Your Lifestyle, Your Genes and Cancer

 

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While we don't really understand yet why obesity fosters cancer, cancer promoters could play a role. Obesity leads to high levels of insulin-like growth factor (IGF-1) in the circulation: theoretically, this could protect early-stage cancer cells scattered throughout the body from dying, since insulin-like growth factor inhibits the action of cell suicide genes. Inflammation also may explain the link between obesity and cancer. Inflammation is a normal body process designed to rid a tissue of infection and to heal it following injury. Cells of the immune system orchestrate inflammation, and some of the weapons they deploy are chemical signals called cytokines. Often, inflammation is brief. If your skin is cut, or develops a bacterial infection, inflammation aids in repairing the wound or eliminating the bacteria. Having done its job, inflammation then subsides.

However, if you have a condition that inflammation cannot rapidly heal, then the inflammation becomes protracted, chronic. The injured tissue is constantly bathed in growth-promoting cytokines that tell stem cells in the tissue to begin multiplying, in order to replace the cells that have been injured and destroyed. If any of these stem cells already have acquired mutations that make them precancerous, cytokines that encourage those cells to multiply can increase the risk that a tumor will start. For example, stomach tissue that can turn cancerous when it is chronically inflamed in response to the bacteria that cause many stomach ulcers. The same thing happens to the lining of gallbladders after years of irritation from gallstones, or to the liver after years of infection with hepatitis viruses.

What does inflammation have to do with obesity? Fat cells release inflammatory chemicals into the circulation that can stimulate the growth of cancer cells. The more overweight we are, the greater the level of inflammatory signals. It is possible that these cytokines act as cancer promoters, but much more research is needed to determine whether that is true.

Regular moderate exercise lowers the levels of both IGF-1 and cytokines in our blood, and it does so even if the exercise does not lead to a healthy weight. It is possible that the lowered levels of these cancer promoters are one explanation for the protective effect of regular exercise. Blood-estrogen levels are lowered by regular exercise in women, and this may be another way that regular exercise protects against getting breast cancer.

Our growing understanding of cancer genes, and how they are influenced by cancer-promoting chemical signals, already has led to important new diagnostic tests and powerful new treatments, and will likely lead to even more important advances in the future. But epidemiological studies of lifestyle and cancer have given us the power, today, to reduce our risk of cancer. While it isn't easy to make changes in lifestyle, it can happen. There are many fewer people using tobacco in the United States today than two generations ago, when the risks of tobacco were first revealed. It may take another two generations to further reduce tobacco use, and to improve our diets, weight and exercise patterns, but it can happen. If it does, our grandchildren are likely to look back at our generation, scratch their heads and wonder why it took so long for us to escape the disease that many of us feared the most, by simple changes in the way we led our lives.

Weinberg is Daniel K. Ludwig Professor for Cancer Research and American Cancer Society Research Professor at MIT, and a Member of the Whitehead Institute. His laboratory discovered the first human oncogene and the first tumor-suppressor gene. He is the author of "One Renegade Cell: The Quest for the Origin of Cancer," published by Basic Books, 1999. Komaroff is professor of medicine at Harvard Medical School and editor in chief of the Harvard Health Letter. For more information on lifestyle and cancer, go to health.harvard.edu/newsweek.

© 2008

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  • Posted By: JayDub @ 08/05/2008 11:36:48 PM

    Look at this logically. First, my wife, father, uncle, grandmother, grandfather and several cousins had forms of cancer. Some of them lead "clean" lives. Some didn't, and the source of cancer was clear; my father smoked a lot and got lung cancer. I've had to do a lot of research, and have had many conversations with doctors and specialists. But, I am not an "expert".
    However, a few things are undeniably clear. First, we live in a kind of toxic soup; an environment and set of influences we've never historically experienced before. The air, soil, food sources, fertilizers, medications and the science of growing food are all different. And so is the way we process our food. Mix that with genetic tendencies and we have a complex set of interrelated circumstances in which cancer can better find fuel.
    The quote in the article "...just beginning to understand how diet, a healthy body weight and regular exercise can protect us against cancer" is shocking. Don't these things make sense for our general well-being, regardless of cancer? Haven't they always contributed to quality of life, regardless of age or location?
    My wife is completing her radiation for cancer and is doing, thankfully, quite well. What we experienced consistently, though, is an institutional ignorance of how these true fundamentals ??? diet, weight, exercise ??? can affect acquiring, and banishing, the disease. Even the "nutritionists" they sent in were clueless.
    No, you don't have to stop eating red meat or sugar, but you DO have to moderate intake of many foods (like red meat once a month), and approach things like sugar and salt with informed trepidation. Think about it: sugar ain't what it used to be, nor is salt. Salt once had myriad minerals intact, nearly all of which were beneficial to health. Not today! Same with sugar, same with corporately-grown vegetables. Sugar is refined out of benefit then used in nearly everything packaged or cooked. And, the soil is so overworked there???s nothing good left in it.
    So, here's the case for naturally-raised and organic food, animal or plant, as expensive as they are: Heart attacks and cancer cost more than organic food. Do any of you out there - including you research doctors - really know how trace pesticides and engineered DNA play against trace medications in our water, air pollution and the lack of daily nutrition? Of course not. But, doesn't approaching this problem this way simply make sense? If it walks and quacks???
    The facts are we all have certain genetic tendencies, and we are not breathing, eating and medicating the way we once did (and for millions of years before this). The interplay is deadly.
    Be very picky about what you eat. Read every label. Call the numbers on the packaging. It's your body, it's your life. Trust me and the thousands of people and families who???ve been through cancer. You're not doing yourself ??? or society ??? a favor by having that "occasional" Big Mac

  • Posted By: Nins @ 07/07/2008 12:02:48 AM

    Did you know that if McCain is elected you will have to pay income tax on the value of the medical insurance that your employer gives you? Worse still, he is offering a tax break for people who pay their own insurance, BUT only $2,500 for individuals and $5,000 for families.

    Let's say you have a family of four. Your insurance policy costs would be at least $1,500-2,500 per month under a self-pay plan, which cost more than employer group plans. So, you pay $18,000 -$30,000 per year for insurance, and you get to deduct only $5,000 of that. If you paid $25,000 for you insurance, you would be out of pocket $20,000 per year. This is FAR WORSE than the current system, where if you are self employed you can deduct 100% of you medical insurance costs.

    So, if you're not self employed, you would stick with your Employer's plan. Employer plans for a family of four have a value of $900-$1,500 per month totaling 10,800-$18,000 per year. Surprise! On April 15th, you owe tax on all of that as INCOME to you. Say your bracket is 25%, and the value of your Employer medical plan is $14,000. You will OWE THE IRS an additional $3,500, and that's ON TOP of whatever monthly premium you already pay to your employer for your insurance.

    Many analysts say that McCain's new rules would encourage employers to stop offering health benefits. If that happened, then far fewer Americans would be insured than are insured today, because what family of four can afford $18,000-$30,000 out of pocket per year for self-pay health insurance?

    Furthermore, McCain's plan does not require insurance companies to cover pre-existing conditions of people who self-pay their insurance. People under employer group plans have all of their pre-existing conditions covered. This is a hugely unfair aspect of the current system. Insurance companies can afford to cover the pre-existing conditions of the much larger pool of people with group insurance, but they refuse to pay the pre-existing conditions on the smaller pool of self-pay customers. They have been allowed to price gouge the self-pay customers, which is a form of market manipulation that should be illegal.

    So let's say one of your kids had diabetes and you have high blood pressure, then your employer stops offering insurance. You now have to buy your own, but you and your child are INELIGIBLE due to pre-existing conditions. Oh, yeah, they will let you buy the insurance, but you can't use it for any pre-existing condition until you have paid on time every month for two years. And you know what happens at one year and 11 months? You get a letter saying your policy has been cancelled. I have many patients this has happened to.

    McCain's plan SUCKS.

    It does nothing to help middle class working Americans afford or obtain medical insurance. In fact, it makes the current system WORSE.

  • Posted By: Tan Boon Tee @ 06/27/2008 2:43:01 AM

    In 1993, I suffered from nose cancer. Fortunately it was diagnosed early enough before it spread to the brain and other parts of the body. After going through a week of chemotherapy and seven weeks of radiotherapy, I recovered.

    The cause of cancer has always been attributed to a person???s food intake, tobacco consumption, life style, physical constitution and genetic mutation. The various combinations of these factors generate different forms of cancer.
    It was believed that my nose cancer was partly due to the excessive amount of salted fish I had in my younger years, and Chinese are said to be more prone to have this kind of cancer compared with other races.

    With the advancement of medicine and biotechnology, chances of surviving this life-threatening malignancy are growing. I pray that it will be curable in the not so distant future.

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Your Lifestyle, Your Genes, And Cancer

New research explores the complex interactions that cause our most dreaded disease. A look into some of the steps you can take to reduce your risk.