Loading…

Ethanol stimulates tumor progression and expression of vascular endothelial growth factor in chick embryos

BACKGROUND The mechanisms by which alcohol consumption causes cancer have not been established due to a lack of experimental studies. METHODS A chick embryo chorioallantoic membrane (CAM) model that bore human fibrosarcoma (HT1080) was used to determine whether the administration of physiologically...

Full description

Saved in:
Bibliographic Details
Published in:Cancer 2005-01, Vol.103 (2), p.422-431
Main Authors: Gu, Jian‐Wei, Bailey, Amelia Purser, Sartin, Amanda, Makey, Ian, Brady, Ann L.
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c3931-d30984fdcb4ee600b4f60eb4d874ff239b89aca760dc31c78fefa63df4e05f183
cites cdi_FETCH-LOGICAL-c3931-d30984fdcb4ee600b4f60eb4d874ff239b89aca760dc31c78fefa63df4e05f183
container_end_page 431
container_issue 2
container_start_page 422
container_title Cancer
container_volume 103
creator Gu, Jian‐Wei
Bailey, Amelia Purser
Sartin, Amanda
Makey, Ian
Brady, Ann L.
description BACKGROUND The mechanisms by which alcohol consumption causes cancer have not been established due to a lack of experimental studies. METHODS A chick embryo chorioallantoic membrane (CAM) model that bore human fibrosarcoma (HT1080) was used to determine whether the administration of physiologically relevant doses of ethanol could stimulate tumor growth, angiogenesis, metastasis, and vascular endothelial growth factor (VEGF) expression in tumors. HT1080 cells were inoculated onto the “upper CAM” on Day 8, saline or ethanol was administrated at a dose of 0.25g/kg per day on the CAM, and the tumors were harvested on Day 17. VEGF mRNA and protein were determined by Northern blot analysis and enzyme‐linked immunosorbent assay. Intratumoral vascular volume density (IVVD) was determined by point counting on periodic acid–Schiff‐stained sections. Intravasation of HT1080 cells was determined using human‐Alu polymerase chain reaction analysis. The effects of ethanol on VEGF expression and cell proliferation were examined in cultured HT1080 cells. RESULTS Ethanol treatment for 9 days caused a 2.2‐fold increase in tumor volume (867 ± 138 mm3 vs. 402 ± 28 mm3), a 2.1‐fold increase in IVVD (0.021 ± 0.004 mm3/mm3 vs. 0.010 mm3/mm3 ± 0.002 mm3/mm3), and a significant increase in VEGF mRNA or protein expression in tumors compared with a group of control embryos (n = 6 embryos; P < 0.01). Ethanol treatment caused an increase > 8‐fold in the intravasated HT1080 cells in the CAM group compared with the control group (n = 6 embryos; P < 0.01). Physiologically relevant levels of ethanol (10 mM and 20 mM) caused a dose‐related increase in VEGF mRNA and protein expression in cultured HT1080 cells. The ethanol–HT1080‐conditioned media increased the proliferation of endothelial cells, but not of HT1080 cells. CONCLUSIONS The findings suggest that the induction of angiogenesis and VEGF expression by ethanol represents an important mechanism of cancer progression associated with alcoholic beverage consumption. Cancer 2005. © 2004 American Cancer Society. A chick embryo chorioallantoic membrane model that bore human fibrosarcoma was used to demonstrate that the administration of physiologically relevant doses of ethanol cause significant increases in both tumor size and intratumoral vascular volume density accompanied by the up‐regulation of vascular endothelial growth factor (VEGF) tumor expression. These findings support the hypothesis that the induction of angiogenesis and VEGF exp
doi_str_mv 10.1002/cncr.20781
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67363615</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67363615</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3931-d30984fdcb4ee600b4f60eb4d874ff239b89aca760dc31c78fefa63df4e05f183</originalsourceid><addsrcrecordid>eNp9kEtLxDAUhYMozvjY-AMkG10IHZMmbdqllPEBg4IouCtpeuNkTJsxaR3n31udEXeuLgc-zuF-CJ1QMqGExJeqVX4SE5HRHTSmJBcRoTzeRWNCSBYlnL2M0EEIiyGKOGH7aESTJBcsi8doMe3msnUWh840vZUdBNz1jfN46d2rhxCMa7Fsawyfy9_oNP6QQQ24x9DWrpuDNdLiV-9W3RxrqbqhwLRYzY16w9BUfu3CEdrT0gY43t5D9Hw9fSpuo9nDzV1xNYsUyxmNakbyjOtaVRwgJaTiOiVQ8ToTXOuY5VWWSyVFSmrFqBKZBi1TVmsOJNE0Y4fofNM7fPDeQ-jKxgQF1soWXB_KVLCUpTQZwIsNqLwLwYMul9400q9LSspvs-W32fLH7ACfblv7qoH6D92qHICzLTCokVZ72SoT_riUc8F_iuiGWxkL638my-K-eNyMfwHo6JPC</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67363615</pqid></control><display><type>article</type><title>Ethanol stimulates tumor progression and expression of vascular endothelial growth factor in chick embryos</title><source>Wiley</source><source>EZB Electronic Journals Library</source><creator>Gu, Jian‐Wei ; Bailey, Amelia Purser ; Sartin, Amanda ; Makey, Ian ; Brady, Ann L.</creator><creatorcontrib>Gu, Jian‐Wei ; Bailey, Amelia Purser ; Sartin, Amanda ; Makey, Ian ; Brady, Ann L.</creatorcontrib><description>BACKGROUND The mechanisms by which alcohol consumption causes cancer have not been established due to a lack of experimental studies. METHODS A chick embryo chorioallantoic membrane (CAM) model that bore human fibrosarcoma (HT1080) was used to determine whether the administration of physiologically relevant doses of ethanol could stimulate tumor growth, angiogenesis, metastasis, and vascular endothelial growth factor (VEGF) expression in tumors. HT1080 cells were inoculated onto the “upper CAM” on Day 8, saline or ethanol was administrated at a dose of 0.25g/kg per day on the CAM, and the tumors were harvested on Day 17. VEGF mRNA and protein were determined by Northern blot analysis and enzyme‐linked immunosorbent assay. Intratumoral vascular volume density (IVVD) was determined by point counting on periodic acid–Schiff‐stained sections. Intravasation of HT1080 cells was determined using human‐Alu polymerase chain reaction analysis. The effects of ethanol on VEGF expression and cell proliferation were examined in cultured HT1080 cells. RESULTS Ethanol treatment for 9 days caused a 2.2‐fold increase in tumor volume (867 ± 138 mm3 vs. 402 ± 28 mm3), a 2.1‐fold increase in IVVD (0.021 ± 0.004 mm3/mm3 vs. 0.010 mm3/mm3 ± 0.002 mm3/mm3), and a significant increase in VEGF mRNA or protein expression in tumors compared with a group of control embryos (n = 6 embryos; P &lt; 0.01). Ethanol treatment caused an increase &gt; 8‐fold in the intravasated HT1080 cells in the CAM group compared with the control group (n = 6 embryos; P &lt; 0.01). Physiologically relevant levels of ethanol (10 mM and 20 mM) caused a dose‐related increase in VEGF mRNA and protein expression in cultured HT1080 cells. The ethanol–HT1080‐conditioned media increased the proliferation of endothelial cells, but not of HT1080 cells. CONCLUSIONS The findings suggest that the induction of angiogenesis and VEGF expression by ethanol represents an important mechanism of cancer progression associated with alcoholic beverage consumption. Cancer 2005. © 2004 American Cancer Society. A chick embryo chorioallantoic membrane model that bore human fibrosarcoma was used to demonstrate that the administration of physiologically relevant doses of ethanol cause significant increases in both tumor size and intratumoral vascular volume density accompanied by the up‐regulation of vascular endothelial growth factor (VEGF) tumor expression. These findings support the hypothesis that the induction of angiogenesis and VEGF expression by ethanol represents an important mechanism of cancer progression associated with alcoholic beverage consumption.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.20781</identifier><identifier>PMID: 15597382</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>alcohol ; angiogenesis ; Animals ; Base Sequence ; Biological and medical sciences ; Blotting, Northern ; Cell Line, Tumor ; Cell Proliferation - drug effects ; Chick Embryo ; Chorioallantoic Membrane - cytology ; Chorioallantoic Membrane - drug effects ; Disease Models, Animal ; Ethanol - pharmacology ; Fibrosarcoma - pathology ; Medical sciences ; metastasis ; Molecular Sequence Data ; Neovascularization, Physiologic - drug effects ; Polymerase Chain Reaction ; Reference Values ; Sensitivity and Specificity ; tumor ; Tumors ; vascular endothelial growth factor ; Vascular Endothelial Growth Factor A - analysis ; Vascular Endothelial Growth Factor A - metabolism</subject><ispartof>Cancer, 2005-01, Vol.103 (2), p.422-431</ispartof><rights>Copyright © 2004 American Cancer Society</rights><rights>2005 INIST-CNRS</rights><rights>(c) 2004 American Cancer Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3931-d30984fdcb4ee600b4f60eb4d874ff239b89aca760dc31c78fefa63df4e05f183</citedby><cites>FETCH-LOGICAL-c3931-d30984fdcb4ee600b4f60eb4d874ff239b89aca760dc31c78fefa63df4e05f183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16447481$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15597382$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gu, Jian‐Wei</creatorcontrib><creatorcontrib>Bailey, Amelia Purser</creatorcontrib><creatorcontrib>Sartin, Amanda</creatorcontrib><creatorcontrib>Makey, Ian</creatorcontrib><creatorcontrib>Brady, Ann L.</creatorcontrib><title>Ethanol stimulates tumor progression and expression of vascular endothelial growth factor in chick embryos</title><title>Cancer</title><addtitle>Cancer</addtitle><description>BACKGROUND The mechanisms by which alcohol consumption causes cancer have not been established due to a lack of experimental studies. METHODS A chick embryo chorioallantoic membrane (CAM) model that bore human fibrosarcoma (HT1080) was used to determine whether the administration of physiologically relevant doses of ethanol could stimulate tumor growth, angiogenesis, metastasis, and vascular endothelial growth factor (VEGF) expression in tumors. HT1080 cells were inoculated onto the “upper CAM” on Day 8, saline or ethanol was administrated at a dose of 0.25g/kg per day on the CAM, and the tumors were harvested on Day 17. VEGF mRNA and protein were determined by Northern blot analysis and enzyme‐linked immunosorbent assay. Intratumoral vascular volume density (IVVD) was determined by point counting on periodic acid–Schiff‐stained sections. Intravasation of HT1080 cells was determined using human‐Alu polymerase chain reaction analysis. The effects of ethanol on VEGF expression and cell proliferation were examined in cultured HT1080 cells. RESULTS Ethanol treatment for 9 days caused a 2.2‐fold increase in tumor volume (867 ± 138 mm3 vs. 402 ± 28 mm3), a 2.1‐fold increase in IVVD (0.021 ± 0.004 mm3/mm3 vs. 0.010 mm3/mm3 ± 0.002 mm3/mm3), and a significant increase in VEGF mRNA or protein expression in tumors compared with a group of control embryos (n = 6 embryos; P &lt; 0.01). Ethanol treatment caused an increase &gt; 8‐fold in the intravasated HT1080 cells in the CAM group compared with the control group (n = 6 embryos; P &lt; 0.01). Physiologically relevant levels of ethanol (10 mM and 20 mM) caused a dose‐related increase in VEGF mRNA and protein expression in cultured HT1080 cells. The ethanol–HT1080‐conditioned media increased the proliferation of endothelial cells, but not of HT1080 cells. CONCLUSIONS The findings suggest that the induction of angiogenesis and VEGF expression by ethanol represents an important mechanism of cancer progression associated with alcoholic beverage consumption. Cancer 2005. © 2004 American Cancer Society. A chick embryo chorioallantoic membrane model that bore human fibrosarcoma was used to demonstrate that the administration of physiologically relevant doses of ethanol cause significant increases in both tumor size and intratumoral vascular volume density accompanied by the up‐regulation of vascular endothelial growth factor (VEGF) tumor expression. These findings support the hypothesis that the induction of angiogenesis and VEGF expression by ethanol represents an important mechanism of cancer progression associated with alcoholic beverage consumption.</description><subject>alcohol</subject><subject>angiogenesis</subject><subject>Animals</subject><subject>Base Sequence</subject><subject>Biological and medical sciences</subject><subject>Blotting, Northern</subject><subject>Cell Line, Tumor</subject><subject>Cell Proliferation - drug effects</subject><subject>Chick Embryo</subject><subject>Chorioallantoic Membrane - cytology</subject><subject>Chorioallantoic Membrane - drug effects</subject><subject>Disease Models, Animal</subject><subject>Ethanol - pharmacology</subject><subject>Fibrosarcoma - pathology</subject><subject>Medical sciences</subject><subject>metastasis</subject><subject>Molecular Sequence Data</subject><subject>Neovascularization, Physiologic - drug effects</subject><subject>Polymerase Chain Reaction</subject><subject>Reference Values</subject><subject>Sensitivity and Specificity</subject><subject>tumor</subject><subject>Tumors</subject><subject>vascular endothelial growth factor</subject><subject>Vascular Endothelial Growth Factor A - analysis</subject><subject>Vascular Endothelial Growth Factor A - metabolism</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNp9kEtLxDAUhYMozvjY-AMkG10IHZMmbdqllPEBg4IouCtpeuNkTJsxaR3n31udEXeuLgc-zuF-CJ1QMqGExJeqVX4SE5HRHTSmJBcRoTzeRWNCSBYlnL2M0EEIiyGKOGH7aESTJBcsi8doMe3msnUWh840vZUdBNz1jfN46d2rhxCMa7Fsawyfy9_oNP6QQQ24x9DWrpuDNdLiV-9W3RxrqbqhwLRYzY16w9BUfu3CEdrT0gY43t5D9Hw9fSpuo9nDzV1xNYsUyxmNakbyjOtaVRwgJaTiOiVQ8ToTXOuY5VWWSyVFSmrFqBKZBi1TVmsOJNE0Y4fofNM7fPDeQ-jKxgQF1soWXB_KVLCUpTQZwIsNqLwLwYMul9400q9LSspvs-W32fLH7ACfblv7qoH6D92qHICzLTCokVZ72SoT_riUc8F_iuiGWxkL638my-K-eNyMfwHo6JPC</recordid><startdate>20050115</startdate><enddate>20050115</enddate><creator>Gu, Jian‐Wei</creator><creator>Bailey, Amelia Purser</creator><creator>Sartin, Amanda</creator><creator>Makey, Ian</creator><creator>Brady, Ann L.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050115</creationdate><title>Ethanol stimulates tumor progression and expression of vascular endothelial growth factor in chick embryos</title><author>Gu, Jian‐Wei ; Bailey, Amelia Purser ; Sartin, Amanda ; Makey, Ian ; Brady, Ann L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3931-d30984fdcb4ee600b4f60eb4d874ff239b89aca760dc31c78fefa63df4e05f183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>alcohol</topic><topic>angiogenesis</topic><topic>Animals</topic><topic>Base Sequence</topic><topic>Biological and medical sciences</topic><topic>Blotting, Northern</topic><topic>Cell Line, Tumor</topic><topic>Cell Proliferation - drug effects</topic><topic>Chick Embryo</topic><topic>Chorioallantoic Membrane - cytology</topic><topic>Chorioallantoic Membrane - drug effects</topic><topic>Disease Models, Animal</topic><topic>Ethanol - pharmacology</topic><topic>Fibrosarcoma - pathology</topic><topic>Medical sciences</topic><topic>metastasis</topic><topic>Molecular Sequence Data</topic><topic>Neovascularization, Physiologic - drug effects</topic><topic>Polymerase Chain Reaction</topic><topic>Reference Values</topic><topic>Sensitivity and Specificity</topic><topic>tumor</topic><topic>Tumors</topic><topic>vascular endothelial growth factor</topic><topic>Vascular Endothelial Growth Factor A - analysis</topic><topic>Vascular Endothelial Growth Factor A - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gu, Jian‐Wei</creatorcontrib><creatorcontrib>Bailey, Amelia Purser</creatorcontrib><creatorcontrib>Sartin, Amanda</creatorcontrib><creatorcontrib>Makey, Ian</creatorcontrib><creatorcontrib>Brady, Ann L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gu, Jian‐Wei</au><au>Bailey, Amelia Purser</au><au>Sartin, Amanda</au><au>Makey, Ian</au><au>Brady, Ann L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ethanol stimulates tumor progression and expression of vascular endothelial growth factor in chick embryos</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2005-01-15</date><risdate>2005</risdate><volume>103</volume><issue>2</issue><spage>422</spage><epage>431</epage><pages>422-431</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>BACKGROUND The mechanisms by which alcohol consumption causes cancer have not been established due to a lack of experimental studies. METHODS A chick embryo chorioallantoic membrane (CAM) model that bore human fibrosarcoma (HT1080) was used to determine whether the administration of physiologically relevant doses of ethanol could stimulate tumor growth, angiogenesis, metastasis, and vascular endothelial growth factor (VEGF) expression in tumors. HT1080 cells were inoculated onto the “upper CAM” on Day 8, saline or ethanol was administrated at a dose of 0.25g/kg per day on the CAM, and the tumors were harvested on Day 17. VEGF mRNA and protein were determined by Northern blot analysis and enzyme‐linked immunosorbent assay. Intratumoral vascular volume density (IVVD) was determined by point counting on periodic acid–Schiff‐stained sections. Intravasation of HT1080 cells was determined using human‐Alu polymerase chain reaction analysis. The effects of ethanol on VEGF expression and cell proliferation were examined in cultured HT1080 cells. RESULTS Ethanol treatment for 9 days caused a 2.2‐fold increase in tumor volume (867 ± 138 mm3 vs. 402 ± 28 mm3), a 2.1‐fold increase in IVVD (0.021 ± 0.004 mm3/mm3 vs. 0.010 mm3/mm3 ± 0.002 mm3/mm3), and a significant increase in VEGF mRNA or protein expression in tumors compared with a group of control embryos (n = 6 embryos; P &lt; 0.01). Ethanol treatment caused an increase &gt; 8‐fold in the intravasated HT1080 cells in the CAM group compared with the control group (n = 6 embryos; P &lt; 0.01). Physiologically relevant levels of ethanol (10 mM and 20 mM) caused a dose‐related increase in VEGF mRNA and protein expression in cultured HT1080 cells. The ethanol–HT1080‐conditioned media increased the proliferation of endothelial cells, but not of HT1080 cells. CONCLUSIONS The findings suggest that the induction of angiogenesis and VEGF expression by ethanol represents an important mechanism of cancer progression associated with alcoholic beverage consumption. Cancer 2005. © 2004 American Cancer Society. A chick embryo chorioallantoic membrane model that bore human fibrosarcoma was used to demonstrate that the administration of physiologically relevant doses of ethanol cause significant increases in both tumor size and intratumoral vascular volume density accompanied by the up‐regulation of vascular endothelial growth factor (VEGF) tumor expression. These findings support the hypothesis that the induction of angiogenesis and VEGF expression by ethanol represents an important mechanism of cancer progression associated with alcoholic beverage consumption.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15597382</pmid><doi>10.1002/cncr.20781</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0008-543X
ispartof Cancer, 2005-01, Vol.103 (2), p.422-431
issn 0008-543X
1097-0142
language eng
recordid cdi_proquest_miscellaneous_67363615
source Wiley; EZB Electronic Journals Library
subjects alcohol
angiogenesis
Animals
Base Sequence
Biological and medical sciences
Blotting, Northern
Cell Line, Tumor
Cell Proliferation - drug effects
Chick Embryo
Chorioallantoic Membrane - cytology
Chorioallantoic Membrane - drug effects
Disease Models, Animal
Ethanol - pharmacology
Fibrosarcoma - pathology
Medical sciences
metastasis
Molecular Sequence Data
Neovascularization, Physiologic - drug effects
Polymerase Chain Reaction
Reference Values
Sensitivity and Specificity
tumor
Tumors
vascular endothelial growth factor
Vascular Endothelial Growth Factor A - analysis
Vascular Endothelial Growth Factor A - metabolism
title Ethanol stimulates tumor progression and expression of vascular endothelial growth factor in chick embryos
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T20%3A56%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Ethanol%20stimulates%20tumor%20progression%20and%20expression%20of%20vascular%20endothelial%20growth%20factor%20in%20chick%20embryos&rft.jtitle=Cancer&rft.au=Gu,%20Jian%E2%80%90Wei&rft.date=2005-01-15&rft.volume=103&rft.issue=2&rft.spage=422&rft.epage=431&rft.pages=422-431&rft.issn=0008-543X&rft.eissn=1097-0142&rft.coden=CANCAR&rft_id=info:doi/10.1002/cncr.20781&rft_dat=%3Cproquest_cross%3E67363615%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c3931-d30984fdcb4ee600b4f60eb4d874ff239b89aca760dc31c78fefa63df4e05f183%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=67363615&rft_id=info:pmid/15597382&rfr_iscdi=true