cancer

Peto´s paradox is the lack of observed relationship between the size of an animal and the prevalence of cancer, despite the fact that the greater number of cells and divisions as they get larger should increase the likelihood of cancer. A new study disproves this paradox by finding that, at least in terrestrial vertebrates, larger species do develop more cases of cancer. In quite a few of them, however, the increase is less than would be expected, suggesting that they have evolved anticancer mechanisms that remain worth studying. The results are published in the journal PNAS.  

An international team has analysed data on the incidence and mortality of breast cancer in 185 countries. In 2022, 2.3 million new cases and 670,000 deaths were recorded and, with this trend, it is predicted that by 2050 these figures will increase by 38% and 68% respectively, particularly affecting low-income countries. Although the mortality rate fell in 30 of the 46 countries studied over the last ten years, only seven of them met the WHO targets of reducing it by at least 2.5% each year. The results are published in the journal Nature Medicine.

A team of US researchers has followed some patients treated with CAR-T therapies in a small clinical trial conducted between 2004 and 2009 to treat children with neuroblastoma, a nerve cell tumor that can have a poor prognosis. At least one of them, a woman who was treated with CAR-T as a child, remains in remission 18 years later, the longest duration of such therapy described to date. The results are published in the journal Nature Medicine. 

A paper published in The Lancet Respiratory Medicine has analyzed new cases of lung cancer worldwide during the year 2022. While the incidence in women continues to approach that of men, the decrease in tobacco consumption in many countries causes the proportion of cases in non-smokers to increase. This increase is associated with air pollution, especially in countries such as China. 

World Cancer Day is celebrated on 4 February. Behind the cases of this disease there are people who, although they have overcome it, bear the burden of the diagnosis years after the end of their treatment. Survivors demand the right to be forgotten so as not to suffer financial, employment and social discrimination.

Osteosarcoma is a rare bone tumor that, when it appears, usually affects children and young adults. Due to its complexity, hardly any advances in its treatment have been made in the last 40 years. A team of researchers with Spanish participation has now described the mechanism that would explain its aggressiveness in approximately half of the cases. In addition, they propose a marker that could be used to predict prognosis. The results are published in the journal Cell. 

According to a meta-analysis of 14 studies involving more than 25,000 people, drinking more than four cups of coffee per day was associated with a lower incidence of head and neck tumors. Drinking between none and one cup of tea was also associated with a slightly decreased risk, although daily consumption of more than one cup of tea was associated with an increased risk of developing laryngeal cancer. The results are published in the journal Cancer. 

A team of researchers has analyzed data from the World Health Organization to estimate the incidence of colorectal cancer in 50 countries around the world. Their conclusions, based on records up to 2017, are that in most high-income countries its incidence continues to increase in young people (under 50 years of age). This increase, however, is not observed in Spain. The results are published in the journal The Lancet Oncology.   

Cell-free DNA (cfDNA) sequencing analysis for fetal aneuploidies - chromosomal abnormalities - can incidentally detect maternal cancer, according to a study published in NEJM. Researchers screened 107 pregnant and postpartum mothers with no symptoms of cancer, but who had received unusual clinical cfDNA sequencing results, for cancer. In this sample, cancer was present in 48% of the women.

CAR-T cell-based treatments have been successful against some blood tumours, but are much less effective for solid tumours. A phase 1 clinical trial has tested their use in 11 children and young adults with diffuse midline glioma, a tumour of the nervous system that is considered incurable. The results, published in the journal Nature, indicate that the treatment improved functional status in nine of the 11 patients. One of the four who showed a strong response is still healthy four years later.