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Why a Cure For Cancer Is So Elusive

Hugh Pickens DOT Com writes "George Johnson writes in the NYT that cancer is on the verge of overtaking heart disease as the No. 1 cause of death and although cancer mortality has actually been decreasing bit by bit in recent decades, the decline has been modest compared with other threats. The diseases that once killed earlier in life — bubonic plague, smallpox, influenza, tuberculosis — were easier obstacles. For each there was a single infectious agent, a precise cause that could be confronted. But there are reasons to believe that cancer will remain much more resistant because it is not so much a disease as a phenomenon, the result of a basic evolutionary compromise. As a body lives and grows, its cells are constantly dividing, copying their DNA — this vast genetic library — and bequeathing it to the daughter cells. They in turn pass it to their own progeny: copies of copies of copies. Along the way, errors inevitably occur. Some are caused by carcinogens but most are random misprints. Mutations are the engine of evolution. Without them we never would have evolved. The trade-off is that every so often a certain combination will give an individual cell too much power. It begins to evolve independently of the rest of the body and like a new species thriving in an ecosystem, it grows into a cancerous tumor. 'Given a long enough life, cancer will eventually kill you — unless you die first of something else (PDF). That would be true even in a world free from carcinogens and equipped with the most powerful medical technology,' concludes Johnson. 'Maybe someday some of us will live to be 200. But barring an elixir for immortality, a body will come to a point where it has outwitted every peril life has thrown at it. And for each added year, more mutations will have accumulated. If the heart holds out, then waiting at the end will be cancer.'"

59 of 366 comments (clear)

  1. Cancer isn't one disease by kumanopuusan · · Score: 5, Insightful

    Cancer is a whole spectrum of diseases with different causes, effects, mortality rates, etc. This question is only a little less silly than asking why we haven't cured all disease yet.

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    1. Re:Cancer isn't one disease by Anonymous Coward · · Score: 5, Insightful

      Cancer is a generic term for a large group of diseases that can affect any part of the body.

      - World Health Organisation

      Cancer is a term used for diseases in which abnormal cells divide without control and are able to invade other tissues.

      - National Cancer Institute (@NIH)

      Where should he get his definition from?

    2. Re:Cancer isn't one disease by Anonymous Coward · · Score: 4, Informative

      Yes, it is. Some are viral, some by metabolic imbalances in the cells, others by poisoning, some by transcription errors, and a few are bizarrely fungal. The only thing that "cancer" is, if it's anything at all, is a bunch of very different diseases that are characterized by the cells in the body multiplying faster than they should. Not all are even tumorous; think about leukemia.

    3. Re:Cancer isn't one disease by Anonymous Coward · · Score: 2, Insightful

      The simple reason is that the people who fund the research feel there is more profit in treating cancer than there ever would be in curing it.

      Nonsense. The underlying causes of the uncontrolled cellular growth simply vary dramatically depending on the individual type of cancer. It is extremely complicated to even detect many cancers, yet alone come up with targeted treatments which don't adversely effect another part of a persons body. This is before you even start to factor in the cost of research, development and testing... ;)

    4. Re:Cancer isn't one disease by Anonymous Coward · · Score: 5, Insightful

      " if it's anything at all, is a bunch of very different diseases that are characterized by the cells in the body multiplying faster than they should"

      That's a contradictory statement.

      If one guy breaks his leg falling from a ladder, and another breaks his leg in a car accident, does the doctor treat that broken leg differently? Preventative measures for those broken legs may be different, but the result is the same. Likewise, a broken arm and broken leg might be be susceptible to different treatments, but they're both fundamentally broken bones, and it's worthwhile to categorize them as such.

      Cancer can absolutely be categorized as one disease. As you say, it's the pathological replication of a cell. Yes, different types of cells may have different behaviors, although they also all have a litany of identical behaviors. Yes, it's a fruitful avenue of research to treat different cancer types with different methods. But that doesn't mean we should stop looking for broader methods than can treat multiple different kinds of cancers based on their numerous shared characteristics.

      The meme that "cancer is a whole spectrum of diseases" is just that, a meme. Researchers who recite that meme don't believe it literally. They do have a much more nuanced perspective on cancer. But they use that meme in an attempt to deflate journalists' and lay people's expectations about cancer research. And then people echo that meme in an attempt to sound knowledgable and up-to-date.

      Study any topic deeply enough and almost any label will come up short. That doesn't mean the label is wrong. Labels are meant to simplify and aggregate. They sacrifice accuracy for the necessary convenience of relating complex topics in rational discourse.

    5. Re:Cancer isn't one disease by 93+Escort+Wagon · · Score: 4, Funny

      You want room 12A, next door.

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    6. Re:Cancer isn't one disease by rmdingler · · Score: 2
      Possibly statistical noise, but I see Jennifer Aniston walking around looking decidedly unlike any 44 year old woman in my zip code.

      Best AC post I've read on a Sunday, this year.

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      Ernest Hemingway

    7. Re:Cancer isn't one disease by cold+fjord · · Score: 5, Funny

      The simple reason is that the people who fund the research feel there is more profit in treating cancer than there ever would be in curing it.

      That must be true since we know that there are no actual hard problems in medicine, science, math, or engineering. It's because of the oil companies that we don't have warp drive, antigravity, 500 mpg cars, and personal nuclear piles. The airlines, banks, and credit card companies are holding back time travel (no more late bills or missed flights). We have it on the authority of President Obama himself that surgeons do unnecessary surgery out of greed. Fermat's last theorem could have been solved hundreds of years ago except for the abacus and adding machine lobby. Shoe manufacturers are holding back personal jet packs since shoes would rarely wear out if you fly everywhere. And teacher's unions prevent people from learning foreign languages while they sleep, with one weird trick.

      I have no idea where people get these ideas. Maybe food additives have something to do with it. Isn't hydrogenated-crank oil added to some foods? Or maybe it's just a problem due to chronic lack of sleep?

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      much of left-wing thought is a kind of playing with fire by people who don't even know that fire is hot - George Orwell
    8. Re:Cancer isn't one disease by MickLinux · · Score: 3, Insightful

      Okay, it isn't nonsense; it is one of many factors. Yes, cheap cures get removed from the market (mebendazole, anyone?), new cures get challenged before the FDA by johnny-come-latelies until the developers go out of business (angiostatins?), cancers that should remain untreated and monitored instead get invasive surgery (prostate cancer)... yes, chmpanies like to ure the sick and hurting as ATMs.

      That said, it is also correct to say that there is no single cure for cancer.

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    9. Re:Cancer isn't one disease by lgw · · Score: 4, Insightful

      Well, it all comes down to: are your trying to stop it from happening in the first place (in which case it's a broad spectrum of causes), or to cure it after the fact (in which case they all have the same mechanism). Which way you see it likely depends on which part of the problem you're concerned with.

      Genes just need a digital checksum - get on it!

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      Socialism: a lie told by totalitarians and believed by fools.
    10. Re:Cancer isn't one disease by Dogtanian · · Score: 2

      When we see Bill Gates walking around in a brand new 20 year old body, then we can start assuming they DO have a cure and are keeping it from the public.

      Bill Gates *does* have a brand new 20 year old body. He's just hired someone to occupy his old one and make occasional public appearances so that- as you suggest- no-one finds out.

      Incidentally, I've managed to acquire a photograph of Gates in his new body... as a 20-year old *female*!

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    11. Re:Cancer isn't one disease by Taco+Cowboy · · Score: 2

      From TFA

      ... cancer will remain much more resistant because it is not so much a disease as a phenomenon

      From NIH

      Cancer is a term used for diseases in which abnormal cells divide without control and are able to invade other tissues

      ... or in other words, cancer is cell mutations that went out of control.

      Normal cells do have an expiry date. It's known as Apoptosis.

      The one stark difference of a cancerous cell is that it forgets to die, and it keeps on multiplying like mad.

      There are many causes of cancer, some of which can be traced back to genetic. Other cancers, on the other hand, could be triggered by bacteria/virus. And then, there are cancers that are caused by external factors, such as chemicals that came into our body, via food, or smoke, or pollution.

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    12. Re:Cancer isn't one disease by Michael+Woodhams · · Score: 4, Insightful

      An argument about the world is interesting. An argument about a word is not.

      This is an argument about a word. What is "a disease" versus "a spectrum of diseases"?

      Cancers have some common features, and some very important differences. This is the "world", and you agree on it. Stop arguing about the word.

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      Quattuor res in hoc mundo sanctae sunt: libri, liberi, libertas et liberalitas.
    13. Re:Cancer isn't one disease by interkin3tic · · Score: 3, Insightful

      If one guy breaks his leg falling from a ladder, and another breaks his leg in a car accident, does the doctor treat that broken leg differently? Preventative measures for those broken legs may be different, but the result is the same.

      Not really. If you land on your leg from a ladder and get a compound fracture, that's probably your bone being compressed. If you get your leg crushed in a car accident, that's probably going to break a different way. The bone will likely need to be set differently. With crushing, I think there's a greater chance of internal bleeding, can't remember where I heard that. The specific insult will lead to a different type of injury that necessarily affects the treatment, even if they both are very similar overall (like they both require casts).

      Yes, it's a fruitful avenue of research to treat different cancer types with different methods. But that doesn't mean we should stop looking for broader methods than can treat multiple different kinds of cancers based on their numerous shared characteristics.

      Uh, I'm pretty sure no cancer researcher in the world is giving up on curing ALL cancers if they can. I mean, you automaticaly win the nobel prize for sure, get assured to be put on a stamp, and free drinks for the rest of your life if you "cure cancer." If you cure "just" one subtype of cancer, you probably get tenure or plenty of grant money, but you probably won't get automatically laid by saying "I'm the guy who cured multiple myeloma!" in a bar.

      They're focusing on specific types because that seems far more likely than any one treatment curing all types of cancer. For instance multiple myeloma cells appear to be more on the verge of auto-cannibalizing themselves, moreso than other cancers. Researchers got them to undergo unrestrained autophagy and die, that probably won't be the case for other cancers. If it even works in patients for multiple myeloma.

      The meme that "cancer is a whole spectrum of diseases" is just that, a meme. Researchers who recite that meme don't believe it literally.

      I, for one, do actually believe it. And I think it's more than a meme. I think researchers who pursue a grand cure might be modern day alchemists: trying very hard to achieve a goal which is far beyond the current technology. Modern chemistry came about from alchemists. Likewise, researchers who are attemtping to cure ALL cancers can definitely make important contributions even if they don't cure all cancers, so I'm not knocking them. But I do think we'll probably cure individual cancer subtypes before theres a big overall cure.

    14. Re:Cancer isn't one disease by cold+fjord · · Score: 5, Insightful

      No, what we were presented with is a conspiracy theory for which no evidence was given. If you want people to believe such an extraordinary claim, which would require a massive world-wide conspiracy lasting decades among all manner of countries, governments, and people of varying socio-political-religious orientations, you need to present some actual evidence instead of simply making a bare allegation. In short you are whining because a crank allegation with no supporting evidence was dismissed as such.

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      much of left-wing thought is a kind of playing with fire by people who don't even know that fire is hot - George Orwell
    15. Re:Cancer isn't one disease by gargleblast · · Score: 3, Insightful

      If one guy breaks his leg falling from a ladder, and another breaks his leg in a car accident, does the doctor treat that broken leg differently?

      Actually a doctor most likely will treat those injuries differently. An impact with torn metal will probably be more serious than an impact with soil. For instance, it is more likely to result in a compound fracture. In general, different accidents cause different injuries.

      Cancer can absolutely be categorized as one disease.

      OMG.

      You are going to need to know a heck of a lot more about a disease than "it is cancer" before you can even start considering treatment. In what type of tissue did the cancer originate? What organ is the cancer in now? What oncogenes / suppressor genes were affected by the mutation? Is it one of:

      • Breast cancer due to tumor suppressor gene BRCA1 mutation, metastasized to the lung
      • Prostate cancer due do mutation in Hereditary Prostate Cancer gene 1 (HPC1), unmetastasized

      In other words, what is the disease really?

    16. Re:Cancer isn't one disease by stoploss · · Score: 2

      The irony of you calling out another AC for baseless pronouncements is inherent in your claim that cancer can never be cured.

      You might consider calling up the naked mole rats and informing them that they are impossible. They aren't alone; there are also other species that do not get cancer.

      So, I propose that we continue research rather than just embracing fatalism.

    17. Re:Cancer isn't one disease by tlambert · · Score: 2

      The simple reason is that the people who fund the research feel there is more profit in treating cancer than there ever would be in curing it.

      Nonsense. The underlying causes of the uncontrolled cellular growth simply vary dramatically depending on the individual type of cancer. It is extremely complicated to even detect many cancers, yet alone come up with targeted treatments which don't adversely effect another part of a persons body. This is before you even start to factor in the cost of research, development and testing... ;)

      So things like Reolysin http://en.wikipedia.org/wiki/Reolysin which are effective against cancers dependent on an active RAS pathway, which means most solid-body tumor cancers, require a targeted treatment, and have adverse effects in other parts of people's bodies? I guess that explains why all the kids are dying from drinking mud puddle water or pond water when they go frog catching...

      I agree with the GP: treatments are a hell of a lot more lucrative than cures, and the focus of Big Pharma has always been recurring revenue streams, rather than one-time payments.

      Same reason the 1972 Dental Carries vaccine http://en.wikipedia.org/wiki/Caries_vaccine was never generally released to cure tooth decay http://en.wikipedia.org/wiki/Caries_vaccine; lot more money in fluoridating water for Alcoa, since Fluoride is a by-product of Aluminum processing anyway, and it'd put a lot of dentists out of business (especially in England, where they don't believe in orthodontia - probably something to do with Stonehenge...).

    18. Re:Cancer isn't one disease by Alsee · · Score: 2, Insightful

      Genes just need a digital checksum - get on it!

      That would indeed be an effective means to stop cancers and some other diseases, but comes with a rather noteworthy side effect. It also brings human evolution to a halt.

      In the medium term (many generations) the percentages for the various existing checksummed genes will shift, but no new genes will enter the gene pool. And in the long term it becomes a statistical certainty that one particular variant of each gene will eventually reach 100% in the population. At that point the entire human population would be genetically identical, identical "clones". The only remaining variation is that there would be male-clones and female-clones.

      (For this discussion I am setting aside the potential matter of human genetic engineering creating babies with experimental new genes. That's a rather thorny issue, and it doesn't contradict my original point that natural evolution of humans would halt.)

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    19. Re:Cancer isn't one disease by Alsee · · Score: 2

      I have no idea where people get these ideas.

      Humans are irrational, superstitious, paranoid, panicky herd animals.
      And those are just the ones without any psychological abnormality.

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    20. Re:Cancer isn't one disease by rtb61 · · Score: 2

      Actually it is all down to evolution, it's a bitch. If we can survive long enough to reproduce and in our case pass on knowledge, then evolution has done it's job, that we then die of heart disease, cancer or various other ailments brought on by age and probability, is all down to the nature of evolving just barely good enough for a species to continue to reproduce.

      Stem cell research and genetics research is all about fixing those inherent defects we are born with. Curing cancer simply requires more knowledge and a greater desire to gain that knowledge, so the defect, the inability of the cell to detect a defective state, the limit in the number of cell reproductions and, the ability of the immune system to detect specific defective cells. Probability means we will inevitably produce cancer cells, effective design means removing the defective cells (cell death or immune response) and replacing them with a non-defective variety (sufficient cell division capacity) and even enhancing cell repair capacity.

      So it is down to smarter genetic design and implementing that smarter genetic design. Attempting to cure conditions by the crude application of external interventions, is merely a stop gap and unfortunately in a psychopathic capitalistic society a very profitable stopgap and even worse treating the symptoms is far more profitable than curing the disease. If that we not the case, them governments would routinely establish treaties to target specific human ailments and provide state based funding for the research with results available free for all. Don't think it works, then look what can be achieved with regard to research when we insane monkeys set out to kill each other during wars, from bi-plane to jet plane, from single shot to full auto, from artillery to guided missles, from light tanks to full battle tanks, from gun powder to nuclear weapons.

      This if of course proof positive of the destructive influence of psychopaths (the 1%) upon the whole of human society, where we will it seems only ever come together as a society to drive research when it comes to killing each other for the profit of a psychopathic minority that drive us into doing it.

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    21. Re:Cancer isn't one disease by cold+fjord · · Score: 2

      I'll meet you part way, here is a puzzler for you. See if you can track down and read this article: "The Best Medicine" - Roman military medicine was centuries ahead of its time .

      Roman battlefield medicine was so advanced that after Rome fell it wasn't really equaled in some ways until the 20th Century. They were far better able to return men to health and fighting shape so that they could continue on as soldiers in service of the empire than pretty much any nation or empire for 1,600 years. Saving soldiers like that preserved fighting strength, retained highly skilled and experienced soldiers, and encouraged the soldiers to do their part in battle since they knew they would be taken care of. You would think there would be considerable interest in that from the military, so why didn't anyone else really equal that ancient empire until the last century?

      It wasn't merely a question of technology and skill that allowed the Romans to do that, although that was important. There were issues of culture that played a significant role in developing their medical art. There was also a question of military organization and priorities involved. Try reading that article and then testing and filtering your ideas against it. Blaming a conspiracy is often the easy way out when the actual problem is much more complicated. Conspiracies do exist I grant you, but I don't think that is a good explanation for not curing cancer in a general way. Any company that could come up with a viable solution for that would stand a very good chance of crushing the rest of the industry, they would get all the profits until their patent expired.

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    22. Re:Cancer isn't one disease by cold+fjord · · Score: 2

      Well, technically the lobbyists only convince legislatures to pass laws governing certain technologies in various ways. Wind and solar aren't really being hold back so much as some companies would like more government investment. As to file sharing, you are free to share your own files, but IP laws are a limitation. That is different than claiming that a conspiratorial decision has been made to use long term cancer therapy or death as a way to generate profits instead of providing a cure. Any company that could provide a general cure for cancer would crush the rest of the industry until the patent expired, and possibly after that.

      When you say that "you've missed the article's point almost as much as the crank," you're missing that I was addressing that conspiracy theory. And my answer was in line with the article, namely that there are hard problems in medicine, and the issues you mention are part of it.

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      much of left-wing thought is a kind of playing with fire by people who don't even know that fire is hot - George Orwell
    23. Re:Cancer isn't one disease by OneAhead · · Score: 5, Informative

      Assuming that it doesn't lead to autoimmune problems down the road, I strongly suspect that immunotherapy (programming the immune system to identify the damaged cells and attack them) will become a much more commonplace treatment for cancer, precisely because it cuts off that metastasis process.

      The immune system already does that; severely immunodeficient individuals are prone to getting cancer. Cancer is a complicated process - 5 to 7 distinct cell mechanisms (depending on how you count) need to be malfunctioning before one can speak of a life-threatening cancer (at first glance, wikipedia seems to have left a few out). One of them is that the cell must lose the ability to display outwards signs of being cancerous to the immune system, else it will be eliminated in short order. Now, if you're going to modulate the immune system to attack cells that don't display outwards signs of being cancerous, then your assumption that "it doesn't lead to autoimmune problems" will likely turn out false. (Mostly experimental) therapeutic approaches involving the immune system rely on the therapeutic agent recognizing tumor cells and making them recognizable to the immune system in turn. The challenge there is that cancers are diverse and have a high mutation rate - even if you're lucky enough to have an agent on the shelf that recognizes the specific cancer you're having, it may stop working in a few months. So you're again in a place where you can never truly cure each and every patient.

      BTW, I'm a cancer researcher. I'm not saying this as an appeal to authority, just to explain where I got this information and to confirm that the view in TFA is somewhat of a consensus in the field. This does not make it a depressing job: as the field progresses we can beat back more cancers for longer with fewer side effects, which is exciting. Some might say that maybe some day we will get so good that 99.9% of people die of other causes before they get the chance to develop a life-threatening cancer we can't cure. However, my (admittedly one-sided) view is that most other age-related causes I can think of are easier to cure than cancer, and that the latter is at #1 to stay (barring a collapse of civilization). And even if I'm proven false, 99.9% is not 100%. We can't cure cancer 100% just like we can't manufacture hard drives with a 0% failure rate. Nature seems to abhor systems that never fail.

    24. Re:Cancer isn't one disease by umafuckit · · Score: 2

      Cancer can absolutely be categorized as one disease. As you say, it's the pathological replication of a cell. Yes, different types of cells may have different behaviors, although they also all have a litany of identical behaviors. Yes, it's a fruitful avenue of research to treat different cancer types with different methods.

      I'm sympathetic to what you're saying, but I work with people who study cancer and they do think of it as multiple diseases. Clearly these people are not "echoing memes" and "trying to sound up to date". They are up to date and they specialise in a particular cancer because global approaches have all failed so far. Research and treatment strategies for a particular cancer are so specialised that they don't generalise well to other cancers. That's why, for instance, some cancers respond well to particular chemotherapy regimes whereas others are immune to that same regime. I think cancer is multiple diseases in the same way infections by different viruses lead to different diseases. Since there is global anti-viral that will kill everything, different viruses require different treatments and different research strategies. So it is with cancer.

    25. Re:Cancer isn't one disease by OneAhead · · Score: 2

      Finally, to paraphrase the summary, if you live long enough, and nothing else kills you first, then eventually you will be killed by a husk of rabbits.

      If that's an analogy, then being killed by a husk of rabbits is incurable.

      My rejoinder to you is that history is littered with incorrect pronouncements that certain feats could never be accomplished.
      We aren't debating whether some fundamental theorem of mathematics will be overturned, but rather whether some biological engineering problem could *ever* be solved.

      Here's another one for you: a mechanism that never fails will never exist. Or if you don't like double negatives: any mechanism that does something will eventually fail to do so. Call it an engineering problem, but it is sufficiently fundamental to me that I want to go on record having said that.

      A human body is a mechanism that lives, hence it will eventually fail to do so. Cancer just seems to be the major and most fundamental failure mode, to the best of my current knowledge as a cancer researcher.

    26. Re:Cancer isn't one disease by stoploss · · Score: 4, Informative

      I see you have brought the machine analogies into play.

      Are you conflating "cure" for cancer with "complete prevention" then? To go back to the machine analogy, I believe it is sufficient to define a machine as "not failing" if it can be repaired. I agree with you that machines inevitably fail; however, I don't automatically conflate that with permanent failure.

      Dropping the analogies, if your sole claim is that we will never be able to prevent each and every individual cell from accumulating mutations and failing to undergo apoptosis when critical failures have accumulated, then you may be correct (likely because that problem isn't worth solving). If you are claiming that we will never be able to prevent a single, uncontrolled mutant cell from eventually causing death from metastatic disease (or cerebral disruption) then I suggest you are being fatalistic.

      My comment about the rabbits was intended to point out the tautology of any type of claim that cancer will kill you if nothing else does. I believe Larry Niven once threw out a plausible stat that "immortality is ~200 years of life", mostly due to the accumulated odds of accidental death. To put it in terms of biological engineering, we may not be able to reduce the risk of metastatic disease to zero, but we may have a practical "cure" that reduces the risk to a practically infinitesimal level.

      The machine isn't permanently broken if it can be repaired.

    27. Re:Cancer isn't one disease by sandertje · · Score: 5, Informative

      Human cells already do some sort of checksumming on their genes. To start with, polymerases - the proteins that copy DNA - have proof-reading activity. That is to say, they check whether their copied DNA is equal to the parent DNA molecule. Then, if DNA damage occurs - which happens more frequently than you'd think - it gets repaired almost entirely flawlessly. Single strand breaks are easy to repair for the cellular machinery; they can use the opposite strand of the same DNA molecule as a scaffold for repair. Double strand breaks are indeed more difficult to repair, but luckily we have two sets of each chromosome (one from mommy, and one from daddy), so if one breaks, the other pair member is used as a reference. Sure, these pairs of chromosomes are not entirely identical, but for most cases, it suffices. As a result, the human mutation rate is on the order of about once every 100 million times. That's really low. Try to copy a 3GB file (roughly the size of human DNA) 100 million times on your computer, and I'm sure you'd have a lot more corrupted files than just 1. Unfortunately, the human body contains several trillions of cells, leaving enough room for incremental errors. One hallmark of cancer is that it relies on (partially) shutting down this "checksumming", and as such can attain a much higher rate of mutation - and as a result, a much higher rate of evolution - than normal cells. (see: https://www.sciencedirect.com/science/article/pii/S0092867411001279?np=y for a very nice overview). Besides that, just guarding the genes is not enough. Our genetics is more than enough to induce heavy proliferating cells. How else would we be able to grow from a single-celled individual (the fertillized egg) to a fully-grown body of several trillion cells? Healthy humans NEED proliferation (of certain cells), and thus we have genes that code for just that. The key here is activating certain genes in certain environments, and inactivating other genes. Every cell type has a different transcriptional landscape. This is controlled by epigenetics. Just guarding your genes would not guard against any changes in epigenetics, and you would still be prone to cancer.

    28. Re:Cancer isn't one disease by stoploss · · Score: 2

      This distills to semantics, and I'm not certain we share working definitions. As you said in another post:

      And even if I'm proven false, 99.9% is not 100%. We can't cure cancer 100% just like we can't manufacture hard drives with a 0% failure rate.

      Based on this type of definition, practically no disease has ever been (or ever will be) cured, given that all cures have some nonzero failure rate. I anticipate you have already found, through interactions with others, that this type of definition is uncommon semantics. That is to say, most people will believe that a disease is cured even if the cure fails in some tiny fraction of cases.

      Integrate a tiny fraction of risk over an infinite amount of time, and eventually everyone will die of that risk (unless the rabbits get them first). Immortality via lack of senescence (rather than supernatural invulnerability) would fit that type of scenario. I presume that people would believe cancer is effectively cured once the risk of death via cancer metastasis/cerebral failure from tumor is lower than the risk of death via peacetime accidents/violence.

  2. Mere flesh? by blackiner · · Score: 5, Funny

    But barring an elixir for immortality, a body will come to a point where it has outwitted every peril life has thrown at it. And for each added year, more mutations will have accumulated. If the heart holds out, then waiting at the end will be cancer.'"

    Pffft, I plan on being 100% robot by then. I'd like to see cancer bite my shiny metal ass.

    1. Re:Mere flesh? by DarkOx · · Score: 2

      Rust

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    2. Re:Mere flesh? by tloh · · Score: 2

      Unlike cells, nanites can be controlled by an intelligent operator.

      You'd be surprised at how much progress we have made in synthetic biology. For several decades already, recombinant DNA techniques have been revolutionizing the way we do research and development in the life sciences. Cutting edge efforts as exemplified by things like iGEM aims to make hacking biology just like hacking hardware. Give it time. There won't be a difference to speak of.

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  3. Bollocks by TechyImmigrant · · Score: 2, Insightful

    This hypothesis (that cancer is inevitable, just masked by other diseases that get you first) is wrong.

    There are populations where recorded cancer rates are essentially 0. Some pacific islanders, African populations before westernization of their diets (I.E. eating grain) etc. This simple fact undermines the above hypothesis.

    There is also evidence that people get cancer all the time and the body deals with it.

    The medical research on cancer is primarily focused on identifying the mutations and chemical pathways that cause cancer to occur and then developing chemicals to block those pathways.

    So a productive approach may be to find what it is that is causing people's bodies to fail to continue to detect and correct cancers in the body. Unfortunately, that has more to do with diet than drugs and so there isn't a strong profit motive to take that vector seriously.

    --
    I should use this sig to advertise my book ISBN-13 : 978-1501515132.
    1. Re:Bollocks by blueg3 · · Score: 2

      African populations before westernization of their diets (I.E. eating grain) etc.

      The civilization of their diets, you mean. Modern civilization is built on the agriculture of cereal plants. This is true of both Eastern and Western civilization (and, in fact, probably started in northern Africa).

    2. Re:Bollocks by wonkey_monkey · · Score: 5, Insightful

      This simple fact undermines the above hypothesis.

      Not if they all used to die of sleeping sickness before the age of 30.

      Without knowing what did kill them and at what age, the existence of these populations might equally well support the hypothesis, might it not?

      What was the life expectancy of these Pacific island or pre-Western diet African populations? Did they have anything approaching "Western" medicine for coping with all their other ailments?

      --
      systemd is Roko's Basilisk.
    3. Re:Bollocks by FoolsGold3151 · · Score: 3, Interesting

      Death certificates are a very poor indicator of cause of death. The battle between Cancer and Apoptosis is one theory. It has some merit to it, but it also seems that tumors can be viewed as a fundamental form of life similar to a fetus having its own blood supply and largely anaerobic environment. We keep finding various pathogens in tumors and declare them to be likely causes but are probably a result not a cause. We treat "tumor burden" by lowering the number and size of tumors but we have no idea if this extends the length of life by one second or not or improves the quality of the patient's life at all. We yammer about Free Radicals but make no progress investigating its role in driving the apoptosis pathway.

    4. Re:Bollocks by JimSadler · · Score: 2

      The point was that if one lives long enough cancer is a certainty. Obviously we do not know what the cancer rates would look like for people over 140 years old. However it also seems to me that changing the immune system or altering ones genes to combat disease is becoming more of a reality these days. So if we must complain or be in fear perhaps the real issue is not a cure but a fast and easy cure or arrest of cancer that does not involve pain, fear, loss of teeth or hair or causing one to be bed ridden or suffer large doses of radiation or harsh medications. If we can get cancer to be like a mild headache where we just casually take an over the counter pill to knock it out just like we would take an aspirin today then a cure becomes an unimportant goal. So far cancer seems to be, all to often, a nightmare of pain, misery, expense and losses. And i have already lost many good friends and family to creepy, nasty, cancer. Even my little fifth grade sweetheart went from breast cancer and a girl I went steady with in seventh grade is dead of breast cancer. The list is too damned long.

    5. Re:Bollocks by Pigeon451 · · Score: 2

      so a productive approach may be to find what it is that is causing people's bodies to fail to continue to detect and correct cancers in the body. Unfortunately, that has more to do with diet than drugs and so there isn't a strong profit motive to take that vector seriously.

      There is plenty of research trying to determine why a person doesn't see the cancer, and plenty of research to train the immune system on how to fight the cancer.
      See: http://www.mayo.edu/research/discoverys-edge/training-immune-system-fight-cancer
      http://www.newscientist.com/article/mg22029442.800-cancer-meets-its-nemesis-in-reprogrammed-blood-cells.html

      Diet has an effect on cancer but it's not how you state it. Drugs are all very powerful ally in the fight against cancer.

  4. Re:and...you can 'catch' cancer by PaddyM · · Score: 2

    http://en.wikipedia.org/wiki/Devil_facial_tumour_disease
    Cancer is contagious right there.

    Also, note that Gardasil, the vaccine which prevents HPV, is being legislated ostensibly to prevent cervical cancer.

    So yes, there are contagious causes of cancer, but there are other non-contagious causes as well. And the trouble is that once it occurs, it is difficult to selectively remove those particular cells when they look mostly like any other cell.

  5. Who wants to live forever? by gmhowell · · Score: 2

    I guess Heather did, but why did she never disclose what the Kergan did?

    And I guess maybe Freddie Mercury did, but he was doing it wrong.

    --
    Jesus was all right but his disciples were thick and ordinary. -John Lennon
  6. Re:True fact: by Anonymous Coward · · Score: 5, Insightful

    "It's more lucrative to treat a disease than it is to cure it."

    While true at face value, the implication here is that a "cancer cabal" profits as a whole when cures are withheld and it collectively decides to release only incrementally improved treatments. But there is no such cabal, quite the opposite, there is intense competition among researchers and pharma companies and no collective decision, only individuals more than willing to "break the ranks".

    Heck, curing a single type of cancer say prostate or leukemia will guarantee you a Nobel prize and a life time of doing whatever you want whenever you want both from a professional and personal point of view - regardless if the cure is monetizable (patentable) or not. And you expect us to believe researchers are actively hiding cures for the sake of the pharma industry ? Please, not even the Mafia can command such allegiance.

  7. Re:Genetic rewriting by Nikker · · Score: 2

    In this world most pharmas would sell you each base pair at a time. If you would be able to quell the mechanism that mutates DNA then we could live in perpetuity at the point you stopped mutating DNA. Then we would have to buy time in units and have our remaining show up on a tattoo.... umm well never mind.

    --
    A loop, by its nature, continues. If that didn't make sense, start reading this sentence again.
  8. Hugh Pickens Blog by Luthair · · Score: 4, Insightful

    Seriously, how many articles per day is Slashdot going to feature from this guy? Recently it feels at least 3 per day.

    1. Re:Hugh Pickens Blog by BringsApples · · Score: 3, Funny

      Why hugh pickens on that guy?

      --
      Politics; n. : A religion whereby man is god.
  9. Cancer Is Cured By High Immunity by Press2ToContinue · · Score: 2, Insightful

    A strong immune system keeps cancer at bay - this is a duh.
    But our lifestyles are increasingly focused on pathogen and stressor avoidance instead of encountering and overcoming them. Most people look at me as if I'm crazy when I say I like going out in the cold because it's good for me, and as many think I'm a kook when I ask them if they have ever drank water from a stream. Activities in the outside world boost our immunity, and we perform them less and less, and de-germ our environments more and more. I, for one, think there is a correlation.

    --
    Sent from my ENIAC
  10. Re:Money by Sique · · Score: 5, Insightful

    As someone who has had cancer, I have learned a lot. Most importantly, all the various cancer charities are complete frauds. Despite taking in untold Billions of dollars, the number of people dying from cancer has increased, not decreased over the last 20 years. And nobody has ever had their cancer cured because someone wore a pink ribbon or yellow wristband or walked 10 kilometers.

    If you had bothered to actually read even the slashdot article (you don't even need the links), you would understand why the number of people dying of cancer increases. Everyone who has died so far has died of something. Many of the causes people were dying of, we have minimalized or fully eliminated in the last 150 years, Nearly no one dies of the bubonic plague anymore for instance, and most of the other infections are in retreat. With every cause we eliminate, all the remaining causes get a bigger share. And in the end, there are two main causes remaining: coronary diseases and cancer. Everyone of us, given that he dies not of anything else before, will in the end die of either coronary diseases or cancer, which means that they will increase their share, if we further eliminate the other causes for an premature death.

    What is actually increasing is the average age humans die because of coronary diseases or cancer. That means, we are able to push the time further away, when cancer or coronary diseases will get us.

    --
    .sig: Sique *sigh*
  11. Somatic vs. metabolic theory of cancer by rjniland · · Score: 2

    Is the cure elusive because they're digging in the wrong place?

    This article seems wedded to the somatic (gene) theory of cancer.

    What if it's a metabolic disease (Warburg, Seyfried)?
    Seyfried has a 2012 textbook, but here's a concise summary:
    http://ajp.amjpathol.org/article/S0002-9440%2813%2900653-6/fulltext

    If so, the top treatment, calorie-restricted ketogenic diet, is something that sufferers can try at home. I suspect many are, and I would expect anecdotes to become data in a few years.

    Of course, many people are on keto (and just low carb) diets for unrelated reasons. It will take a little longer to learn if this confers improved immunity to the big C.

  12. Re:Money by Kjella · · Score: 4, Insightful

    As someone who has had cancer, I have learned a lot. Most importantly, all the various cancer charities are complete frauds. Despite taking in untold Billions of dollars, the number of people dying from cancer has increased, not decreased over the last 20 years.

    That is a statistical fallacy, if we're getting better at treating cancer but even better at treating non-cancer diseases and injuries the relative share of cancer deaths may go up. Most of the people diagnosed with cancer are quite old and while we're getting better at emulating the body's "functions" with artificial hearts, artificial lungs, dialysis machines and so on we're not making the same kind of progress on cancer. I've had several ill and frail relatives but modern medicine kept them alive until the cancer got them, I consider it more of a success than a failure of the medical system. Eventually everybody dies from something.

    --
    Live today, because you never know what tomorrow brings
  13. Re:Money by dmr001 · · Score: 3, Insightful
    It's an interesting claim that apparently all cancer researchers feel there is so much money to be made in grants, they are careful to reject novel ideas that might lead to cure for cancer so they can securely remain on the gravy train. By interesting, I mean for what it reveals about how people think. Hanging around the parking lots of university-based research facilities did not yield a surfeit of expensive cars. And while a good argument can be made for the plodding progress of research despite all the pink ribbons, breast cancer mortality is in fact steadily decreasing - even for women with tumor that's spread to lymph nodes. From the same website, you'll see even more impressive progress in colon cancer mortality, lung, and prostate cancer, which rounds out the list of the most common fatal cancers.

    In some sense, increasing cancer mortality likely results from people in industrialized nations being killed less often by other stuff (cars, emphysema, smallpox, contaminated water). And walking 10 km (on a regular basis) probably has significantly decreased cancer mortality, probably by changes in hormone balance and metabolism. Cancer research may not always be flashy, but they do seem to dig up useful stuff over time.

  14. Re:Money by RDW · · Score: 3, Informative

    So how do the conspiracy theories explain the dramatic improvement in survival rates in those cancers where research-guided improvements in treatment have been very successful?:

    https://www.stjude.org/stjude/v/index.jsp?vgnextoid=5b25e64c5b470110VgnVCM1000001e0215acRCRD

    http://www.bbc.co.uk/news/health-15726810

    Clearly there's a great deal to be done, and finding 'cures' is a very complex and difficult task. But we finally have the tools to do this in a systematic and rational way, and targeted therapies are already emerging.

  15. Re:Money by TheloniousToady · · Score: 2, Funny

    And in the end, there are two main causes remaining: coronary diseases and cancer.

    Kindda like Wal-Mart and Amazon. Anyway, it's nice that a cure for KMart has already been approved, and a cure for Best Buy is currently in medical trials.

  16. Actually you can still use a broken leg by NotSoHeavyD3 · · Score: 2

    for an example. So if you broke your leg because you fell off a ladder I'd expect the over all treatment to be a bit different than if you broke your leg because you have Osteoporosis. Come to think of it you could also break your leg because you have a tumor in the leg, that would be a VERY different treatment.

    --
    Did you know 80 to 90% of the moderators on slashdot wouldn't recognize a troll even if one dragged them under a bridge.
  17. Re:Why morons are so prevalent in scientific circl by wisnoskij · · Score: 4, Interesting

    "runs counter to reproductive fitness"

    Wrong. There is a huge reproductive fitness bonus for getting old useless people out of the way as quickly as possible, and more specifically a huge natural selection bonus for death after some maximum amount of years. Death is one of the major pillars of natural selection, and cancer, in many species plays a big part to ensure that we do not too many people living to 80-100+ or comparable.

    --
    Troll is not a replacement for I disagree.
  18. Researchers, hurry the hell up, please by govett · · Score: 2

    We all get cancer many times in our lives, but our immune system normally eliminates it without our awareness of the close call. The problem with most cancers is that they are not cause by something present, a mutagenic virus, for example. Instead they result from something absent, a healthy, raring-to-go immune system. Therefore the focus should be on boosting the immune system.

  19. Re:Money by JeffAtl · · Score: 2

    Yes, but at the same time they would be putting most of their friends and peers out of a job.

    And saving themselves and their families from a painful death. Which do you think researchers think is more important?

  20. Comment removed by account_deleted · · Score: 2

    Comment removed based on user account deletion

  21. Re:No Profit In Cures by ewieling · · Score: 2

    I have a couple of counter arguments. 1) Shareholders and the markets put strong pressure on corporations to take short term profits at the expense of long term profits. 2) The larger a conspiracy the harder it is to maintain. I don't believe for a moment it is possible to maintain a conspiracy large enough to prevent cures from being developed. 3) Cures are being developed, but they are very expensive. The drug sofosbuvir, a recently developed cure for Hepatitis C will cost $1,000 per pill. A typical course of treatment will last 12 weeks and run $84,000, plus the cost of necessary companion drugs. Some patients may need treatment for twice as long. That doesn't even put it in the top 10 most expensive drugs.

    --
    I really shouldn't have used someone else's email address for this account.
  22. Cure for cancer is obvious by stealth_finger · · Score: 2

    Nanomachines, son. Every baby gets a dose and they supervise the internals, nip cancerous cells etc the moment they appear. The only thing is the nanomachines are self replicating so we could just end up replacing cancer with robo-cancer but then at least we might get cool glowy eyes and stuff out of it.

    --
    Wanna buy a shirt?
    https://www.redbubble.com/people/stealthfinger/shop?asc=u
  23. Re:True fact: by bluegutang · · Score: 2

    There is no suppression of already-discovered cures, that's pretty obvious. But could it be that possible cures receive less R&D investment than they "deserve" based on their projected future value to patients? That seems more reasonable.