Non-Hodgkin

Treatment outcomes in lymphomas are heavily influenced by gut microbiota and the range and types of bacteria strains. Comparing patient case data has reported on how high diversity of gut bacteria improves stem cell therapy success results including reduced overall risks. Crucially, therapy failure is linked to poor gut microbiota and in particular deficiency or absence of blautia and akkermansia bacteria types. Some necessary oncology treatments reduce levels of these bacteria as do antibiotics.

Recent strudies have reported large advantages in having higher levels of vitamin D3. An active supplementation trial in Hodgkin Lymphoma  was able to correct D3 levels in about a quarter of patients, and reports over 60% improved recurrence free response during rituximab immunotherapy. This would be a much larger effect if comparing full normal levels with clearly deficient patients. Mechanisms around vitamin D3 differ slightly in Non Hodgkin but these studies are highly relevant.

Also with rituximab, significant numbers of previously and refractory treated patients have benefitted when yeast derived beta glucans have been added in oncology increasing the response rate to oncology drugs and increasing immune system activity in patients. Whilst these trials can be with patented compounds, many of the effects reported have also been seen in 1,3/1,6 beta glucan supplements. Successful treatment for lymphomas relies strongly on how quickly new white blood cells can be produced. The Nicotinamide Riboside variant of vitamin B3 has been extensively studied in anti-aging science for its ability to increase cellular mitochondrial health. Now, there are is remarkable pre-clinical evidence that this vitamin can substantially increase stem cell activity that drives production of new white blood cells. Related, nicotinamide B3 has reached phase II for reducing incidence of melanoma in leukemia patients.

Systemic acute type inflammation is associated with most cancers, and often measured with c-reactive protein. Supplements including curcumin, garlic and an anti-inflammatory functional food regime are all evidence based interventions. Re-balancing immune system inflammation levels, the neutrophil-to-lymphocyte ratio and improving low platelet count both reduce risks quite substantially. A natrual immune modulator, Astragalus has evidence of supporting both before and during oncology treatments.

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

For non hodgkin patients treated with tyrosine kinase inhibitors such as ibrutinib, a 2025 large analysis across nearly 1500 cases showed that stain use confers a risk reduction of over 60%. Its to be proven if this effect would be seen in the other 71% of patients who were not on statins, or a sub group of those. But a remarkable effect none the less.

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Akkermansia can be effectively increased with functional foods such as walnuts and oat glucans

  • Low or no akkermansia and blautia gut bacteria level linked with treatment failure
  • Oncology treatments and antibiotics both reduce levels and diversity of bacteria
  • Diversity of gut microbiota has extensive research linked to better prognosis

Lower microbial gene richness, a lower abundance of the genus Blautia, and a lower abundance of Akkermansia muciniphila, early post-aHSCT was observed in those who developed aGVHD. Myeloablative conditioning was associated with aGVHD along with a reduction in gene richness and abundance of Blautia and A.muciniphila. These results confirm low diversity and Blautia being associated with aGVHD. Crucially, we add that pretransplant conditioning [chemo/radiotherapy] is associated with changes in gut microbiota. Investigations are warranted to determine the interplay of gut microbiota and conditi...

Beta glucans protect and balance immune system activity improving outcomes

  • Including a pharma grade beta glucan boosts response rate about 50%
  • About a third of the patient group were “non responders” with rituximab alone
  • Significantly activates immune system response and enables greater drug activity

These IPD responses are not only important for the immune effector mechanisms required for combination with antitumor antibodies, like R, but also for the activity of immune checkpoint inhibitors. IPGG has been combined with pembrolizumab in solid tumors (NCT02981303), and pre- and on-treatment biopsies demonstrate increased M1-macrophage and activated T-cell tumor infiltration. These data support a trial exploring the triplet combination of R-IPGG with checkpoint inhibition in r/r indolent B-NHL.

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

  • A clinical intervention trial of high dose D3 with immunotherapy, level correction and during oncology
  • Over 90% initially insufficent, which was reduced to around 70%, high BMI limits serum D3 levels
  • Over 60% improved event free survival reported, and that was conservative

We analyzed the impact of 25(OH)D levels on event-free survival in patients treated with Rituximab… 25(OH)D levels below 20 ng/mL at diagnosis and IPI were independently associated with inferior EFS. Moreover, patients with normalized 25(OH)D levels following supplementation showed better EFS than patients with persistently deficient/insufficient 25(OH)D levels. Our study provides the first evidence that achievement of normal 25(OH)D levels after vitamin D3 supplementation is associated with improved outcome in patients with DLBCL and deficient/insufficient 25(OH)D levels when receivi...

Vitamin B3 in several forms shows protective effects in cancers

  • Vitamin B3 riboside variant accelerates activity of hematopoietic stem cells
  • Large protective effect in mouse model gave dramatically higher survival
  • B3 is widely available and has supporting evidence in other cancers

NR dietary supplementation results in a significantly enlarged pool of progenitors, without concurrent HSC exhaustion, improves survival by 80%, and accelerates blood recovery after murine lethal irradiation and limiting-HSC transplantation….Our work demonstrates for the first time a positive effect of NAD+-boosting strategies on the most primitive blood stem cells, establishing a link between HSC mitochondrial stress, mitophagy, and stem-cell fate decision, and unveiling the potential of NR to improve recovery of patients suffering from hematological failure including post...

Alpha Ketoglutarate is emerging in oncology particularly for enhancing immune system activity during immunotherapy

  • Lymphoma tumors cells upregulated glutamine and low alpha-ketoglutarate levels drive growth
  • Increasing AKG levels strongly suppresses glutamine uptake showing very striking results in a mouse model
  • Effects in health and anti-aging science show metabolic and anti-inflammatory benefits

Notably, glutamate, glutamine, and α-KG were the critical metabolites in glutamine metabolism. Clinical data analysis identified that high glutamine concentrations and low decreased α-KG were associated with poor prognosis in DLBCL patients. Subsequently, dimethyl α-ketoglutarate (DM-αKG) was used to reverse glutamine metabolism and increase α-KG concentration. In vitro studies showed that DM-αKG treatment significantly inhibited cell proliferation of DLBCL cells both in vitro and in vivo

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

  • Cancer related elevated ferritin strongly links to progression risk
  • Patients with relatively lower levels have 42% risk reductions
  • Even more beneficial progression risk reduction of 57%

Increased levels of serum ferritin found in patients with malignancy could exert adverse effects on the host immune response and perhaps have an inhibitory effect on hematopoiesis.33 Other studies have suggested that high ferritin expression in tumor tissues and elevated serum levels were the result of inflammation and oxidative stress and improved resistance to oxidative stress by interfering with the cellular antioxidant system. Malignant tumors might manipulate the body’s inflammation process to promote their own angiogenic growth, which could lead to disease progression in NHL.</p...

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

  • Elevated circulating copper in about 1/5 of patients
  • Higher copper levels are reported as significant risk factors
  • Many cancers have high copper/ low zinc showing increased progression

 

The reason for the association between the high serum copper levels and adverse prognosis is unknown. We hypothesized that interleukin-6 is secreted primarily by non-neoplastic cells at MF skin sites, leading to release of copper by the liver. Local production of interleukin-6 at the lesion sites might conceivably also promote neoplastic cell progression by stimulation of the STAT3 pathway. Further studies on the relationship between activated tumor-associated macrophages, serum copper levels, interleukin-6, or C-reactive protein and prognosis might be informative.

Berberine evidence in metabolic health may help counter cancers use of lipids and sugars to grow

  • Analysis shows on average a 60% elevation in free fatty acids (lipids)
  • Lower levels compared to higher reported to halve the overall risk
  • Berberine actions include both free fatty acid /lipid and glucose control

We demonstrated the clinical significance of pretreatment serum FFA levels in patients with newly diagnosed DLBCL. Our results indicated that a high pretreatment serum FFA level was associated with adverse features such as the presence of B symptoms, higher serum LDH levels, >1 extranodal sites, and a higher IPI score. Survival analysis also demonstrated that higher pretreatment serum FFAs were associated with lower survival in untreated DLBCL patients. These findings indicate that abnormal lipid metabolism may contribute to DLBCL development and progression

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

  • Lower inflammation indicated by c-reactive protein lowers risk
  • Patient case data shows over 50% risk overall reduction
  • Even larger effect on risk of progression, almost halved by low CRP

In the present study, a significant association between elevated CRP and poor outcome of 477 DLBCL patients at two Austrian centres could be confirmed. Univariate analysis, as well as multivariate analysis, identified the pretreatment CRP level as a useful prognostic marker of 5-year OS and 5-year-DFS. Furthermore, by integrating the CRP levels in the well-established R-IPI score improved the predictive ability of this score by 4%. Beyond the results of our study that focuses on the CRP levels before treatment initiation

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

  • Immune system inflammation marker NLR linked to risk
  • The 3/4 of patients below the cut-off had 35% reduced risk levels
  • Low platelet count is a similar risk factor for NHL progression

 

Our result revealed that the optimal cut-off for NLR was 6. NLR predicted both OS and PFS of the patients with de novo DLBCL. NLR is a simple and useful scale and it might be a useful marker for prediction of patients’ survival or disease progression in patients with de novo DLBCL. The optimal cutoff for NLR was 6. NLR(6) was associated with overall survival(OS)(HR 1.76) and progression free survival(PFS) (HR 2.66), either. Multivariate analysis identified NLR(6) remained as a significant factor affecting PFS (hazard ratio: 1.53).

Red Yeast Rice or prescription statin can reduce overall risks in small lymphocytic lymphoma

  • Users of statins during treatment show strongly improved outcomes
  • Strikingly large risk reduction level of 61%, progression free risk reduced 27%
  • Small lymphocytic lymphoma treated with TKI ibrutinib

This study provides valuable insights into the associations of baseline statin use with survival and adverse event outcomes in patients with CLL/SLL initiating contemporary treatment regimens. The findings revealed a statistically significant association between statin utilization and improved OS, PFS, and cancer-specific survival. The latter suggests a potential disease-modifying effect of statins in this patient population. No significant associations were observed between statin use and the occurrence of grade ≥3 adverse events. Notably, statin use emerged as a consistent positive prog...

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