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E Swan

Publications and source records attributed to E Swan.

10 recordsLinked to original sources

Accelerated HER-2 degradation enhances ovarian tumor recognition by CTL. Implications for tumor immunogenicity.

We investigated the ubiquitination and degradation of a tumor antigen, the HER-2/neu (HER-2) protooncogene product which is overexpressed in epithelial cancers. HER-2 degradation was investigated in the ovarian tumor line, SKOV3.A2, that constitutively overexpressed long-life HER-2. We used as agonist geldanamycin (GA), which initiated downmodulation of HER-2 from the cell surface. HER-2 was polyubiquitinated and degraded faster in the presence than in the absence of GA. GA did not decrease HLA-A2 expression. Presentation of the immunodominant cytotoxic T lymphocyte (CTL) epitope, E75 (369-377) from SKOV.A2 was inhibited by proteasome inhibitors, such as LLnL but was enhanced by cysteine protease inhibitors such as E64, indicating that both the proteasome and cysteine proteases are involved in epitope formation but have different effects. Enhanced tumor recognition was not an immediate or early effect of GA treatment, but was evident after 20 h of GA treatment. In contrast, 20 h GA treatment did not increase tumor sensitivity to LAK cell lysis. Twenty hour GA-treated SKOV3.A2 cells expressed an unstable HER-2 protein synthesized in the presence of GA, of faster electrophoretic mobility than control HER-2. This suggested that the newly synthesized HER-2 in the presence of GA was the main source of epitopes recognized by CTL. Twenty hour GA-treated SKOV3.A2 cells were better inducers of CTL activity directed to a number of HER-2 CTL epitopes, in peripheral blood mononuclear cells compared with control untreated SKOV3.A2 cells. Thus, induction of HER-2 protein instability enhanced the sensitivity of tumor for CTL lysis. Increased HER-2 CTL epitopes presentation may have implications for overcoming the poor immuno-genicity of human tumors, and design of epitope precursors for cancer vaccination.

Antigen Presentation↗

Oral cancer.

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Female↗

Continuing care after discharge from hospital for stoma patients.

The purpose of this study was to monitor the progress of patients given a permanent colostomy for colorectal carcinoma and to evaluate the need for nursing interventions or referral. A pretested semistructured interview schedule was used. Interviews were conducted at 1 week, 1 month, 6 months and 1 year after discharge. Complete data sets were obtained from 112 patients. In this study it was found that survival was strongly related to Dukes' staging system. More than half of those surviving to 1 year suffered fatigue, one in 10 had severe pain and one in five had parastomal hernia. At each interview approximately one in four people required intervention and one in 10 were referred. This study demonstrates the need for home visits and sustained patient contact. High priority should be given to a full benefit analysis of screening programmes, including the considerable costs of aftercare.

Aged↗

Equal care for all.

Fifty years after the NHS was launched to offer health care for all, there are still many inequalities, particularly for clients from ethnic minorities. This article discusses these inequalities in the light of an increase in stoma formation and bowel disease in Walsall's Asian community. The author recommends a number of proactive measures that trusts and nurses can use to improve uptake of services by ethnic minority patients.

Colorectal Neoplasms↗