Chemotherapy and Radiation therapy both target rapidly dividing cells,
as has been amply discussed. With regards to your last clarification,
cancer cells aren't growing out of control because of the chemo and
radiation (although, interestingly, these are the same agents that can
cause cancer) they are dividing out of control because of defects
typically in cell-division-cycle genes, or in the various
cell-division-cycle checkpoints. Hair follicles and intestinal lining
recieve growth signals, or mitogens, that specifically cause them to
rapidly divide. This is a normal process; and is necessary, as these
tissues are subject to lots of trauma and need to be replaced often.
The mechanism of chemotherapy and radiation, based on the fact that
they interfere with rapidly dividing cells, we can infer, is that they
interefere in someway with the cell-cycle. This could include
preventing DNA replication, preventing transciptional or translation
of certain proteins. Improvements in cancer therapy are moving away
from the traditional treatments, and towards a process called
angiogenesis. Angiogenesis is the process by which new blood vessels
are formed. In order for a tumor to survive, it must be able to
recruit ample blood supply. Anti-angiogenesis drugs would prevent
thet formation of these blood vessels, in effect they would starve a
tumor to death. Other treatments include looking for cell-surface
markers that distinguish cancer cells from non-cancer cells, and drugs
that can send a cell down the pathway to cell death, called apoptosis. |