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Publication : Smac mimetic increases chemotherapy response and improves survival in mice with pancreatic cancer.

First Author  Dineen SP Year  2010
Journal  Cancer Res Volume  70
Issue  7 Pages  2852-61
PubMed ID  20332237 Mgi Jnum  J:158892
Mgi Id  MGI:4440776 Doi  10.1158/0008-5472.CAN-09-3892
Citation  Dineen SP, et al. (2010) Smac mimetic increases chemotherapy response and improves survival in mice with pancreatic cancer. Cancer Res 70(7):2852-61
abstractText  Failure of chemotherapy in the treatment of pancreatic cancer is often due to resistance to therapy-induced apoptosis. A major mechanism for such resistance is the expression and activity of inhibitors of apoptosis proteins (IAP). Smac (second mitochondria-derived activator of caspase) is a mitochondrial protein that inhibits IAPs. We show that JP1201, a Smac mimetic, is a potent enhancer of chemotherapy in robust mouse models of pancreatic cancer. Combination of JP1201 with gemcitabine reduced primary and metastatic tumor burden in orthotopic xenograft and syngenic tumor models, induced regression of established tumors, and prolonged survival in xenograft and transgenic models of pancreatic cancer. The effect of JP1201 was phenocopied by XIAP small interfering RNA in vitro and correlated with elevated levels of tumor necrosis factor alpha protein in vivo. The continued development of JP1201 and other strategies designed to enhance therapy-induced apoptosis in pancreatic cancer is warranted.
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