Inflammation fuels the most aggressive lung cancer

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Small cell lung cancer (SCLC) is one of the most dangerous forms of lung cancer. It grows and spreads very quickly.

Sadly, only about 5 out of 100 people with this cancer are still alive five years after diagnosis. Even though chemotherapy works well at first, most patients see the cancer return.

Once it comes back, it usually grows even faster than before. Scientists are trying to understand why this cancer behaves this way so they can find better treatments.

A research team led by Professor Dr. Silvia von Karstedt at the University of Cologne in Germany has found a possible reason behind SCLC’s aggressive nature. Their study was published in the journal Nature Communications.

The team focused on a protein called caspase-8, which plays an important role in helping damaged or harmful cells die in a clean and safe way. This process is called apoptosis and is important for keeping the body healthy.

Unlike many other cancers, SCLC acts like nerve cells, or neurons. One strange thing about SCLC is that it doesn’t make caspase-8. The team wanted to see what happens when this protein is missing, so they created a special mouse model that does not produce caspase-8. This allowed them to study how cancer develops and grows in the absence of this important protein.

What they found was surprising. Without caspase-8, cells die in a more chaotic and inflammatory way called necroptosis. This causes swelling and damage to surrounding tissue even before a tumor fully forms.

This kind of environment actually helps cancer grow. It weakens the immune system’s response and makes it harder for immune cells to fight cancer. As a result, cancer cells are more likely to spread to other parts of the body.

Even more shocking, this inflammation caused by necroptosis pushed the cancer cells to act more like young nerve cells. This neuron-like behavior makes the cancer more flexible and more likely to spread. It may also help explain why SCLC comes back so quickly after treatment.

Although researchers do not yet know if this same process happens in human patients, the findings offer new hope. If scientists can find a way to stop this harmful chain reaction, they might be able to slow the cancer’s growth, make treatment work longer, and improve the chances for patients.

This discovery may also lead to better ways of detecting the cancer early or predicting when it might return. In the future, doctors may be able to target the inflammation or restore caspase-8 function as part of a new treatment strategy.

This research highlights how understanding the basic biology of cancer can help improve the fight against one of the deadliest diseases. It gives scientists new ideas for creating better treatments and brings hope to patients who face this tough diagnosis.

If you care about lung health, please read studies about marijuana’s effects on lung health, and why some non-smokers get lung disease and some heavy smokers do not.

For more information about health, please see recent studies that olive oil may help you live longer, and vitamin D could help lower the risk of autoimmune diseases.

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