Cause or an Effect?
There’s been quite a bit of attention lately on the negative
health effects of sugar. I tend to personally focus more on weight gain and problems
that come with it, but there’s another dimension to our sugar-filled American
diet that’s even worse. Increased
cancer rates have also been tied to excessive sugar consumption. So which came
first, the chicken or the egg? Meaning, does having more sugar around for
cancer cells to eat make a few aberrant cells turn into cancer?
Cancer happens when there are so many bad
cells your body can’t effectively control or eliminate them. These bad cells
divide and grow uncontrollably (forming malignant tumors), create their own
blood vessels (known as angiogenesis) in order to support their
ravenous appetites, and can even invade and destroy other tissues via the
body’s lymphatic infrastructure. You might not realize that cancer cells form
in your body every day, especially as you age, and genetic predisposition to
cancer can cause even more of these cancer cells to form. However, a healthy
immune system is constantly standing guard, eliminating these rogue cells,
before things get out of control.
When cancer cells are too numerous or the immune
system is weakened and can’t effectively control them, malignant tumors can
form. Cancer cells live to eat, hence their own blood supply mentioned above,
and if there’s one food that really fuels their raging fire, it’s sugar.
Cancer’s Torrid Relationship with Sugar
Table sugar, cane sugar, fructose, dextrose…it
doesn’t matter what we label it, most sugars (including carbohydrates) will
raise the glucose in our blood. This stimulates insulin production, which
signals the cells to absorb more glucose to use for energy and to lower
blood-sugar levels. Most cells handle this job without a hitch; cancer
cells, however, are never satiated and will gobble up glucose at a frantic
pace. So it’s easy to
see that the more sugar we consume, the happier we make our cancer cells as we
are supplying them with a constant source of sustenance and enabling their big
sugar addiction. This, thereby, increases the odds that these normally
occurring everyday cancer cells will become too numerous and overgrown for the
immune system to destroy them.
There have been many studies in recent years
researching the relationship between cancer and sugar, so this isn’t
enlightening news. In fact, nearly a century ago German scientist Otto Warburg
discovered a link between cancer cells and glucose, a process now known as the
Warburg Effect, which explains that the energy source for cancer cells is
created via the accelerated consumption and breakdown of glucose. So while the
news isn’t new, the understanding of it continues to unfold as new generations
of scientists continue to study the relationship between sugar and cancer. The
newest research has now set out to decide whether cancer’s sugar overconsumption
was simply an effect of the disease or if it was actually an impetus.
Do cancer cells gobble up sugar as an effect
of the cancer itself, or does the gobbling up of sugar cause the growth of more
of the cancer cells? Which came first? Researchers in the recently
published new
study believe they
have an answer. They concluded the latter, that the cancer cells’ fast growth
and development is continuously stimulated by their massive appetites for
sugar. So most cancers don’t overeat sugar just because they exist; most
cancers exist and continue to grow and develop because they overeat sugar this
study suggests.
While this isn’t a cure for cancer, it’s
another step toward seeking cancer treatment and control and will certainly
inspire more studies to come.
The upshot? Looks there are lots of reasons to
cut your sugar intake. Not the least of which is to control your weight, but
also to reduce the likelihood that some of those cancer cells living in your
body right now never get a foothold!
The Warburg effect
In 1924, German doctor and physiologist Otto Warburg suggested that cancer cells require sugar to grow and their glucose (sugar) intake is much higher than normal, healthy cells. Called the Warburg effect, this idea that cancer cells quickly break down sugars, which rapidly stimulate their growth, was the basis for continued research through the following near-century, including the use of PET scans to search the body for cancer.
In hopes of taking a closer look at the Warburg effect, Belgian researchers conducted a nine-year study, searching for a correlation between sugar and cancer. In what they are calling a "crucial breakthrough," the researchers say the discovery "provides evidence for a positive correlation between sugar and cancer, which may have far-reaching impacts on tailor-made diets for cancer patients." Their research has been published in the journal Nature Communications.
“Our research reveals how the hyperactive sugar consumption of cancerous cells leads to a vicious cycle of continued stimulation of cancer development and growth," said study author Johan Thevelein of VIB (Flanders Institute for Biotechnology) and KU Leuven university, in a statement.
"Thus, it is able to explain the correlation between the strength of the Warburg effect and tumor aggressiveness. This link between sugar and cancer has sweeping consequences. Our results provide a foundation for future research in this domain, which can now be performed with a much more precise and relevant focus."
The team used yeast cells for the research because they have the same "Ras" proteins that commonly found in cancer cells. As Science Alert explains, they found that in the yeast cells with an overactive influx of glucose, the Ras proteins activated too much, and that then allowed the cells to grow at an accelerated rate.
But the researchers clarified that this is far from the final word on sugar and cancer and that a breakthrough in research is not the same thing as a medical breakthrough.
"The findings are not sufficient to identify the primary cause of the Warburg effect," Thevelein said. "Further research is needed to find out whether this primary cause is also conserved in yeast cells."
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