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Killing cancer may be a game of whack-a-mole
/ t, b3 o6 s- z \' Z1 q, R TO KILL a tumour, go after its neighbours: it seems to be the tumour-free tissue surrounding colon tumours that fosters the cancer's most pernicious cells.9 ^9 w0 w1 S, O% u/ k. k
One theory says that tumour cells can be divided into two types: ordinary ones and cancer stem cells, which can divide indefinitely and go on to form any kind of tumour cell, driving the growth of tumours. "Not all tumour cells are created equal," says Louis Vermeulen, a biologist at the University of Amsterdam in the Netherlands. Now Vermeulen's team has found that all colon cancer cells may have the potential to revert to stem cells and that whether they do depends on their environment. { U2 K9 J7 |7 M' H) I
The team found that connective-tissue cells adjacent to colon cancer stem cells secrete growth factors that activate a molecular pathway in other cells that is vital to maintaining stem-cell-like qualities. Only cancer cells that received these growth factors switched on this pathway, and only they could seed new tumours when injected into mice. What's more, when ordinary colon cancer cells were implanted near connective tissue in other mice, they transformed into cancer stem cells (Nature Cell Biology, DOI: 10.1038/ncb2048).
/ L! [$ y6 g4 R. n( D This suggests that treatments that merely attack cancer stem cells may not be enough - and could end up like a game of whack-a-mole. "Maybe you should attack this process, not its result," says Vermeulen. Stopping cancer stem cells communicating with the neighbouring tissue may be more effective. |
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