Thursday 18 November 2010

New Compound Proves Effective Against Mesothelioma in Mice

Japanese researchers believe they have found a powerful new compound to fight the aggressive cancer – malignant pleural mesothelioma.
 
The team at the National Institute of Advanced Industrial Science and Technology in Tokyo have had success using a novel therapeutic compound called JBIR-23 in mice. JBIR-23 is a natural compound first derived from the bacteria Streptomyces sp. AK-AB27 in 2008.  In laboratory test tube studies, its unique chemical structure appears to have a cytotoxic effect on mesothelioma cells and promote apoptosis (cell death).

 When the compound was tested on mice with mesothelioma, the effect was the same.  JBIR-23 appears to prevent the further growth of the tumor, without loss of weight or other observable side effects.

The news is promising in light off the fact that mesothelioma is considered an aggressive cancer that is difficult to cure with conventional therapies.  Mesothelioma is caused by long-term exposure to asbestos, a mineral used in construction, insulation and thousands of other products. When inhaled, microscopic fibers of the mineral can trigger a chain of physiological events that can lead to cancer decades later.

Although a number of compounds are being studied for their potential for fight mesothelioma, JBIR-23 is encouraging because, as the Japanese researchers write, “JBIR-23 not only prevents tumor growth but also leads to a reduction in the volume of tumors.”  In a report in a recent issue of Cancer Letters, the team concludes, “These results suggest the JBIR-23 is a promising lead compound for use in MPM-specific therapeutic drugs without any side effects.”

In the U.S., mesothelioma affects approximately 2,000 to 3,000 people every year and its incidence is still on the rise, due to the long latency of the disease.  Early, accurate diagnosis is crucial to initiating treatment in time to slow the tumor’s growth.  Currently, first line treatments for mesothelioma include cisplatin-based chemotherapy, surgery and/or radiotherapy. 



Source:
  Mesothelioma


Saturday 11 September 2010

New Treatment for Mesothelioma Highlighted at Conference

Experts from around the globe will be meeting in Barcelona, Spain this month to discuss the benefits of a targeted type of radiation therapy that has shown promise in the treatment of malignant mesothelioma.
 
TomoTherapy is the brand name for an Intensity Modulated Radiation Therapy system designed to deliver high doses of radiation directly into tumor cells, while minimizing the damage to surrounding healthy tissues.  The developers of the technology will present 82 new studies of its impact on various cancers, including mesothelioma, at the conference sponsored by the European Society for Therapeutic Radiology and Oncology (ESTRO).

Mesothelioma, which involves the lining of the lungs and chest wall, is notoriously difficult to treat with radiation therapy because of the size and irregular shape of the tumor. The cancer’s proximity to healthy tissues, including a potentially healthy second lung, also makes radiation therapy for mesothelioma complex and risky. But a number of mesothelioma studies have also pointed to the value of incorporating radiation therapy into a multi-modality treatment plan that typically also includes surgery and chemotherapy.

The mesothelioma study being highlighted at the ESTRO conference was performed by a group of researchers at the San Raffaele Scientific Institute in Milan. In the study, researchers compared the treatment response of two sets of patients, both of which had been treated with the TomoTherapy platform.  One set of mesothelioma patients also received a ‘Simultaneous Integrated Boost’ or SIB during their radiation treatment.  SIB allows physicians to administer an extra ‘boost’ of radiation directly into the regions that were shown on PET scans to have the highest concentration of tumor cells.

The results were promising for mesothelioma patients and their physicians. According to the research, TomoTherapy utilizing the SIB technique appears to offer some significant survival benefits.  Patients who received the SIB during therapy saw their one-year survival rate increase to 72 percent, compared to 43 percent for the non-SIB group.  Researchers also found that the patients who had received the SIB dose did not have a relapse of their cancer for an average of 16 months, versus just six months for the non-SIB group.

The research was published in the International Journal of Radiation Oncology, Biology, and Physics.


Source:
  Mesothelioma


Wednesday 28 July 2010

Experts Predict Mesothelioma Epidemic in India

Once prized as an insulator and building material, the mineral asbestos is now recognized by health experts around the world, including the World Health Organization (WHO), as a potent carcinogen that can cause mesothelioma and other asbestos related diseases.  While many industrialized nations now ban or seriously restrict its use, India continues to import and use asbestos at a rate that is alarming the world medical community.
 
A recent article published in the British medical journal, The Lancet, predicts that with “India’s surging consumption of asbestos, the industry’s hefty political and economic clout, and the country’s poor record of worker protection….a sizeable burden of asbestos-related disease is inevitable” leading to health consequences that “will be felt into the next century.”  These health consequences could include an epidemic of mesothelioma.

A total of forty countries have now banned chrysotile (white) asbestos, the most common form of the mineral.  (The U.S. is not one of them.)  But between 2000 and 2007, India’s importation of asbestos rose from 125,000 metric tons to about 300,000, with most of it coming from Canada.  The asbestos is primarily mixed into cement and used in all types of building applications, including the production of cement roofing tiles, making them durable, sturdy and fireproof, unlike traditional thatched roof.  Since 1960, India has imported about 7 million metric tons of asbestos.

According to the World Health Organization, at least 90 thousand people die annually worldwide from asbestos-related lung cancer, asbestosis or mesothelioma.  Because mesothelioma can take 30 to 50 years after exposure to develop, the number of people contracting the disease continues to rise even in countries where it has been banned.  Because India does not track its cancer cases, it is difficult to get an estimate of the asbestos-related disease problem there. Experts suggest that many cases diagnosed as bronchitis or tuberculosis may actually be an unrecognized asbestos related illnesses.

In an editorial in the UK’s online magazine The Tribune, photojournalist Neil Hodge claims to have photographed Indian children making statues with sacks of asbestos cement, unprotected and unaware of the health risks.  Hodge says an Indian television channel even reported in 2007 that asbestos was being used in parts of the country to bleach rice to make it more attractive to consumers.  According to the Indian Health officials quoted in the article, most Indian consumers do not believe that asbestos is toxic, that it can cause cancer like mesothelioma, and there is little or no enforcement of safety legislation designed to protect workers.

Speaking in The Lancet, Drexel University professor and Chair of the Department of Environmental and Occupational Health, Arthur Frank, MD, PhD, warns, “We can expect a lot more death and disease [in India]. There is no champion for the working person, or for the elimination or reduction in the use of asbestos that I can see in the central Indian Government.”


Source:
  Mesothelioma


Wednesday 21 July 2010

Cold Plasma Appears to Improve Mesothelioma Treatment

Adding a technique called Cold Plasma Coagulation to the mix when using surgery and intra-operative chemotherapy seems to help protect mesothelioma patients against certain complications, according to a new study.
 
Mesothelioma, a malignancy that affects the linings around the lungs and internal organs, is caused by asbestos exposure and is notoriously difficult to treat.  Depending on the stage of their cancer and their health status, most patients receive a combination of treatments which may include chemotherapy, radiation, radical surgery (Extrapleural pneumonectomy or EPP), or pleurectomy and decortication (P/D), a less radical surgical approach.  Even with these various combinations, many patients succumb to the disease within 18 months of diagnosis.

In an effort to improve mesothelioma survival rates, surgeons in recent years have begun combining pleurectomy and decortication with heated chemotherapy (hyperthermic intrathoracic chemoperfusion or HITHOC) that is washed through the effected body cavity during surgery.  While results of this combination therapy have been promising, there is the potential for damaging the pericardium (lining around the heart) or the diaphragm, leading to heart damage or the accidental spread of cancer cells into the abdomen.  

Now, researchers in Germany believe they have found a way to protect the pericardium and the diaphragm during P/D, while still allowing mesothelioma patients to benefit from the surgery and the HITHOC treatment.  In the study, Cold Plasma Coagulation (CPC) was used to destroy tumor cells on the pleura, diaphragm and pericardium before HITHOC was administered.  

Patients in the study all had Stage III pleural mesothelioma.  None of them suffered any cardiotoxic effects as the result of their treatment and none had had a recurrence of their cancer one year after surgery.  The researchers concluded that Cold Plasma Coagulation was a safe and potentially beneficial addition to a multimodal treatment approach for mesothelioma patients. 

In their abstract, the authors noted that the number of cases of mesothelioma continues to rise and is not expected reach its peak until 2015.  They caution, “We consider our trial as a pilot study. To evaluate potential survival benefits using this [Cold Plasma] technique, larger trials are mandatory.” 

The study titled “Cold-Plasma Coagulation in the Treatment of Malignant Pleural Mesothelioma: Results of a Combined Approach”, was published in the online journal Interactive Cardiovascular and Thoracic Surgery.

Sources

Monday 12 July 2010

Cold Plasma Appears to Improve Mesothelioma Treatment

Adding a technique called Cold Plasma Coagulation to the mix when using surgery and intra-operative chemotherapy seems to help protect mesothelioma patients against certain complications, according to a new study.
 
Mesothelioma, a malignancy that affects the linings around the lungs and internal organs, is caused by asbestos exposure and is notoriously difficult to treat.  Depending on the stage of their cancer and their health status, most patients receive a combination of treatments which may include chemotherapy, radiation, radical surgery (Extrapleural pneumonectomy or EPP), or pleurectomy and decortication (P/D), a less radical surgical approach.  Even with these various combinations, many patients succumb to the disease within 18 months of diagnosis.

In an effort to improve mesothelioma survival rates, surgeons in recent years have begun combining pleurectomy and decortication with heated chemotherapy (hyperthermic intrathoracic chemoperfusion or HITHOC) that is washed through the effected body cavity during surgery.  While results of this combination therapy have been promising, there is the potential for damaging the pericardium (lining around the heart) or the diaphragm, leading to heart damage or the accidental spread of cancer cells into the abdomen.  

Now, researchers in Germany believe they have found a way to protect the pericardium and the diaphragm during P/D, while still allowing mesothelioma patients to benefit from the surgery and the HITHOC treatment.  In the study, Cold Plasma Coagulation (CPC) was used to destroy tumor cells on the pleura, diaphragm and pericardium before HITHOC was administered.  

Patients in the study all had Stage III pleural mesothelioma.  None of them suffered any cardiotoxic effects as the result of their treatment and none had had a recurrence of their cancer one year after surgery.  The researchers concluded that Cold Plasma Coagulation was a safe and potentially beneficial addition to a multimodal treatment approach for mesothelioma patients. 

In their abstract, the authors noted that the number of cases of mesothelioma continues to rise and is not expected reach its peak until 2015.  They caution, “We consider our trial as a pilot study. To evaluate potential survival benefits using this [Cold Plasma] technique, larger trials are mandatory.”  

The study titled “Cold-Plasma Coagulation in the Treatment of Malignant Pleural Mesothelioma: Results of a Combined Approach”, was published in the online journal Interactive Cardiovascular and Thoracic Surgery. 


Source:
  Mesothelioma

Thursday 10 June 2010

Study May Lead To New Mesothelioma Treatment

In what may be a breakthrough in the development of a treatment for mesothelioma, a new study reveals clues as to why tumor cells grow out of control and how to stop them.  
 
Rosetta Genomics, a developer of microRNA-based molecular diagnostics, conducted the joint study on malignant pleural mesothelioma with medical researchers from Vanderbilt University School of Medicine and New York University Langone Medical Center.  The findings were published in the online issue of The Journal of Biological Chemistry.  In the study, tumor cells from mesothelioma patients were found to be missing a molecular component called miR-31.  MiR-31 has recently been found to suppress the growth and spread of breast cancer cells.  When miR-31 was reintroduced into the mesothelioma cells, it suppressed cell cycle progression and significantly inhibited the replication of DNA, making them much slower to multiply.

MicroRNAs (miRNAs) are recently discovered cell components that act as master switches for protein synthesis inside cells.  The presence or absence of certain microRNAs has been shown to be a reliable predictor (also called a biomarker) of how cells will function.  Since miR-31 seems to inhibit the proliferation, migration, and invasion of cancer cells, Rosetta Genomics is hoping it may help them develop highly-targeted, biologically-based treatments for mesothelioma and other cancers.

“This latest publication is another demonstration of microRNA’s potential role in cancer therapeutics and details the significant impact a single microRNA can have on disease course,” says Kenneth A. Berlin, President and CEO of Rosetta Genomics.  “Over the past several years, microRNAs have been hailed as one of the most significant scientific and medical discoveries.”

Mesothelioma is an aggressive cancer that attacks the lining of the abdomen and around the heart and lungs.  It is caused by repeated exposure – usually in the workplace – to tiny sharp fibers of the mineral fiber asbestos.  About 2,000 to 3,000 new cases are diagnosed annual in the U.S.  Because mesothelioma is often resistant to traditional cancer therapies, including chemotherapy and radiation, biologically-based therapies such as those based on microRNA are believed by many to offer the best hope for a more effective therapy. 


Source:
  Mesothelioma


Saturday 5 June 2010

Mesothelioma and Lung Cancer Rates Rise Worldwide

A new report from the International Agency for Research on Cancer (IARC), a part of the World Health Organization, states that lung cancer together with related thoracic cancers including malignant pleural mesothelioma are on the rise worldwide. 
 
According to the IARC, 1.61 million cases of lung cancer and mesothelioma were diagnosed worldwide in 2008.  Lung and asbestos cancers also accounted for more deaths than any other types of cancer, claiming the lives of 1.38 million people. Taken together, lung cancer and mesothelioma comprised 18.2 percent of all cancer deaths in 2008.

Although mesothelioma is a relatively rare cancer, affecting an estimated 2,000 to 3,000 Americans annually, it is especially aggressive.  Pleural mesothelioma (affecting the lining around the lungs) and peritoneal mesothelioma (affecting the lining of the abdomen) are the most common types.   All types of mesothelioma are caused by asbestos.

Industries in which asbestos use was once common, including the shipping industry and various construction trades, account for the majority of cases of mesothelioma, which can occur years after the person is exposed to asbestos.  Mesothelioma rates on the rise in many poorer nations where lax asbestos regulations and continued asbestos imports (most notably from Canada) continue to put workers at risk.  

Mesothelioma is not the only type of cancer that has been linked to asbestos exposure.  Inhalation of asbestos has also been implicated in both small cell and non-small cell lung cancers.   In 2009, another IARC study published in the British Medical Journal, The Lancet Oncology, linked asbestos to some throat and ovarian cancers.  According to the National Cancer Institute, asbestos can also increase the risk for kidney, esophageal and gallbladder cancers.

The IARC study estimates that 13.2 million people worldwide will die of cancer annually by the year 2030.  Because asbestos-linked cancers can take 20 to 50 years to develop, mesothelioma and other asbestos related cancers are expected to comprise an increasingly larger percentage of cancer deaths for the next 25 years. 


Source:
  Mesothelioma