The
survival rate beyond two years for a patient with a glioblastoma is 30
percent because it is so difficult to treat. Even if a surgeon removes
most of the tumor, it's nearly impossible to get the invasive, cancerous
tendrils that spread deeper into the brain and inevitably the remnants
grow back.
The technique builds upon the newest version of the Nobel Prize-winning
technology from 2007, which allowed researchers to turn skin cells into
embryonic-like stem cells. Researchers hailed the possibilities for use
in regenerative medicine and drug screening. Now, researchers have found
a new use: killing brain cancer.
“Patients desperately need a better standard of care,” says a researcher.
The survival rate beyond two years for a patient with a glioblastoma is
30 percent because it is so difficult to treat. Even if a surgeon
removes most of the tumor, it’s nearly impossible to get the invasive,
cancerous tendrils that spread deeper into the brain and inevitably the
remnants grow back. Most patients die within a year and a half of their
diagnosis.
Researchers believe that developing a new personalized treatment for
glioblastoma that starts with a patient’s own skin cells could improve
those statistics, with a goal of getting rid of the cancerous tendrils,
effectively killing the glioblastoma.
For the new study, published in a journal ,
researchers reprogrammed skin cells known as fibroblasts—which produce
collagen and connective tissue—to become induced neural stem cells.
Working with mice, the team showed that these neural stem cells have an
innate ability to move throughout the brain and home in on and kill any
remaining cancer cells. The team also showed that the stem cells could
be engineered to produce a tumor-killing protein, adding another blow to
the cancer.
Depending on the type of tumor, the researchers increased survival time
of the mice by 160 to 220 percent. Next steps will focus on human stem
cells and testing more effective anti-cancer drugs that can be loaded
into the tumor-seeking neural stem cells.
“Our work represents the newest evolution of the stem-cell technology
that won said a researcher. “We wanted to find out
if these induced neural stem cells would home in on cancer cells and
whether they could be used to deliver a therapeutic agent. This is the
first time this direct reprogramming technology has been used to treat
cancer.”
The researchers are also currently improving the staying power of stem
cells within the surgical cavity. They discovered that the stem cells
needed a physical matrix to support and organize them, so they will hang
around long enough to seek out the cancerous tendrils.
“Without a structure like that, the stem cells wander off too quickly to
do any good,” says the scientist, who reported these findings.
For that study, researchers added stem cells to an FDA-approved fibrin
sealant commonly used as surgical glue. The physical matrix it creates
tripled the retention of stem cells in the surgical cavity, providing
further support for the applicability and strength of the technique.
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