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New research explores stopping lung cancer before diagnosis

Researchers at University College London (UCL) have identified a potential new way to prevent lung cancer in its early, pre-cancerous stages by targeting specific immune cells.

  • UCL researchers identified regulatory T cells (Tregs) building up months or years before lung cancer develops.
  • Prototype blood tests could monitor Treg levels to identify individuals at increased risk of lung cancer.
  • A drug targeting specific immune processes halved the proportion of animals developing lung tumours in laboratory experiments.

A team at University College London (UCL), funded by Cancer Research UK and the Medical Research Council (MRC), has identified a potential method to prevent lung cancer in its early stages. The research, led by Associate Professor James Reading and Professor Sam Janes, suggests new ways to intervene before the disease fully develops.

The study, published today in the journal Nature, found that specialised immune cells called regulatory T cells (Tregs) gradually accumulate months or years before lung cancer forms. These Tregs may suppress other immune cells, potentially allowing pre-cancers to develop into tumours without challenge.

Prototype blood tests were used to monitor Treg levels, which could help identify individuals at higher risk of lung cancer or those with an early form of the disease. Researchers also explored using targeted cancer drugs to reverse the immune-suppressing effect of Tregs. In laboratory experiments, this approach halved the proportion of animals that developed lung tumours and prevented the formation of all large tumours.

Associate Professor James Reading stated that new methods are urgently needed to prevent lung cancer in high-risk individuals. Professor Sam Janes highlighted that this research is part of an emerging field called cancer interception, aiming to stop pre-cancers from becoming full-fledged cancers.

Why this matters: Lung cancer causes around 32,800 deaths in the UK annually, with only about 11.1% of those diagnosed predicted to survive for 10 years or more, making early intervention crucial.

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