Doxycycline treatment for breast cancer in early stages

Dieser Artikel ist Teil der Onkologie-Sonderausgabe 2019 von Zeitschrift für Naturheilkunde. Lies das vollständige Ausgabe hier. Bezug Scatena C, Roncella M, Di Paolo A, et al. Doxycyclin, ein Inhibitor der mitochondrialen Biogenese, reduziert effektiv Krebsstammzellen (CSCs) bei Brustkrebspatientinnen im Frühstadium: eine klinische Pilotstudie. (Link entfernt). 2018;8:452. Zielsetzung Diese klinische Pilotstudie untersuchte, ob eine kurzzeitige präoperative Behandlung mit Doxycyclin die Aktivität von Krebsstammzellen (CSC) bei Brustkrebspatientinnen verringerte. Teilnehmer Insgesamt nahmen 15 Frauen mit Brustkrebs im Frühstadium teil. Neun Patientinnen erhielten Doxycyclin über einen Zeitraum von 14 Tagen zwischen Brustbiopsie und Lumpektomie. Sechs Proben nach Lumpektomie wurden als Kontrollen verwendet (keine Behandlung). …
This article is part of the ONCOLOGY SELLOUSE 2019 magazine for naturopathy. Read the full edition here. Cover scatena c, roncella m, di Paolo a, et al. Doxycycline, an inhibitor of mitochondrial biogenesis, effectively reduces cancer stem cells (CSCs) for breast cancer patients in early stages: a clinical pilot study. (Link away). 2018; 8: 452. Objective This clinical pilot study examined whether a short -term preoperative treatment with doxycycline reduced the activity of cancer stem cells (CSC) in breast cancer patients. Participants took part in 15 women with breast cancer in the early stage. Nine patients received doxycycline between the breast biopsy and lumpectomy over a period of 14 days. Six samples after lumpectomy were used as controls (no treatment). ... (Symbolbild/natur.wiki)

Doxycycline treatment for breast cancer in early stages

This article is part of the ONCOLOGY SELLOUSE 2019 of magazine for naturopathy . Read the full edition here.

reference

scatena c, roncella m, di Paolo a, et al. Doxycycline, an inhibitor of mitochondrial biogenesis, effectively reduces cancer stem cells (CSCs) for breast cancer patients in early stages: a clinical pilot study. (Link away). 2018; 8: 452.

objective

This clinical pilot study examined whether a short -term preoperative treatment with doxycycline reduced the activity of cancer stem cells (CSC) in breast cancer patients.

participant

A total of 15 women with breast cancer took part in the early stages. Nine patients received doxycycline between the breast biopsy and lumpectomy over a period of 14 days. Six samples after lumpectomy were used as controls (no treatment). Controls were selected from women who matched age and clinical characteristics well.

In the doxycycline treatment group, the patient age was between 42 and 65 years, the tumor size varied between 10 and 30 mm, and 7 out of 9 patients were estrogen receptor (ER+), with 6 subtype and one of the Luminal-B-Subtyps. Six out of 9 patients were 2 or intermediary in AI-67. In addition, there were 2 patients from the Her2 (+)-subtype

Intervention

The women received an oral 200 mg doxycycline per day 14 days before the operation, with a breast biopsy serving as the initial value.

target parameter

The tests were carried out on the biopsy and rehearsals after the resection of each participant, and comparisons between the measurements for each sample were made. All samples were tested on well -known biomarkers for "Stemness" (CD44, ALDH1); Mitochondria (Tomm20); Cell proliferation (KI-67, P27); Apoptosis (split caspase-3); and neoangiogenesis (CD31). Changes from the starting value to post-treatment were rated with MedCalc 12 (unpaired T-Test) and Anova.

important knowledge

Post-Doxycyclin tumor samples showed a statistically significant decrease in the stemness marker CD44 ( p <0.005) compared to tumor samples before doxycycline. The CD44 levels were reduced by 17.65 % to 66.67 % in 8 of 9 patients treated with doxycycline. A patient showed a 15%increase in CD44. Overall, this corresponds to a positive return rate of almost 90 %. Similar results were received for ALDH1, another marker for stemness.

From the time of biopsy to resection, there were no changes in any of the biomarkers that were measured in the rehearsals of the control group, so the biopsy itself probably has no effect on measuring the stemness.

practice implications

It is known that cancer stem cells give treatment resistance and possibly cause the tumor itself. How Dawood and colleagues summarized in a review on this topic in 2014:

"Cancer stem cells were identified in a number of solid tumors, including breast cancer, brain tumors, lung cancer, colon cancer and melanomas. Cancer stem cells have the ability to renew themselves, descends that differ from them and to use common signal paths. The source of all tumor cells present in a malignant tumor, the reason for the resistance to the chemotherapeutic agent used to treat the malignant tumor and the source of cells that lead to distant metastases. ”

In order to understand the implications of these results, we should look at some of the earlier work that these researchers published before this study.

In 2015, Michael Lisaanti reported that antibiotics that aim at mitochondria can exterminate cancer stem cells for several types of cancer. In other words, it is possible to "treat cancer like an infectious disease". 2 They first examined cancer stem cells from several types of tumor and "identified a preserved phenotypical weak point - a strict dependency on the mitochondrial biogenesis for the clonal expansion and the survival of cancer cells".

The simple addition of vitamin C and Berberin during treatment with doxycycline could increase the anti -cancer effect.

Your analysis showed that mitochondria of stem cells could be the Achilles heel of stem cells. In the awareness that several classes of antibiotics inhibit the mitochondrial biogenesis, they next identified a list of medication, the cancer stem cells in 12 different cancer cell lines and over 8 different types of tumor (i.e. breast, ducales carcinoma in sit, eggstop, prostate, lung), pancreatic, melanoma, melanoma, melanoma, Glioblastom). 2 In the same year, these researchers DOXYCYCLIN identified as the preferred drug to combat mitochondria of cancer stem cells.

The US Food and Drug Administration first approved Doxycyclin as a broadband antibiotic in 1967. The standard dose is 200 mg/day. Remember that mitochondria are offspring in the evolutionary sense and remain sensitive to antibiotics that are used more often to inhibit bacterial growth.

doxycycline is already used to treat infections in cancer patients, and there are case reports on unexpected remissions, especially in lymphomas. 5.6

described in April 2017 Zhang et al. The effect of doxycycline when inhibiting the transitional steps from stem cell phenotypes to breast cancer.

In June 2017, this research took a turn that will find many of us fascinating: The group of Lisantis reported that the effect of doxycycline in combination with vitamin C and Berberin in Vitro is optimized. (The breast cancer patients in the study checked here only received doxycycline. Vitamin C and Berber were not included in the study protocol.) Doxycycline is so effective in the oppression of cancer stem cell populations that it creates high selection pressure that synchronizes the surviving cancer cell to a predominantly glycolytic Phenotype, which leads to metabolic inflexibility. They identified 2 natural substances (ie vitamin C, Berberin) and 6 clinically approved medication (i.e. Atovaquon, Irinotecan, Sorafenib, Nicloroquin, Chloroquin, Stiripentol) that aim to do the doxycycline-resistant CSC population. This combination strategy eliminates surviving cancer cells, according to the researchers "a simple pragmatic solution for the possible development of a doxycycline resistance in cancer cells". 8 This earlier in-vitro work indicated that Doxycyclin not only inhibits CSCs, but may be best is combined that use the metabolic inflexibility, such as vitamin C and Berberin. 8

In view of these previous publications,

the small clinical study, which is discussed in this review, was published. This pilot study suggests that Doxycyclin can reduce the "tribes" of tumors in women with breast cancer in frequently prescribed doses.

These results indicate effectiveness, but do not prove. The observed significant decrease in "stemness" is not proof that Doxycyclin reduces the risk of a new occurrence or a slow progression of advanced cancer in the real world. In view of DOXYCYCLIN's security profile, however, it is tempting to apply this treatment strategy before final evidence is published. It is noteworthy that a publication of April 2019 indicated that the addition of azithromycin could further improve the effectiveness of a combination of doxycycline and vitamin C.

These publications suggest some obvious implications. Patients occasionally take treatment with doxycycline for the treatment of infections. This could be a useful opportunity. The simple addition of vitamin C and Berber during treatment with doxycycline could increase the anti -cancer effect. There is no published evidence that this reduces the risk of cancer or recurring, but could it harm?

Such prophylaxis could be particularly useful in patients who were previously treated for cancer and in our opinion, whose recurrence is caused by cancer stem cells. Glioblastoma and ovarian cancer come to mind.

In recent years, some practitioners have promoted treatment strategies that are the opposite of Lisantis approach. The consideration is that mitochondrial damage is responsible for the progression of cancer, and therefore dietary supplements that have been selected to repair mitochondrial damage should be an advantage. 10 These two approaches are in such direct contrast to each other that both ideas cannot be true. It is possible that the prevention of cancer contains the preservation of mitochondria, while the presence of an established cancer should be regarded as a significantly different condition for the cells and their mitochondria.

In an article in August 2019, oxidative phosphorylation itself is identified as a potential therapeutic goal for cancer therapy. Based on published evidence that are available at this point, Lisanti's argument that mitochondrial biogenesis attacks is convincing as soon as cancer stem cells are present. It is certainly better proven than all suggestions that the nutrition and promotion of mitochondrial biogenesis is useful, even if the latter appears philosophically more congruent to Medicatrix Naturae .

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