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Thursday, May-11-17 Mattias Henders Cancer “Approximately 40.4 percent of men and women will be diagnosed with cancer at some point during their lifetime.” (National Cancer Institute, 2011) Cancer is one of the top killers of all humans, along with other killers such as HIV/AIDS and heart disease. Being one of the top killers of humans makes this a huge concern for the population. This has led many people to join the fight to treat cancer, so we have to know what treatments are there for cancer and what treatments are in development. Before we can find out what treatments are available for cancer, we must define what cancer is. “Cancer is a term used for diseases in which abnormal cells divide without control and are able to invade other tissues. Cancer cells can spread to other parts of the body through the blood and lymph systems.” (National Cancer Institute, 2010) When this uncontrolled cell replicating happens it can cause tumors in the body. These cancers are all categorized by where the original cancerous cells are found. For example if you get cancer in your lungs you would have lung cancer or bronchial cancer. These cancers can be painful and sometimes deadly, but the question needs to be asked from a biological perspective of how cancer actually works and what causes cancer. Cancers can also be classified according to grade. The abnormality of the cells with respect to surrounding normal tissues determines the grade of the cancer. Increasing abnormality increases the grade, from 1–4. Cells that are well differentiated closely resemble normal specialized cells and belong to low grade tumors. Cells that are undifferentiated are highly abnormal with respect to surrounding tissues. These are high grade tumors. 1 Thursday, May-11-17 Mattias Henders Grade 1 – well differentiated cells with slight abnormality Grade 2 – cells are moderately differentiated and slightly more abnormal Grade 3 – cells are poorly differentiated and very abnormal Grade 4 – cells are immature and primitive and undifferentiated (Scale from National Cancer Institute.) Cancer is not like a disease you would think of. It is not a little parasite or a germ that causes tumors. It is your own cells that start multiplying uncontrollably. This is a mutation in the cell that causes this multiplying to happen. When the cell divides uncontrollably, they can cause tumors. These cancers can get very deadly and hard to treat if they enter the blood stream, because a bad cell Cancer cells. that could have been removed from your left arm and could now be in 7 other places in your body. What many scientists are also trying to find out is how cancer is caused. Studies from all around the world have said that there are many biological things or things in our environment that can cause cancer. Many of these include, but are not limited to, unhealthy eating, smoking, and lack of enough exercise. All of these explanations are true, but while many factors can cause cancer, about 2/3 of cancers are actually just random. These random cancers are just mutations in our DNA that occur naturally when cell replication happens. “Although unhealthy lifestyle choices, such as smoking, are a contributing factor, the researchers concluded that the "bad luck" of random mutations plays a key role in the development of many forms of cancer.” (Dallas, Random Mutations Responsible for Most Cancer Risk, 2015) 2 Thursday, May-11-17 Mattias Henders However, there are other causes to cancer that are not random can be avoidable. Some of these causes are smoking, which increases the chance of lung cancer; exposure to UV radiation from the sun, which increases the risk of skin cancer. Some cancers are not at risk because of environmental factors. Higher chances of getting cancer can also be passed on genetically. Many of these cancers have a higher risk for women. “Between 45 and 90 women out of 100 (45 to 90%) with a faulty BRCA1 or BRCA2 gene develop breast cancer during their lifetime. Faulty BRCA1 and 2 genes are rare. But they can also increase the risk of other cancers such as ovarian cancer, pancreatic and prostate cancer.” (Research into inherited cancer genes, Cancer Research UK, 2013) Once scientists have an understanding of what cancer is biologically, how mutations occur, and what factor can cause these mutations, then we can look to works finding treatments to cure cancer. To do so we must look at what cures we have today and what these cures are chemically composed of. The most common cure for cancer that we have today is chemotherapy. “Chemotherapy is the use of drugs to kill cancer cells. However, when most people use the word chemotherapy they are referring specifically to drug treatments for cancer that destroy cancer cells by stopping their ability to grow and divide.” (Cancer.Net, 2014) Chemotherapy in progress. Chemotherapy can be introduced to the body via, injection, consumption, or even some creams that get the drugs into the body through the pores in the skin. There is a rainbow of variety when it comes to chemotherapy treatments. Alkylating agents are the most common ones used. “Alkylating agents directly damage DNA to prevent the cancer cell from reproducing. As a class of drugs, these agents are not phase-specific; in other words, they work in all phases of the cell cycle. Alkylating agents are used to treat many different cancers, including leukemia, 3 Thursday, May-11-17 Mattias Henders lymphoma, Hodgkin disease, multiple myeloma, and sarcoma, as well as cancers of the lung, breast, and ovary.” (American Cancer Society, 2012) These types of treatments stop cancer by stopping DNA replication. Sometimes if a tumor forms before the cancer can be treated, medicines that attack the tumor will have to be used. The main anti-tumor medicine is Anthracyclines. “Anthracyclines are antitumor antibiotics that interfere with enzymes involved in DNA replication. These drugs work in all phases of the cell cycle. They are widely used for a variety of cancers. Arsphenamine compound. A major consideration when giving these drugs is that they can permanently damage the heart if given in high doses. For this reason, lifetime dose limits are often placed on these drugs.” (American Cancer Society.) These cures are very complex and have been worked on for decades. One of the most common compounds is arsphenamine. This is the first modern cure for common types of cancer. Its chemical formula is H6N2O2As2. What this cure does is that it stops cells from dividing. It then breaks down the cell so it can not cause tumors. However this treatment can cause pain because of the cells dying. This treatment is however, the better alternative than dying because of tumors growing in your body. However scary this treatment is patients just need emotional support from doctors, families, and society. This is how people can move forward together after recovering from cancer. Every person you see when you walk down the street will most likely know someone close to them that has/had cancer. In fact they might as well due to the fact that almost half of the people on earth will get cancer at some point in their life. Now cancer can be tough, it can tear families apart with loved ones being hospitalized or dying. It can put strain on people’s bodies when they go through chemotherapy. There is no cure for the emotions that families have to go through while dealing with 4 Thursday, May-11-17 Mattias Henders cancer. The only thing that can be done as a society is to offer our support, and not turn a blind eye to those affected by cancer. The worst thing that could happen would be to pish this matter under the rug, especially while so many scientists and doctors work for the cure for cancer. What you can do is simple, do a breast cancer run, it grows awareness and you get exersise, both fight cancer. You can also donate to the Canadian Cancer Foundation, as it goes to fund Run for Breast Cancer awareness cancer research. Even just talking to a cancer patient can help them emotionally; it shows that people care about them, and that they aren't becoming a forgotten part of society. While the fight to end cancer continues to this day, science keeps on making new discoveries that will lead us to a cancer free world. With cancer being such a serious killer of mankind the time is now to help stop this horrible disease that affects almost half of the world population. Searching for clues in the biology of our cells, or find the cures through advanced chemistry is how science can help us find out how cancer works, and how to stop it. With all of us together supporting foundations like The Canadian Cancer Society we can support the victims of cancer and the pain they have to go through. Cancer can be a disease only mentioned in history textbooks, with the power of science, and people coming together to support a cause that does affect us all. 5