In many tumors the act of removing the primary tumor seems to set a clock ticking...thus typical breast cancer tends to recur two years after the date of surgery not two years after the date the lump was discovered (some patients delayed seing the doctor or lived where there was no access to medical care so discovery of lump and surgical date very different)--her 2 clock often faster than typical bc clock
The question was whether there were some angiogenic factors released at the time of surgery which caused this phenomenon or whether there was something about the tumor, the removal of which, caused the metastatic cycle to begin
THiS IS A MAJOR FINDING
If you want to know more about Judah Folkman, listen to some of his lectures which are on Utube. He was a remarkable man. Also amazon has a wonderful book about him and a DVD of a PBS special about him.
Potent metastasis inhibitor identified
Could curb a cancer's deadliness
Researchers at Children's Hospital Boston have isolated a potent inhibitor of tumor metastasis made by tumor cells, one that could potentially be harnessed as a cancer treatment. Their findings were published in the online Early Edition of the Proceedings of the National Academy of Sciences during the week of June 22.
Metastasis—the migration of cancer cells to other parts of the body—is one of the leading causes of death from cancer, and there is no approved therapy for inhibiting or treating metastases. Randoph S. Watnick, PhD, an assistant professor in the Vascular Biology Program at Children's, has been finding that metastatic tumors prepare landing places in distant organs for their metastases, by secreting certain proteins that encourage tumor growth and attract feeder blood vessels. Now, he and his colleagues show that non-metastatic tumors secrete a protein called prosaposin -- which inhibits metastasis by causing production of factors that block the growth of blood vessels.
Cells from localized prostate and breast tumors, which didn't metastasize, secreted high levels of prosaposin, they found, while metastatic tumors secreted very little. When the researchers injected mice with tumor cells that were known to be highly metastatic, but to which they had added prosaposin, lung metastases were reduced by 80 percent and lymph node metastases were completely eliminated, and survival time was significantly increased. Conversely, when they suppressed prosaposin expression in tumor cells, they saw more metastases.
When prosaposin was directly injected into mice that had also received an injection of tumor cells, the tumor cells formed virtually no metastases in the lung, or, if they did, formed much smaller colonies. These mice lived at least 30 percent longer than mice not receiving prosaposin.
Watnick and colleagues also demonstrated that prosaposin stimulates activity of the well-known tumor suppressor p53 in the connective tissue (stroma) surrounding the tumor. This in turn stimulated production of thrombospondin-1, a natural inhibitor of blood vessel growth (angiogenesis), both in the tumor stroma and in cells at the distant location.
"Prosaposin, or derivatives that stimulate p53 activity in a similar manner in the tumor stroma, might be an effective way to inhibit the metastatic process in humans," says Watnick.
If this bears out, Watnick envisions treating cancer patients for their primary tumor, and concurrently giving them drugs to prevent metastases or slow their growth. "While we may not be able to keep patients from getting cancer, we can potentially keep them metastasis-free," he says.
Initially, Watnick's scientific interest was focused on metastatic cancer cells; he hoped to use proteomics techniques to isolate different proteins that steered metastases to different parts of the body (explaining, for example, why lung cancer often metastasizes to bone, or prostate cancer to liver). But the late Judah Folkman, MD, founder of the Vascular Biology program at Children's, encouraged him to focus on the metastasis inhibitor -- prosaposin. "You might have a drug right here," he told Watnick.
A patent has been filed by Children's Hospital Boston on the discovery. The hospital's Technology and Innovation Development Office is in active discussions to license prosaposin for commercial development.
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The study was funded by the Gackstatter Foundation, a grant from the National Aeronautics and Space Administration and a Breast Cancer Innovator Award from the Department of Defense.
Children's Hospital Boston is home to the world's largest research enterprise based at a pediatric medical center, where its discoveries have benefited both children and adults since 1869. More than 500 scientists, including eight members of the National Academy of Sciences, 11 members of the Institute of Medicine and 12 members of the Howard Hughes Medical Institute comprise Children's research community. Founded as a 20-bed hospital for children, Children's Hospital Boston today is a 397-bed comprehensive center for pediatric and adolescent health care grounded in the values of excellence in patient care and sensitivity to the complex needs and diversity of children and families. Children's also is the primary pediatric teaching affiliate of Harvard Medical School. For more information about the hospital and its research visit:
www.childrenshospital.org/newsroom.
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