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Combinatorial chemoprevention of intestinal neoplasia

Abstract

A combination of two drugs afforded remarkable protection from intestinal neoplasia in APCMin/+ mice, a murine model of human familial adenomatous polyposis (FAP). One of the drugs was sulindac, a prototypical non-steroidal anti-inflammatory drug with established chemopreventative activity. The second drug was EKI-569, a newly developed, irreversible inhibitor of the epidermal growth factor receptor kinase. Although 100% of the untreated APCMin/+ mice developed 20 polyps, nearly half the mice treated with these two agents developed no polyps at all. These results suggest a powerful strategy for the chemoprevention of human colonic neoplasia.

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Figure 1
Figure 2
Figure 3: Binding of EKB-569 to EGFR a, Total protein (non-IP 50 μg, ) or protein immunoprecipitated with an EGFR antibody (IP 200 μg, ♦) from HN5 membranes incubated with [14C]-EKB-569.

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Acknowledgements

This work was supported by the Clayton Fund, National Institutes of Health grants CA 57345 and CA 62924, and Wyeth-Ayerst Research.

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Correspondence to Philip Frost.

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Torrance, C., Jackson, P., Montgomery, E. et al. Combinatorial chemoprevention of intestinal neoplasia. Nat Med 6, 1024–1028 (2000). https://doi.org/10.1038/79534

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