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04-23-2013, 04:31 PM
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#1
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Senior Member
Join Date: Mar 2006
Posts: 4,783
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Two new previously unrecognized types of breast cells identified--WHY important?
this should remind everyone that there is much more still unknown about normal breasts and breast cancer than is known.
This is not reassuring to many and I try to offer hope---but in many ways it should be hope reaffirming.
Until we recognized these kinds of cells we could not look for them and study them and see if we can target the abnormalities which cause breast cancer so that we might even prevent it.
If you think they are running out of options for you, just remember there are new discoveries daily and some involve already approved drugs or even non-drugs.
These cells have sat there since the dawn of time, but only now were they recognized. If you don't look, you won't find. Let's hope they keep on looking
Nat Cell Biol. 2013 Apr 21. doi: 10.1038/ncb2725. [Epub ahead of print]
Notch2 genetic fate mapping reveals two previously unrecognized mammary epithelial lineages.
Sale S, Lafkas D, Artavanis-Tsakonas S.
Source
Department of Cell Biology, Harvard Medical School, Boston, Massachusetts 02115, USA.
Abstract
Notch signalling is implicated in stem and progenitor cell fate control in numerous organs. Using conditional in vivo genetic labelling we traced the fate of cells expressing the Notch2 receptor paralogue and uncovered the existence of two previously unrecognized mammary epithelial cell lineages that we term S (Small) and L (Large). S cells appear in a bead-on-a-string formation and are embedded between the luminal and basal/myoepithelial layers in a unique reiterative pattern, whereas single or paired L cells appear among ductal and alveolar cells. Long-term lineage tracing and functional studies indicate that S and L cells regulate ipsi- and contralateral spatial placement of tertiary branches and formation of alveolar clusters. Our findings revise present models of mammary epithelial cell hierarchy, reveal a hitherto undescribed mechanism regulating branching morphogenesis and may have important implications for identification of the cell-of-origin of distinct breast cancer subtypes.
PMID: 23604318
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04-23-2013, 04:49 PM
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#2
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Senior Member
Join Date: Jan 2012
Location: Boulder Colorado as of January 2013
Posts: 391
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Re: Two new previously unrecognized types of breast cells identified--WHY important?
Lani is right. Each of these discoveries leads to new treatment methods, and new drugs for the people on the bench to help with the problems. Then it gets turned over to the development people to make enough to try in animals, then a few women who are very ill. Finally we get the background information to be able to present treatments for patients that doctors will feel comfortable using. It is hard to realize that most of the treatments that are discussed on this board were developed since 1985, and many in the past 10 years! You have a chance to be given a cancer free rest of your life. It is my industry's job to make sure it is a 1 in 2 or better chance and not a 1:1,000,000 shot.
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04-23-2013, 06:15 PM
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#3
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Senior Member
Join Date: Sep 2005
Location: Naples FL
Posts: 1,747
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Re: Two new previously unrecognized types of breast cells identified--WHY important?
I actually understand what you referred to, Lani. It seems only likely that as more and more is learned about human cells that more will be revealed. And then we have to concern ourselves with cellular changes due to GMOs and such, toxins in our environment, etc. It almost seems that each type of breast, and all types, of cancers are as individual as each one of us is.
__________________
 Suzan W.
age 54 at diagnosis
5/05 suspicious mammogram-left breast
5/05 biopsy-invasive lobular carcinoma with LCIS,8mm tumor,stage 1 grade 2, ER+ PR+ Her2+++
6/14/05 bilateral mastectomy, node neg. all scans neg.
Oncotype DX-high risk
8/05-10/05 4 rounds A/C
10/05 -10/06 1 yr. herceptin
arimidex-5 years
2/14/08 started daily self administered injections..FORTEO for severe osteoporosis
7/28/09 BRCA 1 negative BRCA2 POSITIVE
8/17/09 prophylactic salpingo-oophorectomy
10/15/10 last FORTEOinjection
RECLAST infusion(ostoeporosis)
6/14/10 5 year cancerversary!
8/2010-18%increase in bone density!
no further treatments
Oncologist says, "Go do the Happy Dance"
I say,"What a long strange trip its been"
'One day at a time'
6-14-2015. 10 YEAR CANCERVERSARY!
7-16 to 9-16. Extensive (and expensive) dental work done to save teeth. Damage from osteoporosis and chemo and long term bisphosphonate use
6-14-16. 11 YEAR CANCERVERSARY!!
7-20-16 Prolia injection for severe osteoporosis
2 days later, massive hive outbreak. This led to an eventual dx of Chronic Ideopathic Urticaria, an auto-immune disease from HELL.
6-14-17 12 YEAR CANCERVERSARY!!
still suffering from CIU. 4 hospitilizations in the past year
as of today, 10-31-17 in remission from CIU and still, CANCER FREE!!!
6-14-18 13 YEAR CANCERVERSARY!! NED!!
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04-24-2013, 09:09 AM
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#4
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Senior Member
Join Date: Apr 2007
Location: LA LA Land
Posts: 1,607
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Re: Two new previously unrecognized types of breast cells identified--WHY important?
http://www.voanews.com/content/teena...a/1603357.html
There is a young -- TEENAGE -- guy who has discovered a simple test to detect pancreatic cancer. Also works for ovarian. His name is Jack Andraka. Was just at the White House for the Earth Day science fair.
Young people with types of minds are the hope for a cure. They are our future. Otherwise we are stuck with the current medical community who do not think outside the box as a whole.
(The trial I tried last year was also created by someone not in the cancer medical field. Although the effects didn't last, the approach was completely different and novel.)
I am encouraged by some of the brilliant YOUNG minds who can approach our world with a fresh look!
__________________
1996 cancer WTF?! 1.3 cm lumpectomy Er/Pr neg. Her2+ (20nodes NEGATIVE) did CMF + rads. NED.
2002 recurrence. Bilateral mastectomy w/TFL autologous recon. Then ACx2. Skin lymphatic rash. Taxotere w/Herceptin x4. Herceptin/Xeloda. Finally stops spreading.
2003 - Back to surgery, remove skin mets, and will have surgery one week later when pathology can confirm margins.
‘03 latisimus dorsi flap to remove skin mets. CLEAN MARGINS. Continue single agent Herceptin thru 4/04. NED.
‘04 '05 & 06 tiny recurrences - scar line. surgery to cut out. NED each time.
1/2006 Rads again, to scar line. NED.
3/07 Heartbreaking news - mets! lungs.sternum. Try Tykerb/Xeloda. Tykerb/Carbo/Gemzar. Switch Oncs.
12/07 Herceptin.Tykerb. Markers go stable.
2/8/08 gamma knife 13mm stupid brain met.
3/08 Herceptin/tykerb/avastin/zometa.
3/09 brain NED. Lungs STABLE.
4/09 attack sternum (10 daysPHOTONS.5 days ELECTRONS)
9/09 MARKERS normal!
3/10 PET/CT=manubrium intensely metabolically active but stable. NEDhead.
Wash out 5/10 for tdm1 but 6/10 CT STABLE, PET improving. Markers normal. Brain NED. Resume just Herceptin plus ZOMETA
Dec 2010 Brain NED, lungs/sternum stable. markers normal.
MAR 2011 stop Herceptin/allergy! Go back on Tykerb and switch to Xgeva.
May-Aug 2011 Tykerb Herceptin Xgeva.
Sept 2011 Tykerb, Herceptin, Zometa, Avastin.
April 2012 sketchy drug trial in NYC. 6 weeks later I’m NED!
OCT 2012 PET/CT shows a bunch of freakin’ progression. Back to LA and Herceptin.avastin.zometa.
12/20/12 add in PERJETA!
March 2013 – 5 YEARS POST continue HAPZ
APRIL 2013 - 6 yrs stage 4. "FAILED" PETscan on 4/2/13
May 2013: rePetted - improvement in lungs, left adrenal stable, right 6th rib inactive, (must be PERJETA avastin) sternum and L1 fruckin'worsen. Drop zometa. ADD Xgeva. Doc says get rads consultant for L1 and possible biopsy of L1. I say, no thanks, doc. Lets see what xgeva brings to the table first. It's summer.
June-August 2013HAPX Herceptin Avastin Perjeta xgeva.
Sept - now - on chemo hold for calming tummy we hope. Markers stable for 2 months.
Nov 2013 - Herceptin-Perjeta-Avastin-Xgeva (collageneous colitis, which explains tummy probs, added Entocort)
December '13 BRAIN MRI ned in da head.
Jan 2014: CONTINUING on HAPX…
FEB 2014 PetCT clinical “impression”: 1. newbie nodule - SUV 1.5 right apical nodule, mildly hypermetabolic “suggestive” of worsening neoplastic lesion. 2. moderate worsening of the sternum – SUV 5.6 from 3.8
3. increasing sclerosis & decreasing activity of L1 met “suggests” mild healing. (SUV 9.4 v 12.1 in May ‘13)
4. scattered lung nodules, up to 5mm in size = stable, no increased activity
5. other small scattered sclerotic lesions, one in right iliac and one in thoracic vertebral body similar in appearance to L1 without PET activity and not clearly pathologic
APRIL 2014 - 6 YRS POST GAMMA ZAP, 7 YRS MBC & 18 YEARS FROM ORIGINAL DX!
October 2014: hold avastin, continue HPX
Feb 2015 Cancer you lost. NEDHEAD 7 years post gamma zap miracle, 8 years ST4, +19 yrs original diagnosis.
Continue HPX. Adding back Avastin
Nov 2015 pet/ct is mixed result. L1 SUV is worse. Continue Herceptin/avastin/xgeva. Might revisit Perjeta for L1. Meantime going for rads consult for L1
December 2015 - brain stable. Continue Herceptin, Perjeta, Avastin and xgeva.
Jan 2016: 5 days, 20 grays, Rads to L1 and continue on HAPX. I’m trying to "save" TDM1 for next line. Hope the rads work to quiet L1. Sciatic pain extraordinaire :((
Markers drop post rads.
2/24/16 HAP plus X - markers are down
SCIATIC PAIN DEAL BREAKER.
3/23/16 Laminectomy w/coflex implant L4/5. NO MORE SCIATIC PAIN!!! Healing.
APRIL 2016 - 9 YRS MBC
July 2016 - continue HAP plus Xgeva.
DEC 2016 - PETCT: mets to sternum, lungs, L1 still about the same in size and PET activity. Markers not bad. Not making changes if I don't need to. Herceptin/Perjeta/Avastin/Xgeva
APRIL 2017 10 YEARS MBC
December 2017 - Progression - gonna switch it up
FEB 2018 - Kadcyla 3 cycles ---->progression :(
MAY30th - bronchoscopy, w/foundation1 - her2 enriched
Aug 27, 2018 - start clinical trial ZW25
JAN 2019 - ZW25 seems to be keeping me stable
APRIL 2019 - ONE DOZEN YEARS LIVING METASTATIC
MAY 2019 - progression back on herceptin add xeloda
JUNE 2019 - "6 mos average survival" LMD & CNS new single brain met - one zap during 5 days true beam SBRT to cord met
10/30/19 - stable brain and cord. progression lungs and bones. washing out. applying for ds8201a w nivolumab. hope they take me.
12/27/19 - begin ds8401a w nivolumab. after 2nd cycle nodes melt away. after 3rd cycle chest scan shows Improvement, brain MRI shows improvement, resolved areas & nothing new. switch to plain ENHERTU. after 4th cycle, PETscan shows mostly resolved or improved results. Markers near normal. I'm stunned but grateful.
10/26/20 - June 2021 Tucatinib/xeloda/herceptin - stable ish.
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04-24-2013, 09:57 AM
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#5
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Senior Member
Join Date: Mar 2006
Posts: 4,783
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Re: Two new previously unrecognized types of breast cells identified--WHY important?
I met Jack Andraka and listened to his talk @ Singularity University earlier this year (google it, maybe the talk is available)
We now have millions of more scientists in China researching than we did 20 years ago and computers can crunch data at assymptotically faster speeds.
The regulators, insurers, bean counters and those who don't think outside the box and keep old guidelines in place are the counterforce providing traction and inertia to overcome.
Still hopeful, though
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04-24-2013, 11:22 AM
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#6
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Senior Member
Join Date: Feb 2009
Posts: 1,526
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Re: Two new previously unrecognized types of breast cells identified--WHY important?
Thanks Lani
Your comments about China and also the Far East are very true. We now have many more brilliant minds working in the problem and thinking laterally. I hope and pray we see real progress soon.we can't carry on doing the same things but expecting a different outcome!
Ellie
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