harmadik rész - cancer, mitochondria, mithochondria, modelling
Transcription
harmadik rész - cancer, mitochondria, mithochondria, modelling
A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 1 oldal / 102 - FÜGGELÉK KÖSZÖNETNYÍLVÁNÍTÁSOK – ACKNOWLEDGMENTS (Dr. Czimbalmos-Kozma Ferenc, Dr. Papp Erika) (szerkesztés alatt) véletlenszerű sorrendben, csak nevek, fokozatok, címek nélkül: PAPP ZOLTÁN JUNG JÁNOS MÜLLER MIHÁLY† CZÉGENI JÓZSEF† KISS JÓZSEF FILEP ETELKA† KIS ISTVÁN† BEDŐ MARGIT BÁBA ZOLTÁN PÁLFFY BÉLA† LÁSZLÓ JÓZSEF PIROS SANDA DOMOKOS LAJOS† DÓSA JENŐ NÉMETH PÉTER ENGELMANN PÉTER SÁNDOR ZOLTÁN SZŐKE ÉVA PÁPA LÁSZLÓNÉ LUIGI MATTURRI FURIO SILVESTRI FILEP GYŐZŐ KEREK ISTVÁN† KOROM GYULA GOLOVNÉ WOSSINSZKY RITA GÁLL MÁRTA PÓTÓ LÁSZLÓ NÁDLER GÁBOR ŐRI LÁSZLÓ FREY ISTVÁN SULYOK ENDRE OHMACHT RÓBERT SERESS LÁSZLÓ KŐNIGNÉ PÉTER ANIKÓ CSÍKY ZOLTÁN DIACONESCU CLAUDIU HECSER LÁSZLÓ VARGA LEVENTE a névsor nem teljes, a kézirat leadásakor még szerkesztés alatt! TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 1 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 2 oldal / 102 JEGYZETEK, HIVATKOZÁSOK ÉS BIBLIOGRÁFIÁK (Dr. Czimbalmos-Kozma Ferenc, Dr. Papp Erika és hivatkozás külső forrásokra) l. idézet, hivatkozás saját forrásra magyarázat céljából 01 A szerzők A tanulmány egyes fejezeteit a szerzők különböző arányban együtt gondolták ki és írták meg. A fejezetcímek után feltüntetett nevek inkább arra utalnak, hogy ki mozog otthonosabban a vonatkozott terület háttérinformációinak tömkelegében. Egy ilyen gondolat, mint ez a tanulmány, nem egyemberes munka, ilyet egyedül nem igazán lehet megalkotni. A tanulmány kifejezetten az intuíciónak és a koncepciók ütköztetésének, az együttgondolkodásnak az eredménye. Olyan értelemben nem sok köze van az előtanulmányokhoz, szorgalomhoz, tanuláshoz és kitartáshoz, hogy az előtanulmányok, a szorgalom, a tanulás és a kitartás önmagukban sohasem bizonyultak volna elegendőnek a tanulmányban vázolt koncepció létrejöttéhez - ahhoz ugyanis ezek kellettek ugyan (másodsorban), de kellett hozzá valami egyéb, amit nem lehet sem kitartással, sem vasakarattal, sem pénzzel, sem semmiképpen megszerezni: ezt a valamit, aminek nevet sem lehet igazán találni (minden hasonlat csak tünékeny közelítés) csak érdemtelenül megkapni lehet. Szinte mindenki megkapja ezt a tálentumot, de legtöbben eldobják, vagy feláldozzák az éppen aktuális estabilishment iránti szolgalelkűség szennyes pogány oltárán, aztán van aki elássa, esetleg jobb esetben odaadja a pénzváltóknak, hadd fialtassák. Ahhoz, hogy valaki úgy használja fel, hogy kedvében járjon annak, aki adta, sok alázat kell. Hálával kell elfogadni, és amikor megcsillan, minden egyebet hagyni kell, hogy növelhessük. De csak akkor, amikor megcsillan, és ezt nem lehet kiprovokálni. Erőlködni kár: Aki adta, gondoskodik erőről ahhoz, hogy ha kell éjjel is, holtfáradtan is könnyedén félóra alatt annyit lehessen építeni, mint előtte egy év alatt. Persze, az agresszív külvilág törpéi, hangyafocira kényszerítve azt, aki merészelt nem leragadni a sárba melléjük, képesek ideig óráig megzavarni azt a folyamatot, amelyet nem is az indított el, aki az TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 2 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 3 oldal / 102 egészet bevállalta (ő lévén csak munkatárs, aki igent mert mondani vétkes néma cinkosok gyűrűjében). De jaj nekik -gáncsoskodóknak és konformistáknak, magukat büntetve látni fogják meghalni azokat, akik az általuk okozott késedelem áldozatai. Vérük, morfiuminjekcióik, citosztatikumos infúzióik üveg alján maradt cseppjei, hányadékuk és szüleik, gyermekeik könnyei mind - mind a lelkükön fognak száradni, és örökkön égő tüzüktől csak az a megbocsátás szabadíthatja meg őket, amelyet csak attól remélhetnek, aki egyedül adhat ilyen megbocsátást. Ez a tanulmány is sokkal hamarabb megszülethetett volna, azzal együtt, hogy sokáig kellett csiszolni. Nem lehetett látni az értelmét az elején annak, hogy miért kell Dr. C. K. F. felsőbb matematikával foglalkozzon már jó tíz év óta (egyesk szerint ez “izéljük a rezet” kategória: ugyan milyen, hamis mammonban itt most és azonnal materializálható értéke van az ilyesminek?!). Képzettség és járatosság nélkül, látszólag ok nélkül, ellendrukkerek között. Összefüggés nélkül következett a növények aspektusával és extrém körülmények közötti túlélésével kapcsolatos információk iránti érdeklődés, majd bizonyos növények tumorgátló hatásainak megismerésekor képbe kerültek a mitokondriumok. Dr. P. E. eleinte nehezen hihetőnek értékelte az tumorképző mitokondriumok elméletét, de a koncepció végül csak ellenvetéseinek kereszttüzében, közös gondolatként állhatott össze. Ezután már Dr. P. E. jött rá arra, hogy számos olyan szövetszaporulat van a szervezetben, amely nem malignus tumor, de non-self információ nélkül aligha jöhetnének létre. Többek között, ismerve az atheroscleroticus plakk és egyes intracelluláris kórokozók közt gyanított összefüggést, már évekkel ezelőtt tanulmányozta a Helicobacter pylori gyakoriságát coronariabetegeken, ami most szintén beleillett a képbe. A non-self információ és a malignus tumorok közti összefüggés lehetősége kikényszerítette a matematikai modellezést, amelyet Dr. C. K. F. a Turing-gép modell és Neumann és Nash elvei alapján vázolt fel. A malignus szövetkultúrákkal történő kísérletezés során Dr. P. E. látva egy felülfertőzött kultúra pusztulását, felvetette a bakteriális toxinokkal történő mitokondriumgátlás lehetőségét, mint tumor-okozó mitokondriumok elleni bacteriális eredetű antibiotikumok felhasználását. Az előzetes tesztek során a streptolisin gátolta a malignus sejtkultúrát. Dr. C. K. F. a Castanea sativa extractum vizsgálata során tapasztalt malignus sejtkultúrát gátló hatást. A munka minden fázisa együttgondolkodás volt, különböző, de utólag elválaszthatatlan arányban, ennek utólag nincs is jelentősége: egyedül egyikük sem jutott volna a végére. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 3 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 4 oldal / 102 SZAKMAI ÖNÉLETRAJZOK Dr. PAPP ERIKA Mottó: Adatok: Személyi adatok: Sz. 1972. december 18. Nagybánya, Baia Mare, Erdély, Románia. Elérhetőségek : E-mail: Végzettségem: belgyógyász szakorvos. Foglalkozásom: Jelenleg Mohács Város Kórházában (7700 Mohács, Szepessy út 7 sz.) dolgozom. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 4 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 5 oldal / 102 Főigazgató: Dr. Dénes László. Tanulmányaimat szülővárosomban, Erdélyben, Nagybányán kezdtem, itt érettségiztem és programozó – szoftverüzemeltető és számitógépkezelő végzettséget szereztem. Ezután tanulmányaimat a Marosvásárhelyi Orvosi és Gyógyszerészeti Egyetemen folytattam, itt szereztem orvosi diplomámat 1998-ban, a magyar tagozaton, majd marosvásárhelyi egyetemi klinikákon töltöttem egy orvosgyakornokévet. Egyetemi tanulmányaim közben pedagógiai diplomát is szereztem. Az orvosi diplomát átadja Prof. Dr. Jung János A 2000 – 2005-ös időszakban marosvásárhelyi és kolozsvári egyetemi klinikákon az 5 éves képzési terv alapján ötéves belgyógyász rezidensi képzést teljesítettem, ezalatt kilenc posztuniversitáris kurzuson vettem részt Magyarországon és ösztöndíjjal dolgoztam két hónapot Budapesten, a II. sz. Belgyógyászati Klinikán (Igazgató: Prof. Dr. Tulassay Zsolt, o. vez. Dr. Herszényi László Ph.D. adjunctus). A 2005 március 16 – 24 közötti vizsgaidőszakban a Kolozsvári III. sz. Belklinikán (szakvizsgabizottsági elnök: Prof. Dr. Mircea Grigorescu) belgyógyász szakorvosi diplomát szereztem. Részt vettem több magyarországi orvoskongeresszuson és több romániai orvoskongresszuson. Egyéb tevékenységeim: Az egyetemi évek alatt és utána tagja voltam annak a marosvásárhelyi teamnek, amely Romániában az elsők közt hajtott végre sikeres stem-sejt transzplantációt malignus haematologiai megbetegedések therapiája során. 1996-tól a Marosvásárhelyi Katolikus Egyetemisták Egyesületének (MA-FIA) alapitó tagja vagyok, melynek keretében részt vettem árvák és idősek megsegitését célzó programokon és szervezésükben is közremüködtem, valamint részt vettem az Egyesület által szervezett szociális és spirituális kongresszusokon, konferenciákon, összejöveteleken. Elő ző munkahelyek: 1999. 01. 01. – 2000. 02. 28 – orvosgyakornokidő: Marosvásárhely: Megyei Klinikai Kórház - III Belklinika. 2000. 03. 01 – 2005. 04. 30. – rezidensképzés: Marosvásárhely: Megyei Klinikai Kórház (belgyógyászat, anesztézia - intenzív terápia, endokrinológia, hematológia, diabetológia). Kolozsvár: Megyei Klinikai Kórház (gasztroenterológia,nefrológia, fertőző), Egyetemi Vasútkórház – IV. Belklinka (belgyógyászat). 2005. 05.01 - 09. 30. között Erdélyben, Kapnikbányán (Máramaros megye), a Városi Kórház belgyógyászati osztályán dolgoztam, mint kórházi belgyógyász szakorvos. 2005 októberében családi okból Magyarországra költöztem, hivatalos magyar munkavállalási engedély és hivatalos magyar munkavállalási vízum birtokában dolgozni kezdtem Mohács Város Kórházában (7700 Mohács, Szepessy út TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 5 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 6 oldal / 102 7 sz.) a Belosztályon, Dr. Dénes László főigazgató úr személyes irányításával, közalkalmazotti munkaszerződéssel. Marosvásárhelyen szerzett orvosi diplomám honosítását kezdeményeztem a M.E.I.K.-nél, ahonnan az előírt vizsgák sikeres letétele után az orvosi egyetemi végzettségem és orvosi diplomám elismerését tanusító okiratot megkaptam, az Orvosok Országos Nyilvántartásába felvettek, a Magyar Orvosi Kamarába és a működési nyilvántartásába, valamint az OFTEX-re regisztráltak. 2007. 01. 22-én Magyarországon végleges letelepedési engedélyt kaptam és állandó lakcímet jelentettem be. Eddigi munkámról és tevékenységemről referenciák szerezhetők: Dr. Dénes László főigazgató, Mohács Város Kórháza 7700 Mohács, Szepessy út 7 sz. tel: 0669 - 511150; Dr. Herszényi László Ph.D. adjunctus, o. vez. főorvos , SOTE II. sz. Belgyógyászati Klinika, 1088 Budapest, Szentkirályi út 46, tel: 061-266-0926, mellék: 5529 Dr. Fodor Géza, M.O.GY.E. - U.M.F. Târgu Mureş - Clinica Medicală III, tel: +40-265-214503; Conf. Dr. Vasile Negrean, Spitalul Universitar C.F. Cluj - Clinica Medicală IV, tel: +40-264-59996/230; Bara László, egyetemi lelkész, Marosvásárhely, tel: +40-265-265923. Nyelvismeretem: anyanyelvem magyar, ezenkívül felsőfokú román nyelv és felsőfokú román orvosi szaknyelv, valamint középfokú angol, alapfokú olasz. Terveimben a jelen munka témája mellett szerepel diabetológiai szakvizsga megszerzése, amely területen szeretnék a jövőben tovább tevékenykedni. Publikációk: 1. Papp Erika „ Esetismertetés: Colon Carcinoma in Situ” Esetismertetés a Kolozsvári Gasztroenterológiai Napokon, 2005 március 20. 2. Papp Erika, V. Negrean, A. Draghici, Ioana Suciu – „ A dohányzás hatása a hemorrheológiai tényez ő kre diabetes mellitusban. ” –előadás a Magyar Diabetes Társaság XVII. Kongresszusán, 2004.04. 22 - 25, Tihany, Absztrakt: Diabetologia Hungarica, vol XII, Supplimentum nr. 1, 98 – 99. 3. M. Adam, Erika Papp, Teodora Alexescu, V. Negrean, A. Draghici, Ioana Suciu, Iulia Biro - „Leukocita adhézió változásai diabetes mellitusan” („Modificări ale adezivitătii leucocitare în diabetul zaharat”) – poszterbemutató a Román Diabetes Szövetség - Federatia de Diabet, Nutritie si Boli Metabolice, III. Nemzeti Kongresszusán, 2004.11. 10 - 11, Arad, Románia. 4. V. Negrean, Erika Papp, Teodora Alexescu, A. Draghici, Ioana Suciu, Simina tărmure „A dohányzás hatása a hemorrheológiai tényező kre diabetes mellitusban” ( - poszter a Román Diabetes Szövetség - Federatia de Diabet, Nutritie si Boli Metabolice, III Nemzeti Kongresszusán, 2004 nov. 10 - 11, Arad, Románia. 5. Ioana Suciu, V. Negrean, D. Sâmpălean, Erika Papp, Nicoleta Leach, Iulia Biro, M. Adam - „Időskori nephropathia diabetica” ( „Nefropatia diabetică la vârstnici” ) - poszter a Román Diabetes Szövetség - Federatia de Diabet, Nutritie si Boli Metabolice, III. Országos Kongresszusán, 2004. 11. 10 - 11, Arad, Románia. 6. V. Negrean, Papp Erika, A. Draghici, Camelia Borza, Simina tărmure, Teodora Alexescu - „Obezitás - kardiovaszkuláris rizikótényez ő a közlekedésbiztonsági dolgozóknál.” ( „Obezitatea - factor de risc pentru bolile cardiovasculare la angajatii din Siguranta Circulatiei”) - poszterbemutató, LXIII. Országos Kardiológiai Kongresszus, 2004. 09. 15 - 18, Brassó Poiana, Románia, absztrakt - Revista Română de Cardiologie, vol XIX, nr. 3, 101. 7. Ina Kacso, Anca Cristea, C. Spânu, Papp Erika, Simona Răcăsan, I. M. Patiu, Crina Popa, Mirela Gherman-Căprioară - „A nagyon kis molekulasúlyú fehérjék és morfopathológiai elváltozások közötti összefüggések glomeruláris nefropáthiákban.” ( „Corelatii între prezenta proteinelor urinare de greutate moleculară foarte mică si leziuni morfopatologice la pacientii cu nefropatii glomerulare”) –előadás, III. Országos Nefrológia Kongresszus , 2003.05.01.-04, Kolozsvár, Románia. 8. G. Fodor, Papp Erika, Pop P. Diana, Redis Rodica, A. Alecu, A. Nagy, Kovács Ágnes "Helicobacter Pylori = Ischaemiás Cardiopathia?” ( „Helicobacter Pylori = Cardiopatie Ischemica?”) – előadás, Erdélyi Múzeum Egyesület - Orvostudományi és Gyógyszerészeti Szakosztály X. Tudományos Ülesszaka, 11.05. - 13.05.2000. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 6 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 7 oldal / 102 05.11 - 13, Székelyudvarhely, Románia. 9. G. Fodor, Papp Erika, Pop P. Diana, Redis Rodica – „Rizikófaktorok a hasnyálmirigy daganatok ethiopathogenézisében” ( „Factori etiopatogenici în cancerul pancreatic”) – elöadás, Erdélyi Múzeum Egyesület - Orvostudományi és Gyógyszerészeti Szakosztály IX. Tudományos Ülesszaka ,1999. 04. 13 – 15, Gyergyószentmiklós, Románia. 10. Papp Erika – „A szabad és letokolt hasű ri folyadékgyülem ultrahangos differenciál diagnosztikája.” („Diagnosticul diferential ultrasonografic al lichidului abdominal liber i închistat”) – bemutató, Marosvásárhelyi Magyar Diákszövetség V. Tudományos Ülésszaka, 1998. 05. 15 – 16, Marosvásárhely, Románia. 11. Papp Erika – orvosegyetemi államvizsgadolgozat „A pancreasfej carcinoma ultrahangdiagnosztikai kritériumai” TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 7 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 8 oldal / 102 SZAKMAI ÖNÉLETRAJZ Dr. CZIMBALMOS-KOZMA FERENC vagy: ADATOK: E-mail: SZ. 1961.OKT.15., MAROSVÁSÁRHELY, ERDÉLY. SZŰLŐK: DALMA, ASSZISZTENSNŐ (MAROSVÁSÁRHELYI ORVOSI ÉS GYÓGYSZERÉSZETI EGYETEM, ENDOKRINOLÓGIAI KLINIKA) ; FERENC, TÖRTÉNELEM-FILOZÓFIA SZAKOS TANÁR, ÚJSÁGÍRÓ, (MAROSVÁSÁRHELY, NÉPÚJSÁG /VOLT "VÖRÖS ZÁSZLÓ", TÖRTÉNELEM ÉS TERMÉSZETVÉDELEM/ ROVATSZERKESZTŐJE) ELEMI ISKOLA: 10. SZ. ÁLT. ISK. MAROSVÁSÁRHELY, MAGYAR TAGOZAT. KÖZÉPISKOLA: BOLYAI FARKAS LÍCEUM, MAROSVÁSÁRHELY, MAGYAR TAGOZAT, 1978-IG. (II. GIMNÁZIUMI OSZTÁLYBAN FEGYELMI OKBÓL ELTANÁCSOLVA A GIMNÁZIUMBÓL). 1978-1980 (ÉRETTSÉGIIG) BIOLÓGIA-KÉMIA LÍCEUM, MAROSVÁSÁRHELY, MAGYAR TAGOZAT. A KÖZÉPISKOLÁBAN TÖBBSZÖR MEGBUKOTT FÉLÉVRE, FŐLEG MATEMATIKÁBÓL, OROSZBÓL, IRODALOMBÓL. KÉMIÁBÓL A LEGKIVÁLÓBB ÉRETTSÉGI DOLGOZATOT ÍRTA A GIMNÁZIUMBAN 1980-BAN. 1980-BAN ELSŐ PRÓBÁLKOZÁSRA SIKERES FELVÉTELI VIZSGA A MAROSVÁSÁRHELYI ORVOSI ÉS GYÓGYSZERÉSZETI EGYETEM MAGYAR TAGOZATÁRA. (UTOLSÓ ELŐTTI BEJUTÓ). 1980-81 TELÉN SORKATONA BACAU-BAN. 380 ORVOSJELÖLT KÖZÜL MÁSODMAGÁVAL NEM KAP ŐRMESTERI RANGOT CSAK SZAKASZVEZETŐIT - AZ OK POLITIKAI MEGBÍZHATATLANSÁG. EGY ÍZBEN DEZERTÁLÁS GYANÚJA MIATT FOGDÁBA IS KERÜL. 1981-1987: ORVOSTANHALLGATÓ. TÖBBSZÖR LETARTÓZTATJA ÉS KIHALLGATJA A SECURITATE. (MAGYAR HIMNUSZ ÉNEKLÉSE MIATT). ELSŐ ÉVEN PÓTVIZSGÁRA BUKIK MARXIZMUS - LENINIZMUSBÓL. MÁSODÉVTŐL PROF. DR. PAP ZOLTÁN IRÁNYÍTÁSÁVAL RÉSZT VESZ A CÖLIÁKIA KUTATÁSÁBAN. EZÉRT TÖBB ORSZÁGOS DIÁKKÖRI TUDOMÁNYOS KONFERENCIÁN ELISMERÉSBEN ÉS ÖSZTÖNDÍJBAN RÉSZESÜL.1985-TŐL DIÁKKÉNT TAGJA EGY KUTATÓCSOPORTNAK. 1982-BEN ALAPÍTÓ TAGJA A MAROSVÁSÁRHELYI KATOLIKUS FOKOLÁRÉ CSOPORTNAK. 1984-BEN MEGNŐSÜL, AKKORI FELESÉGE GÉTZI ADRIENN, AKKOR FOGORVOSTANHALLGATÓNŐ. 1987-BEN DIPLOMÁZIK. 1987-BEN VISSZAUTASÍTJA A KÉNYSZERREL KIJELÖLT MUNKAHELYET MOLDOVÁBAN, AKKORI FELESÉGÉVEL EGYÜTT KILÉP A KISZ-BŐL ÉS BEADJA EMIGRÁCIÓS KÉRVÉNYÉT. SZÜLEIT KÉNYSZERNYUGDÍJBA KÜLDI A SECURITATE. 1988-BAN ELHELYEZKEDIK MINT HARANGOZÓ A SEPSISZENTGYÖRGYI SZENT GELLÉRT RÓMAI KATOLIKUS PLÉBÁNIÁN. ORVOSI ELŐADÁSOKAT TART FIATALOKNAK. 1988 VÉGÉTŐL RENDŐRI FELÜGYELET ALATT ÁLL. KÖZBEN HELYETTES KÖRORVOS. 1989 DECEMBER 22-25 KÖZT FEGYVERES CIVILKÉNT RÉSZT VESZ AZ ANTIKOMMUNISTA LÁZADÁSBAN, ROMÁNIÁBAN. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 8 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 9 oldal / 102 1990-BEN EMIGRÁL ERDÉLYBŐL MAGYARORSZÁGRA, AZÓTA MECSEKNÁDASDON KÖRZETI HÁZI GYERMEKORVOS. 1990-93 KÖZT A PÉCSI BARANYA MEGYEI KERPEL-FRONIUS ÖDÖN GYERMEKKÓRHÁZBAN KIEGÉSZÍTŐ TANULMÁNYOKAT VÉGEZ PROF. DR. SULYOK ENDRE VEZETÉSÉVEL. 1993 DECEMBERÉBEN SZAKVIZSGÁZIK BUDAPESTEN, A PROF. DR. FEKETE - PROF. DR. PÉTER - PROF. DR. TULASSAY BIZOTTSÁG ELŐTT. 2003-BAN DR. GÉTZI ADRIENN SAJÁT KEZDEMÉNYEZÉSRE ELVÁLIK DR. CZIMBALMOS-KOZMA FERENCTŐL (2003-BAN DE FACTO, 2005-BEN DE JURE IS BEADJA ELLENE A VÁLÓPERT). 2005-BEN MEGISMERKEDIK DR. PAPP ERIKÁVAL, AZÓTA PÉCSETT ÉLNEK. A PTE-ÁOK KÜLÖNBÖZŐ INTÉZETEIBEN „KÜLSŐSKÉNT” FOLYTATOTT CÖLIÁKIÁVAL, SIDS-EL, ONCOPHARMACOLOGIÁVAL KAPCSOLATOS KUTATÁSOKAT. Önéletrajz: Első mestereim középiskolás koromban kezdtek tanítani. Első mesterem, Kiss József kiváló gimnáziumi tanár tanított biológiából, kémiából a Bolyaiban, Marosvásárhelyen. Kisebb diákköri kutatólaboratóriumot hozott létre a Bolyai gimnázium üvegházában, ahol Dr. Vécsei András jelenlegi parajdi háziorvossal akkoriban a hangyák tájékozódási szokásait vizsgáltuk, majd Dr. Csíki Zoltán jelenlegi debreceni egyetemi oktatóval akkor a Maros folyó kagylóinak szövettanával kezdtünk foglalkozni, a jelenlegi Prof. Dr. Jung János kórbonctani intézetében az Orvosi Egyetemen. Itt rövidesen elkezdtünk bejárni boncolásokra. Czégeni József, a Gyógyszerészeti Fakultás szerveskémia egyetemi oktatója magántanítványa voltam gimnazistaként, ő szervetlen és szerves kémiát, fizikai kémiát, atomfizikát, csillagászatot valamint elméleti fizikát és kozmológiát tanított nekem. Kiváló, szuperintelligens ember és tanár volt, különleges humorérzékkel, optimizmussal és a gyerekek, az elesettek, nehéz sorsúak iránti tevőleges szeretettel, önzetlenséggel és jósággal megáldva. Egy bérelt szobában élt egyedül, egy ágy, egy asztal, két szék, egy szekrény, egy sparhelt és egy kb. tízezer kötetes, stószokba tornyosuló könyvtár valamint egy kakukkos óra társaságában a marosvásárhelyi Bolyai utcában, szabad idejében ingyen tanított diákokat és ismeretterjesztő előadásokat tartott. Ő a második, meghatározó mesterem, szombatonként délután hattól sokszor éjfélig tartott nála a néha kocsmázással záródó magántanítás. Ő ismetetett meg Müller Mihály tanárral, a Pedagógiai Főiskola fizikus főiskolai oktatójával, magántanítványa voltam gimnazistaként, ő fizikát tanított nekem. Kiváló, jó humorérzékű, kedves ember volt, sokszor a Maros volgyében, Gödemesterházán lévő kis házában málnabor mellett magyarázta a fénytant, elektromosságtant, atomfizikát, vagy az erdőben sétálva botjával a patakpart fövényébe írta a képleteket. Kiváló, felejthetetlen tanár volt, ő a harmadik mesterem. Közben rendszeresen bejártunk a korbonctanra boncolni, itt Jung professzor magántanítványa lettem gimnazistaként biológiából, anatómiából, élettanból. Ő a negyedik mesterem. Az egyetem évei alatt végig bejártam intézetébe (sok szeretettel emlékszem azokra az évekre, 1982-ben egyetemistaként azt a bonctechnikai jegyzetet illusztráltam részben, amiből később vizsgáznom kellett...). A Bolyaiban az osztályfőnöknőmmel, annak intoleráns és autokratikus magatartása és az én azon igényem miatt, hogy megkapjam mástól azt a tiszteletet, amelyet én megelőlegeztem, konfliktusba kerültem és gyakorlatilag eltávolítottak, pontosabban az igazgató jószándékának köszönhetően el tudtam menni egy másik iskolába (akkori nevén Unirea), ahol biológia-kémia szakon érettségiztem. Itt kiváló tanáraim voltak: Kiss István (kémia), Bába Zoltán (kémia), Piros Sanda (mikrobiológia), Bedő Margit (laboratóriumi kémia), Dósa Jenő (pszichológia) – az oktatás részben az Orvosi Egyetemen folyt, Prof. Dr. László Jánosnak, az Egyetem akkori rektorának köszönhetően (ő az, aki valójában felfedezte a B-hepatitis vírusát, nem azok, akik megelőzték a bejelentéssel). Az orvosi egyetemet Erdélyben, Marosvásárhelyen az Orvosi és Gyógyszerészeti Egyetemen (akkor: IMF, most: UMF, magyar rövidítéssel: MOGYE), a magyar szekción, gyermekgyógyász ráépített profilon kezdtem 1980-ban és végeztem 1987-ben. Az első éven nagy hatást tettek rám Filep Győző biofizikai előadásai, és abban a szerencséban volt részem, hogy orvosi elektronikát tanulhattam elméletben és gyakorlatban is Prof. Dr. László Józseftől. 1982 után kezdtem bejárni a Szívsebészeti Klinika intenzív therapiás osztályára, időrendben az ötödik mestermnek néhai Dr. Kerek Istvánt, a kiváló, felejthetetlen, hihetetlen tudással és memóriával megáldott orvost tekintem (jelszava „sokat, gyorsan és jól” volt). 1982-83-ban kezdtem a gluten-sensitiv enteropathia allergénjeinek kimutatásával foglalkozni, időrendben hatodik, meghatározó mesterm, Prof. Dr. Papp Zoltán, a híres klinikavezető gyermekgyógyász egyetemi tanár mellett. Este, mikor fehér köpenyben ketten jártuk végig – sokszor órákig – a klinka kórtermeit, rengeteget tanultam tőle, és mellette éreztem először azt a felejtehetetlen élményt, hogy milyen érzés orvosnak lenni. 1986-ra dolgoztam ki új eljárást a GSE antitestjeinek immunfluorescens és ELISA eljárásos kimutatására, kevéssel azután, hogy az ELISA eljárás terjedni kezdett. 1987-ben diplomáztam, de mivel szembefordultam a kommunista rezsimmel és kiléptem a KISZ-ből, rendőri felügyelet alá vontak a romániai kommunista hatóságok. Az 1989-es romániai antikommunista fegyveres lázadásban való (számomra: sajnos csekély, a szekusok számára: szerencséjükre csekély) részvételem után 1990-ben egzisztenciális okokból Magyarországra költöztem, elvállaltam a gyermekorvosi praxist Mecseknádasdon, ahol jelenleg is dolgozom. 1990től időrendben hetedik mesterem, Prof. Dr. Sulyok Endre mellett dolgoztam Pécsett, körzeti gyermekorvosi praxisom mellett, majd 1993-ban Budapesten az akkori OTE-n szakorvosi diplomát szereztem csecsemő és gyermekgyógyászatból. 1995-2000 közt Pécsett, körzeti gyermekorvosi praxisom mellett, Prof. Dr. Ohmacht Róbert TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 9 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 10 oldal / 102 és Prof. Dr. Németh Péter intézeteiben kidolgoztm a gluten-sensitiv enteropathia antigén-fractioinak Elisa és immunprecipitatiós kimutatását (http://www.geocities.com/drcfhu/glutfrhu/index.html). 2000-2002 közt, körzeti gyermekorvosi praxisom mellett, együttműködésben Prof. Dr. Luigi Matturri (Universita degli Studi di Milano, Istituto di Anatomia Patologica) intézetével a SIDS (bölcsőhalál) ethiopathogenesisével és neurohistopathologiájával foglalkoztam, majd publikáltam az első pozitív hisztológiai diagnózist Magyarországon SIDS esetben. (http://www.geocities.com/drcfhu/sids/index.html). Az elmúlt években egyes antibiotherapia és allergologia témakörben tartott előadásaimat pontszerzőként akkreditálták. Jelenleg, körzeti gyermekorvosi praxisom mellett, a genericumok mellékhatásprofiljának kialakításáért felelős reziduumfractiók analitikájával és bizonyos cytotoxicus phytopharmakonk tumorsejtnecrosist okozó hatásával foglalkozok PTE Pharmacologiai intézete és Immunológiai és Biotechnológiai Intézete segítségével, valamint rendszeresen látok el ügyeletet Pécsváradon. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 10 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 11 oldal / 102 l. idézet, hivatkozás saját forrásra magyarázat céljából 02 Esszé Dr. Czimbalmos-Kozma Ferenc Az alkotásról Sokszor olvastam és hallottam azt a nagy marhaságot, miszerint a tehetség a fegyelemmel, szorgalmas tanulással, kitartó munkával párosulva az egyedüli út a felfedezés, eredmény, siker eléréséhez, a tudomány előrehaladásához. Sőt, szegény gyermekeket is ezzel a félrevezető és hazug, képmutató csalással (rosszabb esetben lelki vagy akár testi terrorizálással) késztetik arra, hogy egészséges ösztöneiken erőszakot téve az éppen aktuális, magát erkölcsösnek hazudó, de valójában mindig nagyon is mulandó, tehát: pillanatnyilag valahol éppen hatalmon lévő estabilishment (oldaltól, történelmi kortól, földrésztől függetlenül) szájíze szerint biflázzon be mindenféle hülye tananyagot. A valahogyan mindig kéznél lévő korifeusok és őket szajkózva a társadalom többsége még attól sem riad vissza (sokan tudatlanságukban nem is hibásak érte, habár, ha az értelmes ember utánagondol...), hogy nagy felfedezőket , tudósokat hozzanak fel “jó példának” . Pedig a mindenki által jólismert valóság bizony, bizony, nagyon de nagyon más! Az emberiség kultúrájának jelenlegi, meglepően magas fejlettségét nagyobb részt nem a sok, szorgalmas, kitartó, becsületes embernek köszönhetjük, hanem főleg a néhány, sorból kilógó, merőben újat alkotó, olykor eléggé lökött géniusznak. Nélkülük becsületesen, szorgalmasan, öntudatosan és eltökölten túrnánk a földet faekével a mai napig is a Tigris és az Eufrátész közt, és ibolyánk nem volna az ősrobbnásról. Vegyük csak a matematikát példának: az igazi nagy “durranást” jelentő dolgokat egytől egyig nem profi és hivatalos szakmabeli tudósok hozták össze! Évezredekig fejődött különféle helyszíneken a számolás és mindenféle mérés tudománya, de a filozófus Euklidész kellett hozzá, hogy az Elemek megírásával megalkossa az absztrakt matematikát, mint rendszert és tudományt. Aztán bő kétezer évig semmi igazán nagy (értsd: sohasemvolt új) dolog nem történt, amígnem a hadmérnök Bolyai János egy-két utazás és egy-két párbaj közt valami rohadt kaszárnyában lazán leírta 12 oldalban (!!!) a gömbi geometriákat. Ne is mondja senki, hogy a Bolyai 12 oldalas zseniális alkotásával akár csak egy napon is együtt lehetne emlegetni súlycsoport szerint mindazt ami Euklidész és Bolyai közt született. Hacsak nem a főügyész Pierre de Fermat könyvmargókra firkált nagy sejtését esetleg... Mert a többi mind a korábbiak továbbfejlesztése volt, és nem valami olyan új, mint például a festészetben egy Boticelli festette szexi csaj egy sötét középkori krónika iniciáléján gubbasztó legörbült szájú királyhoz képest. Aztán megint egy darabig nem sok történt, közben pedig, állítólag (sok jel mutat erre!) egy bajuszos férfi inkognitóban állítólag többször járt Marosvásárhelyen a Teleki Tékában, élénken érdeklődve és tanulmányozva Bolyai János több ládányi kiadatlan kézirathagyatékát, majd publikálta a... relativitáselméletet. Szeretném védelmembe venni a fentebbi megállapításaimat. Sok értékes dolog született a köztes időkben, de kevés eredeti, lényegesen-forradalmian új. Nagyon becsülöm Willest a nagy Fermat sejtés megoldásáért, de... találta volna ki ő! Igazán nagy elme Riemann, de a lényegre mégiscsak Bolyai János jött rá (Rieman inkább a zéta függvény zérushelyei nem triviális valós gyökei dolgában látott meg valamit, amiből még lehet nagy durranás). Ezért nagyobb ő, mint például a minden megbecsülést és tiszteletet megérdemlő Hilbert. Más dolog ugyanis szorgos munkával elsajátítani az elődök tudását és azt továbbfejleszteni, megbecsült tudóssá válva és a köztiszteletet jogosan kiérdemelve önzetlenül sokat tenni a tudományért és megintcsak teljesen más a zseniális elme gyökeresen új alkotása. Felsőbbrendű. Ebbe a körbe sem szorgalom, sem pénz, sem munka árán nincs belépés. Ebbe a körbe tartozni nem érdem, nem szerencse, nem belépő ide a hivatástudat sem. Tálentum dolga mindössze, melyet sokan eltékozolnak. Szinte igazságtalannak tűnik a dolog: az érdemtelennek úgy adatik meg a zsenialitás, hogy sokszor semmit sem tett érte, a szorgalmasnak nyúlik a nyaka az erőfeszítéstől és avval marad. Ilyen lehangoló lenne a kép? Nem egészen! Feltűnő a számbeli aránytalanság a humán és reálszféra géniuszainak száma közt a humánszféra javára. Vajon miért van ez? Azért dinamikusabb a humán kultúra, mert a mővészoid emberek szabadabb lelkületüek a reálosoknál? Részben ez lehet a válasz. A kötöttség a zsenialitás sárbataposása. A hasznosuló reál-zsenialitás pedig nem kellene ilyen ritka legyen, én a kérdésben teljesen Pygmalion-párti vagyok! G. B. Shaw lángelméje nagy igazságra hívta fel a figyelmet. Szerinte egyenesen minden emberben(!) világít az isteni szikra! Nagy kár, nagy bűn eltaposni. Ha mindenkiben kifejlődhetne, amennyire csak lehet, talán nem is volna ilyen irigység tárgya, mint ma. Kiderülne, hogy egészen hétköznapi, normális emberek is alkotnak néha gyökeresen új dolgokat és még csak nem is nyögnek hozzá az erőlködéstől. Amikor a diszkrét mezőelméletről és az azt leíró apparátusról, a kvantummatematikáról esik szó, nem tudok elhallgatni néhány tényt. Az igaz, hogy mindig is, kisgyermek koromtól érdekelt a tudomány , de az iskolában semmi jelét nem mutattam különleges képességeknek, inkább közepesen tudtam csak megfelelni az ottani és akkori követlményeknek. Sőt, harmadik-negyedikben olyan hülye voltam, hogy az még nekem is feltűnt: nem értettem például az asszociativitás és kommutativitás közti különbséget az alapműveleteknél! Lehet, az orrpolip okozta hipoxia ártott az agyamnak, amígnem a kedves és kiváló humorérzékő Dizmatsek doktor meg nem operált, aztán helyrejött az eszem is úgy ötödikes koromra, csak éppen nem használtam, mert Kiss Jóska bácsi tantárgyain kívül eléggé utáltam minden egyebet, főleg az elborult agyú kritikusok hülye förmedvényeit a magyar irodalom nagyjairól, amit nem átallotak műelemzésnek aposztrofálni az akkori ízlésdiktátorok. Igazság szerint nem is illett TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 11 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 12 oldal / 102 volna megtűrjenek engem a marosvásárhelyi híres Bolyaiban, csak a volt kollégái tisztelték az apámat, aki inkább kirúgatta magát a tanfelügyelői vezető állásából, de még a szemét vaddisznó tetűláda hatalom elvárása ellenére sem bántott soha senkit. Kétszer is álltam bukásra matematikából, bonyolult számításokra ma sem vagyok képes, a számtant legfeljebb középszinten ha ismerem. Pár éve, a 6-os főúton autózva, kb. A 172-es km. szelvénynél (valahogy megmaradt bennem ez az emlék), anélkül, hogy szándékosan ezirányban szellemi erőfeszítést tettem volna, fölmerült bennem az a gondolat, hogy a Hilbert-féle axiómaredszer alapelemeinek konvencionálisan kijelölt tulajdonságai közül a dimenziószámra más konvenciót alkalmazva, jelesül a lehetséges dimenziószámok közül a nullát kizárva egy teljesen új matematika születik. Megálltam utána valahol az apátvarasdi eltérő parkolójában, egy üres orvosi recept hátoldalára leírtam a főbb fogalmakat (az egész kvantummatematika lényege nagyjából ráfért) és továbbmentem dolgomra. Pár nap múlva elővettem és rendesen leírtam, majd továbbfejlesztettem a dolgot, de az már csak favágás volt, míg a lényeg, magának az új rendszer megalkotásának folyamata egy laza, egy-két perces tőnődés csupán. Lehet, hogy kiábrándító, de semmiféle pátoszt és meghatottságot nem éreztem. Nem sokkal később, a Genova melletti Camogli halászfalu kikötőjének világítótornya alatt halkonzerv evése és Moretti sör (6 és fél decis, nem három, természetesen, az olaszokban van fantázia) ivása közben vetődött fel bennem annak a gondolata, hogy az absztrakt tér kvantumos modellje lehet a létező reális fizikai térnek. A gondolaton egy háromnegyed üveg sör megivásáig terjedő időn keresztül rágódtam egy kicsit, közepes erőbedobással, majd emlékezetből pár hét után leírtam a diszkrét mezőelméletet. Utána életem legnagyobb, hetekig tartó és a meghülyülésig kifárasztó szellemi erőfeszítése árán, Wolfram sejtautomata elméletétől (NKS) inspirálva jöttem rá az elméletben kulcsfontosságú toposz-transzformáció fogalmának szükségességére az elmélet általánosíthatóságának érdekében. Semmi lobogó hajú, tüzes tekintető, elszállt agyú zseni: egy átlagos, környezete szerint normális orvost lehetett csak akkor ott látni. Volt, aki kertelés nélkül zseniálisnak nevezte a kvantummatematika és a diszkrét mezőelmélet megírását (www.geocities.com/quanmatworkshop). Amennyiben igaznak és használhatónak bizonyulnának, talán lenne is benne valami igazság. De ha bárki is azt a marhaságot mondaná, hogy mindez szorgalmamnak, kitaró munkámnak, matematikai és fizikai felkészültségemnek köszönhető, szemberöhögném. Ha pedig valakinek az jönne ki a fejéből a száján keresztül, hogy eredményeim abban a tudásban gyökereznek, amit valamely neves tanintézményben (ahová fölvettek, mert jótanuló voltam) sajátítottam el szorgalmas memorizálással, akkor egyenesen röhögőgörcsöt kapnék. A dolog valójában tragikomikus. Körzeti orvosként 19 éve egyedül dolgozok, hibát, bajt nem csináltam, szeretet övez (pár embernek nem tetszem, mert nagypofájú vagyok és magasról teszek a hatalomra és a tekintélyre, de ez szerintem így a jó) és nem tartanak rossz orvosnak, kollégáim megbecsülnek (néhány kivétellel, de ezzel én is így vagyok, úgyhogy kvittek vagyunk). Állítom, hogy mindazon összes tudást, amivel ma rendelkezem, tíz év alatt simán elsajátítottam volna. Ha békén hagytak volna a válogatott baromságaikkal, 16-18 éves koromra minden további nélkül vizsgázott szakorvosként képes lettem volna úgy gyógyítani, mint ma, ha bejárhattam volna tanulni oda, ahová én láttam volna jónak. És humán kultúra tekintetében sokkal műveltebb lennék, mint ma vagyok, a gőzös agyú hülyék rámerőltetett kényszere miatt fölöslegesen elizélt rengeteg drága idő alatt elvégeztem volna a teológiát, fizikát, tudnék latinul, héberül, görögül. Még jó, hogy amint a rühes kutya a szőrét, úgy le tudtam vedleni a sok maszlagot, amit egyes „alma materekben” próbáltak a legdurvább módon (az egzisztencia, a fizikai szabadság, a továbbtanulás lehetőségének elvesztésével fenyegetve) rám kényszeríteni, és sikerül semmire sem emlékezni, ami fölösleges hülyeség. A talentum pedig amúgy inkább felelősség, mint ok a büszkeségre, netán gőgre. Milyen jogon nézné le az érdem nélkül talentummal megajándékozott a szorgalmasan munkálkodót? Csak mert nagyobb elismerést arat? Nem lenne etikus. Sokkal inkább helyes, ha az, aki érez magában valamilyen képességet, ne hagyja veszendőbe menni. Mindezt már az iskolában el kellene kezdeni, bátorítva a gyermekekben az intuíciónak legalább a használatát, nem pedig eltaposni azt, ha már létrehozni ilyet úgyse tudunk. Amelyik gyermek valamiben különleges tehetséget mutat, annak szabad utat kellene adni, hogy kötöttség nélkül fejlődhessen. Azt jelentené mindez, hogy javasolnám az iskolarendszer felszámolását és azt, hogy hagyjuk saját kedvük szerint söpredékké zülleni a fiatalokat? Nem, korántsem. Szükség van a jó iskolarendszerre, amely megadja a nékülözhetetlen ismereteket a felnövekvőknek. Az iskolarendszer képes kellene legyen arra, hogy hat és tizenhat éves kor közt mindenkit megtanítson arra, hogy amikorra tizenhat éves lesz, tökéletesen és helyesen tudjon anyanyelvén írni és olvasni, jól beszéljen két idegen nyelven (jól kommunikáljon, és ne a tízféle pászt tenszet tudja, a derdídászt pedig ösztönből használja, ne listabiflázásból), tudja azt, mit jelent adott nemzetéhez tartozni, tudjon jól számolni (alapműveletek, százalék, gyökvonás, területszámítás, de nem integálás és kotangens alfa), ismerje a csillagos eget és a térképet, az égi mozgásokat és az elekromosság, kémia, természetrajz alapjait, no meg tudjon jól úszni, megbízhatóan vezetni gépjármővet, tudjon bánni a lőfegyverrel és életben maradni pár napig extrém helyzetben (a lányok is), tudjon ehető krumplilevest főzni, csecsemőt pelenkázni, normálisan inget kimosni és sliccgombot varrni (a fiúk is), tudjon kicserélni egy villanykapcsolót és installálni egy videokártyát (a lányok is), képes legyen a mesterséges légzésre, szívmasszázsra és vérzéscsillapításra, ne öntsön sósavas vízkőoldót a hipós budiba, ne dugjon két kilowattos vasalót a szünetmentes tápba (fiúk is, lányok is...), ésatöbbi... És ahogy az alapokat elsajátította valaki és felsőbb tanulmányokba kezd, amennyiben jelét mutatja valamilyen extra képességnek, teljesen szabadon kellene hagyni, hogy kifussa magát, támogatni mindennel, csak annyit kérve, hogy a szűk területét művelje szorgalmasan. Kevesebb eltaposott tehetség és jobb világ lenne az eredmény. Tudom, ez a vélemény sokaknak nem tetszik, de azt hiszem, mégis igaz és jó szívvel kiállok vitára a védelmében. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 12 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 13 oldal / 102 Pécs, 2006 február 23. JEGYZETEK, HIVATKOZÁSOK, BIBLIOGRÁFIÁK: jegyzetek, hivatkozások: 03, forrás: www.wikipedia.hu Fogalmak a Turing-gépről A Turing-gép fogalmát 1936-ban megjelent cikkében dolgozta ki a matematikai számítási eljárások, algoritmusok precíz leírására, tágabb értelemben pedig mindenfajta „gépies” problémamegoldó folyamat, pl. a számítógépek működésének modellezésére. Erre az időszakra, a II. világháború környékére tehető az ilyesfajta, a számítási eljárásokat azok különféle modelljein keresztül vizsgáló kutatások fellendülése, melyek végül a valódi számítógépek építésébe torkollottak (Turing maga is részt vett egy valódi gép, a Colossus megépítésében). A Turing-gép úgynevezett absztrakt automata: a valóságos digitális számítógépek nagyon leegyszerűsített virtuális modellje. További jelentőségét az ún. Church–Turing-tézis adja, amely szerint univerzális algoritmikus modell. Az ilyen egyszerű számítógépmodellek matematizált elméleteivel a matematika számítógép-tudománynak nevezett eléggé fiatal tudományágának olyan részterületei foglalkoznak, mint például a számításelmélet. Turing-gép elve (beillesztve szerző ábrája) P: vezérlőprocesszor, M: memória, W: író, R: olvasó, < >: továbbító, D: adathordozó szalag. A fogalom értelmezései, modelljei Ha elfogadjuk igaznak azt a kijelentést, hogy a Turing-gép nem más, mint az egyszerű számítógépek modellje, a Turing-gép kifejezésen még mindig két különféle, bár szorosan összetartozó dolgot is érthetünk, és általában szokás az is, hogy a kifejezésbe mindkét értelmet egyszerre belelássuk (de ez nem szükséges és nem is minden szerző teszi): A nem formális – informatikai modell: A Turing-gép jelentheti az egyszerű számítógépek informatikai modelljét. Ebben a felfogásban a Turinggépet olyan fizikailag is megvalósítható egyszerű automata formájában szokás interpretálni, mely három, fizikailag létező tárgyként elképzelt, hardveres egységből áll: a szalagtárból (memória és input-output-perifériák), a vezérlőegységből (CPU) és az író-olvasó fejből (buszrendszer). Itt látszik, hogy a Turing-gép mennyire hasonlít a számítógépek felépítéséhez. Matematikailag a Turing-gépet mint egy öt-tíz elemből álló halmazrendszert szokás definiálni. Ebben az esetben a „hardveres” interpretáció elhagyható, és a Turing-gépek és a vele kapcsolatos fogalmak elmélete a valóságos világhoz kapcsolódó minden „szennyes” hasonlóságtól megtisztított, formális elméletként közölhető. A matematikai modell és egy valós gép között az a lényeges különbség van, hogy a fizikai gépek memóriája véges. Egy érdekes lehetőség, hogy a fizikai és az absztrakt modell is szimulálható akár egyszerű PC-k segítségével is. A klasszikus Turing-gép informatikai modellje A Turing-gépnek rengetegféle változata van, e szócikk az ún. klasszikus változattal (teljes nevén szalagtáras, egyszalagos, egyfejes, relatív címzésű, három címes, statikus programozású, véges ábécéjű, véges (állapotú) determinisztikus absztrakt automata). Bizonyított matematikai tételek szerint a többi változat nagy része, legalábbis ama tekintetben, hogy mit tud kiszámolni, ekvivalens a klasszikus változattal. Ahogy fentebb mondtuk, e felfogásban a Turing-gépet fizikailag is megvalósítható egyszerű automata formájában képzeljük el, mely három nagyobb fizikai egységből („hardver”) áll: 1.egy cellákra osztott végtelenített papírszalag formában létező memóriából (szalagmemória, szalagtár, társzalag); minden cellában a gép által megértett nyelv betűi, azaz a Tár-abc egy-egy betűje van írva; 2.egy vezérlőegységből, mely a gép programját tartalmazza; a vezérlőegység különböző időpillanatokban különféle belső állapotokban létezhet; 3.egy író-olvasó fejből (I/O-fej), mely szimbólumokat ír vagy olvas a szalag celláira (ahogy a valóságos számítógépek betűket írnak ki a monitorra TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 13 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 14 oldal / 102 vagy a nyomtatóban lévő papírívre). továbbá egy „szoftveregységből”, ez az átmenettábla, ami vezérli a gép működését, megadva, hogy adott szimbólum beolvasásának hatására adott állapotban mit tegyen: hogyan mozogjon, milyen szimbólumot írjon a tárra, és milyen belső állapotba kerüljön. A Turing-gép működése: A Turing gépnek minden időben van egy aktuális pozíciója a memóriaszalagon, amely pozíciónál az aktuális cella helyezkedik el. Minden időben van egy állapota, amely az aktuális állapot. Az aktuális állapotok definiálása része a gép programozásának. A gép minden lépésben beolvas egy szimbólumot a társzalag aktuális cellájából, ezután a program attól függően, hogy az aktuális állapota milyen és a beolvasott szimbólum a gép abc-jének melyik betűje, a következő három lehetőség közül az egyiket írja elő: 1). az aktuális cellába beír egy meghatározott szimbólumot, 2). az olvasófej a társzalagon balra vagy jobbra lép, esetleg helyben marad, 3). a gép (vezérlőegysége) átvált az éppen aktuális állapotból (amelyben éppen van, abból) egy másikra (az új állapot persze lehet ugyanaz mint az aktuális). Egy speciális állapot a „stop-állapot”, amely után a Turing-gép a programozása szerint megáll. Az időbeli lefutást leírva a gép beolvas, változtat, mozog, és aztán ez a ciklus újra kezdődik: azon a cellán, amelyre mozgott, ismét beolvas, változtat, majd lép. Így megy ez, s eme folyamatnak a gép programozásától és az elvégzendő feladattól függően kétféle kimenetele lehet: Szabályos megállás (terminálás): a gép leálló belső állapotba („stop-állapot”) kerül; „Elszállás”: a gép végtelen ideig fut. A legegyszerúbb módon ez úgy lehet, hogy egy végtelen ciklusba kerül, de más módon is futhat végtelen ideig, mert egyszerűen sosem kerül stop állapotba. jegyzetek, hivatkozások: 04, forrás: www.wikipedia.hu A játékelmélet A játékelmélet a matematika egyik, interdiszciplináris jellegű (tudományágak közé egyértelműen nehezen besorolható, leginkább talán a kombinatorika részeként tárgyalható) ága, mely azzal a kérdéssel foglalkozik, hogy mi a racionális (ésszerű) viselkedés olyan helyzetekben, ahol minden résztvevő döntéseinek eredményét befolyásolja a többiek lehetséges választása, vagyis a játékelmélet a stratégiai problémák elmélete. A játékelmélet alapjait Neumann János rakta le egy 1928-as munkájában, majd az Oskar Morgenstern neoklasszikus matematikusközgazdásszal közösen írt „Játékelmélet és gazdasági viselkedés” című (The Theory of Games and Economic Behavior, 1944) művében. A matematika, a közgazdaságtan, a szociológia, a pszichológia, és a számítástechnika a játékelmélet által legérintettebb tudományok. A mesterségesintelligencia kutatás is felhasználja eredményeit. 1994-ben Harsányi János magyar származású közgazdász, másokkal megosztva közgazdasági Alfred Nobel-emlékdíjat kapott játékelméleti kutatásaiért (A magyar mozik nemrég játszották az ,,Egy csodálatos elme'' című amerikai játékfilmet, amely John F. Nash matematikus életéről szól, aki Harsányi Jánossal és Reinhard Selten-nel együtt 1994-ben elnyerte a közgazdasági Nobel-díjat. A nagy sikerű film azonban nem annyira Nash munkásságával, sokkal inkább betegségével foglalkozott, így kevés derült ki arról, miért is kapott Nash Nobel-díjat). TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 14 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 15 oldal / 102 Alapfogalmak • A Játék a játékosok lehetséges viselkedését és lényeges körülményeket meghatározó szabálysor által leírt folyamat. • Az információs halmaz (ismeret) meghatározó. Például a játék tökéletes információs, amennyiben a résztvevők birtokolják az összes vonatkozó adatot (szabályok, lehetséges választások, eddigi események), és a játék véges. • A stratégia a szabályokat alkalmazó, az ellenfél érzékelt hibáit felhasználó – győzelemre, de minimum döntetlenre segítő módszer. • Zéró összegű az a játék, amelyben a játékosok csak egymás kárára növelhetik nyereségüket. • Nem zéró összegű játszma az, mikor a két fél nemcsak egymástól, hanem egymással együttműködve valamilyen külső forrásból is nyerhet. • Egy játék lehet két-, vagy többszemélyes. • Kooperatív a játék akkor, ha a játékosok között kialakul az együttműködés. • Nem kooperatív játék esetén a játékosok versengenek egymással. • A Nash-egyensúly az összes játékos összes stratégiájának olyan együttesét jelenti, amelyben egyik játékosnak sem származik előnye abból, ha stratégiáján változtat, amíg a többi játékos azonos módon játszik tovább. Nem-kooperatív játékelmélet Nash fő eredményét a nem kooperatív játékelmélet területén érte el, amely olyan stratégiai játékokkal (más néven: szituációkkal) foglalkozik, ahol a játékosokról (más néven: aktorokról) feltesszük, hogy nem kötnek megállapodásokat egymással, más szóval az egyes játékosokat, nem pedig csoportjaikat tesszük a vizsgálat tárgyává. Feltesszük továbbá, hogy minden játékos ismeri a saját maga és a többi játékos által választható lehetőségeket (más néven: stratégiákat), és az ezekhez a lehetőségekhez tartozó hasznosságokat (más néven: kifizetéseket). Emellett minden szereplő tudja mindezt, sőt azt is, hogy ezeknek az információknak a többi játékos is birtokában van. A játékokat leggyakrabban úgynevezett normál (egyes irodalmakban: stratégiai) alakban írják fel, ahol egy táblázatban jelölik azt, hogy az egyes stratégiák választása mekkora hasznosságot eredményez az azt választó játékos számára.Nem-kooperatív játékelmélet: Nash fő eredményét a nem kooperatív játékelmélet területén érte el, amely olyan stratégiai játékokkal (más néven: szituációkkal) foglalkozik, ahol a játékosokról (más néven: aktorokról) feltesszük, hogy nem kötnek megállapodásokat egymással, más szóval az egyes játékosokat, nem pedig csoportjaikat tesszük a vizsgálat tárgyává. Feltesszük továbbá, hogy minden játékos ismeri a saját maga és a többi játékos által választható lehetőségeket (más néven: stratégiákat), és az ezekhez a lehetőségekhez tartozó hasznosságokat (más néven: kifizetéseket). Emellett minden szereplő tudja mindezt, sőt azt is, hogy ezeknek az információknak a többi játékos is birtokában van.) Megállapítások Valamennyi kétszemélyes zéró összegű játékban létezik mindkét fél számára optimális stratégia, mégpedig az egyéni tiszta stratégiák tervezetten véletlen keveréke.Ésszerű feltételezni, hogy minden játékos a lehető legnagyobb nyereség elérésére, és a veszteség kockázatának minimalizálására törekszik. Minden véges játék legalább egy egyensúllyal rendelkezik. (Ezt az eredményt John Nash bizonyította be az 1950-es években.) Feldolgozott játékhelyzetek Kétszemélyes, kétválasztásos szimmetrikus játékok A kétszemélyes, kétlépéses (mindkét játékosnak csupán két lépéslehetősége van) játékoknak 78 fajtája létezik. Célunk, hogy a játékosok döntéslehetőségeit elemezzük s megtaláljuk a lehetséges legoptimálisabb megoldást. Mivel mindkét játékos kétféleképpen dönthet, négy lehetséges kimenetele van a játékoknak, ezek mindegyike pedig a két játékos számára eltérő értékű. Ez tehát azt jelenti, hogy át kell tekinteni az összes olyan táblázatot, amelyben az 1, 2, 3, 4 számok különféle kombinációkban helyezkednek el az egyik, illetve a másik játékos számára leosztva. A 78, egymástól lényegesen különböző táblázat vizsgálatából kiderült, hogy közülük 12-ben a két játékos szimmetrikus helyzetben van. Ezek közül pedig négy tekinthető csapdahelyzetnek. Nem csapda típusú játékra példa: • (1. játékos – 1. stratégia, 2. játékos – 1. stratégia) = 4,4 TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 15 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 16 oldal / 102 • (1. játékos – 1. stratégia, 2. játékos – 2. stratégia) = 3,2 • (1. játékos – 2. stratégia, 2. játékos – 1. stratégia) = 2,3 • (1. játékos – 2. stratégia, 2. játékos – 2. stratégia) = 1,1 Ebben a játékban nyilvánvaló, hogy mindkét játékosnak csakis az 1. stratégiát érdemes választania, a másikkal mindenképpen rosszabbul jár. Ezzel automatikusan, konfliktusmentesen el is érik a közös optimumot, csapdáról szó sincs. A kétszemélyes, kétválasztásos, szimmetrikus játékoknak négy csapdatípusa a Fogolydilemma, Nemek harca, Vezérürü és a Gyáva nyúl fantázianevű játékok. A játszmák nevüket azokról a (ma már klasszikusnak számitó) példákról kapták, amelyeken keresztül a legtalálóbban lehet őket bemutatni. Azoknak a kétszemélyes játszmáknak, ahol a játékosoknak már fejenként három választási lehetőségük van, sokkal több, közel kétmilliárd változata van. Ezek csapdahelyzeteit senki nem térképezte még fel, mivel nagyon valószínű, hogy megegyeznek a négy alapjátékéval. Az alapvető csapdamechanizmusokat ez a négy játék megmutatja – a tényleges, életbeli konfliktusok általában e négy alaptípus bonyolult, kusza kombinációiból épülnek fel. Fogolydilemma • Alaphelyzet: van két fogoly; ha az egyik vall, de a másik nem, akkor a vallomást tevő elmehet, míg a másik 10 évet kap; ha egyik sem vall, akkor 6-6 hónapot kapnak, ha mindketten, akkor 6-6 évet. • Ez nem zéró összegű játék. • A nehézség: a játék "megoldása", a domináns stratégiák melletti egyensúly az, hogy mindketten valljanak. Bármit is tesz a másik, a játékos jobban jár, ha vall. Mégis mindketten jobban járnának, ha egyikük sem vallana. • A fogolydilemma jelentőségét e paradox tulajdonsága adja, vagyis hogy az egyensúly paretói értelemben rossz eredményt idéz elő. E tulajdonsága miatt a "láthatatlan kéz" ellenpontjának tekinthető. Itt ugyanis az önérdek követése nem segíti elő a közérdeket. Nemek harca • Alaphelyzet: egy fiatal pár reggel összeveszik az esti programon: focimeccs vagy színház. Reggel nincs idő a megbeszélésre, este későn végeznek a munkájukkal, és ekkor kell dönteni ki hova menjen. A felek preferenciái: elsősorban együtt tölteni az estét, másodsorban az általa kedvelt helyen. • Ez nem zéró összegű játék. • A játéknak két egyensúlya van tiszta stratégiákkal (mindketten színházba mennek, illetve mindketten focimeccsre mennek). Létezik egy harmadik egyensúly is kevert stratégiákkal. Vezérürü • Alaphelyzet: két szuperjólnevelt ember egymást tessékeli előre az ajtóban. • A nehézség: ha mindketten ragaszkodnak ahhoz, hogy a másik menjen előre, örökre az ajtó előtt ragadnak. Ha az egyikük enged, fennáll a veszélye, hogy emiatt a másik modortalannak tartja majd. Gyáva nyúl (chicken run, csibefutam) • Alaphelyzet: Két kocsi száguld egymás felé, az veszít, aki hamarabb félrekapja a kormányt. • A nehézség: Ha egyikük sem kapja félre mindketten meghalnak, de egyik sem tudhatja, hogy a másik mennyit kockáztat még. A közlegelő problémája • Alaphelyzet: a falu legelőjének nagy része kiszárad; a gazdák megbeszélik, hogy a maradékra mindenki csak 1 tehenet vihet be. • Ezt azonban senki sem tartja be, mert a gazdák egyenként profitálnak abból, ha eggyel több állatot hajtanak ki a legelőre, így a legelő elfogy és minden tehén elpusztul. Ez a klasszikus közjószág-probléma. Szarvasvadászat • Két vadásznak azt kell eldöntenie, hogy szarvasra vagy nyúlra akar-e vadászni. A szarvast csak akkor tudják levadászni, ha kooperálnak, a döntést azonban egyedül kell meghozniuk, és a másik döntéséről nem tudnak. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 16 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 17 oldal / 102 jegyzetek, hivatkozások: 05, forrás: www.wikipedia.hu A Nash-egyensúly A játékelméletben Nash-egyensúlynak nevezzük azt a stratégiaegyüttest, amelyre igaz, hogy a játékosok kölcsönösen a legjobb választ adják egymás stratégiáira. Ez azt jelenti, hogy amennyiben a többi játékos nem változtat stratégiáján, az adott játékosnak sem érdemes változtatnia. Névadója Nevét az őt felfedező John Forbes Nash amerikai matematikusról kapta, aki ezért az eredményéért a magyar származású Harsányi Jánossal és Reinhard Seltennel közösen 1994-ben Közgazdasági Alfred Nobel-emlékdíjat kapott. Matematikai definíciója Egy n-szereplős J- játékot adottnak tekintünk, ha adottak a Σi stratégiahalmazok ( ), valamint az ezeken értelmezett Hi(σ1,...,σi,...,σn) hasznosságfüggvények ( ). Ha létezik stratégiapont, amely mellett minden szereplőre igaz az, hogy bármely stratégiára, a pontot Nash-egyensúlynak nevezzük. Egy játéknak lehet Nash-egyensúlya a tiszta stratégiák halmazán, vagy lehet Nash-egyensúlya a kevert stratégiák (azaz amikor bizonyos fix gyakorisággal az egyik, bizonyos fix gyakorisággal pedig egy másik stratégiát játszik a szereplő) halmazán. Létezése Nash bebizonyította, hogy ha a kevert stratégiákat is figyelembe vesszük, akkor minden n-szereplős játéknak, amelyben a stratégiák száma véges, létezik Nash-egyensúlya. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 17 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 18 oldal / 102 Egyértelműsége Bár az egyik legismertebb játék, a fogolydilemma csak egyetlen egyensúlyi ponttal rendelkezik, a legtöbb játéknak több Nash-egyensúlyi pontja is van, így az egyensúly általában nem egyértelmű. Alkalmazásai A Nash-egyensúly legfőbb alkalmazási területe a közgazdaságtudomány, ahol megjelenése számos kérdés tárgyalását forradalmasította. Olyan helyzetek megoldására ad ugyanis eszközt, ahol az egyes gazdasági szereplők döntései befolyásolják mások döntéseit, és ezt tudják is magukról (stratégiai szituációk). Néhány konkrét alkalmazási terület: Árverések Iparági formák (duopólium, oligopólium modellek) Piaci kudarcok (közjószág, externália) Példa: Nemek harca Vegyük például a következő játékot, amelynek angol neve „battle of sexes” (magyarra talán családi vitaként, vagy nemek harcaként fordíthatnánk): Anti és Bea együtt járnak, és szombat esti programjukat tervezik. Anti rockkoncertre szeretne menni, Bea viszont otthon szeretne maradni, hogy tanuljon. Egyikük sem szeretné azonban a másik nélkül tölteni az estét. A játékot az alábbi táblázatban foglalhatjuk össze (a sorokban Anti, az oszlopokban Bea választható stratégiáit tüntettük fel, az első szám Anti, a második szám pedig Bea hasznossága): Bea koncertre megy Bea otthon marad 2, 1 0, 0 Anti otthon marad 0, 0 1, 2 Anti koncertre megy Ez a játék ismét egy szimmetrikus, nem zérus összegű játék. Ha a hasznosságokat alaposan szemügyre vesszük, láthatjuk, hogy egyik játékosnak sincs olyan stratégiája, amely jobb lenne a másiknál függetlenül attól, hogy mit választ a másik játékos. Ezért egyik stratégia sem dominálja a másikat, így domináns egyensúly sincs. Mit gondolunk, mi lesz a megoldás? Ha Bea tanulni fog, Antinak is érdemesebb otthon maradnia. Ha viszont Anti otthon marad, Beának is érdemes tanulnia. Találtunk tehát egy olyan pontot, amely stabil: egyik játékosnak sem érdemes más stratégiát választania, kilépnie az egyensúlyi pontból (vajon van más ilyen pont is?). Az ilyen egyensúlyt nevezzük Nash-egyensúlynak. Külső hivatkozások Radnai Márton: Egy csodálatos elmélet – a Nash-egyensúly, Középiskolai Matematikai Lapok, 2002/6. A lap eredeti címe "http://hu.wikipedia.org/wiki/Nash-egyens%C3%BAly" TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 18 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 19 oldal / 102 jegyzetek, hivatkozások: 06, forrás: www.wikipedia.org Lynn Margulis, and the endosymbiont theory of the phylogenesis of the mitochondria The endosymbiont theory of the phylogenesis of the mitochondria was described by Lynn Margulis. Dr. Lynn Margulis (born March 15, 1938) is a biologist and University Professor in the Department of Geosciences at the University of Massachusetts Amherst.[1] She is best known for her theory on the origin of eukaryotic organelles, and her contributions to the endosymbiotic theory—which is now generally accepted for how certain organelles were formed. Research Endosymbiotic theory Lynn Margulis attended the University of Chicago as an undergrad and received her Ph.D. in 1963 from UC Berkeley. In 1966, as a young faculty member at Boston University, she wrote a theoretical paper entitled The Origin of Mitosing Eukaryotic Cells.[2] The paper however was "rejected by about fifteen scientific journals," Margulis recalled.[3] It was finally accepted by The Journal of Theoretical Biology and is considered today a landmark in modern endosymbiotic theory. Although it draws heavily on symbiosis ideas first put forward by mid-19th century scientists and by Merezhkovsky (1905) and Wallin (1920) in the early-20th century, Margulis's endosymbiotic theory formulation is the first to rely on direct microbiological observations (as opposed to paleontological or zoological observations which were previously the norm for new works in evolutionary biology). The paper was initially heavily rejected, as symbiosis theories had been dismissed by mainstream biology at the time. Weathering constant criticism of her ideas for decades, Margulis is famous for her tenacity in pushing her theory forward, despite the opposition she faced at the time. The underlying theme of endosymbiotic theory, as formulated in 1966, was interdependence and cooperative existence of multiple prokaryotic organisms; one organism engulfed another, yet both survived and eventually evolved over millions of years into eukaryotic cells. Her 1970 book, Origin of Eukaryotic Cells, discusses her early work pertaining to this organelle genesis theory in detail. Currently, her endosymbiotic theory is recognized as the key method by which some organelles have arisen (see endosymbiotic theory for a discussion) and is widely accepted by mainstream scientists. The endosymbiotic theory of organogenesis gained strong support in the 1980s, when the genetic material of mitochondria and chloroplasts was found to be different from that of the symbiont's nuclear DNA.[4] Theory of symbiotic relationships driving evolution In 1995, prominent Neo-Darwinist evolutionary biologist Richard Dawkins had this to say about Lynn Margulis and her work: She later formulated a theory to explain how symbiotic relationships between organisms of often different phyla or kingdoms are the driving force of evolution. Genetic variation is proposed to occur mainly as a result of transfer of nuclear information between bacterial cells or viruses and eukaryotic cells. While her organelle genesis ideas are widely accepted, symbiotic relationships as a current method of introducing genetic variation is something of a fringe idea. However, examination of the results from the Human Genome Project lends some credence to an endosymbiotic theory of evolution—or at the very least Margulis's endosymbiotic theory is the catalyst for current ideas about the composition of the human genome. Significant portions of the human genome are either bacterial or viral in origin—some clearly ancient insertions, while others are more recent in origin. This strongly supports the idea of symbiotic—and more likely parasitic—relationships being a driving force for genetic change in humans, and likely all organisms. It should be noted that while the endosymbiotic theory has historically been juxtaposed with Neo- TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 19 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 20 oldal / 102 Darwinism, the two theories are not incompatible and the truth is likelier to be that natural szelekción works on many levels (genetic up to the ecosystem) and variation is introduced both at the genetic and the cellular level. She does, however, hold a negative view of Neo-Darwinism, as she believes that history will ultimately judge the theory as "a minor twentieth-century religious sect within the sprawling religious persuasion of Anglo-Saxon Biology."[6] She also believes that proponents of the standard theory "wallow in their zoological, capitalistic, competitive, cost-benefit interpretation of Darwin - having mistaken him... Neo-Darwinism, which insists on (the slow accrual of mutations), is a complete funk."[7] Controversy Margulis' present day efforts, in the form of books and lectures, strongly stress a symbiotic—and cooperative—relationship between all organisms and a strong leaning toward Gaia theory. Her advocacy outside the realm of biology and toward more sociopolitical ends has been criticized by more mainstream scientists—somewhat similar to criticisms aimed toward Carl Sagan's latter day ideas. Recently, Margulis has leant her support to 9/11 conspiracy theories, calling the September 11, 2001 attacks a "false-flag" operation of the United States government itself.[8],[9] Other Margulis was elected to the National Academy of Sciences in 1983 and served as Chairman of the Academy’s Space Science Board Committee on Planetary Biology and Chemical Evolution. She was inducted into the World Academy of Art and Science, the Russian Academy of Natural Sciences, and the American Academy of Arts and Sciences between 1995 and 1998. In 1998 the Library of Congress, Washington, DC, announced that it would permanently archive Dr. Margulis' papers. In 1999 she received the Proctor Prize for scientific achievement. In 1999, she was awarded the National Medal of Science by President William J. Clinton. She is also a proponent and co-developer of the modern version of Gaia hypothesis, based on an idea developed by the English atmospheric scientist James Lovelock. She is profiled in a book published in 2006 by Resurgence Magazine in the UK, called Visionaries: The 20th Century's 100 Most Important Inspirational Leaders. In 2006 with her son Dorion, she founded Sciencewriters Books, an imprint of Chelsea Green Publishing for science books. Personal She was the first wife of astronomer Carl Sagan and is the mother of Dorion Sagan, popular science writer and co-author; Jeremy Sagan, software developer and founder of Sagan Technology; Zachary Margulis-Ohnuma, New York City Criminal Defense lawyer; and Jennifer Margulis, teacher and author. See also Symbiogenesis From Wikipedia, the free encyclopedia Symbiogenesis is the merging of two separate organisms to form a single new organism. The idea originated with Konstantin Mereschkowsky in his 1926 book Symbiogenesis and the Origin of Species, which proposed that chloroplasts originate from cyanobacteria captured by a protozoan.[1] Today both chloroplasts and mitochondria are believed to have such an origin; this is the endosymbiotic theory. In Acquiring Genomes: A Theory of the Origins of Species, biologist Dr. Lynn Margulis argued that symbiogenesis is a primary force in evolution. According to her theory, acquisition and accumulation of random mutations are not sufficient to explain how inherited variations occur; rather, new organelles, bodies, organs, and species arise from symbiogenesis.[2] Whereas the classical interpretation of evolution (the modern evolutionary synthesis) emphasizes competition as the main force behind evolution, Margulis emphasizes cooperation.[3] Many ecologists agree, but this idea has little support from other evolutionary biologists. They see little evidence that symbiogenesis has had a major impact on eukaryotic life, or that much of its diversification can be attributed to it. Other than the two examples of mitochondria and chloroplasts, there is no clear evidence of other major traits or transitions that can be attributed to symbiogenesis. A fundamental principle of modern evolutionary theory is that mutations arise one at a time and either spread through the population or not, depending on whether they offer an individual fitness advantage. Nevertheless, this general case may not apply to all examples of evolutionary change. Indeed, genome mapping techniques have revealed that family trees of the major taxa appear to be extensively cross-linked - possibly due to lateral gene transfer.[4] References ^ Sapp J, Carrapiço F, Zolotonosov M (2002). "Symbiogenesis: the hidden face of Constantin Merezhkowsky". History and philosophy of the life TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 20 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 21 oldal / 102 sciences 24 (3-4): 413–40. doi:10.1080/03919710210001714493. PMID 15045832. ^ Margulis L (1993). "Origins of species: acquired genomes and individuality". BioSystems 31 (2-3): 121–5. doi:10.1016/0303-2647(93)90039-F. PMID 8155844. ^ Margulis L, Bermudes D (1985). "Symbiosis as a mechanism of evolution: status of cell symbiosis theory". Symbiosis 1: 101–24. PMID 11543608. ^ de la Cruz F, Davies J (2000). "Horizontal gene transfer and the origin of species: lessons from bacteria". Trends Microbiol. 8 (3): 128–33. doi:10.1016/S0966-842X(00)01703-0. PMID 10707066. [edit] Important publications Konstantin Mereschkowsky. Symbiogenesis and the Origin of Species. 1926. Lynn Margulis. Symbiotic Planet: A New Look at Evolution. Amherst, MA: Perseus Books Group, 1998. ISBN 0-456-07271-2. Lynn Margulis, Dorion Sagan. Acquiring Genomes: A Theory of the Origins of Species. Amherst, MA: Perseus Books Group, 2002. ISBN 0-465-04391-7. Retrieved from "http://en.wikipedia.org/wiki/Symbiogenesis" Categories: Evolutionary biology Publications and bibliography Margulis, Lynn and Dorion Sagan, 2007, Dazzle Gradually: Reflections on the Nature of Nature, Sciencewriters Books, ISBN 978-1-933392-31-8 Margulis, Lynn and Eduardo Punset, eds., 2007 Mind, Life and Universe: Conversations with Great Scientists of Our Time, Sciencewriters Books, ISBN 978-1-933392-61-5 Margulis, Lynn, 2007, Luminous Fish: Tales of Science and Love, Sciencewriters Books, ISBN 978-1-933392-33-2 Margulis, Lynn and Dorion Sagan, 2002, Acquiring Genomes: A Theory of the Origins of Species, Perseus Books Group, ISBN 0-465-04391-7 Margulis, Lynn, et al., 2002, The Ice Chronicles: The Quest to Understand Global Climate Change, University of New Hampshire, ISBN 1-58465-062-1 Margulis, Lynn, 1998, Symbiotic Planet : A New Look at Evolution, Basic Books, ISBN 0-465-07271-2 Margulis, Lynn and Karlene V. Schwartz, 1997, Five Kingdoms: An Illustrated Guide to the Phyla of Life on Earth, W.H. Freeman & Company, ISBN 0-613-92338-3 Margulis, Lynn and Dorian Sagan, 1997, What Is Sex?, Simon and Shuster, ISBN 0-684-82691-7 Margulis, Lynn and Dorion Sagan, 1997, Slanted Truths: Essays on Gaia, Symbiosis, and Evolution, Copernicus Books, ISBN 0-387-94927-5 Margulis, Lynn, 1992, Symbiosis in Cell Evolution: Microbial Communities in the Archean and Proterozoic Eons, W.H. Freeman, ISBN 0-7167-7028-8 Margulis, Lynn, ed, 1991, Symbiosis as a Source of Evolutionary Innovation: Speciation and Morphogenesis, The MIT Press, ISBN 0-262-13269-9 Margulis, Lynn and Dorion Sagan, 1991, Mystery Dance: On the Evolution of Human Sexuality, Summit Books, ISBN 0-671-63341-4 Margulis, Lynn and Dorion Sagan, 1987, Microcosmos: Four Billion Years of Evolution from Our Microbial Ancestors, HarperCollins, ISBN 0-04-570015-X Margulis, Lynn and Dorion Sagan, 1986, Origins of Sex : Three Billion Years of Genetic Recombination, Yale University Press, ISBN 0-300-03340-0 Margulis, Lynn, 1982, Early Life, Science Books International, ISBN 0-86720-005-7 Margulis, Lynn, 1970, Origin of Eukaryotic Cells, Yale University Press, ISBN 0-300-01353-1 References •^ Lynn Margulis biography at U. Mass. (Accessed July 15, 2006) •^ Lynn Sagan (1967). On the origin of mitosing cells. J. Theoretical Biology 14(3), 255-274. PMID 11541392 doi:10.1016/0022-5193(67)90079-3 •^ John Brockman, The Third Culture, New York: Touchstone, 1995, 135. •^ Acceptance Doesn't Come Easy (Accessed July 15, 2006) TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 21 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 22 oldal / 102 •^ John Brockman, The Third Culture, New York: Touchstone, 1995, 144. •^ Mann, C. (1991) "Lynn Margulis: Science's Unruly Earth Mother," Science, 252 •^ Mann, C. (1991) "Lynn Margulis: Science's Unruly Earth Mother," Science, 378-381 •^ statement by Lynn Margulis, [1](Accessed November 17, 2007) •^ [www.911truth.org/article.php?story=2007082682539691](Accessed November 18, 2007) External links 1.UMass Bio Dept. (includes a partial list of technical publications) (Accessed March 3, 2005) 2.UMass Geo Dept. (Accessed March 3, 2005) 3.http://www.immaculata.edu/bioinformatics/esehi/lynn%20margulis.htm (Accessed March 3, 2005) 4.San Jose Science, Technology and Society, 2004-2005 Linus Pauling Memorial Lectures (Accessed March 3, 2005) 5.The Endosymbiotic Theory (Accessed March 3, 2005) 6.Gaia Is a Tough Bitch 7.Interview with Lynn Margulis on Gaia 5 minute MP3 from October 2005 Retrieved from "http://en.wikipedia.org/wiki/Lynn_Margulis" jegyzetek, hivatkozások: 07 H-1096 Budapest, Nagyvárad tér 2., Hungary Idézet: Summary A nanobaktériumok világa Bókkon István Fodor József Országos Közegészségügyi Központ, Országos Kémiai Biztonsági Intézet, 1096 Budapest, Nagyvárad tér 2. Összefoglalás A cikk összefoglaló képet nyújt – saját gondolatokkal tűzdelve – a nanobaktériumok érdekes, még mikrobiológusok által is alig ismert világáról. A nanobaktériumok szokatlan tulajdonságai jó példát szolgáltatnak arra, hogy a természet számos esetben rácáfol arra, amire mi, kutatók azt mondjuk, nem lehetséges. Bókkon, I. National Institute of Chemical Safety, This article provides an overview – along with certain own ideas – on the interesting world of nanobacteria hardly known even by microbiologists. The unusual features of nanobacteria beautifully illustrate that nature can confute us, researchers in numerous cases, when we believe certain phenomena impossible. Bevezetés A nanobaktériumok felfedezése a geológiai kutatásokkal kapcsolatos. Robert L. Folk a Texasi Egyetem geológusa két évtizeddel ezelőtt arról számolt be, hogy talaj- és kőzetminták mikroszkópos képein 100 nanométernél kisebb átmérőjű baktériumok találhatók [1]. Az elméleti számítások szerint ekkora baktériumok nem létezhetnek, mivel a baktériumok esetében maga a sejtfal 10 nm vastag, és a riboszóma, amelyen a proteinek szintézise történik, 25 nm nagyságú. Akárhogy is, a nanobaktérium fosszíliák jelenléte ma már tény a több milliárd éves dolomitokban és mészkövekben [2,3]. Folk szerint ezek a baktériumok jelentős szerepet játszhattak a földkőzetek létrejöttében, mivel képesek különféle TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 22 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 23 oldal / 102 ásványokat precipitálni. Folk geológusként még nanoplanktonoknak nevezte a felfedezett kisméretű baktériumokat. R.Y. Morita a Kanadai Mikrobiológiai Folyóiratban (Canadian Journal of Microbiology) nevezi e képződményeket először nanobaktériumoknak [4]. A nanobaktériumok történetéhez tartozik a NASA egy kutatócsoportjának beszámolója arról, hogy az Antarktisz jegében talált és bizonyítottan a Marsról származó ALH84001 meteoritban 20–50 nm átmérőjű – ekkor már terminus technicusként használt – nanobaktérium fosszíliákat találtak [5]. A nanobaktériumokkal szorosan egybefonódik E. Olavi Kajandernek, a finn Kuopio Egyetem biológusának neve. Kajander a kilencvenes évek legelején egy kísérletsorozata során emlőssejteket tenyésztett, amelyek nem a szokásos módon szaporodtak. A sejtek nagyon lassan növekedtek és citoplazmájuk abnormális vakuolákat tartalmazott. Az emlőssejteket általában a borjúvérrel kiegészített táptalajon tenyésztik. A táptalaj legtöbbször steril, bár néha (fertőzés kapcsán) tartalmaz vírusokat és mikoplazmákat (sejtfal nélküli baktériumok), amelyek nehézségeket okozhatnak a sejtek tenyésztésekor. Kajander és kollégái elektronmikroszkóp segítségével próbálták kideríteni a szaporodás gátlásának okát, de nem találtak a sejttenyészetekben vírusokat és mikoplazmákat sem. Ugyanakkor számos sejtben kis baktériumokat figyeltek meg. A felfedezést követően éveken keresztül tanulmányozták az 50–500 nm nagyságú, nanobaktériumoknak keresztelt mikroorganizmusokat. Kajander vizsgálatai kimutatták, hogy a borjúszérum és ritkábban az emberi vér is tartalmaz vírus nagyságú nanobaktériumokat. Kajander eredményei – hasonlóan Folk kőzetekben talált nanobaktériumaihoz – frusztrálták a legtöbb biológust, akik nem vették komolyan állításait. A nanobaktériumok esete hasonló a Helicobacter pylorihoz. A tudósok sok évig nem fogadták el azt a ma már tényként ismert jelenséget, hogy a fekélyek nagy részét a Helicobacter baktériumok okozzák. 1998. július 7-én Kajander és kollégái újabb felfedezésről számoltak be a finnországi Nemzeti Tudományos Akadémián [6]. A beszámoló szerint az emberi vizeletben nanobaktériumok élnek, amelyek kalciumot és más ásványi anyagokat választanak ki maguk körül úgy, hogy kristályosodási magot képezve indukálják a vesekőképződést. Akutatásaik szerint egyes antibiotikumok meggátolhatják a krónikus vesekőképződéseket. Ananobaktériumok okozta vesekőképződés elmélete már számos kutatónak felkeltette az érdeklődését. A nanobaktériumok javasolt tudományos neve: Nanobacterium sanguineum, utalva kis méretükre, előfordulási helyükre és egészségkárosító voltukra. Szaporodás és táplálkozás Miért nem fedezték fel a mikrobiológusok mostanáig a nanobaktériumokat? Az egyik ok a már említett tényező, hogy elméletileg nem létezhetnek ilyen kis méretű baktériumok. Amásik, hogy tradicionális fénymikroszkópokkal nem nagyon lehet észrevenni őket, valamint a szokásos sejtfalfestékek sem kötődnek hozzájuk. A nanobaktériumok alakja legtöbbször gömbölyű vagy ovális, de a körülményektől függően számos növekedési formát, alakot és közösségi formát mutatnak. A közösségi formák főleg környezeti stressz esetén képződnek. A nanobaktériumok gyakran formálnak fehér biofilmeket, amikor szérumban egyedül vagy emlőssejtekkel együtt növesztik őket. Míg a közönséges baktériumok általában óránként vagy kisebb időintervallumban osztódnak, addig a nanobaktériumok 1–5 naponként duplázódnak meg, ami különösen nehézzé teszi a metabolizmusuk tanulmányozását [7]. A baktériumtenyésztésnél alkalmazott közegekben a nanobaktériumok nem szaporodnak. Tenyésztésük emlőssejtekkel vagy azok nélkül, borjúvérszérumban, 5–10% széndioxid jelenlétében lehetséges. Az eddig ismert legkisebb baktériumok a Mycoplasma, Chlamydia és Rickettsia szintén az emlőssejtek tenyésztésének feltételeit igénylik, és csak a Mycoplasma képes autonóm is növekedni. A tenyésztés alatt a nanobaktériumok mérete nő, amelyet a sejt körül kialakuló vastag szervetlen precipitátum okoz, amely egyben láthatóvá is teszi a fénymikroszkóp alatt. Akörülményektől függően drasztikusan változik egyedi méretük. Kedvezőtlen körülmények esetén hatalmas, több milliméter nagyságú multicelluláris egységeket alkotnak. A nanobaktériumok – a mikoplazmákhoz hasonlóan – képesek pszeudokolóniákat alkotni. Alkalmas feltételek esetén önállóan replikálódnak, míg kedvezőtlen feltételek esetén szaporodásuk vírusszerű. A szaporodás detektálható specifikus ELISA teszttel, optikai denzitásméréssel, mikroszkópos számolással, SDS-PAGE gélelektroforézissel vagy jelölt metionin és uridin beépülésének követésével. A szaporodás gátolható nagy dózisú aminoglikozid antibiotikummal, EDTA-val, citozin-arabinózzal és gammasugárzással. Az emlős sejtkultúrák 80%-ánál mutattak ki nanobaktériumokat, amelyek csak akkor okoznak problémát, ha elég nagy relatív koncentrációban vannak jelen a sejtekhez képest. Ez főleg sejtklónozáskor és hosszú ideig tartó kísérletek esetén fordul elő. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 23 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 24 oldal / 102 1. ábra „Hajszerű” apatit kristályréteggel borított, osztódásban lévő nanobaktérium transzmissziós elektronmikroszkópos képe. (Az ábra jobb alsó sarkában jelzett szakasz hossza 100 nm.) Engedélyezett újraközlés / reproduced with permission, Kajander and Çiftçioglu (1998) Proc. Natl. Acad. Sci. USA, 95: 8275 [7]. Bókkon István 1989-ben mint vegyészmérnök, 1991-ben mint okleveles biológus mérnök végzett a Budapesti Műszaki Egyetemen. Környezetvédőként, majd magántanárként dolgozott. Jelenleg az Országos Közegészségügyi Központ kutatója. Tudományos tevékenységében egymástól távol álló tudományterületek témáit törekszik összefoglalni, átlátni, és új gondolatokat felvetni adott témával kapcsolatban. Foglalkozott többek között az elektromágneses sugárzás biokémiai hatásaival, az agy információtárolásának új szemléletű vizsgálatával, endotoxinokkal, antioxidánsokkal. A normál baktériumok komplex metabolikus rendszerek, amelyek fennmaradásukhoz aktív transzportot és mozgásokat igényelnek. A koncentrált metabolitok miatt a belső nyomás 3–5 bar, és a metabolizmus gyors. Kedvezőtlen feltételek között ezek a nagy baktériumok elpusztulnak, mert nem tudják fenntartani az iongradiensüket. A nanobaktériumokban a sejten belüli ozmotikus nyomás kicsi, így lassú a metabolizmus. A lassú metabolizmus megengedi, hogy minimális számú enzimet használjanak, mert számos reakciót nem kell katalizálni. Ahol mégis szükséges a katalizálás, megtörténhet fémek és ásványok segítségével is. Kis méretük miatt a táplálkozásban a diffúzió és Brownmozgás lehet a meghatározó, amely megmagyarázhatja a forrásponthoz közeli hőmérséklettel szemben tanúsított ellenállásukat [8]. A nanobaktériumok a kész aminosavakat és zsírsavakat a környezetből (pl. médiumból) veszik fel. Abban az esetben, ha zsírsavakat nem képesek felvenni, akkor a membránban lévő lipidjeiket részlegesen apatittal képesek helyettesíteni. Litogenezis A precipitáció során egy adott só koncentrációja eléri az oldatban a telítettségi, majd a túltelítettségi szintet. Az utóbbi termodinamikailag nem stabil, ezért nuklealizációhoz vezet, amit az oldat szabadenergiája biztosít. A nuklealizáció eredményeként csökken a szabad energia, és termodinamikailag stabil állapot alakul ki. A nuklealizációt követő aggregáció a kristálynövekedés meghatározó lépése. A vesekövek esetében további lényeges faktor, hogy az urothelium visszatarthatja a képződött mikrokristályokat [9]. A röviden vázolt precipitációs folyamat a valóságban sokkal bonyolultabb, melyben genetikai, mikrobiológiai, táplálkozási és környezeti faktorok érvényesülnek, mint fő meghatározók. Természetesen a fontosabb faktorok kölcsönösen befolyásolják egymást. Például, az egyed válasza adott mikrobiológiai kihívásra függ az egyén genetikai determináltságától. A patológiai litogenezis – sokrétűsége ellenére – a legtöbb esetben összefüggésbe hozható valamilyen mikroba jelenlétével. Az analitikai elemzések már régen rávilágítottak arra, hogy a nagy kristályok kisebb krisztallitokból állnak, közöttük szerves mátrixszal [10]. Ez a szerves mátrix számos esetben mikroba eredetű. Biokémiailag a vesekövek mukoproteineket, mukopoliszacharidokat, szervetlen anyagokat és kötött vizet tartalmaznak. Az élő (funkcionáló) és nem élő (sejtdegradációs termék) szerves makromolekuláknak döntő szerepük lehet a sejteken belüli, illetve kívüli kőképződésben. Aproteolipidet tartalmazó membránok mint kiindulási magok működhetnek a kőképződésben [11]. A kísérletek szerint a mitokondriumok és a sejtközötti állományban lévő ciszták/hólyagocskák membránjai gyakran indukálnak patológiás kalcifikációt [12]. Ha ezt gondolatban összekapcsoljuk azzal, hogy az endoszimbiózis révén létrejött eukarióta sejtek több lépcsőben anaerob prokariótákból alakultak TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 24 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 25 oldal / 102 ki, akkor valószínű, hogy a litogenezisben is azonos és egyszerű mechanizmusok működnek. Pontosabban, azonos mechanizmusok dolgozhatnak a patogén mikrobák által okozott kalcifikáció, valamint a sejt mitokondriumok és sejtmembránok által okozott kalcifikációja esetében. A mitokondriumok intracelluláris, míg a külső hólyagocskák extracelluláris kalcifikációt iniciálhatnak. A mitokondriumok és ciszták esetében a kőképződést a membránhoz kötött foszfatáz enzimek és kalciumkötő foszfolipidek közötti kölcsönhatás váltja ki. Extracelluláris kalcifikáció esetében iniciáló folyamatként a mátrix hólyagocskák savas foszfolipidjei vonzzák a kalciumot, amely komplexet képez a foszfáttal és proteinnel [13]. A továbbiakban a hólyagocskák körüli mátrix körülményei határozzák meg a kristály proliferációját. A proteoglikánok, a pirofoszfát, a g-karboxi-glutaminsavat tartalmazó proteinek és foszfoproteinek az anion alcsoportjaikkal, kalciumot tartalmazó közegben megkötik a Ca2+-ionokat, így ezek akadályozzák a hidroxi-apatit képződését és növekedését in vitro. Ugyanakkor a kollagén elősegíti az apatitképződést. Extracelluláris patológiás kalcifikációk találhatók az érelmeszesedés, csont- és ízületi gyulladás, középfülgyulladás, szívbillentyű-meszesedés stb. betegségek esetében. Szövetsérülés, sejtmembrándegradációs termékek (foszfolipidek és különösen a foszfatidil-szerin) szintén indukálhatnak litogenezist, mert a degradációs makromolekulák gócként szolgálhatnak a kalcium-apatit nuklealizációjához [14]. A membrán belső felületén lévő foszfatidilszerinnek nagy az affinitása a kalciumhoz. Ha a sejt sérül, a foszfatidil-szerin érintkezhet az extracelluláris folyadékkal, amely felelőssé tehető a disztrofikus kalcifikációért. 2. ábra A szérummentes közegben tenyésztett nanobaktériumok a tenyésztőedény aljához kötődnek, és kicsiny apatitgömböcskéket hoznak létre maguk körül. Az ábrán a gömböcskék pásztázó elektronmikroszkópos képe látható. A nanobaktériumok a lyukakban helyezkednek el. (Az ábra jobb alsó sarkában jelzett szakasz hossza 100 mm.) Engedélyezett újraközlés / reproduced with permission, Kajander and Çiftçioglu (1998) Proc. Natl. Acad. Sci. USA, 95: 8277 [7]. A nanobaktériumok esetében a precipitáció indukálásáért szintén makromolekulák tehetők felelőssé. Az elképzelések szerint a nanobaktériumok úgy katalizálják a precipitációt, hogy a negatívan töltött sejtfalukhoz vonzzák a kationokat, ami szubmikrométer alatti skálán túltelítettséghez vezet, és elindítja a CaCO3 vagy CaPO4 (apatit) kicsapódását. A nanobaktériumok táplálkozása kapcsán már említett, nagyon érdekes megfigyelés, hogy amennyiben nem képesek zsírsavakat felvenni, a membránjukban lévő lipideket részlegesen apatittal helyettesíthetik. Jelenleg ismeretlen, hogy miért alakítanak ki a precipitáció indukálása mellett ásványburkokat (Kajander kifejezésével „castles”) maguk körül a nanobaktériumok. Méghozzá olyan ásványburkolatot, amelyből kitenyészthetők, és ami jelzi, hogy nem szunnyadó állapotban léteznek a veseköveken belül. A nanobaktériumokat befedő karbonát-apatit ásványi rétege emlékeztet a csont struktúrájára, bár utóbbi hidroxi-apatitból épül fel. A karbonát-apatit ugyanazon anyag, amelyből a legtöbb kalcifikáció és kő is kialakul az abnormális szövetekben. Úgy tűnik, hogy a csontképződés és kőképződés között azonos mechanizmusok működhetnek. Miért kaphatnak a litogenezisben különös hangsúlyt a nanobaktériumok? Azért, mert a legősibb és nagyon egyszerű anyagcseréjű prokariótákhoz tartoznak, így egy egyszerű és közös mechanizmust szolgáltathatnak a kőképződést illetően. Egyre több patológiás litogenezisben igazolható a jelenlétük, vagy kimutatható az antigénjük. Képesek szaporodni a sejteken belül és kívül is. Méretüknél fogva a szervezetben mindenhova képesek eljutni áthatolva még a vér–agy gáton is. Végezetül igen ellenállóak mindenféle extrém körülménnyel szemben. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 25 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 26 oldal / 102 Citotoxicitás A marhaembrió-szérumot tartalmazó médiumban növő sejttenyészetek 80%-ában mutatták ki nanobaktériumok jelenlétét. Normális esetben az emlőssejtek nem engedik, hogy beléjük baktériumok inkorporeáljanak. Kísérletek során minimális tápanyagösszetételű médiumban tenyésztett fibroblast sejtkultúrát nanobaktériummal fertőztek, majd elektronmikroszkóp és monoklonális antitestek segítségével kimutatták, hogy a nanobaktériumok a fibroblastok felületére kötődtek [15]. A fibroblastsejtek – receptormediált endocitózissal vagy ehhez közeli mechanizmussal – internalizálták a nanobaktériumokat. Az internalizáció után a fibroblastsejtek abnormális apoptózist, illetve a sejtek halálát mutatták, 100 nanobaktérium/sejt koncentráció esetében. Az apoptózis indukálása megmagyarázza az emlőssejtek tenyésztésekor tapasztalt növekedésgátlást: a sejtekbe internalizált nanobaktériumok citotoxikusak a sejtek számára. Okozhatnak sejtvakualizációt, váratlan sejtlízist és egyéb problémákat a sejtek tenyésztésekor. Szerencsére a legtöbb sejtvonal gyorsabban osztódik, mint e baktériumok, így a citotoxikus hatás sokszor elkerülhető. Az RNS, a DNS, és a fehérjék szerveződése Az rRNS gén szekvenciaeredményei alapján a Nanobacterium a Protobacteria alfa-2 alcsoportba sorolható. Ebbe a csoportba tartozik a Brucella és a Bartonella is, melyekről tudjuk, hogy néhány fajtája fertőzi az állatok és az emberek vérét. Valószínűsíthető a nem tradicionális DNS jelenléte is [16]. A nanobaktériumok DNS-e – a mitokondriumokéhoz hasonlóan – fluorkrómmal festhető. A nanobaktériumok DNS-mérete a mikoplazmák és mitokondriumok között helyezkedhet el. A Mycoplasma genitalium genommérete 0,58 MB, szemben az Escherychia coli 4,6 MB genomméretével. A Saccharomyces élesztő mitokondriumában 35, nukleáris genomjában körülbelül 290 gén van [17]. A mitokondriumok valószínűleg számos gént veszítettek el az eukarióta sejtekbe történő domesztifikációjuk közben. Ez jelzi, hogy a metabolikus együttműködés a baktériumok vagy a baktériumok és más organizmusok között szignifikánsan csökkentheti a szükséges genomméretet. A metabolikus együttműködés további magyarázatot szolgáltat arra, hogy a nanobaktériumok igen egyszerű anyagcseréjük ellenére mégis létezhetnek. A nanobaktériumok SDS-PAGE gélelektroforézise több mint 30 proteinsávot mutatott [Kajander és mtsai, valamint James Coulton (McGill Egyetem), nem publikált eredmény]. Igazolták a muraminsav jelenlétét (tipikus komponense a peptidoglikánnak), amely az összes valódi baktérium sejtfalában megtalálható. Valamint 6 protein aminoterminális szekvenciáját elemezve megállapították, hogy a hat közül az egyik a porin protein működéséhez szükséges. A porin proteinek tipikusan a Gram-negatív baktériumokat jellemzik: a külső membránban helyezkednek el, és lehetővé teszik, hogy a viszonylag kicsiny és vízoldékony molekulák keresztüljussanak rajta. Ennek alapján a nanobaktériumok sejtfala Gram-negatív jellegű, bár ultrastruktúrájuk különleges, és változik a növekedési fázis alatt. A poliaminok a sejtek osztódásához általában esszenciálisak. A baktériumok poliaminja a putreszcin és a spermidin, bár tartalmazhatnak kb. 30 egyéb di- és poliamint. Ezeket mint filogenetikus eszközöket használják [18]. A putreszcin és spermidin génjei hiányoznak a Mycoplasma genitalium, Borrelia burgdorferi és Treponema pallidum baktériumokból. A Haemophilus influenzae putreszcint, a Helicobacter pyroli, a Mycobacterium tubercolosis és az E. coli putreszcint és spermidint is képesek előállítani. A nanobaktériumok nem képeznek putreszcint és spermidint sem, ehelyett egy speciális poliamint a kadaverint szintetizálják, amit számos eubaktérium használ mint a peptidoglikánnak egy kovalensen kötött komponensét. A nanobaktériumok lehetséges szerepe a patogén kalcifikációkban Speciális antitestekkel igazolták, hogy a finn lakosság 5%-a fertőzött nanobaktériumokkal. Úgy tűnik, hogy a nanobaktériumok összefüggésbe hozhatók a különféle szövetekben előforduló megmagyarázatlan patológiás extraszkeletális kalcifikációkkal, mint az arteriosclerosis, arthritis és dementiák [19,20]. Nanobaktériumokból származó proteineket találtak emberi vérben és vérszérummintákban, de nem a vér az elsődleges előfordulási helyük. Állatokba injektálva gyorsan a vesékbe, majd a vizeletbe migrálnak, sőt egy év után a gerincvelői folyadékból is kimutatható a jelenlétük. Kajander és munkatársai finn betegekből származó 72 vesekövet vizsgáltak [21]. A kísérlet során a köveket 1 N sósavban oldották fel. A nanobaktériumok meglepően rezisztensek voltak a sósavra, mert a kövek 91,3%-ából kitenyészthetőek voltak. A nanobaktériumokon kívül, csak a struvit (ammóniummagnézium-foszfát) kövekben találtak közönséges baktériumokat Az apatit kövek nagyobb antigénjelet adtak, mint a más típusúak, és a nanobaktériumantigének jelenléte nem függött a kő típusától. További kísérletek során Kajander és munkatársai nanobaktériumokat, illetve antigénjeiket mutatták ki a policisztás vesebetegeknél, valamint májcisztafolyadékból és vizeletből [22]. A nanobaktériumok valószínűleg jelen vannak a sejtkultúrák segítségével készített vakcinákban, a g-globulin- és más antitestkészítményekben. Mivel lassan osztódnak, jelenlétük esetleg krónikus autóimmun betegségekkel is összefüggésbe hozható. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 26 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 27 oldal / 102 3. ábra Nanobaktériumok extra- és intracelluláris kalcifikációja. Fetális marhaszérumból tenyésztett (A) és demineralizált vesekőben kimutatott nanobaktériumok (B) TEM mikrográfiás képe. A vesekőből származó, apatitréteggel körülvett nanobaktérium morfológiáját tekintve hasonlít a szérumból kitenyésztett, maguk körül szintén apatitréteget létrehozó nanobaktériumokhoz. (Az ábrák jobb alsó sarkában jelzett szakaszok hossza A: 200 nm, B: 50 nm.) Engedélyezett újraközlés / reproduced with permission, Kajander and Çiftçioglu (1998) Proc. Natl. Acad. Sci. USA, 95: 8278 [7] A nanobaktériumok növekedésének gátlása, sterilizálásuk A szokásos sterilizálási folyamatokkal szemben a nanobaktériumok ellenállóak. Avírusokhoz hasonlóan 1 Mrad sugárzást képesek elviselni. Emellett – valószínűleg ásványi burkuk miatt – ellenállóak a legtöbb antibiotikummal szemben is, de kis dózisú tetraciklin (akkumulálódik az apatiton és koncentrálódhat a baktérium közelében) vagy nagy koncentrációjú aminoglikozid antibiotikummal növekedésük gátolható (mindkét antibiotikum a bakteriális proteinszintézisre hat riboszóma szinten). A tetraciklin és a citrát in vitro gátolta a nanobaktériumok növekedését [22], de hatásosak továbbá a citozin arabinozid és fluorouracil antimetabolitok is, amelyek az összes sejttípusban gátolják a nukleinsavszintézist. A klinikai kísérletek igazolták, hogy nincs szignifikáns kapcsolat a C- és a B6-vitamin napi felvétele és a vesekőképződés között [23]. Sőt Cathcart szerint – aki 11000 betegének adott 1969-től kezdve nagy dózisú (1–2 gramm/nap) C-vitamint – a C-vitamin képes meggátolni a vesekőképződést [24]. A nagy dózisú aszkorbinsav bevitele növeli az aszkorbinsavkiválasztást a vizeletbe, és valószínűleg elpusztítja a baktériumokat, emellett komplexet képez a vizeletben lévő Ca2+-ionokkal, csökkentve így a kalcium-oxalát-képződés lehetőségét [25], harmadsorban pedig növeli az immunrendszer hatékonyságát. Cathcart szerint a nagy dózisú aszkorbát szervezetbe juttatása a nanobaktériumok esetében is hatásos. Az emelt szintű folyadékbevitel a nanobaktériumok okozta kőképződés esetében is javasolt, mert a hidratáció hatásos a kőképződés megelőzésében. In vitro kísérletek szerint a magnézium gátolja a heterogén apatitképződést [26]. Mivel a magnézium kalciumantagonista, és több mint 300 enzim működésében vesz részt, valószínű, hogy a nanobaktériumok okozta kőképződésben is hatásos lehet a megnövelt Mg-felvétel. Bár a nanobaktériumok körül még számos ellentmondás mutatkozik, lényeges lenne további kutatásokat végezni e témában, mert ezen ősi baktériumok olyan egyszerű biomechanizmusokra szolgáltathatnak adatokat, amelyek elősegíthetik az alapvető sejtbiológiai folyamatok megértését és ezen keresztül a gyógyítást. Bárhogy legyen is, Bennett L. cikke [27] – Are all diseases infectious? címmel – elgondolkoztató, hiszen a biológiai kutatások eredményei egyre inkább azt jelzik, hogy a legtöbb betegség összefüggésbe hozható valamilyen mikroba jelenlétével. Irodalomjegyzék [1] Travis, J. (1998) The bacteria in the stone. Science News, 154: 75. [2] Folk, R. L. (1992) Bacteria and nanobacteria revealed in hard grounds, calcite cements, native sulfur, sulfide materials, and travertines. Geol. Soc. Amer., Annual Meeting, Program Abstracts., 104. [3] Folk, R. L. (1993) Dolomite and dwarf bacteria (nanobacteria). Geol. Soc. Amer., Annual Meeting, Program Abstracts., A-397. [4] Morita, R. Y. (1998) Bioavailability of energy and starvation survival in nature. Can. J. Microbiol., 34: 436-441. [5] McKay, D. S., Gibson, E. K., Thomas-Keprta, K. L., Vali, L. H., Romanek, C. S., Clemett, S. J., Chillier, Z. D. F., Maechling, C. R., Zare, R. N. (1996) Search for past life on Mars:possible relic biogenic activity in Martian meteorite ALH84001. Science, 273: 924-926. [6] Ciftciouglu, N., Kajander, E. O. (1998) Interaction of nanobacteria with cultured mammalian cells. Pathophysiol., 4: 259-270. [7] Kajander, E. O., Ciftcioglu, N. (1998) Nanobacteria: An alternative mechanism for pathogenic intra- and extra cellular calcification and stone formation. Proc. Natl. Acad. Sci. U. S. A., 95: 8274–8279. [8] Björklund, M., Ciftcioglu, N., Kajander, E. O. (1998) Extraordinary survival of nanobacteria under extreme conditions. Proc. SPIE, 3441: 123-129. [9] Mandel, M., (1996) Mechanism of stone formation. Semin. Nephrol., 5: 364-374. [10] Cheng, P. T., Reid, A. D., Pritzker, K. P. (1985) Ultrastructural studies of crystal-organic matrix relations in renal stones. Scan. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 27 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 28 oldal / 102 Electron. Microsc., 1985: 201-207. [11] Boyan, B. D., Landis, W. J., Knight, J., Dereszewski, G., Zeagler, J. (1984) Microbial hydroxyapatite formation as a model of proteolipiddependent membrane-mediated calcification. Scan. Electron. Microsc., 1984: 1793-1980. [12] Anderson, H. C. (1988) Mechanism of pathologic calcification. Rheum. Dis. Clin. North Am., 2: 303-319. [13] Anderson, H. C. (1981) Normal and abnormal mineralization in mammals. Trans. Am. Soc. Artif. Intern. Organs., 27: 702-708. [14] Kim, K. M. (1983) Lipid matrix of dystrophic calcification and urinary stone. Scan. Electron. Microsc., 1983: 1275-1284. [15] Ciftcioglu, N., Kuronen, K., Akerman, K., Hiltunen, E., Laukkanen, J., Kajander, O. (1997) New potential threat in antigen and antibody products: Nanobacteria. In: Vaccines 97 (Brown, F., Burton, D., Doherty, P., Mekalanos, J., Norrby, E., Eds) (Cold Spring Harbor Laboratory Press, Cold Spring Harbor. New York), pp. 99-103. [16] Kajander, E. O., Kuronen, I., Akerman, K., Peltteri, A., Ciftcioglu, N. (1997) Nanobacteria from blood, the smallest culturable, autonomously replicating agent on Earth. Proc. SPIE, 3111: 420-428. [17] Hodges, P. E., Payne, W. E., Garrels, J. I. (1998) Yeast protein database (YPD): a database for complete proteome od Saccharomyces cerevisiae. Nucleic Acids Res., 26: 68-72. [18] Hamana, K., Matsuzaki, S. (1992) Polyamines as a chemotaxonomic marker in bacterial systematics. Crit. Rev. Microbiol., 18: 261-283. [19] Carson, D. A. (1998) An infectious origin of extra skeletal calcification. Proc. Natl. Acad. Sci. U. S. A., 95: 7846. [20] Miller-Hjelle, M. (1999) Living nanobacteria recovered from human cystic kidney and liver fluids. 99th General Meeting, Amer. Soc. Microbiol., May 30-Jun 3. Chicago, Illinois. Session 112, Paper C193. [21] Ciftcioglu, N., Bjorklund, M., Kuorikiski, K., Bergstrom, K., Kajander, E. O. (1999) Nanobacteria: An infectious cause for kidney stone formation. Kidney Int., 56: (5) 1893-1898. [22] Hjelle, J. T., Miller-Hjele, M. A., Poxton, I. R., Kajander, E. O., Ciftcioglu, N., Jones, M. L., Caughey, R. C., Brown, R., Millikin, P. D., Darras, F. S. (2000) Endotoxin and nanobacteria in polycystic kidney disease. Kidney Int., 57: 2360-2374. [23] Curhan, G., Willett, W., Rimm, E., Stampfer, M. (1996) A prospective study of the intake if vitamins C and B6 and the risk of kidney stones in men. J. Urol., 155: 1847-1851. [24] Cathcart, R. F. (1985) Vitamin C: the nontoxic, nonrate-limited, antioxidant free radical scavenger. Medical Hypotheses., 18: 61-77. [25] Lewin, S. (1976) In: Vitamin C: Its molecular biology and medical potential. (Academic Press, London). [26] Okazaki, M., LeGeros, R. Z. (1996) Properties of heterogeneous apatites containing magnesium, fluoride, and carbonate. Adv. Dent. Res., 10: 252-259. [27] Bennett, L. (1999) Are all diseases infectious? Another look. Ann. Intern. Med., 131: 989-990. Internetes Irodalom: http://www.nationalacademies.org/ssb/nanopanel2kajander.htm http://naturalscience.com/ns/articles/01-03/ns_folk.html Idézet vége. jegyzetek, hivatkozások: 08 Systems theory From Wikipedia, the free encyclopedia Systems theory is an interdisciplinary field of science and the study of the nature of complex systems in nature, society, and science. More specificially, it is a framework by which one can analyze and/or describe any group of objects that work in concert to produce some result. This could be a single organism, any organization or society, or any electro-mechanical or informational artifact. Systems theory as a technical and general academic area of study predominantly refers to the science of systems that resulted from Bertalanffy's General System Theory (GST), among others, in initiating what became a project of systems research and practice. It was Margaret Mead and Gregory Bateson who developed interdisciplinary perspectives in systems theory (such as positive and negative feedback in the social sciences). Overview Margaret Mead was an influential figure in systems theory. Ideas from systems theory have grown with diversified areas, exemplified by the work of Béla H. Bánáthy, ecological systems with Howard T. Odum, Eugene Odum and Fritjof Capra, organizational theory and management with individuals such as Peter Senge, interdisciplinary study with areas like Human Resource Development from the work of Richard A. Swanson, and insights from educators such as Debora Hammond. As a transdisciplinary, interdisciplinary and multiperspectival domain, the area brings together principles and concepts from ontology, philosophy of science, physics, computer science, biology, and engineering as well as geography, sociology, political science, psychotherapy (within family systems therapy) and economics among others. Systems theory thus serves as a bridge for interdisciplinary dialogue between autonomous areas of study as well as within the area of systems science itself. In this respect, with the possibility of misinterpretations, Bertalanffy [1] believed a general theory of systems “should be an important regulative device in science,” to guard against superficial analogies that “are useless in science and harmful in their practical consequences.” Others remain closer to the direct systems concepts developed by the original theorists. For example, Ilya Prigogine, of the Center for Complex Quantum Systems at the University of Texas, Austin, has studied emergent properties, suggesting that they offer analogues for living systems. The theories of Autopoiesis of Francisco Varela and Humberto Maturana are a further development in this field. Important names in contemporary systems science include Russell Ackoff, Bela Banathy, Stanford Beer, Mandy Brown, Peter Checkland, Robert Flood, Fritjof Capra, Michael C. Jackson, and Werner Ulrich, among others. With the modern foundations for a general theory of systems following the World Wars, Ervin Laszlo, in the preface for Bertalanffy's book Perspectives on General System Theory, maintains that the translation of "general system theory" from TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 28 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 29 oldal / 102 German into English has "wroth a certain amount of Havoc" [2]. The preface explains that the original concept of a general system theory was "Allgemeine Systemtheorie (or Lehre)," pointing out the fact that "Theorie" (or "Lehre") just as "Wissenschaft" (translated Scholarship), "has a much broader meaning in German than the closest English words ‘theory’ and ‘science'" [3]. With these ideas referring to an organized body of science and "any systematically presented set of concepts, whether they are empirical, axiomatic, or philosophical," "Lehre" is associated with theory and science in the etymology of general systems, but also does not translate from the German very well; "teaching" is the closest equivalent [4]. While many of the root meanings for the idea of a “general systems theory” might have been lost in the translation and many[attribution needed] were led to believe that the systems theorists had articulated nothing but a pseudoscience, systems theory became a nomenclature that early investigators used to describe the interdependence of relationships in organization by defining a new way of thinking about science and scientific paradigms. A system from this frame of reference is composed of regularly interacting or interrelating groups of activities. For example, in noting the influence in organizational psychology as the field evolved from “an individually oriented industrial psychology to a systems and developmentally oriented organizational psychology,” it was recognized that organizations are complex social systems; reducing the parts from the whole reduces the overall effectiveness of organizations [5]. This is at difference to conventional models that center on individuals, structures, departments and units separate in part from the whole instead of recognizing the interdependence between groups of individuals, structures and processes that enable an organization to function. Laszlo [6] explains that the new systems view of organized complexity went "one step beyond the Newtonian view of organized simplicity" in reducing the parts from the whole, or in understanding the whole without relation to the parts. The relationship between organizations and their environments became recognized as the foremost source of complexity and interdependence. In most cases the whole has properties that cannot be known from analysis of the constituent elements in isolation. Bela H. Banathy, who argued - along with the founders of the systems society - that “the benefit of humankind” is the purpose of science, has made significant and far-reaching contributions to the area of systems theory. For the Primer Group at ISSS, Banathy defines a perspective that iterates this view: The systems view is a world-view that is based on the discipline of SYSTEM INQUIRY. Central to systems inquiry is the concept of SYSTEM. In the most general sense, system means a configuration of parts connected and joined together by a web of relationships. The Primer group defines system as a family of relationships among the members acting as a whole. Bertalanffy defined system as "elements in standing relationship." [7] Similar ideas are found in learning theories that developed from the same fundamental concepts, emphasizing that understanding results from knowing concepts both in part and as a whole. In fact, Bertalanffy’s organismic psychology paralleled the learning theory of Jean Piaget (Bertalanffy 1968). Interdisciplinary perspectives are critical in breaking away from industrial age models and thinking where history is history and math is math segregated from the arts and music separate from the sciences and never the twain shall meet [8]. The influential contemporary work of Peter Senge [9] provides detailed discussion of the commonplace critique of educational systems grounded in conventional assumptions about learning, including the problems with fragmented knowledge and lack of holistic learning from the "machine-age thinking" that became a "model of school separated from daily life." It is in this way that systems theorists attempted to provide alternatives and an evolved ideation from orthodox theories with individuals such as Max Weber, Emile Durkheim in sociology and Frederick Winslow Taylor in scientific management, which were grounded in classical assumptions [10]. The theorists sought holistic methods by developing systems concepts that could be integrated with different areas. The contradiction of reductionism in conventional theory (which has as its subject a single part) is simply an example of changing assumptions. The emphasis with systems theory shifts from parts to the organization of parts, recognizing interactions of the parts are not "static" and constant but "dynamic” processes. Conventional closed systems were questioned with the development of open systems perspectives. The shift was from absolute and universal authoritative principles and knowledge to relative and general conceptual and perceptual knowledge [11], still in the tradition of theorists that sought to provide means in organizing human life. Meaning, the history of ideas that preceded were rethought not lost. Mechanistic thinking was particularly critiqued, especially the industrial-age mechanistic metaphor of the mind from interpretations of Newtonian mechanics by Enlightenment philosophers and later psychologists that laid the foundations of modern organizational theory and management by the late 19th century [12]. Classical science had not been overthrown, but questions arose over core assumptions that historically influenced organized systems, within both social and technical sciences. History TIMELINE • 1820-1903 Herbert Spencer • 1882-1950 Nicolai Hartmann • 1848-1923 Vilfredo Pareto • 1888-1917 Emile Durkheim • 1912-1917 Alexander Bogdanov publishes Tectology in Russian (translated to German in 1928) • 1929-1951 Robert Maynard Hutchins, University of Chicago • 1931 Interdisciplinary Division of the Social Sciences, U. of Chicago • 1931 Bertalanffy presents General Systems Theory, U. of Chicago • 1939-1945 World War II TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 29 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 30 oldal / 102 • 1946-1953 Macy conferences • 1948 Norbert Wiener publishes Cybernetics or Control and Communication in the Animal and the Machine • 1955 W. Ross Ashby publishes Introduction to Cybernetics • 1956 Ludwig von Bertalanffy, Anatol Rapoport, Ralph W. Gerard, Kenneth Boulding establish Society for the Advancement of General Systems Theory. • 1970-1980s Second-order cybernetics developed by Heinz von Foerster, Gregory Bateson, Humberto Maturana and others • 1970s Catastrophe theory (René Thom, E.C. Zeeman) Dynamical systems in mathematics. • 1980s Chaos theory David Ruelle, Edward Lorenz, Mitchell Feigenbaum, Steve Smale, James A. Yorke • 1988 International Society for Systems Science • 1990 Complex adaptive systems (CAS) John H. Holland, Murray GellMann, Harold Morowitz, W. Brian Arthur Whether considering the first systems of written communication with Phoenician cuneiform to Mayan numerals, or the feats of engineering with the Egyptian pyramids, systems thinking in essence dates back to antiquity. Differentiated from Western rationalist traditions of philosophy, C. West Churchman often identified with the I Ching as a systems approach sharing a frame of reference similar to preSocratic philosophy and Heraclites [13]. Bertalanffy traced systems concepts to the philosophy of G.W. von Leibniz and Nicholas of Cusa’s Coincidentia Oppositorum. While modern systems are considerably more complicated, today’s systems are embedded in history. Systems theory as an area of study specifically developed following the World Wars from the work of Ludwig von Bertalanffy, Anatol Rapoport, Kenneth E. Boulding, William Ross Ashby, Margaret Mead, Gregory Bateson, C. West Churchman and others in the 1950s, specifically catalyst from the Macy conferences. Cognizant of advances in science that questioned classical assumptions in the organizational sciences, Bertalanffy's idea to develop a theory of systems began as early as the interwar period, publishing "An Outline for General Systems Theory" in the British Journal for the Philosophy of Science, Vol 1, No. 2, by 1950. Where assumptions in Western science from Greek thought with Plato and Aristotle to Newton’s Principia have historically influenced all areas from the social to hard sciences, the original theorists explored the implications of twentieth century advances in terms of systems. Subjects like complexity, self-organization, connectionism and adaptive systems had already been studied in the 1940s and 1950s. In fields like cybernetics, researchers like Norbert Wiener, William Ross Ashby, John von Neumann and Heinz von Foerster examined complex systems using mathematics and no more than pencil and paper. John von Neumann discovered cellular automata and selfreproducing systems, again with only pencil and paper. Aleksandr Lyapunov and Jules Henri Poincaré worked on the foundations of chaos theory without any computer at all. At the same time Howard T. Odum, the radiation ecologist, recognised that the study of general systems required a language that could depict energetics and kinetics at any system scale. Odum developed a general systems, or Universal language, based on the circuit language of electronics to fulfill this role, known as the Energy Systems Language. Between 1929-1951, Robert Maynard Hutchins at the University of Chicago had undertaken efforts to encourage innovation and interdisciplinary research in the social sciences, aided by the Ford Foundation with the interdisciplinary Division of the Social Sciences established in 1931 (Hammond 2003: 5-9). Numerous scholars had been actively engaged in ideas before (Tectology of Alexander Bogdanov published in 1912-1917 is a remarkable example), but in 1937 Bertalanffy presented the general theory of systems for a conference at the University of Chicago. The systems view was based on several fundamental ideas. First, all phenomena can be viewed as a web of relationships among elements, or a system. Second, all systems, whether electrical, biological, or social, have common patterns, behaviors, and properties that can be understood and used to develop greater insight into the behavior of complex phenomena and to move closer toward a unity of science. System philosophy, methodology and application are complementary to this science [14]. By 1956, the Society for General Systems Research was established, renamed the International Society for Systems Science in 1988. The Cold War had its affects upon the research project for systems theory in ways that sorely disappointed many of the seminal theorists. Some began to recognize theories defined in association with systems theory had deviated from the initial General Systems Theory (GST) view (Hull 1970). The economist Kenneth Boulding, an early researcher in systems theory, had concerns over the manipulation of systems concepts. Boulding concluded from the effects of the Cold War that abuses of power always prove consequential and that systems theory might address such issues [15]. Since the end of the Cold War, there has been a renewed interest in systems theory with efforts to strengthen an ethical view. Developments in system theories General systems research and systems inquiry Many early systems theorists aimed at finding a general systems theory that could explain all systems in all fields of science. The term goes back to Bertalanffy's book titled General System Theory. von Bertalanffy's objective was to bring together under one heading the organismic science that he had observed in his work as a biologist. His desire was to use the word "system" to describe those principles which are common to systems in general. In GST, he writes: ...there exist models, principles, and laws that apply to generalized systems or their subclasses, irrespective of their particular kind, the nature of their component elements, and the relationships or "forces" between them. It seems legitimate to ask for a theory, not of systems of a more or less special kind, but of universal principles applying to systems TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 30 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 31 oldal / 102 in general.[16] Ervin Laszlo [17] in the preface of von Bertalanffy's book Perspectives on General System Theory.. [18] Thus when von Bertalanffy spoke of Allgemeine Systemtheorie it was consistent with his view that he was proposing a new perspective, a new way of doing science. It was not directly consistent with an interpretation often put on "general system theory," to wit, that it is a (scientific) "theory of general systems." To criticize it as such is to shoot at straw men. Von Bertalanffy opened up something much broader and of much greater significance than a single theory (which, as we now know, can always be falsified and has usually an ephemeral existence): he created a new paradigm for the development of theories. Ludwig von Bertalanffy outlines systems inquiry into three major domains: Philosophy, the Science, and Technology. In his work with the Primer Group, Bela H. Banathy generalized the domains into four integratable domains of systemic inquiry: 1. Philosophy, the ontology, epistemology, and axiology of systems; 2. Theory, a set of interrelated concepts and principles applying to all systems; 3. Methodology, the set of models, strategies, methods, and tools that instrumentalize systems theory and philosophy; and 4. Application the application and interaction of the domains. These operate in a recursive relationship, he explained. Integrating Philosophy and Theory as Knowledge, and Method and Application as action, Systems Inquiry then is knowledgable action.[19] Cybernetics Cybernetics is the study of feedback and derived concepts such as communication and control in living organisms, machines and organisations. Its focus is how anything (digital, mechanical or biological) processes information, reacts to information, and changes or can be changed to better accomplish the first two tasks. The terms "systems theory" and "cybernetics" have been widely used as synonyms. Some authors use the term cybernetic systems to denote a proper subset of the class of general systems, namely those systems that include feedback loops. However Gordon Pask's differences of eternal interacting actor loops (that produce finite products) makes general systems a proper subset of cybernetics. According to Jackson (2000), Bertalanffy promoted an embryonic form of general system theory (GST) as early as the 1920s and 1930s but it was not until the early 1950s it became more widely known in scientific circles. Threads of cybernetics began in the late 1800s that led toward the publishing of seminal works (eg., Wiener’s Cybernetics in 1946 and von Bertalanffy’s General Systems Theory in 1968). Cybernetics arose more from engineering fields and GST from biology. If anything it appears that although the two probably mutually influenced each other, cybernetics had the greater influence. Bertalanffy (1969) specifically makes the point of distinguishing between the areas in noting the influence of cybernetics: "Systems theory is frequently identified with cybernetics and control theory. This again is incorrect. Cybernetics as the theory of control mechanisms in technology and nature and founded on the concepts of information and feedback, is but a part of a general theory of systems;” then reiterates: "the model is of wide application but should not be identified with 'systems theory' in general," and that "warning is necessary against its incautious expansion to fields for which its concepts are not made." (17-23). Jackson (2000) also claims Bertalanffy was informed by Alexander Bogdanov’s three volume Tectology that was published in Russia between 1912 and 1917, and was translated into German in 1928. He also states it is clear to Gorelik (1975) that the “conceptual part” of general system theory (GST) had first been put in place by Bogdanov. The similar position is held by Mattessich (1978) and Capra (1996). Bertalanffy never even mentioned Bogdanov in his works, which Capra (1996) finds "surprising". Cybernetics, catastrophe theory, chaos theory and complexity theory have the common goal to explain complex systems that consist of a large number of mutually interacting and interrelated parts in terms of those interactions. Cellular automata (CA), neural networks (NN), artificial intelligence (AI), and artificial life (ALife) are related fields, but they do not try to describe general (universal) complex (singular) systems. The best context to compare the different "C"-Theories about complex systems is historical, which emphasizes different tools and methodologies, from pure mathematics in the beginning to pure computer science now. Since the beginning of chaos theory when Edward Lorenz accidentally discovered a strange attractor with his computer, computers have become an indispensable source of information. One could not imagine the study of complex systems without the use of computers today. Complex adaptive systems Complex adaptive systems are special cases of complex systems. They are complex in that they are diverse and made up of multiple interconnected elements and adaptive in that they have the capacity to change and learn from experience. The term complex adaptive systems was coined at the interdisciplinary Santa Fe Institute (SFI), by John H. Holland, Murray Gell-Mann and others. CAS ideas and models are essentially evolutionary, and they take ground in the modern biological views on adaptation and evolution. Accordingly, the theory of complex adaptive systems bridges developments of the system theory with the ideas of 'generalized Darwinism', which suggests that Darwinian principles of evolution are capable to explain a range of complex material phenomena, from cosmic to social objects. Applications of system theories Living systems theory TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 31 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 32 oldal / 102 Living systems theory is an offshoot of Bertalanffy's general systems theory, created by James Grier Miller, which was intended to formalize the concept of "life". According to Miller's original conception as spelled out in his magnum opus Living Systems, a "living system" must contain each of 20 "critical subsystems", which are defined by their functions and visible in numerous systems, from simple cells to organisms, countries, and societies. In Living Systems Miller provides a detailed look at a number of systems in order of increasing size, and identifies his subsystems in each. James Grier Miller (1978) wrote a 1,102-page volume to present his living systems theory. He constructed a general theory of living systems by focusing on concrete systems—nonrandom accumulations of matter-energy in physical space-time organized into interacting, interrelated subsystems or components. Slightly revising the original model a dozen years later, he distinguished eight “nested” hierarchical levels in such complex structures. Each level is “nested” in the sense that each higher level contains the next lower level in a nested fashion. Software and computing In the 1960s, systems theory was adopted by the post John Von Neumann computing and information technology field, and, in fact formed the basis of structured analysis and structured design (see also Larry Constantine, Tom Demarco and Ed Yourdon). It was also the basis for early software engineering and computer-aided software engineering principles. By the 1970s, General Systems Theory (GST) was the fundamental underpinning of most commercial software design techniques, and by the 1980, W. Vaughn Frick and Albert F. Case, Jr. had used GST to design the "missing link" transformation from system analysis (defining what's needed in a system) to system design (what's actually implemented) using the Yourdon/Demarco notation. These principles were incorporated into computer-aided software engineering tools delivered by Nastec Corporation, Transform Logic, Inc., KnowledgeWare (see Fran Tarkenton and James Martin), Texas Instruments, Arthur Andersen and ultimately IBM Corporation. Organizational theory Sociology and Sociocybernetics Kurt Lewin attended the Macy conferences and is commonly identified as the founder of the movement to study groups scientifically. Systems theory has also been developed within sociology. An important figure in the sociological systems perspective as developed from GST is Walter Buckley (who from Bertalanffy's theory). Niklas Luhmann (see Luhmann 1994) is also predominant in the literatures for sociology and systems theory. Miller's living systems theory was particularly influential in sociology from the time of the early systems movement. Models for equilibrium in systems analysis that contrasted classical views from Talcott Parsons and George Homas were influential in integrating concepts with the general movement. With the renewed interest in systems theory on the rise since the 1990s, Bailey (1994) notes the concept of systems in sociology dates back to Auguste Comte in the 19th century, Herbert Spencer and Vilfredo Pareto, and that sociology was readying into its centennial as the new systems theory was emerging following the World Wars. In sociology, members of Research Committee 51 of the International Sociological Association (which focuses on sociocybernetics), have sought to identify the sociocybernetic feedback loops which, it is argued, primarily control the operation of society. On the basis of research largely conducted in the area of education, Raven (1995) has, for example, argued that it is these sociocybernetic processes which consistently undermine well intentioned public action and are currently heading our species, at an exponentially increasing rate, toward extinction. See sustainability. He suggests that an understanding of these systems processes will allow us to generate the kind of (non "common-sense") targeted interventions that are required for things to be otherwise - ie to halt the destruction of the planet. The systems framework is also fundamental to organizational theory as organizations are complex dynamic goal-oriented processes. One of the early thinkers in the field was Alexander Bogdanov, who developed his Tectology, a theory widely considered a precursor of Bertalanffy's GST, aiming to model and design human organizations (see Mattessich 1978, Capra 1996). Kurt Lewin was particularly influential in developing the systems perspective within organizational theory and coined the term "systems of ideology", from his frustration with behavioral psychologies that became an obstacle to sustainable work in psychology [20]. Jay Forrester with his work in dynamics and management alongside numerous theorists including Edgar Schein that followed in their tradition since the Civil Rights Era have also been influential. The systems approach to organizations relies heavily upon achieving negative entropy through openness and feedback. A systemic view on organizations is transdisciplinary and integrative. In other words, it transcends the perspectives of individual disciplines, integrating them on the basis of a common "code", or more exactly, on the basis of the formal apparatus provided by systems theory. The systems approach gives primacy to the interrelationships, not to the elements of the system. It is from these dynamic interrelationships that new properties of the system emerge. In recent years, systems thinking has been developed to provide techniques for studying systems in holistic ways to supplement traditional reductionistic methods. In this more recent tradition, systems theory in organizational studies is considered by some as a humanistic extension of the natural sciences. System dynamics System Dynamics was founded in the late 1950s by Jay W. Forrester TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 32 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 33 oldal / 102 of the MIT Sloan School of Management with the establishment of the MIT System Dynamics Group. At that time, he began applying what he had learned about systems during his work in electrical engineering to everyday kinds of systems. Determining the exact date of the founding of the field of system dynamics is difficult and involves a certain degree of arbitrariness. Jay W. Forrester joined the faculty of the Sloan School at MIT in 1956, where he then developed what is now System Dynamics. The first published article by Jay W. Forrester in the Harvard Business Review on "Industrial Dynamics", was published in 1958. The members of System Dynamics Society have chosen 1957 to mark the occasion as it is the year in which the work leading to that article, which described the dynamics of a manufacturing supply chain, was done. As an aspect of systems theory, system dynamics is a method for understanding the dynamic behavior of complex systems. The basis of the method is the recognition that the structure of any system — the many circular, interlocking, sometimes time-delayed relationships among its components — is often just as important in determining its behavior as the individual components themselves. Examples are chaos theory and social dynamics. It is also claimed that, because there are often properties-of-the-whole which cannot be found among the properties-of-the-elements, in some cases the behavior of the whole cannot be explained in terms of the behavior of the parts. An example is the properties of these letters which when considered together can give rise to meaning which does not exist in the letters by themselves. This further explains the integration of tools, like language, as a more parsimonious process in the human application of easiest path adaptability through interconnected systems. Systems engineering Systems Engineering is an interdisciplinary approach and means for enabling the realization and deployment of successful systems. It can be viewed as the application of engineering techniques to the engineering of systems, as well as the application of a systems approach to engineering efforts.[21] Systems Engineering integrates other disciplines and specialty groups into a team effort, forming a structured development process that proceeds from concept to production to operation and disposal. Systems Engineering considers both the business and the technical needs of all customers, with the goal of providing a quality product that meets the user needs.[22] Systemic psychology Systemic psychology is a branch of psychology that treats groups, and to some extent individuals, as systems that exhibit homeostasis. Meaning, within open systems they have an active method of remaining stable through the dynamic relationship between parts. Systemic psychology is based on the theoretical work of Gregory Bateson and others. Therapeutic applications were developed by Virginia Satir, the Milan Group, and others. See also • C ybernetics • E mergence • H olism • M eta-systems • M indwalk (film) • M orphological analysis • M ulti-agent system • P ublications in systems theory • S ystemantics • S ystem engineering • S ystem of systems • S ystem of systems engineering • S ystems architecture • S ystems intelligence • S ystems theory in archaeology • S ystems theory in political science • S ystems thinking • T erms used in systems theory • W orld-systems theory References 1. ^ Bertalanffy (1950: 142) 2. ^ (Laszlo 1974) 3. ^ (Laszlo 1974) 4. ^ (Laszlo 1974) 5. ^ (Schein 1980: 4-11) 6. ^ Laslo (1972: 14-15) 7. ^ (Banathy 1997: ¶ 22) 8. ^ (see Steiss 1967; Buckley, 1967) 9. ^ Peter Senge (2000: 27-49) 10.^ (Bailey 1994: 3-8; see also Owens 2004) 11.^ (Bailey 1994: 3-8) 12.^ (Bailey 1994; Flood 1997; Checkland 1999; Laszlo 1972) 13.^ (Hammond 2003: 12-13) 14.^ (Laszlo 1974) 15.^ (Hammond 2003: 229-233) 16.^ (GST p.32) 17.^ http://projects.isss.org/perspectives_on_general_system_theory 18.^ von Bertalanffy, Ludwig, (1974) Perspectives on General System Theory Edited by Edgar Taschdjian. George Braziller, New York 19.^ http://projects.isss.org/Main/SystemsInquiry] 20.^ (see Ash 1992: 198-207) 21.^ Thomé, Bernhard (1993). Systems Engineering: Principles and Practice of Computer-based Systems Engineering. Chichester: John Wiley & Sons. ISBN 0-471-93552-2. 22.^ INCOSE. What is Systems Engineering. Retrieved on 2006-11-26. This article or section is missing citations or needs footnotes. Using inline citations helps guard against copyright violations and factual inaccuracies. (July 2007) Further reading • Ackoff, R. (1978). The art of problem solving. New York: Wiley. • Ash, M.G. 1992. "Cultural Contexts and Scientific Change in Psychology: Kurt Lewin in Iowa." American Psychologist, Vol. 47, No. 2, pp. 198-207. • Bailey, K.D. 1994. Sociology and the New Systems Theory: Toward a Theoretical Synthesis. New York: State of New York Press. • Banathy, B (1996) Designing Social Systems in a Changing World New York Plenum • Banathy, B. ( ) Systems Design of Education. Englewood Cliffs: Educational Technology Publications • Banathy, B. (1992) A Systems View of Education. Englewood Cliffs: TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 33 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 34 oldal / 102 Educational Technology Publications. ISBN 0-87778-245-8 • Banathy, B.H. 1997. "A Taste of Systemics", The Primer Project, Retrieved May 14, 2007 • Bateson, G. (1979). Mind and nature: A necessary unity. New York: Ballantine • Bausch, Kenneth C. (2001) The Emerging Consensus in Social Systems Theory, Kluwer Academic New York ISBN 0-306-46539-6 • L udwig von Bertalanffy (1968). General System Theory: Foundations, Development, Applications New York: George Braziller • Bertalanffy, L. von. (1950). "An Outline of General Systems Theory." British Journal for the Philosophy of Science, Vol. 1, No. 2. • Bertalanffy, L. von. 1955. "An Essay on the Relativity of Categories." Philosophy of Science, Vol. 22, No. 4, pp. 243–263. • Bertalanffy, Ludwig von. 1968. Organismic Psychology and Systems Theory. Worchester: Clark University Press. • Bertalanffy, Ludwig Von. 1974. Perspectives on General System Theory Edited by Edgar Taschdjian. George Braziller, New York. • Buckley, W. 1967. Sociology and Modern Systems Theory. New Jersey: Englewood Cliffs. • M ario Bunge (1979) Treatise on Basic Philosophy, Volume 4. Ontology II A World of Systems. Dordrecht, Netherlands: D. Reidel. • Capra, F. (1997). The Web of Life-A New Scientific Understanding of Living Systems, Anchor ISBN 978-0385476768 • Checkland, P. (1981). Systems thinking, Systems practice. New York: Wiley. • Checkland, P. 1997. Systems Thinking, Systems Practice. Chichester: John Wiley & Sons, Ltd. • Churchman, C.W. (1968). The systems approach. New York: Laurel. • Churchman, C.W. (1971). The design of inquiring systems. New York: Basic Books. • Corning, P. 1983) The Synergism Hupothesis: A Theory of Progressive Evolution. New York: McGRaw Hill • Durand, D. La systémique, Presses Universitaires de France* Hinrichsen, D. and Pritchard, A.J. (2005) Mathematical Systems Theory. New York: Springer. ISBN 978-3-540-44125-0 • Flood, R.L. 1999. Rethinking the Fifth Discipline: Learning within the unknowable." London: Routledge. • C harles François. (2004). Encyclopedia of Systems and Cybernetics, Introducing the 2nd Volume [1] and further links to the ENCYCLOPEDIA, K G Saur, Munich [2] see also [3] * Kahn, Herman. (1956). Techniques of System Analysis, Rand Corporation* Laszlo, E. (1995). The Interconnected Universe. New Jersy, World Scientific. ISBN 981-02-2202-5 • François, C. (1999). Systemics and Cybernetics in a Historical Perspective * Jantsch, E. (1980). The Self Organizing Universe. New York: Pergamon. • Gorelik, G. (1975) Reemergence of Bogdanov’s Tektology in. Soviet Studies of Organization, Academy of Management Journal. 18/2, pp. 345-357 • Hammond, D. 2003. The Science of Synthesis. Colorado: University of Colorado Press. • Hull, D.L. 1970. “Systemic Dynamic Social Theory.” Sociological Quarterly, Vol. 11, Issue 3, pp. 351-363. • J ackson, M.C. 2000. Systems Approaches to Management. London: Springer. • Klir, G.J. 1969. An Approach to General Systems Theory. New York: Van Nostrand Reinhold Company. • E rvin László 1972. The Systems View of the World. New York: George Brazilier. • Laszlo, E. (1972a). The systems view of the world. The natural philosophy of the new developments in the sciences. New York: George Brazillier. ISBN 08076-0636-7 • Laszlo, E. (1972b). Introduction to systems philosophy. Toward a new paradigm of contemporary thought. San Francisco: Harper. --> • Laszlo, Ervin. 1996. The Systems View of the World. Hampton Press, NJ. (ISBN 1-57273-053-6). • Lemkow, A. (1995) The Wholeness Principle: Dynamics of Unity Within Science, Religion & Society. Quest Books, Wheaton. • N iklas Luhmann. (1984). Soziale Systeme. Grundriss einer allgemeinen Theorie, Frankfurt, Suhrkamp. • Mattessich, R. (1978) Instrumental Reasoning and Systems Methodology: An Epistemology of the Applied and Social Sciences. Reidel, Boston • Minati, Gianfranco. Collen, Arne. (1997) Introduction to Systemics Eagleye books. ISBN 0-924025-06-9 • Odum, H. (1994) Ecological and General Systems: An introduction to systems ecology, Colorado University Press, Colorado. • Owens, R.G. (2004). Organizational Behavior in Education: Adaptive Leadership and School Reform, Eighth Edition. Boston: Pearson Education, Inc. • Pharoah, M.C. (online). Looking to systems theory for a reductive explanation of phenomenal experience and evolutionary foundations for higher order thought Retrieved Dec.14 2007. • Schein, E.H. 1980. Organizational Psychology, Third Edition. New Jersey: Prentice-Hall. • P eter Senge (1990). The Fifth Discipline. The art and practice of the learning organization. New York: Doubleday. • Senge, P., Ed. 2000. Schools That Learn: A Fifth Discipline Fieldbook for Educators, Parents, and Everyone Who Cares About Education. New York: Doubleday Dell Publishing Group. • Steiss, A.W. 1967. Urban Systems Dynamics. Toronto: Lexington Books. • G erald Weinberg. (1975). An Introduction to General Systems Thinking (1975 ed., Wiley-Interscience) (2001 ed. Dorset House). • Wiener, N. (1967). The human use of human beings. Cybernetics and Society. New York: Avon. External links Look up Systems theory in Wiktionary, the free dictionary. • P rincipia Cybernetica Web • In ternational Society for the System Sciences • A utopoiesis at the ACM website • S ystems theory • L e Village Systémique • P ortland State University Systems Science Ph.D. Program • N ew England Complex Systems Institute • U CLA Human Complex Systems Program • S ystems Department, Open University Academic programs: • E ngineering and Systems Division, MIT • C enter for the Study of Complex Systems, University of Michigan • C enter for Models of Life, Niels Bohr Institute, Copenhagen Un-annotated external links: • h ttp://mvhs1.mbhs.edu/mvhsproj/project2.html • h ttp://www.geom.umn.edu/education/math5337/ds/ • h ttp://www.systemdynamics.org/ TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 34 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 35 oldal / 102 • h ttp://www.uni-klu.ac.at/users/gossimit/links/bookmksd.htm • h ttp://www.wkap.nl/journalhome.htm/0924-6703 • h ttp://www.wkap.nl/jrnltoc.htm/0924-6703 • h ttp://www.newciv.org/ISSS_Primer/seminar.html • h ttp://chiron.valdosta.edu/whuitt/materials/sysphil.html • H umane Systems Design (semi-annotated) Biological system · Complex system · Complex adaptive system · Conceptual system · Cultural system · Dynamical system · Economic system · Ecosystem · Formal system · Global Positioning System · Human organ systems · Information systems · Legal system · Metric system · Nervous system · Non-linear system · Operating system · Physical system · Political system · Sensory system · Social system · Solar System · System · Systems of measurement In the natural sciences an open system is one whose border is permeable to both energy and mass.[2] In physics a closed system, by contrast, is permeable to energy but not to matter. Open systems have a number of consequences. A closed system contains limited energy. The definition of an open system assumes that there are supplies of energy that cannot be depleted; in practice, this energy is supplied from some source in the surrounding environment, which can be treated as infinite for the purposes of study. One type of open system is the so-called radiant energy system, which receives its energy from solar radiation – an energy source that can be regarded as inexhaustible for all practical purposes. In the social sciences In the social sciences an open systems is a process that exhange material, energy, people, capital and information with its environment. Fields of theory See also Chaos theory · Complex systems · Control theory · Cybernetics · Holism in science · Sociotechnical systems theory · Systems biology · System dynamics · Systems ecology · Systems engineering · Systems theory · Systems science • C losed system • D ynamical system • G lossary of systems theory • I solated system • M aximum power principle • N on-equilibrium thermodynamics • O pen system (computing) • P hantom loop • S ystem theory • T hermodynamic system Global structure in systems, systems sciences and systems scientists Categories Conceptual systems · Physical systems · Social systems · Systems · Systems science · Systems scientists · Systems theory Systems Systems scientists Russell L. Ackoff · William Ross Ashby · Gregory Bateson · Stafford Beer · Ludwig von Bertalanffy · Kenneth E. Boulding · Peter Checkland · C. West Churchman · Heinz von Foerster · Charles François · Jay Wright Forrester · Ralph W. Gerard · Debora Hammond · George Klir · Niklas Luhmann · Humberto Maturana · Donella Meadows · Mihajlo D. Mesarovic · Howard T. Odum · Talcott Parsons · Ilya Prigogine · Anatol Rapoport · Francisco Varela · John N. Warfield · Norbert Wiener Retrieved from "http://en.wikipedia.org/wiki/Systems_theory" Categories: Articles with specifically-marked weasel-worded phrases | Articles with unsourced statements since July 2007 | All articles with unsourced statements | Wikipedia external links cleanup | Cybernetics | Branches of sociology (interdisciplinary) | Evolution | Sociology of science | Systems | Systems theory | Theories of history Open system (systems theory) An open system is a state of a system, in which a system continuously interacts with its environment. Open systems are those that maintain their state and exhibit the characteristics of openness previously mentioned. Open systems contrast with closed systems. Systems are rarely ever either open or closed but open to some and closed to other influences. [1]. Basic characteristics of an open system are environment, input, throughput and output. And some control systems with feedback. The definition of a "system" is often arbitrary; a system may be defined as the region of space under study being characterized by a collection of components or elements related in some way. The concept of an "open system" is originally developed in thermodynamics, and since the 1950s also in systems theory. Nowadays the concept has its applications in the natural and social sciences. In the natural sciences References 1. ^ OPEN SYSTEM, Pricipea Cybernetica Web, 2007. 2. ^ Glossary Maxwell Demon, 1998. Further reading • Khalil, E.L. (1995). Nonlinear thermodynamics and social science modeling: fad cycles, cultural development and identificational slips. The American Journal of Economics and Sociology, Vol. 54, Issue 4, pp. 423-438. • Weber, B.H. (1989). Ethical Implications Of The Interface Of Natural And Artificial Systems. Delicate Balance: Technics, Culture and Consequences: Conference Proceedings for the Institute of Electrical and Electronic Engineers. External links • O PEN SYSTEM, Pricipea Cybernetica Web, 2007. Retrieved from "http://en.wikipedia.org/wiki/Open_system_ %28systems_theory%29" Categories: Systems theory stubs | Cybernetics | Physical systems Closed system A closed system is a system in the state of being isolated from the environment. It is often used to refer to a theoretical scenario where perfect closure is an assumption, however in practice no system can be completely closed; there are only varying degrees of closure. In physics, a closed system can exchange heat and work, but not matter, with its surroundings. In contrast an isolated system can exchange neither heat nor matter with the surroundings. For a simple system, with only one type of particle (atom or TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 35 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 36 oldal / 102 molecule), this amounts to a constant number of particles. However, for systems which are undergoing a chemical reaction, there may be all sorts of molecules being generated and destroyed by the reaction process. In this case, the fact that the system is closed is expressed by saying that the total number of each elemental atom is conserved, no matter what kind of molecule it may be a part of. Mathematically: where Nj is the number of j-type molecules, aij is the number of atoms of element i in molecule j and bi 0 is the total number of atoms of element i in the system, which remains constant, since the system is closed. There will be one such equation for each different element in the system. In quantum mechanics confusingly, a closed system is equivalent to an isolated system, and a system that can exchange energy with the surroundings is referred to as an o pen system [ 1]. Notes 1. ^ Nielsen, M and Chuang, I (2000). Quantum Computation and Quantum Information. characteristics of life and interact with their environment. This takes place by means of information and material-energy exchanges. Living systems can be as simple as a single cell or as complex as a supranational organization such as the European Economic Community. Regardless of their complexity, they each depend upon the same essential twenty subsystems (or processes) in order to survive and to continue the propagation of their species or types beyond a single generation.[2]. Miller said that systems exist at eight "nested" hierarchical levels: cell, organ, organism, group, organization, community, society, and supranational system. At each level, a system invariably comprises 20 critical subsystems, which process matter/ energy or information except for the first two, which process both matter/energy and information: reproducer & boundary. The processors of matter/energy are: • Ingestor, Distributor, Converter, Producer, Storage, Extruder, Motor, Supporter The processors of information are • Input transducer, Internal transducer, Channel and net, Timer (added later), Decoder, Associator, Memory, Decider, Encoder, Output transducer. See also Miller's Living systems theory • G lossary of systems theory • D ynamical system: Has components and/or flows that change over time. • I solated system: Has no interactions with an outside system, not even energy can flow into or out of an isolated system. • O pen system: Can be influenced by events outside of the actual or conceptual boundaries. • T hermodynamic system Retrieved from "http://en.wikipedia.org/wiki/Closed_system" Living systems theory From Wikipedia, the free encyclopedia Living systems theory is a general theory about the existence of all living systems, their structure, interaction, behavior and development. This work is created by James Grier Miller, which was intended to formalize the concept of "life". According to Miller's original conception as spelled out in his magnum opus Living Systems, a "living system" must contain each of 20 "critical subsystems", which are defined by their functions and visible in numerous systems, from simple cells to organisms, countries, and societies. In Living Systems Miller provides a detailed look at a number of systems in order of increasing size, and identifies his subsystems in each. Living systems Miller considers living systems as a subset of all systems. Below the level of living systems, he defines space and time, matter and energy, information and entropy, levels of organization, and physical and conceptual factors, and above living systems ecological, planetary and solar systems, galaxies, and so forth.[1]. Living systems are by definition open self-organizing systems that have the special James Grier Miller in 1978 wrote a 1,102-page volume to present his living systems theory. He constructed a general theory of living systems by focusing on concrete systems—nonrandom accumulations of matter-energy in physical space-time organized into interacting, interrelated subsystems or components. Slightly revising the original model a dozen years later, he distinguished eight “nested” hierarchical levels in such complex structures. Each level is “nested” in the sense that each higher level contains the next lower level in a nested fashion. His central thesis is that the systems in existence at all eight levels are open systems composed of 20 critical subsystems that process inputs, throughputs, and outputs of various forms of matter/energy and information. Two of these subsystems—reproducer and boundary—process both matter/energy and information. Eight of them process only matter/energy. The other 10 process information only. All nature is a continuum. The endless complexity of life is organized into patterns which repeat themselves—theme and variations—at each level of system. These similarities and differences are proper concerns for science. From the ceaseless streaming of protoplasm to the manyvectored activities of supranational systems, there are continuous flows through living systems as they maintain their highly organized steady states.[3] Seppänen (1998) says that Miller applied general systems theory on a broad scale to describe all aspects of living systems” [4] Topics in living systems theory Miller’s theory posits that the mutual interrelationship of the components of a system extends across the hierarchical levels. Examples: Cells and organs of a living system thrive on the food the organism obtains from its suprasystem; the member TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 36 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 37 oldal / 102 countries of a supranational system reap the benefits accrued from the communal activities to which each one contributes. Miller says that his eclectic theory “ties together past discoveries from many disciplines and provides an outline into which new findings can be fitted”.[5] Miller says the concepts of space, time, matter, energy, and information are essential to his theory because the living systems exist in space and are made of matter and energy organized by information. Miller’s theory of living systems employs two sorts of spaces: physical or geographical space, and conceptual or abstracted spaces. Time is the fundamental “fourth dimension” of the physical space-time continuum/spiral. Matter is anything that has mass and occupies physical space. Mass and energy are equivalent as one can be converted into the other. Information refers to the degrees of freedom that exist in a given situation to choose among signals, symbols, messages, or patterns to be transmitted. Other relevant concepts are system, structure, process, type, level, echelon, suprasystem, subsystem, transmissions, and steady state. A system can be conceptual, concrete or abstracted. The structure of a system is the arrangement of the subsystems and their components in three-dimensional space at any point of time. Process, which can be reversible or irreversible, refers to change over time of matter/energy or information in a system. Type defines living systems with similar characteristics. Level is the position in a hierarchy of systems. Many complex living systems, at various levels, are organized into two or more echelons. The suprasystem of any living system is the next higher system in which it is a subsystem or component. The totality of all the structures in a system which carry out a particular process is a subsystem. Transmissions are inputs and outputs in concrete systems. Because living systems are open systems, with continually altering fluxes of matter/energy and information, many of their equilibria are dynamic—situations identified as steady states or flux equilibria. Miller identifies the comparable matter-energy and information processing critical subsystems. Elaborating on the eight hierarchical levels, he defines society, which constitutes the seventh hierarchy, as “a large, living, concrete system with [community] and lower levels of living systems as subsystems and components”. [6] Society may include small, primitive, totipotential communities; ancient city-states, and kingdoms; as well as modern nation-states and empires that are not supranational systems. Miller provides general descriptions of each of the subsystems that fit all eight levels. A supranational system, in Miller’s view, “is composed of two or more societies, some or all of whose processes are under the control of a decider that is superordinate to their highest echelons” [7]. However, he contends that no supranational system with all its 20 subsystems under control of its decider exists today. The absence of a supranational decider precludes the existence of a concrete supranational system. Miller says that studying a supranational system is problematical because its subsystems ...tend to consist of few components besides the decoder. These systems do little matter-energy processing. The power of component societies [nations] today is almost always greater than the power of supranational deciders. Traditionally, theory at this level has been based upon intuition and study of history rather than data collection. Some quantitative research is now being done, and construction of global-system models and simulations is currently burgeoning.[8] At the supranational system level, Miller’s emphasis is on international organizations, associations, and groups comprising representatives of societies (nation-states). Miller identifies the subsystems at this level to suit this emphasis. Thus, for example, the reproducer is “any multipurpose supranational system which creates a single purpose supranational organization” (p. 914); and the boundary is the “supranational forces, usually located on or near supranational borders, which defend, guard, or police them” (p. 914). Strengths of Miller’s theory Not just those specialized in international communication, but all communication science scholars could pay particular attention to the major contributions of LST to social systems approaches that Bailey [9] has pointed out: • The specification of the 20 critical subsystems in any living system. • The specification of the eight hierarchical levels of living systems. • The emphasis on cross-level analysis and the production of numerous crosslevel hypotheses. • Cross-subsystem research (e.g., formulation and testing of hypotheses in two or more subsystems at a time). • Cross-level, cross-subsystem research. Bailey says that LST, perhaps the “most integrative” social systems theory, has made many more contributions that may be easily overlooked, such as: providing a detailed analysis of types of systems; making a distinction between concrete and abstracted systems; discussion of physical space and time; placing emphasis on information processing; providing an analysis of entropy; recognition of totipotential systems, and partipotential systems; providing an innovative approach to the structure-process issue; and introducing the concept of joint subsystem —a subsystem that belongs to two systems simultaneously; of dispersal— lateral, outward, upward, and downward; of inclusion—inclusion of something from the environment that is not part of the system; of artifact—an animal-made or humanmade inclusion; of adjustment process, which combats stress in a system; and of critical subsystems, which carry out processes that all living systems need to survive.[10] LST’s analysis of the 20 interacting subsystems, Bailey adds, clearly distinguishing between matter/energy processing and information-processing, as well as LST’s analysis of the eight interrelated system levels, enables us to understand how social TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 37 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 38 oldal / 102 systems are linked to biological systems. LST also analyzes the irregularities or “organizational pathologies” of systems functioning (e.g., system stress and strain, feedback irregularities, information-input overload). It explicates the role of entropy in social research while it equates negentropy with information and order. It emphasizes both structure and process, as well as their interrelations [11] Limitations It omits the analysis of subjective phenomena, and it overemphasizes concrete Qanalysis (correlation of objects) to the virtual exclusion of R-analysis (correlation of variables). By asserting that societies (ranging from totipotential communities to nation-states and non-supranational systems) have greater control over their subsystem components than supranational systems have, it dodges the issue of transnational power over the contemporary social systems. Miller’s supranational system bears no resemblance to the modern world-system that Wallerstein (1974) described although both of them were looking at the same living (dissipative) structure. References • K enneth D. Bailey, (1994). Sociology and the new systems theory: Toward a theoretical synthesis. Albany, NY: SUNY Press. • Kenneth D. Bailey (2006). Living systems theory and social entropy theory. Systems Research and Behavioral Science, 22, 291-300. • James Grier Miller, (1978). Living systems. New York: McGraw-Hill. ISBN 087081-363-3 • Miller, J.L., & Miller, J.G. (1992). Greater than the sum of its parts: Subsystems which process both matter-energy and information. Behavioral Science, 37, 1-38. • Jouko Seppänen, (1998). Systems ideology in human and social sciences. In G. Altmann & W.A. Koch (Eds.), Systems: New paradigms for the human sciences (pp. 180-302). Berlin: Walter de Gruyter. • Wallerstein, I. (1974). The modern world-system: Capitalist agriculture and the origins of the European world economy in the sixteenth century. New York: Academic Press. Footnotes 1. ^ Seppänen, 1998, p. 198 2. ^ Elaine Parent, [The Living Systems Theory of James Grier Miller], Primer project ISSS, 1996. 3. ^ (Miller, 1978, p. 1025) 4. ^ Seppänen 1998, pp. 197-198. 5. ^ (Miller, 1978, p.1025) 6. ^ Miller 1978, p. 747. 7. ^ Miller 1978, p. 903 8. ^ Miller, 1978, p. 1043. 9. ^ Kenneth D. Bailey, (2006) 10.^ Kenneth D. Bailey 2006, pp.292-296. 11.^ Kenneth D. bailey, 1994, pp. 209-210. See also • S ystems theory • B iological systems External links • In ternational Society for the Systems Sciences • L iving Systems Theory Of James Grier Miller • S ymbols for drawing Living Systems Theory diagrams Retrieved from "http://en.wikipedia.org/wiki/Living_systems_theory" Categories: Systems theory | Biological systems | Life Biochemical systems theory From Wikipedia, the free encyclopedia Biochemical systems theory is a mathematical modelling framework for biochemical systems, based on ordinary differential equations (ODE), in which biochemical processes are represented using power-law expansions in the variables of the system. This framework, which became known as Biochemical Systems Theory, is developed since the 1960s by Michael Savageau and other groups for systems analysis of biochemical processes.[1] They regard this as a general theory of metabolic control, which includes both metabolic control analysis and flux-oriented theory as special cases.[2] Representation The dynamics of a specie is represented by a differential equation with the structure: where Xi represents one of the nd variables of the model (metabolite concentrations, protein concentrations or levels of gene expression). j represents the nf biochemical processes affecting the dynamics of the specie. On the other hand, μij (stoichiometric coefficient), γj (rate constants) and fik (kinetic orders) are two different kinds of parameters defining the dynamics of the system. The principal difference of power-law models with respect to other ODE models used in biochemical systems is that the kinetic orders can be noninteger numbers. A kinetic order can have even negative value when inhibition is modelled. In this way, power-law models have a higher flexibility to reproduce the nonlinearity of biochemical systems. Models using power-law expansions have been used during the last 35 years to model and analyse several kinds of biochemical systems including metabolic networks, genetic networks and recently in cell signalling. Literature Books: • M.A. Savageau, Biochemical systems analysis: a study of function and design in molecular biology, Reading, MA, Addison–Wesley, 1976. • E.O. Voit (ed), Canonical Nonlinear Modeling. S-System Approach to Understanding Complexity, Van Nostrand Reinhold, NY, 1991. • E.O. Voit, Computational Analysis of Biochemical Systems. A Practical Guide for Biochemists and Molecular Biologists, Cambridge University Press, Cambridge, U.K., 2000. • N.V. Torres and E.O. Voit, Pathway Analysis and Optimization in Metabolic Engineering, Cambridge University Press, Cambridge, U.K., 2002. Scientific articles: • M.A. Savageau, Biochemical systems analysis: I. Some mathematical properties of the rate law for the component enzymatic reactions in: J. Theor. Biol. 25, pp. 365-369, 1969. • M.A. Savageau, Development of fractal kinetic theory for enzymecatalysed reactions and implications for the design of biochemical pathways in: Biosystems 47(1-2), pp. 9-36, 1998. • M.R. Atkinson et al, Design of gene circuits using power-law models, TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 38 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 39 oldal / 102 in: Cell 113, pp. 597–607, 2003. • F. Alvarez-Vasquez et al, Simulation and validation of modelled sphingolipid metabolism in Saccharomyces cerevisiae, Nature 27, pp. 433(7024), pp. 42530, 2005. • J. Vera et al, Power-Law models of signal transduction pathways in: Cellular Signalling doi:10.1016/j.cellsig.2007.01.029), 2007. • Eberhart O. Voit, Applications of Biochemical Systems Theory, 2006. References 1. ^ Biochemical Systems Theory, an introduction. 2. ^ Athel Cornish-Bowden, Metabolic control analysis FAQ, website 18 April 2007. See also • D ynamical systems • L udwig von Bertalanffy • S ystems theory External links • B iochemical Systems Theory an introduction, • h ttp://web.udl.es/Biomath/PowerLaw/ Retrieved "http://en.wikipedia.org/wiki/Biochemical_systems_theory" Categories: Systems theory stubs | Systems biology from Dynamical system From Wikipedia, the free encyclopedia This article is about the general aspects of dynamical systems. For technical details, see Dynamical system (definition). For the use of dynamical systems in cognitive science, see Dynamical system (cognitive science). The Lorenz attractor is an example of a non-linear dynamical system. Studying this system helped give rise to Chaos theory. The dynamical system concept is a mathematical formalization for any fixed "rule" which describes the time dependence of a point's position in its ambient space. Examples include the mathematical models that describe the swinging of a clock pendulum, the flow of water in a pipe, and the number of fish each spring in a lake. A dynamical system has a state determined by a collection of real numbers, or more generally by a set of points in an appropriate state space. Small changes in the state of the system correspond to small changes in the numbers. The numbers are also the coordinates of a geometrical space—a manifold. The evolution rule of the dynamical system is a fixed rule that describes what future states follow from the current state. The rule is deterministic: for a given time interval only one future state follows from the current state. Overview The concept of a dynamical system has its origins in Newtonian mechanics. There, as in other natural sciences and engineering disciplines, the evolution rule of dynamical systems is given implicitly by a relation that gives the state of the system only a short time into the future. (The relation is either a differential equation, difference equation or other time scale.) To determine the state for all future times requires iterating the relation many times—each advancing time a small step. The iteration procedure is referred to as solving the system or integrating the system. Once the system can be solved, given an initial point it is possible to determine all its future points, a collection known as a trajectory or orbit. Before the advent of fast computing machines, solving a dynamical system required sophisticated mathematical techniques and could only be accomplished for a small class of dynamical systems. Numerical methods executed on computers have simplified the task of determining the orbits of a dynamical system. For simple dynamical systems, knowing the trajectory is often sufficient, but most dynamical systems are too complicated to be understood in terms of individual trajectories. The difficulties arise because: • The systems studied may only be known approximately—the parameters of the system may not be known precisely or terms may be missing from the equations. The approximations used bring into question the validity or relevance of numerical solutions. To address these questions several notions of stability have been introduced in the study of dynamical systems, such as Lyapunov stability or structural stability. The stability of the dynamical system implies that there is a class of models or initial conditions for which the trajectories would be equivalent. The operation for comparing orbits to establish their equivalence changes with the different notions of stability. • The type of trajectory may be more important than one particular trajectory. Some trajectories may be periodic, whereas others may wander through many different states of the system. Applications often require enumerating these classes or maintaining the system within one class. Classifying all possible trajectories has led to the qualitative study of dynamical systems, that is, properties that do not change under coordinate changes. Linear dynamical systems and systems that have two numbers describing a state are examples of dynamical systems where the possible classes of orbits are understood. • The behavior of trajectories as a function of a parameter may be what is needed for an application. As a parameter is varied, the dynamical systems may have bifurcation points where the qualitative behavior of the dynamical system changes. For example, it may go from having only periodic motions to apparently erratic behavior, as in the transition to turbulence of a fluid. • The trajectories of the system may appear erratic, as if random. In these cases it may be necessary to compute averages using one very long trajectory or many different trajectories. The averages are well defined for ergodic systems and a more detailed understanding has been worked out for hyperbolic systems. Understanding the probabilistic aspects of dynamical systems has helped establish the foundations of statistical mechanics and of chaos. It was in the work of Poincaré that these dynamical systems themes developed. Basic definitions A dynamical system is a manifold M called the phase (or state) space and a smooth TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 39 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 40 oldal / 102 evolution function Φ t that for any element of t ∈ T, the time, maps a point of the phase space back into the phase space. The notion of smoothness changes with applications and the type of manifold. There are several choices for the set T. When T is taken to be the reals, the dynamical system is called a flow; and if T is restricted to the non-negative reals, then the dynamical system is a semi-flow. When T is taken to be the integers, it is a cascade or a map; and the restriction to the nonnegative integers is a semi-cascade. Examples The evolution function Φ t is often the solution of a differential equation of motion The equation gives the time derivative, represented by the dot, of a trajectory x(t) on the phase space starting at some point x0. The vector field v(x) is a smooth function that at every point of the phase space M provides the velocity vector of the dynamical system at that point. (These vectors are not vectors in the phase space M, but in the tangent space TMx of the point x.) Given a smooth Φ t, an autonomous vector field can be derived from it. There is no need for higher order derivatives in the equation, nor for time dependence in v(x) because these can be eliminated by considering systems of higher dimensions. Other types of differential equations can be used to define the evolution rule: is an example of an equation that arises from the modeling of mechanical systems with complicated constraints. The differential equations determining the evolution function Φ t are often ordinary differential equations: in this case the phase space M is a finite dimensional manifold. Many of the concepts in dynamical systems can be extended to infinitedimensional manifolds—those that are locally Banach spaces—in which case the differential equations are partial differential equations. In the late 20th century the dynamical system perspective to partial differential equations started gaining popularity. Further examples • L ogistic map • D ouble pendulum • A rnold's cat map • H orseshoe map • B aker's map is an example of a chaotic piecewise linear map • B illiards and outer billiards • H énon map • L orenz system • C ircle map • R össler map • L ist of chaotic maps • S winging Atwood's machine • Q uadratic map simulation system • B ouncing ball simulation system Linear dynamical systems Linear dynamical systems can be solved in terms of simple functions and the behavior of all orbits classified. In a linear system the phase space is the Ndimensional Euclidean space, so any point in phase space can be represented by a vector with N numbers. The analysis of linear systems is possible because they satisfy a superposition principle: if u(t) and w(t) satisfy the differential equation for the vector field (but not necessarily the initial condition), then so will u(t) + w(t). Flows For a flow, the vector field Φ(x) is a linear function of the position in the phase space, that is, with A a matrix, b a vector of numbers and x the position vector. The solution to this system can be found by using the superposition principle (linearity). The case b ≠ 0 with A = 0 is just a straight line in the direction of b: When b is zero and A ≠ 0 the origin is an equilibrium (or singular) point of the flow, that is, if x0 = 0, then the orbit remains there. For other initial conditions, the equation of motion is given by the exponential of a matrix: for an initial point x0, When b = 0, the eigenvalues of A determine the structure of the phase space. From the eigenvalues and the eigenvectors of A it is possible to determine if an initial point will converge or diverge to the equilibrium point at the origin. The distance between two different initial conditions in the case A ≠ 0 will change exponentially in most cases, either converging exponentially fast towards a point, or diverging exponentially fast. Linear systems display sensitive dependence on initial conditions in the case of divergence. For nonlinear systems this is one of the (necessary but not sufficient) conditions for chaotic behavior. Linear vector fields and a few trajectories. Maps A discrete-time, affine dynamical system has the form with A a matrix and b a vector. As in the continuous case, the change of coordinates x → x + (1 - A) –1b removes the term b from the equation. In the new coordinate system, the origin is a fixed point of the map and the solutions are of the linear system A nx0. The solutions for the map are no longer curves, but points that hop in the phase space. The orbits are organized in curves, or fibers, which are collections of points that map into themselves under the action of the map. As in the continuous case, the eigenvalues and eigenvectors of A determine the structure of phase space. For example, if u1 is an eigenvector of A, with a real eigenvalue smaller than one, then the straight lines given by the points along α u1, with α ∈ R, is an invariant curve of the map. Points in this straight line run into the fixed point. There are also many other discrete dynamical systems. Local dynamics The qualitative properties of dynamical systems do not change under a smooth change of coordinates (this is sometimes taken as a definition of qualitative): a singular point of the vector field (a point where v(x) = 0) will remain a singular point under smooth transformations; a periodic orbit is a loop in phase space and smooth deformations of the phase space cannot alter it being a loop. It is in the neighborhood of singular points and periodic orbits that the structure of a phase space of a dynamical system can be well understood. In the qualitative study of dynamical systems, the approach is to show that there is a change of coordinates (usually unspecified, but computable) that makes the dynamical system as simple TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 40 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 41 oldal / 102 as possible. Rectification A flow in most small patches of the phase space can be made very simple. If y is a point where the vector field v(y) ≠ 0, then there is a change of coordinates for a region around y where the vector field becomes a series of parallel vectors of the same magnitude. This is known as the rectification theorem. The rectification theorem says that away from singular points the dynamics of a point in a small patch is a straight line. The patch can sometimes be enlarged by stitching several patches together, and when this works out in the whole phase space M the dynamical system is integrable. In most cases the patch cannot be extended to the entire phase space. There may be singular points in the vector field (where v(x) = 0); or the patches may become smaller and smaller as some point is approached. The more subtle reason is a global constraint, where the trajectory starts out in a patch, and after visiting a series of other patches comes back to the original one. If the next time the orbit loops around phase space in a different way, then it is impossible to rectify the vector field in the whole series of patches. Near periodic orbits In general, in the neighborhood of a periodic orbit the rectification theorem cannot be used. Poincaré developed an approach that transforms the analysis near a periodic orbit to the analysis of a map. Pick a point x0 in the orbit γ and consider the points in phase space in that neighborhood that are perpendicular to v(x0). These points are a Poincaré section S(γ, x0), of the orbit. The flow now defines a map, the Poincaré map F : S → S, for points starting in S and returning to S. Not all these points will take the same amount of time to come back, but the times will be close to the time it takes x0. The intersection of the periodic orbit with the Poincaré section is a fixed point of the Poincaré map F. By a translation, the point can be assumed to be at x = 0. The Taylor series of the map is F(x) = J · x + O(x˛), so a change of coordinates h can only be expected to simplify F to its linear part This is known as the conjugation equation. Finding conditions for this equation to hold has been one of the major tasks of research in dynamical systems. Poincaré first approached it assuming all functions to be analytic and in the process discovered the non-resonant condition. If λ1,…,λν are the eigenvalues of J they will be resonant if one eigenvalue is an integer linear combination of two or more of the others. As terms of the form λi – Σ (multiples of other eigenvalues) occurs in the denominator of the terms for the function h, the non-resonant condition is also known as the small divisor problem. Conjugation results The results on the existence of a solution to the conjugation equation depend on the eigenvalues of J and the degree of smoothness required from h. As J does not need to have any special symmetries, its eigenvalues will typically be complex numbers. When the eigenvalues of J are not in the unit circle, the dynamics near the fixed point x0 of F is called hyperbolic and when the eigenvalues are on the unit circle and complex, the dynamics is called elliptic. In the hyperbolic case the Hartman-Grobman theorem gives the conditions for the existence of a continuous function that maps the neighborhood of the fixed point of the map to the linear map J · x. The hyperbolic case is also structurally stable. Small changes in the vector field will only produce small changes in the Poincaré map and these small changes will reflect in small changes in the position of the eigenvalues of J in the complex plane, implying that the map is still hyperbolic. The Kolmogorov-Arnold-Moser (KAM) theorem gives the behavior near an elliptic point. Bifurcation theory When the evolution map Φt (or the vector field it is derived from) depends on a parameter μ, the structure of the phase space will also depend on this parameter. Small changes may produce no qualitative changes in the phase space until a special value μ0 is reached. At this point the phase space changes qualitatively and the dynamical system is said to have gone through a bifurcation. Bifurcation theory considers a structure in phase space (typically a fixed point, a periodic orbit, or an invariant torus) and studies its behavior as a function of the parameter μ. At the bifurcation point the structure may change its stability, split into new structures, or merge with other structures. By using Taylor series approximations of the maps and an understanding of the differences that may be eliminated by a change of coordinates, it is possible to catalog the bifurcations of dynamical systems. The bifurcations of a hyperbolic fixed point x0 of a system family Fμ can be characterized by the eigenvalues of the first derivative of the system DFμ(x0) computed at the bifurcation point. For a map, the bifurcation will occur when there are eigenvalues of DFμ on the unit circle. For a flow, it will occur when there are eigenvalues on the imaginary axis. For more information, see the main article on Bifurcation theory. Some bifurcations can lead to very complicated structures in phase space. For example, the Ruelle-Takens scenario describes how a periodic orbit bifurcates into a torus and the torus into a strange attractor. In another example, Feigenbaum period-doubling describes how a stable periodic orbit goes through a series of period-doubling bifurcations. Ergodic systems In many dynamical systems it is possible to choose the coordinates of the system so that the volume (really a ν-dimensional volume) in phase space is invariant. This happens for mechanical systems derived from Newton's laws as long as the coordinates are the position and the momentum and the volume is measured in units of (position) × (momentum). The flow takes points of a subset A TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 41 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 42 oldal / 102 into the points Φ t(A) and invariance of the phase space means that In the Hamiltonian formalism, given a coordinate it is possible to derive the appropriate (generalized) momentum such that the associated volume is preserved by the flow. The volume is said to be computed by the Liouville measure. In a Hamiltonian system not all possible configurations of position and momentum can be reached from an initial condition. Because of energy conservation, only the states with the same energy as the initial condition are accessible. The states with the same energy form an energy shell Ω, a sub-manifold of the phase space. The volume of the energy shell, computed using the Liouville measure, is preserved under evolution. For systems where the volume is preserved by the flow, Poincaré discovered the recurrence theorem: Assume the phase space has a finite Liouville volume and let F be a phase space volume-preserving map and A a subset of the phase space. Then almost every point of A returns to A infinitely often. The Poincaré recurrence theorem was used by Zermelo to object to Boltzmann's derivation of the increase in entropy in a dynamical system of colliding atoms. One of the questions raised by Boltzmann's work was the possible equality between time averages and space averages, what he called the ergodic hypothesis. The hypothesis states that the length of time a typical trajectory spends in a region A is vol(A)/vol(Ω). The ergodic hypothesis turned out not to be the essential property needed for the development of statistical mechanics and a series of other ergodic-like properties were introduced to capture the relevant aspects of physical systems. Koopman approached the study of ergodic systems by the use of functional analysis. An observable a is a function that to each point of the phase space associates a number (say instantaneous pressure, or average height). The value of an observable can be computed at another time by using the evolution function φ t. This introduces an operator U t, the transfer operator, By studying the spectral properties of the linear operator U it becomes possible to classify the ergodic properties of Φ t. In using the Koopman approach of considering the action of the flow on an observable function, the finite-dimensional nonlinear problem involving Φ t gets mapped into an infinite-dimensional linear problem involving U. The Liouville measure restricted to the energy surface Ω is the basis for the averages computed in equilibrium statistical mechanics. An average in time along a trajectory is equivalent to an average in space computed with the Boltzmann factor e xp(−β H ) . This idea has been generalized by Sinai, Bowen, and Ruelle (SRB) to a larger class of dynamical systems that includes dissipative systems. SRB measures replace the Boltzmann factor and they are defined on attractors of chaotic systems. Chaos theory Simple nonlinear dynamical systems and even piecewise linear systems can exhibit a completely unpredictable behavior, which might seem to be random. (Remember that we are speaking of completely deterministic systems!). This unpredictable behavior has been called chaos. Hyperbolic systems are precisely defined dynamical systems that exhibit the properties ascribed to chaotic systems. In hyperbolic systems the tangent space perpendicular to a trajectory can be well separated into two parts: one with the points that converge towards the orbit (the stable manifold) and another of the points that diverge from the orbit (the unstable manifold). This branch of mathematics deals with the long-term qualitative behavior of dynamical systems. Here, the focus is not on finding precise solutions to the equations defining the dynamical system (which is often hopeless), but rather to answer questions like "Will the system settle down to a steady state in the long term, and if so, what are the possible attractors?" or "Does the longterm behavior of the system depend on its initial condition?" Note that the chaotic behavior of complicated systems is not the issue. Meteorology has been known for years to involve complicated—even chaotic— behavior. Chaos theory has been so surprising because chaos can be found within almost trivial systems. The logistic map is only a second-degree polynomial; the horseshoe map is piecewise linear. Geometrical definition A dynamical system is the tuple , with a manifold (locally a Banach space or Euclidean space), the domain for time (non-negative reals, the integers, ...) and an evolution rule f t (with ) a diffeomorphism of the manifold to itself. Measure theoretical definition See main article measure-preserving dynamical system. A dynamical system may be defined formally, as a measure-preserving transformation of a sigma-algebra, the quadruplet (X,Σ,μ,τ). Here, X is a set, and Σ is a topology on X, so that (X,Σ) is a sigma-algebra. For every element , μ is its finite measure, so that the triplet (X,Σ,μ) is a probability space. A map is said to be Σ-measurable if and only if, for every , one has . A map τ is said to preserve the measure if and only if, for every , one has μ(τ − 1σ) = μ(σ). Combining the above, a map τ is said to be a measurepreserving transformation of X , if it is a map from X to itself, it is Σ-measurable, and is measure-preserving. The quadruple (X,Σ,μ,τ), for such a τ, is then defined to be a dynamical system. The map τ embodies the time evolution of the dynamical system. Thus, for discrete dynamical systems the iterates for integer n are studied. For continuous dynamical systems, the map τ is understood to be finite time evolution map and the construction is more complicated. Examples of dynamical systems • L ogistic map • D ouble pendulum • A rnold's cat map • H orseshoe map • B aker's map is an example of a chaotic piecewise linear map • B illiards and Outer Billiards • H enon map • L orenz system • C ircle map TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 42 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 43 oldal / 102 • R ossler map • L ist of chaotic maps • S winging Atwood's Machine (SAM) • B ouncing Ball • M echanical Strings See also • O scillation • S arkovskii's theorem • S ystem dynamics • S ystems theory • L ist of dynamical system topics • P eople in systems and control • B ehavioral modeling References Further reading Works providing a broad coverage: • R alph Abraham and Jerrold E. Marsden (1978). Foundations of mechanics. Benjamin-Cummings. ISBN 0-8053-0102-X. (available as a reprint: ISBN 0201-40840-6) • Encyclopaedia of Mathematical Sciences (ISSN 0938-0396) has a sub-series on dynamical systems with reviews of current research. • Anatole Katok and Boris Hasselblatt (1996). Introduction to the modern theory of dynamical systems. Cambridge. ISBN 0-521-57557-5. • Christian Bonatti, Lorenzo J. Díaz, Marcelo Viana (2005). Dynamics Beyond Uniform Hyperbolicity: A Global Geometric and Probabilistic Perspective. Springer. ISBN 3-540-22066-6. • D iederich Hinrichsen and Anthony J. Pritchard (2005). Mathematical Systems Theory I - Modelling, State Space Analysis, Stability and Robustness. Springer Verlag. ISBN 0-978-3-540-44125-0. Introductory texts with a unique perspective: • V . I. Arnold (1982). Mathematical methods of classical mechanics. SpringerVerlag. ISBN 0-387-96890-3. • J acob Palis and Wellington de Melo (1982). Geometric theory of dynamical systems: an introduction. Springer-Verlag. ISBN 0-387-90668-1. • D avid Ruelle (1989). Elements of Differentiable Dynamics and Bifurcation Theory. Academic Press. ISBN 0-12-601710-7. • Tim Bedford, Michael Keane and Caroline Series, eds. (1991). Ergodic theory, symbolic dynamics and hyperbolic spaces. Oxford University Press. ISBN 0-19-853390-X. • R alph H. Abraham and Christopher D. Shaw (1992). Dynamics—the geometry of behavior, 2nd edition. Addison-Wesley. ISBN 0-201-56716-4. Textbooks • S teven H. Strogatz (1994). Nonlinear dynamics and chaos: with applications to physics, biology chemistry and engineering. Addison Wesley. ISBN 0-20154344-3. • Kathleen T. Alligood, Tim D. Sauer and James A. Yorke (2000). Chaos. An introduction to dynamical systems. Springer Verlag. ISBN 0-387-94677-2. • Morris W. Hirsch, Stephen Smale and Robert Devaney (2003). Differential Equations, dynamical systems, and an introduction to chaos. Academic Press. ISBN 0-12-349703-5. Popularizations: • Florin Diacu and Philip Holmes (1996). Celestial Encounters. Princeton. ISBN 0-691-02743-9. • J ames Gleick (1988). Chaos: Making a New Science. Penguin. ISBN 0-14009250-1. • Ivar Ekeland (1990). Mathematics and the Unexpected (Paperback). University Of Chicago Press. ISBN 0-226-19990-8. • Ian Stewart (1997). Does God Play Dice? The New Mathematics of Chaos. Penguin. ISBN 0140256024. External links • A collection of dynamic and non-linear system models and demo applets (in Monash University's Virtual Lab) • A rxiv preprint server has daily submissions of (non-refereed) manuscripts in dynamical systems. • D SWeb provides up-to-date information on dynamical systems and its applications. • E ncyclopedia of dynamical systems A part of Scholarpedia — peer reviewed and written by invited experts. • N onlinear Dynamics. Models of bifurcation and chaos by Elmer G. Wiens • O liver Knill has a series of examples of dynamical systems with explanations and interactive controls. • S ci.Nonlinear FAQ 2.0 (Sept 2003) provides definitions, explanations and resources related to nonlinear science Online books or lecture notes: • G eometrical theory of dynamical systems. Nils Berglund's lecture notes for a course at ETH at the advanced undergraduate level. • D ynamical systems. George D. Birkhoff's 1927 book already takes a modern approach to dynamical systems. • C haos: classical and quantum. An introduction to dynamical systems from the periodic orbit point of view. • M odeling Dynamic Systems. An introduction to the development of mathematical models of dynamic systems. • L earning Dynamical Systems. Tutorial on learning dynamical systems. Research groups: • D ynamical Systems Group Groningen, IWI, University of Groningen. • C haos @ UMD. Concentrates on the applications of dynamical systems. • D ynamical Systems, SUNY Stony Brook. Lists of conferences, researchers, and some open problems. • C enter for Dynamics and Geometry, Penn State. • C ontrol and Dynamical Systems, Caltech. • L aboratory of Nonlinear Systems, Ecole Polytechnique Fédérale de Lausanne (EPFL). • C enter for Dynamical Systems, University of Bremen • Systems Analysis, Modelling and Prediction Group, University of Oxford • N on-Linear Dynamics Group, Instituto Superior Técnico, Technical University of Lisbon Global structure in systems, systems sciences and systems scientists Categories Conceptual systems · Physical systems · Social systems · Systems · Systems science · Systems scientists · Systems theory Systems Biological system · Complex system · Complex adaptive system · Conceptual system · Cultural system · Dynamical system · Economic system · Ecosystem · Formal system · Global Positioning System · Human organ systems · Information systems · Legal system · Metric system · Nervous system · Non-linear system · Operating system · Physical system · Political system · Sensory system · Social system · Solar System · System · Systems of measurement Fields of theory TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 43 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 44 oldal / 102 Chaos theory · Complex systems · Control theory · Cybernetics · Holism in science · Sociotechnical systems theory · Systems biology · System dynamics · Systems ecology · Systems engineering · Systems theory · Systems science Wright Forrester · Ralph W. Gerard · Debora Hammond · George Klir · Niklas Luhmann · Humberto Maturana · Donella Meadows · Mihajlo D. Mesarovic · Howard T. Odum · Talcott Parsons · Ilya Prigogine · Anatol Rapoport · Francisco Varela · John N. Warfield · Norbert Wiener Retrieved from "http://en.wikipedia.org/wiki/Dynamical_system" Systems scientists Russell L. Ackoff · William Ross Ashby · Gregory Bateson · Stafford Beer · Ludwig von Bertalanffy · Kenneth E. Boulding · Peter Checkland · C. West Churchman · Heinz von Foerster · Charles François · Jay Categories: Articles with unsourced statements since October 2007 | All articles with unsourced statements | Dynamical systems | Systems theory | Systems jegyzetek, hivatkozások: 09, forrás: www.wikipedia.org Human mitochondrial genetics Contents Mitochondrial genetics is the study of the genetics of the DNA contained in mitochondria. Mitochondria are small structures in cells that generate energy for the cell to use, and are hence referred to as the "powerhouses" of the cell. Mitochondrial DNA (mtDNA) is not transmitted through nuclear DNA (nDNA), and in most multicellular organisms, virtually all mitochondria are inherited from the mother's ovum, as sperm cells do not contribute any mitochondria. Mitochondrial inheritance is therefore non-Mendelian, as Mendelian inheritance presumes that half the genetic material of a fertilized egg (zygote) derives from each parent. Eighty percent of mitochondrial DNA codes for functional mitochondrial proteins, and therefore most mitochondrial DNA mutations lead to functional problems, which may be manifested as muscle disorders (myopathies). Understanding the genetic mutations that affect mitochondria can help us to understand the inner workings of cells and organisms, as well as helping to suggest methods for successful therapeutic tissue and organ cloning, and to treatments or possibly cures for many devastating muscular disorders. Mitochondrial function and genome Because they provide 36 molecules of ATP per glucose molecule in contrast to the 2 ATP molecules produced by glycolysis, mitochondria are essential to all higher organisms for sustaining life. The mitochondrial diseases are genetic disorders carried specifically in mitochondrial DNA; slight problems with any one of the numerous enzymes used by the mitochondria can be devastating to the cell, and in turn, to the organism. Membrane complexes The processes carried out by the electron transport chain are mediated by protein complexes (named Complexes I-V, DHO-QO, ETF-QO, and ANT). Complex I, or NADH : coenzyme Q oxidoreductase, uses the energy in NADH to pump protons into the intermembrane space of the mitochondrion, pumping 2 protons per electron and passing 2 electrons via coenzyme Q to complex III or coenzyme Q : cytochrome c oxidoreductase. Complex II or succinate : coenzyme Q oxidoreductase accepts energy from succinate produced in the citric acid cycle and passes it via coenzyme Q to complex III. Complex III pumps 1 protons per electron and passes 1 electron via cytochrome c to complex IV. Complex IV pumps 1 protons into the space between the mitochondrion’s two membranes before passing the electron to O2 which reacts to form water. Complex V (ATP synthase) is a rotary complex which allows approximately (determining the actual number is very difficult) 10 protons to enter the mitochondrial matrix along their concentration gradients. It uses the energy from the gradient to form the bond between ADP and the phosphate group to create ATP. The electron transfer flavoprotein : coenzyme Q oxidoreductase is also an electron-transporting molecule and is involved in the breakdown of fatty acids and amino acids. ANT (adenine nucleotide translocator) is also involved in oxidative phosphorylation as an energy carrying molecule. Each of these eight complexes plays a vital role in the health of the cell and any slight mutation in any one of the proteins that make up these complexes can lead to cell death or stress, which can both in turn lead to a number of diseases. Genome Further information: Mitochondrial DNA Mitochondrial DNA (mtDNA) is present in mitochondria as a circular molecule and in most species codes for 13 or 14 proteins involved in the electron transfer chain, 2 rRNA subunits and 22 tRNA molecules (all necessary for protein synthesis). The number of proteins involved in the electron transfer chain is much larger than 13 or 14, but the remainder is in fact coded by the nuclear DNA. In total, the mitochondrion hosts about 3000 proteins, but only about 37 of them are coded on the mitochondrial DNA. Most of the 3000 genes are involved in a variety of processes other than ATP production, such as porphyrin synthesis. Only about 3% of them code for ATP production proteins. This means most of the genetic information coding for the protein makeup of mitochondria is in chromosomal DNA and is involved in processes other than ATP synthesis. This increases the chances that a mutation that will affect a mitochondrion will occur in chromosomal DNA, which is inherited in a Mendelian pattern. Another result is that a chromosomal mutation will affect a specific tissue due to its specific needs, TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 44 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 45 oldal / 102 whether those may be high energy requirements or a need for the catabolism or anabolism of a specific neurotransmitter or nucleic acid. Because several copies of the mitochondrial genome are carried by each mitochondrion (2-10 in humans), mitochondrial mutations can be inherited maternally by mtDNA mutations which are present in mitochondria inside the oocyte before fertilization, or (as stated above) through mutations in the chromosomes. In humans, the heavy strand of mtDNA carries 28 genes and the light strand of mtDNA carries only 9 genes. Eight of the 9 genes on the light strand code for mitochondrial tRNA molecules. Human mtDNA consists of 16,569 nucleotide pairs. The entire molecule is regulated by only one regulatory region which contains the origins of replication of both heavy and light strands. The entire human mitochondrial DNA molecule has been mapped[1][2]. The rate of mutation in mtDNA is calculated to be about ten times greater than that of nuclear DNA, possibly due to a paucity of DNA repair mechanisms. This high mutation rate leads to a high variation between mitochondria, not only among different species but even within the same species. It is calculated that if two humans are chosen randomly and their mtDNA is tested, they will have an average of between fifty and seventy different nucleotides. This may not seem like much, but when compared to the total number of nucleotides of a human mitochondrial DNA molecule (16,569), as much as .42% of the mtDNA varies between two people. Genetic code variants The genetic code is, for the most part, universal, with few exceptions: mitochondrial genetics includes some of these. For most organisms the "stop codons" are “UAA”, “UAG”, and “UGA”. In vertebrate mitochondria “AGA” and “AGG” are also stop codons, but not “UGA”, which codes for tryptophan instead. “AUA” codes for isoleucine in most organisms but for methionine in vertebrate mitochondrial mRNA/tRNA. There are many other variations among the codes used by other mitochondrial m/tRNA, which happened not to be harmful to their organisms, and which can be used as a tool (along with other mutations among the mtDNA/RNA of different species) to determine relative proximity of common ancestry of related species. (The more related two species are, the more mtDNA/RNA mutations will be the same in their mitochondrial genome). Using these techniques, it is estimated that the first mitochondrion evolved, was consumed, or developed around 1.5 billion years ago, as an aerobic prokaryote in a symbiotic relationship within an anaerobic eukaryote. Inheritance patterns Because mitochondrial diseases (diseases due to malfunction of mitochondria) can be inherited both maternally and through chromosomal inheritance, the way in which they are passed on from generation to generation can vary greatly depending on the disease. Mitochondrial genetic mutations that occur in the nuclear DNA can occur in any of the chromosomes (depending on the species). Mutations inherited through the chromosomes can be autosomal dominant or recessive and can also be sex-linked dominant or recessive. Chromosomal inheritance follows normal Mendelian laws, despite the fact that the phenotype of the disease may be masked. Because of the complex ways in which mitochondrial and nuclear DNA "communicate" and interact, even seemingly simple inheritance is hard to diagnose. A mutation in chromosomal DNA may change a protein that regulates (an increase or decrease) the production of another certain protein in the mitochondria or the cytoplasm and may lead to slight, if any, noticeable symptoms. On the other hand, there are some devastating mtDNA mutations that are easy to diagnose because of their widespread damage to muscular, neural, and/or hepatic (among other high energy and metabolism dependent) tissues and due to the fact that they are present in the mother and all the offspring. Mitochondrial genome mutations are passed on 100% of the time from mother to all her offspring. Because the mitochondria within the fertilized oocyte is what the new life will have to begin with (in terms of mtDNA), and because the number of affected mitochondria varies from cell (in this case, the fertilized oocyte) to cell depending both on the number it inherited from its mother cell and environmental factors which may favor mutant or wildtype mitochondrial DNA, and because the number of mtDNA molecules in the mitochondria varies from around two to ten, the number of affected mtDNA molecules inherited to a specific offspring can vary greatly. It is possible, even in twin births, for one baby to receive more than half mutant mtDNA molecules while the other twin may receive only a tiny fraction of mutant mtDNA molecules with respect to wildtype (depending on how the twins divide from each other and how many mutant mitochondria happen to be on each side of the division). In a few cases, some mitochondria or a mitochondrion from the sperm cell enters the oocyte but paternal mitochondria are actively decomposed. Replication, repair, transcription, and translation Mitochondrial replication is controlled by nuclear genes and is specifically suited to make as many mitochondria as that particular cell needs at the time. Human mitochondrial DNA (mtDNA) has three promoters, H1, H2, and L (heavy strand 1, heavy strand 2, and light strand promoters). The H1 promoter transcribes the entire heavy strand and the L promoter transcribes the entire light strand. The H2 promoter causes the transcription of the two mitochondrial rRNA molecules. When transcription takes place on the heavy strand a polycistronic transcript is created. The light strand produces either small transcripts, which can be used as primers, or one long transcript. The production of primers occurs by processing of light strand transcripts with the Mitochondrial RNase MRP (Mitochondrial RNA Processing). The requirement of transcription to produce primers links the process of transcription to mtDNA replication. Full length transcripts are cut into functional tRNA, rRNA, and mRNA molecules. The process of transcription initiation in mitochondria involves three types of proteins: the mitochondrial RNA polymerase (POLRMT), mitochondrial transcription factor A (TFAM), and mitochondrial transcription factors B1 and B2 (TFB1M, TFB2M). POLRMT, TFAM, and TFB1M or TFB2M assemble at the mitochondrial promoters and begin transcription. The actual molecular events that are involved in initiation are unknown, but these factors make up the basal transcription machinery and have been shown to function in vitro. Mitochondrial translation is still not very well understood. In vitro translations have still not been successful, probably due to the difficulty of isolating sufficient mt mRNA, functional mt rRNA, and possibly because of the complicated changes that the mRNA undergoes before it is translated. Mitochondrial DNA polymerase The Mitochondrial DNA Polymerase (Pol gamma) is used in the copying of mtDNA during replication. Because the two (heavy and light) strands on the circular mtDNA molecule have different origins of replication, it replicates in a D-loop (displacement) configuration. One strand begins to replicate first, displacing the other strand. This continues until replication reaches the origin of replication on the other strand, at which point the other strand beings replicating in the opposite direction. This results in two new mtDNA molecules. Each mitochondria has several copies of the mtDNA molecule and the number of mtDNA molecules is a limiting factor in mitochondrial fission. After the mitochondrion has enough mtDNA, membrane area, and membrane proteins, it can undergo fission (very similar to that which bacteria use) to become two mitochondria. Evidence suggests that mitochondria can also undergo fusion and exchange (in a form of crossover) genetic material among each other. Mitochondria TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 45 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 46 oldal / 102 sometimes form large matrices in which fusion, fission, and protein exchanges are constantly occurring. mtDNA shared among mitochondria (despite the fact that they can undergo fusion). Damage and transcription error Mitochondrial DNA is susceptible to damage from free oxygen radicals from mistakes that occur during the production of ATP through the electron transport chain. These mistakes can be caused by genetic disorders, cancer, and temperature variations. These radicals can damage mtDNA molecules or change them, making it hard for mitochondrial polymerase to replicate them. Both cases can lead to deletions, rearrangements, and other mutations. Recent evidence has suggested that mitochondria have enzymes that proofread mtDNA and fix mutations that may occur due to free radicals. It is believed that a DNA recombinase found in mammalian cells is also involved in a repairing recombination process. Deletions and mutations due to free radicals have been associated with the aging process. It is believed that radicals cause mutations which lead to mutant proteins, which in turn lead to more radicals. This process takes many years and is associated with some aging processes involved in oxygendependent tissues such as brain, heart, muscle, and kidney. Auto-enhancing processes such as these are possible causes of degenerative diseases including Parkinson’s, Alzheimer’s, and coronary artery disease. Chromosomally mediated mtDNA replication errors Because mitochondrial growth and fission are mediated by the nuclear DNA, mutations in nuclear DNA can have a wide array of effects on mtDNA replication. Despite the fact that the loci for some of these mutations have been found on human chromosomes, specific genes and proteins involved have not yet been isolated. Mitochondria need a certain protein to undergo fission. If this protein (made by the nucleus) is not present, the mitochondria grow but they do not divide. This leads to giant, inefficient mitochondria. Mistakes in chromosomal genes or their products can also affect mitochondrial replication more directly by inhibiting mitochondrial polymerase and can even cause mutations in the mtDNA directly and indirectly. Indirect mutations are most often caused by radicals created by defective proteins made from nuclear DNA. Mitochondrial diseases Mitochondrial diseases range in severity from almost not diagnosable to fatal. They also range in cause from inherited to acquired mutations (although acquired mutations that cause disease are very rare). A certain mutation can cause several different diseases depending on the severity of the problem in the mitochondria and the tissue the affected mitochondria are in. Conversely, several different mutations may present themselves as the same disease. This almost patient-specific characterization of mitochondrial diseases makes them very hard to accurately diagnose and trace. Some diseases are observable at or even before birth (most causing death) while others do not show themselves until late adulthood. This is because the number of mutant versus wildtype mitochondria varies from cell to cell and tissue to tissue, and is always changing. Because cells have multiple mitochondria, different mitochondria in the same cell can have different variations of the mtDNA genome. This condition is referred to as heteroplasmy. When a certain tissue reaches a certain ration of mutant versus wildtype mitochondria, a disease will present itself. The ration varies from person to person and tissue to tissue (depending on its specific energy, oxygen, and metabolism requirements, and the effects of the specific mutation). Mitochondrial diseases are very numerous and different. Apart from diseases definitely caused by abnormalities in mitochondrial DNA, many diseases are suspected to be caused in part by dysfunction of mitochondria, such as diabetes mellitus, forms of cancer and cardiovascular disease, lactic acidosis, specific forms of myopathy, osteoporosis, Alzheimer's disease, Parkinsons's disease, stroke, and many more. Furthermore, mtDNA mutations are believed to play a role in the aging process. Notes ^ Societat Catalana de Neurologia. Retrieved on December 5, 2005. ^ http://www.mitomap.org/mitomapgenome.pdf. Retrieved on December 5, 2005. See also •Human mitochondrial DNA haplogroups •Cambridge Reference Sequence Sources Roberts D, Frerman F, and Kim J. (Dec. 1996) Three-dimensional Structure of Human Electron Transfer Flavoprotein to 2.1-Å Resolution. Proc. Natl. Acad. Sci. USA. Vol. 93. (dl Nov. 2004). Naviaux, Robert. (1997) The Spectrum of Mitochondrial Disease. Exceptional Parent Magazine. Vol. 27, Issue 8. Crofts, Antony R. (1996) Biophysics 354: Biological Energy Conversions. University of Illinois at Urbana-Champaign. (dl Nov. 2004). Nester, Anderson, Roberts, Pearsall, Nester. Microbiology, A Human Perspective. Boston: McGraw Hill Inc; 2004. Mitochondrial inheritance tree Mitochondrial DNA genetics Broughton R, Milam J, and Roe B. (Nov. 2001) The Complete Sequence of the Zebrafish (Danio rerio) Mitochondrial Genome and Evolutionary Patterns in Vertebrate Mitochondrial DNA. Genome Research. Vol. 11, Issue 11. (dl Nov. 2004). Neuromuscular Disease Center. Washington University, St. Louis, MO; October 10, 2004. (dl Nov. 2004). Montoya J, Playán A, Alcaine M, Enríquez J, Fernández-Silva P, López-Pérez M, Martinez-Azorín F, Pérez-Martos A. Societat Catalana de Neurologia. Universidad de Zaragoza. (dl Nov. 2004). United Mitochondrial Disease Foundation. Pittsburgh, PA. (dl Nov. 2004). Tamarin, Robert H. Principles of Genetics, Seventh Edition. New York, NY: McGraw-Hill Inc; 2002. Scheffler, Immo E. (2000) Review Article: A Century of Mitochondrial Research: Achievements and Perspectives. Elsevier Science B. V. and Mitochondrial Research Society. (dl Nov. 2004). Vladutiu, Georgirene D. (1997) Advances in Mitochondrial Disease Research. Exceptional Parent Magazine. Vol. 27, Issue 8. DiMauro, Salvatore. (1997) Promising Avenues of Investigation in the Diagnosis and Treatment of Mitochondrial Defects. Exceptional Parent Magazine. Vol. 27, Issue 8. University of Texas Medical Branch. TX; Dec. 2003. The Mitochondrial Life Cycle. (dl Nov. 2004). The Mitochondrial Research Society. Mitochondria Means the Most to US; 2004. (dl Nov. 2004). TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 46 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 47 oldal / 102 Purves W, Sadava D, Orians G, Heller C. Life: The Science of Biology, Sixth Edition. Massachusetts: Sinauer Associates, Inc; 2002. Retrieved from "http://en.wikipedia.org/wiki/Human_mitochondrial_genetics" Category: Mitochondrial genetics jegyzetek, hivatkozások: 10 KEEPING SHARKS WARM IN THE COLD: Duong, C. A., Sepulveda, C. A., Graham, J. B. and Dickson, K. A. (2006). Mitochondrial proton leak rates in the slow, oxidative myotomal muscle and liver of the endothermic shortfin mako shark (Isurus oxyrinchus) and the ectothermic blue shark (Prionace glauca) and leopard shark (Triakis semifasciata). J. Exp. Biol. 209, 2678-2685: Packed into our tissues, microscopic mitochondria are the body’s power-houses, consuming oxygen to generate the ATP that powers our every move. However, warmblooded creatures (endotherms) also benefit from one of the organelle’s by-products, heat, generated when the organelles leak protons. In fact, up to 25% of the basal metabolic rate of most warm-blooded creatures can be attributed to energy consumed topping up the mitochondrial leak. In contrast, metabolically active tissues in cold-blooded creatures (ectotherms) contain far fewer mitochondria, and they are proportionately smaller than those in gas-guzzling endotherms. As a result, it has been suggested that mitochondrial proton leak could be a key factor in the evolution of a warm-blooded lifestyle. But what about species that seem to straddle both warm and cold camps; have their mitochondria become specialised so that they too benefit from warming proton leak? Kathryn Dickson, Jeff Graham and their colleagues in southern California explain that some shark species are endothermic, while the rest are ectotherms. Could the mitochondria of these endothermic fish contribute to their warmth? To find out, Dickson and her colleagues measured proton leak rates from the tissues of warm shortfin makos and two ectothermic species (p.·2678). But before the team could go fishing, Dickson set off for a summer in England, to join Martin Brand’s Cambridge lab and master the technically challenging assays used to measure mitochondrial proton leak. Having returned to California, Dickson explains that proton leak rates can only be measured on freshly caught animals, so the team could only work on days when Chugey Sepulveda returned from fishing trips in the Pacific Ocean with a catch of endothermic shortfin makos and ectothermic blue sharks and leopard sharks. Knowing that makos maintain their liver and red muscle temperatures well above ambient temperatures, and that both tissues are metabolically active, the team isolated mitochondria from both tissues before measuring the organelle’s respiration rates and membrane potential, and calculating the proton leak rates. Surprisingly, the mitochondrial proton leak rates at the same membrane potential were essentially identical in all three sharks; that is that all three species pumped the same number of protons per milligram of protein at the same electric driving force. Dickson says ‘this suggests that mitochondria from endothermic tissues of the mako shark are not specialised for thermogenesis’. However, the team noticed that the mako shark’s red muscle oxygen consumption rates were much higher than their ectothermic cousins, suggesting that even though the mitochondria are not adapted for heat production, the increased respiration rate could increase mitochondrial proton leak sufficiently to contribute to the fish’s endothermy. And when the team measured the mitochondrial density in all three fishes’ livers and calculated the proton leak per gram of tissue, they realised that the endothermic shark’s was almost twice that of the ectothermic sharks. Having found that both red muscle and liver could contribute to mako’s endothermy, despite their lack of specialised mitochondria, Dickson and Graham are curious to know whether the mitochondria of other endothermic fish contribute to the challenge of keeping them warm. 10.1242/jeb.02390 Duong, C. A., Sepulveda, C. A., Graham, J. B. and Dickson, K. A. (2006). Mitochondrial proton leak rates in the slow, oxidative myotomal muscle and liver of the endothermic shortfin mako shark (Isurus oxyrinchus) and the ectothermic blue shark (Prionace glauca) and leopard shark (Triakis semifasciata). J. Exp. Biol. 209, 2678-2685). jegyzetek, hivatkozások: 11 Proc Natl Acad Sci U S A. 2006 Dec 26; Parasitic inhibition of cell death facilitates symbiosis. Pannebakker BA, Loppin B, Elemans CP, Humblot L, Vavre F. Laboratoire de Biometrie et Biologie Evolutive, Unite Mixte de Recherche 5558, and Centre de Genetique Moleculaire et Cellulaire, Unite Mixte de Recherche 5534, Centre National de la Recherche Scientifique, Universite Claude Bernard Lyon 1, IFR 41, 69622 Villeurbanne Cedex, France; Institute of Evolutionary Biology, School of Biological Sciences, University of Edinburgh, Ashworth Laboratories, King's Buildings, West Mains Road, Edinburgh EH9 3JT, Scotland, United Kingdom. Symbiotic microorganisms have had a large impact on eukaryotic evolution, with effects ranging from parasitic to mutualistic. Mitochondria and chloroplasts are prime examples of symbiotic microorganisms that have become obligate for their hosts, allowing for a dramatic extension of suitable habitats for life. Out of the extraordinary diversity of bacterial endosymbionts in insects, most are facultative for their hosts, such as the ubiquitous Wolbachia, which manipulates host reproduction. Some endosymbionts, however, have become obligatory for host reproduction and/or survival. In the parasitoid wasp Asobara tabida the presence of Wolbachia is necessary for host oogenesis, but the mechanism involved is yet unknown. We show that Wolbachia influences programmed cell death processes (a host regulatory feature typically targeted by pathogens) in A. tabida, making its presence essential for the wasps' oocytes to mature. This suggests that parasite strategies, such as bacterial regulation of host apoptosis, can drive the evolution of host dependence, allowing for a swift transition from parasitism to mutualism. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 47 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 48 oldal / 102 jegyzetek, hivatkozások: 12 Proc. Nati. Acad. Sci. USA Vol. 85, pp. 7288-7292, October 1988 Genetics Plasmids can stably transform yeast mitochondria lacking endogenous mtDNA (Saccharomyces cerevisiae/oxil/rhol-/high-velocity microprojectile bombardment) THOMAS D. FOX*t, JOHN C. SANFORD*, AND THOMAS W. MCMULLIN* *Section of Genetics and Development, Cornell University, Ithaca, NY 14853; and tDepartment of Horticultural Sciences, New York State Agricultural Experiment Station, Cornell University, Geneva, NY 14456 Communicated by Gerald R. Fink, June 10, 1988 ABSTRACT The mitochondrial gene oxil, carried on a bacterial plasmid, has been used to transform the mitochondria of a yeast strain lacking mtDNA (rhoo). The plasmid DNA behaved in a manner entirely consistent with the known properties of normal yeast rho- mtDNA after its introduction by high-velocity microprojectile bombardment. Like the mtDNA sequences retained in natural rho- strains, the plasmid DNA in the transformants was reiterated into concatemers whose size was indistinguishable from that of wild-type mtDNA. The oxil sequences in the transformants were surrounded by restriction sites derived from the plasmid that were not present in wild-type mtDNA. oxil genetic information in these "synthetic rho"- strains could be expressed in diploids either after "marker rescue" by recombination with rho+ mtDNA carrying an appropriate oxil point mutation or in trans during the growth of diploids heteroplasmic for both the plasmid-derived oxil sequences and rho' mtDNA with oxil deleted. The ability to generate such "synthetic rho-" strains by transformation will allow transfer of mutations generated in vitro to wildtype rho' mtDNA as well as examination of the function of altered genes in trans. l. jegyzetek, hivatkozások: 13 Idézet: Mitochondria: More than Mitochondrial DNA in Cancer Bora Baysal In their PLoS Medicine article, entitled “A critical reassessment of the role of mitochondria in tumorigenesis,” Salas et al. [1] reviewed reports describing identifi cation of mitochondrial DNA (mtDNA) mutations in several tumors. They identifi ed many instances where the purported mutations in tumors corresponded to certain populational haplotypes, suggesting that contamination or sample mix-up could be a better explanation for these mtDNA variations found in tumors. This manuscript has important implications for this research fi eld by questioning the validity of conclusions drawn in several high-profi le publications that laid foundations for the role of mtDNA in cancer. While it is essential to investigate the origin of mtDNA variations found in certain tumors, the conclusion in the abstract that “the role of mitochondria in tumorigenesis remains unclarifi ed” is simply incorrect. March 2006 | Volume 3 | Issue 3 | e167 | e156 PLoS Medicine | www.plosmedicine.org 0414 The causal link between mitochondrial abnormalities and tumorigenesis was provided by the positional cloning of the hereditary paraganglioma gene at chromosome band 11q23 as the SDHD subunit gene of mitochondrial complex II (succinate dehydrogenase) in the year 2000 [2]. Since then, the role of mitochondria in cancer is further highlighted through identifi cation of over 100 mutations in the SDHB, SDHC, and SDHD subunit genes in hundreds of index cases and families with hereditary and sporadic paragangliomas and pheochromocytomas [3]. Furthermore, fumarase gene mutations in a distinct hereditary tumor syndrome characterized by multiple skin and uterine leiomyomatosis and renal cell cancer—hereditary leiomyomatosis renal cancer (HLRCC)—further strengthened the role of mitochondria in cancer [4]. Although it is clear that Salas et al. question specifi cally the mutations in mtDNA of tumors, they did not acknowledge the causal link between mitochondria and cancer provided by the discovery of nuclear-encoded mitochondrial gene mutations. This is especially important because, in their unfortunate title and in their conclusion, the authors seem to make a sweeping statement against the role of mitochondria in cancer. It is essential to emphasize to readers that it is the mtDNA, but not mitochondria, which has a questionable role in tumorigenesis. Bora Baysal University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania, United States of America E-mail: [email protected] References 1. Salas A, Yao YG, Macaulay V, Vega A, Carracedo A, et al. (2005) A critical reassessment of the role of mitochondria in tumorigenesis. PLoS Med 2: e296. DOI: 10.1371/journal.pmed.0020296 2. Baysal BE, Ferrell RE, Willett-Brozick JE, Lawrence EC, Myssiorek D, et al. (2000) Mutations in SDHD, a mitochondrial complex II gene, in hereditary paraganglioma. Science 287: 848–851. 3. Bayley JP, Devilee P, Taschner PE (2005) The SDH mutation database: An online resource for succinate dehydrogenase sequence variants involved in pheochromocytoma, paraganglioma and mitochondrial complex II defi ciency. BMC Med Genet 6: 39. 4. Tomlinson IP, Alam NA, Rowan AJ, Barclay E, Jaeger EE, et al. (2002) Germline mutations in FH predispose to dominantly inherited uterine fi broids, skin leiomyomata and papillary renal cell cancer. Nat Genet 30: 406–410. Citation: Baysal B (2006) Mitochondria: More than mitochondrial DNA in cancer. PLoS Med 3(3): e156. Copyright: © 2006 Bora Baysal. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Competing Interests: The author has declared that no competing interests exist. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 48 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 49 oldal / 102 DOI: 10.1371/journal.pmed.0030156 Authors’ Reply We gratefully acknowledge the letter by Bora Baysal [1], which emphasizes that there is some interesting evidence for the role of mitochondria in tumorigenesis mediated by nuclear DNA factors—an issue that was outside the scope of our article [2]. We, however, do not entirely agree with him that the title of our contribution [2] is “simply incorrect”; it could probably be described as somewhat imprecise or ambiguous. In fact, the originally submitted, more precise, title of our contribution was “A pitcher of cold water on mutational hotspots in mitochondrial DNA and the hot debate about the role of mitochondria in tumorigenesis.” In any case, the Oxford English Dictionary, for example, states that “reassess” is “to assess again, especially differently (derivatives: reassessment [noun])”; synonyms of assess would be “evaluate or estimate.” Certainly, the role of the mitochondria has to be reassessed since the role of their most essential element, the mitochondrial genome, remains obscure in view of dozens of studies on the potential association of tumorigenesis with mitochondrial DNA (mtDNA) that are based on obviously fl awed data. Since those inadvertent circumstances (contamination and sample mix-up) are not mitochondriaspecifi c but lab-specifi c, there would also be good reason to reassess other spectacular DNA fi ndings in regard to potential laboratory errors. We would like to stress that mtDNA somatic mutations are by no means uncommon either in normal tissues or in tumors, but the natural pattern of these somatic mutations (most commonly involving the polycytosine stretches and other well-known hotspot mutations) is quite different from those that were published in the papers criticized in our article [2]. Consistent with the title of our article [2] would be the possibility that the nuclear-mediated effect on the mitochondrial function could perhaps be mtDNA haplogroup–specifi c—but certainly not in the form of the artefactual instabilities, as claimed in those dubious publications (which, however, in one case, have now been explicitly defended [3], but unfortunately, without carrying out the necessary “forensic-type” analysis looking into potential sample mixture of the previously analyzed samples [4] and without determining whether the patient received blood transfusion before the onset of the disease [5]). Rather, some complex susceptibility background for tumorigenesis might be anticipated—in analogy to some mtDNA diseases such as Leber’s hereditary optic neuropathy (LHON) [6]. 2. Salas A, Yao YG, Macaulay V, Vega A, Carracedo Á, et al. (2005) A critical reassessment of the role of mitochondria in tumorigenesis. PLoS Med 2: e296. DOI: 10.1371/journal.pmed.0020296 3. Zanssen S, Schon EA (2005) Mitochondrial DNA mutations in cancer. PLoS Med 2: e401. DOI: 10.1371/journal.pmed.0020401 4. Vecchiotti C, Spaltro G, Bloise D, Brunetti E, Sciacchitano S (2004) Demonstration of a gastric bioptic specimen mix-up by laser capture microdissection (LCM) and DNA fi ngerprinting. Am J Forensic Med Pathol 25: 113–116. 5. Meierhofer D, Ebner S, Mayr JA, Jones ND, Kofl er B, et al. (2006) Platelet transfusion can mimic somatic mtDNA mutations. Leukemia 20: 362– 363. 6. Carelli V, Achilli A, Valentino ML, Rengo C, Semino O, et al. (2006) Haplogroup effects and recombination of mitochondrial DNA: Novel clues from the analysis of Leber hereditary optic neuropathy pedigrees. Am J Hum Genet. In press. Antonio Salas ([email protected]) Instituto de Medicina Legal Universidad de Santiago de Compostela Galicia, Spain Yong-Gang Yao Kunming Institute of Zoology Kunming, Yunnan, China Hans-Jürgen Bandelt University of Hamburg Hamburg, Germany Citation: Salas A, Yao YG, Bandelt HJ (2006) Authors’ reply. PLoS Med 3(3): e166. Copyright: © 2006 Salas et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author March 2006 | Volume 3 | Issue 3 | e156 | e166 PLoS Medicine | www.plosmedicine.org 0415 and source are credited. Competing Interests: The authors have declared that no competing interests exist. DOI: 10.1371/journal.pmed.0030166 References Idézet vége. 1. Baysal B (2006) Mitochondria: More than mitochondrial DNA in cancer. PLoS Med 3: e156. DOI: 10.1371/journal.pmed.0030156 jegyzetek, hivatkozások: 14 Ökológia A Wikipédiából, a szabad lexikonból Az ökológia a tudományoknak azon ága, amely az élettereket, az élőlények és a környezet kapcsolatait vizsgálja. A kifejezést 1866-ban alkotta meg Ernst Häckel német darwinista biológus az "öko" (görögül oikosz="lakás, "ház", "háztartás") és a lógia (görögül logosz="tudomány") szavakból. Az ökológia a biológiához, s azon belül az egyed feletti szünbiológiához tartozó, tehát élőlényközpontú tudományág; környezetbiológiának is szokták közhasználatban nevezni. Környezetbiológiai jelenségeket előidéző okokat, kényszerfeltételeket, a jelenségek mechanizmusát és hátterét kutatja. Az ökológia az élőlény populációk és élőlény-együttesek tér-időbeli eloszlásával és az azt előidéző okokkal foglalkozó tudomány. Más vélemények szerint az ökológia az ökoszisztémák működésével foglalkozó tudomány. Az ökológiai vizsgálódások a környezet (hatótényező) és a tolerancia (a fogadóképes tényező; tehát maga az élőlény, pontosabban populáció vagy populációkollektívum) komplementaritásain alapszanak. Az ökológia tehát nem egyenlő a környezettel. Az ökológia nem környezet- vagy természetvédelmet jelöl. A környezet- és természetvédelem csupán felhasználja az ökológiai vizsgálódások egyes eredményeit (természetvédelmi biológia). Az ökológia nem a nagy mindent áthálozó folyamatok ismerője. Egyrészt a valóban "nagy" folyamatok megértéséhez még sok idő kell, másrészt lehet beszélni pl. ökofiziológiáról (résztudomány), amely az élettani jelenségek (melyek másodpercek alatt lejátszódhatnak) ökológiai hátterét kutatja. Ez a háttér "piciben" lehet jelen, pl. hogy most süt e a Nap s milyen mértékben egy árnyas erdő mélyén. A biológia tudomány fiatal hajtása (tulajdonképpen keresi még a helyét). Mint ilyent igen nehéz jól definiálni. Juhász-Nagy Pál értelmezésében az ökológia azzal foglalkozik, hogy TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 49 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 50 oldal / 102 miért nem élhetnek az élőlények bárhol, bármikor, bármekkora számban a Földön. (Ez a Juhász-Nagy Pál-féle metametodológiai quadruplet.). Az ökológiai ismeretekre számos más alap és alkalmazott tudomány támaszkodik és magának az ökológiának is számos alkalmazott részterülete ismert pl. mezőgazdasági ökológia, vízügyi ökológia, környezet- és természetvédelmi ökológia, közegészségugyi és állategészségügyi ökológia, igazságügyi ökológia stb. Az ökológia fogalma Az ökológia, mint tudomány elnevezését Haeckel használta először 1866-ban az élőlények és környezetük kapcsolatát vizsgáló fiziológiai szakterület megjelölésére, tehát a maitól nagyon eltérő módon (forrás: Majer, 1993). Igaz nem sokkal később már Ő maga is árnyaltabb véleményt alkotott: „By ecology we mean the body of knowledge concerning the economy of nature – the investigation of the total relations of the animal both to its inorganic and to its organic environment; including, above all, its friendly and inimical relations with those animals and plants with which it comes directly or indirectly into contact – in a word, ecology is the study of all those complex interrelations referred to by Darwin as the conditions of the struggle for existence” (Ernst Haeckel 1870 , forrás: Allee 1949). A mai szóhasználatban ecology-ként felfogott szünbiológia alapjai Clements (1916, 1928), Volterra (1926, 1931), Lotka (1925), Elton (1927), Gause (1934), Lindeman (1941, 1942) és Allee (1911, 1932, 1949) munkásságával a XX. század első felétől kezdtek kirajzolódni. A korai művekben a különböző módszertani lehetőségek eredményei még egymást kiegészítve, egymással egységben jelentek meg, később azonban éppen az eltérő módszertan és eltérő fogalomhasználat vezetett az ökológia tárgyával kapcsolatos napjainkig észlelhető bizonytalanságokhoz. Az MTA Ökológiai Bizottságának testületi állásfoglalása szerint az ökológia „feladata azoknak a limitálással irányított (…) jelenségeknek és folyamatoknak (…) a kutatása, amelyek a populációk és közösségeik tér- és időbeni mennyiségi eloszlását és viselkedését (…) ténylegesen okozzák”. (Anonim, 1987) A testületi állásfoglalás a módszertani problémákat nyitva hagyja. Mára a módszertani specializálódás olyan méreteket öltött, hogy a különböző ökológiai iskolák képviselői egymás munkáit gyakran appercipiálni sem képesek, ezért más tudományos szervezetekbe tömörülnek, más szakfolyóiratokba publikálnak és alapvetően különböző fogalmakat használnak. Az ökológiai gondolkodás alapjai Az ökológia sohasem egyes kiragadott élőlényegyedekkel, hanem azok populációival, azaz halmazszintű attribútumokkal foglalkozik (ezt nevezzük az "ökológia populációcentrikus posztulátumának"). Ha egy élőlényféleség egyedei (rendszertani vagy másféle csoport tagjai) bárhol, bármikor, bármilyen mennyiségben előfordulhatnak a vizsgálati területünkön (és vizsgált időintervallumon), akkor kellően nagy egyedszámok esetén az adott féleség egyedeinek tér és időbeli eloszlása véletlenszerű. A véletlenszerű eloszlást tehát kiindulási alapesetnek kell tekintenünk, amely mint előfordulási mintázat, további magyarázatra nem szorul. Ezt a kindulási elgondolást az ökológia Juhász-Nagy Pálféle centrális nullhipotézisének nevezzük. Ha tehát egy vizsgált élőhelyfolton belül, valamely élőlény előfordulási mintázatát vizsgálataink során véletlenszerűnek találjuk, akkor ezzel kapcsolatban ökológiai kérdést már nem kell feltennünk. A megfigyelt előfordulási mintázatok azonban általában nem véletlenszerűek szoktak lenni. Ilyen esetben meg kell határoznunk a megfigyelt mintázat véletlenszerű esettől való eltérésének mértékét, mert ez lesz az a jelenség amelyre az ökológiai vizsgálat során magyarázatot kell találnunk. Elsőként meg kell vizsgálnunk, hogy az eltérés nem a mintavételi eljárásunk valamelyik sajátosságának következménye-e. Ha már igazoltuk, hogy valódi eltérésről van szó és annak mértékét is megmértük , megkezdhetjük az okok felderítését. A mintázatot létrehozó okok ökológiai vagy történeti jellegűek lehetnek. Ökológiai okokról akkor beszélünk, ha a mintázatot létrehozó hatótényezők a jelenben (tehát a vizsgálatunk idején) fejtik ki hatásukat. Az élőlényekre számtalan külső tényező fejthet ki közvetlen vagy közvetett hatást. A külvilág azon hatótényezőit amelyek az élőlényegyedek tér-időbeli mintázatait közvetlenül befolyásolni képesek, az adott élőlénycsoport miliőspektrumának nevezzük. A ténylegesen megfigyelt mintázatot azonban nem a miliőspektrum egésze, hanem annak csak az adott szituációban konkrétan ható néhány komponense hozza létre. Ezen (ebből a szempontból és ebben a szituációban) ténylegesen ható tényezők összességét az adott élőlényféleség ökológiai környezetének nevezzük. A miliőspektrum minden egyes tényezője egy változóként fogható fel amelynek csupán bizonyos értékei mellett biztosított az élőlény fennmaradása, ezt a tartományt az élőlény toleranciájának nevezzük. A különböző hatótényezők azonban egymás hatását is befolyásolhatják. A miliőspektrum egyes hatótényezőinek azon értékkombinációit amelyek az élőlény toleranciatartományába esnek, az adott élőlény potenciális niche-nek nevezzük. Amely értékkombinációk a valós tér-idő egyes pontjaiban ténylegesen előfordulnak összeségükben a realizálható niche-t alkotják, ebből azok az értékkombinációk amelyeket az élőlény valóban ki is használ a realizált niche-t jelentik. A valós tér azon pontjai amelyekben a niche-t alkotó értékkombinációk előfordulnak, az adott élőlény realizálható vagy realizált élőhelyét (vagyis a niche révén definiálható élőhelytípusát a biotópot) jelentik. A realizálható és realizált niche illetve az ezeknek megfelelő realizálható és realizált élőhely közötti eltérések ökológiai okokkal már nem magyarázhatók, ilyenkor szükséges a történeti okok (vagyis a múlt ökológiai okai és a terjedési korlátok) vizsgálata. Ezekkel részben a biogeográfia (életföldrajz), részben a cönológia (társulástan) is foglalkozik. Azon tényezők közül, amelyek az élőlényre hatóképesek, csupán azok alkotják az élőlény ökológiai környezetét amelyek aktuális értéke éppen a toleranciatartomány határán van. Ezt nevezzük az ökológiai limitáció elvének. A élőlényegyedek potenciális előfordulási mintázata jelzi a hatótényezők limitáló értékeinek előfordulási mintázatát. Ez az ökológiai indikáció elve. A limitáló külső tényezők általában nem az élőlény összes fiziológiai funkcióját és alrendszerét egyszerre, hanem közvetlenül csak az adott tényezőre legérzékenyebb belső tényezőt limitálják. Így a limitáló értékek és a limitált belső tényezők, csak szorosan egymáshoz rendelve értelmezhetők, egymás nélkül értelmetlenek, tehát egymást kiegészítik. Ezt az ökológiai komplementáció elvének nevezzük. Egy adott földrajzi terület (környék) számtalan élőlényféleségnek adhat otthont, az egyes előlények környezete azonban saját toleranciájuktól függően más és más lehet (és definiálni is csak azok ismeretében lehet). Hatóképesnek idáig csak azokat a tényezőket tekintettük, amelyek az előfordulási mintázatokat befolyásolhatták és ökológiai szempontból ez így is helyes. Számos olyan tényező van ami az előfordulási viszonyokat nem befolyásolja, de az élőlény fiziológiai állapotát, viselkedését vagy a populáció genetikai összetételét annál inkább, ezek szempontjából bevezethető lenne a fiziológiai-, etológiai-, evolúcióbiológiai- stb. környezet fogalma is, amit a multiplurális környezetek elvének szoktak nevezni. Ez azonban egyes vélemények szerint teljesen felesleges, mivel a populáció megfelelő definiálásával ezek is előállíthatók ökológiai környezetként. (Ha például a csoportba csak az azonos fiziológiai állapotú, viselkedésű vagy genotípusú egyedeket soroljuk.) Az ökológia alapvető fogalmai és elvei közül nem volt még szó az ökoszisztéma fogalmáról. Ökoszisztéma alatt a kutatók nagyon sokféle valós vagy elképzelt rendszert érteni szoktak, azonban összhangban az MTA Ökológiai Bizottságának állásfoglalásával célszerűbb, ha ökoszisztéma alatt inkább csak a természet ökológiai tanulmányozása céljából létrehozott rendszermodelleket értjük. Az ökológia módszertani irányzatai A Bioszférát alkotó élőlényegyüttesek állapotának vizsgálata, az állapotváltozások nyomonkövetése (monitorozása), az adatstruktúrák értékelése és a mintázatok mögött megbúvó hatótényezők kutatása az emberi társadalom hosszútávú érdekei szempontjából a legfontosabb feladatok közé sorolható (Lovelock 1987). Az ökológiai kutatások módszertani (metodikai és metodológiai) irányvonalait tekintve, három fő megközelítési mód rajzolódik ki: - A valós természeti folyamatok megfigyeléséből kiinduló terepi ökológusok arra törekszenek, hogy vizsgálataik a megfigyelendő TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 50 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 51 oldal / 102 folyamatokba való minél kevesebb beavatkozással járjanak (Spellerberg 1991). Céljuk a szünbiológiai mintázatok előítéletmentes leírása, majd ezen precíz leírások (adatsorok, adattáblázatok) birtokában próbálják meg a mintázatokat generáló hatótényezőket (pontosabban azok háttérmintázatát) feltárni. Ehhez általában a többváltozós adatstruktúra-feltáró módszereket és a mintázat-elemzés egyéb – gyakran kanonikus – módszereit alkalmazzák. Ezen módszertan legtisztább elméleti megalapozását Juhász-Nagy Pál és tanítványainak munkássága (Juhász-Nagy 1984, 1986, 1993) teremtette meg, nemzetközi összehasonlításban is egyedülálló módon. - Az ökológiai kutatások másik iskolája (a kísérletezők) nem a megfigyelt természeti folyamat komplex leírását, hanem egy kiragadott részjelenséggel kapcsolatos hipotézist, vagy néhány alternatív hipotézisből álló hipotézis-rendszert állít vizsgálódásának középpontjába. Ezen kutatások lényege a hipotézisek differenciáló predikcióinak tesztelése, gyakran erősen kontrollált, manipulatív kísérletekben. A kísérletek értékelésében zömmel a próbastatisztikák és a variancia-analízis hagyományos lehetőségeit aknázzák ki. Az „angolszász ecology” sokatidézett klasszikusai nemegyszer ezt az utat követték (Précsényi 1995). - A harmadik fő csapásirányt a modellező ökológusok jelentik, akik jól ismert biológiai alapjelenségek birtokában és a szükségesnek látszó legvalószínűbb hipotézisek felhasználásával, a vizsgált jelenséggel kapcsolatos legegyszerűbb elmélet nagyon pontos (tehát matematikai) leírását (modelljét) készítik el. A módszertan lényege egy logikai ciklussal írható le, amely a modell teszteléséből (esettanulmányokkal való ütköztetéséből) és a modell fejlesztéséből (javításából és újraillesztéséből) áll. Ezen módszertani irányzat alkalmazásával a vizsgált jelenség egyre realisztikusabb elméletéhez jutunk, de a munka kezdeti szakaszaiban a rendelkezésre álló ismereteknek csak a töredékét használjuk fel. Az egzakt elméleti ökológia vezető tan- és kézikönyvei ökológiai modellrendszereket használnak vezérfonalul, a másik két iskola eredményeit inkább csak illusztrációként használják. Az eddig rendelkezésre álló modellek azonban általában még nagyon messze állnak a terepi ökológusok megfigyelési eredményeitől. Mindhárom fenti megközelítésnek megvannak a nyilvánvaló előnyei és hátrányai. Megbízható, körültekintően ellenőrzött és igazolt ismeretekhez legkönnyebben kísérleti szituációk elemzésével juthatunk. A körültekintő ellenőrzöttség kritériuma azonban gyakran vagy az állítás érvényességi körét szűkíti le túlságosan, vagy az ily módon vizsgálható jelenségek komplexitását korlátozza. Ezen módszertan segítségével tehát viszonylag könnyen érhetünk el szakszerűen és színvonalasan igazolt, ámde szűk heurisztikus erejű és a gyakorlati alkalmazhatóságtól is nagyon messze álló eredményeket. Ha valóban komplex és így gyakorlati szempontból is potenciálisan fontos jelenségeket akarunk vizsgálni, akkor a folyamat korrekt megfigyelésétől és részletes leírásától nem tekinthetünk el, hiszen megbízható alapadatok nélkül nem lehetséges realisztikus hipotéziseket felállítani. A természetközeli életközösségeket komplex megközelítésben tekintő terepi ökológiai kutatások azonban általában kénytelenek az alapadatközlésnél vagy egyszerűbb korrelációk kimutatásánál megállni, mert az oknyomozás során olyan bonyolult hipotéziseket kellene felállítani, amelynek tesztelése reménytelen vállalkozás volna. Komplex jelenségek oki vizsgálatához elengedhetetlen a hipotézisek szimulációs modellekben való megfogalmazása, mert az alternatív jelenség-magyarázatok között ennek hiányában gyakran nem is lehet prediktív különbséget tenni. A szimulációs technika másik előnye, hogy világosan rámutathat azokra az interpretációs tévedésekre, amelyek a kísérletesen igazolt részállítások egyesítésekor ugyanúgy elsikkadhatnak, mint a megfigyelési adatok statisztikai elemzése során. A terepen dolgozó specialista kutatók között gyakori az a vélemény, hogy a természetközeli élőlényközösségek (de még az agroökoszisztémák és egyéb monokultúrák) taxonómiai-faunisztikai „feltártsága” olyan alacsony fokú, hogy működési jellegű hipotézisek vagy modellek megfogalmazása teljesen komolytalan próbálkozás. Álláspontjuk szerint még hosszú évtizedekig csak az adatgyűjtésnek és a leíró kutatásoknak lesz létjogosultsága. A kísérletes módszertan hívei közül viszont sokan úgy vélik, hogy komoly tudományos kutatás csak úgy képzelhető el, ha már a munka megkezdése előtt világos „szakmai hipotézist” állítunk fel. Ha másképp nem megy, inkább vizsgáljunk nagyon leegyszerűsített kísérleti szituációkat, de ott törekedjünk körültekintően igazolt ismeretek megszerzésére. A modellező ökológusok egy része („stratégiai modellezők” vagy „elméleti ökológusok”) az alapvető jelenségek megragadására, az elvi lehetőségek számbavételére törekszik és magának az ökológiai modellezésnek a módszertani fejlesztését tartja legfontosabbnak. A „taktikai modellezők” vagy „alkalmazott ökológusok” munkáiban pedig még a modell áttekinthetősége (a matematikai műveletek biológiai értelmezhetősége) sem cél, hanem kizárólag a modell prognosztikai használhatóságára koncentrálnak. Ökológiai alapfogalmak Bioszféra Földünk életközössége, a földi élővilágot alkotó egyedek összessége. A Bioszféra egyúttal egy térrészletet is kijelöl, amelyen belül a földi élet létezik. Ez a térrészlet lényegében a litoszféra (szilárd földfelszín), hidroszféra (óceánok, tengerek, folyó és állóvizek), valamint az atmoszféra (légkör) érintkezési felületén található, de ezen megjelölt szféráktól nem határolható el. A Bioszféra a földi élővilág funkcionális és származási (ontológiai) egysége is. Funkcionális egység, mert a Bioszférát alkotó különböző populációk csak egymással kölcsönhatásban életképesek és származási egység, mert valamennyi populációja evolúciós rokonságban (leszármazási kapcsolatban) áll egymással. A Bioszféra együttes működésének eredménye többek között a klímaszabályozás, a légkör kémiai összetételének szabályozása, és az ún. biogeokémiai ciklusok működtetése. Ökoszisztéma Ökológiai rendszerek tanulmányozása céljából biomatematikai és bioinformatikai eszközök segítségével létrehozott rendszermodell, amely az élőlényegyüttes és környezete kapcsolatrendszerét írja le. Az ilyen rendszermodelleket gyakran ökológiai információs rendszerek részeként alkalmazzák. Biotóp (élőhely) megfigyeléseken alapuló tapasztalati kategória, hasonló megjelenésű természetföldrajzi egységeknek egy olyan típusa, ill. annak egy olyan meghatározott és többnyire küllemileg is jól elkülönülő része, ahol adott élőlények populációkat, ill. populációkollektívumokat alkotva tartósan és rendszeresen előfordulnak, mivel néhány kivételes esettől (pl. vándorló halak, költöző madarak) eltekintve valamennyi fejlődési alakjuk megtalálja az élete fenntartásához, ill. szaporodásához szükséges körülményeket. (A szakirodalom speciális esetekre más kifejezéseketpl. habitat- is használ.) Környék ökológiai értelemben az a tényleges, többé-kevésbé jól körülhatárolható, a valós térben elhelyezkedő, rendszerint eltérő közegekből álló topográfiai egység, amely a vizsgálat tárgyát képező populációk vagy populációkollektívumok előfordulási helyeként megjelölhető. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 51 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 52 oldal / 102 Populáció A populáció az ökológia egyik legfontosabb alapfogalma. Ennek ellenére két egymástól részben eltérő módon is használják. Egyik jelentése szerint: egy adott fajba tartozó élőlények tényleges szaporodási közössége. Másik – ezzel részben átfedő – jelentése: egy ökológiai vizsgálat céljából esszenciálisan azonosnak tekintett (az adott vizsgálatban meg nem különböztetett) élőlényegyedek összessége. A populáció feletti szerveződési szinteken – az adott szint sajátosságai szerint összerendezendő populációkat összefoglaló néven populációkollektívumként lehet értelmezni. Populáció-dinamika A populációk egyedszámának vagy egyedsűrűségének tér és időbeli változásaival foglalkozó tudomány, a szünbiológia résztudománya. Alkalmazott szakterületei a demográfia, járványtan és a gradológia. Szünbiológia Az élőlény-együttesek tér-időbeli előfordulási viszonyainak tanulmányozásával és a szupraindividuális szerveződési szint életjelenségeivel foglalkozó tudomány, amely magában foglalja az ökológiát és a szünfenobiológiát is. Társulás azaz biocönózis Egy biotópon belül és egy időben élő élőlények összessége. Cönológia A szupraindividuális (szün-) biológiához tartozó tudományág, amely az élőlény együttesek koegzisztenciális állapotának leírásával foglalkozik. (Ezen tudományág oknyomozó irányzatait gyakran közösségi ökológiának nevezik.) Közösségszerkezeti (v. cönológiai) állapot A vizsgált objektum (élőhely, gyűjtőhely, mintavételi egység stb.) egy adott cönológiai állapotát úgy adhatjuk meg, ha a vizsgálatba bevont (tehát aktuálisan változóként definiált) élőlényféleségek (rögzített vizsgálati módszerrel észlelhető) jelenlétét (tömegességi mutatószámát) vagy hiányát megadjuk. A cönológiai állapot megadása tehát egy nagyon szigorú szabályok szerint megadott fajlistát és/vagy mennyiségi fajlistát (esetleg gyakorisági eloszlást) jelent. Cönológiai állapotváltozás Cönológiai állapotváltozás minden olyan tér vagy időbeli folyamat, amely a fentiekben leírt cönológiai állapot bármely változójának, vagy változóinak eltérésével jár, függetlenül annak okától vagy statisztikai jellegétől. Cönológiai viselkedés Tér vagy időbeli állapotváltozási mintázat, amely az együttes egészére, vagy annak tetszőleges részére is vonatkozhat. Ökológiai monitoring vagy monitorozás Meghatározott céllal és a célhoz adekvát módszerrel végzett többlépéses terepi vizsgálatsorozat, amely rögzített skálán és rögzített időintervallumban, időbeli állapotváltozásokat követ nyomon. Monitoring rendszer Monitorozás csak monitoring rendszer keretében képzelhető el. A monitoring rendszer akkor tekinthető definiáltnak, ha meghatároztuk a vizsgálandó objektumot (v. objektumok körét), a vizsgálandó állapotváltozókat (esetünkben élőlényféleségeket), a vizsgálat időszakát és a megfigyelési (mintavételi) egységek frekvenciáját (vagy más módon rögzített egymásrakövetkezési rendjét), az adatfelvételezés módszereit, továbbá az adatbázis feltöltésének módját és az elsődleges adatfeldolgozás módszereit. Ajánlott irodalom 1. Anonim: Az MTA ökológiai bizottságának állásfoglalása az ökológia néhány fogalmának definíciójáról, Természet Világa 1987/9. szám 2. Balogh János 1953. A zoocönológia alapjai Akadémiai Kiadó Budapest. 3. Demeter András- Kovács György 1991. Állatpopulációk nagyságának és sűrűségének becslése, Akadémiai Kiadó, Budapest 4. Fábián Gyula 1986. Ökológai rendezőelvek a környezet- és természetvédelemben In: Jegyzetek a környezetvédelmi szakmérnökképzéshez, OKTH, Budapest 5. Fekete Gábor (szerk.) 1998. A közösségi ökológia frontvonalai. Sciencia Kiadó, Budapest 6. Gallé László 1973. Az állatökológia alapjai (egyetem jegyzet), Szeged 7. Hortobágyi Tibor, Simon Tibor (szerk.) 1981. Növényföldrajz, társulástan és ökológia, Tankönyvkiadó Budapest. 8. Hufnagel Levente 2000 Bevezetés a folyóvíz-ökológiába In: Dukay I (szerk.) Kézikönyv a kisvízfolyások komplex vizsgálatához, Göncöl Alapítvány és Szövetség, Vác 9. Juhász-Nagy Pál 1984 Beszélgetések az ökológiáról, Mezőgazdasági Kiadó, Budapest 10. Juhász-Nagy Pál 1986. Egy operatív ökológia hiánya, szükséglete és feladatai. , Akadémiai Kiadó, Budapest, pp 251. 11. Juhász-Nagy Pál, Vida Gábor 1978. Szupraindividuális organizáció In.: Csaba György (szerk.) A biológiai szabályozás, Medicina Kiadó, Budapest. 12. Kozár Ferenc, Samu Ferenc, Jermy Tibor 1992 Az állatok populációdinamikája, Akadémiai Kiadó Budapest 13. Ladányi M 1995 Növénytermesztési modellek, In "Agro-21" Füzetek, Az agrárgazdaság jövőképe, "Agro-21" Kutatási Programiroda, Budapest 14. Lovelock J.E 1987. Gaia , Göncöl Kiadó, Budapest. 15. Majer József 1993. Az ökológia alapjai, Szaktudás Kiadó, Budapest. 16. Margóczi Katalin 1998. Természetvédelmi biológia, JATE Press, Szeged 17. Mátyás Csaba és munkatársai 1996. Erdészeti ökológia, Mezőgazda Kiadó, Budapest 18. Nánási Irén 1992. A humánökológia mint transzdiszciplína, In: Humánökológia, ELTE TTK Budapest TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 52 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 53 oldal / 102 19. Nováky Erzsébet (szerk) 1990. Prognosztizálás, tervezés, modellezés a környezetvédelemben, KVM, Budapest. 20. Pásztor Erzsébet, Oborny Beáta (szerk.) 2007. Ökológia, Nemzeti Tankönyvkiadó, Budapest 21. Regős János 1989 Bevezetés a trópusi ökológiába (Introduction a la Ecologia Tropical, Un libro de estudio,) ECORENA/UCA Managua, Nicaragua 22. Rózsa L 2005. Élősködés: az állati és emberi fejlődés motorja. Medicina, Budapest. p. 318. 23. Sasvári Lajos 1986 Madárökológia I-II, Akadémiai Kiadó, Budapest 24. Southwood, T.R.E. 1984 Ökológai módszerek -különös tekintettel rovarpopulációk tanulmányozására- Mezőgazdasági Kiadó, Budapest 25. Sváb János (1981) Biometriai módszerek a kutatásban, Mezőgazdasági Kiadó, Budapest 26. Szentesi Árpád, Török János (1997) Állatökológia, ELTE TTK egyetemi jegyzet, Kovásznai Kiadó, Budapest 27. Udvardy Miklós 1983. Dinamikus Állatföldrajz Tankönyvkiadó, Budapest. 28. Vida Gábor (szerk.) Evolúció I-IV. kötetek 1981–1984. Natura Kiadó, Budapest 29. Wilson, Edward O.- William H. Bossert 1981. Bevezetés a populációbiológiába, Gondolat, Budapest. Elektronikus információforrások Kulturális Innovációs Alapítvány Alkalmazott ökológia és környezeti kutatások BiologyBrowser CABI Cambridge Scientific Abstracts BIOSIS MBT Ökológiai Szakosztály A lap eredeti címe "http://hu.wikipedia.org/wiki/%C3%96kol%C3%B3gia" Kategória: Ökológia jegyzetek, hivatkozások:15 Parasitism from Wikipedia: This article is about a relationship between organisms. For other uses, see Parasite (disambiguation). Low Temperature Scanning Electron Microscope (LTSEM) image of Varroa destructor on a honey bee host Mites parasitising a harvestman Parasitism is one version of symbiosis ("living together"), a phenomenon in which two organisms which are phylogenetically unrelated co-exist over a prolonged period of time, usually the lifetime of one of the individuals. The requirement for a prolonged interaction precludes predatory or episodic interactions (such as a mosquito feeding on a host), which are usually not seen as symbiotic relationships. Symbiosis encompasses commensalism ("eating at the same table", wherein two organisms co-exist in the same space, and one organism benefits while TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 53 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 54 oldal / 102 the other is not affected to much extent), though mutualism (wherein both species benefit from the interaction) to parasitism, wherein one organism, usually physically smaller of the two (the parasite) benefits and the other (the host) is harmed. (Various forms of "social parasitism", kleptoparasitism, and "cheating parasbetween a parasite and a host, however.) Especially in the field of medical parasitology, the term "parasite" has come to mean a eukaryotic, pathogenic organism. Thus, protozoan and metazoan infectious agents are classified as parasites while bacteria and viruses are not. Fungi are not discussed in textbooks of medical parasitology even though they are eukaryotic. They are saprophytes. Flea bites on a human. Classification Parasites that live inside the live body of the host are called endoparasites (e.g., hookworms that live in the host's gut) and those that live on the outside are called ectoparasites (e.g., some mites). An epiparasite is a parasite that feeds on another parasite. This relationship is also sometimes referred to as "hyperparasitoidism", especially in the insect world. For example a wasp or fly larva may be an endoparasite of an Ichneumon wasp larva, which is in turn an endoparasite of a wood-boring beetle larva. Therefore the ovipositing adult female hyperparasitoid must find the host of her host, namely the beetle larva, and oviposit into that beetle larva, after which her egg hatches within the beetle larva and seeks out the Ichneumon larva, ultimately burrowing into it and becoming an endoparasite. It is most likely that in this case, the ovipositing female adult hyperparasite locates the beetle larva by chemical cues it emits as a result of being parasitized itself by the Ichneumon wasp larva. Many endoparasites acquire hosts by gaining entrance to their tissue; others enter the host when it consumes certain raw foods, as in the case of the nematode Ascaris lumbricoides, an endoparasite of the human intestine. A. lumbricoides produces large numbers of eggs which are passed from the host's digestive tract and pancreas into the external environment, relying on other humans to inadvertently ingest them in places without good sanitation. Ectoparasites, on the other hand, often have elaborate mechanisms and strategies for finding hosts. Some aquatic leeches, for example, locate hosts by sensing movement and then confirm their identity through skin temperature and chemical cues before attaching. Parasitoids are parasites that use another organism's tissue for their own nutritional benefit until the host dies from loss of needed tissues or nutrients. Parasitoids are also known as necrotroph. In contrast, biotrophic parasites cannot survive in a dead host and therefore keep their hosts alive. Many viruses, for example, are biotrophic because they use the host's genetic and cellular processes to multiply. Some parasites are social parasites, taking advantage of interactions between members of a social host species such as ants or termites to their detriment. Kleptoparasitism involves the parasite stealing food that the host has caught or otherwise prepared. A specialized type of kleptoparasitism is brood parasitism, such as that engaged in by many species of cuckoo. Many cuckoos use other birds as "babysitters"; cuckoo young are raised and fed by adults of the host species, but adult cuckoos fend for themselves. Cheating or exploitation types of parasitism are often found in situations where there are generalized non-specific mutualisms between broad classes of organisms, such as mycorrhizal relationships between plants and many types of fungi. Some myco-heterotrophic plants behave as "mycorrhizal cheaters", establishing mycorrhiza-like interactions with a fungal symbiont, but taking carbon from the fungus (which the fungus, in turn, gets from other plants) rather than donating carbon. Evolutionary aspects TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 54 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 55 oldal / 102 A female Catolaccus grandis wasp homes in on a boll weevil larva. Biotrophic parasitism is an extremely successful mode of life. [citation needed] Depending on the definition used, as many as half of all animals have at least one parasitic phase in their life cycles, and it is also frequent in plants and fungi. Moreover, almost all free-living animals are host to one or more parasite taxa. [citation needed] The hosts of parasites often evolve elaborate defensive mechanisms as well. Plants often produce toxins, for example, which deter both parasitic fungi and bacteria as well as herbivores. Vertebrate immune systems can target most parasites through contact with bodily fluids. On a behavioral level, the itching sensation, and resulting scratching behavior is used to fend off parasites. Many parasites, particularly microorganisms, evolve adaptations to a particular host species; in such specific interactions the two species generally coevolve into a relatively stable relationship that does not kill the host quickly or at all (since this would be detrimental for the parasite as well). Sometimes, the study of parasite taxonomy can elucidate how their hosts are similar or related. For instance, there has been a dispute about whether Phoenicopteriformes (flamingos) are more closely related to Ciconiiformes (storks and related groups) or to Anseriformes (waterfowl and allies). Flamingos share parasites with ducks and geese, so these groups are thought to be more closely related to one another than either is to storks. Modern DNA methods, however, have shown that flamingos are not closely related to Anseriformes either. It is important to note that "benefit" and "harm" in the definition of parasitism apply to lineages, not individuals. Thus, if an organism becomes physically stronger as a result of infection but loses reproductive capabilities (as results from some flatworm infections of snails), that organism is harmed in an evolutionary sense and is thus parasitized. The harm caused to a host by a parasite can take many forms, from direct pathology, including various specialized types of tissue damage, such as castration, to more subtle effects such as modification of host behaviour. See also List of parasitic organisms Intestinal parasite Macroparasite Plasmodium Myco-heterotrophy Parasitic plant Parasitic wasp Pinworm Superparasitism Teratology Toxoplasmosis The Extended Phenotype Symbiosis Further reading •Zimmer, Carl 2001. Parasite Rex. Free Press. ISBN 0-7432-0011-X External links Toxoplasmosis Parasitology Parasites Zoonoses - (Polish/English) over 50 movies (Filmoteka) and over 250 photos (Fotogaleria/Photogallery) with human and animal parasites. Aberystwyth University: Parasitology – class outline with links to full text articles on parasitism and parasitology. KSU: Parasitology Research - parasitology articles and links. Medical Parasitology – online textbook. Division of Parasitic Diseases, Centers for Disease Control and Prevention VCU Virtual Parasite Project - Virtual Parasite Project at Virginia Commonwealth University's Center for the Study of Biologicial Complexity l. jegyzetek, hivatkozások: 16 Forrás: wikipedia Növénybetegségek Plant pathology From Wikipedia, the free encyclopedia Plant pathology (also called phytopathology) is the scientific study of plant diseases caused by pathogens (infectious diseases) and environmental conditions (physiological factors). Organisms that cause infectious disease include fungi, oomycetes, bacteria, viruses, viroids, virus-like organisms, phytoplasmas, protozoa, nematodes and parasitic plants. Not included are insects, mites, vertebrate or other pests that affect plant health by consumption of plant tissues. Plant pathology also involves the study of the identification, etiology, disease cycle, economic impact, epidemiology, how plant diseases affect humans and animals, pathosystem genetics and management of plant diseases. Plant pathogensThe "Disease triangle" is a central concept of plant pathology for infectious diseases[1] . It is based on the principle that disease is the result of an interaction between a host, a pathogen, and environment condition. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 55 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 56 oldal / 102 Fungi The fungi reproduce both sexually and asexually via the production of spores. These spores may be spread long distances by air or water, or they may be soil bourne. Many soil bourne spores, normally zoospores and capable of living saprotrophically, carrying out the first part of their lifecycle in the soil. Fungal diseases can be controlled through the use of fungicides in agriculture, however new races of fungi often evolve that are resistant to various fungicides. Significant fungal plant pathogens Ascomycetes Fusarium spp. Thielaviopsis spp. (Causal agents of: canker rot, black root rot, Thielaviopsis root rot) Verticillium spp. Magnaporthe grisea (T.T. Hebert) M.E. Barr; causes blast of rice and gray leaf spot in turfgrasses Basidiomycetes Rhizoctonia spp. Phakospora pachyrhizi Sydow; causes Soybean rust Puccinia spp.; causal agents of severe rusts of virtually all cereal grains and cultivated grasses Oomycetes The oomycetes are fungal-like organisms that until recently used to be mistaken for fungi. They include some of the most destructive plant pathogens including the genus Phytophthora which includes the casual agents of potato late blight and sudden oak death. Despite not being closely related to the fungi, the oomycetes have developed very similar infection strategies and so many plant pathologists group them with fungal pathogens. Significant oomycete plant pathogens Pythium spp. Phytophthora spp.; including the causal agent of the Great Irish Famine (1845-1849) Rice blast is hemibiotrophic Bacteria Crown gall disease caused by AgrobacteriumMost bacteria that are associated with plants are actually saprotrophic, and do no harm to the plant itself. However, a small number, around 100 species, are able to cause disease. Bacterial diseases are much more prevalent in subtropical and tropical regions of the world. Most plant pathogenic bacteria are rod shaped (bacilli). In order to be able to colonise the plant they have specific pathogenicity factors. There are 4 main bacterial pathogenicity factors: 1. Cell wall degrading enzymes - used to break down the plant cell wall in order to release the nutrients inside. Used by pathogens such as Erwinia to cause soft rot. 2. Toxins These can be non-host specific, and damage all plants, or host specific and only cause damage on a host plant. 3. Phytohormones - for example Agrobacterium changes the level of Auxin to cause tumours. 4. Exopolysaccharides - these are produced by bacteria and block xylem vessels, often leading to the death of the plant. Significant bacterial plant pathogens Proteobacteria Xanthomonas spp. Pseudomonas spp. Phytoplasmas ('Mycoplasma-like organisms') and spiroplasmas TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 56 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 57 oldal / 102 Vitis vinifera with "Ca. Phytoplasma vitis" infection Vitis vinifera with "Ca. Phytoplasma vitis" infectionPhytoplasma and Spiroplasma are a genre of bacteria that lack cell walls, and are related to the mycoplasmas which are human pathogens. Together they are referred to as the mollicutes. They also tend to have smaller genomes than true bacteria. They are normally transmitted by sap-sucking insects, being transferred into the plants phloem where it reproduces. Viruses, viroids and virus-like organisms Pepper mild mottle virusThere are many types of plant virus, and some are even asymptomatic. Normally plant viruses only cause a loss of yield. Therefore it is not economically viable to try to control them, the exception being when they infect perennial species, such as fruit trees. Most plant viruses have small, single stranded RNA genomes. These genomes may only encode 3 or 4 proteins: a replicase, a coat protein, a movement protein to allow cell to cell movement and sometimes a protein that allows transmission by a vector. Plant viruses must be transmitted from plant to plant by a vector. This is normally an insect, but some fungi, nematodes and protozoa have been shown to be viral vectors. Nematodes Root-knot nematode gallsNematodes are small, multicelluar wormlike creatures. Many live freely in the soil, but there are some species which parasitize plant roots. They are mostly a problem in tropical and subtropical regions of the world, where they may infect crops. Root knot nematodes have quite a large host range, whereas cyst nematodes tend to only be able to infect a few species. Nematodes are able to cause radical changes in root cells in order to facilitate their lifestyle. Protozoa There are a few examples of plant diseases caused by protozoa. They are transmitted as zoospores which are very durable, and may be able to survive in a resting state in the soil for many years. They have also been shown to transmit plant viruses. When the motile zoospores come into contact with a root hair they produce a plasmodium and invade the roots. Parasitic plants Parasitic plants such as mistletoe and dodder are included in the study of phytopathology. Dodder, for example, is used as a conduit for the transmission of virues or virus-like agents from a host plant to either a plant that is not typically a host or for an agent that is not grafttransmissible. Physiological plant disorders Significant abiotic disorders can be caused by: Natural Drought Frost damage, and breakage by snow and hail Flooding and poor drainage Nutrient deficiency Salt deposition and other soluble mineral excesses (e.g. gypsum) TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 57 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 58 oldal / 102 Wind (windburn, and breakage by hurricanes and tornadoes) Lightning and wildfire (also often man-made) Man-made (arguably not abiotic, but usually regarded as such) Soil compaction Pollution of air and/or soil Salt from winter road salt application Herbicide over-application Poor education and training of people working with plants (e.g. lawnmower damage to trees) Vandalism See also American Phytopathological Society Biological Control British Society for Plant Pathology burl Common names of plant diseases Fungicides Gene-for-gene relationship Global Plant Clinic Herbivory List of phytopathology journals Mycology Pesticide Plant disease forecasting QoI Phytoplasma Plant virus Strobilurins Stunt References ^ George N. Agrios (1997) Plant Pathology fourth edition, Academic Press. New York. Further reading Part of a series on Horticulture and Gardening Gardening Gardening • Garden • Botanical garden • Arboretum • Botany • Plant Horticulture Horticulture • Agriculture • Urban agriculture • City farm • Organic farming • Herb farm • Hobby farm • Intercropping • Farm Customs Harvest festival • Thanksgiving • History of agriculture Plant protection Phytopathology • Pesticide • Weed control External links American Phytopathological Society British Society for Plant Pathology Plant Health Progress, Online journal of applied plant pathology Pacific Northwest Fungi, online mycology journal with papers on fungal plant pathogens Rothamsted Plant Pathogen Interactions Department Grape Virology Retrieved from "http://en.wikipedia.org/wiki/Plant_pathology" TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 58 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 59 oldal / 102 l. jegyzetek, hivatkozások: 17 A rákbetegség A Wikipédiából, a szabad lexikonból. Amikor a normális sejtek helyreállíthatatlanul károsodnak, apoptózis útján eltávolítják őket. A rákos sejtek elkerülik az apoptózist és folytatják ellenőrizetlen szaporodásukat. A rákbetegségek közös jellemzője a szabályozatlan sejtszaporulat, a biológiai szövetekbe való betörési képesség. Ez utóbbi tulajdonságuk történhet invázióval és áttétképzéssel is. Ezt a kontrollálatlan növekedést olyan DNS-hibák, genetikai mutációk okozzák, melyek a sejtciklus szabályozásában vesznek részt. Általában több ilyen mutációra van szükség a daganat kialakulásához. Néhány ilyen hibát kemikáliák, fizikai hatások okoznak, mások öröklődnek vagy éppen spontán jelennek meg. Azaz genetikus és környezeti tényezők együttesen vezethetnek eltorzult növekedési szabályozáshoz. A rák számos tünetet okozhat, melyek attól függően alakulnak ki, hogy a daganat hol helyezkedik el, milyen a karaktere és van-e áttétképzés. Akár fájdalmatlan is lehet. A diagnózishoz általában szükség van a patológus szövettani vizsgálatára, a laboratóriumi eredményekre és a klinikai megfigyelésekre egyaránt. A patológus a mintát biopsziával vagy műtét során veszi le. A diagnózis után a rákos betegségeket leggyakrabban kemoterápiával, sugárkezeléssel vagy sebészeti beavatkozással kezelik. Az orvostudománynak a rákos daganatokkal foglalkozó ágát onkológiának nevezzük. Kezelés nélkül a rák gyakran halálhoz vezet. A rák igazából a legutóbbi időszak betegsége, a fejlett országok egyik vezető haláloka. A legtöbb rák kezelhető, sok közülük teljesen gyógyítható, amennyiben kezelése időben megkezdődik. A rák több formája olyan környezeti tényezőkkel van összefüggésben, mint a dohányzás, az alkohol hatása a szervezetre vagy egyes vírusok. Ezek egy része könnyedén elkerülhető, ezért a világ közegészségügyi és oltási programjai igen fontosak. Történelem Hippokratész több rákfajta leírását is elkészítette. A jóindulatú tumorokat onkosz-nak nevezte, ami duzzanatot jelent görögül, míg a rosszindulatú tumorokat karcinosz-nak hívta, ami a rák görög elnevezése. A különös névválasztás oka valószínűleg a rosszindulatú daganat távoli hasonlósága egy rákhoz, a jól körülhatárolható, kör alakú középrésszel és az innen szerteágazó, vékony nyúlványokkal. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 59 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 60 oldal / 102 Később a szó végéhez csatolta az -oma toldalékot, ami görögül daganatot jelent, így alakult ki a karcinóma elnevezés. A mai szóhasználatban a karcinóma az epiteliális sejtekből kiinduló rosszindulatú daganat orvosi elnevezése. Celsus volt az az orvos, aki a karcinosz kifejezést latinra fordítva bevezette a cancer elnevezést, amely magyarra fordítva lett rák. Galenus az „onkosz” kifejezéssel írta le általában a tumorokat, innen ered a mai onkológia elnevezés. Nomenklatúra és osztályozás Az alábbi rokonértelmű kifejezések használatosak abnormális daganatok említése során: -Neoplasia vagy neoplazma a pontos, tudományos meghatározása az első paragrafusban említett megbetegedéseknek. A csoportba sok különböző betegség tartozik, a szokásos osztályozásuk alább olvasható. A neoplazma lehet jóindulatú vagy rosszindulatú. -A rák a betegség széles körben elterjedt elnevezése, általában a rosszindulatú neoplazma értendő alatta. Néha az ilyen rosszindulatú daganatok egyik alcsoportja, a karcinóma említésére alkalmazzák. Tekintettel a szó ismertségére, gyakran még orvosok és tudósok is ezt a kifejezést alkalmazzák, amikor neoplazmikus betegségekről, mint csoportról beszélgetnek. Az orvosi nyelvezetben a tumor egyszerűen daganatot vagy csomót jelent, legyen az neoplazmikus, gyulladásos vagy egyéb. A köznyelvben azonban ez a kifejezés is gyakorlatilag azonos a jó- vagy a rosszindulatú neoplazmával. Ez a használat azonban nem pontos, hiszen egyes neoplazmák, például a leukémia vagy az in situ carcinoma, soha nem formálnak tumort. Ráktípusok Az egyes rák típusokat osztályozhatjuk aszerint, hogy honnan erednek, azaz milyen fejlődéstani sejtcsoportból származnak; hol helyezkednek el stb. Benignus (jóindulatú) tumorok osztályozása -adenoma: mirigyes szerkezetű vagy mirigyes eredetű -papilloma: hámfedte terület ujjszerű kiemelkedése -polyp: nyálkahártya terület makroszkóposan is látható szövetszaporulata -cystadenoma: üreges szerkezetű szövetproliferáció. A kiindulási sejt elhelyezkedése alapján a karcinóma epiteliális sejtből indul. Ebbe a csoportba tartoznak a leggyakoribb megbetegedések, pl.: a mell, a prosztata, a tüdő, a vastagbél, a bőr, az emésztőrendszer vagy a mirigyek rákjai. a leukémia a csontvelői őssejtekből indul, a limfóma a nyirokcsomó betegsége, a melanóma a melanocitákból, a szarkóma a kötőszövetekből, a teratóma a magzati sejtekből, a glióma az agy sejtjeiből indul ki, a szeminóma a here daganata. A rosszindulatú daganatokat általában úgy nevezik el, hogy az érintett testrész latin vagy görög neve után csatolják a fenti kategóriák egyikét. Például, a rosszindulatú májdaganat elnevezése hepatokarcinóma; a zsírsejtek rosszindulatú daganata pedig liposzarkóma. A jóindulatú daganatok általában az -oma toldalékkal kerülnek elnevezésre. Például az anyaméh simaizmának jóindulatú daganata a leiomyoma. Ez a névszabály azonban nem tökéletes, mivel több rosszindulatú tumor elnevezése is tartalmazza ezt a toldalékot: pl. neuroblasztóma, limfóma vagy melanóma. Kialakulásának okai és patofiziológia A rák alapjai A sejtosztódás vagy sejtburjánzás egy fiziológiai folyamat, amely szinte minden szövetben és számos körülmény hatására beindulhat. Normális esetben a sejtburjánzás és a sejtek elhalásának egyensúlya szigorúan szabályozottan megy végbe, hogy a szervek és szövetek integritása megmaradjon. A rák kialakulásához vezető DNS mutációk megszakítják ezt a rendezett folyamatot. A szabályozatlan és gyakran igen gyors sejtburjánzás jóindulatú vagy rosszindulatú daganat (rák) kialakulásához vezethet. A jóindulatú daganat nem terjed át a test más szerveire vagy támad meg más szöveteket, ritkán jelent életveszélyt, hacsak fizikailag nem nyom össze létfontosságú szerveket vagy okoz ektópiás hormontermelést. A rosszindulatú daganat megtámadhat más szöveteket is, a test távoli részeiben alakíthat ki áttéteket (metasztázis), és veszélyeztetheti az egyén életét. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 60 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 61 oldal / 102 Sejtszintű megközelítés A rák kialakulása TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 61 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 62 oldal / 102 A rák kialakulása (karcinogenezis) olyan folyamat, ahol felborul a sejtosztódás normális szabályozása. Általában komoly mutációk sorozata vezet a rák kialakulásához. A folyamatban részt vesznek onkogének és tumorszupresszor gének. Az onkogén elősegíti a rák kialakulását, ha egy mutáció során bekapcsolódik, míg a tumorszupresszor gének a rák kialakulását akadályozzák meg, amíg egy mutáció során ki nem kapcsolódnak. A proto-onkogének változatos módon segítik elő a sejtnövekedést. Hormonokat termelhetnek, a sejtek közötti „kémiai üzenetközvetítőket”, amelyek elősegítik a mitózist, amelynek eredményessége a fogadó szövet vagy sejt jeltovábbítóin múlik. Mások az ingertovábbítási rendszerért és a sejtek, szövetek receptoraiért felelősek, így magukra a hormonokra való fogékonyságot irányítják. Mitogéneket termelnek, vagy a fehérje szintézishez nyújtanak segítséget a DNS transzkripció irányításával. A proto-onkogének mutációja megváltoztathatja funkciójukat, megnövelve a termelt fehérjék mennyiségét vagy aktivitását. Ha ez bekövetkezik, onkogének alakulnak ki, így a sejtek nagyobb valószínűséggel kezdhetnek ellenőrizetlen szaporodásba, burjánzásba. A rák kialakulásának valószínűsége nem csökkenthető a proto-onkogének génkészletből való eltávolításával, hiszen szerepük kritikus a test növekedésében, „karbantartásában” és homeosztázisában. Csak a mutálódott gének adnak le kontrollálhatatlan növekedési jelzéseket. A tumorszupresszor gének kódjai jelzéseket adnak a fehérjéknek, amelyek elnyomják a mitózist és a sejtnövekedést. A tumorszupresszorok általában transzkripciós faktorok, amelyeket a sejtszintű stressz, vagy a DNS valamilyen károsodása aktivál. A DNS károsodása beindít bizonyos enzimeket, amelyek végül aktiválják a tumorszupresszor géneket. E gének feladata, hogy felfüggesszék a sejtciklus előrehaladását, amíg a DNS kijavításra nem kerül, és így megakadályozzák a mutációk továbbadását a létrejövő új sejteknek. A legfontosabb tumorszupresszorok közé tartozik a p53 gén, amely egy transzkripciós faktor és számos sejtszintű hatás képes aktiválni, úgy mint a hypoxia vagy az UV-sugárzás által okozott károsodás. Sajnos, magát a tumorszupresszor gént, vagy az őt aktiváló ingercsatornát is károsíthatja mutáció, „kikapcsolva” ezzel a gént. Ennek állandó folyománya, hogy a DNS kijavítására vagy egyáltalán nem kerülhet sor, vagy a javítás jelentősen lelassul, ez az állapot pedig elkerülhetetlenül rák kialakulásához vezet. Ahhoz, hogy a rák kialakulhasson, általában mindkét géntípusban szükség van mutációs folyamatra. A csak egyetlen onkogénre korlátozódó mutációt elnyomná a normális mitózis-kontroll és a tumorszupresszor gének, amint azt a Knudson-hipotézis először megjósolta. Hivatkozás: http://hu.wikipedia.org/w/index.php?title=Knudson-hipot%C3%A9zis&action=edit Knudson hypothesis The Knudson hypothesis is the hypothesis that cancer is the result of accumulated mutations to a cell's DNA. It was first proposed by Carl O. Nordling in 1953,[1][2] and later formulated by Alfred G. Knudson in 1971.[3] Knudson's work led indirectly to the identification of cancerrelated genes. Knudson won the 1998 Albert Lasker Medical Research Award for this work. The multi-mutation theory on cancer was proposed by Nordling in the British Journal of Cancer in 1953. He noted that in industrialized nations the frequency of cancer seems to increase according to the sixth power of age. This correlation could be explained by assuming that the outbreak of cancer requires the accumulations of six consecutive mutations. Later, Knudson performed a statistical analysis on cases of retinoblastoma, a tumour of the retina which occurs both as an inherited disease and sporadically. He noted that inherited retinoblastoma occurs at a younger age than the sporadic disease. In addition, the children with inherited retinoblastoma often developed the tumour in both eyes, suggesting an underlying predisposition. Knudson suggested that multiple "hits" to DNA were necessary to cause cancer. In the children with inherited retinoblastoma, the first insult was inherited in the DNA, and any second insult would rapidly lead to cancer. In non-inherited retinoblastoma, two "hits" had to take place before a tumour could develop, explaining the age difference. It was later found that carcinogenesis (the development of malignancy) depended both on the activation of oncogenes (genes that stimulate cell proliferation) and deactivation of tumor suppressor genes (genes that keep proliferation in check). A first "hit" in an oncogene would not necessarily lead to cancer, as normally functioning tumor suppressor genes (TSGs) would still counterbalance this impetus; only damage to TSGs would lead to unchecked proliferation. Conversely, a damaged TSG (such as the Rb1 gene in retinoblastoma) would not lead to cancer unless there is a growth impetus from an activated oncogene. Field cancerisation may be an extended form of the Knudson hypothesis. This is the phenomenon of various primary tumours developing in one particular area of the body, suggesting that an earlier "hit" predisposed the whole area for malignancy. References ^ Nordling C (1953). "A new theory on cancer-inducing mechanism". Br J Cancer 7 (1): 68-72. PMID 13051507. ^ Marte B (2006-04-01). Milestone 9: (1953) Two-hit hypothesis - It takes (at least) two to tango. Nature Milestones Cancer. Retrieved on 2007-01-22. ^ Knudson A (1971). "Mutation and cancer: statistical study of retinoblastoma". Proc Natl Acad Sci U S A 68 (4): 820-3. PMID 5279523. External Links Knudson’s two-hit hypothesis for tumourigenesis involving a tumour suppressor gene (TSG) Retrieved from "http://en.wikipedia.org/wiki/Knudson_hypothesis" A többi között vizsgálták a mitokondriális örökítő anyag hibáit is a carcinogenesis folyamatában. Idézet a Molecular Cancerből: Mitochondrial defects in cancer Jennifer S Carew1,2 and Peng Huang*1,2 Address: 1Department of Molecular Pathology, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030, USA and 2The Graduate School of Biomedical Sciences, University of Texas Health Sciences Center, 1515 Holcombe Boulevard, Houston, Texas 77030, USA E-mail: Jennifer S Carew - [email protected]; Peng Huang* - [email protected] *Corresponding author TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 62 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 63 oldal / 102 Keywords: mitochondria, cancer, mutation, respiration, free radical Abstract Mitochondria play important roles in cellular energy metabolism, free radical generation, and apoptosis. Defects in mitochondrial function have long been suspected to contribute to the development and progression of cancer. In this review article, we aim to provide a brief summary of our current understanding of mitochondrial genetics and biology, review the mtDNA alterations reported in various types of cancer, and offer some perspective as to the emergence of mtDNA mutations, their functional consequences in cancer development, and therapeutic implications. Idézet vége. Idézet az Expert Reviews in Molecular Medicine: http://www.expertreviews.org/-ból: Accession information: (02)00445-3h.htm (shortcode: txt001ksb); 11 April 2002 Mitochondria as targets for detection and treatment of cancer Josephine S. Modica-Napolitano and Keshav K. Singh Mitochondria are dynamic intracellular organelles that play a central role in oxidative metabolism and apoptosis. The recent resurgence of interest in the study of mitochondria has been fuelled in large part by the recognition that genetic and/or metabolic alterations in this organelle are causative or contributing factors in a variety of human diseases including cancer. Several distinct differences between the mitochondria of normal cells and cancer cells have already been observed at the genetic, molecular and biochemical levels. As reviewed in this article, certain of these alterations in mitochondrial structure and function might prove clinically useful either as markers for the early detection of cancer or as unique molecular sites against which novel and selective chemotherapeutic agents might be targeted. Expert Reviews in Molecular Medicine © Cambridge University Press ISSN 1462-3994 Idézet vége. Egy tumor szupresszor gén mutációja nem okoz rákos elváltozást, hiszen a gén párja még be tudja tölteni funkcióját. Viszont ha több protoonkogén onkogénné alakul, és több tumorszupresszor génben is mutáció keletkezik, akkor sokkal nagyobb esély van rá, hogy a sejtciklus kicsússzon a szabályozás alól és a sejt kontrollálatlan osztódásba kezdjen. Mivel ezen gének szerepet játszanak a DNS hibák kijavításában, az ilyen jellegű mutációk számának növekedésével a génhibák mennyisége is nő. Az onkogének általában domináns helyzetbe kerülnek, mivel mutálódva új funkcióhoz jutnak, míg a tumor szupresszorok általában recesszívek, mivel mutációik általában funkcióvesztéssel járnak. Minden sejt minden génből két példányt tartalmaz, mindkét szülőjétől egyetegyet, és általában elég, ha a proto-onkogénnek csak az egyik génjében jön létre a funkciónyerő mutáció, a sejt már valódi onkogénné válik, míg a funkcióvesztő mutációnak mindkét génben meg kell ahhoz jelennie, hogy a tumor szupresszort teljesen kiiktassa. Vannak azonban olyan esetek is, amikor egy tumor szupresszor funkcióvesztő génje a másik példányt is kiiktatja, ezt hívjuk domináns negatív hatásnak. Több p53 mutációban is megfigyelhető ez a folyamat. Apoptózis Apoptózisnak (aktív sejtelhalásnak) (Görögül: απόπτωσις: apo – tól, től, ptosis – esés) a biológia területén a programozott sejthalál egyik változatát nevezzük. Az apoptózis normális fiziológiás válaszreakció specifikus „öngyilkos” szignálokra vagy a „túlélő” szignálok hiányára. Tartalomjegyzék 1 Kutatása 2 Az apoptózis feladata 2.1 A sejtek elpusztítása 2.2 A homeosztázis biztosítása 2.3 Sejdifferenciáció, fejlődés 2.4 Immunreakció 3 Az apoptózis folyamata 3.1 Az intrinszik, mitokondriális útvonal 3.2 Extrinszik, halál ligandok indukálta útvonal 3.3 Jellegzetességei 4 Funkcióvesztés 4.1 p53 degeneráció 4.2 Virális fertőzés, tumorképződés Kutatása TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 63 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 64 oldal / 102 Egy egér májsejtjének apoptózisa. Az elhaló sejt nyíllal jelölve Az elmúlt évtizedek fontos kutatási területévé vált a programozott sejthalál és főleg ennek egyik formája, az apoptózis mechanizmusának tanulmányozása. A programozott sejthalál fontos szerepet játszik a soksejtű élőlények fejlődésében és az immunrendszer működésében. A fiziológiás sejtelhalás nagy része apoptózissal zajlik, de az aktív sejthalálnak, illetve ennek zavarainak a patológiás folyamatok lefolyásában is jelentős szerepe van, pl. neurodegeneratív kórképek, autoimmun betegségek, AIDS, daganatos megbetegedések esetében. A folyamat első definíciója és az apoptózis elnevezés két patológus, Kerr és Wyllie nevéhez fűződik, akik in vivo megfigyelték, hogy az elhalt sejtek jellegzetes és egységes morfológiát mutatnak. A természetes sejthalál eme folyamatát egy görög hasonlattal jellemezték, mint "ahogyan a levelek hullanak le a fáról". Ezzel párhuzamosan fejlődésbiológusok (Horvitz és Brenner, 2002 Nobel-díj) megfigyelték, hogy egy fonálféreg-faj, Caenorhabditis elegans bizonyos sejtcsoportja „programozottan” elpusztul a fejlődés egy kijelölt időpontjában, és az ennek szabályozásásban résztvevő specifikus géneket is azonosították. Az apoptózis feladata Egy egérből származó máj festett metszete. Jól látszódik az elhaló sejt TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 64 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 65 oldal / 102 A sejtek elpusztítása Az apoptózis bekövetkezhet, ha a sejtet olyan károsodás ér, amit nem lehet kijavítani, vagy ha vírussal fertőzött, illetve ha különböző, végzetes stressznek, mint például éhezésnek van kitéve. A DNS-t károsító ionizáló sugárzások, kemikáliák, toxinok is előidézhetik a folyamatot, kiváltva a p53 gén expresszióját. A sejthalál utasítása származhat magától az érintett sejttől, jöhet a sejt környezetéből, illetve az immunrendszer sejtjeitől. Az utóbbi esetben a folyamat célja a fertőzött sejt elpusztítása, s így a kórokozó terjedésének meggátolása. A sejthalál fontos feladatot lát el a rákos folyamatok megakadályozásában. Ha a sejt nem képes az apoptózisra, köszönhetően mutációknak, vagy egyéb biológiai gátlásnak, akkor korlátlan szaporodásnak indul, tumort képezhet. A homeosztázis biztosítása A felnőtt szervezetben a sejtek száma gyakorlatilag állandó szinten van. Ezt az osztódó és az elpusztuló sejtek azonos aránya szabja meg. Ha egy sejt elpuszzúl pótolni kell, a szervezet igyekszik fenntartani a belső egyensúlyt, a homeosztázist. Az egyensúly azonban felborulhat: -A sejtek gyorsabban szaporodnak, mint ahogy elpusztulnak. Így kóros sejtburjánzás, daganat képződik. -A sejtek lassabban osztódnak, mint ahogyan pusztulnak. Az egyensúlyt a szervezet többlépcsős, bonyolult, jelmolekulákban gazdag folyamatokkal tartja irányítása alatt. A rendszer meghibásodása súlyos problémák forrása lehet. Sejdifferenciáció, fejlődés Az apoptózis jelentős sejtdiferenciációs tényező. Hiányában kisebb-nagyobb rendellenességek jelentkezhetnek Az apoptózis mind a növényi, mid az állati szövetek differenciálódásának alapvető részét képezi. Régóta sejtették, hogy bizonyos alacsonyabbrendű, gerinctelen állatokban a programozott sejthalál fontos szerepet játszik az egyedfejlődés során (mint pl. a lepkehernyók teljes átalakulása vagy egyéb metamorfikus kifejlési modellek lezajlása esetén). Később egyértelművé vált, hogy a magasabbrendű szervezet fejlődése során a sejtelhalás különböző szervek, szervrendszerek, testrészek kialakulásához vezet, ezen kívül a fejlődés bizonyos szakaszában funkcionáló azon struktúrák eltüntetésében vesz részt, melyekre a továbbiakban már nincs szükség. A kifejlett szervezetben is tovább folytatódik bizonyos sejttípusok folyamatos elhalása. Például az emberi szervezetben is percenként sejtek milliói halnak el, illetve újonnan születő sejtekre cserélődnek le. Különösen élénk ez a sejtcsere a bélnyálkahártyában és a csontvelőben. Immunreakció TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 65 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 66 oldal / 102 Az immunsejt Granzyme-B enzime képes a membránt kilyukasztani, így beindítja a kaszpáz rendszert Az immunrendszer kialakulásában és működésében is vitathatatlan az apoptózis fontossága. A T és B limfociták fejlődése az emberi szervezetben komplex folyamat. Az állandóan megújuló limfocita készlet folyamatos kialakulása során létrejönnek funkcióképtelen vagy autoagresszív klónok is, melyeknek eltávolítása a funkcionális repertoár hatékony működése szempontjából alapvető fontosságú. Ezen klónok elpusztulása szintén az apoptózis mechanizmusával megy végbe, így a szervezet megakadályozza a saját sejtjei ellen fellépő autoimmun reakciókat. A citotoxikus T-sejtek képesek a sejtek apoptózisának a beindítására. Először pórust nyitnak a sejmembránon, majd jelmolekulák szekréciójával beindítják a sejthalál lépéseit. Az apoptózis folyamata Az apoptózist sejtszignálok indítják be és vezérlik. Ezen szignálok lehetnek extracelluláris, és intracelluláris molekulák. Az utóbbiak lehetnek: hormonok, növekedési faktorok, cytokinek, illetve nitrogén-monoxid is. A belső folyamat a sejtben felszabadult vegyületek hatására indul be. Ezt előidézheti: sugárzás, magas hőmérséklet, vírusfertőzés. A halálutak lejátszódásának feltétele, hogy a jelmolekula kötődjön receptorához. Összegezve elmondható, hogy létezik: -Intrinszik, azaz belső, mitokondriális útvonal -Extrinszik, azaz külső, a halál szignálok, ligandok bekötődése a sejtmembrán receptoraira indukálta útvonal Az intrinszik, mitokondriális útvonal TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 66 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 67 oldal / 102 A mitokondriális útvonal A mitokondrium létfontosságú sejtalkotó a többsejtes élőényekben, hiszen a biológiai oxidáció több lépése zajlik itt. Apoptózist kiváltó fehérjék különböző módon hathatnak a mitokondriumra. Előidézhetik a csatornáik nyílását, illetve a membrán permeabilitásának a megváltoztatásával elérhetik, hogy a sejthalálban résztvevő, a kaszpázokat aktiváló molekulák (pl. citokróm-c, SMAC-ok) kifollyanak a sejtorganellumból. Az utóbbi időben több bizonyíték is alátámasztja, hogy a nitrogén-monoxid (NO) a membránpotenciál módosításával megváltoztatja a mitokondrium membránjának a permeabilitását. Egyes mitokondriális fehérjék, amiket SMAC gyűjtőnéven is ismerünk a cytoplazmába ürítődnek. A SMAC-ok kötődnek az apoptózist gátló proteinekkel (IAP-okkal, inhibitor of apoptosis proteins), gátolják őket a működésükben, így az apoptózis tovább folytatódhat. A sejthalált gátló és a membránpermeabilitást szabályozó fehérjecsaládba tartoznak a Bcl-2 típusú fehérjék. Ezen proteinek nem csak az apoptózis beindulását gátolják, de néhányuk a már elindult folyamatot is leállíthatja. Alapállapotban a Bcl2 és Bcl-xL fehérjék a mitokondriumok külső falában gátolják a citokróm c kiáramlást egy ioncsatornára hatva. Sejtkárosodás hatására azonban a pro-apoptotikus Bax fehérje gátolja a Bcl-2, és a Bcl-xL fehérjéket, így felszabadul a Citokróm-C, ami az Apof-1 (apoptotic protease activating factor-1) fehérjével kapcsolódva apoptoszómákat képez. Az apoptoszómák aktiválják a Kaszpáz-9 nevű fehérjét, ami viszont aktiválja a Kaszpáz-7-et, és 3-at. A kaszpáz 7 és 3 úgynevezett kivégző kaszpázok: képesek a sejt fehérjéinek a hasítására, proteolízisre. A Citokróm-C és a SMAC-ok végső soron a kaszpázokat aktiválják. Extrinszik, halál ligandok indukálta útvonal A külső útvonal sematikus ábrája. A Fas ligand bekötődik a Fas-receptorba és elindítja a sejthalált Az extrinszik útvonal legfontosabb összetevői az emlősökből izolált TNF (Tumor Nekrózis Faktor) és Fas receptórba bekötődnek a receptorhoz hasonló nevű, a sejthalált elindító jelmolekulák. Mindkét receptor a TNFR receptorcsaládba tartozik. A TNF ligandot (a receptorba bekötő fehérjét) a makrofágok termelik. A humán sejtek kettő TNF receptorral rendelkeznek: TNF-R1-el, és TNFTheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 67 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 68 oldal / 102 R2-vel. A Fas receptor (amit CD95-ként is ismerünk) köti a Fas ligandot (FasL). A Fas-ligand akárcsak a TNF, aktiválja a Kaszpáz-8 nevű fehérjét, ami aktiválja a kivégző Kaszpáz-3-at és a mitokondriális útvonalat is. Jellegzetességei Habár a két folyamat különböző, egyben közös: a végső feladat a kaszpázoké. Az apoptózist jellegzetes változások kísérik, amelyek nyomonkövethetőek a sejteken: -A kromatin kondenzálódik és a sejtmaghártyához tapad -A citoplazma sejtmembrán hasadás nélkül zsugorodik -Sejtmembrán és sejtmaghártya „blebbing” -A sejt membránnal határolt csomagokba kerül, majd fagocitálódik (A foszfatidilszerin a sejthártya belsejéből kívülre kerül és ligandként szolgál a fagocitózist végző sejteknek) -A sejt nem ömlik ki, nincs gyulladás (A fagocitózist végző sejtek gyulladást gátló citokineket szekretálnak, mint pl. az IL-10-et és a TGF-B-t.) Funkcióvesztés A p53 fehérje szerkezete Mint ahogy látható, az apoptózis bonyolut, többlépcsős folyamat, így valamelyik rész meghibásodása az apoptózis hajlamának elvesztését eredményezheti. p53 degeneráció A p53, akárcsak a retinoblasztóma (Rb) tumor-szupresszor protein. A sejtciklus G1/S1 fázisát ellenőrzi. Ha a DNS hibás, a p53 fehérje leválik az MDM-2-ről (foszforilálódik), kötődik a p21 gén promóteréhez, és így beindítja annak transzripcióját. A p21 mRNS-ről leíródó p21 fehérje hozzákötődik a sejtciklus egyik szabályozó proteinjéhez, a ciklinből és ciklin-dependens kinázból álló komplexhez, így meggátolja azok működését, azaz leállítja a sejtciklust. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 68 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 69 oldal / 102 A p53 gén mindkét kópiájának a mutációja a fehérje funkcióvesztéséhez, és így korlátlan osztódáshoz, tumorok képződéséhez vezet. Az emberi daganatok több mint a felében nincs funkcionáló p53 protein. Érdekesség, hogy egy genetikailag módosított adenovírus csak p53-at nem tartalmazó sejtekben képes replikálódni, tehát hatékony eszköz lehet rákos sejtek szelektív elpusztítására. Virális fertőzés, tumorképződés Egyes vírusok igen hatékony módszereket fejlesztettek ki, hogy meggátolják az általuk megfertőzött sejt apoptózisát. A humán papilloma vírus bizonyos típusai méhnyakrákot okoznak. A vírus kódol egy fehérjét (E6), ami megköti és inaktiválja az apoptózist indukáló p53 fehérjét. Az adenovírus eredetű E1B-55K, és a hepatitis-B vírusból származó HBx protein is a p53 fehérjét veszi célba: hozzákötődik, így az nem képes a funkcióját betölteni. Az Epstein-Barr Virus a mononucleosis infectiosa és bizonyos limfómák okozója egy Bcl-2höz hasonló anti-apoptótikus fehérjét kódol, míg egy másik fehérjéje serkenti a fertőzött sejt saját Bcl-2 termelését, gátolva a sejt öngyilkosságát. Bizonyos B-sejtes leukémiák és limfómák is a Bcl-2 termelését fokozzák, akárcsak a myxoma vírus M-T2 fehérjéje. A melanóma (a legveszélyesebb bőrrák) sejtek az Apaf-1 expreszióját (kifejeződését) gátolják. Egyes tüdő és vastagbél daganatok sejtjei egy FasL-hez kötődő és azt inaktiváló fehérjét választanak ki, ezért a citotoxikus T sejtek (CTL) nem képesek bennük apoptózist indukálni. Más rákos sejtek FasL-t termelnek, amely a citotoxikus T sejtek Fas receptorához kapcsolódik, és apoptózist indukál a citotoxikus T sejtekben. A lap eredeti címe "http://hu.wikipedia.org/wiki/Apopt%C3%B3zis" Kategória: Sejtbiológia l. jegyzetek, hivatkozások: 18 Idézet: MOLEKULÁRIS SEJTBIOLÓGIA LÕW PÉTER A sejt őrző-védő szolgálata a rák ellen Az egyik fő, sejtosztódást és daganatképződést gátló, úgynevezett tumorszupresszor gén a p53. Normális mûködésekor, a sejtet ért stressz és DNS-károsodás hatására a róla átírt fehérje felszaporodik a sejtmagban és leállítja a sejtosztódást, valamint beindítja a sejt programozott pusztulását. Ezzel megakadályozza, hogy a sérült DNS tovább másolódjon, és így megőrzi a genom épségét. Az elváltozott, rákos sejtek p53 által irányított „eltüntetése" igen fontos a daganatfejlődés elleni védekezésünkben, a p53-válasz elvesztése pedig rosszindulatú sejtburjánzáshoz vezet. Ma már sok biztató kísérlet mutatja, hogy mesterségesen helyreállíthatók kiesett funkciói. Retrovírus segítségével sikerült már ép p53-gént bevinni beteg sejtekbe a mutáns gén helyére. A genetikailag megváltoztatott adenovírus pedig célzottan elpusztítja a hibás molekulát hordozó, vagy éppen p53 hiányos rákos sejteket, míg a normál sejtekben képtelen szaporodni. Lehetőség van a sérült, inaktív fehérje újraaktiválására is egy rövid peptiddel, ami a tumorban apoptózist indíthat el és így eltüntetheti a daganatot. A p53-ról kiderült: a mikrotubuláris rendszert használja ahhoz, hogy a sejtmagba kerülhessen. Ez a felfedezés érdekes kérdéseket vet fel a mikrotubulus-hálózatot szétromboló kemoterápiás szerek hatásával kapcsolatban. A többsejtû szervezet sejtjeinek osztódása, differenciálódása és fennmaradása finom szabályozás alatt áll. A rákos sejtekbenez a reguláció omlik össze, így ezek a sejtek ellenőrizetlenül növekednek és osztódnak, míg végül ellepik az egész szervezetet és összezavarják a még ép szövetek és szervek mûködését. Mivel a rák az alapvető sejtszabályozó folyamatok sérülésével alakul ki, teljes megértése csak molekuláris szinten lehetséges. Rák a szervezet bármely sejtjének szabályozatlan osztódásával kialakulhat, így több mint százféle különböző típusa van, melyek lényegesen eltérnek viselkedésükben és a kezelésekre adott válaszukban. A daganatok egyik jellemző tulajdonsága, hogy egyetlen abnormálisan osztódó sejtből fejlődnek ki. Mindez persze nem jelenti azt, hogy az eredeti sejt már kezdettől a tumorsejt minden jellegzetességével rendelkezik. A rák kifejlődése többlépcsős folyamat, mely az évek során felhalmozott rendellenességekből alakul ki, ezért találunk időskorúak között sokkal több rákos megbetegedést. Rákkeltő anyagok A rákot előidéző vegyületeket karcinogén (rákkeltő) anyagoknak nevezzük. Mivel a daganat kifejlődése összetett folyamat, sok tényező csak a rák kialakulásának valószínûségét fokozza. A legtöbb daganatos sejtburjánzásnál túlzott leegyszerûsítés volna egyetlen kiváltó okról beszélni. A sugárzás (például a napsugárzás ultraibolya tartománya) és több kémiai karcinogén anyag, mint a dohányfüst-összetevők: benzpirén, dimetilnitrózamin, nikkelkarbonil a DNS roncsolásávalhatnak. Ezeket iniciáló anyagoknakhívjuk, mert a rák kialakulásában a kezdeti lépés a TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 69 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 70 oldal / 102 mutációk indukálása a kulcsfontosságú génekben. Más karcinogének (forbolészter, ösztrogén) a sejtosztódás serkentéséveljárulnak hozzá a rák kifejlődéséhez. Ezeket tumor promóterekneknevezzük. A korai tumorfejlődésben a mutáns sejtek nem tudnának nélkülük osztódni és növekedni. Ezek mellett egyes vírusok is elindíthatnak rákos folyamatokat. Így például a májrákot a hepatitisz-B, a méhnyakrákot az emberi papillomavírus (HPV) okozza. A tumorvírusokfontos szerepet játszottak a rákképződésért felelős molekuláris mechanizmusok feltárásában. Az állati vírusok hat különböző családjának tagjai képesek rákot előidézni. Ezek közül ötnek DNS-genomja van, ezek a DNS tumorvírusok. A hatodik családnak, a retrovírusoknak RNS-genomjuk van, melyek a fertőzött sejtben először DNS provírust hoznak létre. A tumorvírusok kis genomja alkalmassá teszi őket a molekuláris elemzésre, ami a rák kialakításáért felelős vírusgének azonosításához vezetett és a rák jelenlegi molekuláris szintû megértését lehetővé tette. Molekuláris biológiai szempontból a két legjobban tanulmányozott DNS tumorvírus az úgynevezett majomvírus( simian virus 40, SV40) és a polyomavírus (ez utóbbinak egér a gazdaszervezete). Ezek egyike sem okoz emberben rákot, mégis kulcsfontosságúak voltak a sejttranszformáció (rákos átalakulás) molekuláris alapjainak megértésében. Vannak olyan sejtek, ezek az úgynevezett permisszív(„megengedő") gazdasejtek, melyekben a fertőzés a vírus szaporodásához (replikálódásához), a sejt széteséséhez (líziséhez) és az új vírusrészecskék kiszabadulásához vezet. Mivel ezek a sejtek elpusztulnak a vírus replikációja következtében, nem lehet rákossá tenni (transzformálni) őket. Egy másik sejttípusban, a non-permisszív(, nem megengedő') sejtekben azonban a vírus nem képes szaporodni, itt jól érvényesül a tumorvírusok transzformáló képessége. Ilyenkor a vírusgenom beépül a gazdasejt DNS-ébe, majd a megfelelő vírusgének kifejeződésével a sejt rákos átalakulását okozza. A vírusgenom átíródása korai és késői szakaszra osztható. A „korai" gén azonnal a fertőzés után kifejeződik (ez a vírus-RNS szintéziséhez kell), a „késői" gén azonban csak a DNS-replikációjának megkezdése után, és ez a vírusrészecske szerkezeti elemeit kódolja. Az SV40 korai régiója két fehérjét kódol, melyeket kis és nagy T-antigénnek hívnak. mRNS-eik ugyanazon elsődleges átírási termékből keletkeznek az eltérő érési folyamat során (alternatív splicing). A nagy T-antigén egymaga is elégséges a tumor kialakításához. A tumorvírusok azon génjeit, melyek nem vesznek részt a vírus replikációjában és képesek a gazdasejt rákos transzformációjára, onkogéneknek nevezzük. Később felfedezték, hogy a virális onkogének mellett vannak az egészséges sejtekben is onkogének. Ezek aktiválódása rendellenes sejtosztódáshoz vezet túlzott expressziójuk vagy az általuk kódolt fehérje ellenőrizetlen aktivitása miatt. A rák kialakulásának másik genetikai útja a tumorszupresszor gének inaktiválódása. Ezek a gének az egészséges szervezetben gátolják a sejtosztódást és a daganatképződést, sok tumorban azonban hiányoznak vagy nem mûködnek. A p53-at az SV40 nagy T-antigénjével (SV40LT) szorosan kapcsolódó sejtfehérjeként írták le, először 1979-ben. Azóta a p53 kutatása több izgalmas, néha meglepő fordulatot vett. Ma a p53-at hatékony tumorszupresszor génként ismerjük, mely az emberi rák sok fajtájában (leukémia, limfoma, szarkoma, agytumor és több szöveti karcinoma, például mell-, vastagbél- és tüdőrák) inaktiválódik. Míg az egészséges sejtek vad típusú p53 fehérjét (wild-type p53, wtp53) termelnek, a rákos sejtekben gyakran a fehérje mutáns formáját találhatjuk. A p53 gén transzkripciós faktortkódol, mely a sejtet érő stresszre vagy az örökítő anyagot károsító hatásokra egy sereg gén kifejeződését szabályozza. Ezek a gének a sejt osztódási ciklusának leállításában vagy a programozott sejthalál beindításában játszanak szerepet. Négy p53 molekula összekapcsolódva tud specifikusan a DNS-hez kötődni. Maga a fehérje több, különböző feladatot ellátó egységre (doménre) osztható (1. ábra). Az N-terminális végen egy transzkripciót aktiváló domén található, mely az egész molekula DNS-hez kötődésekor az átírásban részt vevő többi fehérjéhez kapcsolódik. A középső (mag) résza megfelelő bázissorrendû DNS-szakasz kiválasztásáért és a fehérje kötődéséért felelős. A p53 molekula C-terminális végén egy szabályozó domén helyezkedik el, mely a mag domén specifikus kötődését befolyásolja. Közvetlenül mellette a tetramerizációért felelős domén húzódik, ez kapcsol össze négy p53 fehérjét a DNS-hez illeszkedéskor. A sejt a normális növekedés és fejlődés fenntartásához a p53 sejtciklust megállító és apoptózist indító szerepét nagyon szigorúan szabályozza és csak akkor aktivizálja, ha szükséges. Az egészséges sejtekben a p53 jellemzően látens, lappangó formában van csak jelen, s mi több, e látens forma egyensúlyi koncentrációja is igen alacsony a gyors lebontás következtében. Stressz hatására (DNS-károsodás, alacsony oxigénszint, a mitotikus orsó sérülése, onkogén aktiválódás) a p53 biokémiailag megváltozik és ez a stabilizálódott fehérje nagy mennyiségben felhalmozódik a sejtben. A DNS-károsodás a p53 gyors indukcióját váltja ki, mely többek között a ciklin dependens kinázt (Cdk) gátló p21 fehérje átíródását serkenti. A p21 G1- fázisban gátolja a sejtciklust, azaz még a DNS megkettőződése (S-fázis) előtt. A sejtciklus megtorpanása nyilvánvalóan időt ad arra, hogy a roncsolt DNS-szakaszt kijavítsa a sejt, még mielőtt replikálódna. A p53 elvesztése nem teszi lehetővé a sejtciklus megállítását, ami megemelkedett mutációs gyakorisághoz és a sejt genomjának instabilitásához vezet. Ez a genetikai instabilitás a ráksejtek általános jellemzője, emiatt az onkogének és tumorszupresszorok további mutációkat szenvednek a tumorfejlődés során. A sejtciklus megállításán kívül a p53 DNS-sérülés hatására apoptózist, sejtpusztulást is képes indukálni. (A p53 többek között a Baxgént is szabályozza, melynek génterméke a Bcl-2-vel összkapcsolódva elősegíti a sejtpusztulást.) Ez a válasz érthetően előnyös a szervezet egésze számára, mert eltávolítja a hiányos DNS-û sejteket, vagyis azokat, amelyek esetleg rákos sejtekké válhatnak. Azok a sejtek, melyekből a p53 hiányzik, nem képesek apoptózisra a DNS-károsodás hatására. Sok tumor kezeléssel szembeni rezisztenciáját éppen az okozza, hogy a besugárzás vagy a kemoterápiás szerek által okozott DNS-sérülés nem vált ki bennük sejtpusztulást. A p53 elvesztése, úgy tûnik, a más hatásokra (növekedésifaktor- megvonás, oxigénhiány) beinduló apoptózist is gátolja. A p53 mûködésének egyik fő szabályozója az MDM2(murine double minute 2) fehérje, mely közvetlenül annak N-terminálisához TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 70 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 71 oldal / 102 kötődik. A két fehérjemolekula összekapcsolódása nemcsak a p53 transzaktivációs doménjét fedi el, ezzel megakadályozva, hogy transzkripciós faktorként mûködjön, hanem ubiquitin-függő lebontási útra is irányítja őket (lásd folyóiratunk 1999. decemberi számát). Az MDM2 ezt annál is inkább megteheti, mivel E3-ubiquitin ligáz enzimként is mûködik és így maga ubiquitinálhatja a p53-at közvetlenül a proteaszómába irányítva azt (lásd folyóiratunk 2000. novemberi számát). Mivel az MDM2 fehérje egy p53 irányítása alatt álló gén terméke, a p53 a saját lebontási folyamatának egyik résztvevőjét aktiválja. Így negatív visszacsatolási kör jön létre, mely egészséges sejtekben normál körülmények között a p53 alacsony szintjét biztosítja, illetve lezárja a p53 által indított folyamatokat, ha a kiváltó jel már megszûnt. Az emberi daganatos megbetegedéseket több, mint 50 százalékban a p53 gén inaktiválódása (deléciója, mutációja vagy más fehérjékkel történő összekapcsolódása) okozza, így a p53 fontos célpontja a rákellenes beavatkozásoknak. A p53 gén mutációi általában egyetlen aminosav megváltozásával járnak a fehérje DNS-kötő részében és ez részben, vagy teljesen megakadályozza a molekula DNS-hez kapcsolódását. A p53- fehérje mûködését az is gátolhatja, ha tumorvírusok által kódolt onkogén fehérjék kötődnek hozzá. Az emberi papillomavírus (HPV) E6 fehérjéje komplexet alkot a p53- mal, az adenovírus E1B fehérjéje, illetve az SV40 nagy T-antigénje ugyancsak hozzá kötődik. Génterápia Több, p53-ra alapozott kezelési stratégián is dolgoznak jelenleg. Az egyik rendszerben sérült p53-at tartalmazó tumorsejtekbe retrovírussal visznek be vad típusú gént. Így sikerült gátolni a daganat növekedését tüdőrákos betegekben. A módszer egyik hátránya, hogy az ép génnek az öszszes tumorsejtet el kellene érnie és elpusztítania, máskülönben a fennmaradó sejtek újabb daganatot hoznak létre. A gyakorlatban ilyen nagy hatékonyságú génbevitel lehetetlen. Egy másik korlát, hogy a retrovírusok bejuttatása csak helyileg lehetséges, a tumor visszahúzódása is csak itt figyelhető meg, azaz távolabbra eljutott áttétek ezzel a módszerrel nem kezelhetők. Egy másik, teljesen eltérő gyógymód azon alapszik, hogy az adenovírusok blokkolják a vírusfertőzés hatására a p53 által beindított apoptózist a vírus replikációja és az új vírusrészecskék keletkezése érdekében. Az E1B vírusfehérje megakadályozza, hogy a p53 más gének transzkripcióját aktiválja. A kezelést egy mutáns adenovírussal (ONYX- 015) végzik, melyben pont az E1B gén a hibás. Mint ez várható, a mutáns adenovírus nem képes a vad típusú p53-at tartalmazó sejtekben (normál vagy tumorsejtek) szaporodni. Hibás p53-at hordozó tumorsejtekben (méh- és vastagbélrák) azonban replikálódik, a sejtek pusztulását okozva. Az intravénásan beadott adenovírus eléri a daganatot, szaporodik benne és ez a daganat visszahúzódását eredményezi. Ez a kezelési módszer remélhetőleg a tumortól távoleső áttétekre is alkalmazható, de egyelőre még klinikai kipróbálás alatt áll. Egy harmadik eljárás abból indul ki, hogy a központi domén DNS-kötő képességét a C-terminális szabályozó régiója befolyásolja (1 .ábra). Találtak olyan mutáns p53-at tartalmazó vastagbélráksejteket, melyekhez izolált C-terminális peptidetadva a p53 transzkripciós faktor funkciója helyreállt. A mutáns gént hordozó tumorsejtekben a p53 újra aktiválódása erős apoptotikus választ váltott ki, míg a normál sejtek viszonylag érzéketlenek voltak a kezelésre. A peptidek nem ideális gyógyszerek, de ezek az eredmények talán lehetővé teszik a C-terminális peptidhatását utánzó molekulák tervezését. A p53 fehérjecsalád Bár sokáig azt gondolták, hogy a p53 fehérje egyedülálló a maga nemében, nemrégen felfedezték két közeli rokonát, a p63 és a p73 fehérjét. E két fehérje aminosav-sorrendje a kritikus funkcionális szakaszokon megegyezik a p53-éval, ami azt sugallja, hogy ezek is a sejtciklus és a sejthalál szabályozásában vesznek részt. A legújabb kutatások azonban világosan bizonyítják, hogy az evolúciósan megőrzött szerkezeti hasonlóság ellenére a p53 család tagjai más, sőt ellentétes biológiai feladatokat látnak el. A p53-tól eltérően a p63 és p73 kifejeződése megdöbbentően bonyolult, így a p63-nak 14, a p73-nak pedig 6 változata (izoforma) jön létre. A fehérjék aktivitásának szabályozása meglehetősen összetett folyamat. Sok fehérje csak egy meghatározott sejtkompartmentumban fejti ki hatását, így mûködése igen hatékonyan szabályozható sejten belüli helyének változtatásával. Különösen jó példák erre a transzkripciós faktorok: e fehérjék mûködését a sejt nagyszerûen szabályozhatja azzal, hogy ide-oda mozgatja őket a sejtmag és a citoplazma között. Ma már meglehetősen jól ismerjük, hogyan lépnek be a sejtmagba a fehérjék, illetve hogyan hagyják el azt import-, vagy exportreceptorok segítségével. Ez utóbbiak felismerik a mozgatandó fehérjén a maglokalizációs, illetve magexport jeleket. De hogyan kerülnek a fehérjék a sejtmag megfelelő közelségébe, hogy az importáló receptorokkal kapcsolódhassanak? Bár nem kizárt, hogy mindez csak diffúzió útján zajlik, egyre inkább az a kép rajzolódik ki, hogy a fehérjék utazása a citoplazmában igen finoman szabályozott folyamat, mely a mikrotubuláris hálózatothasználja a hozzá kapcsolódó motorfehérjékkel együtt. A mikrotubulushálózat irányított; a mikrotubulusok dinamikusan változó '+ vége' általában a sejt perifériáján helyezkedik el, a viszonylag stabil '- végük' a sejtközpontnál, rendszerint a sejtmag közelében. Számos motorfehérje képes a mikrotubulusokon egyik, vagy másik irányba mozogni és közben a hozzájuk kapcsolódó molekulákat a sejt központja vagy széle felé szállítani. A p53 fehérje is, mint transzkripciós faktor, a sejtmagban fejti ki hatását. A legújabb kutatási eredmények szerint a p53- nak kapcsolódnia kell a mikrotubulárishálózathoz és a dyneinhez*, hogy a mag közelébe kerülhessen (3. ábra). Itt transzportreceptorokra kerül, hogy azok a magpórusokon keresztül végül a magba juttassák őket. Ez a szállítás a mikrotubulárishálózaton csak a sejtet ért stressz hatására következik be. A hálózat szétesése esetén a p53 nem tud a sejtmagba kerülni és így hatását sem fejtheti ki. Érdekes, hogy a p53 N-terminális régiója felelős a mikrotubulus kapcsolatért, a C-terminális vége pedig a maglokalizációs jelet hordozza (1. ábra). Tehát a két folyamat, vagyis a p53 sejtmaghoz szállítása és a magpóruson át a magba jutása egymástól független. Míg a p53-nak a sejtmagba kell jutnia ahhoz, hogy aktivitását kifejtse, normálisan osztódó sejtekben mûködésének gátlása érdekében nagyon fontos, hogy kikerüljön a magból. Ehhez az szükséges, hogy az MDM2 molekula segítségével a p53 ubiquitinálódjon, a magexport jel elérhetővé váljon a C-terminálisán és így a p53-MDM2 komplex kikerül a magból. Stressz hiányában a p53 aktivitását úgy szabályozza a sejt, hogy gátolja a sejtmaghoz szállítását és serkenti exportját a magból. Megfelelő jelek hatására aktiválódik a p53 importja a sejtmagba, miközben TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 71 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 72 oldal / 102 exportja gátlódik, így a molekula felhalmozódik a magban és kifejtheti hatását. A p53 aktiválása tehát hatékony rákellenes kezelésnek bizonyul azokban a tumorokban, melyekben még van vad típusú fehérje. Ez a módszer nem mûködik olyan daganatokban, ahol a p53 nem tud a magba kerülni a mikrotubuláris rendszer sérülése miatt. Így a vad típusú p53at megtartó rákok esetén a mikrotubuláris mérgek kemoterápiás alkalmazása pontosan a p53 aktivitása ellen hat. Más kemoterápiás szerekkel, illetve sugárkezeléssel együtt alkalmazva azonban kivédheti a normál sejteken tapasztalható káros mellékhatásokat. * A dynein a mikrotubulusokon, azok negatív, sejtközpont felőli vége irányába mozgó motorfehérje. IRODALOM 1. M. A. E. Lohrum és K.H. Vousden (2000) Regulation and function of the p53-related proteins: same family, different rules. Trends in Cell Biology 10:197-202. 2. K. G. Wiman (1998) New p53-based anti-cancer therapeutic strategies. Medical Oncology15:222-228. 3. P. Giannakakou és mtsi (2000) p53 is associated with cellular microtubules and is transported to the nucleus by dynein. Nature Cell Biology 2:709-717. Idézet vége jegyzetek, hivatkozások 19: DCA - diklóracetát DRUG NAME: Dichloroacetate (DCA) MANUFACTURER: Various DRUG CLASS (MOA) Bioenergetics- The pyruvate dehydrogenase complex (PDC) catalyzes the ratedetermining step in the aerobic metabolism of glucose, pyruvate, and lactate, the latter of which is in equilibrium with pyruvate (i.e., lactate converted to pyruvate) (1). DCA activates the PDC indirectly by inhibiting the activity of pyruvate dehydrogenase kinase. As a consequence of stimulating PDC, DCA increases irreversible oxidation of lactate via pyruvate. Pyruvate then enters the Krebs cycle as acetylCoA, which ultimately generates NADH and ultimately ATP. Overall, DCA, through inhibition of PDC, is believed to reduce the intracellular and systemic accumulation of lactate and enhance energy production through oxidative phosphorylation. SCIENTIFIC RATIONALE Lactate is elevated in the cortex of patients with HD; and mitochondrial dysfunction and ATP depletion are believed to play a role in the pathogenesis of the disease(2, 3). In addition, excitoxicity and oxidative stress have been implicated in the progression of HD. DCA, by helping restore energy balance, decreasing brain lactate, and indirectly helping to clear glutamate may have a disease modifying effect. DCA’s actions may help clear CNS lactate, increase cell energy, and increase clearance of glutamate, thereby reducing excitotoxicty (4). In neurons and astroglia, pyruvate and lactate are partitioned. Astroglia are the primary storage site for brain glycogen and catabolize glucose and glycogen to lactate, which is for the most part transported to neurons to be oxidized in the production of ATP. It has been shown that astroglial cells have a limited ability to oxidize glucose and lactate, whereas neurons have a greater potential to do so. However, neurons are less efficient at oxidizing intracellularly accumulated lactate and prefer lactate obtained from extracellular sources. In the case of both cell types, clearance of lactate can be superseded in excitotoxicity. It is known that glutamate stimulates astroglial cell glycolysis and that there is a 1:1 ratio between glucose utilization and the uptake of glutamate and its conversion to glutamine in astroglial cells (clearance of glutamate from the extracellular environment). This process generates lactate. Logically, if there is sufficient accumulation of glutamate, the astroglial and neuronal cells’ ability to clear lactate is overcome. DCA by stimulating PDC activity helps clear lactate from the CNS. Likewise, because lactate is converted to pyruvate, which ultimately is converted to NADH/ATP through the Kreb’s cycle, the brain’s energy balance is increased. In cell culture, DCA (100 µM) has been shown to increase glucose (astroglia 34%, p<0.05; neurons 5%, p<0.05) and lactate (astroglia 36%, p<0.01; neurons 11%, NS) oxidation in both cell types with a more pronounced effect in astroglia (4). Lactate release is also reduced in both (astroglia 20%, neurons 11%), however this is not statistically significant. When DCA is given to rats (50 mg/kg IV x1), baseline local cerebral glucose utilization increases throughout the brain (5/6 rats and in 16/18 structures). In functionally activated (stimulation of the whisker-to-barrel cortical pathway) rats given DCA, local glucose utilization increased to a lesser extent in the activated brain regions (p<0.05). This may be in part due to increased utilization of lactate through DCA’s actions. ANIMAL MODEL DATA RODENT: DCA’s disease modifying effects were examined in two transgenic models (R6/2 TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 72 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 73 oldal / 102 and N171-82Q) (5). DCA (500 mg/L) was added to the mice’s drinking water to give an estimated daily dose of 100 mg/kg (assuming 5 mL water consumed/day), with treatment initiated at 4 weeks of age (R6/2 pre- to early symptomatic; N171-82Q-presymptomatic. Treatment groups were as follows: R6/2, 20DCA-treated mice/17 control; N171-82Q, 17DCA/36 control. Survival was assessed as a criteria for euthanasia (point in time in which an animal was unable to initiate movement after prodding for 2 minutes). Additional outcome measures included, for R6/2 mice: Motor (rotarod test), blood glucose, histological assessments for aggregation analysis, and brain PDC activity (acetylCoA formation); and for N171-82Q mice: survival, motor activity, and weight loss. No pharmacokinetic or pharmacodynamic data were reported. R6/2 Results: Survival: DCA increased survival in R6/2 mice compared to control transgenic mice by 6.4% (p<0.001). Motor Performance: DCA-treated transgenic mice showed improved rotarod performance over that observed in controls from 90 days onward (last assessment time point for both groups was 98 days, however significance was only noted at 90 and 95 days of life (p<0.05). It is also important to note that this positive trend in rotarod performance was only noted late in the symptomatic phase of the disease (mean survival was 97.2 days in untreated transgenic mice vs. 103.9 days in DCA-treated mice). Histology: In DCA-treated transgenic mice, there was no significant atrophy in the striatum at the 70-day time point assessment when compared to healthy littermates (striatal neuron area measurements18% less in R/6 mice treated with DCA compared to wild-type, NS). DCA helped to prevent striatal atrophy in transgenic mice when compared to untreated transgenic mice (40% less striatal atrophy in R6/2 –DCA-treated mice vs. transgenic control mice, p<0.001). At 10 weeks there was no difference in the degree of protein aggregation in transgenic mice groups (DCA treated or control). It is unclear if there would have been a significant difference observed at later time points. However, it is likely that DCA has no effect of protein aggregation because of its proposed mechanism of action. At 12 weeks, the quantity of brain PDC was normal in R6/2 mice, however the percentage in the active form was significantly reduced (42% compared to normal littermates.) DCA reversed this reduction in active PDC; in fact, the active/total PDC ratio was slightly greater in transgenic mice than in wild-type littermates (5%). Glucose: At 12 weeks, untreated transgenic mice experienced a 3-fold increase in blood glucose concentrations (p<0.01). DCA reduced glucose concentrations in both wild-type mice and in transgenic mice. In DCA-treated mice, no increase was noted when compared to wild-type littermate controls [Mean (SEM) glucose concentration (mg/dL): DCA transgenic, 113.8±17.1 vs. wild type controls, 98.5±7.3]. N171-82Q Results: Survival: Survival was prolonged in DCA-treated transgenic mice (9.8%, p <0.05). Motor Performance: DCA significantly improved performance on rotarod testing between 107 and 127 days of age (p <0.05). No difference in rotarod performance was noted in the last time point assessed (Day 135). Weight Loss: DCA-treatment also significantly attenuated weight loss in transgenic mice from 115 days of age on. This was significant (p<0.01) for all but the last time point assessed. It is unclear if the difference in weight loss between the DCA-treated and control transgenic mice affected rotarod performance given that the difference in the two parameters occurred at a similar time period. PHARMACOKINETICS (INCLUDING BBB PENETRATION) DCA’s pharmacokinetics are complex and nonlinear, and its hypolactatemic effect is not clearly linked with plasma concentrations (6, 7). In single dose pharmacokinetic studies, DCA’s plasma concentration increases linearly up to 30 mg/kg IV; however, given in doses greater than 20-30 mg/kg, the Cmax and clearance are greater (6). DCA’s half-life during the linear portion of its pharmacokinetics is 0.5-4 hours, with clearance of 0.047-0.13 L/kg/hr (8, 9). Another study showed that DCA’s pharmacokinetics fit a onecompartment model with concentrations less than 80 mg/L; however concentrations greater than 80 mg/L resulted in zero-order elimination (9). Measurement of systemic lactate concentrations suggests that the DCA decreases lactate within minutes of administration, however the duration is dependent upon the dose administered (30 mg/kg reduces lactate for 4.5 hrs, 100 mg/kg reduces serum lactate > 8 hrs.). However, this dose-effect phenomenon is not observed across all studies (7). BBB Permeability DCA is presumed to be capable of penetrating the BBB, although most of the available literature fails to examine DCA concentrations directly, instead measuring lactate concentrations or PDC. Data from patients with head trauma show that doses of 100 mg/kg x 1 followed by 50 mg/kg every 12 hours for 5 doses reduced CSF lactate concentrations to approximately one third. Increasing the dose to 150 mg/kg x1 followed by 75 mg/kg x 5 doses did not significantly further decrease CSF lactate concentrations, even though DCA plasma concentrations increase by 60% (10). The rationale for nonlinearity is that DCA’s transport across the BBB is via the monocarboxylate transport system, which may be saturable; or that the number of PDC binding sites is limited and increase plasma concentrations do not translate into a direct clinical effect. One case report in a child with congenital lactic acidosis showed a DCA blood:CSF ratio of 2, however the patient did not show a reduction in CSF lactate concentrations (11). In fasted rats, the average activity of PDC is 0.4±0.04 µmol/min/g of brain tissue, which represents 21% of the total activity of the complex (12). Upon administration of DCA, 125 mg/kg i.p., the relative percentage of active PDC increases to 107%. This increase in PDC activation corresponds to a significant decrease in brain lactate concentrations (13). DCA in doses of 100 mg/ TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 73 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 74 oldal / 102 kg given to pre-ischemic rats results in significant reduction of brain volume loss. Taken together with human pharmacokinetic data cited above (7,10) suggests that doses of 100-125 mg/kg may have disease-modifying effects in both humans and rodents, but more data in transgenic HD mice ,including DCA’s effects on lactate or PDC activity needs to be obtained. Alternatively, imaging data using lactate as a surrogate marker could be obtained in HD patients given DCA in a doseresponse type of design. SAFETY/TOLERABILTY IN HUMANS DCA is used extensively for the treatment of metabolic/mitochondrial disorders and the treatment of lactic acidosis in sepsis, malaria, and many other conditions. Doses have ranged from 25 mg/kg-200 mg/day and are similar to those used in preclinical testing (14). Doses are usually given as a divided dose twice daily. Many of the studies have been short term, and overall DCA has been well tolerated without significant side effects (10). Sedation may occur and long-term use has been associated with neuropathies. It is recommended that thiamine be administered to help prevent this side effect. Toxicology studies suggest the DCA plasma concentrations should be maintained below 600 mg/L to minimize adverse effects. In mice, DCA (0.1 to 2 g/L in the drinking waterestimated mg/kg within the range found to be protective in HD models described above) has been linked to hepatic cancer, the exact risk to humans is unknown (15). DRUG INTERACTION POTENTIAL No formal drug interaction studies have been performed. CLINICAL TRIAL EVIDENCE IN HUMAN HD None AVAILABILE DOSAGE FORMS Various dosage forms, not approved in U.S. RECOMMENDED RESEARCH PHASE IN HD 1) The data from preclinical experiments suggest that DCA has therapeutic potential in HD, particularly when administered early in the course of the disease. However, there are concerns about the definition of survival used in these studies. In addition, DCA has no effects on protein aggregation and therefore, with time, DCA will most likely lose clinical benefits. 2) More information on dose-response is needed in preclinical HD models to make certain a suboptimal dose will not be used in clinical studies. Alternatively, a phase II design linking imaging data (lactate concentrations), clinical symptoms, and dose would help in the design of larger studies. This may help also avoid the difficulties in understanding DCA pharmacokinetics and pharmacodynamic relationships in HD. 3) DCA is a fairly old drug and unfortunately, the data in adults with long-term use are limited. In addition, data from preclinical sources suggesting tumor promoting potential are of concern. Likewise, the potential of neuropathy is of concern and the relative risk of this side effect in patients receiving DCA is unknown. REFERENCES: 1. J Clin Pharmacol. 2003;43:683-91. 2. Trends in Neurosci 2000;23:298-304. 3. Neurology 1993;43:2689-95. 4. PNAS 2003;100:4879-84. 5. Ann Neurol. 2001;50:112-117. 6. Diabetologia 1980;19:109-13. 7. J Clin Pharmacol. 2003;43:683-91. 8. Br J Clin Pharmacol 1996;41:29-34. 9. J Pharmacol Exp Ther. 1996;279:686-93. 10. J Clin Pharmacol 2001;41:259-67. 11. J Inherit Metab Dis. 1986;9:244-52. 12. Pediatr Res. 1984;18:936-8. 13. J Cereb Blood Flow Metab. 1992;12:1030-8. 14. Metabolism. 1989;38:1124-44. 15. Toxicology. 2004;199:169-83. A family practitioner and epidemiologist are prescribing dichloracetate (DCA) in Canada Category: Bioethics • Cancer • Clinical trials • Medicine Posted on: May 29, 2007 9:23 AM, by Orac It never seems to end, does it? I'm talking about the hype and questionable practices revolving around dichloroacetate (DCA), the small molecule chemotherapeutic agent that targets the Warburg effect, in essence normalizing the metabolism of tumor cells and thereby inhibiting their growth. (See here and here for more details.) A report by Evangelos Michelakis at the University of Alberta in Cancer Cell in January reported strong antitumor activity against a wide variety of tumors in rat tumor models resulted in a phenomenon ballooning out of control in a way that he could never have imagined. Even though DCA has never been tested in humans against cancer (although it has been tested against specific metabolic diseases), desperate cancer patients are seeking DCA from bootleg sources. This hysteria, even though there had not yet been any evidence that DCA had any antitumor activity in humans, was fueled mainly by the mystique applied to DCA because (1) it's a small molecule, orally available drug; (2) a novel and interesting mechanism of activity; and, in my mind most importantly, (3) big pharma was not very interested in funding clinical trials to test it against cancer because the drug itself was not patented, leading to a lot of Internet and blogospheric hype about the "cure for cancer" being "suppressed" or "ignored' by big pharma. I've written about this extensively since January, most recently about a week ago, and I had hoped to leave the topic alone for a while. Then on Friday there was a new development. I managed to restrain myself from writing about it for the entire Memorial Day weekend, but that's about all I can manage. This time around, believe it or not, I won't be primarily writing about The DCA Site, the website run by a pesticide dealer named Jim Tassano, who hired a chemist to make up some home brew DCA and sell it from his other website BuyDCA.com to dying cancer patients. Many of these patients populate forums of TheDCASite.com and tell stories that are either wishful thinking, tell tales of side effects, or border on downright quackery in which patients are told that they must "alkalinize their blood" to make DCA work. Unfortunately, I will be discussing a couple of other "entrepreneurs" who've decided to enter the DCA fray: EDMONTON - A private cancer centre in Toronto is selling itself as the first in Canada to prescribe a possibly poisonous chemical to patients, even though the compound hasn't been tested on humans and hasn't been approved by Health Canada. In February, wife-and-husband team Drs. Humaira and Akbar Khan heard how a University of Alberta researcher used dichloroacetate (DCA) to TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 74 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 75 oldal / 102 successfully shrink tumours in rats without damaging healthy cells. Last month, they offered the water-soluble powder to cancer patients in Ontario who have exhausted all other treatments. They did so despite dire warnings from Edmonton's Dr. Evangelos Michelakis that the chemical can be toxic and can cause imbalance, finger numbness and nerve damage. "I agree with the warnings," said Humaira Khan, a public health epidemiologist who focuses on research in Toronto's Medicor Cancer Centres. The clinic opened one year ago and charges patients about $150 for one week's supply of DCA. "But at the end of the day, it comes down to patients' rights. It comes to the patient's choice. That was the philosophy and the motivation because patients come to us and say, 'We know the risks. We understand it hasn't been studied. I don't have much to lose.' " Khan said it's better for her clinic to supervise patients instead of having them self-medicate, as hundreds around the world are doing after hearing about Michelakis's research, published in the prestigious academic journal Cancer Cell. And why do Drs. Khan and Khan want to do this? Why, they're humanitarians, of course: The paper sparked worldwide frenzy, with patients buying questionable DCA from unproven sources and reporting their outcomes in Internet chat rooms. "We felt we needed to do it," Khan said. Her husband, a family physician with 13 years experience in palliative and cancer care, is the clinic's medical director. "It didn't seem ethically right to say no," he said. "At the end of the day, even if we've saved one life, it's worth it." "Didn't seem ethically right to say no?" How about more like "didn't seem financially right to say no"? And, of course, the Khans have, as all alternative medical practitioners do, testimonials: One woman in her 70s, who almost died from chemotherapy, had a fourcentimetre tumour on her shoulder that has disappeared. One man could walk again after taking a strong dose of DCA. His nausea and severe pain also disappeared, even after he had to go off the treatment when he suffered side-effects. Some patients reported memory loss, stomach upset or tremors in their arms. "Most of our patients have benefited from it," Humaira Khan said. "It's hard to say how much of a benefit, but they are palliative patients and pretty much had nothing else to go on, so DCA has prolonged their life and given them a better quality of life. That gives us a lot of confidence." I'd be very interested in knowing exactly on what evidence they base this claim that DCA has prolonged the lives of patients. For one thing, it's only been four months since DCA hit the blogosphere, and that's not long enough to determine whether DCA actually extends patient survival, even in a well-designed clinical trial. In the unsupervised experimentation that's going on right now, determining if DCA has actually prolonged the life of a cancer patient is virtually impossible in such a short period of time. It may even be close to impossible in any amount of time, because determination of survival requires comparison of patients taking DCA to a control group, plus enough time for differences in survival due to the drug to manifest themselves. Unless DCA is truly a miracle drug, which, alas, it is not (as I've documented below), such differences will not manifest themselves in the two or three months since Jim Tassano, for instance, started selling his home brew DCA. In any event, neither of the Drs. Khan are oncologists. Dr. Akbar Khan is a family practitioner who is clearly lacks the training to be prescribing chemotherapy and monitoring the progress of cancer patients. Yes, he does have experience in the palliative care of terminally ill cancer patients, but he doesn't appear to have any experience in administering chemotherapeutics. His wife, Dr. Humaira Khan, is a physician with an MPH who's primarily an epidemiologist. The clinic also employs a naturopath, a physiotherapist, a counselor, a massage therapist, a dietitian, and a pharmacist, among others, but apparently not a single oncologist. Despite the lack of oncologists, this clinic, Medicor, this clinic actually offers the antiangiogenic drug Avastin™. They also offer a whole lot of woo, such as high dose vitamin C therapy, among others. They also offer a test called ChemoFit, which supposedly tests the tumor cells of cancer patients and informs them which chemotherapy will and won't work. Using in vitro measurements of tumor cell response to chemotherapy is a line of research that has been fraught with problems and is far less useful than Medicor would have you believe. Indeed, I find it telling that, on the ChemFit website, several peer-reviewed papers supposedly supporting the efficacy of using in vitro tumor assay-guided therapy, but none that I could find in a search of PubMed supporting the use of the ChemoFit test itself. I have to say, I'd want some strong, specific evidence about the ChemoFit test itself and its ability to predict the chemosensitivity or chemoresistance of a patient's tumor before I would consider actually using it to guide therapy, especially since the test is not cheap, costing $2,500, and, contrary to claims by the Khans, it is not "standard practice south of the border." But maybe Medicor really is being reasonable about DCA therapy. Let's see what it has to say about DCA: Medicor believes that is essential for clinical trials to be conducted with DCA as a cancer treatment. However, we are aware of many patients who are currently self-medicating with DCA, or are being treated with DCA under naturopathic care alone. Medicor is committed to helping cancer patients who request DCA treatment to receive it in the safest possible way. We respect the patient's right to choose their treatment once they know all the potential risks and benefits. All of our DCA patients understand that DCA is not yet scientifically proven as a cancer treatment. There it is, not unexpectedly, the old "health freedom" gambit, beloved of purveyors of dubious "alternative therapies" and, apparently, just as useful to doctors selling an unproven drug outside the confines of a clinical trial. Of course, if they really are collecting hard data on patients taking an experimental anticancer chemotherapeutic, it could be argued that they are doing clinical research. If that's the case, then, i wonder, are they getting valid informed consent from these patients? Do they have a valid protocol that could produce actual useful information about whether DCA has an anticancer effect against specific cancers? If they do, then why should they be able to do this sort of research without oversight by an IRB, or whatever Canada's equivalent is? None of the employees of Medicor appears to have any relevant experience in TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 75 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 76 oldal / 102 running cancer clinical trials; given that, their supervision is probably only marginally better than the lack of supervision going on at The DCA Site. Perhaps it's just the nasty advocate in evidence-based medicine in me, but am I so off base to suspect that this is nothing more than a case of some alternative medicine "entrepreneurs" seeing an opportunity to make a buck and going after it? After all, when Medicor opened a year ago, it was custom-designed to provide "personalized care" (a.k.a. woo) to cancer patients who can pay for it: A clinic set to open today is offering what its operators call a privatemedicine first in Canada -- intensive care, counseling and portable electronic health records specifically for fee-paying cancer patients. The physician couple behind Medicor Cancer say they will provide the kind of comprehensive aid in dealing with the disease and the health care system that many cancer patients cannot get now. Clients will have to pay at least $2,500, but the physicians say any medically necessary services will be charged to the medicare system, as legally required. It is the latest twist in the growing field of private health care, and the Ontario government says it will watch the clinic closely to ensure it abides by the law. The doctors opening Medicor say they would be happy to see the province pay for the sort of services they will offer. In the meantime, patients have a right to pay for them, they argue. "If I'm sick and I want something, I don't want the government to tell me what I can spend my money on," said Dr. Humaira Kahn, a public-health physician and Medicor president. "If it's my life or the life of someone I love, I want to be able to control what treatment I want, where I want it, whether I pay for it or not." "Is it fair that the system forces mediocrity on every citizen?" asked her husband, Dr. Akbar Kahn, the clinic's medical director and a family physician. Medicor will not provide actual cancer treatment such as chemotherapy, radiation or surgery. More "health freedom" blather. You know, whenever you hear someone providing nonevidencebased treatments start invoking "health freedom," it's a pretty good indication that you should run, not walk out of their office, because almost invariably what they really want is freedom from accountability and the freedom from oversight. In any case, it appears that the Khans have changed their minds about actually treating cancer or providing chemotherapy. After all, Avastin is a chemotherapeutic agent. DCA is a chemotherapeutic agent, and an experimental one at that. In fact, one has to wonder, if the Khans aren't providing any real anticancer therapy to patients, what exactly are they doing that's worth $2,500 up front and a $1,200 monthly fee. Certainly a visit with a family practitioner, naturopath, and various other CAM practitioners, plus a PDA on which they can carry their personal medical record seems a bit thin gruel to be charging this sort of money for. True, they claim that patients can see them through the Canadian medicare system, but state in their brochure that their fee-based services are intimately related to their medicare-covered services to the point that "doctors can't separate them." I have to wonder if perhaps the alternative medicine business isn't working out quite as well as hoped, given how little service Medicor appears to provide for a rather significant fee. Maybe the Khans needed a new angle to attract patients. Thanks to DCA, apparently they've found it. Dr. Khan could do more for his patients going back to the palliative care that he used to provide before he thought of Medicore and especially before he decided to jump on the DCA bandwagon. All Orac posts on DCA: 1. In which my words will be misinterpreted as "proof" that I am a "pharma shill" 2. W ill donations fund dichloroacetate (DCA) clinical trials? 3. T oo fast to label others as "conspiracy-mongers"? 4. D ichloroacetate: One more time... 5. L aying the cluestick on DaveScot over dichloroacetate (DCA) and cancer 6. A couple of more cluesticks on dichloroacetate (DCA) and cancer 7. W here to buy dichloroacetate (DCA)? Dichloroacetate suppliers, even? 8. A n uninformative "experiment" on dichloroacetate 9. S lumming around The DCA Site (TheDCASite.com), appalled at what I'm finding 10. S lumming around The DCA Site (TheDCASite.com), the finale (for now) 11. I t's nice to be noticed 12. T he deadly deviousness of the cancer cell, or how dichloroacetate (DCA) might fail 13. T he dichloroacetate (DCA) self-medication phenomenon hits the mainstream media 14. D ichloroacetate (DCA) and cancer: Magical thinking versus Tumor Biology 101 15. C hecking in with The DCA Site 16. D ichloroacetate and The DCA Site: A low bar for "success" 17. D ichloroacetate (DCA): A scientist's worst nightmare? 18. D ichloroacetate and The DCA Site: A low bar for "success" (part 2) 19. " Clinical research" on dichloroacetate by TheDCASite.com: A travesty of science 20. A family practitioner and epidemiologist are prescribing dichloracetate (DCA) in Canada 21. A n "arrogant medico" makes one last comment on dichloroacetate (DCA) Posts by fellow ScienceBlogger Abel Pharmboy: 1. T he dichloroacetate (DCA) cancer kerfuffle 2. W here to buy dichloroacetate... 3. L ocal look at dichloroacetate (DCA) hysteria 4. E dmonton pharmacist asked to stop selling dichloroacetate (DCA) 5. F our days, four dichloroacetate (DCA) newspaper articles 6. P erversion of good science 7. C BC's 'The Current' on dichloroacetate (DCA) Send this entry to: E mail this entry to a friend View the Technorati Link Cosmos for this entry TrackBacks (TrackBack URL for this entry: http://scienceblogs.com/mt/pings/41623) Comments I have a suggestion for the Khans, place your Medicor clinic at the Creation Museum! Posted by: S. Rivlin | May 29, 2007 10:24 AM Here's an article by Professor Pedersen who is in the biochemistry department at Johns Hopkins - he's one of the people working on 3-bromopyruvate. You will have to pay for the whole article. This is an introductory article for an issue of Journal of Bioenergetics and Biomembranes discussing mitochondria-focused cancer treatments. He mentions dichloroacetate along with some others. I think it would make an interesting topic for your blog. From the tenor of the article, it seems to me that Pedersen is frustrated with the TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 76 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 77 oldal / 102 focus on signal transduction at the expense of cancer energetics/metabolism. I understand the need for clinical trials, but if someone points to a deeper understanding of what is going on inside the cancer cell, and they have a treatment based on that understanding, I for one would not expect to have to make do with whatever is on offer while we wait for years for clinical trials (obviously they're needed, but I would expect trials for drugs based on new understandings of cancer to be expedited). http://www.ncbi.nlm.nih.gov/sites/entrez? Db=pubmed&Cmd=ShowDetailView&TermToSe arch=17404823 Posted by: Willis | May 29, 2007 12:09 PM I wonder if all this DCA woo is having some kind of negative effect on the research of Dr. Evangelos Michelakis and others. I know nothing about the researcher, but it sounds like he's alarmed at all the weird woo attention generated by his research. I doubt he welcomes this attention. His motivations for getting into cancer research are presumably some mix of scientific curiosity and medical altruism (plus, of course, a dash of happy egoism at the prospect of becoming a significant pioneer in an important field). I don't think the actions of a few woos will dissuade him or other serious researchers from continuing to look for and test therapies for illnesses. But, I wonder if there are any graduate student researchers out there, who have seen the stupidity of the media frenzy and might divert their efforts to less populist causes? I know I don't want my publications associated with such stupidity; I'd rather be completely ignored by the foolish fringe than either lauded or condemned by them. Posted by: TheBrummell | May 29, 2007 2:02 PM Dear Orac Looks like it's my turn to be embarrassed by an alleged professional colleague. How can complete a masters degree in public health epidemiology and then think that anecdotes are perfectly acceptable evidence? The shame. The shame. Posted by: Nat | May 29, 2007 7:27 PM Excellent investigation of the Khans and their practices. I was particularly taken by your comment (emphasis mine): You know, whenever you hear someone providing non-evidence-based treatments start invoking "health freedom," it's a pretty good indication that you should run, not walk out of their office, because almost invariably what they really want is freedom from accountability and the freedom from oversight. Posted by: Abel Pharmboy | May 29, 2007 7:58 PM This is your regular poster 'khan' assuring you that I be not them. Posted by: khan | May 29, 2007 8:11 PM The oncologists and drug companies want us to wait 15 years for a treatment like dibromopyruvate or dichloroacetate, fact is, they stop glycolysis in some cancers, and a half a million Americans are sent home to die, they are walking dead from the time they get their 30 day death sentence after being butchered and poisoned and the damn radiation, which one study says may actually kick start the cancer stem cells. Stop being cowards, when there is no hope for your patients, use the research, use multiple compounds to kill the cancer stem cells and the daughter cells. Shame on you doctor. Physician, heal thyself, and forget about the mansion payment and the liability insurance,and the yacht payment, and the Proche, and the mistress, and the 3 x wives alimony and Posted by: Dale Biden | May 30, 2007 6:22 AM Willis said: "I would expect trials for drugs based on new understandings of cancer to be expedited." I'm a layperson, so I don't have answers, but I do have questions: Is the way that DCA's supposed to work in fact based on a "new" understanding of cancer? Is this understanding "newer" than the research behind other drugs currently in trial? And why should trials based on new information be expedited? Shouldn't it be trials of drugs that are judged, on the basis of available information, to have the best chance of success? If not, why not? Posted by: Jud | May 30, 2007 6:57 AM This clinic sounds like it may be operating in contravention of the Canada Health Act. Of course, that doesn't mean a hill of beans if Do-Nothing Dalton McGuinty's government doesn't get off its collective asses and actually, oh, say, enforce the Act... *mutter grump* The "private clinic" is not the issue here; there are tons of private clinics here. The intimation of "private, for-profit clinic" bothers me, and if they've so much as stuck one toe over that line, I want them shut down with extreme prejudice and media fanfare. I've had about damn enough with the laissez-faire right-wing governments here looking the other way while con artists undermine the Canada Health Act, one minor violation at a time. Eventually, we're going to wind up with a de facto two-tier system, and that contravenes the Act, as well as rubbing my fur seriously the wrong way... It's too dangerous a precedent for my liking. Posted by: Interrobang | May 31, 2007 3:48 AM I have a question to all of you who think DCA should not be administered without a trail. If you were a terminal patient and your conventional doctor tells you that you have anywhere between 4 weeks to 12 weeks before the tumour in your throat chokes you to death, and another less known doctor tells you that there is some hope. What would you do? Now, assuming that you quite humanely took up the hopeful option and outlived those conventional life spans statistics. Who would be the biggest gainer. I suppose it is only You. For heaven's sake stop talking about implementing outdated and absurd laws and rules. If you cannot help a cancer patient, atleast don't hurt. If DCA does not work the way its expected, bad for all of us. However, if it does - I think we will all see some major firing in the pharma black hole. Posted by: Ken Anderson | July 23, 2007 7:30 AM I read your report with interest. The being castle effect of the aneroben fermentation is well-known and understandable me. I read also all reports over dosage and side effects. Only one problem I have, as get I DCA. Yours sincerely Manfred Wendt Posted by: Manfred wendt | August 6, 2007 2:05 PM In which my words will be misinterpreted as "proof" that I am a "pharma shill" Category: Cancer • Clinical trials • Medicine • Politics Posted on: January 22, 2007 10:01 AM, by Orac I would have written about this one on Friday, except that Your Friday Dose of Woo had to be served up. (You did read last week's YFDoW, didn't you? It was a particularly loopy bit of woo, with a bad computer interface grafted on to it, to boot!) The TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 77 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 78 oldal / 102 reason I wanted to write about it is because the responses to this particular bit of news in the blogosphere grated on me, for reasons that will become apparent soon. It's about a new cancer drug that I learned about from both fellow ScienceBlogger Jonah and readers who forwarded articles about it to me. If you believe some other bloggers (one of whom, Ezra Klein, who really should know better, even gave his article the utterly ridiculous title Objectively Pro-cancer), it sounds a lot like a "miracle cure" that "they" don't want you to know about, if you know what I mean. Yes, if you believe blogs like Daily Kos (especially the comments, many of which sound as though they come from Kevin Trudeau wannabes), it's one more bit of evidence of big pharma supposedly "suppressing" yet another cheap near-miraculous cure for cancer. Here's the story: It sounds almost too good to be true: a cheap and simple drug that kills almost all cancers by switching off their "immortality". The drug, dichloroacetate (DCA), has already been used for years to treat rare metabolic disorders and so is known to be relatively safe. It also has no patent, meaning it could be manufactured for a fraction of the cost of newly developed drugs. Evangelos Michelakis of the University of Alberta in Edmonton, Canada, and his colleagues tested DCA on human cells cultured outside the body and found that it killed lung, breast and brain cancer cells, but not healthy cells. Tumours in rats deliberately infected with human cancer also shrank drastically when they were fed DCA-laced water for several weeks. DCA attacks a unique feature of cancer cells: the fact that they make their energy throughout the main body of the cell, rather than in distinct organelles called mitochondria. This process, called glycolysis, is inefficient and uses up vast amounts of sugar. Until now it had been assumed that cancer cells used glycolysis because their mitochondria were irreparably damaged. However, Michelakis's experiments prove this is not the case, because DCA reawakened the mitochondria in cancer cells. The cells then withered and died (Cancer Cell, DOI: 10.1016/j.ccr.2006.10.020). Michelakis suggests that the switch to glycolysis as an energy source occurs when cells in the middle of an abnormal but benign lump don't get enough oxygen for their mitochondria to work properly (see diagram). In order to survive, they switch off their mitochondria and start producing energy through glycolysis. I looked up the paper and read it, although not yet in as much depth as I would like to. I also have to point out that my memory of the finer points of glycolysis and mitochondrial aerobic energy production is a little shaky. Even so, whether it is the cause of cancer (less likely) or a consequence of the genetic derangements in cancer cells (more likely), I have to admit, targeting the Warburg effect is a way cool idea, and the experiments are pretty convincing in cell culture and in rats. Basically, this is an idea that goes back 75 years or more, namely that tumor cells are metabolically different than normal cells in that they can survive on the less efficient process of glycolysis, rather than having to use aerobic metabolism. It's been well known that many, if not most, tumors are metabolically more active than the normal tissues from which they arise. Indeed, increased glucose metabolism resulting in increased avidity in taking up glucose is the entire basis of positron emission tomography (PET scans). What's different is that many cancer cells continue to use glycolysis even when there is sufficient oxygen present to switch on the aerobic process of oxidative phosphorylation in noncancer cells, a process that takes place in tiny structures called mitochondria. The concept behind this drug was to target this difference, as the article explains: Crucially, though, mitochondria do another job in cells: they activate apoptosis, the process by which abnormal cells self-destruct. When cells switch mitochondria off, they become "immortal", outliving other cells in the tumour and so becoming dominant. Once reawakened by DCA, mitochondria reactivate apoptosis and order the abnormal cells to die. "The results are intriguing because they point to a critical role that mitochondria play: they impart a unique trait to cancer cells that can be exploited for cancer therapy," says Dario Altieri, director of the University of Massachusetts Cancer Center in Worcester. Indeed they appear to. In rats, tumor weights in the treated animals were approximatel 60% lower than the tumors in the untreated control groups (my reading of the data in the paper, figure 8). The drug increase apoptosis, decreases proliferation, and inhibits tumor growth by acting on a critical enzyme that controls the switch between aerobic and anaerobic metabolism. The results of this study are likely to result in new targeted therapies aimed at mitochondria and, even better from an intellectual and scientific standpoint, rekindle the old argument about the metabolic changes in cancer cells, specifically: Which comes first, the metabolic or genetic derangements in tumor cells? So where do I put on my pharma shill hat? Patience, dear readers. First, you must read this from the investigators in a different news story: It is expected there would be no problems securing funding to explore a drug that could shrink cancerous tumors and has no side-effects in humans, but University of Alberta researcher Evangelos Michelakis has hit a stalemate with the private sector who would normally fund such a venture. Michelakis' drug is none other than dichloroacetate (DCA), a drug which cannot be patented and costs pennies to make. It's no wonder he can't secure the $400-600 million needed to conduct human trials with the medicine - the drug doesn't have the potential to make enough money. Michelakis told reporters they will be applying to public agencies for funding, as pharmaceuticals are reluctant to pick up the drug. At roughly $2 a dose, there isn't much chance to make a billion on the cancer treatment over the long term. And now the responses from bloggers that irritated me. First, Daily Kos: It seems to good to be true. A cheap, effective cancer cure that BigPharma doesn't own. If further research proves effective in humans, it could be TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 78 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 79 oldal / 102 the answer to many peoples prayers. I've always thought something simple, rather than the current convoluted regimen of surgery, radiation and chemicals would be the cure for cancer. Again, if proven effective, will we ever see it in use in this country? Will patients have to take 'DCA tours' to Canada for treatment? Yes, you spotted some real ignorance right there when this Randular character claimed DCA is likely a "cure" for cancer and that the cure for cancer would likely be "simple" (as if cancer were one disease!), but what I'm more interested in is the spin being put on this story. Spin like this, from Digby: And here I thought the pharmaceutical companies had to charge such high prices because of all the research they were doing. Seems without the possibility of future revenue they can't be bothered. Of course, a cheap cure for cancer would cut into profits in so many ways, wouldn't it? Yet another claim that this might be a "cure" for cancer and that pharmaceutical companies are being downright evil for not being immediately interested in it. And here's a guy blogging under the 'nym akaoni opining: Big Pharma won't put up the dough to fund human research and enable this drug to come to market, there's no money in it. In fact, it wouldn't surprise me to discover that they had an interest in actively preventing the research so as to maintain demand for more expensive less effective drugs. This drug looks to be extremely promising, and I can't imagine that it won't get government funding for human trials, but that said, it doesn't pay to underestimate the power of Big Pharma... Time for a reality check, and to lay down some Respectful Insolence™ on these guys, who sound disturbingly like alties in many ways, so much so that perhaps I should get them Kevin Trudeau's contact information: 1. This drug has only been tested in cell culture and rats. Yes, the results were promising there, but that does not--I repeat, does not-- mean the results will translate to humans. In fact, most likely, they will not. Those of us who've been in the cancer field a while know that all too common are drugs that kill tumors in the Petrie dish and in mice or rats but fail to be nearly as impressive when tested in humans. In the 1980's it was immunotherapy. Man, some immunotherapies totally melted tumors away but, sadly, didn't do nearly as well in human trials. The same is true of antiangiogenic therapy, pioneered by my surgical and scientific hero Judah Folkman. In 1998, it was all over the media (see pictures below) that antiangiogenic therapy would be the "cure" (or at least would turn cancer into a manageable chronic disease). These drugs dramatically shrank tumors in mice in two major studies published in Cell and even induced tumor dormancy, as described in Nature. Guess what? They didn't do the same thing in humans. Don't get me wrong, antiangiogenic drugs have proven to be a useful addition to our anticancer armamentarium (not to mention an area of research interest for me). However, remember the saying: "If it sounds too good to be true, it probably is." Well, it probably is in the case of DCA. 2. Cancer is not a single disease. It is many diseases, and requires many different approaches. This drug showed activity against several cancers in vitro, but there are conventional chemotherapeutic drugs that also show activity against lots of cancers. In fact, the comparison to antiangiogenics becomes even more relevant here, because antiangiogenic drugs theoretically could act against any cancer. That's because they target normal cells lining blood vessels, which are needed to grow new blood vessels to supply tumors with blood and oxygen. These cells are very stable, and much less prone to the mutations that cancer cells undergo with such frequency that can lead to resistance. In contrast. DCA targets the tumor cells themselves, which are far more likely to develop resistance. Bloggers ranting against big pharma are showing magical thinking in assuming that this drug will work against nearly all tumors, given that at best only 60-90% of cancers even demonstrate the Warburg effect. Indeed, remember how I mentioned that in this study DCA inhibited tumor growth by 60% or more in rats? Pretty impressive, yes? Compare this result to that obtained by angiostatin and endostatin, both of which melted experimental mouse tumors away to a few dormant cells. Neither were anywhere as impressive against human tumors. That doesn't mean antiangiogenics aren't useful cancer drugs (Bevicuzimab, in particular is quite effective at potentiating the effect of chemotherapy in colorectal cancer, for example), but they are useful in the same way that a number of chemotherapeutic agents are usefu: as an additional weapon. They are not miracle cures, and I'd be willing to bet that DCA isn't, either. 3. Here's where the worst misinformation is being spread about this story. It will not cost $600-800 million to do clinical trials to test this drug, yet certain bloggers are acting as if that much money will be needed to to see if this drug works in humans. That's just a load of crap. That figure refers to the total cost of bringing a new drug to market, from idea to research and development, to synthesis, to cell culture and animal studies, to patent applications, to all the clinical trials needed, to filing the regulatory documentation, all of which together can sometimes approach $1 billion. It does not refer to the amount of money required to do a clinical trial to see if there is efficacy in humans, the logical next step after what has been published thus far. In contrast to what's being spewed into the blogosphere, to run a preliminary trial to determine if there is evidence of efficacy in humans could be done for costs that are well within the means of an investigator, if he's willing to apply for grants. All he would require is a few hundred thousand dollars for a small preliminary trial (less ideal) or probably between $1 and $5 million for an intermediate-sized Phase II study against one tumor (it's the Phase III trials, with thousands of patients, that cost tens of millions of dollars). Most NIH R01 grants are funded for between $1 and $2 million (mine's for a little more than $1.3 million over 5 years), and clinical R01 grants can be funded for up to a few million dollars. Thus, this is not by any means an unreasonable amount of money to be trying raise to do the trial to confirm in humans the preclinical data and, if the effect is as great in humans as it is in animals, should be adequate to detect the drug's promise. If that turns TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 79 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 80 oldal / 102 out not to be a big enough sample, then that would imply either that (1) this drug isn't effective at all in humans or (2) isn't any more effective than many other conventional chemotherapeutics that we already have. True, the funding climate sucks these days, but Michelakis is funded by grants from the Canadian Institutes for Health Research (CIHR), Alberta Heritage Foundation for Medical Research (AHFMR), and Canadian Foundation for Innovation. He's perfectly free to apply to the NIH and other organizations for funding. Given such compelling preclinical data, hewould stand a very good chance of being funded. 4. Lastly, there was nothing stopping the investigator from patenting the idea of using DCA to treat cancer. I know someone who is doing just that for a use of a drug that's FDAapproved for treating something totally unrelated to cancer. indeed, I sincerely hope that Michelakis has, in fact, done this, because now that his results have published it's too late; the cat's out of the bag. If he had done that, he could then have licensed his idea to whatever pharmaceutical company was interested, and that pharmaceutical company would then have had a patent on the use of this drug to treat cancer. If Michelakis hasn't done that, well, I applaud his idealism (or curse his naďveté); he shot himself in the foot and made his idea less appealing to industry. I'm not in any way saying that it isn't a problem that drug companies show little or no interest in potentially promising new compounds that they can't patent. It can be a problem, just as "orphan" drugs often don't make it to market because there aren't enough patients who could benefit from the them to make it profitable for drug companies to invest in developing and marketing them. In those cases, there are government programs to encourage the manufacture of these drugs. Perhaps a similar sort of program should be in place for situations like this or perhaps tax incentives to encourage pharmaceutical companies to manufacture drugs like this. Also, if this drug were truly the miracle cure that it's being represented as, believe me, pharmaceutical companies would find a way to make money off of it, either by trying to modify it to make it more effective or adding a molecule to target it more closely to the cancer cell. What irritates me about the hysteria some bloggers are whipping up over this is that it is at its heart basically paranoid conspiracy mongering, and the reason this story has any legs at all is because people are inherently distrustful of big pharma. There are some good reasons for this and many reasons that boil down to little more than an inherent distrust of big corporations. Even now, for example, our old "friend" Dean Esmay is likening big pharma's disinterest in DCA to its disinterest in the use of high dose vitamin C against cancer. Never mind that Dean doesn't know what he is talking about when it comes to the alleged efficacy of vitamin C against cancer. Never mind that vitamin C never in even Linus Pauling's hands showed anywhere near the efficacy against cacncer cells in vitro and in animal models that DCA has. Never mind that even high dose vitamin C has shown in essence no evidence of efficacy against cancer in humans. Given those facts, it's not surprising that pharmaceutical companies aren't interested in vitamin C as a treatment for cancer, regardless of its cost or patentability. What is most pernicious about the conspiracy-mongering stories being spread about DCA is that it builds false hope. People with cancer hear about this drug, and they think there's an amazing cure out there that's being withheld from them because of the greed of big pharma. Big pharma may show a lot of greed at various times, but that's nonetheless a very distorted version of the true situation. I agree with a a blogger going under the 'nym of Walnut (the only blogger I've yet found thus far who knows enough to refrain from the usual pharma bashing over this): But this all plays into people's yen for conspiracy theories. Big Pharma hates us. And yes, I've indulged in this on my blog, I know, I know. Big Pharma is bad. But they also make money off of healing people. You know what the worst part of this DCA flap is? It builds false hope. And when it comes to cancer, I think there are fewer things crueler than building false hope. It's sadism, as far as I'm concerned. Yes, it's very easy and satisfying to take this promising preliminary study and build from it a conspiracy theory of evil big pharma "keeping cures from the people." It's just not very accurate and it adds too much heat and noise to the debate over the real shortcomings in our system of developing new drugs that make drug companies reluctant to pursue research on drugs that show promise but little profit potential. There are real, systemic problems with the financing of drug development and how drugs are marketed, but hyperbole and conspiracy theories don't address these problems; they obscure them. Look for DCA to be featured as yet another cure "they" don't want you to know about in Kevin Trudeau's next book. ADDENDUM: Walnut has posted his critique on Daily Kos as well. All Orac posts on DCA: 1. In which my words will be misinterpreted as "proof" that I am a "pharma shill" 2. W ill donations fund dichloroacetate (DCA) clinical trials? 3. T oo fast to label others as "conspiracy-mongers"? 4. D ichloroacetate: One more time... 5. L aying the cluestick on DaveScot over dichloroacetate (DCA) and cancer 6. A couple of more cluesticks on dichloroacetate (DCA) and cancer 7. W here to buy dichloroacetate (DCA)? Dichloroacetate suppliers, even? 8. A n uninformative "experiment" on dichloroacetate 9. S lumming around The DCA Site (TheDCASite.com), appalled at what I'm finding 10. S lumming around The DCA Site (TheDCASite.com), the finale (for now) 11. I t's nice to be noticed 12. T he deadly deviousness of the cancer cell, or how dichloroacetate (DCA) might fail 13. T he dichloroacetate (DCA) self-medication phenomenon hits the mainstream media 14. D ichloroacetate (DCA) and cancer: Magical thinking versus Tumor Biology 101 15. C hecking in with The DCA Site 16. D ichloroacetate and The DCA Site: A low bar for "success" 17. D ichloroacetate (DCA): A scientist's worst nightmare? 18. D ichloroacetate and The DCA Site: A low bar for "success" (part 2) 19. " Clinical research" on dichloroacetate by TheDCASite.com: A travesty of science 20. A family practitioner and epidemiologist are prescribing dichloracetate (DCA) in Canada 21. A n "arrogant medico" makes one last comment on dichloroacetate (DCA) TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 80 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 81 oldal / 102 Posts by fellow ScienceBlogger Abel Pharmboy: 1. T he dichloroacetate (DCA) cancer kerfuffle 2. W here to buy dichloroacetate... 3. L ocal look at dichloroacetate (DCA) hysteria 4. E dmonton pharmacist asked to stop selling dichloroacetate (DCA) 5. Four days, four dichloroacetate (DCA) newspaper articles 6. P erversion of good science 7. C BC's 'The Current' on dichloroacetate (DCA) Send this entry to: E mail this entry to a friend View the Technorati Link Cosmos for this entry TrackBacks (TrackBack URL for this entry: http://scienceblogs.com/mt/pings/31117) Comments Hey, the Geiers are trying to patent their Lupron protocol for the bogus treatment of autism. Why can't the DCA protocol for cancer be patented? Hell, it doesn't even have to be proven to work - it just has to be novel. Posted by: anonimouse | January 22, 2007 10:29 AM Off topic, but congrats on hitting 1,000,000 served! I might also add that a PubMed search for "efficacy xenograft" reveals over 2,000 publications, a great many with experimental agents showing efficacy similar to or better than DCA. The truth is that there are hundreds, if not thousands, of compounds competing for investment dollars of pockets big enough to develop these agents. Hence, many agents, inexpensive and not so, fall by the wayside because of cost barriers and competition with other worthy drug candidates. Targeting the Warburg effect in cancer is a pretty cool idea that I'd like to see tested comprehensively, but there is just a hell of a lot of competition out there, with most decisions made by business/marketing folks, not always the docs and scientists. Posted by: Abel Pharmboy | January 22, 2007 10:51 AM 4. Lastly, there was nothing stopping the investigator from patenting the idea of using DCA to treat cancer. I know someone who is doing just that for a use of a drug that's FDAapproved for treating something totally unrelated to cancer. Exactly. Just because the compound can be synthesized cheaply doesn't mean the drug has to be sold or dispensed for next to nothing. The use in human patent will make it attractive to drug companies just like several other antineoplastic agents that are dirt cheap to make. Nitrogen mustard is still used to treat certain cancers and it's pretty simple and cheap to make. Posted by: notmercury | January 22, 2007 11:47 AM When you see a ridiculous title from some who should know better, you should consider that it might just be a joke... Posted by: Ezra | January 22, 2007 11:58 AM At this point, whenever I hear anyone use the phrase 'Big X', I mentally substitute "the devil". There is never a loss of meaning. Posted by: dzd | January 22, 2007 12:01 PM Anti-stroke drugs are another example of drugs that have shown promise in in vitro experiments and in animal models yet, were unsuccessful in human clinical trials. In regard to the involvement of energy metabolism in a disastrous disease such as cancer, your readers might be interested to know that there is evidence that the mecahnism of other diseases, notwithstanding their genetic basis, involves altered energy metabolism (Alzheimer's disease and Parkinsonism, to name two). Posted by: S. Rivlin | January 22, 2007 12:33 PM Orac, When I read this newspaper story, I immediately wondered what was stopping physicians from prescribing this med off-label to their cancer patients. Since the safety is already known, is there anything stopping them? Besides the fact that they would only obtain anecdotal evidence on way or another, I guess. Posted by: Jennifer | January 22, 2007 12:37 PM Orac -- you, of course, are familiar with CRISP, the online search application for information on NIH-funded research, but it may be new to some of your readers. I note that NCI is funding 171 studies related to mitochondria and cancer; this is hardly an overlooked area! Interestingly, the only specific mentions of dichloroacetate in all of NIH are environmental health studies looking into the mechanisms of its toxicity. No; it is not "harmless" in the broadest sense. Bottom line: NCI is very interested in studies of mitochondrial activity in cancer, and it looks like dichloroacetate is wide open -- so PIs, start your engines! Posted by: jre | January 22, 2007 1:16 PM If DCA anti-cancer action is mainly via its ability to activate a dormant mitochondrial K+ channel, then, there are other compounds more specific and less toxic than DCA that can do the same. It would be interesting and probably important to compare DCA anti-cancer activity to one or more of these compounds to find out about their efficacy and toxicity. Posted by: S. Rivlin | January 22, 2007 1:55 PM I was wondering why he was going private sector for funding when there are public funds available for these tests. At least, I thought there were. I'm at the University of Calgary and we hear all the time about our cancer research centre, but never really in the context of a private donor. Maybe I just don't understand how medical testing works re: funding, but if something is promising and has press, the Alberta government will be all over it to fund as it makes them look rather good. And this might be urban university legend only, but I was under the impression that certain sections of the university could not have corporate sponsorship, so that might also contribute to it. I guess my mind just doesn't jump to "conspiracy!" fast enough. Posted by: Jess | January 22, 2007 3:49 PM ORAC: thx for doing such an extensive review of the claims being made for DCA. Hopefully it'll get some play over there. Posted by: boojieboy | January 22, 2007 4:23 PM All this cost/profit talk has me thinking about the whole process again. I've seen quotes of hundreds of millions of dollars to get a new drug to market and I don't doubt them. My question is, is there anything we can do to make this better? We talk endlessly about the patent process and the number of patients and whether we're providing enough profit incentive to get the research done. What can we do on the other side, though? If we could lower the cost in the first place, we wouldn't have to do worry nearly about generating huge potential revenues through patents or large numbers of patients. The revenue bar to jump over and into the black would just be a lot lower. I want to make it profitable to find a cure for a rare but terrible disease, and it would be really nice if that profitability could come from a less expensive R&D cycle than from insanely high prices for an already unlucky few. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 81 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 82 oldal / 102 I'm really not familiar with the drug R&D industry at all, so I can't make any suggestions. Is there a way to (safely) change regulations? Can we do more to subsidize research? We subsidize domestic energy and food production in the name of national security. How do those subsidies compare to government support for homegrown pharmaceutical research? Anybody have any thoughts (he asks, knowing full well that he'll probably be buried in answers)? Posted by: Troublesome Frog | January 22, 2007 4:37 PM Guide to conspiracy theories regarding Big Pharma (or the US government or some other powerful 'bad guy') and Disease X: 1. Big Pharma suppresses the cure for Disease X because there is no money in it for them. 2. There is no Disease X; Big Pharma just wants us to think that there is because there is money in it for them. 3. There is a Disease X, but Big Pharma can't cure it; we'd never get it in the first place if we would just (eat raw foods, see a chiropractor etc). 4. Big Pharma created Disease X, either a) as a side effect of its 'cure' for Disease Y or b) deliberately, because it wants to make more money. Posted by: Colugo | January 22, 2007 5:34 PM If Ray thought of 'Big Pharma' instead of 'Stay-Puft Marshmallow Man' in Ghostbusters, what would they have had to fight? Posted by: Lucas McCarty | January 22, 2007 6:15 PM The kneejerk backlash against pharma companies really irritates me. But then I would say that wouldn't I. The pharma companies have had a huge impact on quality of life, as well as length of life. Just off the top of my head, antidepressants, bisphosphonates, antiepileptics and antiparkinsonism drug have had massive impacts. I could go on and on. Yes, 'Big Pharma' is a bit naughty from time to time. They introduce isomers that have no benefit over the parent compound (compare esomeprazole with omeprazole), and they play about with dosage forms: Tritace (ramipril) caps were withdrawn a few months before the patent ran out and tabs introduced, the same with Flomax (tamsulosin). They bring out modified release preparations that have no advantage over standard products: Cardura (doxazosin) and Cardura XL. But part of my job is to guide doctors through this maze and advise them on the most cost effective choice. Colugo, conspiracy theory 2 does has a ring of truth to it. Of course the condition actually exists, but once a new drug is approved for it the marketing and education machines go into overdrive - I got stacks of information on restless legs syndrome from GSK once Mirapexin was approved for it.Theory 4 also has a ring of truth: corticosteroid induced osteoporosis and gastric ulceration anyone? 1 and 3 are total bollocks though. Posted by: ukcommunitypharmacist | January 22, 2007 6:20 PM I hope I'm on record as solidly rejecting any and all conspiracy theories claiming that pharmaceutical companies have suppressed or are suppressing new discoveries in order to protect their profits. With that out of the way, let me gently suggest that there is a reason people find such theories plausible: it's because pharmaceutical company executives behave like unprincipled scum. From the Wall Street Journal, 03 Jan. 2007, we have an article titled "Inside Abbott's Tactics to Protect AIDS Drug." Here's an excerpt: At one point the executives debated removing Norvir pills from the U.S. market and selling the medicine only in a liquid formulation that one executive admitted tasted like vomit. The taste would discourage use of Norvir and competitors' drugs, the executives reasoned, and Abbott could claim it needed Norvir pills for a humanitarian effort in Africa. Another proposal was to stop selling Norvir altogether. (Chart showing US sales of Kaletra climbing from $20M in 2000 to $400M in 2005, with $500M projected for 2006) A third proposal carried the day: quintupling the price of Norvir. One internal document warned the move would make Abbott look like a "big, bad, greedy pharmaceutical company." But the executives expected a Norvir price hike would help Kaletra sales, and they bet any controversy would eventually die down. They were right. Kaletra sales in the U.S. rose 10% over the next two years. Some objected that the price hike made it harder for patients who needed drug combinations pairing Norvir with non-Abbott pills to get their medicine. After an initial burst, the criticism faded, partly because Abbott exempted government health plans and AIDS drug-assistance programs from the Norvir price increase. Anyone else think there's more than Norvir that tastes like vomit here? This is the central contradiction in the existing system for drug R&D. On the one hand, Abbott executives see sick people as a resource to be exploited by any means, fair or foul. On the other hand, without Kaletra, Norvir and the rest of the pharmacopeia, there are a lot of living people who would be dead. Posted by: jre | January 22, 2007 6:44 PM Just for clarification, does DCA stand for 'dichloroacetic acid', or for 'dichloroacetate', implying that it is in a salt form, or perhaps an ester of the acid? Posted by: Renee | January 22, 2007 6:45 PM Troublesome Frog, Well, we could stop doing so much of that pesky safety and efficacy testing. Don't hold your breath for that, though. The current push is in the other direction. Recent criticism of the FDA says it should be doing even more to ensure that rare but serious side effects are detected before approval. But never fear, there's an easy solution. One that doesn't compromise safety or efficacy testing at all. We just need to get better at predicting which drugs are worth testing in the first place. Right now, a drug that enters Phase 1 testing has something like a 10% chance of being approved. Bump that up to 30% or 50% and drugs will get a lot cheaper. By the way, if you figure out how to do that, please PLEASE let me in on the secret. Your net worth will probably make Gates look middle class. Humor aside, I don't know what else we can do. No doubt there are some other changes that would have modest benefits (although which changes is hotly debated). But for dramatic improvements, we either need to decrease the cost of getting a successful drug approved, or decrease the amount of money spent on unsuccessful ones. IMO, of course. Posted by: qetzal | January 22, 2007 6:54 PM Points well taken. I may have been a bit hyperbolic in the title and content of my post (Will Cancer Panacea Go Unfunded?), but from the information from the TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 82 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 83 oldal / 102 NewScientist.com article, DCA did sound rather promising. Regardless, thank you for your comments and your post. It's easy to read something that reinforces preconceptions and jump to conclusions. I am not a doctor or a scientist, nor am I intimately familiar with the process of testing and bringing medications to market. From the content of the article DCA didn't sound as though it was going to be a profitable venture, and as such may well have been ignored by the pharmaceutical industry. You have informed me that I may have been incorrect on this count. I did however state that I believed that DCA would receive public funding, and if it is promising it certainly should. That said, my point was not to make DCA out as a surefire cure for Cancer, nor was it to raise expectations of some miracle drug. Rather, it was to highlight some of the problems that exist today in the development and distribution of useful and important drugs, and to point out that profit motives for big corporations is not always a positive force. I will admit that I am rather reflexively distrustful of big corporations, not because I think they're inherently evil, but because they are largely amoral constructs, whose purpose is not to serve the public good, but rather to generate profit. This is certainly not all bad; we know that corporations help drive the economic engine of the US and provide both goods and services for public consumption. But they do not make decisions based on what is good for the nation or the world at large, instead they make decisions to make money and please their shareholders. In the case of pharmaceuticals this can have some negative consequences, including unprofitable drugs being ignored, drugs being rushed to market before adequate testing has taken place, or drugs being priced at too high a level for people who need them to afford them. Finally, while I am not wholeheartedly opposed to alternative medicine, I am by no means an "altie." I place a great deal of importance on the development and distribution of medications which will serve the public. It is for this reason that the article on DCA caught my attention in the first place. Posted by: akaoni | January 22, 2007 6:58 PM Renee, they are the same. Posted by: Robster | January 22, 2007 7:34 PM Lucas McCarty: "If Ray thought of 'Big Pharma' instead of 'Stay-Puft Marshmallow Man' in Ghostbusters, what would they have had to fight?" The familiar 'fat cat'? http://www.newstarget.com/019956.html As much as I enjoy making fun of conspiracy theorists, I have to admit that there are small elements of truth to some of the recycled chestnuts I listed, as UK Community Pharmacist points out. Posted by: Colugo | January 23, 2007 1:47 AM When you see a ridiculous title from some who should know better, you should consider that it might just be a joke... It sure didn't sound like a joke to me, Ezra. Look at what your first words were after your ridiculous title "Objectively Pro-cancer": Digby lights on the sort of story that makes my blood boil: So the title's a "joke" but you're outraged enough to say that the story "makes your blood boil"? Sorry, I don't buy it. You said something stupid, and I called you on it. Just admit it. We all screw up every now and then and put our foots in our mouths, so to speak. Posted by: Orac | January 23, 2007 9:08 AM Two points: 1) It's possible to criticize our current drug development system without indulging in conspiracy theories. I thought Matt XIV, a commenter on my post, really nailed the problem: "This is a major blindspot of the incentive structure of the patent/FDA approval system. If you can't patent the compound, it is often impossible to make a profit on it after the expenses of clinical trials. DCA as a compound may be cheap, but DCA as a drug is expensive, because it isn't considered a legit drug until it goes through clinical trials, which aren't cheap whether the money is recouped by charging monopoly prices for the finished product or collected via taxation." I don't expect pharm companies to fund drugs that aren't lucrative or potentially profitable. However, unless the system is fixed, promising treatments (like DCA) will end up being ignored because they are too cheap. That seems nonsensical. We shouldn't make it more difficult to fund clinical trials for less expensive medicine. 2) It's possible to talk about possible cancer drugs that seem promising in rodents without engaging in a celebration of "woo," as you like to call it. As I noted in my blog post, "Chances are, of course, that DCA won't turn out be a miracle cure. (This isn't the first anti-cancer drug to look great in the lab, and it won't be the last.)" If you want to have a serious discussion about the state of research and drug development then I suggest you stop labeling all who disagree with you as conspiracy mongers who peddle false hope. Posted by: Jonah | January 23, 2007 12:29 PM Thanks for doing this post. I've had something very similar in the works for a few days now, but Movable Type troubles behind the scenes have kept me from posting. As someone who has been earning a living doing oncology drug discovery, I can tell you that this is a very interesting idea - and is nothing more than that until it gets into humans. Which, as you point out, it most certainly can, considering it's already used in humans for other indications. More when I can get it onto my site! Posted by: Derek Lowe | January 23, 2007 1:17 PM Thanks for posting a very interesting and informative article! I don't think "Big Pharma" "suppresses" cures, but the disconnect between the social benefit produced by cheap treatments, vaccines, etc., in the form of reduced mortality and morbidity, reductions in lost economic productivity, etc., and the relatively low levels of profit derived from their sale proves that we cannot rely exclusively on the private market to develop new treatment and therapy strategies. Posted by: knutsondc | January 23, 2007 7:31 PM Jonah: Three points (because when you're as long-winded as Orac always is, two is never enough): 1. I didn't once use the word "woo" in this post. I did, however, point out that some of the bloggers ranting against "big pharma" on this on this were clearly exhibiting magical thinking that is bordering on altie-like, if not already there, Read the specific posts that I linked to (particularly Digby and akaoni) if you don't believe me. I stand by my characterization. And, no, I am not labeling "all who disagree" as "conspiracy mongers peddling false hope" and tried to be specific in picking my targets, TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 83 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 84 oldal / 102 restricting my "insolence" to some egregious examples of specific bloggers who are guilty of that. In addition, my comments were so vociferous because I really believe this sort of thing is harmful. Again, I stand by everything I wrote in this post. 2. You were pointedly not one of the bloggers mentioned as demonstrating that magical thinking, although I did take you to task in the comments of your own blog for repeating the half-accurate factoid that it would take "hundreds of million" dollars to test this drug in humans. At the risk of irking you again, though, it is hard not to remind you that you did entitle your post "When promising cures are ignored" (emphasis mine), not "When promising drugs are ignored." Whether that was just sloppy on your part or done in order to tweak, it did catch my attention. In any case, DCA is almost certainly not a "cure" and is certainly not being ignored; it's getting more attention at the moment than just about any anticancer compound I can think of. In any case, I only mentioned that I had learned of the story through you (and some readers) at the very beginning of my post in order to send a little traffic over to a fellow ScienceBlogger. You seem to have taken this a bit more personally than is warranted. 3. Nowhere did I say that it isn't possible to talk about promising cancer drugs that work in rodents without engaging in a "celebration of woo" (a term, again, that I did not use in my post or in either of the two comments that I left on your blog). In fact, my main objection to the sort of spin being put on the DCA story by the Kos diarist, Digby, et al is that it is unproductive and muddies up the very discussion you want to have about problems getting pharmaceutical companies interested in drugs that aren't patented and therefore have little profit potential. In short, it generates a lot of heat and no light. Quoth I: I'm not in any way saying that it isn't a problem that drug companies show little or no interest in potentially promising new compounds that they can't patent. It can be a problem, just as "orphan" drugs often don't make it to market because there aren't enough patients who could benefit from the them to make it profitable for drug companies to invest in developing and marketing them. See? I acknowledge that it there is a problem with the incentive structure for developing new drugs. And here's me explaining why the blogosphere's take on this story irritated me so much: What irritates me about the hysteria some bloggers are whipping up over this is that it is at its heart basically paranoid conspiracy mongering, and the reason this story has any legs at all is because people are inherently distrustful of big pharma. There are some good reasons for this and many reasons that boil down to little more than an inherent distrust of big corporations. [...] What is most pernicious about the conspiracy-mongering stories being spread about DCA is that it builds false hope. People with cancer hear about this drug, and they think there's an amazing cure out there that's being withheld from them because of the greed of big pharma. That's a very distorted version of the true situation. [...] Yes, it's very easy and satisfying to take this promising preliminary study and build from it a conspiracy theory of evil big pharma "keeping cures from the people." It's just not very accurate and it adds too much heat and noise to the debate over the real shortcomings in our system of developing new drugs that make drug companies reluctant to pursue research on drugs that show promise but little profit potential. I realize that I may be a tad on the blunt side sometimes, but I think you're over-reacting. Posted by: Orac | January 24, 2007 7:47 AM Derek: Thanks for chiming in. It's good to hear from someone actually in the business. (I'm in academia.) Posted by: Orac | January 24, 2007 7:49 AM "Read the specific posts that I linked to (particularly Digby and akaoni) if you don't believe me. I stand by my characterization." Orac, I can't agree with you here , particularly on your slagging off of Ezra. Proving a drug's safety and efficacy takes $$$. Not as much as the numbers the pharma industry throws around (which come from two academics at Tufts: basically, they're are economic costs [i.e. including expected return on investment] counting in discovery overhead and failures, not accounting costs for one specific drug). A pharma company CFO is *required* by fiduciary duty to get a return on capital for their shareholders. They can't get the requireed return on investment. It isn't a question of individual morality of the CEO or CFO or any conspiracy here. Now, it's not out of the question the non-patentability could be worked around given that a pharma company, with smart medicinal chemists like Derek, could derivatize DCA to both improve it and make it patentable (a methyl group here, a phenyl group there, and soon you're talking real money). Or a synergistic patentable co-formulation could be found, analogous to the augmentin antibiotic. But there is a structural problem with developing non-patentable molecules as drugs, and with developing drugs for diseases with small patient pools ('orphan drug' incentives aren't sufficient). A possible solution might be to have a non-profit fund the drug, or have the government have [smaller] firms bid on a contract to develop the drug, using CRO's for the clinical trials and relying on the generic drug makers to pick it up once it went through Phase III. We do have potential policy levers to solve this problem (although the DHHS's experience sponsoring vaccine development in Project BioShield doesn't give one hope on its effective execution.) Posted by: No Longer a Urinated State of America | January 24, 2007 11:29 AM Orac, you write: Lastly, there was nothing stopping the investigator from patenting the idea of using DCA to treat cancer. I know someone who is doing just that for a use of a drug that's FDA-approved for treating something totally unrelated to cancer. I'm confused by this, and would like you to expand on it... My understanding of the patent system is that you can patent an inventions, but you can't patent an "idea". To give an example from the high-tech world, if you have a patent on an algorithm, you can't restrict people from describing that algorithm, but you can stop them from selling computer TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 84 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 85 oldal / 102 software that uses that algorithm with a license from you. So how is a patent on the "idea of using DCA to treat cancer" supposed to work? As long as it's legal to sell DCA without a license from a patent holder, and it's legal for doctors to prescribe it, how can a patent holder get royalties when a doctor prescribes DCA for a patient with cancer? What I can imagine is getting a patent on a particular treatment that has DCA as part of the treatment... Maybe the researcher finds that you need to use it with a different drug to be safe and effective, and patents the combination. If one then takes this combination through clinical trials, only the combination would be available by prescription, and the inventors would be assured of their royalties. But my understanding of the patent system is that treating new conditions with old drugs is not protectable with a patent. Am I wrong on this? Posted by: Alex R | January 24, 2007 11:32 AM The researchers did, in fact, file a 'use' patent: more on DCA Posted by: Peter K | January 24, 2007 1:36 PM Today there are thousands of pets dying from CANCER! Let's try DCA on them in the hope that they may live. This could speed up the approval process for human trials. Posted by: Bill Oldknow | January 26, 2007 4:00 PM Bill Oldknow, I agree. That's actually the reason I'm browsing these sites to get a fuller picture of the efficacy of this DCA treatment for possibly my dog suffering from cancer. DCA seems like a safe treatment as an alternative to chemotherapy. However, I'm going to try to find out more. This blog doesn't explain much with vague unscientific negatives such as the following statements: - "However, remember the saying: "If it sounds too good to be true, it probably is." Well, it probably is in the case of DCA." - "They are not miracle cures, and I'd be willing to bet that DCA isn't, either." What role does "probably" or "bet[ting]" play in an objective blog? None whatsoever, unless the article is biased. It's really deceptive to claim to be a science blog ... However, as a reader, I do appreciate the effort in providing an alternative perspective, even if it is biased, as it provides me another data point. As for the defense of pharmaceutical corporations ... I have personally stayed away from all forms of drugs for the last decade or so with no ill effects. I think it is more than possible to avoid these drugs if a healthy lifestyle is substituted. These pharma drugs are for profit NOT necessarily for health since there are inexpensive, safer alternatives available. These pharma drugs are probabilistic ventures into our health; seems like more a risk than its worth. However, it probably provides a job support structure for all those NIH research applicants out there and provides an appearance of validity for the pharmaceutical corporations. Posted by: Arun | January 28, 2007 11:47 AM Arun, Give me a break. You cherry picked two statements from a very long post and then dismissed them as "not scientific." In actuality I explained exactly why caution is warranted, after summarizing the results of the reported research and how DCA is thought to function and correcting misinformation that's being spread about how much it would cost to do the next clinical trial necessary to demonstrate DCA's efficacy. Long is the list of drugs that seemed to be almost miraculous cancer cures in mice but failed in humans. It is possible that DCA may be just as miraculous as it's being billed as. However, based on my experience doing cancer research and studying antiangiogenic compounds, I tell you that it's far more likely than not that it is no miracle cure. As for your comment that big pharma "provides a job support structure for all those NIH research applicants out there and provides an appearance of validity for the pharmaceutical corporations," well, that's exactly the sort of conspiracymongering I was talking about in my post. By the way, perhaps you could "educate" me as to the "inexpensive, safer alternatives available" to treat cancer. DCA may turn out to be just such a thing, but I'm unaware of any cheap "alternatives" that are as efficacious as the combinations of surgery, chemotherapy, and radiation. I (and pretty much every doctor that deals with cancer) wish there were such "alternatives." In any case, here's your chance to shine and teach us all a lesson. Posted by: Orac | January 28, 2007 12:59 PM Peter K, I checked the official U.S. patent office website, the For Dummies website, and other websites for more information and found out that the U.S. has 3 basic patent types: utility, design and plant. The most common kind and the kind which I think applies to drugs is the utility patent. SCOTUS has also, apparently, extended patents in other ways, to include other (non-plant) living organisms. I couldn't find any information, even on Canada's patent website, on "use patents." Perhaps they're known by a different name or perhaps it's because searching with "use" returns a million unrelated results. Could someone in the know clarify this? Also, like Alex R questioned, how could something like this be enforced regardless of jurisdiction beyond perhaps advertising? FYI, I think the "no ideas" thing only applies to copyrights, not patents. Posted by: Nathan J. Yoder | January 30, 2007 2:45 AM I have a Google Alerts set for DCA and this is the best and most complete series of blog posts that I have seen. In the face of hopig for miracles, it is important to be realistic in ones expectations. I am not sure what patents they might or might not have. None are evident at http://patents1.ic.gc.ca/intro-e.html I was curious about one thing. I have seen DCA refered to as Sodium Dichloroacete also. Is this the same as what is refered to in the article or is it a variation? Phil Posted by: Phil Monk | January 30, 2007 10:45 AM Would like to point out the chemotherapeutic drug DFMO which acts as a depressor of the ODC enzyme,which has a key role in the Synthesis process of Polyamine molecules. The drug showed very promising results at the the in vitro stage but did poorly at the human experimental stage. big disappointment. I would also like to suggest that you write a post about the polyamines molecules. this important molecules receive little if any exposure to the public eye(though I'm sure most of the public couldn't care less). Posted by: areh | January 30, 2007 11:22 AM It's pretty easy to believe that money is more important than human lives to many powerful entities. If we pretended for a moment that we lived in a world without Cancer and AIDS, the money that would be lost would certainly be in the billions, a number that would be out of TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 85 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 86 oldal / 102 touch with the average individual. The sad part is that while no cures have been found that I know of, there are scientists that have created much better treatments than chemotherapy with exponentially higher success rates, keeping cancer in remission while giving a better quality of life - and you'll never hear about these treatments. There have been doctors and scientists in jail under claims of fraud and violating various FDA laws - families destroyed and lives lost - according to law and a justice system that doesn't care if the treatment "works", only if it was processed or sold according to rules set up by the FDA. What if these treatments were natural and couldn't be patented by a drug company? Truth is stranger than fiction. Posted by: Mike | January 30, 2007 11:49 AM Peter and Nathan, A "use" patent loosely refers to a utility patent with claims drawn either to a new use for a compound (e.g., "Use of DCA for curing cancer.")or to a method employing the compound (e.g., "A method of curing cancer comprising administering a therapeutically effective dose of DCA."). Generally, using a new compound in an old method may be patentable. You may not have found teh applications because patent applications are not published until 18 months after they were filed. Posted by: Alan | January 30, 2007 1:01 PM Mike stated: The sad part is that while no cures have been found that I know of, there are scientists that have created much better treatments than chemotherapy with exponentially higher success rates, keeping cancer in remission while giving a better quality of life - and you'll never hear about these treatments. So, do you have any references where I can find documentation of the exponentially higher success rates for these treatments? Posted by: tonyl | January 30, 2007 3:59 PM The sad part is that while no cures have been found that I know of, there are scientists that have created much better treatments than chemotherapy with exponentially higher success rates, keeping cancer in remission while giving a better quality of life - and you'll never hear about these treatments. Do tell. I agree with tonyl: Educate us about these treatments with "exponentially higher success rates." Oh, and intravenous vitamin C doesn't count, nor does Laetrile; neither has an "exponentially higher success rate" in treating cancer. In fact, neither of them does much of anything against cancer. Posted by: Orac | January 30, 2007 5:15 PM Re the type of patent called by the name 'utility' This is the legal term for what is commonly called a 'use' patent. There are 3 main things which must be satisfied for a use patent to be granted: 1. The item/substance/thing must have some practical application, and have been reduced to practice, that is shown by some testing to be useful in this application.* 2. It must be a novel idea, that is a new idea to use the thing/substance/item for this practical application. 3. The novel idea to use the item/substance/thing in this practical application must be unobvious to one skilled in the art of that particular field. Which means, in this case of DCA, that this substance has the practical application of treating cancer, that it has been shown by some testing that it has utility in treating cancer (even if it's in vitro), that using this substance to treat cancer is a new idea, and that it would be unobvious to persons in fields like medical/pharmaceutical research that this substance would/could be useful in treating cancer. Patent-wise, it doesn't matter that DCA is a substance that's been around a long time, that it's an organic acid that probably has use in organic synthesis, etc. If there had already been any scientific papers out there by prior researchers who have worked with DCA and shown that it does/might have some cancerfighting properties, than this would keep the Alberta researchers from being able to file for a US patent. And now that the Alberta researchers have announced publicly that DCA has promise as a cancer drug, this would keep a pharmaceutical company from being able to patent this substance for treating cancer. If the Alberta researchers had checked to see that there were no prior publications or public presentations on DCA and cancer, then they could have filed a patent application (it can take 1-3 years for the actual patent to be granted). Only after the application could they have gone public with their findings. As it is, the cat is out of the bag, so to speak. *You cannot patent a new, practical application of a thing/item/substance without showing by some sort of testing that it has practical value. A person can't just say, "I'm sure that DCA can fight cancer in vitro. Now I'm going to file for a patent!" The patent office will ask for proof (i.e., tests of some sort) that DCA actually has a negative effect on cancer cells. Getting a patent is not the same as getting FDA approval to market a drug for a particular illness/condition. The patent office does not require clinical trials. However, without getting FDA approval, the drug company can't sell the drug. What patents do is protect a company from having their competitors sell the same substance/item/thing for the specified practical use, for a specified number of years. Posted by: Renee | January 30, 2007 5:26 PM In those blogs and stories on DCA, DCA is referred to as a drug well tested and used as a therapy for other (unspecified as fas as I've seen) conditions. Is this true? If so, what's to stop me from getting this from my doctor regardless of trials or patents? How would a patent for a drug already in use for other condition(s) be applied to its use for cancer(s)? Thanks. Posted by: Luckynumberxiii | January 30, 2007 5:46 PM The sad part is that while no cures have been found that I know of, there are scientists that have created much better treatments than chemotherapy with exponentially higher success rates, keeping cancer in remission while giving a better quality of life - and you'll never hear about these treatments. Kevin Trudeau, ladies and gentlemen. He'll be on your 2 a.m. informercial all week. Be sure to buy two copies of "Natural Crap That Doctors Don't Know About Because It's Bogus" and receive a free membership to his equally bogus "Natural Crap" website. There have been doctors and scientists in jail under claims of fraud and violating various FDA laws - families destroyed and lives lost - according to law and a justice system that doesn't care if the treatment "works", only if it was processed or sold according to rules set up by the FDA. Kevin, let me make this clear. People who got busted by the FDA for TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 86 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 87 oldal / 102 selling bogus cancer drugs were busted because their drugs were bogus. If the Hoxsey therapy or laetrile actually worked on cancer, the drug companies would've found a way to make money off it. But they don't work, so they can't. You don't get to violate the law because you think your magic drug works, and you don't get to circumvent the standard of care in medicine because it's keeping you from your profitable work. Posted by: anonimouse | January 30, 2007 5:50 PM Why do you even bother arguing with him? As much as he concerned,you may very well be a part of the conspiracy :P Posted by: areh | January 30, 2007 5:56 PM Isn't it possible to develop this using an open/free source approach? Like in Linux, Oscar (the car) or Free Beer, for instance. Posted by: Anonymous | January 30, 2007 7:37 PM This looks like the patent (application): http://www.wipo.int/pctdb/en/ia.jsp?IA=CA2006/000548 Its presumed "toxicity is predicated mainly on data obtained in inbred rodent strains administered DCA at doses thousands of times higher than those to which humans are usually exposed" (http://www.ehponline.org/members/1998/Suppl-4/989994stacpoole/stacpoole-full.html Off label use is a tricky thing. There needs to be some kind of general consensus before it would be commonly used for something it is not approved for. Pharmaceutical marketers seek out early adopters when they launch a new drug. These are usually Key Opinion Leaders (KOLs) who set the trail for others to follow. Without that push and pull, the early adopters need to take the lead themselves. In a case like this, it will usually follow the publication of (case) studies that show benefit. It could also be that some KOLs starting using it and word of mouth spreads. Lord knows that there are likely enough people who would be willing to take a chance. The thought in the back of the minds of those who follow would be that if ever brought to task, they could point to some body of understanding that would remove at least some of their liability should an adverse event occur. Posted by: Phil Monk | January 30, 2007 10:12 PM Renee, thank you for the response. Are you a lawyer? I ask not out of insult, but because issues like this tend to be complicated (in terms of understanding all the specific precedent--not just word of law) and generalized descriptions don't help much without the guidance of an expert who knows how it really applies in a specific case. I am curious to see such a patent is/would be even valid in the first place, but mostly I'm curious about the enforcement aspect (ala off-label use). I tried asking in one particular forum with lawyers, but they didn't seem to know much about it. I'm too lazy, but someone could perhaps try asking on lawyers.com. The main thing about this that makes me doubt the patentability is that it would seem virtually impossible to enforce (and IIRC continued enforcement is a criteria to keep a patent valid), so even if the courts would uphold it initially, it would crumble if they didn't do anything to thwart violations. Phil Monk--I don't know about Canada, but in the U.S. a doctor is not legally required to have any kind of consensus to prescribe for an off label use. The only regulation I know of in this regard is that the pharmaceutical company can't advertise/endorse a new use without FDA approval. This is why I can't conceive of how it would be enforced, especially because a doctor doesn't even need to specify on the prescription what it's being used to treat. So what does prevent a U.S. doctor from simply prescribing it off-label? Hugs and cinnamon buns, Nathan Posted by: Nathan J. Yoder | January 30, 2007 11:08 PM Orac, I appreciated your comments on the DCA paper, and I understand your skepticism, but there is no reason for including these unscientific statements in an otherwise informative article. Maybe you have to deal with crackpots on a daily basis, but I still don't agree with dismissing an idea without full understanding (I consider that unscientific). Personally, I don't care about all the false miracle drug cases out there; but I do care about DCA since it seems scientifically plausible. As for my statement regarding safer alternatives, it is not for cancer (that's too late). It's regarding the obvious alternative of leading a healthy lifestyle. I feel there's far more emphasis on curing rather than prevention, and I believe that has more to do with profit. For me it seems obvious. Long time ago, I used to conduct microbiology research as an undergrad on the natural mechanisms of fever, but apparently this area wasn't very well funded because it doesn't provide an incentive to the profitable industry or to NIH. I ended up switching my major to physics which I found to be far more objective. It's ridiculous how NIH is driven by industry. Other government agencies suffer from the same problem, so it's not just NIH. Far too often do I hear people either selling their own research or disparaging other people's research; it seems like a big marketing game ... maybe I'm wrong ... I doubt it. Posted by: Arun | January 30, 2007 11:11 PM Jumping Jesus on a pogo stick! "Dismissing the idea without understanding it"? I read the article and thought the science as highly interesting--and said so! That's hardly "dismissing" the work in the paper. I merely put things in context and pointed out that DCA was not a cure and probably won't do nearly as well in humans. That's hardly "unscientific," given the relatively low rate of drugs that work in mice and work as well in humans. That's hardly "unscientific" or "unskeptical." What I was "dismissing" was the misinformation and conspiracymongering, and I explained exactly why I considered it such. As for whether there is insufficient emphasis on prevention over cure, that is mostly irrelevant to the discussion of this particular drug, which is intended as a treatment/cure. Posted by: Orac | January 30, 2007 11:14 PM Off label use is the same in Canada as it is in the US. But how does Dr. Joseph Average use DCA? At what dose? For how long; only as long as the chemo, or should it continue after the chemo; or only after the chemo ends? Should it be used daily or pulsed? One could go on ad infinitum. The point is that there needs to be understanding among the average treatment community on how to use it based upon the experiences of the leaders of the community. Posted by: Phil Monk | January 30, 2007 11:31 PM It's totally off-topic, but as a former PET researcher, I just had one point of clarification based on your comment: "Indeed, increased glucose metabolism resulting in increased avidity in taking up glucose TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 87 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 88 oldal / 102 is the entire basis of positron emission tomography (PET scans)." I have to disagree. The basis of PET is the labeling of interesting compounds with positron emitters and the ability to measure accurately, in 2 or 3D, the source of the photons emitted from a positron annihilation event. The connection between glucose metabolism and glucose uptake is, indeed, the basis of 18-Fluorine-2-Deoxyglucose (FDG) pet imaging of glucose metabolism and can delineate high-metabolism cancerous areas. I believe that 15-O water can also be useful as it maps blood flood and shows highly vascularized tumors (c.f. that part about angiogenesis and tumors). So yes, PET is interesting for cancer studies, but it has uses way beyond cancer (e.g. dopamine D2 ligands such as 11C-raclopride) and its "basis" is certainly not metabolic imaging, even if that was the first application. Its basis is some fairly simply underlying radiochemistry and computer algorithms that make it work. Keep fighting for the truth! Posted by: Neil | January 30, 2007 11:58 PM Alright, alright, I should have said the "basis for the ability of PET scanning to detect cancer" or something like that. ;-) Posted by: Orac | January 31, 2007 12:14 AM Anonimouse, I don't know much about Kevin Troudeau - I only know those things that myself and my family have experienced first hand. Why is it so easy to believe that companies profit from war and destruction but so hard to believe that people are kept from being as well as they could be for others' financial benefit? Posted by: Mike | January 31, 2007 1:41 AM Why is it so easy to believe that companies profit from war and destruction but so hard to believe that people are kept from being as well as they could be for others' financial benefit? Because businessmen are quite smart; keeping secrets like that are HARD. Much harder than you seem to think. Other corporations, other large businesses, other smaller businesses can put pieces together and figure it out. And from the other end, it's usually more expensive to keep such things secret (at the level they need to be in order to to keep the conspiracy effective) and generally isn't worth the problem. Posted by: gwangung | January 31, 2007 2:33 AM In the US you can patent an invention for up to a year after it has been publicly divulged. This is not true in the rest of the world, with possibly a very few exceptions (Phillipines?). Posted by: bob. | January 31, 2007 3:34 AM Why is it so easy to believe that companies profit from war and destruction but so hard to believe that people are kept from being as well as they could be for others' financial benefit? Maybe because I have a much easier time understanding how a Halliburton executive could keep his son out of Iraq than how a Pfizer executive could keep his daughter from getting cancer. Remember that there are lots of non-Big-Pharma major economic players who would seriously benefit from a major reduction in the cost of medical care. Their collective economic clout greatly exceeds that of Big Pharma. A good conspiracy theory doesn't require most of its wealth-mad participants to act against their own economic interests. Posted by: ebohlman | January 31, 2007 5:15 AM It's the insurance companies who are paying those high prices for drugs. The billion dollar organizations have enough clout to get testing done. They could fund it themselves. Just think of how DCA could, if it turns out to be what we all hope it is, reduce medical costs and keep people alive longer so they'll pay medical premiums longer. This is a potential windfall for the insurers that they will not let go by. Posted by: Warren | January 31, 2007 6:44 AM 1) Read the book "The Hidden Story Of cancer by Brian Peskin, 2006. 2) Big Pharma is good and bad. Now if they would stop making some "bandaid" drugs and get down to the root cause of the problem they'll find that they can't change it because the root problem is in our poor food supply and in the 50,000+ chemicals created that pollute us. 3) Many answers are simple but sometimes the eggheads can't help but trip over their IQs looking for their brilliance in a solution. 4) Big Media won't tell all the news because big media gets a ton of money from BP. Here's an equation that is used 1,000s of times a day. M=PIC...Money = Power, Influence and Control. 5) Health is big money and to keep the big money flowing it just makes sense to keep as many people popping pills on a monthly basis as possible. And if you need more revenue, one tactic is to change the "healthy range" of whatever so you can increase the population that "needs" to take your bandaid drug. Statins (which are proven to be close to useless) comes to mind...hmmm...me thinks its time to change the "healthy range" again 'cause my coffers need a fill'n. Health should always come before money. Posted by: Otto's the man | January 31, 2007 12:51 PM "But it hasn't been tested human", LOL! Its already used on humans for other things! There is no reason to not start testing... Posted by: Sturmrabe | January 31, 2007 2:36 PM Why is it so easy to believe that companies profit from war and destruction but so hard to believe that people are kept from being as well as they could be for others' financial benefit? Ah, the "big conspiracy" theory. The reason that can't work is simple - too many people would have to be involved. Public health agencies, government regulatory bodies, medical professionals and big Pharma would all have to be working in relative concert. And historically, all four of entities are too busy beating up on each other to pull something like that off. It's far easier to pull a string here and there to move a cushy government contract to the "right" vendor than it is to systematically keep people unhealthy. Posted by: anonimouse | January 31, 2007 3:59 PM 1) Read the book "The Hidden Story Of cancer by Brian Peskin, 2006. Is he related to Kevin Trudeau? Maybe you should get together with Mike and form a woo comedy team. ("one of these homeopathic remedies is not like the other, not like the other...") 2) Big Pharma is good and bad. Now if they would stop making some "bandaid" drugs and get down to the root cause of the problem they'll find that they can't change it because the root problem is in our poor food supply and in the 50,000+ chemicals created that pollute us. Yeah, because our food supply a hundred years ago was so much better - you know, before refigeration and a clear understanding of bacterial TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 88 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 89 oldal / 102 contamination. Next you'll tell me that the Hunzas live to be 200 years old or other such nonsense. 3) Many answers are simple but sometimes the eggheads can't help but trip over their IQs looking for their brilliance in a solution. The answer isn't simple. Reductionist thinking like yours wants to MAKE it simple so you, excuse me, Brian, can easily sell books and diet plans. 4) Big Media won't tell all the news because big media gets a ton of money from BP. Here's an equation that is used 1,000s of times a day. M=PIC...Money = Power, Influence and Control. Yeah, because Big Media really backed off the Vioxx story. Big Tobacco used to throw tons of money at Big Media as well - however I remember the tobacco controversy was covered pretty regularly. What a horribly, stupid argument. 5) Health is big money and to keep the big money flowing it just makes sense to keep as many people popping pills on a monthly basis as possible. And if you need more revenue, one tactic is to change the "healthy range" of whatever so you can increase the population that "needs" to take your bandaid drug. Statins (which are proven to be close to useless) comes to mind...hmmm...me thinks its time to change the "healthy range" again 'cause my coffers need a fill'n. Perhaps there's a germ of truth in that. But in other cases, there's statistical evidence that shows that additional subgroups of people ARE helped by those drugs. Posted by: anonimouse | January 31, 2007 4:07 PM If you think DCA is a magic cancer cure, you might be disabused by searching for 'DCA neurotoxicity'. According to this paper, "Dichloroacetic acid (DCA) is commonly found in drinking water as a by-product of chlorination disinfection. It is a known neurotoxicant in rats, dogs, and humans." So the same people screaming that DCA is being ignored by Big Pharma are probably the same that are screaming about toxins in drinking water. Their suspicions may not be grounded in this particular case (i.e. DCA may not be the silver bullet that could cure cancer) however general distrust of the medical and pharmaceutical industries that underlies these suspicions has very solid grounds: receiving institutionalized medical care as currently practiced subjects one to risks of infection and medical error that are huge, with studies suggesting that 40,000 - 90,000 people in the U.S. die (and many times that number are seriously debilitated) due to side effects of drugs and preventable medical errors. Look into 'iatrogenic disorders'. Here is a wikipedia article based on reports in IOM and JAMA, two peerreviewed medical journals. Posted by: Circumspect | January 31, 2007 4:18 PM I never get why people think the onus is on "Big Pharma" to pay for clinical trials for such "they can't make any profit on them" drugs. Although it might be true that "Big Pharma" isn't funding such trials (or at least, for the sake of argument, suppose it is), it's equally true that the people complaining about it aren't paying either. That is, they're just as much to blame. There's nothing stoppping them from raising money for the testing, either. Posted by: El Christador | January 31, 2007 4:44 PM This kind of discussion frequently makes me laugh. Orac, thanks for attempting to bring some critical examination to the hysteria. I've worked in pharmaceuticals in various jobs since 1981, and from what I've seen people have no idea how complicated it is to bring a new drug to the market. I have seen industry articles on pharmacoeconomics (which, by the way, are included in many or most applications for drug approval). One that particularly struck me was a study reporting that line extensions (new doses or other modifications to existing drugs) were noticeably more profitable than new drugs. There are many parties worthy of blame in our system of bringing drugs to market, but I'd like to suggest you devote some thought to a couple of them. First, the Waxman-hatch act that essentially created the generic drug industry. Why is this? Because it gives a fixed period of time in which profits can be made from a new drug. Most people don't understand what is actually involved here. What this act permits is the filing of an ANDA (abbreviated new drug application) that references the safety and clinical efficacy data from the original product. In college they call that plagiarism and kick you out. In the entertainment industry, the RIAA or MPAA comes after you. For perspective, consider that the current life of a copyright has been extended to almost 100 years. Is Mickey Mouse worth more to our culture than an effective safe drug? Our current laws say so. The relatively short patent life of drugs simply amplifies the effect of corporate greed. Another culprit that escapes attention is the public. Yes, I mean all of us. Most especially, our elected representatives who are given plenty of attention and news coverage when the criticize the FDA. Whoops, where did that come from? Quite frankly, I'd estimate that half of the cost of getting a new drug to market is regulatory. Worse, the ongoing regulatory cost of keeping a drug on the market is probably higher than fifty percent. There's not enough room here to detail what it takes to keep a drug on the market. If you're curious, research what DDMAC is. (Hint, it's a division of the FDA) Wait a minute, what do public and government criticism of the FDA have to do with regulatory costs? Why, each public flogging of the FDA over some real or imagined failure gets translated into tighter restrictions on all drug manufacturers whether they need it or not. That's right, remember the Tylenol scare a few years back? It wasn't just the OTC drugs that wound up with safety seals. Unlike most corporate manufacturing environments, FDA regulated industries really are on a tight leash. While firms that have established good reputations might get somewhat relaxed treatment, it's only by being even more restrictive internally. Why is this? Remember with a fixed time window in which to harvest profits from a new drug, even a week's delay in drug approval is worth millions. Most corporations abhor risks, and risks are frequently mitigated by throwing money at them. After all, it's just another cost factor. Posted by: Joe | January 31, 2007 4:49 PM Someone previously asked me if I'm a patent lawyer. I'm not; I'm an industrial chemist, but I've been involved in patent issues with some of the chemicals I've worked with, so that's where my limited knowledge of patents come from. ( Please be advised of my limits!) That being said, I'd like to use an example of a drug called Neurontin (generic name is gabapentin), and how it's history shows the interplay between patents and FDA approvals. This drug is now made by Pfizer, who bought Warner Lambert, the originator of Neurontin. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 89 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 90 oldal / 102 The first patent for gabapentin was issue to Warner Lambert in 1978 or so, and it claimed it could be used to treat epilepsy. This is original medical condition that won FDA-approval for Warner Lambert around 1993. However, over the years, Warner Lambert had also been patenting gabapentin for other conditions, using a variety of evidence such as: 1. US patent 5,084,479 - "Novel methods for treating neurodegenerative diseases" (Parkinson's, ALS, etc). Claims based on studies on rat brain neurons. 2. US patent 5,025,035 - "Method of treating depression" Claims based on case reports of patients, while taking gabapentin for epilepsy, felt less depressed. 3. US patent 5,510,381 - "Method of treatment of mania and bipolar disorder." For this one, I've quoted the following claim made by Warner Lambert: "In studies of epilepsy, gabapentin has been noted to reduce anger and irritability, enhance concentration, and improve decision-making abilities. These effects will be beneficial in the symptomatic treatment of patients suffering from mania who exhibit irritability, distractibility, and poor judgement. This is a novel use for gabapentin which would not be obvious to a medical practitioner of ordinary skill." I've got to say, this is a real stretch. (to read the text of the patents, go to the US patent quick search page, and type in the above patent numbers : http://patft.uspto.gov/netahtml/PTO/ search-bool.html ) The above illustrate that a company does not need solid clinical evidence to claim a drug is a treatment for a medical condition; there just needs to be some evidence. On the other hand, a company must provide a great deal of evidence from clinical trials to get FDA approval to market a drug; these trials cost a great deal in money and time. Gabapentin, under the brand name Neurontin, was approved by the FDA to treat epilepsy in ~1993, after Warner Lambert showed through clinical trials that it did indeed work to treat this condition. Over the years, however, Warner Lambert also decided to expand their marketing of the drug, claiming it could treat depression, bipolar disorder and ALS (and more), conditions for which the drug was not approved, but for which Warner Lambert held the patents. Warner Lamber, now Pfizer, got in a lot of trouble for this. The company was fined $430 million for the fraudulent marketing. See "fda.gov/fdac/features/2004/404_wl.html". What I'm trying to show is that for a company to successfully sell a drug for a condition, they must have both FDA approval to treat that condition with the drug, and the company must have a patent that claims the drug is a treatment for that condition. The latter is necessary to keep other companies from also marketing the drug for that same condition. And this is why it's a big problem once a patent for a successful drug expires. At that point, other companies can legally market the drug for its FDA-approved condition(s). With respect to DCA - right now it is not FDA-approved to treat any condition, which is why you can't go to a retail or hospital pharmacy, and get it. It is in clinical trials to treat a rare disorder that causes lactic acid buildup; if you google for 'clinical trials dichloracetate', the trials will come up. Please note, one of the trials had to be discontinued because DCA caused nerve damage (neuropathy) in most of the patients who took it. To Joe above - What's wrong with safety seals? Today I opened a new jar of McCormack's Grillmates barbeque spice. It had an outer plastic seal, and an inner paper seal. I doubt this has seriously burdened the McCormack spice company. Posted by: Renee | January 31, 2007 8:08 PM Renee There is nothing wrong with safety seals per-se. The point I was making is that most packaged prescription drugs never leave the pharmacy. What exactly are we being protected from? The safety benefit is marginal, while the cost is significant. Unlike meat tenderizer, the volumes on prescription medications tends to be a bit smaller, so the cost of the equipment, training, materials, etc. is spread out across fewer units. My general point about regulatory overhead is that it increases the cost of products without any real assessment of the cost versus benefit. You might find this example more enlightening. At a previous employer, we filed an ANDA for an oral solution product. One of the significant points about the formulation was that it was completely non-aqueous. The formulation (can't discuss specifics) used a liquid similar to sorbitol for the vehicle. When the review letter came from the FDA, it asked why we did not include a pH test for release. On the one hand, this is completely absurd. On the other hand, arguing with the reviewer could easily have delayed approval, which could have ruined the economic viability of the product. Faced with this dilemma, what would you do? The root of this problem is similar to the safety seals problem. The FDA does not appear to exercise critical thinking before asking questions...they follow a checklist. Unfortunately, the economics of our product delivery system mean that is difficult to argue about stupid questions. Hope that more or less answered your question. Posted by: Joe | February 1, 2007 9:27 AM What's the big deal about doing a pH test? It takes a minute. You do it with something called a pH meter, an instrument that's been around since the 1930's. I used to work for a detergent company, studying dishwashing detergents. We had to moniter the pH, because these solutions come in contact with the skin. Anything above pH 8 or so could be a problem, since above that value, the detergent could start to hydrolyze skin proteins. We did the pH readings on the concentrated detergent as sold, and dissolved in water, as would be used in a sink full of water. I'm not clear about your reference to using something like sorbitol to make the oral solution you mention above. Sorbitol is a solid sugar, melting point 98-100 degrees C. If you were using a sugar like sorbitol, than you would have had to dissolve it first in water, to use it as the vehicle for your new drug. Instead, do you mean that you were using glycerol? That is not a sugar, though it is a liquid. Doing a pH test, even for a non-aqueous solution, is not so far-fetched. An oral solution will first come in contact with saliva, then the contents of your stomach, both of which are aqueous. The oral non-aqueous solution will become diluted and dissolved in water, and then in contact with mucous membranes upon ingestion. I can see why the FDA would require a pH test, probably done on a diluted aqueous solution of your oral medication. Posted by: Renee | February 1, 2007 10:15 AM Informative retort to all the hype - I enjoyed being lifted up by the original article to the very moment of being thrown back down to the ground with your blog :) TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 90 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 91 oldal / 102 I sometimes wonder if the whole world revolves around Snopes half the time and am thankful that there are people such as yourself that go to a lot of trouble to dispel certain hyped up rubbish :) Posted by: Soulgirl | February 1, 2007 11:29 AM ...Anyone thought to call the U in Alberta to get more of the straight scoop...? Might save a lot of typing. There are people just DYING to know... Posted by: DRL | February 1, 2007 1:43 PM Renee Don't need to get too out of hand for this. A pH test for initial release and long-term stability testing has nothing to do what what happens when you take the drug. This is a purely abstract physical property test. Sorry I got distracted and said sorbitol. I did a little more digging. I meant polyethylene glycol, which is not a solid, and is not dissolved in water. There is absolutely no water in this product. Stop and think. What is the definition of a pH measurement, and how does a pH probe actually work? Is a pH measurement with a standard electrode even valid for a nonaqueous solution? (Try this yourself, go get a jug of antifreeze and read the pH. You say you're an industrial chemist, I think you should know better than this.) Now, the meter will certainly give you a reading. Does this number actually mean something? Further, how do you establish valid measurement limits on a meaningless measurement? Most importantly, how often will you have to recall a product (increasing the overall cost of the product line) based on nonsense? That's the point here. Product specifications are supposed to support ongoing product quality. If the measurement does not do this, it is no longer a quality tool but a bureaucratic checklist item. It is the extended implications of seemingly simple decisions that can spiral out of control and raise the cost of manufacturing a product without providing any real benefit to product quality. I guess I've lived with the industry long enough that it seems obvious, but it probably is not. Every test and every specification increase the cost of the product to the manufacturer and the consumer. Specifications must be met by each new batch of product, and must be met over the shelf life of the product. Roughly 10% of the commercial product batches are tested on long-term stability. If the specifications are not met during the life of the product, the product must be recalled. If this happens often enough, it opens questions on whether the product should be allowed to remain on the market. Does this sound like a trivial issue? That's why it's hard to explain why drugs cost so much. These kinds of issues are present throughout the entire process from development to market. Don't get me wrong, I'm not trying to blame the FDA for all the industry's problems. The industry is one large example of the law of unintended consequences. The FDA is trying to do it's job. The industry is trying to sell a profitable, ethical, quality product. The public simultaneously wants perfect products but balks at perfect product prices. Congress tries to juggle the interests of the public and the industry that makes significant contributions to their campaigns. Me, I just work here. Posted by: Joe | February 1, 2007 5:09 PM Thanks for the extra information, Renee. From information I got from a new lawyer (not an expert in patents, but still) I gather that one condition is that you need to repeatedly "renew" the patent for a new use to be valid (Neurontin was given as an example-patented in the 70s). And of course, as Renee mentioned, DCA wasn't FDA approved for general use to begin with, so it's enforceable. As for the bottle safety measures, it is silly and probably started with the whole Tylneol/poison killer. Bottles should be protected if they're OTC, of course, but given the security measures "behind the counter" for prescription drug, what's the point? Posted by: Nathan J. Yoder | February 1, 2007 9:31 PM Ok, I understand now, since one of the liquid forms of polyethylene glycol was used as the base for the drug. You are right, measuring the pH would be meaningless. Dare I ask, how was this pH issue resolved? In case anyone's wondering, there's a fair amount of regulation of the chemical industry. Instead of having one large federal agency like the FDA to deal with, we've got a multitude of federal, state and local agencies to reckon with, some of whom have competing interests with each other. There have been projects I've worked on where we've had to contend simultaneously with the air pollution division of the EPA and the new chemicals division of the EPA (neither of which coordinate their efforts together), each of the air quality districts of Los Angeles, San Francisco and the San Joaquin valley, U.S. Customs, the Dept. of Transportation, and OSHA. Each of which could either levy fines or prohibit the sale or shipment of any of our products. And during the project, fines were indeed levied, and sales temporarily prohibited. All of these issues are magnified when trying to work with a new chemical, even if it's no more hazardous than older ones in the same class. We've had a small development program dropped because one of our German suppliers could not figure out how to ship us a new chemical, since they would have had to deal with the German equivalent of the EPA, German Customs, the German and American Depts. of Transportation shipping rules, the shipper's shipping rules (probably DHL), US Customs, and the US EPA. All for a chemical that was no more hazardous than polyethylene glycol. This discussion has veered quite a ways from DCA and cancer. Posted by: Renee | February 1, 2007 9:33 PM May I just say that Autism Diva blogged the New Scientist article on January 27th without going all "Big Pharma hates us" or "Whoopee! a cure for cancer at last!"? :-) she also blogged "A cure for all cancers" parasitic woo queen, Hulda Clark (no relation). http://autismdiva.blogspot.com/2007/01/cancer-depressionparasitesautism.html Thanks for all the additional info on DCA. It sure sounds wonderful. I hope it turns out to work on lots of human cancers. Posted by: Ms. Clark | February 2, 2007 2:13 AM I'll be honest. This article just makes you look like a sad bitter competitor in the race to make cancer drugs. Your four points say NOTHING about the possibilities of the drug. In fact you even point it out in the first paragraph. How can you tell people not to jump to conclusions when you yourself have already done so by taking the negative? TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 91 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 92 oldal / 102 Get over yourself, realise that you don't know everything, and if you had ANY experience in the treatment of cancers you'd know full well that some hope for cancer patients is better than little or none. People having positive mental health is a big benefit in cancer treatment - false hopes occur in ANY CASE when many of the current therapy treatments fail, and with horrible side-effects. I find your assumptions and conclusions baseless, and even more so than the article because at least the article bases itself on a "could be" stance, rather than your blog that attempts to already disprove something not even in testing. Also, your indifference to big pharma companies and the way they manipulate markets is almost laughable. There is not a single company that isn't share market driven, and thus at the mercy of their shareholders & board to produce results - no matter the costs. There are a massive number of recent examples of this within the US, and many other countries. I think you need to take a bit of a more careful view toward these types of companies, since they are simply economically driven, not morally or ethically driven, and many assumptions people are making about many of the larger ones couldn't be any more accurate. You aren't god.. you don't know everything, so don't pretend to. Support all the great number of 'possibles' out there - one day, you might need one of them. Posted by: Meh | February 2, 2007 11:17 AM Meh Did you read the article? Or did you just read the title and make a lot of assumptions? Your charecterization is truly stunning - one of the reasons for this article is to cut through the bullshit, to get to the legitamate discussion of the problems with our system of drug developement. Hysterics are not going to help change things - rational, accurate depictions of the situation are essential to fixing the problems. It is the same with people who refuse to discuss anything other than mandated single payer, as the solution to our health care crisis. All that bullshit rhetoric accomplishes is preventing solitions that will actually provide the increasing millions of Americans, with access to care. Many of us would rather find solutions to the problems. Whining like a small child does not accomplish this. Hysterical exageration does not solve the problem. Only when we cut through this bullshit, can we begin to solve the problems. Posted by: DuWayne | February 2, 2007 1:37 PM Get over yourself, realise that you don't know everything, and if you had ANY experience in the treatment of cancers you'd know full well that some hope for cancer patients is better than little or none. People having positive mental health is a big benefit in cancer treatment - false hopes occur in ANY CASE when many of the current therapy treatments fail, and with horrible side-effects. Uh, Meh, read these. I do treat cancer patients. I'm a cancer surgeon. And while I agree that hope is important to cancer patients, you're wrong about false hope. False hope is what leads patients to exhaust their bank accounts going to Tijuana to visit quacks instead of making the most of what time they have left. False hope is what leads some patients to forego effective conventional therapy in favor of quackery until it is too late. False hope leads patients, when they hear the overblown hype about DCA, to become enraged because they think that a cure for their cancer is being withheld from them. As for my saying "nothing" about the possibilities of DCA, well, I can't help but put it bluntly here: That's a load of crap. My point was simply that it's a promising drug (which is true) but that. compared to a lot of promising compounds that come along it's not that different and it's almost certainly not the miraculous "cure for cancer" that some in the blogosphere are claiming. I certainly hope that DCA turns out to be a potent new tool in our armamentarium of cancer chemotherapy, but I have no illusion that it's a "cure," mainly because we in the biz have been down this road before, as I explained in this post. Many compounds show promise in cell culture and animal studies and fail utterly in human trials, far more than the number that ultimately prove efficacious. Posted by: Orac | February 2, 2007 2:19 PM I am reminded of a story I heard years ago about some promising treatment for AIDS that "cured" the virus in test tubes. The commentator or scientist finished the report by saying that we should remember that gasoline also kills the virus in a test tube (but that did not make it a promising treatment). The promise is that this is not some far off compound in phase I studies that may or may not work, either because of lack of efficacy or because of side effects. One would assume that there will be enough off-label use in this case so that some indication of its effectiveness, or lack thereof, will soon percolate to the surface. Some drugs are commonly used because they offer benefit to 1 patients vs 99 who do not show any (statitically) significant benefit. Even If it only helps a little bit, for a small group of patients, it is help nonetheless, especially for those who it will likely be tried on first. If is does not, then at least it seems to have renewed some interest into a different way in treating cancer (Warburg's Principle), which in of itself, is a benefit. This is a complex disease that needs to be attacked on as many fronts as possible. In terms of it being a platform for making money, there are many many generic companies out there who make considerable amounts of money selling commodity products faced with umpteen competitors. Posted by: Phil Monk | February 2, 2007 3:56 PM Meh: People having positive mental health is a big benefit in cancer treatment Anybody who has had a friend or loved one fall victim to cancer wants to believe in the importance of "positive mental attitude." When there is so little we can do to help, we want to believe that we are accomplishing something material by offering emotional support. Emotional support from family and friends can help when a patient is trying to find the courage to persevere through the unpleasant side effects of chemo- or radiotherapy. But hard evidence that "positive mental health" is a big benefit when it comes to prognosis is hard to come by. See, e.g. http://www.bmj.com/cgi/reprint/325/7372/1066. And the risk of offering hope associated with untested treatments is that it may lead people to abandon well-established treatment modalities in favor of ones that are less effective. Once one has seen a few of these compounds that are miracle cures in cell culture or experimental animal tumor models come and go, it is hard to avoid developing a TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 92 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 93 oldal / 102 somewhat jaded perspective on the big cure that is always just around the corner. One thing that hardly anybody who thinks that the drug companies are withholding or neglecting cancer cures ever bothers to think about is just how ubiquitous cancer is. Above a certain age, pretty much everybody has experienced some kind of cancer-related personal tragedy, and that includes the people managing the pharmaceutical companies and those working in the labs. So while a business must necessarily keep an eye on the bottom line (and if you've followed the business news, you know that pharmaceutical companies have not been doing so well for quite some time), I think that there are very few companies that would be able to resist the lure of a compound that might really make a big difference in cancer therapy. Besides, if you did have such a miracle drug, even if it wasn't patentable, perhaps you could figure out how it works and produce an even better variant that is patentable. Posted by: tgibbs | February 2, 2007 5:28 PM 1. This drug has only been tested in cell culture and rats. Yes, the results were promising there, but that does not--I repeat, does not-- mean the results will translate to humans. In fact, most likely, they will not. Hey I Have an Idea. How about let me have some and I will test it on myself. How about I can't EF-ing wait for this stupidity called big pharma, the fda and the codex. (word of mouth could solve all that beauracracy) Worse yet, tell me how to make it, and how to use it. A regular HOWTO DCA or DCA for Dummies. Yeah Yeah, I hear something about toxicity. Teach me not to do that, I'll be fine. It'll be on me, if I screw up, I pay the price. Hey, now that I solved this dilema, (actually not) in 60 seconds. How about everyone stop the bickering, back-stabbing, boasting, and lawyer /doctor and patent crapping and work on a cure for West Nile Virus. I see the god damned HORSES have a vaccine. Still not a DAMNED THING for humans. I'm ready to break into a vetranery hospital. Do you know how painful WNV is?! DO YOU!? ARGHHHH! Okay, now imagine, having BOTH WNV and Cancer and NO MEDICAL, NO INCOME, NO DOCTOR. Oh that's right, you have maid service. Okay where's the Purchase 50mg DCA button?! Or the manditory WNV school vacinations?! Posted by: Invisible Death | February 6, 2007 8:26 PM Here's an idea Invisible Death: Click on the link for the Cancer Cell paper right there in the paragraph that comes after the first block quote. Right down on a piece a paper the authors' names and the institution listed. Then get a piece of paper and write them with your dosage questions and where the stuff can be bought. You might also want to volunteer as their first human subject. Posted by: HCN | February 6, 2007 9:32 PM There will be no need to place blame anywhere if funding is secured, we will just wait for the results. I must admit that I do not, with all the information that is generated via technology today, believe that big pharma is interested in anything but profits. There are many drugs that were shown effective, (Hydrazine Sulfate), to name one, where shady trials and misinformation was generated by the powers that be. Why did they test synthetic vitamin E instead of natural Vitamin E? I hate to believe what appears to be true in the case against big pharma because it undermines everything we have placed our faith and trust in. Even though we don't all have a PHD, we are mostly intellegent and full of common sense. The fact remains that if green beans end up curing cancer than I guess there will never be a cure. If the people who represent these companies, making trillions per year on our various sicknesses, are not as intent on keeping us sick as it appears, than test it all. I'm sure that if treating cancer patients everyday, watching this degrading inhumane desease take the life out of one more person with such suffering, was how I made my living then I would be sqeptical too, and with good reason, BUT WE CANNOT GIVE UP, we cannot stop hoping. So test all the promising treatments, Its not as if the scientist at the University of Alberta is a "quack", he is well recognized and trusted, and so the testing should move foreward. I shall be forewarding my installment to the University for the testing to proceed, and if it proves unsuccessful, then we wait for the next one. Polio would never have been cured if we believed that the possibilities were hopeless. People are not as weak as you assume, we don't just sit and hold our breath and believe without merit. That is why we have any trust at all for big pharma, because deep down we just want informed answers, and relied on the research that they put foreward. The outrage with DCA is that it's inability to get funding, makes us renege the trust we so innocently placed in the hands of those corporate giants. If they back away from this research, than the Canadian Cancer Society better step up to the plate. Where's Bill Gates when you need him, I'm sure he could afford to waste a million dollars. Bottom line for me is this, because of the undignified horrible months spent fighting, winning, or losing the battle with this desease, the pain, the weight loss watching someone you love just waste away,it is immperitive that every avenue is travelled down. We can deal with it if it is not the wonder drug, what we can't deal with is that the circumstances surrounding this drug and it's lack of patentability might keep it from being tested properly. Any person currently taking a form of cancer treatment has hope, at least in the beginning, to hope is to be human otherwise we wouldn't even bother with treatment. It isn't mindless hope it is just hope. Sometimes a cure is found. Posted by: Denise Julien | February 8, 2007 8:26 PM Denise Julien wrote "Where's Bill Gates when you need him, I'm sure he could afford to waste a million dollars." If you want to help decide how Mr. Gates disposes of his charitable funds then apply for employment here: http://www.gatesfoundation.org/AboutUs/WorkingWithUs/Jobs/ Oh, actually the "outrage" with DCA are those who are jumping the gun thinking that some testing on rats is all you need to approve a drug, especially a drug that has some problems with toxicity. The "outrage" are those who want to ignore any and all safety concerns. Posted by: HCN | February 8, 2007 9:22 PM Y'know, with all these drugs which work so well on rats and mice, if my pet *rat* gets cancer, it's pretty much curable, right? Posted by: Nathanael Nerode | February 9, 2007 3:00 PM First, thanks for all the very informative posts! I've been reading like a madman for the last TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 93 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 94 oldal / 102 few months since I first read about DCA in the paper. The dilemma I have with DCA is the apparent contradiction. First, it appears that it has been used (successfully at the right dosages http://www.ncbinlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&list_uids=12892 050&dopt=Abstract http://www.epa.gov/iris/subst/0654.htm ) for lactic acidosis for many years. Second, it has been shown at the U of A to have anti cancer properties on test animals Yet, a cancer patient who has been told by their doctors that there are no available conventional treatments, that chemotherapy at best will extend their life by one month with wicked side effects and that the patient's only real option is palliative care, when that patient asks about DCA they are told that, 'it is not an approved treatment for cancer but, we will make you comfortable while you die'. Naively, could we not offer the above patient a second option to, 'make them comfortable while they die and offer them DCA at the aforementioned safe dosage?'. I know, it's crazy talk, I mean we'd be wasting $2 per day in chemicals! Alternatively could some chemist out there reply with the recipe or url for an oral dose (preferably cherry flavoured)? Posted by: Kam | February 16, 2007 1:41 AM Kam - you cribbed that from the Anti-Med/CancerWooShillers(tm) phrasebook, didn't you? Posted by: anonimouse | February 16, 2007 11:53 AM anonimouse - alas no, it is my own crazy rambling. I believe 100% in our doctors, our health care system, their ethics and the scientific approach. I have met wonderful caring people in the medical profession and in our hospital system, but when they give up, must the patient also? I'm definitely not anti-med and hate the predators that are preying on the helpless with their snake oil, but when you're told that there is no hope, that the medical profession can do no more, I say wheel out the experimental cart and let's start mixing our own! What's the worst that could happen, it kills you? And if we stick to the heretofore mentioned safe dosage, what's the worst that can happen? Well actually nothing will happen, but that will kill you also! PS> if cherry flavoured is a problem, banana or grape are fine! Posted by: Kam | February 17, 2007 2:23 AM Kam, the worst that can happen is that it makes one's passing more painful and difficult. At least clinical trials can record this and prevent others from following the same route. They also help determine the doses that work, the doses that cause severe side effects, and where the overlap begins. Just because you have the right drug doesn't mean that you have the right dose, or even the right dosing schedule. Posted by: Robster | February 17, 2007 11:25 AM I can see that I am very late coming to this thread, but let me say my peice. "DCA attacks a unique feature of cancer cells: the fact that they make their energy throughout the main body of the cell, rather than in distinct organelles called mitochondria. This process, called glycolysis, is inefficient and uses up vast amounts of sugar." This is very wrong, and does point to a fatal flaw. The brain has its own immune system, the Glia, which is made up of Astrocytes and microglia. They are both able to combat infections by chemical warfare, in doing so theyr release a lot of nitric oxide (NO). Now NO inhibits mitochondrial respiration, and so these cells have a robust anaerobic glycolytic pathway in operation. Indeed, you can make these (clutured) cells hypoxic for up to an hour and they survive reperfusion very well. If you give a patient a drug that attacks the glycolitic pathway, then the brains inflamitary immune resposen is going to be compromised. The idea of compromising the glias glycolitic pathway, by one way or another, MAY Possibly actually underlay some diseases, I thank the Blog for this post as it has given me an idea. Posted by: DocMartyn | February 23, 2007 7:30 PM How will we know if we never try? Saying that it may not translate to humans simply isn't a good enough excuse. Big pharma won't pay for its trials - no patent, there is no money to be made. Delusion is your problem if you really think that pharmy companies aren't thinking (even on the surface) of their pockets. Posted by: dev | March 11, 2007 3:55 AM Straw man argument. I never said we shouldn't try it in humans. Do try some reading comprehension sometime before spouting off. What I was saying is that hyping DCA before it has been proven efficacious in humans is harmful because it very well may not work. At the very least, we do not know what doses to use against cancer (they may very well be higher than for the metabolic conditions DCA is used to treat) or what cancers it will and won't work against, nor will we know how long to treat. That's what clinical trials are for. If you click on some of the later links in my list of followup posts, you'll see that unscrupulous "entrepreneurs" are actually selling the stuff to desperate cancer patients to self-medicate without the supervision of an oncologist. Posted by: Orac | March 11, 2007 8:32 AM Interesting, but you get a bit incoherent when you start talking about alleged conspiracies. "Conspiracy" is a easy strawman to knock down, but it's a fact that drug companies, like any corporation, are trying to make money, and they are not going to waste money testing unpatentable treatments (and good luck trying to patent the "idea" of treating cancer with DCA and selling it to them; that's exactly the sort of legal dodge that will either end up in court with the horrible publicity of dying cancer patients on TV demanding to know why they're being screwed, or people just using DCA on their own and daring Pfizer or whoever to sue dying cancer patients for doing it without paying them for the privilege). Now, to be clear, I'm not blaming Pharma for the problem. This is just the way capitalism works, and I have little common ground with the nutters at Dkos on that issue. But that doesn't mean we can't do better. I'd like to see something like an X Prize for cancer, where capitalism and competition are harnessed and put to good use. I would also like to see terminal cancer patients given better opportunity to try novel treatments; even if they don't work, at least their death helps prove that, and thus has some greater meaning. "What I was saying is that hyping DCA before it has been proven efficacious in humans is harmful because it very well may not work." Well, of course it may not work; in fact, it probably won't, but that's been true of every cancer drug ever tested. Posted by: TallDave | April 2, 2007 12:59 PM "you'll see that unscrupulous "entrepreneurs" are actually selling the stuff to desperate TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 94 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 95 oldal / 102 cancer patients to self-medicate without the supervision of an oncologist." Horrors! Dying people practicing medicine on themselves without the benefit of an overpaid bureaucratized cartel! Next they'll be asking for the right to vote, or carry guns. Where will the madness end?? Posted by: TallDave | April 2, 2007 1:22 PM Just wanted to wrap up my thread, my Mom was diagnosed in January and was dead mid March. I guess her quality of life didn't suffer, nothing was tried, nothing was learned, except maybe for another data point for the mortality stats. The good news is the status quo was maintained, the system withstood another desperate family. Take a decade to study DCA, debate endlessly if you want, most of us are only eager for a cure when we desperatly need one. Posted by: kam | April 7, 2007 5:24 PM The deadly deviousness of the cancer cell, or how dichloroacetate (DCA) might fail Category: Cancer • Clinical trials • Medicine Posted on: March 6, 2007 9:02 AM, by Orac One byproduct of blogging that I had never anticipated when I started is how it sometimes gets me interested in scientific questions that I would never have paid much attention to before or looked into other than superficially. One such scientific question is whether dichloroacetate (DCA), the small molecule that was shown to have significant anti-tumor activity against human tumor xenografts implanted in rats, media reports about which caused a blogospheric hysteria in late January representing DCA as a "cure" for cancer that "big pharma" doesn't want you to know about, mainly because it's relatively cheap and unpatentable in its present form. I gathered some minor notoriety by pointing out that the hype was excessive and that the drug had not even been tested against cancer in humans yet, adding that most drugs that show promise in cell culture and against experimental tumors end up failing to show efficacy in humans. Unfortunately, none of that stopped unscrupulous "entrepreneurs" from selling DCA as "Pet-DCA" supposedly intended for use "in pets only," even though the most cursory reading of the discussion boards revealed that desperate cancer patients are trying to buy it to use themselves, nor did it stop ignorant dupes like DaveScot from cheering them on in doing so or credulous bloggers who think far more of their scientific knowledge than is warranted from blathering about DCA as an allegedly "suppressed" or "ignored" cure like vitamin C. It is not my purpose today to rehash all of this or to rail yet again against the dubious marketing of a "cure" that hasn't even been shown to be a cure yet. I'm more interested in discussing an interesting bit of science related to DCA and the whole concept that altered bioenergetics are important to the development of cancer. The entire concept behind the use of DCA is to target a phenomenon known as the Warburg Effect. This effect was first observed by a biochemist named Otto Warburg back in the late 1920's in tumor cells. In brief, Dr. Warburg noted that tumor cells avidly consumed glucose and produced what is normally the byproduct of the anaerobic metabolism of glucose for energy (glycolysis) even in an aerobic (oxygen-containing) environment, conditions under which normal cells usually use a process that requires oxygen, oxidative phosphorylation. Normal cells usually use oxidative phosphorylation, which takes place in the mitochondria, when oxygen is available and only switch over to anaerobic glycolysis in conditions of low or no oxygen (anaerobic conditions), producing lactate as a byproduct. (Normally, the end product of glycolysis, pyruvate, is then used in the Kreb's cycle and oxidative phosphorylation. In the absence of oxygen, the pyruvate is used for energy and turned into lactate. Lactate buildup makes your muscles sore after intense exercise, when the energy demand of the muscles can exceed the amount of oxygen available.) The problem in normal cells is that glycolysis produces much less usable chemical energy per molecule of glucose than oxidative phosphorylation, and normal cells normally cannot survive on anaerobic glycolysis alone for very long. However, many tumor cells can. Indeed, many tumor cells continue to use glycolysis and produce lactate even in aerobic conditions, an observation that led Dr. Warburg to postulate that in tumor cells the mitochondria (which is where oxidative phosphorylation takes place) are reduced or functionally impaired. Indeed, he postulated more than that, namely that impaired mitochondrial function contributes to tumorigenesis. The reason that I became more interested in DCA is because my main research interest is tumor angiogenesis. Because blocking tumor angiogenesis works by decreasing oxygen and nutrient delivery to tumors, in essence, "starving" them, one might imagine that one way in which tumors could be or become resistant to antiangiogenic therapy might conceivably be through cranking up the Warburg Effect, allowing tumor cells. As it turns out, DCA targets the Warburg Effect. It also turns out that the enzyme that DCA happens to inhibit to accomplish this targeting, pyruvate dehydrogenase kinase (PDK), is activated by a gene called HIF-1, which itself is activated by hypoxia. PDK inactivates an enzyme complex called the pyruvate dehydrogenase complex (PDH), which, when turned off attenuates mitochondrial respiration and oxidative phosphorylation. Consequently, I've been checking out papers about the bioenergetics of tumors, and I found a doozy of one last week in the February 15 issue of Cancer Research, entitled Adaptation of Energy Metabolism in Breast Cancer Brain Metastases. Basically, the investigators found a fascinating (and disturbing) adaptation that occurs in breast cancer cells when they metastasize to the brain that shows just how unbelievably complex and difficult a foe cancer can be. The investigators at the Scripps Research Institute led by Brunhilde Felding-Haberman asked the question: What are the changes in the amounts and types of proteins made by breast cancer cells that metastasize to the brain that make them able to grow there? To attack this question, they isolated tumor cells from the blood of a patient with stage IV breast cancer, cultured them, and then grew them into SCID mice (a strain of immune deficient mice in which human tumors can grow as xenografts). The tumors grew and, even more than that, they metastasized to brain and bone. Metastases from brain and bone were isolated, injected again into new mice, and then the metastases were isolated again. It turns out that the cells from the brain metastasis became much more likely to TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 95 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 96 oldal / 102 metastasize to to and avid for growing in the brain than the parental cell line from which they were derived, as the cells from bone metastases became more avid for bone. This is a common technique used to study metastasis and why certain tumors tend to metastasize to certain organs. Basically, tumor cells are subjected to one or more rounds of selection for clones that are able to grow in the organ desired. Now here's where things get interesting. They next did a technique called multidimensional chromatography and tandem mass spectroscopy. There's no need to sweat the details other than to understand that this is a proteomics technique by which it is possible to simultaneously compare the levels of hundreds of proteins between cell types. Basically, the idea was to see which proteins were expressed at higher or lower levels in the brain metastases than in the parental cell line from which the metastatic cells were involved. The results were startling. In essence, the brain metastases made lots more of the proteins involved in oxidative phosphorylation. In other words, they underwent what might well be characterized as the anti-Warburg effect. Although they had increased levels of glycolysis, they also cranked up their oxidative phosphorylation, as well as and had increased activation of pathways that minimize the production of or damage from reactive oxygen species (a.k.a. free radicals, the production of which was stimulated by treatment with DCA in the Michelakis experiments and contributed to tumor cell apoptosis in response to the drug). The overall effect of these changes in gene expression leading to increases in the enzymes responsible for oxidative phosphorylation is that the brain metastatic cell line became resistant to drugs that affect the cellular oxidation-reduction balance. Drugs like DCA. It's rather disappointing that they didn't actually test DCA, but, then, the work on this paper and the work on Michelakis' paper were likely going on at the same time. The drug they did test is 2-deoxyglucose (2-DG) a drug that is being tested because of its ability to inhibit glycolysis and shift the balance of energy production towards aerobic oxidative phosphorylation by a mechanism different from that of DCA. Consistent with the increased levels of proteins involved in oxidative phosphorylation, the cells derived from brain metastases were over two-fold less sensitive to 2-DG than the parental cell line, probably because the cells were no longer exhibiting the Warburg Effect, making them not nearly as dependent upon glycolysis for their energy. More than likely, these cells would also be as resistant to the effect of DCA. The authors speculate that breast cancer cells that successfully metastasize to and colonize the brain take on characteristics that allow them to thrive in the environment found in the brain, and that their observations imply a link between a preference for oxidative phosphorylation and "homing" to the brain. The reason for this might well be that the brain is has a high blood flow and high oxygen tension, with the surrounding brain tissue always operating at a high oxidative metabolic level. As the authors state: Our experimental metastasis data and proteomic analyses indicate that the brain metastatic cells, selected in vivo for their ability to establish brain metastases, possess a phenotype distinct from the parental circulating tumor cells and their bone metastatic counterparts. The protein expression profile of the brain metastatic cells and its functional validation imply a predisposition or bioenergetic adaptation of the tumor cells to the energy metabolism of the brain, conferring an advantage for tumor cell survival and proliferation in the brain microenvironment. What these results suggest is something that those of us studying cancer have known for a long time. Cancer is an unbelievably devious and resourceful foe; if it weren't we'd be far better at curing it now than we are. As much as we would like to wish it to be so, there will almost certainly never be a "magic bullet" that will cure all cancers. Antiangiogenic therapy was touted as one eight years ago and, in the time since then, has shown only modest success against cancer. Certainly it was no magic bullet. My guess is that DCA (and drugs designed to target the Warburg Effect) will similarly show modest success against cancer in humans. My guess (and remember, it is just an educated guess) is that it may well be ineffective against many forms of brain metastases and against some forms of brain tumors, while being most effective against tumors that are most avid in taking up glucose, which happen to be the tumors that show up the most brightly on PET scans. However, more work needs to be done, as one glaring weakness of this study (and probably the reason that it wasn't accepted to a journal like Cancer Cell) is that the 2-DG experiments were all done in vitro. There were no experiments in which mice bearing brain metastases created by direct injection of either the parental cell line or the cell line derived from brain metastases were treated with 2-DG to see if in vivo results recapitulate in vitro sensitivities; so the tumor microenvironment could conceivably be sufficiently different than cell culture that these results might not hold up. The bottom line is that cancer is always more complex than we think it is, and there are always wrinkles that we don't think of. Moreover, cancer cells are incredibly adaptable and--dare I say it?--evolve rapidly to infiltrate and colonize new environments. (Indeed one depressing possibility raised by these experiments is that drugs designed to target the Warburg Effect might actually select for cells able to metastasize to the brain.) An adaptation that allows tumor cells to grow in the brain appears to have the byproduct of eliminating the Warburg Effect and rendering them resistant to attempts to manipulate the energy balance. Sadly, all too often, cancer is like that. ADDENDUM: Walnut has posted his critique on Daily Kos as well. All Orac posts on DCA: 1. In which my words will be misinterpreted as "proof" that I am a "pharma shill" 2. Will donations fund dichloroacetate (DCA) clinical trials? 3. T oo fast to label others as "conspiracy-mongers"? 4. D ichloroacetate: One more time... 5. L aying the cluestick on DaveScot over dichloroacetate (DCA) and cancer 6. A couple of more cluesticks on dichloroacetate (DCA) and cancer 7. W here to buy dichloroacetate (DCA)? Dichloroacetate suppliers, even? 8. A n uninformative "experiment" on dichloroacetate 9. S lumming around The DCA Site (TheDCASite.com), appalled at what I'm finding 10. S lumming around The DCA Site (TheDCASite.com), the finale (for TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 96 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 97 oldal / 102 now) 11. I t's nice to be noticed 12. T he deadly deviousness of the cancer cell, or how dichloroacetate (DCA) might fail 13. T he dichloroacetate (DCA) self-medication phenomenon hits the mainstream media 14. D ichloroacetate (DCA) and cancer: Magical thinking versus Tumor Biology 101 15. C hecking in with The DCA Site 16. D ichloroacetate and The DCA Site: A low bar for "success" 17. D ichloroacetate (DCA): A scientist's worst nightmare? 18. D ichloroacetate and The DCA Site: A low bar for "success" (part 2) 19. " Clinical research" on dichloroacetate by TheDCASite.com: A travesty of science 20. A family practitioner and epidemiologist are prescribing dichloracetate (DCA) in Canada 21. A n "arrogant medico" makes one last comment on dichloroacetate (DCA) Posts by fellow ScienceBlogger Abel Pharmboy: 1. T he dichloroacetate (DCA) cancer kerfuffle 2. W here to buy dichloroacetate... 3. L ocal look at dichloroacetate (DCA) hysteria 4. E dmonton pharmacist asked to stop selling dichloroacetate (DCA) 5. F our days, four dichloroacetate (DCA) newspaper articles 6. P erversion of good science 7. C BC's 'The Current' on dichloroacetate (DCA) Send this entry to: E mail this entry to a friend View the Technorati Link Cosmos for this entry TrackBacks (TrackBack URL for this entry: http://scienceblogs.com/mt/pings/34860) Comments My naivete about human physiology is clearly showing through here, but wouldn't DCA also seriously poison the metabolism of cardiac and skeletal muscle? Posted by: Jesse | March 6, 2007 9:17 AM As I have indicated in the past when we discussed DCA and its effects on energy metabolism, this molecule is a derivative (toxic one) of acetate, a monocarboxylate that can be used as an energy substrate by astrocytes. Astrocytes are glial cells in the brain that usually fulfil housekeeping functions and protect neurones against toxic effects of certain excitatory neurotransmitters such as glutamate and aspartate (excitotoxins). There are several known toxins that are selective against astrocytes through interference with these cells' energy metabolism pathways. When astrocytes are eliminated, neurons usually lose the protection astrocytes provide them with. DCA could very well be one of those astrocytic toxins and may help rather than hinder brain cancer cells. The weakened effect of 2-deoxyglucose on brain cancer cells in the study mentioned by Orac is interesting, since one must asks where the mitochondrial energy substrate of the cancerous cells come from when glycolysis is inhibited? Let's remember that for mitochondria to work efficiently, they must be provided with the glycolytic product, pyruvate, which originates from glucose. Thus, in the presence of 2deoxyglucose, cancerous cells must be able to use other molecules as energy substrates (fatty acids?). As a side bar; my main expertise is brain energy metabolism and as such I can attest to the fact that much of the classical formulation of the pathways of energy metabolism as presented in textbooks for the past 60 years is now being re-evaluated as more and more studies show that even glycolysis, the more primitive and much less efficient energy making pathway, had been somewhat wrongly formulated, especially in regard to its main aerobic end-product, pyruvate. There are indications that whether glycolysis is anaerobic or aerobic, its end-product is lactate rather than pyruvate, and that lactate is actually the substrate that mitochondria use for their oxidative phosphorylation. Posted by: S. Rivlin | March 6, 2007 10:37 AM Yes, several of the enzymes involved in fatty acid oxidation were expressed at higher levels in the brain metastases. Consequently, that's one possible explanation. In addition, I forgot to mention that one protein, AMPK, was also expressed at a much higher level. AMPK turns off fatty acid biosynthesis and turns on fatty acid oxidation and glycolysis. Also, remember that the cells were only less sensitive to 2-DG (by a roughly two-fold ratio), not totally insensitive to 2-DG. Consequently, it could be that, when glycolysis is inhibited by 2-DG, the cells can survive on fatty acid oxidation and whatever small amount of pyruvate is still being made. Posted by: Orac | March 6, 2007 12:03 PM Great post and a very timely article. I've also been thinking about DCA as a research question I wouldn't have delved into had I not been blogging and thought very simply about what all cancer pharmacologists do when a new drug is discovered: they select cancer cell lines that evolve resistance to the drug in question. The process is quite easy, given the inherent genetic instability of most tumor cell lines and give insight as to how a drug actually works. The proteomic angle of the Felding-Haberman group is great but I agree that it needs to be coupled with 2-DG or DCA in vivo. As for Steven Chang, he was also over at my site talking about flavonoids but failed to produce any data when queried. Posted by: Abel Pharmboy | March 6, 2007 12:20 PM Yes, pyruvate can be produced from other sources than glycolysis, including, of course, fatty acids. 2-Deoxyglucose (2DG), over time, will inhibit glycolysis completely as it interacts with hexokinase, an enzyme that is being fooled by 2DG to phosphorylate it. 2DG-6-P occupies the next glycolytic enzyme in the pathway, phosphohexose isomerase, and brings glycolysis to a halt. Hence, under 2DG, most, if not all the energy supply would come from other sources than glucose. Posted by: S. Rivlin | March 6, 2007 12:34 PM I believe I have already found a potential cancer cure, using flavonoids. For more info, please email: [email protected] remove REMOVETHIS Posted by: Steven | March 6, 2007 12:35 PM Steven, You are on the wrong blog trying to sell your snake oil. Posted by: S. Rivlin | March 6, 2007 12:37 PM I'm not selling, I'm serious. Posted by: Steven | March 6, 2007 12:59 PM Steven, It's brilliant marketing. Go on highly trafficed blogs discussing the flaws inherent in an alleged cancer cure, and then spam those blogs with another alleged cancer cure. I admire your thought process, if not your actual thoughts. Posted by: anonimouse | March 6, 2007 1:08 PM I've had enough. I'm banning the guy, as this isn't the first post that he's done this on. His comments will now all be moderated. If they have something substantive to say, I will approve them. If it's just more of the same, they will remain in my Spam Folder. Posted by: Orac | March 6, 2007 1:14 PM Interesting stuff. I'm actually struck by an odd thought: "If God had TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 97 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 98 oldal / 102 meant us to cure cancer, he would have made it easy!" Seriously, your description of the stubborn adaptivity of cancer made me wonder if some of the hyperactive alternative medicine market isn't driven by a sort of theological replacement issue. Cancer, in effect, has become the Satan of the modern world: sneaky, deadly, related to sin (and warded off by healthy lifestyles, sometimes) but not limited by it, implacable. The alternative therapies, etc., are indeed "faith-based" because they see cancer as evil not just a structural issue. This raises all kinds of other issues: doctors as priests, etc..... Posted by: Jonathan Dresner | March 6, 2007 1:56 PM Beautiful post, Orac. I would like to add to the topic saying that the Warburg effect and "lack of oxygen" are often used in fuzzy explanations on why an "oxygen therapy" could cure cancer. Many supplements on the market claim they can increase the "amount of oxygen in your blood" - some like microhydrin, based on the flamboyant quackery of Mr. Flanagan, others like hydroxygen plus (which had to change name) that are claimed to be able to "split water into simple H- and O-. If oxygen were the magic bullet, we would not be posting about cancer right now...but people keep being bought into such things, no matter how hard one tried to disprove them logically. Posted by: steppen wolf | March 6, 2007 3:29 PM Orac, I also wonder if DCA might apply enough selection pressure to select for tumor cells that are better adapted to live in the brain. It wouldn't be much of a stretch (certainly less of a stretch than the DCA purveyors are making) to postulate that DCA might increase the risk of metastasis. Just a happy thought. Prometheus Posted by: Prometheus | March 6, 2007 4:06 PM I'm not a biologist, so what I'm about to write may be dumb. As I read the news, DCA has a double take on the cancer cells. The one is the attack through the glycolytic metabolism, and the other is the activation of a mitochondrial apoptosis program. In fact, Michelakis seems to emphasis this later one in his interviews. Is this a total misunderstandig? Thanks. Posted by: incze | March 6, 2007 5:10 PM I'm not surprised that a cancer cell can switch its energy source from glycolysis and back again, it is after all emryonic in origin, using many of the same genes and tricks as an embryo. The fetus runs on glycolysis, then switches to normal glucose use later on. Cancer is just a cell using fetal tricks to execute its program. No I'm not Dave Scott. Posted by: Robert Smith | March 6, 2007 10:10 PM I think my biggest complaint about folks who push "cure-alls" for cancer is addressed well here. I've wondered if terminology is the root of the problem for some people...the fact that there's one word for something as vastly complicated as cancer leads people to believe it can be cured like polio. The differences still amaze me on a personal level. I lived with a LARGE giant cell tumor in my right hip for several months with (relatively) little damage to myself. (Apparently that type of tumor is extremely benign, and when it does metastasize, it does so in the lungs, for reasons I'm not sure are understood.) Yet a friend's mother was diagnosed with a peasize breast tumor and it had spread through her body within a month. And I've talked to dozens of people, each with radically different stories. (Yeah, I know, it's anecdotal, but even that's been enough to convince me to be wary of any supposed cancer 'cure' I've ever read or seen a news report about.) Posted by: Jason W | March 7, 2007 1:59 AM "The overall effect of these changes in gene expression leading to increases in the enzymes responsible for oxidative phosphorylation is that the brain metastatic cell line became resistant to drugs that affect the cellular oxidation-reduction balance." ...and there will be those who will say blithely that this is not evidence that selection pressures can generate new information, or will claim that the selection applied here was 'artificial,' as if this in some unexplained way magically negates any possibility that the same sorts of changes could take place in response to 'natural' phenomena. (This is not to discount potentially significant differences the post points out between in vitro and in vivo environments.) Posted by: Jud | March 7, 2007 12:01 PM I'd like to rephrase my previous question, being not really neutral (sorry, if I seem to be offensive, last try, I promise). Michelakis' team has found that DCA attacked cancer cells in *two* ways: (i) through glytolytic metabolism (Warburg effect); AND (ii) by (suprise!) activating a mitochondrial pathway to cell apoptosis. Seems to me, that it is different from other designated cures targeting just the starvation of cancer cells, as the synchronous apoptotic processes might successfully interfere with the well established adaptiveness of cancer cells. Is this reconstruction a total crap, or has some meaning? Thanks (really). Posted by: incze | March 7, 2007 6:53 PM Seems to me, that it is different from other designated cures targeting just the starvation of cancer cells, as the synchronous apoptotic processes might successfully interfere with the well established adaptiveness of cancer cells. If you read the paper in detail, it is explained how the apoptotic pathway is linked with the function of mitochondria. As I understand it, the increased oxidative stress from the reactivation of the mitochondria and increased production of NADH can lead to activation of the mitochondrial apoptotic pathway. Indeed several of the proteins involved in apoptosis are mitochondrial. That's one reason why targeting the Warburg effect in general can lead to apoptosis. 2-DG treatment can also lead to tumor cell apoptosis. Posted by: Orac | March 7, 2007 8:03 PM Thank you. (It's not me. That would be all right.) Posted by: incze | March 7, 2007 8:41 PM I wish there were more people here sharing real DCA-Cancer self test results. Patient: Woman, 65, Lungs cancer, brain cancer, spread in many other parts of the body, even visible on the ouside. Doctors not sure where it started anyway. Stage IV. Given weeks to live. Went 3 chemios, 2 radiation sessions, brain operation some tumors shrank after that for 4 months, now growing again. Patient will not survive another Chemio. Will receive 50mg/kg/day in drinking water for first week, with 500mg B1. after first week will recive 25mg/kg/day with 500mg B1 I got DCA from Cole Parmer. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 98 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 99 oldal / 102 If anyone has any GOOD reason why I should stop - let me know now. Otherwise I will keep you all updated as we go along. Please share all you can. Posted by: Seb | March 9, 2007 10:51 AM It is my understanding that a lot of tumors are hypoxic, and that hypoxic tumors are more difficult to treat than non-hypoxic ones. If there isn't enough O2 (or mitochondria) available to oxidize lactate, I think that it gets used as a substrate to make stuff with, ie fat or ectopic fat. Most cells derive lots (or even most) ATP from glycolysis. It is only highly metabolicly active tissues like muscle, liver, heart, brain and kidney that have lots of mitochondria and that mostly rely on oxidative phosphorylation. The flux of lactate in the body is quite high, comparable to that of glucose. Most of the metabolic studies were done on healthy college students, with intact livers, kidneys and in good health. Some of what is in the literature on metabolism might not pertain as closely to people under metabolic stress, diabetics, metabolic syndrome, chronic fatigue, and the various degenerative diseases. What we need to remember about cancer cells, is that typically they have genetic deletions, and so are actually "less complex" than "normal cells". That when "normal cells" have massive deletions and yet are extremely difficult to kill, shows how complex and redundant normal cells actually are. Posted by: Dave Whitlock | March 12, 2007 4:33 PM DEAR SEB,MY FUTHER HAS SAME CONDICTIONS LIKE YOU.PLEASE CONCACT ME.MY E-MAIL IS [email protected] YOU. Posted by: SLAVICA | March 14, 2007 3:10 AM jegyzetek, hivatkozások 20: Castanea sativa Mill. bibliográfiák: FAO: http://www.fao.org/DOCREP/006/AD235E/ad235e00.htm#Contents --------doi:10.1016/S0367-326X(00)00185-4 Copyright © 2000 Elsevier Science B.V. All rights reserved. Antibacterial and allelopathic activity of extract from Castanea sativa leaves A. Basile , , a, S. Sorboa, S. Giordanoa, L. Ricciardib, S. Ferraraa, D. Montesanoc, R. Castaldo Cobianchia, M. L. Vuottob and L. Ferrarac a Dipartimento di Biologia Vegetale, Universitŕ degli Studi di Napoli ‘Federico II’, via Foria 223, 80139 Naples, Italy b Istituto di Patologia Generale ed Oncologia, Facoltŕ di Medicina e Chirurgia, Seconda Universitŕ degli Studi, Naples, Italy c Dipartimento di Chimica Farmaceutica, Universitŕ ‘Federico II’, Naples, Italy Available online 3 August 2000. Abstract Following the extraction of Castanea sativa with an aqueous solution of sulfuric acid (pH 3.0), the ethyl acetate soluble fraction was tested for its antibacterial and allelopathic activity. The extract was shown to have pronounced antibacterial effects against seven of the eight strains of Grampositive and Gram-negative bacteria used (MIC in the range of 64–256 μg/ml and MBC in the range of 256–512 μg/ml). The active fraction was analyzed by TLC and HPLC showing the presence of rutin, hesperidin, quercetin, apigenin, morin, naringin, galangin and kaempferol. Standards of the identified flavonoids were tested against the same bacterial strains. The highest activity was shown by quercetin, rutin and apigenin. The allelopathic effect was tested against Raphanus sativus seed germination. The extract, quercetin, rutin and apigenin caused a decrease in the percentage of seed germination and root and epicotyl growth. Author Keywords: Castanea sativa; Flavonoids; Antibacterial activity; Allelopathic activity Corresponding author. Tel.: +39-81-2538556; fax: +39-81-2538523; email: [email protected] Fitoterapia Volume 71, Supplement 1, 1 August 2000, Pages S110-S116 Comparison of hydrodistillation and ultrasonic solvent extraction for the isolation of volatile compounds from two unifloral honeys of Robinia pseudoacacia L. and Castanea sativa L. Jerković I, Mastelić J, Marijanović Z, Klein Z, Jelić M. Department of Organic Chemistry, Faculty of Chemistry and Technology, University of Split, N. Tesle 10/V, 21 000 Split, Croatia. [email protected] A comparative study of ultrasound-assisted extraction (USE) with the mixture pentane:ether (1:2) and hydrodistillation (HD) with the same trapping mixture is presented for the isolation of volatile compounds from two unifloral honeys of Robinia pseudoacacia L. and Castanea sativa L. All HD isolates contained many thermally derived artefacts (especially phenylacetaldehyde with lower percentages of furfural, cis- and trans-linalool oxides and others). USE method gave the most representative profile of all honey volatiles (without artefacts). In addition, USE enabled extraction of low molecular weight semivolatile markers (especially benzoic, vanillic and phenylacetic acids) that were not extracted by HD. In this regard, low percentage of benzoic acid (0.7-7.4%), vanillic acid (0.0-1.6%) and phenylacetic acid (0.5-4.1%) was determined in Rp USE extracts, while Cs USE extracts contained phenylacetic acid (20.2-23.5%) as the major constituent with low percentage of benzoic acid (2.5-5.5%). PMID: 17321190 [PubMed - indexed for MEDLINE] 1: J Nat Prod. 2007 Jan;70(1):60-6. Links Structural characterization and cytotoxic properties of a 4Omethylglucuronoxylan from Castanea sativa. Moine C, Krausz P, Chaleix V, Sainte-Catherine O, Kraemer M, Gloaguen V. Laboratoire de Chimie des Substances Naturelles, EA 1069, Faculté des Sciences et Techniques, Université de Limoges, F-87060, France. TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 99 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 100 oldal / 102 A glucuronoxylan was purified from a delignified holocellulose alkaline extract of Castanea sativa (Spanish chestnut) and its structure analyzed by means of FT-IR, GC of the per-trimethylsilylated methylglycoside derivatives, and 1H and 13C NMR spectroscopy. The results supported a structure based on a linear polymer of xylopyranose units linked with beta(1-->4) bonds in which, on average, one out of every six units is substituted at C-2 by a 4-Omethylglucuronic acid unit; this structure is typical of a hardwood acidic 4-O-methylglucuronoxylan (MGX) with an estimated degree of polymerization of 200. The MGX from C. sativa inhibited the proliferation of A431 human epidermoid carcinoma cells with an IC50 value of 50 microM. In addition, this xylan inhibited A431 cell migration and invasion. Preliminary experiments showing that secretion of metalloproteinases MMP2 and MMP9 by A431 tumor cells was inhibited by the purified C. sativa MGX strongly suggest that this mechanism of action may play a role in its antimigration and antiinvasive properties. PMID: 17253851 [PubMed - indexed for MEDLINE] 1: J Agric Food Chem. 2005 Jan 26;53(2):282-8. Links Castanea sativa Mill. leaves as new sources of natural antioxidant: an electronic spin resonance study. Calliste CA, Trouillas P, Allais DP, Duroux JL. Laboratoire de Biophysique and Laboratoire de Pharmacognosie, Faculté de Pharmacie, UPRES EA 1085, Biomolécules et Cibles Cellulaires Tumorales, 2 rue du Dr. Marcland, 87025 Limoges, France. The antioxidant potential of Castanea sativa Mill. leaf (sweet chestnut) was explored as a new source of active extracts. The capacity of the different fractions issued from aqueous, methanol, and ethyl acetate extracts to inhibit the stable free radical 2,2-diphenyl-1pycryl-hydrazyl, superoxide anion, and hydroxyl radical was measured by electronic spin resonance. Their scavenging potential was analyzed versus their amount of phenolic compounds. Among the active fractions, the most effective one was A6, an ethyl acetate fraction, which contained a high level of total phenolic compounds (29.1 g/100 g). Thus, a different extraction procedure was performed to concentrate the active compounds of A6 in the new C. sativa leaf extract (CSLE). Compared to reference antioxidants (quercetin and vitamin E) and standard extracts (Pycnogenol, from French Pinus maritima bark, and grape marc extract), it was observed that A6 and CSLE have high antioxidant potentials, equivalent to at least those of reference compounds. PMID: 15656662 [PubMed - indexed for MEDLINE 1: Plant Physiol. 2004 Apr;134(4):1708-17. Epub 2004 Apr 2. Links Protein cryoprotective activity of a cytosolic small heat shock protein that accumulates constitutively in chestnut stems and is up-regulated by low and high temperatures. Lopez-Matas MA, Nuńez P, Soto A, Allona I, Casado R, Collada C, Guevara MA, Aragoncillo C, Gomez L. Departamento de Biotecnología, Escuela Técnica Superior de Ingenieros de Montes, Universidad Politecnica de Madrid, E-28040 Madrid, Spain. Heat shock, and other stresses that cause protein misfolding and aggregation, trigger the accumulation of heat shock proteins (HSPs) in virtually all organisms. Among the HSPs of higher plants, those belonging to the small HSP (sHSP) family remain the least characterized in functional terms. We analyzed the occurrence of sHSPs in vegetative organs of Castanea sativa (sweet chestnut), a temperate woody species that exhibits remarkable freezing tolerance. A constitutive sHSP subject to seasonal periodic changes of abundance was immunodetected in stems. This protein was identified by matrix-assisted laser-desorption ionization time of flight mass spectrometry and internal peptide sequencing as CsHSP17.5, a cytosolic class I sHSP previously described in cotyledons. Expression of the corresponding gene in stems was confirmed through cDNA cloning and reverse transcription-PCR. Stem protein and mRNA profiles indicated that CsHSP17.5 is significantly up-regulated in spring and fall, reaching maximal levels in late summer and, especially, in winter. In addition, cold exposure was found to quickly activate shsp gene expression in both stems and roots of chestnut seedlings kept in growth chambers. Our main finding is that purified CsHSP17.5 is very effective in protecting the cold-labile enzyme lactate dehydrogenase from freeze-induced inactivation (on a molar basis, CsHSP17.5 is about 400 times more effective as cryoprotectant than hen egg-white lysozyme). Consistent with these observations, repeated freezing/thawing did not affect appreciably the chaperone activity of diluted CsHSP17.5 nor its ability to form dodecameric complexes in vitro. Taken together, these results substantiate the hypothesis that sHSPs can play relevant roles in the acquisition of freezing tolerance. PMID: 15064380 [PubMed - indexed for MEDLINE] PMCID: PMC419844 1: Protein Expr Purif. 2003 Nov;32(1):44-51. Links Purification of castamollin, a novel antifungal protein from Chinese chestnuts. Wang HX, Ng TB. Department of Microbiology, College of Biological Science, China Agricultural University, Beijing, China. A novel antifungal protein, designated castamollin, was isolated from Chinese chestnut (Castanea mollisima) seeds with a procedure involving ion exchange chromatography on DEAE-cellulose, affinity chromatography on Affi-gel blue gel, ion exchange chromatography on CM-Sepharose and FPLC-gel filtration on Superdex 75. Castamollin possessed a novel Nterminal sequence demonstrating little similarity to N-terminal sequences of Castanea sativa chitinase. Castamollin exhibited a molecular mass of 37kDa in gel filtration and SDS-PAGE. It inhibited the activity of human immunodeficiency virus-1 reverse transcriptase with an IC(50) of 7microM and translation in a cell-free rabbit reticulocyte lysate system with an IC(50) of 2.7microM. Castamollin displayed antifungal activity against Botrytis cinerea, Mycosphaerella arachidicola, Physalospora piricola, and Coprinus comatus but was devoid of lectin activity. PMID: 14680938 [PubMed - indexed for MEDLINE] 1: Fitoterapia. 2002 Feb;73(1):22-7. Links A new pyrrole alkaloid from seeds of Castanea sativa. Hiermann A, Kedwani S, Schramm HW, Seger C. Institute of Pharmacognosy, Karl Franzens University, Universitätsplatz 4, A-8010 Graz, Austria. [email protected] A new pyrrole alkaloid, methyl-(5-formyl-1H-pyrrole-2-yl)-4hydroxybutyrate (1), was isolated from sweet chestnut seeds and its structure elucidated on the basis of data from NMR spectroscopy and by comparison with synthetic analogues. PMID: 11864759 [PubMed - indexed for MEDLINE] http://www.ncifcrf.gov/about/readingroom/css/COTS/Cyborg/50/Regulat ory/regulatory.pdf 1: J Agric Food Chem. 2001 Jul;49(7):3321-7. Links Free radical scavenging activities measured by electron spin resonance spectroscopy and B16 cell antiproliferative behaviors of seven plants. Calliste CA, Trouillas P, Allais DP, Simon A, Duroux JL. UPRES EA 1085, Biomolécules et Cibles Cellulaires Tumorales, Laboratoire de Biophysique, TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 100 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 101 oldal / 102 Faculté de Pharmacie, 2 rue du Dr. Marcland, 87025 Limoges Cédex, France. In an effort to discover new antioxidant natural compounds, seven plants that grow in France (most of them in the Limousin countryside) were screened. Among these plants, was the extensively studied Vitis vinifera as reference. For each plant, sequential percolation was realized with five solvents of increasing polarities (hexane, chloroform, ethyl acetate, methanol, and water). Free radical scavenging activities were examined in different systems using electron spin resonance (ESR) spectroscopy. These assays were based on the stable free radical 1,1-diphenyl-2picrylhydrazyl (DPPH), the hydroxyl radicals generated by a Fenton reaction, and the superoxide radicals generated by the X/XO system. Antiproliferative behavior was studied on B16 melanoma cells. ESR results showed that three plants (Castanea sativa, Filipendula ulmaria, and Betula pendula) possessed, for the most polar fractions (presence of phenolic compounds), high antioxidant activities in comparison with the Vitis vinifera reference. Gentiana lutea was the only one that presented a hydroxyl scavenging activity for the ethyl acetate and chloroform fractions. The antiproliferative test results showed that the same three plants are the most effective, but for the apolar fractions (chloroform and hexane). PMID: 11453770 [PubMed - indexed for MEDLINE] 1: Fitoterapia. 2000 Aug;71 Suppl 1:S110-6. Links Antibacterial and allelopathic activity of extract from Castanea sativa leaves. Basile A, Sorbo S, Giordano S, Ricciardi L, Ferrara S, Montesano D, Castaldo Cobianchi R, Vuotto ML, Ferrara L. Dipartimento di Biologia Vegetale, Universitŕ degli Studi di Napoli 'Federico II', via Foria 223, 80139 Naples, Italy. [email protected] Following the extraction of Castanea sativa with an aqueous solution of sulfuric acid (pH 3.0), the ethyl acetate soluble fraction was tested for its antibacterial and allelopathic activity. The extract was shown to have pronounced antibacterial effects against seven of the eight strains of Grampositive and Gram-negative bacteria used (MIC in the range of 64-256 microg/ ml and MBC in the range of 256-512 microg/ml). The active fraction was analyzed by TLC and HPLC showing the presence of rutin, hesperidin, quercetin, apigenin, morin, naringin, galangin and kaempferol. Standards of the identified flavonoids were tested against the same bacterial strains. The highest activity was shown by quercetin, rutin and apigenin. The allelopathic effect was tested against Raphanus sativus seed germination. The extract, quercetin, rutin and apigenin caused a decrease in the percentage of seed germination and root and epicotyl growth. PMID: 10930721 [PubMed - indexed for MEDLINE] 1: J Agric Food Chem. 1999 Dec;47(12):5023-30. Links Low molecular weight organic compounds of chestnut wood (Castanea sativa L.) and corresponding aged brandies. Canas S, Leandro MC, Spranger MI, Belchior AP. Estaçăo Vitivinícola Nacional, INIA, Quinta d'Almoinha, 2560 Dois Portos, Portugal. Oak and chestnut species have been largely used for the aging of brandies, but nowadays chestnut is rarely used. There have been no previous studies regarding the cooperage utilization of chestnut wood. This study provides, for the first time, specific information about the characterization of the northern Portuguese Castanea sativa wood and examines the influence of this wood and its heat treatment on the chemical composition of two-year-aged brandies, by the quantitative determination (HPLC) of low molecular weight phenolic compounds. The predominance of gallic acid among the analyzed extractable compounds both in chestnut wood and in the corresponding aged brandies was remarkable. The heat treatment has a very significant influence on the majority of extractable compounds analyzed. Thus, it could be responsible for the related sensorial properties of aged brandies and greatly affect their general balance. PMID: 10606567 [PubMed - indexed for MEDLINE] 1: Plant Mol Biol. 1998 Dec;38(6):1235-42. Links A chestnut seed cystatin differentially effective against cysteine proteinases from closely related pests. Pernas M, Sánchez-Monge R, Gómez L, Salcedo G. Unidad de Bioquimica, E.T.S. Ingenieros Agrónomos, Ciudad Universitaria, Madrid, Spain. Cystatin CsC, a cysteine proteinase inhibitor from chestnut (Castanea sativa) seeds, has been purified and characterized. Its full-length cDNA clone was isolated from an immature chestnut cotyledon library. The inhibitor was expressed in Escherichia coli and purified from bacterial extracts. Identity of both seed and recombinant cystatin was confirmed by matrix-assisted laser desorption/ionization mass spectrometry analysis, two-dimensional electrophoresis and N-terminal sequencing. CsC has a molecular mass of 11,275 Da and pI of 6.9. Its amino acid sequence includes all three motifs that are thought to be essential for inhibitory activity, and shows significant identity to other phytocystatins, especially that of cowpea (70%). Recombinant CsC inhibited papain (Ki 29 nM), ficin (Ki 65 nM), chymopapain (Ki 366 nM), and cathepsin B (Ki 473 nM). By contrast with most cystatins, it was also effective towards trypsin (Ki 3489 nM). CsC is active against digestive proteinases from the insect Tribolium castaneum and the mite Dermatophagoides farinae, two important agricultural pests. Its effects on the cysteine proteinase activity of two closely related mite species revealed the high specificity of the chestnut cystatin. PMID: 9869428 [PubMed - indexed for MEDLINE] 1: Plant Physiol. 1997 Sep;115(1):71-7. Links Purification and in vitro chaperone activity of a class I small heat-shock protein abundant in recalcitrant chestnut seeds. Collada C, Gomez L, Casado R, Aragoncillo C. Departamento de Biotecnologia, Escuela Tecnica Superior de Ingenieros de Montes, Ciudad Universitaria, Madrid, Spain. A 20-kD protein has been purified from cotyledons of recalcitrant (desiccation-sensitive) chestnut (Castanea sativa) seeds, where it accumulates at levels comparable to those of major seed storage proteins. This protein, termed Cs smHSP 1, forms homododecameric complexes under nondenaturing conditions and appears to be homologous to cytosolic class I small heat-shock proteins (smHSPs) from plant sources. In vitro evidence has been obtained that the isolated protein can function as a molecular chaperone; it increases, at stoichiometric levels, the renaturation yields of chemically denatured citrate synthase and also prevents the irreversible thermal inactivation of this enzyme. Although a role in desiccation tolerance has been hypothesized for seed smHSPs, this does not seem to be the case for Cs smHSP 1. We have investigated the presence of immunologically related proteins in orthodox and recalcitrant seeds of 13 woody species. Our results indicate that the presence of Cs smHSP 1-like proteins, even at high levels, is not enough to confer desiccation tolerance, and that the amount of these proteins does not furnish a reliable criterion to identify desiccation-sensitive seeds. Additional proteins or mechanisms appear necessary to keep the viability of orthodox seeds upon shedding. PMID: 9306691 [PubMed - indexed for MEDLINE] PMCID: PMC158461 Journal List > Plant Physiol > v.115(1); Sep 1997 TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 101 / 102 A RÁK MITOKONDRIÁLIS ELMÉLETE III. rész - 102 oldal / 102 Summary Selected References PDF (1.5M) Contents Archive Related material: PubMed articles by: Collada, C. Gomez, L. Casado, R. Aragoncillo, C. PubMed related arts 1: Plant Mol Biol. 1996 Dec;32(6):1171-6.Links Bacterial expression of an active class Ib chitinase from Castanea sativa cotyledons. Allona I, Collada C, Casado R, Paz-Ares J, Aragoncillo C. Departamento de Biotecnología, E.T.S. Ingenieros de Montes, Ciudad Universitaria, Madrid, Spain. Ch3, an endochitinase of 32 kDa present in Castanea sativa cotyledons, showed in vitro antifungal properties when assayed against Trichoderma viride. The characterization of a cDNA clone corresponding to this protein indicated that Ch3 is a class Ib endochitinase that is synthesized as a preprotein with a signal sequence preceding the mature polypeptide. Bacterial expression of mature Ch3 fused to the leader peptide of the periplasmic protein ompT resulted in active Ch3 enzyme. A plate assay was adapted for semi-quantitative determination of chitinase activity secreted from cultured bacteria, which should facilitate the identification of mutants with altered capacity to hydrolyse chitin. PMID: 9002617 [PubMed - indexed for MEDLINE] 1: Biochem Biophys Res Commun. 1993 Nov 15;196(3):1086-92. Links Purification, characterization and N-terminal amino acid sequence of a new major allergen from European chestnut pollen--Cas s 1. Kos T, Hoffmann-Sommergruber K, Ferreira F, Hirschwehr R, Ahorn H, Horak F, Jager S, Sperr W, Kraft D, Scheiner O. Institute of General and Experimental Pathology, University of Vienna, Austria. Pollens from trees of the order Fagales (e.g. birch, alder, hazel, and hornbeam) all contain one major allergen--the main cause for tree pollen allergy. So far the major allergens from birch (Bet v 1), alder (Aln g 1), hazel (Cor a 1), and hornbeam (Car b 1) have been characterized, showing high sequence similarity with each other (1-4). We present the molecular and immunologic characterization of Cas s 1, the major allergen from the European chestnut (Castanea sativa). From aqueous pollen extracts from European chestnut a protein was purified to homogeneity and was subjected to further investigation. The protein revealed a Mr of 22 kDa and was shown to represent the major allergen of the European chestnut (immunoblotting, histamine release) and designated Cas s 1. Despite a marked difference in Mr, Cas s 1 shows significant amino acid sequence similarity at the N-terminus and is antigenically closely related to the major birch pollen allergen Bet v 1 (17 kDa), as shown by binding to the anti-Bet v 1 monoclonal antibody BIP-1 and by IgEinhibition tests using recombinant Bet v 1. PMID: 7504464 [PubMed - indexed for MEDLINE] 1: Plant Physiol. 1992 Oct;100(2):778-783. Links Basic Endochitinases Are Major Proteins in Castanea sativa Cotyledons. Collada C, Casado R, Fraile A, Aragoncillo C. Departamento de Bioquímica, Escuela Técnica Superior Ingenieros de Montes, 28040 Madrid, Spain. Basic endochitinases are abundant proteins in Castanea sativa Mill. cotyledons. Three basic chitinases were purified with molecular masses of 25, 26, and 32 kD (Ch1, Ch2, and Ch3) and with isoelectric points between 8 and 9.5. Antibodies raised against Ch1 cross-reacted with Ch2 and Ch3. However, Ch3 showed differences when compared with the other two enzymes, especially in its higher cysteine content. The size, amino acid composition, and Nterminal sequence of Ch1 indicate that it is a class II endochitinase and, therefore, has no cysteine-rich hevein domain. Ch1 inhibits the growth of the fungus Trichoderma viride. The biological role of these endochitinases is discussed. PMID: 16653058 [PubMed - as supplied by publisher] PMCID: PMC1075626 1: Glas Srp Akad Nauka [Med]. 1974;25:69-78.Links [Pharmacognostic study of the sweet chestnut (Castanea sativa Mill.) in Yugoslavia. Areas of spread in Yugoslavia. 1] [Article in Serbian] Glisić M, Tucakov J. PMID: 4474110 [PubMed - indexed for MEDLINE] - end of the document ------------------------------------------------------------------------------------------------------------------------The mitochondrial theory of cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) ------------------------------------------------------------------------------------------------------------------------ TheMitochondrial Theory of Cancer © Copyright 2008. Czimbalmos-Kozma, Ferenc, MD., GP., DCH., Dr. Papp, Erika MD., (excluding from © some NOTICES and WIKIPEDIA and other images!) - page 102 / 102