Brief Reports Open Access
Copyright ©The Author(s) 2000. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 15, 2000; 6(5): 747-749
Published online Oct 15, 2000. doi: 10.3748/wjg.v6.i5.747
Inhibitory effects of EGFR antisense oligodeox-ynucleotide in human colorectal cancer cell line
Yong He, Ke Feng Dou, Department of Hepatobiliary Surgery, Xijing Hospital, the Fourth Military Medical University, Xi’an 710032, China
Jun Zhou, Department of Pathology, Qindu Hospital, the Fourth Military Medical University, Xi’an, China
Jin Sheng Wu, Department of General Surgery, Tangdu Hospital, the Fourth Military Medical University, Xi’an China
Yong He, graduated from the Fourth Military Medical University as a Bachelor of Medicine in 1980, and got MD in 2000, now working in Department of Hepatobiliary Surgery as abdominal surgeon, specializing in the genetic diagnosis and therapy of gastrointestinal tumor, having 11 papers published.
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Yong He, Department of Hepatobiliary Surgery, Xijing Hospital, the Fourth Military Medical University, No.17 Changle Xilu, Xi’an, 710032, Shaanxi Province, China. heyong007@yahoo.com
Telephone: 0086-29-3375259 Fax: 0086-29-3375261
Received: May 12, 2000
Revised: June 15, 2000
Accepted: June 23, 2000
Published online: October 15, 2000

Abstract
Key Words: colorectal neoplasms; oligonucleotides, antisense; epidermal growth factor receptor; gene therapy; liposomes; flow cytometry



INTRODUCTION

Epidermal-growth-factor receptor[1] (EGFR) is a polypeptide with 1186 amino acids, which binds to EGF family growth factors. Two major natural ligands in the family interact with EGFR: one is EGF, the other is transforming growth factor-α (TGF-α)[2]. When EGF or TGF-α, binds to EGFR, tyrosine kinase activity is induced which in turn triggers a series of events regulating the cell growth[3-8]. The importance of EGFR in growth regulating pathways was confirmed by the fact that enhanced expression of this receptor was found in brain glioblastomas, breast, lung, ovarian, colorectal, and renal carcinomas[9,10]. Elevated EGFR levels correlated with poor prognosis in human tumors[11-17], for this reason, it seemed to be that EGFR would be a logical target for cancer therapy.

Previous reports had shown that monoclonal antibodies to EGFR were effective in the treatment of many human carcinoma cells[18-20]. Other drug therapies which targeted the EGFR had also been successful. Kunkel had shown a drug that inhibited EGFR tyrosine kinase activity could inhibit the growth of A431 cells in nude mice[10]. Yoneda also reported that selective inhibitors of EGFR tyrosine kinase activity, such as tyrphostins, could inhibit the growth of squamous carcinoma in nude mice[21].

Antisense oligodeoxynucleotides inhibit gene expression on a highly selective and target sequence in a specific manner[22-25]. Specific oligonucleotides hybridize to complementary mRNA and decrease protein expression[26-29]. Antisense oligonucleotides against proto-oncogenes of growth factors had already been shown to be successful in cell lines[18,30]. For example, an antisense oligonucleotide to the erB2 gene product had been shown to inhibit protein production in a breast cancer cell line[31]. Akino reported inhibition of in vivo growth and metastases in malignant pituitary tumors with an antisense compound to the PTHrp (parathyroid hormone-related peptide)[32]. An oligonucleotide to the c-myc gene inhibited the growth of thyroid carcinoma cell lines[33]. Phosphorothioate antisense oligodeoxynucleotides targeted against human c-raf-1 kinase producing potent antiproliferative effects on cell culture and in vivo antitumor effects against a variety of tumor types[34].

The co-expression of EGFR along with TGF-α in human colon cancer cell lines, also in colon carcinoma tissue, had led to the suggestion that the autocrine stimulation of EGFR by its ligands could be a mechanism for tumor cells to escape from normal growth controls[35]. Previous studies in our laboratory confirmed over-expression of EGFR in HR8348 cells[36]. In this investigation, we hypothesized that growth and proliferation of HR8348 could be inhibited by EGFR ASODN. In this report 15-mer EGFR ASODN was synthesized and the effects of EGFR ASODN on cell proliferation and tumorigenic rate of HR8348 cells were observed.

MATERIALS AND METHODS
Cell line

The liver metastasis of human colorectal cancer cell line HR8348 was developed by Zhang et al[37] and cultured at 37 °C in a humidified at mosphere containing 50 mL/L CO2 in RPMI1640 medium (Gibco) supplemented with 100 mL/L heat-inactivated fetal calf serum (FCS), penicillin (50 × 103 units/mL), and streptomycin sulfate (50 mg/L) unless otherwise specified.

Synthesis of oligonucleotides

The AEGFR oligonucleotide sequence, 5’-CCGTGGTCATGCTCC-3’ is complementary to EGFR cDNA 3811-3825, which contains the opal translation termination codon at residues 3817-3819. The control oligonucleotide sequence, a randomized phosphodiester 15-mer oligonucleotide with the sequence 5’-GCTGACGCACTGACT-3’(RC 15) is not complementary to any cDNA. Oligodeoxynucleotides were synthe sized on an automated DNA synthesizer.

Formation of the lipid-ODN complex

ODN and liposome, Lipofectamine (Gibco-BRL), were each diluted to 0.1 mL with RPMI1640 (serum and antibiotic free) and then mixed together, following the manufacturer’s protocols. The lipid-ODN complexes were used in gene transfection immediately after its formation.

Treatment of cells

To determine the effect of anti-EGFR oligonucleotides on HR8348 cell proliferation, MTT method was adopted. Fourty μL HR8348 cells (1 × 104) in 96-hole culture dishes were treated at 37 °C for 5 h with either free or lipid-ODN mixture and then added 200 μL fresh medium with 100 mL/L fetal calf serum for a further 48 h. At this point, the cells were washed twice with (serum free) RPMI1640, and RPMI1640 200 μL, added MTT (5 g/L) 20 μL and the cells were incubated at 37 °C for 4 h, then added and quantified the DMSO.

Flow cytometry analysis

Cells of 0.8 mL (1.5 × 106) were plated in 35 mm tissue culture plates and added 0.2 mL of the lipid-ODN mixture. The cells were incubated for 5 h at 37 °C, and then 4 mL of RPMI1640 medium with 100 mL fetal bovine serum was added for 48 h, then cells were harvested, and analyzed for cell-cycle distribution by a FACScan flow cytometer.

Assay for tumorigenicity in nude mice

HR8348 cells (1 × 107) treated with or without ODN were injected subcutaneously in 6-week-old nude mice (Swiss nu/nu). The animals were monitored for tumor formation every week.

RESULTS
Antiproliferative activity of AEGFR on HR8348 cell line

A short exposure of HR8348 cells (5 h) to the oligonucleotides was followed by an additional 3-d growth in maintenance medium with 10% FCS. MTT assay showed that treatment of HR8348 cells with liposome encapsulated AEGFR resulted in a 82.5% reduction in proliferation as compared with untreated cells, whereas RC15 group resulted in a 12.6% reduction in proliferation compared with untreated cells (Table 1).

Table 1 Inhibitory effects of liposome-ODN.
Group48 h
72 h
MTT value (x-± s)Inhibition rate (%)MTT value (x-± s)Inhibition rate (%)
Control0.445 ± 0.0160.337 ± 0.003
Liposome-RC150.389 ± 0.01512.60.091 ± 0.00812.2
Liposome-AEGFR0.078 ± 0.02282.50.079 ± 0.00576.6
Cell cycle assay

The HR8348 cells treated with AEGFR displayed an increased percentage of cells in the G1/G0 phase and a decreased percentage of cells in the S phase (Table 2).

Table 2 Cell cycle assay.
GroupG0/G2 (%)S (%)G2 + M (%)PI
Control21.659.918.50.784
Liposome-RC1529.554.915.60.705
Liposome-AEGFR57.132.510.10.329
Decreased tumorigenicity in AEGFR-treated HR8348 cells

The AEGFR cells displayed a marked inhibition on tumorigenicity rate in nude mice as compared with control cells (Table 3).

Table 3 Inhibition of subcutaneous HR8348 adenocarcinoma growth by ASODN.
GroupDiameter of tumor (cm)Rate of tumorigenicity (%)
Control1.00 ± 0.08100 (10/10)
Liposome-RC150.95 ± 0.07100 (10/10)
Liposome-AEGFR0.8020 (2/10)
DISCUSSION

Colorectal carcinomas generally show a poor response to conventional chemotherapeutics[38]. Several growth factors are involved in the control of colon carcinoma cell proliferation. In particular, the epidermal growth factor (EGF ), transforming growth factor-alpha (TGF-alpha) and their receptor EGFR which are frequently overexpressed. EGF and TGF-α are structurally related peptides that stimulate DNA synthesis and cell growth. Both EGF and TGF-αrecognize and compete the same cell membrane receptor (EGFR) through which they mediate their biological action. It has been recently demonstrated that autocrine secretion also exists in the human colon carcinoma tissue and which enables uncontrollable growth of the tumor cells. In the autocrine hypothesis[39], the increased EGFR activity during tumorigenesis is attributed to autocrine stimulation by TGF-α. TGF-αproduced by transformed cells acts on the cell surface EGFR to promote unrestrained cell proliferation. Being consistently amplified in human tumors of ectodermal origin, EGFR is shown to be an active factor in development and proliferation of neoplasia. Over-expression of EGFR can pro mote transformation of cells.

In this study, EGFR ASODN could inhibit the proliferation of human colorectal carcinoma cell lines. The antisense compound could also inhibit significantly the cell growth in vivo when compared to a scrambled oligonucleotide control. This inhibition is specific since the control oligonucleotide had no effect on cell proliferation and cell growth in vivo.

At this moment, we do not know the precise mechanism of inhibition. It could simply be that interfering with the initial step in the cell cycle or mRNA expression, disrupting the cascade of events leading to cell proliferation. The mechanism, however, could be much more complicated. The antisense compounds could decrease levels of cyclin-dependent kinases (CDK) which are essential to cell cycle progression. Treatment of human prostatic and colon carcinoma cells with EGFR antibody could decrease CDK levels resulting in G1 arrest[11,40]. Another possibility is that treatment with the EGFR antisense oligonucleotides induces apoptosis, a phenomenon observed in human colon carcinoma cells when the EGFR was blocked by its monoclonal antibody[11,40].

Antisense oligodeoxyribonucleotides have shown great efficacy in the selective inhibition of gene expression. In fact, antisense oligonucleotides directed against TGF-alpha, EGFR, are able to inhibit growth and transformation of several human carcinoma cell lines. These data suggest that the EGF-like growth factors and their receptors offer potential usefulness as targets for experimental therapy of human colon carcinoma. In our study, both cell growth and DNA synthesis of human colorectal carcinoma cell line HR8348 could be inhibited by EGFR ASODN, perhaps due to blockage of autocrine stimulation cycle of EGFR by its ligands. Cell cycle analysis indicated that with AEGFR-treatment, the proportion of cells in G0/G1 increased, and proliferation index (PI) was lower than that in the control group. This inhibition effect of cell proliferation by specifically repressing growth-receptor productions strongly indicated the presence of this autocrine hypothesis of tumor-cell growth.

Lipofectamine[41] was cationic liposomes. Cationic liposomes represent synthetic genetic delivery systems that avoid the potential infectious complicat ions of viral vectors. Due to its absence of cellular toxicity, convenience and high efficiency, liposome is used widely in gene transfection. It can provide a complex with a net positive charge that can associate with the negatively charged surface of the cell and it can be taken up by cells, and this method is useful for introducing large DNA molecules, oligonucleotides, and RNAs into mammalian cells. In vivo gene transfer with DNA-cationic liposome complexes has been proven to be safe to the host, low in cost and relatively easy in preparation, if can be used in the treatment of cancer.

This study demonstrates that it is possible to identify oligonucleotides which selectively inhibit the expression of EGFR by an antisense mechanism, provided that a careful search for optimal target sites on the mRNA is conducted and delivery of the oligonucleotides to cells in culture is facilitated by the use of cationic liposomes. These results warrant further assessment of the compounds in inhibition of cell growth in vivo and in their possible use as therapeutic agents in the treatment of human cancer.

Footnotes

Edited by Wu XN Proofread by Zhu LH and Ma JY

References
1.  Jiang JT, Li GW. Advances in epidermal growth factor receptors. Xin Xiaohuabingxue Zazhi. 1997;5:89-90.  [PubMed]  [DOI]  [Cited in This Article: ]
2.  Barnard JA, Beauchamp RD, Russell WE, Dubois RN, Coffey RJ. Epidermal growth factor-related peptides and their relevance to gastrointestinal pathophysiology. Gastroenterology. 1995;108:564-580.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 240]  [Cited by in F6Publishing: 229]  [Article Influence: 7.9]  [Reference Citation Analysis (0)]
3.  Ullrich A, Coussens L, Hayflick JS, Dull TJ, Gray A, Tam AW, Lee J, Yarden Y, Libermann TA, Schlessinger J. Human epidermal growth factor receptor cDNA sequence and aberrant expression of the amplified gene in A431 epidermoid carcinoma cells. Nature. 1984;309:418-425.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 1913]  [Cited by in F6Publishing: 2005]  [Article Influence: 50.1]  [Reference Citation Analysis (0)]
4.  Carpenter G, Cohen S. Epidermal growth factor. Annu Rev Biochem. 1979;48:193-216.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 1894]  [Cited by in F6Publishing: 1910]  [Article Influence: 42.4]  [Reference Citation Analysis (0)]
5.  Rozengurt E. Growth factors, cell proliferation and cancer: an overview. Mol Biol Med. 1983;1:169-181.  [PubMed]  [DOI]  [Cited in This Article: ]
6.  Cohen S, Carpenter G, King L. Epidermal growth factor-receptor-protein kinase interactions. Co-purification of receptor and epidermal growth factor-enhanced phosphorylation activity. J Biol Chem. 1980;255:4834-4842.  [PubMed]  [DOI]  [Cited in This Article: ]
7.  Ushiro H, Cohen S. Identification of phosphotyrosine as a product of epidermal growth factor-activated protein kinase in A-431 cell membranes. J Biol Chem. 1980;255:8363-8365.  [PubMed]  [DOI]  [Cited in This Article: ]
8.  Teramoto T, Onda M, Tokunaga A, Asano G. Inhibitory effect of anti-epidermal growth factor receptor antibody on a human gastric cancer. Cancer. 1996;77:1639-1645.  [PubMed]  [DOI]  [Cited in This Article: ]
9.  Zhang X, Geng M, Wang YJ, Cao YC. Expression of epidermal growth factor receptor and proliferating cell nuclear antigen in esophageal carcinoma and pre-cancerous lesions. Huaren Xiaohua Zazhi. 1998;6:229-230.  [PubMed]  [DOI]  [Cited in This Article: ]
10.  Kunkel MW, Hook KE, Howard CT, Przybranowski S, Roberts BJ, Elliott WL, Leopold WR. Inhibition of the epidermal growth factor receptor tyrosine kinase by PD153035 in human A431 tumors in athymic nude mice. Invest New Drugs. 1996;13:295-302.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 41]  [Cited by in F6Publishing: 43]  [Article Influence: 1.5]  [Reference Citation Analysis (0)]
11.  Wu X, Rubin M, Fan Z, DeBlasio T, Soos T, Koff A, Mendelsohn J. Involvement of p27KIP1 in G1 arrest mediated by an anti-epidermal growth factor receptor monoclonal antibody. Oncogene. 1996;12:1397-1403.  [PubMed]  [DOI]  [Cited in This Article: ]
12.  Zhuang XQ, Yuan SZ, Wang XH, Lai RQ, Luo ZQ. Expression and prognostic significance of EGF receptor and proliferating cell nuclear antigen in colorectal cancer. Xin Xiaohuabingxue Zazhi. 1996;4:483-484.  [PubMed]  [DOI]  [Cited in This Article: ]
13.  Sun XF, Chi BE, Luo L. The expression of p53, bcl 2, EGFR in carcinoma and polypoid lesion of the gallbladder and their clinicopathological significance. World J Gastroentero. 1998;4:78.  [PubMed]  [DOI]  [Cited in This Article: ]
14.  Wang HT, Chen BW, Jia BQ. Roles of epidermal growth factor (EGF) and EGF receptor in gastric cancer. Xin Xiaohuabingxue Zazhi. 1997;5:93-394.  [PubMed]  [DOI]  [Cited in This Article: ]
15.  Sainsbury JR, Malcolm AJ, Appleton DR, Farndon JR, Harris AL. Presence of epidermal growth factor receptor as an indicator of poor prognosis in patients with breast cancer. J Clin Pathol. 1985;38:1225-1228.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 161]  [Cited by in F6Publishing: 172]  [Article Influence: 4.4]  [Reference Citation Analysis (0)]
16.  Neal DE, Marsh C, Bennett MK, Abel PD, Hall RR, Sainsbury JR, Harris AL. Epidermal-growth-factor receptors in human bladder cancer: comparison of invasive and superficial tumours. Lancet. 1985;1:366-368.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 392]  [Cited by in F6Publishing: 403]  [Article Influence: 10.3]  [Reference Citation Analysis (0)]
17.  Veale D, Ashcroft T, Marsh C, Gibson GJ, Harris AL. Epidermal growth factor receptors in non-small cell lung cancer. Br J Cancer. 1987;55:513-516.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 200]  [Cited by in F6Publishing: 212]  [Article Influence: 5.7]  [Reference Citation Analysis (0)]
18.  Normanno N, Bianco C, Damiano V, de Angelis E, Selvam MP, Grassi M, Magliulo G, Tortora G, Bianco AR, Mendelsohn J. Growth inhibition of human colon carcinoma cells by combinations of anti-epidermal growth factor related growth factor antisense oligonucleotides. Clin Cancer Res. 1996;2:601-609.  [PubMed]  [DOI]  [Cited in This Article: ]
19.  Masui H, Kawamoto T, Sato JD, Wolf B, Sato G, Mendelsohn J. Growth inhibition of human tumor cells in athymic mice by anti-epidermal growth factor receptor monoclonal antibodies. Cancer Res. 1984;44:1002-1007.  [PubMed]  [DOI]  [Cited in This Article: ]
20.  Masui H, Moroyama T, Mendelsohn J. Mechanism of antitumor activity in mice for anti-epidermal growth factor receptor monoclonal antibodies with different isotypes. Cancer Res. 1986;46:5592-5598.  [PubMed]  [DOI]  [Cited in This Article: ]
21.  Yoneda T, Lyall RM, Alsina MM, Persons PE, Spada AP, Levitzki A, Zilberstein A, Mundy GR. The antiproliferative effects of tyrosine kinase inhibitors tyrphostins on a human squamous cell carcinoma in vitro and in nude mice. Cancer Res. 1991;51:4430-4435.  [PubMed]  [DOI]  [Cited in This Article: ]
22.  Agrawal S. Antisense oligonucleotides as antiviral agents. Trends Biotechnol. 1992;10:152-158.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 100]  [Cited by in F6Publishing: 112]  [Article Influence: 3.5]  [Reference Citation Analysis (0)]
23.  Wagner RW. Gene inhibition using antisense oligodeoxynucleotides. Nature. 1994;372:333-335.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 557]  [Cited by in F6Publishing: 605]  [Article Influence: 20.2]  [Reference Citation Analysis (0)]
24.  Stein CA, Cheng YC. Antisense oligonucleotides as therapeutic agents--is the bullet really magical? Science. 1993;261:1004-1012.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 1014]  [Cited by in F6Publishing: 1095]  [Article Influence: 35.3]  [Reference Citation Analysis (0)]
25.  Robinson GS, Pierce EA, Rook SL, Foley E, Webb R, Smith LE. Oligodeoxynucleotides inhibit retinal neovascularization in a murine model of proliferative retinopathy. Proc Natl Acad Sci USA. 1996;93:4851-4856.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 218]  [Cited by in F6Publishing: 239]  [Article Influence: 8.5]  [Reference Citation Analysis (0)]
26.  Dean N, McKay R, Miraglia L, Howard R, Cooper S, Giddings J, Nicklin P, Meister L, Ziel R, Geiger T. Inhibition of growth of human tumor cell lines in nude mice by an antisense of oligonucleotide inhibitor of protein kinase C-alpha expression. Cancer Res. 1996;56:3499-3507.  [PubMed]  [DOI]  [Cited in This Article: ]
27.  Cheng LY, Gao Y, Yang JZ. Growth inihbition of human gastric carcinoma cells by DNA polymerase α antisense oligodeoxynucleotide. Xin Xiaohuabingxue Zazhi. 1996;4:666-668.  [PubMed]  [DOI]  [Cited in This Article: ]
28.  Wu JS, He Y, Wang SM. Inhibitory effects of EGFR antisense oligodeoxynucleotide with liposome in human colorectal cancer cell line. Huaren Xiaohua Zazhi. 1998;6:762-764.  [PubMed]  [DOI]  [Cited in This Article: ]
29.  Crooke ST. Therapeutic applications of oligonucleotides. RG Landes Co. 1995;11-38.  [PubMed]  [DOI]  [Cited in This Article: ]
30.  Neckers L, Whitesell L, Rosolen A, Geselowitz DA. Antisense inhibition of oncogene expression. Crit Rev Oncog. 1992;3:175-231.  [PubMed]  [DOI]  [Cited in This Article: ]
31.  Bertram J, Killian M, Brysch W, Schlingensiepen KH, Kneba M. Reduction of erbB2 gene product in mamma carcinoma cell lines by erbB2 mRNA-specific and tyrosine kinase consensus phosphorothioate antisense oligonucleotides. Biochem Biophys Res Commun. 1994;200:661-667.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 39]  [Cited by in F6Publishing: 42]  [Article Influence: 1.4]  [Reference Citation Analysis (0)]
32.  Akino K, Ohtsuru A, Yano H, Ozeki S, Namba H, Nakashima M, Ito M, Matsumoto T, Yamashita S. Antisense inhibition of parathyroid hormone related pep-tide gene expression reduces malignant pituitary tumor progression and me-tastases in the rat. Cancer Res. 1996;56:77-86.  [PubMed]  [DOI]  [Cited in This Article: ]
33.  Cerutti J, Trapasso F, Battaglia C, Zhang L, Martelli ML, Visconti R, Berlingieri MT, Fagin JA, Santoro M, Fusco A. Block of c-myc expression by antisense oligonucleotides inhibits proliferation of human thyroid carcinoma cell lines. Clin Cancer Res. 1996;2:119-126.  [PubMed]  [DOI]  [Cited in This Article: ]
34.  Monia BP, Johnston JF, Genger T, Muller M, Fabbro D. Antitumor activity of a phosphorothioate antisense oligodeoxynucleotide targeted against C-raf kinase. Nat Med. 1996;2:668-675.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 349]  [Cited by in F6Publishing: 364]  [Article Influence: 13.0]  [Reference Citation Analysis (0)]
35.  Tong WM, Ellinger A, Sheinin Y, Cross HS. Epidermal growth factor receptor expression in primary cultured human colorectal carcinoma cells. Br J Cancer. 1998;77:1792-1798.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 40]  [Cited by in F6Publishing: 44]  [Article Influence: 1.7]  [Reference Citation Analysis (0)]
36.  Wang Q, Wu JS, Gao DM, Lai DN, Ma QJ. Expression significance of epidermal growth factor receptor and transforming growth factor α mRNA in human colorectal carcinoma. Shijie Huaren Xiaohua Zazhi. 1999;7:590-592.  [PubMed]  [DOI]  [Cited in This Article: ]
37.  Zhang ZX, Xu SH, Qian LJ. Establishment of a human rectal carcinoma cell line. Chin Sci ( B part ). 1986;11:1197-1204.  [PubMed]  [DOI]  [Cited in This Article: ]
38.  Abulafi AM, Williams NS. Local recurrence of colorectal cancer: the problem, mechanisms, management and adjuvant therapy. Br J Surg. 1994;81:7-19.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 284]  [Cited by in F6Publishing: 271]  [Article Influence: 9.0]  [Reference Citation Analysis (0)]
39.  Sporn MB, Roberts AB. Autocrine growth factors and cancer. Nature. 1985;313:745-747.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 988]  [Cited by in F6Publishing: 980]  [Article Influence: 25.1]  [Reference Citation Analysis (0)]
40.  Peng D, Fan Z, Lu Y, DeBlasio T, Scher H, Mendelsohn J. Anti-epidermal growth factor receptor monoclonal antibody 225 up-regulates p27KIP1 and induces G1 arrest in prostatic cancer cell line DU145. Cancer Res. 1996;56:3666-3669.  [PubMed]  [DOI]  [Cited in This Article: ]
41.  Hawley Nelson P, Ciccarone V, Gebeyehu G, Jesee J, Felgner PL. Lipofec tamine reagent: a new, higher efficiency polycationic liposome transfection reagent. Focus. 1993;15:73-79.  [PubMed]  [DOI]  [Cited in This Article: ]