Medical Forum / Diseases and Disorders / Cancer / July 2006
Remission of prostate cancer by Essiac
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ironjustice@aol.com - 26 Jul 2006 16:19 GMT Essiac tea: scavenging of reactive oxygen species and effects on DNA damage. Leonard SS, Keil D, Mehlman T, Proper S, Shi X, Harris GK J Ethnopharmacol. 2006 Jan 16; 103(2): 288-96
Essiac, a tea reportedly developed by the Ojibwa tribe of Canada and widely publicized as a homeopathic cancer treatment, is prepared from a mixture of four herbs Arctium lappa, Rumex acetosella, Ulmus rubra and Rheum officinale. Each of these herbs has been reported to possess antioxidant and anti-cancer activity. Essiac itself has also been reported to demonstrate anti-cancer activity in vitro, although its effects in vivo are still a matter of debate. We prepared an extract of Essiac tea from a concentration of 25mg/mL and boiled it for 10 min.
>From this preparation we used concentrations of 5, 10, 25 and 50% to measure Essiac effects. In this study, we examined the effects of Essiac on free radical scavenging and DNA damage in a non-cellular system, as well as the effects Essiac on lipid peroxidation using the RAW 264.7 cell line. We observed, using electron spin resonance, that Essiac effectively scavenged hydroxyl, up to 84% reduction in radical signal at the 50% tea preparation concentration, and superoxide radicals, up to 82% reduction in radical signal also at the 50% tea preparation concentration, as well as prevented hydroxyl radical-induced DNA damage. In addition, Essiac inhibited hydroxyl radical-induced lipid peroxidation by up to 50% at the 50% tea preparation concentration. These data indicate that Essiac tea possesses potent antioxidant and DNA-protective activity, properties that are common to natural anti-cancer agents. This study may help to explain the mechanisms behind the reported anti-cancer effects of Essiac. ----------------------------------------------------------------------------------------------------------------
Remission of hormone-refractory prostate cancer attributed to Essiac. Al-Sukhni W, Grunbaum A, Fleshner N Can J Urol. 2005 Oct ; 12(5): 2841-2
Essiac is a popular complementary and alternative medicine (CAM) that is utilized by many cancer patients in North America. Much anecdotal reporting exists about its cancer-fighting qualities, but so far no clinical trials have been preformed to validate those claims. We describe here the case of a 64-year-old man whose hormone-refractory prostate cancer responded well to Essiac tea.
Who loves ya. Tom
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Matti Narkia - 26 Jul 2006 16:32 GMT >Essiac tea: scavenging of reactive oxygen species and effects on DNA >damage. >Leonard SS, Keil D, Mehlman T, Proper S, Shi X, Harris GK >J Ethnopharmacol. 2006 Jan 16; 103(2): 288-96 So Essiac is antioxidant. Big deal. What that has to do with the title?
>Remission of hormone-refractory prostate cancer attributed to Essiac. >Al-Sukhni W, Grunbaum A, Fleshner N [quoted text clipped - 6 lines] >describe here the case of a 64-year-old man whose hormone-refractory >prostate cancer responded well to Essiac tea. A case report? "responded well"? Pathetic :-(. If there's no other evidence about claimed anti-cancer effets of Essiac, forget it.
 Signature Matti Narkia
monty1945@lycos.com - 26 Jul 2006 17:44 GMT Matti:
You are demonstrating a real lack of knowledge of the prostate cancer literature. Many researchers have noted how sensitive the prostate is to free radical damage/oxidative stress. My point has been that there is no reason to subject the prostate to such damage, so you are correct is saying that it's just another antioxidant, and I would add that if you avoid foods that usually generate a lot of free radical damage, such as highly unsaturated oils, you don't have much to worry about at all. Eat a little dark chocolate, berries, prunes, etc., once in a while and don't buy expensive or exotic antioxidant supplements - it is possible that they will do more harm than good, especially in the supplement forms, which are often highly concentrated.
Matti Narkia - 27 Jul 2006 16:47 GMT >Matti: > >You are demonstrating a real lack of knowledge of the prostate cancer >literature. Really? What brings you to that conclusion? Apparently the fact that I rejected probably the most feeble attempt ever to "prove" the efficacy of Essiac in the _treatment_ of prostate cancer, because that's all there was in my message. If you acccepted that evidence, you should get your head examined, you may be suffering from cognitive impairment caused by lack of long chain omega-3 PUFAs. Note that I didn't say anything about Essiac, just about the evidence presented.
Now, lets talk a little about Essiac. I'll present three reviews: one by Steve Dunn, the founder of CancerGuide.org web site, second by complementary and alternative cancer therapy expert John Boik and third by NIH's National Cancer Institute.
I got acquainted with Steve Dunn in 1994 at a cancer related mailing list (email based) discussion group. We became friends and 1996 Steve asked if he could use one of my texts about alternative cancer treatments in his CancerGuide.org and included it there after I gave my permission. Steve had been diagnosed with widespread terminal kidney cancer in 1989. Unwilling to give up he started to look for information and eventually found a phase II clinical trial of then experimental high dose Interleukin-2 (IL-2) immunotherapy. He recovered fully, regained his health and was free of cancer, when he sadly died August 19, 2005 from complications of bacterial meningitis. Even after he was cured from kidney cancer, Steve continued to gather information from all types of cancer and helped to distribute that information to other cancer patients. He was also a frequent speaker at conferences of complementary and alternative cancer therapies. He received a grant which enabled him to concentrate full time to the work with CancerGuide. Steve's take on Essiac is at the CancerGuide page
CancerGuide: Essiac Information <http://cancerguide.org/essiac.html>
Steve mentions the Essiac article by John Boik, who also briefly was active in the same discussion group as Steve And I. John has authored IMHO by far the two best books ever written about complementary and alternative cancer therapies:
Natural Compounds in Cancer Therapy: Books: John Boik <http://www.amazon.com/gp/product/0964828014/sr=8-3/qid=1153952017/ref=pd_bbs_3/0 02-0148194-3768045?ie=UTF8>
Cancer & Natural Medicine: A Textbook of Basic Science and Clinical Research: Books: John Boik <http://www.amazon.com/gp/product/0964828006/sr=8-4/qid=1153952017/ref=sr_1_4/002 -0148194-3768045?ie=UTF8>
Here's one review:
Remarkable Books from John Boik <http://www.annieappleseedproject.org/rembookfromj.html>
I have both books and I have also read them :-). Unlike all the other books I've read about this topic, Boik's books are extremely technical anc packed with scientific references, which admittedly makes them fairly hard to read, but the effort is well rewarded, IMHO.
Johns review of Essiac is on the web page
Community Pages FAQ Response <http://www.ompress.com/community-faq-2.htm>
In include here its abstract and summary:
"Abstract: The Essiac herbal formula has a 70 year history in treating cancer patients. As many as 20,000 North American cancer patients may be currently taking an Essiac-like product. Sales of Essiac-like products are increasing rapidly. No published scientific evidence exists to suggest that the Essiac formula has clinical efficacy. However, anecdotal evidence exists to this effect and public support is considerable. The phytochemicals in the formula with the greatest potential to produce an anticancer effect are the anthraquinones rhein and emodin. High molecular polysaccharides contained in the formula could also have a stimulating effect on the immune system. However, it would seem unlikely that the small concentrations of these compounds in the formula would lead to any significant anticancer action. Additional studies are needed before the potential of this formula can be adequately assessed.
[...]
Summary: Essiac-like formulas have no proven anticancer effect in humans or animals but nonetheless remain popular as alternative treatments. Based on a simplistic analysis of the amount of herbal material and active constituents in these formulas, it seems unlikely that they would produce any significant medical effect, other than a slight purgative action. The purgative action could be of general benefit to some individuals, but would also prevent significantly higher doses of the formula from being used in cancer treatment. Because of the popularity of Essiac-like formulas, adequate assessment of their anticancer potential is needed."
National Cancer Institute's Essiac information starts at the web page:
Essiac/FlorEssence - National Cancer Institute <http://www.cancer.gov/cancerinfo/pdq/cam/essiac>
"... Laboratory, animal, and human studies with Essiac and FlorEssence have not reported clear evidence of an anticancer effect. ..."
To my knowledge only complementary/alternative treatment, which may have had some anticancer effect against prostate cancer, was PC-SPES, which was a patented mixture of 8 herbs. But is was (deliberately?) contaminated by diethylstilbestrol (DES), which is an estrogenic compound, and for that reason it was recalled and withdrawn from the market. Information about PC-SPES:
PC-SPES - National Cancer Institute <http://www.cancer.gov/cancertopics/pdq/cam/pc-spes/healthprofessional>
Recall of PC SPES and SPES Dietary Supplements: Consumer Advisory [NCCAM Health Information] <http://nccam.nih.gov/health/alerts/spes/>
PC SPES Trial Halted, Doctors Say Prostate Cancer Herbal Product Contains Synthetic Estrogen <http://psa-rising.com/medicalpike/pcspes/ucsf_halts020102.html>
The Future of PC SPES Research Funding by NCCAM <http://nccam.nih.gov/research/news/pcspes.htm>
What is pc spes ? <http://www.geocities.com/jcurie_2000/pc-spes.htm?200627>
"The eight herbs that comprise PC SPES are chrysanthemum, isatis, licorice, lucid Gandermal, pseudo-ginseng, rubescens, saw palmetto, and scute. "
PC SPES Prostate Cancer Treatment <http://www.geocities.com/jcurie_2000/?200627>
>Many researchers have noted how sensitive the prostate is >to free radical damage/oxidative stress. My point has been that there [quoted text clipped - 6 lines] >possible that they will do more harm than good, especially in the >supplement forms, which are often highly concentrated. Part, but not all, what you say above may be prudent (although not necessarily proven to be of benefit) in _prevention_ of prostate cancer. As for unsaturated fatty acids, one should avoid arachidonic acid (AA) and alpha-linolenic acid (ALA), because in cell cultures AA stimulates prostate cancer cell growth, and ALA has been statistically associated with an increased risk of prostate cancer in several epidemiological studies. Long chain PUFAs EPA and DHA found in fatty fish and fish oil instead have not been found harmful in relation to prostate cancer and could be beneficial.
But focus in this thread was in the _treatment_ of prostate cancer. IMHO the best sites for that purpose are
Prostate Cancer Home Page - National Cancer Institute <http://www.cancer.gov/cancertopics/types/prostate>
MedlinePlus: Prostate Cancer <http://www.nlm.nih.gov/medlineplus/prostatecancer.html>
Prostate Cancer Centre - For personalised information, impartial advice and appointments with the UK's leading specialists in the treatment of prostate cancer <http://www.prostatecancercentre.com/>
IMHO an adequate summary is in
Prostate cancer - Wikipedia, the free encyclopedia <http://en.wikipedia.org/wiki/Prostate_cancer>
As for future treatments, at least antiangiogenic agents may offer some promise. But I'm especially excited about the 5-lipoxygenase inhibitors, although 12-lipoxygenase and COX-2 inhibitors may also have some role in future. Prostate cancer cells need arachidonic acid/ 5-lipoxygenase metabolite, 5-HETE (5-hydroxyeicosatetraenoic acid) to survive and inhibition of the enzyme 5-lipoxygenase completely blocks 5-HETE production and induces massive apoptosis in both hormone-responsive (LNCaP) and -nonresponsive (PC3) human prostate cancer cells. See following references:
Ghosh J, Myers CE. Arachidonic acid stimulates prostate cancer cell growth: critical role of 5-lipoxygenase. Biochem Biophys Res Commun. 1997 Jun 18;235(2):418-23. PMID: 9199209 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=9199209>
Ghosh J, Myers CE. Inhibition of arachidonate 5-lipoxygenase triggers massive apoptosis in human prostate cancer cells. Proc Natl Acad Sci U S A. 1998 Oct 27;95(22):13182-7. PMID: 9789062 [PubMed - indexed for MEDLINE] <http://www.pnas.org/cgi/content/full/95/22/13182>
Anderson KM, Seed T, Vos M, Mulshine J, Meng J, Alrefai W, Ou D, Harris JE. 5-Lipoxygenase inhibitors reduce PC-3 cell proliferation and initiate nonnecrotic cell death. Prostate. 1998 Nov 1;37(3):161-73. PMID: 9792133 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=9792133> <http://www3.interscience.wiley.com/cgi-bin/abstract/5005796/ABSTRACT?CRETRY=1&SR ETRY=0> (link to full text PDF provided)
Myers CE, Ghosh J Lipoxygenase inhibition in prostate cancer. Eur Urol. 1999;35(5-6):395-8. Review. PMID: 10325495 [PubMed - indexed for MEDLINE] <http://content.karger.com/produktedb/produkte.asp?typ=fulltext&file=eur35395>
Nie D, Hillman GG, Geddes T, Tang K, Pierson C, Grignon DJ, Honn KV. Platelet-type 12-lipoxygenase in a human prostate carcinoma stimulates angiogenesis and tumor growth. Cancer Res. 1998 Sep 15;58(18):4047-51. PMID: 9751607 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9 751607&dopt=Abstract>
Shureiqi I, Lippman SM. Lipoxygenase modulation to reverse carcinogenesis. Cancer Res. 2001 Sep 1;61(17):6307-12. Review. PMID: 11522616 [PubMed - indexed for MEDLINE] <http://cancerres.aacrjournals.org/cgi/content/full/61/17/6307>
Nie D, Che M, Grignon D, Tang K, Honn KV. Role of eicosanoids in prostate cancer progression. Cancer Metastasis Rev. 2001;20(3-4):195-206. Review. PMID: 12085962 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=12085962> <http://www.springerlink.com/(mafdkr55bvntlnekvg3r1i55)/app/home/contribution.asp ?referrer=parent&backto=issue,5,16;journal,15,85;linkingpublicationresults,1:102 861,1> (link to full text PDF provided)
Matsuyama M, Yoshimura R, Mitsuhashi M, Hase T, Tsuchida K, Takemoto Y, Kawahito Y, Sano H, Nakatani T. Expression of lipoxygenase in human prostate cancer and growth reduction by its inhibitors. Int J Oncol. 2004 Apr;24(4):821-7. PMID: 15010818 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=15010818>
Matsuyama M, Yoshimura R, Tsuchida K, Takemoto Y, Segawa Y, Shinnka T, Kawahito Y, Sano H, Nakatani T. Lipoxygenase inhibitors prevent urological cancer cell growth. Int J Mol Med. 2004 May;13(5):665-8. PMID: 15067367 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=15067367>
Yoshimura R, Matsuyama M, Kawahito Y, Takemoto Y, Tsuchida K, Kuratsukuri K, Segawa Y, Shinnka T, Sano H, Nakatani T. The effects of cyclooxygenase-2 inhibitors on urological cancer cells. Int J Mol Med. 2004 Jun;13(6):789-93. PMID: 15138613 [PubMed - in process] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra ct&list_uids=15138613>
Andrews J, Djakiew D, Krygier S, Andrews P. Superior effectiveness of ibuprofen compared with other NSAIDs for reducing the survival of human prostate cancer cells. Cancer Chemother Pharmacol. 2002 Oct;50(4):277-84. Epub 2002 Aug 27. PMID: 12357301 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra ct&list_uids=12357301>
Masferrer JL, Leahy KM, Koki AT, Zweifel BS, Settle SL, Woerner BM, Edwards DA, Flickinger AG, Moore RJ, Seibert K. Antiangiogenic and antitumor activities of cyclooxygenase-2 inhibitors. Cancer Res. 2000 Mar 1;60(5):1306-11. PMID: 10728691 [PubMed - indexed for MEDLINE] <http://cancerres.aacrjournals.org/cgi/content/full/60/5/1306>
But what about diet? Could dietary interventions improve the outcome and reduce the risk of recurrence after the conventional therapy ha been completed? I think that there is no hard evidence about that yet, but based on preliminary events speculations and recommendations have been presented. Here some of the best site about prostate cancer and nutrition, IMHO:
Changing Your Dietary Habits to help fight prostate cancer - Prostate Cancer Foundation <http://www.prostatecancerfoundation.org/site/pp.asp?c=itIWK2OSG&b=68240>
Nutrition and Prostate Cancer (Prostate Cancer Foundation) - Large PDF file <http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2Fwww%2 Eprostatecancerfoundation%2Eorg%2Fatf%2Fcf%2F%7B705B3273%2DF2EF%2D4EF6%2DA653%2D E15C5D8BB6B1%7D%2FNutrition%5FGuide%2Epdf>
DR. CHARLES MYERS visits Sydney <http://www.prostate.org.au/myers.htm>
Prostate Forum <http://www.prostateforum.com/>
Eating Your Way to Better Health-The Prostate Forum Nutrition Guide by Charles E. (Snuffy) Myers, Jr., M.D. Sara Sgarlat Steck, R.T. and Rose Sgarlat Myers, PT., Ph.D. <http://www.prostateforum.com/nutrition.htm>
Miano L. [Mediterranean diet, micronutrients and prostate carcinoma: a rationale approach to primary prevention of prostate cancer] Arch Ital Urol Androl. 2003 Sep;75(3):166-78. Review. Italian. PMID: 14661397 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=14661397>
Trichopoulou A, Lagiou P, Kuper H, Trichopoulos D. Cancer and Mediterranean dietary traditions. Cancer Epidemiol Biomarkers Prev. 2000 Sep;9(9):869-73. Review. PMID: 11008902 [PubMed - indexed for MEDLINE] <http://cebp.aacrjournals.org/cgi/content/full/9/9/869>
Chan JM, Gann PH, Giovannucci EL. Role of diet in prostate cancer development and progression. J Clin Oncol. 2005 Nov 10;23(32):8152-60. Review. PMID: 16278466 [PubMed - indexed for MEDLINE] <http://www.jco.org/cgi/content/abstract/23/32/8152>
To summarize:
- Reduce or eliminate the consumption of red meat (contains arachidonic acid and saturated fat)
- Reduce or eliminate high-fat, farm-raised fish, because they contain too much saturated fat and arachidonic acid. Eat wild fish and seafood instead
- Eat plenty of vegetables including beans, peas and lentils.
- Consider soy foods.
- Reduce dairy products
- Avoid eggs (contain arachidonic acid)
- Use only olive oil, eliminate all other oils and oil based products.
- Use garlic, spices and flavoring rather than cooking oils whenever possible.
- Use tomatoes and tomato based products (contain lycopene)
- Drink pomegranate juice daily
- Drink green or white tea daily
- Make sure you get enough selenium, vitamin E and vitamin D (at least 2000 IU of vitamin D3/d). Take supplements, if necessary.
- Limit your alcohol use to 1-2 glasses of red wine daily (_moderate_ consumption of red wine may be beneficial due to its ingredient resveratrol)
Finally, let's return 5-lipoxygenase ihibitors. Natural inhibitors of 5-lipoxygenase exist, the best is probably Boswellia serrata a.k.a. frankincense (Boswellic acid). There also natural COX-2 ihibitors. More information about these on the web page
Reducing Inflammation with Diet and Supplements: The Story of Eicosanoid Inhibition <http://www.itmonline.org/arts/lox.htm>
There is even a natural 12-lipoxygenase inhibitor: Chinese scullcap (Scutellaria baicalensis):
The Golden Root: Clinical Applications of Scutellaria baicalensis GEORGI flavonoids as Modulators of the Inflammatory Response <http://www.thorne.com/altmedrev/fulltext/scutellaria2-6.html>
 Signature Matti Narkia
Matti Narkia - 27 Jul 2006 17:42 GMT >But focus in this thread was in the _treatment_ of prostate cancer. >IMHO the best sites for that purpose are [quoted text clipped - 14 lines] >Prostate cancer - Wikipedia, the free encyclopedia ><http://en.wikipedia.org/wiki/Prostate_cancer> Steve Dunn's CancerGuide has a page about prostate cancer resources:
CancerGuide: Prostate Cancer Resources <http://cancerguide.org/prostate.html>
 Signature Matti Narkia
Matti Narkia - 27 Jul 2006 21:05 GMT >>But focus in this thread was in the _treatment_ of prostate cancer. >>IMHO the best sites for that purpose are [quoted text clipped - 19 lines] >CancerGuide: Prostate Cancer Resources ><http://cancerguide.org/prostate.html> LEF's Prostate Cancer text may aols be useful:
Prostate Cancer Overview: Online Reference For Health Concerns <http://www.lef.org/protocols/prtcls-txt/t-prtcl-138.html> <http://www.lef.org/protocols/prtcl-138.shtml>
 Signature Matti Narkia
Matti Narkia - 27 Jul 2006 19:59 GMT >Finally, let's return 5-lipoxygenase ihibitors. Natural inhibitors of >5-lipoxygenase exist, the best is probably Boswellia serrata a.k.a. [quoted text clipped - 12 lines] >flavonoids as Modulators of the Inflammatory Response ><http://www.thorne.com/altmedrev/fulltext/scutellaria2-6.html> Selenium's and vitamin E's anticancer effects against prostate cancer may at least partly be caused by the fact, that they at least to some extent inhibit 5-lipoxygenase. Other natural 5-lipoxygenase inhibitors include cocoa, GLA (from evening primrose oil for example), quercetin, dried or semi-dried qinger powder and curcumin. More information in the following articles:
Ghosh J. Rapid induction of apoptosis in prostate cancer cells by selenium: reversal by metabolites of arachidonate 5-lipoxygenase. Biochem Biophys Res Commun. 2004 Mar 12;315(3):624-35. PMID: 14975747 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=14975747>
"Recent clinical trials have documented that selenium significantly reduces the incidence of clinical prostate cancer. However, nothing is clearly known about the underlying molecular mechanisms by which selenium exerts its anti-cancer effect. This report provides evidence that selenium at micro- molar concentrations induces rapid apoptotic death in human prostate cancer cells, but not in normal prostate epithelial cells. Apoptosis involves activation of caspase 3 which plays a critical role in the cell death process. Interestingly, the apoptosis-inducing effect of selenium in prostate cancer cells is substantially alleviated by the 5-lipoxygenase metabolites, 5(S)-HETE and its dehydrogenated derivative 5-oxoETE, but not by metabolites of 12-lipoxygenase (12(S)-HETE) or 15- lipoxygenase (15(S)-HETE). Apoptosis is also prevented by their precursor, arachidonic acid, an omega-6, polyunsaturated fatty acid, presumably by metabolic conversion through the 5- lipoxygenase pathway. These results indicate that selenium's anticancer effect may involve induction of apoptosis specifically in prostate cancer cells sparing normal prostate epithelial cells, and that 5-lipoxygenase may be a molecular target of selenium's anticancer action. The present report warrants that care should be taken about high intake of dietary fat containing arachidonic acid or its precursor fatty acids when selenium is used for the management of prostate cancer, and suggests that a combination of selenium and 5-lipoxygenase inhibitors may be a more effective regimen for prostate cancer control."
Hammarberg T, Kuprin S, Radmark O, Holmgren A. EPR investigation of the active site of recombinant human 5-lipoxygenase: inhibition by selenide. Biochemistry. 2001 May 29;40(21):6371-8. PMID: 11371199 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=11371199>
Werz O, Szellas D, Henseler M, Steinhilber D. Nonredox 5-lipoxygenase inhibitors require glutathione peroxidase for efficient inhibition of 5-lipoxygenase activity. Mol Pharmacol. 1998 Aug;54(2):445-51. PMID: 9687587 [PubMed - indexed for MEDLINE] <http://molpharm.aspetjournals.org/cgi/content/full/54/2/445>
Werz O, Steinhilber D. Selenium-dependent peroxidases suppress 5-lipoxygenase activity in B-lymphocytes and immature myeloid cells. The presence of peroxidase-insensitive 5-lipoxygenase activity in differentiated myeloid cells. Eur J Biochem. 1996 Nov 15;242(1):90-7. PMID: 8954158 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=8954158>
Zingg JM, Azzi A. Non-antioxidant activities of vitamin E. Curr Med Chem. 2004 May;11(9):1113-33. Review. PMID: 15134510 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=15134510>
"... At the posttranslational level, alpha-tocopherol inhibits protein kinase C, 5-lipoxygenase and phospholipase A2 and activates protein phosphatase 2A and diacylglycerol kinase. ..."
Schewe T, Kuhn H, Sies H. Flavonoids of cocoa inhibit recombinant human 5-lipoxygenase. J Nutr. 2002 Jul;132(7):1825-9. PMID: 12097654 [PubMed - indexed for MEDLINE] <http://www.ajcn.org/cgi/content/full/81/1/304S>
Suekawa M, Yuasa K, Isono M, Sone H, Ikeya Y, Sakakibara I, Aburada M, Hosoya E. [Pharmacological studies on ginger. IV. Effect of (6)-shogaol on the arachidonic cascade] Nippon Yakurigaku Zasshi. 1986 Oct;88(4):263-9. Japanese. PMID: 3098654 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=3098654>
"(6)-Shogaol, a pungent component of ginger, which is contained in semi-dried ginger but is rarely found in fresh ginger inhibited carrageenin-induced swelling of hind paw in rats and arachidonic acid (AA)-induced platelet aggregation in rabbits.
[...]
(6)-shogaol exhibited an inhibitory action on 5-lipoxygenase activity."
Grzanna R, Lindmark L, Frondoza CG. Ginger--an herbal medicinal product with broad anti-inflammatory actions. J Med Food. 2005 Summer;8(2):125-32. Review. PMID: 16117603 [PubMed - indexed for MEDLINE <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=16117603>
"... Ginger suppresses prostaglandin synthesis through inhibition of cyclooxygenase-1 and cyclooxygenase-2. An important extension of this early work was the observation that ginger also suppresses leukotriene biosynthesis by inhibiting 5-lipoxygenase. This pharmacological property distinguishes ginger from nonsteroidal anti-inflammatory drugs. This discovery preceded the observation that dual inhibitors of cyclooxygenase and 5-lipoxygenase may have a better therapeutic profile and have fewer side effects than non-steroidal anti- inflammatory drugs. The characterization of the pharmacological properties of ginger entered a new phase with the discovery that a ginger extract (EV.EXT.77) derived from Zingiber officinale (family Zingiberaceae) and Alpina galanga (family Zingiberaceae) inhibits the induction of several genes involved in the inflammatory response. These include genes encoding cytokines, chemokines, and the inducible enzyme cyclooxygenase-2. This discovery provided the first evidence that ginger modulates biochemical pathways activated in chronic inflammation...."
Hong J, Bose M, Ju J, Ryu JH, Chen X, Sang S, Lee MJ, Yang CS. Modulation of arachidonic acid metabolism by curcumin and related beta-diketone derivatives: effects on cytosolic phospholipase A(2), cyclooxygenases and 5-lipoxygenase. Carcinogenesis. 2004 Sep;25(9):1671-9. Epub 2004 Apr 8. PMID: 15073046 [PubMed - indexed for MEDLINE] <http://carcin.oxfordjournals.org/cgi/content/full/25/9/1671>
"... Curcumin (20 micro M) significantly inhibited LPS-induced COX-2 expression; this effect, rather than the catalytic inhibition of COX, may contribute to the decreased PGE(2) formation. Without LPS-stimulation, however, curcumin increased the COX-2 level in the macrophage cells. Studies with isolated ovine COX-1 and COX-2 enzymes showed that the curcuminoids had significantly higher inhibitory effects on the peroxidase activity of COX-1 than that of COX-2. Curcumin and THC potently inhibited the activity of human recombinant 5-LOX, showing estimated IC(50) values of 0.7 and 3 micro M, respectively. The results suggest that curcumin affects arachidonic acid metabolism by blocking the phosphorylation of cPLA(2), decreasing the expression of COX-2 and inhibiting the catalytic activities of 5-LOX. These activities may contribute to the anti-inflammatory and anticarcinogenic actions of curcumin and its analogs."
Vang K, Ziboh VA. 15-lipoxygenase metabolites of gamma-linolenic acid/eicosapentaenoic acid suppress growth and arachidonic acid metabolism in human prostatic adenocarcinoma cells: possible implications of dietary fatty acids. Prostaglandins Leukot Essent Fatty Acids. 2005 May;72(5):363-72. PMID: 15850718 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=15850718>
"Although gammalinolenic acid (GLA) and eicosapentaenoic acid (EPA) have independently been reported to suppress growth of cancer cells, their relative potencies are unknown. To determine the possible attenuating efficacies of dietary GLA or EPA on prostate carcinogenesis, we hereby report the in vitro effects of GLA, EPA and their 15-lipoxygenase (15-LOX) metabolites: 15(S)-HETrE and 15(S)-HEPE, respectively, on growth and arachidonic acid (AA) metabolism in human androgen- dependent (LNCaP) and androgen-independent (PC-3) prostatic cancer cells in culture. Specifically, both cells were preincubated respectively with the above PUFAs. Growth was determined by [3H]thymidine uptake and AA metabolism by HPLC analysis of the extracted metabolites. Our data revealed increased biosynthesis of prostaglandin E2 (PGE2) and 5- hydroxyeicosatetraenoic acid (5(S)-HETE) by both cells. Preincubation of the cells with 15(S)-HETrE or 15(S)-HEPE more markedly inhibited cellular growth and AA metabolism when compared to precursor PUFAs. Notably, 15(S)-HETrE exerted the greatest inhibitory effects. These findings therefore imply that dietary GLA rather than EPA should better attenuate prostate carcinogenesis via its in vivo generation of 15(S)- HETrE, thus warranting exploration."
Sies H, Schewe T, Heiss C, Kelm M. Cocoa polyphenols and inflammatory mediators. Am J Clin Nutr. 2005 Jan;81(1 Suppl):304S-312S. Review. PMID: 15640495 [PubMed - indexed for MEDLINE] <http://www.ajcn.org/cgi/content/full/81/1/304S>
Iversen L, Fogh K, Kragballe K. Effect of dihomogammalinolenic acid and its 15-lipoxygenase metabolite on eicosanoid metabolism by human mononuclear leukocytes in vitro: selective inhibition of the 5-lipoxygenase pathway. Arch Dermatol Res. 1992;284(4):222-6. PMID: 1329675 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=1329675>
"The purpose of the present study was to determine the effect of the n-6 fatty acid, dihomogammalinolenic acid (DGLA, 20: 3, n-6) on arachidonic acid (AA) (C20: 4) metabolism by human peripheral mononuclear leukocytes (HPML). After incubation of HPML with A23187 (5 microM) and DGLA, the cyclooxygenase (CO) and lipoxygenase (LO) products were separated and quantified by reversed-phase high-performance liquid chromatography (RP-HPLC) combined with radioimmunoassay. DGLA led to no change in PGE2 formation, but at similar concentrations there was a dose- dependent decrease in LTB4 formation (IC50 = 45.0 microM). The inhibition of LTB4 formation by DGLA was associated with a dose-dependent increase in its 15-LO metabolite 15- hydroxyeicosatraenoic acid (15-HETrE) and its CO metabolite prostaglandin E1 (PGE1). Incubation of HPLM with 15-HETrE (0-1.5 microM) alone did not result in a change in PGE2 formation, whereas 15-HETrE was a much more potent inhibitor of LTB4 formation (IC50 = 0.5 microM) than DGLA. These results show that the addition of DGLA to HPML results in a selective inhibition of LTB4 formation, presumably via its metabolite (15-HETrE)."
Chilton-Lopez, Surette ME, Swan DD, Fonteh AN, Johnson MM, Chilton FH. Metabolism of gammalinolenic acid in human neutrophils. J Immunol. 1996 Apr 15;156(8):2941-7. PMID: 8609415 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=8609415>
"... Exogenously provided DGLA was converted to one major metabolite during cell stimulation; this product migrated on reverse-phase HPLC with the 15-lipoxygenase product, 15- hydroxy-eicosa-trienoic acid (15-HETre). Both 15-HETre and DGLA (provided exogenously) inhibited the formation of leukotriene B4, (LTB4) and 20-hydroxy-leukotriene B4 (20-OH-LTB4). The IC50 for 15-HETre inhibition of both LTR, and 20-OH-LTB4 in A23187- stimulated neutrophils was 5 microM. ..."
Schneider I, Bucar F. Lipoxygenase inhibitors from natural plant sources. Part 1: Medicinal plants with inhibitory activity on arachidonate 5-lipoxygenase and 5-lipoxygenase[sol ]cyclooxygenase. Phytother Res. 2005 Feb;19(2):81-102. Review. PMID: 15852496 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=15852496> <http://www3.interscience.wiley.com/cgi-bin/abstract/110477935/ABSTRACT?CRETRY=1& SRETRY=0> <http://www3.interscience.wiley.com/cgi-bin/fulltext/110477935/PDFSTART>
An excerpt:
"As illustrated in Tables 1 and 2 over 180 different plant extracts and natural compounds from more than 50 families show a significant in vitro 5-lipoxygenase or 5- LOX/COX inhibitory activity. Most of them belong to the families of Asteraceae, Apiaceae, Lamiaceae and Fabaceae. In the following promising plant species and chemical classes of compounds are discussed. An inhibition of the 5-lipoxygenase enzyme can be attained in different ways: 5-lipoxygenase is very sensitive to antioxidants because of its non-heme iron atom in the active site of the enzyme. Many 5-lipoxygenase inhibitors simply act as nonselective antioxidants by reducing the active-site ferric iron and thus interrupting the catalytic cycle. Examples for such nonselective redox-inhibitors are numerous flavonoids and coumarins. Furthermore, compounds that are able to scavenge radical intermediates or to chelate the active site iron (compounds with ortho-dihydroxy functions) are often found among 5-lipoxygenase inhibitors. Arachidonic acid analogues have also been detected as good inhibitors of 5-lipoxygenase, due to their structural similarities they compete with arachidonic acid for the active site of the enzyme. The results obtained from the literature research obviously indicate that most of the 5-lipoxygenase and 5-LOX/COX inhibitors are found among the class of phenolic compounds and arachidonic acid analogues.
In the class of phenolic compounds the most potent 5- lipoxygenase inhibitors are the flavonoids such as quercetin, isoquercitrin, apigenin, luteolin, siderito- flavon, gnaphalin, silibinin, centaureidin, baicalein or rhamnetin. A quite active coumarin was isolated from Peucedanum ostruthium root extract (IC50 = 0.25 µm) (Hiermann and Schantl, 1998), osthol, aesculetin, fraxetin and daphnetin are further coumarins with 5-lipoxygenase inhibitory activity. Numerous articles also report on the 5-lipoxygenase inhibitory properties of other phenolic compounds such as magnolol (Magnolia obovata) (Hamasaki et al., 1999), belamcandol (Belamcanda chinensis) (Fukuyama et al., 1991), caffeic acid derivatives such as rosmarinic acid or bornylcaffeate/ferulate or the phenols isolated from Atractylodes lancea (Resch et al., 2001) and Plantago asiatica (Ravn et al., 1990). The presence of a catechol structure or a lipophilic substituent in polyhydroxylated compounds appears to be essential for 5-lipoxygenase inhibitory activity. Thus, flavonoids with an ortho-dihydroxy structure in ring B, e.g. wedelolacton (Eclipta alba) (Wagner and Fessler, 1986), or prenylated flavonoids such as artonin E, morusin, sophoraflavanone G, sanggenon B, papyriflavonol A, kenusanon A, karzinol B, kenusanon A, kuraridin or kurarinon are very good inhibitors of 5-lipoxygenase and 5-LOX/COX. Generally, lipophilic substituents enhance the 5-lipoxygenase inhibitory properties, whereas additional polar groups as in glycosides diminish them (Wagner, 1989). In the class of arachidonic acid analogues potent 5- lipoxygenase inhibitors were found among fatty acids (linoleic acid, oleic acid, fatty acids of Sabal serrulata (Paubert- Braquet et al., 1997)), thiosulfinates and sulfinyldisulfides (active principles in garlic (allicin) and onion (cepaenes)) (Wagner et al., 1990; Sendl et al., 1992), among isobutylamides (isolated from Asiasarum sieboldii (Hashimoto et al., 1994)), Echinacea purpurea (Müller-Jakic et al., 1994; Wagner et al., 1989) and Spilanthes oleracea (Wagner et al., 1989) and polyacetylenes (falcarindiol, panaxynol, polyacetylenes from Bidens campylotheca (Redl et al., 1994) or Angelica sp. (Liu et al., 1998a, b)). Besides these two main classes of 5-lipoxygenase inhibitors, the triterpencarboxylic acid acetyl-11-keto- ß-boswellic acid isolated from Boswellia serrata (e.g. Wildfeuer et al., 1998) acts as a direct, specific nonredox triterpencarboxylic acids with 5-lipoxygenase inhibitory properties (masticadienolic acid, morolic acid, oleanolic acid) were isolated from Pistacia terebinthus (Giner- Larza et al., 2001, 2002). Quite active diterpenes (e.g. isolinaridial) were isolated from Linaria saxatilis (Benrezzouk et al., 1999) and alkaloids with 5- lipoxygenase inhibitory activity were found in Isatis indigotica (isaindigotone) (Molina et al., 2001), Isatis tinctoria (tryptanthrin) (Danz et al., 2002) or Chelidonium majus (chelerythrine, sanguinarine) (Vavreckova et al., 1996). Resveratrol, canniprene (EI Sohly et al., 1990) or amurensin F (Huang et al., 2000) are examples for 5-lipoxygenase inhibitory stilbenes and different lichen acids like protolichesterinic acid (Ingolfsdottir et al., 1994), lobaric acid (Ingolfsdottir et al., 1996) and diffractaic acid (Sunil Kumar and Müller, 1999) have also been detected as 5-lipoxygenase inhibitors. The IC50 values of plant extracts and natural compounds with 5- lipoxygenase and 5-LOX/COX inhibitory effects are mainly between 1 and 50 µm. However, the literature research also revealed several plant constituents showing IC50 values below 1 µm. Examples for plant species containing 5-lipoxygenase inhibitory compounds with IC50 values below 1 µm are: Atractylodes lancea (Resch et al., 2001), Isatis tinctoria (Danz et al., 2002), Isatis indigotica (Molina et al., 2001), Linaria saxatilis (Benrezzouk et al., 1999), Haplophyllum hispanicum (Prieto et al., 2002), Plantago asiatica (Ravn et al., 1990), Chelidonium majus (Vavreckova et al., 1996), Artocarpus communis (Reddi et al., 1991), Salvia aethiopis (Benrezzouk et al., 2001), Belamcanda chinensis (Fukuyama et al., 1991), Glycyrrhiza inflata (Yoshiyuki, 1995), Dalbergia odorifera (Sunil Kumar and Müller, 1998; Miller et al., 1989) and Asiasarum sieboldii (Hashimoto et al., 1994)." Schneider I, Bucar F. Lipoxygenase inhibitors from natural plant sources. Part 2: medicinal plants with inhibitory activity on arachidonate 12-lipoxygenase, 15-lipoxygenase and leukotriene receptor antagonists. Phytother Res. 2005 Apr;19(4):263-72. Review. PMID: 16041764 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=R etrieve&dopt=abstractplus&list_uids=16041764> <http://www3.interscience.wiley.com/cgi-bin/fulltext/110477935/PDFSTART>
Excerpts:
"The 12-lipoxygenase pathway is of particular interest with regard to its involvement in the regulation of tumour progression, angiogenesis and metastasis. A number of studies have implicated the 12(S)- lipoxygenase metabolite, 12(S)-HETE, in the modulation of tumour cell proliferation and apoptosis and it was shown to be a key regulator of several parameters related to the metastatic potential of tumour cells. An increased expression of 12(S)-lipoxygenase has been found in various cancers such as prostate cancer, pancreatic cancer, breast cancer and lung cancer among others (Nie and Honn, 2002). The expression level correlates with the clinical stage of the disease. It has been demonstrated that inhibitors of 12(S)-lipoxygenase cause tumour cell apoptosis, reduce tumour cell motility and invasiveness, or decrease tumour angiogenesis and growth (Nie et al., 2001; Nie and Honn, 2002). [...] The findings of the literature research are summarized in Tables 15. The presented information has been compiled from literature of the years 19892003. About 35 plant species with 12-lipoxygenase inhibitory, 15- lipoxygenase inhibitory and leukotriene receptor antagonistic activities are included in Tables 1, 3 and 5, respectively. Over 25 natural compounds with 12- and 15-lipoxygenase inhibitory properties are listed in Tables 2 and 4. The active medicinal plants are of a wide range of families and origins and contain a variety of chemical classes of compounds. The tables present information about the family, the used part, the analysed extract, the active constituents, the used in vitro assay and the inhibitory activity of the medicinal plant. Plant extracts and natural compounds with an IC50 up to 150 µg/mL or 150 µm are included in the tables [...] As illustrated in Tables 1 and 2, over 35 plant extracts and natural compounds were shown to inhibit 12- lipoxygenase activity in vitro. The results obtained from the literature research clearly demonstrate that the most effective 12- lipoxygenase inhibitors are found in the class of phenolic compounds, especially among flavonoids such as baicalein, quercetin, quercitrin, daphnodorin A/C, sideritoflavon, leucocyanidol, hypolaetin or isorhamnetin. Besides, prenylated flavonoids were identified as compounds with 12-lipoxygenase inhibitory activity. As these molecules have an isoprenyl moiety as part of their flavonoid backbone structure, they are usually more hydrophobic than conventional flavonoids suggesting easy penetration through the cell membrane and good 12-lipoxygenase inhibitory properties. Prenylated flavonoids such as artonin E, morusin, sophoraflavonone G, papyriflavonol A, sanggenon D or kuwanon C were shown to act as 12- lipoxygenase inhibitors. Some articles also report on the 12- lipoxygenase inhibitory activity of other phenolic compounds such as rosmarinic acid, e.g. isolated from Perilla frutescens (Noriko and Keizo, 1997), 2-(3,4- dihydroxyphenyl)-ethanol (hydroxytyrosol) derived from olives (De la Puerta et al., 1999) or caffeic/ferulic acid derivatives isolated from the fruit peel of Citrus reticulata (Nogata et al., 2001). Another class of 12- lipoxygenase inhibitors are the arachidonic acid analogues. The majority of substances in this class contain acetylenic groups, which are responsible for the irreversible inactivation of the enzyme. In the literature the polyacetylenes falcarindiol and panaxynol are reported as 12- lipoxygenase inhibitors (Alanko et al., 1994). Other substance classes that possess 12- lipoxygenase inhibitory properties are alkaloids such as chelerythrine and sanguinarine isolated from Chelidonium majus (Vavreckova et al., 1996), coumarins such as esculetin (Sekiya et al., 1982) and tropolones such as hinokitiol (Suzuki et al., 2000). The IC50 values of the plant extracts and natural compounds with 12-lipoxygenase inhibitory activity are rather high compared with those of natural products with 5-lipoxygenase or cyclooxygenase inhibitory properties. Most of the 12- lipoxygenase inhibtors of plant origin show IC50 values between 10 and 100 µm. The tropolone hinokitiol is an example of a compound with a clearly lower IC50 value (0.1 µm). Baicalein was also reported to show a comparable low IC50 value (Sekiya and Okuda, 1982)."
 Signature Matti Narkia
Matti Narkia - 27 Jul 2006 20:31 GMT >>Finally, let's return 5-lipoxygenase ihibitors. Natural inhibitors of >>5-lipoxygenase exist, the best is probably Boswellia serrata a.k.a. [quoted text clipped - 18 lines] >include cocoa, GLA (from evening primrose oil for example), quercetin, >dried or semi-dried qinger powder and curcumin. Easy-to-read web sites about natural 5-lipoxygenase and COX-2 inhibitors:
Natural Anti-Inflammatory Supplements: Research Status and Clinical Applications <http://www.massagetoday.com/archives/2001/12/12.html>
Natural Remedies for Inflammation <http://www.thenutritionreporter.com/remedies_for_inflammation.html>
Herbal Anti-Inflammatories <http://www.chiroweb.com/archives/17/13/06.html>
Beyond Aspirin: The COX-2 Medical Revolution. Healthy & Natural Journal, Oct, 2000, by Thomas M. Newmark, Paul Schulick <http://www.findarticles.com/cf_dls/m0HKL/5_7/66918309/p1/article.jhtml>
Cancer Fighters in Your Spice Rack <http://www.wholehealthmd.org/news/viewarticle/1,1513,844,00.html> <http://www.chifountain.com/studies_Folder/Cancer%20Fighters%20in%20Your%20Spice% 20Rack.pdf>
 Signature Matti Narkia
Matti Narkia - 27 Jul 2006 20:55 GMT >>>Finally, let's return 5-lipoxygenase ihibitors. Natural inhibitors of >>>5-lipoxygenase exist, the best is probably Boswellia serrata a.k.a. [quoted text clipped - 18 lines] >>include cocoa, GLA (from evening primrose oil for example), quercetin, >>dried or semi-dried qinger powder and curcumin. Also propolis, milk thistle extract silymarin, resveratrol (from red wine), New Zealand green-lipped mussel (Perna Canaliculus) extracts (Lyprinol for example), garlic, onions and saw palmetto berry extracts inhibit 5-lipoxygenase.
>Easy-to-read web sites about natural 5-lipoxygenase and COX-2 >inhibitors: [quoted text clipped - 17 lines] ><http://www.wholehealthmd.org/news/viewarticle/1,1513,844,00.html> ><http://www.chifountain.com/studies_Folder/Cancer%20Fighters%20in%20Your%20Spice% 20Rack.pdf>
 Signature Matti Narkia
Matti Narkia - 28 Jul 2006 00:23 GMT >>>>Finally, let's return 5-lipoxygenase ihibitors. Natural inhibitors of >>>>5-lipoxygenase exist, the best is probably Boswellia serrata a.k.a. [quoted text clipped - 18 lines] >>>include cocoa, GLA (from evening primrose oil for example), quercetin, >>>dried or semi-dried qinger powder and curcumin. If you decide to give GLA a try, remember that because DGLA can be converted to arachidonic acid (AA) with the delta-5-desaturase enzyme, see
Figure 1. Metabolism of gamma-linolenic acid. <http://jn.nutrition.org/cgi/content/full/128/9/1411/F1>
in
Fan YY, Chapkin RS. R Importance of dietary gamma-linolenic acid in human health and nutrition. J Nutr. 1998 Sep;128(9):1411-4. Review. PMID: 9732298 [PubMed - indexed for MEDLINE] <http://jn.nutrition.org/cgi/content/full/128/9/1411>,
GLA supplemention may lead to accumulation of AA and hence to the increased production of undesirable, pro-inflammatory, 2-series prostaglandins and 4-series leukotrienes. Fortunately this can largely prevented by taking EPA or fish oil, curcumin (from turmeric) or sesamin (from sesame seeds), which are delta-5-desaturase inhibitors. Simplest may be to take GLA supplement always with fish oil supplement or at the meals containg fatty fish, see
Barham JB, Edens MB, Fonteh AN, Johnson MM, Easter L, Chilton FH. Addition of eicosapentaenoic acid to gamma-linolenic acid-supplemented diets prevents serum arachidonic acid accumulation in humans. J Nutr. 2000 Aug;130(8):1925-31. PMID: 10917903 [PubMed - indexed for MEDLINE] <http://www.nutrition.org/cgi/content/full/130/8/1925>
Rubin D, Laposata M. Cellular interactions between n-6 and n-3 fatty acids: a mass analysis of fatty acid elongation/desaturation, distribution among complex lipids, and conversion to eicosanoids. J Lipid Res. 1992 Oct;33(10):1431-40. PMID: 1472257 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1 472257&dopt=Abstract>
Fujiyama-Fujiwara Y, Umeda R, Igarashi O. Effects of sesamin and curcumin on delta 5-desaturation and chain elongation of polyunsaturated fatty acid metabolism in primary cultured rat hepatocytes. J Nutr Sci Vitaminol (Tokyo). 1992 Aug;38(4):353-63. PMID: 1291640 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1 291640&dopt=Abstract>
Umeda-Sawada R, Takahashi N, Igarashi O. Interaction of sesamin and eicosapentaenoic acid against delta 5 desaturation and n-6/n-3 ratio of essential fatty acids in rat. Biosci Biotechnol Biochem. 1995 Dec;59(12):2268-73. PMID: 8611750 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra ct&list_uids=8611750>
Umeda-Sawada R, Ogawa M, Igarashi O. The metabolism and n-6/n-3 ratio of essential fatty acids in rats: effect of dietary arachidonic acid and a mixture of sesame lignans (sesamin and episesamin). Lipids. 1998 Jun;33(6):567-72. PMID: 9655371 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra ct&list_uids=9655371>
Kawashima H, Akimoto K, Jareonkitmongkol S, Shirasaka N, Shimizu S. Inhibition of rat liver microsomal desaturases by curcumin and related compounds. Biosci Biotechnol Biochem. 1996 Jan;60(1):108-10. PMID: 8824830 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8 824830&dopt=Abstract>
Shimizu S, Jareonkitmongkol S, Kawashima H, Akimoto K, Yamada H. Inhibitory effect of curcumin on fatty acid desaturation in Mortierella alpina 1S-4 and rat liver microsomes. Lipids. 1992 Jul;27(7):509-12. PMID: 1453881 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1 453881&dopt=Abstract>
Gu JY, Wakizono Y, Dohi A, Nonaka M, Sugano M, Yamada K Effect of dietary fats and sesamin on the lipid metabolism and immune function of Sprague-Dawley rats. Biosci Biotechnol Biochem. 1998 Oct;62(10):1917-24. PMID: 9836427 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra ct&list_uids=9836427>
>Also propolis, milk thistle extract silymarin, resveratrol (from red >wine), New Zealand green-lipped mussel (Perna Canaliculus) extracts [quoted text clipped - 22 lines] >><http://www.wholehealthmd.org/news/viewarticle/1,1513,844,00.html> >><http://www.chifountain.com/studies_Folder/Cancer%20Fighters%20in%20Your%20Spice% 20Rack.pdf>
 Signature Matti Narkia
J - 27 Jul 2006 21:12 GMT > >Finally, let's return 5-lipoxygenase ihibitors. Natural inhibitors of > >5-lipoxygenase exist, the best is probably Boswellia serrata a.k.a. > >frankincense (Boswellic acid). There also natural COX-2 ihibitors. Take your stupid thread to alt.support.cancer.prostate. Most of them do not read alt.support.cancer
There's only one clinical trial Quality of life for breast or ovarian cancer patients (after chemotherapy). http://clinicaltrials.gov/ct/show/NCT00287482
and nothing here http://nccam.nih.gov/clinicaltrials/alltrials.htm J
Peter Moran - 27 Jul 2006 21:28 GMT >> >Finally, let's return 5-lipoxygenase ihibitors. Natural inhibitors of >> >5-lipoxygenase exist, the best is probably Boswellia serrata a.k.a. [quoted text clipped - 7 lines] > chemotherapy). > http://clinicaltrials.gov/ct/show/NCT00287482 What a pointless study! It is not answering any of the important questions.
Peter Moran and nothing here http://nccam.nih.gov/clinicaltrials/alltrials.htm
> J Matti Narkia - 27 Jul 2006 21:59 GMT >>> >Finally, let's return 5-lipoxygenase ihibitors. Natural inhibitors of >>> >5-lipoxygenase exist, the best is probably Boswellia serrata a.k.a. [quoted text clipped - 10 lines] >What a pointless study! It is not answering any of the important >questions. Indeed. It's about Essiac, which was put down in this thread after the initial stupid claim.
 Signature Matti Narkia
Jan Drew - 27 Jul 2006 22:04 GMT Mercy..me. Peter sees the word *Essiac* and goes off.
http://www.essiacinfo.org/helping.html
http://www.essiacinfo.org/caisse_pop_5.htm
>>> >Finally, let's return 5-lipoxygenase ihibitors. Natural inhibitors of >>> >5-lipoxygenase exist, the best is probably Boswellia serrata a.k.a. [quoted text clipped - 14 lines] > and nothing here http://nccam.nih.gov/clinicaltrials/alltrials.htm >> J Matti Narkia - 27 Jul 2006 21:51 GMT >> >Finally, let's return 5-lipoxygenase ihibitors. Natural inhibitors of >> >5-lipoxygenase exist, the best is probably Boswellia serrata a.k.a. >> >frankincense (Boswellic acid). There also natural COX-2 ihibitors. > >Take your stupid thread to alt.support.cancer.prostate. >Most of them do not read alt.support.cancer Stupid? I think your comment is unwarranted. You are also quite rude and apparently somewhat ignorant.
If you had followed this thread at all, you would have noticed, that initial claim for the efficacy of Essiac was strongly contested, and that this thread has tried to cover all aspects of prostate cancer. Only treatments recommended were convential treatments described for example in the NCI's website for which the link was given. Based on existing preliminary evidence some potential future treatement candidates were presented without recommendations. Some speculations and preliminary recommendations about nutrition for example by prominent prostate cancer researcers were presented with some supporting evidence emphasizing that these were indeed preliminary.
>There's only one clinical trial >Quality of life for breast or ovarian cancer patients (after chemotherapy). >http://clinicaltrials.gov/ct/show/NCT00287482 About Essiac. There is also a Glioblastoma Multiforme trial with Boswellia Serrata:
Clinical Trial: Boswellia Serrata Combined With a Low-Fat, Vegan Diet or a Standard Diet Alone in Treating Patients Who Have Undergone Surgery and Radiation Therapy for Newly Diagnosed Glioblastoma Multiforme <http://clinicaltrials.gov/ct/show/NCT00243022>
"RATIONALE: Giving the herb Boswellia serrata together with a low-fat, vegan diet after surgery and radiation therapy may slow the growth of any remaining tumor cells. This may be an effective treatment for glioblastoma multiforme.
[...]
Primary
- Compare the efficacy of a complementary and alternative medicine dietary and herbal approach comprising adjuvant Boswellia serrata combined with a low-fat, arachidonic acid-free vegan diet vs a standard diet alone in decreasing 5-lipoxygenase eicosanoid production and reducing tumor growth and peritumoral brain edema in patients with newly diagnosed glioblastoma multiforme. ..."
There has been prostate cancer clinical trials with pomegranate juice and with vitamin D3. These trials were mentioned in the thread. There has been also cancer trials with GLA. Here's one of them:
Kenny FS, Pinder SE, Ellis IO, Gee JM, Nicholson RI, Bryce RP, Robertson JF. Gamma linolenic acid with tamoxifen as primary therapy in breast cancer. Int J Cancer. 2000 Mar 1;85(5):643-8. PMID: 10699943 [PubMed - indexed for MEDLINE] <http://www3.interscience.wiley.com/cgi-bin/abstract/70003180/ABSTRACT> <http://www3.interscience.wiley.com/cgi-bin/fulltext/70003180/HTMLSTART>
>and nothing here http://nccam.nih.gov/clinicaltrials/alltrials.htm See above.
 Signature Matti Narkia
Matti Narkia - 27 Jul 2006 20:18 GMT >But what about diet? Could dietary interventions improve the outcome >and reduce the risk of recurrence after the conventional therapy ha [quoted text clipped - 10 lines] >file ><http://www.nlm.nih.gov/cgi/medlineplus/leavemedplus.pl?theURL=http%3A%2F%2Fwww%2 Eprostatecancerfoundation%2Eorg%2Fatf%2Fcf%2F%7B705B3273%2DF2EF%2D4EF6%2DA653%2D E15C5D8BB6B1%7D%2FNutrition%5FGuide%2Epdf> Both above links are on the page:
Nutrition and Lifestyle - Prostate Cancer Foundation <http://www.prostatecancerfoundation.org/site/c.itIWK2OSG/b.47431/k.8A27/Nutritio n_and_Lifestyle.htm>
>DR. CHARLES MYERS visits Sydney ><http://www.prostate.org.au/myers.htm> [quoted text clipped - 36 lines] > >- Eat plenty of vegetables including beans, peas and lentils. and don't forget broccoli and other cruciferous vegetables.
>- Consider soy foods. > [quoted text clipped - 19 lines] > consumption of red wine may be beneficial due to its ingredient > resveratrol) Pomegranate juice and vitamin D3 trials:
Pantuck AJ, Leppert JT, Zomorodian N, Aronson W, Hong J, Barnard RJ, Seeram N, Liker H, Wang H, Elashoff R, Heber D, Aviram M, Ignarro L, Belldegrun A. Phase II study of pomegranate juice for men with rising prostate-specific antigen following surgery or radiation for prostate cancer. Clin Cancer Res. 2006 Jul 1;12(13):4018-26. PMID: 16818701 [PubMed - in process] <http://clincancerres.aacrjournals.org/cgi/content/abstract/12/13/4018>
Woo TC, Choo R, Jamieson M, Chander S, Vieth R. Pilot study: potential role of vitamin D (Cholecalciferol) in patients with PSA relapse after definitive therapy. Nutr Cancer. 2005;51(1):32-6. PMID: 15749627 [PubMed - indexed for MEDLINE] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=1574962> <http://www.leaonline.com/doi/abs/10.1207%2Fs15327914nc5101_5>
 Signature Matti Narkia
Matti Narkia - 28 Jul 2006 12:07 GMT >Shureiqi I, Lippman SM. >Lipoxygenase modulation to reverse carcinogenesis. >Cancer Res. 2001 Sep 1;61(17):6307-12. Review. >PMID: 11522616 [PubMed - indexed for MEDLINE] ><http://cancerres.aacrjournals.org/cgi/content/full/61/17/6307> Excerpts:
"New studies of the relationship between polyunsaturated fatty acid metabolismand carcinogenesis have led to novel molecular targets for cancer chemoprevention research. These targets include procarcinogenic lipoxygenases (LOXs), including 5-, 8-, and 12-LOX, and anticarcinogenic LOXs, including 15-LOX-1 and possibly 15-LOX-2. Recent studies indicate that 15-LOX-1 is down-regulated in colorectal cancer cells and that the ability of nonsteroidal anti-inflammatory drugs, a class of clinically active cancer chemopreventive agents, to induce apoptosis and growth inhibition in these cells was dependent on the induction of 15-LOX-1 and its metabolic product 13-S- hydroxyoctadecadienoic acid. Consistent with the colorectal studies, 15-LOX very recently has shown anticarcinogenic activity in esophageal and prostatic carcinogenesis. Inhibitors of other LOXs (e.g., 5-LOX) have preclinical anticarcinogenic activity and are being developed for clinical chemoprevention study. These and other LOX data led us to propose that the various LOX pathways exist in a dynamic balance that shifts during carcinogenesis toward 5-, 8-, and 12-LOX (and cyclooxygenase-2) and away from 15-LOX. A novel approach for cancer chemoprevention would involve LOX modulators, i.e., agents that can induce the anticarcinogenic and/or inhibit the procarcinogenic LOXs, thereby shifting the balance of LOX activities from procarcinogenic to anticarcinogenic metabolism of polyunsaturated fatty acids.
[...] Several LOXs form different metabolites within the arachidonic acid pathway that appear to enhance tumorigenesis. These LOXs and metabolites include 5-LOX and its products 5-S-HETE and LTB4; 8-LOX and 8-S-HETE; 12-S-LOX and 12-S-HETE; and 12-R-LOX and 12-R-HETE. Although 15-LOX-2 also metabolizes arachidonic acid to form 15-S-HETE, recent data suggest that this LOX and product may be anticarcinogenic, and they are discussed later. [...] Several studies have suggested a link between 5-S-HETE formation and carcinogenesis in various organs. Prostate, lung, and other cancer cell lines express 5-LOX and FLAP mRNA (28 , 29) . 5-LOX overexpression recently has been documented in human prostate cancer tissue (30) , and 5-S-HETE formation and inhibition respectively promote and inhibit the growth of prostate cancer cells (31) . 5-S-HETE but not other HETE products (LTB4, 12-, or 15-HETE) can also inhibit apoptosis induction by MK-886 (a specific FLAP inhibitor) in prostate cancer cell lines (32) . Similarly, 5-LOX metabolism of arachidonic acid promotes the growth of lung cancer cells, and 5-LOX inhibitors suppress cell proliferation and induce apoptosis in a variety of these cell lines (29) . 5-LOX and FLAP inhibitors can reduce tumorigenesis induction by 4- methylnitrosamino-1-(3-pyridyl)-1-butanone, a tobacco carcinogen (33) . Ding et al. (34) found that 5-LOX mRNA is expressed in pancreatic cancer but not in normal pancreatic cells. They confirmed the specific mechanistic role of 5-LOX in promoting pancreatic cancer cell proliferation by blocking 5- LOX expression with an antisense method, which inhibited proliferation, and then adding back 5-S-HETE, which reversed the beneficial effects of 5-LOX inhibition. 5-LOX inhibitors also can inhibit the growth of mouse colon adenocarcinoma cell lines in vitro and in vivo (19 , 20) .
[...] Not all studies, however, support the view that 5-LOX contributes to carcinogenesis. The naturally occurring carcinogen 1-hydroxyanthraquinone induces tumorigenesis in rat colon mucosa without affecting 5-LOX expression (35) . The 5- LOX inhibitor acetyl-11-keto-ß-boswellic acid induces apoptosis in cells that lack 5-LOX expression, possibly through topoisomerase I inhibition (36) . The FLAP inhibitor MK-886 induces apoptosis in human chronic lymphocytic cancer cells lacking FLAP expression. Down-regulating FLAP expression by an antisense method in cells expressing FLAP had the minor effect of increasing the percentage of apoptotic cells from 4.4 to 10.7% (37) . Therefore, although the role of 5-LOX in promoting prostate, lung, and pancreatic carcinogenesis is strongly supported by experimental data, 5-LOX may not promote carcinogenesis in all models.
[...] LTB4 is a more terminal product of the 5-LOX metabolic pathway than is 5-S-HETE. LTB4 inhibits apoptosis (38) and has been shown to be procarcinogenic in several studies. The tobacco carcinogen 4-methylnitrosamino-1-(3-pyridyl)-1-butanone increased plasma LTB4 in animal lung tumorigenesis (33) . Bortuzzo et al. (18) studied the effects of LTB4, LTB4 methyl ester, LTB5, 12-R-HETE, 12-S-HETE, and 15-S-HETE on the colon cancer cell lines HT-29 and HCT-15. Only LTB4 and 12-R-HETE (a 12-R-LOX and cytochrome P450 product of arachidonic acid) stimulated colonic cell proliferation. SC-41930, a competitive antagonist of LTB4, blocked the LTB4 effects. Findings from the same laboratory, however, indicated that the LTB4 levels in surgical samples of 21 colon cancer patients and paired normal tissue were not significantly different (39) . One possible explanation for this finding is that the normal surgical samples may have contained substantial amounts of connective tissue and inflammatory cells containing LTB4 that confounded the results. Other evidence also supports a pro-tumorigenic effect of LTB4. In vitro, colon cancer cells produce LTB4 (40) , and LTB4 synthesis can be triggered by putative tumorigenic agents, such as bile salts (41) . In vivo, LTB4 levels are increased in intestinal tumors versus in normal appearing intestinal mucosa of mice, and the NSAID sulindac blocks this increase (42) .
[...] 15-LOX-1 and -2 are two isoenzymes of 15-LOX that appear to exert important anticarcinogenic effects through the metabolism of polyunsaturated fatty acids. The preferred substrate for 15- LOX-1 is linoleic acid and for 15-LOX-2 is arachidonic acid (60) .
[...] As summarized above, a group of LOXs joins COX-2 in promoting tumorigenesis by metabolizing arachidonic acid. Other LOXs (15- LOX-1 and -2) suppress carcinogenesis by metabolizing linoleic and arachidonic acids, respectively. This dichotomy in overall LOX effects suggests that a dynamic balance exists among the various LOXs. We propose that the pro and anticarcinogenic LOXs exist in a dynamic balance that is shifted during tumorigenesis from the metabolic activity of 15-LOX promoting cell differentiation, growth inhibition, and apoptosis to the metabolic activities of other LOXs and COX-2 promoting tumorigenesis through arachidonic-acid metabolites, such as LTB4, 12-S-HETE, and prostaglandin E2 (Fig. 2)Citation . Until recently, LOX cancer chemoprevention research focused exclusively on the tumor-promoting effects of LOXs and on inhibiting LOX in general and 5- and 12-LOX in particular (24 , 33) . Now we know that LOXs, i.e., 15-LOX-1 and -2, also can suppress tumorigenesis. Therefore, a novel approach for cancer chemoprevention would involve LOX modulators, i.e., agents that can induce the anticarcinogenic and/or inhibit the procarcinogenic LOXs, thereby shifting the balance of LOX activities from procarcinogenic to anticarcinogenic metabolism of polyunsaturated fatty acids.
[...] LOX metabolism of linoleic and arachidonic acids leads to the formation of a variety of metabolically active products with different roles in carcinogenesis. Our understanding of these roles is steadily increasing. This increased understanding is helping to form a theoretical basis for developing new cancer chemoprevention approaches targeted on LOX activity within the polyunsaturated fatty acid metabolic pathway. The differential roles for the various LOXs during tumorigenesis should be incorporated within the theoretical framework of novel cancer chemoprevention strategies (101)."
 Signature Matti Narkia
Matti Narkia - 28 Jul 2006 13:17 GMT >As for future treatments, at least antiangiogenic agents may offer >some promise. But I'm especially excited about the 5-lipoxygenase [quoted text clipped - 5 lines] >hormone-responsive (LNCaP) and -nonresponsive (PC3) human prostate >cancer cells. See following references: Don't get me wrong, I'm not suggesting that lipoxygenase or COX-2 inhibitors could become a single agent therapy for cancer. But in future they might have role as an adjunctive treatment or in primary or secondary prevention. And it may not always even require taking drugs, because there are a large number of natural lipoxygenase and COX-2 inhibitors, as mentioned.
 Signature Matti Narkia
Tom Mastin - 27 Jul 2006 03:52 GMT Plonk
> Essiac tea: scavenging of reactive oxygen species and effects on DNA > damage. [quoted text clipped - 49 lines] > DEAD PEOPLE WALKING > http://tinyurl.com/zk9fk J - 27 Jul 2006 21:15 GMT > Plonk > <ironjustice@aol.com> wrote in message How to plonk (block) a thread.
Repost: Some may know how to block posts, but for those who don't:
Blocking threads (a series of posts, all with the same subject line), using Outlook Express: If you have a "View Definition" set up, use Step 2 on these instructions. If you don't : follow both steps: http://groups.google.com/group/alt.support.cancer/msg/5996db7f4317864a
Forte Agent: Select one of the posts, then Ctrl & K' followed by I (Ignore)
Thunderbird.(seem similars to Outlook Express) click on the offending post, go to "message" then to "create rule from message" Set on "match any of the following", then it has one rule already set. Once you are viewing a message in the thread you want to killfile, select the Message menu and look at the bottom options [Kill Thread] [Ignore Thread] and [Watch Thread]-- note the K and I and W shortcuts. You have to be viewing the message for this to work. Select K or I
Netscape: I just select a post and right mouse click, then a menu comes up and I select "Ignore thread".
An alternative, if you find you want to block just some of the posters, in the thread: With Outlook Express and possibly Outlook, select the post, click on 'message' between 'tools' and 'help' at the top of OE. then click on "block sender"
Other newsreader instructions are here http://www.hyphenologist.co.uk/killfile/killfilefaqhtm.htm
ironjustice@aol.com - 28 Jul 2006 01:48 GMT > Essiac tea: scavenging of reactive oxygen species and effects on DNA > damage. LIPID PEROXIDATION IN PATIENTS WITH BRAIN TUMOR. Yilmaz N, Dulger H, Kiymaz N, Yilmaz C, Bayram I, Ragip B, Oger M Int J Neurosci. 2006 Aug ; 116(8): 937-943
Molecular and genetic signatures may predict brain tumor behavior and may soon guide tumor classification, diagnosis, and tumor-specific treatment strategies. Free oxygen radicals (FOR) are thought to take part in oncogenesis and cellular differentiation. This article explored the state of FORs and antioxidant system in patients with cerebral tumor. The serum concentrations of malondialdehyde (MDA), catalase, and glutathione peroxidase (GSH-Px) enzyme activities were measured in the serum of 35 patients with cerebral tumors (21 glioma, 14 meningioma) and 11 controls. MDA measurement was done with fluorometric method and catalase and GSH-Px enzyme activities were done with photometric method. Mean serum MDA levels, catalase, and GSH-Px enzyme activities were significantly higher for both glial and meningiomal tumor cases when compared to controls (p .05). In conclusion, lipid peroxidation and antioxidant enzymes as assessed by MDA, catalase, and GSH-Px were increased in patients with brain tumors, for this respect there is no difference between gliomas and meningiomas.
Abstract · PubMed FullText · SFX · GS Clip Export InterDB · Terms Related · Graph Cites · Scopus · Tag 10.1080/00207450600553141
> Who loves ya. > Tom [quoted text clipped - 7 lines] > DEAD PEOPLE WALKING > http://tinyurl.com/zk9fk Matti Narkia - 28 Jul 2006 01:58 GMT >> Essiac tea: scavenging of reactive oxygen species and effects on DNA >> damage. [quoted text clipped - 19 lines] >increased in patients with brain tumors, for this respect there is no >difference between gliomas and meningiomas. What does this have to do with prostate cancer or essiac? There are plenty of antioxidants out there, but they are probably more useful in the prevention than in the treatment of cancer. Some cancer treatments such as radiation and some chemotherapeutic agents create massive amounts of free radicals targeted at destroying the cancer. Free radicals can be useful, too. Even our immune system uses them to kill pathogens.
 Signature Matti Narkia
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