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New York, Dec. 14: The
US government is beginning a project designed to unlock
the genetic abnormalities that contribute to cancer, an
effort that would exceed the Human Genome Project in complexity
and could eventually lead to new diagnostic tests and treatments
for the disease.
Government officials said they
would spend $100 million over three years on a pilot phase
of the project, which will be called The Cancer Genome Atlas.
This is a revolutionary project, Anna D. Barker,
deputy director of the National Cancer Institute, said at
a news briefing in Washington. Its going to
empower all cancer researchers with an entire new set of
data to work with.
The cancer institute will contribute half of the money with
the other half provided by the National Human Genome Research
Institute. Both are part of the National Institutes of Health
(NIH).
Scientists have long known that
genetic mutations that accumulate in normal cells over a
persons lifetime can make those cells cancerous.
About 300 genes involved in cancer
are already known, and there are a handful of drugs that
work by interfering with specific genetic abnormalities.
The drug Gleevec, which blocks
a particular genetic change that causes a type of leukaemia
, produces remissions in most patients with that form of
the disease. Some studies have shown that the lung cancer
drug Iressa is likely to work very well for the 10 per cent
of patients who have a particular type of mutation but barely
at all for others.
But federal officials and many cancer researchers say that
a more systematic search could find many more genes and
gene variations that play an important role in determining
how aggressive a cancer will be and what drugs might work
best. The first fruits, such as new diagnostic tests, may
be seen in several years.
We are still working with an incomplete compass,
said Francis S. Collins, director of the National Human
Genome Research Institute. The time is right to bring
the full power of genomics to bear on the problem of cancer.
The project would involve determining
the sequence of letters in the DNA of tumour cells obtained
from biopsies or surgery. The initials of the projects
name, TCGA, represent the four letters of the genetic code.
Scientists will also look for
other changes like duplications or deletions of genes, or
differences between cells in which genes are turned on or
off.
In February a committee advising
the cancer institute proposed such a project, which it estimated,
would cost $1.35 billion over nine years.
But government officials said
they would first assess the results of the three-year pilot
project before deciding whether a full programme would be
worthwhile. They said it was too early to estimate how much
a full project would cost.
The pilot phase will involve studying
hundreds of tumour samples from two or three types of cancer,
which have not been chosen yet. The decision will depend
upon factors like the availability of tumour samples. A
full project could involve studying 50 types of cancer.
Some scientists have expressed
concern about the project, saying it may divert grant money
from individual investigators at a time when the NIH budget
is not growing rapidly, as it was a few years ago.
Some have also said that cancer
cells are so genetically heterogeneous two cells
in the same tumour can differ in their mutations
that it will be hard to find mutations that are meaningful
and could lead to new drugs. We need to be able to
look cancer patients and their families in the eye and say,
We are spending our money in the best way we know
to find a cure for you, Stephen J. Elledge of
Harvard and Gregory J. Hannon of Cold Spring Harbor Laboratory
wrote in Science in October.
To minimise the risk of failure,
the pilot project will choose types of cancer that have
relatively little variability.
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