Posts Tagged ‘Treatments’

Cancer Stem Cells | Conversant

Wednesday, June 23rd, 2010

With the amazing work being done by researchers and doctors around the world, there are a vast majority of ways to treat various cancers. A question that hasn’t been as easy to answer is why many of these same patients experience a relapse. Recent studies suggest the answer may lie with cancer stem cells. Cancer stem cells (CSCs) are cancerous cells that posses characteristics that are normally associated with normal stem cells. The most important characteristic these cells posses is the ability to give rise to every cell type found in a specific cancer sample. Because of this innate ability, these cells can produce tumors on the basis of two key characteristics observed in normal stem cells :

  • proliferation , the ability of the cells to replicate themselves many times
  • differentiation, the ability to form many different types of more specialized cells

Using traditional therapies to treat cancer tissue often results in relapse because of the manner in which the therapy targets the. Theoretically, these therapies typically target cells that are already differentiated which make up the bulk of the tumor, but cannot generate new cells. The CSCs left over could potentially give rise to a new tumor. The importance of these cancer stems cells in modern therapies cannot be underestimated because if current therapies do not destroy enough of the CSCs present, the tumor will reappear. The origin of these stem cells is still unknown and is a hot topic in ongoing research. Ongoing research with CSCs could contribute to further applications in the battle against cancer, including:

  • disease identification
  • selective drug targeting
  • prevention of metastasis/relapse
  • development of new therapeutic strategies.

If you have any further questions regarding CSCs, feel free to give us a call at (866)-838-2798.

HER2 / Neu and Breast Cancer | Refractory Cancer | Conversant

Monday, August 24th, 2009

Can you collect clinical specimens from Herceptin non-responders?  That’s a question we get often.  Let me give you a little background then address that question directly…

Breast cancer – including ductal carcinoma in situ, invasive/infiltrating ductal, and invasive/infiltrating lobular – is a common diagnosis at Conversant’s clinical cancer Sites (a “Site” to us is any place where we consent patients and collect samples ie. a hospital, clinic, or physician practice).  For example, in 2008 our Sites saw over 275 newly diagnosed breast cancer patients, 25 (or 9%) of which were pre-chemotherapy Stage IV Breast Cancer patients.

9% Stage IV disease is a significant improvement versus previous years.  That points to a successful, new, aggressive push for screening plus some major advances in diagnostic technology.

Improved diagnosis is one part; the other part is improved treatment.  That’s why I’m posting this blog…

Treatment Options
Everyone who has been around the cancer research world for any period of time has heard about HER2/Neu (also known as ErbB-2, ERBB2) which stands for “Human Epidermal Growth Factor Receptor 2″; a protein giving higher aggressiveness in breast cancers.

We also know Trastuzumab (“Herceptin”) – developed by Genentech and FDA approved in 1998 – is a monoclonal antibody that interferes with the HER2/neu receptor and reverses the effects of an overactive HER2 receptor.  In order to be used, physicians will score breast cancer tissue with IHC and FISH… scores of 0 and 1+ are negative (don’t treat), scores of 3+ are positive (treat).

Studies conducted by academia and industry both show that approximately 25% of breast cancer patients have tumors that are HER2+.  Herceptin is a highly effective treatment for many of these patients.

What About Herceptin “Non-Responders”
Because the fight for better therapies in breast cancer is always ongoing, many researchers are focused on improving upon the currently available treatment options.  That’s where we can help.

Conversant collects clinical specimens from patients at initial diagnosis and follows them throughout their treatment course.  Using the Herceptin non-responders example, we can (and do) collect clinical specimens (like PBMC, Serum, Whole Blood, and even Circulating Tumor Cells) from these patients… enabling our research clients to study refractory or n0n-responder patient population.

There’s a whole lot more to it and – if you are interested – I would love to talk with you.  Give us a call anytime at (866) 838-2798.

More next week…