Honest oncologists tell their patients that it's never really the treatment that gets rid of cancer for good, it's the immune system. Toxic chemo-therapies and radiation therapies disable cancer, at least in theory, long enough for the immune system to catch up with the cancer and complete the job of treatment. Some cancers, such as melanoma and prostate cancer, are now treated with vaccines to augment the power of the immune system, with varying degrees of success.
Dr. Irving Weissman and his colleagues at the Stanford University School of Medicine in Palo Alto, California, have discovered that one of the ways cancers evade the immune system is by producing relatively high levels of a protein called CD47.
In healthy blood cells, this chemical protects the cell against attack by the immune system as it circulates through the blood stream. it essentially serves as a "don't eat me" signal to white blood cells that otherwise would attack the tumor. In cancerous cells, excessive production of this chemical, above three times as much as is produced by healthy cells, prevents the immune system from detecting the cancer, and allows the cancerous cells that survive radiation and chemotherapy to reproduce and form new tumors.
Actually, it took four years for Weissman and colleagues to realize what they had discovered. And it took another nine years for them to be able to demonstrate in the scientific literature that they had discovered a cancer-killer that attacks most solid tumors in humans. But their research has reached the point that clinical testing is on the way soon.
Blocking CD47 Allows the Immune System Literally to Eat Cancer Cells
Weissman and his collaborators originally found that CD47 protected leukemia and lymphoma cells from the action of the immune system. Recent experiments have found that CD47 protects other kinds of cancers, too.
The research team took samples of solid tumors, sliced them up, and created cancer cell tissue cultures. They then exposed the cancer cells to macrophages, the relatively large white blood cells that have the function of surrounding and ingesting germs, foreign matter, and dead or diseased cells.
When Weissman and colleagues placed white blood cells in the same test tube as untreated cancer cells, the macrophages essentially didn't notice the cancer cells were there. They did not destroy the cells. But when Weissman and colleagues pre-treated the cancer cells with a CD47 inhibitor, the macrophages devoured the cells and eliminated the cancer. It is actually the immune system that kills the cancer, not the drug. The drug only allows the immune system to "know" that cancer is present.
Cancer Killer Coming Soon To A Doctor Near You?
The next step in Weissman's research was to transplant the cancer cells into the paws of laboratory mice to see if the tumors would metastasize to other parts of the mouse's body. Without pre-treatment, for example, 10 out of 10 mice injected with bladder cancer cells developed tumors in other locations away from the injection site.
Only one of 10 mice given a CD47 inhibitor before being injected with bladder cancer cells, however, developing a cancerous lymph node, the other nine staying cancer-free. And even after cancerous colon and breast cancer tumors formed in other mice, giving the mice the CD47 inhibitor caused the tumors to shrink.
Weissman and colleagues are ready, after receiving a $20 million grant from the California Institute for Regenerative Medicine, to begin testing the new medication in humans. Phase I of testing, however, will only involve cancer patients who are not eligible for any other kind of treatment, typically volunteers with stage 4 cancers.
What Could Go Wrong with the New Cancer Drug?
It's far too early to label Dr. Weissman's new anti-cancer medication as a miracle drug. It's not really known whether the medication will work inside the human body in the same way it has worked inside the mouse body.
There is a possibility that the stress of treatment will result in normal cells producing more CD47 than normal, enabling them to evade detection by the immune system if the underlying process causing the cancer is not addressed. And even in the Stanford experiments, treating live mice with the CD47 inhibitor resulted in more immune system attacks on healthy tissue.
Still, Weissman's Research Potentially Points to the Holy Grail in the War on Cancer
Nonetheless, many experts believe that this line of research may lead to finding the ultimate drug for eliminating cancer. The primary drugs for treating most kinds of cancer have not changed in over 30 years. The odds of living for 5 years after diagnosis with cancer after the age of 65 is still only about 10%. Managing a patient's death, most cancer specialists will tell you, is no fun.
Even more maddeningly, drugs that seem to hold the promise of a cure for one kind of cancer tend not to be very useful for other kinds of cancer. Gleevec, for instance, is practically a miracle drug against chronic myelogenous leukemia, but it is of no use at all against acute lymphocytic leukemia. Avastin is effective against colon cancer, but holds no benefits for treating breast cancer.
Dr. Weissman and colleagues may have stumbled on the one medication that may treat most kinds of cancer. Only time and testing will tell. But if you are diagnosed with cancer in 2023 or 2033 instead of 2013, treatment may be as simple as getting a shot that enables your own immune system to complete your treatment.