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JNCI Journal of the National Cancer Institute 2000 92(1):69-73; doi:10.1093/jnci/92.1.69
© 2000 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 92, No. 1, 69-73, January 5, 2000
© 2000 Oxford University Press


BRIEF COMMUNICATION

Biochemopreventive Therapy for Patients With Premalignant Lesions of the Head and Neck and p53 Gene Expression

Dong M. Shin, Li Mao, Vassiliki M. Papadimitrakopoulou, Gary Clayman, Adel El-Naggar, Hyung Ju C. Shin, J. Jack Lee, Jin S. Lee, Ann Gillenwater, Jeffrey Myers, Scott M. Lippman, Walter N. Hittelman, Waun Ki Hong

Affiliations of authors: D. M. Shin, L. Mao, V. M. Papadimitrakopoulou, J. S. Lee, W. K. Hong (Department of Thoracic/Head and Neck Medical Oncology), G. Clayman, A. Gillenwater, J. Myers (Department of Head and Neck Surgery), A. El-Naggar, H. J. C. Shin (Department of Pathology), J. J. Lee (Department of Biostatistics), S. M. Lippman (Department of Clinical Cancer Prevention), W. N. Hittelman (Department of Clinical Investigation). The University of Texas M. D. Anderson Cancer Center, Houston.

Correspondence to: Dong M. Shin, M.D., Department of Thoracic/Head and Neck Medical Oncology, The University of Texas M. D. Anderson Cancer Center, Box 80, 1515 Holcombe Blvd., Houston, TX 77030.

Oral premalignant lesions are a useful model for developing chemoprevention trials involving lesions throughout the upper aerodigestive tract (1). These lesions most often develop in association with exposure to carcinogens, such as tobacco and alcohol, and frequently precede the development of invasive carcinoma (2,3). Although early oral premalignant lesions (hyperplasia and mild dysplasia) are particularly responsive to single-agent retinoid therapy (4-8), advanced oral premalignant lesions (i.e., moderate to severe dysplasia) are known to be resistant to single-agent retinoid therapy (9,10). Since the combination of retinoids and interferons (IFNs) has been shown to have an enhancing effect on the induction of cell differentiation and on the suppression of cell proliferation as seen in preclinical (10-14) and clinical (15-17) studies, we designed a biochemoprevention study for testing a combination of . . . [Full Text of this Article]

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