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Step-mother diagnosed w/ small cell lung cancer; please help


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#1 TianZi

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Posted 21 August 2009 - 07:57 AM


My step-mother was diagnosed yesterday with small cell lung cancer that has metastasized from her right lung to her spine, one rib, and is wound around her aorta and trachea, as well as in her lymph system. Her doctor loosely gave her 6 months to live. There is a significant risk of fatal complications well before that (tumors cutting off aorta or trachea).

She is not a smoker, and has not smoked for over 25 years. She is about 55 years old.

If there are any miraculous *small cell* lung cancer treatments in experiemental human stages, I need to know right now. I watched the slow death of The First Immortal from this recently, and I feel bereft of any hope for her life right now.

#2 TianZi

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Posted 21 August 2009 - 09:01 AM

I have done a search of experimental human trials for small cell lung cancer, using search criteria that includes only "treatments" and the following states (step mother lives in VA):

Virginia, PA, DC, NC, MD

Search revealed 29 ongoing trials, several of which she would not be eligible for. Results here:

http://www.cancer.go...earchid=6638121

I can see that several she would not be eligible for. As I don't completely understand all the eligibility criteria for some studies, I can't say for others.

It's difficult as a layman for me to evaluate them. My step mother's physician has mentioned nothing about participating in a trial, and seems to believe it's best she just accept she is going to die within 6 months. Is a physician specializing in small cell lung cancer obligated to advise potential human clinical trials for which the patient would be eligible if pressed?

Please, let me know if there are any particularly promising trials underway in other parts of the country.

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#3 castrensis

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Posted 21 August 2009 - 09:02 AM

http://clinicaltrials.gov allows you to easily search ongoing clinical trials.

SCLC is aggressive, given the extent of her disease her physician's prognosis is in line with what I have read.

I sincerely hope she's eligible for the use of a novel agent & has some success, but you should maintain realistic expectations.

Solace.

#4 Lufega

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Posted 21 August 2009 - 01:16 PM

Look into Graviola. I read implications that it might be useful in lung cancer.


Curcumin sensitizes lung cancer cells to cisplatin-induced apoptosis through superoxide anion-mediated Bcl-2 degradation.

Chanvorachote P, Pongrakhananon V, Wannachaiyasit S, Luanpitpong S, Rojanasakul Y, Nimmannit U.
Department of Physiology, Faculty of Pharmaceutical Sciences, Chulalongkorn University, Pathumwan, Bangkok, Thailand. pithi_chan@yahoo.com
The purpose of this study was to investigate the sensitizing effect of curcumin on cisplatin-induced apoptosis in non-small cell lung cancer (NSCLC) H460 cells. Curcumin was shown to induce superoxide anion generation, down-regulate anti-apoptotic Bcl-2 protein, and subsequently sensitize cells to cisplatin-induced apoptosis. Co-treatment of the cells with curcumin and cisplatin resulted in increased apoptosis and reversal of Bcl-2-mediated cisplatin resistance. The mechanism by which curcumin down-regulates Bcl-2 and sensitizes cells to cisplatin-induced apoptosis involves proteasomal degradation of Bcl-2. These findings indicate a novel pathway for curcumin regulation of Bcl-2, which could benefit the development of a cisplatin sensitizing agent.


Curcumin inhibits interferon-alpha induced NF-kappaB and COX-2 in human A549 non-small cell lung cancer cells.

Lee J, Im YH, Jung HH, Kim JH, Park JO, Kim K, Kim WS, Ahn JS, Jung CW, Park YS, Kang WK, Park K.
Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
The A549 cells, non-small cell lung cancer cell line from human, were resistant to interferon (IFN)-alpha treatment. The IFN-alpha-treated A549 cells showed increase in protein expression levels of NF-kappaB and COX-2. IFN-alpha induced NF-kappaB binding activity within 30 min and this increased binding activity was markedly suppressed with inclusion of curcumin. Curcumin also inhibited IFN-alpha-induced COX-2 expression in A549 cells. Within 10 min, IFN-alpha rapidly induced the binding activity of a gamma-(32)P-labeled consensus GAS oligonucleotide probe, which was profoundly reversed by curcumin. Taken together, IFN-alpha-induced activations of NF-kappaB and COX-2 were inhibited by the addition of curcumin in A549 cells.


Edited by Lufega, 21 August 2009 - 01:17 PM.


#5 lynx

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Posted 21 August 2009 - 02:51 PM

Look into Graviola. I read implications that it might be useful in lung cancer.

Don't use Graviola it is neurotoxic. If she survives the cancer, she will get Parkinson's.

DCA: Dichloroacetate DCA Site and a ketogenic diet are a good start.

Additionaly, boosting immune activity with Beta Glucan, Arabinogalactan and probiotics are a good idea.

Good luck.

Edited by lynx, 21 August 2009 - 02:51 PM.


#6 rwac

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Posted 21 August 2009 - 03:01 PM

DCA: Dichloroacetate DCA Site and a ketogenic diet are a good start.


A ketogenic diet would be very good. Coconut oil is good too.
This is one of the bits of advice TFI could not or would not follow.

Cancers depend a lot on sugar and carbs. cutting these off will slow the growth.

#7 TianZi

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Posted 21 August 2009 - 03:14 PM

DCA: Dichloroacetate DCA Site and a ketogenic diet are a good start.


A ketogenic diet would be very good. Coconut oil is good too.
This is one of the bits of advice TFI could not or would not follow.

Cancers depend a lot on sugar and carbs. cutting these off will slow the growth.


Thanks folks. Supplementing with curcumin seems a good idea, as does cutting sugar / carbs out of the diet completely.

Did one poster above think curcumin is neurotoxic, and if so, why? At any rate, Alzheimer's is the least of her worries.

#8 kismet

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Posted 21 August 2009 - 03:22 PM

I watched the slow death of The First Immortal from this recently, and I feel bereft of any hope for her life right now.

Sorry to hear that. Just don't forget to make her last days comfortable. And make sure, right now, you understand that she is most probably going to die soon (there are no magical cures and denial won't help). Talk about cryonics if you are wealthy and furthermore I suppose that TFI's thread should provide enough inspiration for treatment regimens.

Even though I'm rather optimistic when it comes to ketogenic diets (other than the hypothetical risk of brain metastasis), I'd rather check first if SCLC even responds to such interventions.

Considering that metastatic SCLC right now is incurable per definition, reducing morbidity alone seems worthwhile (and AFAIK the pain from bone metastasis can be unbearable).
Clin Ther. 2009 May;31(5):962-79.
Efficacy of clodronate, pamidronate, and zoledronate in reducing morbidity and mortality in cancer patients with bone metastasis: a meta-analysis of randomized clinical trials.
Machado M, Cruz LS, Tannus G, Fonseca M.
"Clodronate, pamidronate, and zoled-ronate were associated with reductions in morbidity in cancer patients with MBD with regard to preventing SREs, but were not associated with a reduction in overall mortality."

But you should consult an oncologists beforehand (just to be sure you do not screw up based on advise from laymen and maker last months miserable).

Edited by kismet, 21 August 2009 - 03:24 PM.


#9 TianZi

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Posted 21 August 2009 - 03:27 PM

I watched the slow death of The First Immortal from this recently, and I feel bereft of any hope for her life right now.

Sorry to hear that. Just don't forget to make her last days comfortable. And make sure, right now, you understand that she is most probably going to die soon (there are no magical cures and denial won't help). Talk about cryonics if you are wealthy and furthermore I suppose that TFI's thread should provide enough inspiration for treatment regimens.

Even though I'm rather optimistic when it comes to ketogenic diets (other than the hypothetical risk of brain metastasis), I'd rather check first if SCLC even responds to such interventions.

Considering that metastatic SCLC right now is incurable per definition, reducing morbidity alone seems worthwhile.
Clin Ther. 2009 May;31(5):962-79.
Efficacy of clodronate, pamidronate, and zoledronate in reducing morbidity and mortality in cancer patients with bone metastasis: a meta-analysis of randomized clinical trials.
Machado M, Cruz LS, Tannus G, Fonseca M.
"Clodronate, pamidronate, and zoled-ronate were associated with reductions in morbidity in cancer patients with MBD with regard to preventing SREs, but were not associated with a reduction in overall mortality."

But you should consult an oncologists beforehand (just to be sure you do not screw up based on advise from laymen).


Yes, any dietary supplements or supplementary treatments will have to be ok'd by her physicians.

#10 rwac

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Posted 21 August 2009 - 04:01 PM

Additionally, fasting a couple of days before Chemotherapy is supposed to increase tolerance.
(If you end up going down the chemo route)

http://health.usnews...althy-cells.htm

#11 cathological

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Posted 21 August 2009 - 04:58 PM

I hear good things about vitamin D and cancer.

#12 kismet

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Posted 21 August 2009 - 04:59 PM

Yeah, the only down-side of fasting is, that you will be even more emaciated after chemo. If cancer and chemo was not so strenous on the body, CR would work wonders. Well, if...

#13 rwac

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Posted 21 August 2009 - 05:24 PM

Yeah, the only down-side of fasting is, that you will be even more emaciated after chemo. If cancer and chemo was not so strenous on the body, CR would work wonders. Well, if...


From the link:

While 43 percent of the non-starved mice died within 10 days of treatment, only one of the 48-hour starved mice died in that time. As well, while starved mice had lost 20 percent of their weight before treatment, most regained it back within four days of chemo exposure while the non-starved mice actually lost 20 percent of their weight post-treatment.


Not to say that that's what will happen in people. Just that things may not be quite as straightforward as you assume.

Edited by rwac, 21 August 2009 - 05:56 PM.


#14 niner

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Posted 21 August 2009 - 06:44 PM

I'm so sorry to hear that, TianZi. If it were me, I would start high dose, high purity resveratrol immediately. I wish I had clinical evidence that this would work, but I've got nothing beyond anecdote and cell work. High doses are pro-apoptotic, while low doses are the opposite. In this case, apoptosis is exactly what you you want. In this regard, it might actually make chemotherapy work better. There has been a lot of work, all at the cell level rather than organismal, showing that resveratrol at sufficient dose will sensitize cells to radiotherapy.

#15 kismet

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Posted 21 August 2009 - 06:56 PM

Not to say that that's what will happen in people. Just that things may not be quite as straightforward as you assume.

We're not mice, they react extremely well to all sorts of treatments for cancer, but you're right, I'd assume it's mostly an issue with CR per se . Maybe not so much pre-chemo fasting.

#16 tham

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Posted 23 August 2009 - 07:27 PM

Sodium selenite. Start with 500 mcg daily, a normal supplementation
dose, and take her up to at least 2,000 mcg over a few weeks.

Resveratrol is contraindicated in SCLC.

http://www.imminst.o...o...st&p=323283

#17 Lufega

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Posted 23 August 2009 - 07:45 PM

I read the study where they determined Graviola causes parkinsonism and the logic is flawed. It was extrapolated from a very small population using this fruit. Most tropical countries eat Graviola, including mine. I can tell you there are no more cases of atypical park. than countries that do not eat it. I think this is an attempt of the "industry" to take attention away from something that could potentially work. Last I read, Purdue University wanted to patent a graviola extract and was/is conducting research on it. I would have to look for this. Lastly, I believe only the seeds are toxic. The fruit and leaves are ok. Graviola leaf tea is used here (I'm in the caribbean) to treat almost everything from the flu to diarrhea. It also has a strong sedating effect.

If any event, seeing as other members failed to beat small cell carcinoma, Parkinson's can be treated to a degree. Her type of cancer is almost always fatal.

#18 castrensis

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Posted 23 August 2009 - 09:17 PM

Sodium selenite. Start with 500 mcg daily, a normal supplementation
dose, and take her up to at least 2,000 mcg over a few weeks.


Doses greater than 1000mcg can cause liver damage. I would advise against the advice above. It's bad enough your mum's got SCLC, she doesn't need a dead liver too.

#19 niner

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Posted 24 August 2009 - 02:10 AM

Resveratrol is contraindicated in SCLC.

http://www.imminst.o...o...st&p=323283

This link leads to 8 more links, none of which mention resveratrol. Why is resveratrol contraindicated in SCLC? Is there evidence to that effect?

#20 Gerald W. Gaston

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Posted 24 August 2009 - 03:25 AM

Resveratrol is contraindicated in SCLC.

http://www.imminst.o...o...st&p=323283

This link leads to 8 more links, none of which mention resveratrol. Why is resveratrol contraindicated in SCLC? Is there evidence to that effect?

Niner,

From this specific post (#14 in thread) of Tham's:

http://www.imminst.o...&...st&p=323088

Resveratrol was a mistake, as a few of us warned him, due to its potent inhibition of PPAR gamma. The same could be said of quercetin.


I didn't see a reference given, and didn't go look it up either.

#21 tunt01

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Posted 24 August 2009 - 06:08 AM

was TFI also SCLC? hedgehog posted a very attractive drug candidate in one of the threads w/ some interesting photos. i would search around for that material if it is the same type of cancer.

#22 rwac

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Posted 24 August 2009 - 06:38 AM

was TFI also SCLC? hedgehog posted a very attractive drug candidate in one of the threads w/ some interesting photos. i would search around for that material if it is the same type of cancer.


Yes, TFI had SCLC too.

#23 castrensis

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Posted 24 August 2009 - 11:09 AM

The basic problem/cause of LUNG CANCER is lack of SULFUR and OIL in the sacs. SURFACTANT(?) is what they call the OIL, i think. Well, it needs to be replaced. When both of those nutrients get, basically, run out of the Lungs, BACTERIA/VIRUS can multiply like crazy! And spread too.


No. The basic problem of cancer is a series of genetic aberrations that cause abnormal cell proliferation, producing cells that no longer serve a useful purpose. These same cells inhibit apoptosis, ignore normal signal transduction resulting in unchecked growth, obtain the ability to disseminate themselves in a non-contiguous fashion to distant sites, establish their own blood supply, invade & overtake the host's functional tissues resulting in dysfunction & eventual death.

Hopefully its obvious your recommendations are spurious & a person who isn't already in enough distress given her diagnosis & its sequelae isn't chugging oil.

#24 tham

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Posted 24 August 2009 - 06:33 PM

I read the study where they determined Graviola causes parkinsonism and the logic is flawed. It was extrapolated from a very small population using this fruit. Most tropical countries eat Graviola, including mine. I can tell you there are no more cases of atypical park. than countries that do not eat it. I think this is an attempt of the "industry" to take attention away from something that could potentially work. Last I read, Purdue University wanted to patent a graviola extract and was/is conducting research on it. I would have to look for this. Lastly, I believe only the seeds are toxic. The fruit and leaves are ok. Graviola leaf tea is used here (I'm in the caribbean) to treat almost everything from the flu to diarrhea. It also has a strong sedating effect.

If any event, seeing as other members failed to beat small cell carcinoma, Parkinson's can be treated to a degree. Her type of cancer is almost always fatal.




I fully agree. The studies appear flawed.

In any case, common sense would tell us that the minimal risk of
Parkinson's, if any, is treatable anyway even if one does get it as
a result of eating graviola, and is usually not fatal unless quite
advanced - in contrast with small cell lung cancer in which you
are basically a goner in a relatively short time.

Which would you have - cured, or at least have a fighting chance
against a terminal agressive cancer, with perhaps some mild Parkisonism
symptoms as the price to pay, or a one-way ticket to the grave for sure ?

Lots of people have also been eating soursop in Malaysia here for
centuries without problems.

Soursop fruits and juices are a common sight at hawker stalls here.

#25 tham

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Posted 24 August 2009 - 06:43 PM

Sodium selenite. Start with 500 mcg daily, a normal supplementation
dose, and take her up to at least 2,000 mcg over a few weeks.


Doses greater than 1000mcg can cause liver damage. I would advise against the advice above. It's bad enough your mum's got SCLC, she doesn't need a dead liver too.





Selenium's toxicity has been way overrated.

Common sense tells you that if you don't want to try a supplement
which probably has the best risk-benefit fighting potential against
cancer (not to mention cost-benefit), then the only other option
against a very aggressive, almost always fatal cancer is obvious.

This guy Ray seems to be still in pretty good shape, the last time
I corresponded with him.


http://www.imminst.o...o...st&p=323088

Edited by tham, 24 August 2009 - 06:46 PM.


#26 tham

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Posted 24 August 2009 - 06:51 PM

Resveratrol is contraindicated in SCLC.

http://www.imminst.o...o...st&p=323283

This link leads to 8 more links, none of which mention resveratrol. Why is resveratrol contraindicated in SCLC? Is there evidence to that effect?



You could check with Prophets and Blutarsky too, but I think
the latter has stopped coming here for some time.




http://www.imminst.o...o...st&p=331347

Edited by tham, 24 August 2009 - 06:53 PM.


#27 niner

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Posted 24 August 2009 - 07:13 PM

Resveratrol is contraindicated in SCLC.

http://www.imminst.o...o...st&p=323283

This link leads to 8 more links, none of which mention resveratrol. Why is resveratrol contraindicated in SCLC? Is there evidence to that effect?

http://www.imminst.o...o...st&p=331347

This led to a collection of unidentified pubmed links. The first one mentioned that an impossible-to-achieve-in-humans 25mM resveratrol inhibited ppar-gamma in vitro. Could you explain the evidence a little better?

#28 tham

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Posted 25 August 2009 - 05:32 PM

Unidentified ? I thought the Medline links were quite clear.

It's not just inhibition of PPAR gamma alone, but resveratrol's
upregulation of SIRT1, the reverse of which is desired in fighting
cancer.

http://www.imminst.o...o...st&p=305414

http://www.imminst.o...mp;#entry298229


The late Abram Hoffer's advocacy of niacin/niacinamide in his anticancer
protocol was at least partly due to its inactivation of SIRT1.

http://www.ncbi.nlm....l=pubmed_docsum

http://www.ncbi.nlm....l=pubmed_docsum

http://www.ncbi.nlm....l=pubmed_docsum

#29 niner

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Posted 25 August 2009 - 06:40 PM

Unidentified ? I thought the Medline links were quite clear.

These are what are sometimes called "naked links" There's not even any way to tell what the link means until you go there. The best way to support an argument is to quote the abstract, and put the relevant parts in bold so people can quickly see what you're talking about.

It's not just inhibition of PPAR gamma alone, but resveratrol's
upregulation of SIRT1, the reverse of which is desired in fighting
cancer.

what's the evidence for this? Is there enough evidence to overwhelm the evidence for high dose resveratrol being pro-apoptotic?

http://www.imminst.o...o...st&p=305414

This is a link to an imminst post by blutarsky where he shows a poor understanding of resveratrol. He thinks it's just an "antioxidant", and is therefore contraindicated in cancer. That's just wrong.

http://www.imminst.o...mp;#entry298229

Another blutarsky post which led to among other things, a link to this paper:

Cancer Res. 2005 Nov 15;65(22):10183-7.
Control of multidrug resistance gene mdr1 and cancer resistance to chemotherapy by the longevity gene sirt1.
Chu F, Chou PM, Zheng X, Mirkin BL, Rebbaa A.

Department of Pediatrics, Children's Memorial Research Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60614, USA.

Irreversible growth arrest (also called senescence) has emerged recently as a tumor suppressor mechanism and a key determinant of cancer chemotherapy outcome. Previous work from our laboratory suggested that the cellular ability to undergo or to escape senescence dictates its fate to become drug-sensitive or drug-resistant, respectively. In the present study, we made the hypothesis that longevity genes, by virtue of their ability to inhibit senescence, may contribute to the onset of drug resistance. We report that expression of the longevity gene sirt1 increased both at the RNA and protein levels in all the five drug-resistant cell lines tested when compared with their drug-sensitive counterparts. In addition, biopsies from cancer patients treated with chemotherapeutic agents also expressed high levels of this molecule. These changes were specific for sirt1 because the expression of other members of its family was not affected. More importantly, small interfering RNA-mediated down-regulation of sirt1 significantly reversed the resistance phenotype and reduced expression of the multidrug resistance molecule P-glycoprotein. This was further confirmed by ectopic overexpression of sirt1, which induced expression of P-glycoprotein and rendered cells resistant to doxorubicin. Collectively, these findings uncovered a novel function for the longevity gene sirt1 as a potential target for diagnosis and/or treatment of cancer resistance to chemotherapy. They also describe a proof of principle that signaling pathways implicated in longevity may share similarities with those leading to development of drug resistance in cancer.

PMID: 16288004

They show that sirt1 is upregulated in drug-resistant cell lines. Chicken or egg?
They show that cells from cancer patients who had chemotherapy express more sirt1. Does that mean we shouldn't use chemotherapy?
siRNA down-regulation of sirt1 significantly reduces the PGP/MDR phenotype. That is interesting.
Ectopic overexpression of sirt1 induced expression of PGP. That is interesting, and sheds light on the chicken/egg question, as does the siRNA experiment.

However, does resveratrol increase PGP? I don't think we have any evidence to that effect. Does resveratrol increase the expression of sirt1? I thought the main mechanism of action was changing the energetics of sirt1-induced deacetylation.

There appears to be evidence in the literature that resveratrol inhibits PGP and other transporters implicated in multidrug resistance. Therefore, I think that the connection between sirt1 and PGP expression, while interesting, does not imply that resveratrol is contraindicated in cancer.

Pharmazie. 2009 Jan;64(1):49-52.Links
Effect of resveratrol on the pharmacokinetics of oral and intravenous nicardipine in rats: possible role of P-glycoprotein inhibition by resveratrol.
Choi JS, Choi BC, Kang KW.

College of Pharmacy, Chosun University, Gwangju, Korea.

The present study aimed to assess the effect of resveratrol on the bioavailability of nicardipine in rats. Nicardipine was administered orally (12 mg kg(-1)) or intravenously (4 mg kg(-1)) with or without oral administration of resveratrol (0.5, 2.5 or 10 mg kg(-1)). The oral administration of 2.5 or 10 mg kg(-1) of resveratrol significantly increased both the area under the plasma concentration-time curve (AUC) (P < 0.01, 111-126%) and the peak plasma concentration (Cmax) (P < 0.01, 105-121%), and significantly decreased the total body clearance (CL/F) (P < 0.01, 52.8-55.8%) of orally administered nicardipine. In contrast, resveratrol did not significantly change the pharmacokinetic parameters of i.v. nicardipine. Resveratrol significantly reduced rhodamine123 efflux via P-gp in MCF-7/ADR cells overexpressing P-gp. Resveratrol also inhibits CYP3A4, suggesting that the enhanced oral bioavailability of nicardipine by resveratrol may result from decreased P-gp-mediated efflux or inhibition of intestinal CYP3A4 metabolism. Based on these results, nicardipine dosage should be adjusted when given with supplements containing resveratrol.

PMID: 19216231


Biomed Pharmacother. 2008 Nov;62(9):622-9. Epub 2008 Aug 28.Click here to read Links
Reversal effect of resveratrol on multidrug resistance in KBv200 cell line.
Quan F, Pan C, Ma Q, Zhang S, Yan L.

Department of ENT & Head and Neck Surgery, The First Affiliated Hospital, Medical College of Xi'an Jiaotong University, No. 277 West Yanta Road, Xi'an 710061, PR China. quanfang2008@sina.com.cn

A multidrug-resistant clone of human oral epidermoid carcinoma KB cells was isolated by stepwise selection on exposure to increasing doses of vincristine. The final clone, KBv200, obtained after ethylmethane sulfonate mutagenesis showed 156-fold higher resistance to vincristine than KB cells. The cells were also cross-resistant to paclitaxel and adriamycin. The aim of this study was to explore the reversal effect and potential mechanism of resveratrol on KBv200 cells. MTT assay was used to investigate the reversal index of resveratrol to vincristine, adriamycin and paclitaxel. Cell apoptosis was measured by flow cytometry. RT-PCR and western blot were used to detect mRNA and protein expression of multidrug-resistant gene MDR1 and apoptosis-suppressing gene Bcl-2. Resveratrol produced a synergistic effect combined with the chemotherapeutic agents and reversed the multidrug-resistant phenotype of KBv200 cells. Flow cytometry confirmed that the percentage of apoptotic cell increased when KBv200 cells were exposed to resveratrol. The results of gene detection showed that the expression levels of MDR1 and Bcl-2 were decreased upon resveratrol treatment. Resveratrol can efficiently reverse multidrug resistance in KBv200 cells. The potential mechanism may be via inhibiting the multidrug-resistant gene expressions and/or promoting cell apoptosis.

PMID: 18804944


Biochem Biophys Res Commun. 2004 Apr 23;317(1):269-75.
Interaction of the breast cancer resistance protein with plant polyphenols.
Cooray HC, Janvilisri T, van Veen HW, Hladky SB, Barrand MA.

Department of Pharmacology, University of Cambridge, Cambridge CB2 1PD, UK.

Multidrug transporters influence drug distribution in vivo and are often associated with tumour drug resistance. Here we show that plant-derived polyphenols that interact with P-glycoprotein can also modulate the activity of the recently discovered ABC transporter, breast cancer resistance protein (BCRP/ABCG2). In two separate BCRP-overexpressing cell lines, accumulation of the established BCRP substrates mitoxantrone and bodipy-FL-prazosin was significantly increased by the flavonoids silymarin, hesperetin, quercetin, and daidzein, and the stilbene resveratrol (each at 30 microM) as measured by flow cytometry, though there was no corresponding increase in the respective wild-type cell lines. These compounds also stimulated the vanadate-inhibitable ATPase activity in membranes prepared from bacteria (Lactococcus lactis) expressing BCRP. Given the high dietary intake of polyphenols, such interactions with BCRP, particularly in the intestines, may have important consequences in vivo for the distribution of these compounds as well as other BCRP substrates.

PMID: 15047179



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#30 Hedgehog

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Posted 07 September 2009 - 10:55 PM

Really really sorry to hear that. Hang in there and be strong.

I highly recommend this treatment. (as long as you can get into Arm II)

http://clinicaltrial...how/NCT00887159

It is already in phase II and has been well tolerated in other clinical trials.

This clinical trial is sponsored by the NCI which gives it extra resources.




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