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The Other Face of Cancer by Dr Manu Kothari and Dr Lopa Mehta
Immunological Illusion
Cancer immunology, also called tumour
immunology, is a new and very rapidly expanding 137
science. It is based on the idea that just as the human
body can react against, and develop immunity to, viruses
and bacteria, so can it react against its own cancer
cells to develop immunity to them. Such immunity is
called tumour immunity. Cancer/tumour immunotherapy is
the science of treating cancer by inducing and / or
promoting tumour immunity in a cancer patient. At
present, immunotherapy is given consideration138
only if surgery, radiotherapy, and / or chemo- therapy
have either failed, or are unlikely to help.
The thrust of cancer / tumour immunological research is
directed to finding out the foreigness of cancer
cells on the one hand, and the mechanisms by which the
body presumably develops immunity to them, on the other.
The foreignness of cancer cells supposedly resides in the
antigens they carry. The human bodys
reaction against these cancer antigens resulting
in tumour immunity is presumed to be mediated by the
white blood cells - predominantly the lymphoocytes.
Today, eulogistic statements 14,16 on tumour
immunotherapy, on the basis of the clear evidence that
medical scientists have, are common.
The reality is different. The outcome of the massive
research on tumour immunity and immunotherapy has been
negative5 for the following reasons:
- Surveying the field
of tumour immunology, a science writer 22 discovered
that the science of immunology is so confused -
thanks to its Tower of Babel - that one
immunologist cannot make out what the other is
talking about.
- Scientists do not
know exactly what tumour immunity is. It
hasnt yet been defined, and is unlikely to
be defined in view of such editorial
double-speak: This article illustrates that
under proper circumstances, tumour immunity can
stimulate tumour growth.139
- Spontaneous
tumours, Willis20 generalized,
consisting of a creatures own
tissues, rarely if ever act as antigens.
Paraphrased, this means that when not tailored by
laboratory artifacts,15 a cancer forms
an integral part of its owner, and does not
exhibit the presumed antigens, nor does the body
show any reaction.
- Point 3 is best
illustrated by the fact that in operations on
stomach cancer, the stomach wound heals even when
the knife has actually run
through the cancer,140
amply proving the integral/ non-foreign/self
nature of cancer cells, participating as they do
in the vital, highly coordinated and complex
process of wound healing.
- Were the body to
detect its cancer cells as foreign, it would do
so at the very inception of cancer. The fact that
cancer can present itself as a universal and a
regular feature, in a predictable proportion of
human beings of all ages the world over means
that our assumptions about the foreignness of
cancer cells are ill- founded.
- The review of a
recent book Immunotherapy of Cancer in Man:
Scientific Basis and Current Status141
sums up the situation as one of failure,
disappointment, frustration and difficulties, the
latest one being that a cancer antigen
circulating in the blood may, in fact, protect
the cancer against the bodys immunological
mechanisms.
- The two arms of
tumour immunity are supposed to be (I) the
antibodies (humoral immunity), and (ii) the
lymphocytes (cellular immunity). The former has
long since been recognized as, in fact,
protecting a cancer against whatever may be the
bodys defense.142 Now, even the
cellular immunity is suspect as facilitating the
initiation and the growth of a cancer.143,144
- Even when
immunotherapy has succeeded in producing what is
termed as tumour immunity, the outcome 144,145
has not necessarily been beneficial: In some
cancer patients, the tumour has regressed
somewhat; in others, the tumour has worsened. The
reasons for these findings may be clear from the
next point.
- Oettgen and
Hellstrom, 146 writing a chapter in
the massive book, Cancer Medicine
raise enough anti-cancer hopes before and after
the few lines that follow: Thus, it is not
simply a matter of deciding whether
"immunity" inhibits or fosters cancers.
Only if means can be devised to shift the balance
between inhibitory and enhancing immunologic
forces in either direction can we hope to find a
clearer answer.
- Point 9 indicates the
cancer-promoting danger of immunotherapy. BCG
immunotherapy, probably the most talked about,
produces frequent complications143,147,148
and presents, in the light of point 9 a
cancer-promoting hazard: The use of BCG is
not without danger since in some circumstances it
enhances tumour growth.149 In
todays world of executives and business
management, The Peter Principle 150
illustrates how everyone manages to reach his own
zenith of competence. BCG therapy of cancer
having attained its Peterian zenith of
incompetence, is now paving the way for a dubious
drug, levamisole,149 that has proved an
immunostimulant with its own
unpredictable efficacy and side effects.
The current state of tumour immunity and
immunotherapy has been summed up recently by
Hewitt:137 Genuine tumour immunity is
probably non-existent because what is
antigenic in cancer cells is not necessarily
immunogenic against those cells. The in vitro
findings have no counterparts in vivo.98,281
The highly antigenic animal tumour
models bear no relevance to cancer in man.98,
282 The long and inglorious
story of immunotherapy merits only one comment -
a treatment which does not work can hardly
be called a therapy. Hewitt137
traces the foregoing to the fact that scientists
got seduced by, and infatuated with tumour
immunology much before any sound reason was
present. The reason is not present even now. All
that we have ended up with is, putting
immunological interpretations282 on
all obscurities in cancerology.
Regardless, the immunologic show282, 283
goes on. Recently, Mathe and others organized
The Immuno-Cancerology Week283 in
Paris, where Feldman of London harped upon the
cancerologists attempts to help mankind
immunologically fight its own cancer cells. The
meeting concluded that all the research effort of
immuno- cancerology was justified.
Let us face it: The science of tumour immunology
has one outstanding feature - it has proliferated
in a cancerous manner. It is also fundogenic -
it gets funds for the asking. Yet, when
scrutinized scientifically, it reveals itself as
a vast exercise of applying utter logic to a
false premise - that ones cancer cells
arent part of oneself. No human or animal
cancer can be proved foreign (or non-self) 151
to its owner - the first warning of the
disillusionment to come having been given
to science way back3 in 1911. In an individual,
the genetic selfsameness of cancer cells (Chapter
Two) allows oneself to honour ones own
cancer, by declaring it, a la Mr.
Doolittle in My Fair Lady152,
as Me Own flesh and blood!
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