Tag Archive for: epigenetics

What Urgent Innovations Can Advance Lung Cancer Precision Medicine?

What Urgent Innovations Can Advance Lung Cancer Precision Medicine? from Patient Empowerment Network on Vimeo.

How can non-small cell lung cancer (NSCLC) precision medicine be advanced through urgent innovations? Expert Dr. Samuel Cykert from UNC School of Medicine discusses technology and research innovations and epigenetics.

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Transcript:

Lisa Hatfield:

In your opinion, what are the most pressing research priorities or areas of innovation needed to further advance the implementation of biomarker testing and precision medicine in the management of lung cancer?

Dr. Samuel Cykert:

Yeah, there are two areas of this, the health services researcher side of me says institutions have to implement systems that follow patients in real time to making sure that they’re getting the testing and treatment that they need from the initial suspicion of lung cancer all the way to biomarker testing and therapies, whether they include surgery, chemo, radiation, biologics or immunotherapy. Those systems need to be areas of priority so that we’re really proactive of not only following patients, but from time to time, whether there are side effects or whether there is confusion, having those systems so we know when to re-engage patients when they’re not progressing along, so on the health services side, we have a lot of just phenomenal, phenomenal new treatments, and we have to make sure that every patient who is eligible is getting those treatments. Okay?

Now, on the other side of things, we’ve talked about racial disparities and other ethnic disparities in care, and one thing that people are observing over time is that in individuals and communities where racism is experienced, where the stress of racism is felt on a frequent basis, we know that outcomes are worse. And part of that may have to do with stress hormones themselves and how stress hormones interact with cancer treatments and hypertension treatment and other treatments, but the other possibility is there is a field called epigenetics, where genes change because of stressors.

And so it’s very conceivable now, in terms of the Human Genome Project, there is hardly a difference in the genome between white and Black people. Genetic race is a social construct, and genetically we’re almost identical, but if we’re experiencing epigenetics, if we are experiencing racism and that grind in daily life, it changes things within us, and so I think it’s important to get enough tissue on the research side from Black patients and other disadvantaged groups to look at the epigenetic part of it, because there may be new genes and new biomarkers we’re not experiencing now that are more prevalent in disadvantaged peoples, and so I think research has to go in that direction too, and even let’s talk about going upstream, maybe if we can prevent the effects of racism. I wish racism would end tomorrow, right, or today, but it doesn’t look like that’s happening. And so, is there any way we can attenuate the stresses of racism so that the downstream effects are prevented?

Lisa Hatfield:

Really interesting point you make about the stress of that. That’s super important. It’s something I hadn’t thought of. So thanks for mentioning that too. 


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Understanding Epigenetics

This podcast was originally published by Five to Thrive on February 7, 2019, here.

The study of epigenetics is not only fascinating from a scientific perspective, it’s something that we all should be familiar with. And it’s a game-changer when it comes to reducing the risk of cancer, healing from cancer treatment, and preventing a cancer recurrence. You won’t want to miss this show, especially if you are a “science geek” like we are! This show is broadcast live on Tuesday’s at 7PM ET on W4CS – The Cancer Support Network part of Talk 4 Radio on the Talk 4 Media Network.

Will Cancer Be Cured By 2020?

After cardiac diseases, cancer is the second most leading cause of death worldwide. According to WHO, 20% of deaths are down to cancer while in 2018, there were 18 million new cases, along with 9.6 million deaths were reported. Although the number of surveillance within five years after the diagnosis of cancer is 43 million. In the US alone, 1,688,780 new cases and 600,920 cancer-related deaths were reported in 2017 by National Cancer Institute (NCI).

Researchers have conducted meticulous studies to discover new ways to cure this deadly disease. Currently, the most effective treatment options are radiotherapy, chemotherapy, surgery, and hormonal therapy. But the concern is; how close are experts are in finding more effective treatment options for cancer? Many innovative therapies are beginning to pick up steam to defeat the battle against cancer and ideally having fewer side effects than available options.

Cancer is not just a game of winners and losers [1], these innovations are aimed to address the issues of aggressive treatment, recurrence, irreversible side effects that healthcare providers and patients both face. Below are some updates on the most advanced cancer research breakthroughs that have given us hope for better therapies and prevention methods with less harm.

1.   Immunotherapy

Immunotherapy aims to reinforce existing arsenals in our body to fight against cancer cells. Some types of cancers have the characteristic of duping our immune system. However, with the help of in vivo and in vitro experiments, researchers are exploring new ways to deactivate the protective system of cancer cells.

According to Nature Immunology, macrophages that usually eat up harmful foreign bodies and cellular debris fail to obliterate highly aggressive cancer cells. The reason behind this is the macrophages read out two different signals from cancer cells that are meant to rep-el them for cleaning mechanism. Hence, by blocking the dual signaling pathway, researchers can make white blood cells unable to perform their action.

2.   Therapeutic virus vaccines

Innovative virus vaccines are proven to be a surprising weapon to fight against cancer. In the UK, a team of scientists has succeeded to use reovirus against brain cancer cells [2] while not harming healthy cells. It can pass the blood-brain barrier hence opens up the possibilities towards betterment.

Another milestone is the discovery of dendritic vaccines, in which they are extracted from a person’s body and armed with tumor-specific antigens that make them hunt and smash the cancer cells. Then the dose is injected back to the patient’s body to boost the therapy. Some concerns raise as it may have some pitfalls of damaging healthy tissues.

To address this, researchers from North Carolina have developed a bio-responsive scaffold system to hold on both chemotherapy and immunotherapy with better control on targeting tumor.

3.   Nanoparticle revolution

Stakeholders believe that nanoparticles can be a game-changer in the treatment of cancer.  They are précised and are less invasive to target specific cells without harming the surrounding environment. They can be used to give hyperthermic treatment to make tumors shrink.

Researchers are working on self-regulating nanoparticles to target undifferentiated carcinoma cells without damaging healthy tissues. They can be used to target stem cells to treat the resilience of cancers. They can even be loaded with drugs to prevent recurrence of degenerative diseases [3] and can be beneficial in the treatment of invasive carcinomas such as endometrial and breast cancers.

4.   Starvation strategy for tumors

Starving cancer cells to death is a novel method to kill them. There are many studies onboard that prove multiple ways of cutting off cancer cells nutritional supplies. One effective way is to stop the glutamine supply. It will maximize the oxidative stress and induce cell death. Moreover, blocking the supply of vitamin B2 can halter cancer stem cells. Therefore the strategy can help to avoid the toxic effects of chemotherapeutic agents.

5.   Epigenetics

This refers to the alteration of gene expression to dominate the representative action to affect cells at a biological level. Recent advancements have shown that cancer cells can harbor epigenetic modifications [4] to promote progression and eradication of carcinoma.

Scientists have to channelize the potential without triggering Huntington’s disease, and this is the biggest challenge and concern for them that makes them more hopeful. The knowledge can be utilized to treat stubborn tumors and progress enzyme inhibitors for better success rates.

In a nutshell

Shawn Brad, Research content writer at King Essay [5] believes that researches have given us innovate safe ways to cure cancers and studies are running at a good pace; however, curing every type of cancer is definitely a matter of time. Promising studies immensely give us hope on some technological terms for upcoming years.

It is difficult to say that a single approach is going to work for a variety of needs, while much advanced emerging ways can be useful in treatments. Hence, there are optimistic efforts, that make us claim that cancer can be eradicated quickly, and further depth in knowledge can give us more targeted and précised tools to turn the tables.


Resource Links:

[1] Cancer is not just a game of winners and losers

[2] reovirus against brain cancer cells

[3] prevent recurrence of degenerative diseases

[4] harbor epigenetic modifications

[5] King Essay


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