CNRS UMR5164 ImmunoConcEpT, University of Bordeaux, 146 rue Leo Saignat, Bordeaux, 33076, France.
CNRS UMR8590, Institut d'Histoire et Philosophie des Sciences et des Technique, University Paris I Panthéon-Sorbonne, 13 rue du Four, Paris, 75006, France.
Biol Rev Camb Philos Soc. 2023 Oct;98(5):1668-1686. doi: 10.1111/brv.12971. Epub 2023 May 8.
Cancers rely on multiple, heterogeneous processes at different scales, pertaining to many biomedical fields. Therefore, understanding cancer is necessarily an interdisciplinary task that requires placing specialised experimental and clinical research into a broader conceptual, theoretical, and methodological framework. Without such a framework, oncology will collect piecemeal results, with scant dialogue between the different scientific communities studying cancer. We argue that one important way forward in service of a more successful dialogue is through greater integration of applied sciences (experimental and clinical) with conceptual and theoretical approaches, informed by philosophical methods. By way of illustration, we explore six central themes: (i) the role of mutations in cancer; (ii) the clonal evolution of cancer cells; (iii) the relationship between cancer and multicellularity; (iv) the tumour microenvironment; (v) the immune system; and (vi) stem cells. In each case, we examine open questions in the scientific literature through a philosophical methodology and show the benefit of such a synergy for the scientific and medical understanding of cancer.
癌症依赖于不同尺度上的多种异质过程,涉及许多生物医学领域。因此,理解癌症必然是一项跨学科的任务,需要将专门的实验和临床研究置于更广泛的概念、理论和方法框架中。没有这样的框架,肿瘤学将收集零碎的结果,不同的癌症研究科学界之间几乎没有对话。我们认为,促进更成功对话的一个重要途径是通过将应用科学(实验和临床)与概念和理论方法更紧密地结合起来,并通过哲学方法提供信息。作为说明,我们探讨了六个核心主题:(i)突变在癌症中的作用;(ii)癌细胞的克隆进化;(iii)癌症与多细胞性的关系;(iv)肿瘤微环境;(v)免疫系统;(vi)干细胞。在每种情况下,我们都通过哲学方法检查科学文献中的悬而未决的问题,并展示这种协同作用对癌症的科学和医学理解的好处。