| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Regular Articles |
1 Institut National de la Santé et de la Recherche Médicale U517, Dijon, France; 2 Institut National de la Santé et de la Recherche Médicale U563, Institut Claudius Régaud, Toulouse, France; 3 Institut National de la Santé et de la Recherche Médicale U620, Rennes, France; 4 Institut National de la Santé et de la Recherche Médicale U498, Dijon, France; and 5 Laboratoire de Biologie Cellulaire et Végétale, Rennes, France
| ABSTRACT |
|---|
|
|
|---|
| INTRODUCTION |
|---|
|
|
|---|
CD95 shares with other death receptors of the tumor necrosis factor receptor superfamily an intracellular protein-interaction domain, known as the death domain, which, on engagement of the receptor by its ligand or an agonistic antibody, rapidly recruits the adaptor protein Fas-associated death domain (FADD), which, in turn, recruits the initiator caspase-8 proenzyme via a homologous death effector domain interaction (3, 4, 5) . Caspase-8, which is activated in the resulting death-inducing signaling complex (DISC), either directly activates a downstream caspase cascade or cleaves the Bcl-2-related, BH3-only protein Bid to activate the caspase cascade through the mitochondria (5 , 6) .
Recent studies have shown that CD95-mediated cell death required the clustering of the receptor in lipid rafts (7, 8, 9, 10, 11, 12, 13) . These rafts are dynamic assemblies of tightly packed proteins and lipids that float freely within the cellular membrane bilayer or cluster to form large ordered platforms. These structures, which are enriched in cholesterol, sphingomyelins, and glycosphingolipids, play a central role in many cellular processes that include membrane sorting and trafficking, cell polarization, and signal transduction. Some of the membrane proteins are constitutive raft residents, whereas other move in and out of rafts (14, 15, 16) . Depending on the cell type and the raft isolation technique, it has been shown that CD95 is localized in rafts either constitutively or following interaction with its ligand (17) .
In mouse thymocytes and embryonic fibroblasts, FADD and procaspase-8 are recruited to rafts on CD95 ligation, which is necessary and sufficient to initiate CD95-mediated death signaling. Disruption of rafts abolishes the initiation of CD95 death signaling in thymocytes and Jurkat cells (10 , 18) .
How CD95 can be redistributed to lipid rafts when interacting with its ligand has been partially depicted. The formation of initial DISCs leads to the activation of an acid sphingomyelinase (aSMase). This enzyme translocates from an intracellular compartment to the extracellular leaflet of membrane rafts where it releases extracellularly oriented ceramides. These ceramides could induce coalescence of elementary rafts and/or reorganization of these domains, thereby amplifying CD95 signaling by formation of larger complexes, further recruitment of FADD and procaspase-8, and stabilization of the DISC (7 , 8 , 11 , 12) . Transient alterations in plasma membrane fluidity, which have been identified in cells exposed to various apoptotic stimuli, also could be implicated in the recruitment of CD95 to rafts (19, 20, 21) .
We have shown previously that exposure of colon carcinoma cells to various cytotoxic drugs could induce the formation of a CD95-including DISC in a ligand-independent manner. We have demonstrated the role played by this signaling complex in apoptosis induction by these drugs (22) . In addition, we have shown that cytotoxic drugs could synergize with death receptor ligands to induce tumor cell death (23, 24, 25) . In the present study, we show that the anticancer drug cisplatin induces CD95 receptor clustering and redistribution into lipid rafts at the surface of HT29 human colon carcinoma cells. FADD and procaspase-8 also are recruited into rafts under cisplatin treatment. CD95 colocalizes with aSMase and ceramide in cisplatin-treated cells, and imipramine, an aSMase inhibitor, prevents cisplatin-induced CD95 clustering. Thus, to involve the CD95-mediated pathway in tumor cell death, cisplatin activates an aSMase that contributes to CD95 redistribution into the lipid rafts.
| MATERIALS AND METHODS |
|---|
|
|
|---|
Immunofluorescence Microscopy
HT29 cells seeded and treated in Lab-Tek chamber slides (Nunc S/A, Polylabo, Strasbourg, France) were subsequently fixed in 2% paraformaldehyde (Sigma) for 10 min, washed twice with PBS, and then preincubated with 0.5% BSA for 15 min before incubation with a mouse anti-CD95 (ZB4, 1:100 dilution; Immunotech), a goat anti-aSMase (Santa Cruz Biotechnology, Tebu-Bio S.A., Le Perray en Yvelines, France), a mouse anticaveolin-2 (Transduction Laboratories, Lexington, KY), or a mouse anticeramide (Alexis Biochemicals, Coger, Paris, France) antibody for 2 h at room temperature, washed twice in PBS, and incubated with Texas red-conjugated antimouse immunoglobulins (1:50 dilution; Jackson ImmunoResearch Laboratories, Beckman Coulter, Villepinte, France), Texas red-conjugated antigoat immunoglobulins (Jackson ImmunoResearch Laboratories), or FITC-conjugated antimouse immunoglobulins (Molecular Probes Europe BV, Leiden, the Netherlands). The expression of CD95, aSMase, caveolin-2, and ceramide was analyzed using a confocal laser-scanning microscope (TCS4d; Leica Microsystems, Wetzlar, Germany).
Cell Fractionation and Immunoblotting
Untreated and treated HT29 cells (8 x 107) washed in ice-cold PBS were lysed in 1 ml buffer MBS-buffered saline [25 mM 2-(N-morpholino)ethanesulfonic acid (pH 6.5), 150 mM NaCl, and complete protease inhibitor mixture; Roche Biochemicals, Meylan, France] containing 1% Triton X-100 for 30 min at 4°C before passing them through an ice-cold cylinder cell homogenizer. Lysates then were diluted with 2 ml buffer MBS containing 80% sucrose (w/v) and placed at the bottom of a linear sucrose gradient consisting of 8 ml 540% sucrose (w/v) in MBS. Samples were centrifuged at 39,000 rpm for 20 h at 4°C, and 1-ml fractions were collected from the top of the gradient. To determine the location of CD95, FADD, and procaspase-8 in the cells, 60 µl of each fraction were subjected to SDS-PAGE and immunoblot analysis. After blocking for 1 h at room temperature with 8% powdered skimmed milk in Tris-buffered saline/Tween [50 mM Tris-HCl (pH 8.0), 150 mM NaCl, and 0.1% Tween 20], membranes were incubated with an anti-CD95 rabbit polyclonal antibody (1:500 dilution; Santa Cruz Biotechnology, Santa Cruz, CA), an anti-FADD monoclonal antibody (1:1000 dilution; Transduction Laboratories), an antiprocaspase-8 monoclonal antibody (1:1000 dilution; Immunotech), an antiprocaspase-2 monoclonal antibody (1:1000 dilution; PharMingen, San Diego, CA), or an anticaveolin-2 monoclonal antibody (1:1000; Transduction Laboratories). Membranes then were washed twice with Tris-buffered saline/Tween and incubated with horseradish peroxidase-conjugated goat antimouse or antirabbit IgG (Jackson ImmunoResearch Laboratories) before protein identification using an enhanced chemiluminescence detection kit (Amersham, Piscataway, NJ).
Phospholipid and Cholesterol Analysis of Lipid Raft Fractions
Lipids were extracted using the method of Folch et al. (26)
.
Phospholipid Analysis.
An aliquot of the chloroformic phase was evaporated, and 100 µl of chloroform/methanol (4:2) were added for quantitative liquid chromatography/mass spectrometry. Phospholipid analysis was performed on a Hypersil Si 2 x 200-mm column (Agilent Technologies, Palo Alto, CA) with a binary gradient of solvent A (5 mM ammonium acetate in chloroform/methanol, 4:1) and solvent B (5 mM ammonium acetate in chloroform/methanol/water, 6:3.4:0.5). Positive electrospray-mass spectrometry was performed using an MSD 1100 mass spectrometer (Agilent Technologies).
Cholesterol Analysis.
Another aliquot of the chloroformic phase was evaporated; 60 µl of KOH 10 M and 1 ml of methanol were added; and tubes were incubated for 45 min at 56°C. After incubation, 2 ml of chloroform and 1 ml of water were added; tubes were shaken and centrifuged; and the chloroformic phase was evaporated. One hundred µl of a mixture of bis(trimethylsilyl)trifluoroacetamide/trimethylchlorosilane (4:1 v/v; Acros Organics, Fisher Scientific International, Hampton, NH) were added; samples were incubated 1 h at 80°C and evaporated; and 100 µl of hexane were added. Analysis of sterol trimethylsilylether was performed by gas liquid/mass spectrometry in a 6890 gas chromatograph coupled with a 7673 mass detector (Agilent Technologies). The column was a HP-5MS 30 m x 0.25 mm (Agilent Technologies), and helium was used as the carrier gas. Concentrations of phospholipids and cholesterol were determined from the ratio of the peak area corresponding to one given molecule to the peak area corresponding to the internal standard. Levels were determined by comparing this ratio with a standard curve of known amounts of cholesterol or of different species of phospholipids. Concentrations were expressed in nmol/µg of total proteins.
Metabolic Cell Labeling and Sphingolipid Quantification
Total cellular sphingomyelin and ceramide quantification was performed by labeling cells to isotopic equilibrium with 0.5 µCi/ml of [9,10-3H] palmitic acid (53.0 Ci/ml; Amersham) for 48 h in medium complemented with 0.5% FCS and 2 mM L-glutamine. These cells then were washed and treated with cisplatin (5 µg/ml) for time course experiments. Lipids were extracted and resolved by thin-layer chromatography. Sphingomyelin and ceramide were scraped and quantitated using a liquid scintillation counter.
Flow Cytometry Analysis
The membrane expression of CD95 and the aSMase was studied by flow cytometry. HT29 cells in suspension were stained with a mouse anti-CD95 (ZB4, 1:100 dilution; Immunotech) or a goat anti-aSMase (1:100; Santa Cruz Biotechnology) in 100 µl of PBS containing 0.5% BSA and 0.1% sodium azide (Sigma-Aldrich). After 1-h incubation at 4°C and two washes in PBS, cells were incubated for 45 min at 4°C with an FITC-conjugated sheep antimouse IgG or an FITC-conjugated sheep antigoat IgG (Amersham). In all of the cases, 10,000 cells were analyzed using a FACScan flow cytometer (Becton Dickinson, Franklin Lakes, NJ).
Determination of Membrane Fluidity by EPR Spin-Labeling Method
The membrane fluidity of HT29 cells was determined by a spin-labeling method using electron paramagnetic resonance (EPR; Ref. 27
). After treatment, cells collected in PBS were incubated with 0.5 µg/ml 12-DSA spin label (which incorporates at the inner layer of plasma membrane) for 15 min at 37°C and then were washed three times with PBS to eliminate the free spin label. The final pellet was kept on ice to prevent any spin label reduction before analyzing the EPR spectrum at room temperature (20°C) using a Bruker ESP 106 spectrometer (9.82 GHz frequency, 20 mW microwave power, 1.771 G modulation amplitude, and 100 kHz modulation frequency; Bruker Biospan, Rheinstetten, Germany). The values of inner hyperfine-splitting EPR spectra, typical for 12-DSA spin label, were used to calculate the order parameter. An increase in the order parameter reflects a decrease in membrane fluidity.
| RESULTS |
|---|
|
|
|---|
|
10%) of cell death 72 h after cell treatment. At this time point, nystatin still negatively interfered with cisplatin-induced apoptosis (Fig. 2A)
|
|
|
|
|
| DISCUSSION |
|---|
|
|
|---|
It was suggested initially that engagement of CD95 led to receptor trimerization that preceded the formation of the DISC (30) . It then was proposed that CD95 could exist in a trimerized state before ligand interaction (31) and that CD95-L induced the multimerization of trimerized proteins, generating aggregates of activated receptors to produce high local concentration of DISC (17 , 32) . Clustering of a cell surface receptor on binding to its specific ligand has been described for a variety of other receptors, such as immunoglobulin and T-cell receptors (33 , 34) . In several of these systems, patches of aggregated receptors were shown to migrate toward one pole of the cell to form a cap via an energy-dependent process involving cytoskeleton reorganization, thus facilitating signal transduction by the local assembly of the various signaling elements.
We have shown previously that anticancer drugs could enhance the expression of CD95 or induce clustering of the receptor at the surface of a variety of tumor cells, which was associated with the ligand-independent formation of the DISC. This signaling pathway was shown to contribute to drug-induced apoptosis in some cancer cells and to sensitize these cells to apoptosis induced by CD95-L (22 , 23 , 35) . By using cisplatin and the human colon carcinoma cell line HT29, we show here that these effects are associated with the redistribution of CD95 into the membrane rafts. These microdomains were isolated by the virtue of their detergent insolubility and further characterized by identifying their high concentration in cholesterol and sphingomyelin. CD95 colocalization with raft-associated proteins has been associated previously with engagement by its specific ligand or agonistic antibodies (7, 8, 9, 10, 11, 12, 13) . Recent studies have suggested a central role of membrane rafts for clustering or aggregation of a variety of other receptor molecules (36, 37, 38, 39, 40) . The mechanisms trapping receptor molecules in membrane rafts could involve hydrophobic modifications, such as myristoylation, palmitoylation, or double acetylation, interaction with a binding partner that itself associates with raft lipids, or structure of a membrane-spanning domain that mediates a preferential localization in ceramide-enriched domains (41) . Clustering of molecules with modest individual raft affinity also could increase their affinity for these membrane domains. How CD95 is redistributed to rafts under interaction with its cognate ligand or on exposure to a cytotoxic drug requires additional investigation.
The demonstration that CD95 is redistributed or enriched in raft fraction under ligand or cytotoxic drug exposure suggests a role for rafts in CD95 function. The observation that FADD and procaspase-8, which both contribute to the DISC formation, are simultaneously redistributed to the rafts enforces this hypothesis. The ability of nystatin to prevent redistribution of the DISC-forming molecules into the rafts and to decrease apoptosis in cancer cells exposed to cisplatin also suggests a link between these events. How clustering of CD95 receptors within rafts contributes to CD95 signaling and cytotoxic drug-induced apoptosis remains a matter of speculation. This event may favor the formation of CD95 macroaggregates, stabilize the ligand/receptor interaction, or facilitate trans-activation of intracellular signaling molecules.
One of the signaling molecules whose synthesis is induced by exposure to cytotoxic drugs and engagement of CD95 receptor is ceramide. Cellular ceramide can be generated either by hydrolysis of sphingomyelin or de novo synthesis. We show here that the generation of ceramide in cisplatin-treated HT29 cells is associated with the rapid and transient activation of a sphingomyelinase. Hydrolysis of sphingomyelin can be catalyzed by one of the three known sphingomyelinases (acid, neutral, and alkaline). Exposure to cisplatin induces relocalization of an aSMase isoform to the extracellular leaflet of plasma membrane and a colocalization with clustered CD95. Observations in lymphocytes have suggested a pathway through activation and translocation of an aSMase to the extracellular leaflet of membrane rafts, where the enzyme releases extracellularly oriented ceramides, was required for the formation of CD95 clusters at the cell surface on ligation and subsequent amplification of CD95 signaling (8 , 12) . Our data corroborate these observations because clustered CD95 colocalizes with ceramide at the cell surface of cisplatin-treated HT29 cells, and imipramine, an inhibitor of aSMase, prevented cisplatin-induced CD95 clustering. Thus, the ability of nystatin to prevent sphingomyelinase activation and ceramide generation in colon cancer cells exposed to cisplatin could indicate that nystatin somehow prevents interaction of acidic sphingomyelinase with its substrate.
Transient alterations in plasma membrane fluidity have been identified in cells exposed to various apoptotic stimuli (19, 20, 21) . This event may result in enhanced lateral mobility of plasma membrane constituents and reorganization of membrane molecule partitioning. We show here that exposure of HT29 cells to cisplatin induces a transient increase in plasma membrane fluidity that is prevented by nystatin. How membrane fluidity contributes to the redistribution of CD95 at the surface of cisplatin-treated tumor cells remains to be investigated.
The ether lipid edelfosin and the chemopreventive agent resveratrol, two molecules with chemotherapeutic potential, have been shown recently to induce clustering and relocalization of CD95 into membrane rafts in Jurkat cells and colon cancer cells, respectively, indicating that the observed effects are not specific of cisplatin (18 , 42) . We have shown previously that anticancer drugs could sensitize colon cancer cells to death receptor ligands other than CD95-L, such as tumor necrosis factor-related apoptosis-inducing ligand, and preliminary results suggest that cytotoxic drugs could induce the redistribution of other death receptors, such as tumor necrosis factor-related apoptosis-inducing ligand-R2, to rafts in colon cancer cells (24 , 25) .6 Together, these results indicate that anticancer drugs can induce the redistribution of a series of plasma membrane-associated proteins into rafts, which could either contribute to their cytotoxic activity or sensitize cells to other extracellular insults.
| ACKNOWLEDGMENTS |
|---|
| FOOTNOTES |
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Requests for reprints: Marie-Thérèse Dimanche-Boitrel, Institut National de la Santé et de la Recherche Médicale U620, 2 Av du Pr Léon Bernard, 35043 Rennes, France. Phone: 33-2-23-23-48-37; Fax: 33-2-23-23-47-94; E-mail: marie-therese.boitrel{at}rennes.inserm.fr
Received 9/ 4/03. Revised 1/14/04. Accepted 3/ 5/04.
| REFERENCES |
|---|
|
|
|---|
This article has been cited by other articles:
![]() |
S. Uhlig and E. Gulbins Sphingolipids in the Lungs Am. J. Respir. Crit. Care Med., December 1, 2008; 178(11): 1100 - 1114. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. N. Bose, L. Maurmann, R. J. Mishur, L. Yasui, S. Gupta, W. S. Grayburn, H. Hofstetter, and T. Salley Non-DNA-binding platinum anticancer agents: Cytotoxic activities of platinum-phosphato complexes towards human ovarian cancer cells PNAS, November 25, 2008; 105(47): 18314 - 18319. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. L. Smith and E. H. Schuchman The unexpected role of acid sphingomyelinase in cell death and the pathophysiology of common diseases FASEB J, October 1, 2008; 22(10): 3419 - 3431. [Abstract] [Full Text] [PDF] |
||||
![]() |
S.-J. Jia, S. Jin, F. Zhang, F. Yi, W. L. Dewey, and P.-L. Li Formation and function of ceramide-enriched membrane platforms with CD38 during M1-receptor stimulation in bovine coronary arterial myocytes Am J Physiol Heart Circ Physiol, October 1, 2008; 295(4): H1743 - H1752. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. H. Zeidan, R. W. Jenkins, and Y. A. Hannun Remodeling of cellular cytoskeleton by the acid sphingomyelinase/ceramide pathway J. Cell Biol., April 21, 2008; 181(2): 335 - 350. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Beneteau, M. Pizon, B. Chaigne-Delalande, S. Daburon, P. Moreau, F. De Giorgi, F. Ichas, A. Rebillard, M.-T. Dimanche-Boitrel, J.-L. Taupin, et al. Localization of Fas/CD95 into the Lipid Rafts on Down-Modulation of the Phosphatidylinositol 3-Kinase Signaling Pathway Mol. Cancer Res., April 1, 2008; 6(4): 604 - 613. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Yoon, A. Terada, and H. Kita CD66b Regulates Adhesion and Activation of Human Eosinophils J. Immunol., December 15, 2007; 179(12): 8454 - 8462. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Sharma, C. Joseph, S. Ghosh, A. Agarwal, M. K. Mishra, and E. Sen Kaempferol induces apoptosis in glioblastoma cells through oxidative stress Mol. Cancer Ther., September 1, 2007; 6(9): 2544 - 2553. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Mitchell, P. Kabolizadeh, J. Ryan, J. D. Roberts, A. Yacoub, D. T. Curiel, P. B. Fisher, M. P. Hagan, N. P. Farrell, S. Grant, et al. Low-Dose BBR3610 Toxicity in Colon Cancer Cells Is p53-Independent and Enhanced by Inhibition of Epidermal Growth Factor Receptor (ERBB1)-Phosphatidyl Inositol 3 Kinase Signaling Mol. Pharmacol., September 1, 2007; 72(3): 704 - 714. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Perrotta, L. Bizzozero, S. Falcone, P. Rovere-Querini, A. Prinetti, E. H. Schuchman, S. Sonnino, A. A. Manfredi, and E. Clementi Nitric Oxide Boosts Chemoimmunotherapy via Inhibition of Acid Sphingomyelinase in a Mouse Model of Melanoma Cancer Res., August 15, 2007; 67(16): 7559 - 7564. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Rebillard, X. Tekpli, O. Meurette, O. Sergent, G. LeMoigne-Muller, L. Vernhet, M. Gorria, M. Chevanne, M. Christmann, B. Kaina, et al. Cisplatin-Induced Apoptosis Involves Membrane Fluidification via Inhibition of NHE1 in Human Colon Cancer Cells Cancer Res., August 15, 2007; 67(16): 7865 - 7874. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Gajate and F. Mollinedo Edelfosine and perifosine induce selective apoptosis in multiple myeloma by recruitment of death receptors and downstream signaling molecules into lipid rafts Blood, January 15, 2007; 109(2): 711 - 719. [Abstract] [Full Text] [PDF] |
||||
![]() |
Q. Huang, H.-M. Shen, G. Shui, M. R. Wenk, and C.-N. Ong Emodin Inhibits Tumor Cell Adhesion through Disruption of the Membrane Lipid Raft-Associated Integrin Signaling Pathway Cancer Res., June 1, 2006; 66(11): 5807 - 5815. [Abstract] [Full Text] [PDF] |
||||
![]() |
H.-L. Hsiao, W.-S. Wang, P.-M. Chen, and Y. Su Overexpression of thymosin {beta}-4 renders SW480 colon carcinoma cells more resistant to apoptosis triggered by FasL and two topoisomerase II inhibitors via downregulating Fas and upregulating Survivin expression, respectively Carcinogenesis, May 1, 2006; 27(5): 936 - 944. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Gulbins and P. L. Li Physiological and pathophysiological aspects of ceramide Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2006; 290(1): R11 - R26. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Martin, D. C. Phillips, K. Szekely-Szucs, L. Elghazi, F. Desmots, and J. A. Houghton Cyclooxygenase-2 Inhibition Sensitizes Human Colon Carcinoma Cells to TRAIL-Induced Apoptosis through Clustering of DR5 and Concentrating Death-Inducing Signaling Complex Components into Ceramide-Enriched Caveolae Cancer Res., December 15, 2005; 65(24): 11447 - 11458. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Voelkel-Johnson, Y. A. Hannun, and A. El-Zawahry Resistance to TRAIL is associated with defects in ceramide signaling that can be overcome by exogenous C6-ceramide without requiring down-regulation of cellular FLICE inhibitory protein Mol. Cancer Ther., September 1, 2005; 4(9): 1320 - 1327. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. A. Rotolo, J. Zhang, M. Donepudi, H. Lee, Z. Fuks, and R. Kolesnick Caspase-dependent and -independent Activation of Acid Sphingomyelinase Signaling J. Biol. Chem., July 15, 2005; 280(28): 26425 - 26434. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Gajate and F. Mollinedo Cytoskeleton-mediated Death Receptor and Ligand Concentration in Lipid Rafts Forms Apoptosis-promoting Clusters in Cancer Chemotherapy J. Biol. Chem., March 25, 2005; 280(12): 11641 - 11647. [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 |