Guest guest Posted August 3, 2003 Report Share Posted August 3, 2003 Sat, 2 Aug 2003 21:28:12 -0400 (EDT) THE MOSS REPORTS Newsletter (08/02/03) ---------------------- Ralph W. Moss, Ph.D. Weekly CancerDecisions.com Newsletter #93 08/02/03 ---------------------- Moss Reports " , please call Anne or Diane at 1-800-980-1234 (or, if calling from outside the US, 814-238-3367). We look forward to helping you. DECLINE AND FALL OF THE " STANDARD DOGMA, " PART TWO How is it that the " standard dogma " of cancer's causation has run into a brick wall? One reason is that conclusions drawn from the study of laboratory rodents, or from long-term cell cultures, were not confirmed when the study progressed to real live cells taken directly from cancer patients. I am glad to see this fundamental truth now being recognized in an important article by Scientific American's senior writer W. Wayt Gibbs, entitled " Untangling the Roots of Cancer " (July 2003). However, I feel tremendous regret (and anger) when I think that this was exactly the point of Gerald B. Dermer's 1994 book, " The Immortal Cell, " subtitled " Why Cancer Research Fails " . Dermer wrote: " If we ever hope to win this war [on cancer, ed.] and make truly significant inroads against the modern scourge of cancer, the establishment must be willing to acknowledge its mistakes. Researchers must turn away from Petri dish 'cancer' to the realities of human cancer. " Dermer's no-holds-barred book was almost entirely ignored by the orthodox scientific community. The establishment now acts as if it has discovered this startling truth about cell line research for the first time! Here's yet another example of William James' famous dictum, " First, a new theory is attacked as absurd; then it is admitted to be true, but obvious and insignificant; finally it is seen to be so important that its adversaries claim that they themselves discovered it. " Establishment scientists are now casting around for an alternative explanation for cancer. Gibbs offers a two-page chart in the Scientific American article (pp. 62-63) that attempts to make sense of their latest efforts. It is rough going. Among others, there are now the " Modified Dogma " , the " Early Instability " theory, and the " All-Aneuploidy " proposal. Limitations of space prevent me from attempting a full critique here of all the theories currently in circulation, but what is now called the All-Aneuploidy theory deserves attention. This theory was originally proposed almost 100 years ago by the German biologist, Theodor Boveri (1862-1915). Boveri, a Wuerzberg biologist, co-discovered the role of chromosomes in inheritance. Boveri could see clearly that the chromosomes in cancer were broken, scattered and misshapen. The more malignant the tumor, the more disrupted the chromosomes appeared to be. Could this chromosomal disruption actually be the cause of cancer rather than just an incidental and inconsequential effect of the disease? He also postulated that cancer was caused by the massive instability of the chromosomes inside a tumor. If true, then both the diagnosis and the search for effective treatments could be enormously simplified. Boveri's idea faded from sight, especially once the oncogene theory took hold, but it was revived in 1999 by University of California biologist Peter Duesberg and his colleagues, who are quoted favorably in Scientific American. This is as it should be: the theory is very attractive in its simplicity and deserves both serious attention and funding. It is heartening, also, to see a favorable, albeit brief, discussion of the work of Muhammad Al-Hajj, Michael Clarke and others at the University of Michigan, Ann Arbor, on their discovery of malignant stem cells within tumors. As readers of this newsletter know, these investigators have shown that less than 1 percent of cells in a tumor can actually cause a metastatic cancer. I have explained elsewhere the link between their work on stem cells and the old idea that cancer is a kind of " aberrant pregnancy " , caused by cells that behave like trophoblasts (trophoblasts are the crucial cell line in early pregnancy) appearing at the wrong time and place. I have a feeling that although the standard dogma was already tottering, it was this startling work at the University of Michigan that really pushed it over the edge. Click here or go to the following website for my earlier article on the Ann Arbor work: http://www.cancerdecisions.com/042603_page.html Scientists are now trying to find their bearings by identifying the " six diabolical superpowers of cancer. " These are (1) growth even in the absence of normal " go " signals; (2) growth despite " stop " commands issued by neighboring cells; (3) evasion of built-in autodestruct mechanisms; (4) ability to stimulate new blood vessel growth; (5) effective immortality; and (6) power to invade other tissues and spread to other organs. The problem here is that of these six superpowers, the first five are traits that cancer shares with benign tumors. So in themselves they cannot be cancer's superpowers at all. What makes a tumor truly malignant and dangerous is that sixth power, the ability to be invasive, corrosive and metastatic. The other five superpowers are less dangerous and can usually be dealt with by a skillful surgeon. But it is the metastatic ability of cancer that kills most patients. The aforementioned Ann Arbor scientists have shown that very few cells in a malignant tumor actually possess this metastatic potential. The tiny minority of truly malignant cells turns out to be not mutated somatic cells (as has been claimed for many years) but instead a kind of stem cell. These unusual cells share surface markers with trophoblastic cells; in fact, some people speculate that they are indeed trophoblasts. The trophoblastic cell is the only normal, non-malignant mammalian cell that shares cancer's capacity to ferociously invade and disrupt normal tissues. The trophoblast does so in a " good cause, " to establish a beachhead in the uterus for the budding embryo and thereby make fetal development possible. It is here, I believe, that scientists should focus their attention when seeking a normal corollary to the supposedly " diabolical " process of cancer. Cancer did not drop from outer space. It is an intrinsic perversion of the life force. As the controversial proponent of this point of view, Ernst Krebs, Jr., used to say, " cancer is trophoblast in spatial and temporal anomaly, hybridized with, and vascularized by, hostal or somatic cells and in irreversible and fiercely malignant antithesis to such " (Townsend Letter for Doctors, Feb.-March, 1993, p. 175). Click or go here for two earlier articles I wrote on this topic: http://www.ralphmoss.com/html/troph.shtml http://www.ralphmoss.com/html/cach377.shtml The demise of the standard dogma may usher in a fruitful period in which new hypotheses, such as the All-Aneuploidy theory or a revived form of the trophoblast thesis, may finally have a chance to gain acceptance. People of action often have little patience with theorizing. But theories provide an important road map to future treatments. A theory determines where in the wide world you should begin your search for a cure. The current generation of anticancer agents is the product of the now-discredited standard dogma of carcinogenesis. Many of these drugs were designed to attack some alleged oncogene or to stimulate some putative tumor suppressor gene. The failure of the standard dogma now exposes why so few of these drugs have a demonstrably beneficial effect on patients' survival. I for one won't mourn the decline and fall of the standard dogma. One door closes, and another one opens…sometimes to even greater opportunities. --Ralph W. Moss, PhD ======================= Gibbs article: http://www.sciam.com/article.cfm?articleID=000C24C1-2210-1EDD-8E1C809EC588EF21 --------------- IMPORTANT DISCLAIMER The news and other items in this newsletter are intended for informational purposes only. 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