Prostate

Evidence is continuously growing that adding certain supplements, over the counter drugs and dietary functional foods radically improves treatment and reduces risks with prostate cancer. Amazingly, many of the items here show more impact than new emerging oncology drugs can, and of course thats while reducing serious side effects rather than introducing new ones.

Low dose aspirin improves prostate cancer outcomes, including during radiotherapy and surgery such as radical prostatectomy. Evidence shows at least a third lower progression risks, and above 50% lower relative risk of recurrence for more aggressive tumor types. Data from analysis of large scale patient records have similar findings, approximately half the risk of progression. Benefits during early stage disease are lower, but in all stages there is reduction in all cause risk levels too. Research into statin use has similar results. Abnormally high lipid activity is clearly shown to increase both resistance and disease progression, and statins can reduce this. Atorvastain is the most researched, where a prescription is lacking red yeast rice is the natural source of lovastatin. There are also similarities in patient data studies for H1 anti-histamine use. Better outcomes are reported for desloratadine in national patient databases that show lower risk for progression. Some studies show the benefits are larger in those having used these drugs for allergies.

For about half of patients, early stage progression can be slowed by coffee consumption. For those with the so called “fast” metabolizing genotype, around 3 standard 8oz cups daily showed lower progression rates in patients. The other half having “slow” caffeine uptake reported negative tendencies at moderate to high levels. Green coffee extracts only contain a fraction of the caffeine, and much higher concentrations of the active compounds driving insulin and inflammation reductions proposed in these studies, so they are useful here as complements to regular coffee.

Derived from the white pulp of citrus fruits, citrus pectin targets processes used by prostate cancer to increase growth, so called galectin-3 signaling. Some recent impressive results in a phase II trial for relapsed localized disease are shown here, PSA doubling times are quadrupled with sustained use of citrus pectin. In some, higher blood levels of heavy metals such as copper are associated with disease progression. Citrus Pectin, especially combined with brown seaweed algyinates, can drop these levels by 3/4 and at least one case study reports long term remission from this detoxification. Similar research on Fermented Wheatgerm including recent clinical interventions have also reported slowing of progression in around 2/3 of patients with more sustained stable disease results for some.

The extensively researched well proven chinese herbal supplement, danshen, has impressive evidence from national patient records analysis in Tiawan. Danshen was added to standard western oncology, seen in prescription use by 5 to 10 percent of cases. The headline reported risk reduction is 5 to 10%. But the actual data itself shows a larger effect, for instance risk reductions on 12 year mark for those with sustained use were around 36%. The lab studies alongside the data make a compelling case for danshens anti-metastatic action.

Higher levels of circulating Vitamin D3 are reported to reduce risks of progression, and higher doses showed more benefit in studies on patient data. Confirmation via high dose intervention trials are still pending, but 2/3 of patients under active surveillance had significant benefit at only 4000 IU/ 100ug. Other research clearly showed highest suppression of cancer activity in the prostate at 10,000 IU/250ug. These levels can easily be reached with supplements or sunshine and studies in other cancers frequently suggest trials in much higher doses.

White button mushroom supplements at a few grams daily are reported to improve oncology outcomes in over a third of relapsed patients in a recent trial – now moving to phase II. Around 10% saw long term stable results for 3-5 years. Strong lab work provides credible evidence this supplement might enhance immunotherapy. Other research reported similar effects from beta glucans, supplements derived from mushrooms or yeast. Healthy gut microbiome and in particular levels of akkermansia have recently been linked to successful androgen deprivation therapy. There are similar findings with tree nut – especially walnut – consumption and a common factor may be levels of urolithin a as a natural way to re-balance akkermansia and other important gut bacteria. In research here, the researchers find akkermansia effects depend on reduced gut inflammation from inosine. So they suggest directly supplementing with inosine might be explored.

Levels of fatty acids , medium chain acylcarnitines, are reported to be linked with increased metastatic spread. These same fatty acids in anti-aging studies are reduced by use of urolithin a supplements, which is in phase I trials for prostate cancer use during surgery. These can also help increase akkeramansia gut bacteria to regulate tryptophan metabolism, which is reported as increasing lymph node progression. Long chain acylcarnitines had positive effects, typically increased by dietary nuts, oily fish and so on.

Oat and egg derived functional foods can increase anti-inflammatory compounds that reduce tissue fluid pressure. Most solid tumors have increased internal and local pressure that helps them both resist oncology drugs and increase metastatic activity including to the lymph nodes. There are other interesting benefits from soy isoflavones and flaxseed functional foods (see Foods Library).

Systemic inflammation is linked with increased risks for progression, especially in later stages. Both acute type inflammatory responses measured by C-reactive protein, and immune system related neutrophil-to-lymphocyte ratios. Maintaining relatively lower levels of both make a substantial difference. Luteolin is a strong anti-inflammatory available in dietary sources and supplements with some compelling recent evidence for slowing early stage progression. Commonly used and well proven astragalus root has evidence of improving immune system balance and NLR while curcumin and other other functional foods including garlic can help bring down CRP. 

The so called Th1/Th2 immune system balance is strongly linked to the progression and to treatment resistance. Molecular iodine solutions are emerging in this area in breast cancer management and seen boosting Th1 anti tumor activity and helping suppress over active Th2 used in resistance. The has improved results in surgery plus chemotherapy and may support increased response immunotherapy (see Supplement Library). For immunotherapy the presence of high sodium levels is now identfied as a key marker for success in other cancers. Also in other cancers, AM treatment programs are substantially more effective that PM/evening sessions

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Aspirin has strong evidence for reducing progression and spread

  • Significantly lowered recurrence rates following radical prostatectomy with aspirin use
  • Overall risk reduced 36% and 55% in more aggressive prostate cancer cases
  • Similar data are seen in radiotherapy and broad population studies (see Analysis)

The use of two matching methods helped to reduce the risk of bias, making the present study valuable in terms of demonstrating the tumor-suppressive effect of aspirin on PCa even in the era of robotic surgery…In conclusion, aspirin may have beneficial effects in terms of BCR-free survival after RARP, even in groups with high recurrence rates, such as those with ISUP grade ≥ 4. The findings of this study provide a rationale for conducting prospective studies of the prognostic impact of low-dose aspirin in patients with PCa, particularly those at high risk of poor prognosis.

Coffee show surprising risk reducing effects from dietary survey data including some prostate cancer patients

  • About half of patients saw substantial benefit at 3 cups daily, around 60% risk reduction
  • Study highlights crucial importance of easily tested “coffee metabolizer” genotype
  • High consumption 4 servings or more was not beneficial in any group for prostate cancer

..we evaluated the effect of patient genotype at the rs762551 SNP and associations of coffee intake and grade progression among a subset of 346 patients with available genotype data. Among patients with an AA (fast metabolizer15) genotype, low to moderate coffee intake (up to 3 cups/day, as compared to 0 cups) was associated with significantly improved PFS (HR 0.36). Among patients with the AC/CC (moderate/slow) genotype, higher coffee intake appeared to be associated with increased risk.. We cannot rule out potential increased risk of progression among heavy coffee drinkers and some sensi...

Citrus Pectin removes heavy metals such as copper and has its own anti-cancer mechanisms

  • Sustained use over 18 months shows PSA doubling times increased 4X to over 40 months
  • 85% have long term response of whch 62% decreased or stable progression measured by PSADT
  • Especially patients with with poor risk assessment show major improvements vs controls

Herein, we reported continuation of a durable benefit after 12 more months of therapy in this cohort, with 85% of patients having a durable long-term response, 62% a decreased/stable PSA (versus baseline pre-treatment PSA), 90% a PSADT improvement (versus pre-treatment PSADT), and all with negative scans.,,, Furthermore, most (95%) of the patients in the present study improved or kept to their PSADT risk grouping. Especially, all patients with a baseline pre-treatment poor PSADT risk, improved their risk grouping. Finally, the benefit of long-term P-MCP therapy was shown without significant...

Fermented Wheatgerm has more studies in prostate cancer, mostly the avemar branded products

  • Recent pilot study in relapsed patients reported 2/3 having reduced PSA doubling times
  • Of the group, 1/4 had significantly extended progression free outcomes
  • 1/5 of the patient group had measurable improvements in quality of life

We tested the nontoxic, readily available, inexpensive FWGE, together with the conventional treatment, GnRH analogue, in 36 CRPC patients. Although this is a pilot study, with the drawback of a statistically small sample size, some anticancer clinical activity of FWGE could be seen in the CRPC patients, as measured by prostate specific antigen doubling time (PSADT). We found that the intake of GnRH with FWGE for at least 4 months, improved the overall health as well as the quality of life (QOL) in 4 patients (11%) and was instrumental in extending the PSADT in about 17 (out of 26) patient...

Danshen evidence from patient records is compelling in both cancer and vascular health

  • Patients adding danshen to oncology reported with 10 to 20% lower progression risks
  • The absolute numbers comparing no use to highest use show 36% risk reductions
  • Pre-clinical studies make a strong case for the anti-metastatic activity of danshen

Moreover, DT inhibited the protein expression of p-STAT3 and decreased the translocation of STAT3 into nuclear chromatin. DT also suppressed the expression of tumor epithelial–mesenchymal transition genes, including RhoA and SNAI1. In conclusion, danshen can prolong the survival rate of prostate cancer patients in Taiwan. Furthermore, DT can inhibit the migration of prostate cancer cells by interrupting the crosstalk between prostate cancer cells and macrophages via the inhibition of the CCL2/STAT3 axis. These results may provide the basis for a new therapeutic approach toward the treatme...

Antihistamines have large scale analysis of case data supporting use in prostate cancer

  • National patient database records reveal 25% improved relative survival
  • Researchers identify desloratadine as the suitable H1 antihistamine for most
  • Confirmatory interventional trials are emerging in lung cancer with immunotherapy

 

Desloratadine use was associated with an improved survival for all immunogenic tumors, but not for the non-immunogenic ones. Loratadine use was associated with improved survival for some tumors. Use of the other antihistamines could not be shown to be consistently associated with improved survival to a statistically significant degree..Our hypothesis is that our findings result from immune checkpoint inhibition, and we believe both desloratadine and loratadine should be tested in randomized clinical trials

Vitamin D3 and its immune system health actions are key, higher doses being trialed in oncology

  • Multi-national analysis shows measurable and increasing benefits with dose levels
  • Up to 17% risk reductions in higher dose levels shown in some studies in this analysis
  • Confirmatory data comes from other similar studies and clinical interventions at 4000IU

 

The summary HR of prostate cancer-specific mortality correlated with an increment of every 20 nmol/L in circulating vitamin D level was 0.91. The HR for all-cause mortality with the increase of 20 nmol/L vitamin D was 0.91. Sensitivity analysis suggested the pooled HRs were stable and not obviously changed by any single study. No evidence of publications bias was observed. This meta-analysis suggested that higher 25-hydroxyvitamin D level was associated with a reduction of mortality in prostate cancer patients and vitamin D is an important protective factor in the progression and progno...

Walnuts are a rich source of urolithin A which is now in phase I trials for prostate cancer

 

  • Regular nut consumption, remarkably, is reported to significantly improve outcomes
  • The overal risk reductions for progression and overall mortality reach almost 40%
  • Walnuts are rich in urolithin-A which is now in phase I trials in US research

We observed a reasonably large, albeit non-significant, HR of 0.62 between post-diagnosis nut consumption and fatal outcome among PCa patients. This is consistent with a recent study that found an 18% lower rate of lethal PCa (HR, 0.82; 95% CI, 0.67–1.01) per daily serving increase of nut intake after diagnosis (Richman et al, 2013). In addition, our finding of a significant 34% rate reduction in overall mortality is consistent with other prospective studies, Richman et al, (2013) included, which have found inverse associations between nuts and mortality

Mushrooms and beta glucans protect and balance immune system activity improving outcomes

  • Over 1/3 of these relapsed patients got some benefit from a few grams daily
  • Around 10% were “responders” seeing 3 to 5 years of stable or controlled disease
  • Activation of immune response to tumor cells is shown to apply to immunotherapy

Thirty-six patients were treated; no DLTs were encountered. The overall PSA response rate was 11%. Two patients receiving 8 and 14 g/d demonstrated complete response (CR): their PSA declined to undetectable levels that continued for 49 and 30 months. Two patients who received 8 and 12 g/d experienced partial response (PR). After 3 months of therapy, 13 (36%) patients experienced some PSA decrease below baseline. Patients with CR and PR demonstrated higher levels of baseline interleukin-15 than nonresponders; for this group, we observed therapy-associated declines in MDSCs

Melatonin reduces progression risks and side effects especially in advanced stages

  • Overall risk reductions reported here in advanced stages are more than half
  • Analysis across cancer types seen effects averaging 37% lower progression risk
  • Emerging proof of effects during immunotherapy comes from kidney cancer research

In the group of patients with poor prognosis, we see the opposite picture. Multi-sided statistical analysis demonstrated a clear positive effect of melatonin administration on long-term survival rates. At a 5-year median follow-up, patients who received melatonin had an overall survival rate that, on average, was 13 months longer as compared to the control group. This conclusion was proven by a multi-factor analysis, where treatment with melatonin served as an independent predictive factor and reduced the risk of death in patients with PCa by more than 2 times. In a multivariate analysis, ...

Red Yeast Rice or where possible a prescription statin reduced progression and all-cause risks

  • Analysis of patient data across very differing studies
  • Relative risk reductions around 30% for prostate cancer
  • All cause mortality risk reduction 27% , on average findings

Our study represents, to our knowledge, the most comprehensive summary to date on the associations between statin therapy, androgen-ablative therapy, and prostate cancer. We observed a consistent overall and prostate cancer–specific survival advantage for statin users undergoing androgen-ablative therapies, independent of patient age, baseline metastasis status, prior use of chemotherapy, or primary treatment type. For overall mortality, the observed benefit was independent of hormone sensitivity status and type of androgen-ablative therapy. Conversely for PCSM, there was an incremental a...

Akkermansia is increasingly reported as improving immunotherapy results

  • 2024 study reports akkermansia found at higher levels in ADT responders
  • Results include a large 70% relative increase odds of reaching 2 years stable disease
  • Mechanism proposed is suppression of ADT related gut inflammation

In summary, we found that the increased AKK abundance and serum inosine level were associated with the more sensitive response to ADT in PCa. AKK secreted inosine to alleviate intestinal barrier damage and reduce serum LPS level, thereby inhibiting castration resistance through the LPS/NF-κB/AR axis. Furthermore, we established a predictive model for CRPC combining AKK and clinical indicators. In summary, this study revealed the pathological mechanism and provided potential therapeutic targets and prognostic indicators for CRPC.

Lactoferrin increases iron balance and reduces anemia rates, countering cancers use of iron

  • Levels of circulating iron stored as ferritin are linked to progression
  • This report shows clear trend of rising ferritin and rising PSA
  • Lactoferrin can bind ferritin in the gut and normalize levels

we found that prostate tissue ferritin levels were significantly higher in prostate cancer patients (n = 129) compared to BPH controls (n = 31). Prostate tissue ferritin levels were also highly correlated with serum ferritin when patients were classified by cancer severity (r = 0.81). Importantly, we found no correlation between serum ferritin levels and the inflammation marker C-reactive protein (CRP) in prostate cancer patients…serum ferritin is significantly associated with prostate cancer and may serve as a non-invasive biomarker to complement the PSA test in the diagnosis and pro...

Oat and egg based functional foods are entering early stage clinical trials for several cancers

  • Elevated fluid pressure is found in most solid tumors including prostate cancer
  • Lab studies here show how this pressure can increase spread to lymph nodes and bones
  • Reducing this pressure with functional foods has shown increased treatment response in other cancers

The bone-upregulated CXCR4 levels led to increased MMP-9 levels resulting in a high migration rate in the presence of bone. In addition, upregulated levels of αvβ3 integrins under fluid flow conditions contributed to an overall increase in the migration rate of PC3 cells. Overall, this study demonstrates the potential role of interstitial fluid flow in prostate cancer invasion. Understanding the critical role of interstitial fluid flow in promoting prostate cancer cell progression will enhance current therapies for advanced-stage prostate cancer and p...

Urolithin A has a phase I trial in prostate cancer surgery and helps counter cancers use of lipids

  • Medium chain acylcarnitines strongly linked to disease progression rates seen in PSA
  • Dysregulated amino acid also tryptophan reported to drive spread to lymph nodes
  • Urolithin-A can reduced these fatty acids metabolites, and help gut bacteria regulate tryptophan

Medium-chain acylcarnitines (C6-C12) were positively associated with the risk of PSA progression while long-chain acylcarnitines (C14-C16) were inversely associated with local and bone progression. In primary cases, medium-chain acylcarnitines were positively associated with suberic acid, which also correlated with the risk of PSA progression. In the metastatic samples, this effect was consistent for hexanoylcarnitine, L.octanoylcarnitine and decanoylcarnitine. Finally, functional experiments revealed a synergistic effect of long chain fatty acids in combination with dihydrotestosterone adm...

Luteolin pilot study recently reported slowing progression even at low dose levels

  • First evidence that luteolin slows prostate cancer progression over 6 month window
  • Reduced activity of Androgen Receptor, one patient lesions completely regressed
  • 50mg dose show no adverse events, higher doses might safely increase effects

We found that patients did not show AEs, suggesting luteolin treatment was safe. With regard to oncological outcomes, only two of the five patients studied showed disease progression as determined histologically, suggesting luteolin therapy was effective for PCA under AS..Daily oral supplementation with 50 mg luteolin for 6 months was found to be safe and may suppress PCA [prostate cancer] progression in patients under Active Surveillace via the attenuation of expression of AR [androgen receptor] and NKX3.1. (Both) miR-29 and miR-30 induced by luteolin have important roles in reducing AR an...

Astragalus actions include protecting and balancing immune responses often with clear effects reported

  • Immune related inflammation linked to risk in advanced stages
  • Lower Neutrophil-to-Lymphocyte ratio reduces risk by around a third
  • Relative risk for disease progression is halved with controlled NLR level

Our results demonstrated that elevated NLR could not predict the poor OS or RFS in patients with localized PCa. The localized PCa can be eradicated by radical prostatectomy or radiotherapy, and its prognosis is excellent. After radical treatment, most patients may not suffer from the PCa and die from other diseases in the end. We think that is why the prognostic role of NLR in localized PCa is negative. And for patients with mCRPC, an elevated pretreatment NLR was significantly associated with poor OS and PFS, respectively. Besides, our result was proved to be robust by sensitivity analysis...

Curcumin has evidence for reducing levels of systemic inflammation used by cancers

  • A large scale analysis over 13,000 patients outcomes and markers
  • Lower inflammation C-reactive protein CRP reduces risk 55%
  • Large improvements in overall and progression free survival

In this cohort study of 2062 men with prostate cancer, higher intake of plant foods after prostate cancer diagnosis was associated with lower risk of cancer progression. These findings suggest nutritional assessment and counseling may be recommended to patients with prostate cancer to help establish healthy dietary practices and support well-being and overall health…However, among 680 individuals with Gleason grade 7 or higher at diagnosis, the highest hPDI quintile was associated with a 55% lower risk of progression compared with the lowest hPDI quintile …no association was obs...

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