) ('SAV1', 'Gene', '60485', (120, 124)) ('binding', 'molecular_function', 'GO:0005488', ('205', '212')) ('rat', 'Species', '10116', (35, 38)) ('mutations', 'Var', (15, 24)) ('Hippo pathway', 'Pathway', (75, 88)) ('protein', 'cellular_component', 'GO:0003675', ('152', '159')) ('AJUBA', 'Gene', (160, 165)) ('SAV1', 'Gene', (120, 124)) ('observed', 'Reg', (63, 71)) 8402 29587439 have shown that the expression of constitutively active YAP Ser127Ala mutants in immortalized mesothelial cells promotes their growth in vitro, as well as tumor formation after their transplantation in mice. ('tumor', 'Disease', 'MESH:D009369', (155, 160)) ('promotes', 'PosReg', (112, 120)) ('growth', 'CPA', (127, 133)) ('tumor', 'Phenotype', 'HP:0002664', (155, 160)) ('mice', 'Species', '10090', (202, 206)) ('Ser', 'cellular_component', 'GO:0005790', ('60', '63')) ('tumor', 'Disease', (155, 160)) ('formation', 'biological_process', 'GO:0009058', ('161', '170')) ('YAP', 'Gene', (56, 59)) ('Ser127Ala', 'Var', (60, 69)) ('Ser127Ala', 'SUBSTITUTION', 'None', (60, 69)) 8403 29587439 Conversely, YAP knockdown inhibits cell growth, motility, and invasion in mesothelioma cells with activated YAP, but did not show any effects in cells without YAP activation. ('inhibits', 'NegReg', (26, 34)) ('mesothelioma', 'Disease', 'MESH:D008654', (74, 86)) ('motility', 'CPA', (48, 56)) ('knockdown', 'Var', (16, 25)) ('cell growth', 'biological_process', 'GO:0016049', ('35', '46')) ('YAP', 'Gene', (12, 15)) ('invasion', 'CPA', (62, 70)) ('mesothelioma', 'Disease', (74, 86)) ('cell growth', 'CPA', (35, 46)) 8408 29587439 The interaction between merlin and DCAF1 depends on merlin activation, since neither the Ser518Asp phosphomimetic mutant, nor the Ser64Ala mutant, which lacks tumor-suppressor activity, bind to CRL4DCAF1. ('interaction', 'Interaction', (4, 15)) ('DCAF1', 'Gene', '9730', (35, 40)) ('bind', 'Interaction', (186, 190)) ('Ser518Asp', 'SUBSTITUTION', 'None', (89, 98)) ('Ser518Asp', 'Var', (89, 98)) ('tumor', 'Phenotype', 'HP:0002664', (159, 164)) ('Ser64Ala', 'SUBSTITUTION', 'None', (130, 138)) ('Ser64Ala', 'Var', (130, 138)) ('DCAF1', 'Gene', '9730', (198, 203)) ('tumor', 'Disease', (159, 164)) ('DCAF1', 'Gene', (35, 40)) ('Ser', 'cellular_component', 'GO:0005790', ('89', '92')) ('tumor-suppressor', 'biological_process', 'GO:0051726', ('159', '175')) ('tumor', 'Disease', 'MESH:D009369', (159, 164)) ('DCAF1', 'Gene', (198, 203)) ('Ser', 'cellular_component', 'GO:0005790', ('130', '133')) ('tumor-suppressor', 'molecular_function', 'GO:0008181', ('159', '175')) 8410 29587439 It was shown that LATS1/2 are functional targets of CRL4DCAF1 and that in tumors with mutated NF2, such as mesothelioma, activated CRL4 induces LATS1/2 ubiquitination to promote their degradation and YAP/TAZ activation, thus stimulating oncogenesis (Figure 2, shown in purple). ('oncogenesis', 'biological_process', 'GO:0007048', ('237', '248')) ('mutated', 'Var', (86, 93)) ('mesothelioma', 'Disease', (107, 119)) ('degradation', 'biological_process', 'GO:0009056', ('184', '195')) ('CRL4', 'Gene', (52, 56)) ('mesothelioma', 'Disease', 'MESH:D008654', (107, 119)) ('CRL4', 'Gene', (131, 135)) ('TAZ', 'Gene', '6901', (204, 207)) ('tumors', 'Disease', 'MESH:D009369', (74, 80)) ('TAZ', 'Gene', (204, 207)) ('NF2', 'Gene', (94, 97)) ('tumors', 'Disease', (74, 80)) ('ubiquitination', 'MPA', (152, 166)) ('tumor', 'Phenotype', 'HP:0002664', (74, 79)) ('activation', 'MPA', (208, 218)) ('stimulating', 'PosReg', (225, 236)) ('tumors', 'Phenotype', 'HP:0002664', (74, 80)) ('LATS1/2', 'Protein', (144, 151)) ('CRL4', 'Gene', '55540', (52, 56)) ('CRL4', 'Gene', '55540', (131, 135)) ('degradation', 'MPA', (184, 195)) ('oncogenesis', 'CPA', (237, 248)) ('induces', 'PosReg', (136, 143)) ('promote', 'PosReg', (170, 177)) 8412 29587439 tested whether CRL4DCAF1 inhibition with NEDD8-activating enzyme (NAE) inhibitor MLN4924 could suppress the growth of tumor cells carrying NF2 mutations. ('tumor', 'Disease', 'MESH:D009369', (118, 123)) ('MLN4924', 'Chemical', 'MESH:C539933', (81, 88)) ('growth', 'CPA', (108, 114)) ('suppress', 'NegReg', (95, 103)) ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('NEDD8', 'Gene', '4738', (41, 46)) ('NEDD8', 'Gene', (41, 46)) ('tumor', 'Disease', (118, 123)) ('NAE', 'Chemical', '-', (66, 69)) ('MLN4924', 'Var', (81, 88)) ('NF2', 'Gene', (139, 142)) ('mutations', 'Var', (143, 152)) 8413 29587439 MLN4924 alone caused only a moderate inhibition of mesothelioma cell growth, but the combination of MLN4924 and GDC-0980, an mechanistic target of rapamycin/phosphatidylinositol 3-kinase (mTOR/PI3K) inhibitor, strongly suppressed cell proliferation. ('rat', 'Species', '10116', (242, 245)) ('cell proliferation', 'CPA', (230, 248)) ('rat', 'Species', '10116', (32, 35)) ('MLN4924', 'Var', (100, 107)) ('GDC-0980', 'Gene', (112, 120)) ('cell proliferation', 'biological_process', 'GO:0008283', ('230', '248')) ('mesothelioma', 'Disease', (51, 63)) ('suppressed', 'NegReg', (219, 229)) ('cell growth', 'biological_process', 'GO:0016049', ('64', '75')) ('mesothelioma', 'Disease', 'MESH:D008654', (51, 63)) ('GDC-0980', 'Chemical', 'MESH:C569670', (112, 120)) ('mTOR', 'Gene', (188, 192)) ('PI3K', 'molecular_function', 'GO:0016303', ('193', '197')) ('mTOR', 'Gene', '2475', (188, 192)) ('MLN4924', 'Chemical', 'MESH:C539933', (0, 7)) ('rapamycin', 'Chemical', 'MESH:D020123', (147, 156)) ('MLN4924', 'Chemical', 'MESH:C539933', (100, 107)) ('phosphatidylinositol', 'Chemical', 'MESH:D010716', (157, 177)) 8423 29587439 Furthermore, it was demonstrated that the concurrent loss of Tp53 and tuberous sclerosis 1 (TSC1), a negative regulator of Rheb-mTORC1 signaling, induces the development of peritoneal mesothelioma in mice. ('tuberous sclerosis 1', 'Gene', '64930', (70, 90)) ('peritoneal mesothelioma', 'Disease', (173, 196)) ('peritoneal mesothelioma', 'Disease', 'MESH:D008654', (173, 196)) ('signaling', 'biological_process', 'GO:0023052', ('135', '144')) ('TSC1', 'Gene', (92, 96)) ('Tp53', 'Gene', '22059', (61, 65)) ('mTORC1', 'cellular_component', 'GO:0031931', ('128', '134')) ('tuberous sclerosis 1', 'Gene', (70, 90)) ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (173, 196)) ('induces', 'Reg', (146, 153)) ('mice', 'Species', '10090', (200, 204)) ('loss', 'Var', (53, 57)) ('rat', 'Species', '10116', (27, 30)) ('mTORC1', 'Gene', '382056', (128, 134)) ('Tp53', 'Gene', (61, 65)) ('mTORC1', 'Gene', (128, 134)) 8425 29587439 These findings suggest that mTOR activation caused by merlin inactivation plays a significant role in mesothelioma development (Figure 2, shown in orange). ('inactivation', 'Var', (61, 73)) ('mTOR', 'Gene', '2475', (28, 32)) ('mesothelioma', 'Disease', (102, 114)) ('mTOR', 'Gene', (28, 32)) ('activation', 'PosReg', (33, 43)) ('merlin', 'Protein', (54, 60)) ('mesothelioma', 'Disease', 'MESH:D008654', (102, 114)) 8430 29587439 On the other hand, no activating mutations in the MTOR, nor the RHEB genes, have been identified in mesothelioma cells to date, although such mutations were shown to cause the hyper-activation of mTORC1 observed in mesothelioma. ('mTORC1', 'cellular_component', 'GO:0031931', ('196', '202')) ('mutations', 'Var', (142, 151)) ('RHEB', 'Gene', '6009', (64, 68)) ('MTOR', 'Gene', (50, 54)) ('mesothelioma', 'Disease', 'MESH:D008654', (215, 227)) ('mTORC1', 'Gene', '382056', (196, 202)) ('mesothelioma', 'Disease', (100, 112)) ('mesothelioma', 'Disease', 'MESH:D008654', (100, 112)) ('MTOR', 'Gene', '2475', (50, 54)) ('mTORC1', 'Gene', (196, 202)) ('mesothelioma', 'Disease', (215, 227)) ('hyper-activation', 'MPA', (176, 192)) ('RHEB', 'Gene', (64, 68)) 8436 29587439 Recurrent mutations in the TRAF7 gene are observed in mesothelioma cells. ('mesothelioma', 'Disease', 'MESH:D008654', (54, 66)) ('TRAF7', 'Gene', '84231', (27, 32)) ('observed', 'Reg', (42, 50)) ('mutations', 'Var', (10, 19)) ('mesothelioma', 'Disease', (54, 66)) ('TRAF7', 'Gene', (27, 32)) 8439 29587439 Interestingly, TRAF7 and NF2 mutations are mutually exclusive in malignant pleural mesothelioma as well as in meningioma, suggesting that merlin and TRAF7 may use a common signal transduction pathway. ('meningioma', 'Phenotype', 'HP:0002858', (110, 120)) ('NF2', 'Gene', (25, 28)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (75, 95)) ('TRAF7', 'Gene', (15, 20)) ('TRAF7', 'Gene', (149, 154)) ('meningioma', 'Disease', 'MESH:D008577', (110, 120)) ('mutations', 'Var', (29, 38)) ('malignant pleural mesothelioma', 'Disease', (65, 95)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (65, 95)) ('TRAF7', 'Gene', '84231', (149, 154)) ('signal transduction', 'biological_process', 'GO:0007165', ('172', '191')) ('TRAF7', 'Gene', '84231', (15, 20)) ('meningioma', 'Disease', (110, 120)) 8445 29587439 A recent study on the pharmacological effects of FAK inhibitors has demonstrated a significant correlation between E-cadherin mRNA levels and VS-4718 in merlin-negative mesothelioma, suggesting that E-cadherin may serve as a promising biomarker for predicting the response to FAK inhibitors in mesothelioma, which should be tested in clinical settings. ('VS-4718', 'Var', (142, 149)) ('FAK', 'Gene', '5747', (276, 279)) ('mesothelioma', 'Disease', 'MESH:D008654', (169, 181)) ('mesothelioma', 'Disease', 'MESH:D008654', (294, 306)) ('FAK', 'molecular_function', 'GO:0004717', ('49', '52')) ('rat', 'Species', '10116', (75, 78)) ('cadherin', 'molecular_function', 'GO:0008014', ('201', '209')) ('FAK', 'molecular_function', 'GO:0004717', ('276', '279')) ('E-cadherin', 'Gene', (199, 209)) ('E-cadherin', 'Gene', '999', (199, 209)) ('mesothelioma', 'Disease', (169, 181)) ('FAK', 'Gene', (49, 52)) ('E-cadherin', 'Gene', '999', (115, 125)) ('FAK', 'Gene', '5747', (49, 52)) ('cadherin', 'molecular_function', 'GO:0008014', ('117', '125')) ('mesothelioma', 'Disease', (294, 306)) ('E-cadherin', 'Gene', (115, 125)) ('FAK', 'Gene', (276, 279)) 8451 29587439 By preventing the interaction between YAP and TEAD, CIL56 strongly inhibited esophageal adenocarcinoma cell growth both in vitro and in vivo. ('carcinoma', 'Phenotype', 'HP:0030731', (93, 102)) ('inhibited', 'NegReg', (67, 76)) ('CIL56', 'Var', (52, 57)) ('interaction', 'Interaction', (18, 29)) ('esophageal adenocarcinoma', 'Disease', 'MESH:D004938', (77, 102)) ('cell growth', 'biological_process', 'GO:0016049', ('103', '114')) ('esophageal adenocarcinoma', 'Disease', (77, 102)) ('esophageal adenocarcinoma', 'Phenotype', 'HP:0011459', (77, 102)) ('preventing', 'NegReg', (3, 13)) ('CIL56', 'Chemical', '-', (52, 57)) 8470 29587439 Recently, it was reported that mesothelioma cells with NF2 and/or LATS2 mutations were more sensitive to fluvastatin compared to those with BAP1 mutations, whereas merlin-negative breast cancer cells showed sensitivity to simvastatin. ('mutations', 'Var', (72, 81)) ('BAP1', 'Gene', (140, 144)) ('NF2', 'Gene', (55, 58)) ('sensitive to fluvastatin', 'MPA', (92, 116)) ('simvastatin', 'Chemical', 'MESH:D019821', (222, 233)) ('mesothelioma', 'Disease', (31, 43)) ('breast cancer', 'Disease', 'MESH:D001943', (180, 193)) ('mesothelioma', 'Disease', 'MESH:D008654', (31, 43)) ('fluvastatin', 'Chemical', 'MESH:D000077340', (105, 116)) ('cancer', 'Phenotype', 'HP:0002664', (187, 193)) ('LATS2', 'Gene', (66, 71)) ('breast cancer', 'Disease', (180, 193)) ('LATS2', 'Gene', '26524', (66, 71)) ('breast cancer', 'Phenotype', 'HP:0003002', (180, 193)) ('BAP1', 'Gene', '8314', (140, 144)) 8474 29587439 However, a recent study showed that celecoxib failed to prevent the generation of schwannomas in a genetically engineered mouse model of NF2 inactivation, although COX-2 expression was increased in tumors that developed in these mice. ('rat', 'Species', '10116', (72, 75)) ('celecoxib', 'Chemical', 'MESH:D000068579', (36, 45)) ('schwannomas', 'Disease', 'MESH:D009442', (82, 93)) ('expression', 'MPA', (170, 180)) ('tumor', 'Phenotype', 'HP:0002664', (198, 203)) ('inactivation', 'Var', (141, 153)) ('schwannomas', 'Disease', (82, 93)) ('schwannoma', 'Phenotype', 'HP:0100008', (82, 92)) ('schwannomas', 'Phenotype', 'HP:0100008', (82, 93)) ('tumors', 'Disease', (198, 204)) ('COX-2', 'Gene', (164, 169)) ('mice', 'Species', '10090', (229, 233)) ('tumors', 'Disease', 'MESH:D009369', (198, 204)) ('tumors', 'Phenotype', 'HP:0002664', (198, 204)) ('increased', 'PosReg', (185, 194)) ('mouse', 'Species', '10090', (122, 127)) ('NF2', 'Gene', (137, 140)) ('COX-2', 'Gene', '5743', (164, 169)) 8484 29587439 For example, is the activation of YAP via the inactivation of the Hippo signaling pathway enough for mesothelioma formation? ('Hippo signaling pathway', 'Pathway', (66, 89)) ('Hippo signaling pathway', 'biological_process', 'GO:0035329', ('66', '89')) ('YAP', 'Disease', (34, 37)) ('mesothelioma', 'Disease', (101, 113)) ('activation', 'PosReg', (20, 30)) ('inactivation', 'Var', (46, 58)) ('formation', 'biological_process', 'GO:0009058', ('114', '123')) ('mesothelioma', 'Disease', 'MESH:D008654', (101, 113)) 8491 29416614 We have previously shown that extracellular signaling regulated kinase 5 (ERK5) plays an important role in mesothelioma pathogenesis using ERK5 silenced human mesothelioma cells exhibiting significantly reduced tumor growth in immunocompromised mice. ('extracellular signaling regulated kinase 5', 'Gene', '5598', (30, 72)) ('reduced', 'NegReg', (203, 210)) ('ERK', 'molecular_function', 'GO:0004707', ('139', '142')) ('mesothelioma', 'Disease', (107, 119)) ('human', 'Species', '9606', (153, 158)) ('tumor', 'Disease', (211, 216)) ('mesothelioma', 'Disease', 'MESH:D008654', (107, 119)) ('ERK5', 'Gene', (139, 143)) ('ERK5', 'Gene', (74, 78)) ('tumor', 'Disease', 'MESH:D009369', (211, 216)) ('mesothelioma', 'Disease', (159, 171)) ('ERK', 'molecular_function', 'GO:0004707', ('74', '77')) ('mesothelioma', 'Disease', 'MESH:D008654', (159, 171)) ('silenced', 'Var', (144, 152)) ('signaling', 'biological_process', 'GO:0023052', ('44', '53')) ('tumor', 'Phenotype', 'HP:0002664', (211, 216)) ('extracellular signaling regulated kinase 5', 'Gene', (30, 72)) ('extracellular', 'cellular_component', 'GO:0005576', ('30', '43')) ('pathogenesis', 'biological_process', 'GO:0009405', ('120', '132')) ('mice', 'Species', '10090', (245, 249)) 8492 29416614 Here, we used a specific ERK 5 inhibitor, XMD8-92 in various in vitro and in vivo models to demonstrate that inhibition of ERK5 can slow down mesothelioma tumorigenesis. ('tumor', 'Phenotype', 'HP:0002664', (155, 160)) ('mesothelioma tumor', 'Phenotype', 'HP:0100001', (142, 160)) ('inhibition', 'Var', (109, 119)) ('ERK', 'molecular_function', 'GO:0004707', ('25', '28')) ('XMD8-92', 'Chemical', 'MESH:C568790', (42, 49)) ('mesothelioma tumorigenesis', 'Disease', (142, 168)) ('ERK', 'Gene', (123, 126)) ('slow down', 'NegReg', (132, 141)) ('ERK', 'Gene', '5595;5594;5595', (123, 126)) ('ERK', 'molecular_function', 'GO:0004707', ('123', '126')) ('ERK', 'Gene', (25, 28)) ('ERK', 'Gene', '5595;5594;5595', (25, 28)) ('mesothelioma tumorigenesis', 'Disease', 'MESH:D008654', (142, 168)) 8497 29416614 We found XMD8-92 attenuated naive and chemotherapeutic-induced inflammasome priming and activation in mesothelioma cells. ('mesothelioma', 'Disease', (102, 114)) ('XMD8-92', 'Var', (9, 16)) ('activation', 'PosReg', (88, 98)) ('attenuated', 'NegReg', (17, 27)) ('mesothelioma', 'Disease', 'MESH:D008654', (102, 114)) ('XMD8-92', 'Chemical', 'MESH:C568790', (9, 16)) 8509 29416614 Our previous results were generated by genetic manipulations of ERK5 in immune-deficient mice and in the present study we moved our research to the next step by using a specific small molecule inhibitor of ERK5 on mesothelioma tumor growth in immune competent mice. ('mice', 'Species', '10090', (260, 264)) ('mesothelioma tumor', 'Phenotype', 'HP:0100001', (214, 232)) ('mice', 'Species', '10090', (89, 93)) ('manipulations', 'Var', (47, 60)) ('inhibitor', 'NegReg', (193, 202)) ('ERK5', 'Gene', (206, 210)) ('mesothelioma tumor', 'Disease', (214, 232)) ('ERK', 'molecular_function', 'GO:0004707', ('206', '209')) ('mesothelioma tumor', 'Disease', 'MESH:D008654', (214, 232)) ('ERK', 'molecular_function', 'GO:0004707', ('64', '67')) ('tumor', 'Phenotype', 'HP:0002664', (227, 232)) 8511 29416614 Briefly, XMD8-92 is a selective inhibitor of ERK5 phosphorylation that does not exert any effects on close family member MEK5 or ERK1/2. ('XMD8-92', 'Var', (9, 16)) ('phosphorylation', 'MPA', (50, 65)) ('MEK5', 'Gene', (121, 125)) ('MEK5', 'Gene', '5607', (121, 125)) ('XMD8-92', 'Chemical', 'MESH:C568790', (9, 16)) ('ERK', 'molecular_function', 'GO:0004707', ('45', '48')) ('ERK1', 'molecular_function', 'GO:0004707', ('129', '133')) ('ERK1/2', 'Gene', '5595;5594', (129, 135)) ('phosphorylation', 'biological_process', 'GO:0016310', ('50', '65')) ('ERK5', 'Protein', (45, 49)) ('ERK1/2', 'Gene', (129, 135)) 8532 29416614 A trend of decrease in levels of pERK5 was observed in 3 cell lines after high doses of XMD8-92 treatment (Figure 1C). ('decrease', 'NegReg', (11, 19)) ('XMD8-92', 'Chemical', 'MESH:C568790', (88, 95)) ('XMD8-92', 'Var', (88, 95)) ('levels', 'MPA', (23, 29)) 8535 29416614 Furthermore, XMD8-92 was also significantly effective in killing mesothelioma cells grown as a 3-D spheroid model (Figure 2B, 2C). ('XMD8-92', 'Chemical', 'MESH:C568790', (13, 20)) ('mesothelioma', 'Disease', 'MESH:D008654', (65, 77)) ('XMD8-92', 'Var', (13, 20)) ('mesothelioma', 'Disease', (65, 77)) 8536 29416614 In H2373 cells, combining doxorubicin and XMD8-92 lead to a greater decrease in cell growth (Figure 2B), however, this additive effect was not observed with the cisplatin/XMD8-92 combination. ('doxorubicin', 'Chemical', 'MESH:D004317', (26, 37)) ('XMD8-92', 'Chemical', 'MESH:C568790', (171, 178)) ('decrease', 'NegReg', (68, 76)) ('H2373', 'CellLine', 'CVCL:A533', (3, 8)) ('XMD8-92', 'Chemical', 'MESH:C568790', (42, 49)) ('cell growth', 'biological_process', 'GO:0016049', ('80', '91')) ('doxorubicin', 'Var', (26, 37)) ('cisplatin', 'Chemical', 'MESH:D002945', (161, 170)) ('XMD8-92', 'Var', (42, 49)) ('cell growth', 'CPA', (80, 91)) 8543 29416614 While not significant, total cell numbers were reduced in PLF of the XMD8-92 group. ('XMD8-92', 'Chemical', 'MESH:C568790', (69, 76)) ('XMD8-92', 'Var', (69, 76)) ('reduced', 'NegReg', (47, 54)) ('total cell numbers', 'CPA', (23, 41)) 8544 29416614 Neutrophil numbers were significantly decreased in PLF of the XMD8-92 group as compared to controls (Figure 3A). ('Neutrophil numbers', 'CPA', (0, 18)) ('decreased', 'NegReg', (38, 47)) ('XMD8-92', 'Chemical', 'MESH:C568790', (62, 69)) ('XMD8-92', 'Var', (62, 69)) 8545 29416614 Furthermore, levels of pro-inflammatory (IL-6) and angiogenic (VEGF) cytokine levels were also significantly reduced in PLF of XMD8-92 treated mice as compared to saline or vehicle treated mice (Figure 3A). ('VEGF', 'Gene', (63, 67)) ('IL-6', 'molecular_function', 'GO:0005138', ('41', '45')) ('reduced', 'NegReg', (109, 116)) ('XMD8-92 treated', 'Var', (127, 142)) ('mice', 'Species', '10090', (189, 193)) ('XMD8-92', 'Chemical', 'MESH:C568790', (127, 134)) ('VEGF', 'Gene', '22339', (63, 67)) ('saline', 'Chemical', 'MESH:D012965', (163, 169)) ('IL-6', 'Gene', (41, 45)) ('IL-6', 'Gene', '16193', (41, 45)) ('PLF', 'Var', (120, 123)) ('mice', 'Species', '10090', (143, 147)) 8546 29416614 In the xenograft model, where human mesothelioma cells (Hmeso) were injected intrapleurally into nude-SCID mice and one week post cell injection XMD8-92 was administered IP daily, XMD8-92 showed effects on tumor reduction (Figure 3B) as compared to vehicle control. ('pleural', 'Disease', (82, 89)) ('human', 'Species', '9606', (30, 35)) ('tumor', 'Phenotype', 'HP:0002664', (206, 211)) ('mesothelioma', 'Disease', 'MESH:D008654', (36, 48)) ('XMD8-92', 'Var', (180, 187)) ('SCID', 'Disease', (102, 106)) ('tumor', 'Disease', (206, 211)) ('Hmeso', 'Chemical', '-', (56, 61)) ('SCID', 'Disease', 'MESH:D053632', (102, 106)) ('XMD8-92', 'Chemical', 'MESH:C568790', (145, 152)) ('mice', 'Species', '10090', (107, 111)) ('reduction', 'NegReg', (212, 221)) ('mesothelioma', 'Disease', (36, 48)) ('pleural', 'Disease', 'MESH:D010995', (82, 89)) ('tumor', 'Disease', 'MESH:D009369', (206, 211)) ('XMD8-92', 'Chemical', 'MESH:C568790', (180, 187)) 8547 29416614 The effect of XMD8-92 on intrapleural tumors was less remarkable than in the intraperitoneal model (Figure 3A). ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('intrapleural tumors', 'Disease', 'MESH:D009369', (25, 44)) ('tumors', 'Phenotype', 'HP:0002664', (38, 44)) ('intrapleural tumors', 'Disease', (25, 44)) ('XMD8-92', 'Chemical', 'MESH:C568790', (14, 21)) ('XMD8-92', 'Var', (14, 21)) 8550 29416614 NLRP3 levels were decreased by XMD8-92 in H2373 at 24 and 48 h but increased in Hmeso cells at all time points, an interesting observation that needs detailed investigation (Figure 4A, 4B). ('H2373', 'CellLine', 'CVCL:A533', (42, 47)) ('decreased', 'NegReg', (18, 27)) ('NLRP3', 'Gene', (0, 5)) ('XMD8-92', 'Chemical', 'MESH:C568790', (31, 38)) ('increased', 'PosReg', (67, 76)) ('NLRP3', 'Gene', '114548', (0, 5)) ('XMD8-92', 'Var', (31, 38)) ('Hmeso', 'Chemical', '-', (80, 85)) 8556 29416614 As shown in Figure 5B, XMD8-92 significantly inhibited asbestos-induced IL-1beta release in mesothelial cells. ('IL-1', 'molecular_function', 'GO:0005149', ('72', '76')) ('XMD8-92', 'Chemical', 'MESH:C568790', (23, 30)) ('asbestos', 'Chemical', 'MESH:D001194', (55, 63)) ('XMD8-92', 'Var', (23, 30)) ('IL-1beta', 'Gene', '3553', (72, 80)) ('inhibited', 'NegReg', (45, 54)) ('IL-1beta', 'Gene', (72, 80)) 8564 29416614 XMD8-92 showed cytotoxicity in mesothelioma cells using mono layers as well as in a 3-D spheroid model. ('cytotoxicity', 'Disease', (15, 27)) ('mesothelioma', 'Disease', (31, 43)) ('XMD8-92', 'Chemical', 'MESH:C568790', (0, 7)) ('cytotoxicity', 'Disease', 'MESH:D064420', (15, 27)) ('mesothelioma', 'Disease', 'MESH:D008654', (31, 43)) ('XMD8-92', 'Var', (0, 7)) 8567 29416614 Although Hmeso mesothelioma cells showed increased toxicity with XMD8-92 as compared to H2373 cells in a mono layer and in a 3-D model, we did not see the similar combined response with doxorubicin and XMD8-92 in this cell line. ('doxorubicin', 'Chemical', 'MESH:D004317', (186, 197)) ('mesothelioma', 'Disease', 'MESH:D008654', (15, 27)) ('XMD8-92', 'Chemical', 'MESH:C568790', (202, 209)) ('toxicity', 'Disease', 'MESH:D064420', (51, 59)) ('toxicity', 'Disease', (51, 59)) ('XMD8-92', 'Chemical', 'MESH:C568790', (65, 72)) ('XMD8-92', 'Var', (65, 72)) ('H2373', 'CellLine', 'CVCL:A533', (88, 93)) ('mesothelioma', 'Disease', (15, 27)) ('Hmeso', 'Chemical', '-', (9, 14)) 8570 29416614 Inhibition of ERK5 resulted in significantly decreased colony formation, supporting an earlier observation we reported with mesothelioma cells where ERK5 was inhibited by shRNA. ('ERK5', 'Gene', (149, 153)) ('ERK', 'molecular_function', 'GO:0004707', ('149', '152')) ('formation', 'biological_process', 'GO:0009058', ('62', '71')) ('decreased', 'NegReg', (45, 54)) ('mesothelioma', 'Disease', (124, 136)) ('ERK', 'molecular_function', 'GO:0004707', ('14', '17')) ('inhibited', 'NegReg', (158, 167)) ('Inhibition', 'Var', (0, 10)) ('ERK5', 'Gene', (14, 18)) ('mesothelioma', 'Disease', 'MESH:D008654', (124, 136)) ('colony formation', 'CPA', (55, 71)) 8571 29416614 Previously, XMD8-92 was reported to inhibit EGF-induced ERK5 phosphorylation in multiple tumor cell lines. ('phosphorylation', 'biological_process', 'GO:0016310', ('61', '76')) ('XMD8-92', 'Var', (12, 19)) ('ERK5', 'Protein', (56, 60)) ('inhibit', 'NegReg', (36, 43)) ('EGF-induced', 'Protein', (44, 55)) ('tumor', 'Disease', 'MESH:D009369', (89, 94)) ('EGF', 'molecular_function', 'GO:0005154', ('44', '47')) ('ERK', 'molecular_function', 'GO:0004707', ('56', '59')) ('XMD8-92', 'Chemical', 'MESH:C568790', (12, 19)) ('tumor', 'Phenotype', 'HP:0002664', (89, 94)) ('tumor', 'Disease', (89, 94)) 8573 29416614 Furthermore, XMD8-92 attenuated constitutive ERK5 phosphorylation in 3 out of 4 mesothelioma cell lines tested. ('attenuated', 'NegReg', (21, 31)) ('mesothelioma', 'Disease', 'MESH:D008654', (80, 92)) ('ERK', 'molecular_function', 'GO:0004707', ('45', '48')) ('XMD8-92', 'Chemical', 'MESH:C568790', (13, 20)) ('phosphorylation', 'biological_process', 'GO:0016310', ('50', '65')) ('XMD8-92', 'Var', (13, 20)) ('constitutive ERK5 phosphorylation', 'MPA', (32, 65)) ('mesothelioma', 'Disease', (80, 92)) 8576 29416614 Findings of these studies demonstrated that XMD8-92 could inhibit mesothelioma growth in both models, more so in the peritoneal model than in the pleural model. ('XMD8-92', 'Var', (44, 51)) ('mesothelioma', 'Disease', (66, 78)) ('pleural', 'Disease', 'MESH:D010995', (146, 153)) ('pleural', 'Disease', (146, 153)) ('inhibit', 'NegReg', (58, 65)) ('mesothelioma', 'Disease', 'MESH:D008654', (66, 78)) ('XMD8-92', 'Chemical', 'MESH:C568790', (44, 51)) 8581 29416614 For example, our previous in vitro experiments showed that ERK5 silenced mesothelioma cells retained more drug inside of the cells. ('mesothelioma', 'Disease', (73, 85)) ('ERK5', 'Gene', (59, 63)) ('ERK', 'molecular_function', 'GO:0004707', ('59', '62')) ('mesothelioma', 'Disease', 'MESH:D008654', (73, 85)) ('silenced', 'Var', (64, 72)) ('more', 'PosReg', (101, 105)) ('drug', 'MPA', (106, 110)) 8586 29416614 Furthermore, another important finding from this experiment is that XMD8-92 is capable of inhibiting mesothelioma tumor growth in both immune-compromised as well as immune-competent mice. ('XMD8-92', 'Chemical', 'MESH:C568790', (68, 75)) ('tumor', 'Phenotype', 'HP:0002664', (114, 119)) ('mesothelioma tumor', 'Phenotype', 'HP:0100001', (101, 119)) ('XMD8-92', 'Var', (68, 75)) ('mice', 'Species', '10090', (182, 186)) ('mesothelioma tumor', 'Disease', 'MESH:D008654', (101, 119)) ('mesothelioma tumor', 'Disease', (101, 119)) ('inhibiting', 'NegReg', (90, 100)) 8588 29416614 In addition to tumor weight and volume, XMD8-92 also inhibited total cell numbers in PLF as well as neutrophil counts. ('inhibited', 'NegReg', (53, 62)) ('tumor', 'Disease', 'MESH:D009369', (15, 20)) ('XMD8-92', 'Var', (40, 47)) ('tumor', 'Phenotype', 'HP:0002664', (15, 20)) ('neutrophil counts', 'CPA', (100, 117)) ('tumor', 'Disease', (15, 20)) ('XMD8-92', 'Chemical', 'MESH:C568790', (40, 47)) 8589 29416614 have also reported reduced neutrophil infiltration in response to tetradecanoyl phorbol acetate (TPA), at the epidermis of ERK5 deleted mice. ('mice', 'Species', '10090', (136, 140)) ('TPA', 'molecular_function', 'GO:0031299', ('97', '100')) ('tetradecanoyl phorbol acetate', 'Chemical', 'MESH:D013755', (66, 95)) ('response to tetradecanoyl phorbol acetate', 'MPA', (54, 95)) ('neutrophil', 'CPA', (27, 37)) ('ERK5', 'Gene', (123, 127)) ('deleted', 'Var', (128, 135)) ('TPA', 'Chemical', 'MESH:D013755', (97, 100)) ('reduced', 'NegReg', (19, 26)) ('ERK', 'molecular_function', 'GO:0004707', ('123', '126')) 8599 29416614 To demonstrate this, mesothelioma cells were treated with XMD8-92, with or without chemotherapeutics and inflammasome priming and activation was assessed. ('XMD8-92', 'Chemical', 'MESH:C568790', (58, 65)) ('mesothelioma', 'Disease', (21, 33)) ('XMD8-92', 'Var', (58, 65)) ('mesothelioma', 'Disease', 'MESH:D008654', (21, 33)) 8601 29416614 In Hmeso cells, NLRP3 transcript levels were increased with XMD8-92 treatment in a time-dependent manner, whereas, all other parameters were decreased by XMD8-92. ('XMD8-92', 'Chemical', 'MESH:C568790', (154, 161)) ('XMD8-92 treatment', 'Var', (60, 77)) ('NLRP3', 'Gene', (16, 21)) ('increased', 'PosReg', (45, 54)) ('NLRP3', 'Gene', '114548', (16, 21)) ('Hmeso', 'Chemical', '-', (3, 8)) ('transcript levels', 'MPA', (22, 39)) ('XMD8-92', 'Chemical', 'MESH:C568790', (60, 67)) 8603 29416614 In addition, doxorubicin-induced inflammasome activation in this cell line was not effectively or significantly attenuated by XMD8-92 (data not shown). ('doxorubicin-induced', 'MPA', (13, 32)) ('XMD8-92', 'Chemical', 'MESH:C568790', (126, 133)) ('doxorubicin', 'Chemical', 'MESH:D004317', (13, 24)) ('inflammasome activation', 'MPA', (33, 56)) ('XMD8-92', 'Var', (126, 133)) 8605 29416614 XMD8-92 inhibited doxorubicin-induced activation of the NLRP3 inflammasome in H2373 mesothelioma cells as depicted by the absence of caspase-1 p20 and IL-1beta in the medium after XMD8-92 treatment. ('NLRP3', 'Gene', '114548', (56, 61)) ('mesothelioma', 'Disease', 'MESH:D008654', (84, 96)) ('p20', 'Gene', '51673', (143, 146)) ('p20', 'Gene', (143, 146)) ('IL-1', 'molecular_function', 'GO:0005149', ('151', '155')) ('doxorubicin', 'Chemical', 'MESH:D004317', (18, 29)) ('XMD8-92', 'Chemical', 'MESH:C568790', (0, 7)) ('IL-1beta', 'Gene', '3553', (151, 159)) ('activation', 'PosReg', (38, 48)) ('H2373', 'CellLine', 'CVCL:A533', (78, 83)) ('XMD8-92', 'Chemical', 'MESH:C568790', (180, 187)) ('caspase-1', 'Gene', '834', (133, 142)) ('inhibited', 'NegReg', (8, 17)) ('IL-1beta', 'Gene', (151, 159)) ('caspase-1', 'Gene', (133, 142)) ('absence', 'NegReg', (122, 129)) ('NLRP3', 'Gene', (56, 61)) ('XMD8-92', 'Var', (0, 7)) ('mesothelioma', 'Disease', (84, 96)) 8611 29416614 The observed effects of combination drug on 3D spheroid model of MM in the present study could partly be attributed to the inhibition of drug-induced caspase-1 activation by XMD8-92. ('XMD8-92', 'Chemical', 'MESH:C568790', (174, 181)) ('caspase-1', 'Gene', '834', (150, 159)) ('activation', 'PosReg', (160, 170)) ('XMD8-92', 'Var', (174, 181)) ('caspase-1', 'Gene', (150, 159)) ('inhibition', 'NegReg', (123, 133)) 8612 29416614 Regardless of these in vitro findings in Hmeso cells, XMD8-92 inhibited in vivo Hmeso mesothelioma tumor growth, suggesting involvement of other pathways and signaling molecules. ('mesothelioma tumor', 'Phenotype', 'HP:0100001', (86, 104)) ('Hmeso', 'Chemical', '-', (80, 85)) ('XMD8-92', 'Var', (54, 61)) ('signaling', 'biological_process', 'GO:0023052', ('158', '167')) ('Hmeso', 'Chemical', '-', (41, 46)) ('mesothelioma tumor', 'Disease', (86, 104)) ('mesothelioma tumor', 'Disease', 'MESH:D008654', (86, 104)) ('inhibited', 'NegReg', (62, 71)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('XMD8-92', 'Chemical', 'MESH:C568790', (54, 61)) 8613 29416614 The fact that neutrophil counts were lower in PLF after XMD8-92 treatment (Figure 3A) also suggests that the inflammasome may be inhibited in these mice, as inflammasome knockout mice have been shown to have a lower number of neutrophils in bronchoalveolar lavage fluid (BALF) after asbestos inhalation. ('mice', 'Species', '10090', (179, 183)) ('neutrophil counts', 'CPA', (14, 31)) ('mice', 'Species', '10090', (148, 152)) ('lower', 'NegReg', (210, 215)) ('asbestos', 'Chemical', 'MESH:D001194', (283, 291)) ('XMD8-92', 'Chemical', 'MESH:C568790', (56, 63)) ('lower number of neutrophils', 'Phenotype', 'HP:0001875', (210, 237)) ('lower', 'NegReg', (37, 42)) ('XMD8-92', 'Var', (56, 63)) 8658 29416614 This dose of XMD8-92 was derived from a published report and found to have no toxicity in mice. ('toxicity', 'Disease', 'MESH:D064420', (78, 86)) ('toxicity', 'Disease', (78, 86)) ('XMD8-92', 'Chemical', 'MESH:C568790', (13, 20)) ('mice', 'Species', '10090', (90, 94)) ('XMD8-92', 'Var', (13, 20)) 8707 28196068 The main change that has occurred over the past 20 years is the current availability of reliable immunohistochemical mesothelial markers such as calretinin, CK5/6, D240, mesothelin and WT1, as well as more specific glandular markers, for example, TTF1 (lung), PAX8 (gynaecological tract, kidney, thyroid). ('TTF1', 'Gene', (247, 251)) ('PAX8', 'Gene', (260, 264)) ('WT1', 'Gene', '7490', (185, 188)) ('mesothelin', 'Gene', (170, 180)) ('TTF1', 'Gene', '7270', (247, 251)) ('mesothelin', 'Gene', '10232', (170, 180)) ('CK5/6', 'Gene', '3852', (157, 162)) ('WT1', 'Gene', (185, 188)) ('CK5/6', 'Gene', (157, 162)) ('D240', 'Var', (164, 168)) ('PAX8', 'Gene', '7849', (260, 264)) 8728 26981775 Here, we describe the efficacy of NIR-PIT, using hYP218 as the antibody within the APC to target a mesothelin expressing A431/H9 cell. ('antibody', 'cellular_component', 'GO:0042571', ('63', '71')) ('NIR', 'Gene', (34, 37)) ('A431/H9', 'CellLine', 'CVCL:0037', (121, 128)) ('APC', 'cellular_component', 'GO:0005680', ('83', '86')) ('antibody', 'cellular_component', 'GO:0019815', ('63', '71')) ('hYP218', 'Chemical', '-', (49, 55)) ('hYP218', 'Var', (49, 55)) ('antibody', 'cellular_component', 'GO:0019814', ('63', '71')) ('NIR', 'Gene', '57741', (34, 37)) ('antibody', 'molecular_function', 'GO:0003823', ('63', '71')) 8730 26981775 The hYP218-IR700 showed specific binding to cells and cell-specific killing was observed in vitro. ('binding', 'molecular_function', 'GO:0005488', ('33', '40')) ('hYP218', 'Chemical', '-', (4, 10)) ('binding', 'Interaction', (33, 40)) ('cell-specific killing', 'CPA', (54, 75)) ('hYP218-IR700', 'Var', (4, 16)) 8731 26981775 After implanting A431/H9 cells in an athymic nude mouse, tumor-bearing mice were treated with the following regimen of NIR-PIT; 100 mug of hYP218-IR700 i.v., NIR light was administered at 50 J/cm2 on day 1 after injection and 100 J/cm2 of light on day 2 after injection. ('mice', 'Species', '10090', (71, 75)) ('mug', 'molecular_function', 'GO:0043739', ('132', '135')) ('NIR', 'Gene', '57741', (158, 161)) ('tumor', 'Disease', 'MESH:D009369', (57, 62)) ('NIR', 'Gene', '57741', (119, 122)) ('NIR', 'Gene', (119, 122)) ('tumor', 'Phenotype', 'HP:0002664', (57, 62)) ('hYP218-IR700', 'Var', (139, 151)) ('mouse', 'Species', '10090', (50, 55)) ('hYP218', 'Chemical', '-', (139, 145)) ('tumor', 'Disease', (57, 62)) ('A431/H9', 'CellLine', 'CVCL:0037', (17, 24)) ('NIR', 'Gene', (158, 161)) 8732 26981775 The hYP218-IR700 showed high tumor accumulation and a high tumor-background ratio (TBR). ('tumor', 'Disease', (59, 64)) ('tumor', 'Disease', 'MESH:D009369', (29, 34)) ('hYP218-IR700', 'Var', (4, 16)) ('tumor', 'Phenotype', 'HP:0002664', (29, 34)) ('hYP218', 'Chemical', '-', (4, 10)) ('tumor', 'Disease', (29, 34)) ('tumor', 'Disease', 'MESH:D009369', (59, 64)) ('tumor', 'Phenotype', 'HP:0002664', (59, 64)) ('TBR', 'Chemical', '-', (83, 86)) 8735 26981775 Furthermore, NIR-PIT with hYP218-IR700 is a promising candidate for the treatment of mesothelin-expressing tumors that could be readily translated to humans. ('hYP218', 'Chemical', '-', (26, 32)) ('tumor', 'Phenotype', 'HP:0002664', (107, 112)) ('tumors', 'Disease', (107, 113)) ('tumors', 'Phenotype', 'HP:0002664', (107, 113)) ('tumors', 'Disease', 'MESH:D009369', (107, 113)) ('humans', 'Species', '9606', (150, 156)) ('NIR', 'Gene', '57741', (13, 16)) ('NIR', 'Gene', (13, 16)) ('hYP218-IR700', 'Var', (26, 38)) 8740 26981775 Recently, a humanized non-Region I antibody (hYP218) with high binding affinity for the C-terminus (residues 487-581) of mesothelin has been reported. ('antibody', 'cellular_component', 'GO:0042571', ('35', '43')) ('antibody', 'cellular_component', 'GO:0019815', ('35', '43')) ('binding', 'Interaction', (63, 70)) ('antibody', 'cellular_component', 'GO:0019814', ('35', '43')) ('hYP218', 'Chemical', '-', (45, 51)) ('hYP218', 'Var', (45, 51)) ('residues 487-581', 'Var', (100, 116)) ('human', 'Species', '9606', (12, 17)) ('antibody', 'molecular_function', 'GO:0003823', ('35', '43')) ('binding', 'molecular_function', 'GO:0005488', ('63', '70')) 8745 26981775 In this study, we investigated hYP218-IR700 as a candidate APC to be used in NIR-PIT. ('hYP218-IR700', 'Var', (31, 43)) ('NIR', 'Gene', '57741', (77, 80)) ('hYP218', 'Chemical', '-', (31, 37)) ('NIR', 'Gene', (77, 80)) ('APC', 'cellular_component', 'GO:0005680', ('59', '62')) 8747 26981775 NIR-PIT was performed using hYP218-IR700 in vitro and in a tumor-bearing mouse model in vivo. ('tumor', 'Disease', (59, 64)) ('NIR', 'Gene', (0, 3)) ('hYP218-IR700', 'Var', (28, 40)) ('hYP218', 'Chemical', '-', (28, 34)) ('mouse', 'Species', '10090', (73, 78)) ('tumor', 'Disease', 'MESH:D009369', (59, 64)) ('tumor', 'Phenotype', 'HP:0002664', (59, 64)) ('NIR', 'Gene', '57741', (0, 3)) 8749 26981775 After a 6 h incubation with hYP218-IR700, A431/H9 cells showed a high fluorescence signal, which was confirmed with flow cytometry and fluorescence microscopy (Figure 1B and 1C). ('hYP218-IR700', 'Var', (28, 40)) ('A431/H9', 'CellLine', 'CVCL:0037', (42, 49)) ('hYP218', 'Chemical', '-', (28, 34)) ('fluorescence signal', 'MPA', (70, 89)) 8750 26981775 On the other hand, mesothelin negative A431 cells did not show an increase in fluorescence signal after hYP218-IR700 incubation. ('fluorescence signal', 'MPA', (78, 97)) ('hYP218', 'Chemical', '-', (104, 110)) ('A431', 'CellLine', 'CVCL:0037', (39, 43)) ('hYP218-IR700', 'Var', (104, 116)) 8751 26981775 Additionally, this increase in fluorescence signal was blocked by adding excess hYP218, indicating that hYP218-IR700 specifically binds to the mesothelin on A431/H9 cells. ('hYP218-IR700', 'Var', (104, 116)) ('hYP218', 'Chemical', '-', (104, 110)) ('hYP218', 'Chemical', '-', (80, 86)) ('binds', 'Interaction', (130, 135)) ('A431/H9', 'CellLine', 'CVCL:0037', (157, 164)) 8757 26981775 The fluorescence intensity and TBR of hYP218-IR700 in A431/H9 tumors decreased gradually over days (Figure 2). ('H9 tumors', 'Disease', 'MESH:D009369', (59, 68)) ('tumor', 'Phenotype', 'HP:0002664', (62, 67)) ('fluorescence intensity', 'MPA', (4, 26)) ('hYP218-IR700', 'Var', (38, 50)) ('tumors', 'Phenotype', 'HP:0002664', (62, 68)) ('decreased', 'NegReg', (69, 78)) ('hYP218', 'Chemical', '-', (38, 44)) ('TBR', 'MPA', (31, 34)) ('H9 tumors', 'Disease', (59, 68)) ('A431/H9', 'CellLine', 'CVCL:0037', (54, 61)) ('TBR', 'Chemical', '-', (31, 34)) 8758 26981775 Similarly, the fluorescence intensity and TBR of hYP218-IR700 in the liver decreased gradually over days (Figure 2). ('hYP218-IR700', 'Var', (49, 61)) ('liver decreased', 'Phenotype', 'HP:0001410', (69, 84)) ('TBR', 'MPA', (42, 45)) ('hYP218', 'Chemical', '-', (49, 55)) ('fluorescence intensity', 'MPA', (15, 37)) ('TBR', 'Chemical', '-', (42, 45)) ('decreased', 'NegReg', (75, 84)) 8762 26981775 One day after injection of hYP218-IR700, tumors showed higher fluorescence intensity than the tumors with no APC. ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('hYP218-IR700', 'Var', (27, 39)) ('APC', 'cellular_component', 'GO:0005680', ('109', '112')) ('tumors', 'Phenotype', 'HP:0002664', (41, 47)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('fluorescence intensity', 'MPA', (62, 84)) ('tumors', 'Disease', (41, 47)) ('tumors', 'Disease', 'MESH:D009369', (41, 47)) ('hYP218', 'Chemical', '-', (27, 33)) ('tumors', 'Disease', (94, 100)) ('tumors', 'Disease', 'MESH:D009369', (94, 100)) ('tumors', 'Phenotype', 'HP:0002664', (94, 100)) ('higher', 'PosReg', (55, 61)) 8764 26981775 The IR700 fluorescence did not change for up to two days in tumors receiving hYP218-IR700 but not NIR light (Figure 3B). ('hYP218', 'Chemical', '-', (77, 83)) ('NIR', 'Gene', (98, 101)) ('tumors', 'Disease', 'MESH:D009369', (60, 66)) ('tumor', 'Phenotype', 'HP:0002664', (60, 65)) ('NIR', 'Gene', '57741', (98, 101)) ('tumors', 'Phenotype', 'HP:0002664', (60, 66)) ('hYP218-IR700', 'Var', (77, 89)) ('IR700', 'MPA', (4, 9)) ('tumors', 'Disease', (60, 66)) 8772 26981775 However, no damage was observed in A431/H9 tumors 24 h after hYP218-IR700 injection without NIR light exposure (Figure 4C). ('NIR', 'Gene', (92, 95)) ('A431/H9', 'CellLine', 'CVCL:0037', (35, 42)) ('hYP218', 'Chemical', '-', (61, 67)) ('hYP218-IR700 injection', 'Var', (61, 83)) ('H9 tumors', 'Disease', (40, 49)) ('NIR', 'Gene', '57741', (92, 95)) ('tumor', 'Phenotype', 'HP:0002664', (43, 48)) ('tumors', 'Phenotype', 'HP:0002664', (43, 49)) ('H9 tumors', 'Disease', 'MESH:D009369', (40, 49)) 8780 26981775 The conjugated hYP218-IR700, achieved adequate tumor TBRs as shown in Figure 2, indicating that it may be practical for clinical application during surgical or endoscopic procedures because of its high TBR on the mesothelin expressing tumors. ('tumor', 'Disease', (47, 52)) ('tumor', 'Disease', 'MESH:D009369', (235, 240)) ('tumor', 'Phenotype', 'HP:0002664', (235, 240)) ('TBRs', 'Chemical', '-', (53, 57)) ('TBR', 'Chemical', '-', (53, 56)) ('tumor', 'Disease', 'MESH:D009369', (47, 52)) ('tumors', 'Phenotype', 'HP:0002664', (235, 241)) ('tumor', 'Disease', (235, 240)) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('TBR', 'Chemical', '-', (202, 205)) ('hYP218-IR700', 'Var', (15, 27)) ('tumors', 'Disease', 'MESH:D009369', (235, 241)) ('mesothelin', 'Protein', (213, 223)) ('tumors', 'Disease', (235, 241)) ('hYP218', 'Chemical', '-', (15, 21)) 8782 26981775 Our results showed that hYP218 bound to mesothelin specifically and was internalized homogenously within 6 hours of incubation in mesothelin expressing cancer cells. ('cancer', 'Disease', (152, 158)) ('cancer', 'Disease', 'MESH:D009369', (152, 158)) ('hYP218', 'Chemical', '-', (24, 30)) ('bound', 'Interaction', (31, 36)) ('hYP218', 'Var', (24, 30)) ('cancer', 'Phenotype', 'HP:0002664', (152, 158)) 8784 26981775 The conjugate hYP218-IR700 proved to be an effective agent for treating a mesothelin expressing tumor model with NIR-PIT. ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('hYP218-IR700', 'Var', (14, 26)) ('tumor', 'Disease', (96, 101)) ('NIR', 'Gene', '57741', (113, 116)) ('hYP218', 'Chemical', '-', (14, 20)) ('tumor', 'Disease', 'MESH:D009369', (96, 101)) ('NIR', 'Gene', (113, 116)) 8785 26981775 NIR-PIT with hYP218-IR700 led to rapid cell death in vitro and significant tumor growth reduction and survival improvement in vivo. ('hYP218-IR700', 'Var', (13, 25)) ('tumor growth reduction', 'Disease', 'MESH:D006130', (75, 97)) ('NIR', 'Gene', (0, 3)) ('improvement', 'PosReg', (111, 122)) ('survival', 'CPA', (102, 110)) ('hYP218', 'Chemical', '-', (13, 19)) ('cell death', 'biological_process', 'GO:0008219', ('39', '49')) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('tumor growth reduction', 'Disease', (75, 97)) ('NIR', 'Gene', '57741', (0, 3)) 8786 26981775 Thus, hYP218-IR700 could be an effective platform for NIR-PIT in mesothelin expressing tumors. ('hYP218-IR700', 'Var', (6, 18)) ('tumor', 'Phenotype', 'HP:0002664', (87, 92)) ('NIR', 'Gene', '57741', (54, 57)) ('tumors', 'Phenotype', 'HP:0002664', (87, 93)) ('hYP218', 'Chemical', '-', (6, 12)) ('tumors', 'Disease', (87, 93)) ('tumors', 'Disease', 'MESH:D009369', (87, 93)) ('NIR', 'Gene', (54, 57)) 8815 26981775 The conjugated, hYP218-IR700 and NIR-PIT can be an effective treatment of a mesothelin expressing animal tumor model. ('mesothelin expressing', 'Disease', (76, 97)) ('tumor', 'Disease', 'MESH:D009369', (105, 110)) ('hYP218-IR700', 'Var', (16, 28)) ('NIR', 'Gene', '57741', (33, 36)) ('tumor', 'Phenotype', 'HP:0002664', (105, 110)) ('NIR', 'Gene', (33, 36)) ('tumor', 'Disease', (105, 110)) ('hYP218', 'Chemical', '-', (16, 22)) 8837 26981775 The cytotoxic effects of NIR-PIT with hYP218-IR700 were determined by flow cytometric Propidium Iodide (PI) (Life Technologies, Carlsbad, CA) staining, which can detect compromised cell membranes. ('Propidium Iodide', 'Chemical', 'MESH:D011419', (86, 102)) ('hYP218-IR700', 'Var', (38, 50)) ('NIR', 'Gene', (25, 28)) ('hYP218', 'Chemical', '-', (38, 44)) ('NIR', 'Gene', '57741', (25, 28)) 8851 26981775 To examine the therapeutic effect of in vivo NIR-PIT on A431/H9 cells, tumor bearing mice were randomized into 4 groups of at least 10 animals per group for the following treatments: (1) no treatment (control); (2) 100 mug of hYP218-IR700 i.v., no NIR light exposure (APC i.v. ('NIR', 'Gene', '57741', (45, 48)) ('mice', 'Species', '10090', (85, 89)) ('APC', 'cellular_component', 'GO:0005680', ('268', '271')) ('NIR', 'Gene', '57741', (248, 251)) ('NIR', 'Gene', (45, 48)) ('hYP218', 'Chemical', '-', (226, 232)) ('A431/H9', 'CellLine', 'CVCL:0037', (56, 63)) ('tumor', 'Disease', 'MESH:D009369', (71, 76)) ('NIR', 'Gene', (248, 251)) ('tumor', 'Phenotype', 'HP:0002664', (71, 76)) ('mug', 'molecular_function', 'GO:0043739', ('219', '222')) ('tumor', 'Disease', (71, 76)) ('hYP218-IR700', 'Var', (226, 238)) 8852 26981775 only); (3) NIR light exposure only, NIR light was administered at 50 J/cm2 on day 1 and 100 J/cm2 on day 2 (NIR light only); (4) 100 mug of hYP218-IR700 i.v., NIR light was administered at 50 J/cm2 on day 1 after injection and 100 J/cm2 on day 2 after injection (NIR-PIT). ('NIR', 'Gene', '57741', (159, 162)) ('NIR', 'Gene', '57741', (108, 111)) ('hYP218', 'Chemical', '-', (140, 146)) ('NIR', 'Gene', (11, 14)) ('NIR', 'Gene', '57741', (36, 39)) ('NIR', 'Gene', (108, 111)) ('NIR', 'Gene', (159, 162)) ('NIR', 'Gene', '57741', (263, 266)) ('mug', 'molecular_function', 'GO:0043739', ('133', '136')) ('NIR', 'Gene', (36, 39)) ('NIR', 'Gene', (263, 266)) ('hYP218-IR700', 'Var', (140, 152)) ('NIR', 'Gene', '57741', (11, 14)) 8950 21983936 Median overall survival of all patients was 16 months and correlated with nuclear atypia (P<0.001), chromatin pattern (P=0.031), prominence of nucleoli (P<0.001), mitotic count (P<0.001), and atypical mitoses (P<0.001) by univariate analysis. ('chromatin', 'cellular_component', 'GO:0000785', ('100', '109')) ('mitotic count', 'CPA', (163, 176)) ('atypical', 'Var', (192, 200)) ('patients', 'Species', '9606', (31, 39)) ('nuclear atypia', 'CPA', (74, 88)) 9001 21983936 For the purpose of survival analysis, tumors were classified into the following two groups by median MIB-1 labeling index (10.0%): low <10.0%, and high >=10.0%. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumors', 'Disease', (38, 44)) ('tumors', 'Phenotype', 'HP:0002664', (38, 44)) ('tumors', 'Disease', 'MESH:D009369', (38, 44)) ('low <10.0%', 'Var', (131, 141)) ('MIB-1', 'Gene', (101, 106)) ('MIB-1', 'Gene', '57534', (101, 106)) 9015 21983936 For chromatin pattern, patients with coarse granular chromatin had the worst median overall survival (n = 96, 11 months), followed by fine granular (n = 112, 19 months) and homogeneous (n = 24, 25 months) (Figure 2b). ('patients', 'Species', '9606', (23, 31)) ('chromatin', 'cellular_component', 'GO:0000785', ('4', '13')) ('overall survival', 'MPA', (84, 100)) ('chromatin', 'cellular_component', 'GO:0000785', ('53', '62')) ('worst', 'NegReg', (71, 76)) ('coarse granular chromatin', 'Var', (37, 62)) 9016 21983936 Patients with large nucleoli had the worst median overall survival (n = 55, 11 months), followed by distinct (n = 122, 16 months) and indistinct (n = 55, 25 months) (Figure 2c). ('overall survival', 'MPA', (50, 66)) ('Patients', 'Species', '9606', (0, 8)) ('large nucleoli', 'Var', (14, 28)) 9017 21983936 Mitotic count ranged from 0 to 64 per 10 HPF (median, 3.0; mean +- s.d., 5.0 +- 6.9), and patients with high mitotic counts had the worst median overall survival (n = 81, 10 months), followed by intermediate (n = 76, 17 months) and low mitotic counts (n = 75, 31 months) (Figure 2d). ('overall survival', 'MPA', (145, 161)) ('patients', 'Species', '9606', (90, 98)) ('high mitotic counts', 'Var', (104, 123)) 9029 21983936 Patients with high mitotic count had the worst median overall survival (n = 56, 11 months), followed by intermediate (n = 68, 18 months) and low (n = 74, 31 months) (P < 0.001). ('Patients', 'Species', '9606', (0, 8)) ('overall survival', 'MPA', (54, 70)) ('high mitotic count', 'Var', (14, 32)) 9039 21983936 Furthermore, patients with high MIB-1 labeling index (n = 88) had significantly worse median overall survival (12 months) than low MIB-1 labeling index (n = 70, 23 months) (P < 0.001; Figure 5a). ('MIB-1', 'Gene', '57534', (131, 136)) ('MIB-1', 'Gene', '57534', (32, 37)) ('overall survival', 'MPA', (93, 109)) ('patients', 'Species', '9606', (13, 21)) ('high', 'Var', (27, 31)) ('worse', 'NegReg', (80, 85)) ('MIB-1', 'Gene', (131, 136)) ('MIB-1', 'Gene', (32, 37)) 9040 21983936 Among patients who underwent complete resection, patients with high MIB-1 labeling index (n = 68) had shorter median time to recurrence (16 months) than low MIB-1 labeling index (n = 55, 25 months) (P = 0.048; Figure 5b). ('shorter', 'NegReg', (102, 109)) ('MIB-1', 'Gene', (157, 162)) ('MIB-1', 'Gene', (68, 73)) ('MIB-1', 'Gene', '57534', (157, 162)) ('MIB-1', 'Gene', '57534', (68, 73)) ('patients', 'Species', '9606', (6, 14)) ('high', 'Var', (63, 67)) ('patients', 'Species', '9606', (49, 57)) 9061 21983936 In this study, we observed similar results for diffuse malignant pleural mesothelioma patients with atypical mitoses but observed mitotic count as being a stronger prognostic factor. ('mitotic', 'Var', (130, 137)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (65, 85)) ('malignant pleural mesothelioma', 'Disease', (55, 85)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (55, 85)) ('patients', 'Species', '9606', (86, 94)) 9109 23009708 The DNA integrity index, represented by the ratio of the longer to shorter (ALU 247bp/ALU 115bp) fragments, was calculated for each individual sample (pleural effusion and serum) by dividing the ALU247 DNA quantity (ng/mL) by the ALU 115 DNA quantity (ng/mL). ('pleural effusion', 'Phenotype', 'HP:0002202', (151, 167)) ('pleural effusion', 'Disease', 'MESH:D010996', (151, 167)) ('DNA', 'cellular_component', 'GO:0005574', ('202', '205')) ('pleural effusion', 'Disease', (151, 167)) ('ALU247 DNA', 'Var', (195, 205)) ('DNA', 'cellular_component', 'GO:0005574', ('4', '7')) ('DNA', 'cellular_component', 'GO:0005574', ('238', '241')) 9169 23009708 An alternative approach to distinguish malignant from benign effusions has been to evaluate the utility of quantitative and qualitative tumour-specific alterations, such as microsatellite alterations in effusion DNA. ('effusion', 'Disease', 'MESH:D010996', (203, 211)) ('DNA', 'cellular_component', 'GO:0005574', ('212', '215')) ('effusion', 'Disease', (61, 69)) ('tumour', 'Disease', 'MESH:D009369', (136, 142)) ('effusion', 'Disease', (203, 211)) ('tumour', 'Disease', (136, 142)) ('microsatellite alterations', 'Var', (173, 199)) ('effusion', 'Disease', 'MESH:D010996', (61, 69)) ('tumour', 'Phenotype', 'HP:0002664', (136, 142)) 9170 23009708 studied patients with malignant (n=26) and benign (n=22) effusions and found that microsatellite instability and loss of heterozygosity in DNA from pleural fluid and blood were not diagnostically useful. ('effusion', 'Disease', (57, 65)) ('pleural', 'Disease', 'MESH:D010995', (148, 155)) ('loss', 'Var', (113, 117)) ('effusion', 'Disease', 'MESH:D010996', (57, 65)) ('DNA', 'cellular_component', 'GO:0005574', ('139', '142')) ('microsatellite instability', 'MPA', (82, 108)) ('pleural', 'Disease', (148, 155)) ('DNA', 'Gene', (139, 142)) ('pleural fluid', 'Phenotype', 'HP:0002202', (148, 161)) ('patients', 'Species', '9606', (8, 16)) 9240 11875695 Patients had to be between 18 years and 75 years with a WHO performance status of 0 to 2, have an adequate haematological (hemoglobin >9.5 g dl-1, granulocyte count >=2x109 l-1, platelet count >=100x109 l-1), hepatic (bilirubin <=25 mumol l-1) and renal (creatinine clearance >=60 ml min-1) function. ('min-1', 'Gene', '966', (284, 289)) ('min-1', 'Gene', (284, 289)) ('creatinine', 'Chemical', 'MESH:D003404', (255, 265)) ('>=2x109 l-1', 'Var', (165, 176)) ('Patients', 'Species', '9606', (0, 8)) ('bilirubin', 'Chemical', 'MESH:D001663', (218, 227)) 9252 11875695 Gemcitabine was omitted on day 8 in case of a leukocyte count below 1x109 l-1 or a platelet count below 50x109 l-1. ('platelet', 'MPA', (83, 91)) ('Gemcitabine', 'Chemical', 'MESH:C056507', (0, 11)) ('below 50x109', 'Var', (98, 110)) 9412 30609805 The SMAD-2 phosphorylation event induces some transcription factors such as SNAIL-1, which in turn promotes E-cadherin downregulation and, consequently, the start of EMT. ('E-cadherin', 'Gene', (108, 118)) ('SMAD-2', 'Gene', (4, 10)) ('E-cadherin', 'Gene', '999', (108, 118)) ('SNAIL-1', 'Gene', '6615', (76, 83)) ('EMT', 'biological_process', 'GO:0001837', ('166', '169')) ('transcription', 'biological_process', 'GO:0006351', ('46', '59')) ('downregulation', 'NegReg', (119, 133)) ('EMT', 'CPA', (166, 169)) ('promotes', 'PosReg', (99, 107)) ('SMAD-2', 'Gene', '4087', (4, 10)) ('phosphorylation', 'biological_process', 'GO:0016310', ('11', '26')) ('cadherin', 'molecular_function', 'GO:0008014', ('110', '118')) ('phosphorylation', 'Var', (11, 26)) ('induces', 'Reg', (33, 40)) ('SNAIL-1', 'Gene', (76, 83)) 9416 30609805 Our results confirm phosphorylation of GSK-3beta drives SNAIL-1 accumulation in the nucleus (Figure 7B), thus inhibiting E-cadherin expression. ('phosphorylation', 'biological_process', 'GO:0016310', ('20', '35')) ('nucleus', 'cellular_component', 'GO:0005634', ('84', '91')) ('inhibiting', 'NegReg', (110, 120)) ('GSK-3beta', 'Gene', (39, 48)) ('GSK-3beta', 'Gene', '2932', (39, 48)) ('cadherin', 'molecular_function', 'GO:0008014', ('123', '131')) ('E-cadherin', 'Gene', (121, 131)) ('E-cadherin', 'Gene', '999', (121, 131)) ('phosphorylation', 'Var', (20, 35)) ('GSK', 'molecular_function', 'GO:0050321', ('39', '42')) ('SNAIL-1', 'Gene', '6615', (56, 63)) ('SNAIL-1', 'Gene', (56, 63)) 9423 30609805 carried out a study on A549 epithelioma cells using crocidolite asbestos, and the authors demonstrated that crocidolite is able to induce EMT through a mechanism involving the Mitogen-activated protein kinase/Extracellular signal-regulated kinase (MAPK/Erk) signaling pathway. ('crocidolite', 'Var', (108, 119)) ('A549 epithelioma', 'Disease', 'MESH:D002277', (23, 39)) ('Erk', 'Gene', '5594', (253, 256)) ('EMT', 'CPA', (138, 141)) ('MAPK', 'molecular_function', 'GO:0004707', ('248', '252')) ('Extracellular', 'cellular_component', 'GO:0005576', ('209', '222')) ('A549 epithelioma', 'Disease', (23, 39)) ('crocidolite asbestos', 'Disease', 'MESH:D001195', (52, 72)) ('EMT', 'biological_process', 'GO:0001837', ('138', '141')) ('crocidolite', 'Chemical', 'MESH:D017638', (52, 63)) ('crocidolite asbestos', 'Disease', (52, 72)) ('crocidolite', 'Chemical', 'MESH:D017638', (108, 119)) ('protein', 'cellular_component', 'GO:0003675', ('194', '201')) ('Erk', 'Gene', (253, 256)) ('signaling pathway', 'biological_process', 'GO:0007165', ('258', '275')) ('induce', 'PosReg', (131, 137)) ('Erk', 'molecular_function', 'GO:0004707', ('253', '256')) 9442 30609805 We observed the accumulation of SNAIL-1 into the nucleus of MeT-5A cells incubated with asbestos fibers as a consequence of the phosphorylation and inactivation of GSK-3beta, thus allowing SNAIL-1 to translocate into the nucleus and to repress E-cadherin transcription. ('inactivation', 'Var', (148, 160)) ('SNAIL-1', 'Gene', '6615', (32, 39)) ('SNAIL-1', 'Gene', (32, 39)) ('GSK-3beta', 'Gene', (164, 173)) ('E-cadherin', 'Gene', '999', (244, 254)) ('E-cadherin', 'Gene', (244, 254)) ('allowing', 'Reg', (180, 188)) ('transcription', 'biological_process', 'GO:0006351', ('255', '268')) ('GSK', 'molecular_function', 'GO:0050321', ('164', '167')) ('accumulation', 'PosReg', (16, 28)) ('cadherin', 'molecular_function', 'GO:0008014', ('246', '254')) ('nucleus', 'cellular_component', 'GO:0005634', ('221', '228')) ('asbestos', 'Chemical', 'MESH:D001194', (88, 96)) ('SNAIL-1', 'Gene', '6615', (189, 196)) ('SNAIL-1', 'Gene', (189, 196)) ('translocate into', 'MPA', (200, 216)) ('nucleus', 'cellular_component', 'GO:0005634', ('49', '56')) ('phosphorylation', 'biological_process', 'GO:0016310', ('128', '143')) ('repress', 'NegReg', (236, 243)) ('GSK-3beta', 'Gene', '2932', (164, 173)) 9485 28099801 In a rat model of pancreatic carcinomatosis, HFR-eNP identification of tumor is validated against gold-standard histopathological analysis to reveal that HFR-eNPs possess high specificity (99%) and sensitivity (92%) for tumors, in particular, sub-centimeter and microscopic sub-millimeter tumors, with an overall accuracy of 95%. ('tumor', 'Disease', (220, 225)) ('tumor', 'Phenotype', 'HP:0002664', (71, 76)) ('pancreatic carcinomatosis', 'Disease', (18, 43)) ('tumors', 'Disease', 'MESH:D009369', (289, 295)) ('sub-centimeter', 'Var', (243, 257)) ('tumor', 'Disease', 'MESH:D009369', (220, 225)) ('tumors', 'Phenotype', 'HP:0002664', (220, 226)) ('tumor', 'Disease', (289, 294)) ('HFR-eNPs', 'Gene', (154, 162)) ('tumor', 'Disease', 'MESH:D009369', (289, 294)) ('tumor', 'Phenotype', 'HP:0002664', (220, 225)) ('carcinoma', 'Phenotype', 'HP:0030731', (29, 38)) ('tumors', 'Phenotype', 'HP:0002664', (289, 295)) ('tumors', 'Disease', (220, 226)) ('rat', 'Species', '10116', (5, 8)) ('tumor', 'Disease', (71, 76)) ('tumor', 'Phenotype', 'HP:0002664', (289, 294)) ('tumor', 'Disease', 'MESH:D009369', (71, 76)) ('tumors', 'Disease', 'MESH:D009369', (220, 226)) ('tumors', 'Disease', (289, 295)) ('pancreatic carcinomatosis', 'Disease', 'MESH:D002277', (18, 43)) 9507 28099801 Herein, we report the (1) synthesis of HFR-eNPs with varying incorporations of conjugated rhodamine; (2) amplification of rhodamine fluorescence via loading in the HFR-eNPs; (3) facile visualization via an inexpensive, hand-held UV lamp of HFR-eNP localization to mesothelial (MSTO-211H), ovarian (OVCAR-3), and pancreatic (Panc1 cancer stem cell; Panc1-CSC) peritoneal tumors following intraperitoneal injection; (4) impact of nanoparticle surface charge and expansile property on localization; (5) specificity and sensitivity of HFR-eNP localization to PDAC-PC tumors while sparing adjacent normal mesothelium, microvasculature, and organs; (6) HFR-eNP localization to sub-millimeter peritoneal tumors; (7) localization of HFR-eNPs to tumor cell clusters with high expression of lactate dehydrogenase-A (LDH-A); and (8) proof-of-principle, intraoperative image-guided resection of sub-millimeter pancreatic tumors in a PDAC-PC xenograft rat model. ('pancreatic tumors', 'Phenotype', 'HP:0002894', (898, 915)) ('localization', 'biological_process', 'GO:0051179', ('709', '721')) ('synthesis', 'biological_process', 'GO:0009058', ('26', '35')) ('tumors', 'Phenotype', 'HP:0002664', (563, 569)) ('tumors', 'Disease', 'MESH:D009369', (909, 915)) ('PDAC-PC', 'Chemical', '-', (921, 928)) ('tumors', 'Phenotype', 'HP:0002664', (697, 703)) ('rat', 'Species', '10116', (850, 853)) ('localization', 'biological_process', 'GO:0051179', ('539', '551')) ('tumor', 'Disease', 'MESH:D009369', (370, 375)) ('lactate dehydrogenase-A', 'Gene', (781, 804)) ('rhodamine', 'Chemical', 'MESH:D012235', (122, 131)) ('tumor', 'Phenotype', 'HP:0002664', (737, 742)) ('cancer', 'Disease', 'MESH:D009369', (330, 336)) ('tumor', 'Phenotype', 'HP:0002664', (563, 568)) ('localization', 'biological_process', 'GO:0051179', ('248', '260')) ('tumor', 'Disease', (909, 914)) ('lactate dehydrogenase-A', 'Gene', '3939', (781, 804)) ('tumor', 'Phenotype', 'HP:0002664', (697, 702)) ('rhodamine', 'Chemical', 'MESH:D012235', (90, 99)) ('tumors', 'Phenotype', 'HP:0002664', (370, 376)) ('tumors', 'Disease', (563, 569)) ('pancreatic', 'Disease', 'MESH:D010195', (898, 908)) ('tumors', 'Disease', (697, 703)) ('tumor', 'Disease', 'MESH:D009369', (909, 914)) ('pancreatic', 'Disease', 'MESH:D010195', (312, 322)) ('pancreatic tumors', 'Disease', 'MESH:D010190', (898, 915)) ('localization', 'biological_process', 'GO:0051179', ('482', '494')) ('tumor', 'Phenotype', 'HP:0002664', (370, 375)) ('pancreatic tumors', 'Disease', (898, 915)) ('sub-millimeter', 'Var', (883, 897)) ('tumors', 'Phenotype', 'HP:0002664', (909, 915)) ('tumors', 'Disease', (370, 376)) ('tumors', 'Disease', 'MESH:D009369', (563, 569)) ('Panc1', 'CellLine', 'CVCL:0480', (324, 329)) ('Panc1', 'CellLine', 'CVCL:0480', (348, 353)) ('tumors', 'Disease', 'MESH:D009369', (697, 703)) ('pancreatic', 'Disease', (898, 908)) ('rat', 'Species', '10116', (68, 71)) ('peritoneal tumors', 'Disease', (686, 703)) ('pancreatic', 'Disease', (312, 322)) ('tumor', 'Phenotype', 'HP:0002664', (909, 914)) ('tumor', 'Disease', (737, 742)) ('LDH-A', 'Gene', (806, 811)) ('cancer', 'Disease', (330, 336)) ('tumors', 'Disease', (909, 915)) ('tumor', 'Disease', (563, 568)) ('tumors', 'Disease', 'MESH:D009369', (370, 376)) ('tumor', 'Disease', (697, 702)) ('cancer', 'Phenotype', 'HP:0002664', (330, 336)) ('localization', 'biological_process', 'GO:0051179', ('655', '667')) ('peritoneal tumors', 'Disease', 'MESH:D010534', (686, 703)) ('peritoneal tumors', 'Disease', (359, 376)) ('rat', 'Species', '10116', (939, 942)) ('tumor', 'Disease', 'MESH:D009369', (737, 742)) ('tumor', 'Disease', 'MESH:D009369', (563, 568)) ('PDAC-PC', 'Chemical', '-', (555, 562)) ('tumor', 'Disease', 'MESH:D009369', (697, 702)) ('peritoneal tumors', 'Disease', 'MESH:D010534', (359, 376)) ('tumor', 'Disease', (370, 375)) 9515 28099801 Interestingly, the fluorescence intensity/AUC for 0.02 and 0.2% HFR-eNPs is significantly greater than that of equivalent concentrations of free rhodamine (Figure 1e). ('rhodamine', 'Chemical', 'MESH:D012235', (145, 154)) ('HFR-eNPs', 'Var', (64, 72)) ('greater', 'PosReg', (90, 97)) ('rat', 'Species', '10116', (129, 132)) ('0.02', 'Var', (50, 54)) ('fluorescence intensity/AUC', 'MPA', (19, 45)) 9519 28099801 Interestingly, PLGA-NPs covalently labeled with rhodamine do not produce a significant increase in fluorescence compared to free rhodamine (Figure 1e). ('rhodamine', 'Var', (48, 57)) ('fluorescence', 'MPA', (99, 111)) ('rhodamine', 'Chemical', 'MESH:D012235', (129, 138)) ('rhodamine', 'Chemical', 'MESH:D012235', (48, 57)) 9531 28099801 The HFR-PEG-eNPs appeared to be completely absent from the peritoneal cavity, consistent with the PEG surface functionalization reducing cellular uptake and affording a more rapid clearance of the particles from the peritoneal cavity. ('PEG surface functionalization', 'Var', (98, 127)) ('cellular uptake', 'CPA', (137, 152)) ('PEG', 'Chemical', 'MESH:D011092', (8, 11)) ('uptake', 'biological_process', 'GO:0098739', ('146', '152')) ('HFR-PEG-eNPs', 'Chemical', '-', (4, 16)) ('clearance', 'CPA', (180, 189)) ('reducing', 'NegReg', (128, 136)) ('uptake', 'biological_process', 'GO:0098657', ('146', '152')) ('PEG', 'Chemical', 'MESH:D011092', (98, 101)) ('more', 'PosReg', (169, 173)) 9551 28099801 This deduction is supported by the detection of HFR-eNPs within cells rather than distributed in the extracellular matrix surrounding tumor cells (Figure 6a). ('rat', 'Species', '10116', (70, 73)) ('tumor', 'Disease', 'MESH:D009369', (134, 139)) ('HFR-eNPs', 'Var', (48, 56)) ('extracellular matrix', 'cellular_component', 'GO:0031012', ('101', '121')) ('tumor', 'Phenotype', 'HP:0002664', (134, 139)) ('tumor', 'Disease', (134, 139)) 9601 28099801 Mice received intraperitoneal injections of 5 x 106 MSTO-211H or 1 x 106 OVCAR-3 cells, yielding established tumors within 2-4 weeks. ('tumors', 'Disease', 'MESH:D009369', (109, 115)) ('tumors', 'Disease', (109, 115)) ('MSTO-211H', 'Var', (52, 61)) ('Mice', 'Species', '10090', (0, 4)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('tumors', 'Phenotype', 'HP:0002664', (109, 115)) 9617 28099801 HFR-eNPs were injected IP and, 24 h later, animals were anesthetized using isoflurane and underwent laparotomy in sterile manner to evaluate the potential for HFR-eNP image-guided surgical resection/elimination of peritoneal tumors, especially sub-millimeter tumors. ('sub-millimeter', 'Var', (244, 258)) ('peritoneal tumors', 'Disease', 'MESH:D010534', (214, 231)) ('tumors', 'Phenotype', 'HP:0002664', (225, 231)) ('tumor', 'Phenotype', 'HP:0002664', (225, 230)) ('isoflurane', 'Chemical', 'MESH:D007530', (75, 85)) ('tumor', 'Phenotype', 'HP:0002664', (259, 264)) ('peritoneal tumors', 'Disease', (214, 231)) ('tumors', 'Disease', 'MESH:D009369', (225, 231)) ('tumors', 'Disease', (259, 265)) ('tumors', 'Disease', 'MESH:D009369', (259, 265)) ('tumors', 'Phenotype', 'HP:0002664', (259, 265)) ('tumors', 'Disease', (225, 231)) 9630 28587822 In cancer cells with the HR repair pathway deficiency due to BRCA1 and BRCA2 mutation, inhibition of PARP will lead to DNA breaks unrepaired and cause cell death eventually. ('BRCA1', 'Gene', (61, 66)) ('deficiency', 'NegReg', (43, 53)) ('DNA', 'cellular_component', 'GO:0005574', ('119', '122')) ('mutation', 'Var', (77, 85)) ('DNA breaks', 'MPA', (119, 129)) ('BRCA2', 'Gene', (71, 76)) ('cancer', 'Disease', 'MESH:D009369', (3, 9)) ('cell death', 'biological_process', 'GO:0008219', ('151', '161')) ('cancer', 'Disease', (3, 9)) ('cell death', 'CPA', (151, 161)) ('cause', 'Reg', (145, 150)) ('PARP', 'Gene', (101, 105)) ('PARP', 'Gene', '11545', (101, 105)) ('BRCA2', 'Gene', '12190', (71, 76)) ('lead', 'Reg', (111, 115)) ('BRCA1', 'Gene', '12189', (61, 66)) ('cancer', 'Phenotype', 'HP:0002664', (3, 9)) 9646 28587822 Different from the previous F-18 labeled agents, we would like to modify this molecule with introduction of Cu-64, a PET isotope with favorable characteristics (T1/2 = 12.7 h, beta+ 17.4%, Emax = 0.656 MeV, beta- 39%, Emax = 0.573 MeV). ('Cu-64', 'Chemical', '-', (108, 113)) ('F-18', 'Chemical', '-', (28, 32)) ('beta+ 17.4', 'Var', (176, 186)) ('beta- 39%', 'Var', (207, 216)) 9647 28587822 Compared with F-18 (T1/2 = 109 min), there is a longer physical half-life for Cu-64 which allow more time for time-sensitive operations. ('Cu-64', 'Var', (78, 83)) ('Cu-64', 'Chemical', '-', (78, 83)) ('F-18', 'Chemical', '-', (14, 18)) ('physical half-life', 'MPA', (55, 73)) 9740 20664588 Splenocytes were stained with the following monoclonal antibodies: Ly6C (FITC), F4/80 (FITC), MHCII (PE), CD11c (PE-Texas red), CD11b (PerCP-Cy5.5), CD31 (PE-Cy7), CD206 (Alexa 647), Ly6G (Alexa Fluor 700), Gr-1 (APC-Cy7) and a fixable live/dead marker in DAPI (Invitrogen, Breda, The Netherlands). ('CD11c', 'Gene', '16411', (106, 111)) ('Texas red', 'Chemical', 'MESH:C034657', (116, 125)) ('APC', 'cellular_component', 'GO:0005680', ('213', '216')) ('Ly6C', 'Gene', '17067', (67, 71)) ('Gr-1', 'Gene', '546644', (207, 211)) ('PerCP-Cy5', 'Chemical', '-', (135, 144)) ('Gr-1', 'Gene', (207, 211)) ('Ly6C', 'Gene', (67, 71)) ('CD11b', 'Var', (128, 133)) ('CD31', 'Gene', '18613', (149, 153)) ('FITC', 'Chemical', '-', (73, 77)) ('DAPI', 'Chemical', 'MESH:C007293', (256, 260)) ('MHCII', 'Gene', (94, 99)) ('Cy7', 'Chemical', '-', (217, 220)) ('PE', 'Chemical', '-', (155, 157)) ('Ly6G', 'Gene', '546644', (183, 187)) ('F4/80', 'Gene', '13733', (80, 85)) ('Alexa Fluor 700', 'Chemical', '-', (189, 204)) ('MHCII', 'Gene', '111364', (94, 99)) ('PE', 'Chemical', '-', (101, 103)) ('Cy7', 'Chemical', '-', (158, 161)) ('Ly6G', 'Gene', (183, 187)) ('Alexa 647', 'Chemical', 'MESH:C569686', (171, 180)) ('FITC', 'Chemical', '-', (87, 91)) ('CD31', 'Gene', (149, 153)) ('CD206', 'Gene', '17533', (164, 169)) ('CD11c', 'Gene', (106, 111)) ('F4/80', 'Gene', (80, 85)) ('PE', 'Chemical', '-', (113, 115)) ('CD206', 'Gene', (164, 169)) 9811 20664588 Expression of the markers F4/80 and MHCII was found on MO-MDSC and Gr-1low-MDSC, but not on PMN-MDSC. ('MHCII', 'Gene', '111364', (36, 41)) ('Gr-1', 'Gene', '546644', (67, 71)) ('MO-MDSC', 'Var', (55, 62)) ('PMN', 'biological_process', 'GO:0034727', ('92', '95')) ('Gr-1', 'Gene', (67, 71)) ('MHCII', 'Gene', (36, 41)) ('F4/80', 'Gene', (26, 31)) ('F4/80', 'Gene', '13733', (26, 31)) 9827 20664588 The proportion of macrophages in the spleen of ZA-treated mice was significantly lower compared with PBS-treated mice (P=0.0091). ('lower', 'NegReg', (81, 86)) ('ZA-treated', 'Var', (47, 57)) ('ZA', 'Chemical', 'MESH:D000077211', (47, 49)) ('mice', 'Species', '10090', (58, 62)) ('mice', 'Species', '10090', (113, 117)) ('PBS', 'Chemical', 'MESH:D007854', (101, 104)) 9854 20664588 We and others have shown that depleting TAMs with liposome-encapsulated clodronate inhibits tumour growth and prolongs survival. ('depleting', 'Var', (30, 39)) ('prolongs', 'PosReg', (110, 118)) ('survival', 'CPA', (119, 127)) ('tumour growth', 'Disease', 'MESH:D006130', (92, 105)) ('inhibits', 'NegReg', (83, 91)) ('clodronate', 'Chemical', 'MESH:D004002', (72, 82)) ('tumour', 'Phenotype', 'HP:0002664', (92, 98)) ('TAMs', 'Chemical', '-', (40, 44)) ('tumour growth', 'Disease', (92, 105)) 9978 19830126 Histologically, the tumor was epithelioid type (Figure 1B) with T4N0, stage IV (IMIG staging). ('tumor', 'Disease', 'MESH:D009369', (20, 25)) ('T4N0', 'Var', (64, 68)) ('tumor', 'Phenotype', 'HP:0002664', (20, 25)) ('tumor', 'Disease', (20, 25)) 10174 32123850 The reduced expression of SV40 TAg in crocidolite plus clinoptilolite-treated mice might be caused by the amelioration of mesothelial cell transformation and thus a reduction in the initiation of mesothelioma. ('initiation of mesothelioma', 'Disease', (182, 208)) ('crocidolite', 'Chemical', 'MESH:D017638', (38, 49)) ('mesothelial cell transformation', 'CPA', (122, 153)) ('reduced', 'NegReg', (4, 11)) ('clinoptilolite', 'Chemical', 'MESH:C083175', (55, 69)) ('reduction', 'NegReg', (165, 174)) ('initiation of mesothelioma', 'Disease', 'MESH:D008654', (182, 208)) ('expression', 'MPA', (12, 22)) ('amelioration', 'PosReg', (106, 118)) ('SV40 TAg', 'Var', (26, 34)) ('mice', 'Species', '10090', (78, 82)) 10191 32123850 Mouse peritoneal macrophages exposed to Fe3+ in culture showed a marked decline in survival rate and an enhanced capacity for lipid peroxidation.46 The electrical activity of macrophages may be compromised by the presence of Fe3+ derived from aberrant metabolic function or foreign sources such as asbestos, and this probably extends to the immune system generally. ('compromised', 'NegReg', (194, 205)) ('lipid', 'Chemical', 'MESH:D008055', (126, 131)) ('electrical activity', 'MPA', (152, 171)) ('Fe3+', 'Var', (225, 229)) ('Mouse', 'Species', '10090', (0, 5)) ('asbestos', 'Chemical', 'MESH:D001194', (298, 306)) ('Fe3+', 'Chemical', '-', (225, 229)) ('Fe3+', 'Chemical', '-', (40, 44)) 10214 28600498 Deregulation of miRNAs in malignant pleural mesothelioma is associated with prognosis and suggests an alteration of cell metabolism Malignant pleural mesothelioma (MPM) is an aggressive human cancer and miRNAs can play a key role for this disease. ('Deregulation', 'Var', (0, 12)) ('metabolism', 'biological_process', 'GO:0008152', ('121', '131')) ('cancer', 'Disease', (192, 198)) ('Malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (132, 162)) ('Malignant pleural mesothelioma', 'Disease', (132, 162)) ('cancer', 'Disease', 'MESH:D009369', (192, 198)) ('human', 'Species', '9606', (186, 191)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (142, 162)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (26, 56)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (36, 56)) ('cancer', 'Phenotype', 'HP:0002664', (192, 198)) ('malignant pleural mesothelioma', 'Disease', (26, 56)) 10217 28600498 Kaplan-Meier curves were used to explore the association between miRNA expression and overall survival (OS) and identified a 2-miRNA prognostic signature (Let-7c-5p and miR-151a-5p) related to hypoxia and energy metabolism respectively. ('miR-151a', 'Gene', '442893', (169, 177)) ('hypoxia', 'Disease', (193, 200)) ('miR-151a', 'Gene', (169, 177)) ('related', 'Reg', (182, 189)) ('hypoxia', 'Disease', 'MESH:D000860', (193, 200)) ('metabolism', 'biological_process', 'GO:0008152', ('212', '222')) ('Let-7c-5p', 'Var', (155, 164)) 10219 28600498 Their abnormal expression has been linked to multiple human diseases, including cancer. ('abnormal', 'Var', (6, 14)) ('linked', 'Reg', (35, 41)) ('cancer', 'Phenotype', 'HP:0002664', (80, 86)) ('cancer', 'Disease', 'MESH:D009369', (80, 86)) ('human', 'Species', '9606', (54, 59)) ('cancer', 'Disease', (80, 86)) 10223 28600498 From the published literature it seems established that miRNAs deregulated in MPM target genes fundamental for the development and progression of the disease, such as CDKN2A, NF2, JUN, HGF, and PDGFA . ('PDGFA', 'Gene', '5154', (194, 199)) ('CDKN2A', 'Gene', (167, 173)) ('HGF', 'Gene', (185, 188)) ('CDKN2A', 'Gene', '1029', (167, 173)) ('NF2', 'Gene', '4771', (175, 178)) ('JUN', 'Disease', (180, 183)) ('HGF', 'Gene', '3082', (185, 188)) ('deregulated', 'Var', (63, 74)) ('MPM', 'Gene', (78, 81)) ('NF2', 'Gene', (175, 178)) ('PDGFA', 'Gene', (194, 199)) 10237 28600498 We identified a 2-miRNA signature based on Let-7c-5p and miR-151a-5p expression levels. ('miR-151a', 'Gene', (57, 65)) ('Let-7c-5p', 'Var', (43, 52)) ('miR-151a', 'Gene', '442893', (57, 65)) 10239 28600498 The OS rates were significantly lower in the patient group with the high-risk score (P = 0.004 by the log-rank test; Fig. ('OS rates', 'MPA', (4, 12)) ('patient', 'Species', '9606', (45, 52)) ('high-risk', 'Var', (68, 77)) ('lower', 'NegReg', (32, 37)) 10242 28600498 Taken together, these results show that the classifier based on Let-7c-5p and miR-151a-5p expression levels has great potential as prognostic tool. ('miR-151a', 'Gene', '442893', (78, 86)) ('miR-151a', 'Gene', (78, 86)) ('Let-7c-5p', 'Var', (64, 73)) 10264 28600498 Altogether, the "miRNomic" approach allows highlighting a list of deregulated miRNAs, which could act as tumour suppressor or oncogene according to their target mRNAs. ('tumour', 'Disease', 'MESH:D009369', (105, 111)) ('miRNAs', 'Gene', (78, 84)) ('tumour', 'Disease', (105, 111)) ('deregulated', 'Var', (66, 77)) ('tumour', 'Phenotype', 'HP:0002664', (105, 111)) 10271 28600498 While the earlier studies suggested a prognostic value for single miRNAs (miR-29c*, miR-17-5p and miR-30c-5p), subsequent works attempted to increase the accuracy of the survival analysis using a combination of multiple miRNAs (four-miRNA classifier or six-miRNA score). ('miR-29c', 'Gene', (74, 81)) ('miR-29c', 'Gene', '407026', (74, 81)) ('miR-30c-5p', 'Var', (98, 108)) ('miR-17-5p', 'Gene', '406952', (84, 93)) ('miR-17-5p', 'Gene', (84, 93)) 10272 28600498 In line with this approach, we proposed here a 2-miRNA signature (Let-7c-5p plus miR-151a-5p) relating to overall survival, whose prognostic value was also validated in the TCGA mesothelioma dataset and in an independent set of fresh frozen MPM samples. ('Let-7c-5p', 'Var', (66, 75)) ('mesothelioma', 'Disease', 'MESH:D008654', (178, 190)) ('miR-151a', 'Gene', '442893', (81, 89)) ('miR-151a', 'Gene', (81, 89)) ('overall survival', 'MPA', (106, 122)) ('mesothelioma', 'Disease', (178, 190)) 10273 28600498 Our study showed some discrepancies compared to the literature data, where general poor overlap among studies could be at least partially ascribed to different microarray platforms (for example, miR-29c* and miR-652-3p probes were not included in the Nanostring platform), to subtle different statistical analyses in the calculation of the survival curves and, as acknowledged before, to the intrinsic heterogeneity of MPM. ('miR-29c', 'Gene', '407026', (195, 202)) ('miR-29c', 'Gene', (195, 202)) ('miR-652-3p', 'Var', (208, 218)) 10274 28600498 Nonetheless, our results were consistent with data provided recently about an eight-miRNA signature in bladder cancer, reporting an association between a high expression of Let-7c-5p and a poor outcome. ('Let-7c-5p', 'Var', (173, 182)) ('cancer', 'Phenotype', 'HP:0002664', (111, 117)) ('bladder cancer', 'Phenotype', 'HP:0009725', (103, 117)) ('association', 'Interaction', (132, 143)) ('bladder cancer', 'Disease', 'MESH:D001749', (103, 117)) ('bladder cancer', 'Disease', (103, 117)) 10275 28600498 At a similar extent, high levels of miR-151 correlated with adverse effects on survival rate in prostate cancer. ('high levels', 'Var', (21, 32)) ('miR-151', 'Gene', '442893', (36, 43)) ('prostate cancer', 'Disease', 'MESH:D011471', (96, 111)) ('miR-151', 'Gene', (36, 43)) ('survival rate', 'CPA', (79, 92)) ('prostate cancer', 'Phenotype', 'HP:0012125', (96, 111)) ('prostate cancer', 'Disease', (96, 111)) ('cancer', 'Phenotype', 'HP:0002664', (105, 111)) 10276 28600498 In fact, Let-7c-5p plays a protective role against cerebral ischemia injury in mice, while miR-151a-5p regulates energy metabolism reducing ATP production via mitochondrial dysfunction. ('cerebral ischemia', 'Phenotype', 'HP:0002637', (51, 68)) ('miR-151a', 'Gene', '442893', (91, 99)) ('Let-7c-5p', 'Var', (9, 18)) ('miR-151a', 'Gene', (91, 99)) ('metabolism', 'biological_process', 'GO:0008152', ('120', '130')) ('cerebral ischemia injury', 'Disease', (51, 75)) ('cerebral ischemia injury', 'Disease', 'MESH:D002545', (51, 75)) ('mitochondrial dysfunction', 'Disease', 'MESH:D028361', (159, 184)) ('energy metabolism reducing ATP production', 'MPA', (113, 154)) ('mice', 'Species', '10090', (79, 83)) ('ATP', 'Chemical', 'MESH:D000255', (140, 143)) ('mitochondrial dysfunction', 'Phenotype', 'HP:0003287', (159, 184)) ('mitochondrial dysfunction', 'Disease', (159, 184)) ('regulates', 'Reg', (103, 112)) 10280 28600498 This could explain their association with the overall survival that we observed here, since their high expression could promote the hypoxic microenvironment very well known to activate many signalling pathways involved in tumour initiation, progression and maintenance of MPM. ('high expression', 'Var', (98, 113)) ('promote', 'PosReg', (120, 127)) ('activate', 'PosReg', (176, 184)) ('tumour initiation', 'Disease', 'MESH:D009369', (222, 239)) ('hypoxic', 'Disease', (132, 139)) ('hypoxic', 'Disease', 'MESH:D000860', (132, 139)) ('signalling', 'biological_process', 'GO:0023052', ('190', '200')) ('tumour initiation', 'Disease', (222, 239)) ('tumour', 'Phenotype', 'HP:0002664', (222, 228)) ('signalling pathways', 'Pathway', (190, 209)) 10298 28600498 The miRNA panel detects 800 endogenous miRNAs, five housekeeping transcripts [actin beta (NM_001101.2), beta-2 microglobulin (NM_004048.2), GAPDH (NM_002046.3), RPL19 (NM_000981.3), and RPLP0 (NM_001002.3)], six positive and eight negative controls (proprietary spike-in controls). ('GAPDH', 'Gene', (140, 145)) ('RPLP0', 'Gene', '6175', (186, 191)) ('NM_001101.2', 'Var', (90, 101)) ('beta-2 microglobulin', 'Gene', (104, 124)) ('RPLP0', 'Gene', (186, 191)) ('NM_000981.3', 'Var', (168, 179)) ('NM_002046.3', 'Var', (147, 158)) ('RPL19', 'Gene', '6143', (161, 166)) ('GAPDH', 'Gene', '2597', (140, 145)) ('beta-2 microglobulin', 'Gene', '567', (104, 124)) ('RPL19', 'Gene', (161, 166)) ('NM_004048.2', 'Var', (126, 137)) 10417 31289611 Our data suggest that in MPM, the downregulation of miR-15/16 is due to transcriptional repression by c-Myc, primarily via control of the miR-15b/16-2 locus, while miR-193a-3p loss is due to genomic deletion. ('miR-15', 'Chemical', '-', (52, 58)) ('miR-15b', 'Gene', (138, 145)) ('loss', 'NegReg', (176, 180)) ('downregulation', 'NegReg', (34, 48)) ('miR-15', 'Chemical', '-', (138, 144)) ('miR-15b', 'Gene', '406949', (138, 145)) ('MPM', 'Disease', (25, 28)) ('miR-15/16', 'Gene', (52, 61)) ('deletion', 'Var', (199, 207)) ('c-Myc', 'Gene', '4609', (102, 107)) ('transcriptional repression', 'MPA', (72, 98)) ('miR-193a', 'Gene', (164, 172)) ('c-Myc', 'Gene', (102, 107)) ('miR-193a', 'Gene', '406968', (164, 172)) 10431 31289611 Despite the association of the MIR193A gene promoter with CpG islands and its confirmed silencing by methylation in NSCLC and acute myeloid leukemia (AML), methylation was excluded as a predominant cause of its downregulation in MPM cell lines and the causes for its reduction in MPM remain unknown. ('methylation', 'Var', (101, 112)) ('NSCLC', 'Disease', 'MESH:D002289', (116, 121)) ('acute myeloid leukemia', 'Phenotype', 'HP:0004808', (126, 148)) ('AML', 'Disease', 'MESH:D015470', (150, 153)) ('leukemia', 'Phenotype', 'HP:0001909', (140, 148)) ('methylation', 'biological_process', 'GO:0032259', ('101', '112')) ('silencing', 'NegReg', (88, 97)) ('AML', 'Disease', (150, 153)) ('acute myeloid leukemia', 'Disease', (126, 148)) ('MIR193A', 'Gene', (31, 38)) ('association', 'Interaction', (12, 23)) ('AML', 'Phenotype', 'HP:0004808', (150, 153)) ('MIR193A', 'Gene', '406968', (31, 38)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (132, 148)) ('NSCLC', 'Disease', (116, 121)) ('acute myeloid leukemia', 'Disease', 'MESH:D015470', (126, 148)) ('methylation', 'biological_process', 'GO:0032259', ('156', '167')) 10435 31289611 Allelic loss of the MIR193A gene was observed in the majority of MPM cell lines tested (Figure 1C), suggesting that heterozygous deletion of the MIR193A region is a key contributor to downregulation of miR-193a-3p in MPM. ('downregulation', 'NegReg', (184, 198)) ('deletion', 'Var', (129, 137)) ('MIR193A', 'Gene', (20, 27)) ('MIR193A', 'Gene', '406968', (145, 152)) ('MIR193A', 'Gene', '406968', (20, 27)) ('miR-193a', 'Gene', (202, 210)) ('MIR193A', 'Gene', (145, 152)) ('miR-193a', 'Gene', '406968', (202, 210)) 10438 31289611 In contrast, negligible changes in expression were observed for miR-15a, miR-15b and miR-16 in most cells, however, the expression of miR-15/16 is partially affected by decitabine treatment in H2052 and H2452, suggesting some regulation by DNA methylation in these cell lines (Figure 2A), whereas miR-193a-3p expression was only slightly altered. ('miR-15', 'Chemical', '-', (73, 79)) ('miR-15a', 'Gene', '406948', (64, 71)) ('miR-16', 'Gene', (85, 91)) ('regulation', 'biological_process', 'GO:0065007', ('226', '236')) ('miR-15', 'Chemical', '-', (64, 70)) ('miR-15', 'Chemical', '-', (134, 140)) ('miR-15/16', 'Gene', (134, 143)) ('expression', 'MPA', (120, 130)) ('affected', 'Reg', (157, 165)) ('H2052', 'Var', (193, 198)) ('miR-16', 'Gene', '51573', (85, 91)) ('miR-15b', 'Gene', '406949', (73, 80)) ('miR-15a', 'Gene', (64, 71)) ('DNA', 'cellular_component', 'GO:0005574', ('240', '243')) ('H2052', 'CellLine', 'CVCL:1518', (193, 198)) ('miR-15b', 'Gene', (73, 80)) ('regulation', 'Reg', (226, 236)) ('miR-193a', 'Gene', (297, 305)) ('DNA methylation', 'biological_process', 'GO:0006306', ('240', '255')) ('H2452', 'Var', (203, 208)) ('miR-193a', 'Gene', '406968', (297, 305)) ('decitabine', 'Chemical', 'MESH:D000077209', (169, 179)) 10442 31289611 Since pri-miR-15a/16-1 and pri-miR-15b/16-2 are transcribed from the promoters of their host genes DLEU2 and SMC4 respectively, we hypothesized that a transcriptional defect at these loci would affect both pri-miRNA and host gene expression. ('SMC4', 'Gene', (109, 113)) ('miR-15b', 'Gene', (31, 38)) ('miR-15a', 'Gene', (10, 17)) ('DLEU2', 'Gene', (99, 104)) ('gene expression', 'biological_process', 'GO:0010467', ('225', '240')) ('affect', 'Reg', (194, 200)) ('defect', 'Var', (167, 173)) ('expression', 'MPA', (230, 240)) ('miR-15a', 'Gene', '406948', (10, 17)) ('miR-15b', 'Gene', '406949', (31, 38)) ('DLEU2', 'Gene', '8847', (99, 104)) ('SMC4', 'Gene', '10051', (109, 113)) ('SMC', 'cellular_component', 'GO:0016029', ('109', '112')) ('transcriptional', 'MPA', (151, 166)) 10444 31289611 We next investigated the potential role of the oncogenic transcription factor Myc in miR-15/16 inhibition, as it has been shown to suppress miRNA expression and is upregulated in MPM partly due to increased copy number of the MYC gene. ('copy number', 'Var', (207, 218)) ('Myc', 'Gene', '4609', (78, 81)) ('MYC', 'Gene', (226, 229)) ('Myc', 'Gene', (78, 81)) ('transcription factor', 'molecular_function', 'GO:0000981', ('57', '77')) ('suppress', 'NegReg', (131, 139)) ('upregulated', 'PosReg', (164, 175)) ('transcription', 'biological_process', 'GO:0006351', ('57', '70')) ('MYC', 'Gene', '4609', (226, 229)) ('increased', 'PosReg', (197, 206)) ('miRNA expression', 'MPA', (140, 156)) ('miR-15', 'Chemical', '-', (85, 91)) 10447 31289611 Myc knockdown led to upregulation of miR-16 levels in MSTO (2-fold) and H28 (1.7-fold) compared to control transfected cells. ('knockdown', 'Var', (4, 13)) ('Myc', 'Gene', '4609', (0, 3)) ('Myc', 'Gene', (0, 3)) ('miR-16', 'Gene', (37, 43)) ('upregulation', 'PosReg', (21, 33)) ('miR-16', 'Gene', '51573', (37, 43)) 10449 31289611 As seen in Figure 4C, levels of pri-miR-15b were increased by 10.7-fold and 2.7-fold in MSTO and H28 respectively following transfection with Myc siRNA while co-transcribed SMC4 was elevated by 5.9-fold in MSTO and 8.1-fold in H28 (Figure 4D). ('SMC4', 'Gene', (173, 177)) ('miR-15b', 'Gene', '406949', (36, 43)) ('SMC', 'cellular_component', 'GO:0016029', ('173', '176')) ('increased', 'PosReg', (49, 58)) ('miR-15b', 'Gene', (36, 43)) ('Myc', 'Gene', '4609', (142, 145)) ('levels', 'MPA', (22, 28)) ('transfection', 'Var', (124, 136)) ('Myc', 'Gene', (142, 145)) ('SMC4', 'Gene', '10051', (173, 177)) 10451 31289611 As Myc knockdown increased miR-15/16 expression, and these miRNAs inhibit MPM growth in vitro and in vivo , we tested the effect of Myc knockdown in MPM cell line growth. ('increased', 'PosReg', (17, 26)) ('miR-15/16', 'Protein', (27, 36)) ('miR-15', 'Chemical', '-', (27, 33)) ('Myc', 'Gene', '4609', (3, 6)) ('Myc', 'Gene', (3, 6)) ('Myc', 'Gene', '4609', (132, 135)) ('expression', 'MPA', (37, 47)) ('inhibit', 'NegReg', (66, 73)) ('Myc', 'Gene', (132, 135)) ('tested', 'Reg', (111, 117)) ('MPM growth', 'CPA', (74, 84)) ('knockdown', 'Var', (7, 16)) 10452 31289611 Consistent with the effects of Myc on miR-15/16 expression, Myc knockdown significantly reduced proliferation of MSTO cells (Figure 4E). ('Myc', 'Gene', (60, 63)) ('miR-15', 'Chemical', '-', (38, 44)) ('Myc', 'Gene', '4609', (31, 34)) ('proliferation of MSTO cells', 'CPA', (96, 123)) ('Myc', 'Gene', (31, 34)) ('knockdown', 'Var', (64, 73)) ('reduced', 'NegReg', (88, 95)) ('Myc', 'Gene', '4609', (60, 63)) 10453 31289611 Given the increase of miR-15b/16-2 and miR-15a/16-1 expression following Myc knockdown, we set out to determine the effect of Myc upregulation. ('miR-15b', 'Gene', '406949', (22, 29)) ('Myc', 'Gene', '4609', (126, 129)) ('miR-15b', 'Gene', (22, 29)) ('Myc', 'Gene', (126, 129)) ('knockdown', 'Var', (77, 86)) ('expression', 'MPA', (52, 62)) ('miR-15a', 'Gene', '406948', (39, 46)) ('Myc', 'Gene', '4609', (73, 76)) ('miR-15a', 'Gene', (39, 46)) ('Myc', 'Gene', (73, 76)) ('increase', 'PosReg', (10, 18)) 10467 31289611 Copy number alterations in the 13q14 chromosomal region, where miR-15a/16-1 reside, were identified in more than 50% of B-cell chronic lymphocytic leukemia (B-CLL) tumors resulting in loss of mature miRNA expression. ('-cell chronic lymphocytic leukemia', 'Phenotype', 'HP:0005539', (121, 155)) ('miR-15a', 'Gene', (63, 70)) ('leukemia', 'Phenotype', 'HP:0001909', (147, 155)) ('chronic lymphocytic leukemia', 'Phenotype', 'HP:0005550', (127, 155)) ('tumors', 'Phenotype', 'HP:0002664', (164, 170)) ('loss', 'NegReg', (184, 188)) ('lymphocytic leukemia (B-CLL) tumors', 'Disease', 'MESH:D015448', (135, 170)) ('Copy number alterations', 'Var', (0, 23)) ('tumor', 'Phenotype', 'HP:0002664', (164, 169)) ('mature miRNA expression', 'MPA', (192, 215)) ('chromosomal region', 'cellular_component', 'GO:0098687', ('37', '55')) ('miR-15a', 'Gene', '406948', (63, 70)) 10470 31289611 Our data are somewhat consistent with these findings; using CNV analysis, we found heterozygous loss of MIR15A/16-1 in H2452 and H2052 but not in the other MPM cell lines tested. ('MIR15A', 'Gene', '406948', (104, 110)) ('MIR15A', 'Gene', (104, 110)) ('H2452', 'Var', (119, 124)) ('H2052', 'Var', (129, 134)) ('H2052', 'CellLine', 'CVCL:1518', (129, 134)) 10473 31289611 In comparison, the majority of cell lines were found to have deletion of one allele of the MIR193A locus, therefore attributing loss of mature miR-193a-3p expression to genomic deletion of its coding region in MPM. ('MIR193A', 'Gene', (91, 98)) ('loss', 'NegReg', (128, 132)) ('MIR193A', 'Gene', '406968', (91, 98)) ('deletion', 'Var', (177, 185)) ('deletion', 'Var', (61, 69)) ('expression', 'MPA', (155, 165)) ('miR-193a', 'Gene', '406968', (143, 151)) ('miR-193a', 'Gene', (143, 151)) 10474 31289611 Epigenetic changes frequently modulate miRNA expression in cancer. ('miRNA expression', 'MPA', (39, 55)) ('cancer', 'Phenotype', 'HP:0002664', (59, 65)) ('modulate', 'Reg', (30, 38)) ('cancer', 'Disease', (59, 65)) ('cancer', 'Disease', 'MESH:D009369', (59, 65)) ('Epigenetic changes', 'Var', (0, 18)) 10475 31289611 Family members miR-34b and miR-34c are inactivated due to CpG methylation in patients with colorectal, pancreatic, mammary, ovarian, urothelial, and renal cell carcinomas and soft tissue sarcomas. ('renal cell carcinomas', 'Disease', 'MESH:C538614', (149, 170)) ('methylation', 'biological_process', 'GO:0032259', ('62', '73')) ('carcinoma', 'Phenotype', 'HP:0030731', (160, 169)) ('ovarian', 'Disease', (124, 131)) ('urothelial', 'Disease', (133, 143)) ('miR-34b', 'Gene', '407041', (15, 22)) ('methylation', 'Var', (62, 73)) ('renal cell carcinomas', 'Disease', (149, 170)) ('ovarian', 'Disease', 'MESH:D010051', (124, 131)) ('CpG', 'Gene', (58, 61)) ('colorectal', 'Disease', 'MESH:D015179', (91, 101)) ('soft tissue sarcomas', 'Disease', (175, 195)) ('renal cell carcinomas', 'Phenotype', 'HP:0005584', (149, 170)) ('miR-34b', 'Gene', (15, 22)) ('sarcomas', 'Phenotype', 'HP:0100242', (187, 195)) ('mammary', 'Disease', (115, 122)) ('soft tissue sarcomas', 'Disease', 'MESH:D012509', (175, 195)) ('patients', 'Species', '9606', (77, 85)) ('miR-34c', 'Gene', '407042', (27, 34)) ('carcinomas', 'Phenotype', 'HP:0030731', (160, 170)) ('miR-34c', 'Gene', (27, 34)) ('soft tissue sarcomas', 'Phenotype', 'HP:0030448', (175, 195)) ('pancreatic', 'Disease', 'MESH:D010195', (103, 113)) ('sarcoma', 'Phenotype', 'HP:0100242', (187, 194)) ('pancreatic', 'Disease', (103, 113)) ('colorectal', 'Disease', (91, 101)) 10478 31289611 Instead, miR-193a-3p loss in MPM cell lines appears to be the result of genomic deletion. ('miR-193a', 'Gene', (9, 17)) ('loss', 'NegReg', (21, 25)) ('deletion', 'Var', (80, 88)) ('miR-193a', 'Gene', '406968', (9, 17)) 10482 31289611 Collectively, this data suggests that epigenetic modifications are not a predominant cause of the substantial reduction of miR-15a, 15b and 16 expression in MPM cell lines and tumors. ('tumor', 'Phenotype', 'HP:0002664', (176, 181)) ('reduction', 'NegReg', (110, 119)) ('expression', 'MPA', (143, 153)) ('epigenetic modifications', 'Var', (38, 62)) ('tumors', 'Disease', (176, 182)) ('tumors', 'Disease', 'MESH:D009369', (176, 182)) ('tumors', 'Phenotype', 'HP:0002664', (176, 182)) ('miR-15a', 'Gene', '406948', (123, 130)) ('miR-15a', 'Gene', (123, 130)) 10484 31289611 Recently, DNA copy number analysis revealed frequent genomic amplification of the MYC gene in MPM tumor samples and cell lines. ('MPM tumor', 'Disease', (94, 103)) ('MPM tumor', 'Disease', 'MESH:D009369', (94, 103)) ('MYC', 'Gene', '4609', (82, 85)) ('DNA', 'cellular_component', 'GO:0005574', ('10', '13')) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('genomic amplification', 'Var', (53, 74)) ('MYC', 'Gene', (82, 85)) 10499 31289611 Previously, we and others have shown that restoring expression levels of the miR-15/16 family results in similar cellular consequences to Myc knockdown, so it is likely that increased miR-15/16 expression contributes to the effects on proliferation seen following Myc silencing. ('silencing', 'Var', (268, 277)) ('miR-15', 'Chemical', '-', (184, 190)) ('Myc', 'Gene', '4609', (264, 267)) ('expression', 'MPA', (52, 62)) ('proliferation', 'MPA', (235, 248)) ('Myc', 'Gene', '4609', (138, 141)) ('Myc', 'Gene', (138, 141)) ('expression', 'MPA', (194, 204)) ('miR-15/16', 'Gene', (184, 193)) ('Myc', 'Gene', (264, 267)) ('miR-15', 'Chemical', '-', (77, 83)) ('increased', 'PosReg', (174, 183)) 10501 31289611 For example, tumor-specific inactivation of Myc expression was shown to reverse immune evasion by preventing the Myc-induced transcriptional activation of PD-L1 and CD47. ('Myc', 'Gene', (113, 116)) ('tumor', 'Disease', (13, 18)) ('CD47', 'Gene', (165, 169)) ('Myc', 'Gene', (44, 47)) ('immune evasion', 'biological_process', 'GO:0042783', ('80', '94')) ('PD-L1', 'Gene', '29126', (155, 160)) ('preventing', 'NegReg', (98, 108)) ('reverse immune evasion', 'MPA', (72, 94)) ('inactivation', 'Var', (28, 40)) ('immune evasion', 'biological_process', 'GO:0051842', ('80', '94')) ('tumor', 'Disease', 'MESH:D009369', (13, 18)) ('Myc', 'Gene', '4609', (44, 47)) ('PD-L1', 'Gene', (155, 160)) ('CD47', 'Gene', '961', (165, 169)) ('Myc', 'Gene', '4609', (113, 116)) ('tumor', 'Phenotype', 'HP:0002664', (13, 18)) 10528 31289611 The effect of Myc knockdown on the proliferation of MPM cell lines was carried out using SYBR Green-based cell proliferation assays as described. ('knockdown', 'Var', (18, 27)) ('Myc', 'Gene', '4609', (14, 17)) ('Myc', 'Gene', (14, 17)) ('SYBR Green', 'Chemical', '-', (89, 99)) ('cell proliferation', 'biological_process', 'GO:0008283', ('106', '124')) 10612 30801908 Cell proliferation did not change significantly in tumors treated with intact NZ-12 (0 MBq), whereas 3.70 MBq of 90Y-labeled NZ-12 reduced cell proliferation (Ki-67-positive cells) in a time-dependent way (Figure 5), and the reduction was statistically significant on days 3 and 7 compared with untreated tumors and tumors treated with intact NZ-12 (0 MBq). ('NZ-12', 'Chemical', '-', (78, 83)) ('tumors', 'Phenotype', 'HP:0002664', (316, 322)) ('reduced', 'NegReg', (131, 138)) ('tumors', 'Disease', 'MESH:D009369', (51, 57)) ('NZ-12', 'Chemical', '-', (125, 130)) ('rat', 'Species', '10116', (151, 154)) ('90Y', 'Chemical', 'MESH:C000615496', (113, 116)) ('3.70 MBq', 'Var', (101, 109)) ('Cell proliferation', 'biological_process', 'GO:0008283', ('0', '18')) ('tumor', 'Phenotype', 'HP:0002664', (316, 321)) ('tumors', 'Disease', (316, 322)) ('tumors', 'Phenotype', 'HP:0002664', (305, 311)) ('rat', 'Species', '10116', (12, 15)) ('NZ-12', 'Gene', (125, 130)) ('tumors', 'Phenotype', 'HP:0002664', (51, 57)) ('tumors', 'Disease', 'MESH:D009369', (316, 322)) ('tumor', 'Phenotype', 'HP:0002664', (305, 310)) ('cell proliferation', 'biological_process', 'GO:0008283', ('139', '157')) ('tumors', 'Disease', (305, 311)) ('tumor', 'Phenotype', 'HP:0002664', (51, 56)) ('NZ-12', 'Chemical', '-', (343, 348)) ('tumors and tumors', 'Disease', 'MESH:D009369', (305, 322)) ('tumors', 'Disease', (51, 57)) ('cell proliferation', 'CPA', (139, 157)) ('tumors', 'Disease', 'MESH:D009369', (305, 311)) 10626 30801908 By replacing 111In with a therapeutic radionuclide 90Y, 3.70 MBq of 90Y-labeled NZ-12 showed a stronger tumor growth suppression effect and prolonged survival with statistically significant differences compared with giving intact NZ-12 and 3.70 MBq of 90Y-labeled control antibody, whereas 1.85 MBq of 90Y-labeled NZ-12 had no significant effect. ('90Y', 'Chemical', 'MESH:C000615496', (51, 54)) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('antibody', 'molecular_function', 'GO:0003823', ('272', '280')) ('antibody', 'cellular_component', 'GO:0042571', ('272', '280')) ('stronger', 'PosReg', (95, 103)) ('90Y-labeled', 'Var', (68, 79)) ('survival', 'CPA', (150, 158)) ('NZ-12', 'Gene', (80, 85)) ('NZ-12', 'Chemical', '-', (314, 319)) ('radionuclide', 'Chemical', 'MESH:D011868', (38, 50)) ('antibody', 'cellular_component', 'GO:0019815', ('272', '280')) ('prolonged', 'PosReg', (140, 149)) ('90Y', 'Chemical', 'MESH:C000615496', (302, 305)) ('tumor', 'Disease', (104, 109)) ('90Y', 'Chemical', 'MESH:C000615496', (252, 255)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) ('111In', 'Chemical', 'MESH:C000615551', (13, 18)) ('NZ-12', 'Chemical', '-', (230, 235)) ('antibody', 'cellular_component', 'GO:0019814', ('272', '280')) ('90Y', 'Chemical', 'MESH:C000615496', (68, 71)) ('NZ-12', 'Chemical', '-', (80, 85)) ('3.70 MBq', 'Var', (56, 64)) 10637 30801908 However, 90Y-labeled NZ-12 suppressed tumor growth and, therefore, further efforts as described below, may improve the therapeutic effect to achieve complete remission in malignant mesothelioma patients. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumor', 'Disease', (38, 43)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (171, 193)) ('patients', 'Species', '9606', (194, 202)) ('NZ-12', 'Gene', (21, 26)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (171, 193)) ('suppressed', 'NegReg', (27, 37)) ('90Y', 'Chemical', 'MESH:C000615496', (9, 12)) ('NZ-12', 'Chemical', '-', (21, 26)) ('tumor', 'Disease', 'MESH:D009369', (38, 43)) ('malignant mesothelioma', 'Disease', (171, 193)) ('improve', 'PosReg', (107, 114)) ('therapeutic effect', 'MPA', (119, 137)) ('90Y-labeled', 'Var', (9, 20)) 10644 30801908 Some chemotherapeutic agents such as pemetrexed and gemcitabine have radiosensitizing effects.52, 53 Pemetrexed is recommended as first-line chemotherapy for malignant mesothelioma5 and is the first candidate as a radiosensitizer with RIT against mesothelioma. ('mesothelioma', 'Disease', (247, 259)) ('Pemetrexed', 'Var', (101, 111)) ('mesothelioma', 'Disease', (168, 180)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (158, 180)) ('gemcitabine', 'Chemical', 'MESH:C056507', (52, 63)) ('mesothelioma', 'Disease', 'MESH:D008654', (247, 259)) ('mesothelioma', 'Disease', 'MESH:D008654', (168, 180)) ('Pemetrexed', 'Chemical', 'MESH:D000068437', (101, 111)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (158, 180)) ('malignant mesothelioma', 'Disease', (158, 180)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (37, 47)) 10646 30801908 Taken together, the triple combination of 90Y-labeled NZ-12, pemetrexed, and intact NZ-12 has the potential to induce cytotoxic effects and suppress tumor growth for a long time. ('90Y', 'Chemical', 'MESH:C000615496', (42, 45)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (61, 71)) ('NZ-12', 'Chemical', '-', (54, 59)) ('tumor', 'Disease', 'MESH:D009369', (149, 154)) ('tumor', 'Phenotype', 'HP:0002664', (149, 154)) ('cytotoxic effects', 'CPA', (118, 135)) ('NZ-12', 'Gene', (54, 59)) ('induce', 'PosReg', (111, 117)) ('NZ-12', 'Gene', (84, 89)) ('tumor', 'Disease', (149, 154)) ('90Y-labeled', 'Var', (42, 53)) ('suppress', 'NegReg', (140, 148)) ('NZ-12', 'Chemical', '-', (84, 89)) 10676 29207669 We analyzed 5 different models (Table 2, Figure 1): MPM vs. HC (model 1), MPM vs. AEx (model 2), MPM vs. ARD (model 3), MPM vs. AEx+ARD (model 4) and ARD vs. AEx (model 5). ('MPM vs.', 'Var', (74, 81)) ('ARD', 'Disease', 'None', (150, 153)) ('ARD', 'Disease', (132, 135)) ('ARD', 'Disease', (105, 108)) ('ARD', 'Disease', (150, 153)) ('AEx', 'Chemical', '-', (158, 161)) ('ARD', 'Disease', 'None', (132, 135)) ('ARD', 'molecular_function', 'GO:0010309', ('105', '108')) ('AEx', 'Chemical', '-', (82, 85)) ('ARD', 'molecular_function', 'GO:0010309', ('132', '135')) ('ARD', 'molecular_function', 'GO:0010309', ('150', '153')) ('AEx', 'Chemical', '-', (128, 131)) ('ARD', 'Disease', 'None', (105, 108)) 10742 29209316 We have recently shown that C1q can promote tumor by encouraging their adhesion, migration, and proliferation in addition to angiogenesis and metastasis. ('angiogenesis', 'CPA', (125, 137)) ('C1q', 'Var', (28, 31)) ('promote', 'PosReg', (36, 43)) ('proliferation', 'CPA', (96, 109)) ('metastasis', 'CPA', (142, 152)) ('tumor', 'Disease', 'MESH:D009369', (44, 49)) ('tumor', 'Phenotype', 'HP:0002664', (44, 49)) ('adhesion', 'CPA', (71, 79)) ('migration', 'CPA', (81, 90)) ('encouraging', 'PosReg', (53, 64)) ('tumor', 'Disease', (44, 49)) ('angiogenesis', 'biological_process', 'GO:0001525', ('125', '137')) ('C1q', 'cellular_component', 'GO:0062167', ('28', '31')) 10746 29209316 C1q bound to HA was able to induce adhesion and proliferation of mesothelioma cells (MES) via enhancement of ERK1/2, SAPK/JNK, and p38 phosphorylation; however, it did not activate the complement cascade. ('JNK', 'Gene', '5599', (122, 125)) ('complement cascade', 'biological_process', 'GO:0006956', ('185', '203')) ('JNK', 'molecular_function', 'GO:0004705', ('122', '125')) ('proliferation', 'CPA', (48, 61)) ('enhancement', 'PosReg', (94, 105)) ('C1q', 'Var', (0, 3)) ('HA', 'Chemical', 'MESH:D006820', (13, 15)) ('mesothelioma', 'Disease', (65, 77)) ('p38', 'Gene', (131, 134)) ('mesothelioma', 'Disease', 'MESH:D008654', (65, 77)) ('phosphorylation', 'MPA', (135, 150)) ('MES', 'Chemical', '-', (85, 88)) ('SAPK', 'molecular_function', 'GO:0004707', ('117', '121')) ('SAPK', 'Gene', (117, 121)) ('adhesion', 'CPA', (35, 43)) ('phosphorylation', 'biological_process', 'GO:0016310', ('135', '150')) ('SAPK', 'Gene', '5601', (117, 121)) ('ERK1/2', 'Gene', (109, 115)) ('ERK1/2', 'Gene', '5595;5594', (109, 115)) ('p38', 'Gene', '5594', (131, 134)) ('C1q', 'cellular_component', 'GO:0062167', ('0', '3')) ('ERK1', 'molecular_function', 'GO:0004707', ('109', '113')) ('induce', 'PosReg', (28, 34)) ('JNK', 'Gene', (122, 125)) 10747 29209316 Consistent with the modular organization of the globular domain, we demonstrated that C1q may bind to HA through ghA module, whereas it may interact with human MES through the ghC. ('C1q', 'Var', (86, 89)) ('human', 'Species', '9606', (154, 159)) ('ghC', 'Chemical', '-', (176, 179)) ('HA', 'Chemical', 'MESH:D006820', (102, 104)) ('bind', 'Interaction', (94, 98)) ('ghA', 'Chemical', '-', (113, 116)) ('C1q', 'cellular_component', 'GO:0062167', ('86', '89')) ('MES', 'Chemical', '-', (160, 163)) ('interact', 'Interaction', (140, 148)) 10748 29209316 In conclusion, C1q highly expressed in MPM binds to HA and enhances the tumor growth promoting cell adhesion and proliferation. ('binds', 'Interaction', (43, 48)) ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('C1q', 'cellular_component', 'GO:0062167', ('15', '18')) ('cell adhesion', 'biological_process', 'GO:0007155', ('95', '108')) ('tumor', 'Disease', (72, 77)) ('HA', 'Chemical', 'MESH:D006820', (52, 54)) ('C1q', 'Var', (15, 18)) ('enhances', 'PosReg', (59, 67)) ('tumor', 'Disease', 'MESH:D009369', (72, 77)) 10763 29209316 We found that C1q can bind to HA and acquires protumorigenic properties, leading to heightened adhesion, migration and proliferation of human mesothelioma cells (MES). ('human', 'Species', '9606', (136, 141)) ('tumor', 'Disease', 'MESH:D009369', (49, 54)) ('C1q', 'Var', (14, 17)) ('heightened', 'PosReg', (84, 94)) ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('HA', 'Chemical', 'MESH:D006820', (30, 32)) ('tumor', 'Disease', (49, 54)) ('adhesion', 'CPA', (95, 103)) ('MES', 'Chemical', '-', (162, 165)) ('mesothelioma', 'Disease', (142, 154)) ('C1q', 'cellular_component', 'GO:0062167', ('14', '17')) ('bind', 'Interaction', (22, 26)) ('migration', 'CPA', (105, 114)) ('mesothelioma', 'Disease', 'MESH:D008654', (142, 154)) ('proliferation', 'CPA', (119, 132)) 10767 29209316 Poly-l-lysine, bovine serum albumin (BSA) and all reagents were from Sigma-Aldrich. ('Poly-l-lysine', 'Chemical', '-', (0, 13)) ('serum albumin', 'Gene', '213', (22, 35)) ('serum albumin', 'Gene', (22, 35)) ('Poly-l-lysine', 'Var', (0, 13)) ('bovine', 'Species', '9913', (15, 21)) 10810 29209316 C1q was allowed to bind (25 microg/ml) to HA in PBS + 0.5% BSA, 0.7 mM CaCl2, and 0.7 mM MgCl2, overnight at 4 C. 1 x 105 mesothelial cells or MES, labeled with the fluorescent dye FAST DiI (Molecular Probes, Invitrogen), were re-suspended in HESF (Life Technologies) containing 0.1% BSA (HESF + 0.1% BSA; Sigma), preincubated with 10 microM of ERK (#SCH772984, Selleckchem), JNK (#SP600125, SIGMA-Aldrich), or p38 (#SB203580, Selleckchem) inhibitors for 30 min at RT and then added to a 96-well plate (wells were coated as described above) for 35 min at 37 C in 5% v/v CO2 incubator. ('ERK', 'Gene', '5594', (345, 348)) ('MgCl2', 'Chemical', 'MESH:D015636', (89, 94)) ('FAST', 'molecular_function', 'GO:0033867', ('181', '185')) ('ERK', 'Gene', (345, 348)) ('p38', 'Gene', '5594', (411, 414)) ('ERK', 'molecular_function', 'GO:0004707', ('345', '348')) ('#SP600125', 'Var', (381, 390)) ('HA', 'Chemical', 'MESH:D006820', (42, 44)) ('PBS', 'Chemical', 'MESH:D007854', (48, 51)) ('JNK', 'molecular_function', 'GO:0004705', ('376', '379')) ('MES', 'Chemical', '-', (143, 146)) ('C1q', 'cellular_component', 'GO:0062167', ('0', '3')) ('JNK', 'Gene', (376, 379)) ('CaCl2', 'Chemical', 'MESH:D002122', (71, 76)) ('JNK', 'Gene', '5599', (376, 379)) ('CO2', 'Chemical', '-', (570, 573)) ('inhibitors', 'Var', (440, 450)) ('DiI', 'Chemical', '-', (186, 189)) ('p38', 'Gene', (411, 414)) 10813 29209316 5 x 103 MES were re-suspended in HESF + 0.1% BSA medium and seeded to a 96-well plate, which was earlier coated with C1q, HA or C1q + HA, as described above. ('C1q + HA', 'Var', (128, 136)) ('C1q', 'Var', (117, 120)) ('MES', 'Chemical', '-', (8, 11)) ('C1q', 'cellular_component', 'GO:0062167', ('117', '120')) ('HA', 'Chemical', 'MESH:D006820', (134, 136)) ('C1q', 'cellular_component', 'GO:0062167', ('128', '131')) ('HA', 'Chemical', 'MESH:D006820', (122, 124)) 10833 29209316 C1q was also diffusely present in the tumor stroma and associated with the cell membrane of tumor cells. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumor', 'Disease', (38, 43)) ('C1q', 'cellular_component', 'GO:0062167', ('0', '3')) ('C1q', 'Var', (0, 3)) ('tumor', 'Disease', 'MESH:D009369', (92, 97)) ('tumor stroma', 'Disease', 'MESH:D009369', (38, 50)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('tumor stroma', 'Disease', (38, 50)) ('tumor', 'Disease', 'MESH:D009369', (38, 43)) ('tumor', 'Disease', (92, 97)) ('cell membrane', 'cellular_component', 'GO:0005886', ('75', '88')) 10843 29209316 As shown in Figures 4C,D, only C1q bound to IgG, and not HA-bound C1q, induced complement activation, and therefore, C4 deposition and C9-neoantigen formation. ('complement activation', 'MPA', (79, 100)) ('C1q', 'Var', (31, 34)) ('C4 deposition', 'MPA', (117, 130)) ('induced', 'Reg', (71, 78)) ('C1q', 'cellular_component', 'GO:0062167', ('66', '69')) ('complement activation', 'biological_process', 'GO:0006956', ('79', '100')) ('bound', 'Interaction', (35, 40)) ('C1q', 'cellular_component', 'GO:0062167', ('31', '34')) ('HA', 'Chemical', 'MESH:D006820', (57, 59)) ('formation', 'biological_process', 'GO:0009058', ('149', '158')) ('C9-neoantigen formation', 'MPA', (135, 158)) 10864 29209316 In contrast, MES showed greater adherence to HA; HA-bound-C1q was able to enhance MES adhesion considerably compared to HA alone (Figure 6B). ('HA-bound-C1q', 'Var', (49, 61)) ('MES adhesion', 'CPA', (82, 94)) ('HA', 'Chemical', 'MESH:D006820', (45, 47)) ('C1q', 'cellular_component', 'GO:0062167', ('58', '61')) ('HA', 'Chemical', 'MESH:D006820', (49, 51)) ('MES', 'Chemical', '-', (82, 85)) ('MES', 'Chemical', '-', (13, 16)) ('HA', 'Chemical', 'MESH:D006820', (120, 122)) ('adherence', 'MPA', (32, 41)) ('enhance', 'PosReg', (74, 81)) 10866 29209316 The analysis of the adherent MES by phase-contrast optical microscopy revealed that a high proportion of the cells seeded on to C1q or HA-bound-C1q were spread out, in contrast to the round morphology exhibited by those attached to HA or BSA (Figure 6C). ('C1q', 'Var', (128, 131)) ('C1q', 'cellular_component', 'GO:0062167', ('144', '147')) ('HA', 'Chemical', 'MESH:D006820', (135, 137)) ('HA', 'Chemical', 'MESH:D006820', (232, 234)) ('MES', 'Chemical', '-', (29, 32)) ('spread out', 'CPA', (153, 163)) ('C1q', 'cellular_component', 'GO:0062167', ('128', '131')) 10872 29209316 We investigated whether C1q might contribute to tumor growth by stimulating the proliferation of MES. ('tumor', 'Disease', (48, 53)) ('stimulating', 'PosReg', (64, 75)) ('C1q', 'Var', (24, 27)) ('proliferation', 'CPA', (80, 93)) ('MES', 'Chemical', '-', (97, 100)) ('C1q', 'cellular_component', 'GO:0062167', ('24', '27')) ('tumor', 'Disease', 'MESH:D009369', (48, 53)) ('tumor', 'Phenotype', 'HP:0002664', (48, 53)) 10876 29209316 C1q (60%) was found to be more effective than HA (~20%), in effecting migration (Figure 8B). ('C1q', 'cellular_component', 'GO:0062167', ('0', '3')) ('C1q', 'Var', (0, 3)) ('migration', 'CPA', (70, 79)) ('effecting', 'Reg', (60, 69)) ('HA', 'Chemical', 'MESH:D006820', (46, 48)) 10878 29209316 In fact, the percentage of the cell migration due to HA + C1q was comparable to that observed with C1q alone. ('C1q', 'cellular_component', 'GO:0062167', ('58', '61')) ('cell migration', 'biological_process', 'GO:0016477', ('31', '45')) ('HA + C1q', 'Var', (53, 61)) ('C1q', 'cellular_component', 'GO:0062167', ('99', '102')) ('cell migration', 'CPA', (31, 45)) ('HA', 'Chemical', 'MESH:D006820', (53, 55)) 10880 29209316 As shown in the graph in Figure 8C, the fluorogenic units of the MES on HA treated with H2O2 was double, compared to the untreated cells. ('MES', 'Chemical', '-', (65, 68)) ('fluorogenic units', 'MPA', (40, 57)) ('HA', 'Chemical', 'MESH:D006820', (72, 74)) ('H2O2', 'Chemical', 'MESH:D006861', (88, 92)) ('H2O2', 'Var', (88, 92)) 10888 29209316 In a murine model of melanoma, C1q was found to promote cancer cell adhesion, migration and proliferation. ('melanoma', 'Disease', 'MESH:D008545', (21, 29)) ('C1q', 'Var', (31, 34)) ('proliferation', 'CPA', (92, 105)) ('murine', 'Species', '10090', (5, 11)) ('cancer', 'Phenotype', 'HP:0002664', (56, 62)) ('cell adhesion', 'biological_process', 'GO:0007155', ('63', '76')) ('C1q', 'cellular_component', 'GO:0062167', ('31', '34')) ('migration', 'CPA', (78, 87)) ('melanoma', 'Phenotype', 'HP:0002861', (21, 29)) ('melanoma', 'Disease', (21, 29)) ('promote', 'PosReg', (48, 55)) ('cancer', 'Disease', 'MESH:D009369', (56, 62)) ('cancer', 'Disease', (56, 62)) 10889 29209316 Thus, as a pro-tumorigenic soluble factor, C1q can promote tumor progression by facilitating cancer cell seeding and angiogenesis. ('cancer', 'Disease', (93, 99)) ('cancer', 'Disease', 'MESH:D009369', (93, 99)) ('tumor', 'Disease', (59, 64)) ('facilitating', 'PosReg', (80, 92)) ('tumor', 'Disease', 'MESH:D009369', (15, 20)) ('angiogenesis', 'biological_process', 'GO:0001525', ('117', '129')) ('tumor', 'Phenotype', 'HP:0002664', (15, 20)) ('C1q', 'cellular_component', 'GO:0062167', ('43', '46')) ('cancer', 'Phenotype', 'HP:0002664', (93, 99)) ('tumor', 'Disease', (15, 20)) ('promote', 'PosReg', (51, 58)) ('tumor', 'Disease', 'MESH:D009369', (59, 64)) ('C1q', 'Var', (43, 46)) ('soluble', 'cellular_component', 'GO:0005625', ('27', '34')) ('angiogenesis', 'CPA', (117, 129)) ('tumor', 'Phenotype', 'HP:0002664', (59, 64)) 10892 29209316 In this study, we particularly focused our attention on the interaction between C1q and HA and its implication on adhesion and proliferation of MPM cells. ('C1q', 'cellular_component', 'GO:0062167', ('80', '83')) ('proliferation', 'CPA', (127, 140)) ('adhesion', 'CPA', (114, 122)) ('C1q', 'Var', (80, 83)) ('interaction', 'Interaction', (60, 71)) ('HA', 'Chemical', 'MESH:D006820', (88, 90)) 10894 29209316 C1q was also diffusely present in the tumor stroma and associated with the cell membrane of tumor cells mainly of the epithelioid histotype. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumor', 'Disease', (38, 43)) ('C1q', 'cellular_component', 'GO:0062167', ('0', '3')) ('C1q', 'Var', (0, 3)) ('tumor', 'Disease', 'MESH:D009369', (92, 97)) ('tumor stroma', 'Disease', 'MESH:D009369', (38, 50)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('tumor stroma', 'Disease', (38, 50)) ('tumor', 'Disease', 'MESH:D009369', (38, 43)) ('tumor', 'Disease', (92, 97)) ('cell membrane', 'cellular_component', 'GO:0005886', ('75', '88')) 10903 29209316 The interaction of C1q with synovial HA in rheumatoid arthritis has been previously reported; however, C1q binds synovial antibodies that are covalently coupled to HA. ('binds', 'Interaction', (107, 112)) ('C1q', 'Var', (103, 106)) ('rheumatoid arthritis', 'Phenotype', 'HP:0001370', (43, 63)) ('C1q', 'cellular_component', 'GO:0062167', ('103', '106')) ('HA', 'Chemical', 'MESH:D006820', (37, 39)) ('arthritis', 'Phenotype', 'HP:0001369', (54, 63)) ('C1q', 'cellular_component', 'GO:0062167', ('19', '22')) ('rheumatoid arthritis', 'Disease', (43, 63)) ('rheumatoid arthritis', 'Disease', 'MESH:D001172', (43, 63)) ('HA', 'Chemical', 'MESH:D006820', (164, 166)) 10906 29209316 Since LMW-HA, but not HMW-HA, can stimulate a number of biological processes, it is likely that C1q can interfere with several functions mediated by HA, such as angiogenesis and inflammation. ('LMW-HA', 'Var', (6, 12)) ('inflammation', 'biological_process', 'GO:0006954', ('178', '190')) ('HA', 'Chemical', 'MESH:D006820', (10, 12)) ('C1q', 'cellular_component', 'GO:0062167', ('96', '99')) ('stimulate', 'PosReg', (34, 43)) ('angiogenesis', 'CPA', (161, 173)) ('HA', 'Chemical', 'MESH:D006820', (149, 151)) ('angiogenesis', 'biological_process', 'GO:0001525', ('161', '173')) ('inflammation', 'Disease', 'MESH:D007249', (178, 190)) ('inflammation', 'Disease', (178, 190)) ('biological processes', 'CPA', (56, 76)) ('interfere', 'NegReg', (104, 113)) ('functions', 'MPA', (127, 136)) ('HA', 'Chemical', 'MESH:D006820', (26, 28)) ('C1q', 'Var', (96, 99)) 10911 29209316 Here, we demonstrated that the effects mediated by C1q-bound-HA were different from that observed for HA or C1q alone in terms of the number of adhering cells as well as morphology indicating that the presence of C1q can considerably modify the tumor microenvironment. ('HA', 'Chemical', 'MESH:D006820', (102, 104)) ('presence', 'Var', (201, 209)) ('tumor', 'Disease', 'MESH:D009369', (245, 250)) ('C1q', 'cellular_component', 'GO:0062167', ('213', '216')) ('tumor', 'Phenotype', 'HP:0002664', (245, 250)) ('HA', 'Chemical', 'MESH:D006820', (61, 63)) ('tumor', 'Disease', (245, 250)) ('modify', 'Reg', (234, 240)) ('C1q', 'Var', (213, 216)) ('C1q', 'cellular_component', 'GO:0062167', ('51', '54')) ('C1q', 'cellular_component', 'GO:0062167', ('108', '111')) 10913 29209316 Among various C1q receptors gC1qR, also called HA-binding protein-1, is an interesting molecule for its ability to bind both the gC1q domain of C1q and HA. ('bind', 'Interaction', (115, 119)) ('C1q', 'cellular_component', 'GO:0062167', ('144', '147')) ('gC1q domain', 'Var', (129, 140)) ('gC1qR', 'Gene', (28, 33)) ('protein', 'cellular_component', 'GO:0003675', ('58', '65')) ('gC1qR', 'Gene', '708', (28, 33)) ('C1q', 'cellular_component', 'GO:0062167', ('14', '17')) ('binding', 'molecular_function', 'GO:0005488', ('50', '57')) ('HA', 'Chemical', 'MESH:D006820', (152, 154)) ('HA', 'Chemical', 'MESH:D006820', (47, 49)) 10917 29209316 Since ghA is the preferential binder to HA, the gC1q domain can act as a bridging molecule for anchoring the tumor cells to the ECM. ('gC1q domain', 'Var', (48, 59)) ('tumor', 'Disease', 'MESH:D009369', (109, 114)) ('ghA', 'Chemical', '-', (6, 9)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('anchoring', 'molecular_function', 'GO:0043495', ('95', '104')) ('HA', 'Chemical', 'MESH:D006820', (40, 42)) ('tumor', 'Disease', (109, 114)) 10918 29209316 C1q-bound-HA was able to promote the growth and the migration of MES in vitro confirming our previous results, obtained with B16/F10 murine cells and C1q bound to fibronectin. ('C1q', 'cellular_component', 'GO:0062167', ('0', '3')) ('C1q-bound-HA', 'Var', (0, 12)) ('migration of MES', 'CPA', (52, 68)) ('MES', 'Chemical', '-', (65, 68)) ('fibronectin', 'Gene', (163, 174)) ('HA', 'Chemical', 'MESH:D006820', (10, 12)) ('C1q', 'cellular_component', 'GO:0062167', ('150', '153')) ('promote', 'PosReg', (25, 32)) ('murine', 'Species', '10090', (133, 139)) ('C1q', 'Var', (150, 153)) ('growth', 'CPA', (37, 43)) ('fibronectin', 'Gene', '14268', (163, 174)) 10922 29209316 That C1q can act as a tumor promoting factor in MPM confirms our recent data. ('tumor', 'Disease', 'MESH:D009369', (22, 27)) ('tumor', 'Phenotype', 'HP:0002664', (22, 27)) ('C1q', 'cellular_component', 'GO:0062167', ('5', '8')) ('C1q', 'Var', (5, 8)) ('tumor', 'Disease', (22, 27)) ('MPM', 'Disease', (48, 51)) 10926 29209316 have reported that C1q, via its gC1q domain, induced apoptosis in an ovarian cancer cell line SKOV3 via TNF-alpha induced apoptosis pathway involving upregulation of Bax and Fas. ('apoptosis', 'biological_process', 'GO:0097194', ('122', '131')) ('apoptosis', 'biological_process', 'GO:0006915', ('122', '131')) ('ovarian cancer', 'Disease', (69, 83)) ('apoptosis', 'CPA', (53, 62)) ('gC1q domain', 'Var', (32, 43)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (69, 83)) ('apoptosis pathway', 'Pathway', (122, 139)) ('upregulation', 'PosReg', (150, 162)) ('apoptosis', 'biological_process', 'GO:0097194', ('53', '62')) ('apoptosis', 'biological_process', 'GO:0006915', ('53', '62')) ('Bax', 'Gene', (166, 169)) ('Bax', 'Gene', '581', (166, 169)) ('cancer', 'Phenotype', 'HP:0002664', (77, 83)) ('C1q', 'cellular_component', 'GO:0062167', ('19', '22')) ('SKOV3', 'CellLine', 'CVCL:0532', (94, 99)) ('TNF-alpha', 'Gene', '7124', (104, 113)) ('TNF-alpha', 'Gene', (104, 113)) ('C1q', 'Var', (19, 22)) ('ovarian cancer', 'Disease', 'MESH:D010051', (69, 83)) 10929 29209316 The presence of C1q or C1 in soluble phase or bound to the ECM can provide different stimuli to the tumor cells present in the microenvironment. ('C1q', 'cellular_component', 'GO:0062167', ('16', '19')) ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('tumor', 'Disease', (100, 105)) ('tumor', 'Disease', 'MESH:D009369', (100, 105)) ('C1q', 'Var', (16, 19)) ('stimuli', 'MPA', (85, 92)) ('soluble', 'cellular_component', 'GO:0005625', ('29', '36')) 10930 29209316 In conclusion, C1q is abundantly present in mesothelioma tissue, interacts with HA, and interferes with adhesion, migration and proliferation of MES. ('mesothelioma', 'Disease', 'MESH:D008654', (44, 56)) ('C1q', 'cellular_component', 'GO:0062167', ('15', '18')) ('adhesion', 'CPA', (104, 112)) ('MES', 'Chemical', '-', (145, 148)) ('migration', 'CPA', (114, 123)) ('HA', 'Chemical', 'MESH:D006820', (80, 82)) ('C1q', 'Var', (15, 18)) ('proliferation', 'CPA', (128, 141)) ('interferes', 'NegReg', (88, 98)) ('mesothelioma', 'Disease', (44, 56)) ('interacts', 'Reg', (65, 74)) 10960 27803412 Moreover, these malignant cells were immunohistochemically identical to the samples collected previously from the pericardium, showing positivity for calretinin, WT1, AE1/AE3, and CAM5.2, and negativity for CEA and TTF-1. ('AE1', 'Gene', (167, 170)) ('calretinin', 'Gene', '794', (150, 160)) ('CEA', 'Gene', (207, 210)) ('AE3', 'Gene', '6508', (171, 174)) ('CEA', 'Gene', '5670', (207, 210)) ('positivity', 'Var', (135, 145)) ('TTF-1', 'Gene', (215, 220)) ('WT1', 'Gene', '7490', (162, 165)) ('WT1', 'Gene', (162, 165)) ('calretinin', 'Gene', (150, 160)) ('TTF-1', 'Gene', '7270', (215, 220)) ('AE1', 'Gene', '6521', (167, 170)) ('AE3', 'Gene', (171, 174)) 11005 23788952 Transient alleviation occurred after introduction of NSAIDs and clarithromycin, followed however by recurrent rises in temperature, paroxysmal and persistent cough, and malaise after a few days. ('paroxysmal', 'Disease', (132, 142)) ('malaise', 'Disease', (169, 176)) ('clarithromycin', 'Chemical', 'MESH:D017291', (64, 78)) ('recurrent rises in temperature', 'Phenotype', 'HP:0001954', (100, 130)) ('clarithromycin', 'Var', (64, 78)) ('rises', 'PosReg', (110, 115)) ('malaise', 'Phenotype', 'HP:0012378', (169, 176)) ('cough', 'Disease', 'MESH:D003371', (158, 163)) ('persistent cough', 'Phenotype', 'HP:0031245', (147, 163)) ('temperature', 'MPA', (119, 130)) ('cough', 'Phenotype', 'HP:0012735', (158, 163)) ('cough', 'Disease', (158, 163)) 11151 29467873 Overexpression of Survivin is associated with tumour progression and poor prognosis in many types of human malignancies, including MM. ('associated', 'Reg', (30, 40)) ('tumour', 'Disease', (46, 52)) ('human', 'Species', '9606', (101, 106)) ('malignancies', 'Disease', 'MESH:D009369', (107, 119)) ('Overexpression', 'Var', (0, 14)) ('Survivin', 'Protein', (18, 26)) ('tumour', 'Phenotype', 'HP:0002664', (46, 52)) ('malignancies', 'Disease', (107, 119)) ('tumour', 'Disease', 'MESH:D009369', (46, 52)) 11154 29467873 Several studies have determined that germline mutations in the gene for BAP1 predispose individuals to developing various tumours, including MM, cutaneous melanocytic tumours, uveal melanoma, lung adenocarcinoma, and meningioma. ('BAP1', 'Gene', '8314', (72, 76)) ('meningioma', 'Disease', (217, 227)) ('meningioma', 'Phenotype', 'HP:0002858', (217, 227)) ('tumours', 'Disease', (122, 129)) ('uveal melanoma', 'Disease', 'MESH:C536494', (176, 190)) ('tumour', 'Phenotype', 'HP:0002664', (122, 128)) ('uveal melanoma', 'Disease', (176, 190)) ('germline mutations', 'Var', (37, 55)) ('tumours', 'Phenotype', 'HP:0002664', (122, 129)) ('BAP1', 'Gene', (72, 76)) ('tumours', 'Disease', 'MESH:D009369', (122, 129)) ('tumours', 'Disease', (167, 174)) ('lung adenocarcinoma', 'Disease', (192, 211)) ('tumour', 'Phenotype', 'HP:0002664', (167, 173)) ('melanoma', 'Phenotype', 'HP:0002861', (182, 190)) ('meningioma', 'Disease', 'MESH:D008577', (217, 227)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (176, 190)) ('tumours', 'Phenotype', 'HP:0002664', (167, 174)) ('tumours', 'Disease', 'MESH:D009369', (167, 174)) ('cutaneous melanocytic tumours', 'Disease', 'MESH:D009508', (145, 174)) ('lung adenocarcinoma', 'Disease', 'MESH:D000077192', (192, 211)) ('lung adenocarcinoma', 'Phenotype', 'HP:0030078', (192, 211)) ('predispose', 'Reg', (77, 87)) ('cutaneous melanocytic tumours', 'Disease', (145, 174)) 11155 29467873 These studies suggest that germline mutations in BAP1 result in a 'tumour predisposition syndrome' linking BAP1 to many other cancers. ('cancer', 'Phenotype', 'HP:0002664', (126, 132)) ('BAP1', 'Gene', '8314', (107, 111)) ('result in', 'Reg', (54, 63)) ('tumour', 'Disease', (67, 73)) ('BAP1', 'Gene', (49, 53)) ('BAP1', 'Gene', (107, 111)) ('cancers', 'Phenotype', 'HP:0002664', (126, 133)) ('cancers', 'Disease', (126, 133)) ('cancers', 'Disease', 'MESH:D009369', (126, 133)) ('tumour', 'Phenotype', 'HP:0002664', (67, 73)) ('germline mutations', 'Var', (27, 45)) ('tumour', 'Disease', 'MESH:D009369', (67, 73)) ('BAP1', 'Gene', '8314', (49, 53)) 11159 29467873 Several different alterations in the BAP1 gene have been described, including large deletions of exons leading to loss of the N-terminal region, or to premature protein termination, focal deletions, frameshift mutations due to insertions or deletions, splice site mutations, and base substitutions leading to nonsense and missense mutations. ('premature protein termination', 'MPA', (151, 180)) ('nonsense', 'MPA', (309, 317)) ('missense mutations', 'Var', (322, 340)) ('frameshift mutations', 'Var', (199, 219)) ('splice site mutations', 'Var', (252, 273)) ('focal', 'Disease', (182, 187)) ('loss', 'NegReg', (114, 118)) ('deletions', 'Var', (188, 197)) ('insertions', 'Var', (227, 237)) ('BAP1', 'Gene', '8314', (37, 41)) ('leading', 'Reg', (298, 305)) ('deletions', 'Var', (241, 250)) ('BAP1', 'Gene', (37, 41)) ('protein', 'cellular_component', 'GO:0003675', ('161', '168')) ('base substitutions', 'Var', (279, 297)) ('the N-terminal region', 'MPA', (122, 143)) ('deletions', 'Var', (84, 93)) 11160 29467873 Truncating mutations frequently result in loss of the nuclear localization signal and/or the C-terminal protein-binding domain, while missense mutations interfere with the ubiquitin hydrolase function of BAP1. ('interfere', 'NegReg', (153, 162)) ('ubiquitin', 'molecular_function', 'GO:0031386', ('172', '181')) ('nuclear localization signal', 'MPA', (54, 81)) ('Truncating mutations', 'Var', (0, 20)) ('protein-binding', 'molecular_function', 'GO:0005515', ('104', '119')) ('missense mutations', 'Var', (134, 152)) ('ubiquitin hydrolase function', 'MPA', (172, 200)) ('BAP1', 'Gene', '8314', (204, 208)) ('protein', 'cellular_component', 'GO:0003675', ('104', '111')) ('C-terminal protein-binding domain', 'MPA', (93, 126)) ('localization', 'biological_process', 'GO:0051179', ('62', '74')) ('BAP1', 'Gene', (204, 208)) ('loss', 'NegReg', (42, 46)) 11161 29467873 As the detection of these alterations in BAP1 has been made possible in recent years using immunohistochemistry (IHC), immunohistochemical detection of BAP1 loss has also been reported to be useful in distinguishing MM from RMH. ('BAP1', 'Gene', (41, 45)) ('BAP1', 'Gene', '8314', (152, 156)) ('alterations', 'Var', (26, 37)) ('RMH', 'Disease', (224, 227)) ('BAP1', 'Gene', (152, 156)) ('loss', 'NegReg', (157, 161)) ('BAP1', 'Gene', '8314', (41, 45)) 11162 29467873 Several studies indicate that the loss of nuclear BAP1 expression as assessed by IHC is closely correlated with genetic alterations in BAP1. ('BAP1', 'Gene', '8314', (135, 139)) ('genetic alterations', 'Var', (112, 131)) ('BAP1', 'Gene', '8314', (50, 54)) ('expression', 'MPA', (55, 65)) ('BAP1', 'Gene', (135, 139)) ('BAP1', 'Gene', (50, 54)) ('loss', 'NegReg', (34, 38)) 11179 29467873 Although various studies have reported the usefulness of Ki-67 IHC in differentiating EM from RMH, it is not routinely utilized for the confirmation of mesothelioma due to its low sensitivity and specificity. ('Ki-67', 'Var', (57, 62)) ('mesothelioma', 'Disease', 'MESH:D008654', (152, 164)) ('RMH', 'Disease', (94, 97)) ('mesothelioma', 'Disease', (152, 164)) 11180 29467873 However, the diagnostic accuracy of the combination of Ki-67 and BAP1 was 94.8%, which was almost the same as that of the combination of Survivin and BAP1. ('BAP1', 'Gene', '8314', (65, 69)) ('BAP1', 'Gene', (150, 154)) ('combination', 'Interaction', (40, 51)) ('Ki-67', 'Var', (55, 60)) ('BAP1', 'Gene', (65, 69)) ('BAP1', 'Gene', '8314', (150, 154)) 11281 32944962 Nuclear BAP1 staining is more common in sarcomatoid disease [11, 15, 18], consistent with studies describing biphasic cases with BAP1 nuclear positivity in the sarcomatoid component and negativity in the epithelioid component [9, 18, 25]. ('sarcomatoid disease', 'Disease', (40, 59)) ('sarcomatoid disease', 'Disease', 'MESH:C538614', (40, 59)) ('common', 'Reg', (30, 36)) ('nuclear positivity', 'Var', (134, 152)) ('sarcomatoid component', 'Disease', (160, 181)) ('BAP1', 'Gene', (129, 133)) ('sarcomatoid component', 'Disease', 'MESH:C538614', (160, 181)) ('sarcomatoid disease', 'Phenotype', 'HP:0100242', (40, 59)) 11282 32944962 The significance of cytoplasmic BAP1 immunostaining is thought to represent either a mutation in the ubiquitin C-terminal hydrolase (UCH) domain [6, 17, 28], deleted/inactivated NLS2 [6, 29], or a non-specific reaction of the antibody (either classified as BAP1 loss or removed from the dataset) [10, 11, 12, 13, 14, 18, 25]. ('NLS2', 'Gene', (178, 182)) ('UCH', 'Gene', (133, 136)) ('antibody', 'cellular_component', 'GO:0019815', ('226', '234')) ('antibody', 'cellular_component', 'GO:0019814', ('226', '234')) ('NLS2', 'Gene', '29968', (178, 182)) ('antibody', 'molecular_function', 'GO:0003823', ('226', '234')) ('ubiquitin C-terminal hydrolase', 'Gene', (101, 131)) ('ubiquitin C-terminal hydrolase', 'molecular_function', 'GO:0036459', ('101', '131')) ('antibody', 'cellular_component', 'GO:0042571', ('226', '234')) ('deleted/inactivated', 'Var', (158, 177)) ('UCH', 'Gene', '7345', (133, 136)) ('ubiquitin C-terminal hydrolase', 'Gene', '7345', (101, 131)) 11287 32944962 Four cases exhibited mutations specifically in the NLS1 domain, of which three demonstrated cytoplasmic and one nuclear BAP1 staining. ('NLS1', 'Gene', (51, 55)) ('exhibited', 'Reg', (11, 20)) ('NLS1', 'Gene', '84879', (51, 55)) ('mutations', 'Var', (21, 30)) 11296 32944962 Many solid tumors, such as non-small cell lung cancer, are driven by specific mutations in oncogenes, leading to the development and successful use of targeted sequencing panels to select targeted therapies and predict survival of cancer patients [51]. ('lung cancer', 'Disease', 'MESH:D008175', (42, 53)) ('tumor', 'Phenotype', 'HP:0002664', (11, 16)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (31, 53)) ('cancer', 'Disease', 'MESH:D009369', (231, 237)) ('cancer', 'Disease', 'MESH:D009369', (47, 53)) ('tumors', 'Phenotype', 'HP:0002664', (11, 17)) ('driven by', 'Reg', (59, 68)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (27, 53)) ('cancer', 'Disease', (231, 237)) ('cancer', 'Disease', (47, 53)) ('mutations', 'Var', (78, 87)) ('lung cancer', 'Disease', (42, 53)) ('lung cancer', 'Phenotype', 'HP:0100526', (42, 53)) ('cancer', 'Phenotype', 'HP:0002664', (47, 53)) ('cancer', 'Phenotype', 'HP:0002664', (231, 237)) ('solid tumors', 'Disease', (5, 17)) 11297 32944962 Our finding that single-pattern cytoplasmic BAP1 is associated with improved survival of patients with non-epithelioid MPM suggests that BAP1 IHC may also be useful as a prognostic biomarker, as has been suggested for glioma [52]. ('BAP1', 'Gene', (137, 141)) ('glioma', 'Disease', (218, 224)) ('single-pattern cytoplasmic', 'Var', (17, 43)) ('survival', 'MPA', (77, 85)) ('glioma', 'Disease', 'MESH:D005910', (218, 224)) ('glioma', 'Phenotype', 'HP:0009733', (218, 224)) ('improved', 'PosReg', (68, 76)) ('BAP1', 'Gene', (44, 48)) 11415 32290540 From this point of view, a new frontier can be represented by the use of the comet assay since inhaled asbestos may induce oxidative stress and biochemical changes in lipids, proteins, DNA and RNA. ('biochemical changes', 'MPA', (144, 163)) ('lipids', 'MPA', (167, 173)) ('oxidative stress', 'Phenotype', 'HP:0025464', (123, 139)) ('DNA', 'cellular_component', 'GO:0005574', ('185', '188')) ('asbestos', 'Chemical', 'MESH:D001194', (103, 111)) ('lipids', 'Chemical', 'MESH:D008055', (167, 173)) ('oxidative stress', 'MPA', (123, 139)) ('DNA', 'MPA', (185, 188)) ('induce', 'Reg', (116, 122)) ('RNA', 'cellular_component', 'GO:0005562', ('193', '196')) ('proteins', 'Protein', (175, 183)) ('inhaled', 'Var', (95, 102)) 11429 31138176 CDKN2A copy number and p16 expression in malignant pleural mesothelioma in relation to asbestos exposure Deletion of the CDKN2A locus is centrally involved in the development of several malignancies. ('CDKN2A', 'Gene', '1029', (121, 127)) ('CDKN2A', 'Gene', '1029', (0, 6)) ('p16', 'Gene', (23, 26)) ('involved', 'Reg', (147, 155)) ('asbestos', 'Chemical', 'MESH:D001194', (87, 95)) ('malignant pleural mesothelioma', 'Disease', (41, 71)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (41, 71)) ('Deletion', 'Var', (105, 113)) ('men', 'Species', '9606', (170, 173)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (51, 71)) ('p16', 'Gene', '1029', (23, 26)) ('CDKN2A', 'Gene', (0, 6)) ('malignancies', 'Disease', 'MESH:D009369', (186, 198)) ('CDKN2A', 'Gene', (121, 127)) ('malignancies', 'Disease', (186, 198)) 11433 31138176 Copy number alterations in 2p16, 9q33.1 and 19p13 have earlier been shown to accumulate in lung cancer in relation to asbestos exposure but their status in MPM is unclear. ('p16', 'Gene', '1029', (28, 31)) ('lung cancer', 'Phenotype', 'HP:0100526', (91, 102)) ('cancer', 'Phenotype', 'HP:0002664', (96, 102)) ('asbestos', 'Chemical', 'MESH:D001194', (118, 126)) ('Copy number alterations', 'Var', (0, 23)) ('lung cancer', 'Disease', 'MESH:D008175', (91, 102)) ('p16', 'Gene', (28, 31)) ('19p13', 'Gene', (44, 49)) ('accumulate', 'PosReg', (77, 87)) ('lung cancer', 'Disease', (91, 102)) 11438 31138176 We found that an abnormal copy number of CDKN2A in MPM tumor cells associated with a high pulmonary asbestos fiber count (p = 0.044, Fisher's Exact test, two-tailed). ('abnormal copy number', 'Var', (17, 37)) ('high pulmonary asbestos', 'Disease', 'MESH:D001195', (85, 108)) ('tumor', 'Phenotype', 'HP:0002664', (55, 60)) ('MPM tumor', 'Disease', 'MESH:D009369', (51, 60)) ('high pulmonary asbestos', 'Disease', (85, 108)) ('associated', 'Reg', (67, 77)) ('CDKN2A', 'Gene', (41, 47)) ('MPM tumor', 'Disease', (51, 60)) 11445 31138176 Alterations of CDKN2A locus and its corresponding protein expression are involved in numerous malignancies. ('CDKN2A', 'Gene', (15, 21)) ('Alterations', 'Var', (0, 11)) ('numerous malignancies', 'Disease', 'MESH:D009369', (85, 106)) ('numerous malignancies', 'Disease', (85, 106)) ('protein', 'cellular_component', 'GO:0003675', ('50', '57')) ('involved', 'Reg', (73, 81)) 11446 31138176 In non-small cell lung cancer linked with asbestos exposure CDKN2A has been shown to be inactivated, mainly via deletions. ('asbestos', 'Chemical', 'MESH:D001194', (42, 50)) ('deletions', 'Var', (112, 121)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (3, 29)) ('CDKN2A', 'Gene', (60, 66)) ('lung cancer', 'Phenotype', 'HP:0100526', (18, 29)) ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (3, 29)) ('inactivated', 'NegReg', (88, 99)) ('cancer', 'Phenotype', 'HP:0002664', (23, 29)) ('non-small cell lung cancer', 'Disease', (3, 29)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (7, 29)) 11450 31138176 In MPM, deletion of CDKN2A is the most frequently detected chromosomal change and the most common cause for p16 protein inactivation (reviewed in). ('cause', 'Reg', (98, 103)) ('p16', 'Gene', '1029', (108, 111)) ('CDKN2A', 'Gene', (20, 26)) ('protein', 'cellular_component', 'GO:0003675', ('112', '119')) ('p16', 'Gene', (108, 111)) ('inactivation', 'NegReg', (120, 132)) ('deletion', 'Var', (8, 16)) 11451 31138176 Hypermethylation of CDKN2A as a cause of loss of p16 expression in MPM has been reported in a minority of cases. ('Hypermethylation', 'Var', (0, 16)) ('p16', 'Gene', (49, 52)) ('CDKN2A', 'Gene', (20, 26)) ('expression', 'MPA', (53, 63)) ('p16', 'Gene', '1029', (49, 52)) ('loss', 'NegReg', (41, 45)) 11452 31138176 The frequency of CDKN2A deletion in MPM have most often been shown to range from 61 to 88% in primary tumors, few studies, however, showing deletion only in one-fifth of cases. ('MPM', 'Disease', (36, 39)) ('tumors', 'Disease', 'MESH:D009369', (102, 108)) ('tumors', 'Disease', (102, 108)) ('tumors', 'Phenotype', 'HP:0002664', (102, 108)) ('CDKN2A', 'Gene', (17, 23)) ('deletion', 'Var', (24, 32)) ('tumor', 'Phenotype', 'HP:0002664', (102, 107)) 11459 31138176 In MPM, the asbestos-related genomic changes reported mainly consist of copy number alterations such as deletions in 14q11.2-q21, 6q, 17p, and 22q and DNA methylation changes. ('DNA', 'cellular_component', 'GO:0005574', ('151', '154')) ('asbestos', 'Chemical', 'MESH:D001194', (12, 20)) ('DNA', 'MPA', (151, 154)) ('14q11.2-q21', 'Gene', (117, 128)) ('DNA methylation', 'biological_process', 'GO:0006306', ('151', '166')) ('17p', 'CPA', (134, 137)) ('MPM', 'Disease', (3, 6)) ('22q', 'CPA', (143, 146)) ('deletions', 'Var', (104, 113)) 11460 31138176 As we have earlier shown in lung cancer asbestos exposure-related accumulation of copy number alterations in 2p16, 9q33.1 and 19p13, we also studied the same loci in MPM. ('lung cancer asbestos', 'Disease', 'MESH:D008175', (28, 48)) ('copy number alterations', 'Var', (82, 105)) ('p16', 'Gene', '1029', (110, 113)) ('accumulation', 'PosReg', (66, 78)) ('cancer', 'Phenotype', 'HP:0002664', (33, 39)) ('p16', 'Gene', (110, 113)) ('lung cancer', 'Phenotype', 'HP:0100526', (28, 39)) ('lung cancer asbestos', 'Disease', (28, 48)) 11497 31138176 To measure the degree of agreement with CDKN2A abnormality and p16 staining we calculated Cohen's Kappa (kappa) Coefficient. ('abnormality', 'Var', (47, 58)) ('p16', 'Gene', '1029', (63, 66)) ('p16', 'Gene', (63, 66)) ('men', 'Species', '9606', (30, 33)) 11498 31138176 MPM tumors from 92 patients having either low (<=0.5 x 106 f/g), high (>=1.0 x 106 f/g), including very high (>= 5.0 x 106 f/g), or unknown pulmonary asbestos fiber counts (unknown exposure) were studied for p16 immunoreactivity and CDKN2A copy number. ('<=0.5', 'Var', (47, 52)) ('patients', 'Species', '9606', (19, 27)) ('unknown pulmonary asbestos', 'Disease', (132, 158)) ('tumors', 'Phenotype', 'HP:0002664', (4, 10)) ('MPM tumors', 'Disease', (0, 10)) ('p16', 'Gene', '1029', (208, 211)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) ('unknown pulmonary asbestos', 'Disease', 'MESH:D001195', (132, 158)) ('>=', 'Var', (110, 112)) ('MPM tumors', 'Disease', 'MESH:D009369', (0, 10)) ('>=1.0 x 106 f/g', 'Var', (71, 86)) ('p16', 'Gene', (208, 211)) 11508 31138176 Positivity of p16 in stromal cells was even more predominant among the very highly exposed when compared with MPM with low exposure (p = 0.018, Chi-Square) (Table 2). ('p16', 'Gene', '1029', (14, 17)) ('p16', 'Gene', (14, 17)) ('Positivity', 'Var', (0, 10)) 11514 31138176 Abnormal DNA copy number of CDKN2A in MPM tumor cells associated with patients' high pulmonary asbestos fiber count (p = 0.044, Fisher's Exact test, two-tailed) (Table 2, Fig. ('patients', 'Species', '9606', (70, 78)) ('MPM tumor', 'Disease', 'MESH:D009369', (38, 47)) ('high pulmonary asbestos', 'Disease', (80, 103)) ('DNA', 'cellular_component', 'GO:0005574', ('9', '12')) ('CDKN2A', 'Gene', (28, 34)) ('Abnormal', 'Var', (0, 8)) ('high pulmonary asbestos', 'Disease', 'MESH:D001195', (80, 103)) ('MPM tumor', 'Disease', (38, 47)) ('tumor', 'Phenotype', 'HP:0002664', (42, 47)) ('associated', 'Reg', (54, 64)) 11518 31138176 When the relation of CDKN2A abnormality and p16 staining status was observed in individual MPM tumors, low exposure group tumors with abnormal CDKN2A always were negative for p16 staining and vice versa, yet the case numbers were small (Kappa coefficient 1.000) (Additional file 3). ('tumors', 'Disease', (122, 128)) ('tumors', 'Disease', 'MESH:D009369', (122, 128)) ('p16', 'Gene', (44, 47)) ('tumors', 'Disease', 'MESH:D009369', (95, 101)) ('p16', 'Gene', (175, 178)) ('MPM tumors', 'Disease', 'MESH:D009369', (91, 101)) ('tumors', 'Phenotype', 'HP:0002664', (95, 101)) ('p16', 'Gene', '1029', (44, 47)) ('CDKN2A', 'Gene', (143, 149)) ('tumor', 'Phenotype', 'HP:0002664', (122, 127)) ('tumor', 'Phenotype', 'HP:0002664', (95, 100)) ('negative', 'NegReg', (162, 170)) ('p16', 'Gene', '1029', (175, 178)) ('tumors', 'Phenotype', 'HP:0002664', (122, 128)) ('tumors', 'Disease', (95, 101)) ('abnormal', 'Var', (134, 142)) ('MPM tumors', 'Disease', (91, 101)) 11522 31138176 Mean signal counts of the loci and centromeres #2, #9, #10 and #15 suggested that copy numbers in 2p16, 9q33.1, and 19p13 and centromeres of chromosomes 2, 9, 10, and 15 in majority of MPM were diploid or close to diploid (Additional file 1). ('p16', 'Gene', '1029', (99, 102)) ('p16', 'Gene', (99, 102)) ('MPM', 'Gene', (185, 188)) ('copy', 'Var', (82, 86)) 11525 31138176 In mouse studies, MM formation through asbestos exposure has shown a significant role of alterations in Cdkn2a/Arf and deletion of CDKN2A is the most frequently detected chromosomal change in human MPM. ('mouse', 'Species', '10090', (3, 8)) ('human', 'Species', '9606', (192, 197)) ('MM formation', 'CPA', (18, 30)) ('deletion', 'Var', (119, 127)) ('Cdkn2a', 'Gene', '12578', (104, 110)) ('formation', 'biological_process', 'GO:0009058', ('21', '30')) ('asbestos', 'Chemical', 'MESH:D001194', (39, 47)) ('alterations', 'Var', (89, 100)) ('Cdkn2a', 'Gene', (104, 110)) ('CDKN2A', 'Gene', (131, 137)) 11540 31138176 Accordingly, a majority (84.1%) of our MPM cases showed a CDKN2A copy number abnormality, either HD or hemizygous deletion or monosomy. ('HD', 'Disease', 'MESH:D006816', (97, 99)) ('monosomy', 'Var', (126, 134)) ('CDKN2A', 'Gene', (58, 64)) ('hemizygous deletion', 'Var', (103, 122)) ('copy number abnormality', 'Var', (65, 88)) 11545 31138176 We showed that abnormal copy number of CDKN2A in MPM tumor cells associated with high pulmonary asbestos fiber count but not with age or MPM histologic type. ('MPM tumor', 'Disease', (49, 58)) ('CDKN2A', 'Gene', (39, 45)) ('high pulmonary asbestos', 'Disease', 'MESH:D001195', (81, 104)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('associated', 'Reg', (65, 75)) ('MPM tumor', 'Disease', 'MESH:D009369', (49, 58)) ('abnormal copy number', 'Var', (15, 35)) ('high pulmonary asbestos', 'Disease', (81, 104)) 11547 31138176 In their study, p16 alterations (deletion or methylation) were more common in cases with lower pulmonary asbestos (fiber counts by a method different than ours) although p16 deletions were more common in heavy exposed group. ('alterations', 'Var', (20, 31)) ('methylation', 'biological_process', 'GO:0032259', ('45', '56')) ('p16', 'Gene', '1029', (16, 19)) ('p16', 'Gene', '1029', (170, 173)) ('pulmonary asbestos', 'Disease', (95, 113)) ('pulmonary asbestos', 'Disease', 'MESH:D001195', (95, 113)) ('methylation', 'Var', (45, 56)) ('p16', 'Gene', (16, 19)) ('p16', 'Gene', (170, 173)) 11549 31138176 In other earlier studies, exposure data obtained from work history evaluation, CDKN2A deletion and asbestos exposure did not associate with each other. ('asbestos', 'Chemical', 'MESH:D001194', (99, 107)) ('CDKN2A', 'Gene', (79, 85)) ('deletion', 'Var', (86, 94)) 11552 31138176 This is the first report indicating a correlation between the CDKN2A deletion status and the p16 protein levels in MPM patients having low asbestos exposure. ('correlation', 'Interaction', (38, 49)) ('protein', 'cellular_component', 'GO:0003675', ('97', '104')) ('p16', 'Gene', '1029', (93, 96)) ('patients', 'Species', '9606', (119, 127)) ('CDKN2A', 'Gene', (62, 68)) ('p16', 'Gene', (93, 96)) ('asbestos', 'Chemical', 'MESH:D001194', (139, 147)) ('deletion', 'Var', (69, 77)) 11553 31138176 Earlier, somewhat discrepant results about the relationship and correlation of the CDKN2A deletion status and the p16 levels in MPM has been reported. ('deletion', 'Var', (90, 98)) ('CDKN2A', 'Gene', (83, 89)) ('p16', 'Gene', '1029', (114, 117)) ('p16', 'Gene', (114, 117)) 11554 31138176 Immunoreactivity for the proteins p14, p15, p16 and MTAP, all encoded from DNA in 9p21, has been studied and compared with FISH result of 9p21. ('p16', 'Gene', (44, 47)) ('p14', 'Var', (34, 37)) ('p15', 'Var', (39, 42)) ('MTAP', 'Gene', '4507', (52, 56)) ('DNA', 'cellular_component', 'GO:0005574', ('75', '78')) ('p16', 'Gene', '1029', (44, 47)) ('MTAP', 'Gene', (52, 56)) 11557 31138176 Nevertheless, the correlation between the CDKN2A deletion status and p16 protein levels was shown here for the first time, interestingly only in the low exposure group MPM. ('p16', 'Gene', (69, 72)) ('CDKN2A', 'Gene', (42, 48)) ('deletion', 'Var', (49, 57)) ('protein', 'cellular_component', 'GO:0003675', ('73', '80')) ('p16', 'Gene', '1029', (69, 72)) 11559 31138176 Our studies here on locus specific DNA copy numbers and on the centromeres of chromosomes 2, 9, 10 and 15 suggested that asbestos exposure related accumulation of alterations in 2p16, 9q33 and 19p13 that we earlier have showed in lung cancer was not comparable in MPM. ('alterations', 'Var', (163, 174)) ('asbestos', 'Chemical', 'MESH:D001194', (121, 129)) ('9q33', 'Gene', (184, 188)) ('lung cancer', 'Disease', (230, 241)) ('p16', 'Gene', (179, 182)) ('lung cancer', 'Phenotype', 'HP:0100526', (230, 241)) ('cancer', 'Phenotype', 'HP:0002664', (235, 241)) ('19p13', 'Gene', (193, 198)) ('DNA', 'cellular_component', 'GO:0005574', ('35', '38')) ('p16', 'Gene', '1029', (179, 182)) ('lung cancer', 'Disease', 'MESH:D008175', (230, 241)) 11560 31138176 Abnormal signals, even if being infrequent may suggest that in asbestos-exposed patients these genomic regions gained disintegration due to exposure-induced DNA damage, reflected as increased locus copy number variation in single MPM individuals. ('asbestos', 'Chemical', 'MESH:D001194', (63, 71)) ('increased', 'PosReg', (182, 191)) ('patients', 'Species', '9606', (80, 88)) ('gained', 'PosReg', (111, 117)) ('DNA', 'cellular_component', 'GO:0005574', ('157', '160')) ('locus copy number variation', 'Var', (192, 219)) ('disintegration', 'MPA', (118, 132)) 11562 31138176 Although 2p changes were not reported using comparative genomic hybridization in primary MPM tumors, another study on MPM cell lines have shown gains in 2p16.2-p12, 2p11.2-q11.2, and 19p13.13, depending on the cell passage. ('MPM tumors', 'Disease', (89, 99)) ('tumor', 'Phenotype', 'HP:0002664', (93, 98)) ('p16', 'Gene', (154, 157)) ('p12', 'Gene', '56655', (160, 163)) ('MPM tumors', 'Disease', 'MESH:D009369', (89, 99)) ('tumors', 'Phenotype', 'HP:0002664', (93, 99)) ('p16', 'Gene', '1029', (154, 157)) ('19p13.13', 'Var', (183, 191)) ('2p11.2-q11.2', 'Var', (165, 177)) ('p12', 'Gene', (160, 163)) ('gains', 'PosReg', (144, 149)) 11564 31138176 Additionally, abnormal copy number of CDKN2A in MPM tumor cells associated with high pulmonary asbestos fiber count, again suggesting a biological difference between mesotheliomas depending on the degree of asbestos exposure. ('tumor', 'Phenotype', 'HP:0002664', (52, 57)) ('associated', 'Reg', (64, 74)) ('MPM tumor', 'Disease', 'MESH:D009369', (48, 57)) ('high pulmonary asbestos', 'Disease', (80, 103)) ('mesotheliomas', 'Disease', 'MESH:D008654', (166, 179)) ('asbestos', 'Chemical', 'MESH:D001194', (207, 215)) ('mesotheliomas', 'Disease', (166, 179)) ('abnormal copy number', 'Var', (14, 34)) ('asbestos', 'Chemical', 'MESH:D001194', (95, 103)) ('CDKN2A', 'Gene', (38, 44)) ('high pulmonary asbestos', 'Disease', 'MESH:D001195', (80, 103)) ('MPM tumor', 'Disease', (48, 57)) 11570 31138176 The patients are deceased, consent from them was not required (Dnro 39/13/03/00/09; Dnro 105/13/03/00/2013, Dnro TTL/2/2016; Dnro THL/1055/5.05.01/2013; Dnro 5929/06.01.03.01/2013). ('TTL', 'Gene', (113, 116)) ('TTL', 'Gene', '150465', (113, 116)) ('patients', 'Species', '9606', (4, 12)) ('THL', 'Chemical', '-', (130, 133)) ('Dnro', 'Var', (125, 129)) 11585 30723653 Immunohistochemical analyses demonstrated that these cells were positive for AE1/AE3, calretinin, D2-40, WT-1, mesothelin, HEG1, CD146, EMA, MTAP, p16, and p53, and negative for CEA, TTF-1, desmin, and BAP1 and Ki67 index was 5%. ('p16', 'Gene', (147, 150)) ('TTF-1', 'Gene', (183, 188)) ('CD146', 'Gene', '4162', (129, 134)) ('CD146', 'Gene', (129, 134)) ('calretinin', 'Gene', '794', (86, 96)) ('CEA', 'Gene', (178, 181)) ('D2-40', 'Var', (98, 103)) ('p16', 'Gene', '1029', (147, 150)) ('CEA', 'Gene', '5670', (178, 181)) ('desmin', 'Gene', '1674', (190, 196)) ('desmin', 'cellular_component', 'GO:0045098', ('190', '196')) ('AE3', 'Gene', (81, 84)) ('HEG1', 'Gene', (123, 127)) ('BAP1', 'Gene', '8314', (202, 206)) ('p53', 'Gene', '7157', (156, 159)) ('HEG1', 'Gene', '57493', (123, 127)) ('AE1', 'Gene', '6521', (77, 80)) ('TTF-1', 'Gene', '7270', (183, 188)) ('MTAP', 'Gene', (141, 145)) ('BAP1', 'Gene', (202, 206)) ('AE3', 'Gene', '6508', (81, 84)) ('calretinin', 'Gene', (86, 96)) ('MTAP', 'Gene', '4507', (141, 145)) ('p53', 'Gene', (156, 159)) ('desmin', 'Gene', (190, 196)) ('desmin', 'cellular_component', 'GO:0045100', ('190', '196')) ('AE1', 'Gene', (77, 80)) 11595 30723653 Immunohistochemical analyses demonstrated that these cells were positive for AE1/AE3, calretinin, D2-40, WT-1, mesothelin, HEG1, CD146, MTAP, and p53, and negative for CEA, TTF-1, and claudin-4 and Ki67 index was 8%. ('claudin-4', 'Gene', (184, 193)) ('p53', 'Gene', (146, 149)) ('CD146', 'Gene', '4162', (129, 134)) ('CD146', 'Gene', (129, 134)) ('calretinin', 'Gene', '794', (86, 96)) ('D2-40', 'Var', (98, 103)) ('claudin-4', 'Gene', '1364', (184, 193)) ('TTF-1', 'Gene', (173, 178)) ('MTAP', 'Gene', (136, 140)) ('AE3', 'Gene', (81, 84)) ('HEG1', 'Gene', (123, 127)) ('CEA', 'Gene', (168, 171)) ('MTAP', 'Gene', '4507', (136, 140)) ('CEA', 'Gene', '5670', (168, 171)) ('positive', 'Reg', (64, 72)) ('HEG1', 'Gene', '57493', (123, 127)) ('AE1', 'Gene', '6521', (77, 80)) ('AE3', 'Gene', '6508', (81, 84)) ('calretinin', 'Gene', (86, 96)) ('p53', 'Gene', '7157', (146, 149)) ('AE1', 'Gene', (77, 80)) ('TTF-1', 'Gene', '7270', (173, 178)) 11623 26443804 Recombinant Immunotoxin with T Cell Epitope Mutations that Greatly Reduce Immunogenicity for Treatment of Mesothelin Expressing Tumors SS1P is a recombinant immunotoxin (RIT) that targets mesothelin. ('Mesothelin', 'Gene', '10232', (106, 116)) ('SS1P', 'Chemical', 'MESH:C474515', (135, 139)) ('Immunogenicity', 'MPA', (74, 88)) ('Mesothelin', 'Gene', (106, 116)) ('RIT', 'Chemical', '-', (170, 173)) ('SS1P', 'Gene', (135, 139)) ('Tumors', 'Phenotype', 'HP:0002664', (128, 134)) ('Mutations', 'Var', (44, 53)) ('Tumor', 'Phenotype', 'HP:0002664', (128, 133)) ('Tumors', 'Disease', (128, 134)) ('Tumors', 'Disease', 'MESH:D009369', (128, 134)) 11626 26443804 LMB-T20 was more active than SS1P when tested on 4 different mesothelin expressing cell lines as well as on cells obtained from patients with mesothelioma. ('LMB-T20', 'Chemical', '-', (0, 7)) ('SS1P', 'Chemical', 'MESH:C474515', (29, 33)) ('LMB-T20', 'Var', (0, 7)) ('mesothelioma', 'Disease', (142, 154)) ('patients', 'Species', '9606', (128, 136)) ('mesothelioma', 'Disease', 'MESH:D008654', (142, 154)) ('active', 'MPA', (17, 23)) 11635 26443804 When SS1P was evaluated in clinical trials, it had low anti-tumor activity as a single agent and in most patients could only be given for a single cycle of three doses before neutralizing antibodies developed. ('patients', 'Species', '9606', (105, 113)) ('SS1P', 'Chemical', 'MESH:C474515', (5, 9)) ('SS1P', 'Var', (5, 9)) ('tumor', 'Disease', 'MESH:D009369', (60, 65)) ('low', 'NegReg', (51, 54)) ('tumor', 'Phenotype', 'HP:0002664', (60, 65)) ('tumor', 'Disease', (60, 65)) 11639 26443804 The antibodies involved in the immunogenicity response against SS1P are mostly high affinity IgGs reacting with PE38, the toxin portion of the RIT. ('SS1P', 'Chemical', 'MESH:C474515', (63, 67)) ('PE38', 'Var', (112, 116)) ('SS1P', 'Gene', (63, 67)) ('RIT', 'Chemical', '-', (143, 146)) 11644 26443804 SS1P, SS1P-LR-GGS and LMB-T20 are composed of the heavy-chain Fv fused to PE38 or PE24 toxin, with a disulfide-linkage to the light-chain Fv (VL). ('disulfide', 'Chemical', 'MESH:D004220', (101, 110)) ('PE38', 'Var', (74, 78)) ('heavy-chain', 'Protein', (50, 61)) ('SS1P', 'Chemical', 'MESH:C474515', (0, 4)) ('SS1P', 'Chemical', 'MESH:C474515', (6, 10)) ('LMB-T20', 'Chemical', '-', (22, 29)) 11653 26443804 Identity of all cell lines was confirmed by short tandem repeat (STR) testing within the past 12 months and all cell lines were tested negative for mycoplasma. ('mycoplasma', 'Disease', 'MESH:D009175', (148, 158)) ('mycoplasma', 'Disease', (148, 158)) ('short tandem repeat', 'Var', (44, 63)) 11688 26443804 PE38 is made up of two domains; domain II (amino acids 253-364) involved in toxin processing, and domain III (amino acids 395-613) contains the ADP ribosylation activity. ('ADP', 'Chemical', 'MESH:D000244', (144, 147)) ('involved', 'Reg', (64, 72)) ('ADP ribosylation activity', 'MPA', (144, 169)) ('amino acids 395-613', 'Var', (110, 129)) ('amino acids 253-364', 'Var', (43, 62)) 11689 26443804 We previously showed that modifying SS1P by deletion of the majority of domain II and retaining the 11 amino acid furin cleavage site followed by a GGS spacer results in a RIT (SS1-LR-GGS) (Fig. ('SS1P', 'Chemical', 'MESH:C474515', (36, 40)) ('deletion', 'Var', (44, 52)) ('amino acid furin', 'Chemical', '-', (103, 119)) ('SS1', 'Gene', '3123', (177, 180)) ('SS1', 'Gene', '3123', (36, 39)) ('RIT', 'Chemical', '-', (172, 175)) ('SS1', 'Gene', (177, 180)) ('SS1', 'Gene', (36, 39)) 11691 26443804 To construct LMB-T20 we introduced six mutations (R427A, F443A, L477H, R494A, R505A and L552E) into SS1-LR-GGS (Fig. ('R427A', 'Var', (50, 55)) ('LMB-T20', 'Chemical', '-', (13, 20)) ('F443A', 'Mutation', 'p.F443A', (57, 62)) ('F443A', 'Var', (57, 62)) ('R494A', 'Mutation', 'p.R494A', (71, 76)) ('SS1', 'Gene', '3123', (100, 103)) ('L552E', 'Var', (88, 93)) ('L477H', 'Mutation', 'p.L477H', (64, 69)) ('R505A', 'Mutation', 'p.R505A', (78, 83)) ('SS1', 'Gene', (100, 103)) ('L477H', 'Var', (64, 69)) ('R494A', 'Var', (71, 76)) ('R505A', 'Var', (78, 83)) ('L552E', 'Mutation', 'p.L552E', (88, 93)) ('R427A', 'Mutation', 'p.R427A', (50, 55)) 11692 26443804 These mutations were previously shown to reduce T cell epitopes in an immunotoxin targeting CD22. ('CD22', 'Gene', (92, 96)) ('T cell epitopes', 'MPA', (48, 63)) ('CD22', 'Gene', '933', (92, 96)) ('reduce T cell', 'Phenotype', 'HP:0005403', (41, 54)) ('reduce', 'NegReg', (41, 47)) ('mutations', 'Var', (6, 15)) 11694 26443804 To quantify the decrease in T cell epitope content and to determine if the changes in six amino acids that diminish the T cell epitope content could have affected the processing of the protein antigen (LMB-T20) or produced new T cell epitopes, we mapped the T cell epitopes in LMB-T20 and compared the results to the epitopes in SS1P. ('LMB-T20', 'Chemical', '-', (202, 209)) ('LMB-T20', 'Chemical', '-', (277, 284)) ('changes', 'Var', (75, 82)) ('processing', 'MPA', (167, 177)) ('protein', 'cellular_component', 'GO:0003675', ('185', '192')) ('LMB-T20', 'Gene', (277, 284)) ('affected', 'Reg', (154, 162)) ('SS1P', 'Chemical', 'MESH:C474515', (329, 333)) 11696 26443804 After 14 days of in vitro expansion, the cells that were stimulated with SS1P were re-stimulated with 111 peptides spanning the sequence of PE38 and the cells that were stimulated with LMB-T20 were re-stimulated with 76 peptides spanning the entire sequence of LMB-T20. ('PE38', 'Var', (140, 144)) ('LMB-T20', 'Chemical', '-', (185, 192)) ('LMB-T20', 'Chemical', '-', (261, 268)) ('SS1P', 'Var', (73, 77)) ('SS1P', 'Chemical', 'MESH:C474515', (73, 77)) 11699 26443804 However, in cells that were stimulated with LMB-T20 there was an 81% reduction in the total response (p>0.0001 in 2-way ANOVA) from a total of 105 positive responses to SS1P to a total of 25 responses to LMB-T20. ('SS1P', 'Chemical', 'MESH:C474515', (169, 173)) ('LMB-T20', 'Chemical', '-', (204, 211)) ('LMB-T20', 'Chemical', '-', (44, 51)) ('reduction', 'NegReg', (69, 78)) ('LMB-T20', 'Var', (44, 51)) 11701 26443804 To evaluate the ability of LMB-T20 to induce a T cell response, we directly stimulated PBMC from 12 donors (with various DRB1 HLA haplotypes) with SS1P, LMB-T20 or KLH in ELISpot plates. ('DRB1', 'Gene', (121, 125)) ('DRB1', 'Gene', '3123', (121, 125)) ('LMB-T20', 'Chemical', '-', (27, 34)) ('LMB-T20', 'Chemical', '-', (153, 160)) ('SS1P', 'Chemical', 'MESH:C474515', (147, 151)) ('LMB-T20', 'Var', (153, 160)) ('SS1P', 'Var', (147, 151)) ('donor', 'Species', '9606', (100, 105)) 11704 26443804 SS1P also produced a strong T cell response, which was significantly greater than the no protein control for both IFNgamma and IL-2 (p<0.0001 and 0.001 respectively in Freidman test with Dunn's multiple comparisons) with a median of 702 IFNgamma SFC/1x106 and 226 IL-2 SFC/1x106 in SS1P stimulated cells and a median of 10 IFNgamma SFC/1x106 and 19 IL-2 SFC/1x106 in the no protein control. ('IFNgamma SFC/1x106', 'Gene', (237, 255)) ('IFNgamma SFC/1x106', 'Gene', (323, 341)) ('IFNgamma', 'Gene', (237, 245)) ('SS1P', 'Var', (0, 4)) ('protein', 'cellular_component', 'GO:0003675', ('374', '381')) ('IFNgamma', 'Gene', '3458', (237, 245)) ('IFNgamma', 'Gene', (323, 331)) ('T cell response', 'MPA', (28, 43)) ('IFNgamma', 'Gene', '3458', (323, 331)) ('greater', 'PosReg', (69, 76)) ('IL-2', 'Gene', (264, 268)) ('SS1P', 'Chemical', 'MESH:C474515', (282, 286)) ('IFNgamma', 'Gene', (114, 122)) ('IL-2', 'Gene', (349, 353)) ('IL-2', 'Gene', (127, 131)) ('IFNgamma', 'Gene', '3458', (114, 122)) ('IL-2', 'molecular_function', 'GO:0005134', ('127', '131')) ('protein', 'cellular_component', 'GO:0003675', ('89', '96')) ('IL-2', 'molecular_function', 'GO:0005134', ('349', '353')) ('IL-2', 'Gene', '3558', (264, 268)) ('IL-2', 'molecular_function', 'GO:0005134', ('264', '268')) ('IFNgamma SFC/1x106', 'Gene', '3439', (323, 341)) ('IFNgamma SFC/1x106', 'Gene', '3439', (237, 255)) ('SS1P', 'Chemical', 'MESH:C474515', (0, 4)) ('IL-2', 'Gene', '3558', (349, 353)) ('IL-2', 'Gene', '3558', (127, 131)) 11712 26443804 We found that LMB-T20 was very cytotoxic to all five cell lines and almost as active as SS1-LR-GGS that has no mutations in domain III. ('SS1', 'Gene', (88, 91)) ('cytotoxic', 'CPA', (31, 40)) ('LMB-T20', 'Chemical', '-', (14, 21)) ('LMB-T20', 'Var', (14, 21)) ('SS1', 'Gene', '3123', (88, 91)) 11717 26443804 We found that LMB-T20 was more active than SS1P in cytotoxicity assays on all four patient derived lines (Supplementary Fig. ('cytotoxicity', 'Disease', 'MESH:D064420', (51, 63)) ('LMB-T20', 'Chemical', '-', (14, 21)) ('SS1P', 'Chemical', 'MESH:C474515', (43, 47)) ('LMB-T20', 'Var', (14, 21)) ('cytotoxicity', 'Disease', (51, 63)) ('patient', 'Species', '9606', (83, 90)) 11726 26443804 We observed a significant delay in tumor growth starting on day 9 (p<0.05 in Mann Whitney test) in the mice treated with LMB-T20. ('tumor', 'Disease', 'MESH:D009369', (35, 40)) ('delay', 'NegReg', (26, 31)) ('tumor', 'Phenotype', 'HP:0002664', (35, 40)) ('mice', 'Species', '10090', (103, 107)) ('LMB-T20', 'Chemical', '-', (121, 128)) ('tumor', 'Disease', (35, 40)) ('LMB-T20', 'Var', (121, 128)) 11730 26443804 On day 55, a significant difference between the treatment groups was observed (p<0.03 Mann Whitney test), with an average tumor size of 110mm3 for tumors treated with LMB-T20 and 168mm3 for tumors treated with vehicle. ('tumor', 'Phenotype', 'HP:0002664', (147, 152)) ('tumor', 'Disease', (147, 152)) ('LMB-T20', 'Var', (167, 174)) ('tumor', 'Disease', 'MESH:D009369', (190, 195)) ('tumors', 'Disease', 'MESH:D009369', (190, 196)) ('tumors', 'Disease', (147, 153)) ('tumors', 'Phenotype', 'HP:0002664', (147, 153)) ('tumor', 'Phenotype', 'HP:0002664', (190, 195)) ('tumors', 'Disease', 'MESH:D009369', (147, 153)) ('tumor', 'Disease', 'MESH:D009369', (122, 127)) ('tumor', 'Disease', (190, 195)) ('tumors', 'Phenotype', 'HP:0002664', (190, 196)) ('tumor', 'Disease', 'MESH:D009369', (147, 152)) ('tumor', 'Phenotype', 'HP:0002664', (122, 127)) ('tumors', 'Disease', (190, 196)) ('LMB-T20', 'Chemical', '-', (167, 174)) ('tumor', 'Disease', (122, 127)) 11732 26443804 Mice that were inoculated with patients cells NCI-Meso21 had a better anti-tumor response compared to NCI-Meso16. ('tumor', 'Disease', 'MESH:D009369', (75, 80)) ('patients', 'Species', '9606', (31, 39)) ('better', 'PosReg', (63, 69)) ('Mice', 'Species', '10090', (0, 4)) ('tumor', 'Phenotype', 'HP:0002664', (75, 80)) ('NCI-Meso21', 'Var', (46, 56)) ('tumor', 'Disease', (75, 80)) 11734 26443804 Mice were treated daily starting day 88 intravenously with 5mg/kg of LMB-T20 or vehicle and a significant decrease in tumor size was observed as early as day 90, in which the average tumor size in LMB-T20 treated mice was 87mm3 while the vehicle treated tumors grew to 120mm3 (p<0.008 Mann Whitney test). ('tumors', 'Disease', (254, 260)) ('tumors', 'Disease', 'MESH:D009369', (254, 260)) ('tumor', 'Disease', (254, 259)) ('tumor', 'Disease', 'MESH:D009369', (118, 123)) ('tumor', 'Disease', 'MESH:D009369', (183, 188)) ('LMB-T20', 'Chemical', '-', (69, 76)) ('mice', 'Species', '10090', (213, 217)) ('tumors', 'Phenotype', 'HP:0002664', (254, 260)) ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('decrease', 'NegReg', (106, 114)) ('tumor', 'Phenotype', 'HP:0002664', (183, 188)) ('tumor', 'Disease', (118, 123)) ('tumor', 'Disease', (183, 188)) ('Mice', 'Species', '10090', (0, 4)) ('tumor', 'Disease', 'MESH:D009369', (254, 259)) ('LMB-T20', 'Chemical', '-', (197, 204)) ('LMB-T20', 'Var', (197, 204)) ('tumor', 'Phenotype', 'HP:0002664', (254, 259)) 11741 26443804 T cell activation assays show that LMB-T20 has greatly decreased immunogenicity compared with its parent SS1P that contains a 38-kDa form of the toxin. ('SS1P', 'Chemical', 'MESH:C474515', (105, 109)) ('LMB-T20', 'Chemical', '-', (35, 42)) ('LMB-T20', 'Var', (35, 42)) ('decreased', 'NegReg', (55, 64)) ('immunogenicity', 'MPA', (65, 79)) ('T cell activation', 'biological_process', 'GO:0042110', ('0', '17')) 11742 26443804 Despite this very large decrease in immunogenicity, LMB-T20 is significantly more active than SS1P in killing mesothelin expressing cancer cell lines and in inducing regressions of mesothelin-expressing tumors in mice. ('SS1P', 'Chemical', 'MESH:C474515', (94, 98)) ('immunogenicity', 'MPA', (36, 50)) ('cancer', 'Disease', (132, 138)) ('tumor', 'Phenotype', 'HP:0002664', (203, 208)) ('mice', 'Species', '10090', (213, 217)) ('tumors', 'Disease', (203, 209)) ('tumors', 'Disease', 'MESH:D009369', (203, 209)) ('tumors', 'Phenotype', 'HP:0002664', (203, 209)) ('LMB-T20', 'Chemical', '-', (52, 59)) ('cancer', 'Phenotype', 'HP:0002664', (132, 138)) ('regressions', 'CPA', (166, 177)) ('LMB-T20', 'Var', (52, 59)) ('cancer', 'Disease', 'MESH:D009369', (132, 138)) ('inducing', 'Reg', (157, 165)) 11820 31692820 Although vimentine is always positive in sarcomas, whereas cytokeratins are weakly and focally expressd, a vascular tumor should be suspected when diffuse and intense vimentin positivity with negativity of mesothelioma markers (ex. ('sarcomas', 'Phenotype', 'HP:0100242', (41, 49)) ('mesothelioma', 'Disease', (206, 218)) ('vimentin', 'cellular_component', 'GO:0045098', ('167', '175')) ('sarcomas', 'Disease', (41, 49)) ('vimentin', 'Gene', '7431', (9, 17)) ('negativity', 'Var', (192, 202)) ('vimentin', 'Gene', (9, 17)) ('vascular tumor', 'Disease', 'MESH:D019043', (107, 121)) ('positivity', 'Var', (176, 186)) ('mesothelioma', 'Disease', 'MESH:D008654', (206, 218)) ('vimentin', 'Gene', '7431', (167, 175)) ('vascular tumor', 'Disease', (107, 121)) ('vascular tumor', 'Phenotype', 'HP:0100742', (107, 121)) ('tumor', 'Phenotype', 'HP:0002664', (116, 121)) ('vimentin', 'cellular_component', 'GO:0045099', ('167', '175')) ('vimentin', 'Gene', (167, 175)) ('sarcomas', 'Disease', 'MESH:D012509', (41, 49)) 11841 29988936 Patients and families with germline BAP1 mutation are predisposed to familial cancers including UM, mesothelioma, cutaneous melanoma (CM), renal cell carcinoma (RCC), and others. ('CM', 'Phenotype', 'HP:0012056', (134, 136)) ('renal cell carcinoma', 'Disease', (139, 159)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (139, 159)) ('BAP1', 'Gene', '8314', (36, 40)) ('carcinoma', 'Phenotype', 'HP:0030731', (150, 159)) ('mutation', 'Var', (41, 49)) ('Patients', 'Species', '9606', (0, 8)) ('RCC', 'Disease', (161, 164)) ('predisposed', 'Reg', (54, 65)) ('RCC', 'Phenotype', 'HP:0005584', (161, 164)) ('familial cancers', 'Disease', (69, 85)) ('melanoma', 'Phenotype', 'HP:0002861', (124, 132)) ('UM', 'Phenotype', 'HP:0007716', (96, 98)) ('cancers', 'Phenotype', 'HP:0002664', (78, 85)) ('familial cancers', 'Disease', 'MESH:D009369', (69, 85)) ('BAP1', 'Gene', (36, 40)) ('CM', 'Disease', 'MESH:D009202', (134, 136)) ('RCC', 'Disease', 'MESH:C538614', (161, 164)) ('cancer', 'Phenotype', 'HP:0002664', (78, 84)) ('mesothelioma', 'Disease', (100, 112)) ('cutaneous melanoma', 'Disease', (114, 132)) ('germline', 'Var', (27, 35)) ('cutaneous melanoma', 'Phenotype', 'HP:0012056', (114, 132)) ('cutaneous melanoma', 'Disease', 'MESH:C562393', (114, 132)) ('mesothelioma', 'Disease', 'MESH:D008654', (100, 112)) ('renal cell carcinoma', 'Disease', 'MESH:C538614', (139, 159)) 11842 29988936 Clinicians should be aware of the implications of germline BAP1 mutation and advise genetic testing and assessment for BAP1 germline mutation in suspected patients and families. ('mutation', 'Var', (64, 72)) ('BAP1', 'Gene', (59, 63)) ('BAP1', 'Gene', '8314', (119, 123)) ('patients', 'Species', '9606', (155, 163)) ('BAP1', 'Gene', '8314', (59, 63)) ('BAP1', 'Gene', (119, 123)) 11843 29988936 The ability of BAP1 gene mutation to cause multiple tumor types and high penetrance in carriers suggests that this gene has an important role for influencing cancer cell growth. ('tumor', 'Phenotype', 'HP:0002664', (52, 57)) ('mutation', 'Var', (25, 33)) ('cancer', 'Disease', 'MESH:D009369', (158, 164)) ('multiple tumor', 'Disease', (43, 57)) ('multiple tumor', 'Disease', 'MESH:D009369', (43, 57)) ('BAP1', 'Gene', '8314', (15, 19)) ('cancer', 'Disease', (158, 164)) ('cell growth', 'biological_process', 'GO:0016049', ('165', '176')) ('BAP1', 'Gene', (15, 19)) ('cause', 'Reg', (37, 42)) ('cancer', 'Phenotype', 'HP:0002664', (158, 164)) 11844 29988936 With progress in understanding the molecular landscape of UM and the development of treatments targeted to the pathways involving BAP1 and other gene mutations, it is possible to improve the outcome of this malignant cancer. ('BAP1', 'Gene', (130, 134)) ('improve', 'PosReg', (179, 186)) ('cancer', 'Disease', (217, 223)) ('cancer', 'Disease', 'MESH:D009369', (217, 223)) ('mutations', 'Var', (150, 159)) ('BAP1', 'Gene', '8314', (130, 134)) ('UM', 'Phenotype', 'HP:0007716', (58, 60)) ('cancer', 'Phenotype', 'HP:0002664', (217, 223)) 11858 29988936 Therefore, patients with BAP1 germline mutation are at risk for several malignant tumors and should be counseled regarding cancer risk for patient and family members as well as routinely monitored. ('cancer', 'Phenotype', 'HP:0002664', (123, 129)) ('tumors', 'Disease', (82, 88)) ('BAP1', 'Gene', (25, 29)) ('tumors', 'Disease', 'MESH:D009369', (82, 88)) ('tumors', 'Phenotype', 'HP:0002664', (82, 88)) ('cancer', 'Disease', 'MESH:D009369', (123, 129)) ('germline mutation', 'Var', (30, 47)) ('patient', 'Species', '9606', (11, 18)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('cancer', 'Disease', (123, 129)) ('risk', 'Reg', (55, 59)) ('patients', 'Species', '9606', (11, 19)) ('BAP1', 'Gene', '8314', (25, 29)) ('patient', 'Species', '9606', (139, 146)) 11879 29988936 Genetic assessment and chromosome microarray on the L and W families disclosed alteration in chromosome region 3p21 in both mesothelioma and UM cases. ('UM', 'Phenotype', 'HP:0007716', (141, 143)) ('chromosome', 'cellular_component', 'GO:0005694', ('23', '33')) ('mesothelioma', 'Disease', (124, 136)) ('alteration', 'Var', (79, 89)) ('chromosome region', 'cellular_component', 'GO:0098687', ('93', '110')) ('mesothelioma', 'Disease', 'MESH:D008654', (124, 136)) 11881 29988936 Since then, mutations in BAP1 gene has been confirmed in mesothelioma, UM, CM, and RCC. ('RCC', 'Disease', 'MESH:C538614', (83, 86)) ('mesothelioma', 'Disease', (57, 69)) ('RCC', 'Disease', (83, 86)) ('RCC', 'Phenotype', 'HP:0005584', (83, 86)) ('BAP1', 'Gene', (25, 29)) ('mutations', 'Var', (12, 21)) ('confirmed', 'Reg', (44, 53)) ('mesothelioma', 'Disease', 'MESH:D008654', (57, 69)) ('UM', 'Phenotype', 'HP:0007716', (71, 73)) ('CM', 'Disease', 'MESH:D009202', (75, 77)) ('BAP1', 'Gene', '8314', (25, 29)) ('CM', 'Phenotype', 'HP:0012056', (75, 77)) 11886 29988936 recognized that germline BAP1 mutation was associated with a benign atypical skin melanocytic tumor. ('germline', 'Var', (16, 24)) ('BAP1', 'Gene', (25, 29)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('mutation', 'Var', (30, 38)) ('associated', 'Reg', (43, 53)) ('BAP1', 'Gene', '8314', (25, 29)) ('skin melanocytic tumor', 'Disease', (77, 99)) ('skin melanocytic tumor', 'Disease', 'MESH:D012878', (77, 99)) 11889 29988936 Unlike Spitz nevus, MBAIT nearly always demonstrate B-Raf Proto-Oncogene (BRAF) mutation. ('BRAF', 'Gene', (74, 78)) ('BRAF', 'Gene', '673', (74, 78)) ('mutation', 'Var', (80, 88)) ('nevus', 'Phenotype', 'HP:0003764', (13, 18)) ('B-Raf Proto-Oncogene', 'Gene', '673', (52, 72)) ('B-Raf Proto-Oncogene', 'Gene', (52, 72)) 11892 29988936 Instead of the term MBAITs, some employ the term "BAPomas" to describe this precursor skin lesion that occurs within families having germline BAP1 mutation. ('germline', 'Var', (133, 141)) ('BAP1', 'Gene', '8314', (142, 146)) ('skin lesion', 'Disease', 'MESH:D012871', (86, 97)) ('mutation', 'Var', (147, 155)) ('skin lesion', 'Disease', (86, 97)) ('BAP1', 'Gene', (142, 146)) 11894 29988936 reported 174 patients with germline BAP1 mutation and found that 130 (75%) developed at least one of the five main tumors, including UM (31%), MMe (22%), MBAIT (18%), CM (13%), and RCC (10%). ('MMe', 'Disease', (143, 146)) ('tumor', 'Phenotype', 'HP:0002664', (115, 120)) ('RCC', 'Phenotype', 'HP:0005584', (181, 184)) ('MBAIT', 'Disease', (154, 159)) ('patients', 'Species', '9606', (13, 21)) ('CM', 'Disease', 'MESH:D009202', (167, 169)) ('BAP1', 'Gene', '8314', (36, 40)) ('UM', 'Phenotype', 'HP:0007716', (133, 135)) ('mutation', 'Var', (41, 49)) ('tumors', 'Disease', (115, 121)) ('tumors', 'Disease', 'MESH:D009369', (115, 121)) ('tumors', 'Phenotype', 'HP:0002664', (115, 121)) ('CM', 'Phenotype', 'HP:0012056', (167, 169)) ('MMe', 'Phenotype', 'HP:0100001', (143, 146)) ('developed', 'PosReg', (75, 84)) ('BAP1', 'Gene', (36, 40)) ('RCC', 'Disease', (181, 184)) ('RCC', 'Disease', 'MESH:C538614', (181, 184)) 11906 29988936 The survival rate in persons with BAP1-related MMe may be significantly longer compared to sporadic MMe as several reports have documented that patients with germline BAP1 mutation showed a sevenfold longer overall survival compared to those with sporadic MMe. ('BAP1', 'Gene', (34, 38)) ('persons', 'Species', '9606', (21, 28)) ('MMe', 'Phenotype', 'HP:0100001', (256, 259)) ('overall', 'MPA', (207, 214)) ('mutation', 'Var', (172, 180)) ('patients', 'Species', '9606', (144, 152)) ('BAP1', 'Gene', '8314', (167, 171)) ('MMe', 'Phenotype', 'HP:0100001', (47, 50)) ('longer', 'PosReg', (200, 206)) ('MMe', 'Phenotype', 'HP:0100001', (100, 103)) ('BAP1', 'Gene', '8314', (34, 38)) ('BAP1', 'Gene', (167, 171)) 11912 29988936 Several different alterations in the BAP1 gene have been described, including large deletions of exons leading to loss of the N-terminal region, focal deletions, frameshift mutations due to insertions or deletions, splice site mutations, and base substitutions leading to non-sense and missense mutations. ('focal deletions', 'Var', (145, 160)) ('base substitutions', 'Var', (242, 260)) ('non-sense', 'MPA', (272, 281)) ('loss', 'NegReg', (114, 118)) ('splice site mutations', 'Var', (215, 236)) ('frameshift mutations', 'Var', (162, 182)) ('BAP1', 'Gene', '8314', (37, 41)) ('insertions', 'Var', (190, 200)) ('missense mutations', 'Var', (286, 304)) ('deletions', 'Var', (204, 213)) ('BAP1', 'Gene', (37, 41)) ('the N-terminal region', 'MPA', (122, 143)) ('deletions', 'Var', (84, 93)) 11913 29988936 In various tumors, including RCC, mesothelioma, metastasizing UM, and non-small cell lung cancer, the BAP1 gene is commonly lost by chromosomal deletion, and more than 70% of reported germline BAP1 mutations are truncation. ('cancer', 'Phenotype', 'HP:0002664', (90, 96)) ('RCC', 'Disease', (29, 32)) ('non-small cell lung cancer', 'Phenotype', 'HP:0030358', (70, 96)) ('RCC', 'Phenotype', 'HP:0005584', (29, 32)) ('tumors', 'Disease', 'MESH:D009369', (11, 17)) ('small cell lung cancer', 'Phenotype', 'HP:0030357', (74, 96)) ('BAP1', 'Gene', '8314', (102, 106)) ('mesothelioma', 'Disease', (34, 46)) ('mutations', 'Var', (198, 207)) ('RCC', 'Disease', 'MESH:C538614', (29, 32)) ('mesothelioma', 'Disease', 'MESH:D008654', (34, 46)) ('lost', 'NegReg', (124, 128)) ('non-small cell lung cancer', 'Disease', 'MESH:D002289', (70, 96)) ('truncation', 'Var', (212, 222)) ('BAP1', 'Gene', (102, 106)) ('tumors', 'Phenotype', 'HP:0002664', (11, 17)) ('BAP1', 'Gene', '8314', (193, 197)) ('non-small cell lung cancer', 'Disease', (70, 96)) ('UM', 'Phenotype', 'HP:0007716', (62, 64)) ('tumor', 'Phenotype', 'HP:0002664', (11, 16)) ('lung cancer', 'Phenotype', 'HP:0100526', (85, 96)) ('tumors', 'Disease', (11, 17)) ('BAP1', 'Gene', (193, 197)) 11915 29988936 1), while missense mutations affect the ubiquitin hydrolase function of BAP1. ('ubiquitin hydrolase function', 'MPA', (40, 68)) ('BAP1', 'Gene', '8314', (72, 76)) ('affect', 'Reg', (29, 35)) ('missense mutations', 'Var', (10, 28)) ('BAP1', 'Gene', (72, 76)) ('ubiquitin', 'molecular_function', 'GO:0031386', ('40', '49')) 11916 29988936 In fact, for reasons that are unclear, all four main cancers of BAP1-TPDS have been observed with all classes of mutations. ('cancers', 'Phenotype', 'HP:0002664', (53, 60)) ('cancers', 'Disease', (53, 60)) ('cancers', 'Disease', 'MESH:D009369', (53, 60)) ('observed', 'Reg', (84, 92)) ('mutations', 'Var', (113, 122)) ('cancer', 'Phenotype', 'HP:0002664', (53, 59)) ('BAP1', 'Gene', '8314', (64, 68)) ('BAP1', 'Gene', (64, 68)) 11917 29988936 Therefore, available data suggest no distinct genotype-phenotype correlation between location or type of the mutations and the type of cancers in patients. ('cancers', 'Phenotype', 'HP:0002664', (135, 142)) ('cancers', 'Disease', (135, 142)) ('cancers', 'Disease', 'MESH:D009369', (135, 142)) ('cancer', 'Phenotype', 'HP:0002664', (135, 141)) ('mutations', 'Var', (109, 118)) ('patients', 'Species', '9606', (146, 154)) 11921 29988936 This cancer syndrome follows an AD inheritance pattern, and each child of an individual with BAP1-TPDS has a 50% chance of inheriting the BAP1 pathogenic variant; however, penetrance appears to be incomplete, and the types of BAP1-related tumors can vary among different members of the same family. ('tumors', 'Disease', (239, 245)) ('tumors', 'Disease', 'MESH:D009369', (239, 245)) ('BAP1', 'Gene', '8314', (93, 97)) ('BAP1', 'Gene', '8314', (138, 142)) ('tumors', 'Phenotype', 'HP:0002664', (239, 245)) ('BAP1', 'Gene', (226, 230)) ('cancer syndrome', 'Disease', 'MESH:D009369', (5, 20)) ('tumor', 'Phenotype', 'HP:0002664', (239, 244)) ('BAP1', 'Gene', (138, 142)) ('variant', 'Var', (154, 161)) ('cancer syndrome', 'Disease', (5, 20)) ('BAP1', 'Gene', (93, 97)) ('cancer', 'Phenotype', 'HP:0002664', (5, 11)) ('child', 'Species', '9606', (65, 70)) ('BAP1', 'Gene', '8314', (226, 230)) 11923 29988936 Newer evidence suggests that penetrance of BAP1 mutation is fairly high, and more than 80% of gene carriers are ultimately affected by at least one type of cancer. ('BAP1', 'Gene', (43, 47)) ('cancer', 'Disease', (156, 162)) ('affected', 'Reg', (123, 131)) ('cancer', 'Disease', 'MESH:D009369', (156, 162)) ('BAP1', 'Gene', '8314', (43, 47)) ('cancer', 'Phenotype', 'HP:0002664', (156, 162)) ('mutation', 'Var', (48, 56)) 11925 29988936 The proportion of BAP1-TPDS caused by a de novo pathogenic variant is unknown. ('caused', 'Reg', (28, 34)) ('BAP1', 'Gene', '8314', (18, 22)) ('variant', 'Var', (59, 66)) ('BAP1', 'Gene', (18, 22)) 11928 29988936 Also, the mutational load in UM tumors is low. ('mutational', 'Var', (10, 20)) ('UM', 'Phenotype', 'HP:0007716', (29, 31)) ('tumors', 'Phenotype', 'HP:0002664', (32, 38)) ('tumor', 'Phenotype', 'HP:0002664', (32, 37)) ('tumors', 'Disease', (32, 38)) ('tumors', 'Disease', 'MESH:D009369', (32, 38)) 11929 29988936 Therefore, recurrent mutations in genes and chromosomal abnormalities in UM are likely to be specific for tumor progression rather than random event. ('chromosomal abnormalities', 'Disease', 'MESH:D002869', (44, 69)) ('UM', 'Phenotype', 'HP:0007716', (73, 75)) ('tumor', 'Disease', 'MESH:D009369', (106, 111)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('chromosomal abnormalities', 'Disease', (44, 69)) ('tumor', 'Disease', (106, 111)) ('mutations', 'Var', (21, 30)) 11930 29988936 The association between deletion in chromosome 3 (monosomy 3) and metastatic death in UM was first described by Prescher et al and later confirmed by our team in Philadelphia in a large cohort of 1059 patients. ('patients', 'Species', '9606', (201, 209)) ('death', 'Disease', 'MESH:D003643', (77, 82)) ('UM', 'Phenotype', 'HP:0007716', (86, 88)) ('death', 'Disease', (77, 82)) ('Philadelphia', 'Disease', 'MESH:D010677', (162, 174)) ('Philadelphia', 'Disease', (162, 174)) ('deletion', 'Var', (24, 32)) ('chromosome', 'cellular_component', 'GO:0005694', ('36', '46')) 11932 29988936 This finding indicates that greater tumor size is correlated with greater single-chromosome mutational profile. ('chromosome', 'cellular_component', 'GO:0005694', ('81', '91')) ('tumor', 'Disease', 'MESH:D009369', (36, 41)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('single-chromosome mutational', 'Var', (74, 102)) ('tumor', 'Disease', (36, 41)) 11934 29988936 The GEP of class 1A and 1B tumors resembles normal uveal melanocytes and low-grade uveal melanocytic tumors with 2 and 21% 5-years metastatic risk respectively, whereas the GEP of class 2 tumors is associated with a 72% 5-year metastatic risk, has correlated with chromosome 3 alterations, and has shown reduced expression of melanocytic genes. ('tumors', 'Disease', 'MESH:D009369', (27, 33)) ('reduced', 'NegReg', (304, 311)) ('expression', 'MPA', (312, 322)) ('tumors', 'Phenotype', 'HP:0002664', (188, 194)) ('tumors', 'Disease', 'MESH:D009369', (101, 107)) ('1B tumors', 'Disease', 'MESH:C565748', (24, 33)) ('tumor', 'Phenotype', 'HP:0002664', (101, 106)) ('uveal melanocytic tumors', 'Disease', (83, 107)) ('tumors', 'Phenotype', 'HP:0002664', (101, 107)) ('uveal melanocytic tumors', 'Phenotype', 'HP:0007716', (83, 107)) ('tumor', 'Phenotype', 'HP:0002664', (188, 193)) ('1B tumors', 'Disease', (24, 33)) ('tumors', 'Disease', (188, 194)) ('tumors', 'Phenotype', 'HP:0002664', (27, 33)) ('melanocytic genes', 'Gene', (326, 343)) ('tumors', 'Disease', (101, 107)) ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('tumors', 'Disease', 'MESH:D009369', (188, 194)) ('tumors', 'Disease', (27, 33)) ('chromosome', 'cellular_component', 'GO:0005694', ('264', '274')) ('alterations', 'Var', (277, 288)) ('uveal melanocytic tumors', 'Disease', 'MESH:D014604', (83, 107)) ('metastatic', 'CPA', (227, 237)) 11935 29988936 Several gene mutations in UM have been described, and these do not resemble other melanoma subtypes such as CM. ('CM', 'Disease', 'MESH:D009202', (108, 110)) ('melanoma', 'Phenotype', 'HP:0002861', (82, 90)) ('melanoma', 'Disease', (82, 90)) ('melanoma', 'Disease', 'MESH:D008545', (82, 90)) ('CM', 'Phenotype', 'HP:0012056', (108, 110)) ('UM', 'Phenotype', 'HP:0007716', (26, 28)) ('mutations', 'Var', (13, 22)) 11938 29988936 GNAQ/GNA11 mutations do not have known prognostic value, and they can be found in benign nevi and occur in similar frequencies in metastatic and non-metastatic tumors. ('tumors', 'Phenotype', 'HP:0002664', (160, 166)) ('nevi', 'Phenotype', 'HP:0003764', (89, 93)) ('mutations', 'Var', (11, 20)) ('GNA11', 'Gene', (5, 10)) ('GNAQ', 'Gene', '2776', (0, 4)) ('GNA11', 'Gene', '2767', (5, 10)) ('benign nevi', 'Disease', (82, 93)) ('GNAQ', 'Gene', (0, 4)) ('tumor', 'Phenotype', 'HP:0002664', (160, 165)) ('tumors', 'Disease', (160, 166)) ('occur', 'Reg', (98, 103)) ('tumors', 'Disease', 'MESH:D009369', (160, 166)) 11939 29988936 Mutations in other driver genes are likely to arise later in tumor development and have greater importance for patient outcome (Fig. ('tumor', 'Disease', 'MESH:D009369', (61, 66)) ('Mutations', 'Var', (0, 9)) ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('patient', 'Species', '9606', (111, 118)) ('tumor', 'Disease', (61, 66)) 11940 29988936 BAP1 mutation is associated with monosomy 3 or class 2 GEP tumors and impart poor survival. ('BAP1', 'Gene', (0, 4)) ('associated', 'Reg', (17, 27)) ('tumor', 'Phenotype', 'HP:0002664', (59, 64)) ('monosomy 3', 'Disease', (33, 43)) ('tumors', 'Disease', (59, 65)) ('tumors', 'Disease', 'MESH:D009369', (59, 65)) ('tumors', 'Phenotype', 'HP:0002664', (59, 65)) ('BAP1', 'Gene', '8314', (0, 4)) ('mutation', 'Var', (5, 13)) 11941 29988936 The frequency of somatic BAP1 mutation in primary UM has been estimated to be approximately 40% which closely resembles chromosome 3 status and strongly correlates with metastatic disease in UM. ('BAP1', 'Gene', (25, 29)) ('mutation', 'Var', (30, 38)) ('UM', 'Phenotype', 'HP:0007716', (191, 193)) ('UM', 'Phenotype', 'HP:0007716', (50, 52)) ('BAP1', 'Gene', '8314', (25, 29)) ('metastatic disease', 'Disease', (169, 187)) ('chromosome', 'cellular_component', 'GO:0005694', ('120', '130')) ('correlates with', 'Reg', (153, 168)) 11944 29988936 Mutations in this gene have not been detected in disomy 3 of UM, but other mutations including those in EIF1AX (48%) and/or SF3B1 (29%) genes have been identified. ('EIF1AX', 'Gene', (104, 110)) ('SF3B1', 'Gene', '23451', (124, 129)) ('UM', 'Phenotype', 'HP:0007716', (61, 63)) ('Mutations', 'Var', (0, 9)) ('SF3B1', 'Gene', (124, 129)) ('EIF1AX', 'Gene', '1964', (104, 110)) 11949 29988936 In the presence of BAP1 germline mutations, the risk for UM occurrence in carriers is estimated at up to 29%. ('BAP1', 'Gene', '8314', (19, 23)) ('germline mutations', 'Var', (24, 42)) ('UM', 'Phenotype', 'HP:0007716', (57, 59)) ('BAP1', 'Gene', (19, 23)) 11950 29988936 The prevalence of germline BAP1 mutations rate among the unselected population of UM cases is about 2-3%. ('BAP1', 'Gene', (27, 31)) ('UM', 'Phenotype', 'HP:0007716', (82, 84)) ('mutations', 'Var', (32, 41)) ('BAP1', 'Gene', '8314', (27, 31)) 11951 29988936 It is predicted that germline BAP1 mutations are present in about 22% of FUM families overall. ('BAP1', 'Gene', '8314', (30, 34)) ('BAP1', 'Gene', (30, 34)) ('UM', 'Phenotype', 'HP:0007716', (74, 76)) ('mutations', 'Var', (35, 44)) 11954 29988936 Conversely, with additional family history of CM, MMe, and RCC, the chance of BAP1 germline mutations can be approximately 50%. ('MMe', 'Phenotype', 'HP:0100001', (50, 53)) ('RCC', 'Phenotype', 'HP:0005584', (59, 62)) ('BAP1', 'Gene', '8314', (78, 82)) ('CM', 'Disease', 'MESH:D009202', (46, 48)) ('germline mutations', 'Var', (83, 101)) ('CM', 'Phenotype', 'HP:0012056', (46, 48)) ('RCC', 'Disease', 'MESH:C538614', (59, 62)) ('RCC', 'Disease', (59, 62)) ('BAP1', 'Gene', (78, 82)) 11957 29988936 showed that FUM families without BAP1 mutation have lower rate of RCC and MMe compared to those with BAP1 mutations. ('RCC', 'Disease', 'MESH:C538614', (66, 69)) ('MMe', 'CPA', (74, 77)) ('BAP1', 'Gene', '8314', (101, 105)) ('MMe', 'Phenotype', 'HP:0100001', (74, 77)) ('BAP1', 'Gene', '8314', (33, 37)) ('lower', 'NegReg', (52, 57)) ('UM', 'Phenotype', 'HP:0007716', (13, 15)) ('BAP1', 'Gene', (101, 105)) ('mutation', 'Var', (38, 46)) ('BAP1', 'Gene', (33, 37)) ('RCC', 'Disease', (66, 69)) ('RCC', 'Phenotype', 'HP:0005584', (66, 69)) 11958 29988936 Despite AD pattern inheritance of BAP1 gene mutations, FUM is indeed uncommon, and it rarely involve more than 2-3 family members. ('BAP1', 'Gene', (34, 38)) ('FUM', 'Disease', (55, 58)) ('mutations', 'Var', (44, 53)) ('BAP1', 'Gene', '8314', (34, 38)) ('UM', 'Phenotype', 'HP:0007716', (56, 58)) 11960 29988936 While BAP1 is the most frequent known genetic cause of FUM, evidence shows less than 25% of families are positive for germline BAP1 mutations. ('BAP1', 'Gene', (127, 131)) ('BAP1', 'Gene', (6, 10)) ('mutations', 'Var', (132, 141)) ('BAP1', 'Gene', '8314', (127, 131)) ('BAP1', 'Gene', '8314', (6, 10)) ('UM', 'Phenotype', 'HP:0007716', (56, 58)) 11962 29988936 Patients with germline BAP1 mutations and UM are implicated in this hereditary cancer syndrome (BAP1-TPDS). ('BAP1', 'Gene', (23, 27)) ('hereditary cancer syndrome', 'Disease', (68, 94)) ('cancer', 'Phenotype', 'HP:0002664', (79, 85)) ('BAP1', 'Gene', (96, 100)) ('BAP1', 'Gene', '8314', (23, 27)) ('hereditary cancer syndrome', 'Disease', 'MESH:D009386', (68, 94)) ('Patients', 'Species', '9606', (0, 8)) ('BAP1', 'Gene', '8314', (96, 100)) ('mutations', 'Var', (28, 37)) ('implicated', 'Reg', (49, 59)) ('UM', 'Phenotype', 'HP:0007716', (42, 44)) 11966 29988936 Ciliary body involvement is more often noted in patients with BAP1 mutations (75% vs 21.6%). ('BAP1', 'Gene', '8314', (62, 66)) ('BAP1', 'Gene', (62, 66)) ('mutations', 'Var', (67, 76)) ('Ciliary', 'Disease', (0, 7)) ('patients', 'Species', '9606', (48, 56)) 11968 29988936 Metastatic disease developed more frequently in BAP1 germline mutations group compared to the control group (71% vs 18%). ('BAP1', 'Gene', '8314', (48, 52)) ('germline mutations', 'Var', (53, 71)) ('BAP1', 'Gene', (48, 52)) ('Metastatic disease', 'Disease', 'MESH:C538445', (0, 18)) ('Metastatic disease', 'Disease', (0, 18)) 11969 29988936 Generally, BAP1 germline mutation is associated with a 4-fold increased risk of metastasis and poor survival in patients. ('metastasis', 'CPA', (80, 90)) ('poor survival', 'CPA', (95, 108)) ('BAP1', 'Gene', '8314', (11, 15)) ('germline mutation', 'Var', (16, 33)) ('patients', 'Species', '9606', (112, 120)) ('BAP1', 'Gene', (11, 15)) 11972 29988936 In UM patients with germline BAP1 gene mutation, the mean survival is 4.74 years in comparison with 9.97 years in patients with normal BAP1 protein expression. ('protein', 'cellular_component', 'GO:0003675', ('140', '147')) ('BAP1', 'Gene', '8314', (135, 139)) ('germline', 'Var', (20, 28)) ('BAP1', 'Gene', '8314', (29, 33)) ('patients', 'Species', '9606', (6, 14)) ('BAP1', 'Gene', (135, 139)) ('patients', 'Species', '9606', (114, 122)) ('BAP1', 'Gene', (29, 33)) ('UM', 'Phenotype', 'HP:0007716', (3, 5)) 11973 29988936 Patients at high risk for harboring germline BAP1 mutations are offered BAP1 sequencing and genetic counseling. ('BAP1', 'Gene', (45, 49)) ('BAP1', 'Gene', '8314', (72, 76)) ('mutations', 'Var', (50, 59)) ('BAP1', 'Gene', (72, 76)) ('Patients', 'Species', '9606', (0, 8)) ('germline', 'Var', (36, 44)) ('BAP1', 'Gene', '8314', (45, 49)) 11975 29988936 Genetic assessment and testing for BAP1 mutations should be taken into account for patients with two or more of primary tumors (UM, RCC, MMe, and CM) in themselves or first-degree relatives. ('primary tumors', 'Disease', 'MESH:D009369', (112, 126)) ('tumors', 'Phenotype', 'HP:0002664', (120, 126)) ('RCC', 'Disease', 'MESH:C538614', (132, 135)) ('CM', 'Phenotype', 'HP:0012056', (146, 148)) ('RCC', 'Disease', (132, 135)) ('RCC', 'Phenotype', 'HP:0005584', (132, 135)) ('BAP1', 'Gene', '8314', (35, 39)) ('UM', 'Phenotype', 'HP:0007716', (128, 130)) ('mutations', 'Var', (40, 49)) ('CM', 'Disease', 'MESH:D009202', (146, 148)) ('BAP1', 'Gene', (35, 39)) ('MMe', 'Phenotype', 'HP:0100001', (137, 140)) ('patients', 'Species', '9606', (83, 91)) ('tumor', 'Phenotype', 'HP:0002664', (120, 125)) ('primary tumors', 'Disease', (112, 126)) ('MMe', 'Disease', (137, 140)) 11977 29988936 Germline BAP1 mutation test should be advised when a patient is diagnosed with UM at an early age (younger than 30 years) or one of the following is present in the patients or first relatives: (1) history of two UM cases or more in a family, (2) patients with UM and history of at least one other primary tumor (CM, RCC, and MMe) in themselves, (3) patients with UM and history of at least 2 other primary tumors in first- or second-degree relatives (there is controversy about exclusion of families with only multiple CM cases, given its frequency in the general population). ('patients', 'Species', '9606', (246, 254)) ('CM', 'Phenotype', 'HP:0012056', (312, 314)) ('MMe', 'Phenotype', 'HP:0100001', (325, 328)) ('BAP1', 'Gene', (9, 13)) ('tumor', 'Disease', (305, 310)) ('patient', 'Species', '9606', (246, 253)) ('primary tumors', 'Disease', (398, 412)) ('patient', 'Species', '9606', (349, 356)) ('tumor', 'Disease', 'MESH:D009369', (305, 310)) ('CM', 'Disease', 'MESH:D009202', (519, 521)) ('tumor', 'Disease', (406, 411)) ('patients', 'Species', '9606', (164, 172)) ('UM', 'Phenotype', 'HP:0007716', (363, 365)) ('patient', 'Species', '9606', (53, 60)) ('CM', 'Disease', 'MESH:D009202', (312, 314)) ('tumor', 'Disease', 'MESH:D009369', (406, 411)) ('patient', 'Species', '9606', (164, 171)) ('primary tumors', 'Disease', 'MESH:D009369', (398, 412)) ('tumor', 'Phenotype', 'HP:0002664', (305, 310)) ('RCC', 'Phenotype', 'HP:0005584', (316, 319)) ('RCC', 'Disease', (316, 319)) ('UM', 'Phenotype', 'HP:0007716', (79, 81)) ('patients', 'Species', '9606', (349, 357)) ('tumor', 'Phenotype', 'HP:0002664', (406, 411)) ('BAP1', 'Gene', '8314', (9, 13)) ('CM', 'Phenotype', 'HP:0012056', (519, 521)) ('mutation', 'Var', (14, 22)) ('UM', 'Phenotype', 'HP:0007716', (260, 262)) ('tumors', 'Phenotype', 'HP:0002664', (406, 412)) ('RCC', 'Disease', 'MESH:C538614', (316, 319)) ('UM', 'Phenotype', 'HP:0007716', (212, 214)) 11978 29988936 Also, germline BAP1 mutations should be suspected when a patient has multifocal UM. ('patient', 'Species', '9606', (57, 64)) ('UM', 'Phenotype', 'HP:0007716', (80, 82)) ('BAP1', 'Gene', '8314', (15, 19)) ('BAP1', 'Gene', (15, 19)) ('mutations', 'Var', (20, 29)) 11980 29988936 Once the germline BAP1 pathogenic variant has been identified in a family, all family members should be informed about the details of this syndrome. ('BAP1', 'Gene', '8314', (18, 22)) ('pathogenic', 'Reg', (23, 33)) ('variant', 'Var', (34, 41)) ('BAP1', 'Gene', (18, 22)) 11986 29988936 If a UM is found in BAP1 mutation carriers, it should be managed as a high-risk tumor, and the ocular oncologist should monitor for systemic metastasis, including magnetic resonance imaging (MRI) of the abdomen and liver every 3-6 months and chest X-ray every 6-12 months. ('tumor', 'Disease', 'MESH:D009369', (80, 85)) ('BAP1', 'Gene', (20, 24)) ('tumor', 'Phenotype', 'HP:0002664', (80, 85)) ('mutation', 'Var', (25, 33)) ('tumor', 'Disease', (80, 85)) ('UM', 'Phenotype', 'HP:0007716', (5, 7)) ('BAP1', 'Gene', '8314', (20, 24)) 11987 29988936 The discovery of GNAQ/11 and BAP1 mutations in UM provides an opportunity for targeted therapy of metastatic disease. ('metastatic disease', 'Disease', (98, 116)) ('GNAQ', 'Gene', (17, 21)) ('BAP1', 'Gene', '8314', (29, 33)) ('UM', 'Phenotype', 'HP:0007716', (47, 49)) ('BAP1', 'Gene', (29, 33)) ('mutations', 'Var', (34, 43)) ('GNAQ', 'Gene', '2776', (17, 21)) 11989 29988936 Therapeutic targeting of BAP1 mutation poses a different challenge. ('BAP1', 'Gene', '8314', (25, 29)) ('mutation', 'Var', (30, 38)) ('BAP1', 'Gene', (25, 29)) 11994 29988936 About 80% of UM have oncogenic mutations for GNAQ or GNA11 genes, and it appears to be early or perhaps an initiating event for malignant transformation because these mutations can be found in nevus as well and do not correlate with survival. ('oncogenic', 'CPA', (21, 30)) ('mutations', 'Var', (31, 40)) ('GNA11', 'Gene', (53, 58)) ('nevus', 'Phenotype', 'HP:0003764', (193, 198)) ('GNA11', 'Gene', '2767', (53, 58)) ('GNAQ', 'Gene', (45, 49)) ('UM', 'Phenotype', 'HP:0007716', (13, 15)) ('GNAQ', 'Gene', '2776', (45, 49)) 11995 29988936 On the contrary, BAP1 inactivation mutation is a late event in tumor progression, beyond which metastasis and death await. ('tumor', 'Disease', (63, 68)) ('inactivation mutation', 'Var', (22, 43)) ('tumor', 'Disease', 'MESH:D009369', (63, 68)) ('BAP1', 'Gene', '8314', (17, 21)) ('death', 'Disease', 'MESH:D003643', (110, 115)) ('death', 'Disease', (110, 115)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('BAP1', 'Gene', (17, 21)) 11996 29988936 One strategy is to inhibit downstream signaling molecules that are activated by GNAQ/11 mutations. ('inhibit', 'NegReg', (19, 26)) ('mutations', 'Var', (88, 97)) ('GNAQ', 'Gene', '2776', (80, 84)) ('signaling', 'biological_process', 'GO:0023052', ('38', '47')) ('GNAQ', 'Gene', (80, 84)) 11997 29988936 These include mitogen-activated protein kinase (MAPK)/extracellular signal-regulated kinase (MEK) that is shown to be upregulated in GNAQ/GNA11 mutated tumors. ('MAPK', 'molecular_function', 'GO:0004707', ('48', '52')) ('mutated', 'Var', (144, 151)) ('tumor', 'Phenotype', 'HP:0002664', (152, 157)) ('tumors', 'Disease', 'MESH:D009369', (152, 158)) ('GNAQ', 'Gene', (133, 137)) ('tumors', 'Phenotype', 'HP:0002664', (152, 158)) ('MEK', 'Gene', (93, 96)) ('MEK', 'Gene', '5609', (93, 96)) ('protein', 'cellular_component', 'GO:0003675', ('32', '39')) ('GNA11', 'Gene', (138, 143)) ('upregulated', 'PosReg', (118, 129)) ('tumors', 'Disease', (152, 158)) ('mitogen-activated', 'Enzyme', (14, 31)) ('GNA11', 'Gene', '2767', (138, 143)) ('extracellular', 'cellular_component', 'GO:0005576', ('54', '67')) ('GNAQ', 'Gene', '2776', (133, 137)) 11999 29988936 Clinician should be aware of the implications of germline BAP1 mutation and advise genetic testing and assessment for BAP1 germline mutation in suspected patients and families. ('BAP1', 'Gene', (58, 62)) ('patients', 'Species', '9606', (154, 162)) ('mutation', 'Var', (63, 71)) ('BAP1', 'Gene', '8314', (118, 122)) ('BAP1', 'Gene', (118, 122)) ('BAP1', 'Gene', '8314', (58, 62)) 12002 29988936 With progress in understanding the molecular landscape of UM and the development of treatments targeted to the pathways involving GNAQ/GNA11, BAP1, EIF1AX, SF3B1 mutations and epigenetic mechanisms, it is possible to improve the outcome of this malignant cancer. ('GNA11', 'Gene', '2767', (135, 140)) ('cancer', 'Phenotype', 'HP:0002664', (255, 261)) ('mutations', 'Var', (162, 171)) ('EIF1AX', 'Gene', '1964', (148, 154)) ('EIF1AX', 'Gene', (148, 154)) ('BAP1', 'Gene', '8314', (142, 146)) ('improve', 'PosReg', (217, 224)) ('SF3B1', 'Gene', '23451', (156, 161)) ('GNAQ', 'Gene', (130, 134)) ('BAP1', 'Gene', (142, 146)) ('cancer', 'Disease', (255, 261)) ('cancer', 'Disease', 'MESH:D009369', (255, 261)) ('GNA11', 'Gene', (135, 140)) ('GNAQ', 'Gene', '2776', (130, 134)) ('UM', 'Phenotype', 'HP:0007716', (58, 60)) ('SF3B1', 'Gene', (156, 161)) ('epigenetic', 'Var', (176, 186)) 12197 25006323 In case of LHP malignancies, the most probable carcinogens were pure benzene (27.5%), impurity of benzene in a mixture (56.9%), and ionizing radiation (8.0%). ('pure', 'molecular_function', 'GO:0034023', ('64', '68')) ('benzene', 'Chemical', 'MESH:D001554', (98, 105)) ('LHP malignancies', 'Disease', (11, 27)) ('LHP malignancies', 'Disease', 'MESH:D009369', (11, 27)) ('benzene', 'Chemical', 'MESH:D001554', (69, 76)) ('impurity', 'Var', (86, 94)) 12419 32608142 A Phase II Trial of Alisertib (MLN8237) in Salvage Malignant Mesothelioma Treatment with the Aurora kinase A inhibitor yields often durable disease control, but limited tumor regression, in heavily pretreated patients with unresectable malignant pleural or peritoneal mesothelioma. ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (257, 280)) ('Malignant Mesothelioma', 'Disease', (51, 73)) ('Aurora kinase A', 'Gene', (93, 108)) ('tumor', 'Disease', 'MESH:D009369', (169, 174)) ('Alisertib', 'Chemical', 'MESH:C550258', (20, 29)) ('tumor', 'Phenotype', 'HP:0002664', (169, 174)) ('MLN8237', 'Chemical', 'MESH:C550258', (31, 38)) ('malignant pleural or peritoneal mesothelioma', 'Disease', 'MESH:C562839', (236, 280)) ('MLN8237', 'Var', (31, 38)) ('patients', 'Species', '9606', (209, 217)) ('tumor', 'Disease', (169, 174)) ('Aurora kinase A', 'Gene', '6790', (93, 108)) ('Malignant Mesothelioma', 'Phenotype', 'HP:0100001', (51, 73)) ('disease', 'Disease', (140, 147)) ('Malignant Mesothelioma', 'Disease', 'MESH:C562839', (51, 73)) ('malignant pleural or peritoneal mesothelioma', 'Disease', (236, 280)) 12420 32608142 In a limited sample size, MYC copy-number gain or gene amplification, a candidate predictive biomarker for alisertib, did not correlate with improved response numbers or patient outcomes. ('alisertib', 'Chemical', 'MESH:C550258', (107, 116)) ('gain', 'PosReg', (42, 46)) ('MYC', 'Gene', '4609', (26, 29)) ('gene amplification', 'Var', (50, 68)) ('MYC', 'Gene', (26, 29)) ('copy-number', 'Var', (30, 41)) ('patient', 'Species', '9606', (170, 177)) 12425 32608142 Secondary endpoints included overall response rate, progression free survival, overall survival, safety/toxicity, and correlation of endpoints with MYC copy number. ('copy number', 'Var', (152, 163)) ('toxicity', 'Disease', 'MESH:D064420', (104, 112)) ('MYC', 'Gene', (148, 151)) ('toxicity', 'Disease', (104, 112)) ('MYC', 'Gene', '4609', (148, 151)) 12443 32608142 An additional secondary endpoint related to MYC copy number identified between two and five patients with tumors bearing MYC copy number gain/amplification, depending on FISH criteria, but there was no correlation with response, duration of response, or survival in this small data set. ('tumors', 'Phenotype', 'HP:0002664', (106, 112)) ('MYC', 'Gene', '4609', (44, 47)) ('tumors', 'Disease', (106, 112)) ('MYC', 'Gene', (121, 124)) ('tumors', 'Disease', 'MESH:D009369', (106, 112)) ('patients', 'Species', '9606', (92, 100)) ('gain/amplification', 'PosReg', (137, 155)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('MYC', 'Gene', (44, 47)) ('copy number', 'Var', (125, 136)) ('MYC', 'Gene', '4609', (121, 124)) 12452 32608142 Alisertib, also known as MLN8237, is a selective small molecule inhibitor of Aurora A kinase that has shown modest antitumor activity in a number of clinical settings [7]. ('tumor', 'Disease', (119, 124)) ('Alisertib', 'Chemical', 'MESH:C550258', (0, 9)) ('MLN8237', 'Chemical', 'MESH:C550258', (25, 32)) ('MLN8237', 'Var', (25, 32)) ('tumor', 'Disease', 'MESH:D009369', (119, 124)) ('tumor', 'Phenotype', 'HP:0002664', (119, 124)) 12456 32608142 Overexpression of Aurora kinases and/or MYC is common in malignant mesothelioma, and in vitro inhibition of Aurora kinases leads to cell growth arrest in mesothelioma cell line models [2, 4, 12, 13, 14]. ('malignant mesothelioma', 'Disease', 'MESH:C562839', (57, 79)) ('MYC', 'Gene', '4609', (40, 43)) ('mesothelioma', 'Disease', (154, 166)) ('growth arrest', 'Disease', 'MESH:D006323', (137, 150)) ('growth arrest', 'Disease', (137, 150)) ('cell growth', 'biological_process', 'GO:0016049', ('132', '143')) ('mesothelioma', 'Disease', 'MESH:D008654', (67, 79)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (57, 79)) ('malignant mesothelioma', 'Disease', (57, 79)) ('mesothelioma', 'Disease', 'MESH:D008654', (154, 166)) ('growth arrest', 'Phenotype', 'HP:0001510', (137, 150)) ('MYC', 'Gene', (40, 43)) ('inhibition', 'Var', (94, 104)) ('mesothelioma', 'Disease', (67, 79)) 12471 32608142 Using four different FISH criteria for positivity, between two and five patient tumors were determined to have MYC copy number gain/amplification. ('copy number', 'Var', (115, 126)) ('MYC', 'Gene', '4609', (111, 114)) ('tumor', 'Phenotype', 'HP:0002664', (80, 85)) ('MYC', 'Gene', (111, 114)) ('tumors', 'Phenotype', 'HP:0002664', (80, 86)) ('patient', 'Species', '9606', (72, 79)) ('tumors', 'Disease', (80, 86)) ('tumors', 'Disease', 'MESH:D009369', (80, 86)) ('gain/amplification', 'PosReg', (127, 145)) 12487 30250045 Mass spectrometry analysis and lectin binding analysis of soluble epitope peptides indicated that the SKM9-2 epitope, in which Ser897 was not glycosylated, contained two disialylated core 1 O-linked glycan-modified serine residues, Ser893 and Ser900. ('lectin', 'molecular_function', 'GO:0005530', ('31', '37')) ('binding', 'molecular_function', 'GO:0005488', ('38', '45')) ('Ser', 'cellular_component', 'GO:0005790', ('232', '235')) ('Ser900', 'Var', (243, 249)) ('O-linked glycan', 'Chemical', '-', (190, 205)) ('core', 'cellular_component', 'GO:0019013', ('183', '187')) ('Ser893', 'Chemical', '-', (232, 238)) ('Ser', 'cellular_component', 'GO:0005790', ('243', '246')) ('soluble', 'cellular_component', 'GO:0005625', ('58', '65')) ('Ser', 'cellular_component', 'GO:0005790', ('127', '130')) ('Ser893', 'Var', (232, 238)) ('Ser900', 'Chemical', '-', (243, 249)) ('serine', 'Chemical', 'MESH:D012694', (215, 221)) ('Ser897', 'Chemical', '-', (127, 133)) 12507 30250045 Further, the epitope, in which Ser897 was not glycosylated, contained two disialylated core 1 O-linked glycan (disialyl T)-modified serine residues, Ser893 and Ser900. ('Ser897', 'Chemical', '-', (31, 37)) ('core', 'cellular_component', 'GO:0019013', ('87', '91')) ('Ser', 'cellular_component', 'GO:0005790', ('160', '163')) ('Ser893', 'Var', (149, 155)) ('Ser900', 'Var', (160, 166)) ('disialyl T', 'Chemical', '-', (111, 121)) ('Ser', 'cellular_component', 'GO:0005790', ('31', '34')) ('Ser', 'cellular_component', 'GO:0005790', ('149', '152')) ('Ser900', 'Chemical', '-', (160, 166)) ('serine', 'Chemical', 'MESH:D012694', (132, 138)) ('O-linked glycan', 'Chemical', '-', (94, 109)) ('Ser893', 'Chemical', '-', (149, 155)) 12509 30250045 SKM9-2's recognition of glycan modification in this specific region of HEG1 could be useful for the precise detection and diagnosis of malignant mesothelioma. ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (135, 157)) ('malignant mesothelioma', 'Disease', (135, 157)) ('glycan', 'Chemical', 'MESH:D011134', (24, 30)) ('glycan', 'Var', (24, 30)) ('HEG1', 'Gene', (71, 75)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (135, 157)) 12510 30250045 The SKM9-2 epitope was investigated using HEG1 deletion mutants transfected in HEK293T cells. ('deletion mutants', 'Var', (47, 63)) ('HEG1', 'Gene', (42, 46)) ('HEK293T', 'CellLine', 'CVCL:0063', (79, 86)) 12514 30250045 A fused protein including most of the extracellular domain, which was deleted from Cys1089 to Phe1481 in HEG1, was recognized by SKM9-2 (named as Ex1-7), but proteins without the exon 7 region, deleted from Ser305 (Ex1-3) or Ile530 (Ex1-5), were not detected (Fig. ('Ser', 'cellular_component', 'GO:0005790', ('207', '210')) ('Cys1089', 'Var', (83, 90)) ('Phe1481', 'Chemical', '-', (94, 101)) ('protein', 'cellular_component', 'GO:0003675', ('8', '15')) ('Ex1-5', 'Gene', (233, 238)) ('Ex1-3', 'Gene', '122786', (215, 220)) ('extracellular', 'cellular_component', 'GO:0005576', ('38', '51')) ('Cys1089', 'Chemical', '-', (83, 90)) ('Ex1-7', 'Gene', (146, 151)) ('Ex1-5', 'Gene', '122786', (233, 238)) ('Phe1481', 'Var', (94, 101)) ('Ile530', 'Chemical', '-', (225, 231)) ('Ser305', 'Chemical', '-', (207, 213)) ('Ex1-3', 'Gene', (215, 220)) ('Ex1-7', 'Gene', '122786', (146, 151)) 12516 30250045 Two fused proteins including the region from Asp877 to Ser1085 (named as 7.5 and 7.6) were recognized by SKM9-2, but proteins with sequences beginning after Gln926 were not detected (7.7-7.9). ('Ser1085', 'Var', (55, 62)) ('Asp877', 'Var', (45, 51)) ('Ser', 'cellular_component', 'GO:0005790', ('55', '58')) ('Asp877', 'Chemical', '-', (45, 51)) ('Gln926', 'Chemical', '-', (157, 163)) ('Ser1085', 'Chemical', '-', (55, 62)) 12517 30250045 Therefore, the epitope of SKM9-2 was confined to the region from Asp877 to Glu925. ('Glu925', 'Var', (75, 81)) ('SKM9-2', 'Gene', (26, 32)) ('Asp877', 'Var', (65, 71)) ('Glu925', 'Chemical', '-', (75, 81)) ('Asp877', 'Chemical', '-', (65, 71)) 12522 30250045 2a, truncation up to Glu892 on the N-terminal side did not affect SKM9-2 reactivity (7.62, and 7.621-7.623); whereas, the truncation on C-terminal side decreased SKM9-2 reactivity. ('Glu892', 'Chemical', '-', (21, 27)) ('SKM9-2 reactivity', 'MPA', (162, 179)) ('decreased', 'NegReg', (152, 161)) ('truncation', 'Var', (122, 132)) ('N', 'Chemical', 'MESH:D009584', (35, 36)) ('Glu892', 'Var', (21, 27)) 12523 30250045 The Thr903-deleted mutant (7.626) was weakly recognized by SKM9-2 and a shorter peptide (7.627) was not bound (Fig. ('weakly', 'NegReg', (38, 44)) ('7.626', 'Var', (27, 32)) ('Thr903', 'Chemical', '-', (4, 10)) ('Thr903-deleted', 'Var', (4, 18)) 12527 30250045 3a, alanine substitution for Ser893, Lys894, Pro896, Ser897, Val899, or Ser900 resulted in the loss of recognition by SKM9-2. ('alanine substitution for Ser893', 'Var', (4, 35)) ('recognition', 'MPA', (103, 114)) ('Ser900', 'Chemical', '-', (72, 78)) ('Ser', 'cellular_component', 'GO:0005790', ('53', '56')) ('Lys894', 'Var', (37, 43)) ('Ser897', 'Var', (53, 59)) ('Ser900', 'Var', (72, 78)) ('Ser', 'cellular_component', 'GO:0005790', ('72', '75')) ('loss', 'NegReg', (95, 99)) ('Ser', 'cellular_component', 'GO:0005790', ('29', '32')) ('Pro896', 'Var', (45, 51)) ('alanine substitution for Ser893', 'SUBSTITUTION', 'None', (4, 35)) ('Val899', 'Var', (61, 67)) 12528 30250045 The replacement of Glu904 did not affect SKM9-2 binding. ('Glu904', 'Var', (19, 25)) ('Glu904', 'Chemical', '-', (19, 25)) ('binding', 'molecular_function', 'GO:0005488', ('48', '55')) ('binding', 'Interaction', (48, 55)) 12529 30250045 The alanine-substituted mutant of Thr903 in the presence of Glu904 was recognized by SKM9-2, unlike the results of Thr903 deletion (7.626) in Fig. ('alanine-substituted', 'Var', (4, 23)) ('Thr903', 'Chemical', '-', (115, 121)) ('Glu904', 'Var', (60, 66)) ('alanine', 'Chemical', 'MESH:D000409', (4, 11)) ('Glu904', 'Chemical', '-', (60, 66)) ('Thr903', 'Chemical', '-', (34, 40)) ('Thr903', 'Gene', (34, 40)) 12537 30250045 These results indicate that, in the SKM9-2 epitope region, three Ser/Thr residues (Ser893, Ser900, and Thr903), but not Ser895 and Ser897, are modified with O-linked glycans, which are probably core 1 or sialylated core 1 variants. ('Ser897', 'Chemical', '-', (131, 137)) ('Ser', 'Chemical', 'MESH:D012694', (91, 94)) ('Thr', 'Chemical', 'MESH:D013912', (69, 72)) ('O-linked glycans', 'Protein', (157, 173)) ('Ser', 'cellular_component', 'GO:0005790', ('91', '94')) ('O-linked glycans', 'Chemical', '-', (157, 173)) ('core', 'cellular_component', 'GO:0019013', ('215', '219')) ('Ser', 'cellular_component', 'GO:0005790', ('83', '86')) ('Ser', 'cellular_component', 'GO:0005790', ('131', '134')) ('Ser', 'Chemical', 'MESH:D012694', (83, 86)) ('Ser', 'Chemical', 'MESH:D012694', (131, 134)) ('modified', 'Reg', (143, 151)) ('core', 'cellular_component', 'GO:0019013', ('194', '198')) ('Ser', 'Chemical', 'MESH:D012694', (65, 68)) ('Ser895', 'Chemical', '-', (120, 126)) ('Ser', 'cellular_component', 'GO:0005790', ('120', '123')) ('Ser900', 'Chemical', '-', (91, 97)) ('Thr903', 'Chemical', '-', (103, 109)) ('Ser893', 'Chemical', '-', (83, 89)) ('Ser', 'Chemical', 'MESH:D012694', (120, 123)) ('Ser', 'cellular_component', 'GO:0005790', ('65', '68')) ('Ser893', 'Var', (83, 89)) ('Thr', 'Chemical', 'MESH:D013912', (103, 106)) 12539 30250045 Alanine substitutions for Ser895 and Thr903 increased the affinity to SKM9-2 primarily through incremental changes to the association rate constants (SKMepmin1, 2, and 3). ('changes', 'Reg', (107, 114)) ('Ser', 'cellular_component', 'GO:0005790', ('26', '29')) ('association', 'Interaction', (122, 133)) ('Alanine substitutions for Ser895 and Thr903', 'Mutation', 'p.S,T895,903A', (0, 43)) ('Thr903', 'Var', (37, 43)) ('Alanine substitutions for Ser895', 'Var', (0, 32)) ('increased', 'PosReg', (44, 53)) ('affinity', 'MPA', (58, 66)) ('SKM9-2', 'Gene', (70, 76)) ('Alanine substitutions for Ser895', 'SUBSTITUTION', 'None', (0, 32)) 12541 30250045 Further alanine substitution for Ser893, Ser897, or Ser900 decreased the affinity of SKM9-2 in contrast to SKMepmin3 (SKMepmin4, 6, and 8). ('Ser', 'cellular_component', 'GO:0005790', ('33', '36')) ('Ser', 'cellular_component', 'GO:0005790', ('52', '55')) ('Ser897', 'Var', (41, 47)) ('decreased', 'NegReg', (59, 68)) ('Ser', 'cellular_component', 'GO:0005790', ('41', '44')) ('Ser900', 'Var', (52, 58)) ('alanine substitution for Ser893', 'SUBSTITUTION', 'None', (8, 39)) ('alanine substitution for Ser893', 'Var', (8, 39)) ('affinity', 'MPA', (73, 81)) 12542 30250045 The substitution for Ser897, or Ser900 increased the dissociation rate (SKMepmin6 and 8). ('dissociation rate', 'MPA', (53, 70)) ('Ser897', 'Var', (21, 27)) ('Ser', 'cellular_component', 'GO:0005790', ('21', '24')) ('increased', 'PosReg', (39, 48)) ('Ser900', 'Chemical', '-', (32, 38)) ('Ser', 'cellular_component', 'GO:0005790', ('32', '35')) ('Ser897', 'Chemical', '-', (21, 27)) ('Ser900', 'Var', (32, 38)) 12543 30250045 The SKM9-2 binding affinity was restored by threonine substitution at position 893 or 900 (SKMepmin5 and 9), whereas the binding ability was further reduced by the replacement of Ser897 with Thr (SKMepmin7). ('binding', 'Interaction', (11, 18)) ('Ser897 with Thr', 'Mutation', 'p.S897T', (179, 194)) ('Ser897', 'Var', (179, 185)) ('threonine substitution', 'Var', (44, 66)) ('binding', 'molecular_function', 'GO:0005488', ('11', '18')) ('Ser', 'cellular_component', 'GO:0005790', ('179', '182')) ('SKM9-2', 'Gene', (4, 10)) ('binding', 'Interaction', (121, 128)) ('binding', 'molecular_function', 'GO:0005488', ('121', '128')) ('restored', 'PosReg', (32, 40)) ('threonine', 'Chemical', 'MESH:D013912', (44, 53)) 12544 30250045 In conjunction with the results of alanine substitution, as shown in Figs 3, 5, SKM9-2 binding requires the O-linked glycan modification of Ser893 and Ser900 and non-glycosylated Ser897. ('binding', 'molecular_function', 'GO:0005488', ('87', '94')) ('alanine', 'Chemical', 'MESH:D000409', (35, 42)) ('Ser897', 'Chemical', '-', (179, 185)) ('Ser900', 'Chemical', '-', (151, 157)) ('Ser900', 'Var', (151, 157)) ('Ser', 'cellular_component', 'GO:0005790', ('140', '143')) ('O-linked glycan', 'Protein', (108, 123)) ('binding', 'Interaction', (87, 94)) ('O-linked glycan', 'Chemical', '-', (108, 123)) ('Ser893', 'Chemical', '-', (140, 146)) ('Ser', 'cellular_component', 'GO:0005790', ('151', '154')) ('Ser', 'cellular_component', 'GO:0005790', ('179', '182')) ('Ser893', 'Var', (140, 146)) ('SKM9-2', 'Gene', (80, 86)) 12545 30250045 Ser895 and Thr903 are not important for the SKM9-2 binding. ('Thr903', 'Var', (11, 17)) ('binding', 'molecular_function', 'GO:0005488', ('51', '58')) ('binding', 'Interaction', (51, 58)) ('Ser895', 'Chemical', '-', (0, 6)) ('Thr903', 'Chemical', '-', (11, 17)) ('Ser', 'cellular_component', 'GO:0005790', ('0', '3')) 12556 30250045 Jacalin recognized the desialylated SKMepmin3 with Neuraminidase A, but not the deglycosylated SKMepmin3 (Fig. ('desialylated', 'Var', (23, 35)) ('Neuraminidase', 'Gene', (51, 64)) ('Neuraminidase', 'Gene', '4758', (51, 64)) 12564 30250045 Taken together, the results suggest that SKM9-2 recognizes the peptide sequence of HEG1 (893-SKSPSLVSLPT-903) modified with disialyl T at the positions of Ser893 and Ser900, and that SKM9-2 does not bind to the peptide without glycosylation. ('Ser893', 'Chemical', '-', (155, 161)) ('HEG1', 'Gene', (83, 87)) ('glycosylation', 'biological_process', 'GO:0070085', ('227', '240')) ('Ser893', 'Var', (155, 161)) ('Ser900', 'Chemical', '-', (166, 172)) ('disialyl T', 'Chemical', '-', (124, 134)) ('disialyl T', 'MPA', (124, 134)) ('Ser', 'cellular_component', 'GO:0005790', ('166', '169')) ('Ser900', 'Var', (166, 172)) ('Ser', 'cellular_component', 'GO:0005790', ('155', '158')) 12573 30250045 Therefore, SKM9-2 would recognize the HEG1 peptide sequences (893-SKSPSLVSLPT-903) containing two disialyl T antigens at the positions of Ser893 and Ser900, but not Ser897, in mesothelioma cells as well (Fig. ('disialyl T', 'Chemical', '-', (98, 108)) ('Ser893', 'Var', (138, 144)) ('Ser900', 'Chemical', '-', (149, 155)) ('Ser', 'cellular_component', 'GO:0005790', ('165', '168')) ('Ser900', 'Var', (149, 155)) ('mesothelioma', 'Disease', (176, 188)) ('Ser', 'cellular_component', 'GO:0005790', ('149', '152')) ('Ser', 'cellular_component', 'GO:0005790', ('138', '141')) ('Ser897', 'Chemical', '-', (165, 171)) ('mesothelioma', 'Disease', 'MESH:D008654', (176, 188)) ('Ser893', 'Chemical', '-', (138, 144)) 12574 30250045 mAb against an O-linked glycosylated region in a mucin-like protein is often an excellent tool for the detection of a disease. ('mucin', 'Gene', '100508689', (49, 54)) ('mAb', 'Var', (0, 3)) ('mucin', 'Gene', (49, 54)) ('protein', 'cellular_component', 'GO:0003675', ('60', '67')) 12579 30250045 An alteration in carbohydrate chain synthesis in the tumor cells can cause the expression of an aberrant mucin, wherein the core peptide is not sufficiently modified by O-linked glycans. ('mucin', 'Gene', (105, 110)) ('carbohydrate', 'Chemical', 'MESH:D002241', (17, 29)) ('expression', 'MPA', (79, 89)) ('synthesis', 'biological_process', 'GO:0009058', ('36', '45')) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('alteration', 'Var', (3, 13)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('O-linked glycans', 'Chemical', '-', (169, 185)) ('cause', 'Reg', (69, 74)) ('core', 'cellular_component', 'GO:0019013', ('124', '128')) ('mucin', 'Gene', '100508689', (105, 110)) ('tumor', 'Disease', (53, 58)) ('carbohydrate chain synthesis', 'MPA', (17, 45)) 12580 30250045 The aberrant mucin with hypoglycosylation can become a tumor antigen. ('tumor', 'Disease', 'MESH:D009369', (55, 60)) ('tumor', 'Phenotype', 'HP:0002664', (55, 60)) ('mucin', 'Gene', (13, 18)) ('aberrant', 'Var', (4, 12)) ('tumor', 'Disease', (55, 60)) ('tumor antigen', 'molecular_function', 'GO:0008222', ('55', '68')) ('mucin', 'Gene', '100508689', (13, 18)) 12584 30250045 The product of the major peak, showing high SKM9-2 binding activity and quantity, was identified as a peptide containing two disialyl T antigens at the positions of Ser893 and Ser900 (Fig. ('binding', 'molecular_function', 'GO:0005488', ('51', '58')) ('Ser900', 'Chemical', '-', (176, 182)) ('binding', 'Interaction', (51, 58)) ('disialyl T', 'Chemical', '-', (125, 135)) ('Ser900', 'Var', (176, 182)) ('Ser', 'cellular_component', 'GO:0005790', ('165', '168')) ('Ser', 'cellular_component', 'GO:0005790', ('176', '179')) ('Ser893', 'Chemical', '-', (165, 171)) 12598 30250045 The substitution of threonine for Ser900 increased the dissociation rate between SKM9-2 and its epitope peptide (SKMepmin9 in Fig. ('Ser900', 'Var', (34, 40)) ('increased', 'PosReg', (41, 50)) ('threonine for Ser900', 'Mutation', 'p.S900T', (20, 40)) ('Ser', 'cellular_component', 'GO:0005790', ('34', '37')) ('SKM9-2', 'Gene', (81, 87)) ('dissociation rate', 'MPA', (55, 72)) ('substitution', 'Var', (4, 16)) 12601 30250045 On the contrary, threonine substitution for Ser893 hardly influenced the association and dissociation rates (SKMepmin5 in Fig. ('association', 'Interaction', (73, 84)) ('threonine substitution for Ser893', 'Mutation', 'p.SUBSTITUTION,S893T', (17, 50)) ('Ser', 'cellular_component', 'GO:0005790', ('44', '47')) ('threonine substitution', 'Var', (17, 39)) ('dissociation', 'MPA', (89, 101)) ('Ser893', 'Var', (44, 50)) 12602 30250045 5), while alanine substitution decreased the association rate (SKMepmin4 in Fig. ('association', 'MPA', (45, 56)) ('alanine', 'Chemical', 'MESH:D000409', (10, 17)) ('alanine substitution', 'Var', (10, 30)) ('decreased', 'NegReg', (31, 40)) 12605 30250045 In contrast, SKMepmin4 had a similar dissociation constant to SKMepmin1 without substitution, despite the same alanine substitution for Ser893 (Fig. ('alanine substitution', 'Var', (111, 131)) ('alanine substitution for Ser893', 'Mutation', 'p.SUBSTITUTION,S893A', (111, 142)) ('Ser', 'cellular_component', 'GO:0005790', ('136', '139')) ('dissociation', 'MPA', (37, 49)) ('Ser893', 'Var', (136, 142)) 12606 30250045 This discrepancy may be due to two more substitutions, S895A and T903A, in SKMepmin4. ('S895A', 'Mutation', 'p.S895A', (55, 60)) ('SKMepmin4', 'Gene', (75, 84)) ('T903A', 'Var', (65, 70)) ('S895A', 'Var', (55, 60)) ('T903A', 'Mutation', 'rs1333272547', (65, 70)) 12607 30250045 SKMepmin3, containing S895A and T903A, can bind to SKM9-2 more strongly than SKMepmin1 (Fig. ('T903A', 'Var', (32, 37)) ('strongly', 'PosReg', (63, 71)) ('S895A', 'Var', (22, 27)) ('T903A', 'Mutation', 'rs1333272547', (32, 37)) ('S895A', 'Mutation', 'p.S895A', (22, 27)) ('bind', 'Interaction', (43, 47)) 12608 30250045 The alanine substitution at positions 895 and 903 may induce the conformational change of amino acid residues in the epitope, as well as the glycan modification at position 893. ('alanine substitution', 'Var', (4, 24)) ('conformational change', 'MPA', (65, 86)) ('alanine', 'Chemical', 'MESH:D000409', (4, 11)) ('glycan', 'Chemical', 'MESH:D011134', (141, 147)) ('amino acid residues', 'MPA', (90, 109)) ('induce', 'Reg', (54, 60)) 12610 30250045 This may be due to protease resistance by the surrounding glycans and/or loss of antigen activity by cleavage at Lys894 in the epitope. ('loss', 'NegReg', (73, 77)) ('cleavage', 'Var', (101, 109)) ('Lys894', 'Var', (113, 119)) ('glycans', 'Chemical', 'MESH:D011134', (58, 65)) ('Lys894', 'Chemical', '-', (113, 119)) ('antigen', 'Protein', (81, 88)) ('activity', 'MPA', (89, 97)) 12613 30250045 The glycan of Thr903 may be larger than those on the other glycosylation sites because the molecular size of T903A mutant was clearly smaller than the size of the other mutants (Fig. ('smaller', 'NegReg', (134, 141)) ('glycosylation', 'biological_process', 'GO:0070085', ('59', '72')) ('glycan', 'Chemical', 'MESH:D011134', (4, 10)) ('molecular size', 'MPA', (91, 105)) ('T903A', 'Var', (109, 114)) ('T903A', 'Mutation', 'rs1333272547', (109, 114)) ('Thr903', 'Chemical', '-', (14, 20)) 12617 30250045 The substitution of alanine for Thr903 did not suppress SKM9-2 binding (Fig. ('SKM9-2', 'Protein', (56, 62)) ('binding', 'Interaction', (63, 70)) ('Thr903', 'Var', (32, 38)) ('alanine', 'Var', (20, 27)) ('suppress', 'NegReg', (47, 55)) ('substitution', 'Var', (4, 16)) ('alanine for Thr903', 'Mutation', 'p.T903A', (20, 38)) ('binding', 'molecular_function', 'GO:0005488', ('63', '70')) 12618 30250045 Further elongation of the glycan at Thr903 could potentially interfere with the approach of SKM9-2 to the epitope in HEG1 and may influence the detection of mesothelioma with SKM9-2. ('mesothelioma', 'Disease', (157, 169)) ('interfere', 'NegReg', (61, 70)) ('influence', 'Reg', (130, 139)) ('HEG1', 'Gene', (117, 121)) ('Thr903', 'Chemical', '-', (36, 42)) ('mesothelioma', 'Disease', 'MESH:D008654', (157, 169)) ('approach', 'Interaction', (80, 88)) ('Thr903', 'Var', (36, 42)) ('epitope', 'MPA', (106, 113)) ('glycan', 'Chemical', 'MESH:D011134', (26, 32)) 12628 30250045 For analyses of N-terminal truncation, we inserted mutants into pFLAG-CMV1 (Sigma-Aldrich Japan K.K., Tokyo, Japan). ('pFLAG-CMV1', 'Gene', (64, 74)) ('mutants', 'Var', (51, 58)) ('N', 'Chemical', 'MESH:D009584', (16, 17)) 12629 30250045 For analyses of C-terminal deletion lacking the transmembrane domain, we used mutants that were fused with a GPI-anchor protein, SLURP1-gpi, in pcDNA3.1(+) (Thermo Fisher Scientific) (Supplementary Dataset). ('protein', 'cellular_component', 'GO:0003675', ('120', '127')) ('deletion', 'Var', (27, 35)) ('N', 'Chemical', 'MESH:D009584', (147, 148)) ('SLURP1', 'Gene', (129, 135)) ('GPI', 'Chemical', 'MESH:D017261', (109, 112)) ('mutants', 'Var', (78, 85)) ('transmembrane', 'cellular_component', 'GO:0016021', ('48', '61')) ('transmembrane', 'cellular_component', 'GO:0044214', ('48', '61')) ('SLURP1', 'Gene', '57152', (129, 135)) 12678 26334320 3-Methyladenine (3-MA), ATG5 siRNA, bafilomycin A, and E64D/pepstatin A enhanced the apoptotic potential of pemetrexed and simvastatin, whereas rapamycin and LY294002 attenuated their induction of caspase-dependent apoptosis. ('caspase', 'Gene', (197, 204)) ('3-MA', 'Chemical', 'MESH:C025946', (17, 21)) ('ATG5', 'Gene', (24, 28)) ('apoptosis', 'biological_process', 'GO:0006915', ('215', '224')) ('apoptotic potential', 'CPA', (85, 104)) ('simvastatin', 'Chemical', 'MESH:D019821', (123, 134)) ('E64D', 'SUBSTITUTION', 'None', (55, 59)) ('enhanced', 'PosReg', (72, 80)) ('rapamycin', 'Chemical', 'MESH:D020123', (144, 153)) ('LY294002', 'Chemical', 'MESH:C085911', (158, 166)) ('bafilomycin A', 'Chemical', 'MESH:C057620', (36, 49)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (108, 118)) ('caspase', 'Gene', '841;842', (197, 204)) ('E64D', 'Var', (55, 59)) ('apoptosis', 'biological_process', 'GO:0097194', ('215', '224')) ('ATG5', 'Gene', '9474', (24, 28)) ('3-Methyladenine', 'Chemical', 'MESH:C025946', (0, 15)) 12690 26334320 Additionally, inhibition of the intrinsic apoptosis pathway has been shown to suppress the cytotoxicity of pemetrexed. ('intrinsic apoptosis', 'biological_process', 'GO:0097193', ('32', '51')) ('cytotoxicity', 'Disease', 'MESH:D064420', (91, 103)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (107, 117)) ('suppress', 'NegReg', (78, 86)) ('inhibition', 'Var', (14, 24)) ('cytotoxicity', 'Disease', (91, 103)) ('intrinsic apoptosis pathway', 'Pathway', (32, 59)) 12707 26334320 Annexin V staining showed that combination treatment significantly enhances apoptosis compared to either drug alone in MSTO-211H and A549 cells (Figure 1C). ('Annexin V', 'Gene', '308', (0, 9)) ('Annexin V', 'Gene', (0, 9)) ('apoptosis', 'biological_process', 'GO:0097194', ('76', '85')) ('combination', 'Var', (31, 42)) ('enhances', 'PosReg', (67, 75)) ('apoptosis', 'CPA', (76, 85)) ('apoptosis', 'biological_process', 'GO:0006915', ('76', '85')) ('MSTO-211H', 'Chemical', '-', (119, 128)) ('A549', 'CellLine', 'CVCL:0023', (133, 137)) 12716 26334320 In non-treated control cells, a diffuse pattern of GFP fluorescence was observed in the cytoplasm; however, MSTO-211H and A549 cells treated with both pemetrexed and simvastatin displayed markedly more LC3-positive GFP punctae in compared to cells treated with pemetrexed or simvastatin alone (Figure 2B). ('simvastatin', 'Chemical', 'MESH:D019821', (166, 177)) ('MSTO-211H', 'Chemical', '-', (108, 117)) ('more', 'PosReg', (197, 201)) ('LC3', 'Gene', '84557', (202, 205)) ('LC3', 'Gene', (202, 205)) ('simvastatin', 'Chemical', 'MESH:D019821', (275, 286)) ('pemetrexed', 'Var', (151, 161)) ('cytoplasm', 'cellular_component', 'GO:0005737', ('88', '97')) ('pemetrexed', 'Chemical', 'MESH:D000068437', (151, 161)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (261, 271)) ('simvastatin', 'Var', (166, 177)) ('A549', 'CellLine', 'CVCL:0023', (122, 126)) 12719 26334320 GFP generation showed that autophagic induction was significantly increased by pemetrexed and simvastatin combination compared to individual treatment with either drug (Figure 2C). ('combination', 'Var', (106, 117)) ('increased', 'PosReg', (66, 75)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (79, 89)) ('autophagic induction', 'CPA', (27, 47)) ('simvastatin', 'Chemical', 'MESH:D019821', (94, 105)) ('simvastatin', 'Gene', (94, 105)) 12727 26334320 Therefore, we investigated whether suppression of mTOR function by rapamycin or LY294002 alters apoptosis induced by the pemetrexed and simvastatin cotreatment. ('LY294002', 'Chemical', 'MESH:C085911', (80, 88)) ('simvastatin', 'Chemical', 'MESH:D019821', (136, 147)) ('mTOR', 'Gene', (50, 54)) ('mTOR', 'Gene', '2475', (50, 54)) ('rapamycin', 'Chemical', 'MESH:D020123', (67, 76)) ('LY294002', 'Var', (80, 88)) ('apoptosis', 'CPA', (96, 105)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (121, 131)) ('apoptosis', 'biological_process', 'GO:0097194', ('96', '105')) ('apoptosis', 'biological_process', 'GO:0006915', ('96', '105')) 12730 26334320 Following similar protocols, we next demonstrated that pemetrexed, simvastatin, and LY294002 cotreatment also increased LC3-II levels (Figure 4C). ('LC3', 'Gene', '84557', (120, 123)) ('LY294002', 'Chemical', 'MESH:C085911', (84, 92)) ('LC3', 'Gene', (120, 123)) ('increased', 'PosReg', (110, 119)) ('LY294002', 'Var', (84, 92)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (55, 65)) ('increased LC3', 'Phenotype', 'HP:0003141', (110, 123)) ('simvastatin', 'Chemical', 'MESH:D019821', (67, 78)) 12731 26334320 Annexin V staining showed that rapamycin or LY294002 activation of pemetrexed and simvastatin-induced autophagy results in significantly attenuated apoptosis compared to combination treatment in MSTO-211H and A549 cells (Figure 4B and 4D). ('Annexin V', 'Gene', '308', (0, 9)) ('Annexin V', 'Gene', (0, 9)) ('MSTO-211H', 'Chemical', '-', (195, 204)) ('apoptosis', 'biological_process', 'GO:0097194', ('148', '157')) ('activation', 'PosReg', (53, 63)) ('LY294002', 'Chemical', 'MESH:C085911', (44, 52)) ('apoptosis', 'biological_process', 'GO:0006915', ('148', '157')) ('simvastatin', 'Chemical', 'MESH:D019821', (82, 93)) ('LY294002', 'Var', (44, 52)) ('autophagy', 'biological_process', 'GO:0016236', ('102', '111')) ('autophagy', 'CPA', (102, 111)) ('apoptosis', 'CPA', (148, 157)) ('rapamycin', 'Chemical', 'MESH:D020123', (31, 40)) ('autophagy', 'biological_process', 'GO:0006914', ('102', '111')) ('pemetrexed', 'Chemical', 'MESH:D000068437', (67, 77)) ('A549', 'CellLine', 'CVCL:0023', (209, 213)) ('attenuated', 'NegReg', (137, 147)) 12732 26334320 Together, these findings indicate that AKT-mediated inhibition of mTOR by rapamycin or LY294002 attenuates apoptosis induced by pemetrexed and simvastatin combination in malignant mesothelioma and NSCLC cells. ('apoptosis', 'biological_process', 'GO:0006915', ('107', '116')) ('rapamycin', 'Chemical', 'MESH:D020123', (74, 83)) ('NSCLC', 'Disease', 'MESH:D002289', (197, 202)) ('AKT', 'Gene', (39, 42)) ('mTOR', 'Gene', (66, 70)) ('NSCLC', 'Disease', (197, 202)) ('apoptosis', 'CPA', (107, 116)) ('inhibition', 'NegReg', (52, 62)) ('mTOR', 'Gene', '2475', (66, 70)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (170, 192)) ('NSCLC', 'Phenotype', 'HP:0030358', (197, 202)) ('LY294002', 'Var', (87, 95)) ('attenuates', 'NegReg', (96, 106)) ('AKT', 'Gene', '207', (39, 42)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (128, 138)) ('malignant mesothelioma', 'Disease', (170, 192)) ('simvastatin', 'Chemical', 'MESH:D019821', (143, 154)) ('apoptosis', 'biological_process', 'GO:0097194', ('107', '116')) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (170, 192)) ('LY294002', 'Chemical', 'MESH:C085911', (87, 95)) 12733 26334320 To investigate the relationship between pemetrexed and simvastatin-induced apoptosis and autophagy, cells were cotreated with pemetrexed and simvastatin using one of the four autophagic inhibitors: (i) 3-methyladenine (3-MA), a class III PI3 kinase inhibitor; (ii) ATG5 siRNA, an inhibitor of ATG5-12 formation; (iii) bafilomycin A, a specific lysomal vacuolar-type H+-ATPase pump inhibitor that blocks the fusion of autophagosomes and lysosomes; and (iv) E64D/pepstatin A, an inhibitor of lysosomal enzymes. ('apoptosis', 'biological_process', 'GO:0006915', ('75', '84')) ('ATG5', 'Gene', '9474', (265, 269)) ('autophagy', 'biological_process', 'GO:0006914', ('89', '98')) ('ATG5', 'Gene', '9474', (293, 297)) ('3-MA', 'Chemical', 'MESH:C025946', (219, 223)) ('ATG5', 'Gene', (265, 269)) ('E64D', 'Var', (456, 460)) ('E64D', 'SUBSTITUTION', 'None', (456, 460)) ('fusion', 'CPA', (407, 413)) ('ATG5', 'Gene', (293, 297)) ('formation', 'biological_process', 'GO:0009058', ('301', '310')) ('kinase inhibitor', 'biological_process', 'GO:0033673', ('242', '258')) ('pemetrexed', 'Chemical', 'MESH:D000068437', (126, 136)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (40, 50)) ('autophagy', 'biological_process', 'GO:0016236', ('89', '98')) ('simvastatin', 'Chemical', 'MESH:D019821', (141, 152)) ('simvastatin', 'Chemical', 'MESH:D019821', (55, 66)) ('bafilomycin A', 'Chemical', 'MESH:C057620', (318, 331)) ('blocks', 'NegReg', (396, 402)) ('apoptosis', 'biological_process', 'GO:0097194', ('75', '84')) 12739 26334320 ATG5 silencing accelerated apoptosis and decreased autophagy flux, as was indicated by both an increase in the cleaved forms of caspase 3 and PARP and a decrease in LC3-II levels compared to cells expressing control scrambled siRNA (Figure 5C). ('ATG5', 'Gene', '9474', (0, 4)) ('cleaved forms', 'MPA', (111, 124)) ('autophagy flux', 'CPA', (51, 65)) ('accelerated', 'PosReg', (15, 26)) ('decreased', 'NegReg', (41, 50)) ('LC3', 'Gene', (165, 168)) ('silencing', 'Var', (5, 14)) ('caspase 3', 'Gene', (128, 137)) ('caspase 3', 'Gene', '836', (128, 137)) ('apoptosis', 'biological_process', 'GO:0097194', ('27', '36')) ('apoptosis', 'biological_process', 'GO:0006915', ('27', '36')) ('ATG5', 'Gene', (0, 4)) ('apoptosis', 'CPA', (27, 36)) ('autophagy', 'biological_process', 'GO:0016236', ('51', '60')) ('decrease', 'NegReg', (153, 161)) ('LC3', 'Gene', '84557', (165, 168)) ('PARP', 'Gene', '142', (142, 146)) ('increase', 'PosReg', (95, 103)) ('PARP', 'Gene', (142, 146)) ('autophagy', 'biological_process', 'GO:0006914', ('51', '60')) 12743 26334320 We next demonstrated that the protease inhibitors E64D/pepstatin A caused the accumulation of LC3-II (Figure 5G). ('E64D', 'Var', (50, 54)) ('LC3', 'Gene', '84557', (94, 97)) ('LC3', 'Gene', (94, 97)) ('E64D', 'SUBSTITUTION', 'None', (50, 54)) ('accumulation', 'PosReg', (78, 90)) 12744 26334320 Bafilomycin A or E64D/pepstatin A inhibition of pemetrexed and simvastatin-induced autophagy also increased the proportion of apoptotic MSTO-211H and A549 cells (Figure 5F and 5H). ('E64D', 'SUBSTITUTION', 'None', (17, 21)) ('autophagy', 'CPA', (83, 92)) ('A549', 'CellLine', 'CVCL:0023', (150, 154)) ('apoptotic MSTO-211H', 'CPA', (126, 145)) ('E64D', 'Var', (17, 21)) ('Bafilomycin A', 'Chemical', 'MESH:C057620', (0, 13)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (48, 58)) ('inhibition', 'NegReg', (34, 44)) ('increased', 'PosReg', (98, 107)) ('simvastatin', 'Chemical', 'MESH:D019821', (63, 74)) ('MSTO-211H', 'Chemical', '-', (136, 145)) ('autophagy', 'biological_process', 'GO:0016236', ('83', '92')) ('autophagy', 'biological_process', 'GO:0006914', ('83', '92')) 12748 26334320 Furthermore, mice co-injected with pemetrexed and simvastatin had significantly smaller tumor volumes compared to the groups receiving either pemetrexed or simvastatin alone (Figure 6B and 6C). ('mice', 'Species', '10090', (13, 17)) ('simvastatin', 'Chemical', 'MESH:D019821', (50, 61)) ('tumor', 'Disease', 'MESH:D009369', (88, 93)) ('pemetrexed', 'Var', (35, 45)) ('tumor', 'Phenotype', 'HP:0002664', (88, 93)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (35, 45)) ('smaller', 'NegReg', (80, 87)) ('simvastatin', 'Var', (50, 61)) ('tumor', 'Disease', (88, 93)) ('simvastatin', 'Chemical', 'MESH:D019821', (156, 167)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (142, 152)) 12761 26334320 In the present study, MSTO-211H and A549 cells cotreated with the autophagy inhibitors 3-MA, bafilomycin A, and E64d/pepstatin A displayed markedly increased expression of cleaved PARP, caspase-3, -8, and -9, suggesting that autophagy serves a protective role. ('3-MA', 'Chemical', 'MESH:C025946', (87, 91)) ('PARP', 'Gene', '142', (180, 184)) ('increased', 'PosReg', (148, 157)) ('autophagy', 'biological_process', 'GO:0016236', ('225', '234')) ('expression', 'MPA', (158, 168)) ('autophagy', 'biological_process', 'GO:0016236', ('66', '75')) ('bafilomycin A', 'Chemical', 'MESH:C057620', (93, 106)) ('E64d', 'Chemical', 'MESH:C108192', (112, 116)) ('E64d/pepstatin', 'Var', (112, 126)) ('autophagy', 'biological_process', 'GO:0006914', ('225', '234')) ('MSTO-211H', 'Chemical', '-', (22, 31)) ('A549', 'CellLine', 'CVCL:0023', (36, 40)) ('autophagy', 'biological_process', 'GO:0006914', ('66', '75')) ('pepstatin A', 'Chemical', 'MESH:C031375', (117, 128)) ('PARP', 'Gene', (180, 184)) ('caspase-3, -8, and -9', 'Gene', '836;841;842', (186, 207)) 12767 26334320 We found that pretreatment with bafilomycin A and E64d/pepstatin A, which blocks later autophagosomal degradation, increased the formation of LC3-II in MSTO-211H and A549 cells after combination treatment of pemetrexed and simvastatin. ('MSTO-211H', 'Chemical', '-', (152, 161)) ('degradation', 'biological_process', 'GO:0009056', ('102', '113')) ('E64d', 'Chemical', 'MESH:C108192', (50, 54)) ('increased', 'PosReg', (115, 124)) ('simvastatin', 'Chemical', 'MESH:D019821', (223, 234)) ('formation', 'biological_process', 'GO:0009058', ('129', '138')) ('LC3', 'Gene', '84557', (142, 145)) ('A549', 'CellLine', 'CVCL:0023', (166, 170)) ('LC3', 'Gene', (142, 145)) ('pepstatin A', 'Chemical', 'MESH:C031375', (55, 66)) ('E64d/pepstatin', 'Var', (50, 64)) ('bafilomycin A', 'Chemical', 'MESH:C057620', (32, 45)) ('formation', 'MPA', (129, 138)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (208, 218)) 12768 26334320 Autophagy-associated genes are under the control of mTOR, and the inhibition of mTOR by rapamycin or LY294002 enhances autophagy. ('Autophagy', 'biological_process', 'GO:0006914', ('0', '9')) ('mTOR', 'Gene', (52, 56)) ('autophagy', 'biological_process', 'GO:0016236', ('119', '128')) ('mTOR', 'Gene', '2475', (52, 56)) ('autophagy', 'biological_process', 'GO:0006914', ('119', '128')) ('Autophagy', 'biological_process', 'GO:0016236', ('0', '9')) ('mTOR', 'Gene', (80, 84)) ('rapamycin', 'Chemical', 'MESH:D020123', (88, 97)) ('mTOR', 'Gene', '2475', (80, 84)) ('LY294002', 'Var', (101, 109)) ('inhibition', 'Var', (66, 76)) ('Autophagy-associated', 'Gene', (0, 20)) ('enhances', 'PosReg', (110, 118)) ('LY294002', 'Chemical', 'MESH:C085911', (101, 109)) ('autophagy', 'CPA', (119, 128)) 12773 26334320 Consistent with these results, inhibition of autophagy can enhance the anti-cancer effects of pemetrexed and simvastatin and, thus, could be therapeutically targeted to improve the efficacy of these combination therapies. ('simvastatin', 'Chemical', 'MESH:D019821', (109, 120)) ('autophagy', 'CPA', (45, 54)) ('autophagy', 'biological_process', 'GO:0006914', ('45', '54')) ('enhance', 'PosReg', (59, 66)) ('cancer', 'Phenotype', 'HP:0002664', (76, 82)) ('inhibition', 'Var', (31, 41)) ('cancer', 'Disease', 'MESH:D009369', (76, 82)) ('improve', 'PosReg', (169, 176)) ('cancer', 'Disease', (76, 82)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (94, 104)) ('autophagy', 'biological_process', 'GO:0016236', ('45', '54')) 12830 25932953 It has been suggested that tumour heterogeneity, as a consequence of genetic instability and niche factors within the tumour, is a major cause of resistance to treatment in cancer patients. ('cancer', 'Disease', 'MESH:D009369', (173, 179)) ('tumour', 'Disease', (118, 124)) ('cancer', 'Disease', (173, 179)) ('tumour', 'Phenotype', 'HP:0002664', (27, 33)) ('cause', 'Reg', (137, 142)) ('cancer', 'Phenotype', 'HP:0002664', (173, 179)) ('tumour', 'Disease', 'MESH:D009369', (27, 33)) ('tumour', 'Phenotype', 'HP:0002664', (118, 124)) ('tumour', 'Disease', 'MESH:D009369', (118, 124)) ('tumour', 'Disease', (27, 33)) ('patients', 'Species', '9606', (180, 188)) ('genetic instability', 'Var', (69, 88)) 12909 25932953 CD24 knock-down also significantly suppressed proliferation of Ist-Mes-2 cells, as documented in Fig 6D. ('knock-down', 'Var', (5, 15)) ('Mes', 'Chemical', 'MESH:C004550', (67, 70)) ('proliferation', 'CPA', (46, 59)) ('CD24', 'Gene', (0, 4)) ('suppressed', 'NegReg', (35, 45)) 12916 25932953 We next tested the effect of CD24 knock-down on the propensity of MM cells to form tumours, such that mock-transfected and CD24- Ist-Mes-2 cells were grafted in NOD/SCID mice and tumour growth kinetics evaluated by USI. ('tested', 'Reg', (8, 14)) ('tumours', 'Disease', (83, 90)) ('tumour growth', 'Disease', (179, 192)) ('NOD', 'Gene', (161, 164)) ('knock-down', 'Var', (34, 44)) ('SCID', 'Disease', (165, 169)) ('tumour', 'Phenotype', 'HP:0002664', (179, 185)) ('tumour growth', 'Disease', 'MESH:D006130', (179, 192)) ('tumour', 'Phenotype', 'HP:0002664', (83, 89)) ('NOD', 'Gene', '1822', (161, 164)) ('SCID', 'Disease', 'MESH:D053632', (165, 169)) ('tumours', 'Phenotype', 'HP:0002664', (83, 90)) ('mice', 'Species', '10090', (170, 174)) ('Mes', 'Chemical', 'MESH:C004550', (133, 136)) ('tumours', 'Disease', 'MESH:D009369', (83, 90)) 12921 25932953 DeltaPsim,i was found lower in CD24- cells and higher in sphere cells (Fig 8C), which was also the case for superoxide generation (Fig 8D), glucose uptake (Fig 8I), and lactate production (Fig 8E), while SDH activity was not altered (Fig 7G) and SQR activity was increased in sphere cells (Fig 7H). ('lactate', 'Chemical', 'MESH:D019344', (169, 176)) ('superoxide', 'Chemical', 'MESH:D013481', (108, 118)) ('higher', 'PosReg', (47, 53)) ('lactate production', 'MPA', (169, 187)) ('superoxide generation', 'MPA', (108, 129)) ('glucose uptake', 'MPA', (140, 154)) ('DeltaPsim', 'MPA', (0, 9)) ('SDH', 'Gene', '6390', (204, 207)) ('CD24-', 'Var', (31, 36)) ('glucose uptake', 'biological_process', 'GO:0046323', ('140', '154')) ('glucose', 'Chemical', 'MESH:D005947', (140, 147)) ('lower', 'NegReg', (22, 27)) ('SDH', 'Gene', (204, 207)) 12930 25932953 Knocking down CD24 did not significantly affect the IC50 values for 5FU, tamoxifen and alpha-TOS. ('5FU', 'Chemical', 'MESH:D005472', (68, 71)) ('tamoxifen', 'Chemical', 'MESH:D013629', (73, 82)) ('alpha-TOS', 'Chemical', 'MESH:D024502', (87, 96)) ('CD24', 'Gene', (14, 18)) ('Knocking', 'Var', (0, 8)) 12947 25932953 We found that CD24- cells lost their propensity to form spheres in SFM and that when grafted in NOD/SCID mice, their rate of tumour progression was >50% lower than that of their mock-transfected counterparts. ('lost', 'NegReg', (26, 30)) ('NOD', 'Gene', (96, 99)) ('tumour', 'Phenotype', 'HP:0002664', (125, 131)) ('CD24- cells', 'Var', (14, 25)) ('SCID', 'Disease', (100, 104)) ('lower', 'NegReg', (153, 158)) ('propensity', 'MPA', (37, 47)) ('NOD', 'Gene', '1822', (96, 99)) ('tumour', 'Disease', 'MESH:D009369', (125, 131)) ('SCID', 'Disease', 'MESH:D053632', (100, 104)) ('tumour', 'Disease', (125, 131)) ('mice', 'Species', '10090', (105, 109)) 12948 25932953 The loss of sphere-forming capacity and efficacy of tumour formation for CD24- MM cells can be linked to their loss of several other stemness markers, including CD47, EpCAM and OCT4, as shown for the tumour tissue. ('tumour', 'Disease', (200, 206)) ('loss', 'NegReg', (111, 115)) ('CD47', 'Gene', (161, 165)) ('formation', 'biological_process', 'GO:0009058', ('59', '68')) ('tumour', 'Phenotype', 'HP:0002664', (52, 58)) ('tumour', 'Disease', 'MESH:D009369', (52, 58)) ('tumour', 'Phenotype', 'HP:0002664', (200, 206)) ('OCT4', 'Gene', (177, 181)) ('EpCAM', 'Gene', (167, 172)) ('CD24- MM', 'Var', (73, 81)) ('tumour', 'Disease', 'MESH:D009369', (200, 206)) ('tumour', 'Disease', (52, 58)) ('sphere-forming capacity', 'CPA', (12, 35)) ('loss', 'NegReg', (4, 8)) ('EpCAM', 'Gene', '4072', (167, 172)) ('CD47', 'Gene', '961', (161, 165)) 12949 25932953 Further, the lower proliferative capacity of CD24- cells can be reconciled with lower level of pEGFR and pERK1/2, a component of the MAP kinase pathway, compared to parental and sphere cells. ('ERK1/2', 'Gene', (106, 112)) ('ERK1/2', 'Gene', '5595;5594', (106, 112)) ('proliferative capacity', 'CPA', (19, 41)) ('lower', 'NegReg', (13, 18)) ('EGFR', 'Gene', (96, 100)) ('MAP', 'molecular_function', 'GO:0004239', ('133', '136')) ('CD24- cells', 'Var', (45, 56)) ('lower', 'NegReg', (80, 85)) ('EGFR', 'Gene', '1956', (96, 100)) 12968 25932953 We further document that MM stemness is dependent on CD24, whose knock-down compromises the stem-like properties of the cells including efficient tumour progression. ('MM stemness', 'Disease', (25, 36)) ('tumour', 'Disease', (146, 152)) ('CD24', 'Gene', (53, 57)) ('knock-down', 'Var', (65, 75)) ('compromises', 'NegReg', (76, 87)) ('tumour', 'Phenotype', 'HP:0002664', (146, 152)) ('MM stemness', 'Disease', 'MESH:D020295', (25, 36)) ('stem-like properties of the cells', 'CPA', (92, 125)) ('tumour', 'Disease', 'MESH:D009369', (146, 152)) 13032 20396658 Immunohistochemical stains showed positivity for Pancytokeratin and negative reactivity for CEA and CD-15 (Leu-M 1). ('CD-15', 'Gene', '2526', (100, 105)) ('positivity', 'Var', (34, 44)) ('CEA', 'Gene', (92, 95)) ('CD-15', 'Gene', (100, 105)) ('CEA', 'Gene', '1084', (92, 95)) ('Pancytokeratin', 'Protein', (49, 63)) 13088 31529678 BRAF mutation that was found in our patient may also help since it is commonly found in thyroid carcinoma, but not in primary pleural processes such as mesothelioma. ('carcinoma', 'Phenotype', 'HP:0030731', (96, 105)) ('thyroid carcinoma', 'Disease', 'MESH:D013964', (88, 105)) ('patient', 'Species', '9606', (36, 43)) ('BRAF', 'Gene', '673', (0, 4)) ('thyroid carcinoma', 'Phenotype', 'HP:0002890', (88, 105)) ('thyroid carcinoma', 'Disease', (88, 105)) ('mesothelioma', 'Disease', (152, 164)) ('found', 'Reg', (79, 84)) ('BRAF', 'Gene', (0, 4)) ('mesothelioma', 'Disease', 'MESH:D008654', (152, 164)) ('mutation', 'Var', (5, 13)) 13122 26184317 High GLI1 gene expression was associated with shorter overall survival in MPM patients. ('High', 'Var', (0, 4)) ('gene expression', 'biological_process', 'GO:0010467', ('10', '25')) ('GLI1', 'Gene', '2735', (5, 9)) ('MPM', 'Disease', (74, 77)) ('overall survival', 'MPA', (54, 70)) ('patients', 'Species', '9606', (78, 86)) ('expression', 'MPA', (15, 25)) ('GLI1', 'Gene', (5, 9)) ('shorter', 'NegReg', (46, 53)) 13132 26184317 A study using a panel of seven MPM cell lines demonstrated a missense mutation in the SUFU gene, leading to T411M amino acid change, coupled with three base pair (CTG) insertions in the SMO gene, resulting in an additional amino acid 23L_24GinsL in the signal peptide region in one cell line. ('amino acid', 'MPA', (223, 233)) ('CTG', 'Chemical', '-', (163, 166)) ('T411M', 'Mutation', 'rs368020224', (108, 113)) ('SMO', 'Gene', '6608', (186, 189)) ('SUFU', 'Gene', (86, 90)) ('SMO', 'Gene', (186, 189)) ('rat', 'Species', '10116', (53, 56)) ('SUFU', 'Gene', '51684', (86, 90)) ('missense mutation', 'Var', (61, 78)) ('T411M', 'Var', (108, 113)) 13133 26184317 The 3-bp insertion in SMO was also detected in one MPM patient out of 14 patients analyzed. ('3-bp', 'Var', (4, 8)) ('SMO', 'Gene', '6608', (22, 25)) ('SMO', 'Gene', (22, 25)) ('patient', 'Species', '9606', (73, 80)) ('patient', 'Species', '9606', (55, 62)) ('patients', 'Species', '9606', (73, 81)) 13134 26184317 Transfection of a SUFU cDNA harboring the T411M missense mutation suppressed Gli-reporter gene downregulation as observed with wild-type SUFU, although it is unclear whether such results were observed with similar levels of SUFU protein expressed. ('T411M missense', 'Var', (42, 56)) ('SUFU', 'Gene', '51684', (137, 141)) ('SUFU', 'Gene', (224, 228)) ('downregulation', 'NegReg', (95, 109)) ('SUFU', 'Gene', '51684', (224, 228)) ('SUFU', 'Gene', (18, 22)) ('Gli', 'Gene', (77, 80)) ('SUFU', 'Gene', '51684', (18, 22)) ('suppressed', 'NegReg', (66, 76)) ('T411M', 'Mutation', 'rs368020224', (42, 47)) ('protein', 'cellular_component', 'GO:0003675', ('229', '236')) ('Gli', 'Gene', '2735', (77, 80)) ('SUFU', 'Gene', (137, 141)) 13135 26184317 Deletion of PTCH1 exons 8-23 was observed in another cell line. ('PTCH1', 'Gene', '5727', (12, 17)) ('PTCH1', 'Gene', (12, 17)) ('Deletion', 'Var', (0, 8)) 13136 26184317 Deletion of chromosome 9q22.32, containing the PTCH1 gene, is observed in medulloblastoma and basal cell carcinoma (reviewed in) and various other cancers, consistent with the loss of tumor suppressor function. ('PTCH1', 'Gene', (47, 52)) ('medulloblastoma', 'Phenotype', 'HP:0002885', (74, 89)) ('tumor', 'Disease', 'MESH:D009369', (184, 189)) ('cancer', 'Phenotype', 'HP:0002664', (147, 153)) ('basal cell carcinoma', 'Phenotype', 'HP:0002671', (94, 114)) ('chromosome', 'cellular_component', 'GO:0005694', ('12', '22')) ('tumor', 'Phenotype', 'HP:0002664', (184, 189)) ('PTCH1', 'Gene', '5727', (47, 52)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('184', '200')) ('tumor', 'Disease', (184, 189)) ('cancers', 'Disease', 'MESH:D009369', (147, 154)) ('cancers', 'Phenotype', 'HP:0002664', (147, 154)) ('carcinoma', 'Phenotype', 'HP:0030731', (105, 114)) ('cancers', 'Disease', (147, 154)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('184', '200')) ('medulloblastoma and basal cell carcinoma', 'Disease', 'MESH:D008527', (74, 114)) ('observed', 'Reg', (62, 70)) ('Deletion', 'Var', (0, 8)) 13137 26184317 The functional impact of the insertion in the SMO gene still remains to be investigated. ('insertion', 'Var', (29, 38)) ('SMO', 'Gene', '6608', (46, 49)) ('SMO', 'Gene', (46, 49)) 13152 26184317 Nevertheless, it should be noted that a small group of MPM patients may harbor mutations of the pathway. ('MPM', 'Disease', (55, 58)) ('patients', 'Species', '9606', (59, 67)) ('harbor', 'Reg', (72, 78)) ('mutations', 'Var', (79, 88)) 13222 24361865 In silico digestions of mesothelin (UniProt entry #Q13421), osteopontin (#P10451), and CA125 (#Q8WXI7) were performed to predict a suitable pH interval that would include peptides from these proteins in the range of the IPG-HiRIEF strip. ('CA125', 'Gene', (87, 92)) ('#P10451', 'Var', (73, 80)) ('peptides', 'MPA', (171, 179)) ('mesothelin', 'Gene', '10232', (24, 34)) ('osteopontin', 'Gene', '6696', (60, 71)) ('CA125', 'Gene', '94025', (87, 92)) ('osteopontin', 'Gene', (60, 71)) ('mesothelin', 'Gene', (24, 34)) ('IPG', 'Chemical', '-', (220, 223)) ('peptides', 'Chemical', 'MESH:D010455', (171, 179)) 13253 24361865 2A), and two mesothelioma patients showed a different distribution than the bulk of the patients (M115a and M115b in Figs. ('mesothelioma', 'Disease', (13, 25)) ('M115b', 'Var', (108, 113)) ('patients', 'Species', '9606', (88, 96)) ('mesothelioma', 'Disease', 'MESH:D008654', (13, 25)) ('patients', 'Species', '9606', (26, 34)) 13254 24361865 Proteins clustering around the L118a lung cancer sample were uploaded to the DAVID database, and significant BioCarta pathways were involved in the complement system and in prothrombin-activated coagulation. ('lung cancer', 'Disease', (37, 48)) ('lung cancer', 'Phenotype', 'HP:0100526', (37, 48)) ('cancer', 'Phenotype', 'HP:0002664', (42, 48)) ('L118a', 'Var', (31, 36)) ('lung cancer', 'Disease', 'MESH:D008175', (37, 48)) ('involved', 'Reg', (132, 140)) ('coagulation', 'biological_process', 'GO:0050817', ('195', '206')) 13255 24361865 Proteins separating the two M115 mesothelioma patients from the rest were involved in the glycolysis pathway, the complement and coagulation cascades, and response to hypoxia-induced stress. ('mesothelioma', 'Disease', 'MESH:D008654', (33, 45)) ('patients', 'Species', '9606', (46, 54)) ('glycolysis', 'biological_process', 'GO:0006096', ('90', '100')) ('response to hypoxia', 'biological_process', 'GO:0001666', ('155', '174')) ('M115', 'Var', (28, 32)) ('hypoxia', 'Disease', (167, 174)) ('hypoxia', 'Disease', 'MESH:D000860', (167, 174)) ('glycolysis pathway', 'Pathway', (90, 108)) ('coagulation', 'biological_process', 'GO:0050817', ('129', '140')) ('mesothelioma', 'Disease', (33, 45)) ('involved', 'Reg', (74, 82)) 13270 24361865 Patients with high apolipoprotein C-I levels (>5.33 mug/ml) also had a mean survival time that was 5.5 months longer (10 months compared with low expressing patients' survival of 4.5 months; p value = 0.02) with a reciprocal hazard ratio of 2.30 (1.4-9.0). ('apolipoprotein', 'molecular_function', 'GO:0005319', ('19', '33')) ('mug', 'molecular_function', 'GO:0043739', ('52', '55')) ('patients', 'Species', '9606', (157, 165)) ('apolipoprotein C-I', 'Gene', '341', (19, 37)) ('Patients', 'Species', '9606', (0, 8)) ('apolipoprotein C-I', 'Gene', (19, 37)) ('>5.33 mug/ml', 'Var', (46, 58)) ('apolipoprotein', 'molecular_function', 'GO:0005320', ('19', '33')) ('longer', 'PosReg', (110, 116)) 13296 24361865 As a consequence, lung cancer patients with high levels of galectin 1 have a worse prognosis than those expressing lower levels. ('lung cancer', 'Disease', 'MESH:D008175', (18, 29)) ('galectin 1', 'Gene', (59, 69)) ('patients', 'Species', '9606', (30, 38)) ('lung cancer', 'Phenotype', 'HP:0100526', (18, 29)) ('lung cancer', 'Disease', (18, 29)) ('galectin 1', 'Gene', '3956', (59, 69)) ('cancer', 'Phenotype', 'HP:0002664', (23, 29)) ('high levels', 'Var', (44, 55)) ('galectin', 'molecular_function', 'GO:0001577', ('59', '67')) 13310 24361865 As already stated, the expression of galectin 1 affects the immune system and is prognostic for lung cancer. ('lung cancer', 'Disease', 'MESH:D008175', (96, 107)) ('galectin', 'molecular_function', 'GO:0001577', ('37', '45')) ('galectin 1', 'Gene', '3956', (37, 47)) ('galectin 1', 'Gene', (37, 47)) ('lung cancer', 'Disease', (96, 107)) ('prognostic', 'Reg', (81, 91)) ('expression', 'Var', (23, 33)) ('lung cancer', 'Phenotype', 'HP:0100526', (96, 107)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) ('affects', 'Reg', (48, 55)) ('immune', 'CPA', (60, 66)) 13316 24361865 Furthermore, bladder cancer patients with high levels of the aldo-keto reductase 1B10 after chemotherapy had significantly lower disease-free survival rates. ('disease-free survival rates', 'CPA', (129, 156)) ('cancer', 'Phenotype', 'HP:0002664', (21, 27)) ('bladder cancer', 'Phenotype', 'HP:0009725', (13, 27)) ('lower', 'NegReg', (123, 128)) ('high levels', 'Var', (42, 53)) ('bladder cancer', 'Disease', 'MESH:D001749', (13, 27)) ('bladder cancer', 'Disease', (13, 27)) ('patients', 'Species', '9606', (28, 36)) 13355 19096314 HDAC inhibitors have been documented to enhance the susceptibility of mesothelioma cell lines to tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) . ('TRAIL', 'Gene', (154, 159)) ('HDAC', 'Gene', '9734', (0, 4)) ('necrosis', 'biological_process', 'GO:0008219', ('103', '111')) ('tumor necrosis factor', 'molecular_function', 'GO:0005164', ('97', '118')) ('ligand', 'molecular_function', 'GO:0005488', ('146', '152')) ('apoptosis', 'biological_process', 'GO:0097194', ('127', '136')) ('apoptosis', 'biological_process', 'GO:0006915', ('127', '136')) ('HDAC', 'Gene', (0, 4)) ('mesothelioma cell', 'Disease', (70, 87)) ('susceptibility', 'MPA', (52, 66)) ('necrosis', 'biological_process', 'GO:0008220', ('103', '111')) ('necrosis', 'biological_process', 'GO:0070265', ('103', '111')) ('tumor', 'Phenotype', 'HP:0002664', (97, 102)) ('necrosis', 'biological_process', 'GO:0019835', ('103', '111')) ('inhibitors', 'Var', (5, 15)) ('necrosis', 'biological_process', 'GO:0001906', ('103', '111')) ('tumor necrosis factor-related apoptosis-inducing ligand', 'Gene', '8743', (97, 152)) ('mesothelioma cell', 'Disease', 'MESH:D008654', (70, 87)) ('enhance', 'PosReg', (40, 47)) ('TRAIL', 'Gene', '8743', (154, 159)) 13614 20838437 In contrast, lovastatin treatment alone inhibited AKT, S6K1 and 4EPB1 phosphorylation and the combination of lovastatin and KRN633 induced a dramatic inhibition of the AKT pathway in this MM derived cell line (Figure 5). ('lovastatin', 'Chemical', 'MESH:D008148', (13, 23)) ('KRN633', 'Chemical', 'MESH:C508488', (124, 130)) ('inhibited', 'NegReg', (40, 49)) ('AKT', 'Gene', '207', (50, 53)) ('combination', 'Var', (94, 105)) ('AKT', 'Gene', '207', (168, 171)) ('inhibition', 'NegReg', (150, 160)) ('phosphorylation', 'MPA', (70, 85)) ('AKT', 'Gene', (50, 53)) ('phosphorylation', 'biological_process', 'GO:0016310', ('70', '85')) ('KRN633', 'Gene', (124, 130)) ('S6K1 and 4', 'Gene', '6198', (55, 65)) ('AKT', 'Gene', (168, 171)) ('lovastatin', 'Chemical', 'MESH:D008148', (109, 119)) 13617 20838437 KRN633 inhibits VEGFR 1, 2 and 3 with similar kinetics while ZM323881 is highly selective for VEGFR-2. ('VEGFR 1', 'Gene', (16, 23)) ('KRN633', 'Var', (0, 6)) ('inhibits', 'NegReg', (7, 15)) ('ZM323881', 'Chemical', 'MESH:C478783', (61, 69)) ('VEGFR 1', 'Gene', '2321', (16, 23)) ('ZM323881', 'Var', (61, 69)) ('KRN633', 'Chemical', 'MESH:C508488', (0, 6)) 13618 20838437 With both MM derived cell lines and in HUVEC, increases in the concentration of the VEGFR-TKIs, KRN633 and ZM323881, resulted in a dose dependent decrease of MTT activity (Figure 6A). ('ZM323881', 'Var', (107, 115)) ('concentration', 'MPA', (63, 76)) ('VEGFR', 'Gene', (84, 89)) ('MTT', 'Chemical', 'MESH:C070243', (158, 161)) ('KRN633', 'Var', (96, 102)) ('increases', 'PosReg', (46, 55)) ('MTT activity', 'MPA', (158, 170)) ('HUVEC', 'CellLine', 'CVCL:2959', (39, 44)) ('VEGFR', 'Gene', '3791', (84, 89)) ('ZM323881', 'Chemical', 'MESH:C478783', (107, 115)) ('KRN633', 'Chemical', 'MESH:C508488', (96, 102)) ('decrease', 'NegReg', (146, 154)) 13631 20838437 Employing the MTT cell viability assay, we demonstrated that while the siControl treatments (50 nM 48 hrs, followed by 48 hrs lovastatin treatment) had no effect on lovastatin treatments (1 and 5 microM) compared to reagent alone, siVEGFR-2 (50 nM 48 hrs, followed by 48 hrs lovastatin treatment) significantly enhanced lovastatin-induced cytotoxicity in H2052 and H28 MM cells (Figure 6D). ('enhanced', 'PosReg', (311, 319)) ('lovastatin', 'Chemical', 'MESH:D008148', (165, 175)) ('lovastatin', 'Chemical', 'MESH:D008148', (275, 285)) ('lovastatin-induced', 'MPA', (320, 338)) ('H2052', 'CellLine', 'CVCL:1518', (355, 360)) ('cytotoxicity', 'Disease', (339, 351)) ('lovastatin', 'Chemical', 'MESH:D008148', (320, 330)) ('MTT', 'Chemical', 'MESH:C070243', (14, 17)) ('H28 MM', 'CellLine', 'CVCL:4D15', (365, 371)) ('siVEGFR-2', 'Var', (231, 240)) ('cytotoxicity', 'Disease', 'MESH:D064420', (339, 351)) ('lovastatin', 'Chemical', 'MESH:D008148', (126, 136)) 13632 20838437 In our previous study, we demonstrated that the targeting of HMG-CoA reductase, which results in mevalonate depletion, can inhibit the function of the EGFR. ('mevalonate', 'Chemical', 'MESH:D008798', (97, 107)) ('EGFR', 'Gene', (151, 155)) ('mevalonate depletion', 'MPA', (97, 117)) ('inhibit', 'NegReg', (123, 130)) ('HMG-CoA reductase', 'Gene', (61, 78)) ('targeting', 'Var', (48, 57)) ('EGFR', 'molecular_function', 'GO:0005006', ('151', '155')) ('results in', 'Reg', (86, 96)) ('function', 'MPA', (135, 143)) ('EGFR', 'Gene', '1956', (151, 155)) 13654 20838437 Inhibition of HMG-CoA reductase has been evaluated as an anti-cancer therapeutic approach owing to its ability to inhibit tumor cell proliferation, induce tumor specific apoptosis and inhibit cell motility and metastasis in several tumor models. ('cell motility', 'biological_process', 'GO:0048870', ('192', '205')) ('inhibit', 'NegReg', (184, 191)) ('tumor', 'Disease', (155, 160)) ('tumor', 'Disease', (122, 127)) ('metastasis', 'Disease', (210, 220)) ('tumor', 'Disease', 'MESH:D009369', (155, 160)) ('tumor', 'Disease', 'MESH:D009369', (122, 127)) ('cancer', 'Disease', (62, 68)) ('tumor', 'Disease', (232, 237)) ('apoptosis', 'biological_process', 'GO:0097194', ('170', '179')) ('apoptosis', 'biological_process', 'GO:0006915', ('170', '179')) ('metastasis', 'Disease', 'MESH:D009362', (210, 220)) ('tumor', 'Phenotype', 'HP:0002664', (155, 160)) ('cancer', 'Phenotype', 'HP:0002664', (62, 68)) ('tumor', 'Disease', 'MESH:D009369', (232, 237)) ('tumor', 'Phenotype', 'HP:0002664', (122, 127)) ('Inhibition', 'Var', (0, 10)) ('cell proliferation', 'biological_process', 'GO:0008283', ('128', '146')) ('inhibit', 'NegReg', (114, 121)) ('tumor', 'Phenotype', 'HP:0002664', (232, 237)) ('cancer', 'Disease', 'MESH:D009369', (62, 68)) ('induce', 'PosReg', (148, 154)) 13718 30132292 Tumor sequencing revealed a PDGFRA D842V mutation, which is known to be imatinib-resistant. ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('PDGFRA', 'Gene', '5156', (28, 34)) ('PDGFRA', 'Gene', (28, 34)) ('D842V', 'Mutation', 'rs121908585', (35, 40)) ('imatinib', 'Chemical', 'MESH:D000068877', (72, 80)) ('revealed', 'Reg', (17, 25)) ('D842V', 'Var', (35, 40)) 13736 25364818 Altered Protease-Activated Receptor-1 Expression and Signaling in a Malignant Pleural Mesothelioma Cell Line, NCI-H28, with Homozygous Deletion of the beta-Catenin Gene Protease activated receptors (PARs) are G-protein coupled receptors that are activated by an unique proteolytic mechanism. ('Protease-Activated Receptor-1', 'Gene', '2149', (8, 37)) ('Expression', 'MPA', (38, 48)) ('Deletion', 'Var', (135, 143)) ('protein', 'cellular_component', 'GO:0003675', ('211', '218')) ('Pleural Mesothelioma', 'Phenotype', 'HP:0100002', (78, 98)) ('Signaling', 'biological_process', 'GO:0023052', ('53', '62')) ('Protease-Activated Receptor-1', 'Gene', (8, 37)) ('beta-Catenin', 'Gene', (151, 163)) ('Signaling', 'MPA', (53, 62)) ('beta-Catenin', 'Gene', '1499', (151, 163)) ('NCI-H28', 'CellLine', 'CVCL:1555', (110, 117)) ('Malignant Pleural Mesothelioma', 'Disease', (68, 98)) ('Malignant Pleural Mesothelioma', 'Disease', 'MESH:C562839', (68, 98)) 13752 25364818 Although asbestos exposure has a pivotal role in initiating both cellular and molecular events which lead to MM development other factors such as genetic and epigenetic alterations contribute to its pathogenesis. ('contribute', 'Reg', (181, 191)) ('asbestos', 'Chemical', 'MESH:D001194', (9, 17)) ('epigenetic alterations', 'Var', (158, 180)) ('pathogenesis', 'biological_process', 'GO:0009405', ('199', '211')) ('MM development', 'Disease', (109, 123)) 13754 25364818 Numerous evidences link aberrant GPCR expression and activation to several types of human malignancies. ('malignancies', 'Disease', (90, 102)) ('activation', 'PosReg', (53, 63)) ('aberrant', 'Var', (24, 32)) ('GPCR expression', 'Protein', (33, 48)) ('human', 'Species', '9606', (84, 89)) ('malignancies', 'Disease', 'MESH:D009369', (90, 102)) 13790 25364818 Met-5A cells were grown in Medium 199 supplemented with 10% FBS, 1% penicillin/streptomycin (100 units/ml/100 microg/ml), hydrocortisone (400 nM), EGF (3.3 nM) and human recombinant insulin (870 nM). ('streptomycin', 'Chemical', 'MESH:D013307', (79, 91)) ('FBS', 'Disease', 'MESH:D005198', (60, 63)) ('human', 'Species', '9606', (164, 169)) ('insulin', 'molecular_function', 'GO:0016088', ('182', '189')) ('400', 'Var', (138, 141)) ('EGF', 'Gene', (147, 150)) ('insulin', 'Gene', (182, 189)) ('penicillin', 'Chemical', 'MESH:D010406', (68, 78)) ('FBS', 'Disease', (60, 63)) ('insulin', 'Gene', '3630', (182, 189)) ('hydrocortisone', 'Chemical', 'MESH:D006854', (122, 136)) ('EGF', 'Gene', '1950', (147, 150)) ('EGF', 'molecular_function', 'GO:0005154', ('147', '150')) 13829 25364818 In this MPM cell line, apart from a homozygous deletion of the beta-catenin gene (CTNNB1) a down-regulation of thrombomodulin expression by an epigenetic mechanism has been described. ('beta-catenin', 'Gene', (63, 75)) ('thrombomodulin', 'Gene', (111, 125)) ('regulation', 'biological_process', 'GO:0065007', ('97', '107')) ('thrombomodulin', 'Gene', '7056', (111, 125)) ('CTNNB1', 'Gene', (82, 88)) ('beta-catenin', 'Gene', '1499', (63, 75)) ('deletion', 'Var', (47, 55)) ('down-regulation', 'NegReg', (92, 107)) ('CTNNB1', 'Gene', '1499', (82, 88)) 13843 25364818 However, the pattern of the proliferative response was quite different in NCI-H28 cells compared to that of Met-5A cells. ('proliferative response', 'CPA', (28, 50)) ('NCI-H28', 'Var', (74, 81)) ('NCI-H28 cells', 'CellLine', 'CVCL:1555', (74, 87)) 13854 25364818 First, we investigated PAR1-activated Gq signaling by analyzing intracellular Ca2+ mobilization after cell stimulation with either thrombin or the selective PAR1-AP. ('intracellular', 'cellular_component', 'GO:0005622', ('64', '77')) ('PAR1-AP', 'Var', (157, 164)) ('thrombin', 'Gene', (131, 139)) ('signaling', 'biological_process', 'GO:0023052', ('41', '50')) ('thrombin', 'Gene', '2147', (131, 139)) ('Ca2+', 'Chemical', 'MESH:D000069285', (78, 82)) ('intracellular Ca2+ mobilization', 'MPA', (64, 95)) 13861 25364818 In the presence of SCH 79797, the inhibitory effect of thrombin was reduced indicating that PAR1 mediates the effect. ('thrombin', 'Gene', (55, 63)) ('thrombin', 'Gene', '2147', (55, 63)) ('SCH 79797', 'Chemical', 'MESH:C415424', (19, 28)) ('reduced', 'NegReg', (68, 75)) ('SCH 79797', 'Var', (19, 28)) 13863 25364818 In the presence of SCH 79797, the inhibition curve was upwards shifted and the maximal inhibition at 100 nM was only 42% indicating that the inhibitory effect of cAMP accumulation is partially mediated by PAR1. ('cAMP', 'Gene', '820', (162, 166)) ('SCH 79797', 'Var', (19, 28)) ('cAMP', 'Gene', (162, 166)) ('SCH 79797', 'Chemical', 'MESH:C415424', (19, 28)) 13864 25364818 Various concentrations of the selective PAR1-AP did not cause any inhibition of isoproterenol stimulated cAMP production in both Met-5A and NCI-H28 cells (Figure 4.D) demonstrating the functional selectivity of this peptide agonist. ('isoproterenol', 'Chemical', 'MESH:D007545', (80, 93)) ('NCI-H28 cells', 'CellLine', 'CVCL:1555', (140, 153)) ('cAMP', 'Gene', (105, 109)) ('PAR1-AP', 'Var', (40, 47)) ('cAMP', 'Gene', '820', (105, 109)) 13865 25364818 Next, we examined PAR1-activated G12/13 signaling by measuring RhoA activation after cell stimulation with either thrombin or PAR1-AP. ('RhoA', 'Gene', (63, 67)) ('thrombin', 'Gene', (114, 122)) ('PAR1-AP', 'Var', (126, 133)) ('RhoA', 'Gene', '387', (63, 67)) ('G12/13', 'Gene', '10672', (33, 39)) ('thrombin', 'Gene', '2147', (114, 122)) ('signaling', 'biological_process', 'GO:0023052', ('40', '49')) ('G12/13', 'Gene', (33, 39)) 13868 25364818 Similarly to thrombin, PAR1-AP induced a modest increase of RhoA activation in NCI-H28 cells (Figure 5.B). ('PAR1-AP', 'Var', (23, 30)) ('thrombin', 'Gene', '2147', (13, 21)) ('RhoA', 'Gene', (60, 64)) ('NCI-H28 cells', 'CellLine', 'CVCL:1555', (79, 92)) ('RhoA', 'Gene', '387', (60, 64)) ('thrombin', 'Gene', (13, 21)) ('increase', 'PosReg', (48, 56)) 13873 25364818 Using a single time point (5 min) we examined the effect of various thrombin concentrations ranging from 0.01 to 100 nM and found that a maximal response was induced by 0.1 nM thrombin in Met-5A cells while higher thrombin concentrations reduced pERK1/2 (Figure 6). ('thrombin', 'Gene', (176, 184)) ('thrombin', 'Gene', (214, 222)) ('thrombin', 'Gene', '2147', (176, 184)) ('thrombin', 'Gene', (68, 76)) ('thrombin', 'Gene', '2147', (214, 222)) ('0.1 nM', 'Var', (169, 175)) ('thrombin', 'Gene', '2147', (68, 76)) 13895 25364818 have shown that MPM cell lines, which express tissue factor and PAR1 generate large tumors in mouse thoracic cavity thus indicating that activation of PAR1 promotes MPM cell growth. ('activation', 'Var', (137, 147)) ('PAR1', 'Gene', (64, 68)) ('tumor', 'Phenotype', 'HP:0002664', (84, 89)) ('cell growth', 'biological_process', 'GO:0016049', ('169', '180')) ('PAR1', 'Gene', (151, 155)) ('mouse', 'Species', '10090', (94, 99)) ('tumors', 'Disease', (84, 90)) ('tumors', 'Disease', 'MESH:D009369', (84, 90)) ('tumors', 'Phenotype', 'HP:0002664', (84, 90)) ('promotes', 'PosReg', (156, 164)) 13904 25364818 However, the proliferative response was slightly less marked than that observed with thrombin suggesting that either thrombin is also acting through other receptors or PAR1 activation by proteolytic cleavage elicits a cellular response which is not completely identical to that induced by a "free" synthetic peptide agonist. ('thrombin', 'Gene', (117, 125)) ('thrombin', 'Gene', '2147', (85, 93)) ('activation', 'PosReg', (173, 183)) ('thrombin', 'Gene', '2147', (117, 125)) ('cellular response', 'MPA', (218, 235)) ('PAR1', 'Gene', (168, 172)) ('elicits', 'Reg', (208, 215)) ('thrombin', 'Gene', (85, 93)) ('proteolytic cleavage', 'Var', (187, 207)) 13913 25364818 It is interesting to note that the selective PAR1-AP did not cause any major inhibition of cAMP accumulation. ('cAMP', 'Gene', (91, 95)) ('PAR1-AP', 'Var', (45, 52)) ('cAMP', 'Gene', '820', (91, 95)) 13922 25364818 The recruitment of caveolin-1 at cell junctions is greatly facilitated by the presence of beta-catenin in the cadherin/catenin complex. ('cadherin', 'Gene', (110, 118)) ('cadherin', 'Gene', '1003', (110, 118)) ('caveolin-1', 'Gene', '857', (19, 29)) ('beta-catenin', 'Gene', (90, 102)) ('facilitated', 'PosReg', (59, 70)) ('beta-catenin', 'Gene', '1499', (90, 102)) ('cadherin', 'molecular_function', 'GO:0008014', ('110', '118')) ('presence', 'Var', (78, 86)) ('catenin complex', 'cellular_component', 'GO:0016342', ('119', '134')) ('caveolin-1', 'Gene', (19, 29)) ('recruitment', 'MPA', (4, 15)) 13923 25364818 In NCI-H28 cells, a homozygous deletion of the beta-catenin gene (CTNNB1) has been demonstrated suggesting that in these cells caveolin-1 is not completely associated to the plasma membrane. ('beta-catenin', 'Gene', '1499', (47, 59)) ('CTNNB1', 'Gene', '1499', (66, 72)) ('caveolin-1', 'Gene', '857', (127, 137)) ('plasma membrane', 'cellular_component', 'GO:0005886', ('174', '189')) ('NCI-H28 cells', 'CellLine', 'CVCL:1555', (3, 16)) ('CTNNB1', 'Gene', (66, 72)) ('deletion', 'Var', (31, 39)) ('beta-catenin', 'Gene', (47, 59)) ('caveolin-1', 'Gene', (127, 137)) 13932 25364818 In order to exclude a role of beta-catenin in recruiting PAR1 to the plasma membrane, we performed both rescue and deletion experiments and evaluated cell surface receptor expression by ELISA. ('beta-catenin', 'Gene', '1499', (30, 42)) ('deletion', 'Var', (115, 123)) ('cell surface', 'cellular_component', 'GO:0009986', ('150', '162')) ('cell surface receptor', 'Gene', (150, 171)) ('cell surface receptor', 'Gene', '57126', (150, 171)) ('beta-catenin', 'Gene', (30, 42)) ('plasma membrane', 'cellular_component', 'GO:0005886', ('69', '84')) 13943 21701776 In order to delineate a potential role of TGFBI in mediating the molecular events that occur in mesothelioma tumorigenesis, we generated stable TGFBI knockdown mutants from the mesothelium cell line Met-5A by using an shRNA approach, and secondly created ectopic TGFBI overexpression mutants from the mesothelioma cell line H28 in which TGFBI is absent. ('tumor', 'Disease', (109, 114)) ('mesothelioma', 'Disease', (96, 108)) ('TGFBI', 'Gene', (263, 268)) ('mesothelioma', 'Disease', 'MESH:D008654', (301, 313)) ('tumor', 'Disease', 'MESH:D009369', (109, 114)) ('mutants', 'Var', (160, 167)) ('mesothelioma', 'Disease', 'MESH:D008654', (96, 108)) ('mutants', 'Var', (284, 291)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('TGFBI', 'Gene', (144, 149)) ('mesothelioma', 'Disease', (301, 313)) ('overexpression', 'PosReg', (269, 283)) 13954 21701776 Mutations in p53 have only been observed in a few cases, while Cyclin D1 has been shown to be overexpressed and transforming growth factor (TGF) and other inflammatory cytokines were increased in mesotheliomas. ('mesotheliomas', 'Disease', 'MESH:D008654', (196, 209)) ('transforming growth factor', 'MPA', (112, 138)) ('mesotheliomas', 'Disease', (196, 209)) ('Cyclin', 'molecular_function', 'GO:0016538', ('63', '69')) ('increased', 'PosReg', (183, 192)) ('p53', 'Gene', '7157', (13, 16)) ('overexpressed', 'PosReg', (94, 107)) ('Mutations', 'Var', (0, 9)) ('Cyclin D1', 'Gene', '595', (63, 72)) ('p53', 'Gene', (13, 16)) ('Cyclin D1', 'Gene', (63, 72)) 13956 21701776 Mutations or altered expression of this gene is believed to be responsible for the pathogenesis of human corneal dystrophy, angiogenesis, osteogenesis and inflammation. ('osteogenesis', 'biological_process', 'GO:0001503', ('138', '150')) ('inflammation', 'Disease', (155, 167)) ('corneal dystrophy', 'Phenotype', 'HP:0001131', (105, 122)) ('corneal dystrophy', 'Disease', (105, 122)) ('pathogenesis', 'biological_process', 'GO:0009405', ('83', '95')) ('corneal dystrophy', 'Disease', 'MESH:D003317', (105, 122)) ('expression', 'MPA', (21, 31)) ('angiogenesis', 'biological_process', 'GO:0001525', ('124', '136')) ('Mutations', 'Var', (0, 9)) ('human', 'Species', '9606', (99, 104)) ('osteogenesis', 'Disease', 'MESH:D010013', (138, 150)) ('inflammation', 'biological_process', 'GO:0006954', ('155', '167')) ('responsible', 'Reg', (63, 74)) ('altered', 'Var', (13, 20)) ('inflammation', 'Disease', 'MESH:D007249', (155, 167)) ('osteogenesis', 'Disease', (138, 150)) 13988 21701776 Antibodies to EGF receptor, p85, phosphor-AKT, pan-AKT, phosphor-mTOR, mTOR, phosphor-p70S6, p-70S6, phosphor-4EBP1, 4EBP1, and beta-actin were obtained from Cell Signaling Technology. ('4EBP1', 'Gene', (117, 122)) ('4EBP1', 'Gene', (110, 115)) ('AKT', 'Gene', '207', (42, 45)) ('mTOR', 'Gene', (65, 69)) ('beta-actin', 'Gene', '728378', (128, 138)) ('p-70S6', 'Var', (93, 99)) ('EGF', 'molecular_function', 'GO:0005154', ('14', '17')) ('4EBP1', 'Gene', '1978', (117, 122)) ('mTOR', 'Gene', '2475', (65, 69)) ('4EBP1', 'Gene', '1978', (110, 115)) ('AKT', 'Gene', (51, 54)) ('mTOR', 'Gene', (71, 75)) ('EGF receptor', 'Gene', '1956', (14, 26)) ('beta-actin', 'Gene', (128, 138)) ('AKT', 'Gene', (42, 45)) ('mTOR', 'Gene', '2475', (71, 75)) ('Signaling', 'biological_process', 'GO:0023052', ('163', '172')) ('EGF receptor', 'Gene', (14, 26)) ('AKT', 'Gene', '207', (51, 54)) 13997 21701776 Meanwhile, the mesothelioma cell line H28 which does not express endogenous TGFBI, was transfected with ectopic TGFBI. ('mesothelioma', 'Disease', (15, 27)) ('TGFBI', 'Gene', (76, 81)) ('ectopic', 'Var', (104, 111)) ('mesothelioma', 'Disease', 'MESH:D008654', (15, 27)) 13999 21701776 We then chose 5AT1, which has undetectable TGFBI and the scrambled RNA transfected cell line 5ATE for most of the studies in this report; so as to H28V, the empty vector transfected cell line, and TGFBI expressing H28T7 were selected in the parallel study. ('RNA', 'cellular_component', 'GO:0005562', ('67', '70')) ('H28V', 'Var', (147, 151)) ('H28V', 'SUBSTITUTION', 'None', (147, 151)) ('H28T7', 'CellLine', 'CVCL:1555', (214, 219)) ('H28T7', 'Var', (214, 219)) 14000 21701776 Conceivably, parental H28 and vector carrying H28V cell lines that do not express endogenous TGFBI, grew more rapidly than their counterparts H28T6 and H28T7 (Fig. ('H28V', 'SUBSTITUTION', 'None', (46, 50)) ('H28T7', 'CellLine', 'CVCL:1555', (152, 157)) ('H28V', 'Var', (46, 50)) ('H28T6', 'CellLine', 'CVCL:1555', (142, 147)) ('TGFBI', 'Gene', (93, 98)) ('grew', 'CPA', (100, 104)) 14001 21701776 2C, the expressions of c-myc, cyclin-D1 and phosphor-Rb were all up-regulated in both 5AT1 and H28V, compared with their corresponding TGFBI-expressing controls 5ATE and H28T7, respectively; quantitative data show 2-4-fold increases in Fig. ('up-regulated', 'PosReg', (65, 77)) ('cyclin', 'molecular_function', 'GO:0016538', ('30', '36')) ('5AT1', 'Var', (86, 90)) ('cyclin-D1', 'Gene', (30, 39)) ('cyclin-D1', 'Gene', '595', (30, 39)) ('H28V', 'Var', (95, 99)) ('H28V', 'SUBSTITUTION', 'None', (95, 99)) ('H28T7', 'CellLine', 'CVCL:1555', (170, 175)) ('phosphor-Rb', 'Gene', (44, 55)) ('expressions', 'MPA', (8, 19)) ('c-myc', 'Gene', '4609', (23, 28)) ('c-myc', 'Gene', (23, 28)) 14002 21701776 2E, ablation of TGFBI significantly increased the anchorage-independent growth in 5AT1 and 5AT2, versus 5ATN and 5ATE; a similar effect was also observed in the H28T7 and H28V cell lines (data not shown). ('anchorage-independent growth', 'CPA', (50, 78)) ('TGFBI', 'Gene', (16, 21)) ('H28V', 'Var', (171, 175)) ('increased', 'PosReg', (36, 45)) ('ablation', 'Var', (4, 12)) ('H28V', 'SUBSTITUTION', 'None', (171, 175)) ('H28T7', 'CellLine', 'CVCL:1555', (161, 166)) 14003 21701776 In a separate study in our group, H28T7 had a remarkably suppressed tumorigenic potential upon inoculation into immune-deficient nude mice when compared with H28V cells (data not shown). ('tumor', 'Disease', (68, 73)) ('H28T7', 'CellLine', 'CVCL:1555', (34, 39)) ('nude mice', 'Species', '10090', (129, 138)) ('H28T7', 'Var', (34, 39)) ('H28V', 'Var', (158, 162)) ('tumor', 'Disease', 'MESH:D009369', (68, 73)) ('H28V', 'SUBSTITUTION', 'None', (158, 162)) ('tumor', 'Phenotype', 'HP:0002664', (68, 73)) ('suppressed', 'NegReg', (57, 67)) 14007 21701776 Similarly, H28T7 showed a slower and less dramatic response in AKT phosphorylation upon EGF stimulation than H28V (Fig. ('EGF', 'molecular_function', 'GO:0005154', ('88', '91')) ('H28V', 'Var', (109, 113)) ('EGF', 'Gene', (88, 91)) ('AKT', 'Gene', (63, 66)) ('H28T7', 'CellLine', 'CVCL:1555', (11, 16)) ('H28V', 'SUBSTITUTION', 'None', (109, 113)) ('EGF', 'Gene', '1950', (88, 91)) ('phosphorylation', 'biological_process', 'GO:0016310', ('67', '82')) ('H28T7', 'Var', (11, 16)) ('AKT', 'Gene', '207', (63, 66)) 14008 21701776 These data strongly indicate that the absence of TGFBI potentiates the activation of Akt upon growth factor stimulation. ('Akt', 'Gene', '207', (85, 88)) ('Akt', 'Gene', (85, 88)) ('absence', 'Var', (38, 45)) ('TGFBI', 'Gene', (49, 54)) ('potentiates', 'PosReg', (55, 66)) 14010 21701776 Therefore, we next examined the phosphorylation status of Ser2448 in mTOR, an indicator of its activation, in these four cell lines. ('Ser', 'cellular_component', 'GO:0005790', ('58', '61')) ('mTOR', 'Gene', (69, 73)) ('phosphorylation', 'biological_process', 'GO:0016310', ('32', '47')) ('Ser2448', 'Var', (58, 65)) ('Ser2448', 'Chemical', '-', (58, 65)) ('mTOR', 'Gene', '2475', (69, 73)) 14013 21701776 Consistently, a similar effect with slightly different pattern on mTOR phosphorylation was documented in H28V versus H28T7 cells (Fig. ('mTOR', 'Gene', (66, 70)) ('mTOR', 'Gene', '2475', (66, 70)) ('H28V', 'Var', (105, 109)) ('H28V', 'SUBSTITUTION', 'None', (105, 109)) ('H28T7', 'CellLine', 'CVCL:1555', (117, 122)) ('phosphorylation', 'biological_process', 'GO:0016310', ('71', '86')) 14019 21701776 In H28V cells, both S6K and 4EBP1 are markedly phosphorylated in response to EGF treatment, higher than in H28T7 cells, with S6K exhibiting a more transient response as compared with 5AT1; while that of 4EBP1 showed a similar pattern in these two sets of cells (Fig. ('4EBP1', 'Gene', (203, 208)) ('4EBP1', 'Gene', (28, 33)) ('EGF', 'Gene', (77, 80)) ('S6K', 'Var', (125, 128)) ('higher', 'PosReg', (92, 98)) ('S6K and 4EBP1', 'Gene', '6198', (20, 33)) ('S6K', 'Mutation', 'p.S6K', (20, 23)) ('H28T7', 'CellLine', 'CVCL:1555', (107, 112)) ('EGF', 'Gene', '1950', (77, 80)) ('H28V', 'Var', (3, 7)) ('EGF', 'molecular_function', 'GO:0005154', ('77', '80')) ('H28V', 'SUBSTITUTION', 'None', (3, 7)) ('4EBP1', 'Gene', '1978', (28, 33)) ('S6K', 'Mutation', 'p.S6K', (125, 128)) ('4EBP1', 'Gene', '1978', (203, 208)) 14021 21701776 5A and B, the phosphorylations of Akt, mTOR, S6K and 4EBP1 were all enhanced in TGFBI-deficient cell lines versus TGFBI-expressing cell lines, i.e., 5AT1 versus 5ATE, and H28V versus H28T7. ('enhanced', 'PosReg', (68, 76)) ('S6K and 4EBP1', 'Gene', '6198', (45, 58)) ('TGFBI-deficient', 'Gene', (80, 95)) ('5AT1', 'Var', (149, 153)) ('H28V', 'Var', (171, 175)) ('mTOR', 'Gene', (39, 43)) ('Akt', 'Gene', '207', (34, 37)) ('mTOR', 'Gene', '2475', (39, 43)) ('H28V', 'SUBSTITUTION', 'None', (171, 175)) ('H28T7', 'CellLine', 'CVCL:1555', (183, 188)) ('Akt', 'Gene', (34, 37)) ('phosphorylations', 'MPA', (14, 30)) 14023 21701776 After establishing that Akt/mTOR pathway was up-regulated in TGFB-deficient cells, we asked whether the absence of TGFBI indeed affected protein synthesis in cell culture, which would be ultimately translated into a perceived functional molecule. ('mTOR', 'Gene', '2475', (28, 32)) ('up-regulated', 'PosReg', (45, 57)) ('mTOR', 'Gene', (28, 32)) ('TGFB', 'Gene', '7040', (115, 119)) ('TGFB', 'Gene', (61, 65)) ('TGFB', 'Gene', '7040', (61, 65)) ('protein synthesis', 'MPA', (137, 154)) ('absence', 'Var', (104, 111)) ('Akt', 'Gene', '207', (24, 27)) ('protein', 'cellular_component', 'GO:0003675', ('137', '144')) ('TGFB', 'Gene', (115, 119)) ('affected', 'Reg', (128, 136)) ('protein synthesis', 'biological_process', 'GO:0006412', ('137', '154')) ('Akt', 'Gene', (24, 27)) 14024 21701776 6, both 5AT1 and H28V, cells without TGFBI have significantly enhanced protein synthesis rate compared with their TGFBI-expressing counterparts, establishing that TGFBI plays a suppressive role in protein synthesis. ('protein', 'cellular_component', 'GO:0003675', ('71', '78')) ('protein synthesis rate', 'MPA', (71, 93)) ('enhanced', 'PosReg', (62, 70)) ('H28V', 'Var', (17, 21)) ('protein synthesis', 'biological_process', 'GO:0006412', ('197', '214')) ('H28V', 'SUBSTITUTION', 'None', (17, 21)) ('protein synthesis', 'biological_process', 'GO:0006412', ('71', '88')) ('protein', 'cellular_component', 'GO:0003675', ('197', '204')) 14043 21701776 2D), which corresponds to our previous observations in different type of tumorigenic cells expressing exogenous TGFBI, strongly suggesting that loss of TGFBI expression may adapt the cells to receive survival signals irrespective of the unfavorable environment, and potentially gain the ability to undergo tumorigenic transformation. ('loss', 'Var', (144, 148)) ('tumor', 'Disease', 'MESH:D009369', (306, 311)) ('tumor', 'Disease', 'MESH:D009369', (73, 78)) ('tumor', 'Phenotype', 'HP:0002664', (306, 311)) ('gain', 'PosReg', (278, 282)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('adapt', 'Reg', (173, 178)) ('tumor', 'Disease', (306, 311)) ('tumor', 'Disease', (73, 78)) ('TGFBI', 'Gene', (152, 157)) 14048 21701776 Mesothelioma cells treated with PI3K inhibitor LY294002 was found to have a synergistic effect on inhibiting cell proliferation and inducing apoptosis when combined with cisplatin, a cell division interfering drug. ('cell proliferation', 'CPA', (109, 127)) ('apoptosis', 'biological_process', 'GO:0097194', ('141', '150')) ('PI3K', 'molecular_function', 'GO:0016303', ('32', '36')) ('apoptosis', 'biological_process', 'GO:0006915', ('141', '150')) ('cisplatin', 'Chemical', 'MESH:D002945', (170, 179)) ('LY294002', 'Chemical', 'MESH:C085911', (47, 55)) ('cell division', 'biological_process', 'GO:0051301', ('183', '196')) ('inducing', 'Reg', (132, 140)) ('cell proliferation', 'biological_process', 'GO:0008283', ('109', '127')) ('LY294002', 'Var', (47, 55)) ('apoptosis', 'CPA', (141, 150)) ('Mesothelioma', 'Disease', (0, 12)) ('Mesothelioma', 'Disease', 'MESH:D008654', (0, 12)) ('inhibiting', 'NegReg', (98, 108)) 14056 21701776 With growth factor receptor stimulation, p85 binds to the phosphorylated tyrosine sites on the cytoplasmic domain of the activated receptor through its SH2 domain and then releases the inhibition of PI3K. ('inhibition', 'MPA', (185, 195)) ('tyrosine', 'Chemical', 'MESH:D014443', (73, 81)) ('binds', 'Interaction', (45, 50)) ('releases', 'PosReg', (172, 180)) ('p85', 'Var', (41, 44)) ('PI3K', 'molecular_function', 'GO:0016303', ('199', '203')) 14060 21701776 However, recent studies suggested that TGFBI expression actually increased the metastatic ability of a colon cancer and ovarian cancer cell line. ('increased', 'PosReg', (65, 74)) ('colon cancer', 'Disease', (103, 115)) ('TGFBI', 'Gene', (39, 44)) ('ovarian cancer', 'Disease', 'MESH:D010051', (120, 134)) ('metastatic ability of a', 'CPA', (79, 102)) ('ovarian cancer', 'Disease', (120, 134)) ('colon cancer', 'Phenotype', 'HP:0003003', (103, 115)) ('cancer', 'Phenotype', 'HP:0002664', (128, 134)) ('cancer', 'Phenotype', 'HP:0002664', (109, 115)) ('colon cancer', 'Disease', 'MESH:D015179', (103, 115)) ('expression', 'Var', (45, 55)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (120, 134)) 14067 23978876 Downregulation of gremlin-1 expression by siRNA-mediated silencing in a mesothelioma cell line inhibited cell proliferation. ('cell proliferation', 'biological_process', 'GO:0008283', ('105', '123')) ('Downregulation', 'NegReg', (0, 14)) ('expression', 'MPA', (28, 38)) ('inhibited', 'NegReg', (95, 104)) ('mesothelioma', 'Disease', (72, 84)) ('gremlin-1', 'Gene', (18, 27)) ('silencing', 'Var', (57, 66)) ('mesothelioma', 'Disease', 'MESH:D008654', (72, 84)) ('cell proliferation', 'CPA', (105, 123)) 14092 23978876 The final filtered list contained four proteins: cytokeratin-9 (Swiss-Prot: P35527), fibrillin-2 (Swiss-Prot: P35556), cytokeratin-2a (Swiss-Prot: P35908) and APOBEC1-binding protein 2 (Swiss-Prot: Q9UBS4). ('cytokeratin-9', 'Gene', (49, 62)) ('fibrillin', 'molecular_function', 'GO:0001511', ('85', '94')) ('APOBEC1-binding protein 2', 'Gene', '51726', (159, 184)) ('binding', 'molecular_function', 'GO:0005488', ('167', '174')) ('APOBEC1-binding protein 2', 'Gene', (159, 184)) ('Swiss-Prot', 'Var', (135, 145)) ('fibrillin-2', 'Gene', (85, 96)) ('fibrillin-2', 'Gene', '2201', (85, 96)) ('APOBEC', 'cellular_component', 'GO:0030895', ('159', '165')) ('protein', 'cellular_component', 'GO:0003675', ('175', '182')) ('fibrillin', 'cellular_component', 'GO:0001527', ('85', '94')) ('cytokeratin-9', 'Gene', '3857', (49, 62)) 14132 23978876 To determine whether lack of gremlin induces apoptosis, H2052 cells were cultured on coverslips, transfected with siRNAs and analyzed with TUNEL assay 3 days after transfection (Figure 6d). ('gremlin', 'Gene', '26585', (29, 36)) ('lack', 'Var', (21, 25)) ('apoptosis', 'biological_process', 'GO:0097194', ('45', '54')) ('apoptosis', 'biological_process', 'GO:0006915', ('45', '54')) ('gremlin', 'Gene', (29, 36)) 14135 23978876 These results suggest that although lack of gremlin impaired cell proliferation, it did not induce apoptosis. ('impaired', 'NegReg', (52, 60)) ('gremlin', 'Gene', '26585', (44, 51)) ('cell proliferation', 'biological_process', 'GO:0008283', ('61', '79')) ('apoptosis', 'biological_process', 'GO:0097194', ('99', '108')) ('gremlin', 'Gene', (44, 51)) ('apoptosis', 'biological_process', 'GO:0006915', ('99', '108')) ('lack', 'Var', (36, 40)) ('cell proliferation', 'CPA', (61, 79)) 14137 23978876 Gremlin-1 silencing increased BMP-dependent reporter activity in H2052 cells (Figure 7a) as well as the expression of a BMP target gene Id1 (inhibitor of differentiation/DNA binding 1, Figure 7b), suggesting that endogenous gremlin-1 regulates BMP activity negatively. ('increased', 'PosReg', (20, 29)) ('DNA', 'cellular_component', 'GO:0005574', ('170', '173')) ('BMP', 'Gene', (120, 123)) ('BMP', 'Gene', (244, 247)) ('Gremlin-1', 'Gene', (0, 9)) ('BMP', 'Gene', '649', (30, 33)) ('Id1', 'Gene', (136, 139)) ('Id1', 'Gene', '3397', (136, 139)) ('BMP', 'Gene', '649', (120, 123)) ('BMP', 'Gene', (30, 33)) ('DNA binding', 'molecular_function', 'GO:0003677', ('170', '181')) ('BMP', 'Gene', '649', (244, 247)) ('silencing', 'Var', (10, 19)) 14140 23978876 H2052 cells were found to have high basal level of phospho-Akt (S473), which was not altered in gremlin-1-silenced cells (Figures 7d-f). ('H2052', 'Var', (0, 5)) ('Akt', 'Gene', '207', (59, 62)) ('Akt', 'Gene', (59, 62)) 14143 23978876 Further, increased levels of p53 phosphorylation (S46 and S392) were reflected in increased mRNA expression levels of p21 (Cip1/Waf1) in H2052 cells (Figure 7h). ('Cip1', 'Gene', '1026', (123, 127)) ('mRNA expression levels', 'MPA', (92, 114)) ('S46', 'Var', (50, 53)) ('p21', 'Gene', '1026', (118, 121)) ('p21', 'Gene', (118, 121)) ('increased', 'PosReg', (9, 18)) ('p53', 'Gene', (29, 32)) ('Cip1', 'Gene', (123, 127)) ('S392', 'Var', (58, 62)) ('phosphorylation', 'biological_process', 'GO:0016310', ('33', '48')) ('increased', 'PosReg', (82, 91)) ('p53', 'Gene', '7157', (29, 32)) ('Waf1', 'Gene', (128, 132)) ('Waf1', 'Gene', '1026', (128, 132)) 14153 23978876 Slug protein levels also showed a dramatic difference between H2052 and H2452 cells (Figure 8d). ('H2052', 'Var', (62, 67)) ('Slug', 'Gene', '6591', (0, 4)) ('Slug', 'Gene', (0, 4)) ('protein', 'cellular_component', 'GO:0003675', ('5', '12')) ('H2452', 'CellLine', 'CVCL:1553', (72, 77)) 14154 23978876 Silencing of gremlin-1 by siRNA transfection significantly reduced slug mRNA and protein expressions in H2052 cells (Figure 8e and i). ('reduced', 'NegReg', (59, 66)) ('slug', 'Gene', (67, 71)) ('gremlin-1', 'Gene', (13, 22)) ('slug', 'Gene', '6591', (67, 71)) ('Silencing', 'Var', (0, 9)) ('protein', 'cellular_component', 'GO:0003675', ('81', '88')) 14206 23978876 Silencing of gremlin-1 expression led to reduced slug mRNA and protein levels. ('slug', 'Gene', '6591', (49, 53)) ('reduced', 'NegReg', (41, 48)) ('protein', 'cellular_component', 'GO:0003675', ('63', '70')) ('gremlin-1', 'Gene', (13, 22)) ('Silencing', 'Var', (0, 9)) ('slug', 'Gene', (49, 53)) 14213 23978876 This indicates that blocking gremlin-1 function may be beneficial in mesothelioma especially when combined with chemotherapy. ('blocking', 'Var', (20, 28)) ('mesothelioma', 'Disease', (69, 81)) ('mesothelioma', 'Disease', 'MESH:D008654', (69, 81)) ('gremlin-1', 'Gene', (29, 38)) ('function', 'MPA', (39, 47)) 14272 23414396 However, the average robust sandwich variance estimates based on dfbetas residuals were systematically lower than the empirical variance of the parameter estimates, which resulted in too narrow confidence intervals (CI) and low coverage probabilities. ('dfbetas', 'Chemical', '-', (65, 72)) ('dfbetas', 'Gene', (65, 72)) ('residuals', 'Var', (73, 82)) ('lower', 'NegReg', (103, 108)) 14274 23414396 The Cox proportional hazards model specifies the hazard function as where lambda0 is the baseline hazard, x(t) is the vector of observed covariate values at time t and beta is the vector of unknown regression parameters. ('Cox', 'Gene', '1351', (4, 7)) ('Cox', 'Gene', (4, 7)) ('lambda0', 'Var', (74, 81)) 14324 23414396 Indeed, missmodeling the covariates has already been shown to induce bias in sandwich variance estimator based on dfbetas of unweighted Cox model for nested case-control analysis. ('missmodeling', 'Var', (8, 20)) ('Cox', 'Gene', '1351', (136, 139)) ('Cox', 'Gene', (136, 139)) ('dfbetas', 'Chemical', '-', (114, 121)) ('bias', 'MPA', (69, 73)) 14368 29534192 The dose-specific mesothelioma risk to age 50 estimated from these data is 0.00032% per f/mg [95% confidence interval (CI) 0.00026%, 0.00040%)] for men and 0.00019% per f/mg (95% CI 0.00014%, 0.00024%) for women (P < 0.002). ('0.00032%', 'Var', (75, 83)) ('men', 'Species', '9606', (148, 151)) ('0.00019%', 'Var', (156, 164)) ('mesothelioma', 'Disease', (18, 30)) ('men', 'Species', '9606', (208, 211)) ('mesothelioma', 'Disease', 'MESH:D008654', (18, 30)) ('women', 'Species', '9606', (206, 211)) 14379 29534192 Average lung burdens in men born 1940-54 (Table 2) reflect the ranking of occupational and environmental relative risks seen in our case-control study (154 f/mg in carpenters, 88 f/mg in plumbers, electricians and decorators, 60 f/mg in other high-risk occupations (including shipbuilding and lagging), 49 f/mg in medium-risk (mainly factory) work and 30 f/mg in general construction). ('f/mg', 'Var', (156, 160)) ('men', 'Species', '9606', (24, 27)) ('lung burdens', 'MPA', (8, 20)) ('men', 'Species', '9606', (98, 101)) 14387 29534192 Therefore we believe that the female estimate of the risk per f/mg (0.00019% by age 50, lifetime risk 0.010%) provides a more reliable indication of future mesothelioma rates in both sexes from recent exposure, which is predominantly environmental. ('mesothelioma', 'Disease', (156, 168)) ('men', 'Species', '9606', (241, 244)) ('mesothelioma', 'Disease', 'MESH:D008654', (156, 168)) ('f/mg', 'Var', (62, 66)) 14471 28191281 Apart from domestic, environmental, and occupational exposure to asbestos or other carcinogenic mineral fibers, mesotheliomas can also be caused by inherited BAP1 germline mutations. ('asbestos', 'Chemical', 'MESH:D001194', (65, 73)) ('carcinogenic mineral fibers', 'Disease', 'MESH:C537337', (83, 110)) ('BAP1', 'Gene', (158, 162)) ('carcinogenic mineral fibers', 'Disease', (83, 110)) ('BAP1', 'Gene', '8314', (158, 162)) ('caused by', 'Reg', (138, 147)) ('mesotheliomas', 'Disease', 'MESH:D008654', (112, 125)) ('germline', 'Var', (163, 171)) ('mesotheliomas', 'Disease', (112, 125)) 14472 28191281 Moreover carriers of germline BAP1 mutations are at increased risk of mesothelioma when exposed to asbestos, including low doses that usually are not sufficient to cause cancer. ('asbestos', 'Chemical', 'MESH:D001194', (99, 107)) ('cancer', 'Disease', 'MESH:D009369', (170, 176)) ('BAP1', 'Gene', (30, 34)) ('cancer', 'Disease', (170, 176)) ('mesothelioma', 'Disease', (70, 82)) ('risk', 'Reg', (62, 66)) ('cancer', 'Phenotype', 'HP:0002664', (170, 176)) ('mesothelioma', 'Disease', 'MESH:D008654', (70, 82)) ('BAP1', 'Gene', '8314', (30, 34)) ('mutations', 'Var', (35, 44)) 14482 28191281 Genomic aberrations include aneuploidies, point mutations, as well as numerous chromosomal rearrangements that result in deletions, amplification, inversions and translocations. ('point mutations', 'Var', (42, 57)) ('result', 'Reg', (111, 117)) ('deletions', 'Var', (121, 130)) ('aneuploidies', 'Disease', (28, 40)) ('aneuploidies', 'Disease', 'MESH:D000782', (28, 40)) ('numerous chromosomal rearrangements', 'Phenotype', 'HP:0040012', (70, 105)) ('inversions', 'Var', (147, 157)) ('amplification', 'MPA', (132, 145)) ('translocations', 'Var', (162, 176)) 14494 28191281 In normoxic conditions, hydroxylated HIF-1alpha is ubiquitinated by von-Hippel-Lindau E3 ubiquitin ligase and degraded by the proteasome. ('proteasome', 'molecular_function', 'GO:0004299', ('126', '136')) ('proteasome', 'cellular_component', 'GO:0000502', ('126', '136')) ('ubiquitin', 'molecular_function', 'GO:0031386', ('89', '98')) ('degraded', 'NegReg', (110, 118)) ('HIF-1alpha', 'Gene', (37, 47)) ('von-Hippel-Lindau', 'Disease', 'MESH:D006623', (68, 85)) ('ubiquitinated', 'MPA', (51, 64)) ('hydroxylated', 'Var', (24, 36)) ('von-Hippel-Lindau', 'Disease', (68, 85)) ('E3 ubiquitin ligase', 'Protein', (86, 105)) ('HIF-1alpha', 'Gene', '3091', (37, 47)) 14515 28191281 It is an established endogenous marker of hypoxia, and particularly overexpressed in VHL mutated clear cell renal cell carcinomas, mesotheliomas, kidney, as well as other hypoxic solid tumors. ('hypoxic solid tumors', 'Disease', (171, 191)) ('renal cell carcinoma', 'Phenotype', 'HP:0005584', (108, 128)) ('clear cell renal cell carcinoma', 'Disease', 'MESH:C538614', (97, 128)) ('mesotheliomas', 'Disease', 'MESH:D008654', (131, 144)) ('hypoxia', 'Disease', (42, 49)) ('VHL', 'Disease', 'MESH:D006623', (85, 88)) ('overexpressed', 'PosReg', (68, 81)) ('clear cell renal cell carcinoma', 'Disease', (97, 128)) ('cell renal cell carcinomas', 'Disease', 'MESH:C538614', (103, 129)) ('hypoxia', 'Disease', 'MESH:D000860', (42, 49)) ('carcinoma', 'Phenotype', 'HP:0030731', (119, 128)) ('clear cell renal cell carcinomas', 'Phenotype', 'HP:0006770', (97, 129)) ('carcinomas', 'Phenotype', 'HP:0030731', (119, 129)) ('renal cell carcinomas', 'Phenotype', 'HP:0005584', (108, 129)) ('cell renal cell carcinomas', 'Disease', (103, 129)) ('clear cell renal cell carcinoma', 'Phenotype', 'HP:0006770', (97, 128)) ('mutated', 'Var', (89, 96)) ('tumor', 'Phenotype', 'HP:0002664', (185, 190)) ('VHL', 'Disease', (85, 88)) ('tumors', 'Phenotype', 'HP:0002664', (185, 191)) ('mesotheliomas', 'Disease', (131, 144)) ('hypoxic solid tumors', 'Disease', 'MESH:D009369', (171, 191)) ('kidney', 'Disease', (146, 152)) 14542 28191281 A tumor suppressor gene most commonly deleted or mutated in mesotheliomas (~60% of cases) is BRCA1 associated protein-1 (BAP1), a C-terminal family of deubiquitinating enzymes (DUBs) linked to DNA damage repair regulation. ('BRCA1 associated protein-1', 'Gene', '8314', (93, 119)) ('mutated', 'Var', (49, 56)) ('BAP1', 'Gene', '8314', (121, 125)) ('protein', 'cellular_component', 'GO:0003675', ('110', '117')) ('tumor', 'Disease', 'MESH:D009369', (2, 7)) ('DNA', 'cellular_component', 'GO:0005574', ('193', '196')) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('2', '18')) ('BRCA1 associated protein-1', 'Gene', (93, 119)) ('BAP1', 'Gene', (121, 125)) ('tumor', 'Phenotype', 'HP:0002664', (2, 7)) ('regulation', 'biological_process', 'GO:0065007', ('211', '221')) ('tumor', 'Disease', (2, 7)) ('mesotheliomas', 'Disease', 'MESH:D008654', (60, 73)) ('mesotheliomas', 'Disease', (60, 73)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('2', '18')) 14544 28191281 Although BAP1's crystal structure has been solved, a therapeutic drug for patients carrying mutations of BAP1 has not been developed. ('patients', 'Species', '9606', (74, 82)) ('BAP1', 'Gene', '8314', (105, 109)) ('BAP1', 'Gene', '8314', (9, 13)) ('mutations', 'Var', (92, 101)) ('BAP1', 'Gene', (9, 13)) ('BAP1', 'Gene', (105, 109)) 14545 28191281 Moreover, cell cycle related genes often found mutated in pleural mesothelioma and regulated by hypoxic stress are cyclin-dependent kinases (such as ~15-45% incidence in deletions of CDKN1,2A). ('cyclin', 'molecular_function', 'GO:0016538', ('115', '121')) ('hypoxic stress', 'Disease', (96, 110)) ('pleural mesothelioma', 'Disease', 'MESH:D008654', (58, 78)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (58, 78)) ('cell cycle', 'biological_process', 'GO:0007049', ('10', '20')) ('deletions', 'Var', (170, 179)) ('CDKN1,2A', 'Gene', '1026;1029', (183, 191)) ('hypoxic stress', 'Disease', 'MESH:D004194', (96, 110)) ('pleural mesothelioma', 'Disease', (58, 78)) 14548 28191281 Interestingly, BAP1 inactivation is associated with carbonic anhydrase 9 (CA-IX) expression. ('CA-IX', 'Gene', (74, 79)) ('inactivation', 'Var', (20, 32)) ('carbonic anhydrase 9', 'Gene', '768', (52, 72)) ('BAP1', 'Gene', '8314', (15, 19)) ('CA-IX', 'Gene', '768', (74, 79)) ('associated', 'Reg', (36, 46)) ('BAP1', 'Gene', (15, 19)) ('carbonic anhydrase 9', 'Gene', (52, 72)) ('expression', 'MPA', (81, 91)) 14549 28191281 Additionally, two important genes consistently found mutated or inactivated in pleural mesotheliomas are neurofibromin or merlin (NF2, with ~ 45% incidence of aberration), a negative regulator of E3 ubiquitin ligase, and the Large Tumor Suppressor kinase 1/2 (LATS1/2, with ~ 30% incidence of aberration), two components of the Hippo pathway. ('NF2', 'Gene', (130, 133)) ('LATS1/2', 'Gene', (260, 267)) ('mutated', 'Var', (53, 60)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (79, 99)) ('merlin', 'Gene', (122, 128)) ('neurofibromin', 'Gene', '4763', (105, 118)) ('Large Tumor Suppressor kinase 1/2', 'Gene', (225, 258)) ('Large Tumor Suppressor kinase 1/2', 'Gene', '9113;26524', (225, 258)) ('inactivated', 'NegReg', (64, 75)) ('Tumor Suppressor', 'molecular_function', 'GO:0008181', ('231', '247')) ('neurofibromin', 'Gene', (105, 118)) ('pleural mesotheliomas', 'Phenotype', 'HP:0100002', (79, 100)) ('merlin', 'Gene', '4771', (122, 128)) ('Tumor Suppressor', 'biological_process', 'GO:0051726', ('231', '247')) ('NF2', 'Gene', '4771', (130, 133)) ('pleural mesotheliomas', 'Disease', 'MESH:D008654', (79, 100)) ('Tumor', 'Phenotype', 'HP:0002664', (231, 236)) ('pleural mesotheliomas', 'Disease', (79, 100)) ('LATS1/2', 'Gene', '9113;26524', (260, 267)) ('ubiquitin', 'molecular_function', 'GO:0031386', ('199', '208')) 14553 28191281 The homologous and non-homologous recombination as well as mismatch are inhibited under hypoxia, increasing unrepaired replication errors and double stranded breaks. ('homologous recombination', 'biological_process', 'GO:0035825', ('23', '47')) ('hypoxia', 'Disease', 'MESH:D000860', (88, 95)) ('hypoxia', 'Disease', (88, 95)) ('mismatch', 'Var', (59, 67)) ('double stranded breaks', 'CPA', (142, 164)) ('unrepaired', 'MPA', (108, 118)) ('homologous', 'CPA', (4, 14)) ('increasing', 'PosReg', (97, 107)) 14557 28191281 A CHEK1 inhibitor, LY2606369, is currently used in clinical trials for breast cancer patients with BRCA1/2 mutations and could be re-purposed for treating pleural mesothelioma malignancy. ('mesothelioma malignancy', 'Phenotype', 'HP:0100001', (163, 186)) ('breast cancer', 'Disease', (71, 84)) ('CHEK1', 'Gene', (2, 7)) ('pleural mesothelioma malignancy', 'Disease', (155, 186)) ('mutations', 'Var', (107, 116)) ('breast cancer', 'Phenotype', 'HP:0003002', (71, 84)) ('cancer', 'Phenotype', 'HP:0002664', (78, 84)) ('pleural mesothelioma malignancy', 'Disease', 'MESH:C562839', (155, 186)) ('patients', 'Species', '9606', (85, 93)) ('BRCA1/2', 'Gene', (99, 106)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (155, 175)) ('CHEK1', 'Gene', '1111', (2, 7)) ('LY2606369', 'Chemical', '-', (19, 28)) ('BRCA1/2', 'Gene', '672;675', (99, 106)) ('breast cancer', 'Disease', 'MESH:D001943', (71, 84)) 14559 28191281 Thus, co-targeting DNA damage genes in addition to chemotherapy may improve patient survival. ('improve', 'PosReg', (68, 75)) ('co-targeting', 'Var', (6, 18)) ('patient survival', 'CPA', (76, 92)) ('patient', 'Species', '9606', (76, 83)) ('DNA damage genes', 'Gene', (19, 35)) ('DNA', 'cellular_component', 'GO:0005574', ('19', '22')) 14561 28191281 Additionally, there are many microRNAs identified to date to be associated with poor survival in mesotheliomas (miR-210, mir-126, miR-125a-5p, miR-484, miR-320, and let-7a, miR-29c, miR-16, miR-31, miR-34, miR-141, miR-200a, miR-200b, miR-200c, miR-203, miR-205, and miR-429, and miR-193, miR-200, and miR-192 with diagnostic confidence). ('miR', 'Gene', '220972', (267, 270)) ('miR', 'Gene', (245, 248)) ('miR', 'Gene', (198, 201)) ('miR', 'Gene', '220972', (235, 238)) ('miR-16', 'Gene', (182, 188)) ('miR-429', 'Gene', (267, 274)) ('miR-203', 'Gene', '406986', (245, 252)) ('miR-200c', 'Gene', '406985', (235, 243)) ('mesotheliomas', 'Disease', (97, 110)) ('miR-205', 'Gene', '406988', (254, 261)) ('miR-31', 'Gene', (190, 196)) ('miR-200b', 'Gene', '406984', (225, 233)) ('miR', 'Gene', '220972', (289, 292)) ('miR-200a', 'Gene', '406983', (215, 223)) ('let-7a', 'Var', (165, 171)) ('miR', 'Gene', '220972', (280, 283)) ('miR', 'Gene', '220972', (225, 228)) ('miR', 'Gene', (267, 270)) ('miR-29c', 'Gene', (173, 180)) ('miR-34', 'Gene', (198, 204)) ('miR', 'Gene', (235, 238)) ('miR-200c', 'Gene', (235, 243)) ('miR', 'Gene', '220972', (130, 133)) ('mesotheliomas', 'Disease', 'MESH:D008654', (97, 110)) ('miR-16', 'Gene', '51573', (182, 188)) ('miR-192', 'Gene', (302, 309)) ('miR', 'Gene', (289, 292)) ('miR-205', 'Gene', (254, 261)) ('miR', 'Gene', '220972', (152, 155)) ('mir-126', 'Gene', '406913', (121, 128)) ('miR', 'Gene', '220972', (215, 218)) ('miR', 'Gene', (280, 283)) ('miR-429', 'Gene', '554210', (267, 274)) ('miR', 'Gene', (190, 193)) ('miR', 'Gene', (225, 228)) ('miR-141', 'Gene', '406933', (206, 213)) ('miR-31', 'Gene', '407035', (190, 196)) ('miR', 'Gene', '220972', (112, 115)) ('miR', 'Gene', '220972', (143, 146)) ('miR', 'Gene', '220972', (182, 185)) ('miR', 'Gene', (130, 133)) ('miR', 'Gene', '220972', (206, 209)) ('miR', 'Gene', '220972', (254, 257)) ('miR-210', 'Gene', '406992', (112, 119)) ('miR-141', 'Gene', (206, 213)) ('miR', 'Gene', '220972', (302, 305)) ('miR', 'Gene', (152, 155)) ('miR-200a', 'Gene', (215, 223)) ('miR', 'Gene', '220972', (173, 176)) ('miR', 'Gene', (215, 218)) ('mir-126', 'Gene', (121, 128)) ('miR-484', 'Gene', '619553', (143, 150)) ('miR', 'Gene', '220972', (245, 248)) ('miR', 'Gene', '220972', (198, 201)) ('miR', 'Gene', '220972', (190, 193)) ('miR-200b', 'Gene', (225, 233)) ('poor', 'NegReg', (80, 84)) ('miR', 'Gene', (112, 115)) ('miR', 'Gene', (182, 185)) ('miR-203', 'Gene', (245, 252)) ('miR', 'Gene', (143, 146)) ('miR-192', 'Gene', '406967', (302, 309)) ('miR', 'Gene', (206, 209)) ('miR', 'Gene', (254, 257)) ('miR-210', 'Gene', (112, 119)) ('miR-34', 'Gene', '407040', (198, 204)) ('miR-484', 'Gene', (143, 150)) ('miR', 'Gene', (302, 305)) ('miR', 'Gene', (173, 176)) ('miR-29c', 'Gene', '407026', (173, 180)) 14570 28191281 For instance, inhibiting the UPR (with MG132 and PSI) results in apoptosis and inhibition of invasion in malignant pleural mesothelioma cells. ('malignant pleural mesothelioma', 'Disease', (105, 135)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (105, 135)) ('apoptosis', 'biological_process', 'GO:0097194', ('65', '74')) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (115, 135)) ('apoptosis', 'biological_process', 'GO:0006915', ('65', '74')) ('apoptosis', 'CPA', (65, 74)) ('PSI', 'Disease', (49, 52)) ('inhibition', 'NegReg', (79, 89)) ('inhibiting', 'NegReg', (14, 24)) ('invasion', 'CPA', (93, 101)) ('PSI', 'Disease', 'None', (49, 52)) ('MG132', 'Var', (39, 44)) ('MG132', 'Chemical', 'MESH:C072553', (39, 44)) 14755 33319489 Results: In mesothelioma cell lines, VER-155008 (5.0 muM or more) inhibited cell growth and colony formation, accompanied by G1 cell cycle arrest. ('arrest', 'Disease', 'MESH:D006323', (139, 145)) ('cell growth', 'biological_process', 'GO:0016049', ('76', '87')) ('cell cycle arrest', 'biological_process', 'GO:0007050', ('128', '145')) ('arrest', 'Disease', (139, 145)) ('inhibited', 'NegReg', (66, 75)) ('VER-155008', 'Var', (37, 47)) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (128, 145)) ('formation', 'biological_process', 'GO:0009058', ('99', '108')) 14758 33319489 This plasmid produces light chain 3 (LC3) protein bound to green fluorescent protein (GFP), and LC3DeltaG protein, an internal control, bound to red fluorescent protein (RFP). ('protein', 'cellular_component', 'GO:0003675', ('77', '84')) ('red fluorescent protein', 'Gene', '5987', (145, 168)) ('protein', 'cellular_component', 'GO:0003675', ('106', '113')) ('bound', 'Interaction', (50, 55)) ('light chain 3', 'Gene', '84557', (22, 35)) ('LC3DeltaG', 'Var', (96, 105)) ('protein', 'cellular_component', 'GO:0003675', ('42', '49')) ('light chain 3', 'Gene', (22, 35)) ('red fluorescent protein', 'Gene', (145, 168)) ('protein', 'cellular_component', 'GO:0003675', ('161', '168')) ('bound', 'Interaction', (136, 141)) ('LC3', 'Gene', (37, 40)) 14766 33319489 8 Because macroautophagy is also induced by epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs), which are molecular target drugs for NSCLC patients with sensitive EGFR mutations, autophagy is expected to be a new therapeutic target in the treatment of NSCLC independent of EGFR expression. ('patients', 'Species', '9606', (163, 171)) ('epidermal growth factor receptor', 'Gene', (45, 77)) ('macroautophagy', 'CPA', (11, 25)) ('EGFR', 'molecular_function', 'GO:0005006', ('297', '301')) ('autophagy', 'biological_process', 'GO:0016236', ('203', '212')) ('NSCLC', 'Phenotype', 'HP:0030358', (157, 162)) ('EGFR', 'molecular_function', 'GO:0005006', ('79', '83')) ('EGFR', 'molecular_function', 'GO:0005006', ('187', '191')) ('epidermal growth factor', 'molecular_function', 'GO:0005154', ('45', '68')) ('EGFR', 'Gene', (187, 191)) ('epidermal growth factor receptor', 'Gene', '1956', (45, 77)) ('macroautophagy', 'biological_process', 'GO:0016236', ('11', '25')) ('induced', 'Reg', (34, 41)) ('autophagy', 'biological_process', 'GO:0006914', ('203', '212')) ('mutations', 'Var', (192, 201)) ('NSCLC', 'Phenotype', 'HP:0030358', (276, 281)) ('autophagy', 'CPA', (203, 212)) 14770 33319489 15 In NSCLC, high serum HSP70 levels are associated with an increased risk of developing, 16 and the early stages of carcinogenesis are associated with high HSP70 expression. ('NSCLC', 'Phenotype', 'HP:0030358', (8, 13)) ('carcinogenesis', 'Disease', 'MESH:D063646', (120, 134)) ('expression', 'MPA', (166, 176)) ('carcinogenesis', 'Disease', (120, 134)) ('HSP70', 'Protein', (160, 165)) ('associated', 'Reg', (139, 149)) ('high', 'Var', (155, 159)) 14771 33319489 17 Furthermore, high HSP70 levels are related to the suppression of chemosensitivity and the effects of TKIs on prostate carcinoma, fibrosarcoma and chronic myeloid leukemia. ('fibrosarcoma', 'Disease', (133, 145)) ('prostate carcinoma', 'Disease', 'MESH:D011471', (113, 131)) ('chronic myeloid leukemia', 'Phenotype', 'HP:0005506', (150, 174)) ('chronic myeloid leukemia', 'Disease', 'MESH:D015464', (150, 174)) ('chronic myeloid leukemia', 'Disease', (150, 174)) ('effects', 'Reg', (94, 101)) ('chemosensitivity', 'CPA', (69, 85)) ('TKIs', 'Gene', (105, 109)) ('high', 'Var', (17, 21)) ('myeloid leukemia', 'Phenotype', 'HP:0012324', (158, 174)) ('fibrosarcoma', 'Disease', 'MESH:D005354', (133, 145)) ('fibrosarcoma', 'Phenotype', 'HP:0100244', (133, 145)) ('HSP70', 'Protein', (22, 27)) ('leukemia', 'Phenotype', 'HP:0001909', (166, 174)) ('suppression', 'NegReg', (54, 65)) ('prostate carcinoma', 'Phenotype', 'HP:0012125', (113, 131)) ('carcinoma', 'Phenotype', 'HP:0030731', (122, 131)) ('prostate carcinoma', 'Disease', (113, 131)) 14782 33319489 The primary antibodies were as follows: HSP70/HSC70 (W27) (sc-24), p-AKT1/2/3 (C-11) (sc-514032), GFP (B-2) (sc-9996) and beta-actin (C4) (sc-47778) from Santa Cruz Biotechnology (USA); AKT (pan) (11E7) rabbit mAb (4685), and LC3A (D50G8) XP rabbit mAb (4599) from Cell Signaling Technology (USA); and anti-LAMP2A (ab18528) from Abcam (UK). ('AKT1/2/3', 'Gene', (69, 77)) ('LC3A', 'Gene', (226, 230)) ('HSC', 'cellular_component', 'GO:0035301', ('46', '49')) ('anti-LAMP2A', 'Var', (302, 313)) ('LC3A', 'Gene', '84557', (226, 230)) ('Signaling', 'biological_process', 'GO:0023052', ('270', '279')) ('HSC70', 'Gene', '3312', (46, 51)) ('AKT1/2/3', 'Gene', '207;208;10000', (69, 77)) ('HSC70', 'Gene', (46, 51)) 14801 33319489 35 In this study, phosphorylation of p38, ERK and JNK was facilitated following cisplatin treatment, but AKT was not affected, and HSP70 knockdown inhibited phosphorylation leading to augmentation of apoptosis. ('phosphorylation', 'MPA', (19, 34)) ('facilitated', 'PosReg', (59, 70)) ('phosphorylation', 'biological_process', 'GO:0016310', ('19', '34')) ('knockdown', 'Var', (138, 147)) ('phosphorylation', 'MPA', (158, 173)) ('ERK', 'Gene', (43, 46)) ('p38', 'Gene', '1432', (38, 41)) ('JNK', 'molecular_function', 'GO:0004705', ('51', '54')) ('phosphorylation', 'biological_process', 'GO:0016310', ('158', '173')) ('apoptosis', 'CPA', (201, 210)) ('ERK', 'molecular_function', 'GO:0004707', ('43', '46')) ('augmentation', 'PosReg', (185, 197)) ('ERK', 'Gene', '2048', (43, 46)) ('JNK', 'Gene', (51, 54)) ('JNK', 'Gene', '5599', (51, 54)) ('HSP70', 'Protein', (132, 137)) ('apoptosis', 'biological_process', 'GO:0097194', ('201', '210')) ('apoptosis', 'biological_process', 'GO:0006915', ('201', '210')) ('inhibited', 'NegReg', (148, 157)) ('p38', 'Gene', (38, 41)) 14808 32290283 We found that S100A4, along with 12 other biomarkers, differentiated neoplastic from preneoplastic mesothelial cell lines, and invasive vs. non-invasive tumor cells in vitro, and MM tumors in vivo. ('tumors', 'Phenotype', 'HP:0002664', (182, 188)) ('non-invasive tumor', 'Disease', (140, 158)) ('tumor', 'Phenotype', 'HP:0002664', (153, 158)) ('MM tumors', 'Disease', 'MESH:D009369', (179, 188)) ('non-invasive tumor', 'Disease', 'MESH:D009361', (140, 158)) ('MM tumors', 'Disease', (179, 188)) ('S100A4', 'Var', (14, 20)) ('tumor', 'Phenotype', 'HP:0002664', (182, 187)) 14810 32290283 Finally, S100A4 was the most significantly increased biomarker in liver metastases vs. primary tumor, and in the spleen colonized by MM cells. ('tumor', 'Disease', (95, 100)) ('liver metastases', 'Disease', (66, 82)) ('tumor', 'Disease', 'MESH:D009369', (95, 100)) ('liver metastases', 'Disease', 'MESH:D009362', (66, 82)) ('increased', 'PosReg', (43, 52)) ('tumor', 'Phenotype', 'HP:0002664', (95, 100)) ('S100A4', 'Var', (9, 15)) 14813 32290283 Moreover, in the context of a pre-metastatic niche, S100A4 production serves as a link between inflammation and tumor metastasis, and is indicative of poor prognosis. ('pre', 'molecular_function', 'GO:0003904', ('30', '33')) ('tumor metastasis', 'Disease', 'MESH:D009362', (112, 128)) ('tumor metastasis', 'Disease', (112, 128)) ('inflammation', 'Disease', 'MESH:D007249', (95, 107)) ('S100A4 production', 'Var', (52, 69)) ('tumor', 'Phenotype', 'HP:0002664', (112, 117)) ('inflammation', 'Disease', (95, 107)) ('inflammation', 'biological_process', 'GO:0006954', ('95', '107')) 14822 32290283 In this study, our aim was to determine whether S100A4, one of the most important biomarkers for invasiveness, previously identified in a list of 137 proteins, was involved in all stages of MM pathogenesis, including tumorigenesis, EMT, invasion, and colonization of host organs, and whether it presented a comparable evolution during the whole process when used alone or when combined with other proteins of interest. ('tumor', 'Phenotype', 'HP:0002664', (217, 222)) ('tumor', 'Disease', (217, 222)) ('colonization', 'CPA', (251, 263)) ('involved', 'Reg', (164, 172)) ('EMT', 'CPA', (232, 235)) ('EMT', 'biological_process', 'GO:0001837', ('232', '235')) ('S100A4', 'Var', (48, 54)) ('pathogenesis', 'biological_process', 'GO:0009405', ('193', '205')) ('tumor', 'Disease', 'MESH:D009369', (217, 222)) ('invasion', 'CPA', (237, 245)) 14841 32290283 This role of S100A4 in human MM invasiveness is also consistent with the observation of a decreased survival probability for patients with renal cancer and high S100A4 expression (Supplementary Figure S5). ('patients', 'Species', '9606', (125, 133)) ('renal cancer', 'Disease', 'MESH:D007680', (139, 151)) ('expression', 'MPA', (168, 178)) ('cancer', 'Phenotype', 'HP:0002664', (145, 151)) ('decreased', 'NegReg', (90, 99)) ('survival', 'CPA', (100, 108)) ('MM invasiveness', 'Disease', 'MESH:D009361', (29, 44)) ('S100A4', 'Gene', (161, 167)) ('renal cancer', 'Disease', (139, 151)) ('human', 'Species', '9606', (23, 28)) ('renal cancer', 'Phenotype', 'HP:0009726', (139, 151)) ('high', 'Var', (156, 160)) ('MM invasiveness', 'Disease', (29, 44)) 14845 32290283 For this purpose, M5-T1 liver metastases were collected from two groups of rats that differed in the number/extent of secondary organs affected by M5-T1 cell invasion. ('M5-T1', 'Var', (147, 152)) ('liver metastases', 'Disease', (24, 40)) ('liver metastases', 'Disease', 'MESH:D009362', (24, 40)) ('rats', 'Species', '10116', (75, 79)) 14857 32290283 Comparison of the abundances for other proteins of the S100 family demonstrated that five proteins were detected in the spleen tissue (S100A11, S100A6, S100A8, S100A9, and S100A4, in increasing order of abundance), S100A9 being the only one that increased (Figure 6B). ('S100A8', 'Gene', (152, 158)) ('S100A8', 'Gene', '116547', (152, 158)) ('S100A6', 'Gene', (144, 150)) ('rat', 'Species', '10116', (74, 77)) ('S100A9', 'Var', (160, 166)) ('S100A11', 'Gene', '445415', (135, 142)) ('S100A9', 'Var', (215, 221)) ('S100A4', 'Var', (172, 178)) ('S100A6', 'Gene', '85247', (144, 150)) ('S100A11', 'Gene', (135, 142)) 14859 32290283 Analysis of changes in abundance between the different stages for the eight markers identified above plus S100A9 revealed a comparable evolution for S100A4, Tubulin-specific chaperone A (TBCA), and, to a lesser extent Annexin A2 (ANXA2), the former still being the most sensitive to invasion by M5-T1 tumor cells (Figure 6C). ('ANXA2', 'Gene', (230, 235)) ('S100A4', 'Var', (149, 155)) ('Annexin A2', 'Gene', (218, 228)) ('Tubulin-specific chaperone A', 'Gene', '366995', (157, 185)) ('tumor', 'Disease', 'MESH:D009369', (301, 306)) ('ANXA2', 'Gene', '56611', (230, 235)) ('tumor', 'Phenotype', 'HP:0002664', (301, 306)) ('tumor', 'Disease', (301, 306)) ('Tubulin-specific chaperone A', 'Gene', (157, 185)) ('Annexin A2', 'Gene', '56611', (218, 228)) 14863 32290283 Although AHNAK mesothelioma-associated gene mutation was recently found in a rare type of human MM, its role in MM pathogenesis is still under investigation. ('mutation', 'Var', (44, 52)) ('mesothelioma', 'Disease', 'MESH:D008654', (15, 27)) ('pathogenesis', 'biological_process', 'GO:0009405', ('115', '127')) ('human', 'Species', '9606', (90, 95)) ('mesothelioma', 'Disease', (15, 27)) 14872 32290283 This finding is interesting as it corroborates our data on the increased abundance of S100A6 that accompanied the increased abundance of S100A4 in all three invasive MM tumors versus the non-invasive MM tumor. ('abundance', 'MPA', (73, 82)) ('tumor', 'Phenotype', 'HP:0002664', (203, 208)) ('increased', 'PosReg', (63, 72)) ('S100A6', 'Gene', '85247', (86, 92)) ('invasive MM tumors versus the non-invasive MM tumor', 'Disease', 'MESH:D009361', (157, 208)) ('tumor', 'Phenotype', 'HP:0002664', (169, 174)) ('S100A4', 'Var', (137, 143)) ('tumors', 'Phenotype', 'HP:0002664', (169, 175)) ('rat', 'Species', '10116', (41, 44)) ('S100A6', 'Gene', (86, 92)) 14875 32290283 The presence of HIF-1 could also explain the parallel rise in Vegfa expression in these cell lines, and the highest invasiveness of M5-T1 tumor, in agreement with the statement that its presence in tumor microenvironment could foster the expression of VEGF, among others. ('tumor', 'Disease', (138, 143)) ('expression', 'MPA', (68, 78)) ('tumor', 'Disease', 'MESH:D009369', (138, 143)) ('tumor', 'Disease', 'MESH:D009369', (198, 203)) ('Vegfa', 'Gene', '83785', (62, 67)) ('invasiveness', 'CPA', (116, 128)) ('foster', 'PosReg', (227, 233)) ('tumor', 'Phenotype', 'HP:0002664', (198, 203)) ('VEGF', 'Gene', (252, 256)) ('HIF-1', 'Gene', (16, 21)) ('Vegfa', 'Gene', (62, 67)) ('rise', 'PosReg', (54, 58)) ('tumor', 'Disease', (198, 203)) ('presence', 'Var', (4, 12)) ('expression', 'MPA', (238, 248)) ('VEGF', 'Gene', '83785', (252, 256)) ('tumor', 'Phenotype', 'HP:0002664', (138, 143)) 14887 32290283 Besides the dramatic changes observed for S100A4, S100A9 was the only member of this family that was detected neither in cells nor in tumors. ('tumors', 'Disease', (134, 140)) ('tumors', 'Phenotype', 'HP:0002664', (134, 140)) ('tumors', 'Disease', 'MESH:D009369', (134, 140)) ('S100A9', 'Var', (50, 56)) ('tumor', 'Phenotype', 'HP:0002664', (134, 139)) 14889 32290283 S100A4 and S100A9 show common molecular interactions, both being associated with inflammation and in vivo tumor progression, reducing overall survival for the patient. ('S100A9', 'Var', (11, 17)) ('inflammation', 'biological_process', 'GO:0006954', ('81', '93')) ('associated', 'Reg', (65, 75)) ('tumor', 'Disease', 'MESH:D009369', (106, 111)) ('reducing', 'NegReg', (125, 133)) ('inflammation', 'Disease', (81, 93)) ('inflammation', 'Disease', 'MESH:D007249', (81, 93)) ('S100A4', 'Var', (0, 6)) ('overall survival', 'MPA', (134, 150)) ('patient', 'Species', '9606', (159, 166)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('interactions', 'Interaction', (40, 52)) ('tumor', 'Disease', (106, 111)) 14895 32290283 Other than S100A4, our study also led us to identify several other potential markers of interest for MM, including annexin A5, as its serum level in patients with colon cancer is related to lymph node metastasis and tumor grades, while investigations of its role and action in hepatocarcinoma malignancy has revealed that its knockdown suppressed the expression of key molecules in the integrin and MEK-ERK pathways (mitogen-activated protein kinases-extracellular signal-regulated kinases). ('integrin', 'Pathway', (386, 394)) ('suppressed', 'NegReg', (336, 346)) ('cancer', 'Phenotype', 'HP:0002664', (169, 175)) ('expression', 'MPA', (351, 361)) ('hepatocarcinoma malignancy', 'Disease', (277, 303)) ('tumor', 'Disease', (216, 221)) ('colon cancer', 'Disease', (163, 175)) ('patients', 'Species', '9606', (149, 157)) ('related', 'Reg', (179, 186)) ('MEK', 'Gene', '5609', (399, 402)) ('tumor', 'Disease', 'MESH:D009369', (216, 221)) ('protein', 'cellular_component', 'GO:0003675', ('435', '442')) ('ERK', 'Gene', '5594', (403, 406)) ('ERK', 'molecular_function', 'GO:0004707', ('403', '406')) ('MEK', 'Gene', (399, 402)) ('knockdown', 'Var', (326, 335)) ('colon cancer', 'Phenotype', 'HP:0003003', (163, 175)) ('tumor', 'Phenotype', 'HP:0002664', (216, 221)) ('extracellular', 'cellular_component', 'GO:0005576', ('451', '464')) ('ERK', 'Gene', (403, 406)) ('annexin A5', 'Gene', (115, 125)) ('annexin A5', 'Gene', '308', (115, 125)) ('hepatocarcinoma malignancy', 'Disease', 'MESH:D009369', (277, 303)) ('colon cancer', 'Disease', 'MESH:D015179', (163, 175)) 14898 32290283 Interestingly, the continuous rise in LMNA in F4-T2, F5-T1, and M5-T1 tumors is consistent with an increased tumor invasiveness and the involvement of EMT at the invasive tumor front. ('rise', 'PosReg', (30, 34)) ('invasive tumor', 'Disease', (162, 176)) ('tumors', 'Phenotype', 'HP:0002664', (70, 76)) ('tumor invasiveness', 'Disease', 'MESH:D009361', (109, 127)) ('invasive tumor', 'Disease', 'MESH:D009361', (162, 176)) ('LMNA', 'Gene', '60374', (38, 42)) ('tumor', 'Phenotype', 'HP:0002664', (70, 75)) ('tumors', 'Disease', (70, 76)) ('increased', 'PosReg', (99, 108)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('tumor', 'Phenotype', 'HP:0002664', (171, 176)) ('EMT', 'biological_process', 'GO:0001837', ('151', '154')) ('LMNA', 'Gene', (38, 42)) ('tumors', 'Disease', 'MESH:D009369', (70, 76)) ('tumor invasiveness', 'Disease', (109, 127)) ('F4-T2', 'Var', (46, 51)) ('F5-T1', 'Var', (53, 58)) ('M5-T1', 'Var', (64, 69)) ('EMT', 'CPA', (151, 154)) 15153 29652548 CA125 suppresses amatuximab immune-effector function and elevated serum levels are associated with reduced clinical response in first line mesothelioma patients The tumor-shed antigen CA125 has recently been found to bind certain monoclonal antibodies (mAbs) and suppress immune-effector mediated killing through perturbation of the Fc domain with CD16a and CD32a Fc-gamma activating receptors on immune-effector cells. ('CA125', 'Gene', '94025', (0, 5)) ('CD32a', 'Gene', (358, 363)) ('CD16a', 'Gene', (348, 353)) ('CD32a', 'Gene', '2212', (358, 363)) ('mesothelioma', 'Disease', (139, 151)) ('tumor', 'Phenotype', 'HP:0002664', (165, 170)) ('bind', 'Interaction', (217, 221)) ('perturbation', 'Var', (313, 325)) ('mesothelioma', 'Disease', 'MESH:D008654', (139, 151)) ('suppress', 'NegReg', (263, 271)) ('CA125', 'Gene', (184, 189)) ('immune-effector mediated killing', 'CPA', (272, 304)) ('amatuximab', 'Chemical', 'MESH:C526187', (17, 27)) ('CA125', 'Gene', (0, 5)) ('CD16a', 'Gene', '2214', (348, 353)) ('tumor', 'Disease', (165, 170)) ('tumor', 'Disease', 'MESH:D009369', (165, 170)) ('CA125', 'Gene', '94025', (184, 189)) ('suppresses', 'NegReg', (6, 16)) ('Fc-gamma', 'Protein', (364, 372)) 15166 29652548 This trial found that a pre-specified subgroup of patients treated with farletuzumab plus standard-of-care (SOC) carboplatin/taxane with baseline serum CA125 levels no greater than 3X the upper limit of normal (<= 3X ULN) demonstrated clinical improvements in both progression free survival (PFS) (hazard ratio [HR] 0.49, p = 0.0028) and overall survival (OS) (HR 0.44, p = 0.0108) as compared to patients treated with SOC and placebo. ('pre', 'molecular_function', 'GO:0003904', ('24', '27')) ('CA125', 'Gene', (152, 157)) ('taxane', 'Chemical', 'MESH:C080625', (125, 131)) ('patients', 'Species', '9606', (397, 405)) ('carboplatin', 'Chemical', 'MESH:D016190', (113, 124)) ('patients', 'Species', '9606', (50, 58)) ('overall survival', 'CPA', (338, 354)) ('farletuzumab', 'Var', (72, 84)) ('farletuzumab', 'Chemical', 'MESH:C527484', (72, 84)) ('SOC', 'biological_process', 'GO:0031578', ('108', '111')) ('no greater', 'Var', (165, 175)) ('CA125', 'Gene', '94025', (152, 157)) ('progression free survival', 'CPA', (265, 290)) ('improvements', 'PosReg', (244, 256)) ('OS', 'Chemical', '-', (356, 358)) ('SOC', 'biological_process', 'GO:0031578', ('419', '422')) 15201 29652548 2A, sCA125 was effective in suppressing the ADCC activity on mesothelin-positive tumor cell lines similar to that shown for farletuzumab. ('sCA125', 'Var', (4, 10)) ('mesothelin', 'Gene', (61, 71)) ('sCA125', 'Chemical', '-', (4, 10)) ('ADCC', 'biological_process', 'GO:0001788', ('44', '48')) ('ADCC activity', 'MPA', (44, 57)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('farletuzumab', 'Chemical', 'MESH:C527484', (124, 136)) ('suppressing', 'NegReg', (28, 39)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('mesothelin', 'Gene', '10232', (61, 71)) ('tumor', 'Disease', (81, 86)) 15229 29652548 reported that patients from the Phase 2 study, same as those tested in this study, with amatuximab Cmin levels > 32.9 mug/mL for PFS and > 38 mug/mL for OS had statistically improved outcomes as compared to those with levels below that value (log rank test 6.52 x 10-5 and 0.0202, respectively). ('amatuximab', 'Chemical', 'MESH:C526187', (88, 98)) ('> 32.9', 'Var', (111, 117)) ('OS', 'Chemical', '-', (153, 155)) ('PFS', 'Disease', (129, 132)) ('mug', 'molecular_function', 'GO:0043739', ('118', '121')) ('outcomes', 'MPA', (183, 191)) ('patients', 'Species', '9606', (14, 22)) ('improved', 'PosReg', (174, 182)) ('mug', 'molecular_function', 'GO:0043739', ('142', '145')) 15269 29652548 shRNA Mission Lentiviral particles were employed to knockdown CA125/MUC16 expression. ('CA125', 'Gene', (62, 67)) ('expression', 'MPA', (74, 84)) ('MUC16', 'Gene', '94025', (68, 73)) ('knockdown', 'Var', (52, 61)) ('CA125', 'Gene', '94025', (62, 67)) ('expression', 'Species', '29278', (74, 84)) ('MUC16', 'Gene', (68, 73)) 15416 25781025 2 patients in the ZA arm of this study showed a reduction in tumour volume by modified RECIST of >10%, although this does not meet the above criteria for a partial response. ('tumour', 'Disease', 'MESH:D009369', (61, 67)) ('modified RECIST', 'Var', (78, 93)) ('patients', 'Species', '9606', (2, 10)) ('tumour', 'Disease', (61, 67)) ('ZA', 'Chemical', 'MESH:D000077211', (18, 20)) ('reduction', 'NegReg', (48, 57)) ('tumour', 'Phenotype', 'HP:0002664', (61, 67)) 15424 25781025 However, despite this and data from other cancer types also suggesting Zoledronic Acid supresses circulating VEGF levels, we failed to show any treatment effect of ZA on the blood biomarkers tested. ('Zoledronic', 'Var', (71, 81)) ('cancer', 'Phenotype', 'HP:0002664', (42, 48)) ('ZA', 'Chemical', 'MESH:D000077211', (164, 166)) ('supresses', 'NegReg', (87, 96)) ('VEGF', 'Gene', (109, 113)) ('cancer', 'Disease', (42, 48)) ('cancer', 'Disease', 'MESH:D009369', (42, 48)) ('Zoledronic Acid', 'Chemical', 'MESH:D000077211', (71, 86)) ('VEGF', 'Gene', '7422', (109, 113)) 15479 25089223 He was discharged from the hospital on postoperative day 8 with no postoperative complications but does suffer from minimal high-frequency hearing loss as a result of the cisplatin. ('hearing loss', 'Disease', (139, 151)) ('hearing', 'biological_process', 'GO:0007605', ('139', '146')) ('cisplatin', 'Var', (171, 180)) ('hearing loss', 'Disease', 'MESH:D034381', (139, 151)) ('high-frequency', 'MPA', (124, 138)) ('cisplatin', 'Chemical', 'MESH:D002945', (171, 180)) ('hearing loss', 'Phenotype', 'HP:0000365', (139, 151)) 15545 23946800 The tumor cells in the present case were positive for CK, CAM5.2, SMA, CK19, CR and CD34, while the markers for bcl-2, PLAP, CD117, S-100, CD20, CD79a, CD45RO, CD15, CD30 were negative. ('tumor', 'Disease', (4, 9)) ('PLAP', 'Gene', '250', (119, 123)) ('CK19', 'Gene', (71, 75)) ('tumor', 'Disease', 'MESH:D009369', (4, 9)) ('CAM5.2', 'Var', (58, 64)) ('CD20', 'Gene', (139, 143)) ('CK19', 'Gene', '3880', (71, 75)) ('CR', 'Gene', '794', (77, 79)) ('CD15', 'Gene', (160, 164)) ('CD34', 'Gene', '947', (84, 88)) ('bcl-2', 'Gene', '596', (112, 117)) ('positive', 'Reg', (41, 49)) ('CD117', 'Gene', '3815', (125, 130)) ('CD20', 'Gene', '54474', (139, 143)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) ('CD15', 'Gene', '2526', (160, 164)) ('CD30', 'Gene', (166, 170)) ('CD117', 'Gene', (125, 130)) ('CD79a', 'Gene', '973', (145, 150)) ('bcl-2', 'molecular_function', 'GO:0015283', ('112', '117')) ('CD30', 'Gene', '943', (166, 170)) ('PLAP', 'Gene', (119, 123)) ('CD34', 'Gene', (84, 88)) ('bcl-2', 'Gene', (112, 117)) ('CD79a', 'Gene', (145, 150)) 15565 22891886 Three forms of CNT exist, depending on the number of the walls: single-walled carbon nanotubes (SWCNT), double-walled carbon nanotubes (DWCNT), and multi-walled carbon nanotubes (MWCNT). ('carbon', 'Chemical', 'MESH:D002244', (78, 84)) ('carbon', 'Chemical', 'MESH:D002244', (161, 167)) ('DWCNT', 'Chemical', '-', (136, 141)) ('MWCNT', 'Chemical', '-', (179, 184)) ('double-walled carbon', 'Var', (104, 124)) ('carbon', 'Chemical', 'MESH:D002244', (118, 124)) ('SWCNT', 'Chemical', '-', (96, 101)) ('single-walled', 'Var', (64, 77)) ('multi-walled', 'Var', (148, 160)) 15572 22891886 Several animal studies demonstrated that exposure to MWCNT induces inflammatory granulomas and substantial interstitial lung fibrosis in the lungs. ('interstitial lung fibrosis', 'Disease', (107, 133)) ('granuloma', 'Phenotype', 'HP:0032252', (80, 89)) ('lung fibrosis', 'Phenotype', 'HP:0002206', (120, 133)) ('induces', 'Reg', (59, 66)) ('MWCNT', 'Var', (53, 58)) ('granulomas', 'Phenotype', 'HP:0032252', (80, 90)) ('MWCNT', 'Chemical', '-', (53, 58)) ('granulomas', 'Disease', (80, 90)) ('interstitial lung fibrosis', 'Disease', 'MESH:D017563', (107, 133)) ('granulomas', 'Disease', 'MESH:D006099', (80, 90)) ('interstitial lung', 'Phenotype', 'HP:0006530', (107, 124)) 15573 22891886 Animal studies using intraperitoneal (IP) exposure also showed that MWCNT induced inflammatory granulomas and mesothelioma to a degree similar to asbestos fibers. ('granulomas', 'Disease', (95, 105)) ('granulomas', 'Disease', 'MESH:D006099', (95, 105)) ('asbestos', 'Chemical', 'MESH:D001194', (146, 154)) ('induced', 'Reg', (74, 81)) ('mesothelioma', 'Disease', (110, 122)) ('granuloma', 'Phenotype', 'HP:0032252', (95, 104)) ('MWCNT', 'Var', (68, 73)) ('granulomas', 'Phenotype', 'HP:0032252', (95, 105)) ('MWCNT', 'Chemical', '-', (68, 73)) ('mesothelioma', 'Disease', 'MESH:D008654', (110, 122)) 15578 22891886 It was also demonstrated that MWCNT-induced mesothelioma is accompanied by homozygous deletion of Cdkn2a/2b tumor suppressor genes, similar to mesotheliomas induced by asbestos. ('mesothelioma', 'Disease', (143, 155)) ('tumor', 'Disease', 'MESH:D009369', (108, 113)) ('mesothelioma', 'Disease', 'MESH:D008654', (44, 56)) ('MWCNT-induced', 'Var', (30, 43)) ('asbestos', 'Chemical', 'MESH:D001194', (168, 176)) ('tumor', 'Phenotype', 'HP:0002664', (108, 113)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('108', '124')) ('mesothelioma', 'Disease', 'MESH:D008654', (143, 155)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('108', '124')) ('tumor', 'Disease', (108, 113)) ('MWCNT', 'Chemical', '-', (30, 35)) ('Cdkn2a', 'Gene', (98, 104)) ('Cdkn2a', 'Gene', '1029', (98, 104)) ('mesotheliomas', 'Disease', 'MESH:D008654', (143, 156)) ('mesothelioma', 'Disease', (44, 56)) ('deletion', 'Var', (86, 94)) ('mesotheliomas', 'Disease', (143, 156)) 15584 22891886 In contrast, morphometric analysis of lung tissue from the study by indicated that MWCNT-induced interstitial fibrosis increased significantly at day 28 and progressed through 56 days post-exposure. ('interstitial fibrosis', 'Phenotype', 'HP:0005576', (97, 118)) ('MWCNT', 'Chemical', '-', (83, 88)) ('MWCNT-induced', 'Var', (83, 96)) ('interstitial fibrosis', 'Disease', (97, 118)) ('interstitial fibrosis', 'Disease', 'MESH:D005355', (97, 118)) 15595 22891886 An alteration of TGF-beta expression was associated with increased human cancer incidence, including lung cancer. ('expression', 'MPA', (26, 36)) ('cancer', 'Disease', (73, 79)) ('TGF-beta', 'Gene', (17, 25)) ('cancer', 'Disease', 'MESH:D009369', (73, 79)) ('lung cancer', 'Disease', 'MESH:D008175', (101, 112)) ('cancer', 'Disease', 'MESH:D009369', (106, 112)) ('alteration', 'Var', (3, 13)) ('cancer', 'Phenotype', 'HP:0002664', (73, 79)) ('cancer', 'Disease', (106, 112)) ('TGF-beta', 'Gene', '7040', (17, 25)) ('increased', 'PosReg', (57, 66)) ('lung cancer', 'Phenotype', 'HP:0100526', (101, 112)) ('human', 'Species', '9606', (67, 72)) ('lung cancer', 'Disease', (101, 112)) ('cancer', 'Phenotype', 'HP:0002664', (106, 112)) 15604 22891886 The finding of an association would justify further long term studies to determine the temporal association between MWCNT-induced gene alterations and the development of pre-cancerous lesions and/or tumors in the mouse lung. ('mouse', 'Species', '10090', (213, 218)) ('cancerous lesions', 'Disease', 'MESH:D009062', (174, 191)) ('tumors', 'Disease', (199, 205)) ('cancerous lesions', 'Disease', (174, 191)) ('tumors', 'Disease', 'MESH:D009369', (199, 205)) ('tumors', 'Phenotype', 'HP:0002664', (199, 205)) ('MWCNT-induced gene', 'Gene', (116, 134)) ('alterations', 'Var', (135, 146)) ('MWCNT', 'Chemical', '-', (116, 121)) ('tumor', 'Phenotype', 'HP:0002664', (199, 204)) ('pre', 'molecular_function', 'GO:0003904', ('170', '173')) ('cancer', 'Phenotype', 'HP:0002664', (174, 180)) 15629 22891886 Following purification of labeled cRNAs, 825 ng of Cy3- and Cy5-labeled cRNAs were combined and hybridized for 17 hr at 65 C in an Agilent hybridization oven. ('Cy3', 'Chemical', '-', (51, 54)) ('Cy5', 'Chemical', 'MESH:C085321', (60, 63)) ('Cy5-labeled', 'Var', (60, 71)) ('Cy3-', 'Var', (51, 55)) 15679 22891886 These results indicate that human lung tumors with the MWCNT-induced gene expression patterns were more likely to be aggressive and had shorter overall survival compared with those with unexposed gene expression patterns. ('lung tumor', 'Phenotype', 'HP:0100526', (34, 44)) ('tumors', 'Phenotype', 'HP:0002664', (39, 45)) ('aggressive', 'CPA', (117, 127)) ('MWCNT-induced gene expression patterns', 'Var', (55, 93)) ('human', 'Species', '9606', (28, 33)) ('MWCNT', 'Chemical', '-', (55, 60)) ('gene expression', 'biological_process', 'GO:0010467', ('69', '84')) ('lung tumors', 'Phenotype', 'HP:0100526', (34, 45)) ('lung tumors', 'Disease', (34, 45)) ('tumor', 'Phenotype', 'HP:0002664', (39, 44)) ('gene expression', 'biological_process', 'GO:0010467', ('196', '211')) ('shorter', 'NegReg', (136, 143)) ('overall survival', 'CPA', (144, 160)) ('lung tumors', 'Disease', 'MESH:D008175', (34, 45)) 15709 22891886 The characteristic histopathological changes of MWCNT-induced mesotheliomas were hobnail appearance to large tumors along with high mitotic rate cells and central necrosis due to a high grade of malignant mesothelioma, indicating that characteristic carcinogenic mechanisms were involved. ('carcinogenic', 'Disease', (250, 262)) ('MWCNT-induced', 'Var', (48, 61)) ('tumors', 'Phenotype', 'HP:0002664', (109, 115)) ('necrosis', 'biological_process', 'GO:0008219', ('163', '171')) ('carcinogenic', 'Disease', 'MESH:D063646', (250, 262)) ('malignant mesothelioma', 'Phenotype', 'HP:0100001', (195, 217)) ('tumor', 'Phenotype', 'HP:0002664', (109, 114)) ('tumors', 'Disease', (109, 115)) ('necrosis', 'biological_process', 'GO:0008220', ('163', '171')) ('mesotheliomas', 'Disease', (62, 75)) ('necrosis', 'Disease', 'MESH:D009336', (163, 171)) ('malignant mesothelioma', 'Disease', (195, 217)) ('necrosis', 'biological_process', 'GO:0070265', ('163', '171')) ('MWCNT', 'Chemical', '-', (48, 53)) ('necrosis', 'biological_process', 'GO:0019835', ('163', '171')) ('tumors', 'Disease', 'MESH:D009369', (109, 115)) ('malignant mesothelioma', 'Disease', 'MESH:C562839', (195, 217)) ('mesotheliomas', 'Disease', 'MESH:D008654', (62, 75)) ('necrosis', 'biological_process', 'GO:0001906', ('163', '171')) ('necrosis', 'Disease', (163, 171)) 15741 22891886 In terms of genotoxic effects of MWCNT and asbestos, it was demonstrated that MWCNT interact with cellular biomolecules, such as the centrosomes and mitotic spindles, as well as the motor proteins that separate the chromosomes during cell division, leading to monopolar divisions of chromosomes. ('interact', 'Reg', (84, 92)) ('MWCNT', 'Var', (78, 83)) ('monopolar divisions of chromosomes', 'CPA', (260, 294)) ('MWCNT', 'Chemical', '-', (33, 38)) ('leading to', 'Reg', (249, 259)) ('MWCNT', 'Chemical', '-', (78, 83)) ('cell division', 'biological_process', 'GO:0051301', ('234', '247')) ('asbestos', 'Chemical', 'MESH:D001194', (43, 51)) 15742 22891886 The resulting aneuplody was proposed as a major molecular mechanism involved in potential MWCNT-induced carcinogenesis. ('aneuplody', 'Var', (14, 23)) ('carcinogenesis', 'Disease', (104, 118)) ('carcinogenesis', 'Disease', 'MESH:D063646', (104, 118)) ('MWCNT', 'Chemical', '-', (90, 95)) 15757 22891886 Disruption of the MMP activities plays a key role in the development of pulmonary diseases, including lung cancer. ('MMP', 'molecular_function', 'GO:0004235', ('18', '21')) ('lung cancer', 'Phenotype', 'HP:0100526', (102, 113)) ('pulmonary diseases', 'Disease', (72, 90)) ('cancer', 'Phenotype', 'HP:0002664', (107, 113)) ('lung cancer', 'Disease', (102, 113)) ('pulmonary diseases', 'Disease', 'MESH:D008171', (72, 90)) ('MMP', 'Gene', (18, 21)) ('lung cancer', 'Disease', 'MESH:D008175', (102, 113)) ('MMP', 'Gene', '4318;4321;4323', (18, 21)) ('Disruption', 'Var', (0, 10)) 15761 22891886 DNA methylation changes of two genes, EYA 4 and DAPK1, are associated with lung cancer development. ('lung cancer', 'Disease', (75, 86)) ('lung cancer', 'Phenotype', 'HP:0100526', (75, 86)) ('DNA methylation', 'biological_process', 'GO:0006306', ('0', '15')) ('DNA', 'cellular_component', 'GO:0005574', ('0', '3')) ('DAPK1', 'Gene', '1612', (48, 53)) ('cancer', 'Phenotype', 'HP:0002664', (80, 86)) ('EYA 4', 'Gene', (38, 43)) ('methylation changes', 'Var', (4, 23)) ('associated with', 'Reg', (59, 74)) ('lung cancer', 'Disease', 'MESH:D008175', (75, 86)) ('DAPK1', 'Gene', (48, 53)) ('EYA 4', 'Gene', '2070', (38, 43)) 15763 22891886 In the present study, the lung tissue specimens were collected from the mice exposed to MWCNT from 1 to 56 days post-exposure, which was not sufficient for mice to develop lung cancer. ('lung cancer', 'Disease', (172, 183)) ('lung cancer', 'Phenotype', 'HP:0100526', (172, 183)) ('MWCNT', 'Var', (88, 93)) ('MWCNT', 'Chemical', '-', (88, 93)) ('mice', 'Species', '10090', (72, 76)) ('mice', 'Species', '10090', (156, 160)) ('cancer', 'Phenotype', 'HP:0002664', (177, 183)) ('lung cancer', 'Disease', 'MESH:D008175', (172, 183)) 15769 22891886 The ability of MWCNT-induced gene sets to correlate with carcinogenesis of lung cancer patients provides justification for a further long term study to determine the temporal association between MWCNT-induced gene alterations and development of pre-cancerous lesions and/or tumor in the mouse lung. ('lung cancer', 'Phenotype', 'HP:0100526', (75, 86)) ('cancerous lesions', 'Disease', (249, 266)) ('tumor', 'Disease', 'MESH:D009369', (274, 279)) ('MWCNT', 'Chemical', '-', (15, 20)) ('cancer', 'Phenotype', 'HP:0002664', (80, 86)) ('pre', 'molecular_function', 'GO:0003904', ('245', '248')) ('carcinogenesis of lung cancer', 'Disease', (57, 86)) ('alterations', 'Var', (214, 225)) ('tumor', 'Phenotype', 'HP:0002664', (274, 279)) ('cancerous lesions', 'Disease', 'MESH:D009062', (249, 266)) ('mouse', 'Species', '10090', (287, 292)) ('tumor', 'Disease', (274, 279)) ('carcinogenesis of lung cancer', 'Disease', 'MESH:D063646', (57, 86)) ('patients', 'Species', '9606', (87, 95)) ('cancer', 'Phenotype', 'HP:0002664', (249, 255)) ('MWCNT', 'Chemical', '-', (195, 200)) 15792 22891886 The selection of 16 genes that were changed at two time points was aimed to identify genes that were consistently changed by MWCNT, and these gene expression changes were not transient or reversible over the time course up to 56 days post exposure. ('MWCNT', 'Chemical', '-', (125, 130)) ('changed', 'Reg', (114, 121)) ('gene expression', 'biological_process', 'GO:0010467', ('142', '157')) ('MWCNT', 'Var', (125, 130)) 15795 22891886 Our genome-wide expression studies show that the MWCNT-induced gene alterations (in more than 3,000 significant genes) have implications on multiple diseases and disorders, including inflammation, fibrosis, and cardiovascular disease, among many others (will be discussed in a separate manuscript). ('multiple diseases and disorders', 'Disease', 'MESH:D000015', (140, 171)) ('inflammation', 'biological_process', 'GO:0006954', ('183', '195')) ('inflammation', 'Disease', (183, 195)) ('implications', 'Reg', (124, 136)) ('MWCNT', 'Chemical', '-', (49, 54)) ('cardiovascular disease', 'Disease', 'MESH:D002318', (211, 233)) ('man', 'Species', '9606', (241, 244)) ('inflammation', 'Disease', 'MESH:D007249', (183, 195)) ('alterations', 'Var', (68, 79)) ('cardiovascular disease', 'Disease', (211, 233)) ('man', 'Species', '9606', (286, 289)) ('fibrosis', 'Disease', 'MESH:D005355', (197, 205)) ('fibrosis', 'Disease', (197, 205)) ('MWCNT-induced', 'Gene', (49, 62)) ('cardiovascular disease', 'Phenotype', 'HP:0001626', (211, 233)) 15797 22891886 Although the current animal study did not observe tumor formation in response to MWCNT exposure and the analyzed human samples were not previously exposed to MWCNT, the similarity between the genomic characteristics induced by NWCNT exposure in mice and those associated with human lung cancer initiation and progression suggests a significant association between MWCNT-induced gene alterations and clinical phenotypes in human lung cancer patients. ('lung cancer', 'Disease', 'MESH:D008175', (282, 293)) ('MWCNT', 'Chemical', '-', (158, 163)) ('cancer', 'Phenotype', 'HP:0002664', (287, 293)) ('lung cancer', 'Phenotype', 'HP:0100526', (282, 293)) ('human', 'Species', '9606', (113, 118)) ('lung cancer', 'Disease', (428, 439)) ('human', 'Species', '9606', (422, 427)) ('alterations', 'Var', (383, 394)) ('human', 'Species', '9606', (276, 281)) ('patients', 'Species', '9606', (440, 448)) ('tumor', 'Disease', (50, 55)) ('lung cancer initiation', 'Disease', (282, 304)) ('tumor', 'Disease', 'MESH:D009369', (50, 55)) ('lung cancer', 'Disease', 'MESH:D008175', (428, 439)) ('formation', 'biological_process', 'GO:0009058', ('56', '65')) ('MWCNT', 'Chemical', '-', (81, 86)) ('lung cancer', 'Phenotype', 'HP:0100526', (428, 439)) ('cancer', 'Phenotype', 'HP:0002664', (433, 439)) ('lung cancer initiation', 'Disease', 'MESH:D008175', (282, 304)) ('tumor', 'Phenotype', 'HP:0002664', (50, 55)) ('mice', 'Species', '10090', (245, 249)) ('MWCNT', 'Chemical', '-', (364, 369)) 15799 22891886 To provide further support for this application, a 1 year evaluation after a 2 week inhalation of MWCNT is currently being conducted in our lab to correlate time-dependent alterations in gene expression with development of pre-cancerous lesions and/or tumor formation. ('cancerous lesions', 'Disease', 'MESH:D009062', (227, 244)) ('formation', 'biological_process', 'GO:0009058', ('258', '267')) ('cancer', 'Phenotype', 'HP:0002664', (227, 233)) ('tumor', 'Disease', 'MESH:D009369', (252, 257)) ('cancerous lesions', 'Disease', (227, 244)) ('pre', 'molecular_function', 'GO:0003904', ('223', '226')) ('MWCNT', 'Chemical', '-', (98, 103)) ('tumor', 'Phenotype', 'HP:0002664', (252, 257)) ('gene expression', 'biological_process', 'GO:0010467', ('187', '202')) ('tumor', 'Disease', (252, 257)) ('gene expression', 'MPA', (187, 202)) ('alterations', 'Var', (172, 183)) 15843 22761781 Regardless of subtype, the majority of MM tumors expressed nuclear FOXM1 in 50% or more of the cells (Fig. ('tumors', 'Phenotype', 'HP:0002664', (42, 48)) ('MM tumors', 'Disease', 'MESH:D009369', (39, 48)) ('MM tumors', 'Disease', (39, 48)) ('nuclear FOXM1', 'Var', (59, 72)) ('tumor', 'Phenotype', 'HP:0002664', (42, 47)) 15879 22761781 However, these immunoreactive species were maintained when heated to 95 C for more than 10 min in SDS sample buffer with dithiothreitol (DTT), indicating the modified species of PRX3 are resistant to denaturation by detergents or reduction by DTT. ('PRX3', 'Gene', (178, 182)) ('DTT', 'Chemical', 'MESH:D004229', (243, 246)) ('SDS', 'Chemical', 'MESH:D012967', (98, 101)) ('modified', 'Var', (158, 166)) ('DTT', 'Chemical', 'MESH:D004229', (137, 140)) ('dithiothreitol', 'Chemical', 'MESH:D004229', (121, 135)) ('PRX3', 'Gene', '10935', (178, 182)) 15914 22761781 The mechanism by which disruption of PRX3 activity and increased levels of mitochondrial oxidants inhibit FOXM1 expression is not known. ('activity', 'MPA', (42, 50)) ('disruption', 'Var', (23, 33)) ('PRX3', 'Gene', '10935', (37, 41)) ('increased', 'PosReg', (55, 64)) ('FOXM1', 'Gene', (106, 111)) ('inhibit', 'NegReg', (98, 105)) ('PRX3', 'Gene', (37, 41)) ('levels of mitochondrial oxidants', 'MPA', (65, 97)) ('expression', 'MPA', (112, 122)) 15920 22761781 There are a large number of studies that have targeted perturbations in ROS metabolism as a therapeutic strategy in cancer, and induction of intolerable levels of oxidative stress generally appears to be a more effective strategy than blocking oxidant production. ('perturbations', 'Var', (55, 68)) ('cancer', 'Disease', (116, 122)) ('cancer', 'Disease', 'MESH:D009369', (116, 122)) ('ROS', 'Chemical', 'MESH:D017382', (72, 75)) ('oxidative stress', 'Phenotype', 'HP:0025464', (163, 179)) ('metabolism', 'biological_process', 'GO:0008152', ('76', '86')) ('cancer', 'Phenotype', 'HP:0002664', (116, 122)) 15927 22761781 TS covalently binds TipAS with a 1:1 stoichiometry, and the peptide harboring the modified cysteine peptide is increased in MW by 1664 Da, in excellent agreement with the MW of TS. ('increased', 'PosReg', (111, 120)) ('TS', 'Chemical', 'MESH:D013883', (0, 2)) ('modified', 'Var', (82, 90)) ('cysteine', 'Chemical', 'MESH:D003545', (91, 99)) ('TipAS', 'Species', '162890', (20, 25)) ('men', 'Species', '9606', (157, 160)) ('TS', 'Chemical', 'MESH:D013883', (177, 179)) 15942 22761781 Inhibition of PRX3 expression in breast cancer cells induces cell cycle arrest and impairs cell proliferation. ('breast cancer', 'Phenotype', 'HP:0003002', (33, 46)) ('arrest', 'Disease', 'MESH:D006323', (72, 78)) ('PRX3', 'Gene', (14, 18)) ('arrest', 'Disease', (72, 78)) ('cell cycle arrest', 'biological_process', 'GO:0007050', ('61', '78')) ('cell cycle arrest', 'Phenotype', 'HP:0011018', (61, 78)) ('cell proliferation', 'biological_process', 'GO:0008283', ('91', '109')) ('Inhibition', 'Var', (0, 10)) ('PRX3', 'Gene', '10935', (14, 18)) ('breast cancer', 'Disease', 'MESH:D001943', (33, 46)) ('impairs', 'NegReg', (83, 90)) ('cell proliferation', 'CPA', (91, 109)) ('cancer', 'Phenotype', 'HP:0002664', (40, 46)) ('breast cancer', 'Disease', (33, 46)) ('induces', 'Reg', (53, 60)) 15980 22761781 Assays for RNA expression were done in triplicate using Assay On Demand (Applied Biosystems) for FOXM1 (Hs01073586_m1) and HPRT (Hs02800695_m1). ('HPRT', 'Gene', '3251', (123, 127)) ('Hs02800695_m1', 'Var', (129, 142)) ('HPRT', 'Gene', (123, 127)) ('HPRT', 'molecular_function', 'GO:0004422', ('123', '127')) ('Hs01073586_m1', 'Var', (104, 117)) ('RNA', 'cellular_component', 'GO:0005562', ('11', '14')) 16253 28951802 HRs were adjusted for age group (25-34 years, 35-44 years, 45-54 years, and 55-74 years), province of residence and education (no high school diploma, high school with/without trade certificate, postsecondary nonuniversity diploma, or university degree). ('no', 'Var', (127, 129)) ('diploma', 'Disease', (223, 230)) ('diploma', 'Disease', (142, 149)) ('diploma', 'Disease', 'None', (142, 149)) ('diploma', 'Disease', 'None', (223, 230)) 16306 28951802 Occupational risk factors for kidney cancer are not well understood, but exposure to cadmium is known to cause renal disease, and evidence suggests that it may cause cancer even at lower levels of exposure found among environmentally exposed individuals. ('renal disease', 'Disease', 'MESH:D007674', (111, 124)) ('cancer', 'Disease', 'MESH:D009369', (37, 43)) ('cancer', 'Disease', (166, 172)) ('cause', 'Reg', (160, 165)) ('cause', 'Reg', (105, 110)) ('cancer', 'Disease', 'MESH:D009369', (166, 172)) ('cancer', 'Disease', (37, 43)) ('kidney cancer', 'Disease', (30, 43)) ('kidney cancer', 'Phenotype', 'HP:0009726', (30, 43)) ('cancer', 'Phenotype', 'HP:0002664', (37, 43)) ('cadmium', 'Var', (85, 92)) ('renal disease', 'Disease', (111, 124)) ('cancer', 'Phenotype', 'HP:0002664', (166, 172)) ('exposure', 'Var', (73, 81)) ('cadmium', 'Chemical', 'MESH:D002104', (85, 92)) ('renal disease', 'Phenotype', 'HP:0000112', (111, 124)) ('kidney cancer', 'Disease', 'MESH:D007680', (30, 43)) 16349 26883190 Finally, mesothelioma cell lines expressing high CD74 levels had a low tumorigenic potential after xenogeneic implantation in athymic nude mice. ('high CD74 levels', 'Var', (44, 60)) ('tumor', 'Disease', 'MESH:D009369', (71, 76)) ('nude mice', 'Species', '10090', (134, 143)) ('mesothelioma', 'Disease', (9, 21)) ('tumor', 'Phenotype', 'HP:0002664', (71, 76)) ('tumor', 'Disease', (71, 76)) ('low', 'NegReg', (67, 70)) ('mesothelioma', 'Disease', 'MESH:D008654', (9, 21)) 16364 26883190 In murine models of human colorectal adenoma and metastatic breast cancer, inhibition of MIF expression by genetic deletion or RNA interference decreased tumor progression and metastasis. ('breast cancer', 'Phenotype', 'HP:0003002', (60, 73)) ('tumor', 'Disease', (154, 159)) ('decreased', 'NegReg', (144, 153)) ('RNA interference', 'MPA', (127, 143)) ('colorectal adenoma', 'Disease', (26, 44)) ('tumor', 'Disease', 'MESH:D009369', (154, 159)) ('RNA', 'cellular_component', 'GO:0005562', ('127', '130')) ('breast cancer', 'Disease', 'MESH:D001943', (60, 73)) ('breast cancer', 'Disease', (60, 73)) ('inhibition', 'NegReg', (75, 85)) ('RNA interference', 'biological_process', 'GO:0016246', ('127', '143')) ('murine', 'Species', '10090', (3, 9)) ('tumor', 'Phenotype', 'HP:0002664', (154, 159)) ('human', 'Species', '9606', (20, 25)) ('expression', 'Protein', (93, 103)) ('colorectal adenoma', 'Disease', 'MESH:D015179', (26, 44)) ('genetic deletion', 'Var', (107, 123)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('MIF', 'Gene', (89, 92)) 16365 26883190 A reduction of tumor growth was also observed in sub-cutaneous human neuroblastoma and prostate cancer xenografts, after inhibition of MIF expression by MIF antisens transfection or RNA interference or after treatment with anti-MIF antibodies or MIF inhibitors. ('neuroblastoma and prostate cancer', 'Disease', 'MESH:D011471', (69, 102)) ('RNA interference', 'biological_process', 'GO:0016246', ('182', '198')) ('human', 'Species', '9606', (63, 68)) ('tumor', 'Disease', 'MESH:D009369', (15, 20)) ('neuroblastoma', 'Phenotype', 'HP:0003006', (69, 82)) ('cancer', 'Phenotype', 'HP:0002664', (96, 102)) ('MIF', 'Gene', (135, 138)) ('antisens transfection', 'Var', (157, 178)) ('sub-cutaneous', 'Disease', (49, 62)) ('reduction', 'NegReg', (2, 11)) ('tumor', 'Phenotype', 'HP:0002664', (15, 20)) ('RNA', 'cellular_component', 'GO:0005562', ('182', '185')) ('prostate cancer', 'Phenotype', 'HP:0012125', (87, 102)) ('tumor', 'Disease', (15, 20)) ('MIF', 'Gene', (153, 156)) ('expression', 'MPA', (139, 149)) ('RNA', 'MPA', (182, 185)) ('inhibition', 'NegReg', (121, 131)) 16368 26883190 We also demonstrated that high levels of CD74 were an independent prognostic factor for prolonged overall survival in MPM patients. ('MPM', 'Disease', (118, 121)) ('high', 'Var', (26, 30)) ('CD74', 'Protein', (41, 45)) ('patients', 'Species', '9606', (122, 130)) ('overall', 'MPA', (98, 105)) ('prolonged', 'PosReg', (88, 97)) 16380 26883190 We compared physiological characteristics, such as cell multiplication, cell proliferation and apoptosis of MeT5A cells with JL-1 and H28 MPM cell lines chosen in regard to their MIF/CD74 expressions and MIF secreting levels. ('cell proliferation', 'biological_process', 'GO:0008283', ('72', '90')) ('MIF/CD74', 'Var', (179, 187)) ('apoptosis', 'biological_process', 'GO:0097194', ('95', '104')) ('apoptosis', 'biological_process', 'GO:0006915', ('95', '104')) ('H28', 'Gene', '15061', (134, 137)) ('H28', 'Gene', (134, 137)) 16385 26883190 The population doubling time of MeT5A (18.9 +- 4.5 h (n = 4)) was the lowest one compared to that of H28 (29.1 +- 2.7 h (n = 7; P < 0.01)) and JL-1 (41.0 +- 9.1 h (n = 6; P < 0.01)). ('MeT5A', 'Var', (32, 37)) ('H28', 'Gene', (101, 104)) ('H28', 'Gene', '15061', (101, 104)) 16397 26883190 Human MPM cell line H28 (expressing high level of CD74 and secreting high level of MIF) showed a high level of multiplication and proliferation rate associated with a low level of apoptosis rate. ('multiplication', 'CPA', (111, 125)) ('Human', 'Species', '9606', (0, 5)) ('apoptosis', 'biological_process', 'GO:0097194', ('180', '189')) ('apoptosis', 'biological_process', 'GO:0006915', ('180', '189')) ('CD74', 'Var', (50, 54)) ('proliferation rate', 'CPA', (130, 148)) ('H28', 'Gene', '15061', (20, 23)) ('H28', 'Gene', (20, 23)) 16402 26883190 Multiplication rate of MIF siRNA treated-cells was reduced of 39% and 40% for H28 and H2052 respectively, compared to that of NC siRNA treated cells (Figure 5C, 61 +- 17% and 60 +- 34% for H28 and H2052 respectively, n = 6-7, P < 0.01). ('MIF siRNA treated-cells', 'Var', (23, 46)) ('H28', 'Gene', (189, 192)) ('H2052', 'Var', (86, 91)) ('reduced', 'NegReg', (51, 58)) ('H28', 'Gene', '15061', (78, 81)) ('Multiplication', 'CPA', (0, 14)) ('H28', 'Gene', (78, 81)) ('H28', 'Gene', '15061', (189, 192)) 16403 26883190 This reduction in cell multiplication was explained by a reduction of 13% of cell proliferation of MIF siRNA-treated H28 cells (Figure 5D, 87 +- 24%, n = 5 for H28 cells; 120 +- 34%, n = 6 for H2052 cells) and an increase of 213% and 334% of cell apoptosis for H28 and H2052 (Figure 5E, 213 +- 86% and 334 +- 278% for H28 and H2052, n = 7-13, P < 0.05). ('H28', 'Gene', '15061', (117, 120)) ('H28', 'Gene', (261, 264)) ('H28', 'Gene', (117, 120)) ('cell proliferation', 'biological_process', 'GO:0008283', ('77', '95')) ('cell apoptosis', 'CPA', (242, 256)) ('reduction', 'NegReg', (5, 14)) ('apoptosis', 'biological_process', 'GO:0097194', ('247', '256')) ('reduction', 'NegReg', (57, 66)) ('H28', 'Gene', '15061', (160, 163)) ('H28', 'Gene', (160, 163)) ('cell multiplication', 'CPA', (18, 37)) ('H28', 'Gene', '15061', (318, 321)) ('H28', 'Gene', (318, 321)) ('H28', 'Gene', '15061', (261, 264)) ('apoptosis', 'biological_process', 'GO:0006915', ('247', '256')) ('MIF', 'Var', (99, 102)) ('cell proliferation', 'CPA', (77, 95)) 16406 26883190 Multiplication rate of H28 and H2052 transfected with CD74 siRNA was reduced of 29% and 49% respectively, compared to that of NC siRNA treated cells (Figure 5C, 71% +- 20%, n = 6, P < 0.05 for H28; 51 +- 26%, n = 7; P < 0.01 for H2052). ('H28', 'Gene', '15061', (193, 196)) ('CD74 siRNA', 'Var', (54, 64)) ('reduced', 'NegReg', (69, 76)) ('H28', 'Gene', (193, 196)) ('H28', 'Gene', '15061', (23, 26)) ('H28', 'Gene', (23, 26)) ('Multiplication', 'CPA', (0, 14)) 16407 26883190 CD74 siRNA-treated H28 and H2052 cells showed a decrease in cell proliferation compared to NC siRNA treated cells (Figure 5D; 37 +- 29%, n = 5, P < 0.05 for H28; and 59 +- 33%, n = 6 for H2052) and an increase in cell apoptosis (Figure 5E; 245 +- 143%, n = 4 for H28 and 427 +- 389%, n = 7 for H2052; P < 0.05). ('CD74', 'Var', (0, 4)) ('cell proliferation', 'CPA', (60, 78)) ('apoptosis', 'biological_process', 'GO:0097194', ('218', '227')) ('apoptosis', 'biological_process', 'GO:0006915', ('218', '227')) ('cell proliferation', 'biological_process', 'GO:0008283', ('60', '78')) ('H28', 'Gene', '15061', (263, 266)) ('H28', 'Gene', '15061', (19, 22)) ('H28', 'Gene', (19, 22)) ('cell apoptosis', 'CPA', (213, 227)) ('H28', 'Gene', (263, 266)) ('decrease', 'NegReg', (48, 56)) ('H28', 'Gene', '15061', (157, 160)) ('H28', 'Gene', (157, 160)) 16436 26883190 We also demonstrated that high expression of CD74 was an independent prognostic factor for prolonged overall survival in MPM patients. ('CD74', 'Gene', (45, 49)) ('prolonged', 'PosReg', (91, 100)) ('overall survival', 'MPA', (101, 117)) ('high', 'Var', (26, 30)) ('MPM', 'Disease', (121, 124)) ('patients', 'Species', '9606', (125, 133)) 16453 26883190 In contrast, other studies showed that MIF can activate the AMPK pathway, leading in some cancers to a decrease in cell proliferation, cell viability and in their metastatic potential. ('cancers', 'Disease', (90, 97)) ('metastatic potential', 'CPA', (163, 183)) ('cancer', 'Phenotype', 'HP:0002664', (90, 96)) ('cell proliferation', 'biological_process', 'GO:0008283', ('115', '133')) ('cell viability', 'CPA', (135, 149)) ('AMPK', 'molecular_function', 'GO:0050405', ('60', '64')) ('AMPK', 'molecular_function', 'GO:0004691', ('60', '64')) ('MIF', 'Var', (39, 42)) ('cell proliferation', 'CPA', (115, 133)) ('cancers', 'Phenotype', 'HP:0002664', (90, 97)) ('AMPK', 'molecular_function', 'GO:0047322', ('60', '64')) ('decrease', 'NegReg', (103, 111)) ('AMPK pathway', 'Pathway', (60, 72)) ('cancers', 'Disease', 'MESH:D009369', (90, 97)) 16462 26883190 syngeneic implantations of murine mesothelioma cells deleted or not in MIF or CD74 expression into wild-type or MIF-deficient or CD74-deficient mice and study tumor development, tumor angiogenesis and identify the inflammatory cells recruited by the host. ('tumor', 'Disease', (178, 183)) ('mice', 'Species', '10090', (144, 148)) ('tumor', 'Phenotype', 'HP:0002664', (159, 164)) ('MIF-deficient or CD74-deficient', 'Disease', (112, 143)) ('MIF-deficient or CD74-deficient', 'Disease', 'MESH:D007153', (112, 143)) ('mesothelioma', 'Disease', (34, 46)) ('MIF', 'Gene', (71, 74)) ('tumor', 'Disease', (159, 164)) ('mesothelioma', 'Disease', 'MESH:D008654', (34, 46)) ('tumor', 'Disease', 'MESH:D009369', (178, 183)) ('murine', 'Species', '10090', (27, 33)) ('deleted', 'Var', (53, 60)) ('CD74', 'Gene', (78, 82)) ('tumor', 'Phenotype', 'HP:0002664', (178, 183)) ('tumor', 'Disease', 'MESH:D009369', (159, 164)) ('angiogenesis', 'biological_process', 'GO:0001525', ('184', '196')) 16464 26883190 Decreasing MIF or CD74 expression in H28 and H2052 MPM cells reduced multiplication rate of the tumor cells due to a reduction in proliferation and an increase in apoptosis. ('H2052', 'Var', (45, 50)) ('apoptosis', 'CPA', (163, 172)) ('reduction', 'NegReg', (117, 126)) ('apoptosis', 'biological_process', 'GO:0097194', ('163', '172')) ('Decreasing', 'NegReg', (0, 10)) ('H2052 MPM', 'CellLine', 'CVCL:1518', (45, 54)) ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('apoptosis', 'biological_process', 'GO:0006915', ('163', '172')) ('CD74', 'Gene', (18, 22)) ('tumor', 'Disease', (96, 101)) ('H28', 'Gene', '15061', (37, 40)) ('H28', 'Gene', (37, 40)) ('proliferation', 'CPA', (130, 143)) ('tumor', 'Disease', 'MESH:D009369', (96, 101)) ('increase', 'PosReg', (151, 159)) ('MIF', 'Protein', (11, 14)) ('reduced', 'NegReg', (61, 68)) ('expression', 'MPA', (23, 33)) 16483 26883190 The membranes were saturated for 1 h at room temperature (RT) in a 10 mmol/l Tris-HCl buffer (pH 7.4) containing 150 mmol/l NaCl, 0.1% (v/v) Tween-20, and 5% (w/v) milk (TBS/T/milk), and then incubated overnight at 4 C with rabbit polyclonal primary antibodies diluted in TBS/T/milk at 1/1000 for GAPDH (#2118, Cell Signaling Technology), 1/200 for CXCR4 (ab2074, Abcam), 1/1000 for CD74 (HPA010592, Sigma) and 1/1000 for MIF (BR47, from the Roger lab, Lausanne, Switzerland). ('Signaling', 'biological_process', 'GO:0023052', ('316', '325')) ('CXCR4', 'Gene', '7852', (349, 354)) ('CD74', 'Var', (383, 387)) ('CXCR4', 'Gene', (349, 354)) ('GAPDH', 'Gene', '2597', (297, 302)) ('Tris-HCl', 'Chemical', '-', (77, 85)) ('NaCl', 'Chemical', 'MESH:D012965', (124, 128)) ('CXCR4', 'molecular_function', 'GO:0038147', ('349', '354')) ('rabbit', 'Species', '9986', (224, 230)) ('GAPDH', 'Gene', (297, 302)) 16487 26883190 4 mum thick mesothelioma tumor sections from formalin fixed paraffin embedded samples were analysed by immunohistochemistry using anti-MIF (gift of Thierry Roger, Lausanne), anti-CD74 (HPA010592, Sigma) and anti-CD44 antibodies (HPA005785, Sigma) using the Ventana Discovery automated staining system (Ventana Medical Systems, Tucson, AZ, USA). ('tumor', 'Phenotype', 'HP:0002664', (25, 30)) ('anti-CD74', 'Var', (174, 183)) ('mesothelioma tumor', 'Phenotype', 'HP:0100001', (12, 30)) ('anti-MIF', 'Var', (130, 138)) ('paraffin', 'Chemical', 'MESH:D010232', (60, 68)) ('mesothelioma tumor', 'Disease', (12, 30)) ('anti-CD44', 'Var', (207, 216)) ('formalin', 'Chemical', 'MESH:D005557', (45, 53)) ('mesothelioma tumor', 'Disease', 'MESH:D008654', (12, 30)) 16490 26883190 Detection of anti-MIF, anti-CD74 and anti-CD44 antibodies were performed using the rabbit OmniMap kit (760-149). ('anti-CD44', 'Gene', (37, 46)) ('rabbit', 'Species', '9986', (83, 89)) ('anti-CD74', 'Var', (23, 32)) ('anti-CD44', 'Var', (37, 46)) 16526 25264933 Chronic nose-only inhalation bioassays indicated that RCF exposure in rats increased the incidence of lung cancer and similar exposures resulted in mesothelioma in hamsters, but these studies may have been compromised by overload. ('resulted in', 'Reg', (136, 147)) ('lung cancer', 'Phenotype', 'HP:0100526', (102, 113)) ('cancer', 'Phenotype', 'HP:0002664', (107, 113)) ('lung cancer', 'Disease', (102, 113)) ('mesothelioma', 'Disease', (148, 160)) ('rats', 'Species', '10116', (70, 74)) ('exposure', 'Var', (58, 66)) ('hamster', 'Species', '10034', (164, 171)) ('cancer', 'Disease', 'MESH:D009369', (107, 113)) ('RCF', 'Gene', (54, 57)) ('increased', 'PosReg', (75, 84)) ('lung cancer', 'Disease', 'MESH:D008175', (102, 113)) ('cancer', 'Disease', (107, 113)) 16594 22216185 Two pathways control eIF4F: 1) mTORc1 phosphorylates and inactivates 4E-BPs, leading to eIF4F formation; 2) the Ras-Mnk cascade phosphorylates eIF4E. ('eIF4F', 'Gene', (88, 93)) ('formation', 'biological_process', 'GO:0009058', ('94', '103')) ('eIF4F', 'Gene', '1981', (88, 93)) ('mTORc1', 'cellular_component', 'GO:0031931', ('31', '37')) ('4E-BPs', 'Protein', (69, 75)) ('mTORc1', 'Gene', (31, 37)) ('leading to', 'Reg', (77, 87)) ('eIF4F', 'Gene', (21, 26)) ('Mnk', 'Gene', '538', (116, 119)) ('mTORc1', 'Gene', '382056', (31, 37)) ('eIF4', 'cellular_component', 'GO:0008304', ('143', '147')) ('eIF4E', 'Gene', '1977', (143, 148)) ('eIF4F', 'cellular_component', 'GO:0016281', ('21', '26')) ('eIF4F', 'Gene', '1981', (21, 26)) ('eIF4F', 'cellular_component', 'GO:0016281', ('88', '93')) ('Mnk', 'Gene', (116, 119)) ('inactivates', 'Var', (57, 68)) ('eIF4E', 'Gene', (143, 148)) 16596 22216185 Translation is rapidly abrogated by phosphorylation of eIF2alpha. ('Translation', 'MPA', (0, 11)) ('eIF2', 'cellular_component', 'GO:0005850', ('55', '59')) ('phosphorylation', 'biological_process', 'GO:0016310', ('36', '51')) ('phosphorylation', 'Var', (36, 51)) ('eIF2alpha', 'Gene', (55, 64)) ('abrogated', 'NegReg', (23, 32)) ('eIF2alpha', 'Gene', '83939', (55, 64)) 16600 22216185 In spite of this, mTORc1 inhibition reduces eIF4F complex formation, and depresses translocation of TOP mRNAs on polysomes. ('eIF4F', 'Gene', (44, 49)) ('As', 'Chemical', 'MESH:C015001', (107, 109)) ('eIF4F', 'Gene', '1981', (44, 49)) ('mTORc1', 'cellular_component', 'GO:0031931', ('18', '24')) ('mTORc1', 'Gene', (18, 24)) ('inhibition', 'Var', (25, 35)) ('reduces', 'NegReg', (36, 43)) ('depresses', 'NegReg', (73, 82)) ('mTORc1', 'Gene', '382056', (18, 24)) ('formation', 'biological_process', 'GO:0009058', ('58', '67')) ('eIF4F', 'cellular_component', 'GO:0016281', ('44', '49')) ('translocation of TOP mRNAs on polysomes', 'MPA', (83, 122)) 16601 22216185 Downregulation of eIF4E and overexpression of 4E-BP1 induce rapamycin sensitivity, suggesting that disruption of eIF4F complex, due to eIF4E modulation, competes with its recycling to ribosomes. ('competes', 'NegReg', (153, 161)) ('eIF4E', 'Gene', (135, 140)) ('eIF4F', 'Gene', (113, 118)) ('eIF4F', 'Gene', '1981', (113, 118)) ('Downregulation', 'NegReg', (0, 14)) ('eIF4F', 'cellular_component', 'GO:0016281', ('113', '118')) ('disruption', 'Var', (99, 109)) ('eIF4', 'cellular_component', 'GO:0008304', ('135', '139')) ('4E-BP1', 'Gene', (46, 52)) ('eIF4E', 'Gene', '1977', (18, 23)) ('rapamycin', 'Chemical', 'MESH:D020123', (60, 69)) ('induce', 'Reg', (53, 59)) ('rapamycin sensitivity', 'MPA', (60, 81)) ('eIF4', 'cellular_component', 'GO:0008304', ('18', '22')) ('recycling to ribosomes', 'MPA', (171, 193)) ('4E-BP1', 'Gene', '1978', (46, 52)) ('eIF4E', 'Gene', '1977', (135, 140)) ('eIF4E', 'Gene', (18, 23)) 16605 22216185 The net result of eIF2alpha phosphorylation is a block in general initiation. ('phosphorylation', 'Var', (28, 43)) ('eIF2', 'cellular_component', 'GO:0005850', ('18', '22')) ('eIF2alpha', 'Gene', (18, 27)) ('block', 'NegReg', (49, 54)) ('general initiation', 'MPA', (58, 76)) ('eIF2alpha', 'Gene', '83939', (18, 27)) ('phosphorylation', 'biological_process', 'GO:0016310', ('28', '43')) 16610 22216185 4E-binding proteins (4E-BPs) are inhibitory factors preventing eIF4F formation by binding eIF4E and replacing eIF4G. ('binding', 'molecular_function', 'GO:0005488', ('82', '89')) ('formation', 'biological_process', 'GO:0009058', ('69', '78')) ('eIF4', 'cellular_component', 'GO:0008304', ('110', '114')) ('eIF4', 'cellular_component', 'GO:0008304', ('90', '94')) ('eIF4E', 'Gene', (90, 95)) ('eIF4F', 'Gene', (63, 68)) ('eIF4G', 'Gene', (110, 115)) ('eIF4F', 'Gene', '1981', (63, 68)) ('eIF4G', 'Gene', '1981', (110, 115)) ('eIF4F', 'cellular_component', 'GO:0016281', ('63', '68')) ('binding', 'molecular_function', 'GO:0005488', ('3', '10')) ('binding', 'Interaction', (82, 89)) ('replacing', 'Var', (100, 109)) ('eIF4E', 'Gene', '1977', (90, 95)) 16621 22216185 Although the exact mechanism by which eIF4E phosphorylation affects translation is unclear, it may increase affinity of eIF4E for the mRNA cap structure and for eIF4G. ('affinity', 'Interaction', (108, 116)) ('eIF4E', 'Gene', (38, 43)) ('phosphorylation', 'biological_process', 'GO:0016310', ('44', '59')) ('eIF4G', 'Gene', '1981', (161, 166)) ('affects', 'Reg', (60, 67)) ('eIF4E', 'Gene', '1977', (120, 125)) ('translation', 'biological_process', 'GO:0006412', ('68', '79')) ('eIF4', 'cellular_component', 'GO:0008304', ('161', '165')) ('phosphorylation', 'Var', (44, 59)) ('eIF4', 'cellular_component', 'GO:0008304', ('120', '124')) ('translation', 'MPA', (68, 79)) ('increase', 'PosReg', (99, 107)) ('eIF4E', 'Gene', '1977', (38, 43)) ('eIF4', 'cellular_component', 'GO:0008304', ('38', '42')) ('eIF4E', 'Gene', (120, 125)) ('cap', 'Chemical', '-', (139, 142)) ('mRNA', 'Protein', (134, 138)) ('eIF4G', 'Gene', (161, 166)) 16623 22216185 Recently, others and we described the relative insensitivity of several cancer cell lines and patients to the action of rapalogues; the insensitivity was linked to mutations in the Ras pathway. ('patients', 'Species', '9606', (94, 102)) ('cancer', 'Phenotype', 'HP:0002664', (72, 78)) ('cancer', 'Disease', 'MESH:D009369', (72, 78)) ('Ras pathway', 'Pathway', (181, 192)) ('linked', 'Reg', (154, 160)) ('mutations', 'Var', (164, 173)) ('cancer', 'Disease', (72, 78)) 16628 22216185 eIF6 depletion results in impaired translation, upon insulin stimulation. ('insulin', 'Gene', (53, 60)) ('depletion', 'Var', (5, 14)) ('insulin', 'Gene', '3630', (53, 60)) ('eIF6', 'Gene', '3692', (0, 4)) ('eIF6', 'Gene', (0, 4)) ('impaired', 'NegReg', (26, 34)) ('translation', 'biological_process', 'GO:0006412', ('35', '46')) ('insulin', 'molecular_function', 'GO:0016088', ('53', '60')) ('translation', 'MPA', (35, 46)) 16661 22216185 Coadministration of rapamycin and U0126 led to the complete dephosphorylation of ERK1/2, but not of eIF4E. ('eIF4E', 'Gene', (100, 105)) ('U0126', 'Chemical', 'MESH:C113580', (34, 39)) ('ERK1/2', 'Gene', '5595;5594', (81, 87)) ('U0126', 'Var', (34, 39)) ('rapamycin', 'Chemical', 'MESH:D020123', (20, 29)) ('eIF4', 'cellular_component', 'GO:0008304', ('100', '104')) ('dephosphorylation', 'MPA', (60, 77)) ('ERK1', 'molecular_function', 'GO:0004707', ('81', '85')) ('ERK1/2', 'Gene', (81, 87)) ('eIF4E', 'Gene', '1977', (100, 105)) ('dephosphorylation', 'biological_process', 'GO:0016311', ('60', '77')) 16666 22216185 mTOR kinase inhibition was performed with PP242, an inhibitor that targets the ATP binding domain, blocking both mTORc1 and mTORc2 signalling. ('ATP binding', 'molecular_function', 'GO:0005524', ('79', '90')) ('mTOR', 'Gene', '2475', (124, 128)) ('mTORc1', 'Gene', '382056', (113, 119)) ('PP242', 'Chemical', 'MESH:C572919', (42, 47)) ('mTORc2', 'cellular_component', 'GO:0031932', ('124', '130')) ('mTOR', 'Gene', (124, 128)) ('signalling', 'biological_process', 'GO:0023052', ('131', '141')) ('ATP', 'Chemical', 'MESH:D000255', (79, 82)) ('mTOR', 'Gene', (113, 117)) ('mTORc2', 'Gene', '74343', (124, 130)) ('mTOR', 'Gene', '2475', (113, 117)) ('mTORc1', 'cellular_component', 'GO:0031931', ('113', '119')) ('PP242', 'Var', (42, 47)) ('mTORc2', 'Gene', (124, 130)) ('mTOR', 'Gene', '2475', (0, 4)) ('blocking', 'NegReg', (99, 107)) ('mTOR', 'Gene', (0, 4)) ('mTORc1', 'Gene', (113, 119)) 16667 22216185 We treated cells with PP242 and tested the phosphorylation of mTORc1 and mTORCc2 downstream effectors. ('mTOR', 'Gene', '2475', (73, 77)) ('mTOR', 'Gene', '2475', (62, 66)) ('tested', 'Reg', (32, 38)) ('mTOR', 'Gene', (73, 77)) ('mTOR', 'Gene', (62, 66)) ('phosphorylation', 'MPA', (43, 58)) ('PP242', 'Var', (22, 27)) ('mTORc1', 'Gene', (62, 68)) ('phosphorylation', 'biological_process', 'GO:0016310', ('43', '58')) ('mTORc1', 'Gene', '382056', (62, 68)) ('mTORc1', 'cellular_component', 'GO:0031931', ('62', '68')) ('PP242', 'Chemical', 'MESH:C572919', (22, 27)) 16669 22216185 Then we measured methionine incorporation in REN cells treated with different concentration of PP242, both at the EC50 of the compound and 100 times more concentrated. ('methionine incorporation', 'MPA', (17, 41)) ('REN', 'Gene', '5972', (45, 48)) ('REN', 'Gene', (45, 48)) ('PP242', 'Var', (95, 100)) ('methionine', 'Chemical', 'MESH:D008715', (17, 27)) ('PP242', 'Chemical', 'MESH:C572919', (95, 100)) 16670 22216185 Surprisingly, methionine incorporation was unaffected by PP242 treatment (Fig. ('methionine', 'Chemical', 'MESH:D008715', (14, 24)) ('PP242', 'Chemical', 'MESH:C572919', (57, 62)) ('PP242', 'Var', (57, 62)) ('methionine incorporation', 'MPA', (14, 38)) 16675 22216185 The effect of Mnk/MAPK inhibition was subtle; U0126 did not affect 4E-BP1 binding to eIF4E, but caused a minimal decrease of eIF4G binding (Fig. ('Mnk', 'Gene', (14, 17)) ('decrease', 'NegReg', (113, 121)) ('eIF4', 'cellular_component', 'GO:0008304', ('125', '129')) ('U0126', 'Chemical', 'MESH:C113580', (46, 51)) ('eIF4E', 'Gene', '1977', (85, 90)) ('4E-BP1', 'Gene', (67, 73)) ('binding', 'molecular_function', 'GO:0005488', ('74', '81')) ('eIF4G', 'Gene', (125, 130)) ('eIF4G', 'Gene', '1981', (125, 130)) ('binding', 'Interaction', (131, 138)) ('eIF4', 'cellular_component', 'GO:0008304', ('85', '89')) ('Mnk', 'Gene', '538', (14, 17)) ('eIF4E', 'Gene', (85, 90)) ('eIF4G binding', 'molecular_function', 'GO:0031370', ('125', '138')) ('4E-BP1', 'Gene', '1978', (67, 73)) ('U0126', 'Var', (46, 51)) ('MAPK', 'molecular_function', 'GO:0004707', ('18', '22')) 16676 22216185 mTORc1 and mTORc2 inhibition by PP242 strongly affects the cap complex assembly of initiation factors (Fig. ('inhibition', 'NegReg', (18, 28)) ('mTORc2', 'Gene', '74343', (11, 17)) ('PP242', 'Var', (32, 37)) ('cap', 'Chemical', '-', (59, 62)) ('mTORc1', 'Gene', (0, 6)) ('affects', 'Reg', (47, 54)) ('initiation', 'Protein', (83, 93)) ('mTORc2', 'Gene', (11, 17)) ('mTORc1', 'Gene', '382056', (0, 6)) ('mTORc1', 'cellular_component', 'GO:0031931', ('0', '6')) ('mTORc2', 'cellular_component', 'GO:0031932', ('11', '17')) ('PP242', 'Chemical', 'MESH:C572919', (32, 37)) ('cap complex assembly', 'MPA', (59, 79)) 16681 22216185 Briefly, we found a slight decrease in polysomal distribution of TOP mRNA in cells treated with rapamycin and PP242 (Fig. ('polysomal distribution', 'MPA', (39, 61)) ('decrease', 'NegReg', (27, 35)) ('PP242', 'Chemical', 'MESH:C572919', (110, 115)) ('TOP', 'Protein', (65, 68)) ('rapamycin', 'Chemical', 'MESH:D020123', (96, 105)) ('PP242', 'Var', (110, 115)) 16692 22216185 The overexpression of 4E-BP1 wt or mutated did not affect caspase 3 activation (Fig. ('mutated', 'Var', (35, 42)) ('caspase 3', 'Gene', (58, 67)) ('activation', 'MPA', (68, 78)) ('caspase 3', 'Gene', '836', (58, 67)) ('4E-BP1', 'Gene', (22, 28)) ('4E-BP1', 'Gene', '1978', (22, 28)) 16697 22216185 So far we have shown that REN cells have an impairment of cap complex formation, but not global reduction of translation, upon mTOR inhibition. ('cap', 'Chemical', '-', (58, 61)) ('cap complex formation', 'MPA', (58, 79)) ('REN', 'Gene', (26, 29)) ('translation', 'biological_process', 'GO:0006412', ('109', '120')) ('formation', 'biological_process', 'GO:0009058', ('70', '79')) ('mTOR', 'Gene', (127, 131)) ('mTOR', 'Gene', '2475', (127, 131)) ('inhibition', 'Var', (132, 142)) ('REN', 'Gene', '5972', (26, 29)) 16727 22216185 A more intriguing possibility exists: it was recently shown that mTOR inactivation in the heart led to 4E-BP upregulation. ('mTOR', 'Gene', (65, 69)) ('mTOR', 'Gene', '2475', (65, 69)) ('upregulation', 'PosReg', (109, 121)) ('inactivation', 'Var', (70, 82)) ('4E-BP', 'MPA', (103, 108)) 16731 22216185 Moreover, when we blocked TOR kinase activity with PP242, leading to a complete inhibition of both mTORc1 and mTORc2, even at 100 microM, where PP242 has been reported to aspecifically block PI3K/Akt pathway, the global rate of translation was not affected, after short term treatment. ('inhibition', 'NegReg', (80, 90)) ('mTORc1', 'cellular_component', 'GO:0031931', ('99', '105')) ('PP242', 'Chemical', 'MESH:C572919', (51, 56)) ('TOR', 'Gene', '6097', (26, 29)) ('Akt', 'Gene', (196, 199)) ('mTORc1', 'Gene', (99, 105)) ('PP242', 'Chemical', 'MESH:C572919', (144, 149)) ('mTORc1', 'Gene', '382056', (99, 105)) ('Akt', 'Gene', '207', (196, 199)) ('translation', 'biological_process', 'GO:0006412', ('228', '239')) ('TOR', 'Gene', (26, 29)) ('mTORc2', 'cellular_component', 'GO:0031932', ('110', '116')) ('block', 'NegReg', (185, 190)) ('PP242', 'Var', (51, 56)) ('TOR', 'Gene', '6097', (111, 114)) ('kinase activity', 'molecular_function', 'GO:0016301', ('30', '45')) ('mTORc2', 'Gene', '74343', (110, 116)) ('PI3K', 'molecular_function', 'GO:0016303', ('191', '195')) ('PP242', 'Var', (144, 149)) ('TOR', 'Gene', '6097', (100, 103)) ('TOR', 'Gene', (111, 114)) ('mTORc2', 'Gene', (110, 116)) ('TOR', 'Gene', (100, 103)) 16732 22216185 We previously found that the sensitivity of the translational apparatus to pharmacological inhibition with Everolimus, a rapamycin analogue, was linked to mutations in the Ras pathway. ('Everolimus', 'Chemical', 'MESH:D000068338', (107, 117)) ('mutations', 'Var', (155, 164)) ('linked', 'Reg', (145, 151)) ('Ras pathway', 'Pathway', (172, 183)) ('rapamycin', 'Chemical', 'MESH:D020123', (121, 130)) 16734 22216185 Even if ERK1/2 was constitutively activated in REN cells, the inhibition of either this pathway trough U0126 drug or Mnk1 inhibition, had a modest role on the general level of translation. ('REN', 'Gene', '5972', (47, 50)) ('U0126', 'Chemical', 'MESH:C113580', (103, 108)) ('translation', 'biological_process', 'GO:0006412', ('176', '187')) ('ERK1/2', 'Gene', (8, 14)) ('ERK1', 'molecular_function', 'GO:0004707', ('8', '12')) ('inhibition', 'NegReg', (122, 132)) ('ERK1/2', 'Gene', '5595;5594', (8, 14)) ('U0126', 'Var', (103, 108)) ('Mnk1', 'Gene', (117, 121)) ('REN', 'Gene', (47, 50)) ('Mnk1', 'Gene', '8569', (117, 121)) 16737 22216185 This interpretation is backed up by the observation that increasing 4E-BP1 or lowering eIF4E results in a more rapid inhibition of translation by rapamycin; 2) in principle, oncogenic activation by Ras, PI3K or Myc may alter by a transcriptional mechanism the sensitivity of the translational machinery to pharmacological inhibition. ('eIF4E', 'Gene', (87, 92)) ('translation', 'biological_process', 'GO:0006412', ('131', '142')) ('4E-BP1', 'Gene', '1978', (68, 74)) ('lowering', 'NegReg', (78, 86)) ('PI3K', 'Var', (203, 207)) ('eIF4', 'cellular_component', 'GO:0008304', ('87', '91')) ('alter', 'Reg', (219, 224)) ('PI3K', 'molecular_function', 'GO:0016303', ('203', '207')) ('4E-BP1', 'Gene', (68, 74)) ('eIF4E', 'Gene', '1977', (87, 92)) ('Myc', 'Gene', '4609', (211, 214)) ('Myc', 'Gene', (211, 214)) ('rapamycin', 'Chemical', 'MESH:D020123', (146, 155)) ('sensitivity', 'MPA', (260, 271)) 16743 22216185 In consideration of the data that we presented, showing that inhibition of signaling pathways may not always affect translation of cancer cells, it may be more fruitful to directly inhibit the association of initiation factors. ('cancer', 'Disease', (131, 137)) ('inhibition', 'Var', (61, 71)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('signaling', 'biological_process', 'GO:0023052', ('75', '84')) ('translation', 'biological_process', 'GO:0006412', ('116', '127')) ('affect', 'Reg', (109, 115)) ('association', 'Interaction', (193, 204)) ('inhibit', 'NegReg', (181, 188)) ('cancer', 'Disease', 'MESH:D009369', (131, 137)) 16853 32690771 Immune-competent mice with subcutaneously or orthotopically growing KrasG12D/+;Trp53R172H/+;Pdx-1-Cre (KPC) PDAC tumors were vaccinated with syngeneic bone marrow-derived DCs loaded with either pancreatic cancer (KPC) or mesothelioma (AE17) lysate and consequently treated with FGK45 (CD40 agonist). ('Trp53', 'Gene', (79, 84)) ('mice', 'Species', '10090', (17, 21)) ('pancreatic cancer', 'Phenotype', 'HP:0002894', (194, 211)) ('tumors', 'Disease', (113, 119)) ('Pdx-1', 'Gene', '18609', (92, 97)) ('PDAC', 'Chemical', '-', (108, 112)) ('tumors', 'Disease', 'MESH:D009369', (113, 119)) ('tumors', 'Phenotype', 'HP:0002664', (113, 119)) ('KrasG12D/+', 'Var', (68, 78)) ('Trp53', 'Gene', '22059', (79, 84)) ('pancreatic cancer', 'Disease', 'MESH:D010190', (194, 211)) ('mesothelioma', 'Disease', (221, 233)) ('Pdx-1', 'Gene', (92, 97)) ('pancreatic cancer', 'Disease', (194, 211)) ('cancer', 'Phenotype', 'HP:0002664', (205, 211)) ('PDAC', 'Phenotype', 'HP:0006725', (108, 112)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) ('mesothelioma', 'Disease', 'MESH:D008654', (221, 233)) 16855 32690771 Extensive analysis of the TME showed that anti-CD40 monotherapy did improve CD8 +T cell infiltration, but these essential effector cells displayed hallmarks of exhaustion, including PD-1, TIM-3 and NKG2A. ('NKG2A', 'Gene', '16641', (198, 203)) ('TIM-3', 'Gene', (188, 193)) ('CD8', 'Gene', (76, 79)) ('improve', 'PosReg', (68, 75)) ('TIM-3', 'Gene', '171285', (188, 193)) ('PD-1', 'Gene', '18566', (182, 186)) ('PD-1', 'Gene', (182, 186)) ('NKG2A', 'Gene', (198, 203)) ('anti-CD40', 'Var', (42, 51)) ('CD8', 'Gene', '925', (76, 79)) 16893 32690771 Higher frequencies of intratumoral CD4+ and CD8+T cells were noted, paralleling the delayed tumor growth observed after vaccination (figure 1G). ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('CD8', 'Gene', (44, 47)) ('CD8', 'Gene', '925', (44, 47)) ('tumor', 'Disease', (27, 32)) ('tumor', 'Disease', 'MESH:D009369', (92, 97)) ('delayed tumor', 'Disease', (84, 97)) ('tumor', 'Phenotype', 'HP:0002664', (92, 97)) ('CD4+', 'Var', (35, 39)) ('tumor', 'Disease', (92, 97)) ('delayed tumor', 'Disease', 'MESH:D009369', (84, 97)) ('tumor', 'Disease', 'MESH:D009369', (27, 32)) 16905 32690771 The lack of increased T-cell infiltration found in established tumors in the presence of a systemic immune response suggested that the PDAC TME might physically obstruct T cells from infiltrating the tumor. ('tumor', 'Disease', (63, 68)) ('tumor', 'Disease', 'MESH:D009369', (200, 205)) ('PDAC', 'Phenotype', 'HP:0006725', (135, 139)) ('tumor', 'Phenotype', 'HP:0002664', (200, 205)) ('T cells', 'CPA', (170, 177)) ('increased T-cell', 'Phenotype', 'HP:0100828', (12, 28)) ('tumors', 'Phenotype', 'HP:0002664', (63, 69)) ('PDAC', 'Var', (135, 139)) ('tumor', 'Disease', (200, 205)) ('obstruct', 'NegReg', (161, 169)) ('tumors', 'Disease', (63, 69)) ('tumors', 'Disease', 'MESH:D009369', (63, 69)) ('PDAC', 'Chemical', '-', (135, 139)) ('tumor', 'Disease', 'MESH:D009369', (63, 68)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('immune response', 'biological_process', 'GO:0006955', ('100', '115')) 16908 32690771 Interestingly, alphaCD40 combined with DC vaccination resulted in significant tumor growth control when compared with untreated mice while monotherapy DC or alphaCD40 did not (online supplementary figure S6b). ('alphaCD40', 'Chemical', '-', (15, 24)) ('tumor', 'Disease', 'MESH:D009369', (78, 83)) ('alphaCD40', 'Chemical', '-', (157, 166)) ('tumor', 'Phenotype', 'HP:0002664', (78, 83)) ('mice', 'Species', '10090', (128, 132)) ('tumor', 'Disease', (78, 83)) ('alphaCD40', 'Var', (15, 24)) 16909 32690771 alphaCD40 monotherapy was able to induce systemic and intratumoral responses (online supplementary figure S6c-f). ('alphaCD40', 'Var', (0, 9)) ('tumor', 'Disease', (59, 64)) ('alphaCD40', 'Chemical', '-', (0, 9)) ('tumor', 'Disease', 'MESH:D009369', (59, 64)) ('tumor', 'Phenotype', 'HP:0002664', (59, 64)) 16912 32690771 In this experimental setup, tumor growth and survival of mice treated with monotherapy DC vaccination or alphaCD40 also did not significantly differ from untreated tumor-bearing mice (figure 3B-D and online supplementary figure S8). ('alphaCD40', 'Var', (105, 114)) ('mice', 'Species', '10090', (57, 61)) ('tumor', 'Disease', (164, 169)) ('tumor', 'Disease', (28, 33)) ('mice', 'Species', '10090', (178, 182)) ('alphaCD40', 'Chemical', '-', (105, 114)) ('tumor', 'Disease', 'MESH:D009369', (164, 169)) ('tumor', 'Disease', 'MESH:D009369', (28, 33)) ('tumor', 'Phenotype', 'HP:0002664', (164, 169)) ('tumor', 'Phenotype', 'HP:0002664', (28, 33)) 16915 32690771 Antitumoral efficacy was retained in alphaCD4 and isotype-treated mice receiving DC vaccination and alphaCD40 (figure 3E-G). ('tumor', 'Disease', (4, 9)) ('mice', 'Species', '10090', (66, 70)) ('alphaCD40', 'Var', (100, 109)) ('tumor', 'Disease', 'MESH:D009369', (4, 9)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) ('alphaCD40', 'Chemical', '-', (100, 109)) 16920 32690771 Interim peripheral blood analysis demonstrated that both monotherapy DC vaccination and alphaCD40 treatment induced higher frequencies of CD69+, Ki-67+ and PD-1 +T cells. ('alphaCD40', 'Gene', (88, 97)) ('higher', 'PosReg', (116, 122)) ('alphaCD40', 'Chemical', '-', (88, 97)) ('Ki-67', 'Gene', (145, 150)) ('CD69+', 'Var', (138, 143)) ('PD-1', 'Gene', '18566', (156, 160)) ('PD-1', 'Gene', (156, 160)) ('Ki-67', 'Gene', '17345', (145, 150)) 16922 32690771 Combination therapy induced higher frequencies of CD69+, Ki-67+ and PD-1+ for both CD4+ and CD8+T cells. ('PD-1', 'Gene', '18566', (68, 72)) ('CD8', 'Gene', (92, 95)) ('CD69+', 'Var', (50, 55)) ('CD8', 'Gene', '925', (92, 95)) ('Ki-67', 'Gene', '17345', (57, 62)) ('Ki-67', 'Gene', (57, 62)) ('PD-1', 'Gene', (68, 72)) 16927 32690771 The enrichment of effector memory T-cell frequencies was less prominent after single DC vaccination and subsequent alphaCD40 treatment (online supplementary figure S6d), promoting the role of multiple vaccinations. ('alphaCD40', 'Var', (115, 124)) ('alphaCD40', 'Chemical', '-', (115, 124)) ('promoting', 'PosReg', (170, 179)) ('memory', 'biological_process', 'GO:0007613', ('27', '33')) 16936 32690771 In line with these findings, gene-set enrichment analysis (GSEA) revealed that gene transcripts associated with T-cell exhaustion were significantly enriched in tumors of alphaCD40 therapy treated mice compared with combination therapy treated animals (online supplementary figure S14a). ('tumors', 'Disease', (161, 167)) ('tumors', 'Phenotype', 'HP:0002664', (161, 167)) ('tumors', 'Disease', 'MESH:D009369', (161, 167)) ('alphaCD40', 'Chemical', '-', (171, 180)) ('alphaCD40 therapy', 'Var', (171, 188)) ('T-cell exhaustion', 'Phenotype', 'HP:0005435', (112, 129)) ('tumor', 'Phenotype', 'HP:0002664', (161, 166)) ('mice', 'Species', '10090', (197, 201)) ('GSEA', 'Chemical', '-', (59, 63)) 16940 32690771 Furthermore, we also found lower expression of genes related to various collagen markers and 'M2' phenotype macrophages after alphaCD40 therapy indicating TME remodeling. ('alphaCD40', 'Var', (126, 135)) ('collagen', 'molecular_function', 'GO:0005202', ('72', '80')) ('lower', 'NegReg', (27, 32)) ('alphaCD40', 'Chemical', '-', (126, 135)) ('expression of genes', 'MPA', (33, 52)) 16943 32690771 Strikingly, high mRNA expression of genes related to glycolysis were detected in tumors after combination therapy as compared with alphaCD40 monotherapy (figure 6A). ('tumors', 'Disease', (81, 87)) ('high', 'PosReg', (12, 16)) ('tumors', 'Disease', 'MESH:D009369', (81, 87)) ('combination therapy', 'Var', (94, 113)) ('glycolysis', 'biological_process', 'GO:0006096', ('53', '63')) ('mRNA expression', 'MPA', (17, 32)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('tumors', 'Phenotype', 'HP:0002664', (81, 87)) ('alphaCD40', 'Chemical', '-', (131, 140)) 16944 32690771 A glycolysis GSEA indeed revealed higher activity in the combination therapy treated mice compared with alphaCD40 treated mice (online supplementary figure S14b). ('mice', 'Species', '10090', (85, 89)) ('alphaCD40', 'Chemical', '-', (104, 113)) ('mice', 'Species', '10090', (122, 126)) ('higher', 'PosReg', (34, 40)) ('glycolysis', 'biological_process', 'GO:0006096', ('2', '12')) ('GSEA', 'Chemical', '-', (13, 17)) ('combination', 'Var', (57, 68)) ('activity', 'MPA', (41, 49)) 16945 32690771 Combination therapy was also able to significantly upregulate expression of Vegfa, adm and Flt1 compared with alphaCD40 treated mice (online supplementary figure S13). ('alphaCD40', 'Chemical', '-', (110, 119)) ('Flt1', 'Gene', '14254', (91, 95)) ('Combination', 'Var', (0, 11)) ('expression', 'MPA', (62, 72)) ('Vegfa', 'Gene', '22339', (76, 81)) ('mice', 'Species', '10090', (128, 132)) ('adm', 'Gene', (83, 86)) ('Flt1', 'Gene', (91, 95)) ('Vegfa', 'Gene', (76, 81)) ('upregulate', 'PosReg', (51, 61)) 16955 32690771 Recently, targeting NKG2A on T cells has been described as a novel approach to promote antitumor immunity and has been linked to T-cell dysfunction. ('NKG2A', 'Gene', (20, 25)) ('NKG2A', 'Gene', '16641', (20, 25)) ('tumor', 'Disease', 'MESH:D009369', (91, 96)) ('tumor', 'Phenotype', 'HP:0002664', (91, 96)) ('promote', 'PosReg', (79, 86)) ('targeting', 'Var', (10, 19)) ('T-cell dysfunction', 'Phenotype', 'HP:0005435', (129, 147)) ('tumor', 'Disease', (91, 96)) ('linked', 'Reg', (119, 125)) ('T-cell dysfunction', 'Disease', (129, 147)) 16956 32690771 Interestingly, alphaCD40 induced the highest numbers of NKG2A+CD8+TILs compared with combination therapy arm (figure 6B). ('alphaCD40', 'Chemical', '-', (15, 24)) ('NKG2A', 'Gene', (56, 61)) ('CD8', 'Gene', (62, 65)) ('CD8', 'Gene', '925', (62, 65)) ('NKG2A', 'Gene', '16641', (56, 61)) ('alphaCD40', 'Var', (15, 24)) 16957 32690771 Moreover, although alphaCD40 therapy increased TIL numbers, the frequencies of proliferating TILs were lower compared with untreated mice suggesting that this is not explained by local expansion, but enhanced infiltration (figure 6C). ('mice', 'Species', '10090', (133, 137)) ('alphaCD40', 'Chemical', '-', (19, 28)) ('alphaCD40 therapy', 'Var', (19, 36)) ('lower', 'NegReg', (103, 108)) ('infiltration', 'CPA', (209, 221)) ('TIL', 'CPA', (47, 50)) ('increased', 'PosReg', (37, 46)) ('enhanced', 'PosReg', (200, 208)) 16969 32690771 alphaCD40 therapy may, therefore, also activate endogenous DCs that present tumor antigens and contribute to a monotherapy effect. ('endogenous DCs', 'MPA', (48, 62)) ('monotherapy', 'MPA', (111, 122)) ('tumor', 'Phenotype', 'HP:0002664', (76, 81)) ('tumor', 'Disease', (76, 81)) ('alphaCD40', 'Chemical', '-', (0, 9)) ('alphaCD40 therapy', 'Var', (0, 17)) ('present', 'MPA', (68, 75)) ('tumor', 'Disease', 'MESH:D009369', (76, 81)) ('activate', 'PosReg', (39, 47)) 16970 32690771 Also, Schoenberger and Bennett et al demonstrated that CD40-activated APCs might replace the requirement for CD4 +T helper-mediated licensing, thereby lowering the threshold for CD8 +effector T-cell priming. ('APCs', 'Gene', '20219', (70, 74)) ('CD8', 'Gene', (178, 181)) ('CD8', 'Gene', '925', (178, 181)) ('lowering', 'NegReg', (151, 159)) ('CD40-activated', 'Var', (55, 69)) ('APCs', 'Gene', (70, 74)) 16971 32690771 Alternatively, CD40 ligation may also license delivered DCs, thereby enhancing their capacity to prime CD8 +T cells. ('CD40 ligation', 'Var', (15, 28)) ('enhancing', 'PosReg', (69, 78)) ('delivered DCs', 'MPA', (46, 59)) ('CD8', 'Gene', (103, 106)) ('CD8', 'Gene', '925', (103, 106)) 16972 32690771 Indeed, when bone marrow-derived DCs were treated with alphaCD40, increased IL-12 production could be detected (online supplementary figure S18). ('IL-12', 'molecular_function', 'GO:0005143', ('76', '81')) ('increased', 'PosReg', (66, 75)) ('IL-12 production', 'MPA', (76, 92)) ('alphaCD40', 'Chemical', '-', (55, 64)) ('alphaCD40', 'Var', (55, 64)) ('IL-12 production', 'biological_process', 'GO:0032615', ('76', '92')) ('increased IL-12 production', 'Phenotype', 'HP:0030783', (66, 92)) 16973 32690771 Furthermore, alphaCD40 therapy can also directly modulate the TME: targeting CD40 on macrophages can lead to phenotypic polarization from immunosuppressive 'M2' into inflammatory 'M1' macrophages, the latter being tumoricidal and capable of ablating tumor stroma. ('targeting', 'Var', (67, 76)) ('tumor', 'Disease', 'MESH:D009369', (214, 219)) ('tumor', 'Disease', 'MESH:D009369', (250, 255)) ('tumor', 'Phenotype', 'HP:0002664', (214, 219)) ('lead to', 'Reg', (101, 108)) ('tumor', 'Phenotype', 'HP:0002664', (250, 255)) ('tumor', 'Disease', (214, 219)) ('tumor stroma', 'Disease', (250, 262)) ('alphaCD40', 'Chemical', '-', (13, 22)) ('CD40', 'Gene', (77, 81)) ('tumor stroma', 'Disease', 'MESH:D009369', (250, 262)) ('tumor', 'Disease', (250, 255)) ('phenotypic polarization', 'MPA', (109, 132)) 16974 32690771 In line with this thought, our mRNA expression data and histochemical staining on tumors confirmed decreased collagen content after alphaCD40 mono and combination therapy (figure 6A). ('alphaCD40', 'Chemical', '-', (132, 141)) ('collagen', 'molecular_function', 'GO:0005202', ('109', '117')) ('decreased', 'NegReg', (99, 108)) ('combination', 'Var', (151, 162)) ('tumors', 'Disease', (82, 88)) ('tumors', 'Disease', 'MESH:D009369', (82, 88)) ('tumors', 'Phenotype', 'HP:0002664', (82, 88)) ('decreased collagen content', 'Phenotype', 'HP:0030095', (99, 125)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('alphaCD40', 'Var', (132, 141)) ('collagen content', 'MPA', (109, 125)) 16975 32690771 Also, lower expression of mRNA levels related to M2 macrophages was found in tumors of mice treated with alphaCD40 (figure 6A). ('tumors', 'Disease', (77, 83)) ('alphaCD40', 'Var', (105, 114)) ('tumors', 'Disease', 'MESH:D009369', (77, 83)) ('lower', 'NegReg', (6, 11)) ('tumors', 'Phenotype', 'HP:0002664', (77, 83)) ('mice', 'Species', '10090', (87, 91)) ('mRNA levels', 'MPA', (26, 37)) ('alphaCD40', 'Chemical', '-', (105, 114)) ('tumor', 'Phenotype', 'HP:0002664', (77, 82)) ('expression', 'MPA', (12, 22)) 16977 32690771 It has been found that CSF-1 inhibition leads to desmoplasia depletion and sensitizes pancreatic cancer to immune checkpoint blockade therapy. ('desmoplasia depletion', 'MPA', (49, 70)) ('CSF-1', 'Gene', (23, 28)) ('CSF-1', 'molecular_function', 'GO:0005011', ('23', '28')) ('pancreatic cancer', 'Disease', (86, 103)) ('sensitizes', 'Reg', (75, 85)) ('pancreatic cancer', 'Disease', 'MESH:D010190', (86, 103)) ('cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('CSF-1', 'Gene', '12977', (23, 28)) ('leads to', 'Reg', (40, 48)) ('inhibition', 'Var', (29, 39)) ('pancreatic cancer', 'Phenotype', 'HP:0002894', (86, 103)) 16978 32690771 We were able to show lower Csf1 mRNA levels in tumors after alphaCD40 therapy and combination therapy (figure 6A). ('tumors', 'Disease', (47, 53)) ('tumors', 'Disease', 'MESH:D009369', (47, 53)) ('alphaCD40 therapy', 'Var', (60, 77)) ('lower', 'NegReg', (21, 26)) ('alphaCD40', 'Chemical', '-', (60, 69)) ('Csf1', 'Gene', '12977', (27, 31)) ('Csf1', 'molecular_function', 'GO:0005011', ('27', '31')) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('Csf1', 'Gene', (27, 31)) ('tumors', 'Phenotype', 'HP:0002664', (47, 53)) ('combination', 'Var', (82, 93)) 16979 32690771 A recently reported combination therapy involving alphaCD40 and alphaPD-1 therapy showed promising results in preclinical PDAC models, and demonstrated that therapy reprograms the TME resulting in the increase of DCs and decrease of granulocytic-MDSCs. ('PDAC', 'Chemical', '-', (122, 126)) ('increase', 'PosReg', (201, 209)) ('alphaCD40', 'Chemical', '-', (50, 59)) ('PD-1', 'Gene', '18566', (69, 73)) ('granulocytic-MDSCs', 'MPA', (233, 251)) ('PD-1', 'Gene', (69, 73)) ('PDAC', 'Phenotype', 'HP:0006725', (122, 126)) ('alphaCD40', 'Var', (50, 59)) ('DCs', 'MPA', (213, 216)) ('decrease', 'NegReg', (221, 229)) 16990 32690771 In addition, KLRG1hiIL7rlo CD8 +T cells have previously been described as dysfunctional. ('dysfunctional', 'Disease', 'MESH:D009461', (74, 87)) ('KLRG1hiIL7rlo', 'Var', (13, 26)) ('CD8', 'Gene', (27, 30)) ('CD8', 'Gene', '925', (27, 30)) ('dysfunctional', 'Disease', (74, 87)) 16991 32690771 We found that monotherapy with alphaCD40 induced higher expression of Klrg1 but not Il7r, whereas DC vaccination increased the levels of both Klrg1 and Il7r. ('Klrg1', 'Gene', (70, 75)) ('Il7r', 'Gene', (84, 88)) ('Il7r', 'Gene', '16197', (84, 88)) ('Klrg1', 'Gene', '50928', (142, 147)) ('Klrg1', 'Gene', '50928', (70, 75)) ('Il7r', 'molecular_function', 'GO:0004917', ('84', '88')) ('alphaCD40', 'Var', (31, 40)) ('expression', 'MPA', (56, 66)) ('Il7r', 'molecular_function', 'GO:0004917', ('152', '156')) ('Il7r', 'Gene', '16197', (152, 156)) ('alphaCD40', 'Chemical', '-', (31, 40)) ('higher', 'PosReg', (49, 55)) ('Il7r', 'Gene', (152, 156)) ('Klrg1', 'Gene', (142, 147)) 16994 32690771 We found that combination DC and alphaCD40 therapy indeed induced higher Cxcr5 expression in the tumor compared with other groups. ('tumor', 'Disease', 'MESH:D009369', (97, 102)) ('alphaCD40', 'Chemical', '-', (33, 42)) ('Cxcr5', 'Gene', '12145', (73, 78)) ('tumor', 'Phenotype', 'HP:0002664', (97, 102)) ('tumor', 'Disease', (97, 102)) ('alphaCD40', 'Var', (33, 42)) ('higher', 'PosReg', (66, 72)) ('Cxcr5', 'Gene', (73, 78)) 16995 32690771 Flow cytometry analysis confirmed the reduced expression of various inhibitory markers on CD8 +TILs derived from combination therapy-treated mice compared with alphaCD40-treated mice. ('alphaCD40', 'Chemical', '-', (160, 169)) ('reduced', 'NegReg', (38, 45)) ('mice', 'Species', '10090', (178, 182)) ('CD8', 'Gene', (90, 93)) ('mice', 'Species', '10090', (141, 145)) ('expression', 'MPA', (46, 56)) ('CD8', 'Gene', '925', (90, 93)) ('combination', 'Var', (113, 124)) 17005 32690771 Currently, several studies with combination strategies incorporating CD40 agonists in PDAC patients are ongoing and recruiting (NCT03214250; NCT02588443; NCT03329950). ('patients', 'Species', '9606', (91, 99)) ('NCT03214250;', 'Var', (128, 140)) ('PDAC', 'Chemical', '-', (86, 90)) ('CD40', 'Protein', (69, 73)) ('PDAC', 'Disease', (86, 90)) ('PDAC', 'Phenotype', 'HP:0006725', (86, 90)) 17012 32690771 All mouse experiments were controlled by the animal welfare committee (IvD) of the Leiden University Medical Center (Leiden) or Erasmus University Medical Center (Rotterdam) and approved by the national central committee of animal experiments (CCD) under the permit numbers AVD116002015271 and AVD101002017867, in accordance with the Dutch Act on Animal Experimentation and European Union (EU) Directive 2010/63/EU. ('mouse', 'Species', '10090', (4, 9)) ('AVD', 'cellular_component', 'GO:0044754', ('274', '277')) ('AVD', 'cellular_component', 'GO:0044754', ('294', '297')) ('CCD', 'Disease', 'MESH:D002973', (244, 247)) ('AVD116002015271', 'Var', (274, 289)) ('CCD', 'Disease', (244, 247)) ('AVD101002017867', 'Var', (294, 309)) 17055 31443309 Additionally, the process of pathogenesis is greatly affected by activating mutations of EGFR, KRAS, PIK3CA, BRAF, MET, EML4/ALK and RET, which correlate with an increased incidence of MPE. ('ALK', 'Gene', '238', (125, 128)) ('activating', 'PosReg', (65, 75)) ('ALK', 'Gene', (125, 128)) ('PIK3CA', 'Gene', (101, 107)) ('BRAF', 'Gene', (109, 113)) ('BRAF', 'Gene', '673', (109, 113)) ('RET', 'Gene', '5979', (133, 136)) ('MPE', 'Disease', (185, 188)) ('affected', 'Reg', (53, 61)) ('EGFR', 'Gene', (89, 93)) ('KRAS', 'Gene', '3845', (95, 99)) ('PIK3CA', 'Gene', '5290', (101, 107)) ('EML4', 'Gene', (120, 124)) ('mutations', 'Var', (76, 85)) ('pathogenesis', 'biological_process', 'GO:0009405', ('29', '41')) ('RET', 'Gene', (133, 136)) ('EML4', 'Gene', '27436', (120, 124)) ('EGFR', 'molecular_function', 'GO:0005006', ('89', '93')) ('KRAS', 'Gene', (95, 99)) ('MET', 'Gene', (115, 118)) ('EGFR', 'Gene', '1956', (89, 93)) 17116 31443309 In the last decade, researchers used genome analysis of tumor cells and discovered that tumors which have activating mutations EGFR, KRAS, PIK3CA, BRAF, MET, EML4/ALK and RET are connected to increased MPE formation. ('tumor', 'Phenotype', 'HP:0002664', (56, 61)) ('EML4', 'Gene', (158, 162)) ('ALK', 'Gene', '238', (163, 166)) ('RET', 'Gene', (171, 174)) ('activating', 'PosReg', (106, 116)) ('EML4', 'Gene', '27436', (158, 162)) ('PIK3CA', 'Gene', (139, 145)) ('tumors', 'Disease', 'MESH:D009369', (88, 94)) ('ALK', 'Gene', (163, 166)) ('EGFR', 'molecular_function', 'GO:0005006', ('127', '131')) ('MPE formation', 'MPA', (202, 215)) ('tumor', 'Disease', (88, 93)) ('EGFR', 'Gene', (127, 131)) ('mutations', 'Var', (117, 126)) ('tumor', 'Disease', 'MESH:D009369', (88, 93)) ('tumor', 'Disease', (56, 61)) ('BRAF', 'Gene', (147, 151)) ('BRAF', 'Gene', '673', (147, 151)) ('KRAS', 'Gene', '3845', (133, 137)) ('tumors', 'Phenotype', 'HP:0002664', (88, 94)) ('tumor', 'Disease', 'MESH:D009369', (56, 61)) ('RET', 'Gene', '5979', (171, 174)) ('increased', 'PosReg', (192, 201)) ('PIK3CA', 'Gene', '5290', (139, 145)) ('formation', 'biological_process', 'GO:0009058', ('206', '215')) ('KRAS', 'Gene', (133, 137)) ('tumor', 'Phenotype', 'HP:0002664', (88, 93)) ('tumors', 'Disease', (88, 94)) ('EGFR', 'Gene', '1956', (127, 131)) 17117 31443309 KRAS mutations are common for distant metastases and EGFR mutations for tumors which metastasize via direct infiltration. ('mutations', 'Var', (58, 67)) ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('metastases', 'Disease', 'MESH:D009362', (38, 48)) ('mutations', 'Var', (5, 14)) ('tumors', 'Disease', (72, 78)) ('tumors', 'Disease', 'MESH:D009369', (72, 78)) ('tumors', 'Phenotype', 'HP:0002664', (72, 78)) ('EGFR', 'molecular_function', 'GO:0005006', ('53', '57')) ('common', 'Reg', (19, 25)) ('EGFR', 'Gene', '1956', (53, 57)) ('EGFR', 'Gene', (53, 57)) ('metastases', 'Disease', (38, 48)) ('KRAS', 'Gene', (0, 4)) ('KRAS', 'Gene', '3845', (0, 4)) 17118 31443309 Mutations in the primary tumor differ from metastases in MPE. ('tumor', 'Phenotype', 'HP:0002664', (25, 30)) ('tumor', 'Disease', (25, 30)) ('metastases', 'Disease', (43, 53)) ('Mutations', 'Var', (0, 9)) ('metastases', 'Disease', 'MESH:D009362', (43, 53)) ('tumor', 'Disease', 'MESH:D009369', (25, 30)) 17131 31443309 The most common biological markers are EGFR mutations and Alk translocations. ('Alk', 'Gene', '238', (58, 61)) ('Alk', 'Gene', (58, 61)) ('common', 'Reg', (9, 15)) ('mutations', 'Var', (44, 53)) ('EGFR', 'molecular_function', 'GO:0005006', ('39', '43')) ('EGFR', 'Gene', '1956', (39, 43)) ('EGFR', 'Gene', (39, 43)) 17145 31443309 According to this, we can divide BC into four types: Luminal A (positive PR and ER), luminal B (positive PR, ER and HER2), triple-negative (PR-, ER- and HER2-negative), as well as HER2 positive (PR- and ER-negative, positive HER2). ('PR-', 'Var', (195, 198)) ('HER2', 'Gene', (180, 184)) ('HER2', 'Gene', (225, 229)) ('HER2', 'Gene', (153, 157)) ('HER2', 'Gene', '2064', (180, 184)) ('HER2', 'Gene', '2064', (225, 229)) ('HER2', 'Gene', '2064', (153, 157)) ('HER2', 'Gene', (116, 120)) ('HER2', 'Gene', '2064', (116, 120)) 17175 31443309 The proposed pathophysiological mechanisms of action are: (a) Direct infiltration of the pleural space; (b) lymphatic obstruction with infiltration of pulmonal and mediastinal lymph nodes and; (c) obstruction of the ductus thoracicus, which leads to the formation of a chylothorax. ('formation', 'biological_process', 'GO:0009058', ('254', '263')) ('pleural', 'Disease', (89, 96)) ('lymphatic', 'Disease', (108, 117)) ('leads to', 'Reg', (241, 249)) ('chylothorax', 'Disease', (269, 280)) ('lymphatic obstruction', 'Phenotype', 'HP:0001004', (108, 129)) ('pleural', 'Disease', 'MESH:D010995', (89, 96)) ('obstruction', 'Var', (197, 208)) ('chylothorax', 'Phenotype', 'HP:0010310', (269, 280)) 17291 31443309 Patients with a mutant EGFR in NSCLC respond to EGFR-tyrosine kinase inhibitors. ('respond', 'Reg', (37, 44)) ('EGFR', 'Gene', '1956', (48, 52)) ('EGFR', 'molecular_function', 'GO:0005006', ('48', '52')) ('NSCLC', 'Disease', (31, 36)) ('EGFR', 'molecular_function', 'GO:0005006', ('23', '27')) ('EGFR', 'Gene', (48, 52)) ('NSCLC', 'Disease', 'MESH:D002289', (31, 36)) ('EGFR', 'Gene', '1956', (23, 27)) ('Patients', 'Species', '9606', (0, 8)) ('mutant', 'Var', (16, 22)) ('EGFR', 'Gene', (23, 27)) 17292 31443309 Unfortunately, most patients who initially had mutant EGFR in NSCLC without pleural effusion develop resistance to the prescribed therapy within a year. ('EGFR', 'molecular_function', 'GO:0005006', ('54', '58')) ('NSCLC', 'Disease', (62, 67)) ('resistance', 'MPA', (101, 111)) ('NSCLC', 'Disease', 'MESH:D002289', (62, 67)) ('EGFR', 'Gene', '1956', (54, 58)) ('pleural effusion', 'Disease', 'MESH:D010996', (76, 92)) ('patients', 'Species', '9606', (20, 28)) ('pleural effusion', 'Phenotype', 'HP:0002202', (76, 92)) ('pleural effusion', 'Disease', (76, 92)) ('EGFR', 'Gene', (54, 58)) ('mutant', 'Var', (47, 53)) 17295 31443309 The presence of MPE in advanced cancer is associated with a poor prognosis. ('cancer', 'Disease', 'MESH:D009369', (32, 38)) ('cancer', 'Disease', (32, 38)) ('cancer', 'Phenotype', 'HP:0002664', (32, 38)) ('presence', 'Var', (4, 12)) ('MPE', 'Gene', (16, 19)) 17410 28756416 In this case, using a more conservative estimate, the total burden dropped to 67.6% of the original estimate with the $C50 000 value and to 51.5% with the $C25 000 value. ('$C2', 'Gene', (155, 158)) ('dropped', 'NegReg', (67, 74)) ('burden', 'MPA', (60, 66)) (' $C50 000 value', 'Var', (117, 132)) ('$C2', 'Gene', '717', (155, 158)) 17448 27635089 In-vitro, RG7787 plus nab-Paclitaxel led to decreased cell viability compared to either agent alone. ('nab', 'Chemical', '-', (22, 25)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (26, 36)) ('RG7787', 'Var', (10, 16)) ('cell viability', 'CPA', (54, 68)) ('decreased', 'NegReg', (44, 53)) 17452 27635089 RG7787 plus nab-Paclitaxel is very active against primary human mesothelioma cells in vitro as well as in vivo, with serum mesothelin levels correlating with tumor response. ('tumor', 'Disease', (158, 163)) ('nab', 'Chemical', '-', (12, 15)) ('human', 'Species', '9606', (58, 63)) ('serum mesothelin levels', 'MPA', (117, 140)) ('mesothelioma', 'Disease', 'MESH:D008654', (64, 76)) ('tumor', 'Disease', 'MESH:D009369', (158, 163)) ('tumor', 'Phenotype', 'HP:0002664', (158, 163)) ('RG7787', 'Var', (0, 6)) ('mesothelioma', 'Disease', (64, 76)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (16, 26)) 17460 27635089 In clinical trials SS1P was well tolerated and the dose-limiting toxicity was pleuritis. ('pleuritis', 'Disease', 'MESH:D010998', (78, 87)) ('SS1P', 'Chemical', 'MESH:C474515', (19, 23)) ('toxicity', 'Disease', 'MESH:D064420', (65, 73)) ('SS1P', 'Var', (19, 23)) ('toxicity', 'Disease', (65, 73)) ('rat', 'Species', '10116', (37, 40)) ('pleuritis', 'Phenotype', 'HP:0002102', (78, 87)) ('pleuritis', 'Disease', (78, 87)) 17463 27635089 Having shown proof of principle anti-tumor efficacy with SS1P, our group has now focused on developing anti-mesothelin immunotoxins that are inherently less immunogenic so there is no need to use immunosuppressive drugs. ('tumor', 'Disease', 'MESH:D009369', (37, 42)) ('SS1P', 'Chemical', 'MESH:C474515', (57, 61)) ('SS1P', 'Var', (57, 61)) ('tumor', 'Phenotype', 'HP:0002664', (37, 42)) ('tumor', 'Disease', (37, 42)) 17465 27635089 PE24 is a modified Pseudomonas exotoxin A in which part of domain II of PE toxin has been deleted, as well as seven bulky hydrophilic resides in domain III of PE toxin have been mutated to alanine to silence B cell epitopes. ('PE24', 'Gene', (0, 4)) ('B cell epitopes', 'MPA', (208, 223)) ('alanine', 'Chemical', 'MESH:D000409', (189, 196)) ('mutated', 'Var', (178, 185)) 17466 27635089 Structurally RG7787 differs from SS1P since it consists of an anti-mesothelin Fab rather than Fv and is linked to PE24 rather than PE38 and has a molecular size of 72 kDa compared to SS1P's molecular size of 62 kDa. ('SS1P', 'Chemical', 'MESH:C474515', (183, 187)) ('SS1P', 'Chemical', 'MESH:C474515', (33, 37)) ('anti-mesothelin Fab', 'Protein', (62, 81)) ('rat', 'Species', '10116', (119, 122)) ('rat', 'Species', '10116', (82, 85)) ('RG7787', 'Var', (13, 19)) 17468 27635089 RG7787 also can be given at much higher doses to mice than SS1P and also causes decreased vascular leak in a rat vascular leak model. ('decreased vascular leak', 'Disease', (80, 103)) ('decreased vascular leak', 'Disease', 'MESH:D019559', (80, 103)) ('vascular leak', 'Phenotype', 'HP:0030005', (90, 103)) ('mice', 'Species', '10090', (49, 53)) ('rat', 'Species', '10116', (109, 112)) ('vascular leak', 'Phenotype', 'HP:0030005', (113, 126)) ('SS1P', 'Chemical', 'MESH:C474515', (59, 63)) ('RG7787', 'Var', (0, 6)) 17474 27635089 More importantly we show that treatment of mesothelioma patient derived tumor xenografts with RG7787 plus nab-Paclitaxel results in remarkable anti-tumor efficacy in three different tumor models. ('mesothelioma', 'Disease', (43, 55)) ('RG7787', 'Var', (94, 100)) ('tumor', 'Phenotype', 'HP:0002664', (148, 153)) ('tumor', 'Phenotype', 'HP:0002664', (72, 77)) ('tumor', 'Disease', (182, 187)) ('patient', 'Species', '9606', (56, 63)) ('tumor', 'Disease', (72, 77)) ('tumor', 'Disease', (148, 153)) ('mesothelioma', 'Disease', 'MESH:D008654', (43, 55)) ('nab', 'Chemical', '-', (106, 109)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (110, 120)) ('tumor', 'Disease', 'MESH:D009369', (182, 187)) ('tumor', 'Disease', 'MESH:D009369', (72, 77)) ('tumor', 'Disease', 'MESH:D009369', (148, 153)) ('tumor', 'Phenotype', 'HP:0002664', (182, 187)) 17475 27635089 These results suggest that treatment with RG7787 and nab-Paclitaxel could be effective in patients with mesothelioma. ('nab', 'Chemical', '-', (53, 56)) ('mesothelioma', 'Disease', (104, 116)) ('RG7787', 'Var', (42, 48)) ('mesothelioma', 'Disease', 'MESH:D008654', (104, 116)) ('patients', 'Species', '9606', (90, 98)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (57, 67)) 17503 27635089 In NOD-SCID mice bearing NCI-Meso29 tumors the second course of therapy consisted of either single dose of nab-Paclitaxel; single dose of RG7787; or single dose of RG7787 given the day after nab-Paclitaxel administration. ('nab', 'Chemical', '-', (191, 194)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (195, 205)) ('NCI-Meso29 tumors', 'Disease', 'MESH:D009369', (25, 42)) ('rat', 'Species', '10116', (214, 217)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (111, 121)) ('tumor', 'Phenotype', 'HP:0002664', (36, 41)) ('RG7787', 'Var', (164, 170)) ('mice', 'Species', '10090', (12, 16)) ('tumors', 'Phenotype', 'HP:0002664', (36, 42)) ('nab', 'Chemical', '-', (107, 110)) ('NCI-Meso29 tumors', 'Disease', (25, 42)) 17515 27635089 The mesothelin sites/cell for NCI-Meso16, NCI-Meso19, NCI-Meso21 and NCI-Meso29 were 249x103, 41x103, 346x103 and 44x103 respectively (Figure 1a). ('NCI-Meso16', 'Chemical', '-', (30, 40)) ('249x103', 'Var', (85, 92)) ('41x103', 'Var', (94, 100)) ('346x103', 'Var', (102, 109)) 17521 27635089 As shown in Figure 2a the combination of RG7787 and nab-Paclitaxel resulted in decreased cell viability compared to untreated cells, RG7787 or nab-Paclitaxel alone treated cells for all three cell lines. ('nab', 'Chemical', '-', (52, 55)) ('nab-Paclitaxel', 'Var', (52, 66)) ('decreased', 'NegReg', (79, 88)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (147, 157)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (56, 66)) ('nab', 'Chemical', '-', (143, 146)) ('RG7787', 'Var', (41, 47)) ('cell viability', 'CPA', (89, 103)) 17524 27635089 The percent decrease in cell viability in the RG7787 plus nab-Paclitaxel treated cells was statistically significant compared to either RG7787 or nab-Paclitaxel treated cells. ('cell viability', 'CPA', (24, 38)) ('RG7787', 'Var', (46, 52)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (62, 72)) ('nab', 'Chemical', '-', (58, 61)) ('decrease', 'NegReg', (12, 20)) ('nab', 'Chemical', '-', (146, 149)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (150, 160)) 17531 27635089 The fraction of NCI-Meso21 cells undergoing apoptosis with RG7787 plus nab-Paclitaxel was numerically greater than seen with RG7787 or nab-Paclitaxel alone but this difference was not statistically significant. ('greater', 'PosReg', (102, 109)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (75, 85)) ('apoptosis', 'biological_process', 'GO:0097194', ('44', '53')) ('nab', 'Chemical', '-', (135, 138)) ('nab', 'Chemical', '-', (71, 74)) ('apoptosis', 'CPA', (44, 53)) ('apoptosis', 'biological_process', 'GO:0006915', ('44', '53')) ('Paclitaxel', 'Chemical', 'MESH:D017239', (139, 149)) ('RG7787', 'Var', (59, 65)) 17532 27635089 Similarly, for NCI-Meso29 cells the percent increase in apoptotic cells when treated with RG7787 and nab-Paclitaxel was significant compared to nab-Paclitaxel alone treated cells (p=0.028) but not compared to RG7787 alone treated cells (p=0.449). ('nab', 'Chemical', '-', (101, 104)) ('apoptotic cells', 'CPA', (56, 71)) ('NCI-Meso29 cells', 'CellLine', 'CVCL:0320', (15, 31)) ('nab', 'Chemical', '-', (144, 147)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (148, 158)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (105, 115)) ('RG7787', 'Var', (90, 96)) 17543 27635089 In the RG7787 group there was stabilization of tumor growth while the mice were receiving treatment but then rapidly increased in size. ('tumor', 'Disease', 'MESH:D009369', (47, 52)) ('mice', 'Species', '10090', (70, 74)) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('RG7787', 'Var', (7, 13)) ('tumor', 'Disease', (47, 52)) 17545 27635089 However, in mice that received both RG7787 and nab-Paclitaxel there was complete tumor regression by day 68 in all mice and 5 of 7 mice had no tumor regrowth when the experiment was terminated on day 142 (Figure 4a). ('tumor', 'Disease', (143, 148)) ('tumor', 'Phenotype', 'HP:0002664', (143, 148)) ('RG7787', 'Var', (36, 42)) ('mice', 'Species', '10090', (12, 16)) ('nab', 'Chemical', '-', (47, 50)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (51, 61)) ('tumor', 'Disease', 'MESH:D009369', (81, 86)) ('tumor', 'Phenotype', 'HP:0002664', (81, 86)) ('mice', 'Species', '10090', (131, 135)) ('tumor', 'Disease', 'MESH:D009369', (143, 148)) ('mice', 'Species', '10090', (115, 119)) ('tumor', 'Disease', (81, 86)) 17549 27635089 As shown in Figure 4b, these tumors grow slowly, but treatment with RG7787 alone initially led to tumor shrinkage followed by a stabilization in tumor size, while as treatment with nab-Paclitaxel resulted in tumor stasis followed by slow growth by day 100. ('tumor', 'Disease', 'MESH:D009369', (29, 34)) ('tumors', 'Phenotype', 'HP:0002664', (29, 35)) ('nab', 'Chemical', '-', (181, 184)) ('tumor', 'Disease', (98, 103)) ('tumor stasis', 'Disease', 'MESH:D014647', (208, 220)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (185, 195)) ('tumor', 'Disease', 'MESH:D009369', (98, 103)) ('tumor', 'Phenotype', 'HP:0002664', (29, 34)) ('tumor', 'Disease', (145, 150)) ('tumor', 'Disease', (208, 213)) ('tumors', 'Disease', (29, 35)) ('slow growth', 'Phenotype', 'HP:0001510', (233, 244)) ('tumor', 'Disease', 'MESH:D009369', (145, 150)) ('tumor', 'Disease', 'MESH:D009369', (208, 213)) ('tumor', 'Phenotype', 'HP:0002664', (98, 103)) ('tumors', 'Disease', 'MESH:D009369', (29, 35)) ('tumor', 'Phenotype', 'HP:0002664', (145, 150)) ('tumor', 'Phenotype', 'HP:0002664', (208, 213)) ('tumor stasis', 'Disease', (208, 220)) ('shrinkage', 'NegReg', (104, 113)) ('RG7787', 'Var', (68, 74)) ('tumor', 'Disease', (29, 34)) 17552 27635089 The NCI-Meso29 tumor cells were grown in NOD-SCID mice and our initial experiments showed that these mice are very sensitive to combination treatment with RG7787 and nab-Paclitaxel at the doses that were used to treat athymic mice (data not shown). ('Paclitaxel', 'Chemical', 'MESH:D017239', (170, 180)) ('RG7787', 'Var', (155, 161)) ('mice', 'Species', '10090', (226, 230)) ('tumor', 'Phenotype', 'HP:0002664', (15, 20)) ('NCI-Meso29 tumor', 'Disease', 'MESH:D009369', (4, 20)) ('mice', 'Species', '10090', (101, 105)) ('mice', 'Species', '10090', (50, 54)) ('nab', 'Chemical', '-', (166, 169)) ('combination', 'Interaction', (128, 139)) ('NCI-Meso29 tumor', 'Disease', (4, 20)) 17555 27635089 However, treatment with RG7787 plus nab-Paclitaxel led to marked tumor shrinkage, which was statistically significant, compared to nab-Paclitaxel alone treated mice (p<0.05). ('nab', 'Chemical', '-', (36, 39)) ('nab', 'Chemical', '-', (131, 134)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (40, 50)) ('tumor', 'Disease', (65, 70)) ('mice', 'Species', '10090', (160, 164)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (135, 145)) ('tumor', 'Disease', 'MESH:D009369', (65, 70)) ('RG7787 plus', 'Var', (24, 35)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) 17557 27635089 There was decrease in mesothelin positive tumor cells in both the RG7787 and nab-Paclitaxel group but much more in the combination group. ('Paclitaxel', 'Chemical', 'MESH:D017239', (81, 91)) ('tumor', 'Disease', (42, 47)) ('nab', 'Chemical', '-', (77, 80)) ('decrease', 'NegReg', (10, 18)) ('mesothelin', 'Protein', (22, 32)) ('tumor', 'Disease', 'MESH:D009369', (42, 47)) ('RG7787', 'Var', (66, 72)) ('tumor', 'Phenotype', 'HP:0002664', (42, 47)) 17564 27635089 In mice with NCI-Meso16 tumors, the serum mesothelin levels increased in the control group and decreased in the RG7787 and nab-paclitaxel group and became undetectable in the combination group. ('decreased', 'NegReg', (95, 104)) ('tumor', 'Phenotype', 'HP:0002664', (24, 29)) ('NCI-Meso16 tumors', 'Disease', (13, 30)) ('tumors', 'Phenotype', 'HP:0002664', (24, 30)) ('NCI-Meso16 tumors', 'Disease', 'MESH:D009369', (13, 30)) ('nab', 'Chemical', '-', (123, 126)) ('mice', 'Species', '10090', (3, 7)) ('RG7787', 'Var', (112, 118)) ('serum mesothelin levels', 'MPA', (36, 59)) ('paclitaxel', 'Chemical', 'MESH:D017239', (127, 137)) ('increased', 'PosReg', (60, 69)) 17568 27635089 In this manuscript we demonstrate anti-tumor efficacy for the combination of RG7787 and nab-Paclitaxel against primary mesothelioma cell lines grown in vitro and sustained tumor regressions in three patient derived mesothelioma tumor xenograft models each with different growth kinetics. ('tumor', 'Disease', 'MESH:D009369', (228, 233)) ('tumor', 'Disease', (172, 177)) ('mesothelioma tumor', 'Phenotype', 'HP:0100001', (215, 233)) ('tumor', 'Phenotype', 'HP:0002664', (39, 44)) ('tumor', 'Disease', 'MESH:D009369', (172, 177)) ('patient', 'Species', '9606', (199, 206)) ('tumor', 'Phenotype', 'HP:0002664', (228, 233)) ('mesothelioma', 'Disease', (215, 227)) ('mesothelioma', 'Disease', (119, 131)) ('tumor', 'Phenotype', 'HP:0002664', (172, 177)) ('mesothelioma', 'Disease', 'MESH:D008654', (215, 227)) ('mesothelioma', 'Disease', 'MESH:D008654', (119, 131)) ('rat', 'Species', '10116', (29, 32)) ('RG7787', 'Var', (77, 83)) ('tumor', 'Disease', (39, 44)) ('mesothelioma tumor', 'Disease', (215, 233)) ('nab', 'Chemical', '-', (88, 91)) ('tumor', 'Disease', 'MESH:D009369', (39, 44)) ('primary mesothelioma', 'Phenotype', 'HP:0100001', (111, 131)) ('tumor', 'Disease', (228, 233)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (92, 102)) ('mesothelioma tumor', 'Disease', 'MESH:D008654', (215, 233)) 17571 27635089 Our results show that in vitro RG7787 is 2 to 9 fold more cytotoxic than SS1P against three of the four primary mesothelioma cell lines tested. ('cytotoxic', 'CPA', (58, 67)) ('primary mesothelioma', 'Phenotype', 'HP:0100001', (104, 124)) ('mesothelioma', 'Disease', 'MESH:D008654', (112, 124)) ('to 9', 'Species', '1214577', (43, 47)) ('RG7787', 'Var', (31, 37)) ('SS1P', 'Chemical', 'MESH:C474515', (73, 77)) ('mesothelioma', 'Disease', (112, 124)) 17572 27635089 We have previously shown increased anti-tumor efficacy of SS1P with gemcitabine and cisplatin, drugs that are commonly used to treat mesothelioma. ('increased', 'PosReg', (25, 34)) ('mesothelioma', 'Disease', 'MESH:D008654', (133, 145)) ('tumor', 'Disease', 'MESH:D009369', (40, 45)) ('cisplatin', 'Chemical', 'MESH:D002945', (84, 93)) ('tumor', 'Phenotype', 'HP:0002664', (40, 45)) ('tumor', 'Disease', (40, 45)) ('SS1P', 'Chemical', 'MESH:C474515', (58, 62)) ('mesothelioma', 'Disease', (133, 145)) ('SS1P', 'Var', (58, 62)) ('gemcitabine', 'Chemical', 'MESH:C056507', (68, 79)) 17573 27635089 Although RG7787 given in combination with these chemotherapy drugs could have increased activity, for our initial studies we focused on combination of RG7787 with nab-Paclitaxel since our prior studies have shown remarkable synergy between immunotoxins and taxanes in different tumor models. ('taxanes', 'Chemical', 'MESH:D043823', (257, 264)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (167, 177)) ('tumor', 'Phenotype', 'HP:0002664', (278, 283)) ('tumor', 'Disease', (278, 283)) ('activity', 'MPA', (88, 96)) ('RG7787', 'Var', (151, 157)) ('tumor', 'Disease', 'MESH:D009369', (278, 283)) ('nab', 'Chemical', '-', (163, 166)) 17575 27635089 Nab-Paclitaxel is an albumin bound paclitaxel that has distinct pharmacologic properties compared to paclitaxel including greater uptake by and retention within tumor, which could make it efficacious to treat solid tumors. ('greater', 'PosReg', (122, 129)) ('solid tumors', 'Disease', (209, 221)) ('uptake', 'MPA', (130, 136)) ('paclitaxel', 'Chemical', 'MESH:D017239', (35, 45)) ('Nab-Paclitaxel', 'Var', (0, 14)) ('retention', 'biological_process', 'GO:0051235', ('144', '153')) ('Paclitaxel', 'Chemical', 'MESH:D017239', (4, 14)) ('retention within tumor', 'Disease', 'MESH:D001929', (144, 166)) ('tumor', 'Phenotype', 'HP:0002664', (215, 220)) ('paclitaxel', 'Chemical', 'MESH:D017239', (101, 111)) ('tumor', 'Phenotype', 'HP:0002664', (161, 166)) ('uptake', 'biological_process', 'GO:0098739', ('130', '136')) ('solid tumors', 'Disease', 'MESH:D009369', (209, 221)) ('uptake', 'biological_process', 'GO:0098657', ('130', '136')) ('retention within tumor', 'Disease', (144, 166)) ('tumors', 'Phenotype', 'HP:0002664', (215, 221)) 17576 27635089 Results of recent clinical trials have shown nab-Paclitaxel to be effective against several human cancers but it has not been evaluated in patients with mesothelioma. ('cancer', 'Phenotype', 'HP:0002664', (98, 104)) ('mesothelioma', 'Disease', 'MESH:D008654', (153, 165)) ('patients', 'Species', '9606', (139, 147)) ('nab-Paclitaxel', 'Var', (45, 59)) ('cancers', 'Phenotype', 'HP:0002664', (98, 105)) ('cancers', 'Disease', 'MESH:D009369', (98, 105)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (49, 59)) ('cancers', 'Disease', (98, 105)) ('nab', 'Chemical', '-', (45, 48)) ('mesothelioma', 'Disease', (153, 165)) ('human', 'Species', '9606', (92, 97)) 17578 27635089 Our in-vitro studies also showed that combination therapy with RG7787 plus nab-Paclitaxel resulted in increased cytotoxicity against all three mesothelioma cell lines tested in-vitro. ('mesothelioma', 'Disease', (143, 155)) ('cytotoxicity', 'Disease', (112, 124)) ('nab', 'Chemical', '-', (75, 78)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (79, 89)) ('mesothelioma', 'Disease', 'MESH:D008654', (143, 155)) ('combination', 'Interaction', (38, 49)) ('cytotoxicity', 'Disease', 'MESH:D064420', (112, 124)) ('increased', 'PosReg', (102, 111)) ('RG7787', 'Var', (63, 69)) 17582 27635089 Also these tumors had variable tumor mesothelin expression with NCI-Meso16 and NCI-Meso29 having an H-score of 230 and 290 respectively, which was in keeping with high mesothelin expression present on tumor cells grown in culture. ('tumor', 'Phenotype', 'HP:0002664', (11, 16)) ('tumor', 'Phenotype', 'HP:0002664', (31, 36)) ('tumors', 'Phenotype', 'HP:0002664', (11, 17)) ('tumor', 'Disease', (11, 16)) ('tumor', 'Disease', (31, 36)) ('expression', 'MPA', (48, 58)) ('NCI-Meso29', 'Var', (79, 89)) ('tumor', 'Disease', 'MESH:D009369', (201, 206)) ('tumors', 'Disease', (11, 17)) ('tumors', 'Disease', 'MESH:D009369', (11, 17)) ('tumor', 'Phenotype', 'HP:0002664', (201, 206)) ('NCI-Meso16', 'Chemical', '-', (64, 74)) ('tumor', 'Disease', (201, 206)) ('tumor', 'Disease', 'MESH:D009369', (11, 16)) ('tumor', 'Disease', 'MESH:D009369', (31, 36)) 17585 27635089 In the case of NCI-Meso29 tumors, marked reduction in tumors of mice treated with RG7787 plus nab-paclitaxel was observed even though these mice received reduced doses of both nab-Paclitaxel and RG7787. ('reduction in tumors', 'Disease', 'MESH:D009369', (41, 60)) ('mice', 'Species', '10090', (140, 144)) ('NCI-Meso29 tumors', 'Disease', (15, 32)) ('NCI-Meso29 tumors', 'Disease', 'MESH:D009369', (15, 32)) ('reduction in tumors', 'Disease', (41, 60)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (180, 190)) ('paclitaxel', 'Chemical', 'MESH:D017239', (98, 108)) ('RG7787', 'Var', (82, 88)) ('tumor', 'Phenotype', 'HP:0002664', (54, 59)) ('tumor', 'Phenotype', 'HP:0002664', (26, 31)) ('nab', 'Chemical', '-', (94, 97)) ('tumors', 'Phenotype', 'HP:0002664', (54, 60)) ('nab', 'Chemical', '-', (176, 179)) ('mice', 'Species', '10090', (64, 68)) ('tumors', 'Phenotype', 'HP:0002664', (26, 32)) 17587 27635089 We also show that in these tumor xenograft models treatment with nab-Paclitaxel plus RG7787 resulted in reduced mesothelin expression by tumor cells, decreased proliferative index as well as increased apoptosis. ('Paclitaxel', 'Chemical', 'MESH:D017239', (69, 79)) ('mesothelin', 'Protein', (112, 122)) ('rat', 'Species', '10116', (167, 170)) ('reduced', 'NegReg', (104, 111)) ('tumor', 'Disease', (27, 32)) ('proliferative index', 'CPA', (160, 179)) ('apoptosis', 'CPA', (201, 210)) ('tumor', 'Disease', 'MESH:D009369', (27, 32)) ('decreased', 'NegReg', (150, 159)) ('tumor', 'Disease', (137, 142)) ('nab-Paclitaxel', 'Var', (65, 79)) ('RG7787', 'Var', (85, 91)) ('nab', 'Chemical', '-', (65, 68)) ('tumor', 'Disease', 'MESH:D009369', (137, 142)) ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('increased', 'PosReg', (191, 200)) ('apoptosis', 'biological_process', 'GO:0097194', ('201', '210')) ('apoptosis', 'biological_process', 'GO:0006915', ('201', '210')) ('tumor', 'Phenotype', 'HP:0002664', (137, 142)) 17593 27635089 Patients with tumor mesothelin positivity but without increased mesothelin levels in the serum could still benefit from mesothelin directed therapies but serum mesothelin levels cannot be used as biomarker of tumor response in these patients. ('tumor', 'Disease', (14, 19)) ('tumor', 'Disease', (209, 214)) ('benefit', 'PosReg', (107, 114)) ('positivity', 'Var', (31, 41)) ('Patients', 'Species', '9606', (0, 8)) ('tumor', 'Disease', 'MESH:D009369', (209, 214)) ('patients', 'Species', '9606', (233, 241)) ('tumor', 'Disease', 'MESH:D009369', (14, 19)) ('tumor', 'Phenotype', 'HP:0002664', (14, 19)) ('tumor', 'Phenotype', 'HP:0002664', (209, 214)) 17598 27635089 In summary, our results validate the use of serum mesothelin as a biomarker of tumor response, and show marked anti-tumor efficacy of RG7787 plus nab-Paclitaxel against human mesothelioma primary cell lines as well as tumor xenografts. ('tumor', 'Phenotype', 'HP:0002664', (79, 84)) ('mesothelioma', 'Disease', (175, 187)) ('tumor', 'Disease', (79, 84)) ('tumor', 'Disease', 'MESH:D009369', (218, 223)) ('tumor', 'Disease', 'MESH:D009369', (116, 121)) ('mesothelioma', 'Disease', 'MESH:D008654', (175, 187)) ('RG7787', 'Var', (134, 140)) ('human', 'Species', '9606', (169, 174)) ('tumor', 'Phenotype', 'HP:0002664', (116, 121)) ('tumor', 'Phenotype', 'HP:0002664', (218, 223)) ('tumor', 'Disease', 'MESH:D009369', (79, 84)) ('tumor', 'Disease', (218, 223)) ('tumor', 'Disease', (116, 121)) ('nab', 'Chemical', '-', (146, 149)) ('Paclitaxel', 'Chemical', 'MESH:D017239', (150, 160)) 17602 27635089 In this study we show that RG7787 is very active against primary mesothelioma cell lines. ('mesothelioma', 'Disease', 'MESH:D008654', (65, 77)) ('RG7787', 'Var', (27, 33)) ('primary mesothelioma', 'Phenotype', 'HP:0100001', (57, 77)) ('mesothelioma', 'Disease', (65, 77)) 17613 22564432 Direct exposure of cells to H2O2 produced similar effects on Ca2+ and ROS, and these effects were prevented by the same inhibitors. ('H2O2', 'Chemical', 'MESH:D006861', (28, 32)) ('H2O2', 'Var', (28, 32)) ('ROS', 'MPA', (70, 73)) ('Ca2+', 'MPA', (61, 65)) ('ROS', 'Chemical', 'MESH:D017382', (70, 73)) 17622 22564432 We have previously shown that ascorbate, which is known to produce H2O2, exerts anti-tumour properties on mesothelioma through a stronger oxidative stress in MMe cells compared to normal mesothelial cells. ('oxidative stress', 'MPA', (138, 154)) ('stronger', 'PosReg', (129, 137)) ('mesothelioma', 'Disease', (106, 118)) ('tumour', 'Disease', 'MESH:D009369', (85, 91)) ('tumour', 'Disease', (85, 91)) ('H2O2', 'Chemical', 'MESH:D006861', (67, 71)) ('H2O2', 'Var', (67, 71)) ('mesothelioma', 'Disease', 'MESH:D008654', (106, 118)) ('oxidative stress', 'Phenotype', 'HP:0025464', (138, 154)) ('MMe', 'Phenotype', 'HP:0100001', (158, 161)) ('tumour', 'Phenotype', 'HP:0002664', (85, 91)) ('ascorbate', 'Chemical', 'MESH:D001205', (30, 39)) 17634 22564432 In line with these findings, it has been shown that EGCG can also inhibit cancer cell growth through pro-oxidant activities, and also in this respect, normal cells have been reported to be less sensitive than tumours to the action of EGCG. ('tumours', 'Phenotype', 'HP:0002664', (209, 216)) ('tumour', 'Phenotype', 'HP:0002664', (209, 215)) ('pro-oxidant activities', 'MPA', (101, 123)) ('cancer', 'Disease', 'MESH:D009369', (74, 80)) ('tumours', 'Disease', 'MESH:D009369', (209, 216)) ('tumours', 'Disease', (209, 216)) ('cancer', 'Disease', (74, 80)) ('EGCG', 'Chemical', 'MESH:C045651', (234, 238)) ('inhibit', 'NegReg', (66, 73)) ('EGCG', 'Chemical', 'MESH:C045651', (52, 56)) ('cell growth', 'biological_process', 'GO:0016049', ('81', '92')) ('EGCG', 'Var', (52, 56)) ('cancer', 'Phenotype', 'HP:0002664', (74, 80)) 17638 22564432 This mechanism involves the induction of T-channel opening by H2O2, followed by [Ca2+]i homeostasis impairment, induction of intracellular ROS and eventually cell apoptosis or necrosis, depending on the intensity of the stimulus. ('H2O2', 'Chemical', 'MESH:D006861', (62, 66)) ('necrosis', 'biological_process', 'GO:0008220', ('176', '184')) ('intracellular ROS', 'MPA', (125, 142)) ('necrosis', 'Disease', (176, 184)) ('necrosis', 'biological_process', 'GO:0070265', ('176', '184')) ('induction', 'Reg', (112, 121)) ('necrosis', 'biological_process', 'GO:0019835', ('176', '184')) ('H2O2', 'Var', (62, 66)) ('homeostasis impairment', 'Disease', 'MESH:D001523', (88, 110)) ('necrosis', 'biological_process', 'GO:0001906', ('176', '184')) ('homeostasis impairment', 'Disease', (88, 110)) ('apoptosis', 'biological_process', 'GO:0097194', ('163', '172')) ('intracellular', 'cellular_component', 'GO:0005622', ('125', '138')) ('apoptosis', 'biological_process', 'GO:0006915', ('163', '172')) ('T-channel opening', 'MPA', (41, 58)) ('homeostasis', 'biological_process', 'GO:0042592', ('88', '99')) ('cell apoptosis', 'CPA', (158, 172)) ('necrosis', 'biological_process', 'GO:0008219', ('176', '184')) ('necrosis', 'Disease', 'MESH:D009336', (176, 184)) ('ROS', 'Chemical', 'MESH:D017382', (139, 142)) 17662 22564432 Fmax and Fmin are maximum and minimum fluorescence intensities obtained by fluo 3 calibration after cell exposure to 500 muM A23187 for a few minutes, followed by addition of 20 mM EDTA. ('fluo 3', 'Chemical', 'MESH:C059715', (75, 81)) ('A23187', 'Var', (125, 131)) ('mum', 'Gene', (22, 25)) ('muM', 'Gene', '56925', (121, 124)) ('mum', 'Gene', '56925', (22, 25)) ('muM', 'Gene', (121, 124)) ('mum', 'Gene', '56925', (34, 37)) ('fluorescence intensities', 'MPA', (38, 62)) ('A23187', 'Chemical', 'MESH:D000001', (125, 131)) ('mum', 'Gene', (34, 37)) ('rat', 'Species', '10116', (87, 90)) ('EDTA', 'Chemical', 'MESH:D004492', (181, 185)) 17682 22564432 The rate of LDH release showed a non-linear, dose-dependent increase in the range 5-500 muM EGCG (Fig. ('muM', 'Gene', (88, 91)) ('EGCG', 'Chemical', 'MESH:C045651', (92, 96)) ('EGCG', 'Var', (92, 96)) ('rate', 'MPA', (4, 8)) ('increase', 'PosReg', (60, 68)) ('muM', 'Gene', '56925', (88, 91)) ('rat', 'Species', '10116', (4, 7)) ('LDH', 'Protein', (12, 15)) 17694 22564432 In addition, EGCG is known to disrupt cell Ca2+ homeostasis. ('EGCG', 'Chemical', 'MESH:C045651', (13, 17)) ('EGCG', 'Var', (13, 17)) ('homeostasis', 'biological_process', 'GO:0042592', ('48', '59')) ('cell Ca2+ homeostasis', 'MPA', (38, 59)) ('disrupt', 'NegReg', (30, 37)) 17696 22564432 Confocal imaging showed that EGCG induces a progressive and sustained [Ca2+]i rise, indicating Ca2+ homeostasis disruption (Fig. ('EGCG', 'Chemical', 'MESH:C045651', (29, 33)) ('EGCG', 'Var', (29, 33)) ('cat', 'Gene', (88, 91)) ('homeostasis', 'biological_process', 'GO:0042592', ('100', '111')) ('Ca2+ homeostasis disruption', 'MPA', (95, 122)) ('[Ca2+]i', 'MPA', (70, 77)) ('rise', 'PosReg', (78, 82)) ('cat', 'Gene', '847', (88, 91)) 17706 22564432 Similar to what was observed with Ca2+, EGCG induced a sustained rise in ROS production, which was abolished by exogenous CAT, and, most intriguingly, also by cell loading with the cell-permeant Ca2+ chelator BAPTA-AM or by cell preincubation with mibefradil (Fig. ('EGCG', 'Chemical', 'MESH:C045651', (40, 44)) ('mibefradil', 'Chemical', 'MESH:D020748', (248, 258)) ('rise', 'PosReg', (65, 69)) ('EGCG', 'Var', (40, 44)) ('ROS', 'Chemical', 'MESH:D017382', (73, 76)) ('BAPTA-AM', 'Chemical', 'MESH:C070379', (209, 217)) ('CAT', 'Gene', '847', (122, 125)) ('ROS production', 'MPA', (73, 87)) ('CAT', 'molecular_function', 'GO:0004096', ('122', '125')) ('CAT', 'Gene', (122, 125)) 17711 22564432 These experiments confirmed that EGCG induces a significant increase of [Ca2+]i and ROS in REN cells, whereas in contrast in mesothelial cells the variation of [Ca2+]i was barely significant, and the ROS increase was significantly lower than in REN cells (Table 2). ('EGCG', 'Chemical', 'MESH:C045651', (33, 37)) ('ROS increase', 'Phenotype', 'HP:0025464', (200, 212)) ('EGCG', 'Var', (33, 37)) ('ROS', 'MPA', (84, 87)) ('increase', 'PosReg', (60, 68)) ('[Ca2+]i', 'MPA', (72, 79)) ('ROS', 'Chemical', 'MESH:D017382', (200, 203)) ('ROS', 'Chemical', 'MESH:D017382', (84, 87)) 17713 22564432 Confocal imaging revealed that H2O2 induced a sustained [Ca2+]i rise, which was abolished by addition of DTT or mibefradil. ('H2O2', 'Chemical', 'MESH:D006861', (31, 35)) ('H2O2', 'Var', (31, 35)) ('[Ca2+]i rise', 'MPA', (56, 68)) ('DTT', 'Chemical', 'MESH:D004229', (105, 108)) ('mibefradil', 'Chemical', 'MESH:D020748', (112, 122)) 17716 22564432 We therefore targeted these channels by siRNA-mediated knock-down of the CACNA1H gene, encoding for the Cav3.2 alpha1H protein. ('CACNA1H', 'Gene', (73, 80)) ('knock-down', 'Var', (55, 65)) ('Cav3.2', 'Gene', (104, 110)) ('CACNA1H', 'Gene', '8912', (73, 80)) ('protein', 'cellular_component', 'GO:0003675', ('119', '126')) ('Cav3.2', 'Gene', '8912', (104, 110)) ('targeted', 'Reg', (13, 21)) 17735 22564432 Such a view was fully confirmed by our results, showing that exogenous catalase can block or strongly reduce the anti-proliferative effects of EGCG, and moreover that it hampers the induction of cell apoptosis and necrosis, as revealed by LDH and caspase 3 assays. ('catalase', 'Gene', '847', (71, 79)) ('necrosis', 'biological_process', 'GO:0001906', ('214', '222')) ('hampers', 'NegReg', (170, 177)) ('EGCG', 'Chemical', 'MESH:C045651', (143, 147)) ('block', 'NegReg', (84, 89)) ('anti-proliferative effects', 'MPA', (113, 139)) ('caspase 3', 'Gene', (247, 256)) ('caspase 3', 'Gene', '836', (247, 256)) ('necrosis', 'Disease', 'MESH:D009336', (214, 222)) ('reduce', 'NegReg', (102, 108)) ('necrosis', 'Disease', (214, 222)) ('necrosis', 'biological_process', 'GO:0008219', ('214', '222')) ('rat', 'Species', '10116', (125, 128)) ('EGCG', 'Gene', (143, 147)) ('apoptosis', 'biological_process', 'GO:0097194', ('200', '209')) ('necrosis', 'biological_process', 'GO:0008220', ('214', '222')) ('cell apoptosis', 'CPA', (195, 209)) ('apoptosis', 'biological_process', 'GO:0006915', ('200', '209')) ('exogenous', 'Var', (61, 70)) ('necrosis', 'biological_process', 'GO:0070265', ('214', '222')) ('catalase', 'Gene', (71, 79)) ('necrosis', 'biological_process', 'GO:0019835', ('214', '222')) 17746 22564432 The data of DHR 123 fluorescence showed that also ROS production within cells depends on extracellular H2O2 induced by EGCG. ('H2O2', 'Chemical', 'MESH:D006861', (103, 107)) ('extracellular', 'cellular_component', 'GO:0005576', ('89', '102')) ('DHR', 'Chemical', '-', (12, 15)) ('EGCG', 'Chemical', 'MESH:C045651', (119, 123)) ('EGCG', 'Var', (119, 123)) ('extracellular H2O2', 'MPA', (89, 107)) ('ROS', 'Chemical', 'MESH:D017382', (50, 53)) ('ROS production', 'MPA', (50, 64)) 17759 22564432 Consistent with the above findings, Cav3.2 siRNA was also able to lower LDH release and drastically modify the pattern of caspase 3 activation by EGCG. ('EGCG', 'Var', (146, 150)) ('Cav3.2', 'Gene', (36, 42)) ('Cav3.2', 'Gene', '8912', (36, 42)) ('lower', 'NegReg', (66, 71)) ('LDH release', 'MPA', (72, 83)) ('activation', 'MPA', (132, 142)) ('EGCG', 'Chemical', 'MESH:C045651', (146, 150)) ('caspase 3', 'Gene', (122, 131)) ('caspase 3', 'Gene', '836', (122, 131)) ('modify', 'Reg', (100, 106)) 17764 22564432 The mechanism can be summarized as follows: EGCG induces H2O2 release at the outside of cells; H2O2 acts by inducing T-channel opening at the plasma membrane; Ca2+ leakage into the cytosol causes [Ca2+]i rise and triggers ROS production; Ca2+ and ROS cooperate in inducing either apoptosis or necrosis, depending on damage. ('necrosis', 'biological_process', 'GO:0001906', ('293', '301')) ('ROS production', 'MPA', (222, 236)) ('ROS', 'Chemical', 'MESH:D017382', (247, 250)) ('inducing', 'Reg', (264, 272)) ('H2O2', 'Var', (95, 99)) ('necrosis', 'Disease', 'MESH:D009336', (293, 301)) ('plasma membrane', 'cellular_component', 'GO:0005886', ('142', '157')) ('necrosis', 'Disease', (293, 301)) ('EGCG', 'Var', (44, 48)) ('necrosis', 'biological_process', 'GO:0008219', ('293', '301')) ('ROS', 'Chemical', 'MESH:D017382', (222, 225)) ('apoptosis', 'CPA', (280, 289)) ('T-channel opening at the', 'MPA', (117, 141)) ('EGCG', 'Chemical', 'MESH:C045651', (44, 48)) ('inducing', 'Reg', (108, 116)) ('Ca2+ leakage', 'MPA', (159, 171)) ('H2O2', 'Chemical', 'MESH:D006861', (57, 61)) ('necrosis', 'biological_process', 'GO:0008220', ('293', '301')) ('apoptosis', 'biological_process', 'GO:0097194', ('280', '289')) ('apoptosis', 'biological_process', 'GO:0006915', ('280', '289')) ('rat', 'Species', '10116', (256, 259)) ('[Ca2+]i', 'MPA', (196, 203)) ('induces', 'Reg', (49, 56)) ('rise', 'PosReg', (204, 208)) ('cytosol', 'cellular_component', 'GO:0005829', ('181', '188')) ('necrosis', 'biological_process', 'GO:0070265', ('293', '301')) ('H2O2', 'Chemical', 'MESH:D006861', (95, 99)) ('triggers', 'Reg', (213, 221)) ('necrosis', 'biological_process', 'GO:0019835', ('293', '301')) 17765 22564432 Hence, our data have demonstrated for the first time that EGCG can selectively inhibit the proliferation of MMe cells and moreover that T-type Ca2+ channels are involved in the mechanism of action of the green tea polyphenol. ('inhibit', 'NegReg', (79, 86)) ('involved', 'Reg', (161, 169)) ('proliferation of MMe cells', 'CPA', (91, 117)) ('T-type Ca2+ channels', 'MPA', (136, 156)) ('rat', 'Species', '10116', (98, 101)) ('polyphenol', 'Chemical', 'MESH:D059808', (214, 224)) ('EGCG', 'Chemical', 'MESH:C045651', (58, 62)) ('EGCG', 'Var', (58, 62)) ('rat', 'Species', '10116', (28, 31)) ('MMe', 'Phenotype', 'HP:0100001', (108, 111)) 17905 19900274 Immunohistochemistry showed positivity with Vimentin, CAM 5.2 and CD10 and focally with SMA and Calretinin. ('Vimentin', 'cellular_component', 'GO:0045099', ('44', '52')) ('CD10', 'Gene', '4311', (66, 70)) ('Calretinin', 'Gene', (96, 106)) ('CD10', 'molecular_function', 'GO:0004245', ('66', '70')) ('positivity', 'Var', (28, 38)) ('Vimentin', 'Gene', (44, 52)) ('SMA', 'Gene', (88, 91)) ('Calretinin', 'Gene', '794', (96, 106)) ('Vimentin', 'cellular_component', 'GO:0045098', ('44', '52')) ('CAM 5.2', 'Gene', (54, 61)) ('SMA', 'Gene', '6606', (88, 91)) ('Vimentin', 'Gene', '7431', (44, 52)) ('CD10', 'Gene', (66, 70)) 18025 33538989 Loss of BAP1 expression and CDKN2A/p16 deletion may allow discrimination of MPM from benign pleural lesions. ('MPM', 'Disease', (76, 79)) ('p16', 'Gene', '1029', (35, 38)) ('expression', 'MPA', (13, 23)) ('deletion', 'Var', (39, 47)) ('BAP1', 'Gene', '8314', (8, 12)) ('p16', 'Gene', (35, 38)) ('Loss', 'NegReg', (0, 4)) ('CDKN2A', 'Gene', (28, 34)) ('pleural lesions', 'Disease', 'MESH:D010995', (92, 107)) ('BAP1', 'Gene', (8, 12)) ('CDKN2A', 'Gene', '1029', (28, 34)) ('pleural lesions', 'Disease', (92, 107)) ('pleural lesions', 'Phenotype', 'HP:0002102', (92, 107)) 18027 33538989 A proportion of MPM patients carry germline mutations in cancer susceptibility genes, especially those with young age and family history of cancer supporting genetic testing for selected MPM patients [IIIA]. ('cancer', 'Disease', 'MESH:D009369', (57, 63)) ('patients', 'Species', '9606', (191, 199)) ('MPM', 'Disease', (16, 19)) ('cancer', 'Disease', (57, 63)) ('cancer', 'Disease', (140, 146)) ('cancer', 'Disease', 'MESH:D009369', (140, 146)) ('patients', 'Species', '9606', (20, 28)) ('cancer', 'Phenotype', 'HP:0002664', (57, 63)) ('cancer', 'Phenotype', 'HP:0002664', (140, 146)) ('germline mutations', 'Var', (35, 53)) 18028 33538989 MPM are dominated by the inactivation of tumor suppressor genes (BAP1, CDKN2A, NF2, TP53, LATS2 and SETD2) and generally have low tumor mutation burden. ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('BAP1', 'Gene', (65, 69)) ('NF2', 'Gene', '4771', (79, 82)) ('SETD2', 'Gene', '29072', (100, 105)) ('TP53', 'Gene', (84, 88)) ('tumor', 'Disease', (130, 135)) ('NF2', 'Gene', (79, 82)) ('tumor', 'Disease', 'MESH:D009369', (130, 135)) ('low tumor', 'Disease', 'MESH:D009800', (126, 135)) ('CDKN2A', 'Gene', (71, 77)) ('tumor', 'Disease', (41, 46)) ('inactivation', 'Var', (25, 37)) ('TP53', 'Gene', '7157', (84, 88)) ('tumor', 'Phenotype', 'HP:0002664', (130, 135)) ('tumor', 'Disease', 'MESH:D009369', (41, 46)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('41', '57')) ('low tumor', 'Disease', (126, 135)) ('BAP1', 'Gene', '8314', (65, 69)) ('CDKN2A', 'Gene', '1029', (71, 77)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('41', '57')) ('LATS2', 'Gene', (90, 95)) ('LATS2', 'Gene', '26524', (90, 95)) ('SETD2', 'Gene', (100, 105)) 18029 33538989 Germline mutations has been reported in 12% of patients with MPM, but in higher proportion for MPM with early onset or family history. ('Germline mutations', 'Var', (0, 18)) ('patients', 'Species', '9606', (47, 55)) ('reported', 'Reg', (28, 36)) ('MPM', 'Disease', (61, 64)) 18056 33538989 Although initial studies suggested that VATS-PP might be superior option to talc pleurodesis, the MesoVATS randomized controlled trial demonstrated no survival advantage with VATS-PP in patients with pleural effusion, which increased length of hospital stay compared with talc pleurodesis. ('pleural effusion', 'Disease', 'MESH:D010996', (200, 216)) ('pleural effusion', 'Disease', (200, 216)) ('VATS-PP', 'Var', (175, 182)) ('pleural effusion', 'Phenotype', 'HP:0002202', (200, 216)) ('patients', 'Species', '9606', (186, 194)) 18057 33538989 To date, only one prospective, randomized trial, the Mesothelioma and Radical Surgery (MARS) trial, has evaluated the added benefit of performing EPP versus no EPP in the setting of trimodal therapy. ('EPP', 'Chemical', '-', (160, 163)) ('EPP', 'Chemical', '-', (146, 149)) ('EPP', 'Var', (146, 149)) ('Mesothelioma', 'Disease', 'MESH:D008654', (53, 65)) ('Mesothelioma', 'Disease', (53, 65)) 18060 33538989 An ongoing randomized clinical trial (MARS 2) should determine whether P/D or EPD after induction chemotherapy leads to superior outcomes compared with chemotherapy alone. ('MARS 2', 'Gene', (38, 44)) ('P/D', 'Var', (71, 74)) ('MARS 2', 'Gene', '92935', (38, 44)) ('EPD', 'Var', (78, 81)) 18098 33538989 Preclinical data showed that BAP1 inactivation sensitizes mesothelial cells to inhibition of enhancer of zeste-homolog 2 (EZH2). ('EZH2', 'Gene', (122, 126)) ('EZH2', 'Gene', '2146', (122, 126)) ('inactivation', 'Var', (34, 46)) ('sensitizes', 'Reg', (47, 57)) ('enhancer of zeste-homolog 2', 'Gene', '2146', (93, 120)) ('BAP1', 'Gene', '8314', (29, 33)) ('inhibition', 'NegReg', (79, 89)) ('enhancer of zeste-homolog 2', 'Gene', (93, 120)) ('BAP1', 'Gene', (29, 33)) 18136 31929500 Immunohistochemical staining showed that mesothelial cells in the mass presented as strongly positive for calretinin (Figure 2) and were focally positive for epithelial membrane antigen (EMA), CK903 (high-molecular keratin), and vimentin. ('calretinin', 'Gene', (106, 116)) ('vimentin', 'cellular_component', 'GO:0045099', ('229', '237')) ('vimentin', 'Gene', '7431', (229, 237)) ('vimentin', 'cellular_component', 'GO:0045098', ('229', '237')) ('vimentin', 'Gene', (229, 237)) ('calretinin', 'Gene', '794', (106, 116)) ('EMA', 'Gene', (187, 190)) ('mesothelial cells', 'CPA', (41, 58)) ('membrane', 'cellular_component', 'GO:0016020', ('169', '177')) ('positive', 'Reg', (93, 101)) ('EMA', 'Gene', '4582', (187, 190)) ('positive', 'Reg', (145, 153)) ('CK903', 'Var', (193, 198)) 18178 31929500 However, the presence of calretinin, as in our case, is much more likely in WDPM and occurs in a smaller percentage of cases of serous papillary carcinoma (Table 2). ('calretinin', 'Gene', (25, 35)) ('serous papillary carcinoma', 'Disease', (128, 154)) ('likely', 'Reg', (66, 72)) ('carcinoma', 'Phenotype', 'HP:0030731', (145, 154)) ('calretinin', 'Gene', '794', (25, 35)) ('presence', 'Var', (13, 21)) ('WDPM', 'Disease', (76, 80)) ('serous papillary carcinoma', 'Disease', 'MESH:D002291', (128, 154)) 18180 31929500 In addition, the lack of D2-40 or CK5/6 would indicate serous papillary carcinoma over WDPM. ('serous papillary carcinoma', 'Disease', (55, 81)) ('CK5/6', 'Gene', (34, 39)) ('D2-40', 'Protein', (25, 30)) ('carcinoma', 'Phenotype', 'HP:0030731', (72, 81)) ('lack', 'Var', (17, 21)) ('CK5/6', 'Gene', '3852', (34, 39)) ('serous papillary carcinoma', 'Disease', 'MESH:D002291', (55, 81)) 18182 31929500 If a more limited diagnostic immunostain panel had been chosen in the current case, especially considering the patient's clinical course, the ER, PAX-8, and BAP1 positivity in particular may have led an investigator toward a diagnosis of a PSC, potentially significantly affecting clinical care. ('PAX-8', 'Gene', '7849', (146, 151)) ('BAP1', 'Gene', (157, 161)) ('PAX-8', 'Gene', (146, 151)) ('positivity', 'Var', (162, 172)) ('affecting', 'Reg', (271, 280)) ('led', 'Reg', (196, 199)) ('patient', 'Species', '9606', (111, 118)) ('BAP1', 'Gene', '8314', (157, 161)) ('PSC', 'Disease', 'MESH:D002291', (240, 243)) ('PSC', 'Disease', (240, 243)) 18223 29804728 We identified that patients who responded (CR and PR) to front-line therapy with cisplatin or cisplatin and pemetrexed had a significantly longer OS (HR 0.34, 95% CI 0.24-0.49; median 20.6 months, 95% CI: 15.3-not reached) than patients who did not respond (SD or PD) to treatment (median 9.4 months, 95% CI: 8.1-11.0; P<.001; Figure 1A). ('SD', 'Disease', 'MESH:D029461', (258, 260)) ('patients', 'Species', '9606', (19, 27)) ('PR', 'Chemical', '-', (50, 52)) ('cisplatin', 'Chemical', 'MESH:D002945', (94, 103)) ('OS', 'Chemical', '-', (146, 148)) ('cisplatin', 'Var', (81, 90)) ('patients', 'Species', '9606', (228, 236)) ('CR', 'Chemical', '-', (43, 45)) ('pemetrexed', 'Chemical', 'MESH:D000068437', (108, 118)) ('PD', 'Disease', 'MESH:D010300', (264, 266)) ('cisplatin', 'Chemical', 'MESH:D002945', (81, 90)) ('cisplatin', 'Var', (94, 103)) 18246 29804728 Additionally, targeted therapies may result in dramatic reductions of tumor burden, but these responses may be short lived and may not always correlate with survival benefits. ('tumor', 'Phenotype', 'HP:0002664', (70, 75)) ('targeted therapies', 'Var', (14, 32)) ('tumor', 'Disease', (70, 75)) ('tumor', 'Disease', 'MESH:D009369', (70, 75)) ('reductions', 'NegReg', (56, 66)) 18292 28978091 In order to inhibit CXCR4, we selected AMD3100 in this study. ('AMD3100', 'Var', (39, 46)) ('inhibit', 'NegReg', (12, 19)) ('CXCR4', 'Gene', '7852', (20, 25)) ('CXCR4', 'molecular_function', 'GO:0038147', ('20', '25')) ('CXCR4', 'Gene', (20, 25)) ('AMD3100', 'Chemical', 'MESH:C088327', (39, 46)) 18293 28978091 The exposure of both cell lines to AMD3100 24 hours before the migration assays almost fully reversed the detected phenotype of photon-induced migration and significantly inhibited the previously radiation-enhanced migration through collagen I/IV-coated membranes of both H28 and H226 cells after exposition to photon radiation with 2 Gy (H28: p=0.024 and p=0.016; H226: p<0.001 and p=0.001, respectively). ('H28', 'Chemical', '-', (272, 275)) ('AMD3100', 'Chemical', 'MESH:C088327', (35, 42)) ('AMD3100', 'Var', (35, 42)) ('inhibited', 'NegReg', (171, 180)) ('migration', 'CPA', (215, 224)) ('H28', 'Chemical', '-', (339, 342)) ('collagen', 'molecular_function', 'GO:0005202', ('233', '241')) 18342 28978091 For FACS analysis, PE-labeled anti-human CXCR4 antibody (555974), PE-labeled anti-human beta1 antibody (556049), PE-labeled anti-human alpha3 antibody (556025), PE-labeled anti-human alpha5 antibody (555617), and isotope controls corresponding to these antibodies were purchased from BD Bioscience (Heidelberg, Germany). ('antibody', 'molecular_function', 'GO:0003823', ('190', '198')) ('CXCR4', 'Gene', (41, 46)) ('antibody', 'cellular_component', 'GO:0019815', ('142', '150')) ('human', 'Species', '9606', (35, 40)) ('antibody', 'cellular_component', 'GO:0019815', ('47', '55')) ('antibody', 'cellular_component', 'GO:0042571', ('190', '198')) ('beta1', 'Gene', '10678', (88, 93)) ('human', 'Species', '9606', (177, 182)) ('antibody', 'cellular_component', 'GO:0019815', ('94', '102')) ('antibody', 'cellular_component', 'GO:0019814', ('142', '150')) ('antibody', 'cellular_component', 'GO:0019814', ('47', '55')) ('555974', 'Var', (57, 63)) ('antibody', 'cellular_component', 'GO:0019815', ('190', '198')) ('CXCR4', 'molecular_function', 'GO:0038147', ('41', '46')) ('556049', 'Var', (104, 110)) ('antibody', 'molecular_function', 'GO:0003823', ('142', '150')) ('antibody', 'cellular_component', 'GO:0019814', ('94', '102')) ('antibody', 'molecular_function', 'GO:0003823', ('47', '55')) ('antibody', 'cellular_component', 'GO:0042571', ('142', '150')) ('antibody', 'cellular_component', 'GO:0019814', ('190', '198')) ('antibody', 'cellular_component', 'GO:0042571', ('47', '55')) ('beta1', 'Gene', (88, 93)) ('antibody', 'molecular_function', 'GO:0003823', ('94', '102')) ('CXCR4', 'Gene', '7852', (41, 46)) ('human', 'Species', '9606', (129, 134)) ('antibody', 'cellular_component', 'GO:0042571', ('94', '102')) ('556025', 'Var', (152, 158)) ('human', 'Species', '9606', (82, 87)) 18384 25210967 In addition to asbestos exposure, risk factors for the development of MM include erionite exposure, simian virus 40, and germline BAP1 mutations. ('BAP1', 'Gene', '8314', (130, 134)) ('BAP1', 'Gene', (130, 134)) ('mutations', 'Var', (135, 144)) 18385 25210967 Between 1980 and 1995, the authors of that study used the International Classification of Diseases, 9th revision (ICD-9), codes 163.0, 163.1, 163.8, and 163.9, and all cases of pleural neoplasm were considered to be cases of mesothelioma. ('pleural neoplasm', 'Phenotype', 'HP:0100527', (177, 193)) ('neoplasm', 'Phenotype', 'HP:0002664', (185, 193)) ('codes 163.0', 'Var', (122, 133)) ('mesothelioma', 'Disease', (225, 237)) ('pleural neoplasm', 'Disease', 'MESH:D010997', (177, 193)) ('pleural neoplasm', 'Disease', (177, 193)) 18393 25210967 The p16INK4a protein is a cyclin-dependent kinase inhibitor and plays a role in the hyperphosphorylation of the retinoblastoma protein. ('hyperphosphorylation', 'biological_process', 'GO:0048151', ('84', '104')) ('p16INK4a', 'Var', (4, 12)) ('kinase inhibitor', 'biological_process', 'GO:0033673', ('43', '59')) ('retinoblastoma', 'Disease', 'MESH:D012175', (112, 126)) ('retinoblastoma', 'Disease', (112, 126)) ('protein', 'cellular_component', 'GO:0003675', ('127', '134')) ('protein', 'cellular_component', 'GO:0003675', ('13', '20')) ('retinoblastoma', 'Phenotype', 'HP:0009919', (112, 126)) ('hyperphosphorylation', 'MPA', (84, 104)) ('plays', 'Reg', (64, 69)) ('cyclin-dependent kinase inhibitor', 'molecular_function', 'GO:0004861', ('26', '59')) ('protein', 'Protein', (13, 20)) 18394 25210967 In contrast, the p14ARF protein inhibits the degradation of p53 through its interaction with murine double minute 2 protein (MDM2). ('degradation', 'MPA', (45, 56)) ('double minute 2 protein', 'Gene', (100, 123)) ('murine', 'Species', '10090', (93, 99)) ('protein', 'Protein', (24, 31)) ('degradation', 'biological_process', 'GO:0009056', ('45', '56')) ('protein', 'cellular_component', 'GO:0003675', ('116', '123')) ('double minute 2 protein', 'Gene', '17246', (100, 123)) ('interaction', 'Interaction', (76, 87)) ('p53', 'Protein', (60, 63)) ('inhibits', 'NegReg', (32, 40)) ('protein', 'cellular_component', 'GO:0003675', ('24', '31')) ('p14ARF', 'Var', (17, 23)) 18396 25210967 Approximately 70% of all cases of epithelial MM and nearly 100% of all cases of biphasic or sarcomatoid MM show changes in p16 INK4a and p14 ARF. ('biphasic or sarcomatoid MM', 'Disease', 'MESH:C538614', (80, 106)) ('p14 ARF', 'Protein', (137, 145)) ('changes', 'Reg', (112, 119)) ('biphasic or sarcomatoid MM', 'Disease', (80, 106)) ('p16', 'Var', (123, 126)) 18398 25210967 Germline BAP1 mutations have recently been detected in families with a high incidence of MM, characterizing a syndrome that predisposes to MM, uveal melanoma, and, possibly, other cancers. ('cancers', 'Disease', 'MESH:D009369', (180, 187)) ('cancers', 'Phenotype', 'HP:0002664', (180, 187)) ('melanoma', 'Phenotype', 'HP:0002861', (149, 157)) ('cancer', 'Phenotype', 'HP:0002664', (180, 186)) ('cancers', 'Disease', (180, 187)) ('uveal melanoma', 'Disease', 'MESH:C536494', (143, 157)) ('BAP1', 'Gene', (9, 13)) ('mutations', 'Var', (14, 23)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (143, 157)) ('uveal melanoma', 'Disease', (143, 157)) 18399 25210967 In individuals suspected of having BAP1 cancer syndrome, early diagnosis is essential to prevent the onset of diseases associated with BAP1 mutations. ('cancer syndrome', 'Disease', 'MESH:D009369', (40, 55)) ('cancer syndrome', 'Disease', (40, 55)) ('BAP1', 'Gene', (135, 139)) ('mutations', 'Var', (140, 149)) ('cancer', 'Phenotype', 'HP:0002664', (40, 46)) 18401 25210967 Monoallelic mutations are common in various types of cancer; however, homozygous PTEN mutations are frequently found in advanced cancers, such as endometrial cancer and glioblastoma. ('found', 'Reg', (111, 116)) ('mutations', 'Var', (86, 95)) ('glioblastoma', 'Disease', (169, 181)) ('glioblastoma', 'Disease', 'MESH:D005909', (169, 181)) ('cancer', 'Phenotype', 'HP:0002664', (129, 135)) ('cancers', 'Phenotype', 'HP:0002664', (129, 136)) ('glioblastoma', 'Phenotype', 'HP:0012174', (169, 181)) ('endometrial cancer', 'Disease', (146, 164)) ('cancer', 'Phenotype', 'HP:0002664', (53, 59)) ('PTEN', 'Gene', (81, 85)) ('endometrial cancer', 'Phenotype', 'HP:0012114', (146, 164)) ('endometrial cancer', 'Disease', 'MESH:D016889', (146, 164)) ('cancer', 'Phenotype', 'HP:0002664', (158, 164)) 18452 25210967 Todavia, a delecao completa de PTEN associada com TP53 com mutacao foi associada a uma forma mais grave de cancer de prostata. ('uma forma mais grave de cancer de prostata', 'Disease', (83, 125)) ('cancer', 'Phenotype', 'HP:0002664', (107, 113)) ('TP53', 'Var', (50, 54)) ('uma forma mais grave de cancer de prostata', 'Disease', 'MESH:D005862', (83, 125)) 18476 22613358 There is emerging evidence supporting the role of BAP1 mutations in the pathogenesis of these two neoplasias. ('neoplasias', 'Disease', (98, 108)) ('mutations', 'Var', (55, 64)) ('BAP1', 'Gene', '8314', (50, 54)) ('neoplasias', 'Phenotype', 'HP:0002664', (98, 108)) ('BAP1', 'Gene', (50, 54)) ('pathogenesis', 'biological_process', 'GO:0009405', ('72', '84')) ('neoplasias', 'Disease', 'MESH:D009369', (98, 108)) 18528 22613358 All cases were found to have a BAP1 mutation. ('BAP1', 'Gene', '8314', (31, 35)) ('BAP1', 'Gene', (31, 35)) ('mutation', 'Var', (36, 44)) 18530 22613358 Mutations in BAP1 are infrequent in the general population but high in mesothelioma (20.1%) and uveal melanoma (44.1%). ('mesothelioma', 'Disease', (71, 83)) ('BAP1', 'Gene', (13, 17)) ('uveal melanoma', 'Disease', (96, 110)) ('mesothelioma', 'Disease', 'MESH:D008654', (71, 83)) ('melanoma', 'Phenotype', 'HP:0002861', (102, 110)) ('Mutations', 'Var', (0, 9)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (96, 110)) ('BAP1', 'Gene', '8314', (13, 17)) ('high', 'Reg', (63, 67)) ('uveal melanoma', 'Disease', 'MESH:C536494', (96, 110)) 18532 22613358 In that study, the authors found germline BAP1 mutations in 2 of 26 patients diagnosed with mesothelioma and both patients were previously diagnosed with uveal melanoma. ('BAP1', 'Gene', '8314', (42, 46)) ('uveal melanoma', 'Disease', 'MESH:C536494', (154, 168)) ('melanoma', 'Phenotype', 'HP:0002861', (160, 168)) ('mesothelioma', 'Disease', 'MESH:D008654', (92, 104)) ('BAP1', 'Gene', (42, 46)) ('mutations', 'Var', (47, 56)) ('patients', 'Species', '9606', (68, 76)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (154, 168)) ('uveal melanoma', 'Disease', (154, 168)) ('patients', 'Species', '9606', (114, 122)) ('mesothelioma', 'Disease', (92, 104)) 18533 22613358 Three of their four patients with uveal melanoma and BAP1 mutations subsequently developed mesothelioma. ('mutations', 'Var', (58, 67)) ('mesothelioma', 'Disease', 'MESH:D008654', (91, 103)) ('developed', 'Reg', (81, 90)) ('melanoma', 'Phenotype', 'HP:0002861', (40, 48)) ('BAP1', 'Gene', '8314', (53, 57)) ('mesothelioma', 'Disease', (91, 103)) ('patients', 'Species', '9606', (20, 28)) ('uveal melanoma', 'Disease', 'MESH:C536494', (34, 48)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (34, 48)) ('uveal melanoma', 'Disease', (34, 48)) ('BAP1', 'Gene', (53, 57)) 18536 22613358 Clinicians should be aware of this entity since individuals who carry germline BAP1 mutations may be at increased risk of developing metachronously both OM and DMPM. ('DMPM', 'Disease', (160, 164)) ('BAP1', 'Gene', '8314', (79, 83)) ('BAP1', 'Gene', (79, 83)) ('mutations', 'Var', (84, 93)) ('germline', 'Var', (70, 78)) ('OM', 'Phenotype', 'HP:0007716', (153, 155)) ('DMPM', 'Chemical', '-', (160, 164)) 18537 22613358 Patients found with BAP1 mutations and their families should be closely monitored for the development of any or both of these malignancies for the possibility of early detection and intervention. ('mutations', 'Var', (25, 34)) ('malignancies', 'Disease', 'MESH:D009369', (126, 138)) ('BAP1', 'Gene', (20, 24)) ('malignancies', 'Disease', (126, 138)) ('Patients', 'Species', '9606', (0, 8)) ('BAP1', 'Gene', '8314', (20, 24)) 18542 22613358 Genetic testing for BAP1 mutations in this patient and his family is currently in progress and the results will be the subject of another publication. ('mutations', 'Var', (25, 34)) ('BAP1', 'Gene', '8314', (20, 24)) ('BAP1', 'Gene', (20, 24)) ('patient', 'Species', '9606', (43, 50)) 18549 21364680 Acquisition of cisplatin-resistance resulted in basal fragmentation of caspase-8 and -9 without a concomitant increase in proteolytic activity, and there was an increased basal caspase-3/7 activity. ('caspase-3/7', 'Gene', '836;840', (177, 188)) ('caspase-3/7', 'Gene', (177, 188)) ('fragmentation', 'MPA', (54, 67)) ('cisplatin', 'Chemical', 'MESH:D002945', (15, 24)) ('increased', 'PosReg', (161, 170)) ('caspase-8 and -9', 'Gene', '841;842', (71, 87)) ('Acquisition', 'Var', (0, 11)) ('activity', 'MPA', (189, 197)) 18556 21364680 Granzyme B is a protease that can cleave caspase-3 and -7 and cleave Bid with subsequent activation of the mitochondrial pathway. ('cleave', 'Reg', (34, 40)) ('cleave', 'Var', (62, 68)) ('mitochondrial pathway', 'Pathway', (107, 128)) ('Granzyme B', 'Gene', '3002', (0, 10)) ('caspase-3 and -7', 'Gene', '836;840', (41, 57)) ('activation', 'PosReg', (89, 99)) ('Bid', 'Gene', (69, 72)) ('Bid', 'Gene', '637', (69, 72)) ('Granzyme B', 'Gene', (0, 10)) 18574 21364680 It cannot be excluded that these changes may affect caspase activity, as well as, for example, accumulation and intra-cellular trapping of cisplatin. ('affect', 'Reg', (45, 51)) ('accumulation', 'MPA', (95, 107)) ('changes', 'Var', (33, 40)) ('caspase activity', 'molecular_function', 'GO:0030693', ('52', '68')) ('cisplatin', 'Chemical', 'MESH:D002945', (139, 148)) ('caspase activity', 'molecular_function', 'GO:0004197', ('52', '68')) ('intra-cellular trapping', 'MPA', (112, 135)) ('activity', 'MPA', (60, 68)) ('caspase', 'Enzyme', (52, 59)) ('caspase activity', 'molecular_function', 'GO:0097153', ('52', '68')) 18577 21364680 Previously, we have shown that acquisition of cisplatin-resistance resulted in a higher basal caspase-3/7 activity, an earlier cisplatin-induced increase in caspase-3/7 activity, but no significant changes in basal levels of nuclear DNA fragmentation. ('caspase-3/7', 'Gene', (94, 105)) ('DNA', 'cellular_component', 'GO:0005574', ('233', '236')) ('cisplatin-resistance', 'Var', (46, 66)) ('higher', 'PosReg', (81, 87)) ('activity', 'MPA', (169, 177)) ('activity', 'MPA', (106, 114)) ('caspase-3/7', 'Gene', '836;840', (157, 168)) ('cisplatin', 'Chemical', 'MESH:D002945', (46, 55)) ('caspase-3/7', 'Gene', '836;840', (94, 105)) ('DNA fragmentation', 'biological_process', 'GO:0006309', ('233', '250')) ('caspase-3/7', 'Gene', (157, 168)) ('cisplatin', 'Chemical', 'MESH:D002945', (127, 136)) 18597 21364680 We therefore concluded that acquisition of cisplatin-resistance increased the basal effector caspase activity, but did not change the final response of the effector caspases-3 and -7 to cisplatin exposure. ('caspases-3 and -7', 'Gene', '836;840', (165, 182)) ('effector caspase activity', 'molecular_function', 'GO:0004207', ('84', '109')) ('cisplatin', 'Chemical', 'MESH:D002945', (186, 195)) ('effector caspase activity', 'molecular_function', 'GO:0097200', ('84', '109')) ('activity', 'MPA', (101, 109)) ('cisplatin-resistance', 'Var', (43, 63)) ('cisplatin', 'Chemical', 'MESH:D002945', (43, 52)) ('increased', 'PosReg', (64, 73)) ('acquisition', 'Var', (28, 39)) ('effector caspase activity', 'molecular_function', 'GO:0030693', ('84', '109')) 18599 21364680 To determine whether the basal changes in effector caspase contents were consistent findings after in vitro acquisition of cisplatin resistance, we used western blotting to screen the H1299 and H1299res cells for caspase-3, caspase-7 and DFF45/DFF35 contents under control conditions (Figure 1e). ('cisplatin', 'Chemical', 'MESH:D002945', (123, 132)) ('caspase-3', 'Gene', '836', (213, 222)) ('H1299', 'CellLine', 'CVCL:0060', (184, 189)) ('caspase-7', 'Gene', (224, 233)) ('H1299res', 'Var', (194, 202)) ('H1299', 'CellLine', 'CVCL:0060', (194, 199)) ('caspase-7', 'Gene', '840', (224, 233)) ('DFF45', 'Gene', '1676', (238, 243)) ('caspase-3', 'Gene', (213, 222)) ('DFF45', 'Gene', (238, 243)) ('H1299', 'Var', (184, 189)) 18600 21364680 As in the P31res1.2 cells, full-length caspase-3 protein was increased in H1299res cells, but it was again not possible to detect any caspase-3 fragments by western blotting. ('P31', 'Gene', '55850', (10, 13)) ('P31', 'Gene', (10, 13)) ('caspase-3', 'Gene', (39, 48)) ('H1299res', 'Var', (74, 82)) ('H1299', 'CellLine', 'CVCL:0060', (74, 79)) ('full-length', 'MPA', (27, 38)) ('caspase-3', 'Gene', (134, 143)) ('increased', 'PosReg', (61, 70)) ('protein', 'cellular_component', 'GO:0003675', ('49', '56')) ('caspase-3', 'Gene', '836', (134, 143)) ('caspase-3', 'Gene', '836', (39, 48)) 18601 21364680 In contrast to the P31res1.2 cells (data not shown), the H1299res cells had increased content of DFF45/DFF35, as well as increased caspase-7 and caspase-7 fragmentation (Figure 1e). ('caspase-7', 'Gene', '840', (131, 140)) ('increased', 'PosReg', (76, 85)) ('increased', 'PosReg', (121, 130)) ('DFF45', 'Gene', '1676', (97, 102)) ('content', 'MPA', (86, 93)) ('H1299res', 'Var', (57, 65)) ('H1299', 'CellLine', 'CVCL:0060', (57, 62)) ('DFF45', 'Gene', (97, 102)) ('caspase-7', 'Gene', (145, 154)) ('caspase-7', 'Gene', (131, 140)) ('caspase-7', 'Gene', '840', (145, 154)) ('P31', 'Gene', '55850', (19, 22)) ('P31', 'Gene', (19, 22)) 18602 21364680 Thus, similar to the P31res1.2 cells, the H1299res cells appear to have increased basal expression of effector caspase-3 subsequent to the in vitro acquired cisplatin-resistance. ('caspase-3', 'Gene', (111, 120)) ('increased', 'PosReg', (72, 81)) ('P31', 'Gene', (21, 24)) ('caspase-3', 'Gene', '836', (111, 120)) ('H1299res', 'Var', (42, 50)) ('cisplatin', 'Chemical', 'MESH:D002945', (157, 166)) ('H1299', 'CellLine', 'CVCL:0060', (42, 47)) ('expression', 'MPA', (88, 98)) ('P31', 'Gene', '55850', (21, 24)) 18603 21364680 However, the H1299res cells also had increased basal expression and fragmentation of caspase-7 that was not found in the P31res1.2 cells. ('caspase-7', 'Gene', (85, 94)) ('basal expression', 'MPA', (47, 63)) ('caspase-7', 'Gene', '840', (85, 94)) ('P31', 'Gene', '55850', (121, 124)) ('P31', 'Gene', (121, 124)) ('H1299res', 'Var', (13, 21)) ('increased', 'PosReg', (37, 46)) ('fragmentation', 'MPA', (68, 81)) ('H1299', 'CellLine', 'CVCL:0060', (13, 18)) 18615 21364680 To determine whether the basal changes in activator caspase contents were consistent findings after in vitro acquisition of cisplatin resistance, we used western blotting to screen the H1299 and H1299res cells for caspase-8 (not shown) and caspase-9 contents (Figure 2c) under control conditions. ('caspase-9', 'Gene', '842', (240, 249)) ('cisplatin', 'Chemical', 'MESH:D002945', (124, 133)) ('H1299', 'Var', (185, 190)) ('H1299', 'CellLine', 'CVCL:0060', (185, 190)) ('caspase-8', 'Gene', (214, 223)) ('caspase-8', 'Gene', '841', (214, 223)) ('caspase-9', 'Gene', (240, 249)) ('H1299', 'CellLine', 'CVCL:0060', (195, 200)) ('H1299res', 'Var', (195, 203)) 18616 21364680 In contrast to the P31 and P31res1.2 cells (Figure 2a), no fragments of caspase-8 were identified in the H1299 or H1299res cells (not shown). ('H1299res', 'Var', (114, 122)) ('H1299', 'CellLine', 'CVCL:0060', (114, 119)) ('P31', 'Gene', '55850', (27, 30)) ('H1299', 'Var', (105, 110)) ('caspase-8', 'Gene', (72, 81)) ('P31', 'Gene', (27, 30)) ('caspase-8', 'Gene', '841', (72, 81)) ('H1299', 'CellLine', 'CVCL:0060', (105, 110)) ('P31', 'Gene', '55850', (19, 22)) ('P31', 'Gene', (19, 22)) 18617 21364680 However, as in the P31res1.2 cells (Figure 2a), the H1299res cells had increased caspase-9 content and increased fragmentation of caspase-9, compared with the parental H1299 cells (Figure 2c). ('caspase-9', 'Gene', '842', (81, 90)) ('caspase-9', 'Gene', '842', (130, 139)) ('increased', 'PosReg', (103, 112)) ('H1299res', 'Var', (52, 60)) ('caspase-9', 'Gene', (130, 139)) ('fragmentation', 'MPA', (113, 126)) ('caspase-9', 'Gene', (81, 90)) ('increased', 'PosReg', (71, 80)) ('P31', 'Gene', '55850', (19, 22)) ('H1299', 'CellLine', 'CVCL:0060', (168, 173)) ('P31', 'Gene', (19, 22)) ('H1299', 'CellLine', 'CVCL:0060', (52, 57)) 18636 21364680 Although additional studies are necessary to fully characterize the H1299 and H1299res cells regarding caspase activity, the results indicate that in vitro acquisition of cisplatin-resistance results in similar changes in basal caspase-3 and caspase-9 expression and fragmentation. ('changes', 'Reg', (211, 218)) ('caspase activity', 'molecular_function', 'GO:0030693', ('103', '119')) ('caspase-3', 'Gene', (228, 237)) ('caspase-9', 'Gene', (242, 251)) ('caspase activity', 'molecular_function', 'GO:0004197', ('103', '119')) ('H1299', 'CellLine', 'CVCL:0060', (78, 83)) ('H1299res', 'Var', (78, 86)) ('caspase-3', 'Gene', '836', (228, 237)) ('H1299', 'CellLine', 'CVCL:0060', (68, 73)) ('caspase-9', 'Gene', '842', (242, 251)) ('expression', 'MPA', (252, 262)) ('fragmentation', 'CPA', (267, 280)) ('cisplatin', 'Chemical', 'MESH:D002945', (171, 180)) ('caspase activity', 'molecular_function', 'GO:0097153', ('103', '119')) 18654 21364680 They both have similar efficiency in cleavage of, for example, DEVD-AFC and PARP, whereas caspase-3 is more efficient in the proteolysis of caspase-9 and XIAP. ('cleavage', 'MPA', (37, 45)) ('XIAP', 'Gene', '331', (154, 158)) ('PARP', 'Gene', '142', (76, 80)) ('caspase-3', 'Gene', (90, 99)) ('proteolysis', 'biological_process', 'GO:0006508', ('125', '136')) ('caspase-9', 'Gene', '842', (140, 149)) ('caspase-3', 'Gene', '836', (90, 99)) ('caspase-9', 'Gene', (140, 149)) ('PARP', 'Gene', (76, 80)) ('DEVD-AFC', 'Var', (63, 71)) ('XIAP', 'Gene', (154, 158)) 18655 21364680 Caspase-3-mediated fragmentation of caspase-9 occurs at Asp330 and results in a 37-kDa fragment, the most abundant fragment in the P31res1.2 cells. ('caspase-9', 'Gene', '842', (36, 45)) ('Caspase-3', 'Gene', (0, 9)) ('Asp330', 'Chemical', '-', (56, 62)) ('results in', 'Reg', (67, 77)) ('Asp330', 'Var', (56, 62)) ('37-kDa fragment', 'MPA', (80, 95)) ('P31', 'Gene', '55850', (131, 134)) ('caspase-9', 'Gene', (36, 45)) ('fragmentation', 'Var', (19, 32)) ('P31', 'Gene', (131, 134)) ('Caspase-3', 'Gene', '836', (0, 9)) 18659 21364680 However, caspase-3-mediated fragmentation of caspase-8 is reported to result in 41 and 43 kDa fragments, such as those found in this study. ('fragmentation', 'Var', (28, 41)) ('caspase-3', 'Gene', (9, 18)) ('caspase-8', 'Gene', (45, 54)) ('caspase-8', 'Gene', '841', (45, 54)) ('result', 'Reg', (70, 76)) ('caspase-3', 'Gene', '836', (9, 18)) 18665 21364680 Thus, acquisition of cisplatin-resistance may cause resistance to caspase activation and activity, particularly through the caspase 9-mediated pathway. ('resistance', 'MPA', (52, 62)) ('cisplatin', 'Chemical', 'MESH:D002945', (21, 30)) ('caspase', 'Enzyme', (66, 73)) ('activation', 'PosReg', (74, 84)) ('acquisition', 'Var', (6, 17)) ('caspase 9', 'Gene', (124, 133)) ('cause', 'Reg', (46, 51)) ('caspase activation', 'biological_process', 'GO:0006919', ('66', '84')) ('caspase 9', 'Gene', '842', (124, 133)) ('activity', 'MPA', (89, 97)) 18736 15702125 The SMR for pleural cancer was 3427.7 for <1 year of exposure, 7659.3 for 1 to <5 years, 2978.6 for 5 to <10 years and 2129.9 for >=10 years. ('cancer', 'Phenotype', 'HP:0002664', (20, 26)) ('pleural cancer', 'Disease', (12, 26)) ('pleural cancer', 'Disease', 'MESH:D010995', (12, 26)) ('2978.6', 'Var', (89, 95)) 18740 15702125 Between 15 and 25 years since first employment, the SMR were 1599.4 for peritoneal cancer and 2910.2 for pleural and peritoneal mesothelioma combined; corresponding values increased to 2062.9 and 3593.0 for latency of 25 to <35 years, and to 5360.6 and 4480.7 for latency >=35 years. ('peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (117, 140)) ('men', 'Species', '9606', (42, 45)) ('cancer', 'Phenotype', 'HP:0002664', (83, 89)) ('2910.2', 'Var', (94, 100)) ('pleural and peritoneal mesothelioma', 'Disease', 'MESH:D010997', (105, 140)) ('cancer', 'Disease', 'MESH:D009369', (83, 89)) ('cancer', 'Disease', (83, 89)) 18847 31609087 A novel intraperitoneal therapy for gastric cancer with DFP-10825, a unique RNAi therapeutic targeting thymidylate synthase, in a peritoneally disseminated xenograft model In advanced gastric cancer, peritoneal dissemination is a life-threatening mode of metastasis. ('gastric cancer', 'Disease', 'MESH:D013274', (184, 198)) ('cancer', 'Phenotype', 'HP:0002664', (44, 50)) ('gastric cancer', 'Disease', (36, 50)) ('gastric cancer', 'Phenotype', 'HP:0012126', (184, 198)) ('DFP-10825', 'Chemical', 'MESH:D007531', (56, 65)) ('gastric cancer', 'Disease', 'MESH:D013274', (36, 50)) ('DFP-10825', 'Var', (56, 65)) ('thymidylate synthase', 'Gene', '22171', (103, 123)) ('RNAi', 'biological_process', 'GO:0016246', ('76', '80')) ('gastric cancer', 'Phenotype', 'HP:0012126', (36, 50)) ('thymidylate synthase', 'Gene', (103, 123)) ('gastric cancer', 'Disease', (184, 198)) ('cancer', 'Phenotype', 'HP:0002664', (192, 198)) 18849 31609087 The treatment with DFP-10825 has shown remarkable antitumor activity in peritoneally disseminated human ovarian cancer-bearing mice via intraperitoneal administration. ('mice', 'Species', '10090', (127, 131)) ('DFP-10825', 'Chemical', 'MESH:D007531', (19, 28)) ('ovarian cancer', 'Disease', (104, 118)) ('tumor', 'Disease', 'MESH:D009369', (54, 59)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (104, 118)) ('tumor', 'Phenotype', 'HP:0002664', (54, 59)) ('ovarian cancer', 'Disease', 'MESH:D010051', (104, 118)) ('human', 'Species', '9606', (98, 103)) ('tumor', 'Disease', (54, 59)) ('cancer', 'Phenotype', 'HP:0002664', (112, 118)) ('DFP-10825', 'Var', (19, 28)) 18858 31609087 Our current study indicates that DFP-10825 could become an alternative option to improve the outcomes of patients with peritoneally disseminated gastric cancer. ('gastric cancer', 'Disease', 'MESH:D013274', (145, 159)) ('improve', 'PosReg', (81, 88)) ('patients', 'Species', '9606', (105, 113)) ('gastric cancer', 'Phenotype', 'HP:0012126', (145, 159)) ('cancer', 'Phenotype', 'HP:0002664', (153, 159)) ('DFP-10825', 'Chemical', 'MESH:D007531', (33, 42)) ('DFP-10825', 'Var', (33, 42)) ('gastric cancer', 'Disease', (145, 159)) 18859 31609087 Intraperitoneal DFP-10825 showed effective antitumor activity in peritoneally disseminated human gastric cancer-bearing mice. ('DFP-10825', 'Var', (16, 25)) ('gastric cancer', 'Disease', (97, 111)) ('mice', 'Species', '10090', (120, 124)) ('gastric cancer', 'Disease', 'MESH:D013274', (97, 111)) ('tumor', 'Disease', 'MESH:D009369', (47, 52)) ('gastric cancer', 'Phenotype', 'HP:0012126', (97, 111)) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('cancer', 'Phenotype', 'HP:0002664', (105, 111)) ('tumor', 'Disease', (47, 52)) ('DFP-10825', 'Chemical', 'MESH:D007531', (16, 25)) ('human', 'Species', '9606', (91, 96)) 18860 31609087 As an alternative treatment regimen, DFP-10825 has the potential to improve the outcomes of patients with peritoneally disseminated gastric cancer. ('improve', 'PosReg', (68, 75)) ('gastric cancer', 'Disease', (132, 146)) ('gastric cancer', 'Disease', 'MESH:D013274', (132, 146)) ('patients', 'Species', '9606', (92, 100)) ('gastric cancer', 'Phenotype', 'HP:0012126', (132, 146)) ('cancer', 'Phenotype', 'HP:0002664', (140, 146)) ('DFP-10825', 'Chemical', 'MESH:D007531', (37, 46)) ('DFP-10825', 'Var', (37, 46)) 18866 31609087 The model mice were treated with either DFP-10825 or S-1. ('DFP-10825', 'Chemical', 'MESH:D007531', (40, 49)) ('mice', 'Species', '10090', (10, 14)) ('S-1', 'Gene', (53, 56)) ('S-1', 'Gene', '70247', (53, 56)) ('DFP-10825', 'Var', (40, 49)) 18868 31609087 In contrast, the intraperitoneal treatment with DFP-10825 showed superior therapeutic effects without any systemic adverse events. ('therapeutic effects', 'CPA', (74, 93)) ('DFP-10825', 'Var', (48, 57)) ('DFP-10825', 'Chemical', 'MESH:D007531', (48, 57)) 18869 31609087 The present study shows that intraperitoneal delivery of DFP-10825 could be a feasible therapeutic approach to treat peritoneally disseminated gastric cancer. ('DFP-10825', 'Var', (57, 66)) ('gastric cancer', 'Phenotype', 'HP:0012126', (143, 157)) ('cancer', 'Phenotype', 'HP:0002664', (151, 157)) ('gastric cancer', 'Disease', (143, 157)) ('gastric cancer', 'Disease', 'MESH:D013274', (143, 157)) ('DFP-10825', 'Chemical', 'MESH:D007531', (57, 66)) 18884 31609087 The development of a MKN45 peritoneally disseminated mouse model was confirmed by a >1.5 g decrease in body weight from Day 0 to Day 7 post-tumor implantation. ('body weight', 'CPA', (103, 114)) ('tumor', 'Phenotype', 'HP:0002664', (140, 145)) ('decrease in body weight', 'Phenotype', 'HP:0004325', (91, 114)) ('tumor', 'Disease', 'MESH:D009369', (140, 145)) ('MKN45', 'Var', (21, 26)) ('mouse', 'Species', '10090', (53, 58)) ('decrease', 'NegReg', (91, 99)) ('tumor', 'Disease', (140, 145)) 18901 31609087 The levels of significance were set at *P < .05, **P < .01 vs. control, # P < .05 vs S-1 treatment, and $$ P < .01 vs 2.5 microg TS shRNA. ('TS', 'Gene', '22171', (129, 131)) ('S-1', 'Gene', '70247', (85, 88)) (' $$ P <', 'Var', (103, 110)) ('S-1', 'Gene', (85, 88)) 18903 31609087 The intraperitoneal injection of DFP-10825 prolonged the survival times of the mice, compared with the untreated control mice (Figure 1A). ('mice', 'Species', '10090', (79, 83)) ('mice', 'Species', '10090', (121, 125)) ('survival times', 'CPA', (57, 71)) ('prolonged', 'PosReg', (43, 52)) ('DFP-10825', 'Var', (33, 42)) ('DFP-10825', 'Chemical', 'MESH:D007531', (33, 42)) 18904 31609087 The body weight of the treated mice gradually decreased with each dose of DFP-10825, and yet, it was comparable to that of the untreated control mice (Figure 1B). ('body weight', 'CPA', (4, 15)) ('mice', 'Species', '10090', (31, 35)) ('decreased', 'NegReg', (46, 55)) ('mice', 'Species', '10090', (145, 149)) ('DFP-10825', 'Var', (74, 83)) ('DFP-10825', 'Chemical', 'MESH:D007531', (74, 83)) 18906 31609087 The suppressive effect that DFP-10825 exerted on tumor growth was compared with that of conventional standard chemotherapy for gastric cancer, S-1. ('tumor', 'Disease', 'MESH:D009369', (49, 54)) ('gastric cancer', 'Phenotype', 'HP:0012126', (127, 141)) ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('DFP-10825', 'Var', (28, 37)) ('DFP-10825', 'Chemical', 'MESH:D007531', (28, 37)) ('tumor', 'Disease', (49, 54)) ('cancer', 'Phenotype', 'HP:0002664', (135, 141)) ('gastric cancer', 'Disease', (127, 141)) ('S-1', 'Gene', (143, 146)) ('gastric cancer', 'Disease', 'MESH:D013274', (127, 141)) ('suppressive', 'NegReg', (4, 15)) ('S-1', 'Gene', '70247', (143, 146)) 18911 31609087 On the other hand, in DFP-10825-treated mice, the intraperitoneal luciferase activity increased slowly, and at each time point, with the exception of the earliest point, the luciferase activity was smaller than that for either the S-1-treated or the control mice (Figure 2A,B). ('luciferase activity', 'molecular_function', 'GO:0047712', ('174', '193')) ('activity', 'MPA', (185, 193)) ('S-1', 'Gene', (231, 234)) ('luciferase', 'Enzyme', (174, 184)) ('luciferase activity', 'molecular_function', 'GO:0050248', ('66', '85')) ('luciferase activity', 'molecular_function', 'GO:0050397', ('66', '85')) ('DFP-10825', 'Chemical', 'MESH:D007531', (22, 31)) ('smaller', 'NegReg', (198, 205)) ('luciferase activity', 'molecular_function', 'GO:0050397', ('174', '193')) ('luciferase activity', 'molecular_function', 'GO:0050248', ('174', '193')) ('mice', 'Species', '10090', (258, 262)) ('S-1', 'Gene', '70247', (231, 234)) ('DFP-10825-treated', 'Var', (22, 39)) ('activity', 'MPA', (77, 85)) ('mice', 'Species', '10090', (40, 44)) ('luciferase activity', 'molecular_function', 'GO:0047077', ('66', '85')) ('luciferase activity', 'molecular_function', 'GO:0047077', ('174', '193')) ('luciferase activity', 'molecular_function', 'GO:0045289', ('66', '85')) ('luciferase activity', 'molecular_function', 'GO:0047712', ('66', '85')) ('luciferase activity', 'molecular_function', 'GO:0045289', ('174', '193')) 18912 31609087 Body weights of the mice treated with both S-1 and DFP-10825 gradually decreased, but were comparable to that of the untreated control mice (Figure 2C). ('mice', 'Species', '10090', (20, 24)) ('DFP-10825', 'Chemical', 'MESH:D007531', (51, 60)) ('S-1', 'Gene', (43, 46)) ('S-1', 'Gene', '70247', (43, 46)) ('DFP-10825', 'Var', (51, 60)) ('mice', 'Species', '10090', (135, 139)) ('Body weights', 'CPA', (0, 12)) ('decreased', 'NegReg', (71, 80)) 18914 31609087 To further confirm the tumor growth suppression effect of DFP-10825, we next prepared a peritoneally disseminated gastric cancer model with another cell line, NCI-N87 human gastric carcinoma. ('carcinoma', 'Phenotype', 'HP:0030731', (181, 190)) ('gastric carcinoma', 'Disease', (173, 190)) ('gastric cancer', 'Disease', (114, 128)) ('tumor growth suppression', 'Disease', (23, 47)) ('tumor growth suppression', 'Disease', 'MESH:D006130', (23, 47)) ('gastric cancer', 'Disease', 'MESH:D013274', (114, 128)) ('DFP-10825', 'Chemical', 'MESH:D007531', (58, 67)) ('DFP-10825', 'Var', (58, 67)) ('gastric carcinoma', 'Phenotype', 'HP:0012126', (173, 190)) ('gastric cancer', 'Phenotype', 'HP:0012126', (114, 128)) ('tumor', 'Phenotype', 'HP:0002664', (23, 28)) ('cancer', 'Phenotype', 'HP:0002664', (122, 128)) ('gastric carcinoma', 'Disease', 'MESH:D013274', (173, 190)) ('human', 'Species', '9606', (167, 172)) 18924 31609087 In the DFP-10825-treated mice, the luciferase activity was somewhat decreased during the treatment period (Day 7-Day 21) and then began to increase. ('decreased', 'NegReg', (68, 77)) ('mice', 'Species', '10090', (25, 29)) ('luciferase activity', 'molecular_function', 'GO:0045289', ('35', '54')) ('luciferase activity', 'molecular_function', 'GO:0050397', ('35', '54')) ('luciferase activity', 'molecular_function', 'GO:0050248', ('35', '54')) ('DFP-10825', 'Chemical', 'MESH:D007531', (7, 16)) ('DFP-10825-treated', 'Var', (7, 24)) ('activity', 'MPA', (46, 54)) ('increase', 'PosReg', (139, 147)) ('luciferase activity', 'molecular_function', 'GO:0047077', ('35', '54')) ('luciferase', 'Enzyme', (35, 45)) ('luciferase activity', 'molecular_function', 'GO:0047712', ('35', '54')) 18925 31609087 For the DFP-10825-treated mice, however, the luciferase activity at Day 45 was much smaller than that of both the untreated mice and the S-1-treated mice. ('luciferase activity', 'molecular_function', 'GO:0047077', ('45', '64')) ('activity', 'MPA', (56, 64)) ('luciferase', 'Enzyme', (45, 55)) ('mice', 'Species', '10090', (124, 128)) ('luciferase activity', 'molecular_function', 'GO:0045289', ('45', '64')) ('luciferase activity', 'molecular_function', 'GO:0047712', ('45', '64')) ('mice', 'Species', '10090', (26, 30)) ('S-1', 'Gene', (137, 140)) ('mice', 'Species', '10090', (149, 153)) ('luciferase activity', 'molecular_function', 'GO:0050248', ('45', '64')) ('S-1', 'Gene', '70247', (137, 140)) ('luciferase activity', 'molecular_function', 'GO:0050397', ('45', '64')) ('DFP-10825', 'Chemical', 'MESH:D007531', (8, 17)) ('DFP-10825-treated', 'Var', (8, 25)) ('smaller', 'NegReg', (84, 91)) 18928 31609087 These results indicate that the intraperitoneal injection of DFP-10825 showed a superior tumor growth suppressive effect without severe side effects in yet another gastric cancer peritoneally disseminated mouse model. ('DFP-10825', 'Var', (61, 70)) ('gastric cancer', 'Phenotype', 'HP:0012126', (164, 178)) ('cancer', 'Phenotype', 'HP:0002664', (172, 178)) ('tumor', 'Disease', 'MESH:D009369', (89, 94)) ('gastric cancer', 'Disease', 'MESH:D013274', (164, 178)) ('mouse', 'Species', '10090', (205, 210)) ('gastric cancer', 'Disease', (164, 178)) ('tumor', 'Phenotype', 'HP:0002664', (89, 94)) ('tumor', 'Disease', (89, 94)) ('DFP-10825', 'Chemical', 'MESH:D007531', (61, 70)) 18935 31609087 Interestingly, DFP-10825 containing either Alexa750-labeled TS shRNA or DiR was selectively accumulated in the peritoneally disseminated tumor masses without accumulation in any abdominal organs. ('TS', 'Gene', '22171', (60, 62)) ('tumor', 'Disease', (137, 142)) ('DiR', 'Chemical', 'MESH:C574020', (72, 75)) ('accumulated', 'PosReg', (92, 103)) ('tumor', 'Disease', 'MESH:D009369', (137, 142)) ('Alexa750-labeled', 'Var', (43, 59)) ('DFP-10825', 'Chemical', 'MESH:D007531', (15, 24)) ('tumor', 'Phenotype', 'HP:0002664', (137, 142)) 18936 31609087 These results indicate that intraperitoneally injected DFP-10825 was retained in the peritoneal cavity for extended periods of time and was selectively accumulated in the peritoneally disseminated tumors, which efficiently delivered TS shRNA to the disseminated tumors and resulted in TS shRNA-mediated RNAi. ('tumors', 'Disease', 'MESH:D009369', (197, 203)) ('TS', 'Gene', '22171', (285, 287)) ('tumor', 'Phenotype', 'HP:0002664', (262, 267)) ('resulted in', 'Reg', (273, 284)) ('tumors', 'Disease', (262, 268)) ('TS', 'Gene', '22171', (233, 235)) ('tumors', 'Phenotype', 'HP:0002664', (262, 268)) ('tumors', 'Phenotype', 'HP:0002664', (197, 203)) ('RNAi', 'biological_process', 'GO:0016246', ('303', '307')) ('tumor', 'Phenotype', 'HP:0002664', (197, 202)) ('DFP-10825', 'Var', (55, 64)) ('tumors', 'Disease', 'MESH:D009369', (262, 268)) ('delivered', 'Reg', (223, 232)) ('DFP-10825', 'Chemical', 'MESH:D007531', (55, 64)) ('tumors', 'Disease', (197, 203)) 18939 31609087 Thus far, however, neither systemic chemotherapy nor intraperitoneal chemotherapy has shown promising clinical benefits.6, 23, 24 In the current study, we showed that intraperitoneal injection of DFP-10825 induced desired tumor growth suppression in two different types of peritoneally disseminated gastric cancer models (MKN45 and NCI-N87) (Figures 2A,B and 3A) and increased the survival time of a MKN45 peritoneally disseminated gastric cancer model (Figure 1A) without severe side effects (Figures 1B, 2C and 3B). ('gastric cancer', 'Disease', 'MESH:D013274', (299, 313)) ('tumor growth suppression', 'Disease', (222, 246)) ('tumor growth suppression', 'Disease', 'MESH:D006130', (222, 246)) ('gastric cancer', 'Phenotype', 'HP:0012126', (432, 446)) ('DFP-10825', 'Chemical', 'MESH:D007531', (196, 205)) ('cancer', 'Phenotype', 'HP:0002664', (440, 446)) ('DFP-10825', 'Var', (196, 205)) ('survival time', 'CPA', (381, 394)) ('gastric cancer', 'Phenotype', 'HP:0012126', (299, 313)) ('cancer', 'Phenotype', 'HP:0002664', (307, 313)) ('tumor', 'Phenotype', 'HP:0002664', (222, 227)) ('gastric cancer', 'Disease', (432, 446)) ('increased', 'PosReg', (367, 376)) ('gastric cancer', 'Disease', 'MESH:D013274', (432, 446)) ('gastric cancer', 'Disease', (299, 313)) 18944 31609087 DFP-10825 is an RNAi therapeutic composed of TS shRNA conjugated with cationic liposomes that has downregulated TS in cancer xenograft models.11, 30 Accordingly, DFP-10825 should be a feasible approach to control the malignancy of metastatic advanced gastric cancer and would meet the Japanese Gastric Cancer Treatment Guidelines. ('cancer', 'Disease', 'MESH:D009369', (259, 265)) ('gastric cancer', 'Phenotype', 'HP:0012126', (251, 265)) ('Gastric Cancer', 'Phenotype', 'HP:0012126', (294, 308)) ('TS', 'Gene', '22171', (112, 114)) ('RNAi', 'biological_process', 'GO:0016246', ('16', '20')) ('DFP-10825', 'Chemical', 'MESH:D007531', (162, 171)) ('gastric cancer', 'Disease', (251, 265)) ('Cancer', 'Phenotype', 'HP:0002664', (302, 308)) ('cancer', 'Disease', (259, 265)) ('cancer', 'Disease', (118, 124)) ('malignancy', 'Disease', 'MESH:D009369', (217, 227)) ('cancer', 'Phenotype', 'HP:0002664', (118, 124)) ('cancer', 'Phenotype', 'HP:0002664', (259, 265)) ('gastric cancer', 'Disease', 'MESH:D013274', (251, 265)) ('TS', 'Gene', '22171', (45, 47)) ('DFP-10825', 'Chemical', 'MESH:D007531', (0, 9)) ('malignancy', 'Disease', (217, 227)) ('DFP-10825', 'Var', (162, 171)) ('cancer', 'Disease', 'MESH:D009369', (118, 124)) 18946 31609087 Such a long retention of DFP-10825 in the body cavity was also observed following intrathecal injection into a malignant pleural mesothelioma xenograft model.11 In addition, interestingly, a current study showed a selective accumulation of DFP-10825 in peritoneally disseminated tumors (Figure 4B), although the mechanism behind such selective tumor accumulation remains unclear. ('tumor', 'Phenotype', 'HP:0002664', (279, 284)) ('DFP-10825', 'Var', (240, 249)) ('tumors', 'Disease', (279, 285)) ('malignant pleural mesothelioma', 'Disease', (111, 141)) ('pleural mesothelioma xenograft', 'Disease', 'MESH:D008654', (121, 151)) ('accumulation', 'PosReg', (224, 236)) ('tumor', 'Disease', (344, 349)) ('tumors', 'Disease', 'MESH:D009369', (279, 285)) ('tumor', 'Disease', 'MESH:D009369', (344, 349)) ('DFP-10825', 'Chemical', 'MESH:D007531', (240, 249)) ('tumor', 'Disease', (279, 284)) ('retention', 'biological_process', 'GO:0051235', ('12', '21')) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (111, 141)) ('pleural mesothelioma xenograft', 'Disease', (121, 151)) ('tumor', 'Disease', 'MESH:D009369', (279, 284)) ('DFP-10825', 'Chemical', 'MESH:D007531', (25, 34)) ('tumor', 'Phenotype', 'HP:0002664', (344, 349)) ('tumors', 'Phenotype', 'HP:0002664', (279, 285)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (121, 141)) 18952 31609087 We recently reported that DFP-10825 also induced tumor growth suppression in a malignant pleural mesothelioma xenograft model11 and in a peritoneal disseminated ovarian cancer xenograft model.30 In the current study, DFP-10825 also showed a superior suppressive effect on tumor growth in a peritoneally disseminated gastric cancer xenograft model (Figures 1, 2, 3). ('tumor', 'Phenotype', 'HP:0002664', (49, 54)) ('DFP-10825', 'Var', (217, 226)) ('malignant pleural mesothelioma', 'Disease', (79, 109)) ('cancer', 'Phenotype', 'HP:0002664', (169, 175)) ('tumor growth suppression', 'Disease', 'MESH:D006130', (49, 73)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (89, 109)) ('gastric cancer', 'Disease', (316, 330)) ('tumor', 'Disease', (272, 277)) ('pleural mesothelioma xenograft', 'Disease', 'MESH:D008654', (89, 119)) ('ovarian cancer', 'Disease', 'MESH:D010051', (161, 175)) ('tumor', 'Disease', 'MESH:D009369', (272, 277)) ('gastric cancer', 'Disease', 'MESH:D013274', (316, 330)) ('malignant pleural mesothelioma', 'Disease', 'MESH:C562839', (79, 109)) ('DFP-10825', 'Chemical', 'MESH:D007531', (217, 226)) ('tumor', 'Disease', (49, 54)) ('cancer', 'Phenotype', 'HP:0002664', (324, 330)) ('tumor growth suppression', 'Disease', (49, 73)) ('ovarian cancer', 'Disease', (161, 175)) ('tumor', 'Disease', 'MESH:D009369', (49, 54)) ('tumor', 'Phenotype', 'HP:0002664', (272, 277)) ('DFP-10825', 'Chemical', 'MESH:D007531', (26, 35)) ('suppressive', 'NegReg', (250, 261)) ('ovarian cancer', 'Phenotype', 'HP:0100615', (161, 175)) ('gastric cancer', 'Phenotype', 'HP:0012126', (316, 330)) ('pleural mesothelioma xenograft', 'Disease', (89, 119)) 18957 31609087 DFP-10825 might be a reliable alternative to the traditional chemotherapeutic regimen via suppression of tumor growth without severe adverse effects, which should achieve a higher therapeutic index. ('suppression', 'NegReg', (90, 101)) ('DFP-10825', 'Var', (0, 9)) ('DFP-10825', 'Chemical', 'MESH:D007531', (0, 9)) ('tumor', 'Disease', 'MESH:D009369', (105, 110)) ('tumor', 'Phenotype', 'HP:0002664', (105, 110)) ('tumor', 'Disease', (105, 110)) 18961 31609087 These results strongly indicate that intraperitoneal treatment with DFP-10825 would provide a new therapeutic approach that could improve the outcomes for patients with advanced gastric cancer. ('improve', 'PosReg', (130, 137)) ('DFP-10825', 'Var', (68, 77)) ('DFP-10825', 'Chemical', 'MESH:D007531', (68, 77)) ('cancer', 'Phenotype', 'HP:0002664', (186, 192)) ('gastric cancer', 'Disease', (178, 192)) ('gastric cancer', 'Disease', 'MESH:D013274', (178, 192)) ('patients', 'Species', '9606', (155, 163)) ('gastric cancer', 'Phenotype', 'HP:0012126', (178, 192)) 19035 29120491 The ICARuS (Intraperitoneal Chemotherapy After cytoreductive Surgery) trial , at Memorial Sloan Kettering Cancer Center (MSKCC), seeks to determine the benefit of HIPEC with MMC versus early, post-operative, normothermic IP chemotherapy (EPIC) with floxuridine after optimal CRS in patients with appendiceal and colorectal cancers. ('appendiceal', 'Disease', (296, 307)) ('colorectal cancers', 'Disease', 'MESH:D015179', (312, 330)) ('appendiceal', 'Disease', 'MESH:D001063', (296, 307)) ('floxuridine', 'Chemical', 'MESH:D005467', (249, 260)) ('Cancer', 'Disease', (106, 112)) ('colorectal cancers', 'Disease', (312, 330)) ('Cancer', 'Disease', 'MESH:D009369', (106, 112)) ('patients', 'Species', '9606', (282, 290)) ('MMC', 'Chemical', 'MESH:D016685', (174, 177)) ('cancer', 'Phenotype', 'HP:0002664', (323, 329)) ('Cancer', 'Phenotype', 'HP:0002664', (106, 112)) ('cancers', 'Phenotype', 'HP:0002664', (323, 330)) ('MMC', 'Var', (174, 177)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (312, 329)) 19097 29120491 Carolinas Medical Center plans to similarly investigate the surgical outcomes and clinicopathological results of treating patients with T1-T3, resectable pancreatic ductal adenocarcinoma with pancreaticoduodenectomy and HIPEC with gemcitabine, in conjunction with perioperative systemic therapy . ('pancreatic ductal adenocarcinoma', 'Disease', (154, 186)) ('carcinoma', 'Phenotype', 'HP:0030731', (177, 186)) ('pancreatic ductal adenocarcinoma', 'Disease', 'MESH:D021441', (154, 186)) ('patients', 'Species', '9606', (122, 130)) ('T1-T3', 'Var', (136, 141)) ('gemcitabine', 'Chemical', 'MESH:C056507', (231, 242)) 19178 30687679 However, asbestos fibers had been found even in lungs of affected subjects exposed to very low doses of asbestos (or not supposed to be exposed at all), suggesting that even very few fibers, in a hypersusceptible individual, might cause mesothelioma. ('asbestos', 'Chemical', 'MESH:D001194', (104, 112)) ('mesothelioma', 'Disease', (237, 249)) ('asbestos', 'Chemical', 'MESH:D001194', (9, 17)) ('fibers', 'Var', (183, 189)) ('mesothelioma', 'Disease', 'MESH:D008654', (237, 249)) ('cause', 'Reg', (231, 236)) 19249 30627323 We found that mesothelioma tumor growth was markedly attenuated by heparanase gene silencing and by heparanase inhibitors. ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('mesothelioma tumor', 'Phenotype', 'HP:0100001', (14, 32)) ('gene silencing', 'Var', (78, 92)) ('heparanase', 'Protein', (67, 77)) ('mesothelioma tumor', 'Disease', 'MESH:D008654', (14, 32)) ('mesothelioma tumor', 'Disease', (14, 32)) ('attenuated', 'NegReg', (53, 63)) ('gene silencing', 'biological_process', 'GO:0016458', ('78', '92')) 19257 30627323 Cleavage of HS by heparanase leads to disassembly of the ECM, thereby promoting cell dissemination associated with tumor metastasis, angiogenesis and inflammation. ('Cleavage', 'Var', (0, 8)) ('tumor', 'Phenotype', 'HP:0002664', (115, 120)) ('heparanase', 'Protein', (18, 28)) ('angiogenesis', 'biological_process', 'GO:0001525', ('133', '145')) ('promoting', 'PosReg', (70, 79)) ('angiogenesis', 'CPA', (133, 145)) ('HS', 'Chemical', 'MESH:D006497', (12, 14)) ('disassembly', 'CPA', (38, 49)) ('inflammation', 'Disease', 'MESH:D007249', (150, 162)) ('inflammation', 'biological_process', 'GO:0006954', ('150', '162')) ('tumor metastasis', 'Disease', 'MESH:D009362', (115, 131)) ('inflammation', 'Disease', (150, 162)) ('cell dissemination', 'CPA', (80, 98)) ('tumor metastasis', 'Disease', (115, 131)) 19259 30627323 Notably, cancer patients exhibiting high levels of heparanase had a significantly shorter postoperative survival time than patients whose tumors exhibit low levels of heparanase. ('cancer', 'Disease', (9, 15)) ('high levels of heparanase', 'Phenotype', 'HP:0410342', (36, 61)) ('postoperative survival time', 'CPA', (90, 117)) ('patients', 'Species', '9606', (16, 24)) ('cancer', 'Phenotype', 'HP:0002664', (9, 15)) ('patients', 'Species', '9606', (123, 131)) ('tumor', 'Phenotype', 'HP:0002664', (138, 143)) ('tumors', 'Disease', (138, 144)) ('tumors', 'Disease', 'MESH:D009369', (138, 144)) ('tumors', 'Phenotype', 'HP:0002664', (138, 144)) ('cancer', 'Disease', 'MESH:D009369', (9, 15)) ('high', 'Var', (36, 40)) ('shorter', 'NegReg', (82, 89)) 19262 30627323 This notion is reinforced by preclinical studies revealing a marked inhibition of tumor growth in mice treated with heparanase-inhibitors (i.e., roneparstat, pixatimod) and neutralizing antibodies. ('neutralizing', 'Var', (173, 185)) ('tumor', 'Disease', 'MESH:D009369', (82, 87)) ('heparanase-inhibitors', 'Protein', (116, 137)) ('tumor', 'Phenotype', 'HP:0002664', (82, 87)) ('inhibition', 'NegReg', (68, 78)) ('pixatimod', 'Chemical', '-', (158, 167)) ('roneparstat', 'Chemical', '-', (145, 156)) ('tumor', 'Disease', (82, 87)) ('mice', 'Species', '10090', (98, 102)) 19265 30627323 Applying extensive pre-clinical mouse models, Barash, Lapidot et al show that mesothelioma tumor growth is markedly attenuated by heparanase-inhibiting compounds (Figure 1), heparanase gene silencing, and by inoculation of mesothelioma cells into heparanase null mice. ('mesothelioma tumor', 'Disease', (78, 96)) ('mesothelioma tumor', 'Disease', 'MESH:D008654', (78, 96)) ('gene', 'Var', (185, 189)) ('mesothelioma', 'Disease', 'MESH:D008654', (78, 90)) ('mesothelioma', 'Disease', (223, 235)) ('heparanase-inhibiting', 'MPA', (130, 151)) ('gene silencing', 'biological_process', 'GO:0016458', ('185', '199')) ('tumor', 'Phenotype', 'HP:0002664', (91, 96)) ('mouse', 'Species', '10090', (32, 37)) ('mesothelioma tumor', 'Phenotype', 'HP:0100001', (78, 96)) ('heparanase', 'Protein', (174, 184)) ('mesothelioma', 'Disease', 'MESH:D008654', (223, 235)) ('mice', 'Species', '10090', (263, 267)) ('pre', 'molecular_function', 'GO:0003904', ('19', '22')) ('attenuated', 'NegReg', (116, 126)) ('mesothelioma', 'Disease', (78, 90)) 19266 30627323 Clinically, patients with high heparanase immunostaining or H-score survived less than patients with low levels of heparanase (Figure 1D). ('patients', 'Species', '9606', (12, 20)) ('high', 'Var', (26, 30)) ('heparanase', 'Protein', (31, 41)) ('less', 'NegReg', (77, 81)) ('survived', 'CPA', (68, 76)) ('patients', 'Species', '9606', (87, 95)) 19269 30627323 Notably, the heparanase inhibitor PG545 (= pixatimod, a highly sulfated tetra-saccharide bound to a lipophilic cholestanol aglycone) appeared more effective than cisplatin, a common chemotherapeutics in mesothelioma, in restraining tumor growth, closely associating with a profoundly prolonged survival of mesothelioma-bearing mice (Figure 1B). ('cisplatin', 'Chemical', 'MESH:D002945', (162, 171)) ('tetra', 'Species', '42554', (72, 77)) ('cholestanol', 'Chemical', 'MESH:D004083', (111, 122)) ('mesothelioma', 'Disease', (203, 215)) ('tumor', 'Disease', 'MESH:D009369', (232, 237)) ('pixatimod', 'Chemical', '-', (43, 52)) ('PG545', 'Var', (34, 39)) ('mesothelioma', 'Disease', 'MESH:D008654', (306, 318)) ('PG545', 'Chemical', 'MESH:C557899', (34, 39)) ('mice', 'Species', '10090', (327, 331)) ('aglycone', 'Chemical', '-', (123, 131)) ('tumor', 'Phenotype', 'HP:0002664', (232, 237)) ('mesothelioma', 'Disease', 'MESH:D008654', (203, 215)) ('mesothelioma', 'Disease', (306, 318)) ('prolonged', 'PosReg', (284, 293)) ('tumor', 'Disease', (232, 237)) ('restraining', 'NegReg', (220, 231)) 19310 29900099 Specific primary antibodies were diluted in blocking buffer as follows: 1:2000 for anti-S100A11, anti-CLIC3, and anti-SSA1 and 1:500 anti-gamma-enolase. ('S100A11', 'Gene', (88, 95)) ('gamma-enolase', 'Gene', (138, 151)) ('gamma-enolase', 'Gene', '2026', (138, 151)) ('CLIC3', 'Gene', '9022', (102, 107)) ('CLIC3', 'Gene', (102, 107)) ('anti-SSA1', 'Var', (113, 122)) ('S100A11', 'Gene', '6282', (88, 95)) 19344 29900099 In fact, the nuclear factor erythroid 2-related factor 2 (NFE2L2 or Nrf2), the cytokine IL-6 and the tumour suppressor TP53 were significantly activated in B-PM, while were turned off in E-PM. ('Nrf2', 'Gene', (68, 72)) ('IL-6', 'Gene', (88, 92)) ('tumour', 'Disease', (101, 107)) ('NFE2L2', 'Gene', '4780', (58, 64)) ('IL-6', 'Gene', '3569', (88, 92)) ('nuclear factor erythroid 2-related factor 2', 'Gene', '4780', (13, 56)) ('tumour', 'Disease', 'MESH:D009369', (101, 107)) ('activated', 'PosReg', (143, 152)) ('NFE2L2', 'Gene', (58, 64)) ('IL-6', 'molecular_function', 'GO:0005138', ('88', '92')) ('B-PM', 'Var', (156, 160)) ('TP53', 'Gene', '7157', (119, 123)) ('Nrf2', 'Gene', '4780', (68, 72)) ('TP53', 'Gene', (119, 123)) ('nuclear factor erythroid 2-related factor 2', 'Gene', (13, 56)) ('tumour', 'Phenotype', 'HP:0002664', (101, 107)) 19351 29900099 demonstrated the importance of Nrf2 in cytoprotection, survival, and drug resistance on MSTO-211H, a biphasic cell line, suggesting the targeting of Nrf2 as a promising strategy for overcoming resistance to chemotherapeutics in MPM. ('Nrf2', 'Gene', (149, 153)) ('drug resistance', 'biological_process', 'GO:0009315', ('69', '84')) ('overcoming', 'PosReg', (182, 192)) ('targeting', 'Var', (136, 145)) ('drug resistance', 'Phenotype', 'HP:0020174', (69, 84)) ('Nrf2', 'Gene', '4780', (31, 35)) ('drug resistance', 'biological_process', 'GO:0042493', ('69', '84')) ('Nrf2', 'Gene', '4780', (149, 153)) ('Nrf2', 'Gene', (31, 35)) 19367 29362358 Proteins of the S100 family are small molecules (ranging from 9 to 14 kDa) with two EF-hands and in humans, the family is composed of 20 different members (S100A1-S100A16, S100beta, S100G, S100P, and S100Z). ('S100A16', 'Gene', '140576', (163, 170)) ('S100', 'Gene', '6285', (172, 176)) ('S100', 'Gene', '6285', (163, 167)) ('S100', 'Gene', (172, 176)) ('S100', 'Gene', (163, 167)) ('S100beta', 'Gene', (172, 180)) ('S100P', 'Var', (189, 194)) ('S100Z', 'Gene', '170591', (200, 205)) ('S100Z', 'Gene', (200, 205)) ('S100G', 'Gene', '795', (182, 187)) ('S100', 'Gene', '6285', (200, 204)) ('S100', 'Gene', (200, 204)) ('humans', 'Species', '9606', (100, 106)) ('S100', 'Gene', '6285', (16, 20)) ('S100beta', 'Gene', '6285', (172, 180)) ('S100', 'Gene', (16, 20)) ('S100', 'Gene', '6285', (189, 193)) ('S100G', 'Gene', (182, 187)) ('S100', 'Gene', '6285', (182, 186)) ('S100A16', 'Gene', (163, 170)) ('S100', 'Gene', (189, 193)) ('S100', 'Gene', (182, 186)) ('S100P', 'SUBSTITUTION', 'None', (189, 194)) ('S100', 'Gene', '6285', (156, 160)) ('S100', 'Gene', (156, 160)) 19370 29362358 Namely, in the cytoplasmic compartment, S100A11 inhibits the growth of normal human keratinocytes in response to high Ca2+ or transforming growth factor beta. ('inhibits', 'NegReg', (48, 56)) ('growth of normal human keratinocytes', 'CPA', (61, 97)) ('Ca2+', 'Chemical', 'MESH:D000069285', (118, 122)) ('transforming growth factor beta', 'molecular_function', 'GO:0005160', ('126', '157')) ('S100A11', 'Var', (40, 47)) ('human', 'Species', '9606', (78, 83)) ('response to high Ca2+', 'MPA', (101, 122)) 19377 29362358 All examined MPM cell lines except for MSTO-211H commonly secreted S100A11, whereas no secretion was observed in normal mesothelial cell lines. ('MSTO-211H', 'Chemical', '-', (39, 48)) ('secreted', 'Reg', (58, 66)) ('secretion', 'biological_process', 'GO:0046903', ('87', '96')) ('S100A11', 'Var', (67, 74)) 19378 29362358 MPM cell lines were classified into three categories based on the secretion level of S100A11: High (YUMC44, H290, and H28), Low (HP-1, H2452, and H2052), and None (MSTO-211H). ('H2052', 'Var', (146, 151)) ('secretion', 'biological_process', 'GO:0046903', ('66', '75')) ('S100A11', 'Gene', (85, 92)) ('H290', 'Var', (108, 112)) ('H28', 'Var', (118, 121)) ('H2452', 'CellLine', 'CVCL:1553', (135, 140)) ('H290', 'CellLine', 'CVCL:A555', (108, 112)) ('H2052', 'CellLine', 'CVCL:1518', (146, 151)) ('HP-1', 'Var', (129, 133)) ('secretion', 'MPA', (66, 75)) ('MSTO-211H', 'Chemical', '-', (164, 173)) ('H2452', 'Var', (135, 140)) ('YUMC44', 'Var', (100, 106)) 19385 29362358 We found that cellular growth of "Low" cells (H2452 and H2052) was both highly suppressed by an anti-S100A11 antibody with a final concentration of 100 ng/ml in culture media (Fig. ('H2052', 'Var', (56, 61)) ('antibody', 'molecular_function', 'GO:0003823', ('107', '115')) ('suppressed', 'NegReg', (79, 89)) ('anti-S100A11', 'Var', (96, 108)) ('H2052', 'CellLine', 'CVCL:1518', (56, 61)) ('antibody', 'cellular_component', 'GO:0042571', ('107', '115')) ('cellular growth', 'biological_process', 'GO:0016049', ('14', '29')) ('cellular growth', 'CPA', (14, 29)) ('antibody', 'cellular_component', 'GO:0019815', ('107', '115')) ('H2452', 'CellLine', 'CVCL:1553', (46, 51)) ('antibody', 'cellular_component', 'GO:0019814', ('107', '115')) 19390 29362358 By the western blot analysis approach, we found that Cyclin D but not Cyclin B was significantly induced with time dependency after the addition of S100A11 in MPM cultures (H2452 and H2052) (Fig. ('Cyclin D', 'Gene', (53, 61)) ('H2052', 'Var', (183, 188)) ('Cyclin', 'molecular_function', 'GO:0016538', ('53', '59')) ('S100A11', 'Var', (148, 155)) ('H2052', 'CellLine', 'CVCL:1518', (183, 188)) ('induced', 'PosReg', (97, 104)) ('Cyclin', 'molecular_function', 'GO:0016538', ('70', '76')) ('H2452', 'Var', (173, 178)) ('H2452', 'CellLine', 'CVCL:1553', (173, 178)) 19393 29362358 To gain insight into the intracellular signaling events induced by the neutralization of extracellular S100A11, we investigated the key molecules regarding to cancer progression. ('cancer', 'Disease', (159, 165)) ('neutralization', 'Var', (71, 85)) ('cancer', 'Phenotype', 'HP:0002664', (159, 165)) ('intracellular', 'cellular_component', 'GO:0005622', ('25', '38')) ('signaling', 'biological_process', 'GO:0023052', ('39', '48')) ('S100A11', 'Gene', (103, 110)) ('extracellular', 'cellular_component', 'GO:0005576', ('89', '102')) ('cancer', 'Disease', 'MESH:D009369', (159, 165)) 19394 29362358 MPM cells were cultured with the anti-S100A11 antibody (1 mug/ml), S100A11 recombinant protein (100 ng/ml), or mouse control IgG (1 mug/ml). ('S100A11', 'Gene', (67, 74)) ('mug', 'molecular_function', 'GO:0043739', ('132', '135')) ('mug', 'molecular_function', 'GO:0043739', ('58', '61')) ('antibody', 'cellular_component', 'GO:0019815', ('46', '54')) ('mouse', 'Species', '10090', (111, 116)) ('IgG (1', 'cellular_component', 'GO:0071735', ('125', '131')) ('antibody', 'cellular_component', 'GO:0019814', ('46', '54')) ('antibody', 'molecular_function', 'GO:0003823', ('46', '54')) ('antibody', 'cellular_component', 'GO:0042571', ('46', '54')) ('anti-S100A11', 'Var', (33, 45)) ('protein', 'cellular_component', 'GO:0003675', ('87', '94')) 19395 29362358 As a result, we found that the treatment with the anti-S100A11 antibody significantly suppressed the constitutive phosphorylation of endogenous STAT3 in H2452 and H2052 cells. ('antibody', 'cellular_component', 'GO:0042571', ('63', '71')) ('H2052', 'CellLine', 'CVCL:1518', (163, 168)) ('antibody', 'cellular_component', 'GO:0019815', ('63', '71')) ('suppressed', 'NegReg', (86, 96)) ('STAT3', 'Gene', '6774', (144, 149)) ('antibody', 'cellular_component', 'GO:0019814', ('63', '71')) ('anti-S100A11', 'Var', (50, 62)) ('antibody', 'molecular_function', 'GO:0003823', ('63', '71')) ('phosphorylation', 'biological_process', 'GO:0016310', ('114', '129')) ('H2452', 'CellLine', 'CVCL:1553', (153, 158)) ('STAT3', 'Gene', (144, 149)) 19398 29362358 The addition of S100A11 recombinant protein in turn activated the downstream proteins, STAT3, AKT, and MAPK (Supplementary Fig. ('AKT', 'Gene', '207', (94, 97)) ('MAPK', 'Pathway', (103, 107)) ('STAT3', 'Gene', (87, 92)) ('protein', 'cellular_component', 'GO:0003675', ('36', '43')) ('MAPK', 'molecular_function', 'GO:0004707', ('103', '107')) ('AKT', 'Gene', (94, 97)) ('S100A11', 'Var', (16, 23)) ('activated', 'PosReg', (52, 61)) ('STAT3', 'Gene', '6774', (87, 92)) 19401 29362358 We investigated the antitumor effect of the validated anti-S100A11 neutralizing antibody on the MPM in a xenograft mouse model, using H2452 and H290 cells. ('anti-S100A11', 'Var', (54, 66)) ('tumor', 'Phenotype', 'HP:0002664', (24, 29)) ('H2452', 'CellLine', 'CVCL:1553', (134, 139)) ('antibody', 'cellular_component', 'GO:0042571', ('80', '88')) ('tumor', 'Disease', (24, 29)) ('H290', 'CellLine', 'CVCL:A555', (144, 148)) ('antibody', 'cellular_component', 'GO:0019815', ('80', '88')) ('mouse', 'Species', '10090', (115, 120)) ('antibody', 'molecular_function', 'GO:0003823', ('80', '88')) ('antibody', 'cellular_component', 'GO:0019814', ('80', '88')) ('tumor', 'Disease', 'MESH:D009369', (24, 29)) 19402 29362358 We subcutaneously injected tumor cells and the anti-S100A11 antibody, and evaluated the effect of the antibody on the tumorigenic potential. ('tumor', 'Phenotype', 'HP:0002664', (27, 32)) ('anti-S100A11', 'Var', (47, 59)) ('antibody', 'molecular_function', 'GO:0003823', ('60', '68')) ('tumor', 'Disease', 'MESH:D009369', (118, 123)) ('antibody', 'cellular_component', 'GO:0042571', ('102', '110')) ('tumor', 'Disease', (27, 32)) ('antibody', 'cellular_component', 'GO:0019814', ('60', '68')) ('tumor', 'Phenotype', 'HP:0002664', (118, 123)) ('antibody', 'cellular_component', 'GO:0042571', ('60', '68')) ('antibody', 'cellular_component', 'GO:0019815', ('102', '110')) ('tumor', 'Disease', (118, 123)) ('antibody', 'cellular_component', 'GO:0019815', ('60', '68')) ('antibody', 'cellular_component', 'GO:0019814', ('102', '110')) ('antibody', 'molecular_function', 'GO:0003823', ('102', '110')) ('tumor', 'Disease', 'MESH:D009369', (27, 32)) 19403 29362358 3a, b, the tumor growth in the antibody-administered group was significantly suppressed, compared to those of the control group. ('suppressed', 'NegReg', (77, 87)) ('tumor', 'Phenotype', 'HP:0002664', (11, 16)) ('antibody', 'cellular_component', 'GO:0019815', ('31', '39')) ('antibody-administered', 'Var', (31, 52)) ('tumor', 'Disease', (11, 16)) ('antibody', 'cellular_component', 'GO:0019814', ('31', '39')) ('antibody', 'molecular_function', 'GO:0003823', ('31', '39')) ('antibody', 'cellular_component', 'GO:0042571', ('31', '39')) ('tumor', 'Disease', 'MESH:D009369', (11, 16)) 19404 29362358 To reveal the mechanisms involved in the anticancer activity induced by neutralization of extracellular S100A11, we carried out gene expression microarray analysis. ('extracellular', 'cellular_component', 'GO:0005576', ('90', '103')) ('cancer', 'Phenotype', 'HP:0002664', (45, 51)) ('cancer', 'Disease', 'MESH:D009369', (45, 51)) ('S100A11', 'Gene', (104, 111)) ('cancer', 'Disease', (45, 51)) ('gene expression', 'biological_process', 'GO:0010467', ('128', '143')) ('neutralization', 'Var', (72, 86)) 19410 29362358 We found that blockage of RAGE signaling suppressed the phosphorylation of STAT3 and MAPK induced by S100A11 stimulation (Fig. ('signaling', 'biological_process', 'GO:0023052', ('31', '40')) ('blockage', 'Var', (14, 22)) ('phosphorylation', 'biological_process', 'GO:0016310', ('56', '71')) ('RAGE', 'Gene', (26, 30)) ('MAPK', 'Gene', (85, 89)) ('MAPK', 'molecular_function', 'GO:0004707', ('85', '89')) ('STAT3', 'Gene', '6774', (75, 80)) ('suppressed', 'NegReg', (41, 51)) ('STAT3', 'Gene', (75, 80)) ('phosphorylation', 'MPA', (56, 71)) ('RAGE', 'Gene', '177', (26, 30)) ('S100A11', 'Gene', (101, 108)) 19415 29362358 6, the level of S100A11 was remarkably elevated in pleural effusion obtained from MPM patients when compared to that obtained from BA patients as a benchmark (P = 0.014). ('MPM', 'Var', (82, 85)) ('pleural effusion', 'Disease', 'MESH:D010996', (51, 67)) ('pleural effusion', 'Phenotype', 'HP:0002202', (51, 67)) ('pleural effusion', 'Disease', (51, 67)) ('BA', 'Chemical', '-', (131, 133)) ('patients', 'Species', '9606', (134, 142)) ('elevated', 'PosReg', (39, 47)) ('level', 'MPA', (7, 12)) ('S100A11', 'Var', (16, 23)) ('patients', 'Species', '9606', (86, 94)) 19418 29362358 Additionally, in a mouse xenograft model, tumorigenesis of MPM cells was markedly inhibited by an anti-S100A11 antibody. ('tumor', 'Disease', (42, 47)) ('anti-S100A11', 'Var', (98, 110)) ('antibody', 'cellular_component', 'GO:0019815', ('111', '119')) ('inhibited', 'NegReg', (82, 91)) ('antibody', 'cellular_component', 'GO:0019814', ('111', '119')) ('antibody', 'molecular_function', 'GO:0003823', ('111', '119')) ('tumor', 'Disease', 'MESH:D009369', (42, 47)) ('mouse', 'Species', '10090', (19, 24)) ('antibody', 'cellular_component', 'GO:0042571', ('111', '119')) ('tumor', 'Phenotype', 'HP:0002664', (42, 47)) 19422 29362358 Therefore, S100A11 might act sometimes as an oncogene, and sometimes as a suppressor gene, and have a key role in the progression of malignant tumors based on the balance of its ambivalent effect, which may be different depending on cancer types. ('cancer', 'Phenotype', 'HP:0002664', (233, 239)) ('tumors', 'Phenotype', 'HP:0002664', (143, 149)) ('malignant tumors', 'Disease', (133, 149)) ('S100A11', 'Var', (11, 18)) ('malignant tumors', 'Disease', 'MESH:D018198', (133, 149)) ('cancer', 'Disease', (233, 239)) ('cancer', 'Disease', 'MESH:D009369', (233, 239)) ('role', 'Reg', (106, 110)) ('tumor', 'Phenotype', 'HP:0002664', (143, 148)) 19424 29362358 We found that RAGE-positive MPM cells constitutively express and secrete S100A11, the S100A11-RAGE axis is greatly involved in sustained phosphorylation of downstream effector molecules, STAT3, MAPK, and PI3K-AKT, and the blockage of S100A11-RAGE connection using either sRAGE or S100A11 neutralizing antibody effectively inhibits cell growth of MPM cells. ('RAGE', 'Gene', '177', (14, 18)) ('phosphorylation', 'MPA', (137, 152)) ('RAGE', 'Gene', '177', (94, 98)) ('blockage', 'Var', (222, 230)) ('S100A11', 'Gene', (73, 80)) ('antibody', 'cellular_component', 'GO:0019814', ('301', '309')) ('RAGE', 'Gene', (242, 246)) ('MAPK', 'molecular_function', 'GO:0004707', ('194', '198')) ('PI3K', 'molecular_function', 'GO:0016303', ('204', '208')) ('RAGE', 'Gene', (272, 276)) ('cell growth of MPM cells', 'CPA', (331, 355)) ('RAGE', 'Gene', '177', (242, 246)) ('AKT', 'Gene', (209, 212)) ('antibody', 'molecular_function', 'GO:0003823', ('301', '309')) ('inhibits', 'NegReg', (322, 330)) ('antibody', 'cellular_component', 'GO:0042571', ('301', '309')) ('RAGE', 'Gene', '177', (272, 276)) ('STAT3', 'Gene', (187, 192)) ('STAT3', 'Gene', '6774', (187, 192)) ('AKT', 'Gene', '207', (209, 212)) ('RAGE', 'Gene', (14, 18)) ('antibody', 'cellular_component', 'GO:0019815', ('301', '309')) ('involved', 'Reg', (115, 123)) ('phosphorylation', 'biological_process', 'GO:0016310', ('137', '152')) ('RAGE', 'Gene', (94, 98)) ('cell growth', 'biological_process', 'GO:0016049', ('331', '342')) ('S100A11', 'Gene', (280, 287)) 19425 29362358 For the S100A11-mediated growth upregulation, Cyclin D and Bcl-2 might be critically relevant. ('Bcl-2', 'molecular_function', 'GO:0015283', ('59', '64')) ('growth', 'CPA', (25, 31)) ('upregulation', 'PosReg', (32, 44)) ('S100A11-mediated', 'Var', (8, 24)) ('Cyclin', 'molecular_function', 'GO:0016538', ('46', '52')) ('Bcl-2', 'Gene', (59, 64)) ('Bcl-2', 'Gene', '596', (59, 64)) 19433 29362358 Although "High" cells (H290 and H28) displayed resistance to the S100A11 antibody at lower concentration (100 ng/ml), the effect of S100A11 antibody was shown when much higher concentration of it (1 mug/ml) was used. ('H290', 'CellLine', 'CVCL:A555', (23, 27)) ('antibody', 'cellular_component', 'GO:0019815', ('71', '79')) ('antibody', 'cellular_component', 'GO:0019814', ('71', '79')) ('antibody', 'cellular_component', 'GO:0042571', ('138', '146')) ('S100A11', 'Var', (65, 72)) ('resistance', 'MPA', (47, 57)) ('antibody', 'molecular_function', 'GO:0003823', ('71', '79')) ('antibody', 'cellular_component', 'GO:0019814', ('138', '146')) ('S100A11', 'Var', (132, 139)) ('antibody', 'cellular_component', 'GO:0019815', ('138', '146')) ('antibody', 'cellular_component', 'GO:0042571', ('71', '79')) ('antibody', 'molecular_function', 'GO:0003823', ('138', '146')) ('mug', 'molecular_function', 'GO:0043739', ('197', '200')) 19443 29362358 MSTO-211H, MeT-5A, N87 cell lines, seven lung cancer cell lines (HCC827, H1975, H1993, H1299, H460, H2170, and H157), three breast cancer cell lines (MCF-7, BT474, and SK-BR-3), and three colorectal cancer cell lines (Sw480, HT29, and DLD-1) were purchased from the American Type Culture Collection (Manassas, VA, USA). ('H1299', 'CellLine', 'CVCL:0060', (87, 92)) ('breast cancer', 'Phenotype', 'HP:0003002', (124, 137)) ('H460', 'CellLine', 'CVCL:0459', (94, 98)) ('H2170', 'Var', (100, 105)) ('SK-BR-3', 'CellLine', 'CVCL:0033', (168, 175)) ('lung cancer', 'Disease', 'MESH:D008175', (41, 52)) ('MCF-7', 'CellLine', 'CVCL:0031', (150, 155)) ('H2170', 'CellLine', 'CVCL:1535', (100, 105)) ('cancer', 'Phenotype', 'HP:0002664', (199, 205)) ('HT29', 'CellLine', 'CVCL:0320', (225, 229)) ('Sw480', 'CellLine', 'CVCL:0546', (218, 223)) ('lung cancer', 'Phenotype', 'HP:0100526', (41, 52)) ('breast cancer', 'Disease', 'MESH:D001943', (124, 137)) ('HCC827', 'CellLine', 'CVCL:2063', (65, 71)) ('colorectal cancer', 'Disease', 'MESH:D015179', (188, 205)) ('breast cancer', 'Disease', (124, 137)) ('colorectal cancer', 'Disease', (188, 205)) ('cancer', 'Phenotype', 'HP:0002664', (46, 52)) ('H1975', 'CellLine', 'CVCL:1511', (73, 78)) ('lung cancer', 'Disease', (41, 52)) ('cancer', 'Phenotype', 'HP:0002664', (131, 137)) ('H1993', 'CellLine', 'CVCL:1512', (80, 85)) ('MSTO-211H', 'Chemical', '-', (0, 9)) ('colorectal cancer', 'Phenotype', 'HP:0003003', (188, 205)) 19464 29362358 Each cell line (5 x 106 cells) suspended in 200 microL RPMI-1640 media and Matrigel Basement Membrane Matrix (Corning, NY, USA, catalog #354234) was subcutaneously injected into the backs of the mice either with 1 microg/ml anti-S100A11 antibody (proteintech Group) or mouse IgG-isotype control (two tumors per mouse). ('RPMI-1640', 'Chemical', '-', (55, 64)) ('tumor', 'Phenotype', 'HP:0002664', (300, 305)) ('antibody', 'cellular_component', 'GO:0019815', ('237', '245')) ('mice', 'Species', '10090', (195, 199)) ('antibody', 'cellular_component', 'GO:0019814', ('237', '245')) ('tumors', 'Disease', 'MESH:D009369', (300, 306)) ('tumors', 'Disease', (300, 306)) ('anti-S100A11', 'Var', (224, 236)) ('mouse', 'Species', '10090', (269, 274)) ('tumors', 'Phenotype', 'HP:0002664', (300, 306)) ('Basement Membrane', 'cellular_component', 'GO:0005604', ('84', '101')) ('antibody', 'molecular_function', 'GO:0003823', ('237', '245')) ('antibody', 'cellular_component', 'GO:0042571', ('237', '245')) ('mouse', 'Species', '10090', (311, 316)) 19475 22734486 Viability of MSTO-211H and H28 cells were decreased, and apoptotic cell death was increased in MSTO-211H as a result of cafestol and kahweol treatment. ('apoptotic cell death', 'biological_process', 'GO:0006915', ('57', '77')) ('Viability', 'CPA', (0, 9)) ('decreased', 'NegReg', (42, 51)) ('apoptotic cell death', 'CPA', (57, 77)) ('H28', 'CellLine', 'CVCL:1555', (27, 30)) ('MSTO-211H', 'CellLine', 'CVCL:1430', (95, 104)) ('cafestol', 'Chemical', 'MESH:C053400', (120, 128)) ('MSTO-211H', 'CellLine', 'CVCL:1430', (13, 22)) ('increased', 'PosReg', (82, 91)) ('kahweol', 'Chemical', 'MESH:C053401', (133, 140)) ('MSTO-211H', 'Var', (95, 104)) 19546 22734486 The cells treated with 10-40 muM Mith A demonstrated decrease in cell viability (Figure 3A) and induction of nuclear condensation and fragmentation (Figure 3B). ('muM', 'Gene', (29, 32)) ('Mith', 'Var', (33, 37)) ('decrease', 'NegReg', (53, 61)) ('cell viability', 'CPA', (65, 79)) ('Mith A', 'Chemical', 'MESH:C066851', (33, 39)) ('muM', 'Gene', '56925', (29, 32)) ('nuclear condensation', 'CPA', (109, 129)) 19547 22734486 Sp1 expression and the expression of Sp1 regulatory proteins (Cyclin D1, Mcl-1, and Survivin) were significantly downregulated by Mith A as well. ('Survivin', 'Gene', (84, 92)) ('Sp1', 'Gene', (0, 3)) ('Cyclin D1', 'Gene', (62, 71)) ('downregulated', 'NegReg', (113, 126)) ('Mith A', 'Var', (130, 136)) ('expression', 'MPA', (4, 14)) ('Mcl-1', 'Gene', '4170', (73, 78)) ('Cyclin', 'molecular_function', 'GO:0016538', ('62', '68')) ('Mith A', 'Chemical', 'MESH:C066851', (130, 136)) ('Cyclin D1', 'Gene', '595', (62, 71)) ('Mcl-1', 'Gene', (73, 78)) ('expression', 'MPA', (23, 33)) 19567 22734486 In previous studies, we confirmed the role of Sp1 in cell proliferation and apoptosis of MSTO-211H cells by RNA interference with small interfering Sp1. ('cell proliferation', 'biological_process', 'GO:0008283', ('53', '71')) ('cell proliferation', 'CPA', (53, 71)) ('apoptosis', 'biological_process', 'GO:0097194', ('76', '85')) ('small interfering', 'Var', (130, 147)) ('Sp1', 'Gene', (148, 151)) ('RNA interference', 'biological_process', 'GO:0016246', ('108', '124')) ('MSTO-211H', 'CellLine', 'CVCL:1430', (89, 98)) ('RNA', 'cellular_component', 'GO:0005562', ('108', '111')) ('apoptosis', 'CPA', (76, 85)) ('apoptosis', 'biological_process', 'GO:0006915', ('76', '85')) ('RNA interference', 'MPA', (108, 124)) 19672 33625287 A slight but prolonged survival effect was observed in the group administered 100 mug/head compared with the group administered 10 mug/head and the PBS group (Fig. ('mug', 'molecular_function', 'GO:0043739', ('82', '85')) ('survival effect', 'CPA', (23, 38)) ('100 mug/head', 'Var', (78, 90)) ('mug', 'molecular_function', 'GO:0043739', ('131', '134')) ('prolonged', 'PosReg', (13, 22)) ('PBS', 'Chemical', 'MESH:D007854', (148, 151)) 19674 33625287 JMAM-1 concentrations used for dose-response analyses were 0.001, 0.005, 0.025, 0.1, 0.4, and 2 muM. ('0.1', 'Var', (80, 83)) ('0.025', 'Var', (73, 78)) ('JMAM-1', 'Chemical', '-', (0, 6)) ('0.005', 'Var', (66, 71)) ('0.001', 'Var', (59, 64)) 19679 33625287 Furthermore, mitotic counts were significantly higher in CD10-positive tumors than in CD10-negative tumors. ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('CD10-positive', 'Var', (57, 70)) ('mitotic counts', 'CPA', (13, 27)) ('higher', 'PosReg', (47, 53)) ('tumors', 'Disease', (100, 106)) ('tumors', 'Disease', 'MESH:D009369', (100, 106)) ('tumors', 'Phenotype', 'HP:0002664', (100, 106)) ('tumor', 'Phenotype', 'HP:0002664', (71, 76)) ('CD10', 'molecular_function', 'GO:0004245', ('86', '90')) ('tumors', 'Phenotype', 'HP:0002664', (71, 77)) ('CD10', 'molecular_function', 'GO:0004245', ('57', '61')) ('tumors', 'Disease', (71, 77)) ('tumors', 'Disease', 'MESH:D009369', (71, 77)) 19686 33625287 JMAM-1 mAb has an inhibitory effect on cell proliferation, and even Kaplan-Meier estimates showed a life-prolonging effect of JMAM-1 mAb compared with that of control PBS. ('life-prolonging', 'CPA', (100, 115)) ('PBS', 'Chemical', 'MESH:D007854', (167, 170)) ('cell proliferation', 'biological_process', 'GO:0008283', ('39', '57')) ('JMAM-1', 'Chemical', '-', (126, 132)) ('JMAM-1', 'Chemical', '-', (0, 6)) ('cell proliferation', 'CPA', (39, 57)) ('JMAM-1 mAb', 'Var', (126, 136)) 19691 33625287 YAP protein is involved in the proliferation of MPM cells, whereas suppressing CDK7 reduces YAP protein as well as suppresses the infiltration and metastasis of MM. ('suppresses', 'NegReg', (115, 125)) ('CDK', 'molecular_function', 'GO:0004693', ('79', '82')) ('YAP', 'Gene', (0, 3)) ('protein', 'cellular_component', 'GO:0003675', ('96', '103')) ('CDK7', 'Gene', '1022', (79, 83)) ('YAP', 'Gene', '10413', (92, 95)) ('YAP', 'Gene', '10413', (0, 3)) ('reduces', 'NegReg', (84, 91)) ('suppressing', 'Var', (67, 78)) ('CDK7', 'Gene', (79, 83)) ('YAP', 'Gene', (92, 95)) ('protein', 'cellular_component', 'GO:0003675', ('4', '11')) 19785 32533757 For detection of SNVs, indels, and SVs, the Enrichment v3.0.0 (using Isaac aligner) and Variant Studio v3.0 app of the Illumina Base Space Sequence Hub were used. ('a', 'Gene', '351', (89, 90)) ('a', 'Gene', '351', (126, 127)) ('a', 'Gene', '351', (129, 130)) ('a', 'Gene', '351', (31, 32)) ('a', 'Gene', '351', (72, 73)) ('indels', 'Var', (23, 29)) ('a', 'Gene', '351', (135, 136)) ('a', 'Gene', '351', (108, 109)) ('a', 'Gene', '351', (84, 85)) ('SNVs', 'Var', (17, 21)) ('a', 'Gene', '351', (71, 72)) ('a', 'Gene', '351', (75, 76)) ('a', 'Gene', '351', (92, 93)) 19807 32533757 This analysis identified SNVs, including single nucleotide insertions and deletions (indels) in 8 loci, that is, ADAMTS7, BRCA1, BRCA2, CSMD3, FAT3, NF1, RAD51C, and TP53, in at least one patient (Fig. ('BRCA2', 'Gene', '675', (129, 134)) ('BRCA1', 'Gene', '672', (122, 127)) ('NF1', 'Gene', (149, 152)) ('deletions', 'Var', (74, 83)) ('BRCA1', 'Gene', (122, 127)) ('FAT3', 'Gene', (143, 147)) ('a', 'Gene', '351', (70, 71)) ('a', 'Gene', '351', (189, 190)) ('a', 'Gene', '351', (180, 181)) ('a', 'Gene', '351', (7, 8)) ('TP53', 'Gene', '7157', (166, 170)) ('patient', 'Species', '9606', (188, 195)) ('FAT3', 'Gene', '120114', (143, 147)) ('a', 'Gene', '351', (162, 163)) ('single nucleotide insertions', 'Var', (41, 69)) ('RAD51C', 'Gene', '5889', (154, 160)) ('CSMD3', 'Gene', '114788', (136, 141)) ('a', 'Gene', '351', (5, 6)) ('a', 'Gene', '351', (106, 107)) ('BRCA2', 'Gene', (129, 134)) ('ADAMTS7', 'Gene', '11173', (113, 120)) ('RAD', 'biological_process', 'GO:1990116', ('154', '157')) ('TP53', 'Gene', (166, 170)) ('RAD51C', 'Gene', (154, 160)) ('CSMD3', 'Gene', (136, 141)) ('ADAMTS7', 'Gene', (113, 120)) ('NF1', 'Gene', '4763', (149, 152)) ('a', 'Gene', '351', (175, 176)) 19809 32533757 In addition, we found larger deletions, duplications, translocations, and inversions at the BRCA2, ERN1, and/or NF1 loci. ('a', 'Gene', '351', (3, 4)) ('ERN1', 'Gene', '2081', (99, 103)) ('a', 'Gene', '351', (70, 71)) ('a', 'Gene', '351', (62, 63)) ('a', 'Gene', '351', (56, 57)) ('BRCA2', 'Gene', (92, 97)) ('NF1', 'Gene', '4763', (112, 115)) ('NF1', 'Gene', (112, 115)) ('inversions', 'Var', (74, 84)) ('ERN1', 'Gene', (99, 103)) ('a', 'Gene', '351', (23, 24)) ('a', 'Gene', '351', (46, 47)) ('a', 'Gene', '351', (105, 106)) ('deletions', 'Var', (29, 38)) ('a', 'Gene', '351', (85, 86)) ('BRCA2', 'Gene', '675', (92, 97)) 19821 32533757 As the C122G mutation renders p53 nonfunctional [51], it is likely that a new subclone arose by loss of the mutated allele. ('A', 'Gene', '351', (0, 1)) ('C122G', 'SUBSTITUTION', 'None', (7, 12)) ('a', 'Gene', '351', (87, 88)) ('a', 'Gene', '351', (69, 70)) ('a', 'Gene', '351', (72, 73)) ('a', 'Gene', '351', (111, 112)) ('a', 'Gene', '351', (45, 46)) ('p53', 'Gene', '7157', (30, 33)) ('p53', 'Gene', (30, 33)) ('a', 'Gene', '351', (116, 117)) ('a', 'Gene', '351', (16, 17)) ('C122G', 'Var', (7, 12)) 19833 32533757 As shown in Table 1, we found the same SNVs in spheroids from ascites and OCMI cells, that is, in RAD51D in OCMI38 (T99A; 14% in spheroids; 49% in OCMI cells), in ADAMTS7 in OC122 (N1071S and Y1078fs; 17 and 18% in spheroids; 14 and 17% in OCMI cells), and in TP53 (R248W; 93% in spheroids; 96% in OCMI cells). ('Y1078fs', 'FRAMESHIFT', 'None', (192, 199)) ('OC', 'Phenotype', 'HP:0025318', (108, 110)) ('N1071S', 'Var', (181, 187)) ('OC', 'Gene', '632', (298, 300)) ('spheroids', 'Chemical', '-', (215, 224)) ('a', 'Gene', '351', (229, 230)) ('OC', 'Gene', '632', (147, 149)) ('spheroids', 'Chemical', '-', (47, 56)) ('T99A', 'Var', (116, 120)) ('A', 'Gene', '351', (163, 164)) ('ascites', 'Phenotype', 'HP:0001541', (62, 69)) ('a', 'Gene', '351', (253, 254)) ('A', 'Gene', '351', (99, 100)) ('TP53', 'Gene', (260, 264)) ('OC', 'Phenotype', 'HP:0025318', (147, 149)) ('RAD51D', 'Gene', '5892', (98, 104)) ('OC', 'Gene', '632', (74, 76)) ('a', 'Gene', '351', (70, 71)) ('a', 'Gene', '351', (62, 63)) ('RAD', 'biological_process', 'GO:1990116', ('98', '101')) ('a', 'Gene', '351', (204, 205)) ('OC', 'Gene', '632', (240, 242)) ('OC', 'Phenotype', 'HP:0025318', (74, 76)) ('T99A', 'SUBSTITUTION', 'None', (116, 120)) ('ADAMTS7', 'Gene', '11173', (163, 170)) ('A', 'Gene', '351', (0, 1)) ('a', 'Gene', '351', (188, 189)) ('a', 'Gene', '351', (13, 14)) ('spheroids', 'Chemical', '-', (280, 289)) ('OC', 'Phenotype', 'HP:0025318', (240, 242)) ('spheroids', 'Chemical', '-', (129, 138)) ('OC', 'Gene', '632', (174, 176)) ('ascites', 'Disease', (62, 69)) ('ADAMTS7', 'Gene', (163, 170)) ('OC', 'Phenotype', 'HP:0025318', (174, 176)) ('N1071S', 'SUBSTITUTION', 'None', (181, 187)) ('R248W', 'Var', (266, 271)) ('A', 'Gene', '351', (165, 166)) ('TP53', 'Gene', '7157', (260, 264)) ('Y1078fs', 'Var', (192, 199)) ('A', 'Gene', '351', (119, 120)) ('RAD51D', 'Gene', (98, 104)) ('R248W', 'SUBSTITUTION', 'None', (266, 271)) ('a', 'Gene', '351', (35, 36)) ('ascites', 'Disease', 'MESH:D001201', (62, 69)) ('OC', 'Gene', '632', (108, 110)) ('a', 'Gene', '351', (88, 89)) 19834 32533757 The TP53 SNV in spheroids from patient 122 (C277G) was not detected in OCMI122 cells, in contrast to the ADAMTS7-mutated allele. ('TP53', 'Gene', (4, 8)) ('ADAMTS7', 'Gene', '11173', (105, 112)) ('a', 'Gene', '351', (121, 122)) ('a', 'Gene', '351', (52, 53)) ('spheroids', 'Chemical', '-', (16, 25)) ('a', 'Gene', '351', (94, 95)) ('C277G', 'Var', (44, 49)) ('patient', 'Species', '9606', (31, 38)) ('TP53', 'Gene', '7157', (4, 8)) ('a', 'Gene', '351', (32, 33)) ('a', 'Gene', '351', (116, 117)) ('C277G', 'SUBSTITUTION', 'None', (44, 49)) ('OC', 'Phenotype', 'HP:0025318', (71, 73)) ('ADAMTS7', 'Gene', (105, 112)) ('OC', 'Gene', '632', (71, 73)) 19837 32533757 A similar situation seems to exist for patient OC38, where an NF1 deletion was found in metastases with a frequency of 10-32%, but was not detectable in OCMI38 cells (not shown), whereas the same RAD51D mutation was detected in all samples with the highest frequency in cultured cells (10-32% in metastases and spheroids; 49% in OCMI38 cells). ('OC', 'Gene', '632', (329, 331)) ('a', 'Gene', '351', (192, 193)) ('a', 'Gene', '351', (302, 303)) ('metastases', 'Disease', 'MESH:D009362', (296, 306)) ('a', 'Gene', '351', (104, 105)) ('NF1', 'Gene', (62, 65)) ('metastases', 'Disease', 'MESH:D009362', (88, 98)) ('OC', 'Phenotype', 'HP:0025318', (329, 331)) ('OC', 'Gene', '632', (153, 155)) ('a', 'Gene', '351', (40, 41)) ('metastases', 'Disease', (296, 306)) ('a', 'Gene', '351', (213, 214)) ('RAD51D', 'Gene', (196, 202)) ('metastases', 'Disease', (88, 98)) ('a', 'Gene', '351', (206, 207)) ('a', 'Gene', '351', (14, 15)) ('OC', 'Phenotype', 'HP:0025318', (153, 155)) ('a', 'Gene', '351', (7, 8)) ('a', 'Gene', '351', (94, 95)) ('a', 'Gene', '351', (228, 229)) ('A', 'Gene', '351', (0, 1)) ('a', 'Gene', '351', (59, 60)) ('patient', 'Species', '9606', (39, 46)) ('a', 'Gene', '351', (307, 308)) ('a', 'Gene', '351', (76, 77)) ('a', 'Gene', '351', (299, 300)) ('a', 'Gene', '351', (132, 133)) ('a', 'Gene', '351', (91, 92)) ('a', 'Gene', '351', (233, 234)) ('RAD51D', 'Gene', '5892', (196, 202)) ('OC', 'Gene', '632', (47, 49)) ('RAD', 'biological_process', 'GO:1990116', ('196', '199')) ('spheroids', 'Chemical', '-', (311, 320)) ('a', 'Gene', '351', (145, 146)) ('a', 'Gene', '351', (184, 185)) ('NF1', 'Gene', '4763', (62, 65)) ('A', 'Gene', '351', (197, 198)) ('OC', 'Phenotype', 'HP:0025318', (47, 49)) ('deletion', 'Var', (66, 74)) 19838 32533757 The C277G SNV in TP53 in OCMI122 cells is a loss-of-function mutation [51], which might explain its low frequency in some metastases and its loss in the OCMI122 cell population. ('a', 'Gene', '351', (64, 65)) ('a', 'Gene', '351', (133, 134)) ('OC', 'Phenotype', 'HP:0025318', (25, 27)) ('a', 'Gene', '351', (42, 43)) ('OC', 'Phenotype', 'HP:0025318', (153, 155)) ('a', 'Gene', '351', (125, 126)) ('OC', 'Gene', '632', (25, 27)) ('a', 'Gene', '351', (128, 129)) ('metastases', 'Disease', (122, 132)) ('a', 'Gene', '351', (171, 172)) ('C277G', 'Var', (4, 9)) ('loss-of-function', 'NegReg', (44, 60)) ('C277G', 'SUBSTITUTION', 'None', (4, 9)) ('OC', 'Gene', '632', (153, 155)) ('a', 'Gene', '351', (92, 93)) ('TP53', 'Gene', '7157', (17, 21)) ('metastases', 'Disease', 'MESH:D009362', (122, 132)) ('TP53', 'Gene', (17, 21)) 19839 32533757 In contrast, the R248W SNV found in OC137 spheroids (Table 1) is a known hot spot driver mutation in HGSC [54], and accordingly, mutated (stabilized) p53 protein was found in OCMI137 cells as opposed to OCMI38 cells with wild-type TP53 (Fig. ('OC', 'Gene', '632', (36, 38)) ('R248W', 'Var', (17, 22)) ('TP53', 'Gene', '7157', (231, 235)) ('a', 'Gene', '351', (65, 66)) ('R248W', 'SUBSTITUTION', 'None', (17, 22)) ('p53', 'Gene', '7157', (150, 153)) ('a', 'Gene', '351', (8, 9)) ('OC', 'Phenotype', 'HP:0025318', (36, 38)) ('a', 'Gene', '351', (189, 190)) ('p53', 'Gene', (150, 153)) ('a', 'Gene', '351', (116, 117)) ('a', 'Gene', '351', (92, 93)) ('a', 'Gene', '351', (140, 141)) ('a', 'Gene', '351', (54, 55)) ('OC', 'Gene', '632', (175, 177)) ('a', 'Gene', '351', (163, 164)) ('protein', 'cellular_component', 'GO:0003675', ('154', '161')) ('a', 'Gene', '351', (132, 133)) ('TP53', 'Gene', (231, 235)) ('spheroids', 'Chemical', '-', (42, 51)) ('protein', 'Protein', (154, 161)) ('OC', 'Phenotype', 'HP:0025318', (203, 205)) ('OC', 'Phenotype', 'HP:0025318', (175, 177)) ('OC', 'Gene', '632', (203, 205)) ('a', 'Gene', '351', (112, 113)) 19879 32533757 To this end, we evaluated the data from the PRECOG and KM Plotter meta-analyses [49, 50] and The Cancer Genome Atlas (TCGA) dataset [43], which consistently revealed a strong association of high CALB2 or PDPN expression with a short relapse-free survival (RFS) and overall survival of HGSC, while no significant link of survival to the epithelial markers EPCAM, MUC16, and PAX8 (included for comparison) was observed (Fig. ('a', 'Gene', '351', (89, 90)) ('Cancer', 'Disease', 'MESH:D009369', (97, 103)) ('A', 'Gene', '351', (196, 197)) ('expression', 'MPA', (209, 219)) ('a', 'Gene', '351', (166, 167)) ('a', 'Gene', '351', (73, 74)) ('a', 'Gene', '351', (396, 397)) ('a', 'Gene', '351', (279, 280)) ('PDPN', 'Gene', (204, 208)) ('a', 'Gene', '351', (71, 72)) ('EPCAM', 'Gene', (355, 360)) ('a', 'Gene', '351', (308, 309)) ('high', 'Var', (190, 194)) ('a', 'Gene', '351', (181, 182)) ('a', 'Gene', '351', (127, 128)) ('a', 'Gene', '351', (31, 32)) ('RFS', 'Disease', 'MESH:D005198', (256, 259)) ('A', 'Gene', '351', (121, 122)) ('MUC16', 'Gene', (362, 367)) ('a', 'Gene', '351', (261, 262)) ('a', 'Gene', '351', (269, 270)) ('a', 'Gene', '351', (125, 126)) ('a', 'Gene', '351', (348, 349)) ('a', 'Gene', '351', (252, 253)) ('a', 'Gene', '351', (236, 237)) ('Cancer', 'Phenotype', 'HP:0002664', (97, 103)) ('A', 'Gene', '351', (374, 375)) ('a', 'Gene', '351', (21, 22)) ('PAX8', 'Gene', (373, 377)) ('CALB2', 'Gene', '794', (195, 200)) ('a', 'Gene', '351', (69, 70)) ('A', 'Gene', '351', (111, 112)) ('CALB2', 'Gene', (195, 200)) ('A', 'Gene', '351', (358, 359)) ('a', 'Gene', '351', (225, 226)) ('a', 'Gene', '351', (369, 370)) ('PDPN', 'Gene', '10630', (204, 208)) ('PAX8', 'Gene', '7849', (373, 377)) ('a', 'Gene', '351', (98, 99)) ('Cancer', 'Disease', (97, 103)) ('RFS', 'Disease', (256, 259)) ('a', 'Gene', '351', (161, 162)) ('a', 'Gene', '351', (18, 19)) ('EPCAM', 'Gene', '4072', (355, 360)) ('a', 'Gene', '351', (51, 52)) ('a', 'Gene', '351', (344, 345)) ('a', 'Gene', '351', (33, 34)) ('a', 'Gene', '351', (114, 115)) ('MUC16', 'Gene', '94025', (362, 367)) ('a', 'Gene', '351', (326, 327)) ('a', 'Gene', '351', (405, 406)) ('a', 'Gene', '351', (175, 176)) 19884 32533757 While high CALB2 or PDPN expression in several other carcinomas, including breast cancer, was associated with a poor prognosis, the OS of other cancers, in particular hematologic malignancies, showed the opposite association. ('carcinomas', 'Disease', (53, 63)) ('a', 'Gene', '351', (78, 79)) ('a', 'Gene', '351', (157, 158)) ('cancer', 'Phenotype', 'HP:0002664', (144, 150)) ('cancer', 'Phenotype', 'HP:0002664', (82, 88)) ('a', 'Gene', '351', (213, 214)) ('PDPN', 'Gene', (20, 24)) ('a', 'Gene', '351', (180, 181)) ('a', 'Gene', '351', (110, 111)) ('high', 'Var', (6, 10)) ('a', 'Gene', '351', (94, 95)) ('cancers', 'Phenotype', 'HP:0002664', (144, 151)) ('cancers', 'Disease', (144, 151)) ('a', 'Gene', '351', (61, 62)) ('a', 'Gene', '351', (54, 55)) ('a', 'Gene', '351', (219, 220)) ('a', 'Gene', '351', (83, 84)) ('a', 'Gene', '351', (164, 165)) ('breast cancer', 'Phenotype', 'HP:0003002', (75, 88)) ('a', 'Gene', '351', (100, 101)) ('a', 'Gene', '351', (170, 171)) ('carcinomas', 'Disease', 'MESH:D009369', (53, 63)) ('carcinoma', 'Phenotype', 'HP:0030731', (53, 62)) ('carcinomas', 'Phenotype', 'HP:0030731', (53, 63)) ('a', 'Gene', '351', (91, 92)) ('breast cancer', 'Disease', 'MESH:D001943', (75, 88)) ('a', 'Gene', '351', (44, 45)) ('a', 'Gene', '351', (185, 186)) ('breast cancer', 'Disease', (75, 88)) ('PDPN', 'Gene', '10630', (20, 24)) ('malignancies', 'Disease', 'MESH:D009369', (179, 191)) ('a', 'Gene', '351', (145, 146)) ('malignancies', 'Disease', (179, 191)) ('CALB2', 'Gene', '794', (11, 16)) ('CALB2', 'Gene', (11, 16)) ('cancers', 'Disease', 'MESH:D009369', (144, 151)) 19892 32533757 8), indicating that the loss of calretinin expression did not induce cell death in these cells. ('loss', 'Var', (24, 28)) ('cell death', 'biological_process', 'GO:0008219', ('69', '79')) ('a', 'Gene', '351', (17, 18)) ('a', 'Gene', '351', (9, 10)) ('a', 'Gene', '351', (76, 77)) ('calretinin', 'Gene', (32, 42)) ('a', 'Gene', '351', (33, 34)) ('calretinin', 'Gene', '794', (32, 42)) 19903 32533757 Likewise, ADAMTS8 was altered by SNVs in the majority of patients (6/10; in 3 cases simultaneously at 2 different sites), while 8 other loci were affected in a smaller subset of patients (1-5 out of 10). ('a', 'Gene', '351', (179, 180)) ('a', 'Gene', '351', (79, 80)) ('a', 'Gene', '351', (158, 159)) ('a', 'Gene', '351', (58, 59)) ('a', 'Gene', '351', (90, 91)) ('a', 'Gene', '351', (146, 147)) ('patients', 'Species', '9606', (57, 65)) ('patients', 'Species', '9606', (178, 186)) ('SNVs', 'Var', (33, 37)) ('ADAMTS8', 'Gene', '11095', (10, 17)) ('a', 'Gene', '351', (162, 163)) ('ADAMTS8', 'Gene', (10, 17)) ('a', 'Gene', '351', (19, 20)) ('a', 'Gene', '351', (46, 47)) ('a', 'Gene', '351', (22, 23)) ('a', 'Gene', '351', (99, 100)) 19926 32533757 On the one hand, genetic alterations of TP53 are considered one of the earliest events driving HGSC tumorigenesis [56], which is consistent with our observation of TP53 SNVs in 90% of the patients, including both hot spot and inactivating mutations and indels. ('a', 'Gene', '351', (25, 26)) ('tumor', 'Disease', (100, 105)) ('a', 'Gene', '351', (72, 73)) ('patients', 'Species', '9606', (188, 196)) ('TP53', 'Gene', '7157', (40, 44)) ('a', 'Gene', '351', (222, 223)) ('tumor', 'Disease', 'MESH:D009369', (100, 105)) ('TP53', 'Gene', (164, 168)) ('a', 'Gene', '351', (189, 190)) ('a', 'Gene', '351', (228, 229)) ('a', 'Gene', '351', (30, 31)) ('tumor', 'Phenotype', 'HP:0002664', (100, 105)) ('a', 'Gene', '351', (155, 156)) ('indels', 'Var', (253, 259)) ('rat', 'Species', '10116', (29, 32)) ('a', 'Gene', '351', (45, 46)) ('TP53', 'Gene', (40, 44)) ('a', 'Gene', '351', (12, 13)) ('a', 'Gene', '351', (249, 250)) ('a', 'Gene', '351', (242, 243)) ('TP53', 'Gene', '7157', (164, 168)) ('a', 'Gene', '351', (233, 234)) 19928 32533757 One possible explanation for this observation could be the loss of variant alleles with nonessential functions in metastasis formation, such as the inactivating C277G TP53 variant in patient OC122, which appears to be absent from a large fraction of tumor cells even within the same metastasis (Fig. ('a', 'Gene', '351', (120, 121)) ('a', 'Gene', '351', (129, 130)) ('a', 'Gene', '351', (17, 18)) ('a', 'Gene', '351', (286, 287)) ('a', 'Gene', '351', (279, 280)) ('TP53', 'Gene', '7157', (167, 171)) ('patient', 'Species', '9606', (183, 190)) ('a', 'Gene', '351', (71, 72)) ('tumor', 'Disease', (250, 255)) ('a', 'Gene', '351', (40, 41)) ('a', 'Gene', '351', (150, 151)) ('a', 'Gene', '351', (117, 118)) ('a', 'Gene', '351', (141, 142)) ('a', 'Gene', '351', (204, 205)) ('tumor', 'Disease', 'MESH:D009369', (250, 255)) ('a', 'Gene', '351', (173, 174)) ('OC', 'Gene', '632', (191, 193)) ('a', 'Gene', '351', (155, 156)) ('OC', 'Phenotype', 'HP:0025318', (191, 193)) ('formation', 'biological_process', 'GO:0009058', ('125', '134')) ('C277G', 'Var', (161, 166)) ('a', 'Gene', '351', (19, 20)) ('C277G', 'SUBSTITUTION', 'None', (161, 166)) ('a', 'Gene', '351', (218, 219)) ('tumor', 'Phenotype', 'HP:0002664', (250, 255)) ('a', 'Gene', '351', (75, 76)) ('a', 'Gene', '351', (98, 99)) ('TP53', 'Gene', (167, 171)) ('a', 'Gene', '351', (240, 241)) ('a', 'Gene', '351', (68, 69)) ('a', 'Gene', '351', (233, 234)) ('a', 'Gene', '351', (184, 185)) ('a', 'Gene', '351', (176, 177)) ('a', 'Gene', '351', (208, 209)) ('a', 'Gene', '351', (289, 290)) ('a', 'Gene', '351', (230, 231)) 19933 32533757 Several lines of evidence suggest that the increase in calretinin and podoplanin expression is relevant to peritoneal dissemination: (a) A similar pattern of upregulated mesenchymal and mesothelial genes was identified in metastatic lesions compared with spheroids from ascites; (b) immunostaining revealed calretinin staining in a subset of cancer cells in HGSC metastases with preference for the invasive tumor front; (c) a high expression of CALB2 or PDPN is strongly associated with a short RFS and OS; and (d) CALB2 silencing triggered the detachment of adherent HGSC cells in vitro and inhibited the adhesion of detached HGSC cells to collagen type I. ('a', 'Gene', '351', (343, 344)) ('PDPN', 'Gene', '10630', (454, 458)) ('calretinin', 'Gene', (307, 317)) ('a', 'Gene', '351', (302, 303)) ('a', 'Gene', '351', (48, 49)) ('cancer', 'Disease', (342, 348)) ('a', 'Gene', '351', (477, 478)) ('a', 'Gene', '351', (588, 589)) ('a', 'Gene', '351', (56, 57)) ('a', 'Gene', '351', (245, 246)) ('RFS', 'Disease', 'MESH:D005198', (495, 498)) ('podoplanin', 'Gene', '10630', (70, 80)) ('a', 'Gene', '351', (308, 309)) ('cancer', 'Phenotype', 'HP:0002664', (342, 348)) ('a', 'Gene', '351', (270, 271)) ('a', 'Gene', '351', (507, 508)) ('a', 'Gene', '351', (134, 135)) ('a', 'Gene', '351', (165, 166)) ('calretinin', 'Gene', '794', (55, 65)) ('inhibited', 'NegReg', (592, 601)) ('CALB2', 'Gene', '794', (445, 450)) ('a', 'Gene', '351', (126, 127)) ('a', 'Gene', '351', (548, 549)) ('a', 'Gene', '351', (182, 183)) ('collagen', 'molecular_function', 'GO:0005202', ('641', '649')) ('a', 'Gene', '351', (499, 500)) ('CALB2', 'Gene', (445, 450)) ('silencing', 'Var', (521, 530)) ('CALB2', 'Gene', '794', (515, 520)) ('a', 'Gene', '351', (205, 206)) ('a', 'Gene', '351', (228, 229)) ('a', 'Gene', '351', (401, 402)) ('calretinin', 'Gene', '794', (307, 317)) ('a', 'Gene', '351', (291, 292)) ('ascites', 'Disease', (270, 277)) ('podoplanin', 'Gene', (70, 80)) ('a', 'Gene', '351', (195, 196)) ('A', 'Gene', '351', (137, 138)) ('CALB2', 'Gene', (515, 520)) ('invasive tumor', 'Disease', (398, 412)) ('PDPN', 'Gene', (454, 458)) ('a', 'Gene', '351', (179, 180)) ('cancer', 'Disease', 'MESH:D009369', (342, 348)) ('A', 'Gene', '351', (446, 447)) ('A', 'Gene', '351', (516, 517)) ('a', 'Gene', '351', (330, 331)) ('a', 'Gene', '351', (606, 607)) ('a', 'Gene', '351', (100, 101)) ('a', 'Gene', '351', (115, 116)) ('RFS', 'Disease', (495, 498)) ('a', 'Gene', '351', (76, 77)) ('a', 'Gene', '351', (225, 226)) ('a', 'Gene', '351', (369, 370)) ('a', 'Gene', '351', (148, 149)) ('a', 'Gene', '351', (424, 425)) ('a', 'Gene', '351', (5, 6)) ('a', 'Gene', '351', (36, 37)) ('a', 'Gene', '351', (487, 488)) ('invasive tumor', 'Disease', 'MESH:D009361', (398, 412)) ('metastases', 'Disease', 'MESH:D009362', (363, 373)) ('a', 'Gene', '351', (559, 560)) ('a', 'Gene', '351', (621, 622)) ('a', 'Gene', '351', (645, 646)) ('calretinin', 'Gene', (55, 65)) ('ascites', 'Disease', 'MESH:D001201', (270, 277)) ('a', 'Gene', '351', (471, 472)) ('a', 'Gene', '351', (66, 67)) ('a', 'Gene', '351', (320, 321)) ('metastases', 'Disease', (363, 373)) ('tumor', 'Phenotype', 'HP:0002664', (407, 412)) ('spheroids', 'Chemical', '-', (255, 264)) ('a', 'Gene', '351', (366, 367)) ('a', 'Gene', '351', (144, 145)) ('ascites', 'Phenotype', 'HP:0001541', (270, 277)) 19962 32533757 We did not observe direct effects of CALB2 silencing on cell viability, although a fraction of OCMI cells died after detaching from the culture dish. ('CALB2', 'Gene', '794', (37, 42)) ('a', 'Gene', '351', (120, 121)) ('OC', 'Gene', '632', (95, 97)) ('a', 'Gene', '351', (63, 64)) ('CALB2', 'Gene', (37, 42)) ('a', 'Gene', '351', (72, 73)) ('a', 'Gene', '351', (111, 112)) ('silencing', 'Var', (43, 52)) ('died', 'Disease', (106, 110)) ('OC', 'Phenotype', 'HP:0025318', (95, 97)) ('died', 'Disease', 'MESH:D003643', (106, 110)) ('a', 'Gene', '351', (81, 82)) ('a', 'Gene', '351', (85, 86)) 19980 32533757 Intriguingly, high CALB2 or PDPN expression was strongly associated with a poor clinical outcome, and calretinin expression was observed at the invasive tumor edges of HGSC metastases. ('a', 'Gene', '351', (137, 138)) ('a', 'Gene', '351', (63, 64)) ('a', 'Gene', '351', (103, 104)) ('a', 'Gene', '351', (73, 74)) ('expression', 'MPA', (33, 43)) ('PDPN', 'Gene', (28, 32)) ('calretinin', 'Gene', '794', (102, 112)) ('a', 'Gene', '351', (125, 126)) ('a', 'Gene', '351', (86, 87)) ('high', 'Var', (14, 18)) ('invasive tumor', 'Disease', (144, 158)) ('a', 'Gene', '351', (179, 180)) ('metastases', 'Disease', 'MESH:D009362', (173, 183)) ('a', 'Gene', '351', (45, 46)) ('invasive tumor', 'Disease', 'MESH:D009361', (144, 158)) ('a', 'Gene', '351', (98, 99)) ('CALB2', 'Gene', '794', (19, 24)) ('a', 'Gene', '351', (147, 148)) ('CALB2', 'Gene', (19, 24)) ('metastases', 'Disease', (173, 183)) ('PDPN', 'Gene', '10630', (28, 32)) ('a', 'Gene', '351', (176, 177)) ('tumor', 'Phenotype', 'HP:0002664', (153, 158)) ('a', 'Gene', '351', (57, 58)) ('calretinin', 'Gene', (102, 112)) 19981 32533757 Furthermore, silencing of CALB2 inhibited the adhesion of detached HGSC cells to a collagen type I matrix. ('CALB2', 'Gene', '794', (26, 31)) ('inhibited', 'NegReg', (32, 41)) ('a', 'Gene', '351', (87, 88)) ('CALB2', 'Gene', (26, 31)) ('a', 'Gene', '351', (100, 101)) ('collagen', 'molecular_function', 'GO:0005202', ('83', '91')) ('a', 'Gene', '351', (46, 47)) ('a', 'Gene', '351', (61, 62)) ('a', 'Gene', '351', (81, 82)) ('silencing', 'Var', (13, 22)) 20013 32438515 For instance, profiling molecular alterations and mutations in tumors allows identification of the molecular targets suitable for specific treatments and subsequent development of drug treatments specific to an individual patient. ('men', 'Species', '9606', (144, 147)) ('mutations', 'Var', (50, 59)) ('patient', 'Species', '9606', (222, 229)) ('tumors', 'Phenotype', 'HP:0002664', (63, 69)) ('tumors', 'Disease', (63, 69)) ('tumors', 'Disease', 'MESH:D009369', (63, 69)) ('men', 'Species', '9606', (190, 193)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('alterations', 'Var', (34, 45)) ('men', 'Species', '9606', (172, 175)) 20038 32438515 The cutoff level for an aberrant ALK, RET, and ROS1 FISH was >=15% of cells with a split-apart signal. ('ROS1', 'Gene', (47, 51)) ('ALK', 'Gene', (33, 36)) ('RET', 'Gene', '5979', (38, 41)) ('ROS1', 'Gene', '6098', (47, 51)) ('aberrant', 'Var', (24, 32)) ('ALK', 'Gene', '238', (33, 36)) ('RET', 'Gene', (38, 41)) 20060 32438515 None of the patients had copy number alterations or MSI high status. ('MSI', 'Gene', (52, 55)) ('patients', 'Species', '9606', (12, 20)) ('copy number alterations', 'Var', (25, 48)) ('MSI', 'Gene', '5928', (52, 55)) 20098 32438515 performed a comprehensive genomic analysis of pleural MM and identified frequent mutations in BAP1, NF2, TP53, SETD2, DDX3X, ULK2, RYR2, CFAP45, SETDB1, and DDX51. ('DDX51', 'Gene', '317781', (157, 162)) ('CFAP45', 'Gene', '25790', (137, 143)) ('pleural MM', 'Disease', (46, 56)) ('mutations', 'Var', (81, 90)) ('CFAP45', 'Gene', (137, 143)) ('BAP1', 'Gene', '8314', (94, 98)) ('DDX3X', 'Gene', (118, 123)) ('NF2', 'Gene', '4771', (100, 103)) ('TP53', 'Gene', (105, 109)) ('SETD2', 'Gene', (111, 116)) ('NF2', 'Gene', (100, 103)) ('RYR', 'cellular_component', 'GO:1990425', ('131', '134')) ('pleural MM', 'Disease', 'MESH:D010995', (46, 56)) ('DDX3X', 'Gene', '1654', (118, 123)) ('SETDB1', 'Gene', (145, 151)) ('ULK2', 'Gene', '9706', (125, 129)) ('BAP1', 'Gene', (94, 98)) ('SETD2', 'Gene', '29072', (111, 116)) ('SETDB1', 'Gene', '9869', (145, 151)) ('RYR2', 'Gene', (131, 135)) ('ULK2', 'Gene', (125, 129)) ('RYR2', 'Gene', '6262', (131, 135)) ('TP53', 'Gene', '7157', (105, 109)) ('DDX51', 'Gene', (157, 162)) 20099 32438515 They found that recurrent gene fusions and splice alterations were frequently the underlying reasons for the inactivation of NF2, BAP1, and SETD2.19 Particularly, inactivation of the tumor suppressor genes NF2 and BAP1 is frequently observed in MM, possibly playing a pivotal role in the tumorigenesis. ('BAP1', 'Gene', (130, 134)) ('SETD2', 'Gene', '29072', (140, 145)) ('tumor', 'Phenotype', 'HP:0002664', (183, 188)) ('NF2', 'Gene', '4771', (206, 209)) ('inactivation', 'Var', (163, 175)) ('BAP1', 'Gene', '8314', (214, 218)) ('NF2', 'Gene', (206, 209)) ('NF2', 'Gene', '4771', (125, 128)) ('BAP1', 'Gene', (214, 218)) ('tumor', 'Disease', (288, 293)) ('NF2', 'Gene', (125, 128)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('183', '199')) ('tumor', 'Disease', 'MESH:D009369', (288, 293)) ('tumor', 'Disease', (183, 188)) ('BAP1', 'Gene', '8314', (130, 134)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('183', '199')) ('tumor', 'Disease', 'MESH:D009369', (183, 188)) ('SETD2', 'Gene', (140, 145)) ('tumor', 'Phenotype', 'HP:0002664', (288, 293)) 20144 31032152 The presence of certain autoimmune antibodies has also been associated with certain malignancies without any underlying rheumatologic processes. ('malignancies', 'Disease', (84, 96)) ('autoimmune antibodies', 'Phenotype', 'HP:0002960', (24, 45)) ('presence', 'Var', (4, 12)) ('malignancies', 'Disease', 'MESH:D009369', (84, 96)) ('associated', 'Reg', (60, 70)) 20191 31032152 In 2010, a study published in Saudi Arabia evaluated patients with positive anti-dsDNA antibodies to explore potentially non SLE-related etiologies. ('patients', 'Species', '9606', (53, 61)) ('SLE', 'Disease', 'MESH:D008180', (125, 128)) ('SLE', 'Disease', (125, 128)) ('SLE', 'Phenotype', 'HP:0002725', (125, 128)) ('anti-dsDNA', 'Gene', (76, 86)) ('antibodies', 'Var', (87, 97)) 20199 31032152 Typically, anti-histone antibodies are associated with drug-induced lupus erythematosus (DILE). ('lupus erythematosus', 'Phenotype', 'HP:0002725', (68, 87)) ('anti-histone', 'Protein', (11, 23)) ('antibodies', 'Var', (24, 34)) ('associated', 'Reg', (39, 49)) ('drug-induced lupus erythematosus', 'Disease', 'MESH:D008180', (55, 87)) ('drug-induced lupus erythematosus', 'Disease', (55, 87)) 20226 31032152 Anti-dsDNA antibodies and AHA could potentially be considered false positives or attributed to malignancy. ('AHA', 'Disease', (26, 29)) ('malignancy', 'Disease', 'MESH:D009369', (95, 105)) ('false', 'biological_process', 'GO:0071877', ('62', '67')) ('antibodies', 'Var', (11, 21)) ('Anti-dsDNA', 'Disease', (0, 10)) ('malignancy', 'Disease', (95, 105)) ('false', 'biological_process', 'GO:0071878', ('62', '67')) 20339 30914057 While the initial 2011 report of frequent somatic inactivation in PlM of the gene encoding the ubiquitin carboxyl-terminal hydrolase BAP1 was followed by the finding that PeM shows a similar high prevalence of BAP1 alterations, PeM also shows some genetic differences, notably a lower prevalence of losses of other tumor suppressors:CDKN2A and NF2:than PlM. ('PeM', 'Phenotype', 'HP:0100003', (228, 231)) ('BAP1', 'Gene', (210, 214)) ('BAP1', 'Gene', '8314', (210, 214)) ('NF2', 'Gene', (344, 347)) ('alterations', 'Var', (215, 226)) ('CDKN2A', 'Gene', (333, 339)) ('tumor', 'Disease', 'MESH:D009369', (315, 320)) ('PlM', 'Phenotype', 'HP:0100002', (353, 356)) ('BAP1', 'Gene', '8314', (133, 137)) ('ubiquitin', 'molecular_function', 'GO:0031386', ('95', '104')) ('PlM', 'Phenotype', 'HP:0100002', (66, 69)) ('CDKN2A', 'Gene', '1029', (333, 339)) ('tumor', 'Phenotype', 'HP:0002664', (315, 320)) ('PeM', 'Phenotype', 'HP:0100003', (171, 174)) ('NF2', 'Gene', '4771', (344, 347)) ('inactivation', 'Var', (50, 62)) ('BAP1', 'Gene', (133, 137)) ('tumor', 'Disease', (315, 320)) 20340 30914057 Somatic BAP1 mutations are also seen not infrequently in carcinomas of the kidney and intrahepatic bile ducts and in ocular melanomas. ('melanoma', 'Phenotype', 'HP:0002861', (124, 132)) ('melanomas', 'Phenotype', 'HP:0002861', (124, 133)) ('ocular melanomas', 'Phenotype', 'HP:0025534', (117, 133)) ('ocular melanomas', 'Disease', 'MESH:D008545', (117, 133)) ('BAP1', 'Gene', '8314', (8, 12)) ('ocular melanomas', 'Disease', (117, 133)) ('carcinomas of the kidney and intrahepatic bile', 'Disease', 'MESH:D002780', (57, 103)) ('carcinomas', 'Phenotype', 'HP:0030731', (57, 67)) ('BAP1', 'Gene', (8, 12)) ('mutations', 'Var', (13, 22)) 20364 30914057 In this respect, the proximity of BAP1 and PBRM1 and their frequent co-inactivation (or co-haploinsufficiency) in PeM might represent a confounding factor in these analyses as recent studies in other cancers have demonstrated that loss of PBRM1 is associated with increased T cell infiltration and response to ICI therapy. ('PeM', 'Phenotype', 'HP:0100003', (114, 117)) ('PBRM1', 'Gene', (43, 48)) ('haploinsufficiency', 'Disease', 'MESH:D058495', (91, 109)) ('T cell infiltration', 'CPA', (274, 293)) ('BAP1', 'Gene', (34, 38)) ('increased', 'PosReg', (264, 273)) ('PBRM1', 'Gene', '55193', (239, 244)) ('cancers', 'Disease', 'MESH:D009369', (200, 207)) ('increased T cell', 'Phenotype', 'HP:0100828', (264, 280)) ('response', 'CPA', (298, 306)) ('cancers', 'Disease', (200, 207)) ('PBRM1', 'Gene', '55193', (43, 48)) ('cancers', 'Phenotype', 'HP:0002664', (200, 207)) ('loss', 'Var', (231, 235)) ('haploinsufficiency', 'Disease', (91, 109)) ('cancer', 'Phenotype', 'HP:0002664', (200, 206)) ('BAP1', 'Gene', '8314', (34, 38)) ('PBRM1', 'Gene', (239, 244)) 20369 30914057 ICI Immune checkpoint inhibitor PeM Peritoneal mesothelioma PlM Pleural mesothelioma TMB Tumor mutational burden ML and MZ wrote the manuscript. ('Tumor', 'Phenotype', 'HP:0002664', (89, 94)) ('Pleural mesothelioma', 'Phenotype', 'HP:0100002', (64, 84)) ('PlM', 'Phenotype', 'HP:0100002', (60, 63)) ('mesothelioma', 'Disease', 'MESH:D008654', (47, 59)) ('PeM', 'Phenotype', 'HP:0100003', (32, 35)) ('Peritoneal mesothelioma', 'Phenotype', 'HP:0100003', (36, 59)) ('mesothelioma', 'Disease', (72, 84)) ('ML', 'Disease', 'MESH:C537366', (113, 115)) ('Pleural mesothelioma', 'Disease', 'MESH:D008654', (64, 84)) ('Pleural mesothelioma', 'Disease', (64, 84)) ('mutational', 'Var', (95, 105)) ('mesothelioma', 'Disease', 'MESH:D008654', (72, 84)) ('mesothelioma', 'Disease', (47, 59)) ('TMB', 'Chemical', '-', (85, 88)) 20373 24154601 We describe the results of a trial in which major antitumor responses were seen in patients with advanced mesothelioma who received the anti-mesothelin immunotoxin SS1P, together with pentostatin and cyclophosphamide, to deplete T and B cells. ('mesothelin', 'Gene', (141, 151)) ('cyclophosphamide', 'Chemical', 'MESH:D003520', (200, 216)) ('advanced mesothelioma', 'Disease', 'MESH:D008654', (97, 118)) ('patients', 'Species', '9606', (83, 91)) ('tumor', 'Disease', 'MESH:D009369', (54, 59)) ('mesothelin', 'Gene', '10232', (141, 151)) ('tumor', 'Disease', (54, 59)) ('tumor', 'Phenotype', 'HP:0002664', (54, 59)) ('pentostatin', 'Chemical', 'MESH:D015649', (184, 195)) ('SS1P', 'Chemical', 'MESH:C474515', (164, 168)) ('SS1P', 'Var', (164, 168)) ('advanced mesothelioma', 'Disease', (97, 118)) 20381 24154601 SS1P is a recombinant immunotoxin consisting of an anti-mesothelin variable fragment linked to PE38, a portion of Pseudomonas exotoxin A, and it is cytotoxic to mesothelin-expressing cell lines. ('PE38', 'Var', (95, 99)) ('mesothelin', 'Gene', (56, 66)) ('mesothelin', 'Gene', '10232', (161, 171)) ('mesothelin', 'Gene', '10232', (56, 66)) ('SS1P', 'Chemical', 'MESH:C474515', (0, 4)) ('mesothelin', 'Gene', (161, 171)) ('SS1P', 'Gene', (0, 4)) 20386 24154601 In these phase 1 trials, SS1P showed only minor antitumor activity, with none of the 36 patients with mesothelioma having an objective partial tumor response. ('tumor', 'Phenotype', 'HP:0002664', (52, 57)) ('mesothelioma', 'Disease', (102, 114)) ('tumor', 'Disease', (143, 148)) ('tumor', 'Disease', (52, 57)) ('patients', 'Species', '9606', (88, 96)) ('mesothelioma', 'Disease', 'MESH:D008654', (102, 114)) ('SS1P', 'Chemical', 'MESH:C474515', (25, 29)) ('tumor', 'Disease', 'MESH:D009369', (143, 148)) ('SS1P', 'Var', (25, 29)) ('tumor', 'Disease', 'MESH:D009369', (52, 57)) ('tumor', 'Phenotype', 'HP:0002664', (143, 148)) 20412 24154601 Rapid reduction in the size of tumors in the neck, chest, abdomen, and pelvis was noted after only two cycles of SS1P (Fig. ('tumor', 'Phenotype', 'HP:0002664', (31, 36)) ('neck', 'cellular_component', 'GO:0044326', ('45', '49')) ('SS1P', 'Var', (113, 117)) ('tumors', 'Disease', (31, 37)) ('tumors', 'Phenotype', 'HP:0002664', (31, 37)) ('SS1P', 'Chemical', 'MESH:C474515', (113, 117)) ('tumors', 'Disease', 'MESH:D009369', (31, 37)) ('reduction', 'NegReg', (6, 15)) 20413 24154601 Continued tumor response was observed after cycle 4, when further treatment was discontinued because of development of anti-SS1P antibodies. ('tumor', 'Phenotype', 'HP:0002664', (10, 15)) ('tumor', 'Disease', (10, 15)) ('anti-SS1P', 'Var', (119, 128)) ('anti-SS1P', 'Gene', (119, 128)) ('tumor', 'Disease', 'MESH:D009369', (10, 15)) ('SS1P', 'Chemical', 'MESH:C474515', (124, 128)) 20417 24154601 Although marked tumor reductions were seen on CT scan after two cycles of SS1P (Fig. ('tumor', 'Disease', 'MESH:D009369', (16, 21)) ('SS1P', 'Var', (74, 78)) ('reductions', 'NegReg', (22, 32)) ('SS1P', 'Chemical', 'MESH:C474515', (74, 78)) ('tumor', 'Phenotype', 'HP:0002664', (16, 21)) ('tumor', 'Disease', (16, 21)) 20431 24154601 3B), showed a significant increase in tumor metabolic activity with a SULpeak/cm3 of 660 (Fig. ('tumor', 'Phenotype', 'HP:0002664', (38, 43)) ('tumor', 'Disease', (38, 43)) ('tumor', 'Disease', 'MESH:D009369', (38, 43)) ('SULpeak/cm3 of 660', 'Var', (70, 88)) ('increase', 'PosReg', (26, 34)) 20451 24154601 Pentostatin and cyclophosphamide produced lymphopenia without much myelosuppression. ('myelosuppression', 'Disease', (67, 83)) ('lymphopenia', 'Phenotype', 'HP:0001888', (42, 53)) ('cyclophosphamide', 'Chemical', 'MESH:D003520', (16, 32)) ('Pentostatin', 'Chemical', 'MESH:D015649', (0, 11)) ('lymphopenia', 'Disease', 'MESH:D008231', (42, 53)) ('cyclophosphamide', 'Var', (16, 32)) ('myelosuppression', 'Disease', 'MESH:D001855', (67, 83)) ('lymphopenia', 'Disease', (42, 53)) 20459 24154601 These results suggest that in addition to the two patients (patients 4 and 11) who developed antibodies at the end of cycle 1, two other patients (patients 7 and 10) developed anti-SS1P antibodies before receiving cycle 2, accounting for low serum SS1P levels in these patients. ('patients', 'Species', '9606', (50, 58)) ('patients', 'Species', '9606', (60, 68)) ('serum SS1P levels', 'MPA', (242, 259)) ('patients', 'Species', '9606', (137, 145)) ('patients', 'Species', '9606', (147, 155)) ('SS1P', 'Chemical', 'MESH:C474515', (181, 185)) ('low', 'NegReg', (238, 241)) ('anti-SS1P', 'Var', (176, 185)) ('SS1P', 'Chemical', 'MESH:C474515', (248, 252)) ('patients', 'Species', '9606', (269, 277)) 20461 24154601 The serum levels of SS1P were 100-fold higher than the concentration (1 ng/ml) at which cytotoxic activity was observed against mesothelin-expressing human tumor cells. ('human', 'Species', '9606', (150, 155)) ('higher', 'PosReg', (39, 45)) ('mesothelin', 'Gene', (128, 138)) ('tumor', 'Disease', 'MESH:D009369', (156, 161)) ('mesothelin', 'Gene', '10232', (128, 138)) ('tumor', 'Phenotype', 'HP:0002664', (156, 161)) ('SS1P', 'Chemical', 'MESH:C474515', (20, 24)) ('tumor', 'Disease', (156, 161)) ('SS1P', 'Var', (20, 24)) ('serum levels', 'MPA', (4, 16)) 20523 26680231 Of particular note, MexTAg mesothelioma development was not dependent on cdkn2 deletion. ('mesothelioma', 'Disease', (27, 39)) ('cdkn2', 'Gene', '1029', (73, 78)) ('MexTAg', 'Chemical', '-', (20, 26)) ('mesothelioma', 'Disease', 'MESH:D008654', (27, 39)) ('cdkn2', 'Gene', (73, 78)) ('deletion', 'Var', (79, 87)) 20538 26680231 Mutations in the tumour suppressors p53 and retinoblastoma (RB) family and the oncogenic ras family occur at a considerably lower frequency in mesothelioma compared to other cancer types. ('mesothelioma', 'Disease', (143, 155)) ('retinoblastoma', 'Phenotype', 'HP:0009919', (44, 58)) ('tumour', 'Phenotype', 'HP:0002664', (17, 23)) ('tumour', 'Disease', 'MESH:D009369', (17, 23)) ('RB', 'Phenotype', 'HP:0009919', (60, 62)) ('p53', 'Gene', (36, 39)) ('mesothelioma', 'Disease', 'MESH:D008654', (143, 155)) ('cancer', 'Disease', (174, 180)) ('cancer', 'Disease', 'MESH:D009369', (174, 180)) ('Mutations', 'Var', (0, 9)) ('RB', 'Gene', (60, 62)) ('tumour', 'Disease', (17, 23)) ('p53', 'Gene', '22060', (36, 39)) ('retinoblastoma', 'Disease', 'MESH:D012175', (44, 58)) ('retinoblastoma', 'Disease', (44, 58)) ('cancer', 'Phenotype', 'HP:0002664', (174, 180)) 20547 26680231 The lines, denoted high TAg (hiTAg), intermediate TAg (intTAg) and single TAg (sTAg) have 100, 32 or single copy of the TAg transgene, respectively. ('TAg', 'Gene', '404663', (74, 77)) ('TAg', 'Gene', (58, 61)) ('TAg', 'Gene', '404663', (24, 27)) ('TAg', 'Gene', (120, 123)) ('TAg', 'Gene', '404663', (50, 53)) ('TAg', 'Gene', '404663', (58, 61)) ('TAg', 'Gene', (31, 34)) ('TAg', 'Gene', '404663', (120, 123)) ('TAg', 'Gene', (24, 27)) ('TAg', 'Gene', '404663', (31, 34)) ('TAg', 'Gene', (80, 83)) ('TAg', 'Gene', (50, 53)) ('single copy', 'Var', (101, 112)) ('TAg', 'Gene', (74, 77)) ('TAg', 'Gene', '404663', (80, 83)) 20548 26680231 All of the high copy MexTAg mice rapidly develop mesothelioma after asbestos exposure compared to approximately 20-30 % of wild-type mice which develop mesothelioma over a much longer time span. ('mice', 'Species', '10090', (133, 137)) ('asbestos', 'Chemical', 'MESH:D001194', (68, 76)) ('develop', 'PosReg', (41, 48)) ('mesothelioma', 'Disease', (49, 61)) ('mice', 'Species', '10090', (28, 32)) ('MexTAg', 'Chemical', '-', (21, 27)) ('mesothelioma', 'Disease', (152, 164)) ('mesothelioma', 'Disease', 'MESH:D008654', (49, 61)) ('high copy', 'Var', (11, 20)) ('mesothelioma', 'Disease', 'MESH:D008654', (152, 164)) 20604 26680231 However, as the frequency of deletion of these genes is around 20-50 % of human mesotheliomas, we would not logically expect to find a deletion in the sample size of 6 tumours used in this study. ('human', 'Species', '9606', (74, 79)) ('deletion', 'Var', (29, 37)) ('tumour', 'Phenotype', 'HP:0002664', (168, 174)) ('mesotheliomas', 'Disease', 'MESH:D008654', (80, 93)) ('tumours', 'Phenotype', 'HP:0002664', (168, 175)) ('mesotheliomas', 'Disease', (80, 93)) ('tumours', 'Disease', 'MESH:D009369', (168, 175)) ('tumours', 'Disease', (168, 175)) 20610 26680231 It was noted earlier that p16 expression levels were higher in TAg tumours and TAg mesothelial cells compared to wild type mesotheliomas, due to deletion of the cdkN2A locus in the latter samples. ('higher', 'PosReg', (53, 59)) ('cdkN2A', 'Gene', (161, 167)) ('TAg', 'Gene', (63, 66)) ('p16 expression levels', 'MPA', (26, 47)) ('cdkN2A', 'Gene', '12578', (161, 167)) ('TAg', 'Gene', (79, 82)) ('TAg tumours', 'Disease', (63, 74)) ('type mesotheliomas', 'Disease', 'MESH:D008654', (118, 136)) ('type mesotheliomas', 'Disease', (118, 136)) ('TAg', 'Gene', '404663', (63, 66)) ('TAg tumours', 'Disease', 'MESH:C566904', (63, 74)) ('TAg', 'Gene', '404663', (79, 82)) ('tumour', 'Phenotype', 'HP:0002664', (67, 73)) ('tumours', 'Phenotype', 'HP:0002664', (67, 74)) ('deletion', 'Var', (145, 153)) 20643 26680231 This is reflective of human mesothelioma whereby deletion of the cdkn2 locus on chromosome 9p21.3 encoding the cyclin dependent kinase inhibitors p16 and p15 is common (up to 80 % of mesothelioma cases) and is thought to be a primary driver of mesothelioma development. ('p21', 'Gene', '12575', (92, 95)) ('cdkn2', 'Gene', (65, 70)) ('mesothelioma', 'Disease', (244, 256)) ('mesothelioma', 'Disease', (28, 40)) ('mesothelioma', 'Disease', (183, 195)) ('chromosome', 'cellular_component', 'GO:0005694', ('80', '90')) ('mesothelioma', 'Disease', 'MESH:D008654', (244, 256)) ('deletion', 'Var', (49, 57)) ('mesothelioma', 'Disease', 'MESH:D008654', (28, 40)) ('cyclin', 'molecular_function', 'GO:0016538', ('111', '117')) ('human', 'Species', '9606', (22, 27)) ('cdkn2', 'Gene', '1029', (65, 70)) ('mesothelioma', 'Disease', 'MESH:D008654', (183, 195)) ('p21', 'Gene', (92, 95)) 20644 26680231 Loss of p16 leads to an inability of the cell to phosphorylate RB and activation of the E2F family of transcription factors and increased cell proliferation. ('transcription', 'biological_process', 'GO:0006351', ('102', '115')) ('E2F family of transcription factors', 'Pathway', (88, 123)) ('increased', 'PosReg', (128, 137)) ('rat', 'Species', '10116', (150, 153)) ('cell proliferation', 'biological_process', 'GO:0008283', ('138', '156')) ('p16', 'Gene', (8, 11)) ('cell proliferation', 'CPA', (138, 156)) ('inability', 'NegReg', (24, 33)) ('RB', 'Phenotype', 'HP:0009919', (63, 65)) ('Loss', 'Var', (0, 4)) ('activation', 'PosReg', (70, 80)) 20648 26680231 Thus implying the changes in gene expression observed in the TAg positive mesotheliomas mimic deletion of p16. ('deletion', 'Var', (94, 102)) ('TAg', 'Gene', (61, 64)) ('p16', 'Gene', (106, 109)) ('TAg', 'Gene', '404663', (61, 64)) ('gene expression', 'biological_process', 'GO:0010467', ('29', '44')) ('mesotheliomas', 'Disease', 'MESH:D008654', (74, 87)) ('mesotheliomas', 'Disease', (74, 87)) ('changes', 'Reg', (18, 25)) ('gene expression', 'MPA', (29, 44)) 20650 26680231 The similarities of MexTAg mesotheliomas at both molecular and functional levels with WT mouse mesotheliomas and their lack of dependence on deletion of p16, suggests that additional, as yet unidentified, genetic changes are required downstream of p16 loss for mesothelioma development. ('mesothelioma', 'Disease', (27, 39)) ('deletion', 'Var', (141, 149)) ('p16', 'Gene', (153, 156)) ('mesothelioma', 'Disease', 'MESH:D008654', (95, 107)) ('mesotheliomas', 'Disease', 'MESH:D008654', (27, 40)) ('mesotheliomas', 'Disease', (27, 40)) ('mesothelioma', 'Disease', (261, 273)) ('MexTAg', 'Chemical', '-', (20, 26)) ('mesothelioma', 'Disease', 'MESH:D008654', (27, 39)) ('p16', 'Gene', (248, 251)) ('loss', 'NegReg', (252, 256)) ('mesothelioma', 'Disease', 'MESH:D008654', (261, 273)) ('WT', 'Disease', 'MESH:C536751', (86, 88)) ('mesotheliomas', 'Disease', 'MESH:D008654', (95, 108)) ('mesotheliomas', 'Disease', (95, 108)) ('mouse', 'Species', '10090', (89, 94)) ('mesothelioma', 'Disease', (95, 107)) 20662 26680231 While this could be a consequence of large T antigen, activation of this particular cell signalling cascade, has previously been associated with mesothelioma. ('T antigen', 'Protein', (43, 52)) ('associated', 'Reg', (129, 139)) ('large', 'Var', (37, 42)) ('activation', 'PosReg', (54, 64)) ('mesothelioma', 'Disease', (145, 157)) ('signalling cascade', 'biological_process', 'GO:0007165', ('89', '107')) ('mesothelioma', 'Disease', 'MESH:D008654', (145, 157)) 20663 26680231 However, mutations in MAP kinase pathway genes, including RAS and PIK3CA are very rare in human mesothelioma. ('MAP', 'molecular_function', 'GO:0004239', ('22', '25')) ('RAS', 'Gene', (58, 61)) ('mesothelioma', 'Disease', (96, 108)) ('mutations', 'Var', (9, 18)) ('PIK3CA', 'Gene', (66, 72)) ('human', 'Species', '9606', (90, 95)) ('mesothelioma', 'Disease', 'MESH:D008654', (96, 108)) ('PIK3CA', 'Gene', '5290', (66, 72)) 20732 26253127 The authors suggest that performing SPECT or SPECT/TC imaging would improve the sensitivity of diagnosis with the planar images of SRS and propose that the images with Ga 68 peptide may offer better results in localizing ectopic ACTH-producing tumors than those peformed with In 111 octreotide. ('tumor', 'Phenotype', 'HP:0002664', (244, 249)) ('ACTH', 'Gene', (229, 233)) ('improve', 'PosReg', (68, 75)) ('octreotide', 'Chemical', 'MESH:D015282', (283, 293)) ('ACTH', 'Gene', '5443', (229, 233)) ('sensitivity', 'MPA', (80, 91)) ('Ga 68 peptide', 'Var', (168, 181)) ('tumors', 'Disease', (244, 250)) ('tumors', 'Disease', 'MESH:D009369', (244, 250)) ('tumors', 'Phenotype', 'HP:0002664', (244, 250)) ('SRS', 'Chemical', '-', (131, 134)) 20739 26253127 Although most patients with ectopic ACTH secretion have plasma levels that are considerably greater than normal, there are also reports of cases with normal or mildly elevated ACTH; these cases generally have a gradual progression and are associated to poorly aggressive carcinoid tumors. ('associated', 'Reg', (239, 249)) ('ACTH', 'Gene', (36, 40)) ('plasma levels', 'MPA', (56, 69)) ('aggressive carcinoid tumors', 'Disease', 'MESH:D002276', (260, 287)) ('ACTH secretion', 'biological_process', 'GO:0051458', ('36', '50')) ('ACTH', 'Gene', '5443', (36, 40)) ('ACTH', 'Gene', '5443', (176, 180)) ('mildly elevated ACTH', 'Phenotype', 'HP:0008180', (160, 180)) ('carcinoid', 'Phenotype', 'HP:0100570', (271, 280)) ('ectopic', 'Var', (28, 35)) ('tumor', 'Phenotype', 'HP:0002664', (281, 286)) ('elevated ACTH', 'Phenotype', 'HP:0003154', (167, 180)) ('aggressive carcinoid tumors', 'Disease', (260, 287)) ('tumors', 'Phenotype', 'HP:0002664', (281, 287)) ('greater', 'PosReg', (92, 99)) ('ACTH', 'Gene', (176, 180)) ('patients', 'Species', '9606', (14, 22)) 20747 23867514 PBRM1 and BAP1 as Novel Targets for Renal Cell Carcinoma Technological advances in genome sequencing have led to the identification of novel driver genes mutated in renal cancer. ('Renal Cell Carcinoma', 'Disease', (36, 56)) ('renal cancer', 'Disease', (165, 177)) ('Carcinoma', 'Phenotype', 'HP:0030731', (47, 56)) ('BAP1', 'Gene', (10, 14)) ('renal cancer', 'Phenotype', 'HP:0009726', (165, 177)) ('PBRM1', 'Gene', (0, 5)) ('PBRM1', 'Gene', '55193', (0, 5)) ('renal cancer', 'Disease', 'MESH:D007680', (165, 177)) ('Renal Cell Carcinoma', 'Disease', 'MESH:C538614', (36, 56)) ('Renal Cell Carcinoma', 'Phenotype', 'HP:0005584', (36, 56)) ('mutated', 'Var', (154, 161)) ('cancer', 'Phenotype', 'HP:0002664', (171, 177)) ('BAP1', 'Gene', '8314', (10, 14)) 20756 23867514 We discovered that PBRM1 mutations tend to anti-correlate with BAP1 mutations in ccRCC, and that PBRM1- and BAP1-mutated tumors exhibit different biology and are associated with markedly different outcomes. ('RCC', 'Disease', 'MESH:C538614', (83, 86)) ('mutations', 'Var', (25, 34)) ('RCC', 'Disease', (83, 86)) ('tumor', 'Phenotype', 'HP:0002664', (121, 126)) ('BAP1', 'Gene', (63, 67)) ('tumors', 'Disease', (121, 127)) ('anti-correlate', 'NegReg', (43, 57)) ('tumors', 'Phenotype', 'HP:0002664', (121, 127)) ('associated', 'Reg', (162, 172)) ('tumors', 'Disease', 'MESH:D009369', (121, 127)) ('mutations', 'Var', (68, 77)) ('PBRM1', 'Gene', (19, 24)) 20760 23867514 The following year, the same group reported frequent VHL mutations in sporadic ccRCC. ('VHL', 'Disease', (53, 56)) ('VHL', 'Disease', 'MESH:D006623', (53, 56)) ('RCC', 'Disease', 'MESH:C538614', (81, 84)) ('RCC', 'Disease', (81, 84)) ('mutations', 'Var', (57, 66)) 20771 23867514 Thus, with a single deletion, renal cells lose one copy of 4 tumor suppressor genes. ('tumor', 'Disease', 'MESH:D009369', (61, 66)) ('deletion', 'Var', (20, 28)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('61', '77')) ('tumor', 'Phenotype', 'HP:0002664', (61, 66)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('61', '77')) ('tumor', 'Disease', (61, 66)) ('lose', 'NegReg', (42, 46)) 20774 23867514 Meta-analyses show that the frequency of SETD2 mutations in ccRCC is twice as high in tumors with PBRM1 mutations. ('PBRM1', 'Gene', (98, 103)) ('tumor', 'Phenotype', 'HP:0002664', (86, 91)) ('mutations', 'Var', (104, 113)) ('mutations', 'Var', (47, 56)) ('tumors', 'Disease', (86, 92)) ('tumors', 'Disease', 'MESH:D009369', (86, 92)) ('tumors', 'Phenotype', 'HP:0002664', (86, 92)) ('SETD2', 'Gene', '29072', (41, 46)) ('RCC', 'Disease', 'MESH:C538614', (62, 65)) ('RCC', 'Disease', (62, 65)) ('SETD2', 'Gene', (41, 46)) 20776 23867514 Mutations acquired early during the process of tumorigenesis are ubiquitous, whereas those acquired at very late stages are private, with shared mutations in between. ('Mutations', 'Var', (0, 9)) ('tumor', 'Disease', (47, 52)) ('tumor', 'Phenotype', 'HP:0002664', (47, 52)) ('tumor', 'Disease', 'MESH:D009369', (47, 52)) 20777 23867514 VHL and PBRM1 mutations may be acquired early, whereas BAP1 and SETD2 mutations may occur later. ('VHL', 'Disease', 'MESH:D006623', (0, 3)) ('BAP1', 'Gene', (55, 59)) ('SETD2', 'Gene', '29072', (64, 69)) ('VHL', 'Disease', (0, 3)) ('SETD2', 'Gene', (64, 69)) ('mutations', 'Var', (14, 23)) ('PBRM1', 'Gene', (8, 13)) 20778 23867514 In some ccRCC, there are different mutations in SETD2 and this convergence may be explained by cooperation between PBRM1 and SETD2. ('mutations', 'Var', (35, 44)) ('SETD2', 'Gene', '29072', (48, 53)) ('SETD2', 'Gene', '29072', (125, 130)) ('SETD2', 'Gene', (48, 53)) ('RCC', 'Disease', (10, 13)) ('SETD2', 'Gene', (125, 130)) ('RCC', 'Disease', 'MESH:C538614', (10, 13)) 20779 23867514 The finding that PBRM1 and BAP1 mutations are largely exclusive and that tumors with these mutations exhibit different biology and are associated with markedly different overall survival (OS) set the foundation for the first molecular genetic classification of sporadic ccRCC. ('RCC', 'Disease', (272, 275)) ('tumors', 'Disease', 'MESH:D009369', (73, 79)) ('BAP1', 'Gene', (27, 31)) ('tumor', 'Phenotype', 'HP:0002664', (73, 78)) ('PBRM1', 'Gene', (17, 22)) ('tumors', 'Phenotype', 'HP:0002664', (73, 79)) ('associated', 'Reg', (135, 145)) ('mutations', 'Var', (32, 41)) ('tumors', 'Disease', (73, 79)) ('RCC', 'Disease', 'MESH:C538614', (272, 275)) 20781 23867514 Exome sequencing of 7 ccRCC and matched normal tissues by the Sanger Institute identified truncating mutations in PBRM1 (Polybromo 1) in 4 tumors. ('RCC', 'Disease', (24, 27)) ('Polybromo 1', 'Gene', '55193', (121, 132)) ('Polybromo 1', 'Gene', (121, 132)) ('tumor', 'Phenotype', 'HP:0002664', (139, 144)) ('tumors', 'Disease', (139, 145)) ('truncating mutations', 'Var', (90, 110)) ('tumors', 'Disease', 'MESH:D009369', (139, 145)) ('PBRM1', 'Gene', (114, 119)) ('tumors', 'Phenotype', 'HP:0002664', (139, 145)) ('RCC', 'Disease', 'MESH:C538614', (24, 27)) 20783 23867514 The PBRM1 gene is located on chromosome 3p21 and in 38 tumors examined, PBRM1 mutations were uniformly associated with loss of heterozygosity (LOH). ('p21', 'Gene', (41, 44)) ('p21', 'Gene', '644914', (41, 44)) ('tumor', 'Phenotype', 'HP:0002664', (55, 60)) ('chromosome', 'cellular_component', 'GO:0005694', ('29', '39')) ('tumors', 'Phenotype', 'HP:0002664', (55, 61)) ('mutations', 'Var', (78, 87)) ('PBRM1', 'Gene', (72, 77)) ('tumors', 'Disease', (55, 61)) ('tumors', 'Disease', 'MESH:D009369', (55, 61)) ('loss', 'NegReg', (119, 123)) 20784 23867514 PBRM1 mutations occurred most often together with VHL mutations and nearly all of the PBRM1-mutant tumors that Varela et al., examined (36/38) exhibited a hypoxia signature, including some cases without a detectable VHL mutation. ('VHL', 'Disease', (50, 53)) ('PBRM1-mutant', 'Var', (86, 98)) ('tumors', 'Disease', 'MESH:D009369', (99, 105)) ('VHL', 'Disease', (216, 219)) ('PBRM1', 'Gene', (0, 5)) ('VHL', 'Disease', 'MESH:D006623', (216, 219)) ('PBRM1-mutant', 'Gene', (86, 98)) ('hypoxia', 'Disease', 'MESH:D000860', (155, 162)) ('tumor', 'Phenotype', 'HP:0002664', (99, 104)) ('tumors', 'Disease', (99, 105)) ('hypoxia', 'Disease', (155, 162)) ('tumors', 'Phenotype', 'HP:0002664', (99, 105)) ('VHL', 'Disease', 'MESH:D006623', (50, 53)) ('mutations', 'Var', (6, 15)) ('exhibited', 'Reg', (143, 152)) 20785 23867514 These data suggest that PBRM1 mutations are often associated with loss of VHL. ('loss', 'NegReg', (66, 70)) ('PBRM1', 'Gene', (24, 29)) ('mutations', 'Var', (30, 39)) ('associated', 'Reg', (50, 60)) ('VHL', 'Disease', (74, 77)) ('VHL', 'Disease', 'MESH:D006623', (74, 77)) 20788 23867514 PBRM1 mutation in ccRCC was initially reported to portend aggressiveness. ('aggressiveness', 'Disease', 'MESH:D001523', (58, 72)) ('aggressiveness', 'Disease', (58, 72)) ('PBRM1', 'Gene', (0, 5)) ('mutation', 'Var', (6, 14)) ('aggressiveness', 'Phenotype', 'HP:0000718', (58, 72)) ('RCC', 'Disease', 'MESH:C538614', (20, 23)) ('portend', 'PosReg', (50, 57)) ('RCC', 'Disease', (20, 23)) 20789 23867514 However, more recent reports suggest that PBRM1 mutations are found in tumors at similar rates regardless of stage, and PBRM1 mutations appear not to adversely impact patient survival. ('impact', 'Reg', (160, 166)) ('PBRM1', 'Gene', (120, 125)) ('patient', 'Species', '9606', (167, 174)) ('PBRM1', 'Gene', (42, 47)) ('tumor', 'Phenotype', 'HP:0002664', (71, 76)) ('tumors', 'Phenotype', 'HP:0002664', (71, 77)) ('tumors', 'Disease', (71, 77)) ('mutations', 'Var', (48, 57)) ('tumors', 'Disease', 'MESH:D009369', (71, 77)) 20801 23867514 The importance of bromodomains and BAH domains for BAF180 tumor suppressor function is highlighted by their being frequent targets of missense mutations in renal cancer. ('BAF180', 'Gene', (51, 57)) ('tumor', 'Disease', (58, 63)) ('tumor', 'Phenotype', 'HP:0002664', (58, 63)) ('BAF180', 'Gene', '55193', (51, 57)) ('missense mutations', 'Var', (134, 152)) ('cancer', 'Phenotype', 'HP:0002664', (162, 168)) ('tumor', 'Disease', 'MESH:D009369', (58, 63)) ('renal cancer', 'Disease', (156, 168)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('58', '74')) ('renal cancer', 'Disease', 'MESH:D007680', (156, 168)) ('renal cancer', 'Phenotype', 'HP:0009726', (156, 168)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('58', '74')) 20802 23867514 While these domains are highly structured and missense mutations may inactivate BAF180 by disrupting folding and protein stability, there is precedent for a missense mutation in a bromodomain not affecting BAF180 levels. ('missense mutations', 'Var', (46, 64)) ('BAF180', 'Gene', '55193', (80, 86)) ('BAF180', 'Gene', '55193', (206, 212)) ('protein', 'cellular_component', 'GO:0003675', ('113', '120')) ('folding', 'MPA', (101, 108)) ('protein stability', 'CPA', (113, 130)) ('inactivate', 'NegReg', (69, 79)) ('disrupting', 'NegReg', (90, 100)) ('missense mutation', 'Var', (157, 174)) ('BAF180', 'Gene', (80, 86)) ('BAF180', 'Gene', (206, 212)) 20803 23867514 Should other such mutations be found, the data would suggest that each bromodomain may be required for BAF180 tumor suppressor function. ('tumor suppressor', 'molecular_function', 'GO:0008181', ('110', '126')) ('BAF180', 'Gene', '55193', (103, 109)) ('mutations', 'Var', (18, 27)) ('tumor', 'Phenotype', 'HP:0002664', (110, 115)) ('tumor', 'Disease', (110, 115)) ('BAF180', 'Gene', (103, 109)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('110', '126')) ('tumor', 'Disease', 'MESH:D009369', (110, 115)) 20806 23867514 In addition, ARID1A and ARID1B, which encode the putative targeting subunits of the BAF complex, are also mutated in renal cancer (http://cancer.sanger.ac.uk/cancergenome/projects/cosmic/ and http://cancergenome.nih.gov/). ('cancer', 'Phenotype', 'HP:0002664', (123, 129)) ('cancer', 'Disease', (138, 144)) ('ARID1A', 'Gene', '8289', (13, 19)) ('ARID1B', 'Gene', '57492', (24, 30)) ('renal cancer', 'Disease', (117, 129)) ('renal cancer', 'Phenotype', 'HP:0009726', (117, 129)) ('cancer', 'Phenotype', 'HP:0002664', (138, 144)) ('cancer', 'Disease', (199, 205)) ('cancer', 'Phenotype', 'HP:0002664', (199, 205)) ('cancer', 'Disease', 'MESH:D009369', (123, 129)) ('cancer', 'Disease', (158, 164)) ('renal cancer', 'Disease', 'MESH:D007680', (117, 129)) ('cancer', 'Phenotype', 'HP:0002664', (158, 164)) ('cancer', 'Disease', 'MESH:D009369', (138, 144)) ('cancer', 'Disease', 'MESH:D009369', (199, 205)) ('mutated', 'Var', (106, 113)) ('ARID1A', 'Gene', (13, 19)) ('cancer', 'Disease', 'MESH:D009369', (158, 164)) ('cancer', 'Disease', (123, 129)) ('ARID1B', 'Gene', (24, 30)) 20807 23867514 These mutations are not exclusive with PBRM1 mutations, suggesting that mutations in these genes may cooperate in tumorigenesis. ('mutations', 'Var', (72, 81)) ('tumor', 'Disease', 'MESH:D009369', (114, 119)) ('mutations', 'Var', (45, 54)) ('tumor', 'Phenotype', 'HP:0002664', (114, 119)) ('tumor', 'Disease', (114, 119)) ('cooperate', 'Reg', (101, 110)) ('PBRM1', 'Gene', (39, 44)) 20809 23867514 In addition, the catalytic subunits, and in particular BRG1, which forms part of both the BAF and PBAF complexes, are targeted by mutation in ccRCC (http://cancer.sanger.ac.uk/cancergenome/projects/cosmic/ and http://cancergenome.nih.gov/). ('RCC', 'Disease', 'MESH:C538614', (144, 147)) ('cancer', 'Disease', (156, 162)) ('cancer', 'Disease', 'MESH:D009369', (156, 162)) ('BRG1', 'Gene', '6597', (55, 59)) ('mutation', 'Var', (130, 138)) ('cancer', 'Phenotype', 'HP:0002664', (176, 182)) ('cancer', 'Disease', (217, 223)) ('cancer', 'Disease', 'MESH:D009369', (217, 223)) ('cancer', 'Phenotype', 'HP:0002664', (156, 162)) ('cancer', 'Disease', 'MESH:D009369', (176, 182)) ('cancer', 'Disease', (176, 182)) ('RCC', 'Disease', (144, 147)) ('BRG1', 'Gene', (55, 59)) ('cancer', 'Phenotype', 'HP:0002664', (217, 223)) 20810 23867514 Other subunits mutated in ccRCC include BAF170, BAF60A and BAF47. ('RCC', 'Disease', 'MESH:C538614', (28, 31)) ('BAF47', 'Gene', '6598', (59, 64)) ('BAF170', 'Gene', '6601', (40, 46)) ('BAF47', 'Gene', (59, 64)) ('BAF60A', 'Gene', '6602', (48, 54)) ('mutated', 'Var', (15, 22)) ('BAF170', 'Gene', (40, 46)) ('BAF60A', 'Gene', (48, 54)) ('RCC', 'Disease', (28, 31)) 20812 23867514 The mutation of other subunits suggests that SWI/SNF function is important, but it is conceivable that BAF180 may be implicated in other processes. ('implicated', 'Reg', (117, 127)) ('BAF180', 'Gene', '55193', (103, 109)) ('mutation', 'Var', (4, 12)) ('BAF180', 'Gene', (103, 109)) 20820 23867514 Conversely, mutations in PBRM1 and SETD2 co-occur in tumors at a frequency higher than expected by chance alone. ('mutations', 'Var', (12, 21)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('PBRM1', 'Gene', (25, 30)) ('SETD2', 'Gene', (35, 40)) ('SETD2', 'Gene', '29072', (35, 40)) ('tumors', 'Phenotype', 'HP:0002664', (53, 59)) ('tumors', 'Disease', 'MESH:D009369', (53, 59)) ('tumors', 'Disease', (53, 59)) 20822 23867514 Interestingly, mutations in SETD2 in tumors are associated with loss of DNA methylation at non-promoter regions. ('tumors', 'Phenotype', 'HP:0002664', (37, 43)) ('DNA', 'cellular_component', 'GO:0005574', ('72', '75')) ('mutations', 'Var', (15, 24)) ('DNA methylation at non-promoter regions', 'MPA', (72, 111)) ('tumor', 'Phenotype', 'HP:0002664', (37, 42)) ('loss', 'NegReg', (64, 68)) ('SETD2', 'Gene', '29072', (28, 33)) ('DNA methylation', 'biological_process', 'GO:0006306', ('72', '87')) ('tumors', 'Disease', (37, 43)) ('SETD2', 'Gene', (28, 33)) ('tumors', 'Disease', 'MESH:D009369', (37, 43)) 20823 23867514 A greater understanding of the cooperativity between PBRM1 and SETD2 mutations may identify opportunities for therapeutic intervention. ('SETD2', 'Gene', '29072', (63, 68)) ('mutations', 'Var', (69, 78)) ('SETD2', 'Gene', (63, 68)) ('PBRM1', 'Gene', (53, 58)) 20829 23867514 Smarca4+/- mice develop mammary tumors, albeit at low penetrance. ('mammary', 'Disease', (24, 31)) ('mice', 'Species', '10090', (11, 15)) ('tumors', 'Phenotype', 'HP:0002664', (32, 38)) ('tumor', 'Phenotype', 'HP:0002664', (32, 37)) ('Smarca4+/-', 'Var', (0, 10)) ('tumors', 'Disease', (32, 38)) ('tumors', 'Disease', 'MESH:D009369', (32, 38)) 20832 23867514 In addition, conditional biallelic inactivation of Smarcb1 in lymphocytes causes lymphoma with 100% penetrance and a short latency. ('lymphoma', 'Disease', (81, 89)) ('causes', 'Reg', (74, 80)) ('biallelic inactivation', 'Var', (25, 47)) ('lymphoma', 'Disease', 'MESH:D008223', (81, 89)) ('lymphoma', 'Phenotype', 'HP:0002665', (81, 89)) ('Smarcb1', 'Gene', (51, 58)) 20834 23867514 PBRM1 knockdown in 4/5 RCC cell lines increased proliferation and the cell line with discrepant results was PBRM1-deficient. ('PBRM1-deficient', 'Disease', (108, 123)) ('proliferation', 'CPA', (48, 61)) ('PBRM1', 'Gene', (0, 5)) ('RCC', 'Disease', 'MESH:C538614', (23, 26)) ('RCC', 'Disease', (23, 26)) ('knockdown', 'Var', (6, 15)) ('increased', 'PosReg', (38, 47)) ('PBRM1-deficient', 'Disease', 'MESH:D007153', (108, 123)) 20835 23867514 The development of therapies exploiting the loss of PBRM1 in renal cancer will be facilitated by a greater understanding of the molecular mechanism of BAF180 tumor suppressor action. ('renal cancer', 'Phenotype', 'HP:0009726', (61, 73)) ('tumor', 'Disease', (158, 163)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('158', '174')) ('renal cancer', 'Disease', 'MESH:D007680', (61, 73)) ('tumor', 'Phenotype', 'HP:0002664', (158, 163)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('158', '174')) ('PBRM1', 'Gene', (52, 57)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('tumor', 'Disease', 'MESH:D009369', (158, 163)) ('loss', 'Var', (44, 48)) ('BAF180', 'Gene', (151, 157)) ('renal cancer', 'Disease', (61, 73)) ('BAF180', 'Gene', '55193', (151, 157)) 20841 23867514 A screen in Drosophila for suppressors of a PcG mutant identified the orthologue of BRM/BRG1 in flies, brm. ('PcG', 'Gene', (44, 47)) ('mutant', 'Var', (48, 54)) ('PcG', 'Gene', '40358', (44, 47)) ('Drosophila', 'Species', '7227', (12, 22)) ('BRG1', 'Gene', (88, 92)) ('BRG1', 'Gene', '6597', (88, 92)) 20842 23867514 Heterozygous mutations (or deficiencies) in brm suppressed homeotic transformations (alterations in body patterning) induced by a polycomb loss-of-function mutation. ('brm', 'Gene', (44, 47)) ('polycomb', 'Gene', (130, 138)) ('body patterning', 'CPA', (100, 115)) ('polycomb', 'Gene', '40358', (130, 138)) ('suppressed', 'NegReg', (48, 58)) ('homeotic transformations', 'CPA', (59, 83)) ('loss-of-function', 'NegReg', (139, 155)) ('mutation', 'Var', (156, 164)) 20843 23867514 These data suggest that the derepression of gene expression induced by a polycomb gene mutation involves BRM/BRG1 and nucleosome remodeling. ('gene expression', 'MPA', (44, 59)) ('BRG1', 'Gene', (109, 113)) ('gene expression', 'biological_process', 'GO:0010467', ('44', '59')) ('polycomb', 'Gene', (73, 81)) ('nucleosome', 'cellular_component', 'GO:0000786', ('118', '128')) ('derepression', 'PosReg', (28, 40)) ('BRG1', 'Gene', '6597', (109, 113)) ('polycomb', 'Gene', '40358', (73, 81)) ('mutation', 'Var', (87, 95)) 20844 23867514 Loss of SMARCB1, frequently observed in malignant rhabdoid tumors, results in PRC2-dependent repression of p16. ('SMARCB1', 'Gene', '6598', (8, 15)) ('malignant rhabdoid tumors', 'Disease', 'MESH:D018335', (40, 65)) ('SMARCB1', 'Gene', (8, 15)) ('p16', 'Gene', '1029', (107, 110)) ('tumors', 'Phenotype', 'HP:0002664', (59, 65)) ('PRC2-dependent repression', 'MPA', (78, 103)) ('p16', 'Gene', (107, 110)) ('malignant rhabdoid tumors', 'Disease', (40, 65)) ('Loss', 'Var', (0, 4)) ('tumor', 'Phenotype', 'HP:0002664', (59, 64)) 20846 23867514 Furthermore, PRC2 appears to play a critical role in tumorigenesis following Smarcb1 inactivation. ('inactivation', 'Var', (85, 97)) ('tumor', 'Disease', 'MESH:D009369', (53, 58)) ('Smarcb1', 'Gene', (77, 84)) ('tumor', 'Phenotype', 'HP:0002664', (53, 58)) ('tumor', 'Disease', (53, 58)) 20847 23867514 Lymphoma development in mice with conditional biallelic inactivation of Smarcb1 is suppressed by simultaneous inactivation of Ezh2, which encodes the catalytic subunit of PRC2. ('mice', 'Species', '10090', (24, 28)) ('Smarcb1', 'Gene', (72, 79)) ('Ezh2', 'Gene', (126, 130)) ('inactivation', 'Var', (110, 122)) ('Ezh2', 'Gene', '14056', (126, 130)) ('Lymphoma', 'Disease', 'MESH:D008223', (0, 8)) ('biallelic inactivation', 'Var', (46, 68)) ('Lymphoma', 'Phenotype', 'HP:0002665', (0, 8)) ('suppressed', 'NegReg', (83, 93)) ('Lymphoma', 'Disease', (0, 8)) 20851 23867514 Whether loss of PBRM1 would similarly activate EZH2 and sensitize RCC to EZH2 inhibitors remains to be determined. ('RCC', 'Disease', 'MESH:C538614', (66, 69)) ('EZH2', 'Gene', '2146', (47, 51)) ('EZH2', 'Gene', (47, 51)) ('EZH2', 'Gene', '2146', (73, 77)) ('activate', 'PosReg', (38, 46)) ('EZH2', 'Gene', (73, 77)) ('loss', 'Var', (8, 12)) ('RCC', 'Disease', (66, 69)) ('PBRM1', 'Gene', (16, 21)) 20853 23867514 In addition, the preferential mutation of PBRM1 over SMARCB1 in ccRCC further suggests that they are not equivalent. ('RCC', 'Disease', 'MESH:C538614', (66, 69)) ('SMARCB1', 'Gene', '6598', (53, 60)) ('mutation', 'Var', (30, 38)) ('PBRM1', 'Gene', (42, 47)) ('SMARCB1', 'Gene', (53, 60)) ('RCC', 'Disease', (66, 69)) 20856 23867514 Knock-down of EZH2 reduces cell proliferation, and causes apoptosis in a subset of RCC cell lines. ('RCC', 'Disease', 'MESH:C538614', (83, 86)) ('RCC', 'Disease', (83, 86)) ('EZH2', 'Gene', (14, 18)) ('cell proliferation', 'CPA', (27, 45)) ('Knock-down', 'Var', (0, 10)) ('EZH2', 'Gene', '2146', (14, 18)) ('apoptosis', 'biological_process', 'GO:0097194', ('58', '67')) ('apoptosis', 'biological_process', 'GO:0006915', ('58', '67')) ('causes', 'Reg', (51, 57)) ('apoptosis', 'CPA', (58, 67)) ('reduces', 'NegReg', (19, 26)) ('cell proliferation', 'biological_process', 'GO:0008283', ('27', '45')) 20858 23867514 Of note, the one cell line that did not undergo apoptosis in response to EZH2 knock-down, 769-P, is BAP1 mutant. ('knock-down', 'Var', (78, 88)) ('apoptosis', 'biological_process', 'GO:0006915', ('48', '57')) ('BAP1', 'Gene', (100, 104)) ('EZH2', 'Gene', '2146', (73, 77)) ('EZH2', 'Gene', (73, 77)) ('mutant', 'Var', (105, 111)) ('apoptosis', 'biological_process', 'GO:0097194', ('48', '57')) 20864 23867514 Assuming a fixed mutation rate per nucleotide, given the size of the coding sequence, SMARCC1 would be expected to be mutated by chance at 70% of the frequency of PBRM1. ('SMARCC1', 'Gene', (86, 93)) ('mutated', 'Var', (118, 125)) ('SMARCC1', 'Gene', '6599', (86, 93)) 20865 23867514 However, SMARCC1 mutations in ccRCC are exceedingly rare (0 mutations in 459 ccRCC sequenced; http://cancer.sanger.ac.uk/cancergenome/projects/cosmic/). ('SMARCC1', 'Gene', (9, 16)) ('cancer', 'Disease', 'MESH:D009369', (101, 107)) ('SMARCC1', 'Gene', '6599', (9, 16)) ('cancer', 'Disease', (101, 107)) ('cancer', 'Phenotype', 'HP:0002664', (121, 127)) ('RCC', 'Disease', 'MESH:C538614', (12, 15)) ('RCC', 'Disease', 'MESH:C538614', (32, 35)) ('RCC', 'Disease', (12, 15)) ('RCC', 'Disease', (32, 35)) ('cancer', 'Phenotype', 'HP:0002664', (101, 107)) ('mutations', 'Var', (17, 26)) ('cancer', 'Disease', 'MESH:D009369', (121, 127)) ('cancer', 'Disease', (121, 127)) ('RCC', 'Disease', 'MESH:C538614', (79, 82)) ('RCC', 'Disease', (79, 82)) 20866 23867514 These data suggest that mutations in SMARCC1 and PBRM1 are non-equivalent, and raise the possibility that SMARCC1 mutations would be detrimental for ccRCC. ('mutations', 'Var', (114, 123)) ('detrimental', 'NegReg', (133, 144)) ('SMARCC1', 'Gene', (37, 44)) ('RCC', 'Disease', (40, 43)) ('SMARCC1', 'Gene', '6599', (37, 44)) ('SMARCC1', 'Gene', (106, 113)) ('RCC', 'Disease', 'MESH:C538614', (109, 112)) ('RCC', 'Disease', (109, 112)) ('RCC', 'Disease', 'MESH:C538614', (40, 43)) ('SMARCC1', 'Gene', '6599', (106, 113)) ('PBRM1', 'Gene', (49, 54)) ('RCC', 'Disease', 'MESH:C538614', (151, 154)) ('RCC', 'Disease', (151, 154)) ('mutations', 'Var', (24, 33)) 20869 23867514 The lack of mutations in SMARCC1 raise the possibility that SMARCC1 may be required for ccRCC survival. ('RCC', 'Disease', (63, 66)) ('RCC', 'Disease', 'MESH:C538614', (28, 31)) ('SMARCC1', 'Gene', (60, 67)) ('RCC', 'Disease', 'MESH:C538614', (90, 93)) ('mutations', 'Var', (12, 21)) ('RCC', 'Disease', 'MESH:C538614', (63, 66)) ('SMARCC1', 'Gene', '6599', (60, 67)) ('SMARCC1', 'Gene', (25, 32)) ('SMARCC1', 'Gene', '6599', (25, 32)) ('RCC', 'Disease', (28, 31)) ('RCC', 'Disease', (90, 93)) 20870 23867514 Interestingly, inactivation of another SWI/SNF gene, Smarca4 (encoding Brg1) abrogates lymphomas arising from biallelic loss of Smarcb1. ('Smarcb1', 'Gene', (128, 135)) ('lymphomas', 'Disease', 'MESH:D008223', (87, 96)) ('Smarca4', 'Gene', (53, 60)) ('abrogates', 'NegReg', (77, 86)) ('lymphomas', 'Disease', (87, 96)) ('lymphoma', 'Phenotype', 'HP:0002665', (87, 95)) ('inactivation', 'Var', (15, 27)) 20871 23867514 Thus, inactivation of SWI/SNF complexes may be a viable approach for cancer therapy. ('inactivation', 'Var', (6, 18)) ('cancer', 'Phenotype', 'HP:0002664', (69, 75)) ('SWI/SNF complexes', 'Protein', (22, 39)) ('cancer', 'Disease', 'MESH:D009369', (69, 75)) ('cancer', 'Disease', (69, 75)) 20872 23867514 SWI/SNF complexes may be broadly required for cell survival, but in the case of ccRCC with 3p deletions, the loss of one SMARCC1 allele may sensitize tumor cells to this approach. ('RCC', 'Disease', (124, 127)) ('SMARCC1', 'Gene', '6599', (121, 128)) ('RCC', 'Disease', 'MESH:C538614', (124, 127)) ('tumor', 'Disease', 'MESH:D009369', (150, 155)) ('loss', 'Var', (109, 113)) ('RCC', 'Disease', 'MESH:C538614', (82, 85)) ('RCC', 'Disease', (82, 85)) ('tumor', 'Phenotype', 'HP:0002664', (150, 155)) ('sensitize', 'Reg', (140, 149)) ('tumor', 'Disease', (150, 155)) ('SMARCC1', 'Gene', (121, 128)) 20874 23867514 While the function of BAF180 at the kinetochore is not well understood, mutations in kinetochore components may sensitize cells to microtubule-destabilizing drugs. ('mutations', 'Var', (72, 81)) ('BAF180', 'Gene', (22, 28)) ('BAF180', 'Gene', '55193', (22, 28)) ('sensitize', 'Reg', (112, 121)) ('microtubule', 'cellular_component', 'GO:0005874', ('131', '142')) ('kinetochore', 'cellular_component', 'GO:0000776', ('85', '96')) ('kinetochore', 'cellular_component', 'GO:0000776', ('36', '47')) 20875 23867514 BRCA1 associated protein-1 (BAP1) was identified in a yeast two-hybrid screen for proteins that interacted with the RING finger of BRCA1. ('BRCA1', 'Gene', (0, 5)) ('yeast', 'Species', '4932', (54, 59)) ('BRCA1', 'Gene', '672', (131, 136)) ('protein', 'cellular_component', 'GO:0003675', ('17', '24')) ('RING finger', 'Var', (116, 127)) ('BRCA1', 'Gene', (131, 136)) ('BRCA1', 'Gene', '672', (0, 5)) 20880 23867514 An analysis of multiple lung cancer cell lines identified a cell line with biallelic inactivation suggesting that BAP1 may be a two-hit tumor suppressor gene. ('multiple lung cancer', 'Disease', (15, 35)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('136', '152')) ('tumor', 'Disease', 'MESH:D009369', (136, 141)) ('cancer', 'Phenotype', 'HP:0002664', (29, 35)) ('multiple lung cancer', 'Disease', 'MESH:D008175', (15, 35)) ('lung cancer', 'Phenotype', 'HP:0100526', (24, 35)) ('tumor', 'Phenotype', 'HP:0002664', (136, 141)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('136', '152')) ('BAP1', 'Gene', (114, 118)) ('biallelic inactivation', 'Var', (75, 97)) ('tumor', 'Disease', (136, 141)) 20881 23867514 In NCI-H226, where BAP1 suppresses cell proliferation, ectopic BAP1 expression also inhibited tumor formation in xenografts. ('tumor', 'Disease', 'MESH:D009369', (94, 99)) ('tumor', 'Phenotype', 'HP:0002664', (94, 99)) ('BAP1', 'Gene', (63, 67)) ('tumor', 'Disease', (94, 99)) ('cell proliferation', 'CPA', (35, 53)) ('suppresses', 'NegReg', (24, 34)) ('formation', 'biological_process', 'GO:0009058', ('100', '109')) ('cell proliferation', 'biological_process', 'GO:0008283', ('35', '53')) ('ectopic', 'Var', (55, 62)) ('NCI-H226', 'CellLine', 'CVCL:1544', (3, 11)) ('inhibited', 'NegReg', (84, 93)) 20882 23867514 BAP1 mutations in tumors were first identified in a search for metastasis-related genes in uveal melanoma (UM). ('UM', 'Phenotype', 'HP:0007716', (107, 109)) ('melanoma', 'Phenotype', 'HP:0002861', (97, 105)) ('BAP1', 'Gene', (0, 4)) ('uveal melanoma', 'Disease', 'MESH:C536494', (91, 105)) ('mutations', 'Var', (5, 14)) ('tumors', 'Disease', 'MESH:D009369', (18, 24)) ('tumors', 'Disease', (18, 24)) ('uveal melanoma', 'Disease', (91, 105)) ('tumors', 'Phenotype', 'HP:0002664', (18, 24)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (91, 105)) ('tumor', 'Phenotype', 'HP:0002664', (18, 23)) 20883 23867514 Loss of chromosome 3 is the most important cytogenetic predictor of UM metastases, and Harbour et al., embarked on exome sequencing of two metastatic UM with chromosome 3 loss. ('chromosome', 'cellular_component', 'GO:0005694', ('158', '168')) ('metastases', 'Disease', (71, 81)) ('chromosome', 'cellular_component', 'GO:0005694', ('8', '18')) ('loss', 'NegReg', (171, 175)) ('metastases', 'Disease', 'MESH:D009362', (71, 81)) ('UM', 'Phenotype', 'HP:0007716', (68, 70)) ('UM', 'Phenotype', 'HP:0007716', (150, 152)) ('Loss', 'Var', (0, 4)) 20884 23867514 BAP1 sequencing of a larger UM cohort showed BAP1 mutations in 84% of metastasizing UM, but in 4% of non-metastasizing tumors. ('tumors', 'Phenotype', 'HP:0002664', (119, 125)) ('UM', 'Phenotype', 'HP:0007716', (28, 30)) ('BAP1', 'Gene', (45, 49)) ('tumors', 'Disease', 'MESH:D009369', (119, 125)) ('mutations', 'Var', (50, 59)) ('tumors', 'Disease', (119, 125)) ('metastasizing UM', 'Disease', (70, 86)) ('UM', 'Phenotype', 'HP:0007716', (84, 86)) ('tumor', 'Phenotype', 'HP:0002664', (119, 124)) 20885 23867514 In non-metastasizing tumors, BAP1 localized to the nucleus and BAP1 knockdown in a UM cell line caused epithelioid changes and cell rounding, reproducing features observed in metastasizing UM. ('caused', 'Reg', (96, 102)) ('UM', 'Phenotype', 'HP:0007716', (189, 191)) ('BAP1', 'Gene', (63, 67)) ('UM', 'Phenotype', 'HP:0007716', (83, 85)) ('nucleus', 'cellular_component', 'GO:0005634', ('51', '58')) ('tumors', 'Disease', (21, 27)) ('tumors', 'Disease', 'MESH:D009369', (21, 27)) ('tumors', 'Phenotype', 'HP:0002664', (21, 27)) ('tumor', 'Phenotype', 'HP:0002664', (21, 26)) ('epithelioid changes', 'CPA', (103, 122)) ('knockdown', 'Var', (68, 77)) ('BAP1', 'Gene', (29, 33)) ('cell rounding', 'CPA', (127, 140)) 20886 23867514 A year later, BAP1 mutations were reported in 23% of malignant pleural mesotheliomas (MPMs). ('malignant pleural mesotheliomas', 'Disease', (53, 84)) ('BAP1', 'Gene', (14, 18)) ('pleural mesotheliomas', 'Phenotype', 'HP:0100002', (63, 84)) ('malignant pleural mesotheliomas', 'Disease', 'MESH:C562839', (53, 84)) ('mutations', 'Var', (19, 28)) 20888 23867514 However, other investigators have postulated an inverse relationship between BAP1 and NF2 mutations. ('NF2', 'Gene', (86, 89)) ('mutations', 'Var', (90, 99)) ('NF2', 'Gene', '4771', (86, 89)) ('inverse', 'NegReg', (48, 55)) ('BAP1', 'Gene', (77, 81)) 20893 23867514 In addition, BAP1 was found to be mutated in 1/10 ccRCC cell lines examined. ('RCC', 'Disease', (52, 55)) ('BAP1', 'Gene', (13, 17)) ('RCC', 'Disease', 'MESH:C538614', (52, 55)) ('mutated', 'Var', (34, 41)) 20895 23867514 Two tumors had mutations in BAP1 and subsequent analyses of BAP1 in 168 matched ccRCC/normal pairs identified 22 tumors with additional mutations. ('tumors', 'Disease', (113, 119)) ('tumors', 'Disease', 'MESH:D009369', (113, 119)) ('mutations', 'Var', (15, 24)) ('tumors', 'Disease', (4, 10)) ('BAP1', 'Gene', (28, 32)) ('tumors', 'Disease', 'MESH:D009369', (4, 10)) ('tumors', 'Phenotype', 'HP:0002664', (4, 10)) ('RCC', 'Disease', 'MESH:C538614', (82, 85)) ('RCC', 'Disease', (82, 85)) ('tumor', 'Phenotype', 'HP:0002664', (4, 9)) ('tumor', 'Phenotype', 'HP:0002664', (113, 118)) ('tumors', 'Phenotype', 'HP:0002664', (113, 119)) 20897 23867514 Overall, BAP1 loss (either by mutation or IHC) was observed in 15% of ccRCC (25/168). ('RCC', 'Disease', 'MESH:C538614', (72, 75)) ('RCC', 'Disease', (72, 75)) ('mutation', 'Var', (30, 38)) ('BAP1', 'Gene', (9, 13)) ('loss', 'NegReg', (14, 18)) 20899 23867514 BAP1 mutation rates increase as a function of stage suggesting that BAP1 may be implicated in ccRCC progression. ('RCC', 'Disease', (96, 99)) ('BAP1', 'Gene', (0, 4)) ('implicated', 'Reg', (80, 90)) ('mutation', 'Var', (5, 13)) ('RCC', 'Disease', 'MESH:C538614', (96, 99)) 20901 23867514 Interestingly, mutations in BAP1 and PBRM1 in ccRCC tend to be mutually exclusive. ('PBRM1', 'Gene', (37, 42)) ('RCC', 'Disease', 'MESH:C538614', (48, 51)) ('mutations', 'Var', (15, 24)) ('BAP1', 'Gene', (28, 32)) ('RCC', 'Disease', (48, 51)) 20902 23867514 First, whereas BAP1 mutations in tumors are associated with high Fuhrman grade and mTORC1 activation, PBRM1 mutations are associated with low grade and a lack of mTORC1 activation. ('BAP1', 'Gene', (15, 19)) ('activation', 'PosReg', (90, 100)) ('mutations', 'Var', (108, 117)) ('mTORC1', 'Gene', (162, 168)) ('PBRM1', 'Gene', (102, 107)) ('mTORC1', 'Gene', '382056', (83, 89)) ('tumor', 'Phenotype', 'HP:0002664', (33, 38)) ('high Fuhrman grade', 'MPA', (60, 78)) ('tumors', 'Disease', 'MESH:D009369', (33, 39)) ('tumors', 'Phenotype', 'HP:0002664', (33, 39)) ('mTORC1', 'Gene', '382056', (162, 168)) ('mTORC1', 'cellular_component', 'GO:0031931', ('83', '89')) ('tumors', 'Disease', (33, 39)) ('mTORC1', 'cellular_component', 'GO:0031931', ('162', '168')) ('mutations', 'Var', (20, 29)) ('mTORC1', 'Gene', (83, 89)) 20903 23867514 In addition, BAP1 and PBRM1 mutations in ccRCC are associated with characteristic and non-overlapping gene expression signatures. ('gene expression', 'biological_process', 'GO:0010467', ('102', '117')) ('BAP1', 'Gene', (13, 17)) ('RCC', 'Disease', 'MESH:C538614', (43, 46)) ('RCC', 'Disease', (43, 46)) ('mutations', 'Var', (28, 37)) ('PBRM1', 'Gene', (22, 27)) 20904 23867514 Finally, the outcomes of patients with ccRCCs mutated for BAP1 and PBRM1 is quite different. ('BAP1', 'Gene', (58, 62)) ('mutated', 'Var', (46, 53)) ('patients', 'Species', '9606', (25, 33)) ('RCC', 'Disease', 'MESH:C538614', (41, 44)) ('RCC', 'Disease', (41, 44)) ('PBRM1', 'Gene', (67, 72)) 20905 23867514 Thus, these data suggest that BAP1 and PBRM1 mutations define two different molecular subtypes of ccRCC, with different biology and outcomes. ('mutations', 'Var', (45, 54)) ('BAP1', 'Gene', (30, 34)) ('RCC', 'Disease', 'MESH:C538614', (100, 103)) ('RCC', 'Disease', (100, 103)) ('PBRM1', 'Gene', (39, 44)) 20906 23867514 Kaplan-Meier analyses of patients with BAP1- and PBRM1-mutated tumors showed that BAP1 mutation was associated with a significantly worse OS than that PBRM1 mutation (median OS of 4.6 years; 95% CI 2.1-7.2 vs. 10.6 years; 95% CI 9.8-11.5) corresponding to a hazard ratio (HR) of 2.7 (95% CI 0.99-7.6, p=0.044). ('BAP1', 'Gene', (82, 86)) ('tumors', 'Phenotype', 'HP:0002664', (63, 69)) ('patients', 'Species', '9606', (25, 33)) ('tumors', 'Disease', (63, 69)) ('tumors', 'Disease', 'MESH:D009369', (63, 69)) ('tumor', 'Phenotype', 'HP:0002664', (63, 68)) ('mutation', 'Var', (87, 95)) 20911 23867514 Somatically-acquired mutations in BAP1 have been identified at low frequencies (<2%) in tumors from other sites including breast, lung, uterus, large bowel, ovary and prostate (http://cancer.sanger.ac.uk/cancergenome/projects/cosmic/). ('cancer', 'Disease', (184, 190)) ('cancer', 'Disease', 'MESH:D009369', (204, 210)) ('BAP1', 'Gene', (34, 38)) ('cancer', 'Phenotype', 'HP:0002664', (184, 190)) ('prostate', 'Disease', (167, 175)) ('tumors', 'Disease', 'MESH:D009369', (88, 94)) ('bowel', 'Disease', 'MESH:D015212', (150, 155)) ('cancer', 'Disease', 'MESH:D009369', (184, 190)) ('breast', 'Disease', (122, 128)) ('ovary', 'Disease', (157, 162)) ('cancer', 'Disease', (204, 210)) ('uterus', 'Disease', (136, 142)) ('ovary', 'Disease', 'MESH:D010051', (157, 162)) ('cancer', 'Phenotype', 'HP:0002664', (204, 210)) ('tumors', 'Phenotype', 'HP:0002664', (88, 94)) ('large bowel', 'Phenotype', 'HP:0002037', (144, 155)) ('mutations', 'Var', (21, 30)) ('bowel', 'Disease', (150, 155)) ('tumor', 'Phenotype', 'HP:0002664', (88, 93)) ('tumors', 'Disease', (88, 94)) ('lung', 'Disease', (130, 134)) 20912 23867514 During their studies, Harbour et al., discovered a BAP1 frameshift mutation in the germline of a patient with UM suggesting that BAP1 mutations may also predispose to familial UM.. BAP1 was subsequently found to be mutated in affected individuals of two families with a syndrome of autosomal dominant inheritance characterized by uveal and cutaneous melanomas. ('cutaneous melanomas', 'Phenotype', 'HP:0012056', (340, 359)) ('cutaneous melanomas', 'Disease', 'MESH:C562393', (340, 359)) ('BAP1', 'Gene', (181, 185)) ('UM', 'Phenotype', 'HP:0007716', (110, 112)) ('cutaneous melanomas', 'Disease', (340, 359)) ('melanomas', 'Phenotype', 'HP:0002861', (350, 359)) ('mutated', 'Var', (215, 222)) ('melanoma', 'Phenotype', 'HP:0002861', (350, 358)) ('patient', 'Species', '9606', (97, 104)) ('cutaneous melanoma', 'Phenotype', 'HP:0012056', (340, 358)) ('UM', 'Phenotype', 'HP:0007716', (176, 178)) 20913 23867514 The estimated frequency of germline BAP1 mutations in patients with familial cutaneous melanoma is <1%, but this percentage is higher for families with both cutaneous and uveal melanoma. ('mutations', 'Var', (41, 50)) ('cutaneous melanoma', 'Phenotype', 'HP:0012056', (77, 95)) ('patients', 'Species', '9606', (54, 62)) ('cutaneous', 'Disease', (157, 166)) ('familial cutaneous melanoma', 'Disease', (68, 95)) ('melanoma', 'Phenotype', 'HP:0002861', (177, 185)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (171, 185)) ('uveal melanoma', 'Disease', (171, 185)) ('uveal melanoma', 'Disease', 'MESH:C536494', (171, 185)) ('BAP1', 'Gene', (36, 40)) ('familial cutaneous melanoma', 'Disease', 'MESH:C562393', (68, 95)) ('melanoma', 'Phenotype', 'HP:0002861', (87, 95)) 20917 23867514 Germline BAP1 mutations were also discovered in families with a high incidence of mesothelioma. ('mesothelioma', 'Disease', (82, 94)) ('mesothelioma', 'Disease', 'MESH:D008654', (82, 94)) ('discovered', 'Reg', (34, 44)) ('BAP1', 'Gene', (9, 13)) ('mutations', 'Var', (14, 23)) 20918 23867514 Families with germline BAP1 mutations exhibit a variety of other tumors including lung and breast cancers. ('lung', 'Disease', (82, 86)) ('BAP1', 'Gene', (23, 27)) ('cancer', 'Phenotype', 'HP:0002664', (98, 104)) ('exhibit', 'Reg', (38, 45)) ('cancers', 'Phenotype', 'HP:0002664', (98, 105)) ('tumors', 'Disease', (65, 71)) ('tumors', 'Disease', 'MESH:D009369', (65, 71)) ('germline', 'Var', (14, 22)) ('tumors', 'Phenotype', 'HP:0002664', (65, 71)) ('breast cancers', 'Phenotype', 'HP:0003002', (91, 105)) ('breast cancers', 'Disease', 'MESH:D001943', (91, 105)) ('breast cancers', 'Disease', (91, 105)) ('tumor', 'Phenotype', 'HP:0002664', (65, 70)) ('mutations', 'Var', (28, 37)) 20922 23867514 During our search for somatically-acquired BAP1 mutations in ccRCC, a germline BAP1 missense variant was discovered in one patient who was found to have familial RCC suggesting that BAP1 mutations may predispose to renal cancer as well. ('RCC', 'Disease', (63, 66)) ('BAP1', 'Gene', (43, 47)) ('renal cancer', 'Disease', 'MESH:D007680', (215, 227)) ('RCC', 'Disease', (162, 165)) ('patient', 'Species', '9606', (123, 130)) ('RCC', 'Disease', 'MESH:C538614', (162, 165)) ('BAP1', 'Gene', (182, 186)) ('mutations', 'Var', (187, 196)) ('familial RCC', 'Disease', 'MESH:C538614', (153, 165)) ('renal cancer', 'Phenotype', 'HP:0009726', (215, 227)) ('cancer', 'Phenotype', 'HP:0002664', (221, 227)) ('renal cancer', 'Disease', (215, 227)) ('predispose to', 'Reg', (201, 214)) ('mutations', 'Var', (48, 57)) ('familial RCC', 'Disease', (153, 165)) ('RCC', 'Disease', 'MESH:C538614', (63, 66)) 20923 23867514 A study of 83 families with an unexplained predisposition to renal cancer revealed a novel missense mutation in BAP1 that cosegregated with the ccRCC phenotype in one family. ('BAP1', 'Gene', (112, 116)) ('renal cancer', 'Phenotype', 'HP:0009726', (61, 73)) ('RCC', 'Disease', 'MESH:C538614', (146, 149)) ('RCC', 'Disease', (146, 149)) ('renal cancer', 'Disease', 'MESH:D007680', (61, 73)) ('cancer', 'Phenotype', 'HP:0002664', (67, 73)) ('cosegregated', 'Reg', (122, 134)) ('renal cancer', 'Disease', (61, 73)) ('missense mutation', 'Var', (91, 108)) 20928 23867514 In additional studies of 32 unrelated individuals with familial RCC, no more BAP1 mutations were found. ('familial RCC', 'Disease', (55, 67)) ('mutations', 'Var', (82, 91)) ('BAP1', 'Gene', (77, 81)) ('familial RCC', 'Disease', 'MESH:C538614', (55, 67)) 20931 23867514 The risk of RCC was markedly increased compared to the general population suggesting that BAP1 was a RCC-predisposing gene and that RCC should be added to the list of tumors associated with germline mutations in BAP1. ('RCC', 'Disease', 'MESH:C538614', (132, 135)) ('germline mutations', 'Var', (190, 208)) ('BAP1', 'Gene', (212, 216)) ('RCC', 'Disease', (132, 135)) ('tumors', 'Disease', 'MESH:D009369', (167, 173)) ('RCC', 'Disease', 'MESH:C538614', (101, 104)) ('RCC', 'Disease', 'MESH:C538614', (12, 15)) ('RCC', 'Disease', (101, 104)) ('RCC', 'Disease', (12, 15)) ('tumor', 'Phenotype', 'HP:0002664', (167, 172)) ('tumors', 'Disease', (167, 173)) ('tumors', 'Phenotype', 'HP:0002664', (167, 173)) 20939 23867514 BAP1 mutations target residues across the protein, although the UCH domain appears to be targeted particularly frequently (http://cancer.sanger.ac.uk/cancergenome/projects/cosmic/). ('cancer', 'Disease', 'MESH:D009369', (130, 136)) ('UCH', 'Gene', (64, 67)) ('BAP1', 'Gene', (0, 4)) ('target', 'Reg', (15, 21)) ('cancer', 'Disease', (130, 136)) ('cancer', 'Disease', 'MESH:D009369', (150, 156)) ('mutations', 'Var', (5, 14)) ('cancer', 'Disease', (150, 156)) ('protein', 'cellular_component', 'GO:0003675', ('42', '49')) ('cancer', 'Phenotype', 'HP:0002664', (130, 136)) ('cancer', 'Phenotype', 'HP:0002664', (150, 156)) ('UCH', 'Gene', '7345', (64, 67)) 20940 23867514 Mapping of missense mutations not affecting protein levels to a BAP1 structure model suggests that BAP1 tumor suppressor function requires not only ubiquitin binding, but also an intramolecular interaction between the UCH and ULD domains. ('ULD', 'Disease', (226, 229)) ('UCH', 'Gene', '7345', (218, 221)) ('BAP1', 'Gene', (99, 103)) ('ubiquitin binding', 'molecular_function', 'GO:0043130', ('148', '165')) ('tumor', 'Phenotype', 'HP:0002664', (104, 109)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('104', '120')) ('UCH', 'Gene', (218, 221)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('104', '120')) ('tumor', 'Disease', (104, 109)) ('tumor', 'Disease', 'MESH:D009369', (104, 109)) ('missense', 'Var', (11, 19)) ('protein', 'cellular_component', 'GO:0003675', ('44', '51')) ('interaction', 'Interaction', (194, 205)) ('ubiquitin', 'MPA', (148, 157)) ('binding', 'Interaction', (158, 165)) ('ULD', 'Disease', 'MESH:D020194', (226, 229)) 20947 23867514 PR-DUB deubiquitylates H2AK119ub1 (K118 in Drosophila), and despite that, at face value, this would antagonize PRC1, PR-DUB seemingly synergizes with PRC1. ('antagonize', 'NegReg', (100, 110)) ('H2AK119ub1', 'Var', (23, 33)) ('K118', 'Chemical', '-', (35, 39)) ('Drosophila', 'Species', '7227', (43, 53)) 20950 23867514 Calypso mutant fly embryos failed to suppress HOX genes leading to homeotic transformations characteristic of mutations in PcG genes. ('PcG', 'Gene', (123, 126)) ('mutations', 'Var', (110, 119)) ('PcG', 'Gene', '40358', (123, 126)) ('HOX', 'Gene', (46, 49)) ('HOX', 'Gene', '42536', (46, 49)) ('homeotic transformations', 'CPA', (67, 91)) 20951 23867514 As expected, Calypso/ASX complexes bound to HOX genes by ChIP and calypso and Asx mutant embryos exhibited global increases in H2Aub1 levels. ('ASX', 'Gene', '36612', (21, 24)) ('Asx', 'Gene', '36612', (78, 81)) ('HOX', 'Gene', '42536', (44, 47)) ('H2Aub1 levels', 'MPA', (127, 140)) ('bound', 'Interaction', (35, 40)) ('increases', 'PosReg', (114, 123)) ('ASX', 'Gene', (21, 24)) ('HOX', 'Gene', (44, 47)) ('Asx', 'Gene', (78, 81)) ('calypso', 'Gene', (66, 73)) ('mutant', 'Var', (82, 88)) 20953 23867514 As Drosophila Calypso, human BAP1 deubiquitylates H2AK119ub1. ('Drosophila Calypso', 'Disease', (3, 21)) ('Drosophila Calypso', 'Disease', 'None', (3, 21)) ('human', 'Species', '9606', (23, 28)) ('deubiquitylates', 'MPA', (34, 49)) ('H2AK119ub1', 'Var', (50, 60)) 20954 23867514 Furthermore, depletion of BAP1 in uveal melanoma cells increases global H2AK119ub1 levels. ('BAP1', 'Gene', (26, 30)) ('global H2AK119ub1 levels', 'MPA', (65, 89)) ('melanoma', 'Phenotype', 'HP:0002861', (40, 48)) ('depletion', 'Var', (13, 22)) ('increases', 'PosReg', (55, 64)) ('uveal melanoma', 'Phenotype', 'HP:0007716', (34, 48)) ('uveal melanoma', 'Disease', 'MESH:C536494', (34, 48)) ('uveal melanoma', 'Disease', (34, 48)) 20963 23867514 Mutation in the Kelch domain of HCF-1 (P134S) disrupts binding to HBM-containing proteins, and also markedly impairs BAP1 binding. ('binding', 'Interaction', (122, 129)) ('binding', 'molecular_function', 'GO:0005488', ('122', '129')) ('impairs', 'NegReg', (109, 116)) ('Mutation', 'Var', (0, 8)) ('BAP1', 'Protein', (117, 121)) ('HBM-containing proteins', 'Protein', (66, 89)) ('binding', 'Interaction', (55, 62)) ('binding', 'molecular_function', 'GO:0005488', ('55', '62')) ('disrupts', 'NegReg', (46, 54)) ('HCF-1', 'Gene', (32, 37)) ('P134S', 'Mutation', 'p.P134S', (39, 44)) ('P134S', 'Var', (39, 44)) 20972 23867514 Postnatal systemic Bap1 inactivation (using an inducible Cre from a ubiquitously expressed locus) led to the development of myelodysplasia with thrombocytopenia and anemia. ('anemia', 'Phenotype', 'HP:0001903', (165, 171)) ('thrombocytopenia', 'Phenotype', 'HP:0001873', (144, 160)) ('systemic Bap1', 'Gene', (10, 23)) ('inactivation', 'Var', (24, 36)) ('thrombocytopenia', 'Disease', (144, 160)) ('myelodysplasia', 'Phenotype', 'HP:0002863', (124, 138)) ('anemia', 'Disease', (165, 171)) ('anemia', 'Disease', 'MESH:D000740', (165, 171)) ('myelodysplasia', 'Disease', 'MESH:D009190', (124, 138)) ('thrombocytopenia', 'Disease', 'MESH:D013921', (144, 160)) ('myelodysplasia', 'Disease', (124, 138)) 20973 23867514 Thrombocytopenia developed as early as one week after Bap1 inactivation. ('inactivation', 'Var', (59, 71)) ('Thrombocytopenia', 'Disease', (0, 16)) ('Thrombocytopenia', 'Phenotype', 'HP:0001873', (0, 16)) ('Bap1', 'Gene', (54, 58)) ('Thrombocytopenia', 'Disease', 'MESH:D013921', (0, 16)) 20979 23867514 In atypical Spitz tumors, which uncommonly have mutations in BRAF, BRAFV600E mutations tend to co-occur with BAP1 mutations. ('BRAF', 'Gene', '673', (67, 71)) ('BRAF', 'Gene', '673', (61, 65)) ('BRAF', 'Gene', (67, 71)) ('BRAF', 'Gene', (61, 65)) ('BRAFV600E', 'Mutation', 'rs113488022', (67, 76)) ('mutations', 'Var', (77, 86)) ('Spitz tumors', 'Disease', 'MESH:D018332', (12, 24)) ('tumors', 'Phenotype', 'HP:0002664', (18, 24)) ('BAP1', 'Gene', (109, 113)) ('Spitz tumors', 'Disease', (12, 24)) ('mutations', 'Var', (48, 57)) ('tumor', 'Phenotype', 'HP:0002664', (18, 23)) 20980 23867514 Among 32 tumors examined, 9 had lost BAP1 expression and 8 of them had mutations in BRAF. ('BRAF', 'Gene', '673', (84, 88)) ('tumor', 'Phenotype', 'HP:0002664', (9, 14)) ('expression', 'MPA', (42, 52)) ('BRAF', 'Gene', (84, 88)) ('tumors', 'Phenotype', 'HP:0002664', (9, 15)) ('mutations', 'Var', (71, 80)) ('BAP1', 'Protein', (37, 41)) ('tumors', 'Disease', (9, 15)) ('lost', 'NegReg', (32, 36)) ('tumors', 'Disease', 'MESH:D009369', (9, 15)) 20981 23867514 In contrast, only one tumor out of 23 without BAP1 expression had a BRAF mutation (p<0.0001). ('BRAF', 'Gene', '673', (68, 72)) ('tumor', 'Disease', 'MESH:D009369', (22, 27)) ('BRAF', 'Gene', (68, 72)) ('tumor', 'Phenotype', 'HP:0002664', (22, 27)) ('tumor', 'Disease', (22, 27)) ('mutation', 'Var', (73, 81)) 20984 23867514 BAP1 reintroduction into two different BAP1-deficient ccRCC cell lines reduced cell growth. ('RCC', 'Disease', (56, 59)) ('BAP1', 'Gene', (0, 4)) ('RCC', 'Disease', 'MESH:C538614', (56, 59)) ('BAP1-deficient', 'Gene', (39, 53)) ('cell growth', 'biological_process', 'GO:0016049', ('79', '90')) ('reintroduction', 'Var', (5, 19)) ('reduced', 'NegReg', (71, 78)) ('cell growth', 'CPA', (79, 90)) 20986 23867514 Mammalian BAP1 deubiquitylates H2AK119ub1, and BAP1 reintroduction into BAP1-deficient ccRCC cell lines affected global levels of H2AK119ub1. ('Mammalian', 'Species', '9606', (0, 9)) ('H2AK119ub1', 'MPA', (130, 140)) ('RCC', 'Disease', (89, 92)) ('affected', 'Reg', (104, 112)) ('RCC', 'Disease', 'MESH:C538614', (89, 92)) ('global levels', 'MPA', (113, 126)) ('reintroduction', 'Var', (52, 66)) ('BAP1', 'Gene', (47, 51)) 21001 23867514 In experiments performed with BAP1-deficient and reconstituted ccRCC cell lines, BAP1 reintroduction reduced the sensitivity of two different cell lines to radiation and the PARP inhibitor olaparib. ('PARP', 'Gene', '1302', (174, 178)) ('reintroduction', 'Var', (86, 100)) ('BAP1', 'Gene', (81, 85)) ('PARP', 'Gene', (174, 178)) ('olaparib', 'Chemical', 'MESH:C531550', (189, 197)) ('reduced', 'NegReg', (101, 108)) ('RCC', 'Disease', 'MESH:C538614', (65, 68)) ('sensitivity', 'MPA', (113, 124)) ('RCC', 'Disease', (65, 68)) 21003 23867514 Interestingly, atypical Spitz tumors with BAP1 mutations commonly exhibit a lymphocytic infiltrate. ('tumors', 'Phenotype', 'HP:0002664', (30, 36)) ('Spitz tumors', 'Disease', 'MESH:D018332', (24, 36)) ('BAP1', 'Gene', (42, 46)) ('mutations', 'Var', (47, 56)) ('Spitz tumors', 'Disease', (24, 36)) ('lymphocytic infiltrate', 'CPA', (76, 98)) ('tumor', 'Phenotype', 'HP:0002664', (30, 35)) 21006 23867514 Valproic acid seemingly counteracted the effects of BAP1 knockdown on H2AK119ub1. ('BAP1', 'Gene', (52, 56)) ('Valproic acid', 'Chemical', 'MESH:D014635', (0, 13)) ('knockdown', 'Var', (57, 66)) 21007 23867514 As determined by the development of dendrites, valproic acid also induced differentiation of tumor cells with BAP1 mutations and shifted the gene expression signature to a more differentiated type. ('valproic acid', 'Chemical', 'MESH:D014635', (47, 60)) ('mutations', 'Var', (115, 124)) ('tumor', 'Phenotype', 'HP:0002664', (93, 98)) ('tumor', 'Disease', (93, 98)) ('BAP1', 'Gene', (110, 114)) ('induced', 'Reg', (66, 73)) ('differentiation', 'CPA', (74, 89)) ('gene expression', 'biological_process', 'GO:0010467', ('141', '156')) ('tumor', 'Disease', 'MESH:D009369', (93, 98)) 21012 23867514 The development and evaluation of candidate compounds may be facilitated by the availability of tumorgraft models of renal cancer that reproduce the treatment responsiveness of human RCC, and the availability of mice bearing tumors with BAP1 and PBRM1 mutations. ('cancer', 'Phenotype', 'HP:0002664', (123, 129)) ('PBRM1', 'Gene', (246, 251)) ('mice', 'Species', '10090', (212, 216)) ('tumor', 'Phenotype', 'HP:0002664', (96, 101)) ('RCC', 'Disease', 'MESH:C538614', (183, 186)) ('tumor', 'Phenotype', 'HP:0002664', (225, 230)) ('RCC', 'Disease', (183, 186)) ('tumors', 'Phenotype', 'HP:0002664', (225, 231)) ('BAP1', 'Gene', (237, 241)) ('renal cancer', 'Phenotype', 'HP:0009726', (117, 129)) ('mutations', 'Var', (252, 261)) ('tumors', 'Disease', 'MESH:D009369', (225, 231)) ('human', 'Species', '9606', (177, 182)) ('tumors', 'Disease', (225, 231)) ('tumorgraft models of renal cancer', 'Disease', 'MESH:D007680', (96, 129)) ('tumorgraft models of renal cancer', 'Disease', (96, 129)) 21099 21738614 Additionally, out of ten natural health products (NHPs) assessed during an initial scoping review of the literature for this project, vitamin A had the greatest volume and quality of evidence around its use in lung cancers. ('lung cancers', 'Disease', (210, 222)) ('cancers', 'Phenotype', 'HP:0002664', (215, 222)) ('vitamin', 'Var', (134, 141)) ('lung cancer', 'Phenotype', 'HP:0100526', (210, 221)) ('lung cancers', 'Disease', 'MESH:D008175', (210, 222)) ('lung cancers', 'Phenotype', 'HP:0100526', (210, 222)) ('cancer', 'Phenotype', 'HP:0002664', (215, 221)) ('vitamin A', 'Chemical', 'MESH:D014801', (134, 143)) 21184 21738614 Lippman found no significant effects overall, however, lung cancer recurrence and all cause mortality were significantly increased in current smokers receiving isotretinoin compared to placebo, HR 3.11 (95% CI 1.00-9.71) and 4.39 (1.11-17.29) respectively. ('isotretinoin', 'Chemical', 'MESH:D015474', (160, 172)) ('lung cancer', 'Disease', 'MESH:D008175', (55, 66)) ('increased', 'PosReg', (121, 130)) ('isotretinoin', 'Var', (160, 172)) ('lung cancer', 'Disease', (55, 66)) ('lung cancer', 'Phenotype', 'HP:0100526', (55, 66)) ('cancer', 'Phenotype', 'HP:0002664', (60, 66)) ('all cause mortality', 'CPA', (82, 101)) 21211 21738614 13CRA was found to decrease elimination of paclitaxel and increase the AUC of the metabolite 6-alfa-hydroxytaxol. ('AUC of the metabolite 6-alfa-hydroxytaxol', 'MPA', (71, 112)) ('increase', 'PosReg', (58, 66)) ('elimination of paclitaxel', 'MPA', (28, 53)) ('decrease', 'NegReg', (19, 27)) ('13CRA', 'Var', (0, 5)) ('paclitaxel', 'Chemical', 'MESH:D017239', (43, 53)) ('13CRA', 'Chemical', 'MESH:D015474', (0, 5)) ('6-alfa-hydroxytaxol', 'Chemical', '-', (93, 112)) 21222 21738614 This inconsistency has been confirmed, for instance, in studies of selenium comparing chemoprevention in both complex- or single- carcinogen lung cancer models, wherein selenium was able to prevent lung tumors induced by NNK, but not those caused by exposure to tobacco smoke. ('NNK', 'Chemical', 'MESH:C016583', (221, 224)) ('tumor', 'Phenotype', 'HP:0002664', (203, 208)) ('tumors', 'Phenotype', 'HP:0002664', (203, 209)) ('lung tumors', 'Disease', (198, 209)) ('lung tumors', 'Phenotype', 'HP:0100526', (198, 209)) ('NNK', 'Var', (221, 224)) ('carcinogen lung cancer', 'Disease', 'MESH:D008175', (130, 152)) ('selenium', 'Chemical', 'MESH:D012643', (169, 177)) ('selenium', 'Chemical', 'MESH:D012643', (67, 75)) ('tobacco', 'Species', '4097', (262, 269)) ('lung cancer', 'Phenotype', 'HP:0100526', (141, 152)) ('cancer', 'Phenotype', 'HP:0002664', (146, 152)) ('lung tumors', 'Disease', 'MESH:D008175', (198, 209)) ('carcinogen lung cancer', 'Disease', (130, 152)) ('prevent', 'NegReg', (190, 197)) 21231 21738614 A biomarker study was conducted in a small subgroup of the CARET population to determine the effect of supplementation on target tissue levels: bronchoalveolar lavage showed that while tissue levels of beta carotene increased significantly with supplementation, retinol levels did not; serum levels increased for both. ('beta carotene', 'MPA', (202, 215)) ('retinol', 'Chemical', 'MESH:D014801', (262, 269)) ('beta carotene', 'Chemical', 'MESH:D019207', (202, 215)) ('supplementation', 'Var', (245, 260)) 21242 21738614 Also, while CBPs have been shown to impair mitochondrial function, preliminary evidence suggests that retinol may be an essential response modifier and cofactor of mitochondrial energy production. ('retinol', 'Chemical', 'MESH:D014801', (102, 109)) ('mitochondrial function', 'MPA', (43, 65)) ('impair', 'NegReg', (36, 42)) ('CBPs', 'Var', (12, 16)) 21247 21738614 In trials conducted in high risk populations comprised of smokers and asbestos workers (n = 2), there were significant increases in lung cancer risk associated with beta carotene supplementation: in the ATBC trial, RR 1.17 (95% CI 1.02 - 1.34), and in the CARET trial 1.36 (1.07 - 1.72). ('cancer', 'Phenotype', 'HP:0002664', (137, 143)) ('asbestos', 'Chemical', 'MESH:D001194', (70, 78)) ('lung cancer', 'Phenotype', 'HP:0100526', (132, 143)) ('beta carotene', 'Protein', (165, 178)) ('increases in lung cancer', 'Disease', 'MESH:D008175', (119, 143)) ('increases in lung cancer', 'Disease', (119, 143)) ('supplementation', 'Var', (179, 194)) ('beta carotene', 'Chemical', 'MESH:D019207', (165, 178)) ('ATBC', 'Chemical', '-', (203, 207)) 21277 33567673 Homozygous deletion of the p16 gene and tumor invasion into fatty tissue are considered the most reliable features of a malignant tumor. ('tumor', 'Phenotype', 'HP:0002664', (40, 45)) ('malignant tumor', 'Disease', 'MESH:D009369', (120, 135)) ('tumor', 'Disease', 'MESH:D009369', (40, 45)) ('tumor', 'Disease', 'MESH:D009369', (130, 135)) ('p16', 'Gene', (27, 30)) ('tumor', 'Phenotype', 'HP:0002664', (130, 135)) ('Homozygous deletion', 'Var', (0, 19)) ('tumor', 'Disease', (40, 45)) ('tumor', 'Disease', (130, 135)) ('malignant tumor', 'Disease', (120, 135)) ('p16', 'Gene', '1029', (27, 30)) 21282 33567673 Despite the advent of molecular methods, tumor morphology remains the best indicator of an aggressive disease course, as the presence of sarcomatoid differentiation worsens the prognosis. ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('prognosis', 'MPA', (177, 186)) ('tumor', 'Disease', (41, 46)) ('presence', 'Var', (125, 133)) ('aggressive disease', 'Disease', 'MESH:D001523', (91, 109)) ('sarcomatoid', 'Disease', 'MESH:C538614', (137, 148)) ('aggressive disease', 'Disease', (91, 109)) ('worsens', 'NegReg', (165, 172)) ('sarcomatoid', 'Disease', (137, 148)) ('tumor', 'Disease', 'MESH:D009369', (41, 46)) 21291 33567673 The cell lines have previously been characterized as epithelioid (MeT-5a and Mero-25), sarcomatoid (DM-3) or biphasic (M-14-K, JL-1, STAV-AB, STAV-FCS, ZL34). ('sarcomatoid', 'Disease', (87, 98)) ('Mero-25', 'Chemical', '-', (77, 84)) ('STAV-AB', 'Chemical', '-', (133, 140)) ('ZL34', 'Chemical', '-', (152, 156)) ('sarcomatoid', 'Disease', 'MESH:C538614', (87, 98)) ('M-14-K', 'Var', (119, 125)) 21307 33567673 DM-3, STAV-FCS and JL-1 had well-spread MT ends, whereas M-14-K, STAV-AB and ZL34 had fewer and smaller EB3 positive speckles (Figure S2) In the normal Met-5a cell line, the EB3 clusters had the appearance of arrowheads, similar to focal adhesions. ('ZL34', 'Chemical', '-', (77, 81)) ('EB3', 'Gene', (104, 107)) ('fewer', 'NegReg', (86, 91)) ('smaller', 'NegReg', (96, 103)) ('EB3', 'Gene', '22924', (104, 107)) ('STAV-AB', 'Chemical', '-', (65, 72)) ('M-14-K', 'Var', (57, 63)) ('EB3', 'Gene', (174, 177)) ('EB3', 'Gene', '22924', (174, 177)) 21309 33567673 Taken together, this shows that the microtubules in M-14-K and ZL34 are more prone to be under dynamic instability, which could indicate an increased migratory state. ('M-14-K', 'Var', (52, 58)) ('microtubules', 'Protein', (36, 48)) ('migratory', 'CPA', (150, 159)) ('ZL34', 'Chemical', '-', (63, 67)) ('prone', 'Reg', (77, 82)) ('increased', 'PosReg', (140, 149)) ('ZL34', 'Gene', (63, 67)) 21326 33567673 Four cell lines had equal amount of nuclear YAP: (38 +- 3% in Met-5a, 40 +- 4% in Mero-25, 40 +- 6% in M-14-K and 38 +- 13% in STAV-AB (Figure 7B). ('M-14-K', 'Var', (103, 109)) ('YAP', 'Gene', '10413', (44, 47)) ('Mero-25', 'Chemical', '-', (82, 89)) ('STAV-AB', 'Chemical', '-', (127, 134)) ('YAP', 'Gene', (44, 47)) 21329 33567673 In addition, the nuclear perimeter and aspect ratio were higher in ZL34 cells (Figure 7D,E). ('ZL34', 'Var', (67, 71)) ('aspect ratio', 'CPA', (39, 51)) ('higher', 'PosReg', (57, 63)) ('nuclear perimeter', 'CPA', (17, 34)) ('ZL34', 'Chemical', '-', (67, 71)) 21335 33567673 The ZL34 cells (175 +- 15) were particularly efficient in passing through the Matrigel compared to M-14-K (48 +- 19), STAV-AB (33 +- 12) and Met-5a (30 +- 23) (Figure 8C). ('ZL34', 'Var', (4, 8)) ('passing through the Matrigel', 'CPA', (58, 86)) ('ZL34', 'Chemical', '-', (4, 8)) ('STAV-AB', 'Chemical', '-', (118, 125)) 21337 33567673 The analysis, showed in Figure 1E, showed that MeT-5a and Mero-25 were clearly epithelioid with marked cortical actin arcs and that DM-3 had a clear sarcomatoid phenotype with prominent stress fibers. ('Mero-25', 'Gene', (58, 65)) ('MeT-5a', 'Var', (47, 53)) ('clear sarcomatoid', 'Disease', 'MESH:C538614', (143, 160)) ('cortical actin arcs', 'CPA', (103, 122)) ('Mero-25', 'Chemical', '-', (58, 65)) ('clear sarcomatoid', 'Disease', (143, 160)) ('stress fibers', 'CPA', (186, 199)) ('arcs', 'molecular_function', 'GO:0002948', ('118', '122')) 21338 33567673 Both STAV-AB and M-14-K have previously been considered to be of the epithelioid type, but their actin organization is markedly different from MeT-5a and Mero-25 cell lines. ('STAV-AB', 'Chemical', '-', (5, 12)) ('different', 'Reg', (128, 137)) ('M-14-K', 'Var', (17, 23)) ('Mero-25', 'Chemical', '-', (154, 161)) 21339 33567673 M-14-K grow in colonies, like epithelial cells, but are more elongated and have more stress fibers than MeT-5a and Mero-25. ('M-14-K', 'Var', (0, 6)) ('stress fibers', 'CPA', (85, 98)) ('more', 'PosReg', (56, 60)) ('more', 'PosReg', (80, 84)) ('Mero-25', 'Chemical', '-', (115, 122)) 21346 33567673 In MeT-5a, Mero-25, M-14-K, JL-1 STAV-AB and STAV-AB, the vimentin filaments were wrapped around the perinuclear area. ('vimentin', 'Gene', (58, 66)) ('STAV-AB', 'Chemical', '-', (33, 40)) ('Mero-25', 'Var', (11, 18)) ('STAV-AB', 'Var', (45, 52)) ('MeT-5a', 'Var', (3, 9)) ('vimentin', 'cellular_component', 'GO:0045099', ('58', '66')) ('STAV-AB', 'Chemical', '-', (45, 52)) ('vimentin', 'cellular_component', 'GO:0045098', ('58', '66')) ('Mero-25', 'Chemical', '-', (11, 18)) ('M-14-K', 'Var', (20, 26)) ('vimentin', 'Gene', '7431', (58, 66)) 21351 33567673 This way, Met-5a, Mero-25, M-14-K and, to some extent, also STAV-AB, had epithelial cell-like characteristics. ('Mero-25', 'Chemical', '-', (18, 25)) ('STAV-AB', 'Chemical', '-', (60, 67)) ('M-14-K', 'Var', (27, 33)) ('Mero-25', 'Var', (18, 25)) ('Met-5a', 'Var', (10, 16)) ('epithelial cell-like characteristics', 'CPA', (73, 109)) 21354 33567673 We detected essentially two different types of organizations: In Mero-25, M-14-K, JL-1, STAV-FCS and DM-3 cells, the microtubules were abundant all the way to the cell periphery. ('Mero-25', 'Chemical', '-', (65, 72)) ('microtubules', 'MPA', (117, 129)) ('cell periphery', 'cellular_component', 'GO:0005938', ('163', '177')) ('abundant', 'PosReg', (135, 143)) ('cell periphery', 'cellular_component', 'GO:0071944', ('163', '177')) ('M-14-K', 'Var', (74, 80)) 21355 33567673 In MeT-5a, STAV-AB and ZL34 the microtubules accumulated at the perinuclear area and much fewer microtubules could be seen at the cell periphery. ('ZL34', 'Chemical', '-', (23, 27)) ('STAV-AB', 'Var', (11, 18)) ('MeT-5a', 'Var', (3, 9)) ('microtubules', 'MPA', (32, 44)) ('cell periphery', 'cellular_component', 'GO:0005938', ('130', '144')) ('STAV-AB', 'Chemical', '-', (11, 18)) ('cell periphery', 'cellular_component', 'GO:0071944', ('130', '144')) ('accumulated', 'PosReg', (45, 56)) 21357 33567673 In contrast, M-14-K and ZL34 had less acetylated microtubules indicative of a higher dynamic capacity, which is in line with ZL34 being highly efficient in wound closure and in invasion. ('M-14-K', 'Var', (13, 19)) ('less', 'NegReg', (33, 37)) ('ZL34', 'Chemical', '-', (24, 28)) ('higher', 'PosReg', (78, 84)) ('dynamic capacity', 'MPA', (85, 101)) ('ZL34', 'Chemical', '-', (125, 129)) ('acetylated microtubules', 'MPA', (38, 61)) ('ZL34', 'Var', (125, 129)) ('wound closure', 'CPA', (156, 169)) 21360 33567673 Several lines of evidence have indicated roles for the Hippo pathway in MM, and a common mechanism appears to be linked to inactivation of the NF2 gene, which encodes a protein called Merlin. ('inactivation', 'Var', (123, 135)) ('NF2', 'Gene', (143, 146)) ('NF2', 'Gene', '4771', (143, 146)) ('protein', 'cellular_component', 'GO:0003675', ('169', '176')) ('roles', 'Reg', (41, 46)) ('Merlin', 'Gene', '4771', (184, 190)) ('Hippo pathway', 'Pathway', (55, 68)) ('Merlin', 'Gene', (184, 190)) 21368 33567673 Yes, there is a clear correlation for some of the cell lines: ZL34 efficiently migrated in the wound closure assay and in the Matrigel invasion assay, whereas DM-3 had a very low invasive capacity. ('ZL34', 'Chemical', '-', (62, 66)) ('ZL34', 'Var', (62, 66)) ('Matrigel invasion assay', 'CPA', (126, 149)) 21439 31743489 It has been suggested that important barriers to participation in cancer clinical trials are mistrust and lack of knowledge of clinical trials. ('cancer', 'Disease', 'MESH:D009369', (66, 72)) ('cancer', 'Phenotype', 'HP:0002664', (66, 72)) ('mistrust', 'Var', (93, 101)) ('cancer', 'Disease', (66, 72)) 21526 31477126 The incidence of bronchiolo-alveolar cell hyperplasia was significantly increased in the groups treated with 0.50 mg POT and 0.50 mg MWCNT-7. ('MWCNT-7', 'Chemical', '-', (133, 140)) ('increased', 'PosReg', (72, 81)) ('bronchiolo-alveolar cell hyperplasia', 'Disease', (17, 53)) ('bronchiolo-alveolar cell hyperplasia', 'Disease', 'MESH:D002282', (17, 53)) ('0.50 mg', 'Var', (125, 132)) ('0.50 mg', 'Var', (109, 116)) 21624 31477126 There was a significant increase in pleural mesothelial cell hyperplasia and a non-significant increase in pleural mesotheliomas in rats treated with 0.25 mg and 0.50 mg POT fibers and 0.50 mg MWCNT-7 fibers; the untreated, vehicle control, and r-nTiO2 treated rats did not develop either mesothelial cell hyperplasia or mesotheliomas (see Table 1). ('increase', 'PosReg', (24, 32)) ('r-nTiO2', 'Chemical', '-', (245, 252)) ('mesothelial cell hyperplasia or mesotheliomas', 'Disease', (289, 334)) ('0.50 mg', 'Var', (162, 169)) ('increase', 'PosReg', (95, 103)) ('mesothelial cell hyperplasia or mesotheliomas', 'Disease', 'MESH:D018301', (289, 334)) ('rats', 'Species', '10116', (132, 136)) ('rats', 'Species', '10116', (261, 265)) ('pleural mesotheliomas', 'Phenotype', 'HP:0100002', (107, 128)) ('pleural mesotheliomas', 'Disease', 'MESH:D008654', (107, 128)) ('pleural mesothelial cell hyperplasia', 'Disease', 'MESH:D018301', (36, 72)) ('0.25', 'Var', (150, 154)) ('MWCNT-7', 'Chemical', '-', (193, 200)) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (107, 127)) ('pleural mesothelial cell hyperplasia', 'Disease', (36, 72)) ('pleural mesotheliomas', 'Disease', (107, 128)) 21628 31477126 We also observed a significant induction of type II epithelial cell hyperplasia in the 0.50 mg POT and MWCNT-7 groups; however, the development of lung tumors was not increased in these groups (see Table 1). ('lung tumors', 'Disease', 'MESH:D008175', (147, 158)) ('lung tumor', 'Phenotype', 'HP:0100526', (147, 157)) ('tumor', 'Phenotype', 'HP:0002664', (152, 157)) ('0.50 mg', 'Var', (87, 94)) ('type II epithelial cell hyperplasia', 'Disease', 'MESH:D017573', (44, 79)) ('MWCNT-7', 'Chemical', '-', (103, 110)) ('lung tumors', 'Phenotype', 'HP:0100526', (147, 158)) ('lung tumors', 'Disease', (147, 158)) ('tumors', 'Phenotype', 'HP:0002664', (152, 158)) ('type II epithelial cell hyperplasia', 'Disease', (44, 79)) 21662 31477126 The incidence of type II epithelial cell hyperplasia and the histology of the carcinomas that developed in the POT and MWCNT-7 treated rats indicates that POT and MWCNT-7 fibers are highly likely to be carcinogenic in the lung of male rats. ('MWCNT-7', 'Chemical', '-', (119, 126)) ('carcinomas', 'Disease', (78, 88)) ('MWCNT-7', 'Var', (163, 170)) ('type II epithelial cell hyperplasia', 'Disease', (17, 52)) ('rats', 'Species', '10116', (235, 239)) ('carcinoma', 'Phenotype', 'HP:0030731', (78, 87)) ('carcinogenic', 'Disease', 'MESH:D063646', (202, 214)) ('carcinogenic', 'Disease', (202, 214)) ('MWCNT-7', 'Chemical', '-', (163, 170)) ('type II epithelial cell hyperplasia', 'Disease', 'MESH:D017573', (17, 52)) ('rats', 'Species', '10116', (135, 139)) ('carcinomas', 'Phenotype', 'HP:0030731', (78, 88)) ('carcinomas', 'Disease', 'MESH:D002277', (78, 88)) 21681 31477126 2018 and Abdelgied et al., 2019 the PCNA index at 4 weeks and at 1 year in the lung and pleura of rats treated with POT or MWCNT-7 fibers, but not r-nTiO2, was significantly higher than that of the control groups. ('rats', 'Species', '10116', (98, 102)) ('MWCNT-7', 'Chemical', '-', (123, 130)) ('higher', 'PosReg', (174, 180)) ('PCNA', 'molecular_function', 'GO:0003892', ('36', '40')) ('r-nTiO2', 'Chemical', '-', (147, 154)) ('MWCNT-7', 'Var', (123, 130)) ('PCNA', 'Gene', '25737', (36, 40)) ('PCNA', 'Gene', (36, 40)) 21683 31477126 Thus, the DNA damaging ROS and RNS could have damaged the DNA of dividing cells, allowing replication of damaged DNA before it was repaired, resulting in fixation of mutations in the DNA of the daughter cells. ('DNA', 'cellular_component', 'GO:0005574', ('113', '116')) ('mutations', 'Var', (166, 175)) ('RNS', 'Chemical', 'MESH:D011886', (31, 34)) ('DNA', 'cellular_component', 'GO:0005574', ('58', '61')) ('DNA', 'cellular_component', 'GO:0005574', ('10', '13')) ('fixation', 'MPA', (154, 162)) ('ROS', 'Chemical', '-', (23, 26)) ('DNA', 'cellular_component', 'GO:0005574', ('183', '186')) 21724 24222919 The Cytotoxic Effect of Magainin II on the MDA-MB-231 and M14K Tumour Cell Lines Many studies have highlighted the tumoricidal properties of some natural peptides known to have antimicrobial virtues. ('M14K', 'SUBSTITUTION', 'None', (58, 62)) ('peptides', 'Chemical', 'MESH:D010455', (154, 162)) ('M14K', 'Var', (58, 62)) ('tumoricidal properties', 'CPA', (115, 137)) ('Cytotoxic', 'Disease', 'MESH:D064420', (4, 13)) ('MDA-MB-231', 'CellLine', 'CVCL:0062', (43, 53)) ('Cytotoxic', 'Disease', (4, 13)) ('Tumour', 'Phenotype', 'HP:0002664', (63, 69)) 21726 24222919 Relying on the literature, the purpose of our in vitro research was to assess the tumoricidal potential of magainin II on a series of tumour cell lines, namely, MDA-MB-231 (breast adenocarcinoma) and M14K (human mesothelioma). ('breast adenocarcinoma', 'Phenotype', 'HP:0003002', (173, 194)) ('mesothelioma', 'Disease', (212, 224)) ('MDA-MB-231', 'CellLine', 'CVCL:0062', (161, 171)) ('human', 'Species', '9606', (206, 211)) ('M14K', 'SUBSTITUTION', 'None', (200, 204)) ('tumour', 'Disease', 'MESH:D009369', (134, 140)) ('M14K', 'Var', (200, 204)) ('tumoricidal potential', 'CPA', (82, 103)) ('breast adenocarcinoma', 'Disease', (173, 194)) ('tumour', 'Disease', (134, 140)) ('mesothelioma', 'Disease', 'MESH:D008654', (212, 224)) ('breast adenocarcinoma', 'Disease', 'MESH:D000230', (173, 194)) ('tumour', 'Phenotype', 'HP:0002664', (134, 140)) 21733 24222919 Nevertheless, all forms of cancer are characterized by abnormal cell proliferation caused by different inherited or environment-induced genetic mutations. ('cancer', 'Phenotype', 'HP:0002664', (27, 33)) ('caused', 'Reg', (83, 89)) ('cell proliferation', 'biological_process', 'GO:0008283', ('64', '82')) ('cancer', 'Disease', (27, 33)) ('cancer', 'Disease', 'MESH:D009369', (27, 33)) ('mutations', 'Var', (144, 153)) ('abnormal cell proliferation', 'Phenotype', 'HP:0031377', (55, 82)) 21738 24222919 Relying on the literature, the purpose of our in vitro research was to assess the tumoricidal potential of the cytotoxic peptide magainin II on a series of tumour cell lines, namely, MDA-MB-231 (breast adenocarcinoma) and M14K (human mesothelioma). ('breast adenocarcinoma', 'Disease', 'MESH:D000230', (195, 216)) ('tumour', 'Disease', (156, 162)) ('mesothelioma', 'Disease', (234, 246)) ('breast adenocarcinoma', 'Phenotype', 'HP:0003002', (195, 216)) ('MDA-MB-231', 'CellLine', 'CVCL:0062', (183, 193)) ('M14K', 'SUBSTITUTION', 'None', (222, 226)) ('mesothelioma', 'Disease', 'MESH:D008654', (234, 246)) ('tumour', 'Phenotype', 'HP:0002664', (156, 162)) ('M14K', 'Var', (222, 226)) ('human', 'Species', '9606', (228, 233)) ('breast adenocarcinoma', 'Disease', (195, 216)) ('tumour', 'Disease', 'MESH:D009369', (156, 162)) 21739 24222919 a cationic peptide (Gly-Ile-Gly-Lys-Phe-Leu-His-Ser-Ala-Lys-Lys-Phe-Gly-Lys-Ala-Phe-Val-Gly-Glu-Ile-Met-Asn-Ser) with an alpha-helix-like amphiphilic structure targets certain cell membranes directly, where it forms permeable ion channels that lead to depolarization and irreversible cytolysis and eventually to cell death. ('Gly', 'Chemical', 'MESH:D005998', (88, 91)) ('Ser', 'cellular_component', 'GO:0005790', ('48', '51')) ('Ser', 'Chemical', 'MESH:D012694', (48, 51)) ('Gly', 'Chemical', 'MESH:D005998', (68, 71)) ('cytolysis', 'biological_process', 'GO:0019835', ('284', '293')) ('cell death', 'biological_process', 'GO:0008219', ('312', '322')) ('Gly', 'Chemical', 'MESH:D005998', (20, 23)) ('Ser', 'Chemical', 'MESH:D012694', (108, 111)) ('ion channels', 'molecular_function', 'GO:0022831', ('226', '238')) ('lead', 'Reg', (244, 248)) ('Gly', 'Chemical', 'MESH:D005998', (28, 31)) ('Ser', 'cellular_component', 'GO:0005790', ('108', '111')) ('forms', 'Reg', (210, 215)) ('depolarization', 'MPA', (252, 266)) ('Gly-Ile-Gly-Lys-Phe-Leu-His-Ser-Ala-Lys-Lys-Phe-Gly-Lys-Ala-Phe-Val-Gly-Glu-Ile-Met-Asn-Ser', 'Var', (20, 111)) 21754 24222919 We analysed the cytotoxicity of the peptide chosen for our study in relation to two adherent tumour cell lines: MDA-MB-231 (breast adenocarcinoma) and M14K (human mesothelioma). ('tumour', 'Disease', (93, 99)) ('breast adenocarcinoma', 'Disease', 'MESH:D000230', (124, 145)) ('MDA-MB-231', 'CellLine', 'CVCL:0062', (112, 122)) ('cytotoxicity', 'Disease', 'MESH:D064420', (16, 28)) ('mesothelioma', 'Disease', (163, 175)) ('breast adenocarcinoma', 'Phenotype', 'HP:0003002', (124, 145)) ('tumour', 'Phenotype', 'HP:0002664', (93, 99)) ('tumour', 'Disease', 'MESH:D009369', (93, 99)) ('M14K', 'SUBSTITUTION', 'None', (151, 155)) ('mesothelioma', 'Disease', 'MESH:D008654', (163, 175)) ('cytotoxicity', 'Disease', (16, 28)) ('M14K', 'Var', (151, 155)) ('human', 'Species', '9606', (157, 162)) ('breast adenocarcinoma', 'Disease', (124, 145)) 21780 24222919 Both the M14K adherent line cells (Figure 4(a)) and the K562 suspension line cells (Figure 4(b)) proliferated in 250 mL flasks in order to obtain a sufficient number of cells (4 x 106 cells for M14K and 1 x 107 cells for K562). ('proliferated', 'CPA', (97, 109)) ('M14K', 'SUBSTITUTION', 'None', (9, 13)) ('M14K', 'Var', (9, 13)) ('M14K', 'SUBSTITUTION', 'None', (194, 198)) ('M14K', 'Var', (194, 198)) ('K562', 'CellLine', 'CVCL:0004', (56, 60)) ('K562', 'CellLine', 'CVCL:0004', (221, 225)) 21784 24222919 In addition to this in vitro experimental model, another objective of this study was to assess the cytotoxic potential of magainin II on the MDA-MB-231 and M14K tumour cell lines. ('tumour', 'Phenotype', 'HP:0002664', (161, 167)) ('M14K', 'SUBSTITUTION', 'None', (156, 160)) ('tumour', 'Disease', 'MESH:D009369', (161, 167)) ('M14K', 'Var', (156, 160)) ('MDA-MB-231', 'CellLine', 'CVCL:0062', (141, 151)) ('tumour', 'Disease', (161, 167)) 21792 24222919 M14K Is an Adherent Human Mesothelioma Cell Line. ('M14K', 'Var', (0, 4)) ('Human', 'Species', '9606', (20, 25)) ('Mesothelioma', 'Disease', (26, 38)) ('Mesothelioma', 'Disease', 'MESH:D008654', (26, 38)) ('M14K', 'SUBSTITUTION', 'None', (0, 4)) 21795 24222919 Among the 3 histological subtypes of mesothelioma, our experiment used the M14K mesothelial epithelial cell line. ('mesothelioma', 'Disease', (37, 49)) ('M14K', 'Var', (75, 79)) ('mesothelioma', 'Disease', 'MESH:D008654', (37, 49)) ('M14K', 'SUBSTITUTION', 'None', (75, 79)) 21796 24222919 The evolution of the M14K cells after 72 h of incubation with magainin II was similar to that of the MDA-MB-231 cells, meaning that cytostasis exceeded 50% when a 120 muM concentration of magainin II was used (Table 3). ('cytostasis', 'MPA', (132, 142)) ('muM', 'Gene', (167, 170)) ('MDA-MB-231', 'CellLine', 'CVCL:0062', (101, 111)) ('M14K', 'SUBSTITUTION', 'None', (21, 25)) ('M14K', 'Var', (21, 25)) ('muM', 'Gene', '56925', (167, 170)) 21798 24222919 Therefore, when incubated with magainin II, cell viability was equally low in the MDA-MB-231 tumour cell line and in the M14K tumour cell line. ('low', 'NegReg', (71, 74)) ('tumour', 'Phenotype', 'HP:0002664', (126, 132)) ('MDA-MB-231', 'CellLine', 'CVCL:0062', (82, 92)) ('tumour', 'Disease', (93, 99)) ('M14K', 'SUBSTITUTION', 'None', (121, 125)) ('M14K', 'Var', (121, 125)) ('tumour', 'Disease', 'MESH:D009369', (126, 132)) ('tumour', 'Disease', (126, 132)) ('tumour', 'Phenotype', 'HP:0002664', (93, 99)) ('tumour', 'Disease', 'MESH:D009369', (93, 99)) ('cell viability', 'CPA', (44, 58)) 21809 24222919 The objectives of our research were fulfilled by the assessment, by means of the MTT technique, of the in vitro cytotoxic effect determining the cytostasis process in various types of cells (MDA-MB-231 and M14K cell lines), depending on the type and concentrations of cytotoxic peptide used. ('M14K', 'Var', (206, 210)) ('MTT', 'Chemical', 'MESH:C070243', (81, 84)) ('cytostasis process', 'MPA', (145, 163)) ('MDA-MB-231', 'CellLine', 'CVCL:0062', (191, 201)) ('M14K', 'SUBSTITUTION', 'None', (206, 210)) 21827 21139925 is a 53-year-old G3P3003 menstruating female who presented to her gynecologist with a complaint of intermittent urinary urgency. ('urinary urgency', 'Phenotype', 'HP:0000012', (112, 127)) ('G3P3003', 'Var', (17, 24)) ('intermittent urinary urgency', 'Disease', (99, 127)) ('men', 'Species', '9606', (25, 28)) 21960 18560526 After stratifying asbestos burden data into tertiles of low burden (0-99 ABs/g lung), moderate burden (100-1,099 ABs/g lung), and high burden (> 1,099 ABs/g lung), we found an association of fiber burden with survival among these groups that approached statistical significance (Figure 3; log-rank p = 0.06). ('ABs', 'Phenotype', 'HP:0011002', (151, 154)) ('asbestos', 'Chemical', 'MESH:D001194', (18, 26)) ('> 1,099 ABs/g', 'Var', (143, 156)) ('100-1,099 ABs/g', 'Var', (103, 118)) ('ABs', 'Phenotype', 'HP:0011002', (73, 76)) ('association', 'Interaction', (176, 187)) ('ABs', 'Phenotype', 'HP:0011002', (113, 116)) 22083 15138470 Furthermore, it is possible that such changes in metabolism may have an adverse effect on outcomes for patients with SCLC irrespective of treatment. ('metabolism', 'MPA', (49, 59)) ('SCLC', 'Gene', '7864', (117, 121)) ('SCLC', 'Phenotype', 'HP:0030357', (117, 121)) ('SCLC', 'Gene', (117, 121)) ('metabolism', 'biological_process', 'GO:0008152', ('49', '59')) ('men', 'Species', '9606', (143, 146)) ('patients', 'Species', '9606', (103, 111)) ('changes', 'Var', (38, 45)) 22121 30874891 Incidence of overall cancer (defined as ICD-10 codes C00-C97 [excluding C44] and D00-D09 [excluding D04]) and specific cancer incidences in Gortschitztal valley in comparison to the rates in the region of Carinthia, between 1983 and 2012 were computed. ('cancer', 'Phenotype', 'HP:0002664', (21, 27)) ('C00-C97', 'Var', (53, 60)) ('cancer', 'Disease', 'MESH:D009369', (119, 125)) ('cancer', 'Disease', (119, 125)) ('cancer', 'Disease', (21, 27)) ('cancer', 'Disease', 'MESH:D009369', (21, 27)) ('D00-D09', 'Var', (81, 88)) ('cancer', 'Phenotype', 'HP:0002664', (119, 125)) 22132 30874891 For females, the incidences of all malignancies were greater in St. Veit East than in St. Veit West (25/30 years) and similar to the average for Carinthia (St. Veit East greater than Carinthia in 14 years). ('St. Veit East', 'Var', (64, 77)) ('malignancies', 'Disease', 'MESH:D009369', (35, 47)) ('greater', 'PosReg', (53, 60)) ('malignancies', 'Disease', (35, 47)) 22138 30874891 For kidney cancer, the incidence rates in St. Veit East and West were both above the average for Carinthia, with St. Veit West having a higher incidence rate than St. Veit East. ('kidney cancer', 'Disease', 'MESH:D007680', (4, 17)) ('cancer', 'Phenotype', 'HP:0002664', (11, 17)) ('kidney cancer', 'Disease', (4, 17)) ('St. Veit West', 'Var', (113, 126)) ('Carinthia', 'Disease', (97, 106)) ('kidney cancer', 'Phenotype', 'HP:0009726', (4, 17)) 22139 30874891 Thyroid cancer incidence rate was higher in St. Veit East, compared to St. Veit West and Carinthia overall. ('cancer', 'Disease', (8, 14)) ('Thyroid cancer', 'Phenotype', 'HP:0002890', (0, 14)) ('higher', 'PosReg', (34, 40)) ('St. Veit East', 'Var', (44, 57)) ('cancer', 'Phenotype', 'HP:0002664', (8, 14)) ('cancer', 'Disease', 'MESH:D009369', (8, 14)) 22168 30316293 In patients carrying wild-type p53 either treated or not treated with chemotherapy, FEN1 and MMP2 exhibited the highest inverse correlation, whereas in untreated patients bearing mutated p53, SIAH1 negatively correlated with survival. ('p53', 'Gene', (31, 34)) ('FEN1', 'Gene', (84, 88)) ('patients', 'Species', '9606', (162, 170)) ('SIAH1', 'Gene', (192, 197)) ('p53', 'Gene', '7157', (31, 34)) ('MMP2', 'molecular_function', 'GO:0004228', ('93', '97')) ('p53', 'Gene', (187, 190)) ('p53', 'Gene', '7157', (187, 190)) ('MMP2', 'Gene', (93, 97)) ('patients', 'Species', '9606', (3, 11)) ('FEN1', 'Gene', '2237', (84, 88)) ('SIAH1', 'Gene', '6477', (192, 197)) ('correlated', 'Reg', (209, 219)) ('MMP2', 'Gene', '4313', (93, 97)) ('mutated', 'Var', (179, 186)) 22174 30316293 Here we employ a combination of computer simulation techniques along with data from both mesothelioma cells and from mesothelioma patients to identify genes that are correlated with both patient survival and disease stage. ('patient', 'Species', '9606', (130, 137)) ('mesothelioma', 'Disease', (89, 101)) ('correlated', 'Reg', (166, 176)) ('mesothelioma', 'Disease', (117, 129)) ('mesothelioma', 'Disease', 'MESH:D008654', (89, 101)) ('patients', 'Species', '9606', (130, 138)) ('genes', 'Var', (151, 156)) ('mesothelioma', 'Disease', 'MESH:D008654', (117, 129)) ('patient', 'Species', '9606', (187, 194)) 22184 30316293 Genomic and transcriptomic analysis of MPM patients has shown the existence of aberrations in the p53 network, for instance mutations in the ARF pathway, which regulates p53. ('mutations', 'Var', (124, 133)) ('patients', 'Species', '9606', (43, 51)) ('p53', 'Gene', (170, 173)) ('p53', 'Gene', (98, 101)) ('p53', 'Gene', '7157', (170, 173)) ('ARF pathway', 'Pathway', (141, 152)) ('p53', 'Gene', '7157', (98, 101)) 22189 30316293 Thus, intensive investigation of the TP53 signaling is carried out (more than 91,000 published articles related to p53 as of September 2018) and detailed understanding of the alterations that occur in its network when this tumor suppressor is mutated is needed to improve the outcomes of the TP53-network based therapies. ('signaling', 'biological_process', 'GO:0023052', ('42', '51')) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('223', '239')) ('tumor', 'Phenotype', 'HP:0002664', (223, 228)) ('tumor', 'Disease', (223, 228)) ('TP53', 'Gene', '7157', (292, 296)) ('TP53', 'Gene', (292, 296)) ('mutated', 'Var', (243, 250)) ('p53', 'Gene', (115, 118)) ('p53', 'Gene', '7157', (115, 118)) ('tumor', 'Disease', 'MESH:D009369', (223, 228)) ('TP53', 'Gene', '7157', (37, 41)) ('TP53', 'Gene', (37, 41)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('223', '239')) 22221 30316293 These groups were wild-type p53 treated, or not treated with chemotherapy, and mutant p53 treated or not treated with chemotherapy. ('p53', 'Gene', (28, 31)) ('p53', 'Gene', '7157', (86, 89)) ('p53', 'Gene', '7157', (28, 31)) ('mutant', 'Var', (79, 85)) ('p53', 'Gene', (86, 89)) 22229 30316293 In not treated with chemotherapy patients carrying wild-type p53 the highest negative correlation with survival was observed for MMP2 (- 0.521), which is a matrix metallopeptidase involved in cell migration and metastasis (Table 4 and Additional file 9: Table S9). ('MMP2', 'molecular_function', 'GO:0004228', ('129', '133')) ('patients', 'Species', '9606', (33, 41)) ('negative', 'NegReg', (77, 85)) ('MMP2', 'Gene', '4313', (129, 133)) ('cell migration', 'biological_process', 'GO:0016477', ('192', '206')) ('MMP2', 'Gene', (129, 133)) ('p53', 'Gene', '7157', (61, 64)) ('p53', 'Gene', (61, 64)) ('wild-type', 'Var', (51, 60)) 22230 30316293 Finally, in the not treated with chemotherapy p53 mutated group of patients the highest negative correlation with survival was observed with SIAH1 (- 0.702) gene. ('negative', 'NegReg', (88, 96)) ('SIAH1', 'Gene', '6477', (141, 146)) ('patients', 'Species', '9606', (67, 75)) ('p53', 'Gene', (46, 49)) ('SIAH1', 'Gene', (141, 146)) ('mutated', 'Var', (50, 57)) ('p53', 'Gene', '7157', (46, 49)) 22232 30316293 Negative correlation with survival in patients expressing either wild type or mutant p53 was observed for five genes namely the E2F1, FOXM1, PRC1, HSP90AB1 and AURKA. ('E2F1', 'Gene', '1869', (128, 132)) ('E2F1', 'Gene', (128, 132)) ('HSP90AB1', 'Gene', (147, 155)) ('patients', 'Species', '9606', (38, 46)) ('HSP90AB1', 'Gene', '3326', (147, 155)) ('PRC1', 'Gene', (141, 145)) ('PRC1', 'Gene', '9055', (141, 145)) ('FOXM1', 'Gene', (134, 139)) ('Negative', 'NegReg', (0, 8)) ('AURKA', 'Gene', '6790', (160, 165)) ('FOXM1', 'Gene', '2305', (134, 139)) ('p53', 'Gene', (85, 88)) ('p53', 'Gene', '7157', (85, 88)) ('mutant', 'Var', (78, 84)) ('AURKA', 'Gene', (160, 165)) 22249 30316293 In order to determine which pathways are modulated by these genes we used KEGG, the biological biochemical image database (BBID) and Biocarta databases (Additional file 15: Table S14). ('genes', 'Var', (60, 65)) ('S14', 'Gene', '6208', (179, 182)) ('S14', 'Gene', (179, 182)) 22267 30316293 In mesothelioma inactivation of the p53 network is frequent (> 70%) through p53 and the CDKN2A locus alterations. ('CDKN2A', 'Gene', (88, 94)) ('alterations', 'Var', (101, 112)) ('p53', 'Gene', (76, 79)) ('p53', 'Gene', '7157', (76, 79)) ('mesothelioma', 'Disease', (3, 15)) ('p53', 'Gene', (36, 39)) ('p53', 'Gene', '7157', (36, 39)) ('CDKN2A', 'Gene', '1029', (88, 94)) ('inactivation', 'Var', (16, 28)) ('mesothelioma', 'Disease', 'MESH:D008654', (3, 15)) 22272 30316293 We mimicked in vivo mutations or loss of function of p53 using various in silico simulations and predicted the effects on gene signaling pathways and cellular fate caused by perturbations of DNA damage input (ON or OFF). ('DNA', 'cellular_component', 'GO:0005574', ('191', '194')) ('signaling', 'biological_process', 'GO:0023052', ('127', '136')) ('cellular fate', 'CPA', (150, 163)) ('effects', 'Reg', (111, 118)) ('gene signaling pathways', 'Pathway', (122, 145)) ('loss of function', 'NegReg', (33, 49)) ('p53', 'Gene', (53, 56)) ('p53', 'Gene', '7157', (53, 56)) ('mutations', 'Var', (20, 29)) ('DNA damage input', 'MPA', (191, 207)) 22294 30316293 In patients with mutant p53 that have not been treated with chemotherapy 19 genes were identified with significant negative correlation to survival (Table 4). ('p53', 'Gene', '7157', (24, 27)) ('p53', 'Gene', (24, 27)) ('patients', 'Species', '9606', (3, 11)) ('negative', 'NegReg', (115, 123)) ('mutant', 'Var', (17, 23)) 22296 30316293 Although there are no drugs directly targeting SIAH1, 6 already approved drugs that target its interaction partners UBE2N and 9 that target STAT3 could be tested in mesothelioma patients carrying mutated p53. ('mesothelioma', 'Disease', (165, 177)) ('patients', 'Species', '9606', (178, 186)) ('p53', 'Gene', (204, 207)) ('p53', 'Gene', '7157', (204, 207)) ('SIAH1', 'Gene', '6477', (47, 52)) ('UBE2N', 'Gene', (116, 121)) ('mesothelioma', 'Disease', 'MESH:D008654', (165, 177)) ('UBE2N', 'Gene', '7334', (116, 121)) ('STAT3', 'Gene', '6774', (140, 145)) ('mutated', 'Var', (196, 203)) ('STAT3', 'Gene', (140, 145)) ('SIAH1', 'Gene', (47, 52)) ('tested', 'Reg', (155, 161)) 22297 30316293 There are several genes identified in both p53 wild type and mutant cases including the E2F1 transcription factor that is a master regulator of cell cycle, FOXM1 that is a member of forkhead family of transcription factors that control proliferation, and PRC1 involved in control of cytokinesis and chromosomal stability. ('transcription', 'biological_process', 'GO:0006351', ('93', '106')) ('PRC1', 'Gene', (255, 259)) ('PRC1', 'Gene', '9055', (255, 259)) ('transcription factor', 'molecular_function', 'GO:0000981', ('93', '113')) ('transcription', 'biological_process', 'GO:0006351', ('201', '214')) ('cell cycle', 'biological_process', 'GO:0007049', ('144', '154')) ('FOXM1', 'Gene', '2305', (156, 161)) ('E2F1', 'Gene', '1869', (88, 92)) ('E2F1', 'Gene', (88, 92)) ('FOXM1', 'Gene', (156, 161)) ('cytokinesis', 'biological_process', 'GO:0000910', ('283', '294')) ('mutant', 'Var', (61, 67)) ('p53', 'Gene', (43, 46)) ('p53', 'Gene', '7157', (43, 46)) 22327 30316293 Patients were split into 4 groups: treated with chemotherapy patients with TP53 wild-type (n = 27), not treated with chemotherapy patients with TP53 wild-type (n = 26), treated with chemotherapy patients with TP53 mutant (n = 1) and not treated with chemotherapy patients with TP53 mutant (n = 17). ('TP53', 'Gene', '7157', (144, 148)) ('TP53', 'Gene', (144, 148)) ('TP53', 'Gene', (209, 213)) ('patients', 'Species', '9606', (263, 271)) ('patients', 'Species', '9606', (61, 69)) ('mutant', 'Var', (214, 220)) ('patients', 'Species', '9606', (130, 138)) ('Patients', 'Species', '9606', (0, 8)) ('patients', 'Species', '9606', (195, 203)) ('TP53', 'Gene', '7157', (209, 213)) ('TP53', 'Gene', '7157', (277, 281)) ('TP53', 'Gene', (277, 281)) ('TP53', 'Gene', '7157', (75, 79)) ('TP53', 'Gene', (75, 79)) 22459 27169472 Changes in RR resulted in a significant change in LRx, FEN and FEF for both sexes. ('change', 'Reg', (40, 46)) ('FEN', 'MPA', (55, 58)) ('LR', 'Gene', '4035', (50, 52)) ('Changes', 'Var', (0, 7)) ('FEF', 'MPA', (63, 66)) 22496 26193793 We postulated that the dichotomy in response to CTLA4 blockade could be leveraged for increasing treatment efficacy, by visualizing the immunotherapy-induced response in the regressing tumour as a complex, modular network of interacting gene products. ('blockade', 'Var', (54, 62)) ('tumour', 'Phenotype', 'HP:0002664', (185, 191)) ('CTLA4', 'Gene', (48, 53)) ('tumour', 'Disease', 'MESH:D009369', (185, 191)) ('tumour', 'Disease', (185, 191)) 22504 26193793 We treated mice with anti-CTLA4 or PBS, surgically removed one of the tumours 7 days after treatment administration, at which time regressor and progressor tumours are macroscopically identical. ('anti-CTLA4', 'Var', (21, 31)) ('tumours', 'Disease', 'MESH:D009369', (156, 163)) ('tumours', 'Disease', (156, 163)) ('tumour', 'Phenotype', 'HP:0002664', (70, 76)) ('PBS', 'Chemical', 'MESH:D007854', (35, 38)) ('mice', 'Species', '10090', (11, 15)) ('tumours', 'Phenotype', 'HP:0002664', (70, 77)) ('tumours', 'Disease', 'MESH:D009369', (70, 77)) ('tumour', 'Phenotype', 'HP:0002664', (156, 162)) ('tumours', 'Phenotype', 'HP:0002664', (156, 163)) ('tumours', 'Disease', (70, 77)) 22525 26193793 In vivo validation experiments showed a significant enhancement of treatment efficacy when ATRA was co-administered with CTLA-4 blockade, with long-term cures in the majority of mice (Fig. ('CTLA-4', 'Gene', (121, 127)) ('enhancement', 'PosReg', (52, 63)) ('mice', 'Species', '10090', (178, 182)) ('ATRA', 'Chemical', 'MESH:D014212', (91, 95)) ('treatment', 'MPA', (67, 76)) ('blockade', 'Var', (128, 136)) ('CTLA-4', 'Gene', '12477', (121, 127)) 22536 26193793 We internally validated the relevance of these hubs, within the same tumour model, that modification of these hubs indeed changed the response rate to anti-CTLA4. ('tumour', 'Disease', (69, 75)) ('response rate', 'MPA', (134, 147)) ('modification', 'Var', (88, 100)) ('tumour', 'Phenotype', 'HP:0002664', (69, 75)) ('tumour', 'Disease', 'MESH:D009369', (69, 75)) ('changed', 'Reg', (122, 129)) 22557 26193793 In responding animals, tumours consistently started regressing on day 7 after administration of anti-CTLA4; before this time point tumours of responding and non-responding mice were identical in size (Fig. ('tumours', 'Disease', 'MESH:D009369', (131, 138)) ('tumour', 'Phenotype', 'HP:0002664', (23, 29)) ('anti-CTLA4', 'Var', (96, 106)) ('tumours', 'Phenotype', 'HP:0002664', (23, 30)) ('tumours', 'Disease', 'MESH:D009369', (23, 30)) ('tumours', 'Disease', (131, 138)) ('mice', 'Species', '10090', (172, 176)) ('tumours', 'Disease', (23, 30)) ('tumour', 'Phenotype', 'HP:0002664', (131, 137)) ('tumours', 'Phenotype', 'HP:0002664', (131, 138)) 22560 26193793 Tumors from 4 different experiments were used, in which the mice were treated on day 5 or 6 with 200 mug anti-CTLA4. ('Tumor', 'Phenotype', 'HP:0002664', (0, 5)) ('mug', 'molecular_function', 'GO:0043739', ('101', '104')) ('Tumors', 'Disease', (0, 6)) ('anti-CTLA4', 'Var', (105, 115)) ('Tumors', 'Disease', 'MESH:D009369', (0, 6)) ('Tumors', 'Phenotype', 'HP:0002664', (0, 6)) ('mice', 'Species', '10090', (60, 64)) 22593 26193793 We observed substantial toxicity when we treated mice simultaneously with VX-680 and anti-CTLA4 (sterile inflammation of the peritoneal cavity leading to bowel obstruction as found by macroscopic and microscopic examination; there was no sign of colitis, data not shown). ('colitis', 'Phenotype', 'HP:0002583', (246, 253)) ('bowel obstruction', 'Disease', 'MESH:D015212', (154, 171)) ('bowel obstruction', 'Phenotype', 'HP:0005214', (154, 171)) ('colitis', 'Disease', 'MESH:D003092', (246, 253)) ('toxicity', 'Disease', 'MESH:D064420', (24, 32)) ('mice', 'Species', '10090', (49, 53)) ('toxicity', 'Disease', (24, 32)) ('bowel obstruction', 'Disease', (154, 171)) ('anti-CTLA4', 'Var', (85, 95)) ('colitis', 'Disease', (246, 253)) ('VX-680', 'Var', (74, 80)) ('inflammation', 'biological_process', 'GO:0006954', ('105', '117')) 22697 24910640 In contrast to many other types of solid tumor, mesotheliomas generally lack mutations of the fundamental tumor suppressor genes, p53 and RB. ('tumor', 'Phenotype', 'HP:0002664', (41, 46)) ('tumor', 'Disease', (41, 46)) ('mesotheliomas', 'Disease', 'MESH:D008654', (48, 61)) ('mesotheliomas', 'Disease', (48, 61)) ('p53', 'Gene', '7157', (130, 133)) ('lack', 'NegReg', (72, 76)) ('tumor', 'Disease', 'MESH:D009369', (106, 111)) ('mutations', 'Var', (77, 86)) ('tumor suppressor', 'biological_process', 'GO:0051726', ('106', '122')) ('solid tumor', 'Disease', (35, 46)) ('men', 'Species', '9606', (99, 102)) ('p53', 'Gene', (130, 133)) ('tumor', 'Phenotype', 'HP:0002664', (106, 111)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('106', '122')) ('tumor', 'Disease', 'MESH:D009369', (41, 46)) ('tumor', 'Disease', (106, 111)) ('solid tumor', 'Disease', 'MESH:D009369', (35, 46)) 22701 24910640 The more commonly noted losses occur on the short arms of chromosomes 1 (notably 1p21-p22), 3 (notably 3p21.3), and 9 (notably 9p14/p16), and on the long arms of chromosomes 6 (notably 6q14-q21, 6q16.6-q21, 6q21-q23.2, and 6q25), 15 (notably 15q11.1-q15), and both arms of chromosome 22 (Pisick and Salgia,; Pass et al.,). ('p22', 'Gene', '11331', (86, 89)) ('3p21.3', 'Var', (103, 109)) ('p16', 'Gene', '1029', (132, 135)) ('chromosome', 'cellular_component', 'GO:0005694', ('273', '283')) ('losses', 'NegReg', (24, 30)) ('p16', 'Gene', (132, 135)) ('Pisick and Salgia', 'Disease', 'None', (288, 305)) ('p22', 'Gene', (86, 89)) ('short arms', 'Phenotype', 'HP:0009824', (44, 54)) 22705 24910640 These authors identified a slightly wider range of associated chromosomal alterations including losses at 1p, 3p, 4q, 6q, 13p, 14q, and 22q, and gains at 1q, 5p, 7p, 8q, and 17q and noted that more specific mutations on chromosome 22 (e.g., deletions at the neurofibromatosis 2 locus, 22q12), chromosome 9 (e.g., INK4 genes, specifically deletions at cyclin-dependent kinase inhibitor genes CDKN2A and CDKN2B at 9p21.3), and chromosome 17 (TP53 gene deletion at 17p13.1, though less common) have been associated with mesothelioma in recent reports. ('p13', 'Gene', (464, 467)) ('chromosome', 'cellular_component', 'GO:0005694', ('425', '435')) ('associated', 'Reg', (501, 511)) ('deletions', 'Var', (338, 347)) ('chromosome', 'cellular_component', 'GO:0005694', ('220', '230')) ('TP53', 'Gene', (440, 444)) ('p13', 'Gene', '440926', (464, 467)) ('mutations', 'Var', (207, 216)) ('CDKN2A', 'Gene', (391, 397)) ('deletions', 'Var', (241, 250)) ('deletion', 'Var', (450, 458)) ('CDKN2B', 'Gene', (402, 408)) ('mesothelioma', 'Disease', (517, 529)) ('neurofibromatosis', 'Phenotype', 'HP:0001067', (258, 275)) ('mesothelioma', 'Disease', 'MESH:D008654', (517, 529)) ('kinase inhibitor', 'biological_process', 'GO:0033673', ('368', '384')) ('INK4', 'Gene', '1029', (313, 317)) ('CDKN2B', 'Gene', '1030', (402, 408)) ('CDKN2A', 'Gene', '1029', (391, 397)) ('neurofibromatosis', 'Disease', 'MESH:C537392', (258, 275)) ('TP53', 'Gene', '7157', (440, 444)) ('INK4', 'Gene', (313, 317)) ('cyclin-dependent kinase inhibitor', 'molecular_function', 'GO:0004861', ('351', '384')) ('neurofibromatosis', 'Disease', (258, 275)) ('chromosome', 'cellular_component', 'GO:0005694', ('293', '303')) 22706 24910640 However, these mutations occur with several other cancer types (Jean et al.,). ('cancer', 'Disease', (50, 56)) ('cancer', 'Disease', 'MESH:D009369', (50, 56)) ('mutations', 'Var', (15, 24)) ('occur', 'Reg', (25, 30)) ('cancer', 'Phenotype', 'HP:0002664', (50, 56)) 22707 24910640 They noted a new association between mesotheliomas and increased microRNA expression of certain types (MiR-31, -141, -192, -193, -200a-c, -203, -205, and -429); greater DNA methylation at certain loci, and increases in markers of telomere length maintenance mechanisms were also reportedly associated with mesotheliomas (Ivanov et al.,; Jean et al.,). ('methylation', 'Var', (173, 184)) ('MiR-31', 'Gene', (103, 109)) ('greater', 'PosReg', (161, 168)) ('MiR-31', 'Gene', '407035', (103, 109)) ('increases', 'PosReg', (206, 215)) ('increased', 'PosReg', (55, 64)) ('mesotheliomas', 'Disease', 'MESH:D008654', (306, 319)) ('associated', 'Reg', (290, 300)) ('mesotheliomas', 'Disease', (306, 319)) ('DNA', 'cellular_component', 'GO:0005574', ('169', '172')) ('DNA methylation', 'biological_process', 'GO:0006306', ('169', '184')) ('telomere', 'cellular_component', 'GO:0000781', ('230', '238')) ('mesotheliomas', 'Disease', 'MESH:D008654', (37, 50)) ('mesotheliomas', 'Disease', (37, 50)) ('telomere', 'cellular_component', 'GO:0005696', ('230', '238')) ('microRNA expression', 'MPA', (65, 84)) ('DNA', 'MPA', (169, 172)) 22710 24910640 First, there is recent evidence suggesting that telomere status and telomere maintenance mechanisms tied to P53, ATRX and DAXX mutations may be helpful in distinguishing more aggressive mesotheliomas (Durant,; Gocha et al.,; Tallet et al.,). ('ATRX', 'Gene', '546', (113, 117)) ('DAXX', 'Gene', (122, 126)) ('telomere', 'cellular_component', 'GO:0000781', ('68', '76')) ('telomere', 'cellular_component', 'GO:0000781', ('48', '56')) ('aggressive mesotheliomas', 'Disease', 'MESH:D008654', (175, 199)) ('telomere', 'cellular_component', 'GO:0005696', ('48', '56')) ('telomere maintenance', 'biological_process', 'GO:0000723', ('68', '88')) ('aggressive mesotheliomas', 'Disease', (175, 199)) ('P53', 'Gene', (108, 111)) ('DAXX', 'Gene', '1616', (122, 126)) ('mutations', 'Var', (127, 136)) ('telomere', 'cellular_component', 'GO:0005696', ('68', '76')) ('P53', 'Gene', '7157', (108, 111)) ('ATRX', 'Gene', (113, 117)) 22712 24910640 Second, the mutations leading to telomere lengthening and survival of clonally expanding mesothelioma cells using ALT mechanisms are reported to form ALT-associated promyelocytic bodies that may be akin to micronuclei observed in tumor cells and blood polynucleated lymphocytes with exposure to asbestos (Dopp et al.,; Bolognesi et al.,; Martini et al.,). ('telomere', 'Gene', (33, 41)) ('tumor', 'Disease', (230, 235)) ('ALT', 'Gene', (150, 153)) ('mesothelioma', 'Disease', (89, 101)) ('ALT', 'Gene', '76282', (114, 117)) ('mutations', 'Var', (12, 21)) ('telomere', 'cellular_component', 'GO:0005696', ('33', '41')) ('mesothelioma', 'Disease', 'MESH:D008654', (89, 101)) ('ALT', 'Gene', '76282', (150, 153)) ('ALT', 'molecular_function', 'GO:0004021', ('150', '153')) ('tumor', 'Disease', 'MESH:D009369', (230, 235)) ('ALT', 'Gene', (114, 117)) ('tumor', 'Phenotype', 'HP:0002664', (230, 235)) ('ALT', 'molecular_function', 'GO:0004021', ('114', '117')) ('asbestos', 'Chemical', 'MESH:D001194', (295, 303)) ('telomere', 'cellular_component', 'GO:0000781', ('33', '41')) 22714 24910640 And fourth, germline mutations in nuclear deubiquitinase BRCA1-associated protein 1 (BAP1) have been observed in familial clusters of mesothelioma not necessarily linked to asbestos (Testa et al.,) and in a fraction of pleural mesotheliomas in other case series (Bott et al.,; Jean et al.,; Tallet et al.,). ('BAP1', 'Gene', (85, 89)) ('observed', 'Reg', (101, 109)) ('mesothelioma', 'Disease', (134, 146)) ('germline mutations', 'Var', (12, 30)) ('linked', 'Reg', (163, 169)) ('pleural mesotheliomas', 'Phenotype', 'HP:0100002', (219, 240)) ('mesothelioma', 'Disease', 'MESH:D008654', (134, 146)) ('deubiquitinase', 'molecular_function', 'GO:0004843', ('42', '56')) ('mesothelioma', 'Disease', (227, 239)) ('pleural mesotheliomas', 'Disease', 'MESH:D008654', (219, 240)) ('asbestos', 'Chemical', 'MESH:D001194', (173, 181)) ('protein', 'cellular_component', 'GO:0003675', ('74', '81')) ('pleural mesothelioma', 'Phenotype', 'HP:0100002', (219, 239)) ('mesothelioma', 'Disease', 'MESH:D008654', (227, 239)) ('BRCA1-associated protein 1', 'Gene', '8314', (57, 83)) ('BAP1', 'Gene', '8314', (85, 89)) ('pleural mesotheliomas', 'Disease', (219, 240)) ('BRCA1-associated protein 1', 'Gene', (57, 83)) 22728 24910640 GCTs can arise from germ cell tissues in the testes, the prostate, and other tissue locations (extragonadal GCT) as a result of a mutation and abnormal migration of germ cells during embryonic development (Blossom et al.,; Sarma et al.,). ('GCTs', 'Disease', (0, 4)) ('result of', 'Reg', (118, 127)) ('mutation', 'Var', (130, 138)) ('men', 'Species', '9606', (200, 203)) ('GCTs', 'Phenotype', 'HP:0100728', (0, 4)) ('abnormal migration', 'Phenotype', 'HP:0002269', (143, 161)) ('arise', 'Reg', (9, 14)) 22751 24910640 Indeed, PSC in many ways can mimic epithelioid mesothelioma, but unlike mesothelioma, PSC is linked to hereditary and sporadic mutations of two breast cancer susceptibility genes (BRCA-1 and BRCA-2). ('BRCA-1', 'Gene', '672', (180, 186)) ('breast cancer', 'Disease', 'MESH:D001943', (144, 157)) ('epithelioid mesothelioma', 'Disease', (35, 59)) ('cancer', 'Phenotype', 'HP:0002664', (151, 157)) ('breast cancer', 'Disease', (144, 157)) ('mesothelioma', 'Disease', 'MESH:D008654', (47, 59)) ('breast cancer', 'Phenotype', 'HP:0003002', (144, 157)) ('linked', 'Reg', (93, 99)) ('mesothelioma', 'Disease', (72, 84)) ('BRCA-2', 'Gene', '675', (191, 197)) ('epithelioid mesothelioma', 'Disease', 'MESH:D008654', (35, 59)) ('BRCA-2', 'Gene', (191, 197)) ('PSC', 'Disease', (86, 89)) ('mutations', 'Var', (127, 136)) ('mesothelioma', 'Disease', 'MESH:D008654', (72, 84)) ('mesothelioma', 'Disease', (47, 59)) ('BRCA-1', 'Gene', (180, 186)) ('PSC', 'Disease', (8, 11)) 22752 24910640 Primary epithelial cancers of the fallopian tubes (particularly the fimbria) appear to be linked to more aggressive and early-onset PSC in women with the BRCA-1 mutation (Sobol et al.,; Zweemer et al.,; Aziz et al.,; Paley et al.,; Levine et al.,; Piek et al.,; Finch et al.,; Medeiros et al.,; Kindelberger et al.,), while ovarian surface epithelium tumors have been linked to both BRCA-1 and BRCA-2 mutations (Werness et al.,; Colgan et al.,; Piura et al.,; Risch et al.,; Agoff et al.,; Brose et al.,; Geisler et al.,; Hilton et al.,; Cass et al.,). ('BRCA-2', 'Gene', (394, 400)) ('Primary epithelial cancers of the fallopian tubes', 'Disease', 'MESH:D005185', (0, 49)) ('cancers', 'Phenotype', 'HP:0002664', (19, 26)) ('linked', 'Reg', (368, 374)) ('tumors', 'Disease', 'MESH:D009369', (351, 357)) ('BRCA-1', 'Gene', (154, 160)) ('cancer', 'Phenotype', 'HP:0002664', (19, 25)) ('BRCA-1', 'Gene', '672', (154, 160)) ('mutation', 'Var', (161, 169)) ('BRCA-1', 'Gene', (383, 389)) ('BRCA-1', 'Gene', '672', (383, 389)) ('tumors', 'Phenotype', 'HP:0002664', (351, 357)) ('Primary epithelial cancers of the fallopian tubes', 'Disease', (0, 49)) ('mutations', 'Var', (401, 410)) ('women', 'Species', '9606', (139, 144)) ('tumor', 'Phenotype', 'HP:0002664', (351, 356)) ('fimbria', 'cellular_component', 'GO:0009289', ('68', '75')) ('BRCA-2', 'Gene', '675', (394, 400)) ('tumors', 'Disease', (351, 357)) ('ovarian surface epithelium tumors', 'Phenotype', 'HP:0025318', (324, 357)) 22753 24910640 More advanced PSC tumors originating from ovarian surface epithelium or tubal fimbria epithelium are subject to genomic instability, loss of WT-1 gene expression, and the presence of both BRCA and p53 mutations, sometimes making the site or origin difficult to distinguish in more advanced stages of the disease (Schorge et al.,; Piek et al.,; Kindelberger et al.,; Lee et al.,; Gilks et al.,). ('mutations', 'Var', (201, 210)) ('fimbria', 'cellular_component', 'GO:0009289', ('78', '85')) ('gene expression', 'biological_process', 'GO:0010467', ('146', '161')) ('loss', 'NegReg', (133, 137)) ('p53', 'Gene', (197, 200)) ('PSC tumors', 'Disease', 'MESH:D015209', (14, 24)) ('p53', 'Gene', '7157', (197, 200)) ('WT-1', 'Gene', (141, 145)) ('BRCA', 'Gene', '672', (188, 192)) ('PSC tumors', 'Disease', (14, 24)) ('tumors', 'Phenotype', 'HP:0002664', (18, 24)) ('presence', 'Var', (171, 179)) ('tumor', 'Phenotype', 'HP:0002664', (18, 23)) ('BRCA', 'Gene', (188, 192)) ('WT-1', 'Gene', '7490', (141, 145)) 22756 24910640 Three familial genetic syndromes associated with excess ovarian cancer risk have been identified: certain BRCA-1 or BRCA-2 mutations result in Breast Ovarian Cancer Syndrome, Site-Specific Ovarian Cancer Syndrome, and Hereditary Non-Polyposis Colon Cancer (or Lynch II Syndrome) which are associated with mutations in DNA mismatch repair genes in affected families (Muto,). ('excess ovarian cancer', 'Disease', 'MESH:D010051', (49, 70)) ('Ovarian Cancer', 'Phenotype', 'HP:0100615', (150, 164)) ('Lynch II Syndrome', 'Disease', 'MESH:D055847', (260, 277)) ('mismatch repair', 'biological_process', 'GO:0006298', ('322', '337')) ('Ovarian Cancer', 'Phenotype', 'HP:0100615', (189, 203)) ('Lynch II Syndrome', 'Disease', (260, 277)) ('Cancer', 'Phenotype', 'HP:0002664', (249, 255)) ('BRCA-1', 'Gene', (106, 112)) ('BRCA-1', 'Gene', '672', (106, 112)) ('Breast Ovarian Cancer', 'Disease', (143, 164)) ('cancer', 'Phenotype', 'HP:0002664', (64, 70)) ('Non-Polyposis Colon Cancer', 'Disease', (229, 255)) ('Non-Polyposis Colon Cancer', 'Disease', 'MESH:D015179', (229, 255)) ('Site-Specific Ovarian Cancer Syndrome', 'Disease', 'MESH:D010051', (175, 212)) ('Breast Ovarian Cancer', 'Disease', 'MESH:D010051', (143, 164)) ('Cancer', 'Phenotype', 'HP:0002664', (158, 164)) ('Site-Specific Ovarian Cancer Syndrome', 'Disease', (175, 212)) ('familial genetic syndromes', 'Disease', (6, 32)) ('excess ovarian cancer', 'Disease', (49, 70)) ('familial genetic syndromes', 'Disease', 'MESH:D030342', (6, 32)) ('Cancer', 'Phenotype', 'HP:0002664', (197, 203)) ('BRCA-2', 'Gene', '675', (116, 122)) ('DNA', 'cellular_component', 'GO:0005574', ('318', '321')) ('ovarian cancer', 'Phenotype', 'HP:0100615', (56, 70)) ('result in', 'Reg', (133, 142)) ('Colon Cancer', 'Phenotype', 'HP:0003003', (243, 255)) ('mutations', 'Var', (123, 132)) ('BRCA-2', 'Gene', (116, 122)) 22765 24910640 Many congenital heart defects are related to trisomies of chromosomes 13, 15, 18, and 21, and deletions in chromosome 22 (22q11.2) are thought to play a major role in congenital heart disorders of the conotruncus and the brachial arches (Kumar et al.,). ('congenital heart defects', 'Phenotype', 'HP:0001627', (5, 29)) ('congenital heart defects', 'Disease', (5, 29)) ('brachial arches', 'Disease', (221, 236)) ('congenital heart disorders', 'Disease', 'MESH:D006330', (167, 193)) ('chromosome', 'cellular_component', 'GO:0005694', ('107', '117')) ('heart defects', 'Phenotype', 'HP:0030680', (16, 29)) ('congenital heart disorders', 'Phenotype', 'HP:0001627', (167, 193)) ('trisomies', 'Var', (45, 54)) ('deletions', 'Var', (94, 103)) ('congenital heart disorders', 'Disease', (167, 193)) ('22q11.2', 'Gene', (122, 129)) ('congenital heart defects', 'Disease', 'MESH:D006330', (5, 29)) ('brachial arches', 'Disease', 'MESH:D020968', (221, 236)) ('conotruncus', 'Disease', (201, 212)) 22777 24910640 Indeed, Sandberg provides a summary of specific chromosomal translocations corresponding to a variety of soft tissue sarcomas including synovial sarcoma where:the translocation is the sole cytogenetic anomaly, indicating the probable causative role of this translocation in the genesis of these tumors. ('tumors', 'Disease', (295, 301)) ('tumors', 'Disease', 'MESH:D009369', (295, 301)) ('soft tissue sarcomas', 'Disease', 'MESH:D012509', (105, 125)) ('soft tissue sarcoma', 'Phenotype', 'HP:0030448', (105, 124)) ('sarcoma', 'Phenotype', 'HP:0100242', (145, 152)) ('synovial sarcoma', 'Disease', (136, 152)) ('sarcomas', 'Phenotype', 'HP:0100242', (117, 125)) ('sarcoma', 'Phenotype', 'HP:0100242', (117, 124)) ('anomaly', 'Disease', (201, 208)) ('translocation', 'Var', (163, 176)) ('soft tissue sarcomas', 'Phenotype', 'HP:0030448', (105, 125)) ('soft tissue sarcomas', 'Disease', (105, 125)) ('synovial sarcoma', 'Phenotype', 'HP:0012570', (136, 152)) ('tumor', 'Phenotype', 'HP:0002664', (295, 300)) ('tumors', 'Phenotype', 'HP:0002664', (295, 301)) ('anomaly', 'Disease', 'MESH:D000014', (201, 208)) ('synovial sarcoma', 'Disease', 'MESH:D013584', (136, 152)) 22779 24910640 The available evidence suggests that the specific type of translocation may be related to the aggressiveness of the synovial sarcoma and its prognosis. ('translocation', 'Var', (58, 71)) ('sarcoma', 'Phenotype', 'HP:0100242', (125, 132)) ('synovial sarcoma', 'Phenotype', 'HP:0012570', (116, 132)) ('aggressiveness of the synovial sarcoma', 'Disease', 'MESH:D013584', (94, 132)) ('related', 'Reg', (79, 86)) ('aggressiveness of the synovial sarcoma', 'Disease', (94, 132)) ('aggressiveness', 'Phenotype', 'HP:0000718', (94, 108)) 22785 24910640 Certain inherited disorders produce multiple cancers that are prone to develop chromosomal instability and present at a late stage with histological features that mimic disseminated mesothelioma (Hawley and Pandolfi,). ('inherited disorders', 'Disease', (8, 27)) ('cancer', 'Phenotype', 'HP:0002664', (45, 51)) ('mesothelioma', 'Disease', (182, 194)) ('inherited disorders', 'Disease', 'MESH:D030342', (8, 27)) ('multiple cancers', 'Disease', (36, 52)) ('chromosomal instability', 'Var', (79, 102)) ('chromosomal instability', 'Phenotype', 'HP:0040012', (79, 102)) ('mesothelioma', 'Disease', 'MESH:D008654', (182, 194)) ('cancers', 'Phenotype', 'HP:0002664', (45, 52)) ('multiple cancers', 'Disease', 'MESH:D009369', (36, 52)) 22787 24910640 Both syndromes are known to have diagnostic genetic mutations in somatic cells that identify the syndrome and overt clinical outcome which consists of multiple, but often survivable, cancers in affected subjects and their blood relatives. ('mutations', 'Var', (52, 61)) ('cancers', 'Disease', 'MESH:D009369', (183, 190)) ('cancers', 'Disease', (183, 190)) ('cancer', 'Phenotype', 'HP:0002664', (183, 189)) ('cancers', 'Phenotype', 'HP:0002664', (183, 190)) 22793 24910640 Late stage tumors of MEN-1 patients have been associated with chromosomal instability that may plausibly lead to local tissue invasion and conversion to mixed neoplastic cell types including soft tissue sarcomas that may mimic mesotheliomas. ('mesotheliomas', 'Disease', 'MESH:D008654', (227, 240)) ('soft tissue sarcomas', 'Disease', (191, 211)) ('tumors', 'Disease', 'MESH:D009369', (11, 17)) ('MEN-1', 'Gene', '4221', (21, 26)) ('soft tissue sarcomas', 'Disease', 'MESH:D012509', (191, 211)) ('soft tissue sarcoma', 'Phenotype', 'HP:0030448', (191, 210)) ('chromosomal instability', 'Var', (62, 85)) ('chromosomal instability', 'Phenotype', 'HP:0040012', (62, 85)) ('soft tissue sarcomas', 'Phenotype', 'HP:0030448', (191, 211)) ('MEN-1', 'Gene', (21, 26)) ('patients', 'Species', '9606', (27, 35)) ('local tissue invasion', 'CPA', (113, 134)) ('sarcomas', 'Phenotype', 'HP:0100242', (203, 211)) ('lead to', 'Reg', (105, 112)) ('tumors', 'Phenotype', 'HP:0002664', (11, 17)) ('tumor', 'Phenotype', 'HP:0002664', (11, 16)) ('sarcoma', 'Phenotype', 'HP:0100242', (203, 210)) ('mesotheliomas', 'Disease', (227, 240)) ('tumors', 'Disease', (11, 17)) ('tissue invasion', 'biological_process', 'GO:0001404', ('119', '134')) 22794 24910640 Thus, it is suggested that persons with characteristic prior cancers and/or ZES and distal gastrectomy who present with apparent mesothelioma should be tested for the somatic cell mutation (11q13) of the MEN-1 tumor suppressor gene, in addition to testing for other translocations that may be diagnostic for various types of soft tissue sarcoma that may be relevant to the tumor/site (Sandberg,). ('tumor suppressor', 'biological_process', 'GO:0051726', ('210', '226')) ('mesothelioma', 'Disease', (129, 141)) ('MEN-1', 'Gene', (204, 209)) ('tumor', 'Phenotype', 'HP:0002664', (373, 378)) ('mesothelioma', 'Disease', 'MESH:D008654', (129, 141)) ('soft tissue sarcoma', 'Phenotype', 'HP:0030448', (325, 344)) ('tumor', 'Disease', (210, 215)) ('cancers', 'Disease', 'MESH:D009369', (61, 68)) ('tumor', 'Disease', 'MESH:D009369', (210, 215)) ('sarcoma', 'Disease', 'MESH:D012509', (337, 344)) ('sarcoma', 'Disease', (337, 344)) ('cancer', 'Phenotype', 'HP:0002664', (61, 67)) ('tumor', 'Disease', (373, 378)) ('tumor', 'Phenotype', 'HP:0002664', (210, 215)) ('persons', 'Species', '9606', (27, 34)) ('sarcoma', 'Phenotype', 'HP:0100242', (337, 344)) ('cancers', 'Phenotype', 'HP:0002664', (61, 68)) ('cancers', 'Disease', (61, 68)) ('11q13', 'Var', (190, 195)) ('tumor', 'Disease', 'MESH:D009369', (373, 378)) ('ZES', 'Phenotype', 'HP:0002044', (76, 79)) ('MEN-1', 'Gene', '4221', (204, 209)) ('tumor suppressor', 'molecular_function', 'GO:0008181', ('210', '226')) 22797 24910640 Also, late stage tumors in HNPCC patients are associated with chromosomal instability that may plausibly lead to local tissue invasion and conversion to mixed neoplastic cell types including soft tissue sarcomas that may mimic mesotheliomas. ('tumors', 'Disease', (17, 23)) ('mesotheliomas', 'Disease', 'MESH:D008654', (227, 240)) ('soft tissue sarcomas', 'Disease', (191, 211)) ('soft tissue sarcomas', 'Disease', 'MESH:D012509', (191, 211)) ('soft tissue sarcoma', 'Phenotype', 'HP:0030448', (191, 210)) ('chromosomal instability', 'Var', (62, 85)) ('tumors', 'Disease', 'MESH:D009369', (17, 23)) ('chromosomal instability', 'Phenotype', 'HP:0040012', (62, 85)) ('soft tissue sarcomas', 'Phenotype', 'HP:0030448', (191, 211)) ('local tissue invasion', 'CPA', (113, 134)) ('sarcomas', 'Phenotype', 'HP:0100242', (203, 211)) ('lead to', 'Reg', (105, 112)) ('HNPCC', 'Gene', (27, 32)) ('HNPCC', 'Gene', '4436', (27, 32)) ('tumors', 'Phenotype', 'HP:0002664', (17, 23)) ('patients', 'Species', '9606', (33, 41)) ('sarcoma', 'Phenotype', 'HP:0100242', (203, 210)) ('mesotheliomas', 'Disease', (227, 240)) ('tissue invasion', 'biological_process', 'GO:0001404', ('119', '134')) ('tumor', 'Phenotype', 'HP:0002664', (17, 22)) 22798 24910640 Thus, persons with characteristic prior cancers who present with apparent mesothelioma should be tested for the somatic cell mutations of HNPCC, in addition to testing for other translocations that may be diagnostic for various types of soft tissue sarcoma that may be relevant to the tumor/site (Sandberg,). ('mutations', 'Var', (125, 134)) ('cancers', 'Phenotype', 'HP:0002664', (40, 47)) ('tumor', 'Phenotype', 'HP:0002664', (285, 290)) ('mesothelioma', 'Disease', 'MESH:D008654', (74, 86)) ('cancers', 'Disease', 'MESH:D009369', (40, 47)) ('HNPCC', 'Gene', (138, 143)) ('tumor', 'Disease', (285, 290)) ('persons', 'Species', '9606', (6, 13)) ('cancers', 'Disease', (40, 47)) ('sarcoma', 'Disease', 'MESH:D012509', (249, 256)) ('sarcoma', 'Disease', (249, 256)) ('soft tissue sarcoma', 'Phenotype', 'HP:0030448', (237, 256)) ('sarcoma', 'Phenotype', 'HP:0100242', (249, 256)) ('HNPCC', 'Gene', '4436', (138, 143)) ('cancer', 'Phenotype', 'HP:0002664', (40, 46)) ('mesothelioma', 'Disease', (74, 86)) ('tumor', 'Disease', 'MESH:D009369', (285, 290)) 22867 22208720 Primary pleural angiosarcoma as a mimicker of mesothelioma: a case report **VS** Primary pleural angiosarcoma is a rare and clinically aggressive tumor. ('mesothelioma', 'Disease', 'MESH:D008654', (46, 58)) ('Primary pleural angiosarcoma', 'Disease', (81, 109)) ('tumor', 'Phenotype', 'HP:0002664', (146, 151)) ('Primary pleural angiosarcoma', 'Disease', 'MESH:D006394', (81, 109)) ('Primary pleural angiosarcoma', 'Disease', (0, 28)) ('aggressive tumor', 'Disease', 'MESH:D001523', (135, 151)) ('angiosarcoma', 'Phenotype', 'HP:0200058', (97, 109)) ('mesothelioma', 'Disease', (46, 58)) ('angiosarcoma', 'Phenotype', 'HP:0200058', (16, 28)) ('Primary pleural angiosarcoma