Sunday, January 31, 2021

31 January 2021: Curing Cancer – Part 7 – Random chronic stress / bad luck as a major cause of cancer

 

This is my seventh essay about curing cancer based on the principles of complexity theory (follow my blog at https://natpernickshealthblog.wordpress.com). This essay discusses random chronic stress / bad luck, a major cause of pancreatic cancer (Pernick 2021) and lung cancer in nonsmokers (Pernick 2018).

Key concepts discussed are: (1) random chronic stress / bad luck is a major cause of cancer at some sites; (2) cancer often develops through rare bursts of activity in cells and their networks, not in a gradual, step-wide manner; (3) cancers due to random chronic stress may have better survival and other clinical differences compared to cancers due to traditional risk factors; and (4) due to the presence of random chronic stress, cancer will always be with us, although we can prevent some cases, we can detect it earlier and we can treat it more effectively.

Click here for the essay.

 

Saturday, January 30, 2021

30 January 2021: Curing Cancer, Part 1 – Reductionism versus Complexity

 

Written: 8 December 2020

In 1971, President Richard M. Nixon announced the beginning of the US “war on cancer” (see President Nixon’s 1971 State of the Union at 15:03). Despite massive government expenditures (Kolata: Grant System Leads Cancer Researchers to Play It Safe, New York Times, 27Jun09) and testimonials that the war on cancer “did everything it was supposed to do” (NCI: National Cancer Act of 1971, accessed 10Nov20), cancer is still a leading cause of death (Centers for Disease Control and Prevention 2016, Cancer Statistics 2020), with high mortality from cancer of the lung, colon, pancreas and breast (Cancer Facts & Figures 2020).

Link to rest of article, PDF.

 

 

Sunday, January 24, 2021

24 January 2021 - Curing Cancer - Part 6 - Key systemic network issues

My sixth essay about curing cancer based on the principles of complexity theory has now been posted at https://natpernickshealthblog.wordpress.com, which has new essays every 1-2 weeks. You can follow my blog at https://natpernickshealthblog.wordpress.com by entering your email address and clicking on the Follow button on the left hand side.

These essays are technical but I will highlight the major findings in a conversational style here. If there is interest, I can expand on this discussion. I am happy to answer questions about cancer in general or about my theories. Unfortunately, as a pathologist who no longer provides patient care, I do not have the training or expertise to answer “What should I do” questions, which may be more appropriate for oncologists.

Complexity theory analyzes systems with strongly interacting parts. This includes not only the human body but earthquakes, the stock market and the economy.

The predominant framework for understanding disease is reductionism - the behavior of the whole equals the behavior of the sum of the parts. Thus, treatment is about finding the “bad part” and fixing it. In contrast, complexity theory states that the interactions between the parts, in the form of networks, are vital to understanding how nature works. Human life is composed of thousands of biologic pathways that interact in a complex web. On their own, each pathway may perform a limited function, but together, they provide more sophisticated functions that enable life. They also change their overall patterns of behavior over time, starting as a fertilized egg that focuses on constant cell division, then forming a general body plan in the embryo, then differentiating into cells that provide the functions we are familiar with in our organ systems. As we enter childhood and adulthood, different pathways are shut down because their activation would be harmful.

My theory is that cancer is due to dysfunction in networks affecting not only the primary (main) tumor, but also in systemic networks that nurture and maintain the malignancy. Thus, curative cancer treatment must attack the dysfunction in these systemic networks as well as targeting the primary tumor. Many of these dysfunctional systemic networks involve the inflammatory system, which protects us against microorganisms and emerging cancer cells, and also repairs damage due to various types of trauma. The inflammatory system, similar to embryogenesis, is relatively unstable due to its ability to quickly “ramp up” when triggered by foreign substances or trauma. These triggers also start the process of resolving the inflammatory process - both occur simultaneously, so as the triggers are effectively countered, the inflammatory process is also diminished. However, cancer risk factors trigger inflammation through other processes that do not simultaneously initiate the resolution process. This means the inflammation persists indefinitely; its instability propagates (spreads) to other networks over years to decades, which ultimately promotes malignancy.

This essay discusses systemic networks that must be “normalized” and monitored to provide curative treatment.

Sunday, January 17, 2021

17 January 2021 - Curing Cancer - Part 5 - Key network issues that affect the primary tumor

This is my fifth essay about curing cancer based on the principles of complexity theory (follow my blog at https://natpernickshealthblog.wordpress.com/). This essay discusses key network issues for curative treatment that affect the primary tumor, including: (1) kill as many tumor cells as possible, (2) attack multiple targets within local tumor networks and (3) move local tumor cell networks into less lethal states. See http://www.natpernick.com/CuringCancerPart5.html or http://www.natpernick.com/CuringCancerPart5.pdf
 
 
I briefly discuss the concept of an attractor. Cells have thousands of reactions occurring simultaneously, and each cell has the same DNA that allows it to become 350+ different cell types (muscle, skin, thyroid, etc.), so why are cells so stable? It turns out that the interactions between each reaction and cell create constraints that limit what they can do, which is called an "attractor".
 
This is not so different from human interactions. Today, I could decide to try to become a basketball player, but it is not likely I would make all the necessary changes to move in that direction. These constraints and other control mechanisms provide stability that prevent cells from becoming malignant. On the other hand, once cells do become malignant, they also have "cancer attractors", and it is hard to change them back. This is why chemotherapy is often ineffective.

Sunday, January 10, 2021

10 January 2021 - Curing cancer - Part 4 - Principles of curative therapy

This is my fourth essay about curing cancer based on complexity theory – follow my blog at https://natpernickshealthblog.wordpress.com, click at http://www.natpernick.com/CuringCancerPart4.pdf for a PDF download or http://www.natpernick.com/CuringCancerPart4.html . In part 3, I summarized my recommendations on curative treatment for advanced adult cancers with a poor prognosis, such as lung and pancreatic cancer. In this essay, I discuss these principles of curative treatment in greater depth: network medicine, blocking multiple pathways, combinations of combinations of treatment, monitoring key networks, clinical trials and strong public health programs.

I am happy to respond to comments or questions about my research or cancer in general or to learn of your experiences, but I lack the experience and training to answer treatment or "What should I do" questions. You can also email me at Nat@PathologyOutlines.com.