Getting a Clue on Cancer Spread

Reuters

11:40 AM    July 13, 2003 PT

WASHINGTON -- Researchers said on Friday they were starting to find clues left by cancer when it begins to spread, and hoped to develop them into tests that may save the lives of future patients.

"People don't become ill because they got cancer. People become ill because they got cancer and we couldn’t do something about it," Dr. Andrew von Eschenbach, head of the National Cancer Institute, told a news conference.

Joan Massague, a Howard Hughes Medical Institute researcher at the Memorial Sloan-Kettering Cancer Center in New York, and colleagues have been making a painstaking search for the products used by cancer cells to spread.

The tumor cells must first travel around the body, find the bone or tissue they will invade and then literally break in. Each process will require different genes and proteins.

Researchers identified 48 genes and their protein products that seem to help tumor cells spread, Massague said.

Some of them are "secretory products" -- proteins sent out by the cells, which can be measured in the blood.

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Blood Vessels Enable Tumors
Study: Nearby cells send helpful signals to cancerous ones

By Serena Gordon
HealthDay Reporter

MONDAY, Dec. 22, 2003  -- Blood vessels near cancer cells appear to help them grow by "telling" them where to go for nutrition and oxygen, say researchers from Duke Comprehensive Cancer Center.

The researchers say blood vessels signal cancer cells, essentially directing them where to get the nourishment they need to grow. According to the study, this can happen even before new blood vessels grow to support the cancer cells.

"We've demonstrated a give-and-take relationship in which cancer cells release signals to nearby blood vessels to stimulate new vessel growth, and in turn, blood vessels release signals that sustain the migrating cancer cells as they try to establish themselves in new tissue," Mark Dewhirst, a cancer biologist at Duke, says in a statement.

Results of the study appear in the Dec.19 2003 online issue of the Federation of American Societies for Experimental Biology Express .

Scientists had already known that tumors release proteins that cause new blood vessels to grow. What they didn't realize was that cells in the blood vessels were also sending signals to the tumor cells that let the cancer cells know where to grow.

Using cell cultures and animal models, Dewhirst and his colleagues looked at how certain chemical signals affected the growth of cancer cells and blood vessels.

They found that a signal called bFGF didn't affect cancer cells in a test tube. However, that same signal in the human body helps to promote the survival of cancer cells. The researchers further discovered that cancer cells don't even have receptors for bFGF. Without a receptor for this signal, cancer cells can't communicate with it, suggesting this chemical signal must be acting on another part of the body to help sustain cancer growth [ie-acting on blood vessels].

The researchers also did experiments blocking either the protein known as VEGF or a protein receptor called Tie2. Both aid in blood vessel growth. When either wasn't able to express normally, cancer cells couldn't thrive, which suggests this protein and protein receptor aren't just aids in blood vessel growth, but in tumor survival.

"This is a very elegant study," says Dr. Jay Brooks, chief of hematology and oncology at Ochsner Clinic Foundation Hospital in New Orleans. "It shows the relationship of tumor cells and blood vessels and how they interact, and how proteins in the blood promote the growth and spread of tumors."

Disrupting this process, he says, "will hopefully lead us to ways to prevent cancers from spreading or slow their progress."

He does caution, however, that these experiments are in the very early stages. The goal would be to create a chemical that could disrupt this process, he adds.

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