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A step past chemotherapy.(patients are beginning to benefit from targeted drugs that home in on the molecular characteristics of cancer cells, leaving healthy tissue relatively unscathed)

Newsweek International

| December 15, 2003 | Kalb, Claudia | COPYRIGHT 2003 Newsweek, Inc. All rights reserved. Any reuse, distribution or alteration without express written permission of Newsweek is prohibited. For permission: www.newsweek.com. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Cancer researchers are a stubborn lot. They know the numbers: more than 16,000 people die from cancer every day. They know the enemy: an insidious disease that ravages virtually every organ in the body. And they know that they desperately need new treatments so that patients like Amelia Gilardi, 72, become the norm, not the exception. In 1998, Gilardi was diagnosed with multiple myeloma and told she had no more than three years to live. After traditional chemotherapy failed, Gilardi enrolled in a clinical trial of a then experimental drug called Velcade. Eight months later she was in remission. "It was wonderful that there was something else out there," she says.

For decades, doctors have relied on conventional chemotherapy to poison cancer cells. The treatment has saved many lives, but because chemo attacks healthy cells, too, patients suffer a slew of toxic side effects. And they often become resistant to treatment or die from complications. Today, thanks to an increasingly sophisticated understanding of how cancer works, patients are beginning to benefit from a revolution in oncology: targeted drugs that home in on the molecular characteristics of cancer cells, leaving healthy tissue relatively unscathed. There are still no miracle cures, but there is plenty of cautious enthusiasm. "These are small incremental gains," says Dr. David H. Johnson of the Vanderbilt-Ingram Cancer Center, "but each one is phenomenal."

Cancer was long thought of as one disease expressed in different parts of the body, but researchers are now teasing apart the myriad genes and proteins that differentiate cancer cells, not just from healthy cells, but from each other. Two breast-cancer tumors may look identical under the microscope, but may turn on, or "express," different genes. The result: two tumors behaving in dissimilar ways--and susceptible to ...

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