Cancer

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Cancer


New pathway could present an intervention point for cancer treatment

A new cellular pathway leads to destruction of a protein that promotes growth of breast, prostate and similar cancers and could provide a new avenue through which to pursue treatment of such diseases, said a researcher at Baylor College of Medicine.

"It is another intervention point where one can now attack tumors. It's especially important for endocrine tumors such as those of the breast, prostate, ovary and pituitary gland," said Dr. Bert O'Malley, chair of the BCM department of molecular and cellular biology. O'Malley is senior author of a report on the research that appears in the current issue of the journal Cell and a faculty member in the College's Graduate School of Biomedical Sciences.

O'Malley and his colleagues concentrated their efforts on a powerful oncogene or cancer-promoting gene called the steroid receptor coactivator (SRC) 3 which is also a powerful promoter of tumor growth.

"In high concentrations, it drives the cells to relentless replications," O'Malley said.

However, studies in the laboratory showed that another molecule called REG-gamma takes SRC3 to the proteasome where it is destroyed.

"Because REG-gamma does this to SRC3, it is a tumor suppressor," said O'Malley.

In breast cancer, when levels of REG-gamma are low, SRC3 levels can be high, resulting in tumor growth, said O'Malley.

"This is an important pathway for SRC3 degradation that has never been described," said O'Malley. Other modes of taking proteins to the proteasome for destruction involve adding a molecule called ubiquitin and using energy.

"This molecule does not require ubiquitin or an energy source," he said. "It's a really strange and different molecule for that reason.

He and members of his laboratory plan to determine if the molecule controls similar proteins involved in tumor promotion as well.

Other members of the team that worked on the project include: Drs. Xiaotao Li, David M. Lonard, Sun Yun Jung, Anna Malovannaya, Qin Feng, Jun Qin, Sophia Y. Tsai and Ming-Jer Tsai.

Source:  Baylor College of Medicine


Research improves hopes for cancer vaccine

A special stretch of genetic material may turn off the immune suppression that stymies attempts to fight cancer with a vaccine, said researchers at Baylor College of Medicine at Houston.

In a report in today's issue of the journal Science, Dr. Rong-Fu Wang, a professor in the BCM Center for Cell and Gene Therapy and Department of Immunology, and his colleagues describe a new strategy to turn off the function of a special group of T cells to suppress immune response to tumors and even infectious diseases.

"Since 1995, many groups have tried to develop a vaccine for the treatment of cancer," said Wang, also a member of the faculty of the BCM Graduate School of Biomedical Sciences. "The only problem is that after 10 years of clinical trials, the data suggest that you can induce (cancer) antigen-specific immune responses, but such responses are too weak and transient to eradicate tumor cells."

The answer lies in a group of cells called CD4+ regulatory T cells (Treg for short). These cells have the ability to suppress the body's natural immune response. If they are depleted, autoimmune diseases will result because the immune system is unchecked and goes on to attack the body's own tissues.

His group previously reported the existence of tumor-specific Treg cells at tumor sites. "Thus, the tumor cells use these Treg cells to protect themselves," said Wang. "In fact, tumor cells can actively recruit and activate them to turn on their immune suppressive function."

One way to stop this action is to simply wipe out the cells with chemoagents or a specific antibody.

"But you may also deplete the good cells needed for fighting cancer," said Wang.

He and his group identified particular ligands (a special stretch of guanosine-containing DNA material) that can bind specifically to a particular receptor called human Toll-like receptor 8 and then turn off the suppressive function of Treg cells. Treatment of Treg cells with these ligands converts suppressive Treg cells into non-suppressive T cells.

"In fact, in some cases, this treatment actually enhanced anti-tumor immunity," he said.

He hopes that clinical trials with these special ligands in patients with cancer can get underway quickly.

"It could have a huge impact on cancer therapy or treatment of infectious disease," said Wang. "It could boost response to cancer vaccine as well."

Others who participated in this research include: Drs. Guangyong Peng, Yukiko Kiniwa, Kui shin Voo, Tihui Fu, and Yanchun Li; and Zhong Guo, Weiyi Peng, Daniel Y. Wang, and Helen Y. Wang, all of BCM. This research was supported by the National Institutes of Health and the Cancer Research Institute.

Source:  Baylor College of Medicine


Research breakthrough pinpoints aim of ion beams fired at cancer tumors

Nonsurgical cancer therapy that destroys tumors but leaves healthy surrounding tissue intact could be available at every hospital if research reported this week in the journal Nature eventually comes to fruition.

The Los Alamos National Laboratory Trident laser team, in collaboration with researchers from the University of Nevada, Reno and elsewhere, has succeeded in concentrating the intensity of a laser-driven carbon ion beam into a narrow range.

This work builds upon past research led by the University of Nevada that discovered much higher quality laser proton beams from laser acceleration as opposed to conventional particle acceleration.

Producing carbon ion beams and limiting their spread removes the major impediment to improving such applications as tumor irradiation therapy.

Many technological challenges still have to be met to develop a compact particle generator that could be used in a hospital setting. No clinical trials are imminent.

This research also opens up opportunities for advances in nuclear fusion applications.

The article, "Laser acceleration of monenergetic MeV ion beams," will be published Jan. 26. This research was supported by the Los Alamos National Laboratory Directed Research and Development program. The University of Nevada was also supported by the Department of Energy's National Nuclear Security Administration through the University of Nevada.

Source: University of Nevada


2/3 of cancer deaths related to tobacco use and diet

Chemical Carcinogenesis Program - Karam El-Bayoumy, PhD, Program Leader

In the United States, nearly two-thirds of cancer deaths can be linked to tobacco use and diet. Tobacco consumption is directly related to cancer of the lung, mouth, larynx, esophagus, bladder, kidney, pancreas, leukemia, and cervix. More recent studies are now providing new information linking tobacco smoking with breast and colon cancer, and suggest that tobacco smoking also enhances metastasis of the prostate. Excess or deficiencies of certain dietary components can account for cancer of the colon, breast, prostate, and stomach. The predominance of environment over genes in cancer causation has been suggested. The overall research direction in this program is to uncover, by using a step-wise approach, exactly how cancer develops, and then provide the means for cancer prevention.

To reduce the incidence and mortality of major cancers, observations from studies involving people (epidemiological studies) direct our basic research in this Program to the following:

a) Understanding the mechanisms by which chemicals found in our environment induce cancer. We focus on chemicals that have been detected and fully characterized in tobacco smoke, diet and urban air pollution. Carcinogenesis (cancer development) is a multi-step process that takes 20-30 years in people, and in this program, we focus on understanding the molecular pathways by which normal cells progress to the first definable stage of cancer;

b) Identifying sensitive and selective markers in preclinical investigations (laboratory animals) as useful tools for the assessment of human exposure and risk assessment to cancer causing agents; and

c) Developing mechanism-based chemopreventive agents and dietary components that can inhibit specific molecular targets involved in the carcinogenic process. Chemoprevention is defined as the use of naturally occurring or synthetic agents that can inhibit, delay, and/or reverse the carcinogenic process.

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(n-3) Fatty Acids and Cancer Therapy
W. Elaine Hardman

Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA 70808

Supplementing the diet of tumor-bearing mice or rats with oils containing (n-3) (omega-3) or with purified (n-3) fatty acids has slowed the growth of various types of cancers, including lung, colon, mammary, and prostate. The efficacy of cancer chemotherapy drugs such as doxorubicin, epirubicin, CPT-11, 5-fluorouracil, and tamoxifen, and of radiation therapy has been improved when the diet included (n-3) fatty acids. Some potential mechanisms for the activity of (n-3) fatty acids against cancer include modulation of eicosanoid production and inflammation, angiogenesis, proliferation, susceptibility for apoptosis, and estrogen signaling.

In humans, (n-3) fatty acids have also been used to suppress cancer-associated cachexia and to improve the quality of life. In one study, the response to chemotherapy therapy was better in breast cancer patients with higher levels of (n-3) fatty acids in adipose tissue [indicating past consumption of (n-3) fatty acids] than in patients with lower levels of (n-3) fatty acids. Thus, in combination with standard treatments, supplementing the diet with (n-3) fatty acids may be a nontoxic means to improve cancer treatment outcomes and may slow or prevent recurrence of cancer. Used alone, an (n-3) supplement may be a useful alternative therapy for patients who are not candidates for standard toxic cancer therapies.


Nutrition and cancer: A review of the evidence for an anti-cancer diet

It has been estimated that 30–40 percent of all cancers can be prevented by lifestyle and dietary measures alone. Obesity, nutrient sparse foods such as concentrated sugars and refined flour products that contribute to impaired glucose metabolism (which leads to diabetes), low fiber intake, consumption of red meat, and imbalance of omega 3 and omega 6 fats all contribute to excess cancer risk. Intake of flax seed, especially its lignan fraction, and abundant portions of fruits and vegetables will lower cancer risk. Allium and cruciferous vegetables are especially beneficial, with broccoli sprouts being the densest source of sulforophane. Protective elements in a cancer prevention diet include selenium, folic acid, vitamin B-12, vitamin D, chlorophyll, and antioxidants such as the carotenoids (a-carotene, ß-carotene, lycopene, lutein, cryptoxanthin). Ascorbic acid has limited benefits orally, but could be very beneficial intravenously. Supplementary use of oral digestive enzymes and probiotics also has merit as anticancer dietary measures. When a diet is compiled according to the guidelines here it is likely that there would be at least a 60–70 percent decrease in breast, colorectal, and prostate cancers, and even a 40–50 percent decrease in lung cancer, along with similar reductions in cancers at other sites. Such a diet would be conducive to preventing cancer and would favor recovery from cancer as well.

Full article here


Vitamin C and cancer

Pharmacologic ascorbic acid concentrations selectively kill cancer cells: Action as a pro-drug to deliver hydrogen peroxide to tissues

Qi Chen *, , Michael Graham Espey , Murali C. Krishna , James B. Mitchell , Christopher P. Corpe *, Garry R. Buettner , Emily Shacter and Mark Levine *, ¶

*Molecular and Clinical Nutrition Section, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892; Radiation Biology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892; Free Radical and Radiation Biology Program, University of Iowa, Iowa City, IA 52242-1101; and Laboratory of Biochemistry, Center for Drug Evaluation and Research, Food and Drug Administration, Bethesda, MD 20892

Human pharmacokinetics data indicate that i.v. ascorbic acid (ascorbate) in pharmacologic concentrations could have an unanticipated role in cancer treatment.

Our goals here were to test whether ascorbate killed cancer cells selectively, and if so, to determine mechanisms, using clinically relevant conditions. Cell death in 10 cancer and 4 normal cell types was measured by using 1-h exposures. Normal cells were unaffected by 20 mM ascorbate, whereas 5 cancer lines had EC50 values of <4 mM, a concentration easily achievable i.v. Human lymphoma cells were studied in detail because of their sensitivity to ascorbate (EC50 of 0.5 mM) and suitability for addressing mechanisms.

Extracellular but not intracellular ascorbate mediated cell death, which occurred by apoptosis and pyknosis/necrosis. Cell death was independent of metal chelators and absolutely dependent on H2O2 formation. Cell death from H2O2 added to cells was identical to that found when H2O2 was generated by ascorbate treatment. H2O2 generation was dependent on ascorbate concentration, incubation time, and the presence of 0.5-10% serum, and displayed a linear relationship with ascorbate radical formation. Although ascorbate addition to medium generated H2O2, ascorbate addition to blood generated no detectable H2O2 and only trace detectable ascorbate radical.

Taken together, these data indicate that ascorbate at concentrations achieved only by i.v. administration may be a pro-drug for formation of H2O2, and that blood can be a delivery system of the pro-drug to tissues. These findings give plausibility to i.v. ascorbic acid in cancer treatment, and have unexpected implications for treatment of infections where H2O2 may be beneficial.


Beer and cancer prevention

A compound found only in hops and the main product they are used in - beer - has rapidly gained interest as a micronutrient that might help prevent many types of cancer.

Researchers at Oregon State University first discovered the cancer-related properties of this flavonoid compound called xanthohumol about 10 years ago. A recent publication by an OSU researcher in the journal Phytochemistry outlines the range of findings made since then. And many other scientists in programs around the world are also beginning to look at the value of these hops flavonoids for everything from preventing prostate or colon cancer to hormone replacement therapy for women.

"Xanthohumol is one of the more significant compounds for cancer chemoprevention that we have studied," said Fred Stevens, a researcher with OSU's Linus Pauling Institute and an assistant professor of medicinal chemistry in the College of Pharmacy. "The published literature and research on its properties are just exploding at this point, and there's a great deal of interest."

Quite a bit is now known about the biological mechanism of action of this compound and the ways it may help prevent cancer or have other metabolic value. But even before most of those studies have been completed, efforts are under way to isolate and market it as a food supplement. A "health beer" with enhanced levels of the compound is already being developed.

"We can't say that drinking beer will help prevent cancer," Stevens said. "Most beer has low levels of this compound, and its absorption in the body is also limited. But if ways can be developed to significantly increase the levels of xanthohumol or use it as a nutritional supplement - that might be different. It clearly has some interesting cancer chemopreventive properties, and the only way people are getting any of it right now is through beer consumption."

Xanthohumol was actually first discovered in 1913, isolated as a yellow substance found in hops. Researchers started studying its molecular structure in the 1950s, but for decades the only people who showed any real interest in it were brewers, who were trying to learn more about how hops help impart flavor to beer.

In the 1990s, researchers at OSU, including Stevens and toxicologist Don Buhler, began to look at the compound from another perspective - its anti-cancer properties. It showed toxicity to human breast, colon and ovarian cancer cells, and most recently has shown some activity against prostate cancer in OSU studies.

Xanthohumol appears to have several mechanisms of action that relate to its cancer preventive properties, scientists say. It, and other related flavonoid compounds found in hops, inhibit a family of enzymes, commonly called cytochromes P450 that can activate the cancer process. It also induces activity in a "quinone reductase" process that helps the body detoxify carcinogens. And it inhibits tumor growth at an early stage.

In recent years, it has also been shown that some prenylflavonoids found in hops are potent phytoestrogens, and could ultimately have value in prevention or treatment of post-menopausal "hot flashes" and osteoporosis - but no proper clinical trials have been done to study this.

Information about these compounds appears to be spreading. Hop-containing herbal preparations are already being marketed for breast enlargement in women, the OSU research report said, without waiting for tests to verify their safety or efficacy. And a supposed "health" beer is being developed in Germany with higher levels of xanthohumol.

It's possible, scientists say, that hops might be produced or genetically engineered to have higher levels of xanthohumol, specifically to take advantage of its anti-cancer properties. Some beers already have higher levels of these compounds than others. The lager and pilsner beers commonly sold in domestic U.S. brews have fairly low levels of these compounds, but some porter, stout and ale brews have much higher levels.

Ideally, researchers say, cancer chemoprevention is targeted at the early stages of cancer development and prevented by long-term exposure to non-toxic nutrients, food supplements or drugs that prevent the formation of cancers. With its broad spectrum activity, presence in food products, and ability to inhibit cancer at low concentrations, xanthohumol might be a good candidate for that list, experts say.

Xanthohumol also appears to have a role as a fairly powerful antioxidant - even more than vitamin E. And it has shown the ability to reduce the oxidation of LDL, or bad cholesterol.

Source: Oregon State University


Vitamin E in plant seeds could halt prostate, lung cancer, says Purdue scientist

The form of vitamin E found in many plant seeds – but not in most manufactured nutritional supplements – might halt the growth of prostate and lung cancer cells, according to a Purdue University study.

A team led by Qing Jiang (pronounced "ching zhang") has found that gamma-tocopherol, which occurs naturally in walnuts, pecans, sesame seeds, and in corn and sesame oils, inhibits the proliferation of lab-cultured human prostate and lung cancer cells. The vitamin's presence interrupts the synthesis of certain fatty molecules called sphingolipids, important components of cell membranes. However, the gamma-tocopherol leaves healthy human prostate cells unaffected, which could give it value as an anticancer agent.

"This is the first time gamma-tocopherol has been shown to induce death in lab-grown human cancer cells while leaving healthy cells alone," said Jiang, who is an assistant professor of foods and nutrition in the College of Consumer and Family Sciences. "This could be wonderful news for cancer patients if the effect can be reproduced in animal models. But because most nutritional supplements contain only alpha-tocopherol, a different form of vitamin E that alone does not have these anticancer properties, it may be better to supplement the diet with mixed forms of vitamin E. The study shows that the anticancer effect is enhanced when mixed forms are used."

Jiang's research appears in the current (week of Dec. 13) online edition of the scientific journal Proceedings of the National Academy of Sciences. She co-authored the paper with Jeffrey Wong, Henrik Fyrst, Julie D. Saba and Bruce N. Ames of the Children's Hospital Oakland Research Institute in Oakland, Calif.

Scientists have been studying vitamin E for more than three-quarters of a century, but most efforts have focused largely on alpha-tocopherol, one of eight known forms in the vitamin's family. Alpha-tocopherol was found early on to have the most beneficial effects on laboratory animals fed diets deficient in vitamin E, and also is the major form found in body tissues. For these reasons, it has been nearly the only form of the vitamin to be included in most manufactured nutritional supplements.

"Since then, alpha-tocopherol has justifiably earned a good reputation as an antioxidant, which helps to fight against damage caused by unwanted free radicals," Jiang said. "But its familiarity has perhaps attracted research away from the other seven forms of vitamin E, and since gamma-tocopherol is the vitamin's most commonly occurring natural form in the American diet, I grew interested in it a few years ago."

In 2000 another study by Jiang and colleagues found that gamma-tocopherol inhibits inflammation, which had already been implicated in cancer development. They theorized that it might retard the progress of cancer and cardiovascular disease, and to test their hypothesis they exposed cultures of cancerous prostate and lung cells to the vitamin. Normal prostate epithelial cells were used as a control group.

"We discovered that as we increased the quantity of gamma-tocopherol, the cancer cells grew more slowly," Jiang said. "But the normal prostate cells were not affected and grew normally. This could indicate that the vitamin could be used to target lung and prostate cancer cells without the damaging side effects of chemotherapy."

The study also revealed that gamma-tocopherol caused cell death by interrupting sphingolipid synthesis.

"This is also a novel discovery," Jiang said. "Although there have been prior indications that some form of vitamin E may cause cell death in some mouse cell lines, we are the first to provide a mechanism for such an effect."

Gamma-tocopherol, though rarely available in vitamin pills, is nevertheless found in abundance in the typical American diet. Many nuts are rich in it, including walnuts and pecans, as are cooking oils such as corn and sesame oil.

Though Jiang said she would be cautious about using food sources to slow prostate or lung cancer's progress in humans, she said that high-risk groups such as older men could benefit from supplementation – if carried out with prudence.

"Foods rich in gamma-tocopherol are also rich in fats, and some products bring other hazards as well," she said. "Corn oil, for example, is rich in linolic acid, which has been shown to promote certain types of cancer in some studies. But sesame seeds and pecans seem to be good all-around choices."

Jiang said the next step for her research team would be testing the effect of gamma-tocopherol and mixed forms of vitamin E on animal cancers.

"Although this discovery is promising, we do not yet know whether gamma-tocopherol has any effect on cancer in living creatures," she said. "We hope that future research not only will clarify whether gamma-tocopherol could have applications in human cancer treatment, but also will show how we might supplement the body with the vitamin to prevent cancer from developing in the first place. These questions will continue to direct our work."

This research was funded in part by the National Institutes of Health.

Writer: Chad Boutin, (765) 494-2081, cboutin@purdue.edu

Source: Qing Jiang, (765) 494-2483 or 496-6407, qjiang@purdue.edu

Source: Purdue University


Intensity Modulated Radiation Therapy

IMRT is the one of the most technologically advanced treatment methods available in external beam radiation therapy. Cancer Treatment Centers of America at Tulsa is treating patients with the Peacock system for Intensity Modulated Radiotherapy, also known as IMRT. IMRT allows very precise external beam radiotherapy treatments. Rather than having a single large radiation beam pass through the body, with IMRT the radiation is effectively broken up into thousands of tiny pencil-thin radiation beams. With millimeter accuracy, these beams enter the body from many angles and intersect on the cancer. This results in a high dosage to the tumor and a lower dose to the surrounding healthy tissues.

Intensity modulation radiotherapy can allow us to treat tumors to a higher dose, retreat cancers which have previously been irradiated, and safely treat tumors which are located very close to delicate organs like the eye, spinal cord, or rectum. Simply put, this can translate into a higher cancer control rate and a lower rate of side effects. Cancers being treated with IMRT

We are using IMRT to treat the following tumors:

  • Prostate cancer
  • Metastatic brain tumors
  • Primary brain tumors (glioblastomas, gliomas, etc)
  • Pancreatic tumors
  • Liver tumors (metastases, hepatocellular carcinoma)
  • Head & neck cancer (larynx, tongue, sinus, base of skull, mouth, etc)
  • Lung cancer

More info


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