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Study says modified anthrax might fight cancer

January 15 2003

Anthrax, the bioterrorism agent that killed five people in 2001 and has frightened
millions more, may be an effective cancer killer, according to new research from
the National Institutes of Health (NIH).

Genetically engineered anthrax protein - designed to activate only on contact
with a chemical on the surface of malignant tumours - dramatically reduced and
even eradicated cancers in tests on hundreds of mice, according to a study
published today in the Proceedings of National Academy of Sciences. Thanks to
the genetic engineering, the anthrax did not poison the mice.

Three main types of tumours - soft-tissue fibrosarcoma, skin melanoma and
lung carcinoma - responded to the anthrax protein, which is a key component of
anthrax bacteria, said Dr Stephen Leppla, an NIH scientist and co-author of the
study. In theory, the new toxin should work on all or almost all forms of cancer,
he said.

In trials on mice, a single customised anthrax-protein injection reduced the size
of lung tumours an average of 65 per cent, Leppla reported, and soft tissue
tumours 92 per cent.

After two treatments, tumours were 86 per cent to 98 per cent smaller,
respectively. Melanomas were 85 per cent smaller after one treatment; 92 per
cent after two.

After two anthrax injections, many tumours - including 88 per cent of soft-tissue
fibrosarcomas in the mouth - "were completely eradicated", researchers
reported. Tumour cells began dying just 12 hours after anthrax treatment began.

The results suggest that there's a good use for one of nature's deadliest
bacteria, said Dr Thomas Bugge, an NIH scientist and study co-author. "We are
at a very early stage and it will take years before we are ready to try it in
humans," he added. "I'm excited, but also cautious about the idea."

For more than 20 years, cancer treatment researchers have been investigating
some of the same toxins terrorists consider, including diphtheria and the nerve
agent ricin. They produced nasty and sometimes fatal side effects, however. A
diphtheria-derived anti-cancer agent is the only candidate to have gained federal
approval. It's used as a cancer-fighting drug of last resort.

In addition to yielding an effective new cancer toxin, the anthrax finding
"revolutionises the field" by providing a new technique to keep the toxins from
attacking healthy, non-cancer cells, said Dr Arthur Frankel, a leading cancer-
toxin biologist.

"It's the most important breakthrough in our field in the last 20 years," said
Frankel, who was not involved in the study.

In effect, the engineered anthrax can tell the difference between cancer cells
and healthy ones.

Normally, the deadly toxin in anthrax bacteria is activated when it finds furin, an
enzyme in all living cells. Until then, it is like "grenades with the pins still inside
them," Leppla said.

Leppla and Bugge altered chemicals in the anthrax protein so it wouldn't be
activated by furin, but only by an enzyme called urokinase, which is found on the
outside of cancer cells.

The anthrax toxin didn't harm skin or hair cells right next to the tumours,
because they didn't have the urokinase enzyme on their surfaces, Leppla and
Bugge said.

KRT

This story was found at: http://www.smh.com.au/articles/2003/01/14/
1042520617095.html
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