CHICAGO — By restoring tiny bits of genetic
material missing from breast tumors in mice, US researchers said
on Wednesday they were able to block the cancer’s ability to
spread.
The finding will help doctors make better
treatment decisions and may give rise to a new way of halting
the advance of breast cancer, said Dr. Sohail Tavazoie, an
oncologist at Memorial Sloan-Kettering Cancer Center in New
York.
"What’s most important to us as cancer
doctors is the concern that the cancer is going to come back,"
said Tavazoie, whose study appears in the journal Nature.
Tavazoie said the research will give doctors
a better way to determine if a particular breast cancer tumor
will spread and also add to the list of possible targets that
could be used to make drugs that block genes that make cancers
spread.
And down the road, it may lead to new
therapies that restore the missing molecules that keep cancer
tumors in check.
Cancer spreads when bits the primary tumor
break off and attack other organs. This process, known as
metastasis, is what makes cancer so deadly.
Tavazoie, working in the lab of Joan Massague,
a Howard Hughes Medical Institute researcher, set out to isolate
the process that causes aggressive tumors to spread.
They found bits of genetic material called
ribonucleic acid or RNA that suppress the spread of breast
cancer to the lungs and bone. When they put those molecules back
into breast cancer tumors in mice, the tumors lost their ability
to spread.
Tavazoie said these small pieces of RNA known
as microRNAs work by directing the activity of genes, much like
the conductor of an orchestra.
They found that in certain aggressive
cancers, some of these microRNAs are missing, allowing the
aggressive spread of the cancer. When they restored these
microRNAs to human breast cancers in laboratory mice, the cancer
stopped spreading.
The researchers also found these same
microRNAs were missing from human breast cancer cells taken from
women whose tumors had spread.
"We think these microRNAs will help us to
know if this is an aggressive tumor or not," Tavazoie said in a
telephone interview.
"If it is, we will need to treat this woman
with very aggressive therapy and we will need to be diligent
about watching it," he said, adding that it may help doctors
decide whether some women with less aggressive tumors can skip
chemotherapy.
Tavazoie’s team also looked to see which
genes were causing all of the trouble when the microRNAs went
missing. They found an especially strong association between the
loss of miR-335 and cancer relapse. When this microRNA was
absent, they found strong activity in a set of six genes.
Two of the genes, SOX4 and TNC, were already known to play a
role in cell migration. When the researchers suppressed the
activity of these genes, they reduced the cancer’s ability to
spread. – Reuters