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Intrathecal AAV9.Trastuzumab Tumor Prophylaxis and Treatment in a Murine Xenograft Model of HER2+ Breast Cancer Brain Metastases / William Thomas Rothwell.

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Format:
Book
Thesis/Dissertation
Author/Creator:
Rothwell, William Thomas, author.
Contributor:
Chodosh, Lewis A., degree supervisor.
Wilson, James M., degree supervisor.
Johnson, Laura A., degree committee member.
Dang, Chi V., 1954- degree committee member.
Conejo-Garcia, Jose R., degree committee member.
University of Pennsylvania. Cell and Molecular Biology, degree granting institution.
Language:
English
Subjects (All):
Cellular biology.
Molecular biology.
Oncology.
Cell and Molecular Biology--Penn dissertations.
Penn dissertations--Cell and Molecular Biology.
Local Subjects:
Cellular biology.
Molecular biology.
Oncology.
Cell and Molecular Biology--Penn dissertations.
Penn dissertations--Cell and Molecular Biology.
Genre:
Academic theses.
Physical Description:
1 online resource (117 pages)
Contained In:
Dissertation Abstracts International 79-07B(E).
Place of Publication:
[Philadelphia, Pennsylvania]: University of Pennsylvania ; Ann Arbor : ProQuest Dissertations & Theses, 2017.
Language Note:
English
System Details:
Mode of access: World Wide Web.
text file
Summary:
Breast cancer brain metastases (BCBM) are a deadly sequela of breast tumors that overexpress human epidermal growth factor receptor 2 (HER2). HER2+ BCBM affects approximately 17,000 women in the US every year. Median survival is 10-13 months from the time of diagnosis of central nervous system (CNS) disease. Current therapeutic interventions are invasive, toxic, and largely ineffective, leaving a clear, unmet need for targeted HER2+ BCBM treatments. Trastuzumab(HerceptinRTM) is a monoclonal antibody used to treat HER2+ breast cancer successfully, but systemic trastuzumab cannot bypass the blood-brain barrier (BBB). To solve this problem, we have developed an adeno-associated virus serotype 9 (AAV9) vector to express trastuzumab in vivo after a single intrathecal (IT) injection. IT vector administration in an orthotopic Rag1--/-- murine xenograft model of HER2+ BCBM led to a significant increase in median survival and attenuated brain tumor growth. We also report preservation of both the HER2 antigen specificity and the natural killer (NK) cell-associated mechanism of action of trastuzumab. Finally, we demonstrate increased median survival when IT AAV9.trastuzumab is administered as tumor treatment. Our results indicate that IT AAV9.trastuzumab may provide significant anti-tumor activity in patients with HER2+ BCBM.
Notes:
Source: Dissertation Abstracts International, Volume: 79-07(E), Section: B.
Advisors: James M. Wilson; Lewis A. Chodosh; Committee members: Jose R. Conejo-Garcia; Chi V. Dang; Laura A. Johnson.
Department: Cell and Molecular Biology.
Ph.D. University of Pennsylvania 2017.
Local Notes:
School code: 0175
ISBN:
9780355619836
Access Restriction:
Restricted for use by site license.

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