Kramer: Our cancer risk is not written in the stars
Source: http://www.cancerletter.com/ Author: Matthew Ong, reporter with The Cancer Letter The stochastic process of stem cell divisions should not be equated with bad luck, said Barnett Kramer, director of the NCI Division of Cancer Prevention, focusing on misinterpretations of the “Bad Luck” paper by Cristian Tomasetti and Bert Vogelstein, of Johns Hopkins University School of Medicine. Kramer spoke with Matthew Ong, a reporter with The Cancer Letter. Matthew Ong: What was your overall impression of the Tomasetti and Vogelstein paper? Barnett Kramer: I found the paper interesting. What they did was they didn’t generate any new experimental evidence, obviously. They searched the literature for reports on numbers of stem cells and number of divisions of the stem cells. They used well-accepted concepts that the risk of mutations or number of mutations are relatively constant for a given cell division—in statistical terms, a stochastic process—that is, any given division, you don’t know which gene is going to mutate, but for every given division, you can predict, relatively accurately, how many mutations are going to occur in the division. You just don’t know which cell it’s going to happen to. But if you have enough cells, then a statistical analysis of this stochastic process gives you, generally, a pretty good idea of how many mutations there are, and the number of mutations to be a risk factor for cancer. MO: What were the authors trying to achieve in their analysis? MK: They took well-known concepts, went to the literature, looked for the number [...]