Cancer Goggles

June 6, 2014

By Medical Discovery News

Cutting people open and sewing them back up for a living is a pretty stressful occupation to begin with, but some surgeons have tougher jobs than others. Cancer surgeons are charged with removing all tumor cells on the first try. But tumor growth can be irregular and it can be hard to distinguish cancer cells from normal cells during an operation. Imaging techniques like MRIs and CT scans can give surgeons a road map to the tumor, but they offer only limited help once an incision has been made.

This is because these images are merely snapshots – a single frame and dimension. Even three-dimensional images can only be viewed one frame at a time. In addition, the inside of the body is dynamic and it takes a skilled surgeon to understand the orientation of tissues and the precise margins where tumor tissue ends and regular tissue begins. 

Because of this challenge, surgeons often have to remove healthy tissue to be sure all tumor cells are gone. This requires a special step: staining the removed tissue then looking at it under a microscope to identify the cells. The surgeon wants to be sure a margin of healthy tissue is removed so no tumor cells remain.

If tumor cells remain, they will grow and second operation may be necessary to remove more cancerous tissue. Again, the removal of additional healthy tissue will be necessary. But what if a surgeon could distinguish cancer cells from normal cells during surgery? It seems impossible. Each cell is microscopic, thousandths of a millimeter. Just observing cells takes special staining and high-powered optics.

But scientists at the University of Missouri and Washington University in St. Louis are working on the impossible. They are developing cancer goggles that will allow surgeons see tumor cells right in the operating room. This new technology uses LS301, a fluorescent dye combined with a short chain of amino acids called peptide, that is only absorbed by cancer cells and glows under infrared light. This dye specifically stains cells from prostrate, colon, breast, and liver cancers among others. Patients can be injected with the dye beforehand and it will last through a procedure.

These special goggles will illuminate cancer cells with LS301 using an infrared light source. A surgeon can distinguish glowing cancer cells from normal cells and observe when they are completely removed. As a result, the surgeon would not need to remove a margin of healthy tissue to be sure all cancerous tissue is gone. This may greatly improve success rates from surgeries to remove cancerous growths. 

Currently, this technique is being perfected in veterinary surgeries to guide the removal of tumors in pets and is not yet ready for use with humans. If effective, it will be a great resource for patients undergoing tumor removal surgery in the future.

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An Aspirin A Day

March 29, 2013

By Medical Discovery News

New research shows that aspirin truly deserves its nickname as the wonder drug, since now it even helps fight cancer. It’s naturally found in willow bark, which has been used as herbal medicine for thousands of years. People have been taking aspirin in its current for over 100 years.

Ancient Greeks used ground willow bark to treat fevers and control pain during in childbirth. Then, in the early 1800s, English physicians and scientists wanting to discover the key to willow bark’s effect isolated its active component, salicin. In 1890 a German chemist named Friedrich Bayer (sound familiar?) created a synthetic salicin molecule called acetylsalicylic acid. This derivative was less irritating to the stomach than willow bark and became the modern form that lines drugstore shelves. 

Since then, researchers have been finding even more medical uses for aspirin. In the 1960s, scientists began exploring aspirin’s ability to thin blood and tested its usefulness in preventing heart disease. To summarize many extensive clinical trials, it is now generally believed that taking low-dose aspirin on a daily basis helps reduce the chances of a second heart attack (but not the first) in men. But these studies also revealed some negative side effects of regular aspirin use, including bleeding ulcers and hemorrhaging retinas. 

Recent studies may have uncovered another, quite wonderful, effect of aspirin – reducing the risk of some common cancers. Initial studies found the occurrence of colorectal cancer was lower in those who took aspirin regularly. These studies followed individuals who took aspirin for its cardiovascular benefits, but also ended up decreasing their risk of developing certain tumors by almost 40 percent. And low-dose aspirin also appeared to reduce the spread of tumors in people with established cancer.

In a 2010 British study, those taking daily aspirin for at least five years reduced their risk of dying from colorectal, esophageal, stomach, pancreatic, brain, lung, and prostate cancers by more than 20 percent. These studies also cited issues of bleeding in the stomach and retinas, especially in older individuals. New guidelines for aspirin therapy suggest starting an aspirin regime at age 50 and stopping by age 70 in order to reduce this risk.

Several properties of aspirin might explain its cancer-fighting abilities. Aspirin inhibits enzymes called cyclooxygenases or COX, which normally convert a type of fatty acid into compounds that protect the stomach lining. This may be why aspirin can lead to stomach irritation, but may also explain why aspirin works well as an anti-inflammatory, since COX can contribute to inflammation. And preventing inflammation also prevents the growth of tumor cells.

Given its ability to combat the nation’s two most serious killers, the potential for expanding low-dose aspirin therapy looks positive. Overall, these results have scientists on the verge of declaring aspirin the first “general anticancer drug.” Of course, individuals should consult their physician before starting any drug regime. 

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