通过纠正导致肿瘤相关免疫抑制的主要与癌症相关的精神神经内分泌改变来研究一种可能的癌症治疗方法

P. Lissoni, G. Messina, F. Rovelli, A. Lissoni, L. Fumagalli, F. Brivio, G. Porro, G. Fede
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引用次数: 0

摘要

50多年来,人们已经知道松果体通过释放能够抑制癌细胞增殖或刺激抗肿瘤免疫的激素来对抗癌症的生长,并一直与松果体内分泌功能的逐渐下降有关,从而发挥了基本的抗癌生理作用。尽管松果体具有良好的抗肿瘤活性,完全没有生物毒性,松果体抗肿瘤分子成本低,但令人惊讶的是,到目前为止,用松果体激素治疗人类肿瘤的临床研究很少,至少在没有其他常规抗癌治疗方法的患者中是如此。本研究旨在评估单独使用大剂量褪黑素(MLT) (n=68)、MLT加5-甲氧基色胺(5-MTT) (n=72)或MLT加5-MTT加松果素(PNL) (n=28)的松果体内分泌替代疗法对168例预期寿命小于1年的无法治愈的转移性实体瘤患者的治疗效果。72/168(43%)患者的生存期超过1年,且MLT联合其他松果体激素治疗患者的客观肿瘤消退率和1年生存率均高于单纯MLT治疗患者,但差异无统计学意义。相反,MLT联合其他松果体分子获得的疾病控制(DC)百分比明显高于MLT单独获得的百分比。多数患者的临床状况得到改善。最后,淋巴细胞计数和淋巴细胞/单核细胞比值在DC患者中增加,而在PD患者中进一步下降。这项初步研究表明,松果体内分泌治疗可以改善转移性癌症患者的预后,包括那些没有其他标准抗癌治疗的患者,并且通过与MLT相关的其他研究较少的抗肿瘤松果体激素可以进一步加强对肿瘤疾病的控制。*通信:Paolo Lissoni,意大利米兰生物医学研究所,E-mail: paolo.lissoni@gmx.com
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A study of a possible cancer cure by correcting the main cancer-related psychoneuroendocrine alterations responsible for tumor-related immunosuppression
It is known since more than 50 years that the pineal gland plays a fundamental anticancer physiological role by releasing hormones capable of counteract cancer growth by either inhibiting cancer cell proliferation, or stimulating the antitumor immunity, as well as that cancer progression is constantly associated with a progressive decline in the pineal endocrine function. Despite the well demonstrated antitumor activity of the pineal gland and the complete absence of biological toxicity and the low cost of the antitumor pineal molecules, surprisingly very few clinical studies have been carried out up to now with pineal hormones in the treatment of human neoplasms, at least in patients, for whom no other conventional anticancer therapy may be available. The present study was carried out to evaluate the therapeutic effects of a pineal endocrine substitution therapy with high-dose melatonin (MLT) alone (n=68), MLT plus 5-methoxytryptamine (5-MTT) (n=72) or MLT plus 5-MTT plus pinealine (PNL) (n=28) in 168 untreatable metastatic solid tumor patients with life expectancy less than 1 year. A survival longer than 1 year was achieved in 72/168 (43%), and both objective tumor regression rate and 1-year survival observed in patients treated with MLT plus other pineal hormones were higher than in patiente treated by MLT alone, without, however, statistically significant differences. On the contrary, the percentage of disease control (DC) obtained by MLT plus other pineal molecules was significanly higher than that achieved by MLT alone. The clinical status improved in most patients. Finally, lymphocyte count and lymphocyte-to-monocyte ratio enhanced in patients with DC, whereas a further decline occurred in patients with PD. This preliminary study show that a pineal endocrine therapy may improve the prognosis of metastatic cancer patients, including those for whom no other standard anticancer therapy is available, and that the control of the neoplastic disease may be further enhanced by associating to MLT other less investigated antitumor pineal hormones. *Correspondence to: Paolo Lissoni, Institute of Biological Medicine, Milan, Italy, E-mail: paolo.lissoni@gmx.com
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