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CANCER

French gene study offers breast cancer hope

French doctors revealed this week they hacarried out the bigest gene testing study of its kind which could offer women with advanced breast cancer a better chance of treating their disease.

French gene study offers breast cancer hope
A French study into genes offers hope in treating women with advanced brreast cancer. Photo: Mychelle Daniau/AFP

French doctors said on Friday they had used gene testing to help women with advanced breast cancer get access to clinical trials that may offer a better chance of treating their disease

The study, the biggest of its kind, improves the chances of getting drugs that, like a sniper's rifle, aim at a specific type of tumour, they said

Researchers led by Fabrice Andre, a professor at the Gustave Roussy Institute in Paris, unravelled the DNA of cancer cells found in more than 407 women whose breast cancer had spread dangerously to other tissues.

The goal was to pinpoint genes linked with specific types of tumour, and see if these could be matched to new, experimental drugs that were already in the test pipeline

Previous work has looked at only part of the genetic code of cancer cells – this one, though, was a trawl across the genome, aimed at identifying as many suspect genes as possible.

The probe found that nearly half of the patients – 46 percent – did have tumours whose genetic profile offered a potential target for drugs.

Of these, 43 were then enrolled in clinical trials for new drugs corresponding to this profile.

Thirteen of them responded to treatment.

"Until now, genetic testing has only analysed a limited number of genes to select which targeted drugs are suitable for individual patients and many treatment opportunities may be missed," explained Andre.

"For the first time, we have shown that scanning the whole genome can identify both frequent and rare genomic alterations and can be done in clinical practice with large numbers of women."

The study is reported in a specialist journal, The Lancet Oncology.

Despite the success of the gene trawl, the choice of drugs remains meagre for many of the rarer types of breast cancer.

Thirty-nine percent of the women had a rare type of genetic profile in their cancer, for which in most cases no treatments – either licensed or in trials – existed.

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SCIENCE

Nobel Prize in Chemistry awarded for ‘ingenious tool for building molecules’

The Royal Swedish Academy of Sciences in Stockholm, responsible for awarding the Nobel Physics and Chemistry Prizes, has announced the winners of the 2021 Nobel Prize in Chemistry.

Peter Somfai, Member of the Nobel Committee for Chemistry, announces the winners for the 2021 Nobel Prize in Chemistry.
Peter Somfai, Member of the Nobel Committee for Chemistry, announces the 2021 winners. Photo: Claudio Bresciani

The prize this year has been awarded to Germany’s Benjamin List and David MacMillan from Scotland, based in the US.

The Nobel Committee stated that the duo were awarded the prize “for their development of a precise new tool for molecular construction: organocatalysis”. The committee further explained that this tool “has had a great impact on pharmaceutical research, and has made chemistry greener”.

Their tool, which they developed independently of each other in 2000, can be used to control and accelerate chemical reactions, exerting a big impact on drugs research. Prior to their work, scientists believed there were only two types of catalysts — metals and enzymes.

The new technique, which relies on small organic molecules and which is called “asymmetric organocatalysis” is widely used in pharmaceuticals, allowing drug makers to streamline the production of medicines for depression and respiratory infections, among others. Organocatalysts allow several steps in a production process to be performed in an unbroken sequence, considerably reducing waste in chemical manufacturing, the Nobel committee at the Royal Swedish Academy of Sciences said.

The Nobel committee gave more information in a press release as to why List and MacMillan were chosen: “Organocatalysis has developed at an astounding speed since 2000. Benjamin List and David MacMillan remain leaders in the field, and have shown that organic catalysts can be used to drive multitudes of chemical reactions. Using these reactions, researchers can now more efficiently construct anything from new pharmaceuticals to molecules that can capture light in solar cells. In this way, organocatalysts are bringing the greatest benefit to humankind.”

List and MacMillan, both 53, will share the 10-million-kronor prize.

“I thought somebody was making a joke. I was sitting at breakfast with my wife,” List told reporters by telephone during a press conference after the prize was announced. In past years, he said his wife has joked that he should keep an eye on his phone for a call from Sweden. “But today we didn’t even make the joke,” List said. “It’s hard to describe what you feel in that moment, but it was a very special moment that I will never forget.”

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