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- MEDICINE, Page 79Giving Up on The Mice
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- Scientists searching for cancer cures try a new tactic
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- It was time to give the mice a rest and try something else.
- For 35 years scientists laboring in the National Cancer
- Institute's screening program have injected more than 400,000
- chemicals into leukemic mice, hoping to find chemotherapies
- that would help solve the riddles of cancer. All that
- frustrating work has produced only 36 licensed drugs. Most of
- them, while dramatically effective against leukemia, have shown
- only modest value in other forms of cancer. "Maybe," says David
- Korn, chairman of the National Cancer Institute's advisory
- board, "we've been using the wrong system as the screening
- device."
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- Maybe so. In a radical departure from the traditional
- methods, researchers have swapped their mice for a procedure
- that they hope will detect a drug's potency not only against
- leukemia but also in scores of different types of cancer cells.
- The new effort, which is being employed at the Developmental
- Therapeutics Program in Frederick, Md., uses an arsenal of
- automated devices and computers to test potential
- cancer-fighting drugs on real human cancer cells, grown in
- laboratories, rather than on mice. This enables scientists to
- test more than 300 chemicals a week. Many of these drugs had
- failed in the past when tested on mice, but the researchers
- hope their more sophisticated approach will produce fresh
- leads. Says Michael Boyd, founder and director of the program:
- "It's a high-risk venture, but this is a gamble worth taking."
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- At one time, the assumption was that cancer cells shared
- common characteristics and that therefore a drug effective
- against leukemia would kill, say, cancerous lung cells as well.
- With mouse screening, that technique brought solid advances in
- leukemia chemotherapy but yielded mixed results in other forms
- of cancer.
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- The theory behind the new program is that cancers from
- different organs share certain "family" characteristics. For
- example, brain cells that turn cancerous might share qualities
- with other brain cancers but differ dramatically from colon
- cancers or leukemias. To look for common weaknesses among
- different types of cancer, the automation process tests
- chemical compounds directly against a range of 60 lines of
- living tumor cells grown in Petri dishes and representing seven
- leading cancer killers: colon, lung, melanoma, kidney, ovarian,
- brain and blood.
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- Half the compounds are manufactured by chemical and
- pharmaceutical companies; the rest are provided by botanists
- and ethnobiologists who collect folk medicines and exotic
- living materials like the bark of the Pacific yew tree, from
- which scientists extract Taxol, shown to be effective against
- ovarian cancer cells. The researchers are looking for "natural"
- cell killers harvested from such remote locations as the
- Brazilian rain forest and Australia's Great Barrier Reef. Even
- ground-up seashells, sponges and coral starfish are studied for
- chemicals that might show some ability to fight cancer.
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- Some critics are concerned that the new $4 million-per-year
- program will fail to spot drugs that are enhanced naturally by
- the body's metabolism or immune system, and that the old mouse
- screens were better in that respect. In any case, new agents
- discovered by the automated screening may require years of
- additional testing in the lab -- and then on animals -- before
- any newly discovered therapies can be tried on human cancer
- patients. "All it will take," says NCI adviser Korn, dean of
- the Stanford University School of Medicine, "is one smashing
- winner. Then everyone will say it was worth it."
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- By Dick Thompson/Washington.
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