May 2009


HOUSTON -- (May 3, 2009) -- Identifying one of the processes that plays a role in naïve and memory T-cells' growth and production could one day lead to better vaccines and possibly more effective cancer immunotherapy, said researchers at Baylor College of Medicine and Texas Children's Hospital in a report that appears in the current edition of Nature Immunology.

In previous work, Dr. Daniel Lacorazza, assistant professor of pathology at BCM, along with his research team, identified a transcription factor, ELF4, which regulates blood stem cells. A transcription factor is a protein that regulates how genes are translated into a form that leads to the making of the proteins associated with them.

"We knew ELF4 played a role in maintaining T cells," said Lacorazza, who is the principal investigator of the current study. "What we discovered was that ELF4 activates an inhibitor that leads to cell arrest, stopping naive T cells from proliferation."

Cells 'remember' antigens

A population of naïve CD8 T-cell is always circulating in the body and maintained at a constant level. Memory T cells are created when naïve CD8 T cells are activated to fight intracellular pathogens such as viruses or bacteria. The fight against infections prompts creation of memory T cells that then "remember" antigens or proteins found on cells infected with viruses or bacteria. In the future when same infections arise, memory T-cell enhances the body's ability to fight them.

Lacorazza and his research team focused on how ELF4 affected the process of inhibiting proliferation of CD8 T cells. Using mice generated to lack ELF4, researchers found that CD8 T-cells grew over time and acquired a "memory phenotype" without being exposed to any type of infections. At the same time, they determined that expression of the tumor suppressor gene called KLF4 was reduced in these mice.

"We discovered that ELF4 directly activates the tumor suppressor KLF4, which signals cell cycle arrest in naïve CD8 T cells," Lacorazza said. "This inhibitory process is important to T cells because it stops them from proliferating out of control." Cell cycle arrest means the cells do not go through the normal events of their life cycles: growth, replication and division. The description of cell intrinsic regulation of quiescence in normal T cells will provide insights on the pathobiology of lymphoid malignancies.

The researchers then immunized mice deficient for ELF4 to test their immune response. These mice had a larger memory T cell response, indicating that the absence of ELF4 eliminated control over the proliferation of CD8 T cells.

"If we can control ELF4 activation during vaccination, we can enhance long-term immune response, making a vaccine more effective," Lacorazza said.

Could lead to more effective vaccine

"We could enhance in vitro T cell activation of T cells extracted from patients to heighten immune response", said Lacorazza. "In addition, a future line of study is to determine whether deletion of KLF4 expands pre-leukemic clones leading to overt leukemia in pediatric patients".

Lacorazza said these are still hypotheses, but understanding the process that controls T cell proliferation will help in future research.

Other researchers who were a part of the study include Takeshi Yamada and Chun Shik Park, both postdoctoral associates in the Pathology Department at BCM, and Maksim Mamonkin, graduate student in the Department of Immunology at BCM.

Funding for the research was provided by the National Institutes of Health, the Curtis Hankamer Basic Research Fund (Junion-Faculty Seed Award) and a pilot project of the Dan Duncan Cancer Center at BCM.

For more information on basic science research at Baylor College of Medicine, please go to www.bcm.edu/fromthelab. For information on patient research, go to www.bcm.edu/findings.

Was this article helpful? .

HOUSTON -- (May 1, 2009) -- Rehabilitation and treatment before and after surgery for prostate cancer can give men a better chance of maintaining erectile function, said Baylor College of Medicine researchers this week at the American Urological Association Annual Meeting in Chicago.

"If you are a healthy 55 year-old man diagnosed with prostate cancer, removing the cancer will be a top priority but most men are also largely concerned with their erectile function," said the study's lead author Dr. Mohit Khera, director of the Laboratory for Sexual Medicine and an assistant professor in the Scott Department of Urology at BCM. "We have shown that treating these men, along with their female partners, before and after surgery significantly improves erectile function."

Preservation program

Khera and colleagues studied 98 patients and their female partners enrolled in the BCM erectile preservation program to evaluate the efficacy of early rehabilitation in patients who have undergone a radical prostatectomy.

A radical prostatectomy requires removing the entire prostate gland as a treatment for prostate cancer. The prostate gland is located at the base of the bladder, surrounding the first part of the urethra where urine flows from the bladder to the penis.

Two weeks before surgery, patients in Khera's study took Viagra daily. They also received a treatment called medicated urethral system for erection (MUSE) three times a week. In this treatment, a small pellet containing alprostadil, a drug that increases blood flow, is placed into the tip of the penis. When it dissolves and is absorbed by the surrounding tissue, it can cause an erection. Patients continued both treatments after surgery.

"Studies have shown patients using Viagra have improved on erectile function much faster than those who received no treatment following surgery," said Khera. "MUSE therapy has also been shown to increase erectile function recovery."

Patients with low testosterone levels received the hormone because "we believe low testosterone has impact on overall erectile function after surgery," Khera said.

Female partner included

The program takes a unique approach in treating the female partner to improve her libido.

"Not many programs take the female partner into consideration," said Khera. "We have shown that patients who have female partners that are more engaged in sexual activity have a faster recovery."

Patients on the combined therapy program were 4.9 times more likely to achieve an erection after three months, than patients on Viagra alone. After nine months, 66 percent of patients on testosterone replacement therapy were able to achieve an erection versus 12 percent in the group not using testosterone.

"Approximately 250,000 men a year will be diagnosed with prostate cancer and most will elect to have a radical prostatectomy with three concerns, 1) removing the prostate cancer, 2) maintaining their continence, and 3) maintaining their erectile function," said Khera. "Before this study, the erectile function component had not been addressed. "

Co-authors on the presentation include Dr. Larry Lipshultz, professor and chief of male reproductive medicine and surgery, Osama Mohamed, postdoctoral associate and John Colen, medical resident, all of BCM.

For more information on urology services at BCM, please visit Baylor Clinic.

Was this article helpful? .

Cyprus Property For Sale - Ajman Property - Houses In Italy