15
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15 cigarettes: all it takes to harm genes: Study
reveals the genetic mutations suffered by smokers who go on
to develop lung cancer
Scientists believe this new insight into the genetics of
cancer will eventually lead to new drugs that target the
specific changes to the gene that helps to trigger the
disease
One genetic mutation occurs on average for every 15
cigarettes that a typical lung-cancer patient smokes,
according to a study that has identified for the first time
all of the mutations acquired during the lifetime of a
cancer patient.
Scientists have completed a full genetic analysis of the
genomes of cancer patients, and hope the information will
lead to a fundamental understanding of the causes of cancer
and possibly drugs and treatments by
identifying the mutations that turn a healthy cell into a
cancerous tumour cell.
They studied a lung-cancer victim who had built up about
23,000 DNA mutations in his lung cells that were linked with
exposure to the toxins found in cigarette smoke and had
accumulated over his lifetime.
They also looked at a patient with malignant melanoma,
the most dangerous form of skin cancer, who had acquired
30,000 specific genetic mutations known to be associated
with exposure to sunlight.
Scientists believe this new insight into the genetics of
cancer will eventually lead to new drugs and tailor-made
treatments that target the specific changes to the gene that
help to trigger the disease, as well as new techniques for
identifying secondary cancers that have evaded treatment in
other parts of the body.
"For the first time, we have a comprehensive map of all
mutations in a cancer cell," said Dr Peter Campbell of the
Wellcome Trust Sanger Institute in Cambridge, which led the
Cancer Genome project to decipher the entire DNA sequence of
tumour cells in order to identify the mutations.
"The profile of mutations we observed [in the
lung-cancer patient] is exactly that expected from
tobacco, suggesting that the majority of the 23,000 we found
are caused by the cocktail of chemicals found in cigarettes.
On the basis of average estimates, we can say that one
mutation is fixed in the genome for every 15 cigarettes
smoked," Dr Campbell said.
The study, published in the journal Nature, involved the
sequencing of the entire genome of a lung-cancer cell 60
times in order to be sure that all of the smallest mutations
were identified. The scientists then compared the genome
sequence with that of a healthy cell taken from the same
patient.
A similar procedure was performed on the cells of a
patient with skin cancer, which is how the researchers were
able to show that the malignant skin cells contained changes
that resulted from exposure to ultraviolet light, said
Professor Mike Stratton at the Sanger Institute.
"These are the two main cancers in the developed world
for which we know the primary exposure. For lung cancer it
is cigarette smoke, and for malignant melanoma it is
exposure to sunlight," Professor Stratton said.
"With these genome sequences, we have been able to
explore deep into the past of each tumour, uncovering with
remarkable clarity the imprints of these environmental
mutagens [mutation-causing agents] on DNA, which
occurred years before the tumour became apparent," he
said.
Source: www.independent.co.uk/news/science/15-cigarettes-all-it-takes-to-harm-genes-1843077.html

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