<strong>Tumor</strong> cells lose <strong>the</strong>ir ability to communicate. 4 BIESTMILCH <strong>Tumor</strong> <strong>–</strong> <strong>see</strong> <strong>the</strong> <strong>opportunity</strong>
A GENETIC DEFECT ALONE DOES NOT NECESSARILY LEAD TO A TUMOR DEVELOPING It can take decades for a tumor to reach a size of medical significance, i.e. until disorders become evident. <strong>Tumor</strong>s usually grow very slowly and, in addition to that, a series of unfortunate circumstances must concur. A defect in <strong>the</strong> DNA is not sufficient to make a tumor develop and that is why a tumor is not simply a collection of malicious cells whose growth proceeds in an aggressive and uncontrolled way. And because of this fact, a suitable lifestyle can very much prevent <strong>the</strong> development of a tumor. Thus, for a tumor to start growing, a number of factors must concur. - There are disorders of <strong>the</strong> cell biology on <strong>the</strong> level of <strong>the</strong> cell core, <strong>the</strong> cytoplasm, <strong>the</strong> receptors, <strong>the</strong> extra-cellular matrix and <strong>the</strong> neighboring cells. The underlying processes are arranged on a time basis in 3 phases: 1) <strong>the</strong> initiation of <strong>the</strong> DNA, 2) <strong>the</strong> promotion in <strong>the</strong> intra- and extra-cellular environment and 3) <strong>the</strong> progression through tumor-specific communication processes beyond <strong>the</strong> primary tumor. First of all, <strong>the</strong> cell experiences a genetic change, it is initiated. It can linger or pause in this state for centuries on end. This means a tumor never grows. So, as you <strong>see</strong>, a genetic defect does not suffice to produce a tumor. However, if such a cell experiences an irritation such as <strong>the</strong> influence of a carcinogen or a chronic inflammatory change to its environment, <strong>the</strong>n <strong>the</strong> genetic defect manifests in <strong>the</strong> development of a tumor. A chronic inflammatory environment gives this genetically weak cell a growth advantage over o<strong>the</strong>r cells. THE TUMOR CELL GROWS INDEPENDENTLY No cell can multiply itself without <strong>the</strong> stimulating signals. In contrast, a tumor cell grows independently; it loses its coupling to <strong>the</strong> environment. Many oncogenes function by copying normal growth signals. The bridging molecules (connexins) are molecules that are essential for <strong>the</strong> communication between cells. Stem cells are characterized by not carrying such connexins on <strong>the</strong>ir surface. Thus, <strong>the</strong>y have no bridges for communicating with o<strong>the</strong>r cells. These bridging molecules are significantly involved in controlling <strong>the</strong> growth of cells and tissues. Communication is thus an important control process. A characteristic cancer cell: 1) Self-sufficiency of growth signals 2) Insensitive towards <strong>the</strong> growth of repressive signals 3) Infiltration of cell termination (apoptosis) 4) Endless potential for proliferation 5) Maintaining <strong>the</strong> formation of vessels 6) Penetration into <strong>the</strong> tissue and metastasis THE CELL‘S ENVIRONMENT IS JUST AS IMPORTANT AS THE CELL ITSELF In science, one speaks of epigenetic processes, which play a central role in <strong>the</strong> development of tumors. As you know, <strong>the</strong> cell comprises one cell nucleus in which chromosomes, <strong>the</strong> DNA, <strong>the</strong> genetic material so to say are located. Cytoplasm, in which a large number of accumulations of molecules form structures that are necessary for <strong>the</strong> cell to live and to become what it is and what it does, surrounds this cell nucleus. The cell as a whole is surrounded by a membrane just like <strong>the</strong> cell nucleus is. All structures that form this kind of cell have, on <strong>the</strong> one hand, Anteile which have a very flexible shape (receptors, ligands) and continuously send and receive signals. On <strong>the</strong> o<strong>the</strong>r hand, <strong>the</strong>y fulfill certain tasks in <strong>the</strong> cell such as cell respiration or protein biosyn<strong>the</strong>sis. Thus a stream of signals flows through <strong>the</strong> cell, which leads from <strong>the</strong> cell nucleus to <strong>the</strong> environment surrounding <strong>the</strong> cells and back. In simple terms, it is a never-ending loop. The resulting changing signal patterns influence <strong>the</strong> specific functional state of <strong>the</strong> cell. Irrespective of what function a cell has, in principle, all cells work according to <strong>the</strong> same principle, and because <strong>the</strong>y all work in this way, <strong>the</strong> cells on <strong>the</strong> various levels can be influenced in terms of both place and time. Cell growth is thus not a phenomenon that is controlled solely by <strong>the</strong> cell nucleus and its genetic material. The cell is closely connected to its environment, exchange is narrow and intensive. Not only do signals/impulses/messages from <strong>the</strong> interior of <strong>the</strong> cell reach <strong>the</strong> cell‘s surroundings, thus changing <strong>the</strong> cell‘s state, but signals/impulses/messages from <strong>the</strong> environment likewise inlfuence <strong>the</strong> cell‘s and <strong>the</strong> nucleus cell‘s function and activity. In this way, <strong>the</strong> cells and <strong>the</strong> space between <strong>the</strong>m form an entity of brisk exchange. | 5