“Cancer breaks havoc in almost every part of the human body” – The opening line of Robert Allan Weinberg’s ‘One Renegade Cell: How Cancer Begins’ aptly describes the complexity of the most intriguing disease in the history of mankind. In this particular offering, Dr. Robert Weinberg, a Daniel K. Ludwig Professor for Cancer Research at the Massachusetts Institute of Technology, has beautifully captured the excitements and frustrations associated with cancer research over the past century. The author, himself being a part of this exciting journey, builds a wonderful picture of the scientific practice where insights from seemingly unrelated fields often provide breakthroughs in research. Introducing the layman to fundamental cellular biology, Weinberg instills a sense of wonder by describing how trillions of cells come and work together to make up the human body as if controlled by a single master plan and how this perfect order is disrupted by cancer, which comes about as a result of a single cell, ‘The One Renegade Cell’, not conforming to the master plan. The discovery of a cancer-causing virus in the early 20th cancer development. Soon after, it was believed that cancer was a spontaneous breakdown of the body’s tissues caused by a variety of external factors. Building up a historical perspective, Weinberg guides us through the discovery of oncogenes, tumor suppressing genes and the host of other barriers that the human body places in the way of cancer development, yet never leaving out the description of the methodological and technological advancements that made these discoveries possible.
The development of cancer is perfectly understood by Weinberg’s analogy of cancer to an automobile. Just as pressing the accelerator pedal puts the car into high speed increasing the risk of losing control, mutated oncogenes lead to an overall increase in the mutation rate which might lead to instabilities causing a cell to become cancerous. Also, the tumor suppressing genes in the cell can be compared to brakes in an automobile, the malfunctioning of which could lead to accidents. Touching upon the various other ways involved in cancer development like damage inflicted by external agents, mistakes made during the copying of DNA and defects in the cell’s DNA repair machinery, the author through the use of case studies, provides us with a rich and comprehensive account of the development of cancer with minimum use of jargon.
Weinberg ends the book on an optimistic note, arguing that even though cancer can never be
completely eradicated, the deep insight gained by understanding the cellular processes associated with the development of cancer, will lead to sophisticated methods of detecting and treating cancer. Though some readers may find the use of biological terminology a little technical, the book offers a concise and easy understanding into the complexities associated with cancer.