Apr 10 2024Memorial Sloan Kettering Cancer Center About 90% of deaths from cancer are a result of metastasis -; that is, from cancer's ability to spread from an initial primary tumor to seed new tumors throughout the body, often in the lungs, liver, and brain.
"It's not genetic mutations that are critical here, but the ability to access gene programs that normally are associated with other cell types -; including early developmental and embryonic programs that should not be accessed by adult cells," Dr. Pe'er said in a recent interview. "We call this ability for cells to run new programs 'plasticity.' So cancer doesn't reinvent the wheel; it exploits gene programs that exist for other biological purposes.
The study found that primary tumor cells largely run programs still associated with intestinal cells, while metastases often shed their heritage as intestinal cells and take on the characteristics of squamous cells or of neuroendocrine cells, which helps them invade and survive in new tissue contexts and makes them more resistant to treatment. The team also found that chemotherapy exacerbates these transformations. The findings were published as a preprint on bioRxiv in August 2023.
Plasticity in pancreatic cancer The second study Dr. Pe'er presented looked at about a dozen metastases collected from a single patient with pancreatic cancer, who donated their body for research under MSK's Last Wish Program. A collaboration with physician-scientist Christine Iacobuzio-Donahue, MD, PhD, Director of the David M.
For example, the research showed that cells that metastasize to the peritoneum -; the tissue that lines the abdominal cavity -; are able to adapt their metabolism to take advantage of the lipid-rich environment and exploit it as an energy source, she notes.
Source: Healthcare Press (healthcarepress.net)
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