Abstract
ABSTRACT
Cancer molecular pathways are combinations of metabolic processes deregulated in neoplastic cells. Besides pathways specific to tissues from which cancers originate, common neoplastic traits are present among most tumors. Hanahan and Weinberg have described the most critical ‘hallmarks’ shared by many cancer types. In recent years, cancer stem cell specific properties and pathways have also been identified. Other altered pathways are peculiar of cancer type and cancer stage, even in different cancer stem cell types. In pathogen-related tumors, the alteration of inflammatory and immunologic response along with impairment of cell cycle control represents key molecular events of tumor progression. This article summarizes the recent discoveries of new altered pathways in cancer and their importance in cancer diagnosis and tailored therapies.
Papers of special note have been highlighted as:• of interest; •• of considerable interest
References
- 1 . The metabolism of tumors in the body. J. Gen. Physiol. 8(6), 519–530 (1927).•• This is the first report on common metabolic alteration in cancer consisting in the nonoxidative breakdown of glucose and the glycolytic anaerobic-catabolism of sugars decoupled from the oxidative mitochondrial breakdown of pyruvate.
- 2 Lindau Nobel Laureate Meetings org. Otto Warburg Lecture – On the Primary Causes and on the Secondary Causes of Cancer. www.mediatheque.lindau-nobel.org
- 3 . Cancer's molecular sweet tooth and the Warburg effect. Cancer Res. 66(18), 8927–8930 (2006).
- 4 . The hallmarks of cancer. Cell 100(1), 57–70 (2000).•• The article describes the grouping of all cancer metabolic changes in six major pathways.
- 5 . Hallmarks of cancer: the next generation. Cell 144(5), 646–674 (2011).•• The cancer hallmarks are revisited in light of new discoveries and more pathways, such as reprogramming of energy metabolism and evading immune destruction, are added to the list of cancer hallmarks.
- 6 . Appendix I. In: Celsus Cornelius A. De Medicina. Latin Transcription by F. Marx, Teubner edition1915; English translation by W. G. Spencer, Loeb edition 1938. Loeb Classical Library edition, 1935 (2002). http://penelope.uchicago.edu
- 7 Hippocrates of Cos. Book VI, 38. In: Aphorisms (Greek and Latin bilingual edition). Foes A (Eds.). Bibliothèque numérique Medic@: MS 595 – BIUM 2. bibliothèques interuniversitaires de médecine (BIUM), Paris, published apud Andreae Wecheli heredes, Claudium Marnium et Joannem Aubrium, Francofurti, (1595). www2.biusante.parisdescartes.fr
- 8 . A note from history: landmarks in history of cancer, part 1. Cancer 117(5), 1097–1102 (2011).
- 9 . Book V 28, 2A-C. In: De Medicina. Latin Transcription by F. Marx, Teubner edition1915; English translation by W. G. Spencer, Loeb edition 1938. Loeb Classical Library edition, 1935, (2002). http://penelope.uchicago.edu
- 10 Galenus Claudius of Pergamon. De Methodo Medendi, Liber XIV. In: Claudii Galeni Opera Omnia (Vol. X). Kühn KG (Ed.). Car. Cnoblochii, Leipzig, 945–1026 (1825). www2.biusante.parisdescartes.fr.
- 11 Galenus Claudius of Pergamon. De Tumoribus praeter naturam, Cap. XII. In: Claudii Galeni Opera Omnia (Vol. VII). Kühn KG (Ed.). Car. Cnoblochii, Leipzig, 705–732 (1824). www2.biusante.parisdescartes.fr.
- 12 Adriani Ravesteini. Lexicon Medicum Graeco-Latinum a Batholomeo Castello Messanense inchoatum. Art. Med. Doct. ex Hippocr. Galen. Avicenn. atque aliorum celeberrimorum Medicorum Monumnetis. Arnoldum Leers, Roterodami (1665). https://books.google.it.
- 13 TCGA. Comprehensive genomic characterization defines human glioblastoma genes and core pathways. Nature 455(7216), 1061–1068 (2008).
- 14 TCGA. Integrated genomic analyses of ovarian carcinoma. Nature 474(7353), 609–615 (2011).
- 15 TCGA. Comprehensive molecular characterization of gastric adenocarcinoma. Nature 513(7517), 202–209 (2014).
- 16 TCGA. Comprehensive genomic characterization of squamous cell lung cancers. Nature 489(7417), 519–525 (2012).
- 17 TCGA. Comprehensive molecular characterization of urothelial bladder carcinoma. Nature 507(7492), 315–322 (2014).
- 18 TCGA. Comprehensive molecular characterization of clear cell renal cell carcinoma. Nature 499(7456), 43–49 (2013).
- 19 TCGA. Comprehensive molecular characterization of human colon and rectal cancer. Nature 487(7407), 330–337 (2012).
- 20 TCGA. Comprehensive molecular portraits of human breast tumours. Nature 490(7418), 61–70 (2012).
- 21 . Comparison of gene expression patterns across 12 tumor types identifies a cancer supercluster characterized by TP53 mutations and cell cycle defects. Oncogene
doi:10.1038/onc.2014.216 (2014) (Epub ahead of print).• Describes common transcriptional footprints across cancer types and highlights that tumor subtypes are commonly unified by a limited number of molecular themes. - 22 Integrated genomic analysis identifies clinically relevant subtypes of glioblastoma characterized by abnormalities in PDGFRA, IDH1, EGFR, and NF1. Cancer Cell 17(1), 98–110 (2010).
- 23 Genetic alterations and oncogenic pathways associated with breast cancer subtypes. Mol. Cancer Res. 7(4), 511–522 (2009).
- 24 . Basal-like breast cancer and the BRCA1 phenotype. Oncogene 25(43), 5846–5853 (2006).
- 25 Germline BRCA1 mutations and a basal epithelial phenotype in breast cancer. J. Natl Cancer Inst. 95(19), 1482–1485 (2003).
- 26 Rb inactivation promotes genomic instability by uncoupling cell cycle progression from mitotic control. Nature 430(7001), 797–802 (2004).
- 27 Lack of PTEN sequesters CHK1 and initiates genetic instability. Cancer Cell 7(2), 193–204 (2005).
- 28 Essential role for nuclear PTEN in maintaining chromosomal integrity. Cell 128(1), 157–170 (2007).
- 29 Breast cancer molecular subtypes respond differently to preoperative chemotherapy. Clin. Cancer Res. 11(16), 5678–5685 (2005).
- 30 The retinoblastoma tumor suppressor modifies the therapeutic response of breast cancer. J. Clin. Invest. 117(1), 218–228 (2007).
- 31 Deficiency in the repair of DNA damage by homologous recombination and sensitivity to poly(ADP-ribose) polymerase inhibition. Cancer Res. 66(16), 8109–8115 (2006).
- 32 . Induction of pluripotent stem cells from mouse embryonic and adult fibroblast cultures by defined factors. Cell 126(4), 663–676 (2006).
- 33 Coexpression of Oct4 and Nanog enhances malignancy in lung adenocarcinoma by inducing cancer stem cell-like properties and epithelial–mesenchymal transdifferentiation. Cancer Res. 70(24), 10433–10444 (2010).
- 34 DNMT-dependent suppression of microRNA regulates the induction of GBM tumor-propagating phenotype by Oct4 and Sox2. Oncogene
doi:10.1038/onc.2014.334 (2014) (Epub ahead of print). - 35 Sphere-forming cell subpopulations with cancer stem cell properties in human hepatoma cell lines. BMC Gastroenterol. 11, 71 (2011).
- 36 SOX2 expression associates with stem cell state in human ovarian carcinoma. Cancer Res. 73(17), 5544–5555 (2013).
- 37 . Cancer stem-like cells can be isolated with drug selection in human ovarian cancer cell line SKOV3. Acta Biochim. Biophys. Sin.(Shanghai) 42(9), 593–602 (2010).
- 38 . FRMD4A upregulation in human squamous cell carcinoma promotes tumor growth and metastasis and is associated with poor prognosis. Cancer Res. 72(13), 3424–3436 (2012).
- 39 . Normal and leukemic hematopoiesis: are leukemias a stem cell disorder or a reacquisition of stem cell characteristics? Proc. Natl Acad. Sci. USA 100(Suppl. 1), 11842–11849 (2003).
- 40 The epithelial-mesenchymal transition generates cells with properties of stem cells. Cell 133(4), 704–715 (2008).
- 41 Cancer stem cells in squamous cell carcinoma switch between two distinct phenotypes that are preferentially migratory or proliferative. Cancer Res. 71(15), 5317–5326 (2011).
- 42 . The common mechanisms of transformation by the small DNA tumor viruses: The inactivation of tumor suppressor gene products: p53. Virology 384(2), 285–293 (2009).• Describes a common transforming mechanism of small DNA viruses consisting in the alteration of p53-related pathways.
- 43 . The role of HPV E6 and E7 oncoproteins in HPV-associated cervical carcinogenesis. Cancer Res. Treat. 37(6), 319–324 (2005).
- 44 . Clonal integration of a polyomavirus in human Merkel cell carcinoma. Science 319(5866), 1096–1100 (2008).
- 45 Sequence and functional analysis of EBNA-LP and EBNA2 proteins from nonhuman primate lymphocryptoviruses. J. Virol. 74(1), 379–389 (2000).
- 46 . Epstein–Barr virus EBNA3A and EBNA3C proteins both repress RBP-J kappa-EBNA2-activated transcription by inhibiting the binding of RBP-J kappa to DNA. J. Virol. 70(9), 5909–5915 (1996).
- 47 . Epstein–Barr virus nuclear antigen 3C and prothymosin alpha interact with the p300 transcriptional coactivator at the CH1 and CH3/HAT domains and cooperate in regulation of transcription and histone acetylation. J. Virol. 76(10), 4699–4708 (2002).
- 48 . Epstein–Barr virus latent membrane protein 1 is essential for B-lymphocyte growth transformation. Proc. Natl Acad. Sci USA 90(19), 9150–9154 (1993).
- 49 BS69 negatively regulates the canonical NF-kappaB activation induced by Epstein–Barr virus-derived LMP1. FEBS Lett. 583(10), 1567–1574 (2009).
- 50 . Epstein–Barr virus LMP2A drives B cell development and survival in the absence of normal B cell receptor signals. Immunity 9(3), 405–411 (1998).
- 51 . Epstein–Barr virus LMP2A imposes sensitivity to apoptosis. J. Gen. Virol. 91(Pt 9), 2197–2202 (2010).
- 52 . p53 inhibition by the LANA protein of KSHV protects against cell death. Nature 402(6764), 889–894 (1999).
- 53 . EC5S ubiquitin complex is recruited by KSHV latent antigen LANA for degradation of the VHL and p53 tumor suppressors. PLoS Pathog. 2(10), e116 (2006).
- 54 . Kaposi's sarcoma-associated herpesvirus encoded vFLIP induces cellular IL-6 expression: the role of the NF-kappaB and JNK/AP1 pathways. Oncogene 22(22), 3371–3385 (2003).
- 55 . The KSHV oncoprotein vFLIP contains a TRAF-interacting motif and requires TRAF2 and TRAF3 for signalling. EMBO Rep. 7(1), 114–119 (2006).
- 56 . Hepatitis B virus X protein inhibits p53 sequence-specific DNA binding, transcriptional activity, and association with transcription factor ERCC3. Proc. Natl Acad. Sci. USA 91(6), 2230–2234 (1994).
- 57 . Expression of DNA methyltransferase 1 is activated by hepatitis B virus X protein via a regulatory circuit involving the p16INK4a-cyclin D1-CDK 4/6-pRb-E2F1 pathway. Cancer Res. 67(12), 5771–5778 (2007).
- 58 . Hepatitis B virus X protein prevents apoptosis of hepatocellular carcinoma cells by upregulating SATB1 and HURP expression. Biochem. Pharmacol. 80(7), 1093–1102 (2010).
- 59 . Rapid ATM-dependent phosphorylation of MDM2 precedes p53 accumulation in response to DNA damage. Proc. Natl Acad. Sci. USA 96(26), 14973–14977 (1999).
- 60 . Interaction between hepatitis C virus proteins and host cell factors. Curr. Opin. Microbiol. 5(4), 419–427 (2002).
- 61 NS3 protein of hepatitis C virus regulates cyclooxygenase-2 expression through multiple signaling pathways. Virology 371(1), 61–70 (2008).
- 62 . HCV NS5A abrogates p53 protein function by interfering with p53-DNA binding. World J. Gastroenterol. 10(15), 2223–2227 (2004).
- 63 . NS5A – from obscurity to new target for HCV therapy. Recent Pat Antiinfect. Drug Discov. 3(2), 77–92 (2008).
- 64 . The HTLV-1 tax protein cooperates with phosphorylated CREB, TORC2 and p300 to activate CRE-dependent cyclin D1 transcription. Oncogene 29(14), 2142–2152 (2010).
- 65 . History of the discoveries of the first human retroviruses: HTLV-1 and HTLV-2. Oncogene 24(39), 5926–5930 (2005).
- 66 . Helicobacter pylori cytotoxin-associated gene A (CagA) subverts the apoptosis-stimulating protein of p53 (ASPP2) tumor suppressor pathway of the host. Proc. Natl Acad. Sci. USA 108(22), 9238–9243 (2011).
- 67 . Structure of the Helicobacter pylori CagA oncoprotein bound to the human tumor suppressor ASPP2. Proc. Natl Acad. Sci. USA 111(4), 1562–1567 (2014).
- 68 . Tumor viruses and cancer biology: modulating signaling pathways for therapeutic intervention. Cancer Biol. Ther. 10(10), 961–978 (2010).
- 69 . The E6 oncoprotein encoded by human papillomavirus types 16 and 18 promotes the degradation of p53. Cell 63(6), 1129–1136 (1990).
- 70 . The human papilloma virus-16 E7 oncoprotein is able to bind to the retinoblastoma gene product. Science 243(4893), 934–937 (1989).
- 71 . Human papillomavirus type 16 E7 binds to E2F1 and activates E2F1-driven transcription in a retinoblastoma protein-independent manner. J. Biol. Chem. 277(4), 2923–2930 (2002).
- 72 . Diversity and dialogue in immunity to helminths. Nat. Rev. Immunol. 11(6), 375–388 (2011).
- 73 . TP53 and PIK3CA gene mutations in adenocarcinoma, squamous cell carcinoma and high-grade intraepithelial neoplasia of the cervix. J. Transl. Med. 12(1), 255 (2014).
- 74 . Telomerase activation by the E6 gene product of human papillomavirus type 16. Nature 380(6569), 79–82 (1996).
- 75 . Transcriptional activation of the telomerase hTERT gene by human papillomavirus type 16 E6 oncoprotein. J. Virol. 75(9), 4467–4472 (2001).
- 76 . Telomerase activation by human papillomavirus type 16 E6 protein: induction of human telomerase reverse transcriptase expression through Myc and GC-rich Sp1 binding sites. J. Virol. 75(12), 5559–5566 (2001).
- 77 . Human papillomavirus E6 and Myc proteins associate in vivo and bind to and cooperatively activate the telomerase reverse transcriptase promoter. Proc. Natl Acad. Sci. USA 100(14), 8211–8216 (2003).
- 78 . The regulation of INK4/ARF in cancer and aging. Cell 127(2), 265–275 (2006).
- 79 p16/pRb pathway alterations are required for bypassing senescence in human prostate epithelial cells. Cancer Res. 59(12), 2957–2964 (1999).
- 80 . Mechanisms of human epithelial cell immortalization and p16NK4a induced telomere-independent sencescence [PhD thesis]. University of Iowa, Iowa City, IA, USA (2007). http://ir.uiowa.edu/etd/183.
- 81 . Role of the p16 tumor suppressor gene in cancer. J. Clin. Oncol. 16(3), 1197–1206 (1998).
- 82 . INK4a/ARF: a multifunctional tumor suppressor locus. Mutat. Res. 576(1–2), 22–38 (2005).
- 83 The loss of p16 expression worsens the prognosis of OSCC. Appl. Immunohistochem. Mol. Morphol. (2015).
- 84 Molecular classification identifies a subset of human papillomavirus – associated oropharyngeal cancers with favorable prognosis. J. Clin. Oncol. 24(5), 736–747 (2006).
- 85 . HPV-related oropharyngeal cancers: from pathogenesis to new therapeutic approaches. Cancer Lett. 351(2), 198–205 (2014).
- 86 . pRB family proteins are required for H3K27 trimethylation and Polycomb repression complexes binding to and silencing p16INK4alpha tumor suppressor gene. Genes Dev. 21(1), 49–54 (2007).
- 87 . Viral and cellular biomarkers in the diagnosis of cervical intraepithelial neoplasia and cancer. Biomed. Res. Int. 2013, 519619 (2013).
- 88 Dissection of CDK4-binding and transactivation activities of p34(SEI-1) and comparison between functions of p34(SEI-1) and p16(INK4A). Biochemistry 44(40), 13246–13256 (2005).
- 89 . Regulatory mechanisms of tumor suppressor P16(INK4A) and their relevance to cancer. Biochemistry 50(25), 5566–5582 (2011).
- 90 Global burden of cancers attributable to infections in 2008: a review and synthetic analysis. Lancet Oncol. 13(6), 607–615 (2012).
- 91 . Mutations in TP53, CTNNB1 and PIK3CA genes in hepatocellular carcinoma associated with hepatitis B and hepatitis C virus infections. Genomics 102(2), 74–83 (2013).
- 92 . Human viral oncogenesis: a cancer hallmarks analysis. Cell Host. Microbe 15(3), 266–282 (2014).•• The article describes the pathogenesis of human oncogenic viruses and their effect on different cancer hallmarks.
- 93 . Increased oxidative stress associated with the severity of the liver disease in various forms of hepatitis B virus infection. BMC Infect. Dis. 5, 95 (2005).
- 94 Comparison of hepatic oxidative DNA damage in patients with chronic hepatitis B and C. J. Viral Hepat. 15(7), 498–507 (2008).
- 95 . Reactive oxygen and mechanisms of inflammatory liver injury: present concepts. J. Gastroenterol. Hepatol. 26(Suppl.1), 173–179 (2011).
- 96 Human hepatitis B virus-X protein alters mitochondrial function and physiology in human liver cells. J. Biol. Chem. 279(15), 15460–15471 (2004).
- 97 . The role of oncogenic viruses in the pathogenesis of hepatocellular carcinoma. Clin. Liver Dis. 15(2), 261–26x (2011).
- 98 HBx sensitizes cells to oxidative stress-induced apoptosis by accelerating the loss of Mcl-1 protein via caspase-3 cascade. Mol. Cancer 10, 43 (2011).
- 99 Mcl-1 overexpression in hepatocellular carcinoma: a potential target for antisense therapy. J. Hepatol. 44(1), 151–157 (2006).
- 100 . HBxAg in the liver from carrier patients with chronic hepatitis and cirrhosis. Hepatology 14(1), 29–37 (1991).
- 101 . The molecular and pathophysiological implications of hepatitis B X antigen in chronic hepatitis B virus infection. Rev. Med. Virol. 21(5), 315–329 (2011).
- 102 . Expression of hepatitis B virus X protein is closely correlated with the high periportal inflammatory activity of liver diseases. J. Viral Hepat. 8(5), 322–330 (2001).
- 103 . Human hepatitis C virus NS5A protein alters intracellular calcium levels, induces oxidative stress, and activates STAT-3 and NF-kappa B. Proc. Natl Acad. Sci. USA 98(17), 9599–9604 (2001).
- 104 Mitochondrial injury, oxidative stress, and antioxidant gene expression are induced by hepatitis C virus core protein. Gastroenterology 122(2), 366–375 (2002).
- 105 . Hepatitis C virus (HCV) proteins induce NADPH oxidase 4 expression in a transforming growth factor beta-dependent manner: a new contributor to HCV-induced oxidative stress. J. Virol. 83(24), 12934–12946 (2009).
- 106 Hepatocyte NAD(P)H oxidases as an endogenous source of reactive oxygen species during hepatitis C virus infection. Hepatology 52(1), 47–59 (2010).
- 107 . Mechanisms and implications of reactive oxygen species generation during the unfolded protein response: roles of endoplasmic reticulum oxidoreductases, mitochondrial electron transport, and NADPH oxidase. Antioxid. Redox. Signal. 11(10), 2409–2427 (2009).
- 108 Hepatitis C virus NS5A disrupts STAT1 phosphorylation and suppresses type I interferon signaling. J. Virol. 86(16), 8581–8591 (2012).
- 109 . Hepatitis C virus versus innate and adaptive immune responses: a tale of coevolution and coexistence. J. Clin. Invest. 119(7), 1745–1754 (2009).
- 110 . Pathogenesis of hepatitis B virus-related hepatocellular carcinoma: old and new paradigms. Gastroenterology 127(5 Suppl. 1), S56-S61 (2004).
- 111 . Hepatitis C virus and hepatocarcinogenesis. Clin. Mol. Hepatol. 18(4), 347–356 (2012).
- 112 . Hepatitis C virus core protein promotes immortalization of primary human hepatocytes. Virology 271(1), 197–204 (2000).
- 113 . Helicobacter infection and gastric neoplasia. J. Pathol. 208(2), 233–248 (2006).
- 114 . The translation of Helicobacter pylori basic research to patient care. Gastroenterology 130(1), 188–206 (2006).
- 115 . Altered states: involvement of phosphorylated CagA in the induction of host cellular growth changes by Helicobacter pylori. Proc. Natl Acad. Sci. USA 96(25), 14559–14564 (1999).
- 116 Nod1 responds to peptidoglycan delivered by the Helicobacter pylori cag pathogenicity island. Nat. Immunol. 5(11), 1166–1174 (2004).
- 117 . Helicobacter pylori infection induced gastric cancer; advance in gastric stem cell research and the remaining challenges. Gut Pathog. 4(1), 18 (2012).
- 118 Helicobacter pylori-induced histone modification, associated gene expression in gastric epithelial cells, and its implication in pathogenesis. PLoS ONE 5(4), e9875 (2010).
- 119 . What a disorder: proinflammatory signaling pathways induced by Helicobacter pylori. Trends Microbiol. 18(11), 479–486 (2010).
- 120 Helicobacter pylori CagA phosphorylation status determines the gp130-activated SHP2/ERK and JAK/STAT signal transduction pathways in gastric epithelial cells. J. Biol. Chem. 285(21), 16042–16050 (2010).
- 121 . Molecular pathology of gastric carcinoma. Pathobiology 78(6), 302–310 (2011).
- 122 . Regulation of NF-kappaB responses by epigenetic suppression of IkappaBalpha expression in HCT116 intestinal epithelial cells. Am. J. Physiol. Gastrointest. Liver Physiol. 299(1), G96–G105 (2010).
- 123 Transgenic expression of Helicobacter pylori CagA induces gastrointestinal and hematopoietic neoplasms in mouse. Proc. Natl Acad. Sci. USA 105(3), 1003–1008 (2008).
- 124 Deficiency of claudin-18 causes paracellular H+ leakage, up-regulation of interleukin-1beta, and atrophic gastritis in mice. Gastroenterology 142(2), 292–304 (2012).
- 125 . Helicobacter pylori-induced activation-induced cytidine deaminase expression and carcinogenesis. Curr. Opin. Immunol. 22(4), 442–447 (2010).
- 126 . Helicobacter pylori induces promoter methylation of E-cadherin via interleukin-1beta activation of nitric oxide production in gastric cancer cells. Cancer 118(20), 4969–4980 (2012).
- 127 . hMLH1 promoter methylation and lack of hMLH1 expression in sporadic gastric carcinomas with high-frequency microsatellite instability. Cancer Res. 59(1), 159–164 (1999).
- 128 A comprehensive survey of genomic alterations in gastric cancer reveals systematic patterns of molecular exclusivity and co-occurrence among distinct therapeutic targets. Gut 61(5), 673–684 (2012).
- 129 . TP53 mutations in human cancers: origins, consequences, and clinical use. Cold Spring Harb. Perspect. Biol. 2(1), a001008 (2010).
- 130 Analysis of p53 gene mutations in Helicobacter pylori-associated gastritis mucosa in endoscopic biopsy specimens. Scand. J. Gastroenterol. 34(5), 474–477 (1999).
- 131 Epigenetic regulation of Delta-Like1 controls Notch1 activation in gastric cancer. Oncotarget. 2(12), 1291–1301 (2011).
- 132 Inhibition of gastric carcinogenesis by the hormone gastrin is mediated by suppression of TFF1 epigenetic silencing. Gastroenterology 140(3), 879–891 (2011).
- 133 . Disruption of the epithelial apical–junctional complex by Helicobacter pylori CagA. Science 300(5624), 1430–1434 (2003).
- 134 . Conversion of Helicobacter pylori CagA from senescence inducer to oncogenic driver through polarity-dependent regulation of p21. J. Exp. Med. 207(10), 2157–2174 (2010).
- 135 . Helicobacter pylori CagA induces a transition from polarized to invasive phenotypes in MDCK cells. Proc. Natl Acad. Sci. USA 102(45), 16339–16344 (2005).
- 136 Helicobacter pylori generates cells with cancer stem cell properties via epithelial–mesenchymal transition-like changes. Oncogene 33(32), 4123–4131 (2014).
- 137 Potential impact of a nine-valent vaccine in human papillomavirus related cervical disease. Infect. Agent Cancer 7(1), 38 (2012).
- 138 . The XIX century smallpox prevention in Naples and the risk of transmission of human blood-related pathogens. J. Transl. Med. 13(1), 33 (2015).
- 139 Ledipasvir and sofosbuvir for 8 or 12 weeks for chronic HCV without cirrhosis. N. Engl. J. Med. 370(20), 1879–1888 (2014).
- 140 Management of Helicobacter pylori infection – the Maastricht IV/Florence Consensus Report. Gut 61(5), 646–664 (2012).
- 141 . Kaposi's sarcoma in renal transplant recipients – the impact of proliferation signal inhibitors. Nephrol. Dial. Transplant. 22 Suppl 1, i17–i22 (2007).
- 142 Epstein–Barr virus reactivation in a patient treated with anti-thymocyte globulin for severe aplastic anemia. Am. J. Hematol. 81(5), 355–357 (2006).