我们在预防和治疗人类癌症方面还没有达到目标吗?

J. Trosko
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引用次数: 1

摘要

寻找“粪堆里的玫瑰”是未来癌症研究的正确策略吗?从有两种哲学方法来解决预防和治疗癌症的极端复杂问题的观点出发,即(a)收集大量观察结果的经验,无偏倚的方法,以期找到一种模式(即,当前使用的数据挖掘或计算生物学和“人工智能”)或(b)特定的假设-基于机械的,演绎法),似乎,虽然这两种方法都在使用,我们仍然没有取得“概念上的”突破。尽管今天每个人都认识到这个癌症问题需要一个真正的多学科方法,但它仍然必须基于一些生物学事实。由于已知的许多物理(辐射)、化学(天然毒素/合成毒物)和生物制剂(病毒、细菌、真菌)对人类致癌有一定影响的事实,这些因素与人类致癌的多阶段/多机制之间的联系只是部分已知[2,3]。然而,心理、社会、人类学、文化、经济、政治和生态科学的整合与进化和生物科学的联系很弱[4-7]。由于这篇文章是基于我有限的50年的经验,但在少数几个学科,作为一个“意见”作者,我觉得,虽然致癌的多学科领域还很不完整,但有足够坚实的科学信息可以提供一个新的方向。首先,我们知道有遗传、种族、发育、性别、环境、饮食、营养、免疫、行为、生态、文化和经济/政治因素影响癌症的进程。此外,我们知道癌症起源于单个细胞[8,9]。如今,有大量证据表明,器官特异性成体干细胞及其早期祖子细胞是最终成为“癌症干细胞”的靶细胞[10-12]。现在认为,这些“癌症干细胞”应该成为预防和治疗的目标[13,14]。此外,有充分的证据表明,营养和饮食对许多癌症的发病率有积极或消极的影响,特别是观察到热量限制、热量过剩以及由于人口和食物的散居而导致的饮食变化,特别是在第二次世界大战期间欧洲和日本的大量人口中[15,16]。这使得一些调查人员认为,怀孕的妇女,使深红出版社的翅膀研究意见
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Are We Still Missing the Target in Trying to Prevent and Treat Human Cancers?
Is searching for a “Rose in a Dung Heap” the correct strategy for future cancer research? Starting from the view point that there are two philosophical approaches to solve the extremely complex problem of preventing and treating cancers, namely (a) the empirical, unbiased approach of collecting large amount of observations in hopes of finding a pattern (i.e., current use of data mining or computational biology and “Artificial Intelligence ”) or (b) a specific hypothesis-mechanistically based, deductive approach), it seems, while both approaches are being used, we still have made no “conceptual” breakthrough. In spite everyone today recognizing that this cancer problem requires a true multi-disciplinary approach, it still must be based on some biological facts. With all the known facts about many physical (radiations), chemical (natural toxins/synthetic toxicants) and biologics (viruses, bacteria, fungi) having some influence on human carcinogenesis, the link to these factors is only somewhat known to be involved in the multi-stage/multi-mechanism of human carcinogenesis [2,3]. Yet, the integration of the psychological, social, anthropological, cultural, economic, political and ecological sciences has only been weakly linked to the evolutionary and biological sciences [4-7]. As this article is grounded in my limited 50 years of experience in but a few disciplines, as an “opinion” writer, I feel, while the multidisciplinary field of carcinogenesis is still very incomplete, there is sufficient solid scientific information that could supply a new direction. First, we know that there are genetic, racial, developmental, gender, environmental, dietary, nutritional, immunological, behavioral, ecological, cultural, and economic/political factors that influence the cancer process. In addition, we know that cancers have their origin in a single cell [ 8,9]. Today, there is a substantial evidence that the organ-specific adult stem cell and its early progenitor daughter are the target cells to become, in time, a “cancer stem cell” [10-12]. It is now thought that these “cancer stem cells” ought to be the target for both prevention and therapy [13,14]. Moreover, there is ample evidence of the power of nutrition and diets to influence, either positively or negatively, the frequency of many cancers, especially with the observations of caloric restricted, excess calories, and changes in diets due to diaspora of both peoples and foods, especially in large populations during the Second War in Europe and Japan [15,16]. This is now leading some investigators to view that pregnant women, exposed Crimson Publishers Wings to the Research Opinion
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