[HN Gopher] Scientists are discovering a powerful new way to pre...
       ___________________________________________________________________
        
       Scientists are discovering a powerful new way to prevent cancer
        
       Author : Earw0rm
       Score  : 133 points
       Date   : 2025-10-04 11:44 UTC (11 hours ago)
        
 (HTM) web link (www.economist.com)
 (TXT) w3m dump (www.economist.com)
        
       | Earw0rm wrote:
       | Interesting article challenging today's popular understanding of
       | cancer genesis and development, and outlining the increasing
       | understanding of the role inflammation plays in stimulating the
       | growth of cancer cell populations.
        
         | 3abiton wrote:
         | From my understanding it's still highly speculative though.
        
           | Earw0rm wrote:
           | Ask a dairy farmer. Inflammation-mediated carcinogenesis is
           | certainly a thing for some specific types. How much it's true
           | across the board is speculative, but a lot of inflammation-
           | related conditions also have association with higher cancer
           | risk for the given body part.
        
             | baxtr wrote:
             | I'm curious to know how dairy farmers are qualified to
             | comment on cancer?
        
               | scrollop wrote:
               | I predict that they would say:
               | 
               | "There is no way dairy products can contribute to
               | inflammation, cancer or anything bad for a person. Just
               | ask the Milk Board!"
               | 
               | On the other hand:
               | 
               | https://www.youtube.com/watch?v=aIPksx7XLzk (it's a bit
               | old though)
               | 
               | https://www.youtube.com/watch?v=_CRrI5U9HXU
        
             | jama211 wrote:
             | I'd rather ask the cancer research scientists.
        
       | victorbjorklund wrote:
       | https://archive.is/2025.09.11-083906/https://www.economist.c...
        
       | adaptbrian wrote:
       | Warburg effect (oncology) -
       | https://en.m.wikipedia.org/wiki/Warburg_effect_(oncology)
        
         | CaptainOfCoit wrote:
         | "powerful new way" and "Around the 1920s, Otto Heinrich Warburg
         | and his group concluded...", are you sure they're talking about
         | that? Doesn't seem very new.
        
         | crazygringo wrote:
         | Why are you posting that? When it has zero connection to the
         | article and you're giving zero explanation?
        
           | adaptbrian wrote:
           | See lambdabas comment right below this. This fella that I
           | linked was the OG on this. Consider this further reading and
           | potentially insightful in parallel to this article.
        
       | lambdaba wrote:
       | > The discovery that chronic inflammation can provide the impetus
       | for cancers to develop is forcing clinicians to rethink their
       | approach to the disease's prevention.
       | 
       | Alternative health has been saying this for decades. Ketogenic
       | diets + medicinal plants/mushrooms can do a lot, even after the
       | fact.
        
         | lomase wrote:
         | Scientific health has also been saying it for decades.
        
         | danielbln wrote:
         | Alternative health says a lot of things, many things
         | unsubstantiated. The difficult part is figuring out what's true
         | and what's quackery.
        
           | dsr_ wrote:
           | [flagged]
        
             | quesera wrote:
             | This is inadequate.
             | 
             | Alternative medicine is simply any therapy that is not
             | included in the established currently-accepted set of
             | treatment options.
             | 
             | This varies by culture, time, and sometimes by individual.
             | 
             | Most alternatives are not better than the currently-known
             | best. This is true today, we think, but it is definitely
             | not true historically. (So how special is our current era?)
             | 
             | But when the currently-known best doesn't work well for
             | everyone, or has deleterious side effects, any continued
             | research will include alternatives.
             | 
             | I understand the fatigue embedded in your quote. It's a
             | reasonable stance for those of us with ordinary concerns
             | and who are far downstream from the research (including and
             | especially retail practitioners).
             | 
             | But it is too broadly dismissive for real scientists and
             | people who maintain a curiosity about the world.
        
               | Workaccount2 wrote:
               | >Most alternatives are not better than the currently-
               | known best.
               | 
               | I think a better way of phrasing this is "Most
               | alternatives are no better than placebo".
        
             | Earw0rm wrote:
             | With the usual caveats about patents, incentives and
             | monetisation. But yes, broadly this is accurate.
        
             | crazygringo wrote:
             | But the key part is:
             | 
             | > _Has either not been proved to work_
             | 
             | There's an awful lot of stuff that works, that nobody has
             | run a large enough controlled study to _prove_ it works.
             | The organizations which fund medical research have specific
             | priorities that exclude an awful lot. And a lot of things
             | are just inherently difficult to objectively measure or
             | control. There 's no blood test for chronic muscle tension,
             | for example.
             | 
             | So unfortunately, by restricting yourself to things that
             | have been _proven_ to work, you are possibly eliminating a
             | lot of things that work.
             | 
             | But of course, trying to figure out, on your own, which
             | stuff actually does work despite not being proven, is a
             | long hard frustrating slog that tends to involve a lot of
             | personal trial and error. Exactly what GP said:
             | 
             | > _The difficult part is figuring out what 's true and
             | what's quackery._
        
         | dapperdrake wrote:
         | Correlation is symmetric (by "accident") while cause and affect
         | are asymmetric on purpose.
        
         | morsch wrote:
         | It's not hard to say all kinds things if you don't do it with
         | scientific rigor. Unfortunately, it's very difficult to know
         | which of the things are true.
        
         | amelius wrote:
         | That's exactly what influencers on TikTok also tell me. These
         | kinds of statement really need proof, otherwise they say very
         | little.
        
         | Der_Einzige wrote:
         | Intermittent fasting and keto are not alternative health. The
         | science for both of these is excellent especially for reducing
         | diabetes.
        
           | themk wrote:
           | As far as I understand, Keto helps manage the symptoms of
           | diabetes, but will not prevent it, and (without a source on
           | hand), might actually increase your chances of developing it
           | relative to a healthy diet that includes (mostly unrefined)
           | carbs.
        
         | Spooky23 wrote:
         | Inflammation is typically an immune response. Chronic
         | inflammation is a standard flag that is measured a used by
         | doctors in diagnoses for many years, and by oncologists in
         | particular when treating cancer.
         | 
         | There's a lot of work right now into immunology and cancer, and
         | they are discovering specific correlations as that progresses.
         | This has nothing to do with mushroom tea, although that
         | probably helps with acute inflammatory issues.
        
       | inglor_cz wrote:
       | I will again mention my favorite cancer champions, the bats.
       | 
       | Bats very rarely get cancer (I tried to find the actual # of
       | verified cases of cancers in bats, but came up short), and they
       | have a lot of anti-cancer adaptations in their genome.
       | 
       | They are also really good at taming inflammation and activity of
       | various viruses. That helps them survive infection with rabies -
       | their systems just don't react as aggresively to the infection as
       | ours (and most mammals') do.
       | 
       | This may help them against cancer as well. Not just p53 et al.
        
         | mattmaroon wrote:
         | So you're saying if we just switch our diet to mosquitos we'll
         | all be fine?
        
           | dsr_ wrote:
           | No, but in 100-300 generations your descendants will be.
        
             | al_borland wrote:
             | Why would that be the case? Plenty of people have kids
             | before getting cancer. How is it going to go away when it
             | isn't preventing reproduction?
        
               | deadbabe wrote:
               | If a person's family has a history of cancer, do not
               | reproduce with that person. Similarly, if your family has
               | history of cancer, do not reproduce.
        
               | al_borland wrote:
               | That's never going to happen at a population level, short
               | of government backed eugenics.
        
           | midnitewarrior wrote:
           | It's a common misconception that bats eat mosquitoes.
           | 
           | It comes from a study where bats were trapped in a chamber
           | filled with mosquitoes to see how many they could eat.
           | 
           | A comparable experiment would be putting a human in a cage
           | filled with bread crumbs to see how many the human eats.
           | 
           | In our natural habitat, we eat slices of bread and other
           | food. We don't waste the time and energy of consuming bread
           | crumbs unless given no alternative.
           | 
           | Yes, bats can eat mosquitoes, but why bother when there are
           | much larger, nutritious insects to catch with the same
           | effort?
        
         | Earw0rm wrote:
         | I wonder what the evolutionary engineering trade-off is there.
         | 
         | Put it another way, it seems our systems are balanced to
         | regulate cancer during our youth and reproductive years to a
         | low but non-zero level.
         | 
         | Why hasn't evolution turned the dial up another couple of
         | notches? Could be simple metabolic cost, or could be something
         | else.
        
           | inglor_cz wrote:
           | Not everything is necessarily a trade-off. Perhaps the bats
           | just randomly hit a sweet spot that most of other species
           | missed.
           | 
           | As you say, things that happen later in the organism's life
           | usually don't result in strong evolutionary effects.
        
             | Earw0rm wrote:
             | Perhaps, but AFAIK similar things show up in other
             | metabolically "different" animals - sharks, naked mole rats
             | - whereas rodents adapted to a "run hot and fast" kind of a
             | lifeplan seem to be especially prone.
             | 
             | We know that the body has cancer suppressor mechanisms,
             | because when they fail (due to HIV or genetic mutations)
             | people suffer higher rates of the disease. So it's
             | reasonable to guess that evolution has chosen not to dial
             | them up further.
             | 
             | It feels like the immune/inflammatory system is something
             | we understand about as well as the brain, which is to say
             | pretty good at a gross anatomical level, and also at the
             | fine molecular level, but with a heck of a lot of complex
             | system dynamics in between remaining to be mapped out.
        
           | coldtea wrote:
           | > _Why hasn 't evolution turned the dial up another couple of
           | notches?_
           | 
           | Because evolution doesn't care about us beyond reproduction
           | age (after which is when most cancers occur, especially
           | considering that historically that age was between say 16 and
           | 35).
           | 
           | Or even better phrased, because evolution doesn't care or
           | plan at all, it's a blind mechanism.
           | 
           | If a local minimum is ok, we'll stay there for as long as
           | some environmental or other evolutionary pressure gets to
           | move us further.
           | 
           | Cancer wasn't a big issue for most of our existance as
           | species, especially with lower life expectancies, more active
           | lifestyles, zero obesity, zero pollutants, etc.
           | 
           | In evolutionary terms, modern lifestyles are not even a blip,
           | especially post-industrial ones which don't even register.
        
             | wqaatwt wrote:
             | > zero pollutants
             | 
             | In some cases it was pretty extreme by modern standards.
             | 
             | https://en.m.wikipedia.org/wiki/%C3%96tzi
             | 
             | Living in a longhouse full of smoke and no chimney might
             | not be the healthiest thing.
        
             | selcuka wrote:
             | > Because evolution doesn't care about us beyond
             | reproduction age (after which is when most cancers occur,
             | especially considering that historically that age was
             | between say 16 and 35).
             | 
             | True. If we can find a drug or gene therapy that extends
             | the reproductive age of humans, evolution will take care of
             | all diseases in a few million years, give or take.
        
             | wyldfire wrote:
             | > Because evolution doesn't care about us beyond
             | reproduction age
             | 
             | I wonder if that's true. There's bound to be some benefits
             | or drawbacks to aggregate fitness when people age. Sure,
             | the contribution is very indirect and so it'll happen yet
             | slower. But imagine if people lived until they were 300
             | years old. Depending on how frail they are, that could be a
             | drag on reproduction and resources.
        
               | james_marks wrote:
               | My first take was, what's the feedback mechanism? The
               | benefits and drawbacks that appear after reproduction age
               | can't be passed on.
               | 
               | But perhaps there's social factor, like a better ability
               | to protect offspring would pass traits down after DNA
               | transfer.
        
             | bglazer wrote:
             | > evolution doesn't care about us beyond reproduction age
             | 
             | This isn't totally true, group/kin selection are important.
        
             | FollowingTheDao wrote:
             | > Because evolution doesn't care about us beyond
             | reproduction age (after which is when most cancers occur,
             | especially considering that historically that age was
             | between say 16 and 35).
             | 
             | This is the lie that needs. to die. Elder people were very
             | important in even the most primitive societies. "lifespan"
             | was low in pre-history, not because no one lived long
             | lives, it was because infant mortality was very high.
             | 
             | https://sc.edu/uofsc/posts/2022/08/conversation-old-age-
             | is-n...
        
           | laszlojamf wrote:
           | Could be a cliff fitness function. Heard about this relativ
           | typ schizophrenia here on HN a while back. The idea is that
           | some phenotypes promote survival of the species overall, but
           | due to random mutations are sometimes detrimental to
           | individual members of that species
        
             | sigmoid10 wrote:
             | It could also be indirectly linked to other benefits.
             | Humans have lost the CMAH gene, making us able to run long
             | distances and hunt down large prey animals. But because of
             | this we can no longer process specific sugars that you will
             | still find in mammalian meat. That causes inflammation and
             | arteriosclerosis. But those things only kill you after many
             | decades, so there seems to have been a net positive effect
             | on evolution.
        
               | bonsai_spool wrote:
               | This idea can generally work, but one should be careful
               | of 'just-so' stories in evolutionary biology.
               | 
               | It appears this deletion happens in other animals and may
               | be attributable to pathogen pressure. It's arisen
               | multiple times, which makes it hard to claim that it has
               | a specific role in primates (beyond its presumed
               | antimicrobial benefit, which any animal should enjoy).
               | 
               | https://inflammregen.biomedcentral.com/articles/10.1186/s
               | 412...
        
               | sigmoid10 wrote:
               | Evading pathogen pressure is just another benefit behind
               | the scenes. The point is that I would be careful to
               | attribute any of these things to such weird mechanisms
               | when there are so many much more realistic explanations
               | that we just haven't fully uncovered yet.
        
               | bonsai_spool wrote:
               | > Evading pathogen pressure is just another benefit
               | behind the scenes.
               | 
               | I'm imagining that this relates to a specific pathogen
               | that may no longer exist (like the presumed mechanism of
               | the most common cystic fibrosis mutations and cholera).
               | 
               | I'm not sure how this would relate to humans running,
               | however.
        
           | FollowingTheDao wrote:
           | > it seems our systems are balanced to regulate cancer during
           | our youth and reproductive years
           | 
           | Yes, the most important question, and an easy answer if you
           | know where to look. What is it that we lose when we age?
           | 
           | Mineral and vitamin deficiencies can accelerate the
           | mitochondrial decay of aging
           | 
           | https://pubmed.ncbi.nlm.nih.gov/16102804/
           | 
           | Age-associated B vitamin deficiency as a determinant of
           | chronic diseases
           | 
           | https://www.cambridge.org/core/journals/nutrition-
           | research-r...
           | 
           | Emerging Roles of Vitamin B12 in Aging and Inflammation
           | 
           | https://www.mdpi.com/1422-0067/25/9/5044
           | 
           | There is more if you want to look. Lots more.
        
         | gus_massa wrote:
         | From a fast search in Google, life expectancy in bats is 5-15
         | years. A long life of 70-80 years gives more time to accumulate
         | mutations and get a cancer.
         | 
         | Also, probably only bats in zoos get a cancer diagnosis. Most
         | ills bats just die in the wild and are eaten by other animals.
        
           | inglor_cz wrote:
           | Many species of bats live longer than that. Like 40. When
           | compared to other mammals, bats live very long lives relative
           | to their tiny size.
           | 
           | Also, short-lived animals get cancer all of the time. Mice,
           | dogs, cats.
           | 
           | The idea of cancer being caused by passive accumulation of
           | mutations over time looks appealing, but does not seem to
           | correspond to actual frequency of cancer mapped by body size
           | (because more cells = more chances of some cell going
           | haywire), nor to maximum age.
           | 
           | Anti-cancer capabilities of a given organism seem to be more
           | important. There are gene variants that are protective
           | against cancer, and the capability of the immune system to
           | kill suspicious cells matters too. (Note that almost all new
           | efficient oncological treatments in the last decade or so
           | involve the immune system of the patient.)
        
             | tarun_anand wrote:
             | Speaking of size vs cancer elephants rarely get cancer too!
        
               | sedgjh23 wrote:
               | On a related note, for those interested, a quick about
               | Peto's Paradox was quite fun.
               | 
               | https://en.wikipedia.org/wiki/Peto's_paradox
        
               | luckydata wrote:
               | There's a great Kurz gesagt video about it. Whales get
               | the least cancer!
               | 
               | https://youtu.be/1AElONvi9WQ?si=rhZjgpkORBTC0D8r
        
         | tdeck wrote:
         | Perhaps RFK and Mr. Oz will be telling us all to sleep hanging
         | upside down by next year.
        
         | westurner wrote:
         | Though eating them will not solve cancer,
         | 
         | And, I've been chatting with 2.5pro about this, so:
         | 
         | /? which animals don't get cancer?
         | https://www.google.com/search?q=Bats%2C+mole+rats%2C+horses%...
         | 
         | Bats (extra copies of the p53 gene, immune system, survival
         | adaptations to atmospheric radiation exposure, high telomerase
         | activity), Elephants (extra copies of p53), Mole rats (High
         | molecular mass hyaluronan (HMM-HA) regulating sugar, contact
         | inhibition), Blind mole rats (HMM-HA, protein that causes
         | (apoptotic?) cell death)), Horses, Cows (BLV resistance,
         | general resistance), Bowhead whales (prevention by DNA repair,
         | CIRBP and RPA2, live to 200), Squirrels (hypersensitive cell
         | monitoring, high telomerase activity,), and Tasmanian devils
         | (DFTD resistance adaptation) are all cancer resistant?
         | 
         | If there are natural food sources that treat or inhibit cancer,
         | and humans unwittingly were eating such foods until modern
         | times, could it be that humans have prevented adaptation by
         | supplementation (a support that has collapsed as modern diets
         | have changed)?
         | 
         | > [... list of anti-inflammatory diet foods]
         | 
         | How exposed to CPMV Cowpea Mosaic Virus are humans dietarily in
         | modern and in ancient times? CPMV causes a IFN response?
         | 
         | (CPMV is highly prevalent in cowpeas and black-eyed peas (which
         | are "good luck"))
         | 
         | > _Antibody evidence: Studies have tested patient sera for
         | antibodies against CPMV and found that over 50% of tested
         | samples were positive, indicating past exposure._ [...] _The
         | consistent, low-level dietary exposure to CPMV over human
         | history, and its ability to trigger an IFN response without
         | causing infection, could have provided a form of regular,
         | passive immune stimulation._ [...]
         | 
         | > _Despite being a plant virus, CPMV is recognized by the
         | mammalian immune system as a "danger signal." This recognition
         | happens through special receptors on immune cells called Toll-
         | like receptors (TLRs), specifically TLR2, TLR4, and TLR7._
         | 
         | > _CPMV and IFN-gamma: Studies have shown that exposing human
         | immune cells (peripheral blood mononuclear cells or PBMCs) to
         | CPMV induces the secretion of IFN-gamma, a potent anti-tumor
         | cytokine._
         | 
         | > _Encapsulated RNA: The CPMV virus nanoparticle contains_
         | encapsulated RNA, which is one of the triggers for the immune
         | response. _The RNA activates TLR7 /8, which leads to the
         | production of Type I interferons (IFN-a and IFN-b), further
         | boosting the immune system's anti-cancer response._
         | 
         | There are (differently encapsulated) RNA cancer vaccines in
         | development.
         | 
         | CPMV is basically already a general purpose bioengineering
         | platform with significant review IIUC?
         | 
         | How dietarily exposed to EPS3.9 polysaccharide are humans and
         | cancer-resistant animals? Is there a one-two CPMV + EPS3.9
         | cancer treatment opportunity?
         | 
         | From https://news.ycombinator.com/item?id=44988761 :
         | 
         | > _Can EPS3.9 cause pyroptosis cause IFN cause epitope
         | spreading for cancer treatment?_
         | 
         | /? Spongiibacter nanhainus CSC3.9 :
         | https://www.google.com/search?q=Spongiibacter+nanhainus+CSC3...
         | :
         | 
         | > _Spongiibacter nanhainus CSC3.9 is a novel deep-sea bacterium
         | isolated from a [deep ocean] cold seep [with blue light] that
         | produces both a volatile organic compound (VOC) called VOC-3.9
         | with broad-spectrum antimicrobial activity and a sugar-based
         | compound, exopolysaccharide (EPS3.9), which targets cancer
         | cells by inducing programmed cell death_
         | 
         | Could CRISPR or similar produce an alternate bacterium that's
         | easier to brew which also produces EPS3.9 without the cold
         | temperature and high pressure? Are there potentially other
         | natural sources of EPS3.9 besides CSC3.9?
         | 
         | Endocannabinoids and the ECS Endocannabinoid System modulate
         | and regulate immune and inflammatory responses (in non- and
         | pre- insect invertebrates and in all vertebrates). Omega PUFAs
         | are endocannabinoid precursors. There are also (fat-soluble)
         | Omega polyunsaturated fatty acids in algae and in fish.
         | 
         | A bit of research on cancer again today:
         | https://share.google/aimode/Qpar9RPUNy65IDt8n
         | 
         | Would there be advantages to CPMV + EPS3.9 + CPMVprime + mRNA
         | for cancer therapy? https://g.co/gemini/share/9c6526d1991f
        
       | siva7 wrote:
       | > This, says Dr Balmain, suggests that 80-90% of carcinogens
       | which people are exposed to may not induce mutations.
       | 
       | Tell me the 10% of which are dangerous so that i can avoid them
        
         | azan_ wrote:
         | All are dangerous, not all through mutagenesis though.
        
       | jnord wrote:
       | https://archive.md/vOR6x
        
       | submeta wrote:
       | I've been reading a lot lately about the negative effects of
       | inflammation. Recently, I came across an article arguing that
       | it's inflammation in the blood vessels (not cholesterol itself)
       | that causes cardiovascular problems.
       | 
       | Now this article blaming inflammation for cancer.
       | 
       | But isn't inflammation also a useful and necessary process in the
       | body? If it's so harmful, should we all be taking anti-
       | inflammatory drugs? Of course, those have their own downsides too
       | (my doctor mentioned that ibuprofen can even affect hearing).
        
         | 7thaccount wrote:
         | I think some inflammation is natural and a response to
         | infection, but when your entire diet and lifestyle lead to
         | daily inflammation, I'm guessing it's really bad.
        
           | wizzwizz4 wrote:
           | If inflammation weren't a trade-off, we'd have perpetual
           | inflammation. That kind of thing is rapidly tweaked by
           | evolution.
        
           | baby wrote:
           | I remember reading this article on why muslim countries had
           | low rate of cancers. Apparently it was the yearly month-long
           | fast + all the spices that people ate daily (anti
           | inflammatory)
        
             | breppp wrote:
             | My guess is underdeveloped health systems means less
             | diagnosis
        
             | Earw0rm wrote:
             | They don't, as a rule, drink alcohol, which helps quite a
             | bit for GI, breast and liver cancers.
             | 
             | Wear modest clothing, cover themselves up from the sun.
             | Although that can lead to Vit D deficiency when they move
             | to high latitude countries.
             | 
             | And they don't eat bacon, sausages, salami or other salt-
             | cured pork products which are thought to promote some GI
             | cancers due to the curing process forming nitrosamines.
        
               | bamboozled wrote:
               | Smoking seems common though.
        
         | neuronic wrote:
         | Probably a "the dose makes the poison" kind of thing? Constant
         | inflammation and exposure to inflammatory agents could
         | eventually raise the likelihood of cell damage in affected
         | tissues, no?
         | 
         | The immune system is highly highly complicated and directed by
         | huge networks of genes and molecules all up- and downregulating
         | each other depending on internal and external factors. If
         | things go "off balance" in this system the consequences could
         | be dire.
         | 
         | You dont want firefighters hosing down your house from the
         | inside when there is no fire anymore either.
        
           | Workaccount2 wrote:
           | Ever since I had covid 5 years ago, my body has been stuck
           | under a constant firehouse shower. High heart rate, shortness
           | of breath, and a constant pressure in my upper chest.
           | 
           | I know it's immune related, because when I am coming down
           | with a cold the symptoms all vanish. Like the firehose has an
           | actual fire to fight.
        
             | baby wrote:
             | When you're sick your body releases all sorts of stuff that
             | makes you super relaxed and force you to chill/rest, so
             | might be completely unrelated
        
               | Earw0rm wrote:
               | Which is in itself odd, as there's no obvious mechanism
               | (at least in a developed nation inhabitant who typically
               | have considerable fat reserves and ready availability of
               | food) for the immune system to need resources which would
               | be otherwise used by the muscles.
               | 
               | Like we can all feel the lack of "energy", but that
               | energy isn't the same thing as actual calories, glycogen,
               | blood O2 and so on. Presumably a lot of CFS conditions
               | are relating to that biological switch - "you're ill,
               | rest up!" - getting stuck in the "on" position, but AFAIK
               | nobody has definitively found it despite a whole lot of
               | looking.
        
         | throwingrocks wrote:
         | The article touches on this by framing chronic inflammation
         | (e.g. exposure to air pollution over years) as the problem.
        
         | antasvara wrote:
         | Inflammation is a blunt instrument. It's one of the body's
         | tools to contain and attack a pathogen. Without it, many
         | bacteria and other irritants would wreak havoc on the body.
         | 
         | As allergies and (to an extent) COVID have shown, inflammation
         | can also be dangerous. Too much acute inflammation can cause
         | essential body functions to shut down or function incorrectly.
         | 
         | Point being that inflammation is "good" when the alternative is
         | an infection running rampant in your body. But it's "worse" for
         | your body than the baseline, so chronic inflammation is bad for
         | you (and seems to increase cancer risk).
         | 
         | Anti-inflammatories like ibuprofen are good for knocking down
         | inflammation, but they have a suite of side effects unrelated
         | to this function that make them terrible for prolonged use. I
         | don't know for sure, but I'd bet that these side effects are
         | way worse than the benefits of reduced chronic inflammation.
         | 
         | More generally, reducing inflammation across the board leaves
         | you open to infection. It's why we don't prescribe steroids
         | long-term in most patients: the downside of reduced immune
         | response vastly outweighs the benefit for generally healthy
         | patients. It's only considered if the condition (like your body
         | attacking an organ transplant) is more dangerous than the
         | reduced immune response.
        
           | mewpmewp2 wrote:
           | As far as I understand exercise and working out also causes
           | inflammation in order to repair and/or build your muscle. So
           | taking ibuprofen might hurt your ability to recover etc.
           | 
           | Immune system and inflammation is clearly very important
           | process for humans for many things even beyond illnesses.
           | 
           | Like inflammation is body's way to repair and adapt to the
           | environment.
        
           | breadwinner wrote:
           | Would it be accurate to say enteric coated baby aspirin
           | reduces risk of stroke due to its blood thinning properties,
           | but since it is anti-inflammatory, also reduces risk of
           | atherosclerosis and now cancer?
        
         | mewpmewp2 wrote:
         | Also doesn't working out cause inflammation and when you take
         | ibuprofen you hurt your ability to build/repair muscle and
         | recover because of reduced inflammation?
        
           | derektank wrote:
           | Exercising also results in the body producing more anti-
           | inflammatory myokines
        
         | FollowingTheDao wrote:
         | There is a big difference between acute inflammation and
         | chronic inflammation.
         | 
         | Infection causes acute inflammation. Air pollution causes
         | chronic inflammation.
         | 
         | Infection can also cause chronic or out of control inflammation
         | which can aslo kill you via a cytokine storm.
        
         | stult wrote:
         | Our inflammation responses evolved in part to help us fight off
         | pathogens, but people in modern society are exposed to far, far
         | fewer pathogens than even our immediate ancestors were as
         | recently as 70 years ago when diseases like polio and mumps
         | were still common. As a result many people have an overactive
         | inflammation response relative to the pathogen load to which
         | they are regularly exposed.
         | 
         | In extreme cases, that can manifest as autoimmune disease, when
         | overly strong inflammation or other immune responses end up
         | attacking not just foreign pathogens but the person's body
         | itself. As another poster said, inflammation is a blunt
         | instrument. It's a knob that can only be turned up or down,
         | across the entire body. If you turn it down too far, you risk
         | infectious illness. And if you turn it up too far, you risk
         | damage to your organs.
         | 
         | Interestingly, there was a substantial increase in the
         | incidence of autoimmune diseases in Europe in the generations
         | following the Black Death, probably because people with
         | excessively strong immune responses were more likely to survive
         | exposure to plague bacteria. Celiacs or MS will kill someone
         | much, much more slowly than bubonic plague will, so a
         | disproportionate number of people with those or similar
         | autoimmune disorders were able to survive to pass on their
         | genes.
        
       | jszymborski wrote:
       | As a person who studied cancer, I am probably not this article's
       | audience.
       | 
       | That said, I feel the need to point out that chronic inflammation
       | has long been known to be one of the roots of cancer. Chronic
       | inflammation can be caused by a few things but common among them
       | is the immune system.
       | 
       | The framing of the article, in my quick skim, felt like it was
       | insinuating that researchers believed that cancer arises from
       | mutations alone, and that everyone assumed carcinogens were all
       | mutagens.
       | 
       | I haven't read the paper this article is describing. It seems
       | very interesting. But the headline and the article makes it seem
       | like some major turning point or ground shift which IMHO it is
       | not.
        
         | mielioort wrote:
         | So auto-immune diseases ( like arthritis and allergied) and
         | chronic untreated diseases like lyme are the main suspects now?
        
           | luciferin wrote:
           | I don't know about _main_ suspect, but autoimmune disease has
           | been known for a long time to increase your risk of cancer. I
           | have Celiac disease, so an increased risk of stomache,
           | intestinal and bowel cancer.
           | 
           | Honestly, this article is kind of worrying for me,
           | personally. I have many symptoms after two years of treatment
           | with diet alone. Further evidence may eventually show
           | treatment with antibiotics or steroids for people like me may
           | lower more risks then it raises.
        
           | baby wrote:
           | As someone with both that sucks
        
           | laughing_man wrote:
           | Cancer has many different, simultaneous causes. That's why
           | when people say "x causes cancer" what they mean is x
           | (whatever it is) raises your odds of getting cancer by a
           | measurable degree.
        
         | baxtr wrote:
         | I don't want to defend how they report. But for someone who
         | hasn't been involved in the field, something that's widely
         | accepted and well-known for a long time can seem "very new" to
         | them.
        
         | JohnHaugeland wrote:
         | that sentence starts "in the popular imagination"
        
         | manmal wrote:
         | And are we sure inflammation is the root cause and not just a
         | bystander? Couldn't it be pathogens that are kept in check by
         | inflammation, which then also cause cancer to develop? HPV and
         | papillomas, and H. pylori and stomach cancer have been such
         | findings. Apparently, sometimes cancer cells contain fungal DNA
         | (not well studied though, could be contaminants as well).
         | 
         | Edited the last sentence.
        
           | dillydogg wrote:
           | Probably not, given the multiple conditions that are
           | "sterile" inflammation that lead to neoplasms. Consider the
           | example of asbestos; the particles lodge in the lungs which
           | lead to a robust immune response that attempts to clear it,
           | which has a strong association with the development of lung
           | neoplasms. I'm not aware that the link between the
           | inflammation and the development of the neoplasm is well
           | understood. Autoimmune diseases and chronic GERD are other
           | examples.
        
             | manmal wrote:
             | Can you provide more context on what question you were
             | addressing? I'm not sure what point you are making here.
        
               | dillydogg wrote:
               | >Couldn't it be pathogens that are kept in check by
               | inflammation, which then also cause cancer to develop?
               | 
               | In reference to this question. These conditions with
               | prolonged inflammation lead to cancer in the absence of a
               | primary pathogen.
               | 
               | >Apparently, sometimes cancer cells contain fungal DNA
               | (not well studied though, could be contaminants as well).
               | 
               | In reference to this, if you are referring to the "tumor
               | microbiome" hypothesis, it has been thoroughly debunked.
               | 
               | http://dx.doi.org/10.1128/mbio.01607-23
        
               | manmal wrote:
               | > in the absence of a primary pathogen
               | 
               | And how can absence of a pathogen be determined, in vivo?
               | That sounds a bit overconfident in current tools, no? H.
               | pylori apparently can hide inside Candida cells. Biofilm
               | lets pathogens prosper while hiding them from diagnosis.
               | Who knows what else is going on.
               | 
               | I don't think the microbiome hypothesis can be rejected
               | at this point. Studies were flawed, yes.
               | 
               | I personally am not a fan of the status-quo-ism that
               | comments such as yours express. There's so much that's
               | not explored here.
        
           | jghn wrote:
           | > are we sure inflammation is the root cause and not just a
           | bystander?
           | 
           | The GP stated that it was *a* cause, not *the* cause
        
             | manmal wrote:
             | True. The question still stands.
        
           | jszymborski wrote:
           | Part of the reason cancer is such an interesting field of
           | study in my personal opinion is:
           | 
           | (1) You get a lot of these chicken-or-egg situations where
           | the answer is more like "chicken-AND-egg".
           | 
           | (2) Cancer is almost always the result of a million things
           | going wrong at once... it's a slow unravelling of the bonkers
           | number of safe-guards our cells have to keep them healthy and
           | normal.
           | 
           | Inflammation is a normal part of a healthy, functioning body.
           | It can be caused by anything from scraping your knee to
           | getting a cold. It's useful, and as your comment says, it is
           | an important part to fighting off infections which themselves
           | in rare cases cause cancer. It also plays a pathological role
           | in some diseased like auto-immune disorders, IBS, meningitis,
           | etc...
           | 
           | Inflammation, both the healthy and pathological sort, can
           | help set the stage for tumour to form by contributing to the
           | formation of what's known as a "tumour microenvironment" [0].
           | Chronic inflammation, often caused by disease, is more likely
           | to keep up this permissive environment than one-off cases,
           | and therefore more likely to result in a tumour
           | 
           | By the way, we understand DNA mutation/damage to work
           | similarly. It happens all the time naturally, and sometimes
           | mutations are fortuitous, but mostly they are ironed out by
           | the cells machinery. Increasing the rate of mutation can
           | overwhelm that machinery and cause tumours to snowball.
           | 
           | So, that's how inflammation can contribute to the
           | initialization of tumours or at least environments that are
           | more permissive of tumours. Tumours, however, also might
           | cause inflammatory response to promote cancer progression
           | through hijacking cell signalling, promoting epithelial-
           | mesenchymal transitions, etc... [1].
           | 
           | We've known inflammation has been linked to cancer since at
           | least 1863 [2], so this is pretty well-trodden territory. The
           | immune system and inflammation is extremely complicated (or
           | at least, I always found it to be), so I'm also not surprised
           | that there are a lot of mysteries lurking.
           | 
           | Finally, to answer your question: I'm sure in some cases
           | inflammation is just bystander. My understanding is that
           | inflammation is not the primary mechanism by which HPV causes
           | cancer, so it is very easy to believe it to be a bystander in
           | that case. H. pylori is a good example of chronic GI
           | inflammation that raises your risk of cancer by way of
           | inflammation. I'm not familiar with the fungal DNA research,
           | so can't comment.
           | 
           | Also disclaimer: It's been a while since I've studied cancer
           | directly, I'm more of a computational biologist these days.
           | Sorry if I made an error here.
           | 
           | [0] https://pmc.ncbi.nlm.nih.gov/articles/PMC6831096/
           | 
           | [1] https://blog.cellsignal.com/hallmarks-of-cancer-tumor-
           | promot...
           | 
           | [2] https://www.thelancet.com/journals/lancet/article/PIIS014
           | 0-6...
        
       | Tycho wrote:
       | Don't think I've seen "discovering", the present participle of
       | the verb, used in a headline like this before.
        
         | harvey9 wrote:
         | I would like to live in a world where "Breaking News!" came
         | from science labs instead of red carpets though.
        
       | FollowingTheDao wrote:
       | Discovery? HA! Traditional Chinese Medicine already knew the body
       | cures cancer by boosting the immune system. Did they no how? Who
       | cares?
       | 
       | Harnessing the power of traditional Chinese medicine monomers and
       | compound prescriptions to boost cancer immunotherapy
       | 
       | https://pmc.ncbi.nlm.nih.gov/articles/PMC10684919/
       | 
       | Antitumor effects of immunity-enhancing traditional Chinese
       | medicine
       | 
       | https://pubmed.ncbi.nlm.nih.gov/31710893/
       | 
       | Edit: Please comment on what is wrong if you will downvote this
       | because I am open to discussion and correction.
       | 
       | Modern society only patents things that were already known and
       | then makes them out of reach for the common man.
        
       | blondie9x wrote:
       | This sounds like an application of ML. But we can't call it ML
       | anymore right? Need to call it AI in the media whenever possible.
        
         | jghn wrote:
         | ML has been applied in cancer research for longer than ML has
         | been in vogue
        
       | dredmorbius wrote:
       | Article appears to be a word:
       | 
       |  _These non-mutagenic carcinogens instead seem to the body's
       | immune system._
       | 
       | I suspect "seem to _target_ " or "seem to _trigger_ " was
       | intended.
       | 
       | (The _Economist_ 's editing is usually superb, this is a pretty
       | glaring error.)
        
         | arthurcolle wrote:
         | Report it
        
       ___________________________________________________________________
       (page generated 2025-10-04 23:01 UTC)