Mutated Cells & Blood Cancer Development – Study Finds
Blood Cancer’s Hidden Impact: Even Small Numbers of Cancer Cells Cause Systemic Damage, Study Finds
Even low levels of cancerous cells can profoundly disrupt the body’s blood-producing system and bone health, according to a groundbreaking study published in the journal Blood from the American Society of Hematology. Researchers at Brown University have discovered that non-mutated, healthy blood-producing cells are significantly impacted by the presence of cancer cells, suggesting current treatment strategies for blood cancers may need to be re-evaluated.
The study, led by Patrycja Dubielecka, associate professor at the Warren Alpert Medical School of brown University and co-leader of the Cancer Biology Program at Brown’s Legorreta Cancer Center, revealed the extent to which mutated cancer cells alter both the blood-forming system and bone biology.
“We realized there would be some impact of introducing the cancer cells, but the extent of how profoundly both the blood-forming system and bone biology have changed was absolutely stunning to see,” said Dubielecka, who is also the director of translational hematology at Rhode Island Hospital.
Researchers, including lead author dennis Bonal, a postdoctoral fellow at Brown, developed a novel mouse model utilizing molecular tags to track both introduced cancer cells and the recipient cells within the body. This allowed them to observe the systemic effects of cancer progress over an extended period – eight months – mirroring the gradual onset of cancer in humans.
The team focused on cancer cells carrying a specific gene mutation,JAK2,and found a significant level of “molecular mimicry” occurring between the JAK2-mutated cancer cells and their healthy,non-mutated counterparts. This suggests the cancer cells are inducing changes at a molecular level in surrounding healthy cells.
These findings have significant implications for the treatment of blood cancers, especially those currently managed with a “watchful waiting” approach when detected early in younger patients. Currently, treatment often focuses on symptom management rather than aggressive eradication of the mutated cells.”Based on our findings, this strategy needs to be revised,” Dubielecka stated. “The moment that mutated blood cancer cells are detected in the system, the effort should really be directed toward shrinking the frequency of this clone that carries the mutation – because we know that over time this clone will induce significant damaging changes that will be challenging or even impossible to reverse.”
The study highlights the importance of understanding the impact of cancer cells on the surrounding microenvironment and the systemic consequences of even small numbers of mutated cells. Dubielecka’s team is now focusing on further investigating the molecular changes occurring within these bystander, non-mutated cells to identify potential strategies for reversing the damage and improving patient outcomes.
This research was funded by the National Cancer Institute (R01CA218079) and the National Institute of General Medicine (P20GM119943,P30GM145500).
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