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German researchers report
that the choice of immunosuppresive drugs that organ transplant
patients receive could have a direct influence on their chances
of developing cancer.
The researchers at the
University of Regensburg, Germany, report that the newer immunosuppressive
drug, rapamycin, may reduce the risk of subsequent tumor development,
whereas older drugs such as cycosporine could facilitate cancer
growth.
Rapamycin could thus represent
an attractive treatment choice for transplant recipients at high-risk
for cancer development, Dr. Edward K. Geissler reported in Nature
Medicine.
Geissler and his colleagues
tested the effects of rapamycin and cyclosporine in a mouse model
of liver metastasis from colon cancer.
They reported that mice
treated with rapamycin had a reduced presence of tumor in the
liver, whereas those treated with cyclosporin showed an increased
amount of liver cancer. The scientists said they believed rapamycin
prevents the development of cancer by blocking angiogenesis (the
formation of new blood vessels).
"Rapamycin might be an
effective alternative to conventional cyclosporine-based therapies
in high-risk patients, particularly in transplant medicine where
de novo and recurrent neoplasms are a significant cause of morbidity
and mortality," Geissler concluded.
Other
sources: Nature Medicine
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