Welcome to Cancer Ecology Commentary
Welcome to Cancer Ecology Commentary, a blog devoted
to examining and sharing current research in cancer ecology and cancer
evolution. Cancer ecology is the study of malignant neoplasms in
conjunction with that malignancy’s accompanying environment and the
interactions occurring between them. Cancer evolution is the tendency for
cancers to evolve over time in the course of a malignant disease.
One benefit of viewing cancer from an ecological perspective
is the use of the language and ideas from biological ecology as tools to
understand and categorize those environmental forces present that influence
neoplastic development and evolution. Cancers are dynamic, that is their
constituent malignant cell population is subject to change over time. Because
cancers are clonal, that is they originate from the neoplastic transformation
of a single cell, the process of change which we observe in a cancer over time is
often referred to as clonal evolution.
An important hypothesis for cancer ecologists to assess is
the belief that just how a cancer evolves reflects that cancer’s response to
the character of the host (patient) environment supporting the neoplasm. The ecologist is interested in defining what the
nature of that host environment is which may select certain cancer
features acting to enhance the cancer’s chances for successful growth and
reproduction in that environment. An important corollary hypothesis considers
whether those environmental circumstances are subject to modification to
diminish that support for therapeutic influence.
Below are some of the other terms which help describe cancer
ecology study:
By ecosystem we mean a biological community, a group
of interacting organisms viewed together in their physical environment. A cancer
ecosystem then can be thought of as the combination of a neoplasm,
comprised of a group of malignant cells and the accompanying environment of the
host individual from which the cancer arose and on which it depends for its survival
and growth.
A cancer ecologist is someone interested in understanding
this interrelationship by characterizing the set of interactions occurring
between the cancer and the host. Learning about that dynamic relationship is a
way of better understanding the either faciliatory or opposing inhibitory
effects of the tumor environment believed to influence tumor behavior.
We can think about that behavior as occurring at multiple
levels beginning at the molecular level with the understanding of the cancer
genome, the set genetic elements, the genes of a cancer organized into
chromosomes. Accompanying the cancer genome is a regulatory system serving to
control gene expression, the epigenome. That regulation is accomplished
through modifications of DNA-bound proteins allowing control over either more
or less gene accessibility. That accessibility, acting as a gate keeper, governs
gene expression, the transcription of gene segments of DNA into corresponding messenger
RNA often then to be translated into proteins. Genes are subject to mutation
- an alteration in the DNA code capable of heightening or suppressing gene
function and which may in turn may induce or amplify cancer cell growth. Such
mutated genes demonstrating untoward effects on tumor development or growth are
often referred to as oncogenes.
A cancer’s particular genome is referred to as its genotype
and becomes manifest at the cellular level as the development of an invasive
cancer. We define cancer as having occurred once neoplastic cells are found
to have crossed over a physical barrier surrounding that organ from which they
originated into surrounding tissue, an organ’s stroma. The character of
that neoplastic invasion including for example such features as the tumor’s
appearance under the microscope, its morphology, or it’s capacity for
growth and ability to spread to distant sites, a cancer’s metastasis, or
the metabolic pathways which a tumor utilizes to generate energy, a cancer’s metabolism,
or a cancer’s ability to evade host anti-cancer immune responses, when taken
together can be considered a neoplasm’s phenotype, the observable
features of a cancer.
The phenotypic traits of cancer which underpin its
development are referred to as the Hallmarks of Cancer. The Hallmarks
are those traits seen regularly throughout oncology which act to enhance
a neoplasm’s chances for survival, what is termed the neoplasm’s fitness. These
traits are examples of adaptive responses by the neoplasm. The existence
of tumor adaptations provides strong evidence that neoplasms, like any other
organism, follow the laws of evolutionary biology.
In evolution, some traits of an organism improve that
organism’s chances for survival in a given environment leading to more
organisms bearing that trait. We can say then that trait was selected
given its benefit to that organism in fostering improved reproduction. In a
similar fashion, Hallmarks, regularly observed tumor traits which characterize
a malignancy, are likely to have been selected by some aspect of the host
environment providing the cancer with enhanced survival chances.
Given the importance of selection in sculpting the features
of a developing neoplasm, the cancer ecologist searches for those host
environmental features which may be acting to drive that cancer’s evolution and
account for that cancer’s particular pathologic behavior. Some host environmental
characteristics may be subject to modification, potentially lessening the
influence of that selection-enhanced tumor fitness.
One important aspect of the cancer’s cellular neighborhood
where we can visualize firsthand those host-tumor interactions occurring is
referred to as the tumor’s microenvironment. Cell biology has given us
tools allowing us to view that neighborhood where neoplastic cells exist in
juxtaposition with an accompanying host cellular response. Studies of the tumor
microenvironment have provided understanding of the accompanying perturbations
in host immunity which neoplasms are known to induce and how neoplasms over
time are capable of corrupting anti-tumor host response.
The immune system is represented by dozens of cell subtypes,
each identifiable by specific features on their cell surface which in turn are
associated with a diverse set of specialized capabilities. By modifying the
character of the surrounding host immune response, successfully emerging
neoplasms act on the microenvironment to inhibit what ordinarily would be the
normal surveillance and anti-tumor response mediated by cellular immunity.
However, the means by which that inhibition occurs has come to be better
understood and as a consequence led to the availability of immune-modulating
therapies, often monoclonal antibodies, now available in the clinic as
cancer treatment. These therapeutic antibodies exert their effect through the inhibition
of regulatory systems governing immune responsiveness, commonly referred to as immune
checkpoint blockade. By alleviating the suppressed state of cellular immunity
these antibodies are proving capable of altering the untoward tumor-protective
microenvironment acting to resuscitate the cellular anticancer defense and often
achieving astonishing responses.
The availability of resources and other conditions found
within the tumor microenvironment available to the tumor to exploit can be
referred to as the tumor niche. Some neoplasms have the ability to
remodel that niche in the process altering that environment to improve chances
for tumor survival, a process termed niche construction. For example,
some cancers are capable of building a wall around themselves creating their
own sanctuary resistant to immune surveillance or response.
In addition to studies of cancer at the molecular or
cellular level, cancer ecologists are also interested in examining neoplastic
development at the organ level, to consider how organ injury as a consequence
of medical illness or toxic environmental exposure may untowardly act to
promote neoplasia. Ordinarily the organ systems of an individual function
together to maintain homeostasis, the regulation of the organism’s
environment to maintain stability in the face of changing environment
conditions. Such coordinated actions can be thought of as an example division
of labor. From the time of the first multicellular organism, such segregation
has provided those organisms with improved efficiency in responding to
constantly changing and often deleterious external conditions.
Borrowing ideas from the world of economics we can think of
how cells comprising an organ system or organ systems comprising physiology are
cooperating with each other to maintain homeostasis. Usually, this cooperation
functions normally accounting for the health of that organism. Circumstances though
may arise either because of an external stress or alternatively as an internal
pathology acting to disincentivize such mutualism. In economics, in a community
of individuals, when one individual consumes the benefits of that group but
stops contributing to the work of the community we think of that individual as
cheating on their fellow community members. Economists use the term ‘tragedy
of the commons’ to describe a universal tendency among individuals for such
behavior reflecting their goal of self-survival at the expense of community
integrity. Similarly, cells within a cooperating organ system may encounter
deleterious circumstances such as chronic injury or inflammation within that
organ which promote an analogous self-survival response. In cooperation
theory a sustained change in this prevailing work/benefit ratio may cause
disruption of normal cellular growth control leading to cellular autonomy.
Finally, recalling the highly social nature of human
communities, cancer ecologists can begin to describe the untoward human
environments and social pathologies that influence human diseases including
cancer. A social model of human malignancy allows us to consider how
malnutrition, poverty, education, culture, and the distribution of a society’s
resources may affect the development of cancer.
Thank you again for visiting Cancer Ecology Commentary.
I hope you found this overview useful. Please stop back in the future for new
monthly commentary at this site covering aspects related to the above.
James Cunningham
Thank you Jim, enlightening. I'm anxious to learn more about cancer ecology.
ReplyDeleteThanks for this in-depth journey into cancer ecology. Your clear writing style allowed me to follow and understand!
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