New policy issues affect practice.

In recent years there has been a dramatic increase in developing gene therapy approaches for the treatment of cancer. The two events that have permitted the formulation of concept of cancer gene therapy are the new understanding of the molecular mechanisms underlying oncogenesis, and the development of the DNA-delivery vehicles or vectors. Many approaches to cancer gene therapy have been proposed, and several viral and non-viral vectors have been utilized. The purpose of this review article is to describe the various strategies of cancer gene therapy (transfer of tumor suppressor genes, suicide genes-enzyme/pro-drug approach, inhibition of dominant oncogenes, immunomodulation approaches, expression of molecules that affect angiogenesis, tumor invasion and metastasis, chemosensitization and radiosensitization approaches, and chemoprotection of stem cells). The chapter also reviews the commonly used vectors (retroviral vectors, adenoviral vectors, adeno-associated viral vectors, pox viruses, herpes simplex viruses, HIV- vectors, non-viral vectors and targetable vectors) for cancer gene therapy. Some of the important issues in cancer gene therapy, and the potential future directions are also being discussed.

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PubMed2005

A predictive approach to nutrient criteria.

Violation of a water quality standard triggers the need for a total maximum daily load (TMDL); this should result in actions that improve water quality, but sometimes at significant cost. If the standard is well-conceived, a designated-use statement characterizes societal values, and a criterion provides a measurable surrogate for designated use. This latter provision means that scientists measure the criterion and view violations of the criterion as equivalent to noncompliance with the designated use. However, if a criterion is not a good indicator of designated use, it is apt to result in misallocation of the limited resources for water quality improvement through the TMDL process. This concern provides the basis for our assessment of the national nutrient criteria strategy recently proposed by the U.S. EPA. We acquired data sets for four case studies (Lake Washington, Neuse River Estuary, San Francisco Bay, and Lake Mendota) and then used expert elicitation to quantify designated-use attainment for each case. Applying structural equation modeling, we identified good water quality criteria as the best predictors of the designated use elicited response variable. Further, we used the model to relate the level (concentration) of each criterion to the probability of compliance with the designated use; this provides decision-makers with an estimate of risk associated with the criterion level, facilitating the selection of appropriate water quality criteria.

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