domingo, 22 de março de 2009

Is There A Brain Tumor Virus?

Is There A Brain Tumor Virus?
Thanks to the efforts of a relentless neurosurgeon, we may be closer to understanding what causes one of the most deadly cancers.
Jeneen Interlandi
Newsweek Web Exclusive Jan 9, 2009
In 2002, UCSF neurosurgeon Charles Cobbs published a novel finding in a prominent cancer journal: nearly all of the two-dozen brain tumors he had analyzed were teeming with a common herpes virus called cytomegalovirus, or CMV. Normally, CMV is harmless—it lies dormant in roughly 80 percent of the population—but in Cobbs's tumor samples, the virus appeared to be actively replicating, even as it remained dormant in nearby healthy tissue. "When I first saw the data, I couldn't sleep for a week," says Cobbs. "I kept asking myself, 'can this be?'" If his findings were correct, they might shed light on the causes of brain cancer, or better yet, provide a new target for battling—maybe even preventing—the disease.
But by 2004, at least two labs had tried and failed to replicate Cobbs's results. That might have been the end of the story, were it not for the young neurosurgeon's audacity. Convinced that his methodology was better than his colleagues, he offered to show both research teams his technique. One group, led by Duke University neuro-oncologist Duane Mitchell, accepted. Last year they published the first peer-reviewed confirmation of Cobbs's work. "We have enough evidence now to say that this merits serious attention," says Mitchell. As the journal Science wrote last week, a flurry of papers exploring a possible link between CMV and brain cancer have caught the attention of at least some experts, spurring the first conference on the subject last October and touching off a handful of clinical trials.
The findings have opened a new avenue of inquiry for one of the most intractable cancers—Glioblastoma Multiforme, an aggressive brain tumor, diagnosed in 10,000 new patients every year and fatal in virtually all cases. (Sen. Ted Kennedy was stricken with the disease last year). The alleged link between CMV and brain cancer may also represent the latest reversal of a decades-old consensus that generally speaking, viruses don't cause cancer.

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