food healih the scene O and f Mice en A Detroiter's work is helping prostate cancer researchers throughout the country. Two aides watch Dr. Michael Cher work with a mouse in a prostate cancer study. RUTHAN BRODSKY Special to the Jewish News rostate cancer is the most prevalent cancer diagnosed and the second lead- .ing cause of cancer death for North American men. More than 200,000 men in the US are diagnosed with prostate cancer each year and nearly 42,000 deaths result from the disease. Even with improvements in early detection and diagnosis, and with a better understanding of how the disease progresses, the success rate for treating metastatic prostate cancer is not very good. Michael L. Cher, M.D., a urologist and associ- ate professor in the departments of urology and pathology, at Wayne State University and the Barbara Ann Karmanos Cancer Institute, believes he has an answer for more positive results. Dr. Cher and his colleagues recently developed an experimental animal model of human prostate cancer metastasis to human bone. "We know that if prostate cancer is not caught in its earliest stages, it metastasizes to the bones," says Cher. "Once the cancer spreads to the bones, it becomes more difficult to treat and impossible to cure." In spite of remarkable medical advances in the the last 50 years, not much has changed in the way advanced prostate cancer is treated. Standard treatment when the rumor has metastasized are drugs that block testosterone production because prostate cancer cells are dependent on the male sex hormone for growth. This approach works for a while, but then fails when the cancer cells begin po to grow independent of testosterone — a feat that researchers cannot yet explain. Scientists are seeking fundamental knowledge about all the aspects of prostate cancer. A good laboratory model simulates the properties of prostate cancer in humans so that researchers can use it to define the mechanisms of prostate cancer progression and for testing treatments. Unfortunately, a major barrier in this research was the lack of a useful laboratory model. A mix of models was used for years for the research because no one model was doing the job. This made the research process very slow and compli- cated. prostate cancer cells are introduced. After 4-6 weeks, the prostate cancer invades the implanted human bone. How this interaction between prostate cancer and bone tissue takes place can now be observed and studied. "When a prostate cancer metastasizes to the bone, it stimulates the bone cells to become very metabolically active and make new bone," says Dr. Cher. "The new bone formation stimulates the growth of the prostate cancer. If we under- stood how the prostate cells are talking to the bone cells, we could figure out a way to interrupt their conversations and stop the progress. New treatments could then be designed based on this research." A Breakthrough Wayne State and Karmanos provided seed money for the pilot project. Now that they have preliminary data, the researchers received $1.5 million from the National Cancer Institute, $2 million Research Funding Recently, Dr. Cher, together with post-doctoral research associate Jeffrey Nemeth, Ph.D., devel- oped a model in which tumors were grown in mice. This from the U.S. model replicates how Department of prostate cancer Defense Prostate spreads to the bone in Cancer Program, plus humans. private funding from Last year, Dr. Cher the Association for was honored with the the Cure of Cancer of Karmanos Cancer the Prostate. Institute's President's "Another part of Clinical/Translational our program involves Research Award for the detection and this model, which is characterization of being used widely by Dr. Michael Cher's work is providing a very small numbers other researchers. model for researchers. of metastic prostate Dr. Cher's experi- cancer cells found in mental model is the blood and bone marrow of patients whose unique, but uncomplicated. Small pieces of cancers are otherwise thought be confined to human bones are implanted directly under the the prostate. These cells are called micrometas- skin of laboratory mice. Once these bones develop tases and their presence may have a profound a new blood supply (about one month) human 10/5 2001 81