Ear­ly re­search sug­gests ex­ist­ing drugs could stran­gle build­ing blocks of metas­ta­sis

Metasta­t­ic dis­ease is over­whelm­ing­ly re­spon­si­ble for can­cer-re­lat­ed deaths, ac­count­ing for 90% of fa­tal­i­ties. Us­ing ex­ist­ing drugs, re­searchers at the Uni­ver­si­ty of Basel may have found a strat­e­gy that sti­fles the spread of ma­lig­nant cir­cu­lat­ing tu­mour cells (CTCs), the har­bin­gers of the spread of can­cer.

In the mid 19th cen­tu­ry Aus­tralian pathol­o­gist Thomas Ash­worth hy­poth­e­sized that CTCs — can­cer­ous cells that break away from a pri­ma­ry tu­mor and en­ter the blood­stream — were a fun­da­men­tal pre­req­ui­site to metas­ta­sis. But iso­lat­ing them was a big chal­lenge, akin to the prover­bial nee­dle in a haystack as they are ex­treme­ly rare, even in pa­tients with ad­vanced metasta­t­ic can­cers (es­ti­mat­ed at one CTC/bil­lion nor­mal blood cells), al­though re­cent tech­no­log­i­cal ad­vances have al­lowed for their de­tec­tion, the Basel-based re­searchers not­ed in the jour­nal Cell.

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