Ies, such as laryngeal, cervical and breast cancers. Evidently, a more

Ies, such as laryngeal, cervical and breast cancers. Evidently, a more significant decrease of the serum ceruloplasmin level after treatment is linked with a better response to therapy, as these alterations may influence disease outcome [21,22]. These previous observations support our finding that the concentration of ceruloplasmin was significantly lower in the ascites fluids of chemosensitive ovarian cancer patients. Roles for ceruloplasmin have been suggested in cancer-related processes, including angiogenesis and neovascularization. The protein also serves as a surrogate marker for total body copper. Therefore, the lower serum ceruloplasmin level in our study may be secondary to the deficiency in total body copper associated with tumor suppression. In a study by Cox et al., tetrathiomolybdate (TM), a copper chelator was used to reduce body stores of copper in a murine model of head and neck squamous cell carcinoma(SCC) established using the highly aggressive SCC VII/SF cell line [23]. The authors found that as the total body copper was reduced by TM, the serum ceruloplasmin level was proportionately reduced, with the baseline level decreasing from by28 . As significantly LED-209 suppressed levels of both the growth of SCC and tumor vascularity were identified, their results suggested a potential efficacy of TM in the treatment of cancers via its effects on angiogenesis and neovascularization. Similar results were seen in a phase II trial with advanced kidney cancer patients in which the anti-tumor effects of TM (decreased vascularity and tumor mass) were associated with lower serum copper and ceruloplasmin levels [24]. Thus, the change in serum concentration of ceruloplasmin may indicate that it is an acute phase protein secreted in response to the oxidative stress in inflammation associated with the tumor and/or that it is secondary to the deficiency of total body copper. Our 1531364 analysis was based on primary serous EOC tumors without mixed histotypes of ovarian tumors, or recurrent and metastatic tumors. To our knowledge, this is the first reported proteomic analysis by 2D-DIGE analysis of ascites from patients with intrinsic chemoresistant and chemosensitive ovarian cancer. Additionally, the results may help to predict therapeutic responses and provide disease prognosis as well as new clues into the mechanism of chemoresistance for ovarian cancer. However, there are possible biases in our study. As mentioned before, the expression of ceruloplasmin may be associated with tumor progression. Therefore, the high ceruloplasmin level in ascites in our study may be caused by relatively advanced tumor metastasis associated with worse prognosis. Additionally, biases may be caused by serum components in the ascites fluid or even from our exclusion of the ascites samples mixed with blood due to tumor bleeding. In our study, the number of patients was 3PO site limited by the length of time required for collection of samples. An ascites sample of serous ovarian adenocarcinoma was taken during the primary surgery before chemotherapy, and then we waited six months after six cycles of chemotherapy to determine the status of each patient as chemosensitive or chemoresistant. Therefore, longitudinal studies with a larger number of ascites samples are needed for further validation of the utility of ceruloplasmin as a biomarker. Although it may be challenging to determine the proper combination, identifying multiple predictive biomarkers will be more informative. In conc.Ies, such as laryngeal, cervical and breast cancers. Evidently, a more significant decrease of the serum ceruloplasmin level after treatment is linked with a better response to therapy, as these alterations may influence disease outcome [21,22]. These previous observations support our finding that the concentration of ceruloplasmin was significantly lower in the ascites fluids of chemosensitive ovarian cancer patients. Roles for ceruloplasmin have been suggested in cancer-related processes, including angiogenesis and neovascularization. The protein also serves as a surrogate marker for total body copper. Therefore, the lower serum ceruloplasmin level in our study may be secondary to the deficiency in total body copper associated with tumor suppression. In a study by Cox et al., tetrathiomolybdate (TM), a copper chelator was used to reduce body stores of copper in a murine model of head and neck squamous cell carcinoma(SCC) established using the highly aggressive SCC VII/SF cell line [23]. The authors found that as the total body copper was reduced by TM, the serum ceruloplasmin level was proportionately reduced, with the baseline level decreasing from by28 . As significantly suppressed levels of both the growth of SCC and tumor vascularity were identified, their results suggested a potential efficacy of TM in the treatment of cancers via its effects on angiogenesis and neovascularization. Similar results were seen in a phase II trial with advanced kidney cancer patients in which the anti-tumor effects of TM (decreased vascularity and tumor mass) were associated with lower serum copper and ceruloplasmin levels [24]. Thus, the change in serum concentration of ceruloplasmin may indicate that it is an acute phase protein secreted in response to the oxidative stress in inflammation associated with the tumor and/or that it is secondary to the deficiency of total body copper. Our 1531364 analysis was based on primary serous EOC tumors without mixed histotypes of ovarian tumors, or recurrent and metastatic tumors. To our knowledge, this is the first reported proteomic analysis by 2D-DIGE analysis of ascites from patients with intrinsic chemoresistant and chemosensitive ovarian cancer. Additionally, the results may help to predict therapeutic responses and provide disease prognosis as well as new clues into the mechanism of chemoresistance for ovarian cancer. However, there are possible biases in our study. As mentioned before, the expression of ceruloplasmin may be associated with tumor progression. Therefore, the high ceruloplasmin level in ascites in our study may be caused by relatively advanced tumor metastasis associated with worse prognosis. Additionally, biases may be caused by serum components in the ascites fluid or even from our exclusion of the ascites samples mixed with blood due to tumor bleeding. In our study, the number of patients was limited by the length of time required for collection of samples. An ascites sample of serous ovarian adenocarcinoma was taken during the primary surgery before chemotherapy, and then we waited six months after six cycles of chemotherapy to determine the status of each patient as chemosensitive or chemoresistant. Therefore, longitudinal studies with a larger number of ascites samples are needed for further validation of the utility of ceruloplasmin as a biomarker. Although it may be challenging to determine the proper combination, identifying multiple predictive biomarkers will be more informative. In conc.