In a groundbreaking review of in vitro breast cancer studies conducted at the University of Massachusetts Amherst, researchers have unveiled a startling revelation. There’s a significant gap in our understanding of how breast cancer cells can lay dormant, spread silently, and resurface years or even decades later. This discovery could revolutionize the way we approach breast cancer treatment and detection.
Provost Professor of Chemical Engineering, Shelly Peyton, expressed her concern, “Less than 1% of all these studies that combine cells with designer environments look at dormancy. It’s not enough. We just don’t understand what’s happening — and it’s killing patients.”
Breast cancer dormancy is a perplexing phenomenon where cancer cells metastasize to distant sites in the body but remain inactive. Patients may seem disease-free for extended periods after the removal of their primary tumor. Only to experience a resurgence of deadly metastases later on.
“This relapse in distant organs impacts 40% of early-stage breast cancer patients, and breast cancer dormancy is a contributing factor,” explains Nate Richbourg, lead author of the paper. However, dormant cancer cells are incredibly challenging to detect, making it difficult for healthcare providers to intervene effectively.
The review, published in Science Advances, scrutinized in vitro studies, focusing on benchtop-model environments. These studies allow researchers to control environmental factors precisely, offering insights into why cells remain dormant or reactivate.
Richbourg emphasizes the importance of in vitro modeling, stating, “When we create this artificial dormancy, we can see how many of those cells could turn back into proliferating and potentially deadly cells.”
The complexity of the environment’s role in breast cancer dormancy was a key finding. “Everything works together to create this breast cancer dormancy effect,” Richbourg explains, urging the need for nuanced models that capture these intricacies.
Peyton sees their work as a clarion call for action, urging the field to push boundaries and explore new avenues. “The paper is calling out to the field that we need to do more,” she says. This includes enhancing existing materials, developing new models, and diversifying cell lines for research.
Ninette Irakoze, a graduate student in the Peyton Lab, highlights the potential impact of their research on clinical trials. “The paper gives hope that, with more development of these in vitro models, eventually we could find treatments to eradicate dormant cancer.”
As breast cancer continues to be a leading cause of mortality worldwide, these findings provide a glimmer of hope for patients and researchers alike. By unraveling the mysteries of breast cancer dormancy. We inch closer to more effective treatments and improved outcomes for those battling this devastating disease.
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A groundbreaking study conducted by researchers at the University of Cambridge has unveiled promising insights. For Individuals carrying BRCA1 and BRCA2 gene mutations, early detection and prevention of breast cancer.. Published in Nature Genetics, the research sheds light on potential alternatives to risk-reduction surgery, offering new hope for prophylactic patients.
Lead researcher Professor Walid Khaled highlights the significance of the findings, stating, “Our results suggest that in carriers of BRCA mutations, the immune system is failing to kill off damaged breast cells, which in turn seem to be working to keep these immune cells at bay.”
The study analyzed healthy breast tissue samples from 55 women of different ages. It found signs of immune cell malfunction called ‘exhaustion’ in BRCA1 and BRCA2 mutation carriers. Surprisingly, these exhausted immune cells, usually linked with late-stage tumors, were present in non-cancerous breast tissue, suggesting a predisposition to cancer development.
The research team created the Human Breast Cell Atlas, the world’s largest catalogue of human breast cells. It’s a vital resource for studying breast cancer development and risk factors. The atlas contains comprehensive data on various breast cell types, revealing insights into the complex interplay of genetic and environmental factors in cancer pathogenesis.
Further research and clinical trials are underway, aiming to develop a non-surgical preventative treatment for those at high risk of breast cancer. This represents a significant advancement in personalized cancer prevention. The scientific community is unraveling the complexities of breast cancer development. Hope for proactive interventions is growing, potentially reshaping cancer care.
Stay informed and engaged with the latest advancements. Empower yourself with knowledge and make more informed decisions about your breast cancer treatment and care. Visit the Breast Advocate App website today and join us in the fight against breast cancer.
Researchers from Penn State University have developed a groundbreaking nanoparticle that could revolutionize breast cancer treatment. Dubbed the “GPS nanoparticle,” this innovative technology has shown promising results in targeting and combating hard-to-treat basal-like breast cancers.
Basal-like breast cancers, akin to triple-negative breast cancers, pose significant challenges due to their aggressive nature and propensity for metastasis. Unlike other breast cancers, they lack specific therapeutic targets, making them difficult to treat.
The GPS nanoparticle functions as a Trojan horse, disguised with specially designed fatty molecules resembling natural lipids. Loaded with CRISPR-Cas9 molecules, it can target specific genes implicated in cancer progression. In this study, the researchers targeted the FOXC1 gene, known for its role in promoting metastasis.
What sets this nanoparticle apart is its “zwitterionic” designer lipids, which remain neutral until they encounter the acidic environment of cancer cells. This ensures targeted payload release while minimizing off-target effects and immune responses.
To ensure precise targeting, the researchers attached an epithelial cell adhesion molecule (EpCAM) to the nanoparticle, known for its affinity to basal-like breast cancer cells. This strategy represents a novel approach in cancer treatment delivery systems.
Initial tests in human cell lines and mouse models have shown promising results, with the nanoparticle effectively delivering the CRISPR/Cas9 system to target cancer cells and suppress the FOXC1 gene.
The team’s next steps involve further refining the nanoparticle platform for potential clinical applications in humans. Beyond breast cancer, they see immense potential in customizing this technology for other therapeutic purposes.
This groundbreaking research offers hope for a more targeted and effective treatment approach for basal-like breast cancers, addressing an unmet clinical need and paving the way for innovative cancer therapies.
Funding for this study was provided by Penn State, the University of Maryland Baltimore School of Medicine, the Centers for Disease Control and Prevention, the U.S. National Science Foundation, and the U.S. Department of Defense Congressionally Directed Medical Research Program.
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Published in Radiology, New Research Challenges Existing Screening Recommendations
In a breakthrough study published in the Radiological Society of North America (RSNA), researchers have shed new light on breast cancer screening practices. The study, led by Dr. Debra L. Monticciolo, has revealed compelling evidence in favor of annual breast cancer screening beginning at age 40 and continuing through at least age 79.
Breast cancer remains a significant health concern for women in the United States. Ranking as the second most common cause of cancer death. Despite the well-documented effectiveness of regular screening mammography in reducing breast cancer mortality by 40%. A staggering percentage of eligible women—only 50% or less—actually participate in annual screening.
Dr. Monticciolo noted the ongoing debate surrounding breast cancer screening recommendations, particularly regarding the age at which to commence screening and its frequency. The 2009 recommendation by the U.S. Preventive Services Task Force (USPSTF) advocating for biennial screening starting at age 50 resulted in a decline in screening participation nationwide. However, the USPSTF revised its stance in 2023, suggesting biennial screening between ages 40 and 74. In contrast, organizations such as the American College of Radiology, the Society of Breast Imaging, and the National Comprehensive Cancer Network endorse annual screening for women at average risk beginning at age 40.
The study conducted by Dr. Monticciolo and her team involved a secondary analysis of Cancer Intervention and Surveillance Modeling Network (CISNET) 2023 median estimates of breast cancer screening outcomes. CISNET modeling provided the opportunity to estimate screening outcomes at various frequencies and starting ages using U.S. data.
Comparing four different screening scenarios—biennial screening of women aged 50-74, biennial screening of women aged 40-74, annual screening of women aged 40-74, and annual screening of women aged 40-79. The researchers found that annual screening of women aged 40-79 resulted in the highest mortality reduction at 41.7%. Additionally, this approach showed the lowest per mammogram false-positive screens (6.5%) and benign biopsies (0.88%) compared to other scenarios.
Dr. Monticciolo emphasized the importance of their findings, stating that annual screening from age 40 to 79 provides the highest mortality reduction, most cancer deaths averted, and most years of life gained. She highlighted the manageable nature of screening risks compared to the potential lethality of advanced breast cancer.
The USPSTF’s concerns include recall rates and benign biopsies as potential harms. Dr. Monticciolo underscored the manageable nature of these risks compared to the benefits of early cancer detection. She urged primary care physicians to recognize the tremendous benefits of annual screening for women aged 40. Additionally, emphasized the need to prioritize women’s lives by adopting early detection strategies.
The study adds to the growing body of evidence supporting annual screening from age 40. Breast cancer being easier to treat when detected early. The findings underscore the importance of regular screening in saving lives and reducing the burden of advanced-stage disease.
Dr. Monticciolo expressed hope that the study’s findings would encourage policymakers to prioritize annual screening from age 40. Thus ensuring that more women have access to life-saving early detection measures.
Stay informed and engaged with the latest advancements. Empower yourself with knowledge and make more informed decisions about your breast cancer treatment and care. Visit the Breast Advocate App website today and join us in the fight against breast cancer.
For decades, the battle against estrogen receptor-positive (ER+) breast cancer has primarily focused on blocking estrogen. However, a groundbreaking global study, led by researchers at the University of Adelaide, has unveiled a potentially less toxic, highly effective method to combat this form of breast cancer.
The study, published in The Lancet Oncology, highlights the promising role of enobosarm, a drug that stimulates the androgen receptor (AR), in treating ER+ breast cancer. According to senior co-author Professor Wayne Tilley, enobosarm’s efficacy lies in activating the AR. This activation triggers a natural defense mechanism in breast tissue, thereby slowing the growth of ER+ breast cancer.
The international collaboration involved researchers from the University of Adelaide, Dana-Farber Cancer Institute (DFCI) in Boston, USA, the University of Liverpool in the UK, and experts worldwide. The study assessed enobosarm’s effectiveness and safety in 136 postmenopausal women with advanced or metastatic ER-positive, HER2-negative breast cancer.
Results demonstrated significant anti-tumor activity with enobosarm. It also appears to be well-tolerated by patients without adversely affecting their quality of life, or causing masculinizing symptoms. This marks a significant departure from traditional hormonal treatments that primarily target estrogen activity or inhibit the ER.
Dr. Beth Overmoyer from DFCI, emphasized the groundbreaking nature of the findings. “This is the first time a non-estrogen receptor hormonal treatment approach has been shown to be clinically advantageous in ER+ breast cancer.” Dr Overmoyer also highlighted the potential for enobosarm to be investigated in earlier stages of breast cancer and in combination with other targeted therapies.
With over 2.3 million cases identified globally each year, the implications of this research are profound. Dr. Stephen Birrell stressed the importance of further clinical trials for AR-stimulating drugs, especially in treating both AR-positive and ER-positive breast cancer. He also noted the possibility of enobosarm’s use in breast cancer prevention, given its well-tolerated nature.
The discovery of enobosarm’s effectiveness represents a significant milestone in the field of breast cancer treatment. Furthermore, offers a promising new oral strategy for the most prevalent form of the disease. As researchers continue to explore this study opens doors to improved outcomes and better quality of life for patients worldwide.
Stay informed and engaged with the latest advancements. Empower yourself with knowledge and make more informed decisions about your breast cancer treatment and care. Visit the Breast Advocate App website today and join us in the fight against breast cancer.
In a landmark study led by the Walter and Eliza Hall Institute of Medical Research (WEHI) in Australia, scientists have made a significant breakthrough in the fight against BRCA2 gene breast cancer. The research, recently published in Nature Cell Biology, identifies for the first time the likely ‘cells-of-origin’. The specific cells that can develop into breast cancer in individuals carrying this genetic mutation.
Women inheriting the faulty BRCA2 gene face a daunting approximately 70% lifetime risk of developing breast cancer. Often at a younger age and with a tendency towards clinical aggression. Preventive strategies have thus far been limited to early screening and preventive surgeries, such as mastectomies, to lower this risk.
The study’s co-first author, Dr. Rachel Joyce, highlighted the discovery of an aberrant cell population within the breast tissue of BRCA2 carriers. These cells, identified in the majority of healthy tissue samples from carriers, divide more rapidly than normal. Thus suggesting their pivotal role as the originators of potential future breast cancers in these women.
Further insights from the study revealed these aberrant cells to be a subset of luminal progenitor cells in breast ductal tissues. Displaying altered protein production – a key factor in tissue growth and function. This alteration not only earmarks these cells as the likely origin of cancer. But also exposes a vulnerability to existing cancer treatments.
Leading the research, Professor Jane Visvader and her team developed a pre-clinical BRCA2 model demonstrating similar alterations. They targeted these cells with Everolimus, an approved drug for relapsed breast cancer, showing that pre-treatment could delay tumor formation. This finding opens new avenues for preventive treatment strategies, aiming at specific aspects of protein production in these cells.
Despite the promising outcomes, the journey from lab to clinic remains cautious. Professor Geoff Lindeman, a study author and cancer clinician, emphasized the need for further research to refine these approaches, considering the potential side effects of drugs like Everolimus when used as preventive treatments. The goal is to develop more selective and tolerable treatments for BRCA2 mutation carriers, building on the significant strides already made in identifying the cells-of-origin for breast cancer linked to the BRCA1 gene mutation.
The study, supported by contributions from the Victorian Cancer Biobank, the National Health and Medical Research Council, and several other foundations, marks a critical step forward in the quest for effective breast cancer prevention strategies. It not only sheds light on the cellular beginnings of breast cancer in high-risk groups but also charts a course towards potentially life-saving treatments for women worldwide.
Stay informed and engaged with the latest advancements. Empower yourself with knowledge and make more informed decisions about your breast cancer treatment and care. Visit the Breast Advocate App website today and join us in the fight against breast cancer.
In an unprecedented leap for cancer research, scientists at the University of California San Diego School of Medicine have published a study in Cancer Discovery journal, unveiling a machine learning algorithm capable of predicting chemotherapy resistance in cancer cells. This ground-breaking development offers new hope in the fight against one of the deadliest diseases.
Cancer cells, like all cells, depend on intricate mechanisms for DNA replication during cell division. Most chemotherapies target and disrupt this DNA replication in rapidly dividing tumor cells. However, predicting how a tumor will respond to such treatments has been a long-standing challenge in oncology.
This new algorithm, developed by UC San Diego researchers, addresses this issue by analyzing how a multitude of genetic mutations in a tumor collectively affect its response to DNA replication-inhibiting drugs.
The study specifically tested the model on cervical cancer tumors, using cisplatin, a widely used chemotherapy drug. Impressively, the algorithm successfully predicted treatment responses, identifying tumors most likely to resist treatment. It also shed light on the molecular mechanisms driving such resistance.
Trey Ideker, PhD, a professor in the Department of Medicine at UC San Diego, highlighted the model’s innovative approach. “Previous models focused on individual mutations, which lack significant predictive value. Our AI model analyzes thousands of mutations simultaneously, understanding the network-based nature of cancer,” Ideker explained.
The team focused on 718 genes commonly used in genetic testing for cancer, training their machine learning model with publicly available drug response data. This led to the identification of 41 molecular assemblies where genetic alterations impact drug efficacy.
The AI model’s accuracy was evident in its application to cervical cancer, where approximately 35% of tumors persist post-treatment. It not only identified tumors susceptible to therapy, associated with improved patient outcomes, but also those likely to resist treatment.
What sets this model apart is its interpretability. Ideker emphasized the importance of understanding the AI’s decision-making process. “The transparency of our model is a key strength. It not only builds trust but also highlights new potential targets for chemotherapy,” he said.
This breakthrough paves the way for enhancing current cancer treatments and developing new ones. The researchers remain optimistic about the broad applications of their model, hoping to revolutionize the approach to cancer treatment with this advanced AI-driven method.
Stay informed and engaged with the latest advancements. Empower yourself with knowledge and make more informed decisions about your breast cancer treatment and care. Visit the Breast Advocate App website today and join us in the fight against breast cancer.
Researchers at the University of Michigan Health Rogel Cancer Center have made a significant breakthrough in understanding and mitigating severe gastrointestinal problems associated with immune-based cancer treatment. This discovery could lead to more effective cancer therapies with fewer adverse effects.
Immunotherapy has gained prominence as a promising approach for treating various types of cancer. However, one of its downsides is the potential for severe side effects, such as colitis. Colitis is inflammation in the digestive tract. Colitis can cause substantial discomfort and may even lead some patients to discontinue their cancer treatment.
The challenge for scientists was that while patients experienced colitis, laboratory mice did not. This made it difficult to study the underlying causes of this side effect. To address this, the research team, led by Bernard C. Lo, Ph.D., developed a new mouse model. They injected microbiota from wild-caught mice into the traditional mouse model, which then exhibited colitis symptoms after receiving immunotherapy antibodies.
Through this innovative model, the researchers were able to identify the specific mechanism responsible for colitis. It was revealed that colitis resulted from the composition of the gut microbiota. This caused immune T cells to become hyperactive while simultaneously deleting regulatory T cells. Which typically inhibit T cell activation in the gut. Crucially, this effect was limited to a specific domain of the immune checkpoint antibodies.
Researchers removed that particular domain and found that it still elicited a robust anti-tumor response without inducing colitis. Dr. Gabriel Nunez, the senior study author, stated, “Once we identified the mechanism causing the colitis, we could then develop ways to overcome this problem and prevent colitis while preserving the anti-tumor effect.”
Collaboration and Future Endeavors: Moving Towards Clinical Trials
The antibody used to prevent colitis was developed by Takeda Pharmaceuticals. The Rogel team plans to conduct further studies to gain a deeper understanding of the mechanisms causing colitis. They are also actively seeking clinical partners to advance this knowledge into a clinical trial.
The study’s authors include Ilona Kryczek, Jiali Yu, Linda Vatan, Roberta Caruso, Masanori Matsumoto, Yosuke Sato, Michael H. Shaw, Naohiro Inohara, Yuying Xie, Yu Leo Lei, and Weiping Zou.
Funding for this research was provided by grants from the National Institutes of Health, Takeda Millennium Pharmaceuticals, the Canadian Institutes of Health, the Crohn’s and Colitis Foundation, and the National Science Foundation. The Rogel Cancer Center Shared Resources, including Single Cell Spatial Analysis, Tissue and Molecular Pathology, played a crucial role in supporting this work.
Stay informed and engaged with the latest advancements. Empower yourself with knowledge and make more informed decisions about your breast cancer treatment and care. Visit the Breast Advocate App website today and join us in the fight against breast cancer.
In a groundbreaking study, researchers have uncovered a potential link between the human gut microbiome and breast health. Shedding new light on how diet and lifestyle factors may influence breast cancer risk. The study focuses on the impact of flaxseed components known as lignans, and their interaction between gut microorganisms and the expression of mammary gland microRNAs (miRNAs). Some of which play a role in regulating genes associated with breast cancer.
Jennifer Auchtung, Ph.D., Assistant Professor in the Food Science and Technology Department at the University of Nebraska — Lincoln, emphasized the importance of this discovery. Stating, “The gastrointestinal microbiota plays an important role in modifying many components of our diet to impact human health. In this study, we found correlations between diets enriched in flaxseed, cecal microbiota composition, and miRNA profiles in the mammary gland that regulate many pathways. Including those involved in cancer development. This preliminary study supports further research into the role that the microbiota plays in dietary approaches to reduce risk factors associated with disease.”
Investigating whether the relationship between gut microbiota and mammary gland miRNAs could reduce breast cancer risk. Researchers administered flaxseed lignan components to female mice. The cecum (a part of the colon located in the lower right abdomen) was of particular interest. It is believed to play a role in producing short-chain fatty acids and harboring anaerobic bacteria crucial for metabolism.
One of the lignans found in flaxseed oil requires microbial processing to release bioactive metabolites with potential antitumor effects. The study ultimately revealed a significant relationship between the microbiota and mammary gland miRNA, with flaxseed lignans modifying this relationship to be non-cancer-causing.
Elena M. Comelli, Ph.D., Associate Professor at the University of Toronto’s Department of Nutritional Sciences, Temerty Faculty of Medicine, and the corresponding author of the study, expressed optimism. She said, “If these findings are confirmed, the microbiota becomes a new target for preventing breast cancer through diet.”
This study opens the door to further research on gut microbiome in breast health and the potential for dietary interventions. Also, offering new hope for the development of preventive strategies in the fight against breast cancer.
Stay informed and engaged with the latest advancements. Empower yourself with knowledge and make more informed decisions about your breast cancer treatment and care. Visit the Breast Advocate App website today and join us in the fight against breast cancer.
A groundbreaking Artificial Intelligence (AI) tool could revolutionize breast cancer treatment. According to a recent study by Northwestern Medicine, AI could reduce the need for chemotherapy in some patients. The study, published in Nature Medicine, revealed that AI evaluations of patient tissues outperformed expert pathologists in predicting the future course of breast cancer. Potentially sparing patients from the side effects of unnecessary chemotherapy.
Breast cancer is a major health concern. Approximately 300,000 U.S. women are expected to receive a diagnosis of invasive breast cancer in 2023. With one in eight U.S. women likely to face a breast cancer diagnosis in their lifetime. The need for more precise and personalized treatment options is greater than ever.
Traditionally, pathologists have relied on the examination of cancerous tissue to determine the severity and treatment approach for breast cancer. However, the Northwestern Medicine study highlights the importance of assessing non-cancerous cells in predicting patient outcomes.
Professor Lee Cooper and the Northwestern University Feinberg School of Medicine research team have developed an advanced AI model. Analyzing both cancerous and non-cancerous elements in breast cancer tissue. It assesses 26 properties to generate overall and individual prognostic scores for cancer, immune, and stromal cells. This detailed analysis offers a clearer picture to pathologists and can assist in creating personalized treatment plans.
One of the most significant implications of this AI tool is the potential to reduce chemotherapy duration. Chemotherapy can come with unpleasant and harmful side effects, such as nausea or heart damage. The ability to tailor treatment more precisely is a welcome development.
Furthermore, the AI tool could allow for treatment adjustments based on real-time tissue analysis. This approach holds promise for improving patient outcomes and reducing disparities in breast cancer care. Great news for those diagnosed in community settings with limited access to specialized pathologists.
The study was made possible through collaboration with the American Cancer Society (ACS). The AI model was trained with the help of medical students and pathologists worldwide. Students contributed thousands of annotations of cells and tissue structures in digital images of patient tissues.
As Northwestern Medicine transitions to using digital images for diagnosis, the AI model’s integration into routine breast cancer assessment could become a reality soon.
In addition, the research team is developing AI models tailored to specific breast cancer types, including triple-negative or HER2-positive. Enhancing the accuracy of predictions and provide deeper insights into breast cancer biology.
This promising research is supported by grants from the National Cancer Institute of the U.S. National Institutes of Health, marking a significant step toward a more personalized and effective approach to breast cancer treatment.
Stay informed and engaged with the latest advancements. Empower yourself with knowledge and make more informed decisions about your breast cancer treatment and care. Visit the Breast Advocate App website today and join us in the fight against breast cancer.