Tag: metastases

Food for Thought: Weekly Wrap-Up

Does Germany need more than 500 cancer centers? After attending a meeting of representatives from 10 university cancer centers and the National Center for Tumor Diseases (NCT), Rainer Flöhl in Frankfurter Allgemeine Zeitung (FAZ) is skeptical. While the university cancer centers are similar to the successful Comprehensive Cancer Centers in the US – linking basic and clinical research (which is called “translational research” nowadays), they do not yet provide nationwide cancer care. Therefore, the German Cancer Society supported the adding of further centers: “clinical oncology centers” and “organ centers”. At present, Flöhl writes, the landscape is dominated by organ centers (e.g., 200 each for breast and colon cancer), however they lack a multidisciplinary approach and are hampered by poor documentation standards and poor financing. As a result, patients do not get optimum treatment and many cancer centers may have to close sooner or later.

In Die Zeit, Gianna-Carina Grün is dealing with the aftermaths of the German EHEC epidemic. Not only modern sequencing technology but also a collection of strains played a crucial role in the rapid identification of the EHEC strain. However, Europe does not have comprehensive collections of microbial strains – building such databases is tedious and does not provide for scientific glory in terms of publications and inventions. Grün explains that not lack of funding, but structural deficits in academic and public institutions have prohibited the building of valuable databases so far.

Gert Antes, director of the German Cochrane Center in Freiburg, in Süddeutsche Zeitung (SZ) introduces the Cochrane library which meanwhile lists 600,000 randomized, controlled clinical studies from all over the world. He also features efforts by the US, Canada and various European countries to provide patients and health care professionals with reliable information distilled from the library. Germany, Antes states, does not invest in any attempts to turn research results into practice and to find what really works in health care. He is also disappointed by the German government´s plans to cut funding of clinical research. Antes’ conclusion: “Germany has never had a role as trailblazer in patient-oriented research, and now it seems it is heralding the end of it.”

Ulrike Gebhardt in Neue Zürcher Zeitung (NZZ) provides an overview on how immune cells cooperate with cancer cells. As an example, she mentions M2 macrophages which are tricked by a tumor so that they mistake it for a wound. As a result, they start a support program to direct blood vessels and nutrients into the area. In addition, they support cancer cells in forming metastases. The findings, Gebhardt states, may lead to novel ways to cure cancer and to prevent metastasis.

Farhad Manjoo in The New York Times (NYT) introduces the latest health-related Apps and gadgets to monitor activities and body functions such as heart rate, blood pressure and temperature. Joshua Brustein, also in NYT, introduces the latest internet startup prone to change our way of life: Taskrabbit, a market where busy people can hire others to help them with everyday tasks such as picking up groceries, making reservations and assembling IKEA furniture.

Finally, for people who always wanted to know whether they are descendants of Tut Ankh Amon, Swiss iGenea offers an answer. Turn in a swab of your DNA, and if your genes are the closest match to the pharao’s DNA, you get your money back. iGenea’s regular business is genealogical DNA analysis, and the company promises to provide its customers with insights about origins and migrations of their ancestors and information on whether they stem from ancient tribes suchs as vikings, celts or jews. However, as Matthias Glaubrecht explains at length in Die Welt, it is far from being clear that iGenea has obtained the mummy’s full DNA profile, let alone that the DNA derived from the mummy is indeed DNA from the pharaoh and not a contamination. In addition, as Eva Zimmerhof writes in Focus, preliminary tests demonstrate that about 45% of German, 50% off Swiss, and up to 80% of Spanish males are descendants of Tut Ankh Amon.

Food for Thought: Weekly Wrap-Up

Joachim Müller-Jung in Frankfurter Allgemeine Zeitung deals with the importance of high quality tissue for the development of personalized cancer therapies. He quotes Catheryn Compton, Director of the NCI’s Office of Biorepositories and Biospecimen Research (OBBR), as saying that billions of dollars have been wasted in the past because researchers developing biomarkers supposed to be predicitive of cancer and responses to therapies relied on tissue samples that were utterly useless:  tissue had been subject to careless handling and storage, and patient histories, data on origin and sampling procedure were missing, so that results were not reproducible. Müller-Jung features Hamburg-based Indivumed as the first and only ISO9001:2008 certified biobank in the world which offers cancer patient tissue and related technical and medical data derived in a standardized procedure accompanied by a detailed protocol.

Jef Akst in The Scientist reports on a new biomarker that can tell at early stages of liver and rare endocrine cancer whether a patient is likely to develop metastases. The biomarker, a protein called CPE-delta N, was able to predict the occurrence of metastases with greater than 90% accuracy, and using the associated RNA as a biomarker, the accuracy was even greater. Preliminary findings suggest it may also be applied to other cancer types.

In the same magazine, Megan Scudellari reports on findings that human cells reprogrammed into multipoint stem cells (so-called induced pluripotent stem cells, or iPS) have hotspots in their genome that are not completely re-programmed. The article raises the question whether iPS are really suited to replace embryonic stem cells.

Detecting volatile substances is the topic of several papers. In New Scientist, Jessica Hamzelou reports on attempts by various research groups to accelerate diagnosis in the operation theater by combining electrosurgery with NMR spectroscopy. The smoke emanating from the cut tissue is directed to a NMR spectrometer which analyses on the spot whether the surgeon is cutting healthy or cancer tissue.

Also in New Scientist, Arlene Weintraub reports on the Israeli start-up BioExplorers which claims that trained mice are better at detecting explosives than currently used devices and methods. As soon as the mice sniff traces of any of 8 explosives, they flee to a side chamber of their cage as if they are smelling a cat. Scientists from Colorado State University have taught tobacco and mouse-ear cress plants a similar trick – exposed to vapors from TNT, the plants change color. The trick is done by reengineering a certain receptor, reports Ferris Jabr. German Spiegel features a publication by Japanese scientists from Kyushu University who trained a dog to sniff out early-stage colon cancer with a success rate of 90%. The researchers now try to find out which chemicals the dog reacts to.

Ben Coxworth in Gizmag reports on blood clots made visible by nanoparticles. Each particle, developed by Dr. Dipanjan Pan at the Washington University School of Medicine  in St. Louis, Missouri, contains a million atoms of bismuth  and molecules binding to fibrin, a key component of blood clots, at the outside. Bismuth is a toxic heavy metal, which can be detected by a spectral CT scanner. In contrast to regular CT scanners, this new type of scanner is capable of displaying detailed objects or metal in color. Coxworth concludes that “not only could the technology be used to locate blood clots, but it could possibly even treat their cause – ruptures in artery walls. If the nanoparticles contained some sort of healing agent, then once they attached to the fibrin in a blood clot, they could set about sealing any weak spots.”