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Moving the systemic evolutionary approach to cancer forward: Therapeutic implications
Antonio Mazzocca1, Giovanni Ferraro2, Giovanni Misciagna3
1Interdisciplinary Department of Medicine, University of Bari School of Medicine, Piazza G. Cesare, 11, 70124 Bari, Italy.
Cancer develops from cell endosymbiosis failure, leading to tissue and cell organization changes. This systemic evolutionary theory of cancer (SETOC) suggests new ecosystemic therapeutic approaches beyond molecular targets.
Area of Science:
- Cell Biology
- Evolutionary Biology
- Oncology
- Systems Biology
Background:
- The Systemic Evolutionary Theory of Cancer (SETOC) posits cancer arises from failed endosymbiosis within eukaryotic cells.
- Progressive uncoupling of cellular information and energy subsystems due to injury disrupts tissue interactions and cell organization.
- This disruption leads to tissue dysplasia and cell regression towards a protist-like state, termed 'de-emergence'.
Purpose of the Study:
- To propose that impaired intercellular communication and cellular organization changes underpin cancer development.
- To associate cancer cells with protist-like organisms, suggesting novel therapeutic strategies.
- To advocate for a paradigm shift in cancer pharmacology from microvariable molecular targets to macrovariable and ecosystemic approaches.
Main Methods:
- Theoretical framework based on systemic evolutionary principles and endosymbiotic theory.
- Analysis of cancer pathophysiology as a complex system, integrating micro-, meso-, and macrovariables.
- Conceptualization of 'de-emergence' and the 'cancer ecosystem' for therapeutic strategy development.
Main Results:
- Impaired intercellular communication and cellular coherence contribute to dysplasia and cancer onset.
- Cancer cells exhibit characteristics of 'de-emerged' protist-like entities.
- Current molecular pharmacology is insufficient; a shift towards modular or ecosystemic treatments is proposed.
Conclusions:
- A systemic evolutionary approach offers a new perspective on cancer pathophysiology.
- Treatments should address the 'cancer ecosystem' using synergistic agents or physical methods like pulsed electromagnetic fields.
- This framework could guide the development of novel, integrated cancer therapies, exemplified by liver cancer applications.
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