New Way to Hit Pancreatic Cancer With Radiation Identified

Researchers at Osaka University test a new cancer treatment in mice that guides high-strength radiotherapy directly to pancreatic tumors.

New therapeutic approach could provide powerful, efficacious, targeted radiation therapy directly to the pancreatic cancer tissue with less side effects to surrounding organs.

Pancreatic cancer is one of the leading causes of cancer related deaths worldwide. Patients with pancreatic cancer often receive chemotherapy or radiation therapy, which are not always effective and can have toxic side effects.

‘Targeting the stroma could be a beneficial approach for treating patients with pancreatic cancer who've tried other treatment options. This principle might also work against many other types of cancer.’
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Chemotherapy and radiation therapy typically work by stopping cancer cells from dividing. Side effects often come about because the treatment also stops healthy cells from dividing and thriving.

"With traditional anti-cancer therapies, there's a tradeoff between efficacy against cancer cells and off target effects in non cancerous cells," explains Dr Tadashi Watabe, lead author of the study and a researcher in nuclear medicine and tracer kinetics at Osaka University Graduate School of Medicine.

"We're focused on finding ways to re-balance this tradeoff in radiotherapy, by increasing the dose of radiation delivered to cancer cells while keeping it localized to those cells as much as possible."

One way this can be done is by making a radioactive "homing" molecule that, when injected into a patient, travels straight to the site of a tumor to deliver its cancer-killing payload. The research team did precisely that -- in this case, using a molecule that goes directly to pancreatic tumors.

"We used a molecule with an isotope that emits alpha particles," says Dr Watabe. "These particles travel a shorter distance than the beta particles emitted by traditional isotopes, which means their off-target effect is limited. Our molecule binds to a protein called FAP, which is found almost exclusively on stroma cells that surround pancreatic tumors and various types of cancers. Together, this allows us to target a high energy dose of radiation directly to the site of the tumor."

The stroma is part of a unique environment that encases solid tumors, acting as a kind of barrier. Treatments for pancreatic cancer are often stymied by this barrier but, remarkably, this doesn't seem to be the case with the new experimental treatment.

In a study published in The Journal of Nuclear Medicine, the team offers a proof of concept that their technique can act as a powerful cancer treatment. They injected their FAP-binding molecule into mice that had human pancreatic cancer grafted under their skin.

Pancreatic Cancer - All About the Disease, its Diagnosis and Management
Pancreatic cancer often involves its exocrine part. It grows aggressively, and often detected late. Treatment options include surgery, radiation and chemotherapy.

The result? A dramatic decrease in tumor growth with no apparent effect on the body weight of the mice, the latter indicating that the treatment likely had few toxic side effects.

"We are very encouraged by these initial results," Dr Watabe concludes. "We think the approach has enormous therapeutic potential, particularly for patients with pancreatic cancer who've exhausted their other treatment options. What's especially exciting is that our method of targeting the stroma can in principle work against many other types of cancer. We think this could represent a new path forward in radiation therapy."

Source-Eurekalert