I always thought that cancer was something that hitch hiked into a healthy body. Through contaminated blood or the air or water and even food. I remember becoming aware about this back in the eighties and learning much more about this in the nineties. The thought occurred to me that eating food that had been genetically merged with pesticides was not a good idea and having also researched bloat I thought there was a connected between the GMO corn being used in dog food and bloat. And I have wondered if there was a way to measure or sample the gas from a dog that had died from bloat. But I never considered the ironic twist that dogs being able to smell toxic gas from cancer patients because the cancer cells produce a different kind of gas, thus a different smell to their cells... that dogs would be the very ones to help provide the connection between GMO's and cancer.
What Does Cancer Smell Like?
By VERONIQUE GREENWOOD
Published: November 19, 2013
On a lab bench in Philadelphia sits a tiny box lined with nearly
invisible nanotubes and gold. A clear plastic pipe runs through it, and a
thicket of pins, each sprouting a red or blue wire, protrudes from its
end. As air from the pipe wafts over the nanotubes, electrical signals
surge out of the box along the wire threads. The whole apparatus is
situated near a vial of blood, “sniffing” the air above it through the
pipe.
Illustration by Christopher Brand
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The box, an electronic nose, is a key part of a theory being explored by
George Preti, an organic chemist at the Monell Chemical Senses Center,
and an interdisciplinary team that includes physicists and veterinarians
at the University of Pennsylvania. Preti is an expert on human odors,
having studied them for more than 40 years. He has sniffed — both with
machines and with his nose — breath, sweat and other secretions in
search of answers about why we smell the way we do. This latest project
seeks to answer a question others might have never thought to ask: Does
ovarian cancer have a smell?
In modern cancer medicine, doctors tend to rely on advanced imaging
techniques and the detection of lumps. The widely acknowledged problem
with these methods, though, is that by the time doctors have reason to
order a scan or feel something, it’s often too late. Ovarian cancer has
usually spread to other organs by the time it’s detected. If it is
caught early — which happens only 15 percent of the time, often by
accident when doctors are looking for something else — 92 percent of
patients live for at least five years. But when it’s caught late, that
rate drops to 27 percent. Scent might be a way to get there sooner.
Discovering earlier and better markers for all kinds of cancer,
especially in blood, is a priority, said Dr. J. Leonard Lichtenfeld,
deputy chief medical officer of the American Cancer Society. Ovarian
cancer already has a blood test that has turned out to be not as useful
as hoped — giving out both false positives and negatives. A smell-based
test would need to perform better.
Diseases can subtly alter people’s fragrance. In the normal course of
metabolism, thousands of waste products are swept out in our breath,
blood and urine, or simply released into the air above the skin.
Metabolic disorders, like diabetes, interfere with the way the body
breaks down nutrients and thus make that exhaust especially stinky.
People with phenylketonuria (or PKU) tend to smell musty. A faulty or
missing digestive enzyme makes people with trimethylaminuria (or TMAU)
smell fishy. Untreated diabetics can smell like nail-polish remover:
Unable to get energy from sugar, their bodies burn fat for fuel and
release acetone as a by-product. (These scents don’t always smell bad;
there exists a disorder known as “maple syrup urine disease.”) For
Preti, originally from Brooklyn, this makes a subway ride unusually
informative. “I often tell people I work with, ‘I bumped into the guy
with isovaleric acidemia today.’ ”
Cancer cells, though they don’t alter human metabolism overall, can have
altered metabolisms themselves. That means the substances they release
could differ from those generated by healthy cells. This idea has been
around for decades, but only very recently have biochemical and sensor
technology advanced to the point where we can develop portable,
hand-held sniffing machines.
Electronic noses have the potential to detect even very small amounts of
molecules — but they need to be programmed to look for specific signs
wafting up from patient samples. To do that, A.T. Charlie Johnson, a
physicist and collaborator of Preti’s at Penn, has the electronic nose
sniff blood samples from both sick and healthy patients. As the air
passes through the tube, molecules from the samples alight on strands of
sticky DNA attached to the carbon nanotubes, changing the electrical
signals running out of the box. The team can look for patterns in the
signals and use the difference — if there is one — between cancer
samples and healthy samples to create an odor-based ovarian cancer test.
(Preti is also attempting to identify the specific molecules present in
ovarian cancer sufferers’ blood using a much larger machine called a
gas chromatograph-mass spectrometer.)
A work in progress, the electronic nose is, for now, an example of how
modern medicine can look for answers in unusual places. The impetus that
finally pushed Preti and his team to seriously investigate the
possibility of cancer detection by smell traces its roots to a dog. In
1989, a letter published in The Lancet reported that a woman had come
into the doctor’s office to have a mole looked at. She hadn’t noticed it
until her collie-Doberman mix began to sniff the spot intently — even
through her pants — and tried to bite it off when she wore shorts. The
mole turned out to be an early-stage malignant melanoma, inspiring
researchers to test whether dogs, whose smell machinery is at least
10,000 times as sensitive as ours, can tell healthy samples from
cancerous ones.
The results from the dog tests have been inconclusive, but to Preti, who
has mulled the idea that hidden cancers could be detected from smell
molecules since the 1970s, they suggested that there was a real
possibility for a new diagnostic. “We think that they’re present very
early in the carcinoma process,” Preti said of the scents. “The main
question is: Can we be as sensitive as the dogs in picking these things
up?”
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