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Stem sel mungkin menjadi kunci untuk memahami asal-usul kanker usus besar dan mendeteksi kekambuhannya
Sel-sel kanker kolorektal memicu satu set gen yang sama dengan yang ditemukan dalam sel-sel induk usus , temuan para ilmuwan . Tim peneliti mengusulkan bahwa pasien dengan kanker kolorektal menjalani tes genetik epitel usus mereka untuk memprediksi risiko kambuh . Hasil penelitian menawarkan kemungkinan baru untuk mendiagnosa dan mengobati penyakit ....read more
Stem cells may
be key to understanding the origins of colon cancer and detecting relapse
Date:
March 17, 2011
Source:
Institute for Research
in Biomedicine (IRB Barcelona)
Summary:
Colorectal cancer
cells trigger a set of genes similar to those found in intestinal stem cells,
scientists have found. The team of researchers propose that patients with
colorectal cancer undergo genetic tests of their intestinal epithelium in order
to predict a higher risk of relapse. The results of the study offer new possibilities
for diagnosing and treating the disease.
.......................
colorectal cancer cells
trigger a set of genes similar to those found in intestinal stem cells,
scientists at the Institute for Research in Biomedicine (IRB Barcelona) have
found. The team of researchers, led by ICREA researcher Eduard Batlle, propose
that patients with colorectal cancer undergo genetic tests of their intestinal
epithelium in order to predict a higher risk of relapse. The results of the
study, published online this week inCell
Stem Cell, offer new possibilities for diagnosing and treating the
disease.
Colon cancer is the second cause of death by cancer worldwide. Current
treatment for the disease normally involves a combination of surgery and
chemotherapy. Most patients who are treated successfully go into remission, but
nearly 40% relapse within months or years, when the cancer returns or
metastasizes. "This shows us that there are cells within the tumour that
regenerate the disease," says Batlle, "but we still know very little
about the biological reasons why."
Cancer's "hard core"
The study conducted by Anna Merlos-Suárez and other researchers in Batlle's
team has uncovered a close relation between intestinal stem cells
(non-specialised cells that generate all cells within the intestine) and
colorectal cancer. The researchers compared genes that are activated in cells
from a healthy intestine -- both stem cells and specialised cells -- with the
genes that are activated in tumour cells taken from patients. "Our results
show that patients with colon cancer have a set of genes activated that is very
similar to the set activated in stem cells. The more genes they have activated
in common, the more likely it is that the patient's cancer will spread and
relapse.
These stem cell genes become activated in a subset of cells in the tumour,
called "tumour stem cells." When Batlle's team transplanted these
cells into mice, tumours formed. Their results add to the growing hypothesis
that cancer organizes itself hierarchically, in such a way that only specific
cells, "tumour stem cells," are able to initiate and propagate the
cancer.
What is it about stem cells that allows them to promote cancer? By
definition, stem cells renew tissues, including in this case the intestinal
epithelium, and can produce up to 5 grams of intestinal epithelial cells each
day. Scientists believe that tumours may exploit the capacity of these cells to
renew indefinitely in order to grow and spread. Furthermore, while the majority
of cells have an average lifespan of days, as in the case of intestinal
epithelial cells, or even months, stem cells survive for many years, increasing
the probability that their DNA will accumulate damage and that they will turn
cancerous.
One of the biggest hurdles that oncologists face is a lack of tools to
identify which patients have a higher risk of relapse. Discovering a close
relation between intestinal stem cells and the propagation of cancer is a clear
breakthrough in this respect. The hypothesis that colorectal cancer requires a
specific type of cell to develop and thrive has also been demonstrated in other
types of cancer, including gliomas, some types of lymphoma or breast cancer.
This finding opens the door for the development of treaments aimed at these new
targets in the fight against cancer: tumour stem cells.
Story Source:
The above story is based on materials provided by Institute for Research in
Biomedicine (IRB Barcelona). Note: Materials may be edited for content and length.
Journal Reference:
1. Anna Merlos-Suárez, Francisco M.
Barriga, Peter Jung, Mar Iglesias, MarÃa Virtudes Céspedes, David Rossell,
Marta Sevillano, Xavier Hernando-Momblona, Victoria da Silva-Diz, Purifi cación
Muñoz, Hans Clevers, Elena Sancho, Ramón Mangues and Eduard Batlle. The
intestinal stem cell program predicts colorectal cancer relapse and identifies
tumor stem cell niches. Cell Stem Cell, DOI: 10.1016/j.stem.2011.02.020