In 1992 Sikic began directing the General Clinical Research Center and then the Center for Clinical and Translational Research[5] in 2008. He is the founder and director of the Central European Oncology Congress held in Opatija, Croatia since 1998. On January 9, 2010, he was awarded the Katarina Zrinska Medal for Science and Medicine by the President of Croatia.[6]
Contributions to science
Mechanisms and regulation of multidrug resistance
Sikic has made significant contributions to understanding the biology and clinical significance of multidrug resistance (MDR), particularly the P-glycoprotein (P-gp) multidrug transporter and regulation of the ABCB1 gene.[7] He discovered that deletion of aa335 changes the drug-binding spectrum and is integral to the pharmacophore of P-gp.[8] He also defined specific sites of transactivation of ABCB1, and mechanisms of amplification of the gene.[9][10]
Clinical trials of modulation of multidrug resistance
The laboratory work on drug resistance mechanisms led to a series of clinical Phase I-III trials that defined this field.[11] Early on, Sikic's group found that P-gp inhibition resulted in significant pharmacokinetic alterations of several anticancer drugs, with the potential for markedly increased toxicities unless doses were adjusted.[12] These findings, and the co-existence of other resistance mechanisms in human cancers, redefined the field and demonstrated the limited clinical utility of MDR modulation.[13][14]
Cancer genomics
The Sikic group utilized gene expression profiling and systems biology to yield insight into cancer taxonomy and prognostic and predictive signatures for cancer therapies.[15][16][17] With their colleagues Olivier Gevaert and Sylvia Plevritis, they have identified driver genes for ovarian cancers.[18][19]
^Sikic, Branimir Ivan. "Branimir I. (Brandy) Sikic, M.D." (curriculum vitae). Stanford, California: Stanford University School of Medicine. Retrieved April 29, 2023.
^Chen, GK; Sale, S; Tan, S; Ermoian, RP; Sikic, BI (2004). "CCAAT/enhancer-binding protein beta (nuclear factor for interleukin 6) transactivates the human MDR1 gene by interaction with an inverted CCAAT box in human cancer cells". Molecular Pharmacology. 65 (4): 906–16. doi:10.1124/mol.65.4.906. PMID15044620. S2CID86591291.
^Yahanda, AM; Adler, KM; Fisher, G; Brophy, NA; Hardy, R; Halsey, J; Gosland, MP; Lum, BL; Sikic, BI (1992). "A phase I trial of etoposide with cyclosporine as a modulator of multidrug resistance". Journal of Clinical Oncology. 10 (10): 1624–34. doi:10.1200/JCO.1992.10.10.1624. PMID1403040.
^Lum, BL; Kaubisch, S; Yahanda, AM; Adler, KM; Jew, K; Ehsan, MN; Halsey, J; Gosland, MP; Sikic, BI (1992). "Alteration of etoposide pharmacokinetics and pharmacodynamics by cyclosporine in a phase I trial of modulation of multidrug resistance". Journal of Clinical Oncology. 10 (10): 1635–42. doi:10.1200/JCO.1992.10.10.1635. PMID1403041.
^Bartlett, NL; Lum, BL; Fisher, GA; Brophy, NA; Ehsan, MN; Halsey, J; Sikic, BI (1994). "A phase I trial of doxorubicin with cyclosporine as a modulator of multidrug resistance". Journal of Clinical Oncology. 12 (4): 835–42. doi:10.1200/JCO.1994.12.4.835. PMID8151326.