| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Advances in Brief |
Gastrointestinal Unit [F. H. B., F. S. S., T. B. D., B. R., G. S., D. G. S., A. K. R.], Department of Genetics [A. K. R.], Abramson Cancer Center and Family Cancer Research Institute [F. H. B., F. S. S., T. B. D., B. R., A. K. R.], and Division of Endocrinology, Diabetes and Metabolism [D. A. S.], University of Pennsylvania, Philadelphia, Pennsylvania 19014; University of Tennessee College of Veterinary Medicine, Tennessee [L. C.]; and Department of Surgery, Northwestern University, Chicago, IL 60611 [P. G.]
 |
ABSTRACT |
|---|
 Top ABSTRACT IntroductionMaterials and MethodsResultsDiscussionREFERENCES |
|---|
|
Introduction |
|---|
|
TopABSTRACTIntroductionMaterials and MethodsResultsDiscussionREFERENCES |
|---|
25,000 new cases annually in the United States. Unfortunately, there are 28,000 deaths related to the disease and its metastatic complications attributable to presentation of patients at advanced stages. Pancreatic adenocarcinomas arise in ductal epithelial cells and undergo a carefully orchestrated program of genetic alterations that arise in premalignant lesions. These eventually culminate in the development of cancer. K-ras oncogene point mutations are found in 90–95% of all pancreatic ductal adenocarcinomas (1
, 2)
and, as such, also represent the earliest known genetic alteration in premalignant or precursor lesions. Although K-ras oncogene point mutations are important initiating events, it is clear that inactivation of the p16 and p53 tumor suppressor genes, as well as the SMAD genes, are also important for tumor development and progression (3, 4, 5, 6, 7)
. The ability to model pancreatic ductal adenocarcinoma and its precursor stages has been hampered by the inability to target mutant Ki-ras in a direct fashion to ductal cells. The elastase promoter is active in acinar cells and has been used to target Ha-ras to the pancreas (8) . These mice develop acinar cell tumors. To that end, we have targeted mutant Ki-ras with the cytokeratin 19 promoter to ductal cells (9 , 10) to recapitulate the premalignant stages of pancreatic adenocarcinoma. Because this promoter is also active in the gastric isthmus region, we also observe evidence of mucous neck hyperplasia.
|
Materials and Methods |
|---|
|
TopABSTRACTIntroductionMaterials and MethodsResultsDiscussionREFERENCES |
|---|
Val at codon 12, was obtained by a BamHI digest of the pZIP-K-rasV12 vector (gift of C. Der) and subcloned in the BamHI restriction site of the K19-NeoBam vector between the rabbit ß-globin intron and polyadenylation sequence. The construct was verified by DNA sequencing by the dye terminator cycle sequencing method (ABI) in the automated DNA sequencing facility of the University of Pennsylvania.
Transgenic Mice.
For microinjection, the purified K19-K-rasV12 NeoBam vector was linearized by a BSMBI/EagI restriction enzyme digest to release the K19-K-rasV12 transgene, purified using Elutips, and used for microinjection. The DNA was injected into B6 x SJL recipient oocytes and transferred to pseudopregnant females. Genotyping of founders and offspring was performed using PCR with primers specific for the transgene. The sense primer (5'-GGCTGGCGTGGAAATATTCT), spanning the ß-globin intronic sequence, and the antisense primer (5'-GCTGTATCGTCAAGGCACTC) recognize a specific sequence of the K-rasV12 cDNA. Transgenic mice demonstrated a single PCR band corresponding to the expected product of 360 bp. Transgene incorporation was confirmed by Southern blot analysis after a BglII restriction enzyme digest of 15 µg of genomic DNA to release the integrated 2.7-kb transgene within the K19 promoter and at the polyadenylation signal. Blots were hybridized with the 360-bp PCR probe. Only mice with proven integration of the transgene by Southern blot analysis and corroborated by PCR genotyping were analyzed further and compared with age-matched wild-type littermates. Three founder lines were established with generation of F1 and F2 mice.
Cell Culture and Transient Transfection.
The human pancreatic ductal adenocarcinoma cell lines Panc-1 and Capan-2 (American Type Culture Collection) were grown in 5% CO2 at 37°C as subconfluent monolayers in DMEM supplemented with 10% volume for volume FCS, 100 units/ml penicillin, 100 µg/ml streptomycin, and 1% L-glutamine (Sigma Chemical Co., St. Louis, MO). Experiments were carried out in the log phase of growth after the cells were seeded for 24 h.
Transient transfections of cells with the DNA construct were performed using the liposomal DNA transfer technique. After an attachment period of 12 h, cells were incubated with 800 µl of the transfection mixture containing 1 µg of plasmid DNA and 20 µl of LipofectAMINE reagents in Opti-MEM medium (Life Technologies, Inc., Arlington Heights, IL). Cells were incubated for 5 h, followed by exchange with fresh medium supplemented with FCS. Transfection efficiency was routinely monitored by cotransfection with pGreen Lantern-1 (Life Technologies). After 48 h, cells were washed twice with PBS and resuspended in Mg2+ lysis buffer (Upstate Biotechnology, Inc.) containing 25 mM HEPES (pH 7.5), 125 mM sodium chloride, 5 mM EDTA and 1% Igepal CA-630, 10 mM MgCl2+, 1 mM EDTA, and 2% glycerol supplemented with a proteinase inhibitor cocktail (Boehringer Mannheim). Protein lysates were used for Western blotting and ras activity assays.
RT-PCR.3
Total RNA was isolated from monolayer cultures using TRIzol reagent (Life Technologies). For the semiquantitative analysis of transcripts encoding N-cadherin and glyceraldehyde-3-phosphate dehydrogenase, 200 ng of total RNA were reverse transcribed and amplified according to the protocol of the Titan One tube RT-PCR system (Roche, Mannheim, Germany). PCR primers were designed to anneal to specific sequences of the mouse N-cadherin (forward, 5'-GGCGTCTGTGGAGGCTTCTGGTGAA-3'; reverse, 5'-GTGATGACGGCTGTGGCTGTGTTTGA-3'), amplifying a 1.1-kb cDNA fragment. The sequences of the primers for glyceraldehyde-3-phosphate dehydrogenase were 5'-TGTGAACGGATTTGGCCGTA-3' and 5'-AAGCAGTTGGTGGTGCAGGA-3', yielding a 440-bp cDNA product. Data shown were obtained with 30 PCR cycles.
Western Blot Analysis and ras Activity Assay.
Fresh pancreatic tissues were obtained from transgenic animals and wild-type littermate controls. The whole pancreas was immediately transferred to Mg2+ lysis buffer (Upstate Biotechnology) with protease inhibitors (Boehringer Mannheim), sonicated on ice two times for 45 s to disrupt the tissue, and centrifuged at 4°C for 20 min. Protein concentration of the supernatant was determined by a colorimetric method (Bio-Rad) and adjusted to 1 µg/µl. Lysates (500 µg) were precleared with 10 µl of glutathione S-transferase-agarose (Santa Cruz Biotechnology), followed by incubation with 10 µg of Raf-1 RBD agarose conjugate (Upstate Biotechnology) for 30 min at 4°C. Beads were collected by pulse centrifugation and washed twice in lysis buffer. Raf-1 RBD-precipitated ras-GTP was finally recovered from the beads in 2x Laemmli buffer, boiled, and separated on a 15% SDS-PAGE. To determine total ras protein, 10 µg from the lysates were probed in parallel by Western blotting. After electrophoresis, the protein was transferred to an Immobilon membrane (Millipore Corp.). After Ponceau S staining to confirm equal loading of proteins, the membrane was blocked with 5% milk, 10 mM Tris-HCl (pH 7.4), 150 mM NaCl, and 0.2% Tween 20 for 1 h. The primary antibody Anti-ras (clone RAS10; Upstate Biotechnology) was used at a concentration of 1 µg/ml, and the secondary antibody, HRP-conjugated sheep antimouse (Amersham Pharmacia Biotech) antibody, was used at a 1:5000 dilution. In addition, blots were probed with anti-MAPK, anti-phospho-MAPK (both obtained from New England Biolabs), anti-cyclin D1 (Santa Cruz Biotechnology), and anti-ß-actin (Santa Cruz Biotechnology) antibody, according to the manufacturer’s instructions. The antibody used for detection of N-cadherin was mouse monoclonal anti-N-cadherin (dilution 1:3000; BD Transduction Laboratories). Immunodetection of the signals was performed using the corresponding secondary HRP-conjugated antibodies. HRP activity was detected with a chemiluminescence system (enhanced chemiluminescence system; Amersham Pharmacia Biotech).
Histology and Immunohistochemistry.
Five transgenic mice from each of the three founder lines were sacrificed at 6, 9, 12, 15, and 18 months (yielding 15 transgenic mice at each time point), along with an equivalent number of wild-type littermates. Six hours before euthanasia, animals were labeled with 200 mg of BrdUrd/kg body weight by i.p. injection. Tissues (pancreatic, gastric, liver, esophagus, small intestine, colon, kidney, spleen, and lung) were fixed in 4% paraformaldehyde and paraffin embedded, and consecutive 5-µm tissue sections were mounted on adhesive-coated slides. Consecutive sections were stained with H&E. Sections of wild-type and transgenic animals were screened by independent investigators, and histopathology was confirmed independently by a veteran pathologist.
For immunohistochemistry, slides were dewaxed and rehydrated, immersed in 10 mM citric acid (pH 6.0), and boiled for 6 min to retrieve the antigen before immunostaining. This was followed by pretreatment with 3% H2O2 in methanol to quench endogenous peroxidase activity and then blocked for 15 min with a protein blocking reagent (Vecta). Primary antibodies were incubated with tissue sections and included mouse anti-BrdU monoclonal antibody (Boehringer Mannheim) at a 1:500 dilution, anti-AAA lectin antibody (San Mateo) at 1:20 dilution, and anti-H+,K+-ATPase (Medical and Biological Laboratories Co.) at 1:2000 dilution, each followed by incubation with a biotinylated secondary antibody (Vector Laboratories, Burlingame, CA) in a 1:100 dilution for 30 min. Signals were developed by the avidin-biotin peroxidase method using the 3,3'-diaminobenzidine substrate kit (Vector Laboratories). The specificity of the staining was confirmed for each antibody by control reactions in which the primary antibody was omitted. Sections were counterstained with hematoxylin.
For CD4 and CD8 immunohistochemistry, fresh pancreas tissues were either positioned in Tissue Tek and immediately frozen in liquid N2 or frozen, then positioned in Tissue Tek, and immediately frozen again. Tissues were sectioned at 6–10 µm in a cryostat at -18°C and, slides were stored at -80°C. Slides were thawed at room temperature for 20–30 min, and all subsequent steps were done at room temperature. Sections were fixed in 2% paraformaldehyde for 5 min and washed three times in 1 x PBS (3–5 min/wash). Endogenous peroxidases were inactivated using a 10-min incubation in 6% H2O2 (Sigma). Slides were washed three times in 1 x PBS and blocked with 10 µg/ml FcR block (PharMingen, San Diego, CA) in TNB [2.5 grams of blocking powder (NEN Life Sciences, Boston, MA) in 0.1 M Tris (pH 7.5) and 0.15 M NaCl] for 30 min, avidin block for 10 min, and biotin block for 10 min (both from Vector Laboratories). After a single wash with 1 x PBS, tissue sections were incubated with primary antibody for 1 h. After three washes in 1 x PBS, sections were incubated with a 1:100 dilution of streptavidin-horse radish peroxidase (NEN Life Sciences) in TNB for 30 min, followed by another set of 1 x PBS washes, and incubated for 5 min in cyanine 3 substrate diluted 1:100 in amplification diluent (NEN Life Sciences). After another set of 1 x PBS washes, sections were counterstained with 20 µg/ml 4',6-diamidino-2-phenylindole (Sigma) for 5 min, rinsed in 1 x PBS, dried, and mounted with Vectashield (Vector Laboratories) and a coverslip. Sections were viewed never >16 h after the staining using a fluorescent microscope. Images were captured using Magnafire 2.0 software. The primary antibodies against CD4 and CD8 (0.5 mg/ml; PharMingen) were all diluted 1:200 in TNB.
|
Results |
|---|
|
TopABSTRACTIntroductionMaterials and MethodsResultsDiscussionREFERENCES |
|---|
Val), which represents one of the most common K-ras mutations in human pancreatic adenocarcinoma. An intronic fragment from the rabbit ß-globin was inserted between the K19 promoter and K-ras gene to enhance gene expression. This construct was tested initially by overexpression in human pancreatic ductal cell lines (Fig. 1A)
. By Western blotting, there is increased K-ras protein expression and increased ras activity from the transfected transgene construct compared with mock-transfected cells.
|
. The total level of ras protein in whole pancreatic extracts from transgenic and wild-type mice was equal. However, Western blot analysis demonstrated activated K-ras was increased in all three founder lines with concomitant increase in cyclin D1. Although phosphorylated MAPK was increased in only one founder line, it should be noted that the functional effects of activated ras may be independent of phosphorylated MAPK in human pancreatic cancer (11)
. Furthermore, BrdU labeling of mice revealed a 2-fold increase in BrdU immunostaining within pancreatic ductal epithelia of transgenic mice in all founder lines compared with wild-type littermates starting at 6 months of age (data not shown).
Overexpression of Activated ras Leads to Lymphocytic Infiltration Around Pancreatic Ducts.
Age-matched transgenic and wild-type mice littermates were sacrificed between ages 6 and 18 months for histological analysis. Starting at 6 months of age, there was dramatic evidence of lymphocytic infiltration around ducts, both interlobular and intralobular, in all three founder lines (Figs. 2, A and B)
. To phenotype the lymphocytes, immunostaining revealed the presence of CD4+ predominant T lymphocytes and occasional CD8+ T lymphocytes (Fig. 2C)
. In particular, CD4 was most prevalent because many ducts had pockets of positively stained cells around them. CD8 could be found in smaller groupings near and almost within a few ducts, although there were more ducts with pockets of CD4-positive cells than those with CD8-positive cells. In nontransgenic pancreas, there was no staining for CD4, CD8, with an irrelevant isotype antibody (data not shown).
|
, which is observed as an initial step of pancreatic cancer in the pancreatic intraepithelial neoplasm classification of human pancreatic ductal adenocarcinomas and associated with K-ras oncogene point mutations (12)
. These changes were not seen in any wild-type littermates followed 
18 months.
Microarray analysis (Affymetrix Microarray Suite 5.0, U74Av2 GeneChips) was performed on pancreatic ductal cells isolated from K19-K-ras-V12 mice compared with wild-type mice. This revealed an increase in N-cadherin expression (3.8 x increase in microarray) that was confirmed both at the RNA (4.5 x increase) and protein (5.5 x increase) levels in transgenic mouse pancreatic ductal cells compared with those from wild-type mice (Fig. 3)
. It is known that N-cadherin-mediated adhesion is critical for maintaining cell-cell interactions in tissues undergoing cellular rearrangements and increased mechanical stress associated with morphogenesis.
|
18 months with confirmation by immunohistochemistry (Fig. 4)
. This finding was not apparent in any wild-type mice. In addition, there was a decrease in parietal cell mass in transgenic mice but not in any wild-type mice (Fig. 4)
.
|
|
Discussion |
|---|
|
TopABSTRACTIntroductionMaterials and MethodsResultsDiscussionREFERENCES |
|---|
We observed occasional evidence of pancreatic ductal hyperplasia in transgenic mice, consistent with the human counterpart in the pancreatic intraepithelial neoplasm classification. It is conceivable that the frequency of hyperplasia and even dysplasia was impeded by the recruitment of CD4+ T cells and, to a lesser extent, CD8+ T cells, which are known to play a central role in the host adaptive immune response. This may be consistent with observations that overlapping epitopes in mutant ras oncogene peptides activate CD4+ and CD8+ T-cell responses (13 , 14) . Furthermore, mutant ras has been noted to increase recruitment of natural killer cells and natural killer cell-mediated lysis (15) . Thus, the recruitment and infiltration of CD4+ T cells may modulate the host immune surveillance against early neoplastic changes in the pancreas.
The consistent induction of N-cadherin in the pancreatic ductal cells of K19-K-ras-V12 transgenic mice may serve as a checkpoint to the proliferation-mediated and growth-promoting effects of activated ras given N-cadherin’s role in adhesion and motility (16) . The fundamental importance of N-cadherin in the pancreas is underscored by the finding that deficiency of N-cadherin causes agenesis of the dorsal pancreas (17) . Furthermore, a dominant-negative version of N-cadherin, when expressed in mouse embryonic stem cells under the control of promoters active in small intestinal epithelial cells and resulting in adult chimeric mice, leads to disturbances in cell migration (18) , mucosal inflammation (consistent with Crohn’s disease), and adenomas. Thus, we postulate that although K-ras mutations may be crucial initiating events in pancreatic carcinogenesis, there are counterbalances with induction of N-cadherin and periductal lymphocytic infiltration. To overcome these effects, inactivation of the p16INK4a, SMAD4, and p53 genes is necessary (19, 20, 21, 22) . To that end, mutation in oncogenic Ki-ras may require combination with inactivation with one or more of these genes to induce cancer, which is the basis for current investigation by our group. Another advantage of our approach is that we are using activated Ki-ras in contrast to activated Ha-ras, which has been classically used in the pancreas and other organs.
There was mucous neck cell hyperplasia in the gastric epithelium of transgenic mice, which is known to be a precursor of gastric adenocarcinoma. Concurrent with this hyperplasia was a decreased number of parietal cells. These changes were present in all founder lines and evident up to 18 months of age. Multipotent stem cells in the isthmus of the gastric epithelium give rise to different cell lineages: (a) acid-producing parietal cells; (b) mucus-producing pit cells; and (c) pepsinogen and intrinsic factor-producing zymogenic cells. Members of the parietal cell lineage are believed to instruct the mucous neck-zymogenic cell lineage, even before maturation of the complete gastric epithelium subunits (23 , 24) . Our findings support interplay between different cell lineages within the gastric epithelium and that activation of ras signaling in mucous neck cells may instruct a program to diminish parietal cell differentiation and promote mucous neck cell hyperplasia. Indeed, parietal cell loss, atrophic gastritis, and achlorhydria are hallmarks of precursor stages of gastric adenocarcinoma (25) .
In aggregate, our findings support an important role for mutant K-ras in the development of premalignant stages in the pancreas and stomach and establish an important mechanistic-based model for translation into chemopreventive and therapeutic strategies, as well as genome-wide analysis.
|
ACKNOWLEDGMENTS |
|---|
|
FOOTNOTES |
|---|
1 Supported by NIH Grants R01 DK 60694, NIH R01 DK59539 (DGS), and P30 DK50306 (Morphology, Molecular Biology, Transgenic/Chimeric Mouse, and Cell Culture Core Facilities) and the Abramson Family Cancer Research Institute. 
2 To whom requests for reprints should be addressed, at 6 CRB, University of Pennsylvania, 415 Curie Boulevard, Philadelphia, PA 19014. Phone: (215) 898-0154; Fax: (215) 573-5412; E-mail: anil2{at}mail.med.upenn.edu
3 The abbreviations used are: RT-PCR, reverse transcription-PCR; HRP, horseradish peroxidase; TNB, 2-nitro-5-thiobenzoate; AAA, Anguilla anguilla; MAPK, mitogen-activated protein kinase.
Received 10/25/02. Accepted 3/18/03.
|
REFERENCES |
|---|
|
TopABSTRACTIntroductionMaterials and MethodsResultsDiscussionREFERENCES |
|---|
This article has been cited by other articles:
|
|
 |
|
  J Watari, A Tanaka, H Tanabe, R Sato, K Moriichi, A Zaky, K Okamoto, A Maemoto, M Fujiya, T Ashida, et al. K-ras mutations and cell kinetics in Helicobacter pylori associated gastric intestinal metaplasia: a comparison before and after eradication in patients with chronic gastritis and gastric cancer J. Clin. Pathol., August 1, 2007; 60(8): 921 - 926. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Zhu, G. Shi, C. Max. Schmidt, R. H. Hruban, and S. F. Konieczny Acinar Cells Contribute to the Molecular Heterogeneity of Pancreatic Intraepithelial Neoplasia Am. J. Pathol., July 1, 2007; 171(1): 263 - 273. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Wang, S. Srinivasan, A. L. Theiss, D. Merlin, and S. V. Sitaraman Interleukin-6 Induces Keratin Expression in Intestinal Epithelial Cells: POTENTIAL ROLE OF KERATIN-8 IN INTERLEUKIN-6-INDUCED BARRIER FUNCTION ALTERATIONS J. Biol. Chem., March 16, 2007; 282(11): 8219 - 8227. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Ueda, K. Fukamachi, Y. Matsuoka, N. Takasuka, F. Takeshita, A. Naito, M. Iigo, D. B. Alexander, M. A. Moore, I. Saito, et al. Ductal origin of pancreatic adenocarcinomas induced by conditional activation of a human Ha-ras oncogene in rat pancreas Carcinogenesis, December 1, 2006; 27(12): 2497 - 2510. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. B. Deramaudt, M. Takaoka, R. Upadhyay, M. J. Bowser, J. Porter, A. Lee, B. Rhoades, C. N. Johnstone, R. Weissleder, S. R. Hingorani, et al. N-Cadherin and Keratinocyte Growth Factor Receptor Mediate the Functional Interplay between Ki-RASG12V and p53V143A in Promoting Pancreatic Cell Migration, Invasion, and Tissue Architecture Disruption. Mol. Cell. Biol., June 1, 2006; 26(11): 4185 - 4200. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. F. Hezel, A. C. Kimmelman, B. Z. Stanger, N. Bardeesy, and R. A. DePinho Genetics and biology of pancreatic ductal adenocarcinoma. Genes & Dev., May 15, 2006; 20(10): 1218 - 1249. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Kuang, Y. Xiao, X. Liu, T. M. Stringfield, S. Zhang, Z. Wang, and Y. Chen In vivo disruption of TGF-beta signaling by Smad7 leads to premalignant ductal lesions in the pancreas PNAS, February 7, 2006; 103(6): 1858 - 1863. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. H. Hruban, N. V. Adsay, J. Albores-Saavedra, M. R. Anver, A. V. Biankin, G. P. Boivin, E. E. Furth, T. Furukawa, A. Klein, D. S. Klimstra, et al. Pathology of Genetically Engineered Mouse Models of Pancreatic Exocrine Cancer: Consensus Report and Recommendations Cancer Res., January 1, 2006; 66(1): 95 - 106. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Tuveson, L. Zhu, A. Gopinathan, N. A. Willis, L. Kachatrian, R. Grochow, C. L. Pin, N. Y. Mitin, E. J. Taparowsky, P. A. Gimotty, et al. Mist1-KrasG12D Knock-In Mice Develop Mixed Differentiation Metastatic Exocrine Pancreatic Carcinoma and Hepatocellular Carcinoma Cancer Res., January 1, 2006; 66(1): 242 - 247. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Agbunag and D. Bar-Sagi Oncogenic K-ras Drives Cell Cycle Progression and Phenotypic Conversion of Primary Pancreatic Duct Epithelial Cells Cancer Res., August 15, 2004; 64(16): 5659 - 5663. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Aubin, A. Davy, and P. Soriano In vivo convergence of BMP and MAPK signaling pathways: impact of differential Smad1 phosphorylation on development and homeostasis Genes & Dev., June 15, 2004; 18(12): 1482 - 1494. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. J. Aguirre, N. Bardeesy, M. Sinha, L. Lopez, D. A. Tuveson, J. Horner, M. S. Redston, and R. A. DePinho Activated Kras and Ink4a/Arf deficiency cooperate to produce metastatic pancreatic ductal adenocarcinoma Genes & Dev., December 15, 2003; 17(24): 3112 - 3126. [Abstract] [Full Text] [PDF]
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Cancer Research | Clinical Cancer Research |
| Cancer Epidemiology Biomarkers & Prevention | Molecular Cancer Therapeutics |
| Molecular Cancer Research | Cancer Prevention Research |
| Cancer Prevention Journals Portal | Cancer Reviews Online |
| Annual Meeting Education Book | Meeting Abstracts Online |
