AACR, Author Interviews, Cancer Research, Ovarian Cancer / 23.12.2019
The Wistar Institute Discovers New Therapeutic Strategy for Chemotherapy Resistance in Ovarian Cancer
MedicalResearch.com Interview with:
[caption id="attachment_52571" align="alignleft" width="133"]
Dr. Zhang[/caption]
Rugang Zhang, Ph.D
Professor & Co-Leader, Gene Expression & Regulation Program
Deputy Director, The Wistar Institute Cancer Center
MedicalResearch.com: What is the background for this study?
Response: Although the majority of epithelial ovarian cancer (EOC) patients initially respond well to platinum therapy, relapse ultimately occurs, which remains a major challenge in the clinical management of EOC. Substantial evidence suggests that cancer stem-like cells (CSC) contribute to chemotherapy resistance and elimination of CSC prevents the therapeutic relapse including in EOCs. Thus, therapeutic elimination of EOC CSCs represents a promising approach to achieve a durable therapeutic outcome by preventing chemotherapy resistance.
Platinum-based chemotherapies are known to induce senescence that limits the propagation of cells subjected to insults such as cancer chemotherapeutics. In contrast to apoptosis, senescent cells remain viable. Senescent cells secrete a plethora of pro-inflammatory cytokines and chemokines, which is termed senescence-associated secretory phenotype (SASP). Therapy-induced inflammation promotes tumor progression and therapy resistance, and the SASP is known to promote cancer stem-like cells. However, clinically applicable approaches to target stemness associated with therapy-induced senescence remain to be explored.
Dr. Zhang[/caption]
Rugang Zhang, Ph.D
Professor & Co-Leader, Gene Expression & Regulation Program
Deputy Director, The Wistar Institute Cancer Center
MedicalResearch.com: What is the background for this study?
Response: Although the majority of epithelial ovarian cancer (EOC) patients initially respond well to platinum therapy, relapse ultimately occurs, which remains a major challenge in the clinical management of EOC. Substantial evidence suggests that cancer stem-like cells (CSC) contribute to chemotherapy resistance and elimination of CSC prevents the therapeutic relapse including in EOCs. Thus, therapeutic elimination of EOC CSCs represents a promising approach to achieve a durable therapeutic outcome by preventing chemotherapy resistance.
Platinum-based chemotherapies are known to induce senescence that limits the propagation of cells subjected to insults such as cancer chemotherapeutics. In contrast to apoptosis, senescent cells remain viable. Senescent cells secrete a plethora of pro-inflammatory cytokines and chemokines, which is termed senescence-associated secretory phenotype (SASP). Therapy-induced inflammation promotes tumor progression and therapy resistance, and the SASP is known to promote cancer stem-like cells. However, clinically applicable approaches to target stemness associated with therapy-induced senescence remain to be explored.
Dr. Aaron Elliott[/caption]
Dr. Aaron Elliott, PhD
CEO
Dr. Chen[/caption]
Tiffany Won-Shau Chen MD
Internal Medicine Residency
Mount Sinai Beth Israel
MedicalResearch.com: What is the background for this study?
Response: The research I presented on details a randomized, prospective study done to evaluate whether it would be feasible and effective to implement a yoga program for breast cancer patients receiving chemotherapy that could reduce patients' chemotherapy-related symptoms and improve their quality of life.
50 patients were recruited, half of whom underwent a 12-week long yoga program with weekly courses, while the other half did not participate in the program.
Surveys were completed at baseline, 6 weeks, and 12 weeks assessing patients' functional wellbeing, sleep quality, and anxiety/depression levels.

Dr. Crombie[/caption]
Dr. Jennifer Crombie MD
Instructor in Medicine
Harvard Medical School
MedicalResearch.com: What is the background for this study?
Response: New data from our investigator-sponsored Phase 1 study exploring duvelisib in combination with venetoclax will be presented at ASH on December 7. In relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL), duvelisib plus venetoclax demonstrated promising clinical activity, a manageable tolerability profile, and identified a recommended Phase 2 dosing (RP2D) regimen.


