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11-6 the day in pictures
November 6. 2009 (6 photos)
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WEEK IN REVIEW
Saturday
More snow expected at mountain passes
Suspect identified in Seattle police killing
Thousands honor slain Seattle police officer Ti...
Friday


Officer Timothy Brenton. Gone, but not forgotten
Person sought in officer's killing is shot in head
Thousands to pay respects to slain Seattle poli...
Thursday


Tale of 1916 Everett Massacre retold in style o...
Reservist survived Iraq but not his return to c...
Swine flu suspected in infant’s death
Wednesday


‘Everything but marriage' law close to vi...
Library levy winning by 51% to 49%
Incumbents looking strong in Snohomish County C...
Tuesday


Delayed financial aid forcing college students ...
Slaying of officer reminds police of dangers of...
Edmonds turns over firefighting duties to Fire ...
Monday


Question isn't 'if' but 'how bad' for floods
Slain Seattle Police officer lived in Marysville
Rubatino Refuse allows recycling of food scraps...
Sunday


Signs were clear Boeing isn't tied to location
Swine flu shots draw crowds in Snohomish County
The Boeing buzz in South Carolina
 

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Published: Monday, June 1, 2009

Fourth way to fight cancer unveiled

A so-called cancer vaccine spurs the patient's immune system to attack the disease.

ORLANDO, Fla. -- First there was surgery, then chemotherapy and radiation. Now, doctors have overcome 30 years of false starts and found success with a fourth way to fight cancer: using the body's natural defender, the immune system.

The approach is called a cancer vaccine, although it treats the disease rather than prevents it.

One such vaccine kept a common form of lymphoma from worsening for more than a year, researchers said at a cancer conference Sunday. That's huge in this field, where progress is glacial and success with a new treatment is often measured in weeks or even days.

Experimental vaccines against three other cancers -- prostate, the deadly skin disease melanoma and an often fatal childhood tumor called neuroblastoma -- also gave positive results in late-stage testing in recent weeks, after decades of struggles in the lab.

"I don't know what we did differently to make the breakthrough," said Dr. Len Lichtenfeld of the American Cancer Society.

Instead of a single "a-ha!" moment, there have been many "ah, so" discoveries about the immune system that now seem to be paying off, said Dr. John Niederhuber, director of the National Cancer Institute.

It's way too soon to declare victory. No one knows how long the benefits will last, whether people will need "boosters" to keep their disease in check, or whether vaccines will ever be a cure. Many vaccines must be custom-made for each patient. How practical will that be, and what will it cost?

Those are all good questions -- but there are no answers yet, said Dr. Richard Schilsky, a University of Chicago cancer specialist who is president of the American Society of Clinical Oncology.

A big problem has been getting the immune system to "see" cancer as a threat, said Dr. Patrick Hwu, melanoma chief at the University of Texas M.D. Anderson Cancer Center. Viruses like the flu or polio are easily spotted by the immune system because they look different from human cells.

"But cancer comes from our own cells. And so it's more like guerrilla warfare -- the immune system has trouble distinguishing the normal cells from the cancer cells," he said.

To help it do that, many cancer vaccines take a substance from a cancer cell's surface and attach it to something the immune system already recognizes as foreign -- in the lymphoma vaccine's case, a shellfish protein.

"It's a mimic to what you're trying to kill, a training device to train the immune system to kill something," Hwu explained.

To make the attack as strong as possible, doctors add a substance to put the immune system on high alert.

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