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ARBs May Protect Against Breast Cancer Recurrence
 Moderated by: Dr Trevor Marshall  

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Dr Trevor Marshall
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 Posted: Fri Dec 18th, 2009 15:02

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http://bit.ly/8Lfj5y
"The renin-angiotensin pathway plays an important role in promoting cancer growth, explained Dr. Chae on December 11. The AT1 receptor is functionally expressed in several tumor types, including ovarian cancer. Prior retrospective studies have documented lower cancer incidence among users of ACE inhibitors/ARBs compared with nonusers, and 1 randomised trial showed a protective effect of these agents on the development of major skin cancers, he said. No studies, however, have looked at the relationship between ACE inhibitors/ARBs and cancer recurrence. For the study, Dr. Chae and colleagues reviewed the medical records of female patients diagnosed with stage II/III breast cancer at Albert Einstein between 1999 and 2005, and who later reached no evident disease (NED) after curative therapy. A user of ACE inhibitors/ARBs was defined as a patient who took the medication in the NED stage for at least 6 months. The mean follow-up period was 4.4 years and the maximum follow-up was 9.8 years. About one-fourth (23.3%) of the patients, overall, were prescribed an ACE inhibitor or ARB, including 49.0% of the 164 patients with hypertension. Fourteen percent (23/164) of the women who took either an ACE inhibitor or ARB developed a tumour recurrence, compared with 23.3% (125/541) of nonusers ([P = .01).
The 5-year disease-free survival was 0.85 in the ACE inhibitor/ARB users and 0.756 in the nonusers (P < .01)"

75 to 85% survival rate at 5 years. Interesting data in and of itself.

One of the problems with studies like this is that they clump all the drugs into one class - for example - 'ARBs' - without realizing that each of the ARB drugs is a little bit different. They also assume that ACEI have a similar mechanism of action - a sad commentary on the lack of precision in modern medicine.

Still - this is confirmation that Benicar should not increase the rate of relapse with cancers, even if it doesn't yet have the (study) strength to back up my suspicions as to why the MP has essentially wiped out metastasis in our cohort...

http://www.youtube.com/watch?v=y8AfUg3aJVk
 

Freddie Ash
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 Posted: Fri Dec 18th, 2009 18:19

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HI ALL

This is Fred in WV .  I just got my email from the Doctor's Guide today and that is the main story in it.  Thanks for posting that for all to see.  Another reason to take Benicar.

Remember, we are all in this together and I am pulling for us.

Your friend in Sarcoidosis

Freddie



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Bane
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 Posted: Fri Dec 18th, 2009 21:59

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Impact of angiotensin I converting enzyme inhibitors and angiotensin II type 1 receptor blockers on survival in patients with advanced non-small-cell lung cancer undergoing first-line platinum-based chemotherapy.

http://www.ncbi.nlm.nih.gov/pubmed/19399518

Application of angiotensin II receptor blocker in prostate cancer

http://www.ncbi.nlm.nih.gov/pubmed/19348246

Ets-1 and hypoxia inducible factor-1alpha inhibition by angiotensin II type-1 receptor blockade in hormone-refractory prostate cancer.

http://www.ncbi.nlm.nih.gov/pubmed/19760626

Angiotensin II Type 1 Receptor Antagonist as an Angiogenic Inhibitor in Urogenital Cancer.

http://www.ncbi.nlm.nih.gov/pubmed/19463103

Synergistic inhibitory effect of gemcitabine and angiotensin type-1 receptor blocker, losartan, on murine pancreatic tumor growth via anti-angiogenic activities.

http://www.ncbi.nlm.nih.gov/pubmed/19578777



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Ruth Goold
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 Posted: Fri Dec 18th, 2009 23:06

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And here is some info on (one of the) ways in which olmesartan (Benicar) mediates it's anticancer effects:

The Host Defense Peptide Cathelicidin Is Required for NK Cell-Mediated Suppression of Tumor Growth

http://www.ncbi.nlm.nih.gov/pubmed/19949065

And from the same issue of the Journal of Immunology, yet another study outlining a clever way in which intracelluar pathogens compromise the immune response (albeit, in mice in this case):

Dissemination of Mycobacteria to the Thymus Renders Newly Generated T Cells Tolerant to the Invading Pathogen

http://www.ncbi.nlm.nih.gov/pubmed/19949112

Happy Holidays,

Ruth



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Dr Trevor Marshall
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 Posted: Fri Dec 18th, 2009 23:31

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Ah yes, the Thymus - so they can pervert the function of AIRE

Great find Ruth - I just hadn't put two and two together...
 
:)

ChrisMavo
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 Posted: Sat Dec 19th, 2009 00:16

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Great STUFF! 

So not only can we cure ourselves from chronic Th1 diseases... but we can protect ourselves from the Big C too....:D

Great stuff INDEED!!!



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Phil Schoner
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 Posted: Sun Dec 20th, 2009 15:07

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Trevor,

You state "the MP has essentially wiped out metastasis in our cohort..."

Epidemiologically speaking, have we developed the percentages of expected cancer metastasis in the cohert versus the (nearly?) zero percent experienced?

Phil




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Dr Trevor Marshall
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 Posted: Sun Dec 20th, 2009 15:41

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Phil,
Different sources have different expectations. The one that seems to be most reliable is an expectation of 10 % to 30% of autoimmune disease patients will die from cancer within a decade. This is also in line with the overall cancer death-rate in CFS patients.

I break this down to a year-by year average expectation of 1% to 3%. For our current reporting cohort size of 700+ this would lead to an expectation of 7 to 21 cases a year.

We are well below that :) :) Whether total cancers or just metastasizing cancers (the ones which lead to death) are considered in the total...

One of the biggest problems this cohort faces is that they are pushed (by oncologists) to accept treatments for a non-metastasizing tumor regardless of whether those treatments will exacerbate their underlying inflammatory disease, and thus eventually fuel the metastasis. We need to work on getting together enough case histories so that MP cohort members don't panic when Doc considers a potential "cancer" diagnosis.

We have been walking around for decades without the probing and testing and imaging that Doc has available these days. We should not be surprised if all this new technology finds tumors, some of which may have been there for years... The key is to focus on whether they present a future danger of spreading (metastasis)...

..Trevor..
 

Last edited on Sun Dec 20th, 2009 18:43 by Dr Trevor Marshall

Bane
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 Posted: Sun Dec 20th, 2009 16:44

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http://www.ncbi.nlm.nih.gov/pubmed/18677709

http://www3.interscience.wiley.com/cgi-bin/fulltext/121359256/PDFSTART

 

Last edited on Sun Dec 20th, 2009 18:40 by Bane



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Joyful
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 Posted: Sun Dec 20th, 2009 18:37

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Bane, your link is to a pay-to-view article. :?

Would you care to summarize here?



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Bane
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 Posted: Sun Dec 20th, 2009 18:57

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Joyful wrote: Bane, your link is to a pay-to-view article. :?

Would you care to summarize here?

"To investigate the effect of Ang-III on human prostate cancer cells, we applied it in LNCaP (androgen-dependent) and DU145 (androgen-independent) cells. As shown in Figure 2A,B, Ang-III treatment increased both prostate cancer cells in a dose-dependent manner. Because earlier reports indicated that Ang-III can bind to theAT1 receptor,which is predominantly for Ang-II (Fig. 1) [16], we investigated the effect of an AT1 receptor blocker on cell proliferation induced by Ang-III. Olmesartan is a selective blocker of the AT1 receptor and is widely used as anti-hypertensive agent. As shown in Figure 2A,B, olmesartan significantly suppressed the cell growth induced by Ang-III treatment in prostate cancer cells."



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jrfoutin
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 Posted: Sun Dec 20th, 2009 23:09

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"75 to 85% survival rate at 5 years. Interesting data in and of itself.

"One of the problems with studies like this is that they clump all the drugs into one class - for example - 'ARBs' - without realizing that each of the ARB drugs is a little bit different.."


Along with lumping ARBs together, there is no discussion of atypical dose for any ARB. The study assumption for the full ARB set they lump is standard ARB dose, right?

The MP cohort daily ARB intake has always been on the line. With a void annual 7-21 cohort cancer record to date, might it be appropriate already--specific to study strength--to state more Benicar (typical MP dose levels with extra when needed) is simply not leading to cancer?

Thank you Dr Marshall and others for excellent discussion and links--Janet



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Bane
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 Posted: Fri Dec 25th, 2009 19:08

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Dr Trevor Marshall wrote: Phil,
Different sources have different expectations. The one that seems to be most reliable is an expectation of 10 % to 30% of autoimmune disease patients will die from cancer within a decade. This is also in line with the overall cancer death-rate in CFS patients.

I break this down to a year-by year average expectation of 1% to 3%. For our current reporting cohort size of 700+ this would lead to an expectation of 7 to 21 cases a year.

We are well below that :) :) Whether total cancers or just metastasizing cancers (the ones which lead to death) are considered in the total...

One of the biggest problems this cohort faces is that they are pushed (by oncologists) to accept treatments for a non-metastasizing tumor regardless of whether those treatments will exacerbate their underlying inflammatory disease, and thus eventually fuel the metastasis. We need to work on getting together enough case histories so that MP cohort members don't panic when Doc considers a potential "cancer" diagnosis.

We have been walking around for decades without the probing and testing and imaging that Doc has available these days. We should not be surprised if all this new technology finds tumors, some of which may have been there for years... The key is to focus on whether they present a future danger of spreading (metastasis)...

..Trevor..
 


Immunological Similarities between Cancer and Chronic Fatigue Syndrome: The Common Link to Fatigue?

http://www.ncbi.nlm.nih.gov/pubmed/20032425



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Bane
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 Posted: Mon Feb 8th, 2010 16:13

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Blocking Angiotensin II Type 1 Receptor Triggers Apoptotic Cell Death in Human Pancreatic Cancer Cells.

http://www.ncbi.nlm.nih.gov/pubmed/20118823

Angiotensin II regulates the expression of monocyte chemoattractant protein-1 in pancreatic cancer cells.

http://www.ncbi.nlm.nih.gov/pubmed/19816747

Inhibition of angiotensin II receptor 1 limits tumor-associated angiogenesis and attenuates growth of murine melanoma.

http://www.ncbi.nlm.nih.gov/pubmed/19771429

 



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Bane
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 Posted: Sun Feb 28th, 2010 22:30

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Association of ACE inhibitors and angiotensin receptor blockers with keratinocyte cancer prevention in the randomized VATTC trial.

http://jnci.oxfordjournals.org/cgi/content/full/100/17/1223

"Among a high-risk group of veterans, users of ACE inhibitors or ARBs had a lower incidence of keratinocyte cancers than nonusers. The more pronounced reduction among those who initiated use during the study may indicate an immediate effect."



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