[HN Gopher] Light-induced whole-molecule vibration can rupture m...
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       Light-induced whole-molecule vibration can rupture melanoma cells'
       membrane
        
       Author : leothekim
       Score  : 140 points
       Date   : 2023-12-27 06:46 UTC (16 hours ago)
        
 (HTM) web link (news.rice.edu)
 (TXT) w3m dump (news.rice.edu)
        
       | Austizzle wrote:
       | The real question is always "but how good is it at killing non-
       | cancer cells?" A bullet fired from a gun would be great at
       | killing cancer cells too.
       | 
       | Although in this case it seems like it's just an alternative to
       | surgery, rather than a cancer cure? Just a way of vibrating cells
       | in a certain location to death?
       | 
       | Does anybody who actually understands medicine know if this is a
       | great breakthrough or not?
        
         | H8crilA wrote:
         | Every single cancer treatment is about destroying cancer cells.
         | Given the clickbait level of the headline it's clear that it is
         | not worth clicking.
        
           | inkcapmushroom wrote:
           | >Given the clickbait level of the headline
           | 
           | That is not a clickbait headline, it's very descriptive of
           | the contents of the article. Clickbait would be like "Crazy
           | new cancer cure will literally punch cancer cells to death!
           | You won't believe it!"
        
             | H8crilA wrote:
             | Title was changed.
        
         | pvaldes wrote:
         | If I understood it correctly, the "hammers" seek (or are
         | coupled with a system that attach mainly to) the cancer cells,
         | so they destroy it later. Looks like a clever system.
        
         | _nalply wrote:
         | These chemicals were used to detect cancer cells by coloring
         | them. Now it seems that they don't only color specifically, but
         | with the help of infrared light they can even destroy.
         | 
         | As far as I know these coloring chemicals are very specific for
         | cancer types. This means perhaps they are a cure but not for
         | all cancer types. Or the chemicals are poisonous and typically
         | only used on biopsies. Or they are not specific enough. I don't
         | know. We will see whether it is THE miraculous cure. I am
         | afraid not, but let's hope.
         | 
         | EDIT: let's cite:
         | 
         | > Aminocyanine molecules are already used in bioimaging as
         | synthetic dyes. Commonly used in low doses to detect cancer,
         | they stay stable in water and are very good at attaching
         | themselves to the outside of cells.
        
         | benjijay wrote:
         | I am not a biologist but I've known a few in my time;
         | 
         | It is highly unlikely there will ever be a singular "cure for
         | cancer" as cancer is a bit of a blanket term given to multiple
         | diseases, however this is a seemingly reasonably good
         | breakthrough in treatment - being able to destroy cancerous
         | cells without exposing the patient to further harm via targeted
         | radiation or harsh chemo drugs (basically targeted poisoning)
         | feels like a win.
         | 
         | If we can break the cells down and let the body's immune system
         | take care of the remnants instead of having to slice someone
         | open, huge win!
        
           | once_inc wrote:
           | > It is highly unlikely there will ever be a singular "cure
           | for cancer" as cancer is a bit of a blanket term given to
           | multiple diseases,
           | 
           | "It doesn't make sense to say 'cure for cancer.' Cancer is a
           | wide variety of disorders with different manifestations and
           | etiology. It makes as much sense as saying 'a cure for
           | virus'."
           | 
           | > https://www.smbc-comics.com/comic/2011-11-21
        
             | unsupp0rted wrote:
             | An enhanced immune system would functionally be a "cure for
             | virus".
             | 
             | It's conceivable we could find a technique that targets and
             | ruptures any cancer cell, functionally becoming a "cure for
             | cancer".
        
               | stvltvs wrote:
               | Which could increase the risk for autoimmune disease.
               | Current immunotherapy treatments for cancer that I'm
               | aware of have to be carefully monitored so they don't
               | kill the patient.
        
           | dghughes wrote:
           | Or better yet find out how to prevent cancers since it's
           | better to not be sick than to treat you once you are sick.
           | 
           | Things like the HPV vaccine which in my province saw a 90%
           | drop in just a few years. I think everyone should get it no
           | questions asked which maybe they don't anymore?
           | 
           | The Hepatitis B vaccine too since having the disease is a
           | cause of liver cancer.
           | 
           | But if all else fails it's also good to have a tools to try
           | to get rid of cancers.
        
             | thehappypm wrote:
             | HPV is a unique one because it's essentially a contagious
             | cancer, and you're not vaccinating against cancer, you're
             | vaccinating against the carrier (HPV). A really interesting
             | cancer treatment that's very promising is customized
             | vaccines that specifically target cancer cells for each
             | individual's cancer!
        
             | kulahan wrote:
             | Preventing cancer seems like a fool's based on my
             | understanding of the disease. You have cancerous cells in
             | your body every single day. Your immune system kills them
             | all off. It's like saying you want to prevent all bacteria
             | from entering your body. It's just not realistic (at least,
             | not right now).
        
               | inglor_cz wrote:
               | Maybe the OP meant "prevention" in the sense of
               | "improving your immune system so much that cancer never
               | manifests as a disease".
        
               | foobiekr wrote:
               | HPV causes cancer. The prevention here is literal - by
               | preventing infection from the oncogenic HPV variants
               | there is no cancer.
        
               | foobiekr wrote:
               | Replying to a post noting a 90% reduction in cancer
               | thanks to the HPV vaccine with "preventing cancer seems
               | like a fool's errand" is pretty amazing. Would you care
               | to expand on that?
        
             | inglor_cz wrote:
             | Whales are fairly resistant to cancers (and so are other
             | mammals, such as bats or naked mole rats), at least
             | compared to humans.
             | 
             | Possibly, we may one day run DNA modifications on ourselves
             | to copy whale/bat/naked mole rat genes into our cells in
             | order to acquire similar protection.
             | 
             | Sounds wild, but it once sounded wild to infect yourself
             | with a cowpox pus in order to prevent human smallpox.
        
           | onetimeuse92304 wrote:
           | I am of more positive thinking here. I think our problems
           | with cancer are due to misunderstanding what cancer is in the
           | first place.
           | 
           | Here, Thomas Seyfried can explain this much better than I
           | ever could: https://www.youtube.com/watch?v=KusaU2taxow
           | 
           | I think once we know where cancer comes from we can be much
           | more effective at preventing it in the first place (proper
           | diet) and treating it after the fact. With the current
           | progress I think at some point we should be able to prevent
           | pretty much close to all deaths from cancer.
           | 
           | Obviously, people will always be dying of something so
           | preventing a cancer will only mean we will have other
           | challenges to face.
        
             | benjijay wrote:
             | It's been a few years since I was as deep into this realm
             | so I might be slightly off but;
             | 
             | Cancers and Tumors mostly happen as a result of some errant
             | mutation - there are limitless causes for such things and
             | the best diet in the world can't save you from random
             | biological chance or solar radiation. Everything comes with
             | a risk and 98 times out of 100 your own defences will see
             | this mutation happen and shut it down before it gets too
             | far
             | 
             | A 100% effective 'prevention' for cancer would basically be
             | a souped-up immune system to the point that we basically
             | never get meaningfully sick, and probably live another
             | 30-50 years as a result (most cases of "died of old age"
             | are more like "had 7 different minor cancers which
             | overwhelmed the body's systems")
        
               | chefandy wrote:
               | Yeah-- it's obviously worth interrogating how our
               | environments affect our cancer risk, but considering that
               | the disease was named by Hippocrates in the 300s BCE, it
               | seems pretty unlikely that any single avoidable
               | environmental factor could be "the cause," or any single
               | factor could be "the mechanism."
        
               | benjijay wrote:
               | Certainly there are myriad 'causes', and likely at least
               | a few mechanisms if you get into specifics, but as a
               | general rule a cancerous tumour is a group of cells that
               | multiply faster than they die (or don't die at all), and
               | consume resources without 'giving back' to the organ in
               | which they reside - effectively the "I have outlived my
               | designated usefulness" switch gets commented out and
               | replaced with "multiply even harder, forever"
        
               | stvltvs wrote:
               | A non-specific treatment that revs up the immune system
               | increases the risk of autoimmune disease. It would have
               | to be specific to the cancer AFAIK, so more of a
               | treatment for an existing cancer than a preventative
               | measure.
        
             | b4ke wrote:
             | Lies. Lies about the nature of shared-conception. The
             | universe is a representation of the collective will, and
             | lies obfuscate that in ways that are consequential.
        
               | b4ke wrote:
               | It's unfortunate that the intellectual curiosity of
               | religious leaders led to science, as they are probably
               | also responsible for the problems it seeks to solve.
        
         | mo_42 wrote:
         | I had the same question when reading this. They use the light
         | only at places where cancerous cells were found plus some
         | safety margin I guess.
         | 
         | In that sense it's an alternative to surgery.
        
           | adamredwoods wrote:
           | Essentially correct. They use near-infra red light, which can
           | only penetrate about 3cm of skin, so this is not a complete
           | replacement to surgery.
           | 
           | New modern chemotherapy (anti-body drug conjugates) are also
           | similar to how it "adheres" to cancer cells, by binding to
           | specific cell expression. It's not re-inventing this
           | technology, just finding a new way to leverage it. The drug
           | will also bind to normal cells, but by directing light to a
           | specific area the goal is to minimize damage and side
           | effects.
        
         | sungam wrote:
         | It is a long way off clinical application but could potentially
         | be useful for treatment of "in transit" metastases - e.g.
         | multiple metastases spreading from a distal site on a limb and
         | growing on the skin. At the moment these are usually removed
         | surgically or treated with electrochemotherapy. Unlikely to
         | replace conventional treatments such as immunotherapy
         | (checkpoint inhibitors), targeted inhibitors (BRAF/MEK) or
         | emerging treatments such as personalised mRNA vaccines.
         | 
         | (Lead clinician for the melanoma multidisciplinary team at a
         | major teaching hospital in London for what it's worth)
        
         | onetimeuse92304 wrote:
         | We are currently using radiation therapy which focuses gamma
         | rays on a piece of tissue with cancer cells to kill it.
         | 
         | If you can do the same but instead of gamma rays use infrared,
         | even if it kills indiscriminately, that should still be a net
         | positive, don't you think?
         | 
         | And the main benefit here is that you can get these molecules
         | into specific cells which in theory should allow killing cells
         | based on some chemical characteristic.
        
         | ta988 wrote:
         | https://xkcd.com/1217/
        
         | mcint wrote:
         | Even if this just becomes chemotherapy but locally activated by
         | near-infrared light, that would be great.
         | 
         | It means, at worst, don't go outside or be in bright sun-lit
         | spaces, but also, we can shine a flashlight on where the cancer
         | is to kill it. Even if it weren't very selective (which could
         | be adjusted with other targeting molecules), light-trigged
         | theraputics are easy to understand the propagation of.
        
       | hasoleju wrote:
       | > Near-infrared light can go as deep as 10 centimeters (~ 4
       | inches) into the human body.
       | 
       | This attribute of the infrared light is key to treating cancer
       | anywhere in the human body with this method. As long as the
       | patient is not obese, I assume 10 centimeters of penetration
       | depth are enough to reach any part of the body.
       | 
       | Penetration depth and the precision of the desired effect is
       | something that is very important in radiation therapy as well.
       | With radiation therapy you basically shoot small particles at the
       | cancer cells but you also damage surroundings if you don't aim
       | precisely enough. Dependig on the depth of the cancer cells
       | inside the body, different particles are used. The amount of
       | damage the particles deal depends on physical effects. Photons
       | deal most of the damage on the surface. More heavy particles like
       | alpha particles deal most of the damage once they are slowed down
       | inside the body. (See Bragg peak
       | https://en.wikipedia.org/wiki/Bragg_peak ).
        
         | stvltvs wrote:
         | > as deep as
         | 
         | I wonder if this is affected by tissue types, e.g. bone.
        
           | tsavo wrote:
           | Near Infrared (NIR) is affected by tissue type. It's light,
           | different densities of a substance, along with what that
           | substance may be comprised, will influence the rate of
           | absorption of the light by a substance and reduction in light
           | penetration.
        
         | inglor_cz wrote:
         | With laparoscopy, you can penetrate patients of all sizes with
         | instruments, and with minimal danger.
        
       | adamredwoods wrote:
       | previously: https://news.ycombinator.com/item?id=38701381
        
       | all2 wrote:
       | I suppose I should mention the much maligned Royal Raymond Rife
       | who stumbled onto this same phenomena over a century ago.
        
       | joshuahaglund wrote:
       | How many times have we found a new medical use for an existing
       | dye?
       | 
       | Prontosil was a pre-penicillin antibacterial based on azo dyes
       | https://en.wikipedia.org/wiki/Prontosil#History
       | 
       | Brilliant blue, a food coloring, was found to help repair spinal
       | injuries https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719612/
        
         | foobiekr wrote:
         | The blue dye seems to have gone nowhere since the initial
         | study: https://en.wikipedia.org/wiki/Coomassie_brilliant_blue
        
         | adonovan wrote:
         | And the first antibiotic was inspired by the observation that
         | dye stuck to bacteria better than other things! See
         | https://en.wikipedia.org/wiki/Paul_Ehrlich
        
       | xkcd-sucks wrote:
       | > whole-molecule vibration Heating it up
       | 
       | > Light-induced with IR light (IR penetrates tissue much better
       | than visible/UV and it's cheaper than microwaves/RF)
       | 
       | > can rupture melanoma cells' membrane you can cook cancer to
       | death, surprise. The big deal is not cooking everything else,
       | ~~here accomplished with a targeted sensitizer dye that localizes
       | to just those cells~~ Nope, no targeting at all. The advance here
       | is just a new class of IR absorbing dyes that have some cool
       | chemical properties that lend themselves particularly well to
       | disrupting lipid membranes. The reason it's billed as a cancer
       | treatment is because the authors get funding from NIH not NSF,
       | more or less
        
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