The "
library" is stocked. Early results are encouraging. So now Dr.
David Krag, S.D. Ireland Professor of Surgery, is taking aim at
breast cancer in real women with an innovative new weapon.
Laptop Battery A world-renowned cancer researcher best known for his pioneering
work in sentinel node biopsy, Krag has spent the last several years
identifying amino acid compounds, called peptides, that bind to
cancer cells in the laboratory. These binding peptides, or ligands,
may someday be used to target anti-cancer compounds directly to
breast cancer cells.
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Thinkpad With a library in excess of one million peptides and more than
$750,000 from the National Cancer Institute, Krags research enters
the human phase with a clinical study, "In Vivo Selection of
Ligands for Targeted Therapy." Recently approved by the Food and
Drug Administration, the Phase I trial is designed to determine
whether the technique to identify peptide ligands that bind
specifically to cancer cells proven effective in the laboratory and
in animal models will work in actual breast cancer patients. UVM is
the only site for the trial, now underway and enrolling
patients.
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Microsoft "Were hopeful that this research will help us identify a small
peptide that binds to an important breast cancer membrane receptor,
which may in turn lead to improved therapy for cancer patients,"
said Krag, speaking at a recent medical meeting. "These
tumor-targeting ligands could then be joined to cell-destroying
agents, considerably increasing the effective concentration of an
anti-cancer drug at the cancer site."
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State-of-the-art laboratory technology plays an important role in
Krags work, and he is quick to credit his team of scientists for
their use of random peptide library technology to construct a large
panel of peptides, and determine which are most likely to bind to
targeted breast cancer cells. Developing these libraries was a
major step in the project; this was completed during Krags
sabbatical last year.
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Laptop Computer Peptide libraries are created using a phage-display system.
Phage are viruses containing a circular single-stranded DNA genome,
which have an outer layer of protein. A library is created by
inserting synthetic DNA with random sequences into phage genome so
that peptides are produced, or displayed, on the outer protein
layer of the phage particle.
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Desktop Computer "Each phage produces a unique peptide, and millions of different
peptides are present (on millions of different phage) in a single
library," explains Vermont Cancer Center research scientist Susan
Fuller. "The library is then exposed in the laboratory to cancer
cells and screened for those peptides that bind to the target. Only
those unique peptides that have good binding affinity stick."
Notebooks A goal of the study is to identify peptide ligands that have the
ability to target specific cancer cells, but have the benefit of
being smaller than the antibodies used today in cancer therapy.
These smaller ligands can be better absorbed, distributed,
metabolized, and eliminated by the body.
Lenovo "While the process is complicated, we are pleased with our
results so far," says Fuller. "These peptides could be coupled with
anti-cancer agents and hold great promise in the development of
safe and effective compounds for the treatment of breast
cancer."
Hard Drive From lab to bedside
Now that the libraries have been developed and initial studies are
complete, Krags theory that screening for peptides with possible
therapeutic value can be done by directly administering them to a
cancer patient is ready to be tested.
Travelstar "This method allows us to bring our library directly to the
patient," says Krag. "We can deliver over a million peptides
directly to a tumor site, and determine back in the lab which
peptides bind to the tumor cells."
Gateway Krag, who will personally work with each patient in the current
trial, will inject a peptide library and after about an hour will
surgically remove a small tumor specimen. Back in the laboratory,
his team of scientists will analyze the specimen to identify those
peptides that have bound to the tumor.
Laptop Parts "Random peptide library technology has revolutionized the drug
discovery process, and plays an important part in leading-edge
cancer research" says Krag. "We hope our work will produce
promising compounds that may lead to the development of new drugs
with great potential efficacy in the treatment of breast
cancer."
Software For more information on Dr. Krags research, visit the Vermont
Cancer Center at:
www.vermontcancer.org/Research/Programs/ClinicalHilites.html
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