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Scientists Develop 10-Minute Universal Cancer Test (theguardian.com)

An anonymous reader quotes a report from The Guardian: Scientists have developed a universal cancer test that can detect traces of the disease in a patient's bloodstream. The cheap and simple test uses a color-changing fluid to reveal the presence of malignant cells anywhere in the body and provides results in less than 10 minutes. The test has a sensitivity of about 90%, meaning it would detect about 90 in 100 cases of cancer. It would serve as an initial check for cancer, with doctors following up positive results with more focused investigations. The test was made possible by the Queensland team's discovery that cancer DNA and normal DNA stick to metal surfaces in markedly different ways. This allowed them to develop a test that distinguishes between healthy cells and cancerous ones, even from the tiny traces of DNA that find their way into the bloodstream.

Healthy cells ensure they function properly by patterning their DNA with molecules called methyl groups. These work like volume controls, silencing genes that are not needed and turning up others that are. In cancer cells, this patterning is hijacked so that only genes that help the cancer grow are switched on. While the DNA inside normal cells has methyl groups dotted all over it, the DNA inside cancer cells is largely bare, with methyl groups found only in small clusters at specific locations. Writing in the journal Nature Communications, the Queensland team described a series of tests that confirmed the telltale pattern of methyl groups in breast, prostate and colorectal cancer as well as lymphoma. They then showed that the patterns had a dramatic impact on the DNA's chemistry, making normal and cancer DNA behave very differently in water.
The suspect DNA is added to water containing tiny gold nanoparticles, which turn the water pink. "If DNA from cancer cells is then added, it sticks to the nanoparticles in such a way that the water retains its original color," The Guardian reports. "But if DNA from healthy cells is added, the DNA binds to the particles differently, and turns the water blue."

83 comments

  1. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  2. False positives? by Anonymous Coward · · Score: 0

    My understanding is that there are a lot of false positives with this test. Great that false negatives are 10 percent, but I believe the guy that invented this was concerned about too many positives that were not actually cancerous.

    1. Re:False positives? by Anonymous Coward · · Score: 0

      A negative result is indicated by a change of color, whereas a positive means no change.
      Sounds very easy to get a false positive that way.

    2. Re: False positives? by Anonymous Coward · · Score: 0

      Sounds like they should just use the test that takes longer but is accurate

    3. Re:False positives? by Applehu+Akbar · · Score: 1

      Which is way better than getting a false negative,

    4. Re:False positives? by Luckyo · · Score: 4, Informative

      In case of cancer, that's wrong. Many cancers are fairly harmless, while procedures to find them and put them into remission are extremely damaging, far more so than cancer itself.

      A good example is the modern findings on prostate cancer, which in many cases is much less harmful than measures that clinicians used to put it into remission. Nowadays, certain prostate cancers aren't treated at all and instead merely monitored for example, and patients are likely to live with minimal to no symptoms for decades. Whereas treatment would cause severe symptoms immediately and to an extent permanently.

      So in many cases, as shocking as it may sound, it's actually better in terms of health outcome to the patient to get a false negative on cancer test than an accurate positive one. Especially true if it's a generic case like this, where someone may go look for cancer that ends up as a small benign tumour with a series of exceedingly invasive biopsies that may cause severe damage to patient's health.

      Oncology is really, REALLY difficult field of medicine, because not only is the illness effectively incurable in most cases, but oncologist must always contrast the harm caused by his actions vs harm caused by the problem he's looking for or trying to address.

    5. Re:False positives? by Dunbal · · Score: 1

      I don't think you understand what positive and negative mean. You are testing for cancer. If the color remains pink, the test is positive for cancer. If the color turns blue, the test is negative for cancer. You are assigning emotional values to a test result, because for you cancer is "negative" so it would be a "negative" result. Fortunately science doesn't work that way.

      As for false positives: you REQUIRE cancer for the color to remain the same. Why would there be false positives? If there is cancer, the color remains the same. A false positive would be a test where a color change happened on the presence of disease, only it also happens sometimes when you shake the test tube. So look, the color changed, it must be positive! No, Sally just shook the tube again, it's a false positive. Get it?

      --
      Seven puppies were harmed during the making of this post.
    6. Re:False positives? by Anonymous Coward · · Score: 0

      "So in many cases, as shocking as it may sound, it's actually better in terms of health outcome to the patient to get a false negative on cancer test than an accurate positive one. "

      You are obviously not a doctor, have no medical training, and need to shut your mouth so people aren't mislead by your BS.

    7. Re:False positives? by Luckyo · · Score: 1

      But I'm literally taking the talking lines from relevant lectures and studies done by people who are cutting edge specialists in the field. This isn't hidden, a few google searches on things like example I provided will give you the same information from people who unlike myself have the relevant credentials.

      Note how I never appealed to my authority. That was your invention, start to finish.

  3. not as advertised by Anonymous Coward · · Score: 2, Interesting

    If you actually read the article, you will notice that assay results of cancerous and non-cancerous samples have a pretty big overlap. This means that there would be many incorrect test results. Also, they mention that not all cancers have the methylation changes necessary that make the assay possible. So, this is another instance of over-broad claims (by the media) as to the research implications.

  4. how many false positives? by 140Mandak262Jamuna · · Score: 4, Informative

    It looks like the false negative rate is 10%. any number on false positives?

    --
    sed -e 's/Chuck Norris/Rajnikant/g' joke > fact
    1. Re:how many false positives? by 110010001000 · · Score: 1

      100%. But it only took 10 minutes and $700. Mission accomplished.

    2. Re:how many false positives? by Anonymous Coward · · Score: 0

      This is correct. You always have some cancerous cells in your body and your body's immune system will handle them without any issue. It's those rare cases when the cancer cells escape the immune system and grow out of control that problems occur. A test sensitive enough to detect all cancer is next to useless.

    3. Re:how many false positives? by Anonymous Coward · · Score: 0

      This is correct. You always have some cancerous cells in your body and your body's immune system will handle them without any issue. It's those rare cases when the cancer cells escape the immune system and grow out of control that problems occur. A test sensitive enough to detect all cancer is next to useless.

      I am betting that the researchers working in this area have probably never ever considered this, you should be sure to give them a call with your expert advice.

  5. Re:A few questions popped into my head... by 110010001000 · · Score: 0

    Yes, SuperKendall. Water is blue.

  6. How does it deal with solid tumors? by movdqa · · Score: 4, Insightful

    DNA in solid tumors may not migrate into the bloodstream (you actually don't want this as this is how cancer spreads).

    1. Re:How does it deal with solid tumors? by Anonymous Coward · · Score: 0

      There are still often biomarkers obviously even if cancer DNA 'itself' isn't present, but I don't know how this particular test works.

    2. Re:How does it deal with solid tumors? by Comrade+Ogilvy · · Score: 1

      Cancer cells, being rapidly growing and highly metabolic cells, die relatively often. So there is disproportionately more "circulating tumor DNA" (ctDNA) in the "cell free DNA" (cfDNA) circulating in the blood.

      Now whether that small portion of ctDNA can be detected and characterized, and how reliably that can be accomplished for particular kinds of patients, that is cutting edge cancer research.

    3. Re:How does it deal with solid tumors? by Zorpheus · · Score: 2

      Cancer spreads by whole cells migrating in the blood stream, not by dna fragments.

    4. Re:How does it deal with solid tumors? by movdqa · · Score: 1

      Some cancers have markers on the cell surface and immunotherapy exploits these markers to go after just cancer cells. But some mutations like KRAS, NRAS, HRAS, the so-called undruggables, don't have markers on the cell surface that we currently know of. There has been some remarkable work at NCI, particularly with KRAS G12D and KRAS G12V, that present markers on the cell surface with certain alleles and this has led to a few immunotherapy cures. But this stuff is in its infancy. There are some 39 or so cancers and hundreds of gene mutations. Does this test cover all of those? I would be skeptical that it covers everything.

  7. highly unlikely by Anonymous Coward · · Score: 1

    I'm highly skeptical. While cancer does produce hypo-methylated DNA, by the time you can measure it in any significant quantities, the cancer will have already progressed to a very late stage. There are other conditions - including simply aging that can also produce hypo-methylated DNA so that will affect their false positive rate. This seems like the kind of experiment that will not hold up under replication.

  8. Re:A few questions popped into my head... by SuperKendall · · Score: 0

    Yes, SuperKendall. Water is blue.

    Actuaklly water is not blue, it only appears blue because of its absorption characteristics with respect to different wavelengths of light.

    --
    "There is more worth loving than we have strength to love." - Brian Jay Stanley
  9. Sounds like bullshit by aberglas · · Score: 2

    It may well be possible to detect certain cancers by clever analysis of DNA in the blood. But the changes in DNA are subtle and variable. Just being able to mix it with gold particles and it turn blue sounds like nonsense.

    I have no doubt that some thing was discovered, and it may even relate to cancer, but this summary sound like it has been totally mushed by journalists.

    1. Re:Sounds like bullshit by movdqa · · Score: 1

      Always better to read the actual research paper. You might also have a cancer cell that's fixed by the Mismatch Repair mechanism. Do this report cancer in the case where cells can be repaired?

  10. Re:A few questions popped into my head... by 110010001000 · · Score: 0

    Genius.

  11. Re:A few questions popped into my head... by Anonymous Coward · · Score: 0, Flamebait

    That's what color is, dipshit. God you're a petulant moron sometimes.

  12. Badly Oversold by Anonymous Coward · · Score: 5, Informative

    Disclosure: I'm a cancer biomarker researcher, and these types of studies are my bread & butter. I don't know this group, and they chose to look at tumour types that I'm largely not working on.

    So this study is pretty uninteresting, and is getting a lot of unhelpful media attention. The core observation is that there are differences in methylation in tumour and normal, and that these can be detected in a pretty simple assay (10 min, blah blah). That's all either known, or pretty simple extensions of existing work. Nothing wrong with it, just not hype-worthy.

    Media is then claiming an AUC of ~0.90 (and an operating point with an accuracy of ~85%). The problem is, their test situation is entirely irrelevant. Most of these analyses were based on a comparison of blood from:
    1) healthy age- and sex-matched controls
    2) patients with metastatic disease (cancer that has spread throughout the body)

    This has a litany of problems:
    1) almost all patients are symptomatic pre-metastasis, and thus only a small fraction (~5-25%) of cancers are diagnosed at this stage
    2) patients diagnosed with metastatic disease have often elected to avoid testing (cost, access, personal decision, etc.)
    3) sadly almost all metastatic disease is lethal -- we routinely cure patients with localized disease with surgery or radiotherapy
    4) genomic and epigenomic changes accumulate over time, and metastatic tumours on average have significantly more
    5) there is no health-care economics argument for screening for metastatic disease

    So essentially, the paper says "we can distinguish black from white with 90% accuracy". That's fine, but the media reports are missing the fact that ~95% of real-life cases are gray, and the accuracy of this test will probably be lower in these white vs. gray comparisons. The likelihood is that this "90% accurate test" is actually going to be ~70-80% accurate in real-world settings. Which is fine, but, you know, matches existing cheap diagnostics in most tumour types anyways!

    So in short, this study is over-hyped and goes far to creating a bad culture where people think we are closer to a "cure" than we really are. It's solid science, but in no way worthy of a slashdot article!

    1. Re:Badly Oversold by BigDukeSix · · Score: 1
      Agree 100% with parent. I suspect this is a press release generated not-by-the-authors because the research is accepted into a good journal. DNA methylation is old shit (like 30 years). This is a fantastic *experiment* for several reasons: it's got some novelty (different from what the articles are touting), and the experiment is very well designed with positive and negative controls. It takes courage to move outside the mainstream, and it does none of us any service when these results are overhyped.

      Plus there's the whole DNA methylation thing is like 30 years old. These guys didn't discover it. I learned about it in undergrad.

    2. Re:Badly Oversold by chemish · · Score: 5, Insightful

      I disagree with you when you say this wasn't worth a slashdot post. It might not be worth it to you but between the summary and your comment I learned something which is why I come here.

    3. Re:Badly Oversold by Anonymous Coward · · Score: 2, Informative

      Well, my estimation is that there are probably 10-20 cancer biomarker papers of superior quality published each week. This paper won't be in the top 500 papers in its field this year. I personally believe Slashdot should do better, and highlight high-quality science, not mid-quality work. That of course is just an opinion! :)

    4. Re: Badly Oversold by jd · · Score: 1

      I suspected that might be the case. What is your preferred approach?

      DNA sequencing is the obvious one, Illumina's next gen sequencers look nice, but processing the data seems slow. You're the expert, I've merely toyed with BLAST and the NCBI toolkit, perused hardware catalogues and salivated over research papers. Yeah, I'm sick.

      --
      It's a small world and it smells funny; I'd buy another if it wasn't for the money; Take back what I paid (SoM)
    5. Re:Badly Oversold by Applehu+Akbar · · Score: 1

      1) almost all patients are symptomatic pre-metastasis, and thus only a small fraction (~5-25%) of cancers are diagnosed at this stage

      Did you mean 'asymptomatic'?

    6. Re:Badly Oversold by Anonymous Coward · · Score: 0

      ...So in short, this study is over-hyped and goes far to creating a bad culture where people think we are closer to a "cure" than we really are.

      Stupid people mistake this as being one step closer to a "cure".

      Intelligent people understand the only "cure" capitalism seeks is more treatments, which this little "10-minute" test absolutely nailed that goal. This will generate billions for the cancer industry.

      Of all people, you should be able to recognize this for exactly what is. Adding bullshit hype to solid science is akin to dividing by zero.

    7. Re:Badly Oversold by TimothyHollins · · Score: 1

      No, symptomatic. Meta-static is the "last" stage of a cancer, where it starts spreading from the original point to other tissues. For instance, you might develop a cancer tumour in your lungs. This will take some time, and you will develop multiple symptoms during this time. After the tumour has progressed past the "fatal" stage it might metastasize, which will cause a tumour to develop in your colon. This "post-fatal" stage is pretty much 100% sure to kill you. What OP was saying was that there are many markers before you reach this stage in pretty much every cancer.

    8. Re:Badly Oversold by Gilgaron · · Score: 1

      Thanks for the perspective! I was confused about how it would be useful if it only changed color with normal DNA. It seemed like that would require unusual preparation of the suspected cancer to ensure it was not contaminated with non-target DNA.

    9. Re:Badly Oversold by Applehu+Akbar · · Score: 1

      So what you meant was that only that small fraction of cancers is INITIALLY symptomatic at metastasis.

    10. Re:Badly Oversold by Artagel · · Score: 1

      I am so glad for your post. I had taken time to look at the publication, and though I am not a researcher, it looked oversold. I also was taken aback when I saw it was with metastatic cancer because the holy grail is early detection, an area I have thought research for early detection has been horrifically underfunded for decades. We spend hundreds of billions on research and treatment of advanced cancers and hardly anything on developing early detection that would greatly reduce the risks to cancer sufferers and the cost of treatment.

    11. Re:Badly Oversold by Anonymous Coward · · Score: 0

      just curious, do you want to find a cure?

    12. Re:Badly Oversold by Anonymous Coward · · Score: 0

      I'm also confused how this is a useful test. If the color change happens in the presence of normal cells, isn't this really just a test to see if a sample contains normal cells? Because unless a sample is 100% cancer cells, it's going to change color.

    13. Re:Badly Oversold by Anonymous Coward · · Score: 0

      (Original AC)

      No, what I'm saying is that for most cancers, people will seek medical treatment for their symptoms at a stage much earlier than this test was evaluated. Phrased differently: they tested it on samples far more different from normal than those seem in routine clinical practice.

      That doesn't mean the test won't work on routine samples, but it is (very) likely to have reduced accuracy because the effect-sizes are different.

  13. MOD UP by SuperKendall · · Score: 1

    Too bad all of the best responses to this story are all AC, they should all be ranked higher.

    --
    "There is more worth loving than we have strength to love." - Brian Jay Stanley
    1. Re:MOD UP by SuperKendall · · Score: 0

      You're a known coward, I don't see how that's worth 2 points.

      It's because I use my Powers Of Cower for good, not ill.

      Instead of me Cowering, it is those who stand for the Darkness who tremble before me! Such are the strengths of their rage-spasms they cannot even manage a login, much less a coherent counter-thought beam!

      You may shine as a Being, or devour your own soul with hate until naught is left but bitter dark husk. It is up to you - but truly there *is* more worth loving than we have strength to love, so all who seek the light are welcome, no matter how far they have fallen beforehand. Know that I sit here smiling with welcome gaze at all those below, merely waiting for you to begin the climb so that I may assist.

      Come friend, begin the True Journey.

      --
      "There is more worth loving than we have strength to love." - Brian Jay Stanley
    2. Re:MOD UP by Anonymous Coward · · Score: 0

      That was pretty good!

    3. Re:MOD UP by Antique+Geekmeister · · Score: 1

      There is a serious risk of "astroturfing" both for or against, a testing tool that costs $700 and competes for medical funding with other expensive tools.

    4. Re:MOD UP by SuperKendall · · Score: 1

      True, take that post with a grain of salt, but it sure beats the random trolling! At least interesting to hear a possible perspective of the other side of he coin.

      --
      "There is more worth loving than we have strength to love." - Brian Jay Stanley
    5. Re:MOD UP by SuperKendall · · Score: 1

      I shall name you Yin!

      --
      "There is more worth loving than we have strength to love." - Brian Jay Stanley
  14. Sounds a lot like Theranos all over again by Anonymous Coward · · Score: 1

    hey investors wanna loose another billion? Go for it.

  15. Re:A few questions popped into my head... by dcw3 · · Score: 1, Offtopic

    Because he used a neural network

    --
    Just another day in Paradise
  16. Get tested b4 u are elible to be insuranced by Anonymous Coward · · Score: 0

    Whether or not the test gives a true diagnosis; whether or not the test gives a false positivie --- the end result gonna be that the insurance company gonna force us to run the 10-minute test before they sell us their insurance.

    In other words, more of our rights gonna be taken away !!

    1. Re:Get tested b4 u are elible to be insuranced by Anonymous Coward · · Score: 0

      What "right" do you suppose is going to be taken away by the insurance company properly assessing your risk to the pool before underwriting your policy?

  17. Hope this wasn't developed by by ayesnymous · · Score: 1

    Elizabeth Holmes.

  18. Re: A few questions popped into my head... by jd · · Score: 1

    That may account for the 10% false reading.

    Although the obvious solution - pun possibly intended - would involve the peptides used to duplicate dna in dna testing.

    The ratios aught to remain the same.

    --
    It's a small world and it smells funny; I'd buy another if it wasn't for the money; Take back what I paid (SoM)
  19. Cost??? by Anonymous Coward · · Score: 0

    I'm sure it's somewhere around $10k per litmus strip.

  20. Re:A few questions popped into my head... by 110010001000 · · Score: 1

    Damn. I learn so much on slashdot. Water really ISN'T blue? I just drank a glass of blue water this morning. I wonder what was in it?

  21. Pt's often get diagnosed after metastasis by Anonymous Coward · · Score: 0

    A good number of people are diagnosed with metastatic disease. I suspect the sensitivity and specificity on this test will make it not usefull.

  22. Headline starts with "Scientists": by Anonymous Coward · · Score: 0

    Nuff said.

    Seriously: who doesn't have the motivation or skills or intended audience to differentiate beyond "scientists" will not follow up with anything worth reading.

    1. Re: Headline starts with "Scientists": by Anonymous Coward · · Score: 0

      "Boffins", on the other hand...

  23. Concerned by DaMattster · · Score: 1

    Is this going to be another Theranos?

  24. Is there an IPO? by reanjr · · Score: 1

    Is there an IPO associated with this? Cause it sounds like there's an IPO associated with this...

  25. What about the specificity? by K.+S.+Van+Horn · · Score: 1

    They need to talk about the specificity, not the AUC for a sample that has more instances of cancer than not-cancer. If you use this to screen the general population, the vast majority of whom do not have cancer, the false positives will overwhelm the true positives unless the specificity is very high.

    1. Re:What about the specificity? by sonamchauhan · · Score: 1

      Don't let perfect get in the way of better

  26. Re:A few questions popped into my head... by Dunbal · · Score: 2

    Biopsy will always be the definitive test. You can see the cancer cells right there in front of you in the microscope. You can determine exactly which type and which stage, as well as appropriate treatments. However a cheap and effective screening test is more than welcome before you start taking a knife/needle to everyone. That way you can divide people into a group that needs further study and a group that doesn't need to be studied for almost no cost. You don't waste time and resources studying false positives (by other means) and hopefully no false negative slips through the cracks and gets sent home.

    --
    Seven puppies were harmed during the making of this post.
  27. Sounds difficult to read by Shaitan · · Score: 1

    Presumably there will always be healthy cells and therefore always some amount of bluing. If possible would you have wanted to leave the water clear for healthy cells and turn blue for malignant ones?

  28. Someone shoot this faggot by Anonymous Coward · · Score: 0

    Seriously Ken Doll needs to die.

    1. Re:Someone shoot this faggot by SuperKendall · · Score: 1

      And I shall name you Yang.

      --
      "There is more worth loving than we have strength to love." - Brian Jay Stanley
  29. The same "Dr. Luckyo" who lies about plastics? by Anonymous Coward · · Score: 0

    "Microplastics (referenced correctly by name in this one) are harmless. They are biologically inert and mechanically harmless. They're so small, they're able to travel through the cell walls, and as a result, have no meaningful mechanical impact as far as we know." -Luckyo https://slashdot.org/comments.pl?sid=12642660&cid=57354060

    When faggots like this lie about plastics, you know the same faggots are willing to lie about anything else. Get a rope, end shit lying pretend Dr. Luckyo faggot.

    Then tie the other end around lying INCEL Ken Doll's neck, throw both off a bridge on either side.

    Dishonest faggot problems solved 2 at a time, boom.

  30. Re:A few questions popped into my head... by dfghjk · · Score: 1

    For most people this would be the dumbest thing they ever said, but for SuperKendall it's a daily occurrence.

    What is color but a characteristic of appearance? What other means is there to influence color for anything that transparent to light? If blue is the resultant color of light passing through water, then what other color can water possibly be?

    It takes a special intellect to be wrong about so much while saying so little, and by special I mean short bus special.

  31. Thanks but you misread by SuperKendall · · Score: 1

    Hey I always appreciate corrections but you missed the larger meta-context around the post, as such you are not responding to the message I actually wrote.

    I mean even if you had just read the responses you would have seen my Scientific American link on why water appears blue and then you would have probably saved yourself a lot of bother by having an inkling my post was not as it seemed... You did at least save yourself from a witty riposte similar to my response to 10101010 (who similarly misunderstood), so thumbs up there for at least starting your misunderstanding from a better point.

    Thanks again though, I appreciate the support! All responses propel me onwards and upwards to ever greater Slashdot posting frequency!

    --
    "There is more worth loving than we have strength to love." - Brian Jay Stanley
  32. Re:A few questions popped into my head... by Anonymous Coward · · Score: 0

    I just drank a glass of blue water this morning. I wonder what was in it?

    You'll be fine as long as it doesn't turn yellow later. Otherwise, call your doctor.

  33. Re:A few questions popped into my head... by K.+S.+Kyosuke · · Score: 1

    I guess we found Neil deGrasse Tyson's alt account...

    --
    Ezekiel 23:20