Cancer treatment and evolution


While cleaning up the files on my computer, I found this essay that I wrote two years ago.  What better way to keep the file from being lost than to put it on the internet? 

The assignment was pass or fail with no letter grades but with multiple chances to revise and resubmit.  The professor told us to get started early because he had never had a student submit a passing paper on the first submission. Yada yada yada... here is the first of two essays that were accepted on the first submission. Second essay to come soon.   


The process by which favorable genes allow an organism to reproduce more successfully (natural selection) occurs in individuals on a large scale but is also found in organisms on a very small scale.  Since natural selection allows resistant cancer cells to live and reproduce, new methods of cancer treatment are being used.
The life cycle of cancer begins in a manner similar to other organisms.  According to the National Cancer Institute, as cells age they reproduce as needed and eventually die.  When cells begins to divert from this process, “cells do not die when they should and new cells form when the body does not need them” (National Cancer Institute, 2004, p.1).  Eventually, a cancerous tumor will form.  Without treatment, malignant tumors can continue to grow and spread and may even take the life of the host party. 
                One of the classic treatment options for cancer patients is chemotherapy, which the Cancer Treatment Centers of America describes as “the treatment of cancer with drugs that can destroy cancer cells by impeding their growth and reproduction” (Cancer Treatment, 2009, p.1).  The goal is to completely eliminate all of the cancerous cells.  Unfortunately, because of genetic variability, this does not always happen.
                When organisms reproduce, the biological information is not always passed on flawlessly to the offspring; there may be variations in the gene structure. These variations, however, are necessary for natural selection to occur.  “The evolutionary significance of genetic variability is its potential to fuel evolution as organisms change to differ from their ancestors” (Hall and Hallgrimsson, 2008, p. 175).  Without any variations, natural selection could never occur.  It is this variability that allows either artificial or natural selection to select the genes that give the organism an advantage.
                 Natural selection may play a negative roll in cancer treatment.  Some of the cells may contain a genetic mutation which allows them to be naturally resistant to the treatment drug.  Continued treatment can even encourage mutant-cell growth.  The Wistar Institute, a “nonprofit biomedical research institute” (Wistar Institute, 2010, p.1), found that mutant cell reproduction can be “amplified in tissues with repeated wounding, in which repeated cycles of cell death and proliferation enable a mutant clone with a survival or reproductive advantage to expand” (Merlo et al, 2006, p. 927).  These cells then reproduce, passing on the same drug-resistant genes to their offspring.  This would render the drug useless once the tumor is composed of cells with the resistant gene.  In order for cancer treatments to be successful, a variety of treatments must be used. In addition, new and innovative approaches are being developed to combat the cancer problem of natural selection. 
Carlo C. Maley, a researcher on a Wistar Institute cancer study project, gave some ideas (Science Daily, 2009, p.1.) as to what types of new treatment options are available to cancer patients.  One idea is counterintuitive of the traditional chemotherapy approach. Instead of killing the cancerous cells, the benign cells in a tumor would be given a stimulus that would allow them to survive better than cancerous cells.  This would allow them more access to the essentials of life, destroying the malignant cells. 
 In a similar approach, Maley says:
 Another idea we're pursuing is what we call the sucker's gambit.  In this case, you try to increase the fitness of chemosensitive cells so that they outcompete any resistant cells that are in the tumor. And then you apply your chemotherapy. So you sucker the tumor into a vulnerable state and then you hit it with your therapy (Science Daily, 2009, p.1).
Due to past and current research, evolutionary biologists must work together with cancer research teams in order to introduce new and innovative approaches to the fight against cancer.  But, “[n]o matter how we intervene in a [tumor], some cells will grow back to fill that space” (Merlo et al, 2006, p.933).  As research continues to increase our understanding of cancer and natural selection, we will be able to use the natural processes of selection to our advantage.
  
Works Cited

Cancer Treatment Centers of America. 2009. Chemotherapy. In: Treatments. Cancer Treatment Centers of America. Accessed February 8, 2010.
http://www.cancercenter.com/conventional-cancer-treatment/chemotherapy.cfm

Hall, B.K. and B. Hallgrimsson. 2008. Strickberger’s Evolution. 4th ed. Jones and Bartlett Publishers, Sudbury, MA 760 pp.

Merlo, L.M.F., J.W. Pepper, B.J. Reid, and C.C. Maley. 2006. Cancer as an evolutionary and ecological process. Nature Reviews Cancer (6)924-935.
http://web.ebscohost.com/ehost/pdf?vid=4&hid=8&sid=97e2bd82-d610-4614-b878-0815a4a12d7e%40sessionmgr12

National Cancer Institute. 2004. What is cancer?. In: Cancer Topics. U.S. National Institutes of Health. Accessed February 8, 2010.
http://www.cancer.gov/cancertopics/factsheet/Sites-Types/metastatic

Science Daily. 2009. Does natural selection drive the evolution of cancer?. The Wistar Institute. Accessed February 7, 2010.
http://www.sciencedaily.com/releases/2006/11/061117114616.htm

Wistar Institute, The. 2010. Overview. In: About Wistar. The Wistar Institute. Accessed February 8, 2010.
http://www.wistar.org/about_wistar/overview.html