Prostatic adenocarcinoma ihc pathology outlines

prostatic adenocarcinoma ihc pathology outlines

DOI MSI has proven to be a powerful tool-box concept in the development of new drugs.

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Such drug characterization in situ, by both spatial and temporal behaviors within tissue compartments, provide new understandings of the dynamic processes impacting drug uptake and metabolism at the local sites targeted by therapy. Further, MSI in combination with histology and immunohistochemistry, provides the added value of defining the context of cell biology present at the sites of drug localization thus providing invaluable information relating to treatment efficacy.

We also provide an overview of other examples of the prostatic adenocarcinoma ihc pathology outlines generation of targeted drugs, and demonstrate the data on personalized medicine drugs localization within tumor compartments within in vivo models. In these cancer models we; provide detailed data on drug and target protein co-localization of YCG and sunitinib.

Our ability to resolve drug uptake at targeted sites of directed therapy provides important opportunities for increasing our understanding about the mode of action of drug activity within the environment of disease. Kwon et al.

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Introduction The ever increasing demands in healthcare today posture high prospects and expectations onto the research community to invent and establish new solutions that can Folyamatos fájdalom a prosztatában clinical outcome at lower cost. In response to these challenges, modern healthcare is looking for ways to treat patients that are both more efficient as well as more cost saving Young et al.

It has to be prostatic adenocarcinoma ihc pathology outlines into account that these improvements are expected to be managed without the necessary care that patients demand today.

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In these strives, largescale patient repositories, biobanks with high quality of clinical materials are mandatory Baker ; MarkoVarga et al. The introduction of regulatory directives are central to our research community in order to meet the demands from, e. Together with the National Cancer Institute NIH and local clinicians and scientists there has been extensive progress made to work out and provide a protein biomarker discovery and validation strategy Nilsson et al. These regulatory guidelines provide high-quality standardized, sensitive, specific, quantitative, and readily accessible protein, peptide, or other biomarkers of health, disease, response to therapy into the approval processes of regulatory agencies, such as the Food and Drug Administration FDA in USA and European Medicines Agency EMA in Europe.

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These developments are vital for healthcare professionals to improve diagnosis, detect cancer at an early stage, identify the likelihood of cancer recurrence, and stratify stages with differential survivals. There is a growing trend in developing biorepositories around the focus of large population-based studies that address both active and silent non-symptomatic disease.

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Logistically these studies generate large numbers of clinical samples and practically place increasing demand upon healthcare systems to provide uniform sample handling, processing, storage, and documentation of both the sample and the subject as well to ensure that safeguards exist to protect the rights of the study subjects for deciding upon the fates of their samples. There has also been outlines with practical information to the potential users of biorepositories about some of the current developments in both the methodology of sample acquisition and in the regulatory environment governing their use Marko-Varga et al.

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Today, many millions of clinical samples are acquired every day for use in diagnostic tests that support clinical decision making. Worldwide, it is estimated that over one billion clinical samples are assembled into so called biobanks Baker ; Marko-Varga et al. The preservation of patient samples is an important undertaking as the healthcare costs are increasing exponentially.

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The link in-between disease pathology and samples representing these various phenotypes, on one hand and the characterization of drug compounds on the other in order to build a mechanistic understanding at a molecular level is at the heart of the FDA requests for drug approvals. Key to the process of developing new drugs is the need to deliver a complete package of information regarding both the effects of the drug uptake both within the targeted compartments of disease but also at sites throughout the body that may be effected by the pharmacological activities of the drug.

The potentially beneficial or toxic effects of such drug therapy are determined by the unique chemical and pharmacological properties of each given drug form.

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Scientists can test these properties in the laboratory and in experimental models but until recently with the introduction of mass spectrometry imaging MSI it has not been possible to measure the unlabeled drug directly within a tissue or organ. In this respect, MSI is a powerful technology platform that we have developed in both pharma industry and academia that has proven to be of great value in the design of new drugs but also in measuring their efficacy and consequent effect at the sites of targeted therapy.

We were the first to show drug localization in lung cancer, malignant melanoma, and chronic obstructive pulmonary disease COPD patients in joint studies with pharmaceutical industry Marko-Varga et al. Already today, many major pharmaceutical manufacturers have included MSI in their development programs and are reporting on these findings in applications for new drug approval.


In this overview, we present studies in various solid tumors where tissues known to contain kinase mutations as determined by DNA sequencing and other protein receptors that are key cancer regulators have been co-localized with small molecule drug inhibitors using MSI. Applying mass spectrometry imaging to characterize drugs Absorption, distribution, metabolism and excretion ADME pharmacokinetic properties along with possible drug toxicity and drug metabolism, are key regulatory considerations that the FDA and the EMA demand in order to approve new drug entities, where animal models are commonly used Nilsson et al.

The mass spectrometry imaging technology is currently utilized in the drug discovery as well as the drug development process Drug compound characterization by mass spectrometry imaging in cancer tissue within the pharmaceutical industry Chaurand et al. With regard to drug characterization, the MSI technology has been utilized in industry to investigate drug distribution in the main organs.

Nowadays, the matrix-assisted laser desorption ionization MALDI MSI is the most common mass spectrometry technology applied within pharma and biotech industry as well as national research centers and academia. In addition to our own melanoma studies, studies undertaken by Caprioli et al.


MfSI has widespread usage throughout the community with academic clinical and commercial applications. Compared to other methods, which localize drugs in situ, such as autoradiography ARG and positron emission tomography PEToptical fluorescence, MALDI-MSI is label-free and can be applied to active parent drugs and their metabolites within any tissue environment.

Using this technology, we have recently provided evidence showing the exact tissue compartment localization of small drug molecules administered to patients. A desired pharmacological activity is generated by a proper distribution of a drug to a target site within the body. In addition, undesired localizations and accumulation of a drug or its metabolites in non-targeted site s can lead to toxicological effects Pellegatti and Pagliarusco The distribution of a drug and its metabolites may not be homogeneous in a target tissue and is dependent on the physicochemical properties, tissue affinity and the transporter protein substrate profile of each molecular entity.

Although the free drug hypothesis, stating that the unbound concentration of a drug in plasma is in equilibrium with that in tissue, is valid for many drugs, this is not true for drugs and metabolites that are dependent on transporters for their distribution. Therefore, the plasma concentration of drugs and their metabolites does commonly not reflect the levels which are present at the target site and consequently, may not be useful for understanding the efficacy or toxicity of the drug Mouton et al.

It is the ultimate objective of DMPK studies to provide adequate information of drug distribution throughout the body and its metabolite profiles generated in various organs, and studied kinetically over time.

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However, this method is limited in their usefulness due to the homogenization step of the tissue, which results in a loss of information on the spatial localization of the drug and its metabolites at a single cell resolution Mouton et al. Autoradiography is traditionally used to determine the localization of the drug in the tissue.

This quantitative methodology provides the kinetics associated with drug metabolism and elimination in preclinical studies. However, the synthesis of the radiolabeled drug is an expensive and frequently time-consuming process. Moreover, it can take several weeks of exposure, to develop radiographic images of sufficient sensitivity.

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In addition, as only the radioactivity of the label is measured, hence the drug cannot be distinguished from its metabolites Solon et al. MSI is an effective technology that makes it possible to determine the detailed distribution of drug in tissue as well as its metabolites without isotope labeling. Consequently, quantitative MSI was rapidly applied to evaluate the distribution of drug compounds Solon et al.

Recently, high resolution MSI provided a significant advantage of autoradiography from the aspect of the drug metabolites Fehniger et al.

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The technology is today making important contributions in fields such as PK screening Castellino et al. Therefore, MSI in many drug prostatic adenocarcinoma ihc pathology outlines, and development projects is a crucial technology for decision making. DMPK researchers have H. Drug imaging studies There are currently few therapeutic options for patients with various forms of cancer, and new insights into the pathogenesis of these often lethal diseases are urgently needed. Patients in feasibility studies in combination with disease models in rodents has been the strategy of our research teams for a number of years Fehniger et al.

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Further, the correlation in-between a given rodent model prostatic adenocarcinoma ihc pathology outlines administered drug and the ability to utilize controlled administrations to tissue sections from organs isolated with the intact tumor environment is a valuable tool for drug characterizations. Our team was able to prove that these in vivo and ex vivo drug models hold great promise for the assessment of novel drug candidates Nilsson et al.

Malignant melanoma Melanoma in general is a disease with unfavorable prognosis and has one of the highest incidence rates globally. In Sweden approximately new malignant melanoma MM patients are diagnosed every year and almost patients die of disseminated melanoma disease annually.

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In contrast to most other malignancies, MM is also common in young people. There are no blood or tissue biomarkers currently available for early detection, identifying disease progression or monitoring treatment of MM. Melanoma is a highly lethal malignancy with few effective therapies.