WEDNESDAY, April 16 (HealthDay News) -- Doctors may some day be
able to diagnose lung cancer with nothing more than a quick swab of
the mouth, a new study suggests.
Oral cavity tissue damage -- at the molecular level -- appears
to be a highly accurate indicator of similar lung tissue damage
following long-term exposure to tobacco carcinogens, the
researchers said. The prospect of such a novel diagnostic technique
raises hope for a faster, easier and much less painful means to
diagnosis lung cancer, they added.
"We tried to figure out whether oral cells mimic or reflect
tobacco-induced damage in the lung," said study senior author Dr.
Li Mao, a professor of thoracic/head and neck medical oncology, as
well as systems biology, at the University of Texas M.D. Anderson
Cancer Center in Houston. "And what we found is that more than 90
percent of the time you see the same abnormalities in oral cells
that you see in lung tissue."
Mao discussed his findings during a Wednesday teleconference at
the American Association for Cancer Research annual meeting, in San
Diego.
Following Mao's presentation, the results of other studies
concerning similar diagnostic advances in other fields of cancer
research were presented.
Researchers from Henry Ford Hospital in Detroit said that an
analysis of DNA extracted from saliva might ultimately enable
physicians to detect early signs of head and neck squamous cell
carcinoma -- a disease that currently affects 40,000 Americans.
Scientists from the Dana-Farber Cancer Institute in Boston
provided evidence that fallopian tube tissue -- rather than ovarian
surface cells -- could be the source for half of all cases of
sporadic and hereditary serous carcinoma, the most aggressive form
of ovarian cancer. The finding could lead to earlier detection of a
disease that currently affects about 200,000 women worldwide.
And a team from the Spanish National Cancer Research Center
offered indications that a new way of analyzing antibodies in the
blood could lead to a noninvasive way to screen for bladder
cancer.
For their lung cancer investigation, Mao and his colleagues
examined and compared harmful genetic modifications in a total of
1,774 mouth and lung tissue samples taken from 127 chronic smokers
participating in a larger cancer prevention study.
In the sampled DNA, the researchers looked for evidence of a
harmful molecular change that short-circuits the function of two
genes normally effective at halting tumor growth.
After two analyses conducted over a three-month period, the
researchers found that tissue damage of this kind was present
almost equally in both mouth and lung tissue. In theory, this makes
oral cavity sampling nearly as effective as lung tissue sampling
for diagnosing lung cancer.
"There were some folks who didn't show abnormalities in their
oral tissue even when there were some in the lung tissue," Mao
cautioned. "And we do have more research to do. But I already think
it's a very important finding, in that this opens the door to a
noninvasive diagnostic method."
He added, however, that it will "take some time" before a
practical diagnostic tool based on the current observations can be
designed.
Stanton A. Glantz, a professor of medicine and director of the
Center for Tobacco Control Research and Education at the University
of California, San Francisco, called Mao's line of inquiry
"interesting," but as a diagnostic application "not ready for prime
time."
"I would put this in the category of interesting observations
that might lead somewhere, but I'm skeptical," he said. "Certainly,
they might be on to something. And there's clearly a relationship
between the molecular changes in the cells in the mouth and the
lungs. They're clearly correlated with each other, which means they
tend to increase together. But whether or not the relationship is
tight enough in an individual patient to be useful in diagnosis is
still way too early to tell."
"But it may well be that as they [the researchers] refine
something like this, it might end up helping to identify patients
at risk who are worth investigating further," Glantz added.
More information
To learn more about lung cancer, visit the
American Cancer Society.