Cancer research
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Cancer research is basic research into cancer in order to identify causes and develop strategies for prevention, diagnosis, treatments and cure.
Cancer research ranges from epidemiology, molecular bioscience (bench research) to the performance of clinical trials to evaluate and compare applications of the various cancer treatment. These applications include surgery, radiation therapy, chemotherapy and hormone therapy, and combined treatment modalities such as chemo-radiotherapy. Starting in the mid-1990s, the emphasis in clinical cancer research shifted towards therapies derived from biotechnology research, such as immunotherapy and gene therapy.
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[edit] Areas of research
[edit] Cause
This type of research involves many different disciplines including genetics, diet, environmental factors (ie chemical carcinogens). In regard to investigation of causes and potential targets for therapy, the route used starts with data obtained from clinical observations, enters basic research, and, once convincing and independently confirmed results are obtained, proceeds with clinical research, involving appropriately designed trials on consenting human subjects, with aim to test safety and efficiency of the therapeutic intervention method. Important part of basic research is characterization of the potential function of mechanisms of carcinogenesis, in regard to the types of genetic and epigenetic changes that are associated with cancer development. The mouse is often used as a mammalian model for manipulation of the function of genes that play a role in tumor formation, while basic aspects of tumor initiation, such as mutagenesis, are assayed on cultures of bacteria and mammalian cells.
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[edit] Oncogenomics/Genes involved in cancer
The goal of oncogenomics is to identify new oncogenes or tumor suppressor genes that may provide new insights into cancer diagnosis, predicting clinical outcome of cancers, and new targets for cancer therapies. As the Cancer Genome Project stated in a 2004 review article, "a central aim of cancer research has been to identify the mutated genes that are causally implicated in oncogenesis (cancer genes)."[1]
Several hereditary factors can increase the chance of cancer-causing mutations, including the activation of oncogenes or the inhibition of tumor suppressor genes. The functions of various onco- and tumor suppressor genes can be disrupted at different stages of tumor progression. Mutations in such genes can be used to classify the malignancy of a tumor.
In later stages, tumors can develop a resistance to cancer treatment. The identification of oncogenes and tumor suppressor genes is important to understand tumor progression and treatment success. The role of a given gene in cancer progression may vary tremendously, depending on the stage and type of cancer involved[2].
Genes and protein products that have been identified by at least two independent publications as being involved in cancer are:[1]:
ABI1, ABL2, ACSL6, AF1Q, AF5Q31 (also known as MCEF), AKT1, ARNT, ASPSCR1, ATF1, ATIC, BCL10, BFHD, BIRC3, BMPR1A, BTG1, CBFA2T1, CBFA2T3, CBFB, CCND1, CDC2, CDK4, CHIC2, CHN1, COPEB, COX6C, CTNNB1, CYLD, DDB2, DDIT3, DEK, Eif4a, EIF4A2, EPS15, ERCC2, ERCC3, ERCC5, ERG, ETV4, ETV6, EWSR1, EXT1, EXT2, FANCC, FANCG, FGFR1OP, FGFR3, FH, FIP1L1, FUS, GAS7, GATA1, GMPS, GOLGA5, GPC (gene), GPHN, HIST1H4I, HRAS, HSPCA, IL21R, IIRF4, KRAS2, LASP1, LCP1, LHFP, LMO2, LYL1, MADH4, MLF1, MLH1, MLLT3, MLLT6, MNAT1, MSF, MSH2, MSN, MUTYH, MYC, NCOA4, NF2, NPM1, NRAS, PAX8, PCBD, PDGFB, PIM1, PLK2, PNUTL1, POU2F1, PPARG, PRCC, PRKACB, PRKAR1A, PTEN, PTPN11, RABEP1, RAD51L1, RAP1GDS1, RARA, RB1, RET, RHOH, RPL22, SBDS, SDHB, SEPTIN6, SET, SH3GL1, SS18L1, SSX1, SSX2, SSX4, STAT3, TAF15, TCF12, TCL1A, TFE3, TFEB, TFG, TFPT, TFRC, TNFRSF6, TP53, TPM3, TPM4, TRIP11, VHL, WAS, WT1, ZNF198, ZNF278, ZNF384, ZNFN1A1 rociowh:E
[edit] Treatment
Current topics of cancer treatment research include:
- Boosting the immune system
- Anti-cancer vaccine — based on exposing some cancer cells extracted from a tumour to UV rays for 24 hrs then injecting them back into the organism, this approach has already been successful on rats.
- Chemotherapy
- Gene therapy[3]
- Photodynamic therapy
- Radiation therapy
- Reoviridae (Reolysin drug therapy)
- Targeted therapy
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[edit] Specific treatment research topics
[edit] Dichloroacetate
In January 2007 researchers of the University of Alberta reported preliminary results of dichloroacetate (DCA) causing regression in several cancers in vitro, including lung, breast and brain tumors.[4] Since the compound DCA itself cannot be patented it could be an inexpensive alternative to other treatments, depending of course on whether the method of using DCA in the treatment of cancer is patentable. Clinical use of DCA will of course require further public/private investment for clinical trials.[5] The initial research was funded by the Canadian Institutes of Health Research.[6]
[edit] Prevention
[edit] Vaccines
- (see HPV vaccine)
- Canine Melanoma Vaccine[7][1]
- Oncophage [2]
[edit] Other Methods
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[edit] Issues
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[edit] Animal Models
Newsweek magazine published an article criticising the use of lab rats on cancer research because even though researchers frequently manage to cure lab mice transplanted with human tumors, few of those achievements are relevant to humanity.[9] Oncologist Paul Bunn, from the International Association for the Study of Lung Cancer[10] said: "We put a human tumor under the mouse's skin, and that microenvironment doesn't reflect a person's—the blood vessels, inflammatory cells or cells of the immune system".[9] Fran Visco founder of the National Breast Cancer Coalition completed:"We cure cancer in animals all the time, but not in people."[9]
Another problem, according to the magazine, is that human tumors transplanted into lab rats "almost never metastasize", [9] and yet metastatic cancers are responsible for 90% of all cancer deaths.[9] Robert Weinberg of MIT recognizes that the inexistence of good animal models limits the rate of progress of cancer research.[9]
[edit] Funding
Some methods, like Dichloroacetate, cannot be patented and thus would not garner the investment interest towards research from the pharmaceutical industry.[5]
[edit] Distributed computing
One can share computer time for distributed cancer research projects like Help Conquer Cancer[11]. World Community Grid also had a project called Help Defeat Cancer. Other related projects include Stanford University's Folding@Home project [3] and University Of Washington's Rosetta@home [4]
[edit] Organizations
- American Association for Cancer Research
- Bath Cancer Research Unit
- Brain Cancer Research For A Cure Foundation
- Cancer Research Foundation
- Cancer Research Institute, Inc.
- Cancer Research UK
- Cancer Research (journal)
- Childhood Cancer Research Group
- Damon Runyon Cancer Research Foundation
- Dana-Farber/Harvard Cancer Center
- Gateway for Cancer Research
- Grassroots Cancer Research Foundation
- Institute of Cancer Research
- International Agency for Research on Cancer
- International Cancer Genome Consortium
- Lance Armstrong Foundation
- University of Florida Cancer Hospital
- Ludwig Institute for Cancer Research
- United Devices Cancer Research Project
- National Foundation for Cancer Research
- NCI-designated Cancer Center
- Memorial Sloan-Kettering Cancer Center
- E-Foundation for Cancer Research
- Friends of Cancer Research
- Walker Cancer Research Institute
- American Society of Clinical Oncology
- Australian Cancer Research Foundation
[edit] See also
[edit] References
- ^ a b Futreal PA, Coin L, Marshall M, Down T, Hubbard T, Wooster R, Rahman N, Stratton MR (2004). "A census of human cancer genes". Nat. Rev. Cancer 4 (3): 177–83. doi:. PMID 14993899.
- ^ Vlahopoulos SA, Logotheti S, Mikas D, Giarika A, Gorgoulis V, Zoumpourlis V.The role of ATF-2 in oncogenesis.Bioessays. 2008 Apr;30(4):314-27.
- ^ "Gene Therapy, Cancer-Killing Viruses And New Drugs Highlight Novel Approaches To Cancer Treatment". Medical News Today. http://www.medicalnewstoday.com/medicalnews.php?newsid=68204. Retrieved on April 24 2007.
- ^ Alberta scientists test chemotherapy alternative. Last Updated Wednesday, January 17, 2007
- ^ a b "Cheap, safe drug kills most cancers". New Scientist. 2007-01-17. http://www.newscientist.com/article.ns?id=dn10971. Retrieved on 2007-01-17.
- ^ University of Alberta - Small molecule offers big hope against cancer. January 16, 2007
- ^ Liao JC, Gregor P, Wolchok JD, Orlandi F, Craft D, Leung C, Houghton AN, Bergman PJ. (2006). "Vaccination with human tyrosinase DNA induces antibody responses in dogs with advanced melanoma". Cancer Immun. 6: 8.
- ^ "Vitamin D casts cancer prevention in new light". Globe and Mail. 2007-04-28. http://www.theglobeandmail.com/servlet/story/RTGAM.20070428.wxvitamin28/BNStory/specialScienceandHealth/home. Retrieved on 2007-04-29.
- ^ a b c d e f http://www.newsweek.com/id/157548/page/3
- ^ http://www.uchsc.edu/news/bridge/2003/October/bunnaslc.html
- ^ "Help Conquer Cancer". 2007-11-19. http://www.worldcommunitygrid.org/projects_showcase/hcc1/viewHcc1Main.do. Retrieved on 2007-11-19.
[edit] External links
- Stanford's Institute for Stem Cell Biology and Regenerative Medicine
- A breakthrough in cancer treatment may be happening this year... right here in Fort Worth, Texas.
- Is the cure for cancer a virus? at HowStuffWorks
- Cancer Research Genetics
- Cancer Genome Anatomy Project @ The NIH
- CBC Digital Archives – Cancer Research: The Canadian Quest for a Cure
- The Integrative Cancer Biology Program @ National Cancer Institute
- Dana-Farber/Harvard Cancer Center
- Metabolic Targeting as an Anticancer Strategy: Dawn of a New Era? PDF of a scientific paper by researchers from the University of Toronto, Canada
- Brain Cancer Research For A Cure Foundation
- Cancer Research UK Leaflets
- grassrootscancer.org
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