Abalone visceral extract inhibit tumor growth and metastasis by modulating Cox-2 levels and CD8+ T cell activity
© Lee et al; licensee BioMed Central Ltd. 2010
Received: 19 April 2010
Accepted: 20 October 2010
Published: 20 October 2010
Abalone has long been used as a valuable food source in East Asian countries. Although the nutritional importance of abalone has been reported through in vitro and in vivo studies, there is little evidence about the potential anti-tumor effects of abalone visceral extract. The aim of the present study is to examine anti-tumor efficacy of abalone visceral extract and to elucidate its working mechanism.
In the present study, we used breast cancer model using BALB/c mouse-derived 4T1 mammary carcinoma and investigated the effect of abalone visceral extract on tumor development. Inhibitory effect against tumor metastasis was assessed by histopathology of lungs. Cox-2 productions by primary and secondary tumor were measured by real-time RT-PCR and immunoblotting (IB). Proliferation assay based on [3H]-thymidine incorporation and measurement of cytokines and effector molecules by RT-PCR were used to confirm tumor suppression efficacy of abalone visceral extract by modulating cytolytic CD8+ T cells. The cytotoxicity of CD8+ T cell was compared by JAM test.
Oral administration of abalone visceral extract reduced tumor growth (tumor volume and weight) and showed reduced metastasis as confirmed by decreased level of splenomegaly (spleen size and weight) and histological analysis of the lung metastasis (gross analysis and histological staining). Reduced expression of Cox-2 (mRNA and protein) from primary tumor and metastasized lung was also detected. In addition, treatment of abalone visceral extract increased anti-tumor activities of CD8+ T cells by increasing the proliferation capacity and their cytolytic activity.
Our results suggest that abalone visceral extract has anti-tumor effects by suppressing tumor growth and lung metastasis through decreasing Cox-2 expression level as well as promoting proliferation and cytolytic function of CD8+ T cells.
Abalones are medium to very large-sized edible sea snails, marine gastropod mollusks in the family Haliotidae and the genus Haliotis. Abalones are largely cultivated and used as valuable food resources in East Asian countries. In Korea, not only the protein-rich body part of abalone but also the viscera portion is taken in the form of sashimi or pickle and used as stamina food from ancient times. Although the nutritional composition of abalone visceral extract have not yet been identified in depth, since abalone live on brown algae like Ecklonia, Laminaria and Undaria for cultivation , it is regarded that the visceral portion of abalone may contain concentrated nutritional components derived from sea weed. Besides, it is well known that polysaccharides and glycoproteins of the brown algae possess potential immune-stimulant, anti-tumoral and anti-viral activity . However, there is still not much information about the nutritional effects of abalone viscera itself.
There are some previous reports that the body and visceral portion of Haliotis discus hannai showed in vitro antioxidant activity [4, 5]. Antioxidants are present in abundance in the dietary substances and their potent chemopreventive effects against many type of cancers have been reported . The water extract of abalone has anti-tumor effects . However, mechanisms involved in the anti-tumor effects of extract from abalone viscera have not been fully clarified. The purpose of this study is to evaluate the anti-tumor activity of abalone visceral extract in vivo using mouse breast cancer as a model and to elucidate underlying mechanisms involved in this protective effect.
Breast cancer is one of the major type of cancer affecting women and ranks second in causing death in women . Although many clinical trials and basic research have been performed to subdue this disease, there is no conclusive treatment or medicine. Moreover, current conventional chemotherapies have severe side effects and toxicity [9, 10]. Hence, there are increasing numbers of studies to prevent cancers using dietary factors [11, 12]. To evaluate the anti-tumor effects of abalone visceral extract on breast cancer model, we used 4T1 murine mammary carcinoma cells that have highly metastatic characteristics at an early stage and mimic the human breast cancer [13, 14]. Oral administration of abalone visceral extract significantly inhibited tumor progression by decreasing the levels of Cox-2, EGF, VEGF, and FGF in primary tumor as well as metastatic lesions. In addition, abalone visceral extract potentiated proliferation and cytolytic activity of CD8+ T cells.
Balb/c mice were purchased from SLC (Hamamatsu, Japan) and maintained under specific pathogen-free conditions in the animal facility of the Gwangju Institute of Science and Technology. Animal experiments were performed in accordance with protocols approved by the animal care and use committees of the Gwangju Institute of Science and Technology.
Preparation of the abalone visceral extract
Visceral portion of Haliotis discus hannai were obtained from live abalone. For 500 g of abalone visceral mass, we added 2 liters of 30% acetic acid then homogenized thoroughly. Then, the mixture was incubated at 4°C for 12 hours with rotation. Next, the mixture was centrifuged at 4°C for 1 hour with 5,000 rpm. Supernatant fraction was harvested and completely freeze-dried for 72 hours by using a freeze-dryer (Ilshin, Korea). The dried powder extract was further finely grounded by mortar and pestle and solubilized in sterilized PBS at 50 mg/ml concentration. Reverse phase high-performance liquid chromatography (RP-HPLC) assay was performed and relative amounts laminarin and D-mannitol were used as standard makers for the quality control of abalone visceral extract composition in each experiment (Additional file 1: Figure S1).
Tumor induction and anti-tumor assay
Induction of breast cancer was carried out as described  with minor modifications. Mice were divided into two groups of abalone visceral extract-fed versus control PBS-fed. Sex- and age-matched mice with similar body weight were fed with either abalone visceral extract (5 mg/dose) or control PBS every day for 2 weeks prior to tumor transplantation. 1 × 106 cells/0.1 ml of 4T1 mouse mammary carcinoma cells were injected into a subcutaneous space on the flank of each mouse (female Balb/c mice from 6 to 8 weeks). Tumor size was measured with a Vernier caliper every 2 days from post-tumor induction, and tumor volumes were measured by the standard formula: width2 × length × 0.52. Mice were sacrificed for further analysis at the 25 days from post-tumor induction.
Cell isolation and culture
CD8+ T cells were purified from the draining lymph nodes using CD8+ T cell isolation kit (Miltenyi Biotech, Germany). For the activation, CD8+ T cells were stimulated with 10 μg/ml plate-bound anti-CD3, 10 μg/ml soluble anti-CD28 in RPMI 1640 medium (Welgene, Korea) supplemented with 10% fetal bovine serum, L-glutamine, penicillin-streptomycin, nonessential amino acids, sodium pyruvate, vitamins, HEPES and β-mercaptoethanol. Anti-CD3 (145.2C11) and anti-CD28 (37.51) were purchased from BD Biosciences.
Lung tissues of mice in each group were dissected and fixed in 4% formaldehyde. After embedding in paraffin, the tissue sections (5 μm) were mounted on glass slides and stained with hematoxylin and eosin following the previous report . The specimens were observed under a light microscope (Olympus, Germany).
RNA Isolation, cDNA synthesis, quantitative RT-PCR
Primers used for RT-PCR
Assessment of lymphocyte responses against anti-CD3 and anti-CD28 stimulation was determined by [3H]-thymidine incorporation assays. Briefly, isolated CD8+ lymphocytes were plated in flat-bottom 96-well plates and cultured in the presence or absence of stimulation. After 56 hours of incubation, 0.5 μCi of [3H]-thymidine (NEN, USA) was added, and cells were pulse labeled for 16 h. The degree of proliferation was presented as counts per minutes detected by scintillation counter (Beckman, USA).
Total lysate preparation and immunoblotting
For total lysate preparation, tumor and lung tissues were first homogenized using homogenizer (Pro Scientific, USA) and then centrifuged briefly. Next, pelleted cells were lysed in RIPA buffer (50 mM Tris, pH 7.6, 150 mM NaCl, 1% NP-40) containing protease inhibitor cocktails (Roche, USA) for 10 min on ice. To determine levels of Cox-2 proteins, total lysates from each sample were prepared described above and loaded together with a PageRuler Prestained Protein ladder (Fermentas, Canada) on a 10% SDS-PAGE gel. The proteins were electroblotted onto a nitrocellulose membrane (Bio-Rad, USA). After blocking, the membranes were incubated with a 1/500 dilution of anti-Cox-2 (Cayman chemical, USA) in blocking buffer overnight at 4°C. The blots were developed using a 1/10,000 diluted anti-rabbit HRP (Abcam, USA) and visualized by ECL solution (Amersham, UK). To confirm the amount of sample loading and transfer, membranes were incubated in stripping buffer, re-blocked for 1 h, and reprobed with anti-β-tubulin (Santa Cruz) with anti-mouse HRP (Abcam).
The cytotoxicity of CD8+ T cell was compared by JAM test with minor modification . EL4 mouse lymphoma cells were used as target cells. Target cells were labeled with 5 μCi/ml of [3H]-thymidine (NEN, USA) for 12 hours at 37°C. Labeled target cells were harvested, washed 3 times with PBS, and seeded in 96-well flat-buttom plates at a density of 1 × 104 cells/well. CD8+ T cells were used as effector cells. Activated CD8+ T cells were washed and added in various ratios to the target cells. After 16 hours co-culture, remained radioactivity from intact cells can be trapped in the filter paper and then the filter discs were measured on a microplate beta counter (Beckman, USA). Data were expressed as the percentage of cytotoxicity calculated by the following formula: [(cpm spontaneous - cpm experiment)/cpm spontaneous] × 100.
All the data were expressed as mean ± standard error (SE). For statistical analysis, two-tailed student's t-test was employed unless otherwise stated. Differences were considered statistically significant with a p-value of ≤ 0.05 (* < 0.05, ** < 0.01, *** < 0.001).
Administration of abalone visceral extract suppresses tumor growth
To ensure the quality and purity of each preparation of abalone visceral extract, RP-HPLC analysis was performed by measuring the content of known active compounds such as laminarin and D-mannitol which are known as major polysaccharide constituents in Laminaria, the food for abalone. (Additional file 1: Figure S1).
Administration of abalone visceral extract inhibits tumor metastasis
Administration of abalone visceral extract suppress primary tumor growth by decreasing Cox-2 expression
Abalone visceral extract inhibits tumor metastasis by modulating Cox-2 expression
Abalone visceral extract potentiates the CD8+ cytotoxic T cell activity
Abalone is often called as 'The emperor of the seashells' in Korea and mostly consumed as stamina food for sick and weak individuals because of its high content of proteins and vitamins . Abalone mainly live on sea weeds that contain rich and concentrated nutritional components . Apart from its known nutritional importance, there are not many studies on the effects of the abalone visceral extract. One of the known effects of abalone visceral extract is its antioxidant activity as demonstrated [4, 5]. However, there are still few in vivo evidence and no detailed action mechanisms for its anti-tumor effects . In the present study, we have demonstrated the potent anti-tumor efficacy of abalone visceral extract and have elucidated its underlying mechanism using a mouse breast cancer model that have high malignancy in tumor growth and metastasis [13, 14]. Oral administration of abalone visceral extract significantly lowered tumor progression and metastasis by down-regulating the tumor-associated growth factors such as Cox-2, EGF, VEGF and FGF, while increasing the proliferation and cytolytic activity of CD8+ T cells.
Cyclooxygenase-2 (Cox-2) is an enzyme that catalyzes arachidonic acid to prostaglandins. Cox-2 is predominantly expressed in synoviocytes, fibroblasts, osteoblasts, activated endothelial cells and tumor cells [34, 35]. Cox-2 expression is induced by pro-inflammatory and mitogenic stimuli such as growth factors (EGF, FGF and VEGF)  and cytokines (TNF-α and IL1-β). Enhanced expression of Cox-2 is linked with tumor progression by inducing immune suppression as well as angiogenic and metastatic progression [34, 37, 38]. Elevated Cox-2 expression is associated with increased tumor size during breast cancer progression [22, 39]. Modulation of Cox-2 expression by specific inhibitors is regarded as good chemopreventive approach for cancer treatment. However, Cox-2 inhibitors affect multiple cellular pathways and show some side effects [34, 40]. Therefore, use of nutritive supplementation substances might be regarded as potential cancer preventive approach [11, 12]. We have found that the oral administration of abalone visceral extract exerted anti-tumor growth effects by inhibiting tumor volume (up to 30%) compared with control feeding group (Figure. 1). The mouse breast tumor induced by 4T1 tumor cells mimics human breast cancer in the aspect of spontaneous metastasis to lung, lymph nodes, liver and bone . Cox-2 expression has been identified as the marker for selective lung metastasis  in breast cancer model . In this study, we used 4T1 mammary adenocarcinoma cells for tumor implantation. Oral administration of abalone visceral extract significantly inhibited tumor metastasis by modulating Cox-2 expression (Figure. 4). In accordance with our result, a previous study also demonstrated that treatment of either non-selective Cox inhibitor or selective Cox-2 inhibitor significantly reduced primary tumor growth and metastasis of 4T1 breast cancer cells. Even though reduction of Cox-2 expression does not exactly match with inhibition of Cox-2 activity by known inhibitors, specific knockdown of Cox-2 directly could reduce level of PGE2 synthesis in 4T1 cells . In line with aforementioned reports, we investigated whether abalone visceral extract changes Cox-2 expression upon treatment. Oral administration of abalone visceral extract reduced the metastatic splenomegaly (Figure. 2A and 2B) [17, 18] and lymphomegaly (data not shown) . Metastatic breast cancer has a strong tendency to propagate into lung and bone [19–21, 26]. Treatment of abalone visceral extract significantly inhibited lung metastasis (Figure. 2C and 2D) by decreasing Cox-2 expression level (Figure. 4A and 4B). Numerous evidences show that decreased level of Cox-2 is well correlated with metastatic inhibition from variety kinds of cancers . Furthermore, previous data suggested that Cox-2 expression is associated with angiogenesis, lymph node metastasis, and apoptosis in human breast cancer  along with enhanced MMP-13 expression . Interestingly, the expression levels of VEGF, EGF and MMP-13 are all decreased upon abalone visceral extract treatment (Figure. 4C). Collectively, oral administration of abalone visceral extract reduced metastatic progression by lowering Cox-2 expression and other target molecules including angiogenic factors and metalloproteinases in the metastatic tissues.
The tumor microenvironment induces active immune tolerance and escapes immune surveillance. Boosting the immune response can be one of the indirect ways to eliminate or suppress tumor growth via regulating immune homeostasis . CD8+ T cells are known to have anti-tumor activity by killing the tumor antigens in an antigen specific or antigen non-specific way [44, 45]. Tumor specific CD8+ T cells possess increased proliferation, cytolytic activity and induce expression of death related proteins and cytokines . However, CD8+ T cells at tumor sites or tumor draining lymph nodes frequently exhibit functional defects such as defective antigen specific cytolytic activity , lack of perforin expression , defective cytokine production and abnormal proliferation [48, 49]. Enhanced CD8+ T cell activity is therefore critical to eradicate tumor cells, especially in tumor regions. In this study, oral administration of abalone visceral extract significantly inhibited tumor growth compared with the control (PBS-treated) group (Figure. 1 and Figure. 2). Administration of abalone visceral extract enhanced the cytolytic activity of CD8+ T cells by increasing the expression of effector molecules such as cytokines (IFN-γ and TNF-α) and cytolytic molecules (FasL, Gzm B and Gzm C) (Figure. 5B and 5C). Even though inflammatory cytokine signaling is the known stimulation for Cox-2 expression , increased expression of the cytokine in CD8+ T cells upon abalone visceral extract treatment can be explained by other mechanisms apart from Cox-2 regulation by abalone visceral extract in tumor cells. In addition, abalone visceral extract significantly increased the specific lysis rate in the JAM test (Figure. 5D). Therefore, the enhanced effector function of CD8+ T cells by administration of abalone visceral extract may enhance anti-tumor immunity, which leads to suppression of tumor growth and metastasis to different organs.
Our data suggest that abalone visceral extract suppress primary tumor formation and inhibit tumor metastasis by attenuating the expression of Cox-2 and other target molecules including angiogenic factors and metalloproteinases. Furthermore, abalone visceral extract potentiate immune responses of CD8+ T cells by increasing their proliferation and cytolytic activity. Although further studies are needed to elucidate the exact active compounds responsible for the anti-tumor activity of abalone visceral extract, our data suggest the potential use of abalone visceral extract as an inhibitor of tumor growth and metastasis by targeting Cox-2 activity and the cytolytic effector function of CD8+ T cells.
List of abbreviations used
Vascular endothelial growth factor
Fibroblast growth factor
Epidermal growth factor
Matrix metallopeptidase 13
Tumor necrosis factor-alpha
This work was supported by grants from the BioGreen 21 Program (20070501034009; PJ007054) in Rural Development Administration and an Agricultural R&D Promotion Center, Republic of Korea, RTI05-01-01 from the Regional Technology Innovation Program of the Ministry of Commerce, Industry and Energy, Korea Research Foundation funded by the Korean government (KRF-2007-313-C00507) and by the Systems Biology Infrastructure Establishment Grant provided by Gwangju Institute of Science and Technology.
- Wikipedia contributors: Abalone [Internet]. Wikipedia TFEA, [cited 2009 Aug 7], [http://en.wikipedia.org/w/index.php?title=Abalone&oldid=306576568]
- Hwang E, Baek J, Park C: The mass cultivation of Ecklonia stolonifera Okamura as a summer feed for the abalone industry in Korea. Journal of Applied Phycology. 2009Google Scholar
- Smit AJ: Medicinal and pharmaceutical uses of seaweed natural products: A review. Journal of Applied Phycology. 2004, 16 (4): 245-262. 10.1023/B:JAPH.0000047783.36600.ef.View ArticleGoogle Scholar
- Zhu B-W, Wang L-S, Zhou D-Y, Li D-M, Sun L-M, Yang J-F, Wu H-T, Zhou X-Q, Tada M: Antioxidant activity of sulphated polysaccharide conjugates from abalone (Haliotis discus hannai Ino). European Food Research and Technology. 2008, 227 (6): 1663-1668. 10.1007/s00217-008-0890-2.View ArticleGoogle Scholar
- Kim HL, Kang SG, Kim IC, Kim SJ, Kim DW, Ma SJ, Gao T, Li H, Kim MJ, Lee TH: In vitro Anti-hypertensive, Antioxidant and Anticoagulant Activities of Extracts from Haliotis discus hannai. Journal of The Korean Society of Food Science and Nutrition. 2006, 35 (7): 835-840. 10.3746/jkfn.2006.35.7.835. KoreanView ArticleGoogle Scholar
- Khan N, Afaq F, Mukhtar H: Cancer Chemoprevention Through Dietary Antioxidants: Progress and Promise. Antioxidants & Redox Signaling. 2008, 10 (3): 475-510.View ArticleGoogle Scholar
- Uchida H, Sasaki T, Uchida NA, Takasuka N, Endo Y, Kamiya H: Oncostatic and immunomodulatory effects of a glycoprotein fraction from water extract of abalone, Haliotis discus hannai. Cancer Immunology, Immunotherapy. 1987, 24 (3): 207-212. 10.1007/BF00205631.View ArticlePubMedGoogle Scholar
- Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T, Thun MJ: Cancer Statistics, 2008. CA Cancer J Clin. 2008, 58 (2): 71-96. 10.3322/CA.2007.0010.View ArticlePubMedGoogle Scholar
- Greenberg PA, Hortobagyi GN, Smith TL, Ziegler LD, Frye DK, Buzdar AU: Long-term follow-up of patients with complete remission following combination chemotherapy for metastatic breast cancer. J Clin Oncol. 1996, 14 (8): 2197-2205.PubMedGoogle Scholar
- Slamon DJ, Leyland-Jones B, Shak S, Fuchs H, Paton V, Bajamonde A, Fleming T, Eiermann W, Wolter J, Pegram M: Use of Chemotherapy plus a Monoclonal Antibody against HER2 for Metastatic Breast Cancer That Overexpresses HER2. N Engl J Med. 2001, 344 (11): 783-792. 10.1056/NEJM200103153441101.View ArticlePubMedGoogle Scholar
- Gonzalez CA: Nutrition and cancer: the current epidemiological evidence. British Journal of Nutrition. 2006, 96 (S1): S42-S45.View ArticlePubMedGoogle Scholar
- Donaldson M: Nutrition and cancer: A review of the evidence for an anti-cancer diet. Nutrition Journal. 2004, 3 (1): 19-10.1186/1475-2891-3-19.View ArticlePubMedPubMed CentralGoogle Scholar
- Huang X, Wong MK, Yi H, Watkins S, Laird AD, Wolf SF, Gorelik E: Combined Therapy of Local and Metastatic 4T1 Breast Tumor in Mice Using SU6668, an Inhibitor of Angiogenic Receptor Tyrosine Kinases, and the Immunostimulator B7.2-IgG Fusion Protein. Cancer Res. 2002, 62 (20): 5727-5735.PubMedGoogle Scholar
- Pulaski BA, Ostrand-Rosenberg S: Reduction of Established Spontaneous Mammary Carcinoma Metastases following Immunotherapy with Major Histocompatibility Complex Class II and B7.1 Cell-based Tumor Vaccines. Cancer Res. 1998, 58 (7): 1486-1493.PubMedGoogle Scholar
- Ho-Keun K, Won Kyung J, Ji-Sun H, Choong-Gu L, Jae-Seon S, Jin AP, Byoung Seob K, Sin-Hyeog I: Cinnamon extract suppresses tumor progression by modulating angiogenesis and the effector function of CD8+ T cells. Cancer letters. 2009, 278 (2): 174-182. 10.1016/j.canlet.2009.01.015.View ArticleGoogle Scholar
- Usharauli D, Perez-Diez A, Matzinger P: The JAM Test and its daughter P-JAM: simple tests of DNA fragmentation to measure cell death and stasis. Nat Protocols. 2006, 1 (2): 672-682. 10.1038/nprot.2006.107.View ArticlePubMedGoogle Scholar
- Baruch K, Moshe S, Abraham K, Marianne S, Dany B, Eliezer R, David G: Splenomegaly and solitary spleen metastasis in solid tumors. Cancer. 1987, 60 (1): 100-102. 10.1002/1097-0142(19870701)60:1<100::AID-CNCR2820600118>3.0.CO;2-9.View ArticleGoogle Scholar
- duPre SA, Hunter JKW: Murine mammary carcinoma 4T1 induces a leukemoid reaction with splenomegaly: Association with tumor-derived growth factors. Experimental and Molecular Pathology. 2007, 82 (1): 12-24. 10.1016/j.yexmp.2006.06.007.View ArticlePubMedGoogle Scholar
- Muller A, Homey B, Soto H, Ge N, Catron D, Buchanan ME, McClanahan T, Murphy E, Yuan W, Wagner SN: Involvement of chemokine receptors in breast cancer metastasis. Nature. 2001, 410 (6824): 50-56. 10.1038/35065016.View ArticlePubMedGoogle Scholar
- Gupta GP, Nguyen DX, Chiang AC, Bos PD, Kim JY, Nadal C, Gomis RR, Manova-Todorova K, Massague J: Mediators of vascular remodelling co-opted for sequential steps in lung metastasis. Nature. 2007, 446 (7137): 765-770. 10.1038/nature05760.View ArticlePubMedGoogle Scholar
- Olkhanud PB, Baatar D, Bodogai M, Hakim F, Gress R, Anderson RL, Deng J, Xu M, Briest S, Biragyn A: Breast Cancer Lung Metastasis Requires Expression of Chemokine Receptor CCR4 and Regulatory T Cells. Cancer Res. 2009, 69 (14): 5996-6004. 10.1158/0008-5472.CAN-08-4619.View ArticlePubMedPubMed CentralGoogle Scholar
- Ristimaki A, Sivula A, Lundin J, Lundin M, Salminen T, Haglund C, Joensuu H, Isola J: Prognostic Significance of Elevated Cyclooxygenase-2 Expression in Breast Cancer. Cancer Res. 2002, 62 (3): 632-635.PubMedGoogle Scholar
- Neil JR, Johnson KM, Nemenoff RA, Schiemann WP: Cox-2 inactivates Smad signaling and enhances EMT stimulated by TGF-beta through a PGE2-dependent mechanisms. Carcinogenesis. 2008, 29 (11): 2227-2235. 10.1093/carcin/bgn202.View ArticlePubMedPubMed CentralGoogle Scholar
- Ghosh N, Chaki R, Mandal V, Mandal SC: COX-2 as a target for cancer chemotherapy. Pharmacol Rep. 2010, 62 (2): 233-244.View ArticlePubMedGoogle Scholar
- Bergers G, Benjamin LE: Tumorigenesis and the angiogenic switch. Nat Rev Cancer. 2003, 3 (6): 401-410. 10.1038/nrc1093.View ArticlePubMedGoogle Scholar
- Singh B, Berry JA, Shoher A, Ayers GD, Wei C, Lucci A: COX-2 involvement in breast cancer metastasis to bone. Oncogene. 2007, 26 (26): 3789-3796. 10.1038/sj.onc.1210154.View ArticlePubMedGoogle Scholar
- Minn AJ, Gupta GP, Siegel PM, Bos PD, Shu W, Giri DD, Viale A, Olshen AB, Gerald WL, Massague J: Genes that mediate breast cancer metastasis to lung. Nature. 2005, 436 (7050): 518-524. 10.1038/nature03799.View ArticlePubMedPubMed CentralGoogle Scholar
- Zhang B, Cao X, Liu Y, Cao W, Zhang F, Zhang S, Li H, Ning L, Fu L, Niu Y: Tumor-derived matrix metalloproteinase-13 (MMP-13) correlates with poor prognosis of invasive breast cancer. BMC Cancer. 2008, 8 (1): 83-10.1186/1471-2407-8-83.View ArticlePubMedPubMed CentralGoogle Scholar
- Larkins T, Nowell M, Singh S, Sanford G: Inhibition of cyclooxygenase-2 decreases breast cancer cell motility, invasion and matrix metalloproteinase expression. BMC Cancer. 2006, 6 (1): 181-10.1186/1471-2407-6-181.View ArticlePubMedPubMed CentralGoogle Scholar
- Lake RA, Robinson BWS: Immunotherapy and chemotherapy - a practical partnership. Nat Rev Cancer. 2005, 5 (5): 397-405. 10.1038/nrc1613.View ArticlePubMedGoogle Scholar
- Trapani JA, Smyth MJ: Functional significance of the perforin/granzyme cell death pathway. Nat Rev Immunol. 2002, 2 (10): 735-747. 10.1038/nri911.View ArticlePubMedGoogle Scholar
- Dranoff G: Cytokines in cancer pathogenesis and cancer therapy. Nat Rev Cancer. 2004, 4 (1): 11-22. 10.1038/nrc1252.View ArticlePubMedGoogle Scholar
- Glimcher LH, Townsend MJ, Sullivan BM, Lord GM: Recent developments in the transcriptional regulation of cytolytic effector cells. Nat Rev Immunol. 2004, 4 (11): 900-911. 10.1038/nri1490.View ArticlePubMedGoogle Scholar
- Gasparini G, Longo R, Sarmiento R, Morabito A: Inhibitors of cyclo-oxygenase 2: a new class of anticancer agents?. The Lancet Oncology. 2003, 4 (10): 605-615. 10.1016/S1470-2045(03)01220-8.View ArticlePubMedGoogle Scholar
- Tomozawa S, Tsuno NH, Sunami E, Hatano K, Kitayama J, Osada T, Saito S, Tsuruo T, Shibata Y, Nagawa H: Cyclooxygenase-2 overexpression correlates with tumour recurrence, especially haematogenous metastasis, of colorectal cancer. British Journal of Cancer. 2000, 83 (3): 324-328. 10.1054/bjoc.2000.1270.View ArticlePubMedPubMed CentralGoogle Scholar
- Schneider BP, Miller KD: Angiogenesis of Breast Cancer. J Clin Oncol. 2005, 23 (8): 1782-1790. 10.1200/JCO.2005.12.017.View ArticlePubMedGoogle Scholar
- Leahy KM, Ornberg RL, Wang Y, Zweifel BS, Koki AT, Masferrer JL: Cyclooxygenase-2 Inhibition by Celecoxib Reduces Proliferation and Induces Apoptosis in Angiogenic Endothelial Cells in Vivo. Cancer Res. 2002, 62 (3): 625-631.PubMedGoogle Scholar
- Zou W: Immunosuppressive networks in the tumour environment and their therapeutic relevance. Nat Rev Cancer. 2005, 5 (4): 263-274. 10.1038/nrc1586.View ArticlePubMedGoogle Scholar
- Wülfing P, Diallo R, Müller C, Wülfing C, Poremba C, Heinecke A, Rody A, Greb RR, Böcker W, Kiesel L: Analysis of cyclooxygenase-2 expression in human breast cancer: high throughput tissue microarray analysis. Journal of Cancer Research and Clinical Oncology. 2003, 129 (7): 375-382. 10.1007/s00432-003-0459-1.View ArticlePubMedGoogle Scholar
- Wang D, DuBois RN: PROSTAGLANDINS AND CANCER. Gut. 2006, 55 (1): 115-122. 10.1136/gut.2004.047100.View ArticlePubMedPubMed CentralGoogle Scholar
- Lelekakis M, Moseley JM, Martin TJ, Hards D, Williams E, Ho P, Lowen D, Javni J, Miller FR, Slavin J: A novel orthotopic model of breast cancer metastasis to bone. Clinical and Experimental Metastasis. 1999, 17 (2): 163-170. 10.1023/A:1006689719505.View ArticlePubMedGoogle Scholar
- Connolly EM, Harmey JH, O'Grady T, Foley D, Roche-Nagle G, Kay E, Bouchier-Hayes DJ: Cyclo-oxygenase inhibition reduces tumour growth and metastasis in an orthotopic model of breast cancer. Br J Cancer. 2002, 87 (2): 231-237. 10.1038/sj.bjc.6600462.View ArticlePubMedPubMed CentralGoogle Scholar
- Costa C, Soares R, Reis-Filho JS, Leitao D, Amendoeira I, Schmitt FC: Cyclo-oxygenase 2 expression is associated with angiogenesis and lymph node metastasis in human breast cancer. J Clin Pathol. 2002, 55 (6): 429-434.View ArticlePubMedPubMed CentralGoogle Scholar
- Greenhough A, Smartt HJM, Moore AE, Roberts HR, Williams AC, Paraskeva C, Kaidi A: The COX-2/PGE2 pathway: key roles in the hallmarks of cancer and adaptation to the tumour microenvironment. Carcinogenesis. 2009, 30 (3): 377-386. 10.1093/carcin/bgp014.View ArticlePubMedGoogle Scholar
- Pittet MJ: Behavior of immune players in the tumor microenvironment. Current Opinion in Oncology. 2009, 21 (1): 53-59. 10.1097/CCO.0b013e32831bc38a.View ArticlePubMedPubMed CentralGoogle Scholar
- Zippelius A, Batard P, Rubio-Godoy V, Bioley G, Lienard D, Lejeune F, Rimoldi D, Guillaume P, Meidenbauer N, Mackensen A: Effector Function of Human Tumor-Specific CD8 T Cells in Melanoma Lesions: A State of Local Functional Tolerance. Cancer Res. 2004, 64 (8): 2865-2873. 10.1158/0008-5472.CAN-03-3066.View ArticlePubMedGoogle Scholar
- Radoja S, Saio M, Schaer D, Koneru M, Vukmanovic S, Frey AB: CD8+ Tumor-Infiltrating T Cells Are Deficient in Perforin-Mediated Cytolytic Activity Due to Defective Microtubule-Organizing Center Mobilization and Lytic Granule Exocytosis. J Immunol. 2001, 167 (9): 5042-5051.View ArticlePubMedGoogle Scholar
- Van Den Hove LE, Van Gool SW, Van Poppel H, Baert L, Coorevits L, Van Damme B, Ceuppens JL: Phenotype, cytokine production and cytolytic capacity of fresh (uncultured) tumour-infiltrating T lymphocytes in human renal cell carcinoma. Clinical & Experimental Immunology. 1997, 109 (3): 501-509.View ArticleGoogle Scholar
- Nakagomi H: Lack of interleukin-2 (IL-2) expression and selective expression of IL-10 mRNA in human renal cell carcinoma. International Journal of Cancer. 1995, 63 (3): 366-371. 10.1002/ijc.2910630311.View ArticlePubMedGoogle Scholar
- The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6882/10/60/prepub
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