EuropeSouth AsiaAsia PacificAmericasMiddle EastAfricaBBC HomepageWorld ServiceEducation
News image
News image
News image
News imageNews image
News image
Front Page
News image
World
News image
UK
News image
UK Politics
News image
Business
News image
Sci/Tech
News image
Health
News image
Education
News image
Sport
News image
Entertainment
News image
Talking Point
News image
In Depth
News image
On Air
News image
Archive
News image
News image
News image
Feedback
Low Graphics
Help
News imageNews imageNews image
News imageFriday, September 10, 1999 Published at 00:29 GMT 01:29 UK
News image
News image
Health
News image
Therapy 'cuts cancer side-effects'
News image
Radiation treatment attacks healthy cells too
News image
Researchers are developing a way to enable cancer patients who require follow-up treatment such as radiation or chemotherapy to avoid harsh side effects.

They believe this could be possible by shutting down a gene which tells normal cells to die at the end of their natural life cycle.

The finding turns current thinking on its head but carries the danger that it could leave the body vulnerable to another tumour.

Researchers at the University of Illinois in the US used drugs to stop a gene called p53 from working in mice and then gave them radiation treatment, which can have serious side effects.

But in the mice with the gene turned off, the side effects were greatly reduced, leading doctors to hope that in future they could use higher doses of radiation and improve cure rates.

Not an exact science

The p53 gene produces a protein which cells to die. It is absent in 60% of cancers, and therefore the cells contine to multiply out of control leading the formation of tumours.

At present surgery to remove tumours is accurate and can be targeted specifically at cancerous tissue.

But follow-up treatments such as radiotherapy attack all types of cell - healthy and cancerous alike - and so can lead to damaging side effects. Healthy cells, because they have the p53 gene, appear to be particularly vulnerable to cancer treatments.

Switching off the p53 gene appears to increase the chance that healthy cells will survive radiotherapy and chemotherapy.

"Inactivation of p53 has always been considered an unfavorable event," said Dr Andrei Gudkov, associate professor of molecular genetics at the university.

"But our approach was to temporarily and reversibly suppress p53 during radiation so that healthy cells would not self-destruct in response to damage from life-saving therapy."

Human use

The drug the researchers used to turn the gene off was called pifithrin, and they found that those mice who had taken it were protected from a radiation dose that would normally kill most of them.


[ image: Professsor Gordon McVie warned of the dangers]
Professsor Gordon McVie warned of the dangers
They hope to have the drug in the first stage of clinical testing within a year.

Professor Gordon McVie, director of the Cancer Research Campaign, said it was an extremely interesting piece of work but there were dangers attached to the approach suggested.

"The major concern is that it will produce tumours because the protein is one of the body's major defences against cancer," he said.

"You're opening the door to helping the cells become cancerous."

Other treatments

He said another question that would need to be addressed was whether or not switching off the p53 gene would encourage an already present tumour to grow faster.

However, the discovery could also lead to improved treatment in heart attacks and stroke, which are caused by blockages in blood flow.

"One of the first things that happens when you close down an artery is you activate p53, and it's p53 activation that causes a lot of the damage in the future, so it's a very neat idea and might have applications outside cancer," he said.

"But you'd have to make damned sure it didn't act as carcinogen."

The study was published in the journal Science.

News image


Advanced options | Search tips


News image
News image
News imageBack to top | BBC News Home | BBC Homepage |
News image

News imageNews imageNews image
Health Contents
News image
News imageBackground Briefings
News imageMedical notes
News imageNews image
Relevant Stories
News image
04 Aug 99�|�Health
Prostate cancer linked to mutant gene
News image
01 Aug 99�|�Health
Protein brakes prostate cancer
News image
30 Jun 99�|�Health
Smart missiles torpedo cancer
News image

News image
News image
News image
News imageInternet Links
News image
News imageNews image
Cancer Research Campaign
News image
Imperial Cancer Research Fund
News image
Science
News image
News imageNews image
The BBC is not responsible for the content of external internet sites.

News image
News image
News image
News imageIn this section
News image
Disability in depth
News image
Spotlight: Bristol inquiry
News image
Antibiotics: A fading wonder
News image
Mental health: An overview
News image
Alternative medicine: A growth industry
News image
The meningitis files
News image
Long-term care: A special report
News image
Aids up close
News image
From cradle to grave
News image
NHS reforms: A guide
News image
NHS Performance 1999
News image
From Special Report
NHS in crisis: Special report
News image
British Medical Association conference '99
News image
Royal College of Nursing conference '99
News image

News image
News image
News image