We demonstrate for the first time that FAK is overexpressed in PanNETs and that inhibition of FAK activity induces apoptosis and inhibits PanNET proliferation. We found that the novel FAK inhibitor PF-04554878 synergizes with everolimus, a US Food and Drug Administration-approved agent for PanNETs. Our findings warrant the clinical investigation of combined FAK and mTOR inhibition in PanNETs.

Inflammation as a major defense mechanism against pathogens is modulated by diverse microbial products. A variety of plant and microbial products interacting with Toll-like receptors initiate a wide spectrum of responses from phagocytosis to cytokine production, which modulates inflammation. Jasmonates are fatty acid-derived cyclopentanones produced by plants and lower eukaryotes that play an important role in the defense against insects. In this study, we are set up to define the molecular targets of J2 action. While the lipopolysaccharide (LPS) stimulation of macrophage cell line RAW264.7 induced TNF-α, IL-6, iNOS, and COX-2 that were associated with an increase in miR-155 and miR-146a, the J2 suppressed the induction of these inflammatory cytokines and enzymes as well as miR-155 in a dose-dependent manner. To assess the associations of miR-155 with inflammatory markers, we overexpressed miR-155 and found attenuation of COX-2 suppression with J2 treatment. Furthermore, J2 inhibited NF-κB, p65, and IκB but had no or only minimal effects on the mitogen-activated protein kinase pathway. In conclusion, the present study demonstrates that J2 suppresses LPS stimulation of RAW264.7 cells by targeting NF-κB pathways.

Thymidylate synthase (TS), a critical enzyme for DNA synthesis and repair, is both a potential tumor prognostic biomarker as well as a tumorigenic oncogene in animal models. We have now studied the clinical implications of TS expression in gastroenteropancreatic (GEP) neuroendocrine tumors (NETs) and compared these results to other cell cycle biomarker genes. Protein tissue arrays were used to study TS, Ki-67, Rb, pRb, E2F1, p18, p21, p27 and menin expression in 320 human GEP-NETs samples. Immunohistochemical expression was correlated with univariate and multivariate predictors of survival utilizing Kaplan Meier and Cox proportional hazards models. Real time RT-PCR was used to validate these findings. We found that 78 of 320 GEP-NETs (24.4%) expressed TS. NETs arising in the colon, stomach and pancreas showed the highest expression of TS (47.4%, 42.6% and 37.3%, respectively), whereas NETs of the appendix, rectum and duodenum displayed low TS expression (3.3%, 12.9% and 15.4%, respectively). TS expression in GEP-NETs was associated with poorly differentiated endocrine carcinoma, angiolymphatic invasion, lymph node metastasis and distant metastasis (p < 0.05). Patients with TS-positive NETs had markedly worse outcomes than TS-negative NETs as shown by univariate (p < 0.001) and multivariate (p 5 0.01) survival analyses. Expression of p18 predicted survival in TS-positive patients that received chemotherapy (p 5 0.015). In conclusion, TS protein expression was an independent prognostic biomarker for GEP-NETs. The strong association of increased TS expression with aggressive disease and early death supports the role of TS as a cancer promoting agent in these tumors.Gastroenteropancreatic (GEP) neuroendocrine tumors (NETs) represent a heterogeneous disease entity with different biological, histopathological and clinical features. 1 Recent epidemiological studies suggest a rising incidence in GEP cases world-wide which may be due to improvements in diagnostic techniques as well as unknown environmental factors. 2 There are no universally accepted standards for the classification and treatment of these tumors. 3 In 2000, the World Health Organization (WHO) classified GEP-NETs into welldifferentiated (WD) NETs with benign behavior, WD NETs with uncertain behavior, WD neuroendocrine carcinomas and poorly differentiated (PD) carcinomas. 4 The most recent WHO classification in 2010 revised the nomenclature and provided a grading classification based on morphological criteria and the assessment of the proliferative fraction. 5 This, in turn, was based on mitotic count and Ki-67 staining and, to date, the proliferative fraction is the most important criteria for determining the grade classification in GEP-NETs. 5 Although there are promising advances in the treatment of malignant pancreatic NETs with recently approved drugs such as sunitinib and everolimus, these drugs primarily stabilize rather than cure the disease and there are few treatment options for nonpancreatic NETs. 6 5-Fluorouracil (5-FU), a thymidylate synthase ...