22 research outputs found

    Enhanced repair of DNA interstrand crosslinking in ovarian cancer cells from patients following treatment with platinum-based chemotherapy

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    Despite high tumour response rates to platinum-based chemotherapy in ovarian cancer survival is poor due to the emergence of drug resistance. Mechanistic studies in clinical material have been hampered by the unavailability of sensitive methods to detect the critical drug-induced effects in individual cells. A modification of the single cell gel electrophoresis (comet) assay allows the sensitive detection of DNA interstrand crosslinking in both tumour and normal cells derived directly from clinical material. Tumour cells isolated from 50 ovarian cancer patients were treated ex vivo with 100 μM cisplatin for 1 h and crosslink formation and repair (unhooking) measured. No significant difference in the peak level of crosslinking in tumour cells was observed between patients who were either newly diagnosed or previously treated with platinum-based therapy, or between tumour and mesothelial cells from an individual patient. This indicates no difference in cellular mechanisms such as drug transport or detoxification. In contrast, the percentage repair (unhooking) of DNA interstrand crosslinks was much greater in the group of treated patients. At 24 h in the 36 newly diagnosed patient tumour samples, only one gave >50% repair and 23 gave <10% repair; however, 19 out of 22 treated patient samples gave >10% repair and 14 showed >50% repair. The estimated median difference (newly diagnosed minus treated) was −52 (95% CI −67 to −28), and the P-value from a Mann–Whitney test was <0.001. In eight patients, it was possible to obtain tumour samples prior to any chemotherapy, and also on relapse or at interval debulking surgery following platinum-based chemotherapy. In these patients, the mean % repair prior to therapy was 2.85 rising to 71.23 following treatment. These data demonstrate increased repair of DNA interstrand crosslinks in ovarian tumour cells following platinum therapy which may contribute to clinical acquired resistance

    Theory-Based Multimodal Parenting Intervention for Incarcerated Parents and Their Children

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    Parenting programs for incarcerated parents have become increasingly popular within corrections departments over the past several decades. The programs are appealing as they are thought to improve not only long-term prosocial outcomes and reductions in recidivism for parents who are reentering their communities after lockup, but also outcomes for their children. While some parenting programs have been shown to be effective in various ways, they may be insufficient to produce long-lasting, positive impacts for families with loved ones involved in the criminal justice system. We proposed that an expanded definition of what a parenting program is might be useful-a multimodal parenting program. Such programs address not only the development of parenting knowledge and the practice of parenting skills, but also the numerous contextual challenges that many correction-involved parents face during and following incarceration. Some of these challenges include inadequate housing, parent unemployment, parental mental and physical health issues, and conflictual personal relationships. We overview our work to build a multimodal parenting program for incarcerated parents and their families, and discuss the implication of such for future research, practice, and policy
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