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cover of episode Why breast cancer treatments might work best just after your period

Why breast cancer treatments might work best just after your period

2024/12/4
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Nature Podcast

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C
Celeste Beaver
D
Dan Fox
K
Kalinda Schaler
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Nick Pertrucciano和Emily Bates:报道了关于月经周期影响乳腺癌化疗疗效的最新研究。 Kalinda Schaler:详细解释了这项研究,包括其研究方法、结果以及对未来研究方向的展望。研究发现,在月经周期的特定阶段,乳腺癌细胞对化疗的敏感性更高,这与肿瘤微环境中的巨噬细胞数量变化有关,且这种影响与激素受体状态无关。研究团队强调了进行更大规模的前瞻性研究以验证其发现的重要性。

Deep Dive

Key Insights

Why might breast cancer treatments be more effective at certain points in the menstrual cycle?

Breast cancer cells are more susceptible to chemotherapy during the estrous phase (low progesterone levels) due to hormonal changes that impact the tumor microenvironment, particularly macrophage activity.

What role do hormones play in the effectiveness of chemotherapy during the menstrual cycle?

Hormones like estrogen and progesterone indirectly affect chemotherapy efficacy by altering the tumor microenvironment, particularly the influx of macrophages, which can reduce chemotherapy effectiveness.

How does the timing of the first chemotherapy treatment affect subsequent treatments?

The first chemotherapy treatment appears to 'freeze' the tumor's state, so subsequent treatments maintain the same efficacy as the initial one, regardless of cycle disruption.

What percentage of breast cancer patients are premenopausal and could benefit from cycle-based chemotherapy?

Approximately 30% of breast cancer patients are under 50 and premenopausal, making them candidates for cycle-based chemotherapy timing.

What are 'world models' in the context of AI and human-level intelligence?

World models are mental representations of the environment that enable humans to plan and reason. Researchers believe AI needs similar models to achieve human-level intelligence.

How close are current AI systems to achieving human-level intelligence?

Current AI systems, like OpenAI's O1, are improving but still lack certain human-like capabilities, such as building accurate world models or generalizing problem-solving across diverse contexts.

What is the significance of the first amber discovery in Antarctica?

The discovery of amber in Antarctica suggests the region once hosted a temperate rainforest, supporting evidence that Antarctica was warmer and more habitable in the past.

How do centenarian stem cells contribute to understanding aging?

Centenarian stem cells provide insights into genetic and cellular mechanisms that enable long, healthy lives, such as enhanced protein quality control and resistance to neurodegenerative diseases.

What evidence suggests two ancient hominin species coexisted 1.5 million years ago?

Footprints from Homo erectus and Paranthropus boisei found in close proximity in Kenya suggest the two species may have shared the same environment, though direct interaction is uncertain.

How do coffee drinkers' gut bacteria differ from non-coffee drinkers?

Coffee drinkers have higher levels of certain bacteria, like Lawsonibacter asacralicticus, which thrive on coffee and are associated with health benefits such as virus resistance and reduced diabetes risk.

Shownotes Transcript

00:48 Chemotherapy efficacy varies with the menstrual cycle

Breast cancer cells are more susceptible to chemotherapy at certain points in the menstrual cycle, new data in Nature suggests. Researchers studied the equivalent hormonal cycle in mice and found that during the oestrous phase, where progesterone levels are low, tumours are more susceptible to chemotherapy. The same effect was shown in humans in a small retrospective study. The team caution that a larger clinical trial would need to be conducted, but hope that this work could open up an, easy to implement, way to boost the effect of chemotherapy.

*Research Article: *Bornes et al.)

*News and Views: *What is the best time of the month to treat breast cancer?)

09:22 Research Highlights

How coffee changes your gut microbiota, and the first amber deposits found in Antarctica hint at an ancient rainforest.

*Research Highlight: *Do you drink coffee? Ask your gut)

*Research Highlight: *Antarctica’s first known amber whispers of a vanished rainforest)

11:47 Is human-level artificial intelligence close?

The latest AI system released by OpenAI, the makers of ChatGPT, is better able to break down problems into smaller chunks, making it closer to a human way of solving problems than other systems. This has reignited discussions about the likelihood of AIs achieving human-level intelligence. Although previously the realm of science fiction, researchers are now taking the idea of ‘artificial general intelligence’, or AGI, more seriously. Although this technology has the potential to help tackle humanity's biggest challenges, there are concerns about the safety of such technology if it were to become autonomous.

*News Feature: *How close is AI to human-level intelligence?)

21:43 Briefing Chat

How making a bank of centenarians’ stem cells could help unlock the secrets of healthy ageing, and what some 1.5 million year old footprints reveal about how ancient hominin species may have interacted.

*Nature: *What’s the secret to living to 100? Centenarian stem cells could offer clues)

*Nature: *These two ancient human relatives crossed paths 1.5 million years ago)

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