Lower cancer incidence rate in patients with central nervous system disease explained

Alfonso Valencia, researcher and Vice Director of Basic Research at the Spanish National Cancer Research Centre (CNIO), publishes the first evidence of a molecular relationship between cancer and central nervous system diseases in the journal PLOS Genetics. Specifically, the work identifies almost a hundred genes which could explain this relationship.

"We had previously published that several diseases of the brain and nervous system, particularly those which have a neurodegenerative component, are associated with a lower risk of cancer. We refer to this epidemiological evidence as inverse comorbidity," explained Valencia, and added: "In spite of the evidence, we did not have the molecular details which could explain this protective effect, in other words, which genes could be behind this behaviour."

To look further into this paradoxical relationship, the authors of the study used bioinformatic analysis to compare data on the genetic expression of nearly 1,700 people from over 30 studies on diseases in the central nervous system (Alzheimer, Parkinson and schizophrenia) and cancer (colon, lung and prostate cancer)

A 100-GENE SIGNATURE

The results show that almost a hundred genes could be behind the relationship between these diseases: 74 genes which were less active in nervous system diseases were found to be more active in cancer; on the other hand, 19 genes which were more active in nervous system diseases were found to be less active in cancer

"It is precisely these genes which are inversely activated which could explain the lower risk of cancer in patients with nervous system diseases," said the authors of the study.

César Boullosa and Kristina Ibáñez, predoctoral researchers in Valencia's lab, highlighted that "up to 90% of biological processes which appear a greater presence in cancer have a reduced presence in the nervous system diseases analysed."

This data demonstrates that the "global regulation of cell activity could have a protective effect from diseases with inverse comorbidity," concluded the article.

"At the beginning of the project we did not really expect to get statistically significant results, so it was it came as a great surprise to find a clear genetic correlation between these two types of disease," admitted Valencia, who explains that it is "the first time that a molecular relationship between these diseases has systematically been found."

Among the genes identified in the study is PIN1, previously found to be related to both Alzheimer's disease and cancer, as well as genes involved in p53 and Wnt signalling pathways. The study has also identified genes related to crucial biological processes for life such as cell metabolism and communication between cells and their external environment.

DRUG REPOSITIONING

The researchers propose that this genetic association amongst illnesses could open the door to the use of antineoplastic drugs to treat some nervous system diseases, as well as the other way round. One example of this practice is bexarotene, an antineoplastic agent that has already displayed beneficial effects for treating Alzheimer's Disease in mice.

The study represents an example of the new possibilities genomics and bioinformatics can offer in a comprehensive approach to complex diseases such as cancer or nervous system disorders.