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Targeted Therapy Resistance Mediated by Dynamic Regulation of Extrachromosomal Mutant EGFR DNA
by
James, C. David
, Reed, Rachel
, Visnyei, Koppany
, Yang, Huijun
, Gomez, German
, Paucar, Andres
, Nelson, Stanley F.
, Cavenee, Webster K.
, Mischel, Paul S.
, Masui, Kenta
, Kornblum, Harley I.
, Hwang, Kiwook
, Wykosky, Jill
, Rao, P. Nagesh
, Furnari, Frank B.
, Estin, Ascia
, Nathanson, David A.
, Wang, Jun
, Heath, James R.
, Koga, Tomoyuki
, Ohashi, Minori
, Gini, Beatrice
, Mottahedeh, Jack
, Zhu, Shaojun
, Cloughesy, Timothy F.
in
Animals
/ Antineoplastic Agents - therapeutic use
/ Cancer
/ Cancer therapies
/ Cell growth
/ Central Nervous System Neoplasms - drug therapy
/ Central Nervous System Neoplasms - genetics
/ Chromosomes
/ Deoxyribonucleic acid
/ DNA
/ DNA - genetics
/ Drug Rehabilitation
/ Drug resistance
/ Drug Resistance, Neoplasm - genetics
/ Drug Therapy
/ drugs
/ Epidermal growth factor
/ epidermal growth factor receptors
/ ErbB Receptors - antagonists & inhibitors
/ ErbB Receptors - genetics
/ Erlotinib Hydrochloride
/ Fluorescence in situ hybridization
/ genes
/ Glioblastoma - drug therapy
/ Glioblastoma - genetics
/ Heterogeneity
/ Humans
/ Medical schools
/ Metaphase
/ Mice
/ Molecular Targeted Therapy
/ Mutagenesis
/ Mutants
/ Mutation
/ neoplasm cells
/ Neoplasm Transplantation
/ neoplasms
/ Neurons
/ Oncogenes
/ Patients
/ Pharmaceutical sciences
/ Protein Kinase Inhibitors - therapeutic use
/ Quinazolines - therapeutic use
/ Single-Cell Analysis
/ Studies
/ Tumor Cells, Cultured
/ Tumors
/ Withholding Treatment
2014
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Targeted Therapy Resistance Mediated by Dynamic Regulation of Extrachromosomal Mutant EGFR DNA
by
James, C. David
, Reed, Rachel
, Visnyei, Koppany
, Yang, Huijun
, Gomez, German
, Paucar, Andres
, Nelson, Stanley F.
, Cavenee, Webster K.
, Mischel, Paul S.
, Masui, Kenta
, Kornblum, Harley I.
, Hwang, Kiwook
, Wykosky, Jill
, Rao, P. Nagesh
, Furnari, Frank B.
, Estin, Ascia
, Nathanson, David A.
, Wang, Jun
, Heath, James R.
, Koga, Tomoyuki
, Ohashi, Minori
, Gini, Beatrice
, Mottahedeh, Jack
, Zhu, Shaojun
, Cloughesy, Timothy F.
in
Animals
/ Antineoplastic Agents - therapeutic use
/ Cancer
/ Cancer therapies
/ Cell growth
/ Central Nervous System Neoplasms - drug therapy
/ Central Nervous System Neoplasms - genetics
/ Chromosomes
/ Deoxyribonucleic acid
/ DNA
/ DNA - genetics
/ Drug Rehabilitation
/ Drug resistance
/ Drug Resistance, Neoplasm - genetics
/ Drug Therapy
/ drugs
/ Epidermal growth factor
/ epidermal growth factor receptors
/ ErbB Receptors - antagonists & inhibitors
/ ErbB Receptors - genetics
/ Erlotinib Hydrochloride
/ Fluorescence in situ hybridization
/ genes
/ Glioblastoma - drug therapy
/ Glioblastoma - genetics
/ Heterogeneity
/ Humans
/ Medical schools
/ Metaphase
/ Mice
/ Molecular Targeted Therapy
/ Mutagenesis
/ Mutants
/ Mutation
/ neoplasm cells
/ Neoplasm Transplantation
/ neoplasms
/ Neurons
/ Oncogenes
/ Patients
/ Pharmaceutical sciences
/ Protein Kinase Inhibitors - therapeutic use
/ Quinazolines - therapeutic use
/ Single-Cell Analysis
/ Studies
/ Tumor Cells, Cultured
/ Tumors
/ Withholding Treatment
2014
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Targeted Therapy Resistance Mediated by Dynamic Regulation of Extrachromosomal Mutant EGFR DNA
by
James, C. David
, Reed, Rachel
, Visnyei, Koppany
, Yang, Huijun
, Gomez, German
, Paucar, Andres
, Nelson, Stanley F.
, Cavenee, Webster K.
, Mischel, Paul S.
, Masui, Kenta
, Kornblum, Harley I.
, Hwang, Kiwook
, Wykosky, Jill
, Rao, P. Nagesh
, Furnari, Frank B.
, Estin, Ascia
, Nathanson, David A.
, Wang, Jun
, Heath, James R.
, Koga, Tomoyuki
, Ohashi, Minori
, Gini, Beatrice
, Mottahedeh, Jack
, Zhu, Shaojun
, Cloughesy, Timothy F.
in
Animals
/ Antineoplastic Agents - therapeutic use
/ Cancer
/ Cancer therapies
/ Cell growth
/ Central Nervous System Neoplasms - drug therapy
/ Central Nervous System Neoplasms - genetics
/ Chromosomes
/ Deoxyribonucleic acid
/ DNA
/ DNA - genetics
/ Drug Rehabilitation
/ Drug resistance
/ Drug Resistance, Neoplasm - genetics
/ Drug Therapy
/ drugs
/ Epidermal growth factor
/ epidermal growth factor receptors
/ ErbB Receptors - antagonists & inhibitors
/ ErbB Receptors - genetics
/ Erlotinib Hydrochloride
/ Fluorescence in situ hybridization
/ genes
/ Glioblastoma - drug therapy
/ Glioblastoma - genetics
/ Heterogeneity
/ Humans
/ Medical schools
/ Metaphase
/ Mice
/ Molecular Targeted Therapy
/ Mutagenesis
/ Mutants
/ Mutation
/ neoplasm cells
/ Neoplasm Transplantation
/ neoplasms
/ Neurons
/ Oncogenes
/ Patients
/ Pharmaceutical sciences
/ Protein Kinase Inhibitors - therapeutic use
/ Quinazolines - therapeutic use
/ Single-Cell Analysis
/ Studies
/ Tumor Cells, Cultured
/ Tumors
/ Withholding Treatment
2014
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Targeted Therapy Resistance Mediated by Dynamic Regulation of Extrachromosomal Mutant EGFR DNA
Journal Article
Targeted Therapy Resistance Mediated by Dynamic Regulation of Extrachromosomal Mutant EGFR DNA
2014
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Overview
Intratumoral heterogeneity contributes to cancer drug resistance, but the underlying mechanisms are not understood. Single-cell analyses of patient-derived models and clinical samples from glioblastoma patients treated with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) demonstrate that tumor cells reversibly up-regulate or suppress mutant EGFR expression, conferring distinct cellular phenotypes to reach an optimal equilibrium for growth. Resistance to EGFR TKIs is shown to occur by elimination of mutant EGFR from extrachromosomal DNA. After drug withdrawal, reemergence of donai EGFR mutations on extrachromosomal DNA follows. These results indicate a highly specific, dynamic, and adaptive route by which cancers can evade therapies that target oncogenes maintained on extrachromosomal DNA.
Publisher
American Association for the Advancement of Science,The American Association for the Advancement of Science
Subject
/ Antineoplastic Agents - therapeutic use
/ Cancer
/ Central Nervous System Neoplasms - drug therapy
/ Central Nervous System Neoplasms - genetics
/ DNA
/ Drug Resistance, Neoplasm - genetics
/ drugs
/ epidermal growth factor receptors
/ ErbB Receptors - antagonists & inhibitors
/ Fluorescence in situ hybridization
/ genes
/ Humans
/ Mice
/ Mutants
/ Mutation
/ Neurons
/ Patients
/ Protein Kinase Inhibitors - therapeutic use
/ Quinazolines - therapeutic use
/ Studies
/ Tumors
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