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Is a Mesothelioma Vaccine on the Horizon?

Saturday, December 17th, 2011

The term, “cancer vaccine” may sound only remotely plausible, but it could, indeed, become a reality in the not-so-distant-future. In fact, such a vaccine may even show promise for being an effective treatment for mesothelioma, one of the most fatal cancers plagueing people today.

A cooperation between the Mayo Clinic and the University of Georgia is surprising scientists, doctors and patients around the world. An announcement has been made that the two co-researchers have developed a possible cancer vaccination that has been devestating cancer cell viability in lab mice – diminishing the deadly cells to on average, approximately 20 percent of their original size.

The vaccination identifies a special protein that is exclusive to abnormal cells, such as cancer cells. The protein, known as MUC1, is present in most cancers, including mesothelioma. The vaccination is unique, in that it trains the body’s own immune system to attack cancer cells that carry the MUC1 protein. That is significant, seeing as how usually, the body does not recognize cancer cells and instead allows them to grow uninhibited by the immune system.

Although the cancer vaccine tests on mice do not necessarily mean they will work on humans, the medical and scientific community has high hopes for the possible development of an immunization that could treat up to 70 percent of all cancers.

If the MUC1 cancer vaccination works and receives approval by the Food and Drug Administration, it could become a standard first-line defense against mesothelioma. That would be a miracle for the mesothelioma victim community, seeing as how the cancer is notorious for being unresponsive to traditional treatments. Furthermore, if the vaccine works as well in humans as it has proven to work in laboratory mice, it could mean a much longer life expectancy for mesothelioma victims, as well as other individuals suffering from various forms of cancer.

As of now, mesothelioma victims have limited options regarding treatments and therapies for their disease. Mesothelioma tumors typically have little response to conventional radiation, chemotherapy and drug treatments, often leaving patients with a bleak prognosis. An effective vaccination would be a welcome option for those battling against the cancer.


Mesothelioma drug in testing may benefit ovarian cancer patients

Wednesday, August 3rd, 2011

Biotechnology company, Bionomics, has been seeking opinions from US and Australian medical leaders on the use of their drug BNC105 for treatment of ovarian cancer. Already in testing for renal cancer and mesothelioma, BNC105 could benefit women suffering from the fifth largest killer in women’s cancers.

Discussions are under way in hopes of scheduling clinical testing next year. Chief Executive at Bionomics, Deborah Rathjen says, “It has always been Bionomics’ intention to initiate further clinical trials of BNC105. The decision to undertake a clinical trial in women with ovarian cancer has followed extensive consultation with key opinion leaders in Australia and the US.”

Where ovarian cancer is specific to women, mesothelioma has long since affected a majority male population. This is not due to specific organs mesothelioma effects, but to its cause, toxic asbestos, and the environments historically responsible for asbestos exposure.

Considered an ‘industrial disease,’ mesothelioma is associated with large-scale works such as shipbuilding, mining, and refineries. For the first sixty-plus years of asbestos use in the world’s leading industrial markets, these arenas were operated and manned almost totally by men. In the past several decades as working demographics have shifted drastically, female cases of mesothelioma have risen.

Malignant mesothelioma is characterized by a latency period ranging from twenty to fifty years. Patients usually have no idea they are developing the fatal cancer until symptoms begin to show at the end of this latency period. For many, time or place of original asbestos exposure is a mystery, if they even know they were exposed at all.

As health and safety regulations began to change to match the growing information about the dangers of asbestos, employers had to follow through with employee education, awareness and safety precautions. Sadly, many did not, either out of ignorance or intentional negligence; many employers allowed their workers to continue working in environments made hazardous by asbestos. Because of this, to date, over six hundred thousand lawsuits have been filed related to asbestos; most by employees suffering with mesothelioma or another asbestos related disease, against their current or former employer.

Bionomics cancer drug could become a valuable addition to mesothelioma treatment options. There is currently no known cure for mesothelioma. Most treatments are administered as palliative care in an effort to extend patient life expectancy, which averages just eighteen months following diagnosis, and raise quality of life. Current treatment options include surgery, chemotherapy and radiation therapy.


Possible addition to palliative mesothelioma treatment

Wednesday, July 27th, 2011

A recent study available in journal Lancet Oncology tested the effects of dignity therapy on patients with fatal or life threatening diseases.  Dignity therapy, as stated in the study article is “a unique, individualised, short-term psychotherapy that was developed for patients (and their families) living with life-threatening or life-limiting illness.” If proved helpful, dignity therapy could be a welcome addition to mesothelioma treatment.

Mesothelioma affects about three thousand Americans, and an estimated twenty thousand people worldwide, each year. Estimated numbers are considered low for developing countries as many cases go unrecognized or unrecorded. Mesothelioma treatments include surgery, chemotherapy and radiation therapy in countries where facilities and providers of such are available. There is no known cure for mesothelioma.

Mesothelioma is caused by exposure to toxic chemical asbestos. Asbestos is a naturally occurring chemical that can be mined from the earth. Gaining popularity in the early nineteen hundreds, asbestos became know for its fire resistance, durability and stabilizing qualities. Products and processes that required these characteristics quickly began using large amounts of asbestos. Most common in industrial and manufacturing arenas, asbestos was also used to produce countless construction and household items that are still present in homes today.

Although relatively safe when contained, if asbestos fibers are released into the air, a dangerous health threat ensues. Asbestos fibers are often released through years of product wear and tear or by sudden demolition, either planned or accidental.

Once fibers are inhaled asbestos can begin a mutative process in otherwise healthy tissues. Malignant mesothelioma development results, spreading tumors through protective organ lining. Mesothelioma is most often found in lung lining, but can affect lining of other abdominal cavities of such organs as the heart or diaphragm.

The dignity therapy study included one hundred sixty five participants who were chosen at random in Canada, Australia and US. Although no major medical differences were seen in patients who received dignity therapy, there were reports of enhanced spiritual well being as well as lessening sadness in patient that received dignity therapy.

Study authors write, “Although the ability of dignity therapy to mitigate outright distress, such as depression, desire for death or suicidality, has yet to be proven, its benefits in terms of self-reported end-of-life experiences support its clinical application for patients nearing death.”

Mesothelioma is considered a fatal cancer with life expectancies ranging from just six months to two years following diagnosis. With such a grim prognosis, even the non-medical benefits of dignity therapy could provide much needed comfort for mesothelioma patients and their loved ones.


Mesothelioma patients may benefit from Pfizer’s new cancer treatment

Tuesday, June 28th, 2011

The beginning of this month saw Pfizer introduce a new cancer treatment to the medical community. From June 4th through June 8th, the Annual Society of Clinical Oncology met in Chicago Illinois, where the pharmaceutical giant presented its new drug. Specific to non-small cell lung cancers (NSCLC)—comprising less than 5% of all cancer cases—crizotinib targets a genetic marker anaplastic lymphoma kinase (ALK), which may also be present in pleural mesothelioma tumor cells.

Pleural mesothelioma is one of two known types of the rare cancer. Affecting lung lining, pleural mesothelioma makes up about 80% of all mesothelioma cases. The other 20% affects linings of other abdominal organs and is called peritoneal mesothelioma. Both types are considered fatal and without cure.

Asbestos fibers cause malignant mesothelioma through inhalation or ingestion. Fibers become lodged in lung lining and begin a mutative process of healthy cells. This process turns into tumor development and lasts for twenty to fifty years. Most mesothelioma patients have no idea they were ever exposed to toxic asbestos and therefore have no idea they are developing the deadly cancer.

Characterized by such a long latency period, mesothelioma is extremely difficult to diagnose. Once symptoms begin to show mesothelioma is in its final and most aggressive stage; following diagnosis life expectancy averages just eighteen months. Although mesothelioma treatments exist, many patients choose palliative care rather than cancer-direct treatments. Surgery, chemotherapy and radiation therapy—standards in mesothelioma treatment—can be quite taxing on patients already struggling with the effects of the disease. Providers often choose to focus on pain management, raising quality of life, and extending life expectancy, rather that picking a battle with fatal mesothelioma.

Crizotinib showed promise in clinical testing by greatly increasing life expectancy in patients with advanced cases of NSCLC. Standard life expectancy for NSCLC cases peaks at 2 years; at which point only 20% of patients are alive. With crizotinib, 74% of patients tested were alive after one year, and 54% were alive after two—this is a great step in extending patient life expectancy in an arena of such characteristically low mortality rates.

New treatments are a welcome development in a world witnessing rising mesothelioma cases. Asbestos continues to be used globally and more so in developing countries where safety precautions are minimal, if existent, and health hazards go unchecked. Experts expect to see a rise in worldwide mesothelioma cases unless asbestos use is stopped immediately. Sadly, many struggling economies are dependant upon export or import of the toxic material keeping an end to asbestos use out of sight.


“Cornell dots” are a beacon of light for early detection of mesothelioma

Tuesday, June 21st, 2011

A recent article in Journal of Clinical Investigation, co-authored by Hooisweng Ow, details the findings and benefits of “Cornell dots,” a new diagnostic tool developed by Ow and Ulrich Wiesner, Cornell Professor of Materials Science and Engineering. Developed in 2005, “Cornell dots” act as light beacons in the search for cancer cells and tumors. This technology is specifically beneficial in diagnosis and treatment of small-tumor cancers such as mesothelioma.

Malignant mesothelioma is a cancer affecting protective lining of abdominal organs, the membranous, mesothelium. Unlike many other deep tissue cancer tumors, mesothelioma tumors are wider than they are deep, spreading through the thin mesothelium.

Mesothelioma is characterized by a long latency period, typically spanning several decades. During this latency period mesothelioma does not demonstrate symptoms. Unless the patient knows to look for the rare cancer, there would be no signs that anything was amiss until twenty to fifty years after development begin. Due to the long latency period and small, wide characteristics of mesothelioma tumors, mesothelioma poses quite a diagnostic challenge.

Mesothelioma is caused by asbestos fibers, which can be inhaled or ingested into the body. These fibers begin a mutative process of cancer development.

Products similar to “Cornell dots” have been developed, but none approved by Food and Drug Administration until now. Make-up of “Cornell dots” have made them just right for entry into the body—they are not considered intruder cells—and for detection by positron emission tomography (PET) imaging. Once “Cornell dots” have attached themselves to cancer cells, their particular qualities glow in response to specific light sources, guiding providers to cancer cells and tumors.

According to the researchers, this new technology “enables visualization during surgical treatment, showing invasive or metastatic spread to lymph nodes and distant organs, and can show the extent of treatment response.”

Currently, an estimated twenty thousand people suffer from mesothelioma worldwide; this number is expected to grow as asbestos use continues to go unregulated in many developing countries. With a rise in cases, new diagnostic tools aiding in early cancer detection could break the fatal record associated with mesothelioma.


 
 
 
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