Gene Traffic Light Discovery Boost For Cancer Drugs

The range of Sheffield cancer treatments available to patients is substantial, but new research is going on all the time that may increase it, including what may prove a high significant new discovery.

Researchers at the Institute of Cancer Research (ICR) in London have identified a ‘traffic light’ epigenetic mechanism within cells that controls genetic activity, determining how a gene is translated into a protein.

The science of epigenetics is still barely understood, but this breakthrough has answered a key question as to how epigenetic proteins work to determine when and how DNA should be read and made into proteins.

A key signal called H3K4me3 works to ensure the translation occurs at the right time and in the right way, with researchers drawing an analogy between this and traffic lights in controlling the flow of gene transcription like traffic on a busy road.

Crucially, understanding this could explain how a breakdown in this regulation takes place and leads to the development of cancer cells, in particular in relation to leukaemia, breast, bowel and pancreatic cancers. These cancers arise when something goes wrong in the gene regulation and it has been known for around 20 years that H3K4me3 was involved.

The upshot of this is that such understanding could lead to new cancer drugs being developed to tackle various cancers, by blocking the activities of cancer-causing cells through altering the ‘traffic light’ actions of epigenetic cells.

Professor Kristian Helin, the chief executive of the ICR, commented: “We have solved a 20 year puzzle,” adding: “Because the enzymes determining the level of H3K4me3 in the cell frequently are found mutated in cancer, our studies could have implications for understanding and treating cancer.”

Epigenetics has already been linked with environmental influences that can combine with genetics to influence areas like childhood development, Harvard University has claimed.

This may also mean that environmental impacts can increase cancer risks in ways not hitherto understood. However these combinations develop, therapies based on the understanding of H3K4me3 may now offer a crucial way to reverse them.

How Can A Molecular Glue Degrader Help To Treat Cancer?

A company spun off from The Institute of Cancer Research has developed a molecular glue degrader that has entered a combined Phase I/II clinical trial which it claims could be a breakthrough for cancer drug research and private oncology.

The announcement by Monte Rosa Therapeutics is another step on the long journey for a promising type of cancer treatment that has been theorised for decades but only recently has managed to manifest in the form of promising drug discoveries.

The focus, in this case, is the creation of a type of drug known as a molecular glue degrader, which uses the concept of the molecular glue to stick a protein degradation protein to a target cancer protein, which signposts a multi-protein proteasome to consume both and destroy the cancer cell.

The basic principle was initially explored in the 1990s when researching the potential for the infamous drug thalidomide as a potential treatment for cancer and found that it was an early example of a molecular glue, albeit one that was astonishingly unsafe and unfit for purpose in the 1950s.

They function similarly to another specially designed type of drug known as a proteolysis targeting chimaera (PROTAC). Both use a family of proteins called E3 ligases although whilst molecular glues only have the E3 ligase to create direct interactions, PROTACs consist of three separate components.

They are made up of a binder that connects to a target protein, another connected to an E3 ligase and a linking joint that sticks them together to create the same function and break down a cancerous protein.

This makes them much bigger, which can be a limiting factor when trying to make drugs for certain types of cancers, a problem that molecular glue degraders do not have.

It is very early to say what the effect will be in the long term, as the Phase I/II clinical trial will take some time to complete.

Pancreatic Cancer Cases On The Rise, Especially In Women

The number of people being diagnosed with pancreatic cancer is rising, particularly in Black women. According to a recent study by scientists from Cedars-Sinai Cancer, rates of pancreatic cancer are increasing.

Their research, which was published in the journal Gastroenterology, found rates among women under 55 were 2.4 per cent higher than men of the same age. It also revealed rates for young Back women were 2.23 per cent greater than for young Black men. It is thought the type of tumour and its location could be to explain for more cases being detected.

Men had historically been linked to pancreatic cancer more than women, with many experts believing this could be to smoking more tobacco, which increases their risk. Other lifestyle habits that raise the chances of developing pancreatic cancer include diets high in red or processed meats and saturated fats; a lack of physical activity; and drinking lots of coffee and alcohol.

This study could encourage more people to change their lifestyle to reduce their risk of being diagnosed with pancreatic cancer.

Srinivas Gaddam, associate director of Pancreatic Biliary Research at Cedars-Sinai, said: “The data shows us a small increase in risk of pancreatic cancer. And that awareness might refocus people on the need to stop smoking, reduce alcohol use, eat a healthy diet, exercise regularly and manage their weight.”

Anyone who is experiencing abdominal pain that radiates to the back, unexplained weight loss and a loss of appetite, jaundice, dark-coloured urine or light-coloured stools, itchy skin, blood clots, or fatigue should seek a Sheffield oncology diagnosis as soon as possible to rule out pancreatic cancer.

Why Does A New Accurate Prostate Cancer Blood Test Matter?

A new blood test for prostate cancer is found to have a 94 per cent accuracy rate, is quick, affordable and minimally intrusive ,according to the results of a recent pilot study.

These results, published in the journal Cancers, combined a chromosonal test with the currently used prostate-specific antigen (PSA) test and the results they found surprised them and could have huge implications for cancer tests undertaken by a private oncologist.

The team at Oxford BioDynamics, along with Imperial College and the University of East Anglia, have argued that this could fundamentally change how prostate cancer is diagnosed and help to keep people safer.

They have argued that the current primary test used by the NHS that relies on detecting PSA as the first step of its process is not accurate enough and can cause unnecessary distress and pain in the process.

The current test sometimes causes erroneous results, which can either create a false reassurance that stops people from being treated early when more options are available, or create a false positive that leads to more intrusive tests such as biopsies being undertaken, as well as considerable mental distress.

As there is no single test, the PSA blood test is the start of a diagnosis process that includes physical tests, MRI scans and biopsies.

There is also currently no routine screening programme akin to the pap smear test due to the unreliable results, which itself delays patients looking for treatment and could narrow the window between diagnosis and the widest options for treatment.

The pilot study tested 147 patients, all of which had prostate cancer, and the results were found to be 94 per cent accurate, far closer to the range that would make it viable for routine use, particularly since prostate cancer is so common and develops so slowly.

Wider tests will confirm whether or not the test is accurate on a larger scale.

Study Links Ultra-Processed Foods With Cancer Diagnoses

We all know the importance of eating a well-balanced diet, but a recent report has shown consuming ultra-processed foods (UPFs) is linked with an increased risk of developing certain types of cancers.

The Lancet recently published a study looking at how the two are connected, examining the impact of UPF consumption on cancer risk and mortality in British adults.

Looking at the diets of 197,426 people aged between 40 and 69 over nearly ten years, the researchers discovered 15,921 participants developed cancer.

It found the mean UPF consumption was 22.9 per cent of the total diet. For every ten per cent increase in UPF consumption, there was a two per cent higher incidence of any cancer and a 19 per cent greater risk of ovarian cancer.

The report also revealed every ten-percentage point rise in UPF consumption resulted in a six per cent higher risk of cancer-related mortality, which increased to 30 per cent for ovarian cancer and 16 per cent for breast cancer.

Dr Kiara Chang, who was one of the authors of the study, told The Independent: “Ultra-processed foods are everywhere and highly marketed with cheap price and attractive packaging to promote consumption. This shows our food environment needs urgent reform to protect the population from ultra-processed foods.”

To reduce the risk of cancer, people should cut down on their UPF consumption and eat more whole grains, vegetables, fruits, and pulses. UPFs include pre-packaged meals, industrialised bread, breakfast cereals, reconstituted meat products, confectionary, biscuits, pasties, buns, cakes, chips, soft drinks, tinned soups, salty snacks, sauces and dressings.

 

If you have recently been diagnosed with cancer, call our private oncology clinic for more information about treatment options.

How Does Asbestos Exposure Cause Cancer

Over the past few decades, a common cause of certain cancer diagnoses from a private oncologist is exposure to asbestos.

This was highlighted in recent months by a request by MPs and an asbestos support group for a donation to fund research into terminal cancers directly caused by asbestos from a major manufacturer of the substance after it was revealed that they knew about the dangers earlier than they claimed.

Asbestos is a contributor to a cancer of the lung and stomach lining known as mesothelioma, which can cause serious shortness of breath, fatigue, swollen fingertips and serious chest pains, develops decades after asbestos exposure and is believed to be terminal.

The fibrous material was used as a form of fireproof insulation for decades and is typically safe when left alone, but once damaged releases a cloud of fine dust that if inhaled can cause gradual damage to the lung lining over time, scarring the lung tissue in the process as part of a related disease known as asbestosis.

Given the gradual way both diseases develop, there is believed to be no cure and no way to reverse the damage to the lungs. As a result, care is instead focused on controlling the symptoms and ensuring people live as long as possible.

Whilst the use of asbestos as a building material was outlawed in 1999, there are still many buildings that have it, including, according to a government survey in 2019, over 80 per cent of schools, with the removal of the material a slow process.

This means that the UK has the highest rates of asbestosis and mesothelioma in the world, despite the fact that according to leaked documents, manufacturers were aware of the potential dangers of even slight exposure, lobbying for reduced product warnings and higher dust limits.

People who have been exposed to asbestos are entitled to compensation as part of a compensation scheme.

One-third Of Women Behind On Cervical Cancer Screenings

Shocking statistics have been published that show almost a third of women in England have not been screened for cervical cancer or are not up to date with their tests.

Despite being the 14th most common form of cancer among females and 3,197 new cases having been diagnosed between 2016 and 2018, not enough women are being tested for the condition.

NHS England data shared with the Guardian has shown 4.6 million females between 25 and 64 years old in England have not been checked or their tests are now out of date. This represents the highest proportion in ten years, sparking concern that diagnosis rates could rise if people do not get themselves looked at.

Samantha Dixon, chief executive of Jo’s Cervical Cancer Trust charity, told the publication: “We want to see the government step up and commit to eliminating cervical cancer in the UK.”

She noted that other nations are further ahead of Britain in fighting this form of cancer, particularly as there is the HPV vaccination available for adolescents that means developing cervical cancer is highly preventable.

However, take-up for the jab dropped by seven per cent for girls and by 8.7 per cent for boys in year 8 in 2021/22.

Jo’s Cervical Cancer Trust has revealed only 16 per cent and 20 per cent think enough is being done by the government to encourage screenings and HPV vaccinations respectively.

Cervical cancer incidences have declined substantially over the last few years, dropping by 25 per cent since the 1990s, according to Cancer Research UK. However, this is only possible through regular tests and high vaccination rates.

If you have received a diagnosis for cervical cancer and want immediate treatment, our private oncology clinic could provide the care you need. Call us today for more information on action plans.

New Breast Cancer Drug May Cut The Risk Of Death Or Progression By 40%

A new breast cancer drug used in combination with an existing treatment could reduce the risk of death or progression by as much as 40 per cent, it has been revealed.

The third phase of the CAPitello-291 trial has just completed and analysed, with the new AstraZeneca (AZ) drug capivasertib demonstrating a powerful impact when used in combination with Faslodex.

When trialled on patients with hormone receptor (HR)-positive, HER2-low or negative, locally advanced or metastatic breast cancer, the combination was 40 per cent more effective as an inhibitor than a placebo combined with Faslodex, AZ confirmed.

The maker said there was a 95 per cent confidence interval that the drug was as effective as the trial said, with the treatment being effective in the AKT pathway, which includes half of women who have HR positive breast cancer. This will bring new hope to thousands of women seeking private breast cancer treatment.

Professor of Molecular Oncology at The Institute of Cancer Research Nicholas Turner said: “These data demonstrate the practice-changing potential of capivasertib as a new treatment option for patients with advanced HR-positive breast cancer.“

Describing the treatment as “potentially first-in-class,” he said the most important aspect is that it “delays disease progression for those who have progressed on, or become resistant to, endocrine therapies and CDK4/6 inhibitors.” 

Executive vice president for oncology research and development at AZ, Susan Galbraith, noted that capivasertib is “ the first therapy of its kind shown to be effective in a Phase III trial in patients with advanced HR-positive, HER2-low or negative breast cancer.” 

AZ has also announced that Stage II trials of oral selective estrogen receptor degrader (ngSERD) camizestrant combined with Faslodex had shown a 42 per cent improvement in preventing progression in estrogen-receptor positive or locally advanced or metastatic breast cancer. This rose to 67 per cent for those with ESR1 mutations, accounting for 36.7 per cent of the trial population.

These findings were all unveiled at the 2022 San Antonio Breast Cancer Symposium in the US.

 

Breast And Gastric Cancer Drug Approved For Use In Europe

The European Medicines Agency has approved a drug that has been used in the United States to help treat breast cancer, giving a private oncologist more options for treatment.

The AstraZeneca drug Enhertu was approved for use by the EMA’s Committee for Medicinal Products for Human Use (CHMP) after the results of a Phase III clinical trial suggested it reduce the progression of the disease or death by as much as half compared to chemotherapy.

It has been approved as a single therapy for treating metastatic breast cancer that cannot be removed with surgery for people who have just received or are in the process of receiving chemotherapy treatment, particularly for those diagnosed with HER2-low cancer.

The term HER2-Low refers to low amounts of human epidermal growth factor receptor 2 proteins (HER2), that ordinarily help to control breast cell and tissue growth and maintain their health.

Some breast cancers (up to 20 per cent) have very high levels of HER2, which makes them aggressively divide and grow, and can be treated using targeted therapies that reduce the level of HER2 such as trastuzumab, a drug approved in 1998.

However, there are other tumours that have low levels of HER2, which cannot be targeted with those specific drugs, but thanks to clinical trials such as DESTINY-Breast04, have a much-improved chance of survival.

Enhertu has also been approved for use in treating gastric cancer, and two other cancer medications have also received marketing authorisation in the EU for advanced-stage lung and liver cancers.

A combination treatment using the drugs Imfinzi and Imjudo has received positive opinions as the result of a pair of Phase III clinical trials, which helps to offset the disappointment AstraZeneca felt when the latter struggled to be effective as a single-drug therapy.

However, more options for patients with cancer are always an important step, as it allows for alternatives to be used if a first-line treatment proves unsuitable.

 

What Impact Will Nurses’ Strike Have On Cancer Patients?

There could be severe delays for cancer treatment caused by the nurses’ strike, which could mean the difference between life and death for some patients. 

Strikes will take place on December 15th and 20th in England, Northern Ireland and Wales, after the government refused to enter formal pay negotiations with the Royal College of Nursing (RCN). 

Consequently, the group has warned the NHS that strike action will go ahead from Thursday, unless offers of a pay increase are put forward. 

Explaining the reason behind the industrial action, the RCN stated: “We’re campaigning for a pay rise to overcome real-terms pay cuts which have left experienced nurses 20 per cent worse off since 2010. Only by paying nursing staff fairly will we recruit and retain the skilled professionals we need.”

While nurses feel this is the only way to get a pay rise, the strikes could have a detrimental impact on patients, particularly those seeking life-saving treatment for cancer. 

Dame Cally Palmer, national cancer director for England, even revealed to The Telegraph she is “extremely concerned” the RCN has not committed to ensuring life-saving (P1) and urgent cancer surgery (P2) would still go ahead. 

Despite the RCN offering a ‘life-preserving model’, which means care will continue to preserve life or prevent permanent disability, this does not stipulate that P2 surgery will continue. This could affect many of the 1,200 patients having P1 and P2 surgeries daily.

Dame Palmer noted that if P2 cancer surgeries are cancelled on Thursday at the Royal Marsden Hospital, where she is chief executive, the next available date would be February 9th 2023.

“This is beyond the optimal three-month window for P2 cases,” she stated, add: “I understand how enormously difficult these issues are for all concerned, but our common aim is to ensure we do not cause harm to people undergoing vital cancer treatment to achieve cure or extension of life.”

A disruption to P2 surgeries would take hospitals up to six weeks to recover from, which could result in the unnecessary – and potentially life-threatening – spread of cancer in some patients. 

Subsequently, Dame Palmer noted that rescheduling procedures could result in many P2 patients moving into the P1 category, needing life-saving procedures. 

Chief nursing officer for England Dame Ruth May also revealed a letter to The Times newspaper, which stated that chemotherapy appointments for the strike dates are being rescheduled. She also asked for assurances that care for dying patients would be a priority while staff numbers are low. 

She called for “end of life care and good pain and symptom relief” to “alleviate unnecessary distress” for both patients and their families. 

However, a spokesperson for the RCN claimed it has agreed care with senior clinicians to ensure emergency cancer services, urgent care assessment and admission units for paediatric-only A&E departments are exempt from the strikes. 

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