| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Molecular Biology, Pathobiology, and Genetics |
Department of Molecular and Biomedical Pharmacology, University of Kentucky School of Medicine, Lexington, Kentucky
Requests for reprints: Rina Plattner, Department of Molecular and Biomedical Pharmacology, University of Kentucky School of Medicine, 800 Rose Street, Combs Research Building, Room 209, Lexington, KY 40536. Phone: 859-323-4778; Fax: 859-257-8940; E-mail: rplat2{at}uky.edu.
| Abstract |
|---|
|
|
|---|
1 (PLC
1) in fibroblasts and influence growth factormediated proliferation, membrane ruffling, and migration. Growth factor receptors, Src kinases, and PLC
1 are deregulated in many solid tumors and drive tumor invasion and metastasis. In this study, we found that Abl kinases are constitutively activated, in highly invasive breast cancer cell lines, downstream of deregulated ErbB receptors and Src kinases. Furthermore, activation of Abl kinases promotes breast cancer cell invasion, as treatment of cells with the Abl kinase inhibitor, STI571, or silencing c-Abl and Arg expression with RNA interference dramatically inhibits Matrigel invasion. This is the first evidence that (a) Abl kinases are deregulated and activated in a nonhematopoietic cancer, (b) activation of Abl kinases in breast cancer cells occurs via a novel mechanism, and (c) constitutive activation of Abl kinases promotes invasion of breast cancer cells. These data suggest that pharmacologic inhibitors targeted against Abl kinases could potentially be useful in preventing breast cancer progression in tumors harboring activated Abl kinases. (Cancer Res 2006; 66(11): 5648-55) | Introduction |
|---|
|
|
|---|
1 (PLC
1)] also influence invasion of epithelial-derived cancer cells (2). The mammalian Abl family of nonreceptor tyrosine kinases (also called Abelson kinases) includes two homologous proteins, c-Abl and Abl-related gene (Arg), which are encoded by Abl1 and Abl2 genes, respectively. Abl kinases have highly homologous NH2 termini (SH3, SH2, and kinase domains) but are more divergent in their COOH termini (6). c-Abl is negatively regulated by intramolecular interactions: the kinase domain binds a NH2-terminal myristoyl residue (7), and the SH3 domain interacts with proline residues in the interlinker region (between SH2 and kinase domains; ref. 6). Mutations that disrupt these interactions activate the kinases, which produces oncogenic proteins that transform a variety of cell types (6). In 95% of patients with chronic myelogenous leukemia (CML), Abl1 is translocated next to the BCR gene [t(9;22)], generating a BCR-Abl fusion protein that has constitutively active tyrosine kinase activity (8). Abl1 and Abl2 also are translocated next to the Tel gene (Ets family transcription factor) in leukemia and myeloproliferative diseases, and Abl1 is amplified in T-cell acute lymphocytic leukemia (8, 9). Hematopoietic cells expressing BCR-Abl display decreased adhesiveness to bone marrow stroma and an increased ability to survive, proliferate, migrate, and invade (8, 10). Gleevec [signal transduction inhibitor 571 (STI571), imatinib mesylate], an inhibitor of the Abl kinases, which binds the ATP-binding pocket, induces remission in patients with early-stage CML (11).
Although the role of BCR-Abl in the development of CML has been well studied, the normal function of the Abl kinases has remained elusive. Previously, we showed that Abl kinases are transiently activated by platelet-derived growth factor (PDGF) and EGF stimulation in fibroblasts (12). Activation of c-Abl by PDGF occurs in a Src-dependent manner, as Src kinases directly phosphorylate c-Abl at Y412 and Y245, residues required for full activity (12, 13). In addition to Src, PLC
1 also is required for activation of c-Abl downstream of PDGF receptor (PDGFR)-ß (14). Following activation by PDGF, c-Abl activity is rapidly down-regulated by the PTP-PEST phosphatase (6). Significantly, we showed that c-Abl activation is required for PDGF-mediated proliferation, membrane ruffling, and PLC
1-mediated migration in fibroblasts (12, 14).
Although Abl kinases play key roles in the development of human leukemia, it is not known whether their kinase activities are increased in solid tumors, because translocations involving c-Abl and Arg have not been identified. Upstream regulators of the Abl kinases (growth factor receptors, Src kinases, and PLC
1; refs. 12, 14) are frequently deregulated in solid tumors, such as breast cancer, and their activation increases tumor invasiveness and is associated with a poor clinical outcome (2, 1517). Constitutive activation of EGFR family members (i.e., EGFR/ErbB1 and HER-2/ErbB2) by receptor overexpression, presence of an autocrine growth loop, or mutation promotes breast cancer cell proliferation, survival, migration, invasion, and metastasis (17, 18). Src kinases also are frequently activated in breast cancer and cooperate with EGFR to promote the malignant process (18). Because Abl kinases are involved in cytoskeletal reorganization and migration and are activated downstream of EGFR and Src kinases in fibroblasts (12), we reasoned that Abl kinases may be activated in solid tumors containing constitutively active growth factor receptors and/or Src kinases and may increase tumor cell migration and/or invasion.
c-Abl protein levels, as assessed by immunohistochemistry, are increased in many solid tumors, but increased expression is not consistently correlated with disease grade (19, 20). Arg expression is increased in high-grade colon tumors but not in adenomas or adjacent normal tissue, suggesting that Arg expression may correlate with disease progression (21). However, low-level overexpression of the Abl kinases does not activate their kinase activities due to tight regulation (6). To date, Abl kinase activities have not been assessed in solid tumors, and a direct relationship between Abl kinases and the development or progression of solid tumors has not been established. Here, we show that Abl kinases are constitutively activated in highly invasive breast cancer cells by a mechanism that does not involve chromosomal translocation. Rather, Abl kinases are activated downstream of deregulated EGFR, HER-2, and Src kinases. Significantly, we show that Abl kinases play a functional role in breast cancer progression, as activation of Abl kinases potently drives breast cancer cell invasion.
| Materials and Methods |
|---|
|
|
|---|
-tubulin, c-Kit, insulin-like growth factor-I receptor (IGF-IR), glutathione S-transferase (GST), and c-Abl (K12; immunoprecipitation) were purchased from Santa Cruz Biotechnology (Santa Cruz, CA); antibodies to phosphorylated EGFR (Y1173), Src (GD11), HER-2/ErbB2, and phosphotyrosine (4G10) were obtained from Upstate Biotechnology (Lake Placid, NY); antibodies to phosphorylated Src (Y416), phosphorylated Abl (Y245), and phosphorylated Crk/CrkL (Y221/Y207) were purchased from Cell Signaling Technology (Danvers, MA); antibodies to EGFR, PLC
1, and c-Abl (8E9; Western blotting) were procured from BD Biosciences (Chicago, IL); PLC
1 (Y783) antibody was obtained from Biosource (Camarillo, CA). The Arg antibody was described previously (22). Antibodies to PDGFR were provided by Dr. Andrius Kazlauskas (Harvard University, Cambridge, MA). STI571 was a gift of Novartis Pharmaceuticals (Basel, Switzerland). Pharmacologic inhibitors of Src (SU6656), EGFR (PD153035), and EGFR/HER-2 (PD158780) kinases were obtained from Calbiochem (La Jolla, CA). EGF and IGF-I were obtained from Roche Diagnostics Corp. (Indianapolis, IN), and Upstate Biotechnology (Charlottesville, VA), respectively. Cell lines. 10T-1/2 cells overexpressing EGFR (12) and MCF-7 cells were gifts of Dr. Sally Parsons (University of Virginia, Charlottesville, VA) and Dr. Vivek Rangnekar (University of Kentucky, Lexington, KY), respectively. Fibroblasts lacking c-Abl and Arg and subsequently reconstituted with c-Abl and Arg (4-79-AA) were described previously (22). Fibroblasts lacking Src, Fyn, and Yes kinases (SYF) were obtained from American Type Culture Collection (Manassas, VA). Breast cancer cell lines were obtained from University of North Carolina (Chapel Hill, NC), and Cos-7 cells were from Duke University (Durham, NC) tissue culture facilities. Human mammary epithelial cells (HMEC) were purchased from Cambrex (Baltimore, MD). Cells were maintained as suggested by suppliers and serum starved for 24 hours in 0.1% fetal bovine serum for kinase assays and in basal medium without serum for invasion assays.
Immunoprecipitation, kinase assays, Western blotting, GST pull-down, and far Western analyses. Procedures were done as described previously (12, 22). Immunoblotting with phosphospecific antibodies was done according to the manufacturer's protocols.
RNA interference. MDA-MB-435S cells were transfected with validated small interfering RNAs (siRNA; 20 nmol/L; Abl-1336, Arg-1478, scrambled control; Ambion, Austin, TX) using LipofectAMINE 2000 (Invitrogen, Carlsbad, CA). Transfection complexes were removed after 24 hours and cells were retransfected for 24 hours and serum starved overnight.
Semiquantitative reverse transcription-PCR. Total RNA was isolated from siRNA-transfected cells using a RNeasy kit (Qiagen, Valencia, CA) and digested with DNase I (Invitrogen). RNA was reverse transcribed using SuperScript reverse transcriptase and random primers (Invitrogen) and subjected to PCR using primers specific for the COOH termini of c-Abl and Arg (20 µmol/L; Abl1: forward primer 5'-CCTTCATCCCTCTCATATCAACC-3' and reverse primer 5'-TGGACCACTGCCTGCTGTCGC-3' and Abl2: forward primer 5'-CATCCGTCCATCTGCTCAGAC-3' and reverse primer 5'-GGACAGTAGGTCAGCACATTC-3') together with internal ß-actin control primers (7.5 µmol/L; forward primer 5'-CCTTCCTGGGCATGGAGTCCT-3' and reverse primer 5'-GGAGCAATGTCTTTGATCTTC-3'), MgCl2 (1.5 mmol/L), deoxynucleotide triphosphates, and Taq DNA polymerase (Invitrogen). PCR cycling variables involved 31 cycles of 95°C for 1 minute, 55°C for 1 minute, and 72°C for 1 minute. Aliquots were taken at cycles 23, 27, and 34 to check for linearity. Scanned photographs were quantified using ImageQuant (GE Healthcare Life Sciences, Piscataway, NJ), and Abl1- or Abl2-specific bands were normalized to ß-actin internal controls.
Invasion assays. Serum-starved siRNA-transfected cells or serum-starved cells treated with STI571 (10 µmol/L for 24 hours) were suspended in migration medium (basal medium containing 1% bovine serum albumin) and placed in the top well of invasion chambers (BD Biosciences). Chemoattractant (IGF-I, 5 nmol/L) was placed in the lower chamber in migration medium. Cells were allowed to invade for 48 hours at 37°C. Cells on the upper surface of the membrane were removed, and cells on the undersurface were fixed, stained (Difco kit, Fisher Biosciences, Pittsburgh, PA), and counted.
| Results |
|---|
|
|
|---|
|
Abl kinases are constitutively active in highly aggressive breast cancer cell lines. Fibroblasts expressing oncogenic forms of the Src kinases have dramatically elevated c-Abl and Arg kinase activities (12), and Arg activity is significantly elevated in fibroblasts overexpressing EGFR (Fig. 1A). These data indicate that deregulation of proteins that lie upstream of the Abl kinases (growth factor receptors and Src kinases) activates Abl kinases in fibroblasts. Hence, we tested whether Abl kinases are activated in breast cancer cells that express deregulated growth factor receptors and/or Src kinases. Most of the breast cancer cell lines that we analyzed expressed higher levels of Abl protein compared with HMECs (Fig. 2A, middle ). Considering that Abl kinases are tightly regulated and that low-level overexpression does not usually activate their kinase activities (6), we assessed the activities of c-Abl and Arg under serum-starved conditions. Basal c-Abl and/or Arg kinase activities were dramatically elevated in several poorly differentiated, highly invasive, estrogen receptor (ER)negative breast cancer cell lines (BT-549, MDA-MB-231, MDA-MB-468, and MDA-MB-435S; refs. 23, 24) grown in the absence of serum or growth factors (Fig. 2A, top). In contrast, highly differentiated, noninvasive, ER-positive MCF-7 cells expressed the most Abl protein but had low endogenous c-Abl and Arg kinase activities (Fig. 2A). To confirm that MCF-7 cells were noninvasive, whereas the ER-negative cell lines were highly invasive, we did Matrigel invasion assays. MCF-7 cells, which have low c-Abl and Arg activities, were unable to invade a Matrigel matrix, whereas BT-549, MDA-MB-231, and MDA-MB-435S cells, which contain highly active c-Abl and Arg kinases (Fig. 2A), were extremely invasive (Supplementary Fig. S1). MDA-MB-468 cells, which only have increased Arg activity (Fig. 2A), invaded the Matrigel more slowly, and incubation for 72 hours was required to observe appreciable invasion (data not shown).
|
Growth factor receptors, Src kinases, and PLC
1 are constitutively active in breast cancer cell lines. To dissect the mechanism of activation of Abl kinases in breast cancer cell lines, we first assessed the expression level and activity status of EGFR, HER-2, Src, and PLC
1 in lysates from serum-starved breast cancer cells. Most cell lines express an EGFR family member, except MDA-MB-435S cells, which overexpress IGF-IR (Fig. 3A
; ref. 26). EGFR, HER-2, and Src kinases are constitutively activated/phosphorylated in many of the cell lines (Fig. 3A; refs. 27, 28). Because Src kinases and PLC
1 bind to and are activated by growth factor receptors, we tested whether the activities of Src and PLC
1 were dependent on constitutive activation of EGFR. Treatment of cells with a pharmacologic agent that inhibits the EGFR (PD153035) blocked the activation of PLC
1 in MDA-MB-468 cells but did not affect constitutive Src activity in MDA-MB-468, MDA-MB-231, or BT-549 cells (Fig. 3B), suggesting that Src activation occurs via an EGFR-independent manner in these cell lines.
|
|
|
|
To definitively confirm that Abl kinases promote breast cancer invasion, we assessed the effect of silencing c-Abl and Arg expression on invasion of MDA-MB-435S cells. MDA-MB-435S cells were transfected with siRNAs directed at c-Abl, Arg, or a scrambled control. Semiquantitative reverse transcription-PCR (RT-PCR) analysis showed that c-Abl and Arg were efficiently silenced (90-95%) by the appropriate siRNA (Fig. 6B, bottom right). Western blotting showed that c-Abl protein expression also was dramatically decreased (Fig. 6B, bottom left). Sensitive antibodies that recognize endogenous Arg by Western blotting are not commercially available. Therefore, we tested whether kinase assays could be used to determine protein knockdown efficiency of Arg siRNAs. As shown in Supplementary Fig. S3, expression of a c-Abl siRNA reduced c-Abl expression (Western blot) and activity (kinase assay) by exactly the same percentage. Kinase assays were consistent with RT-PCR analyses, showing 85% to 90% knockdown of c-Abl and Arg kinase activities (Fig. 6B, top right). Because c-Abl and Arg are highly homologous, we tested whether the Arg siRNA affects c-Abl expression/activity and vice versa by performing semiquantitative RT-PCR, kinase assays, and Western blots. Expression of the Arg siRNA inhibited c-Abl mRNA expression and c-Abl kinase activity by 40% to 50%, and the c-Abl siRNA reduced Arg mRNA and kinase activity by 30% to 40% (Fig. 6B, top right). Therefore, the two siRNAs effectively reduce both c-Abl and Arg protein levels and activities. Expression of the highly related Src family kinases was unaffected by expression of either siRNA (Fig. 6B, bottom left).
To determine whether silencing c-Abl and Arg expression affects the invasiveness of MDA-MB-435S cells, siRNA-transfected cells were used in Matrigel invasion assays. Silencing the Abl kinases with either of two independent siRNAs dramatically inhibited invasion >10-fold (Fig. 6B, left). These data are very significant, as they show that activation of the Abl kinases is required for invasion of MDA-MB-435S cells. Similar results also were obtained with MDA-MB-231 cells (data not shown).
| Discussion |
|---|
|
|
|---|
Our results showing that Abl kinases promote breast cancer cell invasion contrast with two previous reports, which suggest that Abl kinases inhibit cancer cell migration and/or invasion. STI571 enhances the cellular response of thyroid cancer cells to hepatocyte growth factor (HGF) and increases HGF-induced migration and morphogenesis (32). However, the STI571 target in thyroid cancer cells was not identified using RNAi or similar experiments; therefore, the involvement of Abl kinases in the STI571-dependent effect was not established (32). Using Cos-7 cells and knockout fibroblasts, Kain et al. suggest that activation of cytoplasmic c-Abl inhibits migration and invasion and promotes apoptosis in cancer cells, thereby acting as a "molecular rheostat." However, the supporting experiments for this conclusion were not done in cancer cells (33).
Existing evidence regarding the role of Abl kinases in cell migration is conflicting. We and others showed that Abl kinases promote cellular migration and/or invasion in a variety of cell types and organisms: (a) Abl kinases are required for PDGF-induced membrane ruffling, an early event in cell migration (12, 34); (b) overexpression of PLC
1 promotes PDGF-induced chemotaxis in an Abl-dependent manner (14); (c) hematopoietic cells transformed by BCR-Abl display increased membrane ruffling, spontaneous motility, and invasion of stromal bone marrow fibroblast monolayers (8, 10); (d) c-Abl induces neurite extensions and filopodia-like microspikes, early migratory events in neuronal cells (6, 35); (e) Drosophila Abl (D-Abl) transmits signals from cell surface receptors to the actin cytoskeleton, positively regulating axon guidance and neuronal migration (6); (f) loss of D-Abl disrupts migration and cell shape changes during dorsal closure in Drosophila (36); and (g) overexpression of the Pyk2 tyrosine kinase promotes heregulin-induced invasion of human T47D breast cancer cells in an Abl-dependent manner (37).
Interestingly, Abl kinases can also inhibit cell migration in some contexts. In fibroblasts for instance, Abl kinases inhibit migration toward collagen and insulin and inhibit wound-healing migration (38). Abl kinases may have different effects on motility depending on the signal, cell type, ECM surface, or migration stimulus. Opposing effects on motility are not unique to Abl kinases and are observed for PDGFR-
, Rac, and IGF-IR (3942). It is also possible that in cells containing tightly regulated Abl kinases (low c-Abl and Arg kinase activities) Abl kinases restrict cellular migration (32, 38), but when the activities of the Abl kinases are unregulated and dramatically increased either by mutation (v-Abl and BCR-Abl; refs. 10, 14) or by activation of upstream regulators (i.e., PLC
1; ref. 14) Abl kinases promote migration. Abl kinases clearly are critical regulators of migration and can act in either a stimulatory or inhibitory capacity. Our data show that, in breast cancer, constitutive activation of Abl kinases dramatically promotes invasion. Ongoing experiments are aimed at defining the molecular mechanism by which the Abl kinases promote invasion of breast cancer cells.
The data presented here suggest that pharmacologic inhibitors of Abl kinases may potentially be useful in preventing breast cancer progression in tumors harboring constitutively active Abl kinases. In addition to CML, the Abl kinase inhibitor Gleevec also is effective for treating patients with gastrointestinal stromal tumors that overexpress c-Kit and/or PDGFR, two other Gleevec targets (43). Gleevec also has been tested in patients with small cell lung cancer, bone sarcoma, and metastatic breast cancer (4446). Most of these trials were not successful. However, patients in these studies were not selected based on having tumors with constitutively activated PDGFR, c-Kit, or Abl kinases (4446). Lessons have been learned from clinical trials involving Herceptin/trastuzamab (ErbB2 monoclonal antibody) and Iressa (EGFR inhibitor); i.e., tumors whose transformed and/or invasive phenotype are dependent on increased receptor activity are more likely to respond to drugs that target the receptor. This understates the importance of targeting in the design of clinical trials, as potentially useful agents may be disregarded based on negative results from untargeted trials (47). Our data indicate that constitutively active Abl kinases may drive progression of some breast cancers. Hence, Abl kinase inhibitors may prevent breast cancer metastasis in a targeted population (those containing constitutively active Abl kinases).
Drugs designed to target abnormally regulated proteins in breast cancer are currently in clinical trials. Herceptin trials were very successful, showing a 23% response rate in a targeted population (48). EGFR inhibitor (i.e., Iressa and Tarceva) trials have not been as successful either due to lack of targeting or because some tumors are resistant to the drugs despite expressing activated EGFR (49). Drug resistance may develop by several different mechanisms, including acquired mutations in the receptor, such that it cannot bind the drug or due to constitutive activation of downstream signaling proteins (50). Use of drugs targeting the same pathway (such as the use of Abl kinase inhibitors) may be effective in overcoming EGFR drug resistance (50).
| Acknowledgments |
|---|
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.
We thank Drs. Sally Parsons and Vivek Rangnekar for providing cell lines, Elisabeth Buchdunger for providing STI571, and Natasha Kyprianou, Douglas Andres, and Sayan Mitra for critically reading the article.
| Footnotes |
|---|
Received 2/23/06. Revised 4/ 3/06. Accepted 4/ 7/06.
| References |
|---|
|
|
|---|
1 in tumor progression. Clin Exp Metastasis 2003;20:28590.[CrossRef][Medline]
1. Nat Cell Biol 2003;5:30919.[CrossRef][Medline]
-mediated signaling in tumor cell invasion. Clin Cancer Res 1999;5:225160.
mitogen-activated protein kinase activity. J Biol Chem 2000;275:1226672.This article has been cited by other articles:
![]() |
S. Lapetina, C. C. Mader, K. Machida, B. J. Mayer, and A. J. Koleske Arg interacts with cortactin to promote adhesion-dependent cell edge protrusion J. Cell Biol., May 4, 2009; 185(3): 503 - 519. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Yogalingam and A. M. Pendergast Abl Kinases Regulate Autophagy by Promoting the Trafficking and Function of Lysosomal Components J. Biol. Chem., December 19, 2008; 283(51): 35941 - 35953. [Abstract] [Full Text] [PDF] |
||||
![]() |
X. Huang, D. Wu, H. Jin, D. Stupack, and J. Y.J. Wang Induction of cell retraction by the combined actions of Abl-CrkII and Rho-ROCK1 signaling J. Cell Biol., November 17, 2008; 183(4): 711 - 723. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Mitra, C. Beach, G.-S. Feng, and R. Plattner SHP-2 is a novel target of Abl kinases during cell proliferation J. Cell Sci., October 15, 2008; 121(20): 3335 - 3346. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Vitali, C. Mancini, V. Cesi, B. Tanno, M. Mancuso, G. Bossi, Y. Zhang, R. V. Martinez, B. Calabretta, C. Dominici, et al. Slug (SNAI2) Down-Regulation by RNA Interference Facilitates Apoptosis and Inhibits Invasive Growth in Neuroblastoma Preclinical Models Clin. Cancer Res., July 15, 2008; 14(14): 4622 - 4630. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Huang, E. O. Comiskey, R. S. Dupree, S. Li, A. J. Koleske, and J. K. Burkhardt The c-Abl tyrosine kinase regulates actin remodeling at the immune synapse Blood, July 1, 2008; 112(1): 111 - 119. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Milstein, C. K. Mooser, H. Hu, M. Fejzo, D. Slamon, L. Goodglick, S. Dry, and J. Colicelli RIN1 Is a Breast Tumor Suppressor Gene Cancer Res., December 15, 2007; 67(24): 11510 - 11516. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Suzuki and T. Shishido Regulation of Cellular Transformation by Oncogenic and Normal Abl Kinases J. Biochem., April 1, 2007; 141(4): 453 - 458. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. Tanos and A. M. Pendergast Abl Tyrosine Kinase Regulates Endocytosis of the Epidermal Growth Factor Receptor J. Biol. Chem., October 27, 2006; 281(43): 32714 - 32723. [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 |