Cancer's Origin Story Features Predictable Plot Line

Cancer cells-to-be accumulate a series of specific genetic changes in a predictable and sequential way years before they are identifiable as pre-malignancies, researchers at Stanford Medicine have found. Stanford Medicine blog: Many of these changes affect pathways that control cell division, structure and internal messaging -- leaving the cells poised to go bad long before any visible signs or symptoms occur. The study is the first to exhaustively observe the natural evolution of the earliest stages of human cancers, starting with cells that have a single cancer-priming mutation and culminating with a panel of descendants harboring a galaxy of genetic abnormalities. Identifying the first steps associated with future cancer development could not only facilitate earlier-than-ever diagnosis -- when a deadly outcome is but a twinkle in a rogue cell's eye -- but may also highlight novel interventions that could stop the disease in its tracks, the researchers say. "Ideally, we would find ways to intercept this progression before the cells become truly cancerous," said Christina Curtis, PhD, professor of medicine, of genetics and of biomedical data science. "Can we identify a minimal constellation of genetic alterations that imply the cell will progress? And, if so, can we intervene? The striking reproducibility in the genetic changes we observed from multiple donors suggests it's possible."

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