顯示具有 化療 標籤的文章。 顯示所有文章
顯示具有 化療 標籤的文章。 顯示所有文章

2017/3/14

惡性攝護腺癌治療的新發展

                                                 Grayscale Photography of Man Sitting on Grass Field
英國倫敦大學科學家在開發一種注射劑來治療最惡性的攝護腺癌,這種癌症治療沒有化療或放療的副作用的治療方法。

科學家已經知道
如果
癌細胞一個NAALADL2的分子是高度表現的,那這個病人的攝護腺癌比其他攝護腺癌病人,治療後有高兩倍癌症復發的機率。

倫敦大學的科學家嘗試將一個化療藥物Saporin接在一個抗體上,針對攝護腺癌的細胞表現高NAALADL2的,藥物能更精準的殺死癌細胞,但不傷害其他細胞而引起的副作用。


UCL科學家希望在三年內開發注射劑,並在未來五到十年內開始測試。

喜悅健康診所張明志醫師表示,目前腫瘤界較夯的議題是精準治療,針對不同的危險因子、病理亞型或特殊的基因表現,做出癌變訊息之阻斷,加速癌細胞凋之。另一方面的大膽突變則是增加病人身上之腫瘤免疫能力,以加強自然殺手細胞或樹狀突細胞之免疫指揮調度能力。然而兩者相較會罹癌者,咸信其免疫能力有缺陷,即使經由各種免疫調控,大概只有20%,頂多到30%病患會產生免疫增強反應而達成控制腫瘤延緩惡化,其中少數人有長期活之療效,多數人付出代價但沒有相對的療效。

張明志醫師又指出,Oncotarget腫瘤標靶的治療不同於EGFR、VEGF等上皮細胞或血管內皮接受器之阻斷,後者是增生訊息之阻斷,間接抑制癌細胞之生長,前者可以直接摧毀、消滅腫瘤。本文指出有40%攝護腺癌病人屬於積極侵襲性,分裂生長快,所以在初期控制住攝護腺癌(如切除、放療、賀爾蒙去勢)後,不應只有觀察,而是藉由NAALADL 2分子(存在於侵襲型的攝護腺細胞上)接上毒藥Saporin,直接對準殘存體內未被偵測到的癌細胞。理論上如此可以延長病人存活,減少復發。約三年可以在實驗室發展出來,十年間可透過大型臨床實驗證實這種理論。

事實上已有多篇論文發表過,人體攝護腺癌有老鼠有的MDM2腫瘤基因,可調整P53、P21、Bax、E2F1等抑癌基因,藉由抑制MDM2表現如RNA層面的anti-sense therapy(抗基因對應療法,如拉鍊不對位,拉不起來)。這些都是寡核苷酸分子,將來可能問市,目前麻省理工學院已有領先成果。

2017/3/3

讓腫瘤餓個短暫幾天:禁食可以加強對抗癌症治療

陳駿逸醫師
科學家認為,進行拯救生命的癌症化療時合併禁食治療的患者,會有更少的化療副作用。
但是,在分析先前的研究時,對於確定禁食是否有助於戰勝癌症,以及有多少病人可以受益,大規模的研究是至關重要的。
澳大利亞布里斯班昆士蘭大學的著名醫學科學研究員Veronique Chachay博士說:“禁食肯定適用於部分癌症患者,但並不是所有人。”
荷蘭萊頓大學醫學中心的Hanno Pijl博士的研究團隊在BMC癌症雜誌上發表了驚人的研究結果:
“短期禁食可以保護健康細胞免受化療的副作用,使癌細胞更容易受到傷害。”



Starving Tumors: Fasting Boosts Cancer-Fighting Therapies
By Chris Pritchard 


Life-saving cancer-fighting chemotherapy works better with fewer side-effects in patients who combine treatment with fasting, medical scientists believe.
But, in analyzing pilot studies, they caution larger-scale research is vital to determine just how fasting helps combat cancer and how many patients can be helped.
“Fasting certainly works for some cancer patients — but not for all,” says Dr. Veronique Chachay, a prominent medical science researcher at Australia’s Brisbane-based Queensland University.
She tells Newsmax Health many scientific studies on the topic have been promising.
Among these studies is one by a team at The Netherlands’ Leiden University Medical Centre. It was led by a professor there who is one of that European nation’s leading medical researchers, Dr. Hanno Pijl.
Pijl’s team’s published its research in a in a peer-reviewed journal, BMC Cancer - with this startling conclusion: Evidence indicates “short-term fasting protects healthy cells against side-effects of chemotherapy and makes cancer cells more vulnerable to it.”
Chachay explains that cancerous cells are fueled by glucose — a type of sugar — that helps drive their energy metabolism, rapid growth, and resistance to chemotherapy.
“Under low blood-glucose conditions, cancer cells are in effect being starved, becoming more vulnerable to chemotherapy,” Chachay notes. “Over the past two decades, research in animals has shown restricting calories — with alternating periods of fasting and feeding — promotes protection mechanisms for healthy cells while increasing white blood cells that kill cancer cells, she continues.
“Further animal studies and early trials in humans confirmed short-term fasting prior to, and after, chemotherapy treatment reduced side-effects. It also protected healthy cells from the toxicity of the (chemotherapy) drug while killing cancerous ones.
Chachay says cancerous cells’ propensity to “thrive on glucose” was first demonstrated in the 1950s by a German physiologist named Dr. Otto Warburg.
“He also showed they (cancerous cells) were unable to use fatty acids efficiently for energy or at all,” Chachay notes.
“This idea of cancer being a disease reliant on rapid glucose metabolism has reemerged recently.”
In the Dutch study, short-term fasting was shown to be safe and well-tolerated.
Breast cancer patients received their normal chemotherapy drugs after 24 hours’ fasting during which they were allowed only water, tea or coffee.
“Patients who fasted did considerably better than those in a control group who didn’t fast,” says Chachay

No limits were placed on the amount of water, hot tea or coffee (without cream or sugar) patients could consume.
Chachay notes another animal study suggests restrict diets may help combat neuroblastoma — a common childhood where cancer cells congregate in nerve tissue of adrenal glands, chest, neck, or spinal cord. Neuroblastoma is ranked the third most common childhood cancer after leukemia and cancer of the central nervous system.
Chemotherapy generally involves breaks between courses of cancer-fighting medication. Patients in the Dutch study had 24-hour fasts before and after these.
The Leiden researchers, who confined themselves to breast cancer, noticed long-term fasting reduces “spontaneous cancer incidence and delays progression of tumors in animal tests.”
But, they added: “Chronic calorie restriction is not practical for clinical use since it causes unacceptable weight loss in cancer patients. However, brief periods of fasting may be feasible in patients and . . . were shown to slow cancer growth at least as effectively as chronic calorie restriction without compromising body weight.”
According to Chachay, other studies have shown short-term fasting makes chemotherapy more effective and lessens side-effects in some, but not all, other types of cancer. Among these are brain cancers.
She adds that further research is needed “involving more people and a greater variety of cancers. However, there’s already strong evidence that short-term fasting helps chemotherapy do its job and is also very effective in reducing side effects.”
As Chachay points out, side effects are sometimes so severe that patients abandon potentially lifesaving treatment.
“The aim of ongoing research is two-fold: improving the effectiveness of chemotherapy and reducing the level of side effects,” she says. “The outlook is very promising.”

癌症不是絕症! 把握癌症早期及全面篩檢、整合醫院及診所的癌症治療專業與資源,以精準的標靶及放射治療、免疫治療,結合個人化、身心並重的的自然及能量療法的「全面性癌症治療模式」,實現整體性癌症治療的效果!