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June 28, 2006
A Step Toward Tailored Cancer Treatment
A cancer research team in Boston has demonstrated a technique for isolating mutations in tumors, which can lead to more personalized treatments for cancer:
. . . a team from MIT, Harvard, and the Dana-Farber Cancer Institute in Boston has demonstrated a technique for isolating and quickly sequencing single snippets of DNA. And that advance could be crucial for cancer patients, since some cancer therapies work almost miraculously in some patients whose tumors contain a specific mutation, while other mutations make certain drugs ineffective on tumors.
"We want to know the mutational profile of a tumor, and then make informed decisions about the best therapy," says William Pao, a physician scientist at the Memorial Sloan-Kettering Cancer Center in New York, who has previously identified key mutations in lung cancer tumors. "The ultimate goal is molecularly tailored therapy." . . .
Kittering's Pao, who was not involved with the new research, says the results are promising. "If this kind of technique can be applied in the clinic, it would be very useful," he says. "A lot of tumor samples from patients are limited in quantity, so it's crucial to be able to take a minute amount of tumor cells and detect mutations."
The technology was launched commercially last year, and 20 or so systems have already been sold, according to Michael Egholm, the company's vice president of molecular biology.
The outfit is one of several companies striving to create fast, accurate, and affordable sequencing methods, which could ultimately have a broad impact on both cancer research and clinical practice. Last year, the National Institutes of Health (the nation's premier biomedical funding agency) announced a project to create an atlas of genetic mutations in selected types of tumors. The number and types of tumors that can be sequenced will depend largely on the speed, accuracy, and cost of new sequencing methods . . .
"We think in a few years, we'll have a catalogue of genes involved in cancer," says Larry Thompson, a spokesman for the National Human Genome Research Institute, one of the sponsors of the atlas project. "Then we should be able to develop new diagnostic tests and new targets."
"The more these technology companies move forward with improving the technology and driving down the cost," he adds, "the more rapidly they will reach the clinic."
Unless Moore's Law has been repealed, one thing is virtually certain: the cost will decline, allowing widespread adoption.
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