Biomedical subjects
C Dosne Pasqualini
Publications and source records attributed to C Dosne Pasqualini.
[New discoveries in experimental cancer].
This 7th International Symposium organized by the National Academy of Medicine on New directions in cancer management, was sponsored by IUCC (International Union against Cancer) and received important financial assistance from the Fritz Bender Foundation. In 1996 and 97, the first two Symposia also dealt with cancer, specifically with tumor immunology and with the relation of human breast cancer with MMTV (murine mammary tumor virus). The aim of these introductory remarks is to emphasize recent breakthroughs related to these two subjects, which are also those of my laboratory. Although with inhibitors of angiogenesis it had been possible to block neovascularization without, however, attacking the tumor, recently the addition of low but continuous chemotherapy, so-called "metronomic therapy", has led to the reabsorption of established tumors. On the other hand, MMTV homologous viral sequences are being detected in human mammary tumors along with occasional viral particles. Moreover, a correlation has been encountered between the presence of Mus domesticus and a high incidence of human breast cancer in Occident and its absence in Orient where there is a low incidence of this cancer. It is to be hoped that new breakthroughs--or even conclusions from this meeting--will keep adding data towards finding solutions to the difficult problem of cancer.
Nackt (nkt), a new hair loss mutation of the mouse with associated CD4 deficiency.
A spontaneous recessive mutation named nackt (symbol: nkt) affecting hair growth and T-cell development was discovered in a moderately inbred stock of mice. Skin lesions were characterized by sparse rough coat, bare patches around the eyes and neck, and a scratching behavior throughout life. Fluorescence-activated cell sorter analysis indicated a deficiency in the CD4(+) 8(-) T-cell subset in the thymus and a marked decrease in CD4(+) T cells in peripheral lymphoid organs. Linkage analysis using a set of molecular markers and an F2 intersubspecific cross indicated that the mutation maps to the central region of mouse chromosome 13, in a region homologous to human chromosome 5q22-q35.
[Hundred years later in scientific investigation].
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[Historical vision of shock].
The concept of shock and its close relationship with that of stress dates back to the experiments of Hans Selye initiated in 1936 at McGill University in Montreal, with whom I collaborated between 1939 and 1942. It was demonstrated that the General Adaptation Syndrome begins with an Alarm Reaction, which consists of a Stage of Shock and one of Counter-Shock, followed by a Stage of Adaptation and finally a Stage of Exhaustion. My Ph.D. thesis concluded that shock was due to an adrenal insufficiency postulating that active metabolic processes drain the body of certain essential compounds the lack of which causes shock. My interest in the role of the glucose metabolism in shock led me to work with Bernardo Houssay in 1942 at the Institute of Physiology of the University of Buenos Aires and in 1944 with C.N.H. Long at Yale University. There I developed a method for the induction of hemorrhagic shock in the guinea pig with 94% lethality; curiously, the administration of 200 mg of ascorbic acid prevented death. Upon my return to Buenos Aires, these results were confirmed and moreover, it was demonstrated that the administration of cortisone led to 40% survival of the animals while desoxycorticosterone had no effect. At the time, no explanation was available but to-day, half a century later, this Symposium should be able to explain the mechanisms leading to death by hemorrhagic shock.
[Retrovirus and cancer revisited].
The discovery of RNA oncoviruses dates back to 1911 when Rous isolated the avian virus which is the cause of the sarcoma which bears his name and to 1936 when Bittner related the "milk factor" to the development of murine mammary cancer. During the 50s, the successive descriptions of virus-induced sarcoma-leukemias in mice led to the oncogene theory and gradually to the postulation of a viral origin of cancer. The discovery of the reverse transcriptase in 1970 led to the establishment of the Retroviridae family including both onco and lentiviruses. The decade of the 80s was marked by three fundamental discoveries which altered the concept of oncovirus: 1) oncogenes became established as part of the cellular genome converting retroviruses into occasional vectors of the oncogene; 2) as the T cell growth factor, interleukin-2, became available, the first human oncovirus, HTLV-I, was isolated and proved to be the cause of adult T cell leukemia; 3) HIV was isolated and classified as a lentivirus and as the cause of AIDS. A few years later the antioncogenes were discovered. Both oncogenes and anti-oncogenes were found to collaborate in the cell cycle, maintaining an equilibrium between proliferation and apoptosis. Today the viral theory has been replaced by the gene theory of cancer which postulates that neoplastic transformation is the result of a cascade of events which include uncorrected DNA errors, blocking of apoptosis, activation of oncogenes and deletion of antioncogenes. At the present time, the intriguing question for retrovirologists is the role played by endogenous retroviruses which in man occupy up to 0.1% of the cellular genome.
[A retrospective view of tumor immunology].
The story of tumor immunology includes periods of hope followed by ones of disenchantment as far as clinical applications are concerned. In antiquity, cancer was considered "contrary to Nature", a concept which was confirmed by Ehrlich at the beginning of our century when the layed down the foundations of immunology. The latter was defined as the defence against all "non-self" intruders, including cancer, as opposed to the protection of "self". This concept was further accentuated by the theory immune surveillance proposed by Burnet in 1969 which implicated a destruction of nascent neoplastic cells by T lymphocytes. To increase host defence was the basis of tumor immunotherapy with BCG, levamisol and other adjuvants. The appearance of the nude mouse, athymic, and yet free of spontaneous tumors, led to a new paradigm, the network theory proposed by Jerne. This was based on immunological homeostasis implicating that both "self" and "non-self" can be rejected and tolerated. Cancer gradually ceased to be considered as "contrary to Nature". As for the proposed viral etiology of cancer which was the basis of the National Cancer Act signed by Nixon in 1971, this led to various breakthroughs and Nobel Prizes (Table 1), to discoveries such as reverse transcriptase, cellular oncogenes, tumor suppressor genes, which gave a new explanation for neoplastic transformation. The latter can now be considered as the consequence of a cascade of molecular events which include oncogene expression, anti-oncogene deletion, etc... converting, step by step, for instance, a polyp into a colon cancer and its metastases. The availability of monoclonal antibodies capable of attacking tumor cells did not lead to the expected success because of the complexity of the immune system. Attempts at a better understanding of the latter have led to a subdivision of the T lymphocyte CD4 population into Th1 and Th2. Th1 favor rejection (tumoral, fetal or of transplants) through the elaboration of IL-2, IFN and TNF while Th2 led to tolerance or acceptation through the production of IL-4, IL-5 and IL-10: both functions neutralize each other establishing a "normal" equilibrium Th1 vs Th2. This could explain the state of "tumor dormancy" or tumors in situ which are apparently quite frequent. That any immunological stimulation would cause these dormant tumors to proliferate is the basis of the immunostimulation theory proposed by Prehn and supported by the clinical observations of Stewart. This new concept has led some authors to propose that instead of destroying the tumor cells an attempt be made to maintain them in a state of dormancy in congenial company with normal cells.
[The creed of the researcher].
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[Progesterone and breast cancer].
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[From the double helix to gene therapy].
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Estrogen inhibition of MPA-induced mouse mammary tumor transplants.
Estrogen compounds were used to treat mice bearing syngeneic transplants of medroxyprogesterone acetate(MPA)-induced BALB/c mammary adenocarcinomas. Both MPA-dependent and MPA-independent tumor lines were used. These lines expressed estrogen (ER) and progesterone receptors (PR). We demonstrate that different doses of estradiol benzoate (EB) and 17-beta-estradiol (E2) inhibit tumor growth and induce tumor regression in both MPA-independent and -dependent tumors, even in the presence of MPA or progesterone (P). EB was unable to induce regression of (ER-) hormone-independent tumor lines. A few MPA-dependent tumors became resistant to the estrogenic treatment; in subsequent passages some of these tumors retained their MPA-responsiveness, although estrogen sensitivity was not recovered.
Hormone dependence of a mouse mammary tumor line induced in vivo by medroxyprogesterone acetate.
The administration of MPA to virgin female BALB/c mice led to the development of mammary adenocarcinomas, which in further in vivo transplants gave rise to both MPA-dependent and MPA-independent lines. In this paper we chose one of the MPA-dependent lines with high contents of estrogen (ER) and progesterone (PR) receptors, and were able to demonstrate that a) the growth of these tumors could be manipulated by the administration or the withdrawal of the hormonal supply; b) PR were down-regulated in MPA-treated mice; c) progesterone had the same stimulatory effect as MPA on tumor growth; d) tumors did not grow in estrogen-treated mice; e) tumor growth was much lower in males than in females; f) the presence of the ovaries had a positive influence on tumor growth, even in the presence of MPA; g) the withdrawal of progestin pellets in ovariectomized mice usually led to complete remissions followed by regrowth of the tumors after several weeks; and h) the regrowing tumors maintained their steroid receptor pattern and (in 3 out of 4 cases) their hormone-dependent behavior in further passages.
[The Nobel Prize in Medicine 1987: antibody diversity].
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[A new approach to immunotherapy of cancer based on autologous T-lymphocytes].
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[The epidemic of AIDS (acquired immunodeficiency syndrome)].
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[Clinical trial with a new drug in acquired immunodeficiency syndrome].
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