Day 254 - 22 May 96 - Page 43


     
     1        muscles to stick together otherwise the muscles would
     2        disintegrate.  If you are talking about cells in the blood
     3        stream, I am not an expert in that field.
     4
     5   Q.   What about with cancer cells?
     6        A.  There is no evidence that I am aware of which suggests
     7        that fat in the diet increases the stickiness of cancer
     8        cells.  In fact, if you were a cancer yourself that would
     9        be a disadvantage as far as the cancer is concerned,
    10        because one of their properties, as we have already
    11        discussed a minute ago, is the fact that these cells can
    12        break off and spread to other parts of the body.
    13        Therefore, if we had a form of treatment which would
    14        increase their stickiness that would actually be beneficial
    15        in terms of localising the cancer to a certain site.
    16
    17   Q.   I may have put this.  May be the best thing is if I just
    18        put to you what Professor Crawford has suggested I put
    19        rather than ----
    20
    21   MR. JUSTICE BELL:  If you do put it read it slowly and try and
    22        break it down.  I mean, I thought that you must have been
    23        given this, possibly by Professor Crawford, so take it step
    24        by step and take it slowly, the propositions.  Carry on
    25        with the propositions you are putting.
    26
    27   MS. STEEL:   First, he says that he did not say that cancer
    28        cells lodged on atheromas.  He then goes on to say, as
    29        countries with a high incidence of heart disease also have
    30        a high incidence of breast and colon cancer his view is
    31        there may be a common denominator, and he repeats the point
    32        that eating a high saturated fat diet tends to make blood
    33        cells sticky.  His view is that "diets rich in saturated
    34        fats would, one, make the cells' lining and circulation" --
    35        I presume that is circulatory system -- "less able to
    36        prevent cells adhering to them, possibly with some lining
    37        cells being damaged which encourages adhesion, and, two,
    38        that blood cells, platelets in particular, would also be
    39        likely to adhere to each other and to cells lining the
    40        blood vessels."
    41
    42        He says, "As this evidence is well established
    43        scientifically, his suggestion is that cancer cells
    44        migrating from the primary tumour would find it easier to
    45        lodge and stick to the lining of the blood vessels or
    46        lymphatic system", and then he asks whether you would agree
    47        that is a reasonable proposition.
    48
    49   MR. RAMPTON:  My Lord, this is very, very difficult.  That is a
    50        very long statement.  Ms. Steel is obviously reading from 
    51        something which, at the very least, looks as though it 
    52        forms the foundation of a supplementary statement by 
    53        Professor Crawford which we certainly ought to have had.
    54
    55   MS. STEEL:   Mr. Rampton, it does not.  I asked him if he had
    56        any questions that he suggested I put to the witness which
    57        is what he sent to me, it is not a supplementary statement.
    58
    59   MR. RAMPTON:  I am sorry, Ms. Steel and Mr. Morris have a habit
    60        speaking through me.  It maybe because nothing I say

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