Relaxing on the beach somewhere
1988
Boy, am I ever pushing the envelope
on this one! I am going to write about something important, but that,
truthfully, I barely understand. If that. Thus, what
follows will be grossly oversimplified.
I just hope that it’s not dead wrong.
If it is, please let me know.
Politely. I find this stuff
fascinating so – if and when I learn more about it – I will add Comments to this
post. That should be about enough humility, so, here goes.
To do it Wikipedia style:
Mitosis: Cell division, which entails
duplication of the cell’s DNA. One peculiarity of this process is that
the very end of the chromosome cannot be copied. This might cause loss or
modification of genes, which would be bad news. Fortunately there exist
things called:
Telomeres: These are peculiar, semi-useless,
non-coding repeat sequences of nucleotides (in humans the sequence reads
TTAGGG, where T stands for thymine, A for adenine, and G for guanine. Thus,
your personal telomere consists of “TTAGGGTTAGGG& etc.”, strung out on the
end of your chromosomes. So does
mine. (You may have no idea about the structure or
composition of these “bases”. Neither do I. If curious, ask my
grand-daughter Olivia, who is out on a fishing boat at the moment – no doubt
studying diligently in her spare time.) Ordinarily, in a gene, the
sequence of bases has unsurpassed significance, because it provides the
blueprint for the manufacture of proteins. However, the telomere sequence
codes for nothing. It is there only to protect the important (coding)
part of the chromosome. But for each cell division part of it is hacked
off, which leads to:
Senescence and death: Sooner or later your telomeres will all be
used up, and important parts of your chromosomes will begin to disappear, be
changed, swapped around, welded together or experience other pieces of bad
luck. Pretty soon thereafter your cells
will throw in the towel and die, and –eventually – you with them. To me, it seems like the secret to eternal
life is to somehow replace the eroded ends of the telomere. Oddly enough, there is a molecule capable of
doing just that. It is called:
Telomerase: This is an enzyme that rebuilds the
telomere. However, in the normal course
of things it is active only in fetal cells and things called “adult stem
cells”, one of which resides in your bone marrow and renews your blood supply. These have telomerase, but normal body cells
don’t – which is why they grow old and die.
Interestingly:
Cancer cells: At least many of them, have plenty of
telomerase. This is why they can go on
rapidly dividing and not run out of telomeres and die. Bad planning, it seems to me. Anyway, it would appear that attacking telomerase in
cancer cells is a promising approach to cancer therapy. So says my 10-year-old biology textbook. Even older research articles I’ve seen agree. Then why is cancer still around? I guess you can’t get at the telomerase in
cancer cells without doing damage to essential adult stem cells elsewhere. There ought to be some way to target the
damned things. Let’s get cracking!
This is quite enough biology for one bite. Sorry.
I got carried away.
Telomerase does not make cancer, cancer makes telomerase-huge difference! Telomerase inhibitors are doomed to cause regression the cancer with aggressive and far less likely to respond recurrances. This has already happened once with prostate cancer treated with telomerase inhibition. When Geron releases Imetalstat its telomerase inhibitor it will happen all over again. Telomerase lengthens telomeres and longer telomeres are associated with LESS cancer and LESS aggressive cancer ( JAMA Jan 2011). Early mouse studies did show an increase in cancer when telomerase genes were inserted but only because they used carcinogenic viruses to insert the genes. Those studies have been repeated with non oncogenic viruses and now there is no increase in cancer. The only real future for telomerase inhibition is specific targeting of cancer stem cells. We are not there yet. In the meantime do everything you can to keep your telomeres long so you have a smaller chance of cancer! Dave Woynarowski MD author The Immortality Edge ( all about telomeres for non scientists! Wiley 2010)
ReplyDeleteHo, boy! Finally, evidence that someone outside my circle of immediate friends and relatives reads this blog. You readers can Google Dr. Dave and check out his web site. In the meantime I will check out his book. Thanks, Dr. Dave.
ReplyDeleteBut, maybe Dr. Dave mis-interpreted what I was trying to say. I didn't mean to imply that telomerase causes cancer, but rather the other way around. It seems clear that cancer somehow evokes the telomerase molecule, which would be a clear advantage to a cell bent on reproducing rapidly and without limit. What I was wondering is, would it be possible to develop a silver bullet for telomerase and deliver it specifically to the tumor - as by use of a microbubble, for instance? If this sounds like science fiction, it probably is. One can but hope.
ReplyDelete