| Name | Cancer |
|---|---|
| Caption | A coronal CT scan showing a cancer of right pleural membranes, the outer surface of the lung and inner surface of the chest wall, malignant mesothelioma. Legend: → tumor ←, ★ central pleural effusion, 1 & 3 lungs, 2 spine, 4 ribs, 5 aorta, 6 spleen, 7 & 8 kidneys, 9 liver. |
| Diseasesdb | 28843 |
| Icd10 | |
| Icd9 | — |
| Medlineplus | 001289 |
| Meshid | D009369 |
Cancer (medical term: malignant neoplasm) is a class of disease in which a group of cells display uncontrolled growth through division beyond normal limits, invasion that intrudes upon and destroys adjacent tissues, and sometimes metastasis, in which cancer cells spread to other locations in the body via lymph or blood. These three malignant properties of cancers differentiate them from benign tumors, which are self-limited, and do not invade or metastasize.
Cancers are primarily an environmental disease with 90-95% of cases due environmental factors such as lifestyle, and 5-10% directly due to heredity. Common environmental factors leading to cancer include: tobacco (25-30%), diet and obesity (30-35%), infections (15-20%), radiation, stress, lack of physical activity, and environmental pollutants. Cell reproduction is an extremely complex process, which is normally tightly regulated by several classes of genes including oncogenes and tumor suppressor genes. Hereditary or acquired abnormalities in these regulatory genes can lead to uncontrolled cell growth, and the development of cancer.
The presence of cancer can be suspected on the basis of symptoms, or findings on radiology. Definitive diagnosis of cancer, however, requires the microscopic examination of a biopsy specimen. Most cancers can be treated. Possible treatments include chemotherapy, radiotherapy and surgery. The prognosis is influenced by the type of cancer and the extent of disease. While cancer can affect people of all ages the risk typically increases with age. In 2007 cancer caused about 13% of all human deaths worldwide (7.9 million) and it is projected to be 12 million deaths per year by 2030.
Cancers are usually named using -carcinoma, -sarcoma or -blastoma as a suffix, with the Latin or Greek word for the organ or tissue of origin as the root. For example, a cancer of the liver is called hepatocarcinoma; a cancer of fat cells is called a liposarcoma. For some common cancers, the English organ name is used. For example, the most common type of breast cancer is called ductal carcinoma of the breast. Here, the adjective ductal refers to the appearance of the cancer under the microscope, which suggests that it has originated in the milk ducts.
Benign tumors (which are not cancers) are named using -oma as a suffix with the organ name as the root. For example, a benign tumor of smooth muscle cells is called a leiomyoma (the common name of this frequently occurring benign tumor in the uterus is fibroid). Confusingly, some types of cancer also use the -oma suffix, examples including melanoma and seminoma.
None of these are diagnostic, as many of these symptoms commonly occur in patients who do not have cancer.
Cancer is fundamentally a disease of failure of regulation of tissue growth. In order for a normal cell to transform into a cancer cell, the genes which regulate cell growth and differentiation must be altered.
The affected genes are divided into two broad categories. Oncogenes are genes which promote cell growth and reproduction. Tumor suppressor genes are genes which inhibit cell division and survival. Malignant transformation can occur through the formation of novel oncogenes, the inappropriate over-expression of normal oncogenes, or by the under-expression or disabling of tumor suppressor genes. Typically, changes in many genes are required to transform a normal cell into a cancer cell.
Genetic changes can occur at different levels and by different mechanisms. The gain or loss of an entire chromosome can occur through errors in mitosis. More common are mutations - changes in the nucleotide sequence of genomic DNA.
Large-scale mutations involve the deletion or gain of a portion of a chromosome. Genomic amplification occurs when a cell gains many copies (often 20 or more) of a small chromosomal locus, usually containing one or more oncogenes and adjacent genetic material. Translocation occurs when two separate chromosomal regions become abnormally fused, often at a characteristic location. A well-known example of this is the Philadelphia chromosome, or translocation of chromosomes 9 and 22, which occurs in chronic myelogenous leukemia, and results in production of the BCR-abl fusion protein, an oncogenic tyrosine kinase.
Small-scale mutations include point mutations, deletions, and insertions, which may occur in the promoter region of a gene and affect its expression, or may occur in the gene's coding sequence and alter the function or stability of its protein product. Disruption of a single gene may also result from integration of genomic material from a DNA virus or retrovirus, and resulting in the expression of viral oncogenes in the affected cell and its descendants.
Replication of the enormous amount of data contained within the DNA of living cells will probabilistically result in some errors (mutations). Complex error correction and prevention is built into the process, and safeguards the cell against cancer. If significant error occurs, the damaged cell can "self destruct" through programmed cell death, termed apoptosis. If the error control processes fail, then the mutations will survive and be passed along to daughter cells.
Some environments make errors more likely to arise and propagate. Such environments can include the presence of disruptive substances called carcinogens, repeated physical injury, heat, ionising radiation, or hypoxia (see causes, below).
The errors which cause cancer are self-amplifying and compounding, For example:
The transformation of normal cell into cancer is akin to a chain reaction caused by initial errors, which compound into more severe errors, each progressively allowing the cell to escape the controls that limit normal tissue growth. This rebellion-like scenario becomes an undesirable survival of the fittest, where the driving forces of evolution work against the body's design and enforcement of order. Once cancer has begun to develop, this ognoing process, termed clonal evolution drives progression towards more invasive stages.
Many mutagens are also carcinogens, but some carcinogens are not mutagens. Alcohol is an example of a chemical carcinogen that is not a mutagen. Such chemicals may promote cancers through stimulating the rate of cell division. Faster rates of replication leaves less time for repair enzymes to repair damaged DNA during DNA replication, increasing the likelihood of a mutation.
Decades of research has demonstrated the link between tobacco use and cancer in the lung, larynx, head, neck, stomach, bladder, kidney, oesophagus and pancreas. Tobacco smoke contains over fifty known carcinogens, including nitrosamines and polycyclic aromatic hydrocarbons. Indeed, lung cancer death rates in the United States have mirrored smoking patterns, with increases in smoking followed by dramatic increases in lung cancer death rates and, more recently, decreases in smoking followed by decreases in lung cancer death rates in men. However, the numbers of smokers worldwide is still rising, leading to what some organizations have described as the tobacco epidemic.
Cancer related to ones occupation is believed to represent between 2-20% of all cases. Every year, at least 200,000 people die worldwide from cancer related to their workplace. Millions of workers run the risk of developing cancers such as lung cancer and mesothelioma from inhaling asbestos fibers and tobacco smoke, or leukemia from exposure to benzene at their workplaces.
Non-ionizing radio frequency radiation from mobile phones and other similar RF sources has also been proposed as a cause of cancer, but there is currently little established evidence of such a link.
Experimental and epidemiological data imply a causative role for viruses and they appear to be the second most important risk factor for cancer development in humans, exceeded only by tobacco usage. The mode of virally induced tumors can be divided into two, acutely transforming or slowly transforming. In acutely transforming viruses, the virus carries an overactive oncogene called viral-oncogene (v-onc), and the infected cell is transformed as soon as v-onc is expressed. In contrast, in slowly transforming viruses, the virus genome is inserted near a proto-oncogene in the host genome. The viral promoter or other transcription regulation elements then cause overexpression of that proto-oncogene. This induces uncontrolled cell division. Because the site of insertion is not specific to proto-oncogenes and the chance of insertion near any proto-oncogene is low, slowly transforming viruses will cause tumors much longer after infection than the acutely transforming viruses.
Hepatitis viruses, including hepatitis B and hepatitis C, can induce a chronic viral infection that leads to liver cancer in 0.47% of hepatitis B patients per year (especially in Asia, less so in North America), and in 1.4% of hepatitis C carriers per year. Liver cirrhosis, whether from chronic viral hepatitis infection or alcoholism, is associated with the development of liver cancer, and the combination of cirrhosis and viral hepatitis presents the highest risk of liver cancer development. Worldwide, liver cancer is one of the most common, and most deadly, cancers due to a huge burden of viral hepatitis transmission and disease.
Advances in cancer research have made a vaccine designed to prevent cancers available. In 2006, the U.S. Food and Drug Administration approved a human papilloma virus vaccine, called Gardasil. The vaccine protects against 6,11,16,18 strains of HPV, which together cause 70% of cervical cancers and 90% of genital warts. It also lists vaginal and vulvar cancers as being protected. In March 2007, the US Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) officially recommended that females aged 11–12 receive the vaccine, and indicated that females as young as age 9 and as old as age 26 are also candidates for immunization. There is a second vaccine from Cervarix which protects against the more dangerous HPV 16,18 strains only. In 2009, Gardasil was approved for protection against genital warts. In 2010, the Gardasil vaccine was approved for protection against anal cancer for males and reviewers stated there was no anatomical, histological or physiological anal differences between the genders so females would also be protected.
In addition to viruses, researchers have noted a connection between bacteria and certain cancers. The most prominent example is the link between chronic infection of the wall of the stomach with Helicobacter pylori and gastric cancer. Although only a minority of those infected with Helicobacter go on to develop cancer, since this pathogen is quite common it is probably responsible for most of these cancers.
HIV is associated with a number of malignancies, including Kaposi's sarcoma, non-Hodgkin's lymphoma, and HPV-associated malignancies such as anal cancer and cervical cancer. AIDS-defining illnesses have long included these diagnoses. The increased incidence of malignancies in HIV patients points to the breakdown of immune surveillance as a possible etiology of cancer. Certain other immune deficiency states (e.g. common variable immunodeficiency and IgA deficiency) are also associated with increased risk of malignancy.
In non-humans, a few types of transmissible cancer have been described, wherein the cancer spreads between animals by transmission of the tumor cells themselves. This phenomenon is seen in dogs with Sticker's sarcoma, also known as canine transmissible venereal tumor, as well as Devil facial tumour disease in Tasmanian devils.
Most cancers are initially recognized either because signs or symptoms appear or through screening. Neither of these lead to a definitive diagnosis, which usually requires the opinion of a pathologist, a type of physician (medical doctor) who specializes in the diagnosis of cancer and other diseases. People with suspected cancer are investigated with medical tests. These commonly include blood tests, X-rays, CT scans and endoscopy.
The tissue diagnosis given by the pathologist indicates the type of cell that is proliferating, its histological grade, genetic abnormalities, and other features of the tumor. Together, this information is useful to evaluate the prognosis of the patient and to choose the best treatment. Cytogenetics and immunohistochemistry are other types of testing that the pathologist may perform on the tissue specimen. These tests may provide information about the molecular changes (such as mutations, fusion genes, and numerical chromosome changes) that has happened in the cancer cells, and may thus also indicate the future behavior of the cancer (prognosis) and best treatment.
Examples of modifiable cancer risk factors include alcohol consumption (associated with increased risk of oral, esophageal, breast, and other cancers), smoking (80% of women with lung cancer have smoked in the past, and 90% of men), physical inactivity (associated with increased risk of colon, breast, and possibly other cancers), and being overweight / obese (associated with colon, breast, endometrial, and possibly other cancers). Based on epidemiologic evidence, it is now thought that avoiding excessive alcohol consumption may contribute to reductions in risk of certain cancers; however, compared with tobacco exposure, the magnitude of effect is modest or small and the strength of evidence is often weaker. Other lifestyle and environmental factors known to affect cancer risk (either beneficially or detrimentally) include certain sexually transmitted diseases (such as those conveyed by the human papillomavirus), the use of exogenous hormones, exposure to ionizing radiation and ultraviolet radiation from the sun or from tanning beds, and certain occupational and chemical exposures.
The consensus on diet and cancer is that obesity increases the risk of developing cancer. Particular dietary practices often explain differences in cancer incidence in different countries (e.g. gastric cancer is more common in Japan, while colon cancer is more common in the United States. In this example the preceding consideration of Haplogroups are excluded). Studies have shown that immigrants develop the risk of their new country, often within one generation, suggesting a substantial link between diet and cancer. Whether reducing obesity in a population also reduces cancer incidence is unknown.
However some studies have found that consuming lots of fruits and vegetables has little if any effect on preventing cancer.
Proposed dietary interventions for primary cancer risk reduction generally gain support from epidemiological association studies. Examples of such studies include reports that reduced meat consumption is associated with decreased risk of colon cancer, and reports that consumption of coffee is associated with a reduced risk of liver cancer. Studies have linked consumption of grilled meat to an increased risk of stomach cancer, colon cancer, breast cancer, and pancreatic cancer, a phenomenon which could be due to the presence of carcinogens such as benzopyrene in foods cooked at high temperatures.
A recent study analysed the correlation between many factors and cancer and concluded that the major contributory dietary factor was animal protein, whereas plant protein did not have an effect. Animal studies confirmed the mechanism by showing that reducing the proportion of animal protein switched off both the initiation and promotion stages.
A 2005 secondary prevention study showed that consumption of a plant-based diet and lifestyle changes resulted in a reduction in cancer markers in a group of men with prostate cancer who were using no conventional treatments at the time. These results were amplified by a 2006 study. Over 2,400 women were studied, half randomly assigned to a normal diet, the other half assigned to a diet containing less than 20% calories from fat. The women on the low fat diet were found to have a markedly lower risk of breast cancer recurrence, in the interim report of December, 2006.
Recent studies have also demonstrated potential links between some forms of cancer and high consumption of refined sugars and other simple carbohydrates. Although the degree of correlation and the degree of causality is still debated, some organizations have in fact begun to recommend reducing intake of refined sugars and starches as part of their cancer prevention regimens.
10 recommendations to reduce the risk of developing cancer, including the following dietary guidelines: (1) reducing intake of foods and drinks that promote weight gain, namely energy-dense foods and sugary drinks, (2) eating mostly foods of plant origin, (3) limiting intake of red meat and avoiding processed meat, (4) limiting consumption of alcoholic beverages, and (5) reducing intake of salt and avoiding mouldy cereals (grains) or pulses (legumes).
Aspirin has been found to reduce the risk of death from cancer.
Daily use of tamoxifen, a selective estrogen receptor modulator (SERM), typically for 5 years, has been demonstrated to reduce the risk of developing breast cancer in high-risk women by about 50%. Raloxifene also a SERM; has been shown to reduce the risk of breast cancer in high-risk women equally as well as tamoxifen. It had fewer side effects than tamoxifen, though it did permit more DCIS to form.
Finasteride, a 5-alpha-reductase inhibitor, has been shown to lower the risk of prostate cancer, though it seems to mostly prevent low-grade tumors. The effect of COX-2 inhibitors such as rofecoxib and celecoxib upon the risk of colon polyps have been studied in familial adenomatous polyposis patients and in the general population. In both groups, there were significant reductions in colon polyp incidence, but this came at the price of increased cardiovascular toxicity.
As of 2010 vitamins have not been found to be effective at preventing cancer, while low levels of vitamin D is correlated with increased cancer risk. Whether this relationship is causal and vitamin D supplementation is protective is yet to be determined. Beta-carotene supplementation has been found to increase slightly, but not significantly risks of lung cancer. Folic acid supplementation has not been found effective in preventing colon cancer and may increase colon polyps.
Human papillomavirus vaccine (Gardasil and Cervarix) decreases the risk of developing cervical cancer. This may involve physical examination, blood or urine tests, or medical imaging. They recommends mammography for breast cancer screening every two years for those 50–74 years old, however do not recommend either breast self-examination or clinical breast examination. Colorectal cancer screening is recommended via fecal occult blood testing, sigmoidoscopy, or colonoscopy starting at age of 50 until age 75. There is insufficient evidence to recommend for or against screening for skin cancer, oral cancer, lung cancer, or prostate cancer in men under 75. Routine screening is not recommended for bladder cancer, testicular cancer, ovarian cancer, pancreatic cancer, or prostate cancer in men over 75.
Many management options for cancer exist including: chemotherapy, radiation therapy, surgery, immunotherapy, monoclonal antibody therapy and other methods. Which are used depends upon the location and grade of the tumor and the stage of the disease, as well as the general state of a person's health. Experimental cancer treatments are also under development.
Complete removal of the cancer without damage to the rest of the body is the goal of treatment. Sometimes this can be accomplished by surgery, but the propensity of cancers to invade adjacent tissue or to spread to distant sites by microscopic metastasis often limits its effectiveness. Surgery often required the removal of a wide surgical margin or a free margin. The width of the free margin depends on the type of the cancer, the method of removal (CCPDMA, Mohs surgery, POMA, etc.). The margin can be as little as 1 mm for basal cell cancer using CCPDMA or Mohs surgery, to several centimeters for aggressive cancers. The effectiveness of chemotherapy is often limited by toxicity to other tissues in the body. Radiation can also cause damage to normal tissue.
Because cancer is a class of diseases, it is unlikely that there will ever be a single "cure for cancer" any more than there will be a single treatment for all infectious diseases. Angiogenesis inhibitors were once thought to have potential as a "silver bullet" treatment applicable to many types of cancer, but this has not been the case in practice.
Progressive and disseminated malignant disease has a substantial impact on a cancer patient's quality of life, and many cancer treatments (such as chemotherapy) may have severe side-effects. In the advanced stages of cancer, many patients need extensive care, affecting family members and friends. Palliative care solutions may include permanent or "respite" hospice nursing.
In the developed world, one in three people will develop cancer during their lifetimes. If all cancer patients survived and cancer occurred randomly, the lifetime odds of developing a second primary cancer would be one in nine.
File:Most common cancers - female, by occurence.png|in US females, by occurrence
Hippocrates (ca. 460 BC – ca. 370 BC) described several kinds of cancers, referring to them with the Greek word carcinos (crab or crayfish), among others. This name comes from the appearance of the cut surface of a solid malignant tumour, with "the veins stretched on all sides as the animal the crab has its feet, whence it derives its name". Since it was against Greek tradition to open the body, Hippocrates only described and made drawings of outwardly visible tumors on the skin, nose, and breasts. Treatment was based on the humor theory of four bodily fluids (black and yellow bile, blood, and phlegm). According to the patient's humor, treatment consisted of diet, blood-letting, and/or laxatives. Through the centuries it was discovered that cancer could occur anywhere in the body, but humor-theory based treatment remained popular until the 19th century with the discovery of cells.
Celsus (ca. 25 BC - 50 AD) translated carcinos into the Latin cancer, also meaning crab. Galen (2nd century AD) called benign tumours oncos, Greek for swelling, reserving Hippocrates' carcinos for malignant tumours. He later added the suffix -oma, Greek for swelling, giving the name carcinoma.
The oldest known description and surgical treatment of cancer was discovered in Egypt and dates back to approximately 1600 BC. The Papyrus describes 8 cases of ulcers of the breast that were treated by cauterization, with a tool called "the fire drill." The writing says about the disease, "There is no treatment."
Another very early surgical treatment for cancer was described in the 1020s by Avicenna (Ibn Sina) in The Canon of Medicine. He stated that the should be radical and that all diseased tissue should be removed, which included the use of amputation or the removal of veins running in the direction of the tumor. He also recommended the use of cauterization for the area treated if necessary.
In the 16th and 17th centuries, it became more acceptable for doctors to dissect bodies to discover the cause of death. The German professor Wilhelm Fabry believed that breast cancer was caused by a milk clot in a mammary duct. The Dutch professor Francois de la Boe Sylvius, a follower of Descartes, believed that all disease was the outcome of chemical processes, and that acidic lymph fluid was the cause of cancer. His contemporary Nicolaes Tulp believed that cancer was a poison that slowly spreads, and concluded that it was contagious.
The first cause of cancer was identified by British surgeon Percivall Pott, who discovered in 1775 that cancer of the scrotum was a common disease among chimney sweeps. The work of other individual physicians led to various insights, but when physicians started working together they could make firmer conclusions.
With the widespread use of the microscope in the 18th century, it was discovered that the 'cancer poison' spread from the primary tumor through the lymph nodes to other sites ("metastasis"). This view of the disease was first formulated by the English surgeon Campbell De Morgan between 1871 and 1874. The use of surgery to treat cancer had poor results due to problems with hygiene. The renowned Scottish surgeon Alexander Monro saw only 2 breast tumor patients out of 60 surviving surgery for two years. In the 19th century, asepsis improved surgical hygiene and as the survival statistics went up, surgical removal of the tumor became the primary treatment for cancer. With the exception of William Coley who in the late 19th century felt that the rate of cure after surgery had been higher before asepsis (and who injected bacteria into tumors with mixed results), cancer treatment became dependent on the individual art of the surgeon at removing a tumor. During the same period, the idea that the body was made up of various tissues, that in turn were made up of millions of cells, laid rest the humor-theories about chemical imbalances in the body. The age of cellular pathology was born.
The genetic basis of cancer was recognised in 1902 by the German zoologist Theodor Boveri, professor of zoology at Munich and later in Würzburg. He discovered a method to generate cells with multiple copies of the centrosome, a structure he discovered and named. He postulated that chromosomes were distinct and transmitted different inheritance factors. He suggested that mutations of the chromosomes could generate a cell with unlimited growth potential which could be passed onto its descendants. He proposed the existence of cell cycle check points, tumour suppressor genes and oncogenes. He speculated that cancers might be caused or promoted by radiation, physical or chemical insults or by pathogenic microorganisms.
When Marie Curie and Pierre Curie discovered radiation at the end of the 19th century, they stumbled upon the first effective non-surgical cancer treatment. With radiation also came the first signs of multi-disciplinary approaches to cancer treatment. The surgeon was no longer operating in isolation, but worked together with hospital radiologists to help patients. The complications in communication this brought, along with the necessity of the patient's treatment in a hospital facility rather than at home, also created a parallel process of compiling patient data into hospital files, which in turn led to the first statistical patient studies.
A founding paper of cancer epidemiology was the work of Janet Lane-Claypon, who published a comparative study in 1926 of 500 breast cancer cases and 500 control patients of the same background and lifestyle for the British Ministry of Health. Her ground-breaking work on cancer epidemiology was carried on by Richard Doll and Austin Bradford Hill, who published "Lung Cancer and Other Causes of Death In Relation to Smoking. A Second Report on the Mortality of British Doctors" followed in 1956 (otherwise known as the British doctors study). Richard Doll left the London Medical Research Center (MRC), to start the Oxford unit for Cancer epidemiology in 1968. With the use of computers, the unit was the first to compile large amounts of cancer data. Modern epidemiological methods are closely linked to current concepts of disease and public health policy. Over the past 50 years, great efforts have been spent on gathering data across medical practise, hospital, provincial, state, and even country boundaries to study the interdependence of environmental and cultural factors on cancer incidence.
Cancer patient treatment and studies were restricted to individual physicians' practices until World War II, when medical research centers discovered that there were large international differences in disease incidence. This insight drove national public health bodies to make it possible to compile health data across practises and hospitals, a process that many countries do today. The Japanese medical community observed that the bone marrow of victims of the atomic bombings of Hiroshima and Nagasaki was completely destroyed. They concluded that diseased bone marrow could also be destroyed with radiation, and this led to the discovery of bone marrow transplants for leukemia. Since World War II, trends in cancer treatment are to improve on a micro-level the existing treatment methods, standardize them, and globalize them to find cures through epidemiology and international partnerships.
In Western culture, cancer is regarded as a disease that must be "fought" (see below on Richard Nixon's "War on Cancer", announced in 1971). On an individual level, there is a widespread perception that people with cancer who remain optimistic can expect a better prognosis. A 2007 study indicated that this belief is probably incorrect.
Cancer research is the intense scientific effort to understand disease processes and discover possible therapies.
Research about cancer causes focusses on the following issues:
The improved understanding of molecular biology and cellular biology due to cancer research has led to a number of new, effective treatments for cancer since President Nixon declared "War on Cancer" in 1971. Since 1971 the United States has invested over $200 billion on cancer research; that total includes money invested by public and private sectors and foundations. Despite this substantial investment, the country has seen a five percent decrease in the cancer death rate (adjusting for size and age of the population) between 1950 and 2005.
Leading cancer research organizations and projects include the American Association for Cancer Research, the American Cancer Society (ACS), the American Society of Clinical Oncology, the European Organisation for Research and Treatment of Cancer, the National Cancer Institute, the National Comprehensive Cancer Network, and The Cancer Genome Atlas project at the NCI.
Category:Aging-associated diseases Category:Causes of death *Cancer Category:Pathology *Cancer Category:Occupational safety and health
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| Caption | Michael Douglas, June 2004 |
|---|---|
| Birth name | Michael Kirk Douglas |
| Birth date | September 25, 1944 |
| Birth place | New Brunswick, New Jersey, U.S. |
| Spouse | Diandra Luker (1977–2000) Catherine Zeta-Jones (2000–) |
| Occupation | Actor, producer |
| Years active | 1966– |
| Parents | Kirk Douglas Diana Dill |
| Relatives | Joel (brother) Peter (half-brother) Eric (half-brother, deceased) |
| Children | 3 (including Cameron) |
| Nationality | American |
Douglas has a younger brother, Joel Douglas (born 1947), and two paternal half-brothers, Peter Douglas (born 1955) and Eric Douglas (1958–2004).
Douglas attended the Allen-Stevenson School, the International School of Geneva, and graduated from Eaglebrook School in Deerfield, Massachusetts in 1960 and The Choate School (now Choate Rosemary Hall) in Wallingford, Connecticut in 1963. He received his B.A. from the University of California, Santa Barbara in 1966, where he is also the Honorary President of the UCSB Alumni Association.
In 1975, Douglas received from his father, Kirk Douglas, the rights to the novel One Flew Over the Cuckoo's Nest. Michael went on to produce the film of the same name with Saul Zaentz. Douglas considered playing the starring role, but decided against it after considering himself too old. The lead role went to a young Jack Nicholson, who ended up winning the Academy Award for Best Actor. Still, Douglas won the Award for Best Picture for producing it.
After leaving Streets of San Francisco in 1976, Douglas appeared in the medical thriller Coma in 1978 and Running in 1979. In 1979, he both produced and starred in The China Syndrome, a dramatic film co-starring Jane Fonda and Jack Lemmon about a nuclear power plant accident (the Three Mile Island accident took place 12 days after the film's release).
The year 1987 saw Douglas star in the thriller Fatal Attraction with Glenn Close. That same year he played tycoon Gordon Gekko in Oliver Stone's Wall Street for which he received an Academy Award as Best Actor. He reprised his role as Gekko in the sequel in 2010, also directed by Stone.
Douglas again paired with Kathleen Turner for the 1989 film The War of the Roses, which also starred Danny DeVito. In 1989, he starred in Ridley Scott's international police crime drama Black Rain opposite Andy García and Kate Capshaw. The film was shot in Osaka, Japan.
In 1992, Douglas had another successful starring role when he appeared alongside Sharon Stone in the film Basic Instinct. The movie was a box office hit, and sparked controversy over its depictions of bisexuality and lesbianism. In 1994, Douglas and Demi Moore starred in the hit movie Disclosure focusing on the topic of sexual harassment with Douglas playing a man harassed by his new female boss. Other popular films he starred during these decade were Falling Down, The American President, The Ghost and the Darkness, The Game (directed by David Fincher), and a remake of Alfred Hitchcock's classic - Dial M for Murder - titled A Perfect Murder. In 1998, Douglas received the Crystal Globe award for outstanding artistic contribution to world cinema at the Karlovy Vary International Film Festival.
in Fatal Attraction (1987)]] In 2000, Douglas starred in Steven Soderbergh's critically acclaimed film Traffic, opposite Benicio del Toro and future wife Catherine Zeta-Jones. That same year, he also received critical acclaim for his role in Wonder Boys as a professor and novelist suffering from writer's block. He was nominated for a Golden Globe Award for Best Actor in a Drama as well as several other awards from critics.
He has also offered reasons why he has become successful in both acting and producing:
"I think I'm a chameleon. I think it's something that I possibly inherited early on as a child going back and forth between two families. I know that whether it's right or wrong, I have an ability to sort of fit into a lot of different situations and make people feel relatively comfortable in a wide range without giving up all my moral values. I think that same chameleonlike quality can transfer into films. I think if you can remember the reason you got involved with it in the first place and try to keep that impulsive, instinctive feeling even when you're being beaten down or exhausted or waylaid, you'll be successful."
On December 17, 2007 it was announced that Douglas was to be the new voice at the beginning of NBC Nightly News, some two years after Howard Reig, the previous announcer, retired.
Douglas married Diandra Luker, 14 years his junior, on March 20, 1977, after 6 weeks of dating. They had one son, Cameron (born December 13, 1978). In 1980, Douglas was involved in a serious skiing accident which sidelined his acting career for three years. In September 1992, the same year Basic Instinct came out, he underwent treatment for alcoholism and drug addiction at Sierra Tucson Center. In 2000, after 23 years of marriage, Diandra divorced Douglas.
Douglas married Welsh actress Catherine Zeta-Jones on November 18, 2000; they were both born on September 25, though 25 years apart. Zeta-Jones says that when they met in Deauville, France, Douglas used the line "I want to father your children." They have two children, Dylan Michael (born August 8, 2000) and Carys Zeta (born April 20, 2003). They are planning to renew their wedding vows as part of their 10th wedding anniversary. The idea was hers, and came after Douglas was found to have advanced stages of cancer. One report notes that "Michael was in tears when she suggested it to him," and he sees it as a “wonderful expression of love.”
Douglas and Zeta-Jones hosted the annual Nobel Peace Prize concert in Oslo, Norway, on December 11, 2003. They acted as co-masters of ceremony in the concert celebrating the award given to Iranian human rights activist Shirin Ebadi. In 2006, he was awarded an honorary Doctor of Letters (D.Litt.) from the University of St. Andrews in Scotland. Douglas and his family divide their time among their homes in Pacific Palisades, California; New York City; Aspen, Colorado; Bermuda; Majorca, Spain; Swansea, Wales, Ridgewood, New Jersey, and La Conception, Quebec.
Douglas, the son of a Jewish father and an Anglican mother, has no formal religion. He is an advocate of nuclear disarmament, a supporter of the Nuclear Age Peace Foundation, and sits on the Board of Directors of the anti-war grantmaking foundation Ploughshares Fund. In 1998, he was appointed UN Messenger of Peace by Secretary-General Kofi Annan. He is a notable Democrat and has donated money to Barack Obama, Christopher Dodd, and Al Franken. He has been a major supporter of gun control since John Lennon was murdered in 1980.
In 1997, New York caddy James Parker sued Douglas for $25 million. Parker accused Douglas of hitting him in the groin with an errant golf ball, causing Parker to lose a testicle and his job. The case was later settled out of court.
It was announced on August 16, 2010, that Douglas was suffering from throat cancer and will undergo chemotherapy and radiation treatment. On August 31, 2010 Douglas appeared on Late Show with David Letterman and confirmed that the cancer was at an advanced stage IV. In November 2010, Douglas was put on a special weight gain diet by his doctors due to the excessive weight loss leaving him weak. On January 11, 2011, he said in an interview that his cancer has gone.
Douglas lent his support for the campaign to release Sakineh Mohammadi Ashtiani, the Iranian woman, who after having been convicted of committing adultery, was given a sentence of death by stoning.
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Category:1944 births Category:20th-century actors Category:21st-century actors Category:Actors from New Jersey Category:American actors of Russian descent Category:American anti-nuclear weapons activists Category:American film actors Category:American people of Belarusian-Jewish descent Category:American people of Bermudian descent Category:American people of British descent Category:American people of Russian descent Category:American people of Russian-Jewish descent Category:American television actors Category:Best Actor Academy Award winners Category:Best Drama Actor Golden Globe (film) winners Category:California Democrats Category:Cancer patients Category:Cecil B. DeMille Award Golden Globe winners Category:Choate Rosemary Hall alumni Category:Living people Category:Outstanding Performance by a Cast in a Motion Picture Screen Actors Guild Award winners Category:People from New Brunswick, New Jersey Category:People self-identifying as alcoholics Category:Producers who won the Best Picture Academy Award Category:United Nations Messengers of Peace Category:University of California, Santa Barbara alumni Category:Cancer survivors
This text is licensed under the Creative Commons CC-BY-SA License. This text was originally published on Wikipedia and was developed by the Wikipedia community.
| Name | David Letterman |
|---|---|
| Imagesize | 200px |
| Caption | Speaking at the opening of the Ronald O. Perelman Heart Institute (September 2009) |
| Pseudonym | Earl Hofert |
| Birth name | David Michael Letterman |
| Birth date | April 12, 1947 |
| Birth place | Indianapolis, Indiana |
| Notable work | Host of Late Night with David Letterman (NBC) Host of Late Show with David Letterman (CBS) |
| Signature | David Letterman Autograph.svg |
Letterman lived on the north side of Indianapolis (Broad Ripple area), not far from Speedway, IN, and the Indianapolis Motor Speedway, and he enjoyed collecting model cars, including racers. In 2000, he told an interviewer for Esquire that, while growing up, he admired his father's ability to tell jokes and be the life of the party. Harry Joseph Letterman survived a heart attack at age 36, when David was a young boy. The fear of losing his father was constantly with Letterman as he grew up. The elder Letterman died of a second heart attack at age 57.
Letterman attended his hometown's Broad Ripple High School at the same time as Marilyn Tucker Quayle (wife of the former Vice President) who lived nearby, and worked as a stock boy at the local Atlas supermarket. According to the Ball State Daily News, he originally had wanted to attend Indiana University, but his grades weren't good enough, so he decided to attend Ball State University, in Muncie, Indiana. He is a member of the Sigma Chi Fraternity, and he graduated from what was then the Department of Radio and Television, in 1969. A self-described average student, Letterman endowed a scholarship for what he called "C students" at Ball State.
Though he registered for the draft and passed his physical after graduating from College, he avoided military service in Vietnam due to receiving a draft lottery number of 352 (out of 365).
Letterman began his broadcasting career as an announcer and newscaster at the college's student-run radio station—WBST—a 10-watt campus station which now is part of Indiana public radio. He was fired for treating classical music with irreverence.
Letterman credits Paul Dixon—host of the Paul Dixon Show, a Cincinnati-based talk show also shown in Indianapolis while Letterman was growing up—for inspiring his choice of career: :"I was just out of college [in 1969], and I really didn't know what I wanted to do. And then all the sudden I saw him doing it [on TV]. And I thought: That's really what I want to do!"
In 1971, Letterman appeared as a pit road reporter for ABC Sports' tape-delayed coverage of the Indianapolis 500.
Letterman appeared in the summer of 1977 on the short-lived Starland Vocal Band Show. He has since joked about how fortunate he was that nobody would ever see his performance on the program (due to its low ratings).
Letterman had a stint as a cast member on Mary Tyler Moore's variety show, Mary; a guest appearance on Mork & Mindy (as a parody of EST leader Werner Erhard); and appearances on game shows such as The $20,000 Pyramid, The Gong Show, Password Plus and Liar's Club. He also hosted a 1977 pilot for a game show entitled The Riddlers that was never picked up. His dry, sarcastic humor caught the attention of scouts for The Tonight Show Starring Johnny Carson, and Letterman was soon a regular guest on the show. Letterman became a favorite of Carson's and was a regular guest host for the show beginning in 1978. Letterman personally credits Carson as the person who influenced his career the most.
Letterman's shows have garnered both critical and industry praise, receiving 67 Emmy Award nominations, winning twelve times in his first 20 years in late night television. From 1993–2009, Letterman ranked higher than Leno in the annual Harris Poll of Nation's Favorite TV Personality twelve times. Leno was higher than Letterman on that poll three times during the same period, in 1998, 2007, and 2008.
Letterman recycled the apparent debacle into a long-running gag. On his first show after the Oscars, he joked, "Looking back, I had no idea that thing was being televised." He lampooned his stint in the following year, during Billy Crystal's opening Oscar skit, which also parodied the plane-crashing scenes from that year's chief nominated film, The English Patient.
For years afterward, Letterman recounted his horrible hosting at the Oscars, although the Academy of Motion Picture Arts and Sciences still holds Letterman in high regard and it has been rumored they have asked him to host the Oscars again. On September 7, 2010, he made an appearance on the premier of the 14th season of The View, and confirmed the rumors.
During the initial weeks of his recovery, reruns of the Late Show were shown and introduced by friends of Letterman including Drew Barrymore, including Dr. O. Wayne Isom and physician Louis Aronne, who frequently appears on the show. In a show of emotion, Letterman was nearly in tears as he thanked the health care team with the words "These are the people who saved my life!" The episode earned an Emmy nomination. For a number of episodes, Letterman continued to crack jokes about his bypass, including saying, "Bypass surgery: it's when doctors surgically create new blood flow to your heart. A bypass is what happened to me when I didn't get The Tonight Show! It's a whole different thing." In a later running gag he lobbied his home state of Indiana to rename the freeway circling Indianapolis (I-465) "The David Letterman Bypass." He also featured a montage of faux news coverage of his bypass surgery, which included a clip of Dave's heart for sale on the Home Shopping Network. Letterman became friends with his doctors and nurses. In 2008, a Rolling Stone interview stated "he hosted a doctor and nurse who'd helped perform the emergency quintuple-bypass heart surgery that saved his life in 2000. 'These are people who were complete strangers when they opened my chest,' he says. 'And now, eight years later, they're among my best friends.' "
Additionally, Letterman invited the band Foo Fighters to play "Everlong", introducing them as "my favorite band, playing my favorite song." During a later Foo Fighters appearance, Letterman said that Foo Fighters had been in the middle of a South American tour which they canceled to come play on his comeback episode.
Letterman again handed over the reins of the show to several guest hosts (including Bill Cosby, Brad Garrett, Elvis Costello, John McEnroe, Vince Vaughn, Will Ferrell, Bonnie Hunt, Luke Wilson and bandleader Paul Shaffer) in February 2003, when he was diagnosed with a severe case of shingles. Later that year, Letterman made regular use of guest hosts—including Tom Arnold and Kelsey Grammer—for new shows broadcast on Fridays. In March 2007, Adam Sandler—who had been scheduled to be the lead guest—served as a guest host while Letterman was ill with a stomach virus.
On December 4, 2006, CBS revealed that David Letterman signed a new contract to host The Late Show with David Letterman through the fall of 2010. "I'm thrilled to be continuing on at CBS," said Letterman. "At my age you really don't want to have to learn a new commute." Letterman further joked about the subject by pulling up his right pants leg, revealing a tattoo, presumably temporary, of the ABC logo.
"Thirteen years ago, David Letterman put CBS late night on the map and in the process became one of the defining icons of our network," said Leslie Moonves, president and CEO of CBS Corporation. "His presence on our air is an ongoing source of pride, and the creativity and imagination that the Late Show puts forth every night is an ongoing display of the highest quality entertainment. We are truly honored that one of the most revered and talented entertainers of our time will continue to call CBS 'home.'"
According to a 2007 article in Forbes magazine, Letterman earned $40 million a year. A 2009 article in The New York Times, however, said his salary was estimated at $32 million per year.
In June 2009, Letterman and CBS reached agreement to extend his contract to host The Late Show until August 2012. His previous contract had been set to expire in 2010. thus allowing his show to come back on air on January 2, 2008. On his first episode since being off air, he surprised the viewing audience with his newly grown beard, which signified solidarity with the strike. His beard was shaved off during the show on January 7, 2008.
Carson later made a few cameo appearances as a guest on Letterman's show. Carson's final television appearance came May 13, 1994 on a Late Show episode taped in Los Angeles, when he made a surprise appearance during a 'Top 10 list' segment. The audience went wild as Letterman stood up and proudly invited Carson to sit at his desk. The applause was so protracted that Carson was unable to say anything, and he finally returned backstage as the applause continued (it was later explained that Carson had laryngitis, though Carson can be heard talking to Letterman during his appearance).
In early 2005, it was revealed that Carson still kept up with current events and late-night TV right up to his death that year, and that he occasionally sent jokes to Letterman, who used these jokes in his monologue; according to CBS senior vice president Peter Lassally (a onetime producer for both men), Carson got "a big kick out of it." Letterman would do a characteristic Johnny Carson golf swing after delivering one of Carson's jokes. In a tribute to Carson, all of the opening monologue jokes during the first show following Carson's death were written by Carson.
Lassally also claimed that Carson had always believed Letterman, not Leno, to be his "rightful successor." Letterman also frequently employs some of Carson's trademark bits on his show, including "Carnac the Magnificent" (with Paul Shaffer as Carnac), "Stump the Band" and the "Week in Review."
Winfrey and Letterman also appeared together in a Late Show promo that aired during CBS's coverage of Super Bowl XLI in February 2007, with the two sitting next to each other on the couch watching the game. Since the game was played between the Indianapolis Colts and Chicago Bears, the Indianapolis-born Letterman wears a Peyton Manning jersey, while Winfrey—who tapes her show in Chicago—is in a Brian Urlacher jersey. Three years later, during CBS's coverage of Super Bowl XLIV, the two appeared again, this time with Winfrey sitting on a couch between Letterman and Jay Leno. The appearance was Letterman's idea: Leno flew to New York City in an NBC corporate jet, sneaking into the Ed Sullivan Theater during the Late Show's February 4 taping wearing a disguise, meeting Winfrey and Letterman at a living room set created in the theater's balcony where they taped their promo.
In 2005, Worldwide Pants produced its first feature film, Strangers with Candy, which was a prequel to the Comedy Central TV series of the same title. In 2007, Worldwide Pants produced the ABC comedy series, Knights of Prosperity.
Worldwide Pants made significant news in December 2007 when it was announced that Letterman's company had independently negotiated its own contract with the Writers Guild of America, East, thus allowing Letterman, Craig Ferguson, and their writers to return to work, while the union continued its strike against production companies, networks and studios who had not reached an agreement.
Letterman received the honor for his dedication to the university throughout his career as a comedian. Letterman finished with, "If reasonable people can put my name on a $21 million building, anything is possible."
Letterman also received a Sagamore of the Wabash from Governor Mitch Daniels.
Letterman provided vocals for the Warren Zevon song "Hit Somebody" from My Ride's Here, and provided the voice for Butt-head's father in the 1996 animated film, Beavis and Butt-head Do America. He also had a cameo in the feature film Cabin Boy, with Chris Elliott, who worked as a writer on Letterman's show. In this and other appearances, Letterman is listed in the credits as "Earl Hofert", the name of Letterman's maternal grandfather. He also appeared as himself in the Howard Stern biopic Private Parts as well as the 1999 Andy Kaufman biopic Man on the Moon, in a few episodes of Garry Shandling's 1990s TV series The Larry Sanders Show and in "The Abstinence", a 1996 episode of the sitcom Seinfeld. Letterman also appeared in the pilot episode of the short-lived 1986 series "Coach Toast".
Letterman has a son, Harry Joseph Letterman (born in 2003), with Regina Lasko. Harry is named after Letterman's father. In 2005, police discovered a plot to kidnap Harry Letterman and ransom him for $5 million. Kelly Frank, a house painter who had worked for Letterman, was charged in the conspiracy.
Letterman and Lasko, who had been together since 1986, wed during a quiet courthouse civil ceremony in Choteau, Montana, on March 19, 2009. Letterman announced the marriage during the taping of his March 23 show, shortly after congratulating Bruce Willis for getting married the previous week. Letterman told the audience he nearly missed the ceremony because his truck became stuck in mud two miles from their house. The family resides in North Salem, New York, on a estate.
Letterman stated that three weeks earlier (on September 9, 2009) someone had left a package in his car with material he said he would write into a screenplay and a book if Letterman did not pay him $2 million. Letterman said that he contacted the Manhattan District Attorney's office, ultimately cooperating with them to conduct a sting operation involving giving the man a phony check. The extortionist, Robert J. "Joe" Halderman, a producer of the CBS true crime journalism series 48 Hours, was subsequently arrested after trying to deposit the check. He was indicted by a Manhattan grand jury and pleaded not guilty to a charge of attempted grand larceny on October 2, 2009. Birkitt had until recently lived with Halderman, who is alleged to have copied Birkitt's personal diary and to have used it, along with private emails, in the blackmail package.
On October 3, 2009, a former CBS employee, Holly Hester, announced that she and Letterman had engaged in a year-long "secret" affair in the early 1990s while she was his intern and a student at New York University.
In the days following the initial announcement of the affairs and the arrest, several prominent women, including Kathie Lee Gifford, co-host of NBC's Today Show, and NBC news anchor Ann Curry questioned whether Letterman's affairs with subordinates created an unfair working environment. A spokesman for Worldwide Pants said that the company's sexual harassment policy did not prohibit sexual relationships between managers and employees. According to business news reporter Eve Tahmincioglu, "CBS suppliers are supposed to follow the company's business conduct policies" and the CBS 2008 Business Conduct Statement states that "If a consenting romantic or sexual relationship between a supervisor and a direct or indirect subordinate should develop, CBS requires the supervisor to disclose this information to his or her Company's Human Resources Department..."
On October 5, 2009, Letterman devoted a segment of his show to a public apology to his wife and staff. Three days later, Worldwide Pants announced that Birkitt had been placed on a "paid leave of absence" from the Late Show. On October 15, CBS News announced that the company's Chief Investigative Correspondent, Armen Keteyian, had been assigned to conduct an "in-depth investigation" into Halderman's blackmail of Letterman.
On March 9, 2010, Halderman pleaded guilty to attempted grand larceny and served a 6-month jail sentence, followed by probation and community service.
Category:1947 births Category:Living people Category:American people of German descent Category:American television talk show hosts Category:Ball State University alumni Category:Daytime Emmy Award winners Category:Emmy Award winners Category:Indianapolis, Indiana television anchors Category:Indy Racing League owners Category:People from Indianapolis, Indiana Category:Weather presenters
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