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Cancer Monthly News and CancerWire
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Greetings!
In this edition of
CancerWire we focus on three intriguing and recent
studies:
New research from the Preventive Medicine Research
Institute in Sausalito, California, finds that a very-low-
fat vegan diet is packed with protective nutrients that
may help ward off prostate cancer, as well as other
diseases.
The University of Pittsburgh has discovered that
honokiol,
a substance extracted from the root and stem bark of
one species of magnolia tree, may potentially help
treat-or even
prevent-prostate cancer.
Flavopiridol-an extract of a medicinal plant from
India-appears to offer real potential for hard-to-treat
rhabdoid tumors.
And finally, we reprint our classic article on Vitamin C
and Cancer for those who may have missed it.
Disclaimer - Please Read: None of
the information in CancerWire is a
substitute for professional medical advice,
examination, diagnosis or treatment and you
should always seek the advice of your
physician or other qualified health
professional before starting any new
treatment or making any changes to an
existing treatment. No information contained
in Cancer Monthly or CancerWire including the
information below, should be used to
diagnose, treat, cure or prevent any disease
without the supervision of a medical
doctor.
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Vegan Diet and Cancer
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Very-Low-Fat Vegan Diet May Offer Cancer Protection
There's yet another reason to pass on the meat and
potatoes and instead fill your plate with fruit,
vegetables, and whole grains. New research from the
Preventive Medicine Research Institute in Sausalito,
California, finds that a very-low-fat vegan diet is
packed with protective nutrients that may help ward off
prostate cancer, as well as other diseases.
Ninety-three men with early-stage prostate cancer
took part in the one-year study. The men were
randomly assigned to eat either a vegan diet in which
only 10 percent of their calories came from fat, or to
continue eating their regular diet.
The vegan diet focused on whole-grains, fruits, and
vegetables, while avoiding oils, margarines, high-fat
foods such as nuts and chocolate, and processed
foods. Although meats and refined foods have
become staples of the modern Western diet, the
vegan plan followed in this study is actually more of "a
traditional diet in terms of how our ancestors ate,"
says study author Gerdi Weidner, PhD, Vice President
and Director of Research at the Institute. Study co-
author Dean Ornish, MD, founder and president of the
Institute, is a big proponent of the very-low-fat diet for
disease prevention, and has written several books on
the subject.
Prostate cancer patients who followed the diet also
ate fortified soy protein powder and tomato-based
vegetable juice, which contain phytochemicals
believed to slow prostate cancer growth. As part of the
lifestyle intervention, the men also exercised and
participated in stress management and social group
support programs. Meanwhile, the control group
continued their regular diet and lifestyle program
under their doctor's care.
The group that followed the very-low-fat vegan diet
decreased their consumption of substances thought
to increase the risk of disease, including saturated fat,
which has been linked to a higher risk of prostate,
breast, and colon cancers. At the same time, they ate
more of several nutrients thought to protect against
disease, including:
· Fiber (lowers risk of heart disease, type 2 diabetes,
colorectal cancer, and death in general)
· Vegetable protein (may protect against cancers of
the breast, colon, and prostate)
· Vitamin E (may reduce the risk of prostate and other
cancers)
· Folate (protects the heart, and may help prevent
prostate and other cancers)
· Selenium (lowers the risk and slows progression of
prostate cancer)
The study didn't investigate whether these nutrients
actually slowed prostate cancer progression or
increased participants' survival, but "the entire
program was found to be beneficial for the patients,"
Dr. Weidner says. An earlier study by the same
researchers did find an improvement in prostate-
specific antigen (PSA) levels (a marker of prostate
cancer progression) in men who followed a vegan diet
and incorporated other lifestyle techniques.
Based on the results of this and other research, it
appears that eating a very-low-fat vegan diet can
provide some protection against not only prostate
cancer, but other types of diseases as well, according
to Dr. Weidner.
For those interested in following a program like this,
please discuss with your doctor.
Sources:
Dewell A, Weidner G, Sumner MD, Chi CS, Ornish D. A
very-low-fat vegan diet increases intake of protective
dietary factors and decreases intake of pathogenic
dietary factors. J Am Diet Assoc. 2008;108:347-356.
Ornish D, Weidner G, Fair WR, Marlin R, Pettengill EB,
Raisin CJ, et al. Intensive lifestyle changes may affect
the progression of prostate cancer. J Urol.
2005;174:1065-1070.
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Prostate Cancer and Magnolia
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Magnolia Tree Extract Offers New Promise for Treating Prostate Cancer
The magnolia tree is not just beautiful-it's also the
source of a potentially potent cancer-fighting drug.
Researchers at the University of Pittsburgh have
discovered that honokiol, a substance extracted from
the root and stem bark of one species of magnolia
tree, may help treat-or even prevent-prostate cancer.
Honokiol has been an important component of
traditional Japanese and Chinese medicine because
of its anti-inflammatory, anti-bacterial, and anti-allergic
properties. A few studies have found that honokiol
also can interfere with several processes that help
cancer cells multiply and spread.
A recent study in the journal Clinical Cancer Research
looked at the effects of honokiol on different types of
prostate cancer cells. Two types of cell-PC-3 and C4-
2-do not depend on male hormones (androgens) to
grow. Another type of prostate cancer cell-LNCaP-
does respond to androgens.
In one part of the study, researchers gave male nude
mice 1, 2, or 3 milligrams of honokiol three times a
week by mouth. Giving the drug this way has an
advantage over injections, according to lead author
Shivendra Singh, MD, PhD, Director for Basic
Research and professor of Pharmacology and
Urology at the University of Pittsburgh. "Orally active
agents are highly desirable since they do not require
supervised administration," says Dr. Singh.
The researchers then implanted PC-3 prostate cancer
tumor cells into the mice, and began to measure
tumor growth. In mice given the 2-milligram dose of
honokiol, the tumors were significantly smaller than
tumors in mice that had not received the drug.
Treatment with honokiol halted prostate cancer cell
growth in several ways: it decreased cell reproduction,
led to a form of programmed cell death called
apoptosis, and blocked the formation of blood vessels
that feed tumors, according to the researchers. What's
more, mice treated with honokiol didn't show any side
effects.
The authors also looked at the effects of honokiol on
PC-3 and C4-2 cells in the laboratory. They found that
the drug inhibited growth and apoptosis in these types
of prostate cancer cells, as well.
This was the first study to show the effects of oral
honokiol on PC-3 prostate cancer cells, and the first to
show that this treatment increases cell death and
decreases cell reproduction in prostate cancer cells,
regardless of whether they are androgen responsive.
The results indicate that honokiol has great promise
as a prostate cancer therapy, Dr. Singh says.
The authors refer to honokiol as a "promiscuous" drug
because it has so many different biological effects. It
also appears to be effective for lung cancer, colorectal
cancer, and other types of cancers.
More research is needed to confirm honokiol's effects
on prostate cancer and other types of cancer
cells. "We are thinking about doing a combination
study with other bioactive compounds," Dr. Singh
says. "Ultimately, we want to conduct a human study."
Source:
Hahm ER, Arlotti JA, Marynowski SW, Singh SV.
Honokiol, a constituent of oriental medicinal herb
Magnolia officinalis, inhibits growth of PC-3 xenografts
in vivo in association with apoptosis induction. Clin
Cancer Res. 2008;14:1248-1257.
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Flavopiridol and Rhabdoid Tumors
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Plant Extract Targets Deadly Childhood Cancer
Flavopiridol-an extract of a medicinal plant from
India-appears to offer real potential for hard-to-treat
rhabdoid tumors. For the first time, researchers have
shown that this experimental drug can halt the growth
of rhabdoid cancer cells, both in a laboratory dish, and
in mice.
Rhabdoid tumor is a very rare-and highly
aggressive-cancer of the kidney, brain, central
nervous system, and soft tissues that occurs in very
young children. Because rhabdoid tumors are so hard
to treat, only 15 percent of children with this cancer will
survive two years. Chemotherapy and other
conventional treatments aren't very effective on
rhabdoid tumors, for several reasons.
"One reason is that the current treatment regimen of
rhabdoid tumors is not based on the biology of the
tumor and is not based on the understanding of what
is required for the survival of these tumors," explains
lead study author Ganjam V. Kalpana, PhD, professor
in the Department of Molecular Genetics at Albert
Einstein College of Medicine in New York. "Another
possibility is that the unique genetics and
pathobiology [disease process] of these tumors
makes them naturally resistant to even the most
aggressive chemotherapy regimen."
Yet another reason rhabdoid tumors have been hard
to treat is that until recently, doctors believed that they
were just another form of a rare kidney cancer called
Wilms' tumor. Researchers now understand that
rhabdoid tumors are a unique form of cancer, and they
have a better understanding of how these tumors form.
Dr. Kalpana and her colleagues have discovered that
the development and survival of rhabdoid tumors
hinges on a protein called cyclin D1, which is involved
in regulating the cell cycle. This protein, when left
unchecked, enables the uncontrolled cell growth that
causes cancerous tumors to form. In fact, researchers
have found that cyclin D1 tends to be overproduced in
certain types of tumors.
Based on their understanding of how rhabdoid tumors
form, Dr. Kalpana and her colleagues have been
trying to develop more targeted therapies for this
cancer. They chose flavopiridol because it targets
cyclin D1, the suppression of which has been found in
earlier studies by Dr. Kalpana's group to reduce the
survival of rhabdoid tumors. They tested flavopiridol on
rhabdoid tumor cells in the laboratory, and in mice
implanted with rhabdoid tumors.
After five days of treatment, flavopiridol killed 95 to 100
percent of the rhabdoid cells. In the mice, treatment
with 7.5 mg/kg of flavopiridol five days a week for two
weeks significantly inhibited tumor growth compared
to the control mice. Most of the tumors either partially
or completely stopped growing, according to Dr.
Kalpana.
How might flavopiridol work against rhabdoid tumors?
The researchers believe that it stops the cancer cell
cycle and triggers a process of natural cell death
called apoptosis. The effects of flavopiridol on tumors
correspond to a decrease in cyclin D1.
Despite flavopiridol's promise, there are concerns
about its potential toxicity. A few of the mice died
during the study, although the researchers aren't sure
whether this was due to the drug or to the tumor.
Previous studies have suggested that flavopiridol
might be safe enough to use in children and could be
administered in doses that are effective against
rhabdoid tumors.
Dr. Kalpana plans to conduct human clinical trials of
flavopiridol in the near future. Considering the lack of
treatment options for rhabdoid tumors today, she is
hopeful that her research will lead to more effective
biological therapies for this serious childhood cancer.
Source:
Smith ME, Cimica V, Chinni S, Challagulla K, Mani S,
Kalpana GV. Rhabdoid tumor growth is inhibited by
flavopiridol. Clinical Cancer Research; 2008;14:523-
532.
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Vitamin C and Cancer
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This article on Vitamin C and cancer was first
published by CancerWire in November 2006. It has
been one of the most popular and we reprint it here for
those who may have missed it.
Vitamin C whether intravenous or oral is one of the
most prevalent types of alternative and complimentary
cancer therapies. Yet, this nutrient is still
considered "controversial" by mainstream oncology.
Since two time Nobel Prize winner (in chemistry and
peace) Dr. Linus Pauling advocated its use in cancer
starting in the late 1970's, evidence to its efficacy has
been quietly and steadily mounting. In this edition of
CancerWire we will review the history of this nutrient in
cancer, the controversy, and discuss current findings.
Almost all animals and plants synthesize their own
vitamin C except humans and a small number of other
animals, including, apes, guinea pigs, the red-vented
bulbul, a fruit-eating bat and a species of trout. Pure L-
ascorbic acid (vitamin C) was first prepared in 1928 by
Albert Szent-Gyorgyi and in 1932 it was shown that
this substance was vitamin C. In 1954 and 1959 Dr.
W. J. McCormick, a Canadian physician, hypothesized
that cancer is a collagen disease, secondary to a
vitamin C deficiency. His theory was based on the fact
that collagen is the "mortar" that binds cells together
and if cells stick together, tumors would have a more
difficult time breaking away and metastasizing. This
concept was expanded upon when, in 1966, Dr. Ewan
Cameron wrote a book entitled "Hyaluronidase and
Cancer." In it he pointed out that the ground substance
or "intercellular cement" that binds cells of normal
tissues contains various molecules that strengthen it
including glycosaminoglycans and fibrils of collagen.
Dr. Cameron discussed how tumors can produce
enzymes that breakdown these molecules (i.e.
hyaluronidase and collagenase).
Linus Pauling, Ph.D. (chemistry) had been interested
in vitamin C for many years and had written previously
how people required large amounts of vitamin C (1).
Working with Dr. Cameron, Dr. Pauling pointed out
that vitamin C could: A) stimulate normal cells to
produce increased amounts of a hyaluronidase
inhibitor and; B) increase the number of collagen
fibrils made (2). Based on these theories, Drs.
Pauling and Cameron embarked on a number of
studies to test the efficacy of vitamin C in cancer
patients.
Early Pauling and Cameron Studies
In 1976, Drs. Pauling and Cameron reported the
survival times of 100 terminal cancer patients who
were given supplemental ascorbate (10 grams/daily
intravenously) and those of a control group of 1,000
patients of similar status treated by the same
clinicians in the same hospital (Vale of Leven Hospital
in Scotland) who had been managed identically
except for the ascorbate. The 1,000 controls were
matched by sex, age, primary tumor type, and clinical
status. By August 10, 1976 all 1,000 of the controls
had died while 18 of the 100 ascorbate-treated
patients were still living. As of September 15, 1979,
five ascorbate treated patients were still alive
and "living normal lives." The 100 acorbate-treated
patients lived, on the average, 300 days longer than
their matched controls with better quality of life
(measured from the time all patients were
considered "untreatable").
A second study was performed in 1978 with 100 new
ascorbate-treated patients and 1,000 matched
controls (about half of the controls were in the original
set) (3). This analysis broke out the improved survival
times by cancer type. As presented in the graph
below, for each type of cancer there was an
improvement in survival. (In fact, with the exception of
rectum and ovary cancer, the other cancers actually
had longer survival in the ascorbate group than
indicated in the graph because survivors were still
alive when this data was collected and published.)
Mayo Clinic Studies
Pauling's and Cameron's studies were not
considered the gold standard in clinical studies. The
gold standard was and remains the randomized,
prospective, double-blind study in which half the
patients are randomized to one arm of a study, half to
another arm and neither the patient nor the doctor
knows who is getting what.
To test whether ascorbate was effective, Dr. Charles
Moertel and his colleagues at the Mayo Clinic
conducted two randomized placebo controlled studies
(published in 1979 and 1985) of patients each with
advanced cancer (4). Patients randomized to the
treatment group were given 10 grams of oral
ascorbate, and neither study showed significant
benefit. (In the first study, median survival was
improved two weeks with the ascorbate group.)
Because Moertel's studies were taken as definitive,
ascorbate treatment was considered useless. There
were however, at least three significant differences
between the Mayo Clinic's "definitive" studies and
those of Drs. Pauling and Cameron.
Difference #1
The overwhelming majority (52 of 60 or 87%) of the
patients in the first Mayo study had received
chemotherapy before the study began. In contrast,
only 4% of the patients in Pauling and Cameron study
had received chemo. Pauling wrote, "It is known that
cytotoxic chemotherapy damages the immune system
and might prevent the vitamin C from being effective,
inasmuch as it functions mainly by potentiating this
system.(5)"
This is a valid critique. A Pubmed search for vitamin C
reveals a large number of peer reviewed medical and
scientific journal articles that demonstrate that vitamin
C scavenges free radicals when it acts as an
antioxidant (6), helps neutralize carcinogenic
chemicals such as nitrosamine and nitrites (7),
enhances lymphocyte function and mobilization of
phagocytes (8), improves natural killer cell activities
(9), modulates cell growth and differentiation (10), and
enhances IgA, IgG and IgM antibody levels (11).
Several of these mechanisms are directly related to
the body's immune system and to cancer resistance.
Cytotoxic (cell-killing) chemotherapy is notorious for
seriously compromising the patient's immune system
by killing the cells that mediate immunity. (In the 1985
Mayo clinic study, this difference was removed as
none of the Mayo patients were administered prior
chemotherapy.)
Difference #2
A commentary published by doctors from the National
Institute of Health (NIH) in 2000 pointed out that there
was a second significant difference in study design
that may have accounted for the different results in the
Mayo Clinic studies (12). The authors explained that
intravenous (IV) administration (used by Pauling and
Cameron) was superior to oral administration (used
by Moertel) in respect to bioavailability of the vitamin.
The NIH authors said, "Clinical data show that when
ascorbate is given orally, fasting plasma
concentrations are tightly controlled at <100 µM. As
doses exceed 200 mg, absorption decreases, urine
excretion increases, and ascorbate bioavailability is
reduced. In contrast, when 1.25 grams of ascorbate
are administered intravenously, concentrations as
high as 1 mM (1,000 µM) are achieved...It is now clear
that intravenous administration of ascorbate can yield
very high plasma levels, while oral treatment does
not." The NIH authors concluded that, "Moertel's
results were not comparable to those of Cameron, as
ascorbate was given orally and not intravenously. In
retrospect, the route of administration may have been
key.(13)" This observation was repeated in another
peer reviewed paper published in 2004 which
stated "Because efficacy of vitamin C treatment cannot
be judged from clinical trials that use only oral dosing,
the role of vitamin C in cancer treatment should be
reevaluated. (14)" Vitamin C pharmacokinetics:
implications for oral and intravenous use.
Difference #3
And yet a third difference with the Mayo Clinic study
was that vitamin C administration was discontinued
immediately after a patient could no longer take oral
medications or there was progression of the disease.
Apparently, in the Pauling and Cameron studies the IV
doses continued regardless of the patient's changing
status. Vitamin C was provided during the life of the
patient. However, in Moertel's studies, because it was
administered orally, vitamin C was discontinued in a
large number of patients whenever there was a sign
of worsening. According to writer Ralph
Moss, "Because of the odd departure from Cameron's
protocol, patients in the treatment arm of the
experiment (in Moertel's second study) received
vitamin C for a median time of only 10 weeks. None of
the Mayo patients died while receiving it. Their deaths
occurred after the vitamin had been taken away from
them.(15)"
Obviously if the Mayo Clinic studies were designed to
test the outcomes of Drs. Pauling and Cameron then
they should have replicated their methodology of
administration (as long as it was scientifically reliable
and clinically appropriate). Why didn't Moertel's group
administer the vitamin intravenously throughout the
life of the patient? We don't know. Any one of these
discrepancies should have been sufficient for a
complete reevaluation, but as is so often the case, the
cancer establishment had successfully "proved" that a
mere vitamin was of no value in cancer and the case
was closed. Or was it?
In the intervening 20 years since Moertel's last study
two trends have continued: 1) patients are being
administered IV vitamin C in various cancer clinics
around the world and many are showing benefit; 2)
the overall plausibility of ascorbic acid administered
intravenously as a cancer therapy is being better
understood by recent insights into clinical
pharmacokinetics and its in vitro cancer-specific
cytotoxicity.
Clinical Examples
A reading of Drs. Cameron and Pauling's
book "Cancer and Vitamin C" provides 26 case
histories of patients with various cancers who
received a benefit from vitamin C including: brain,
breast, prostate, bladder, lung, stomach, ovarian
cancer, leukemia and mesothelioma. But, since
Cameron and Pauling have been considered
advocates of vitamin C, here is another source. Three
case examples come from a peer reviewed article
whose authors come from the National Cancer
Institute, the National Institutes of Health, and other
universities. In a March 2006 article
entitled "Intravenously administered vitamin C as
cancer therapy: three cases" the authors examined
clinical details of three cases in accordance with
National Cancer Institute (NCI) Best Case Series
guidelines (16). Tumor pathology was verified by
pathologists at the NCI who were unaware of
diagnosis or treatment.
Case #1
The first case involved the regression of pulmonary
metastatic renal cancer in a patient who had received
high-dose intravenous vitamin C therapy and no
orthodox cancer therapies. The patient declined
conventional cancer treatment and instead chose to
receive high-dose vitamin C administered
intravenously at a dosage of 65 g twice per week
starting in October 1996 and continuing for 10
months. She also used other alternative therapies,
including: thymus protein extract, N-acetylcysteine,
niacinamide and whole thyroid extract. In June 1997
chest radiography results were normal except for one
remaining abnormality in the left lung field, possibly a
pulmonary scar. The patient died at the end of 2002
from lung cancer. She was a long-standing cigarette
smoker.
Case #2
The second case involved a 49-year-old man with a
primary bladder tumor with multiple satellite tumors
extending 2-3 cm around it. The following is an
excerpt from the article: "The patient declined systemic
or intravesical chemotherapy or radiotherapy and
instead chose intravenous vitamin C treatment. He
received 30 g of vitamin C twice per week for 3
months, followed by 30 g once every 1-2 months for 4
years, interspersed with periods of 1-2 months during
which he had more frequent infusions.
Histopathologic review at the NIH revealed a grade 3/3
papillary transitional cell carcinoma invading the
muscularis propria. Now, 9 years after diagnosis, the
patient is in good health with no symptoms of
recurrence or metastasis. The patient used the
following supplements: botanical extract, chondroitin
sulfate, chromium picolinate, flax oil, glucosamine
sulfate, á-lipoic acid, Lactobacillus acidophilus and L.
rhamnosus and selenium."
Case #3
The third case involved a 66-year-old woman who was
diagnosed in January 1995 with a diffuse large B-cell
lymphoma. The following is an excerpt from the
article: "The patient's oncologist recommended local
radiation therapy and chemotherapy. Although she
agreed to a 5-week course of local radiation therapy,
the patient refused chemotherapy, electing instead to
receive vitamin C intravenously. She received 15 g of
vitamin C twice per week for about 2 months, 15 g
once to twice per week for about 7 months, and then
15 g once every 2-3 months for about 1 year.In late
April 1995 a new left cervical lymph node was
detected, and histopathologic review identified a
biopsy specimen as identical to the original tumor.
The patient once again refused chemotherapy and
continued her program of intravenous vitamin C
injections...Intravenous vitamin C therapy continued
through late December 1996, at which time the patient
was in normal health and had no clinical sign of
lymphoma. The patient remains in normal health 10
years after the diagnosis of diffuse large B-cell
lymphoma, never having received chemotherapy. The
patient used additional products: â-carotene,
bioflavonoids, chondroitin sulfate, coenzyme Q10,
dehydroepiandrosterone, a multiple vitamin
supplement, N-acetylcysteine, a botanical supplement
and bismuth tablets...Patients with untreated stage III
diffuse B-cell lymphoma have a dismal prognosis.
This case, like the preceding one, is unusual in that
the patient refused chemotherapy, which might have
produced a long-term remission. It appears,
nonetheless, that a cure occurred in connection with
intravenous vitamin C infusions."
Although these case histories by themselves are
insufficient to prove that vitamin C is an effective
treatment for cancer, in the words of the authors,
these histories "increase the clinical plausibility of the
notion that vitamin C administered intravenously might
have effects on cancer under certain circumstances.
(17)"
Clinical Pharmacokinetics and In Vitro Cancer-
Specific Cytotoxicity
The number of peer reviewed journal articles
continues to grow that describe the clinical
pharmacokinetics and in vitro cancer-specific
cytotoxicity of vitamin C. For example, an article
published in the Annals of Internal Medicine set out
the pharmacokinetics of intravenous vitamin C (18);
another article in the journal Nature discussed how
vitamin C preferentially killed melanoma cells (19);
and there have been several articles in Anticancer
Research(20), and Oncology (21) that described how
ascorbate killed various other cancer cell lines in vitro.
Vitamin C and Collagen
You may recall that Drs. Cameron and Pauling
pointed out that Vitamin C could increase the number
of collagen fibrils made. In the last 20 years
biochemists have described the molecular basis of
scurvy and in doing so have helped us understand
how vitamin C and collagen are related. Apparently
vitamin C plays a role in collagen metabolism by
acting as a cofactor in the enzymatic reactions
involved in the hydroxylation of praline and lysine.
Without this hydroxylation, proper aligned stable
helices of the alpha chains are not formed, so the
procollagen that is formed is unstable and degraded
(22).
May Prolong Life
Vitamin C has many roles that may be associated with
fighting cancer including: acting as an anti-oxidant and
scavenging free radicals, supporting the various
immune cells, modulating cell growth and
differentiation, helping to synthesize carnitine which is
essential for the transport of fat to mitochondria, and
possibly even strengthening collagen. Perhaps Dr.
Pauling and his colleagues were right that vitamin C
is a benefit to cancer patients so we will conclude with
their words, "Vitamin C is not a miraculous cure for
cancer, but...it significantly prolongs the life of the
cancer patient...We believe that supplemental
ascorbate can be of real help to all cancer patients
and of quite dramatic benefit to a fortunate few.(23)"
End Notes
1 See for example: Pauling L., "Evolution and the need
for ascorbic acid" Proc Natl Acad Sci 1970 Dec;67
(4):1643-8. Available at:
http://www.pubmedcentral.nih.gov/picrender.fcgi?
artid=283405&blobtype=pdf And see Pauling L., "The
significance of the evidence about ascorbic acid and
the common cold" Proc Natl Acad Sci 1971 Nov;68
(11):2678-81 Available at:
http://www.pubmedcentral.nih.gov/picrender.fcgi?
artid=389499&blobtype=pdf
2 Ewan Cameron and Linus Pauling, "Cancer and
Vitamin C" 1979; see also original research -
Cameron E, Pauling L. "Supplemental ascorbate in
the supportive treatment of cancer: Prolongation of
survival times in terminal human cancer" Proc Natl
Acad Sci 1976 Oct;73(10):3685-9. Available at:
http://www.pubmedcentral.nih.gov/picrender.fcgi?
artid=431183&blobtype=pdf
3 Ewan Cameron and Linus Pauling, "Cancer and
Vitamin C" 1979; see also original research -
Cameron E, Pauling L. "Supplemental ascorbate in
the supportive treatment of cancer: reevaluation of
prolongation of survival times in terminal human
cancer." Proc Natl Acad Sci 1978 Sep;75(9):4538-42.
Available at:
http://www.pubmedcentral.nih.gov/picrender.fcgi?
artid=336151&blobtype=pdf
4 Moertel CG, et al., "Failure of high-dose vitamin C
(ascorbic acid) therapy to benefit patients with
advanced cancer. A controlled trial" N Engl J Med.
1979 Sep 27;301(13):687-90. Moertel CG, et al., "High-
dose vitamin C versus placebo in the treatment of
patients with advanced cancer who have had no prior
chemotherapy. A randomized double-blind
comparison" N Engl J Med. 1985 Jan 17;312(3):137-
41.
5 Ewan Cameron and Linus Pauling, "Cancer and
Vitamin C" 1979, pp. 142-3.
6 See for example: Duarte TL, Lunec J. "When is an
antioxidant not an antioxidant? A review of novel
actions and reactions of vitamin C." Free Radic Res.
2005 Jul;39(7):671-86.
7 See for example: Tannenbaum SR, et al., "Inhibition
of nitrosamine formation by ascorbic acid." Am J Clin
Nutr. 1991 Jan;53(1 Suppl):247S-250S.
8 See for example: Hernanz A, et al., "Effect of age,
culture medium and lymphocyte presence on
ascorbate content of peritoneal macrophages from
mice and guinea pigs during phagocytosis" Int Arch
Allergy Appl Immunol. 1990;91(2):166-70.
9 See for example: Heuser G and Vojdani
A.. "Enhancement of natural killer cell activity and T
and B cell function by buffered vitamin C in patients
exposed to toxic chemicals: the role of protein kinase-
C" Immunopharmacol Immunotoxicol. 1997 Aug;19
(3):291-312.
10 See for example: Mitsumoto Y, et al., A long-lasting
vitamin C derivative, ascorbic acid 2-phosphate,
increases myogenin gene expression and promotes
differentiation in L6 muscle cells.Biochem Biophys
Res Commun. 1994 Feb 28;199(1):394-402.
11 See for example: Mitsuzumi H, et al., "Requirement
of cytokines for augmentation of the antigen-specific
antibody responses by ascorbate in cultured murine T-
cell-depleted splenocytes." Jpn J Pharmacol. 1998
Oct;78(2):169-79.
12 Padayatty SJ, and Levine M. "Reevaluation of
ascorbate in cancer treatment: emerging evidence,
open minds and serendipity." J Am Coll Nutr. 2000
Aug;19(4):423-5. Available here:
http://www.jacn.org/cgi/reprint/19/4/423
13 Padayatty SJ, and Levine M. "Reevaluation of
ascorbate in cancer treatment: emerging evidence,
open minds and serendipity." J Am Coll Nutr. 2000
Aug;19(4):423-5. See p. 423. Available here:
http://www.jacn.org/cgi/reprint/19/4/423
14 Padayatty SJ,et al., Vitamin C pharmacokinetics:
implications for oral and intravenous use. Ann Intern
Med. 2004 Apr 6;140(7):533-7. Available here:
http://www.annals.org/cgi/reprint/140/7/533.pdf
15 Ralph W. Moss, The Cancer Industry 1989 p. 224.
16 Padayatty SJ, et al., "Intravenously administered
vitamin C as cancer therapy: three cases." CMAJ.
2006 Mar 28;174(7):937-42. Available here:
http://www.pubmedcentral.nih.gov/picrender.fcgi?
artid=1405876&blobtype=pdf
17 Padayatty SJ, et al., "Intravenously administered
vitamin C as cancer therapy: three cases." CMAJ.
2006 Mar 28;174(7):937-42. See p. 940.
18 Padayatty SJ,et al., Vitamin C pharmacokinetics:
implications for oral and intravenous use. Ann Intern
Med. 2004 Apr 6;140(7):533-7. Available here:
http://www.annals.org/cgi/reprint/140/7/533.pdf
19 Bram S, et al., "Vitamin C preferential toxicity for
malignant melanoma cells" Nature 1980;284:629-31.
20 Leung PY, et al., "Cytotoxic effect of ascorbate and
its derivatives on cultured malignant and
nonmalignant cell lines" Anticancer Res1993;13:475-
80.
21 Benade L, et al., Synergistic killing of Ehrlich
ascites carcinoma cells by ascorbate and 3-amino-
1,2,4,-triazole. Oncology 1969;23:33-43.
22 See for example: Davidson, V and Sittman D, The
National Medical Series for Independent Study -
Biochemistry 3rd Edition 1994, p. 316.
23 Ewan Cameron and Linus Pauling, "Cancer and
Vitamin C" 1979 p. 130.
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