Loading…

Adenomatous Polyps Are Driven by Microbe-Instigated Focal Inflammation and Are Controlled by IL-10-Producing T Cells

Interleukin (IL)-10 is elevated in cancer and is thought to contribute to immune tolerance and tumor growth. Defying these expectations, the adoptive transfer of IL-10-expressing T cells to mice with polyposis attenuates microbial-induced inflammation and suppresses polyposis. To gain better insight...

Full description

Saved in:
Bibliographic Details
Published in:Cancer research (Chicago, Ill.) Ill.), 2013-10, Vol.73 (19), p.5905-5913
Main Authors: DENNIS, Kristen L, YUNWEI WANG, CHANG, Eugene B, KHAZAIE, Khashayarsha, BLATNER, Nichole R, SHUYA WANG, SAADALLA, Abdulrahman, TRUDEAU, Erin, ROERS, Axel, WEAVER, Casey T, LEE, James J, GILBERT, Jack A
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-c456t-2d32118d75ef6ed19fff5088ff0901f39e0e820edcc9b4c0766a2f10200d957b3
cites cdi_FETCH-LOGICAL-c456t-2d32118d75ef6ed19fff5088ff0901f39e0e820edcc9b4c0766a2f10200d957b3
container_end_page 5913
container_issue 19
container_start_page 5905
container_title Cancer research (Chicago, Ill.)
container_volume 73
creator DENNIS, Kristen L
YUNWEI WANG
CHANG, Eugene B
KHAZAIE, Khashayarsha
BLATNER, Nichole R
SHUYA WANG
SAADALLA, Abdulrahman
TRUDEAU, Erin
ROERS, Axel
WEAVER, Casey T
LEE, James J
GILBERT, Jack A
description Interleukin (IL)-10 is elevated in cancer and is thought to contribute to immune tolerance and tumor growth. Defying these expectations, the adoptive transfer of IL-10-expressing T cells to mice with polyposis attenuates microbial-induced inflammation and suppresses polyposis. To gain better insights into how IL-10 impacts polyposis, we genetically ablated IL-10 in T cells in APC(Δ468) mice and compared the effects of treatment with broad-spectrum antibiotics. We found that T cells and regulatory T cells (Treg) were a major cellular source of IL-10 in both the healthy and polyp-bearing colon. Notably, T cell-specific ablation of IL-10 produced pathologies that were identical to mice with a systemic deficiency in IL-10, in both cases increasing the numbers and growth of colon polyps. Eosinophils were found to densely infiltrate colon polyps, which were enriched similarly for microbiota associated previously with colon cancer. In mice receiving broad-spectrum antibiotics, we observed reductions in microbiota, inflammation, and polyposis. Together, our findings establish that colon polyposis is driven by high densities of microbes that accumulate within polyps and trigger local inflammatory responses. Inflammation, local microbe densities, and polyp growth are suppressed by IL-10 derived specifically from T cells and Tregs.
doi_str_mv 10.1158/0008-5472.CAN-13-1511
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4322779</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1443415884</sourcerecordid><originalsourceid>FETCH-LOGICAL-c456t-2d32118d75ef6ed19fff5088ff0901f39e0e820edcc9b4c0766a2f10200d957b3</originalsourceid><addsrcrecordid>eNqNkU1vEzEQhi0EoqHwE0C-IHFxmfHHflyQoi2FSAF6KGfLu2sHo40d7E2l_HscGgLcOFkjP-9oZh5CXiJcIarmLQA0TMmaX3XLzwwFQ4X4iCxQiYbVUqrHZHFmLsiznL-XUiGop-SCi1YVrl2QeTnaELdmjvtMb-N02GW6TJZeJ39vA-0P9JMfUuwtW4U8-42Z7Uhv4mAmugpuMtsS9TFQE8ZfuS6GOcVpKlTJrtYMgd2mOO4HHzb0jnZ2mvJz8sSZKdsXp_eSfL15f9d9ZOsvH1bdcs0GqaqZ8VFwxGaslXWVHbF1ziloGuegBXSitWAbDnYchraXA9RVZbhD4ABjq-peXJJ3D313-35bMFtmM5PeJb816aCj8frfn-C_6U2811JwXtdtafDm1CDFH3ubZ731eSgrmGDLwTQqhZUAhP9ApRSyiGtkQdUDWg6bc7LuPBGCPsrVR3H6KE4XuRqFPsotuVd_r3NO_bZZgNcnwORiyCUTBp__cHXdtABc_ARcrK09</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1443415884</pqid></control><display><type>article</type><title>Adenomatous Polyps Are Driven by Microbe-Instigated Focal Inflammation and Are Controlled by IL-10-Producing T Cells</title><source>EZB Electronic Journals Library</source><creator>DENNIS, Kristen L ; YUNWEI WANG ; CHANG, Eugene B ; KHAZAIE, Khashayarsha ; BLATNER, Nichole R ; SHUYA WANG ; SAADALLA, Abdulrahman ; TRUDEAU, Erin ; ROERS, Axel ; WEAVER, Casey T ; LEE, James J ; GILBERT, Jack A</creator><creatorcontrib>DENNIS, Kristen L ; YUNWEI WANG ; CHANG, Eugene B ; KHAZAIE, Khashayarsha ; BLATNER, Nichole R ; SHUYA WANG ; SAADALLA, Abdulrahman ; TRUDEAU, Erin ; ROERS, Axel ; WEAVER, Casey T ; LEE, James J ; GILBERT, Jack A</creatorcontrib><description>Interleukin (IL)-10 is elevated in cancer and is thought to contribute to immune tolerance and tumor growth. Defying these expectations, the adoptive transfer of IL-10-expressing T cells to mice with polyposis attenuates microbial-induced inflammation and suppresses polyposis. To gain better insights into how IL-10 impacts polyposis, we genetically ablated IL-10 in T cells in APC(Δ468) mice and compared the effects of treatment with broad-spectrum antibiotics. We found that T cells and regulatory T cells (Treg) were a major cellular source of IL-10 in both the healthy and polyp-bearing colon. Notably, T cell-specific ablation of IL-10 produced pathologies that were identical to mice with a systemic deficiency in IL-10, in both cases increasing the numbers and growth of colon polyps. Eosinophils were found to densely infiltrate colon polyps, which were enriched similarly for microbiota associated previously with colon cancer. In mice receiving broad-spectrum antibiotics, we observed reductions in microbiota, inflammation, and polyposis. Together, our findings establish that colon polyposis is driven by high densities of microbes that accumulate within polyps and trigger local inflammatory responses. Inflammation, local microbe densities, and polyp growth are suppressed by IL-10 derived specifically from T cells and Tregs.</description><identifier>ISSN: 0008-5472</identifier><identifier>EISSN: 1538-7445</identifier><identifier>DOI: 10.1158/0008-5472.CAN-13-1511</identifier><identifier>PMID: 23955389</identifier><identifier>CODEN: CNREA8</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Adenomatous Polyps - etiology ; Adenomatous Polyps - pathology ; Adoptive Transfer ; Animals ; Anti-Bacterial Agents - pharmacology ; Antineoplastic agents ; Biological and medical sciences ; CD4-Positive T-Lymphocytes - immunology ; CD4-Positive T-Lymphocytes - metabolism ; Colon - immunology ; Colon - metabolism ; Colon - pathology ; Colonic Neoplasms - complications ; Colonic Neoplasms - immunology ; Colonic Neoplasms - microbiology ; Cytokines - metabolism ; Disease Models, Animal ; DNA, Bacterial - genetics ; Fluorescent Antibody Technique ; Immune Tolerance ; Inflammation - etiology ; Inflammation - pathology ; Interleukin-10 - physiology ; Medical sciences ; Mice ; Mice, Inbred C57BL ; Mice, Knockout ; Microbiota - immunology ; Pharmacology. Drug treatments ; Real-Time Polymerase Chain Reaction ; Reverse Transcriptase Polymerase Chain Reaction ; RNA, Messenger - genetics ; T-Lymphocytes, Regulatory - immunology ; Tumors</subject><ispartof>Cancer research (Chicago, Ill.), 2013-10, Vol.73 (19), p.5905-5913</ispartof><rights>2014 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-2d32118d75ef6ed19fff5088ff0901f39e0e820edcc9b4c0766a2f10200d957b3</citedby><cites>FETCH-LOGICAL-c456t-2d32118d75ef6ed19fff5088ff0901f39e0e820edcc9b4c0766a2f10200d957b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27906,27907</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27789002$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23955389$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DENNIS, Kristen L</creatorcontrib><creatorcontrib>YUNWEI WANG</creatorcontrib><creatorcontrib>CHANG, Eugene B</creatorcontrib><creatorcontrib>KHAZAIE, Khashayarsha</creatorcontrib><creatorcontrib>BLATNER, Nichole R</creatorcontrib><creatorcontrib>SHUYA WANG</creatorcontrib><creatorcontrib>SAADALLA, Abdulrahman</creatorcontrib><creatorcontrib>TRUDEAU, Erin</creatorcontrib><creatorcontrib>ROERS, Axel</creatorcontrib><creatorcontrib>WEAVER, Casey T</creatorcontrib><creatorcontrib>LEE, James J</creatorcontrib><creatorcontrib>GILBERT, Jack A</creatorcontrib><title>Adenomatous Polyps Are Driven by Microbe-Instigated Focal Inflammation and Are Controlled by IL-10-Producing T Cells</title><title>Cancer research (Chicago, Ill.)</title><addtitle>Cancer Res</addtitle><description>Interleukin (IL)-10 is elevated in cancer and is thought to contribute to immune tolerance and tumor growth. Defying these expectations, the adoptive transfer of IL-10-expressing T cells to mice with polyposis attenuates microbial-induced inflammation and suppresses polyposis. To gain better insights into how IL-10 impacts polyposis, we genetically ablated IL-10 in T cells in APC(Δ468) mice and compared the effects of treatment with broad-spectrum antibiotics. We found that T cells and regulatory T cells (Treg) were a major cellular source of IL-10 in both the healthy and polyp-bearing colon. Notably, T cell-specific ablation of IL-10 produced pathologies that were identical to mice with a systemic deficiency in IL-10, in both cases increasing the numbers and growth of colon polyps. Eosinophils were found to densely infiltrate colon polyps, which were enriched similarly for microbiota associated previously with colon cancer. In mice receiving broad-spectrum antibiotics, we observed reductions in microbiota, inflammation, and polyposis. Together, our findings establish that colon polyposis is driven by high densities of microbes that accumulate within polyps and trigger local inflammatory responses. Inflammation, local microbe densities, and polyp growth are suppressed by IL-10 derived specifically from T cells and Tregs.</description><subject>Adenomatous Polyps - etiology</subject><subject>Adenomatous Polyps - pathology</subject><subject>Adoptive Transfer</subject><subject>Animals</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>CD4-Positive T-Lymphocytes - immunology</subject><subject>CD4-Positive T-Lymphocytes - metabolism</subject><subject>Colon - immunology</subject><subject>Colon - metabolism</subject><subject>Colon - pathology</subject><subject>Colonic Neoplasms - complications</subject><subject>Colonic Neoplasms - immunology</subject><subject>Colonic Neoplasms - microbiology</subject><subject>Cytokines - metabolism</subject><subject>Disease Models, Animal</subject><subject>DNA, Bacterial - genetics</subject><subject>Fluorescent Antibody Technique</subject><subject>Immune Tolerance</subject><subject>Inflammation - etiology</subject><subject>Inflammation - pathology</subject><subject>Interleukin-10 - physiology</subject><subject>Medical sciences</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Mice, Knockout</subject><subject>Microbiota - immunology</subject><subject>Pharmacology. Drug treatments</subject><subject>Real-Time Polymerase Chain Reaction</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>RNA, Messenger - genetics</subject><subject>T-Lymphocytes, Regulatory - immunology</subject><subject>Tumors</subject><issn>0008-5472</issn><issn>1538-7445</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNqNkU1vEzEQhi0EoqHwE0C-IHFxmfHHflyQoi2FSAF6KGfLu2sHo40d7E2l_HscGgLcOFkjP-9oZh5CXiJcIarmLQA0TMmaX3XLzwwFQ4X4iCxQiYbVUqrHZHFmLsiznL-XUiGop-SCi1YVrl2QeTnaELdmjvtMb-N02GW6TJZeJ39vA-0P9JMfUuwtW4U8-42Z7Uhv4mAmugpuMtsS9TFQE8ZfuS6GOcVpKlTJrtYMgd2mOO4HHzb0jnZ2mvJz8sSZKdsXp_eSfL15f9d9ZOsvH1bdcs0GqaqZ8VFwxGaslXWVHbF1ziloGuegBXSitWAbDnYchraXA9RVZbhD4ABjq-peXJJ3D313-35bMFtmM5PeJb816aCj8frfn-C_6U2811JwXtdtafDm1CDFH3ubZ731eSgrmGDLwTQqhZUAhP9ApRSyiGtkQdUDWg6bc7LuPBGCPsrVR3H6KE4XuRqFPsotuVd_r3NO_bZZgNcnwORiyCUTBp__cHXdtABc_ARcrK09</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>DENNIS, Kristen L</creator><creator>YUNWEI WANG</creator><creator>CHANG, Eugene B</creator><creator>KHAZAIE, Khashayarsha</creator><creator>BLATNER, Nichole R</creator><creator>SHUYA WANG</creator><creator>SAADALLA, Abdulrahman</creator><creator>TRUDEAU, Erin</creator><creator>ROERS, Axel</creator><creator>WEAVER, Casey T</creator><creator>LEE, James J</creator><creator>GILBERT, Jack A</creator><general>American Association for Cancer Research</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><scope>7QL</scope><scope>7T5</scope><scope>C1K</scope><scope>H94</scope><scope>5PM</scope></search><sort><creationdate>20131001</creationdate><title>Adenomatous Polyps Are Driven by Microbe-Instigated Focal Inflammation and Are Controlled by IL-10-Producing T Cells</title><author>DENNIS, Kristen L ; YUNWEI WANG ; CHANG, Eugene B ; KHAZAIE, Khashayarsha ; BLATNER, Nichole R ; SHUYA WANG ; SAADALLA, Abdulrahman ; TRUDEAU, Erin ; ROERS, Axel ; WEAVER, Casey T ; LEE, James J ; GILBERT, Jack A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-2d32118d75ef6ed19fff5088ff0901f39e0e820edcc9b4c0766a2f10200d957b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adenomatous Polyps - etiology</topic><topic>Adenomatous Polyps - pathology</topic><topic>Adoptive Transfer</topic><topic>Animals</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Antineoplastic agents</topic><topic>Biological and medical sciences</topic><topic>CD4-Positive T-Lymphocytes - immunology</topic><topic>CD4-Positive T-Lymphocytes - metabolism</topic><topic>Colon - immunology</topic><topic>Colon - metabolism</topic><topic>Colon - pathology</topic><topic>Colonic Neoplasms - complications</topic><topic>Colonic Neoplasms - immunology</topic><topic>Colonic Neoplasms - microbiology</topic><topic>Cytokines - metabolism</topic><topic>Disease Models, Animal</topic><topic>DNA, Bacterial - genetics</topic><topic>Fluorescent Antibody Technique</topic><topic>Immune Tolerance</topic><topic>Inflammation - etiology</topic><topic>Inflammation - pathology</topic><topic>Interleukin-10 - physiology</topic><topic>Medical sciences</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Mice, Knockout</topic><topic>Microbiota - immunology</topic><topic>Pharmacology. Drug treatments</topic><topic>Real-Time Polymerase Chain Reaction</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>RNA, Messenger - genetics</topic><topic>T-Lymphocytes, Regulatory - immunology</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DENNIS, Kristen L</creatorcontrib><creatorcontrib>YUNWEI WANG</creatorcontrib><creatorcontrib>CHANG, Eugene B</creatorcontrib><creatorcontrib>KHAZAIE, Khashayarsha</creatorcontrib><creatorcontrib>BLATNER, Nichole R</creatorcontrib><creatorcontrib>SHUYA WANG</creatorcontrib><creatorcontrib>SAADALLA, Abdulrahman</creatorcontrib><creatorcontrib>TRUDEAU, Erin</creatorcontrib><creatorcontrib>ROERS, Axel</creatorcontrib><creatorcontrib>WEAVER, Casey T</creatorcontrib><creatorcontrib>LEE, James J</creatorcontrib><creatorcontrib>GILBERT, Jack A</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><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Immunology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer research (Chicago, Ill.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DENNIS, Kristen L</au><au>YUNWEI WANG</au><au>CHANG, Eugene B</au><au>KHAZAIE, Khashayarsha</au><au>BLATNER, Nichole R</au><au>SHUYA WANG</au><au>SAADALLA, Abdulrahman</au><au>TRUDEAU, Erin</au><au>ROERS, Axel</au><au>WEAVER, Casey T</au><au>LEE, James J</au><au>GILBERT, Jack A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adenomatous Polyps Are Driven by Microbe-Instigated Focal Inflammation and Are Controlled by IL-10-Producing T Cells</atitle><jtitle>Cancer research (Chicago, Ill.)</jtitle><addtitle>Cancer Res</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>73</volume><issue>19</issue><spage>5905</spage><epage>5913</epage><pages>5905-5913</pages><issn>0008-5472</issn><eissn>1538-7445</eissn><coden>CNREA8</coden><abstract>Interleukin (IL)-10 is elevated in cancer and is thought to contribute to immune tolerance and tumor growth. Defying these expectations, the adoptive transfer of IL-10-expressing T cells to mice with polyposis attenuates microbial-induced inflammation and suppresses polyposis. To gain better insights into how IL-10 impacts polyposis, we genetically ablated IL-10 in T cells in APC(Δ468) mice and compared the effects of treatment with broad-spectrum antibiotics. We found that T cells and regulatory T cells (Treg) were a major cellular source of IL-10 in both the healthy and polyp-bearing colon. Notably, T cell-specific ablation of IL-10 produced pathologies that were identical to mice with a systemic deficiency in IL-10, in both cases increasing the numbers and growth of colon polyps. Eosinophils were found to densely infiltrate colon polyps, which were enriched similarly for microbiota associated previously with colon cancer. In mice receiving broad-spectrum antibiotics, we observed reductions in microbiota, inflammation, and polyposis. Together, our findings establish that colon polyposis is driven by high densities of microbes that accumulate within polyps and trigger local inflammatory responses. Inflammation, local microbe densities, and polyp growth are suppressed by IL-10 derived specifically from T cells and Tregs.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>23955389</pmid><doi>10.1158/0008-5472.CAN-13-1511</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0008-5472
ispartof Cancer research (Chicago, Ill.), 2013-10, Vol.73 (19), p.5905-5913
issn 0008-5472
1538-7445
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4322779
source EZB Electronic Journals Library
subjects Adenomatous Polyps - etiology
Adenomatous Polyps - pathology
Adoptive Transfer
Animals
Anti-Bacterial Agents - pharmacology
Antineoplastic agents
Biological and medical sciences
CD4-Positive T-Lymphocytes - immunology
CD4-Positive T-Lymphocytes - metabolism
Colon - immunology
Colon - metabolism
Colon - pathology
Colonic Neoplasms - complications
Colonic Neoplasms - immunology
Colonic Neoplasms - microbiology
Cytokines - metabolism
Disease Models, Animal
DNA, Bacterial - genetics
Fluorescent Antibody Technique
Immune Tolerance
Inflammation - etiology
Inflammation - pathology
Interleukin-10 - physiology
Medical sciences
Mice
Mice, Inbred C57BL
Mice, Knockout
Microbiota - immunology
Pharmacology. Drug treatments
Real-Time Polymerase Chain Reaction
Reverse Transcriptase Polymerase Chain Reaction
RNA, Messenger - genetics
T-Lymphocytes, Regulatory - immunology
Tumors
title Adenomatous Polyps Are Driven by Microbe-Instigated Focal Inflammation and Are Controlled by IL-10-Producing T Cells
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T08%3A48%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Adenomatous%20Polyps%20Are%20Driven%20by%20Microbe-Instigated%20Focal%20Inflammation%20and%20Are%20Controlled%20by%20IL-10-Producing%20T%20Cells&rft.jtitle=Cancer%20research%20(Chicago,%20Ill.)&rft.au=DENNIS,%20Kristen%20L&rft.date=2013-10-01&rft.volume=73&rft.issue=19&rft.spage=5905&rft.epage=5913&rft.pages=5905-5913&rft.issn=0008-5472&rft.eissn=1538-7445&rft.coden=CNREA8&rft_id=info:doi/10.1158/0008-5472.CAN-13-1511&rft_dat=%3Cproquest_pubme%3E1443415884%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c456t-2d32118d75ef6ed19fff5088ff0901f39e0e820edcc9b4c0766a2f10200d957b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1443415884&rft_id=info:pmid/23955389&rfr_iscdi=true