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Researchers have found that a gene called OPCML appears to be involved in ovarian
cancer. In a recent study, the OPCML gene was found to switched off in 90% of
ovarian cancer cases analyzed by researchers. Furthermore, experiments show that when a functioning
OPCML is inserted into ovarian cancer tissue, the gene greatly suppresses cancer growth.
The researchers say that these discoveries represent an exciting advance in ovarian cancer
research which could potentially help them develop methods for preventing the disease in
some women.
The U.S. National Cancer Institute estimates that approximately one out of 57 women
will develop ovarian cancer during their lifetime. Like many cancers, ovarian cancer can
be highly treatable if detected in early stages. However, many cases of ovarian cancer are
not diagnosed until advanced stages. This is because the symptoms of ovarian cancer can be
very subtle ("silent") or unnoticeable until the disease has progressed
significantly.
In a study published in the July 2003 issue of Nature Genetics, Dr. Hani Gabra
of Cancer Research U.K. and colleagues discuss the identification of the OPCML gene. In
normal ovarian cells, the OPCML gene appears to suppress the growth of cancer. However,
this gene was "switched off" in nearly 90% ovarian cancer tumors that were
tested in the study. Laboratory experiments also show that injecting a normal, working
OPCML gene into ovarian cancer tissue can halt the growth of cancer.
"This is a very important discovery in identifying what seems to be a key tumor
suppressor gene in ovarian cancer," said Dr. Gabra, in a Cancer Research UK news
release.
"We have found that these genes are frequently 'switched off' at very early stages
of the disease and fail to make essential proteins. But when we switch these genes back on
in the cancer cells, tumors are suppressed."
Early detection is the key to surviving ovarian cancer. Currently, only 25% of ovarian
cancer cases are detected at an early stage. Indigestion, nausea, or changes in bowel
movements are the most common signs of ovarian cancer. Women who have ovarian cancer may
or may not experience pelvic pain. The following symptoms may be associated with ovarian
cancer:
- Pelvic or abdominal pain, pressure, swelling, or discomfort
- Vague, but persistent, gastrointestinal upsets such as gas, nausea, and indigestion
- Frequency and/or urgency of urination in the absence of an infection
- Unexplained changes in bowel habits
- Unexplained weight gain or weight loss, particularly weight gain in the abdominal region
- Pelvic and/or abdominal swelling, bloating, and/or feeling of fullness
- Pain during intercourse
- Ongoing fatigue
- Leg pain
- Unusual vaginal bleeding—a rare sign of ovarian cancer. More likely, vaginal
bleeding is a sign of another type of abnormality. Bleeding may occur between menstrual
periods. Heavier than normal menstrual bleeding, and menstrual bleeding that lasts longer
than normal are considered unusual signs.
"[This research] takes us further in the urgent quest to find a method for earlier
diagnosis and treatment of ovarian cancer," said Dr. Gabra. "We now need to work
on understanding more about this gene and exactly how it works and what makes it switch
off."
According to Cancer Research UK, the research may help scientists learn more about the
onset and development of ovarian cancer. In the future, it may even be possible to develop
drugs to replicate the effects of OPCML, helping to prevent the disease in some women.
At this time, research on the OPCML gene is still in preliminary stages. Nonetheless,
the study offers promising new information on a complex disease with a low survival rate.
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