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楼主: 东方

求:特罗凯耐药后的治疗方案!!(妈妈2007年12月4日病逝!)

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 楼主| 发表于 2007-7-10 23:15:39 | 显示全部楼层 来自: 中国广东深圳

稳定就是胜利,加油!

我也在为妈妈服用DCA做准备工作,希望DCA这周能准时寄到。

有爱,就有奇迹!
发表于 2007-7-11 01:37:47 | 显示全部楼层 来自: 美国
东方,小路:最新资料:吸大麻可以显著减少肺癌的扩散。下面是哈佛大学医学院今年4月报道的结果。

Source:      American Association for Cancer Research
Date:         April 17, 2007
来源: 美国癌症研究协会, 2007/4/17


Marijuana Cuts Lung Cancer Tumor Growth In Half, Study Shows
研究显示: 大麻减少肺癌肿瘤增长一半

Science Daily — The active ingredient in marijuana cuts tumor growth in common lung cancer in half and significantly reduces the ability of the cancer to spread, say researchers at Harvard University who tested the chemical in both lab and mouse studies.
每日科学--哈佛大学的科研人员,在实验室和老鼠身上测试了大麻的化学成分后说,大麻活跃成分将通常肺癌肿瘤增长消减到一半,显著减少了癌(细胞)的扩散能力

They say this is the first set of experiments to show that the compound, Delta-tetrahydrocannabinol (THC), inhibits EGF-induced growth and migration in epidermal growth factor receptor (EGFR) expressing non-small cell lung cancer cell lines. Lung cancers that over-express EGFR are usually highly aggressive and resistant to chemotherapy.

THC that targets cannabinoid receptors CB1 and CB2 is similar in function to endocannabinoids, which are cannabinoids that are naturally produced in the body and activate these receptors. The researchers suggest that THC or other designer agents that activate these receptors might be used in a targeted fashion to treat lung cancer.

"The beauty of this study is that we are showing that a substance of abuse, if used prudently, may offer a new road to therapy against lung cancer," said Anju Preet, Ph.D., a researcher in the Division of Experimental Medicine.

Acting through cannabinoid receptors CB1 and CB2, endocannabinoids (as well as THC) are thought to play a role in variety of biological functions, including pain and anxiety control, and inflammation. Although a medical derivative of THC, known as Marinol, has been approved for use as an appetite stimulant for cancer patients, and a small number of U.S. states allow use of medical marijuana to treat the same side effect, few studies have shown that THC might have anti-tumor activity, Preet says. The only clinical trial testing THC as a treatment against cancer growth was a recently completed British pilot study in human glioblastoma.

In the present study, the researchers first demonstrated that two different lung cancer cell lines as well as patient lung tumor samples express CB1 and CB2, and that non-toxic doses of THC inhibited growth and spread in the cell lines. "When the cells are pretreated with THC, they have less EGFR stimulated invasion as measured by various in-vitro assays," Preet said.

Then, for three weeks, researchers injected standard doses of THC into mice that had been implanted with human lung cancer cells, and found that tumors were reduced in size and weight by about 50 percent in treated animals compared to a control group. There was also about a 60 percent reduction in cancer lesions on the lungs in these mice as well as a significant reduction in protein markers associated with cancer progression, Preet says.

Although the researchers do not know why THC inhibits tumor growth, they say the substance could be activating molecules that arrest the cell cycle. They speculate that THC may also interfere with angiogenesis and vascularization, which promotes cancer growth.

Preet says much work is needed to clarify the pathway by which THC functions, and cautions that some animal studies have shown that THC can stimulate some cancers. "THC offers some promise, but we have a long way to go before we know what its potential is," she said.

Note: This story has been adapted from a news release issued by American Association for Cancer Research.
[此贴子已经被作者于2007-7-11 5:45:11编辑过]
有爱,就有奇迹!
发表于 2007-7-11 06:09:01 | 显示全部楼层 来自: 美国
这是第2篇报道,这里还还有其他医学院的试验。

Marijuana Compound May Fight Lung Cancer

From:

Apr 17, 2007

While smoking marijuana is never good for the lungs, the active ingredient in pot may help fight lung cancer, new research shows.

Harvard University researchers have found that, in both laboratory and mouse studies, delta-tetrahydrocannabinol (THC) cuts tumor growth in half in common lung cancer while impeding the cancer’s ability to spread.

The compound “seems to have a suppressive effect on certain lines of cancer cells,” explained Dr. Len Horovitz, a pulmonary specialist at Lenox Hill Hospital in New York City.

According to the researchers, THC fights lung cancer by curbing epidermal growth factor (EGF), a molecule that promotes the growth and spread of particularly aggressive non-small cell lung cancers. “It seems to go to (EGF) receptor sites on cells and inhibit growth,” said Horovitz, who was not involved in the study.

The findings are preliminary, however, and other outside experts urged caution.

“It’s an interesting laboratory study (but) you have to have enough additional animal studies to make sure the effect is reproducible and to make sure that there are no overt toxic effects,” said Dr. Norman Edelman, chief medical officer of the American Lung Association. “It’s a little more than tantalizing because it’s a compound that we know has been in humans and has not caused major problems.”

The findings were to be presented this week at the annual meeting of the American Association for Cancer Research (AACR) in Los Angeles.

Lung cancer is the number one cancer killer in the world. Lung tumors that over-produce the EGF receptor tend to be extra-aggressive and don’t respond well to chemotherapy.

THC is the main active ingredient of Cannabis sativa –marijuana. It has been shown to inhibit tumor growth in cancer, but specific information on its action against lung cancer has so far been limited.

In the new study, the researchers first showed that two different lung cancer lines, as well as samples from patient lung tumors, produced the cannabinoid receptors CB1 and CB2.

Endocannabinoids — cannabinoids produced naturally in the body — are thought to have an effect on pain, anxiety and inflammation when they bind to cannabinoid receptors.

Next, the researchers injected standard doses of THC into mice implanted with human lung cancer cells. After three weeks of treatment, tumors shrank by about 50 percent in animals treated with THC, compared to those in an untreated control group, the researchers reported.

The findings may shed light on a question that has been puzzling Horovitz: Why hasn’t there been a spike in lung cancer in the generation that smoked a lot of marijuana in the 1960s.

“I find it fascinating, wondering if the reasons we’re not seeing this spike is that THC inhibits lung cancer cells,” he said. “It would be very ironic, although you certainly wouldn’t tell somebody who smoked cigarettes to add marijuana.”

A second set of findings presented at AACR suggested that a viral-based gene therapy could target both primary and distant tumors, while ignoring healthy cells.

When injected into 15 mice with prostate cancer, this “smart bomb” therapy eliminated all signs of cancer — effectively curing the rodents. Researchers at Columbia University, in New York City, said the therapy also worked in animals with breast cancer and melanomas.

And in a third hopeful trial reported at the meeting, German researchers at University Children’s Hospital, in Ulm, said they’ve used measles viruses to treat brain tumors. In mouse experiments, the virus attached to the tumor from the inside out, the team said.


有爱,就有奇迹!
发表于 2007-7-11 08:33:07 | 显示全部楼层 来自: 中国香港

强烈关注,什么时候能临床呢?另外不知道所说的四氢大麻酚的作用机理是不是和易瑞沙的作用机理有相似之处,易瑞沙耐药后是否可以作为一种选择呢?另外他是否可以通过血脑屏障,对脑转移有没有治疗作用呢?期待知道更多信息的病友能够接着报道。

有爱,就有奇迹!
发表于 2007-7-11 09:15:47 | 显示全部楼层 来自: 中国上海
jimmy,thanks again![em17][em23][em23][em23]
有爱,就有奇迹!
 楼主| 发表于 2007-7-11 13:48:56 | 显示全部楼层 来自: 中国广东深圳

谢谢jimmy提供的信息,只希望这些有用的信息能更早应用到国内的临床上来!

小路:有关注DCA吗?你现在身体感觉怎么样?我妈妈这几天明显感到气喘,咳嗽加重,痰也随之增多。每天的中药效果感觉不明显,喷雾治疗还是得每天进行。

对于使用DCA的准备工作已在进行之中,购买工作都已完成,只等所有药物到齐之后就正式开始,希望能有好的效果。

有爱,就有奇迹!
发表于 2007-7-12 09:47:39 | 显示全部楼层 来自: 美国
QUOTE:
以下是引用amei在2007-7-11 8:33:07的发言:

强烈关注,什么时候能临床呢?另外不知道所说的四氢大麻酚的作用机理是不是和易瑞沙的作用机理有相似之处,易瑞沙耐药后是否可以作为一种选择呢?另外他是否可以通过血脑屏障,对脑转移有没有治疗作用呢?期待知道更多信息的病友能够接着报道。

1)我从网上查到,大麻酚是受 严格控制的药物(与毒品有关),所以 应是早已用于临床了,可能和吗啡类药物差不多。???
2)应该可用于易瑞沙耐药后的选择,人们发现大麻酚可用于治疗肺癌起因于,科学家首先发现大麻焦油中,导致肺癌的物质比烟中多50%,因此美国 FDA想发出大麻导致肺癌的警告,搞了个调查统计,但结果大出意外,长期抽大麻的人没有一人得肺癌。结果,人们反过来研究大麻,发现大麻是抗癌的。

现在只是不知用量应是多少。

下面附录华盛顿邮报关于那次调查统计的报道:

Study Finds No Cancer-Marijuana Connection

By Marc Kaufman
Washington Post Staff Writer
Friday, May 26, 2006; A03

The largest study of its kind has unexpectedly concluded that smoking marijuana, even regularly and heavily, does not lead to lung cancer.

The new findings "were against our expectations," said Donald Tashkin of the University of California at Los Angeles, a pulmonologist who has studied marijuana for 30 years.

"We hypothesized that there would be a positive association between marijuana use and lung cancer, and that the association would be more positive with heavier use," he said. "What we found instead was no association at all, and even a suggestion of some protective effect."

Federal health and drug enforcement officials have widely used Tashkin's previous work on marijuana to make the case that the drug is dangerous. Tashkin said that while he still believes marijuana is potentially harmful, its cancer-causing effects appear to be of less concern than previously thought.

Earlier work established that marijuana does contain cancer-causing chemicals as potentially harmful as those in tobacco, he said. However, marijuana also contains the chemical THC, which he said may kill aging cells and keep them from becoming cancerous.

Tashkin's study, funded by the National Institutes of Health's National Institute on Drug Abuse, involved 1,200 people in Los Angeles who had lung, neck or head cancer and an additional 1,040 people without cancer matched by age, sex and neighborhood.

They were all asked about their lifetime use of marijuana, tobacco and alcohol. The heaviest marijuana smokers had lighted up more than 22,000 times, while moderately heavy usage was defined as smoking 11,000 to 22,000 marijuana cigarettes. Tashkin found that even the very heavy marijuana smokers showed no increased incidence of the three cancers studied.

"This is the largest case-control study ever done, and everyone had to fill out a very extensive questionnaire about marijuana use," he said. "Bias can creep into any research, but we controlled for as many confounding factors as we could, and so I believe these results have real meaning."

Tashkin's group at the David Geffen School of Medicine at UCLA had hypothesized that marijuana would raise the risk of cancer on the basis of earlier small human studies, lab studies of animals, and the fact that marijuana users inhale more deeply and generally hold smoke in their lungs longer than tobacco smokers -- exposing them to the dangerous chemicals for a longer time. In addition, Tashkin said, previous studies found that marijuana tar has 50 percent higher concentrations of chemicals linked to cancer than tobacco cigarette tar.

While no association between marijuana smoking and cancer was found, the study findings, presented to the American Thoracic Society International Conference this week, did find a 20-fold increase in lung cancer among people who smoked two or more packs of cigarettes a day.

The study was limited to people younger than 60 because those older than that were generally not exposed to marijuana in their youth, when it is most often tried.




有爱,就有奇迹!
发表于 2007-7-12 11:09:08 | 显示全部楼层 来自: 中国上海
关于DCA,问了上海胸科的沈主任,她说不知道此药。从jimmy传达的信息来看,272已进入预批准,应该快了。大家一起努力吧。
有爱,就有奇迹!
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