April 24, 2013
By David Martin
|Sushanta Banerjee, Ph.D., and Gargi Maity, Ph.D.|
Regular use of low-dose aspirin may prevent the progression of breast cancer, according to researchers at the Veterans Affairs Medical Center in Kansas City, Mo.
The study found that aspirin slowed the growth of breast cancer cell lines in the lab and significantly reduced the growth of tumors in mice. The age-old headache remedy also exhibits the ability to prevent tumor cells from spreading.
The lead author of the study, Gargi Maity, Ph.D., a postdoctoral fellow who works in the cancer research unit at the VA Medical Center, presented the findings at the Experimental Biology conference, an annual meeting of nearly 14,000 scientists, in Boston on April 21. The senior author is Sushanta Banerjee, Ph.D., the director of the cancer research unit and a professor at the University of Kansas Medical Center.
The role aspirin, or acetylsalicylic acid, plays in preventing and treating cancer has intrigued researchers since the late 1980s, when an Australian study found that people who regularly used aspirin were less likely to develop colorectal cancer. Aspirin use has also been shown to reduce the risk of squamous cell esophageal cancer and prostate cancer.
Anecdotal evidence indicated that breast cancer was less likely to return in women who took aspirin to lower their risk of heart attack or stroke. But the science behind this relationship is not well understood.
The VA study found that aspirin may interfere with cancer cells' ability to find an aggressive, more primordial state. In the mouse model, cancer cells treated with aspirin formed no or only partial stem cells, which are believed to fuel the growth and spread of tumors.
Banerjee, a professor of medicine in the division of hematology and oncology, says first-line chemotherapy treatments do not destroy stem cells. Eventually, the tumor will grow again. "If you don't target the stemness, it is known you will not get any effect," he says. "It will relapse."
In lab tests, aspirin blocked the proliferation of two different breast cancer lines. One of the lines tested is often called triple-negative breast cancer, a less common but more difficult treat form of the disease. Triple-negative breast cancers lack receptors for estrogen, progesterone and Her2.
"We are mainly interested in triple negative breast cancer, because the prognosis is very poor," Banerjee says.
Aspirin may also improve the effectiveness of current treatments for women whose breast cancers are hormone-receptor positive. In lab tests, aspirin enhanced the effect of tamoxifen, the usual drug therapy for hormone-receptor positive breast cancer.
Aspirin is used in the treatment of a number of different conditions. Banerjee says its ability to attack multiple metabolic pathways is what makes it a potentially useful cancer fighter. "Cancer is not a single-gene disease," he says. "Multiple genes are involved."
Aspirin is a medicine with side effects, including gastrointestinal bleeding. Researchers will continue to explore if the positive effects of regular use of the drug outweigh the risks. In 2012, the National Cancer Institute asked scientists to design studies that would illuminate the mechanisms by which aspirin and drugs with other uses appear to reduce the risk of cancer or improve the prognosis for those diagnosed with the disease. Banerjee says his lab will apply for one of the grants.
Other co-authors at the cancer research unit include Snigdha Banerjee, Ph.D., associate professor of medicine in hematology and oncology at KU, and post-doctoral scholars Archana De, Ph.D., and Amlan Das, Ph.D.