To: Bob L who wrote (2668 ) 10/25/1998 3:46:00 AM From: Maurice Winn Read Replies (1) | Respond to of 3702
Thanks Bob, Like you, I'm way over my head, but we sink or swim, so I dog paddle as best I can. Maybe not graceful or fast, but too bad. Shero will have just clicked 'next' anyway, so no hurry. Nothing much reaches the inside of the large tumor mass, hence the growth of blood vessels and necrotic cells forming due to lack of oxygen [and I suppose nutrients] which is the happy circumstance for TNT which gets hold of those necrotic cells and creates millions more in the neighbourhood. That applies to toxins like cyclophosphamide too, so most treatments which directly kill cells have the same weakness - lack of contact with the cancer cells. Sequential treatment might be better, but maybe not if you can only use the treatment once. Maybe closely sequential, like a week or three after the first treatment, but not on relapse after a year or two is what I meant, because by then there would be billions of new cells with many more mutations and many more chances of some damn newly mutant cancer cell escaping to go on and proliferate and kill the person. Also, as you say, they'd need to use the right cocktail for the right cellular types present. For example, you can only use so much I131 before you destroy too much marrow or do other damage, so it would be best to use it attached to the most common cancer cell types the particular person has. If the person didn't have a lot of CD20, it would be a shame to pour in too much Bexxar, or Y2B8 which would just do some collateral damage then be dumped out. I see that Rituxan seems quite ineffectual against Intermediate grade [so far anyway] which confirms the doctor's opinion who told us the mechanism of Rituxan being effective against low grade was not simply a matter of identifying the CD20 bearing cells for the immune system to kill. So it was not likely to be effective in CD20 intermediate grade. Is that confirmed as far as you know? There must have been a lot of off-label testing of that by now. Nearly a year since it has been used in quantity. I can't help but think monoclonal antibodies, after a quarter century of attempts, is still not universal enough. Though TNT is universal, so the delivery mechanism is the issue. With good real-time 3D modelling of people and their tumours, I'd have thought they could just inject it straight into tumors as small as a few mm across. I know they aren't very good at that because a daughter had an FNA [fine needle aspiration] of the wrong tissue so they misdiagnosed a cervical neurofibroma for 3 years! They got some lymph node cells instead. But I suppose they were using ultrasound or guesswork. Golfdad97 did mention a universal marker which he is apparently involved in in some way. Telomerase is one. I wonder if there are others - it mustn't be telomerase because that is widely known. He is keen on TCLN nevertheless, so it must be just in the category of "well, it's worth checking out". Thanks for your comments, Maurice