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Cheap, Safe, Patentless Cancer Drug Discovered

PyroMosh writes "The New Scientist is reporting that researchers working at the University of Alberta in Edmonton, Canada have discovered that an existing drug called dichloroacetate (DCA) is effective in killing cancer cells, while leaving the host's healthy cells unharmed. DCA has already been used for years to treat metabolic disorders, and is known to be fairly safe. Sounds like great news, is it too good to be true? Why is the mainstream news media failing to report on this potential breakthrough? The University of Alberta and the Alberta Cancer Board have set up a site with more info, where you can also donate to support future clinical trials."

13 of 576 comments (clear)

  1. Dupe by KillerCow · · Score: 3, Informative
  2. Re:Peer review? by loconet · · Score: 5, Informative

    Here is your scientific biweekly peer reviewed journal with an article on the topic. Those "I'll wait until the peer-reviewed journal" rehearsed responses are getting annoying.

    --
    [alk]
  3. This is a repeat by Aurostion · · Score: 3, Informative
    http://science.slashdot.org/article.pl?sid=07/01/1 7/1913210 Cancer Drug May Not Get A Chance Due to Lack of Patent Regardless, I know plenty of people are calling BS on some of the things in the article, and I have some big problems with it:

    pharmaceutical companies are unlikely to pay because they can?t make money on unpatented medicines.
    The drug can be patented in regards to its specific anti-cancer applications or by the mechanism by which it attacks various problems, in this case various cancers. Regardless, the big bucks are in the licensing. Either this guy is wrong, or he's taking a cheap shot. Further, this is a huge oversimplifcation:

    The next step is to run clinical trials of DCA in people with cancer.
    The FDA approves drugs based on their specific application. It has to be approved for each different kind of cancer it's used on (granted, doctors often use drugs that are approved for one thing for another).
  4. Re:Peer review? by arivanov · · Score: 5, Informative

    Here went my moderation to this thread, but sod with it.

    The original article apparently was published in Cell. I am not subscribed to it so I cannot verify that right away, but I am assuming this to be true. If the stuff passed peer review it would have been published in something at that level.

    There is an ongoing joke in molecular biology (for the last 10 years). "If you publish once in Cell you can happily retire". Compared to Cell, Science or Nature are yellow corner newshop rags. Also, if it was published in Cell, they are going to be getting money regardless of the patents. All major foundations follow it. There is another joke amidst the molecular biology crowd: "If you publish once in Cell you will never have to ask for funding till you retire, it will come to you". So I would not worry about lack of sponsorship by major pharmaceuticals either.

    --
    Baker's Law: Misery no longer loves company. Nowadays it insists on it
    http://www.sigsegv.cx/
  5. Disinfection byproduct by ramk13 · · Score: 4, Informative

    DCA is one of several haloacetic acids (HAA) that are disinfection byproducts (DBPs) water. When chlorine (or chloramine) are added to natural water to kill microorgamisms, the chlorine reacts with natural organic matter in the water to produce several byproducts, most notably trihalomethanes (THMs) and HAAs. The other HAAs have different levels of bromine and chlorine substitution. Disinfection byproducts are regulated because they may increase your cancer risk (surprise!). It's a problem because drinking water represents a chronic exposure.

    The regulated concentration of DBPs is several orders of magnitude below the doses of DCA that are listed in the linked articles, so don't count on getting (or killing) cancer from your drinking water.

    List of common Drinking Water Contaminants

  6. Re:Peer review? by Mex · · Score: 3, Informative

    I was skeptical so I checked, and indeed, there it is:

    http://www.cancercell.org/content/article/abstract ?uid=PIIS1535610806003722&highlight=A%20Mitochondr ia-K+%20Channel%20Axis%20Is%20Suppressed%20%20in%2 0Cancer%20and%20Its%20Normalization%20%20Promotes% 20Apoptosis%20and%20Inhibits%20Cancer%20Growth

    Slashcode will most likely screw that link, so just go to cancercell.org , and search for the title
    A Mitochondria-K+ Channel Axis Is Suppressed
    in Cancer and Its Normalization
    Promotes Apoptosis and Inhibits Cancer Growth

    by
    Se bastien Bonnet,1 Stephen L. Archer,1,2 Joan Allalunis-Turner,3 Alois Haromy,1 Christian Beaulieu,4
    Richard Thompson,4 Christopher T. Lee,5 Gary D. Lopaschuk,5,6 Lakshmi Puttagunta,7 Sandra Bonnet,1
    Gwyneth Harry,1 Kyoko Hashimoto,1 Christopher J. Porter,8 Miguel A. Andrade,8 Bernard Thebaud,1,6
    and Evangelos D. Michelakis

  7. Re:Peer review? Here's the peer reviewed version by Mex · · Score: 3, Informative

    Crap, I forgot to include the summary:

    The unique metabolic profile of cancer (aerobic glycolysis) might confer apoptosis resistance and be
    therapeutically targeted. Compared to normal cells, several human cancers have high mitochondrial
    membrane potential (DJm) and low expression of the K+ channel Kv1.5, both contributing to apoptosis
    resistance. Dichloroacetate (DCA) inhibits mitochondrial pyruvate dehydrogenase kinase (PDK),
    shifts metabolism from glycolysis to glucose oxidation, decreases DJm, increases mitochondrial
    H2O2, and activates Kv channels in all cancer, but not normal, cells; DCA upregulates Kv1.5 by an
    NFAT1-dependent mechanism. DCA induces apoptosis, decreases proliferation, and inhibits tumor
    growth, without apparent toxicity.Molecular inhibition of PDK2 by siRNA mimics DCA. The mitochondria-
    NFAT-Kv axis and PDK are important therapeutic targets in cancer; the orally available DCA is
    a promising selective anticancer agent.


    I won't claim to understand what it means, but there it is.

    There's a direct link to download it, in case you understand that sort of thing, here:
    http://www.depmed.ualberta.ca/dca/cancer_cell.pdf

  8. Re:Not what it seems by Wills · · Score: 4, Informative
    I think further research on the effects of DCA is needed before anybody can say that DCA is safe to use in humans. There seem to be very good and very bad effects reported in different studies:

  9. Re:DCA is completely useless: it harms profits by Weedlekin · · Score: 4, Informative

    "All three high profile cases show the callous disregard for the
    health and well-being of people and a single-minded focus on profit -
    whatever the human cost."

    Here's a fourth one: AZT as an AIDS treatment. The drug was initially produced in the early 1960s under a NIH grant as a cancer treatment, but wasn't particularly efficacious and had nasty side effects, so it fell out of usage. Then, in the mid 1980s, three scientists from the National Cancer Institute who were working with a couple of others from Burroughs-Welcome (now GlaxoSmithKline) discovered that it was effective against the AIDS virus, and after a small trial that cost very little (the initial Welcome scientists were working at the National Cancer Institute and using their facilities, so Welcome's initial investment amounted to two peoples' wages), Burroughs-Welcome were given a usage patent by the FDA on this previously public domain medication, and proceeded to charge the _highest price of any treatment in prior history_ for something that was extremely cheap and easy to produce. Furthermore, this patent was upheld by the US Supreme Profit Ensurers (those people who decided that "eminent domain" lets local governments take your property and sell it to someone else whenever they feel like it) against challenges by AIDS organisations two separate occasions.

    --
    I'm not going to change your sheets again, Mr. Hastings.
  10. Dogma shoots the US in the foot...again by TapeCutter · · Score: 5, Informative

    As an Aussie I concur, few people here have private health cover, and the cover normally boils down to a gaurentee of a private hospital for elective sugery. All private hospitals are fairly small and some have nice nice garden's, they are generally less well equiped and use the same doctors/surgeons as public hospitals, if something goes seriously wrong with a patient they are immediately transfered to a better equiped public hospital.

    If you are just interested in your health then use the "free" (1.5% of taxable income) universal health cover, even millionaires are not forced to pay more than $1200yr for prescriptions. The doctors are well paid, nurses are well trained and the PUBLIC hospitals measure up to anything offered overseas. What's more I recently visited the UK and got a chest infection, went to casualty twice and got antibiotics "free". The doctor laughed when I ask "should I pay at reception", seems our governments have a recipricol arrangement to look after each other tourists.

    A company must make a profit, that is it's sole reason for existance, if the government can't do it to a higher standard with less money then they are doing something wrong. No Australian politician would dare dismantle the public scheme and go back to the early 70's privatised "pay or die" scheme, the voting public would tie them to an ambulance and drag them through the streets. This situation is also boosted by a "balance of power/share the blame" component, the fed's collect the money and the various states spend it. If you are seriously ill in this country there is absolutely no fucking around, especially with admin, accountants and lawyers, because guess what - prevention and early treatment is much cheaper than "the machine that goes ping". Oh and guess what - a healthier population is less profitable for private hostpitals and more productive in ...what's that thing called...oh yes, "the market".

    Having said that I will also point out Godel has proven no system is complete, some doctors are butchers and that is when the lawyers, accountants and admin come out of the woodwork. However all I ever hear from American's when asked "why not have UHC like just about every other wealthy country", is a ranting reply about their pathological fear of "socialisim" and vacuous examples of "higher costs". Some will listen and are surprised by the reality they find, others are like the people who talk about global warming on Mars to deny it on Earth, there is no possible reply to that level of brainwashed dogma other than sarcasam and abuse.

    And before some free market zealot starts waving the WSJ to point out the painfully obvious: yes UHC is a form of "socialisim", some things just work better that way, New York's central park for example or does Disney sell tickets to walk your dog now?

    --
    And did you exchange a walk on part in the war for a lead role in a cage? - Pink Floyd.
    1. Re:Dogma shoots the US in the foot...again by srussell · · Score: 4, Informative

      So why would I be better off under socialized medicine? I'd pay more, and if managed the way the government manages everything else they touch I'd get less. You all in the rest of the world like to point out how incompetent the US government is (and often with good reason), why do you think they'd be any better at running health care than they are at other things?
      Common FUD, courtesy of the HMOs and the Republican party.

      I'm not going to claim a direct causal relationship, but you might consider that the United States, with its vaunted privatized healthcare system, ranks 42nd in life expectancy among the countries of the world. When I did research on this a few years ago, 80% of the countries that came in with longer life expectancies than the US had some form of universal health care coverage.

      On a more anecdotal note, I've waited hours in an emergency room in the US to get broken bones taken care of, so I call bullshit on claims of how the US medical system is oh-so-efficient and effective and superior to socialized systems. On top of that, since we have organizations (insurance companies, HMOs) actively working to penalize for and dissuade you from spending money on health care, I also call bullshit on any claim that you're getting the best care money can buy in the US.

      --- SER

  11. Re:Not what it seems- some science background by quixote9 · · Score: 5, Informative

    Those are interesting links and it's always good to keep the downsides in mind. But, on the scientific merit I did want to add:

    The first link refers to a summary about trichloroethylene environmental cleanup, and the effects of DCA as a metabolic breakdown product of TCE. This is rather different from controlled dosage in a medical application. Every cancer drug known is a violent poison whose effects at uncontrolled dosage are not pretty.

    The second link is a scientific article talking, again, about the medical effects of TCE in the environment.

    The third link discusses the use of DCA in a similar context to the cancer study, ie to lower metabolic rate of mitochondria. However, they were trying to lower the rate of all the patient's mitochondria, not cancerous ones, because they were trying to treat a metabolic disease. The dosage rate was 25 mg/kg/day. For a 70kg person (154 lbs), that's 1750 mg per day, which is on the order of two teaspoons-worth of pure drug. That is an enormous dose. The whole point with the cancer cells is their metabolism is so revved up that they're susceptible to much lower doses than normal cells. I don't know what the dosage in the Alberta study was, but I'd expect it to be a lot lower.

    The fourth link discusses research that showed DCA-induced cell death (=apoptosis) in the smooth muscle cells of pulmonary arteries. Again, these are not cancerous cells, but they are over-active, I gather from the article, in pulmonary hypertension.

    Any time there's a difference in mitochondrial activity between normal cells and targeted cells, there's the possibility that DCA could be used to selectively target the abnormal cells without harming the others. That said, anything that targets mitochondria is a vicious drug that does need to be treated with lots of caution.

  12. Re:Patentless? by Xaositecte · · Score: 4, Informative

    Deployed pay is confusing, but usually not much more than your base pay.

    If you're in a hostile fire zone, you get (depending on your rank) around $100-200 extra per month, and tax-free income (Which is pointless at the lower ranks, because you're barely paying taxes in the first place).

    If you're premenantly in a foreign country (Germany, UK, Japan, etc.) - you get a Cost of Living allowance that supposedly normalizes your pay to account for the dollar's shitty exchange rate. If you buy all your stuff on base, or over the internet, this is huge (~400 a month here in Germany, higher in the UK or Japan)

    Military chow halls are, by and large, disgusting places to eat at. People who absolutely have to save money (heavy debts, etc.) - will eat there religiously. The rest of us buy food.

    Housing is indeed paid for, it's adjusted to the local area's housing prices.

    Overall with my allowances and base pay, I'm getting paid somewhere around $40K a year, total, as an E-3.