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Potential new treatment for gastrointestinal cancers discovered
January 17, 2013, New York, NY, and Melbourne, Australia—Researchers have identified a complex of proteins that promotes the growth of some types of colon and gastric cancers, and shown that medications that block the function of this complex have the potential to be developed into a new treatment for these diseases.
The complex of proteins, known as mTorc1 (mammalian target of rapamycin complex 1), has previously been implicated in the development of some other cancers but this is the first time it has been shown to promote the growth of colon and gastric cancers that are associated with inflammation.
Dr Stefan Thiem and Associate Professor Matthias Ernst from the Walter and Eliza Hall Institute’s Cell Signalling and Cell Death division made the discovery with colleagues while at the Melbourne-Parkville Branch of the Ludwig Institute for Cancer Research. Associate Professor Ernst is a Ludwig Institute Member. Their findings are published online today in the Journal of Clinical Investigation.
Cancers of the digestive system are a significant cause of death in Australia. Colon (or bowel) cancer causes more than 4000 deaths annually—more than any other cancer except lung cancer—while more than 1000 Australians die from gastric (or stomach) cancer each year.
Ernst said many types of colon and gastric cancer were associated with chronic inflammation. “We have previously shown that the immune system’s inflammatory response can promote the growth of tumours,” he said. “In the digestive system, persistent inflammatory conditions have been linked with tumour growth: patients who have stomach ulcers or gastritis (inflammation of the stomach lining) are more susceptible to gastric cancer, while inflammation of the colon, called colitis, is associated with an increased risk of developing colon cancer.”
The research team found that inflammation-associated gastric and colon cancers showed activation of mTorc1, an aggregate of proteins that signals inside cells to promote growth. Many cancer types depend on mTorc1 activity to grow, and there is considerable interest in the use of mTorc1 inhibitors to treat cancer.
The growth of inflammation-associated colon and gastric cancers could be treated with mTorc1 inhibitors, Ernst said. “We were excited to discover that the growth of these cancers in laboratory models could be prevented by treatment with mTorc1 inhibitors that are already in clinical trials for other types of cancer,” he said. “In the future, we hope that this finding might lead to better treatment options for colon and gastric cancers that are associated with inflammation. Since there are also other types of cancer that are associated with inflammation, we suspect that these could also be susceptible to treatment with mTorc1 inhibitors.”
The research was supported by the Australian National Health and Medical Research Council and the Victorian Government.
About the Ludwig Institute for Cancer Research
The Ludwig Institute is an international non-profit organization committed to improving the understanding and control of cancer through integrated laboratory and clinical discovery. Leveraging its worldwide network of investigators and the ability to sponsor and conduct its own clinical trials, the Institute is actively engaged in translating its discoveries into applications for patient benefit. Since its establishment in 1971, the Institute has expended more than $1.5 billion on cancer research.
About the Walter and Eliza Hall Institute
The Walter and Eliza Hall Institute is Australia’s oldest medical research institute, founded in 1915. It is home to more than 700 researchers who are working to understand, prevent and treat cancer, chronic inflammatory diseases and infectious diseases.