[HN Gopher] Cancer in the Cold
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       Cancer in the Cold
        
       Author : _Microft
       Score  : 166 points
       Date   : 2022-08-12 16:17 UTC (6 hours ago)
        
 (HTM) web link (www.science.org)
 (TXT) w3m dump (www.science.org)
        
       | srvmshr wrote:
       | If the hypothesis that going below 22C would activate brown fat
       | burning & starving the tumor subsequently in due process, hold -
       | this should have some evidence in people living in very cold
       | climates (e.g. Siberians, Eskimos etc). I don't think the
       | prevalence is statistically different in them. Would love to hear
       | if someone knows more about it.
        
         | [deleted]
        
         | atwood22 wrote:
         | I believe there is some evidence that those who grew up in
         | colder climates prefer warmer interior temperatures. Imagine
         | you live in Norway. In the winter, you need to heat your home
         | so you pick a temperature you prefer. Now imagine you live in
         | Seattle. You might not need to regularly heat your home to the
         | degree required in Norway. When the temp dips below your normal
         | temperature, you might acclimate to it instead of turning on
         | the heat.
        
           | srvmshr wrote:
           | Possibly. I don't yet follow what relationship this fact has
           | to finding evidence of lower cancer rates. Is it maybe you
           | were answering to some other reply?
        
         | vidarh wrote:
         | This seems presumptuous to me. Living in cold climates does not
         | necessarily correlate with being cold more than people living
         | in warm climates.
         | 
         | I grew up in Norway. The coldest winter I experienced saw 3
         | weeks of -30 celsius. I've lived in London the last 22 years. I
         | didn't freeze more in Norway. We had better insulated houses,
         | and far better winter clothes, because we needed to. And so if
         | anything I more frequently get "caught out" and have to add
         | extra layers of clothing etc. in the UK because you can get
         | away with not being prepared for a cold winter here, while in
         | Norway you _will_ have a proper winter coat etc.
        
           | kmtrowbr wrote:
           | Yes -- my wife and I are both from the northern midwest. We
           | live in San Francisco now. We are actually colder here in the
           | winters, then we ever were in the midwest, because houses in
           | San Francisco are not insulated, and don't have good heating
           | systems. Whereas houses in the midwest are essentially little
           | heating plants.
           | 
           | Life in the midwest is organized around staying warm and it
           | works very well.
           | 
           | We do appreciate the blue skies and the sun of California,
           | however. In the midwest in the winter, you can often go weeks
           | without seeing the sun.
           | 
           | We also like the houses in California. They're historic and
           | beautiful and in many cases greatly elegant. Also, easy
           | (arguably continuous) outdoor access is a beautiful thing.
           | But there is great irony in paper mache houses being,
           | relatively, so much more expensive.
        
           | srvmshr wrote:
           | > _This seems presumptuous to me. Living in cold climates
           | does not necessarily correlate with being cold more than
           | people living in warm climates._
           | 
           | I understand the sentiment. While we have done climate
           | control to our comforts, I am talking of environmental
           | factors at large. Just because Norway has great heating &
           | insulation doesn't imply Scandinavian climates are as good as
           | Spanish ones. We get exposed to lower temperature climates in
           | higher latitudes, and that thermal effect if any should add
           | up over the few decades of human lifespan or even in the
           | genetic assessment in terms of prevalence (in my OP). We are
           | talking in statistical sense - not an individual trial.
           | 
           | Proper & consistent indoor thermal regulation have been
           | around in past few decades, whereas useful medical record
           | keeping has been around for a good two centuries in most of
           | Europe & America (maybe slightly longer). So, my
           | inquisitiveness is to check if this hypothesis matches with
           | statistical observations in the northern population. And
           | several medical studies do factor in environmental
           | temperature (going by my brief exposure during grad school).
           | These factors are not disregarded because we have great ACs
           | for temperature management or sunscreens to block the UV. If
           | human interventions could so effectively mitigate, skin
           | cancer prevalence would be uniform around the globe (which
           | absolutely isn't) due to effective sunscreens sold nowadays.
        
             | TrevorJ wrote:
             | I think the more important factor here is _internal_ body
             | temperature, and if people living in colder climates
             | exhibit the sorts of adaptations related in the article. It
             | 's quite possible to be outdoors in very cold conditions
             | and have little to no core body temperature changes.
        
               | srvmshr wrote:
               | AFAICT, homeostatic temperature in humans does not vary
               | by a great deal. It is 37+-1degC always. I haven't come
               | across a study where any large deviation was stated.
               | 
               | Human bodies lose heat very quickly. We evolved from a
               | primate line which lived in South Central African plains.
               | Our hand/feet digits are great radiators. Although still
               | debated, our skin tone originally could have been light,
               | much like the skin under the primate coats (with brown
               | and African skin tones being later developments in
               | evolution, when we started to get less furry & produced
               | higher melatonin). So the evidence generally points in
               | the direction that we are just another warm-blooded
               | species without much thermal attributes. Given that,
               | environment should show some kind of statistical
               | difference if this cancer pathway's reliance on
               | temperature is so pronounced. Its hard to measure,
               | because there are several confounders in the
               | biochemistry. It is also hard to find a body of people
               | who have lived in both cold & hotter climates
               | simultaneously to make direct comparisons
               | 
               | Edit: some more details.
        
           | cellis wrote:
           | Never come to Michigan, ( Or Minnesota, or North Dakota ), in
           | the winter!
           | 
           | https://www.thrillist.com/travel/nation/us-states-with-
           | the-w...
        
             | Supermancho wrote:
             | The inhabited Minnesota and North Dakota areas haven't seen
             | multiple weeks of -30C/-22F in a very long time. Global
             | Warming has affected these places as well. Not to say it
             | doesn't reach <-22F at times (only down to -10F for a day
             | or 2 in 2020 for Fargo, ND), but it's never weeks of that
             | cold.
        
           | morog wrote:
           | Had 2 Swedish people visiting Cape Town over winter, they
           | said it was the coldest winter of their lives...the houses
           | have no insulation, windows &doors drafty. Average house
           | temperature indoors approx 10-15celcius.
        
             | forinti wrote:
             | So a Russian professor came to teach in the south of Brazil
             | (roughly same latitude as Cape Town). Apparently he had
             | never experienced so much cold. Temperatures are rarely
             | negative, but houses aren't heated.
        
             | refactor_master wrote:
             | Being from Scandinavia myself I've also visited Southern
             | Europe several times during winter, thinking I'll get a
             | boost of sunshine, and it'll be like spring. But the 10 C
             | _inside_ gets me every damn time, because as soon as you
             | stop moving and sit down, you start freezing over.
             | 
             | My own apartment is so heavily insulated that even in the
             | winter, it's almost to make the indoor temperature drop
             | below 20!
        
           | Ecco wrote:
           | Out of curiosity, would you mind linking to a few
           | brand/models of what you would consider a proper winter coat?
           | I have mostly lived in milder climates and would be
           | interested in knowing what kind of gear can keep you warm by
           | -30C
        
             | zen_1 wrote:
             | Not -30C, but something similar to this[1] jacket on top of
             | a shirt and warm undershirt have kept me reasonably warm in
             | -20C canadian winters. The best way to stay warm is to have
             | a windproof outer layer, then layer up (light layers!)
             | underneath to trap the warm air close to you.
             | 
             | [1]: https://www.columbia.com/p/mens-centerport-ii-jacket
             | ---tall-...
        
               | fpoling wrote:
               | The observation about wind proof outer layer is spot on.
               | On the other hand the jacket from the link is too short
               | for my taste. It requires special trousers to match.
               | 
               | One needs something that reaches knees to stay warm in
               | lighter trousers.
        
         | JamesBarney wrote:
         | Cold also seems to dampen the immune system which could
         | theoretically increase the rate of cancer incidence.
        
         | fpoling wrote:
         | Eskimo people have a mutation related to metabolism that
         | prevents going to keto state when eating mostly meat. That
         | alone can make proposed mechanism not working for them.
         | 
         | Plus the persistent cold exposure may not be there due to warm
         | clothes.
         | 
         | For me more interesting is the story of cancer among aboriginal
         | population of Australia. They do not use much clothes and at
         | night there it can be rather cold.
        
         | icegreentea2 wrote:
         | I think there are likely many many confounding factors that
         | would make extracting that data difficult. Separate from
         | environmental/cultural factors we know that traditionally cold-
         | weather cultures (Inuit for example) have genetic adaptions,
         | including within the brown-fat cell pathways (for example:
         | https://www.nature.com/articles/525429d). This would also make
         | for confounders.
         | 
         | I think it's reasonable to go look for existing evidence, but
         | it'd also be difficult to extrapolate.
        
       | starwind wrote:
       | Does this relate to the Krebs cycle running backwards thing that
       | was talked about earlier this week?
       | 
       | https://news.ycombinator.com/item?id=32392937
        
       | darepublic wrote:
       | I believe I encountered similar ideas googling wim hoff and the
       | cold exposure therapy stuff. There was a time in my life where I
       | was taking cold showers in the morning for a different
       | therapeutic purpose, to cure depression. I can tell you that for
       | the duration of the cold shower my existential angst was no
       | longer top of mind.
        
         | SubiculumCode wrote:
         | then you start reading things like: cold weather increases the
         | risk of heart attacks, constricting blood vessels, etc, and
         | suddenly that cold shower doesn't just feel shocking, it feels
         | existentially dangerous!
        
           | soperj wrote:
           | Or it could be like brucine in Count of Monte Cristo, as your
           | body gets used to it, it's less likely to kill you.
        
             | User23 wrote:
             | Good old Selye. It's generally true that a stressor that
             | doesn't overcome the body's capacity will result in
             | adaptation toward future instances thereof.
             | 
             | Of course there are limits, as the idiot who tried working
             | his way up from BBs to develop a bullet immunity learned
             | the hard way.
        
               | soperj wrote:
               | >Of course there are limits, as the idiot who tried
               | working his way up from BBs to develop a bullet immunity
               | learned the hard way.
               | 
               | shut up, i don't believe you. Actually??
        
           | kevin_thibedeau wrote:
           | It's risky for people who have already developed health
           | issues. That doesn't make it dangerous for healthy people.
        
             | SubiculumCode wrote:
             | it was a bit tongue in cheek, but really I was alluding to
             | the broader issue where some
             | conditions/treatments/lifestyles/etc both decrease and
             | increase different risk factors.
        
         | agumonkey wrote:
         | I often wondered about a primal reptilian brain therapy. Where
         | you overload your brain with deep priorities. Physical EMDR.
        
         | april_22 wrote:
         | not only that, cold water also helps with obesity and type 2
         | diabetes
         | 
         | https://you.com/search?q=cold+exposure+therapy+for+obesity
        
         | [deleted]
        
         | [deleted]
        
         | RcouF1uZ4gsC wrote:
         | > I can tell you that for the duration of the cold shower my
         | existential angst was no longer top of mind.
         | 
         | I bet you if you hit your thumb hard with a hammer, your
         | existential angst will also no longer be at the the top of your
         | mind.
         | 
         | Likely, any significant physical acute discomfort will remove
         | existential angst from the top of your mind.
        
           | alfor wrote:
           | I think that we need a bit of physical discomfort to push
           | against.
           | 
           | We have created an environment with the least amount of
           | effort and variations and as a result the more prevalent
           | diseases are the result of too much calories and not enough
           | effort exerted.
        
           | darepublic wrote:
           | Yeah that is kind of what I was low key trying to impart.
           | That I couldn't be sure it was working. Certainly it was no
           | silver bullet
        
           | TrevorJ wrote:
           | I'm pretty sure that's the joke OP was making :)
        
       | etothepii wrote:
       | Wouldn't an easy test for this be to look at cancer rates in the
       | winter/summer?
        
         | justsocrateasin wrote:
         | For pure cancer rates, no, it's still a relatively slow
         | progressing disease and a cancer may grow more in the winter
         | only to be diagnosed in the summer.
         | 
         | I guess you could look at cancer growth rates during
         | winter/summer, however we live in relatively controlled
         | environments. I don't think you could control for AC usage /
         | how much time you spend outside versus outside.
        
       | JoeAltmaier wrote:
       | Arctic populations used to have low cancer rates. Nowadays its
       | up, especially lung cancer in males. Maybe this reflects the cold
       | climate, but heated housing (and tobacco use) have negated the
       | historical benefit?
        
         | [deleted]
        
         | samstave wrote:
         | I built a hospotal in Nome AK.
         | 
         | I'd never been in such cold climate - even growing up in
         | tahoe... Stepping into the cold air and feeling your nose hairs
         | crystalize is a weird feeling - I can imagine huffing a
         | cigarette in that cold... but I suppose ? the cigarette may
         | warm the air slightly?
         | 
         | It was -40 F on typical days in the winter months - and there
         | were Inuits who would stand outside the back of the old
         | hospital and smoke in minus 40 degrees. and looking like any
         | place else outside. There are a lot of heavy smokers in that
         | area it seems.
         | 
         | (The hospital had a drunk tank for the alcohol problem in the
         | tribes, where they dont arrest you for being drunk, they throw
         | you in the tank and one has to deal with tribal council for
         | such matters. It was important because very often people got
         | too drunk in the cold and pass out on way home and freeze to
         | death.)
        
           | BbzzbB wrote:
           | Reminds me how often I used to stand or sit outside in
           | (Quebec's) winter completely miserable with fingers hurting
           | just for some nicotine, day or night. Good times. One of my
           | favorite parts of having quit (on top of health, stink and
           | money of course) was not leaving my living room repeatedly to
           | go freeze for 5 minutes at a time. So satisfying.
           | 
           | FWIW, I recall the smoke didn't really have a warming effect.
           | After all, I reckon your throat should still be around body
           | temperature even if it's <-30C outside (for the record, -40C
           | is -40F, -30C is -22F), the mild warmth from the smoke wasn't
           | really perceptible.
        
           | nradov wrote:
           | In Canada the police intentionally caused some drunken tribal
           | members to freeze to death by dropping them off out in the
           | cold.
           | 
           | https://gladue.usask.ca/node/2860
        
             | samstave wrote:
             | Canada has some dark shit. SORRY.
             | 
             | --
             | 
             | The tribal internment and rape and trafficking and fucking
             | of tribal minors in the fields around their "schools" of
             | pedophiles that rape and murder kids.
             | 
             | Yes, this is a real thing. They actually did this and
             | covered it up with the help of.... (The reason the purple
             | color is associated iwth royalty has nothing to do with the
             | crushing of sea snails to create purple dyes for garments.)
        
       | twobitshifter wrote:
       | I did an experiment in college on exvivo cells. We lowered the
       | temperature and then applied radiation treatment. At lower
       | temperatures cells can go to hibernation state and uptake less
       | oxygen. Oxygen radicals are what kill healthy cells during
       | radiation. We were actually pretty successful in increasing
       | survivability compared to the base case.
        
         | alfor wrote:
         | Have you seen that infrared light is use to create melatonin in
         | the mitochondria, sweeping up the free radicals?
         | 
         | Personally, I cured my winter eczema with a bit of infrared
         | light.
        
       | gwerbret wrote:
       | Bit of a tangent, but Derek Lowe is a great example of an
       | exceedingly rare species -- a competent science writer. His
       | writing manages to be engaging (and occasionally hilarious [0])
       | while still providing the reader with enough information, clearly
       | delivered, to understand the topic. It probably helps that,
       | unlike the myriad journalists and PR types who call themselves
       | science writers, he actually knows what he's talking about.
       | 
       | [0]: https://www.science.org/content/blog-post/things-i-won-t-
       | wor...
        
         | hprotagonist wrote:
         | he remains primarily employed doing the job at the bench.
         | 
         | that distinguishes him from every other scicomm name i can
         | think of, and accounts in part for this fact.
        
         | Hayvok wrote:
         | I come across that dioxygen difluoride article of his every few
         | years and it still makes me laugh (and shudder) every time.
         | Thanks for providing my 2022 reading of it. Looking forward to
         | next time.
        
           | function_seven wrote:
           | Chemistry:"That FOOF Article"::Aviation:"That SR-71 Speed
           | Check Story"
           | 
           | I've also read it a few times now (as well as that SR-71
           | story). Some real staying power!
        
           | jiggawatts wrote:
           | The article of his that I re-read regularly is titled _"Sand
           | won't save you this time."_ The topic is Chlorine
           | Trifluoride, which will burn asbestos firebrick!
           | 
           | https://www.science.org/content/blog-post/sand-won-t-save-
           | yo...
        
       | nope96 wrote:
       | Isn't 22 C == 71.6deg Fahrenheit ? That sounds like standard room
       | temperature, not cold
        
       | majkinetor wrote:
       | So it seems that both very cold and very hot are good for cancer
       | prevention/delay.
       | 
       | Cold influences the glucose uptake while hot influences the
       | immune system and probaly also promote ROS which normal cells can
       | fight off better then cancer.
       | 
       | Metformin + low carb + sauna + cold room seem like great
       | combination.
        
         | soperj wrote:
         | You'd think there would be a lower rate of cancer in places
         | like Finland then, since they really enjoy their saunas and
         | have relatively colder weather.
        
           | markkat wrote:
           | Works for heart disease and likely all cause mortality.
           | 
           | https://pubmed.ncbi.nlm.nih.gov/30486813/
           | 
           | https://pubmed.ncbi.nlm.nih.gov/35908583/
        
           | e40 wrote:
           | It may be cold in those places but why do you assume body
           | temperature is any different there? Humans are good at
           | regulating that, with layering and building heat.
        
             | timonoko wrote:
             | Finns truly have lower body temperatures. 35.3degC right
             | now.
             | 
             | According to american internets I am suffering from
             | constant "hypothermia".
             | 
             | Also I am obviously sufferring from "bradycardia", it is
             | not normal that 70-year old has resting pulse 45.
        
               | SketchySeaBeast wrote:
               | Not knowing your own personal health no one can say, but
               | it's common for older people with heart issues to have a
               | slower heart rate, so you may be fit as a horse, or you
               | could be having heart issues. If that's the case low
               | temperature has been linked to poor outcomes with heart
               | failure. But only your GP can decide. It just doesn't
               | feel like the slam dunk proof of better health you're
               | saying it is.
        
               | timonoko wrote:
               | This condition been the same for 50 years. I am worried
               | when it changes.
               | 
               | I am pretty sure this is somekind of hereditary trait for
               | Tundra dwellers. If I dont sweat, mosquitoes do not
               | bother me. Also all ticks drop off or just die.
        
               | SketchySeaBeast wrote:
               | > Also all ticks drop off or just die.
               | 
               | Ok, now I'm definitely worried about your blood.
        
               | timonoko wrote:
               | Achually there was one successful tick-bite. It was July
               | 1957. It managed to suck some blood, but removed itself
               | rightaway when mother Noko burned it with cigarette.
        
               | SketchySeaBeast wrote:
               | Ah, and it told the others.
        
               | mattkrause wrote:
               | I'm half worried and half envious.
        
               | soperj wrote:
               | That's interesting. I have a very low resting heart-rate
               | and lower than normal body temperature as well. (Also
               | from a northern area).
        
       | mdonahoe wrote:
       | Is this why whales don't die of cancer very often?
        
         | hangonhn wrote:
         | https://www.youtube.com/watch?v=D1HFP84RXak
         | 
         | Part of it is they have a lower metabolic rate. They may also
         | have a better version of tumor suppressing genes than most
         | mammals. Elephants have the same version as us but expressed
         | many more times.
        
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       (page generated 2022-08-12 23:00 UTC)