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Final Project
Case Study:
A 71-year old male seeks attention after developing difficulty and pain during urination. In
addition, the patient complains of intermittent pain in his lower back. His physician performs a
digital rectal exam and notes a lump on the prostate. Blood tests for the prostate specific antigen
(PSA) reveal elevated levels (12ng/ml) of this marker. A transrectal ultrasound is performed,
yielding the results seen in the following image. A biopsy and a full body CT scan were
subsequently performed. The pathology of the biopsy confirmed carcinoma of the prostate.
The CT scan indicated metastases to the bone.
The article Comprehensive Gene Expression Analysis of Prostate Cancer uses gene array
technology to determine the expression levels of genes in prostate cancer. In keeping with the
idea of a more rational form of treatment for cancer, you will propose individualized, targeted
cancer therapies for the treatment of the prostate cancer patient. Assume that the gene array data
detailed in Table 2 of the paper are the data obtained for this patient.
Your task:
Choose 3 targets for therapy considering the gene array data obtained from the patients tumor.
For each target,
1) Explain the role of the target in cancer and its role in normal cells
2) Explain the rationale for choosing the target
3) Propose a means for development of a drug to this target and explain how the drug will work
to affect the target.
Grading:
Your project will be graded based on the specifications listed below.
Your project and portfolio are due by the beginning of our final exam period in finals week.
Final Project Specifications:
Choice of targets
One of your targets must be new (meaning it is not a molecule that we have studied in class).
Three targets were chosen for therapy.
The 3 targets are diverse in nature (target different mechanisms of cancer).
Targets are chosen from article on gene expression in prostate cancer.