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Oncology · The big question

Scientists Discover How Aging Drives Breast Cancer Spread

Aging promotes a RAGE-dependent increase in breast cancer metastasis.

Editorial illustration for Aging promotes a RAGE-dependent increase in breast cancer metastasis.
Editorial illustration

Summary

Doctors have long known that breast cancer becomes more dangerous as people get older. However, the exact reasons why aging increases the risk of the disease spreading have remained a mystery. Part of the problem is that most laboratory research relies on young mice, which do not accurately reflect the biology of an older human body. Now, researchers have shown that an aging body actively encourages breast cancer metastasis, which is the process where cancer spreads to other organs.

The research points to a specific protein on the surface of cells called the Receptor for Advanced Glycation End-products, or RAGE for short. Think of RAGE as a cellular antenna. As the body ages, it naturally produces higher levels of specific trigger molecules in the bloodstream. When these molecules bind to the RAGE antenna, the receptor flips genetic switches in the tumor. This chain reaction increases inflammation, builds new blood vessels, and changes the surrounding tissue scaffolding, ultimately pushing cancer cells to invade the rest of the body.

In a promising twist, the researchers found that blocking either the RAGE antenna or its trigger molecules successfully stopped cancer cells from invading in laboratory mice. The team also looked at historical data from human breast cancer patients. They found that older patients with highly active RAGE networks generally faced poorer survival odds, suggesting this exact same process happens in humans.

Why it matters.

This discovery represents a major shift in how we might treat older breast cancer patients. Currently, treatments mostly focus on attacking the tumor itself. These findings suggest that modifying the aging environment around the tumor by blocking RAGE could be a powerful new way to stop cancer from spreading. Because metastasis is the leading cause of breast cancer mortality, finding new therapies that specifically protect older patients could eventually save countless lives.

However, it is important to remember that this research is still in its early stages. The current evidence relies heavily on animal models and looking back at past human medical records. Before doctors can offer RAGE-targeted drugs to patients, scientists will need to conduct rigorous clinical trials to prove that these therapies are both safe and effective in humans.

From the source

The story in numbers.

Preclinical mouse models utilized
Multiple
Specific RAGE ligands elevated in aged hosts
S100A8/9
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Scientists Discover How Aging Drives Breast Cancer Spread — Daily Strand