Can we Detect Cancer Early? How Early? by Shrihari TG* in Gerontology & Geriatrics Studies_ International Journal of Gerontology
Abstract
Cancer is a major threat to mankind, mainly caused by external environmental factors such as tobacco, alcohol and chemicals. Cancer cells and normal cells work alike, we cannot kill cancer cells without killing normal cells (Albert zen gyorgi). We daily exposed to external environmental factors by food we consume, adverse habits, air we inhale, exposed to many chemicals. If we scan for cancer cells in our human body, we have many cancer cells but not all cancer cells will turn into clinical cancer. Normally cancer cells are destroyed by our immune system but in cancer, cancer cells are escaped from immune system by its specialized mechanism called as immune evasion [1-4]. When do we detect cancer early when the cancer cells circulate throughout the body and seeding every corner of human body? If the normal cells to become clinical cancer the cells have to undergo three stages
1.
Tumor initiation
2.
Tumor promotion
3.
Tumor progression
In
tumor initiation stage the normal cell to become cancer cell it has to undergo
mutation, not one mutation is enough, but 4-5 mutations are required to turn
into cancer cell. In tumor promotion the cancer cells undergo cellular
proliferation and cell survival and become dormant for many years until further
activating factors provoke the process. In tumor progression the progression of
cancer by angiogenesis, invasion and metastasis by various inflammatory
mediators such as cytokines (IL-1,TNF-α,IL-8,IL-10,TGF-β,IL-6), chemokine’s (CXCL,CXCR,CCL
types), growth factors (EGF,FGF,VEGF) and proteolytic enzymes (up A, MMP’s)
secreted from inflammatory cells such as neutrophils, macrophages, and mast
cells activate a key transcription factors NF-KB and STAT3 involved in tumor
progression [2-9]. Most of all cancers, more than 90 percent of all cancers are
due to external environmental factors such as chewing or smoking form of
tobacco, alcohol, chemicals ingestion (such as lead, arsenic, silica),
infectious agents (HPV, EBV), nutritional deficiency, and chronic psychological
stress.
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