The absolute best way to promote neurogenesis is through exercise. This is through an increase in BDNF. There are ways to augment this: curcumin, n-3, nutrition... The concept that the brain doesn't heal is out the window.
In patients with diabetes, LA levels are reduced (48, 74, 103). LA has long been used for the treatment of diabetic neuropathy in Germany
evidence indicates that it increases insulin sensitivity in patients with type 2 diabetes
LA has been shown to 1) quench free radicals, 2) prevent singlet oxygen-induced DNA damage, 3) exhibit chelating activity,
4) reduce lipid peroxidation, 5) increase intracellular glutathione levels, and 6) prevent glycation of serum albumin (73, 74). LA is able to reduce oxidative stress-mediated NF-κB activation in vitro (74, 108, 109) and in patients with type 2 diabetes
Activation of NF-κB can also be blocked by several other thiol-containing antioxidants including N-acetyl-l-cysteine (NAC)
Other clinically available antioxidants reported to have antiinflammatory, antioncogenic, and/or antiatherogenic properties
that have been shown to block the activation of NF-κB include resveratrol (115, 116), (-)-epicatechin-3-gallate (117), pycnogenol (118), silymarin (119), and curcumin (120)
Chen et al. have revealed that ascorbate at pharmacologic concentrations (0.3–20 mM) achieved only by intravenously (i.v.) administration selectively kills a variety of cancer cell lines in vitro, but has little cytotoxic effect on normal cells.
Ascorbic acid (the reduced form of vitamin C) is specifically transported into cells by sodium-dependent vitamin C transporters (SVCTs)
SVCT-1 is predominantly expressed in epithelial tissues
differential sensitivity to VC may result from variations in VC flow into cells, which is dependent on SVCT-2 expression.
high-dose VC significantly impaired both the tumorspheres initiation (Fig. 4d, e) and the growth of established tumorspheres derived from HCC cells (Fig. 4f, g) in a time-dependent and dose-dependent manner.
Hepatocellular carcinoma (HCC)
The antioxidant, N-acetyl-L-cysteine (NAC), preventing VC-induced ROS production (a ROS scavenger), completely restored the viability and colony formation among VC-treated cells
DNA double-strand damage was found following VC treatment
DNA damage was prevented by NAC
Interestingly, the combination of VC and cisplatin was even more effective in reducing tumor growth and weight
Consistent with the in vitro results, stemness-related genes expressions in tumor xenograft were remarkably reduced after VC or VC+cisplatin treatment, whereas conventional cisplatin therapy alone led to the increase of CSCs
VC is one of the numerous common hepatoprotectants.
Interestingly, at extracellular concentrations greater than 1 mM, VC induces strong cytotoxicity to cancer cells including liver cancer cells
we hypothesized that intravenous VC might reduce the risk of recurrence in HCC patients after curative liver resection.
Intriguingly, the 5-year disease-free survival (DFS) for patients who received intravenous VC was 24%, as opposed to 15% for no intravenous VC-treated patients
Median DFS time for VC users was 25.2 vs. 18 months for VC non-users
intravenous VC use is linked to improved DFS in HCC patients.
In this study, based on the elevated expression of SVCT-2, which is responsible for VC uptake, in liver CSCs, we revealed that clinically achievable concentrations of VC preferentially eradicated liver CSCs in vitro and in vivo
the authors here made similar mistakes to the Mayo authors i.e. under doses here in this study. They dosed at only 2 grams IVC. A woefully low dose of IVC.
Additionally, we found that intravenous VC reduced the risk of post-surgical HCC progression in a retrospective cohort study.
Their comfort zone was 1mM. They should have targeted 20-40 mM.
Three hundred thirty-nine participants (55.3%) received 2 g intravenous VC for 4 or more days after initial hepatectomy
As the key protein responsible for VC uptake in the liver, SVCT-2 played crucial roles in regulating the sensitivity to ascorbate-induced cytotoxicity
we also observed that SVCT-2 was highly expressed in human HCC samples and preferentially elevated in liver CSCs
SVCT-2 might serve as a potential CSC marker and therapeutic target in HCC
CSCs play critical roles in regulating tumor initiation, relapse, and chemoresistance
we revealed that VC treatment dramatically reduced the self-renewal ability, expression levels of CSC-associated genes, and percentages of CSCs in HCC, indicating that CSCs were more susceptible to VC-induced cell death
as a drug for eradicating CSCs, VC may represent a promising strategy for treatment of HCC, alone or particularly in combination with chemotherapeutic drugs
In HCC, we found that VC-generated ROS caused genotoxic stress (DNA damage) and metabolic stress (ATP depletion), which further activated the cyclin-dependent kinase inhibitor p21, leading to G2/M phase cell cycle arrest and caspase-dependent apoptosis in HCC cells
we demonstrated a synergistic effect of VC and chemotherapeutic drug cisplatin on killing HCC both in vitro and in vivo
Intravenous VC has also been reported to reduce chemotherapy-associated toxicity of carboplatin and paclitaxel in patients,38 but the specific mechanism needs further investigation
Terribly inadequate dose. Target is 20-40 mM which other studies have found occur with 50-75 grams of IVC.
several clinical trials of high-dose intravenous VC have been conducted in patients with advanced cancer and have revealed improved quality of life and prolonged OS
high-dose VC was not toxic to immune cells and major immune cell subpopulations in vivo
high recurrence rate and heterogeneity
tumor progression, metastasis, and chemotherapy-resistance
SVCT-2 was highly expressed in HCC samples in comparison to peri-tumor tissues
high expression (grade 2+/3+) of SVCT-2 was in agreement with poorer overall survival (OS) of HCC patients (Fig. 1c) and more aggressive tumor behavior
SVCT-2 is enriched in liver CSCs
these data suggest that SVCT-2 is preferentially expressed in liver CSCs and is required for the maintenance of liver CSCs.
pharmacologic concentrations of plasma VC higher than 0.3 mM are achievable only from i.v. administration
The viabilities of HCC cells were dramatically decreased after exposure to VC in dose-dependent manner
VC and cisplatin combination further caused cell apoptosis in tumor xenograft
These results verify that VC inhibits tumor growth in HCC PDX models and SVCT-2 expression level is associated with VC response
qPCR and IHC analysis demonstrated that expression levels of CSC-associated genes and percentages of CSCs in PDXs dramatically declined after VC treatment, confirming the inhibitory role of VC in liver CSCs
IV vitamin C in vitro and in vivo found to "preferentially" eradicate cancer stem cells. In addition, IV vitamin C was found to be adjunctive to chemotherapy, found to be hepatoprotectant. This study also looked at SVCT-2, which is the transport protein important in liver C uptake.
A single mid-luteal salivary progesterone estimation or the mid-luteal Lenton progesterone index (n = 4) satisfactorily reflected the normal luteal phase, but a frequency of one sample every 3 days over the luteal phase (n = 5-6) was necessary to allow recognition of a short luteal phase or poor progesterone surge.
18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) is an effective and popular technique for evaluating patients before and after breast cancer surgery.
Quantitative FDG-PET/CT imaging is becoming prevalent in cancer treatment as it measures glucose metabolism that reflects the growth potential and metabolic activity of malignant tumors
The FDG-PET/CT findings of primary lesions in colorectal and lung cancers correlate with metastasis and prognosis because FDG reflects tumor viability
The technique is valuable for predicting the prognosis of patients with recurrent breast cancer and for determining and predicting the outcomes of neoadjuvant chemotherapy
FDG-PET/CT is useful not only for evaluating metastasis but also for predicting the prognosis of recurrent breast cancer and measuring treatment effects
reports remain limited to small-scale clinical trials of about 100 patients.
MaxSUV, which is the most popular FDG-PET/CT value, can vary up to 30 % because of differences among PET/CT devices and among the operators who create the images
the degree of malignancy would increase with an increase in maxSUV when ER or HER-2 signaling is involved.
Factors that determine the rate of cancer progression include T-factor (tumor diameter) and N-factor (presence or absence/number of lymph node metastasis)
Factors that determine the nature of tumors also include ER, HER-2, Ki-67 labeling index, and nuclear grade
Prognosis was previously predicted based on T, N, and M staging, which indicates the degree of progression. However, prognosis is now predicted and treatment regimes are presently selected by also considering ER and HER-2 levels, which determine the nature of the tumor
maxSUV presently serves as an indicator of metabolic activity during cancer therapy. For instance, the maxSUV of primary lung and hematological cancer lesions correlates with metastasis and prognosis, whereas maxSUV also seems useful for predicting the prognosis of recurrent breast cancer and in determining and predicting the outcome of neoadjuvant chemotherapy
The maxSUV cut-off calculated from ROC curves for recurrence was 3.0
The prognostic factors applied in breast cancer can be broadly divided into those that determine staging and those that determine biological tumor characteristics
both ER status and maxSUV as independent prognostic factors
maxSUV has a closer correlation with prognosis
maxSUV, clinical T-factor and ER were significant prognostic factors
Our results showed that maxSUV has the potential to be a novel prognostic factor and that it can be used to determine future therapies
Retrospective, multi-facility finds maxSUV can be used in prognosis in cancer. Others have shown benefit in recurrence risk. MaxSUV was found to be an independent factor.
low EPA and DHA found in patients with Lupus. The authors of this article went so far as to say that lipid peroxides, NO, and anti-oxidants should be a part of the work up for patients with Lupus.
DHA enriched diet plus exercis improved cognition through a increase in brain derived neurotrophic factor (BDNF). The result was increased neuroplasticity. Additionally, they were shown to reduce hippocampal lipid peroxidation.
strategies directed to preserve phospholipids in the plasma membrane such as the use of dietary docosahexaenoic
acid (C22:6n-3; DHA)5 can have beneficial effects for post-TBI recovery
DHA is the most abundant polyunsaturated fatty acid (PUFA) in the brain
The combination of curcumin and DHA had a trend of greater effects in
BDNF (117% of CTL; Figure 1C) compared with DHA or curcumin alone.
Our previous study indicated that n-3 fatty acids supplemented in the diet counteracted learning disability after TBI
There was a significant group effect on BDNF (F
4,25 = 5.229, P < .01 by ANOVA), and FPI reduced BDNF levels (50% of CTL, P < .01; Figure 1C), which was counteracted by DHA supplementation (90% of CTL, P < .05; Figure 1C). Curcumin also counteracted this reduction of BDNF
Curcumin provided in the diet before TBI can reduce oxidative damage and counteract TBI-related cognitive dysfunction.
curcumin contributed to enhance the action of DHA, protecting
against cognitive impairment, and these effects were associated with elevations in the BDNF receptor signaling
Our current results show that curcumin contributes to enhance the effects of DHA on TBI by promoting phosphorylation of the
BDNF receptor TrkB in the hippocampus.
previous evidence indicates that curcumin10 and DHA5 counteract TBI-related learning disability by involving BDNF
The effects of the DHA diet and curcumin on cognitive enhancement were consistent with enhanced elevations in BDNF receptor
signaling
effects of DHA and curcumin up to 2 weeks after TBI because this is the most critical period for the course of injury
recovery because the brain is metabolically dysfunctional during this time