It is widely believed that as humans, if we
exercise for 30 minutes every day, eat
healthy, avoid cigarettes, alcohol, and drugs,
meditate, and participate in the health trend,
it seems logical that we will live longer, be
happier, and avoid diseases like cancer.
Unfortunately, it doesn't always work out that
way. A new study published in Science
suggests that most cancers are unavoidable.
They're caused more often by bad luck than
anything else.
Mutation, which drives cancer, is actually
totally normal.
According to Science, it's in fact the engine of
evolution--if not for mutation, our genes
wouldn't make the random changes that once
in a while end up giving us a new, important
skill--like making enzymes that break down
lactose, or resistance to disease. But often,
those mutations get out of control.
Cells divide and divide until they overpower
the useful cells in our body and kill us. That's
what cancer is.
According to Bert Vogelstein and Cristian
Tomasetti at the Johns Hopkins Kimmel
Cancer Center, many of these cancers are
unavoidable. They're just part of nature.
"We all agree that 40 percent of cancers
are preventable," Vogelstein said at a
press conference. "The question is, what
about the other cancers that aren't
known to be preventable?"
Vogelstein explained that each time a cell's
DNA is copied, mistakes are made. Most of
these mistakes are harmless, and as noted
above, some of them can even be beneficial.
"But occasionally they occur in a cancer driver
gene. That's bad luck," Vogelstein says.
Several of these bad-luck mistakes can add up
to a cancerous cell. Their study sets out to
determine how often these mistakes are
preventable--whether by not smoking or
maintaining a healthy weight--how often they
are genetic, and how often they occur by
chance. The answer may surprise people who
have spent decades believing they can control
the development of cancer in their bodies.
According to the paper, 66% of cancerous
mutations are random, 29% are preventable,
and only 5% are genetic. The numbers vary
depending on the type of cancer. Lung cancer
is indeed usually caused by cigarette smoke,
while childhood cancer is often random. The
authors hope that these statistics will help
some parents feel less responsible for their
children's disease. An earlier paper by the
authors on the same topic stirred up
controversy in the scientific community. Some
feel that publicizing this viewpoint will make
people less likely to follow advice about
cancer prevention. This new study is likely to
be even more controversial. Of course, cancer
science is incredibly complicated.
Mutations are not the only thing that matter in
driving cancer. Factors like hormones can also
play a role in determining who the disease
hits hardest. "We're not saying the only thing
that determines the seriousness of the cancer,
or its aggressiveness, or its likelihood to cause
the patient's death, are these mutations,"
Vogelstein told NPR.
"We're simply saying that
they are necessary to get the cancer."
Source: NPR
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