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Cancer biology today

The discovery of cells and cellular pathology propelled cancer research onto a new level and in 1953.

A discovery was made that would profoundly change our understanding of human biology and cancer: the double helix model of DNA structure by Watson and Crick. We started to understand that not only were cells the fundamental building blocks of the human body, but that genes present in our DNA control and regulate these cells.

We now know that cancer is characterised by the uncontrolled division of cells in our bodies. Because of genetic mutations, these cells are pathological. A primary factor in many cancers is age. Ageing causes us to be more at risk of mutations of cells, because the longer we live, the higher the chance that cells may mutate. Multiple mutations of a cell’s DNA are required for cancer to develop. Mutations can lead to unhealthy DNA, DNA that does not control the normal regulation of cell division and replication.

The anatomy of cancer

Age also is a factor in the length or our telomeres. Telomeres are the caps at the ends of chromosomes that protect them, preventing DNA damage and allowing cells to replicate properly. Cells rely on healthy telomeres to accurately replicate the DNA they contain. Each time cells replicate, however, telomeres shorten. Eventually, after cells have replicated numerous times, the telomeres on the ends of the DNA in the cells become too short to function and the cell dies.

 Telomeres that Protect DNA

Telomeres that protect DNA in chromosomes shorten with age, exposing DNA to damage (shutterstock.com)

Ageing cells cause our bodies to age but longer telomeres promote long life. However, longer telomeres also may promote cancer; although the process is complex, individuals with longer telomeres are a third more likely to get cancer because cells have a longer life span and are able to replicate for longer.

Environmental factors can also cause genetic mutation. Exposure to genotoxic agents cause DNA damage leading to pathological cell proliferation. For example, the cancer causing chemical Benzo[alpha]pyrene (BaP) can bind itself to our DNA, eventually resulting in lung cancer. BaP is found in coal tar, tobacco smoke, chargrilled foods, vehicle exhaust fumes, asphalt and coke ovens.

Segment of DNA bound to Benzopyrene

Segment of DNA bound to cancer causing chemical Benzo[alpha]pyrene (BaP), found in coal tar, tobacco smoke and foods, especially grilled meats (Credit: Richard Wheeler, cc-by-sa/3.0, https://en.m.wikipedia.org/wiki/Benzo(a)pyrene)

Many environmental factors, however, are known to increase the risk of cancer, and it is likely that environmental factors interact in concert with our DNA when cancer occurs. Cancer Research UK has identified tobacco, obesity, UV radiation, occupation, infections, alcohol, insufficient fibre, ionising radiation, processed meat, air pollution, not breastfeeding, lack of physical activity, post-menopausal hormones and oral contraceptives to all be risks of cancer. ​Key to our success in treating cancer is its early detection.​

Next: The history of the detection of cancer