共 39 条
Cannabinoids inhibit glioma cell invasion by down-regulating matrix metalloproteinase-2 expression
被引:140
作者:

Blazquez, Cristina
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain

Salazar, Maria
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain

Carracedo, Arkaitz
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain

Lorente, Mar
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain

Egia, Ainara
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain

Gonzalez-Feria, Luis
论文数: 0 引用数: 0
h-index: 0
机构:
Hosp Univ Canarias, Dept Neurosurg, Tenerife, Spain Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain

Haro, Amador
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain

Velasco, Guillermo
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain

Guzman, Manuel
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain
机构:
[1] Univ Complutense, Dept Biochem & Mol Biol 1, Sch Bot, E-28040 Madrid, Spain
[2] Hosp Univ Canarias, Dept Neurosurg, Tenerife, Spain
关键词:
D O I:
10.1158/0008-5472.CAN-07-5176
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
Cannabinoids, the active components of Cannabis sativa L. and their derivatives, inhibit tumor growth in laboratory animals by inducing apoptosis of tumor cells and impairing tumor angiogenesis. It has also been reported that these compounds inhibit tumor cell spreading, but the molecular targets of this cannabinoid action remain elusive. Here, we evaluated the effect of cannabinoids on matrix metalloproteinase (MMP) expression and its effect on tumor cell invasion. Local administration of Delta(9)-tetrahydrocannabinol (THC), the major active ingredient of cannabis, downregulated MMP-2 expression in gliomas generated in mice as determined by Western blot, immunofluorescence, an real-time quantitative PCR analyses. This cannabinoid-induced inhibition of MMP-2 expression in gliomas (a) was MMP-2-selective, as levels of other MMP family members were unaffected; (b) was mimicked by JWH-133, a CB2 cannabinoid receptor-selective agonist that is devoid of psychoactive side effects; (c) was abrogated by fumonisin B1, a selective inhibitor of ceramide biosynthesis; and (d) was also evident in two patients with recurrent glioblastoma multiforme. THC inhibited MMP-2 expression and cell invasion in cultured glioma cells. Manipulation of MMP-2 expression by RNA interference and cDNA overexpression experiments proved that down-regulation of this MMP plays a critical role in THC-mediated inhibition of cell invasion. Cannabinoid-induced inhibition of MMP-2 expression and cell invasion was prevented by blocking ceramide biosynthesis and by knocking-down the expression of the stress protein p8. As MMP-2 up-regulation is associated with high progression and poor prognosis of gliomas and many other tumors, MMP-2 downregulation constitutes a new hallmark of cannabinoid antitumoral activity.
引用
收藏
页码:1945 / 1952
页数:8
相关论文
共 39 条
[1]
Cannabinoids inhibit the vascular endothelial growth factor pathway in gliomas
[J].
Blázquez, C
;
González-Feria, L
;
Alvarez, L
;
Haro, A
;
Casanova, ML
;
Guzmán, M
.
CANCER RESEARCH,
2004, 64 (16)
:5617-5623

Blázquez, C
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

González-Feria, L
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Alvarez, L
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Haro, A
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Casanova, ML
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Guzmán, M
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain
[2]
Inhibition of tumor angiogenesis by cannabinoids
[J].
Blázquez, C
;
Casanova, ML
;
Planas, A
;
del Pulgar, TG
;
Villanueva, C
;
Fernández-Aceñero, MJ
;
Aragonés, J
;
Huffman, JW
;
Jorcano, JL
;
Guzmán, M
.
FASEB JOURNAL,
2003, 17 (01)
:529-+

Blázquez, C
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Casanova, ML
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Planas, A
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

del Pulgar, TG
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Villanueva, C
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Fernández-Aceñero, MJ
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Aragonés, J
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Huffman, JW
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Jorcano, JL
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Guzmán, M
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain
[3]
Down-regulation of tissue inhibitor of metalloproteinases-1 in gliomas:: a new marker of cannabinoid antitumoral activity?
[J].
Blazquez, Cristina
;
Carracedo, Arkaitz
;
Salazar, Maria
;
Lorente, Mar
;
Egia, Ainara
;
Gonzalez-Feria, Luis
;
Haro, Amador
;
Velasco, Guillermo
;
Guzman, Manuel
.
NEUROPHARMACOLOGY,
2008, 54 (01)
:235-243

Blazquez, Cristina
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Carracedo, Arkaitz
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Salazar, Maria
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Lorente, Mar
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Egia, Ainara
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Gonzalez-Feria, Luis
论文数: 0 引用数: 0
h-index: 0
机构:
Hosp Univ Canarias, Dept Neurosurg, Tenerife 38320, Spain Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Haro, Amador
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Velasco, Guillermo
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Guzman, Manuel
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain Univ Complutense, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain
[4]
Cannabinoid receptors as novel targets for the treatment of melanoma
[J].
Blazquez, Cristina
;
Carracedo, Arkaitz
;
Barrado, Lucia
;
Jose Real, Pedro
;
Fernandez-Luna, Jose Luis
;
Velasco, Guillermo
;
Malumbres, Marcos
;
Guzman, Manuel
.
FASEB JOURNAL,
2006, 20 (14)
:2633-+

Blazquez, Cristina
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Dept Biochem & Mol Biol 1, Sch Biol, E-28040 Madrid, Spain

Carracedo, Arkaitz
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Dept Biochem & Mol Biol 1, Sch Biol, E-28040 Madrid, Spain

Barrado, Lucia
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Dept Biochem & Mol Biol 1, Sch Biol, E-28040 Madrid, Spain

Jose Real, Pedro
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Dept Biochem & Mol Biol 1, Sch Biol, E-28040 Madrid, Spain

Fernandez-Luna, Jose Luis
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Dept Biochem & Mol Biol 1, Sch Biol, E-28040 Madrid, Spain

Velasco, Guillermo
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Dept Biochem & Mol Biol 1, Sch Biol, E-28040 Madrid, Spain

Malumbres, Marcos
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Dept Biochem & Mol Biol 1, Sch Biol, E-28040 Madrid, Spain

Guzman, Manuel
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense Madrid, Dept Biochem & Mol Biol 1, Sch Biol, E-28040 Madrid, Spain Univ Complutense Madrid, Dept Biochem & Mol Biol 1, Sch Biol, E-28040 Madrid, Spain
[5]
STIMULATION OF CANNABINOID RECEPTOR CB1 INDUCES KROX-24 EXPRESSION IN HUMAN ASTROCYTOMA-CELLS
[J].
BOUABOULA, M
;
BOURRIE, B
;
RINALDICARMONA, M
;
SHIRE, D
;
LEFUR, G
;
CASELLAS, P
.
JOURNAL OF BIOLOGICAL CHEMISTRY,
1995, 270 (23)
:13973-13980

BOUABOULA, M
论文数: 0 引用数: 0
h-index: 0
机构: SANOFI RECH,F-34184 MONTPELLIER,FRANCE

BOURRIE, B
论文数: 0 引用数: 0
h-index: 0
机构: SANOFI RECH,F-34184 MONTPELLIER,FRANCE

RINALDICARMONA, M
论文数: 0 引用数: 0
h-index: 0
机构: SANOFI RECH,F-34184 MONTPELLIER,FRANCE

SHIRE, D
论文数: 0 引用数: 0
h-index: 0
机构: SANOFI RECH,F-34184 MONTPELLIER,FRANCE

LEFUR, G
论文数: 0 引用数: 0
h-index: 0
机构: SANOFI RECH,F-34184 MONTPELLIER,FRANCE

CASELLAS, P
论文数: 0 引用数: 0
h-index: 0
机构: SANOFI RECH,F-34184 MONTPELLIER,FRANCE
[6]
The stress-regulated protein p8 mediates cannabinoid-induced apoptosis of tumor cells
[J].
Carracedo, A
;
Lorente, M
;
Egia, A
;
Blázquez, C
;
García, S
;
Giroux, V
;
Malicet, C
;
Villuendas, R
;
Gironella, M
;
González-Feria, L
;
Piris, MA
;
Iovanna, JL
;
Guzmán, M
;
Velasco, G
.
CANCER CELL,
2006, 9 (04)
:301-312

Carracedo, A
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Lorente, M
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Egia, A
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Blázquez, C
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

García, S
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Giroux, V
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Malicet, C
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Villuendas, R
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Gironella, M
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

González-Feria, L
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Piris, MA
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Iovanna, JL
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Guzmán, M
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Velasco, G
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain
[7]
Cannabinoids induce apoptosis of pancreatic tumor cells via endoplasmic reticulum stress-related genes
[J].
Carracedo, Arkaitz
;
Gironella, Meritxell
;
Lorente, Mar
;
Garcia, Stephane
;
Guzman, Manuel
;
Velasco, Guillermo
;
Iovanna, Juan L.
.
CANCER RESEARCH,
2006, 66 (13)
:6748-6755

Carracedo, Arkaitz
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, Murcia 28040, Spain

Gironella, Meritxell
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, Murcia 28040, Spain

Lorente, Mar
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, Murcia 28040, Spain

Garcia, Stephane
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, Murcia 28040, Spain

Guzman, Manuel
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, Murcia 28040, Spain

Velasco, Guillermo
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, Murcia 28040, Spain

Iovanna, Juan L.
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, Murcia 28040, Spain
[8]
Inhibition of skin tumor growth and angiogenesis in vivo by activation of cannabinoid receptors
[J].
Casanova, ML
;
Blázquez, C
;
Martínez-Palacio, J
;
Villanueva, C
;
Fernández-Aceñero, MJ
;
Huffman, JW
;
Jorcano, JL
;
Guzmán, M
.
JOURNAL OF CLINICAL INVESTIGATION,
2003, 111 (01)
:43-50

Casanova, ML
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Blázquez, C
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Martínez-Palacio, J
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Villanueva, C
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Fernández-Aceñero, MJ
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Huffman, JW
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Jorcano, JL
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain

Guzmán, M
论文数: 0 引用数: 0
h-index: 0
机构: Univ Complutense Madrid, Sch Biol, Dept Biochem & Mol Biol 1, E-28040 Madrid, Spain
[9]
Nitric oxide inhibits matrix metalloproteinase-2 expression via the induction of activating transcription factor 3 in endothelial cells
[J].
Chen, HH
;
Wang, DL
.
MOLECULAR PHARMACOLOGY,
2004, 65 (05)
:1130-1140

Chen, HH
论文数: 0 引用数: 0
h-index: 0
机构: Acad Sinica, Inst Biomed Sci, Div Cardiovasc, Taipei 11529, Taiwan

Wang, DL
论文数: 0 引用数: 0
h-index: 0
机构:
Acad Sinica, Inst Biomed Sci, Div Cardiovasc, Taipei 11529, Taiwan Acad Sinica, Inst Biomed Sci, Div Cardiovasc, Taipei 11529, Taiwan
[10]
Novel functions of TIMPs in cell signaling
[J].
Chirco, R
;
Liu, XW
;
Jung, KK
;
Kim, HRC
.
CANCER AND METASTASIS REVIEWS,
2006, 25 (01)
:99-113

Chirco, R
论文数: 0 引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Barbara Ann Karmanos Canc Inst, Dept Pathol, Detroit, MI 48201 USA Wayne State Univ, Sch Med, Barbara Ann Karmanos Canc Inst, Dept Pathol, Detroit, MI 48201 USA

Liu, XW
论文数: 0 引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Barbara Ann Karmanos Canc Inst, Dept Pathol, Detroit, MI 48201 USA Wayne State Univ, Sch Med, Barbara Ann Karmanos Canc Inst, Dept Pathol, Detroit, MI 48201 USA

Jung, KK
论文数: 0 引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Barbara Ann Karmanos Canc Inst, Dept Pathol, Detroit, MI 48201 USA Wayne State Univ, Sch Med, Barbara Ann Karmanos Canc Inst, Dept Pathol, Detroit, MI 48201 USA

Kim, HRC
论文数: 0 引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Barbara Ann Karmanos Canc Inst, Dept Pathol, Detroit, MI 48201 USA Wayne State Univ, Sch Med, Barbara Ann Karmanos Canc Inst, Dept Pathol, Detroit, MI 48201 USA