Guest guest Posted October 10, 2003 Report Share Posted October 10, 2003 Sammy, Thanks for the lead. I am amazed (and humbled) at what I found. I guess the more I learn, the more I realize how little I know. Read the article that follows: ARTEMISININ Artemisinin is a compound extracted from the plant Artemesia annua L. (sweet wormwood,.also known as the Chinese herbal Qinghao). Artemisinin is a sesquiterpene lactone (emperical formula C15H22O5.) Its derivatives, such as artemether, artesunate, arteether, and artelinate, which are quickly converted to their active plasma metabolite, dihydroartemisinin (DHA). Artesunate and artelinate are water-soluble, the others are oil (fat)-soluble. According to a WHO research report (No. 36 Malaria, encouraging results from studies to improve the safety and efficacy of natural drug compounds), extracts from the herb Artemeisa annua have been used in China since AD 341 to treat febrile illness. In 1971, the active component, qinghaosu (now know as artemisinin) was identified and shown to be effective against malaria, including chloroquine-resistant parasites. It has generally proven safe and free of toxic side effects from widespread experience with dosages designed to treat Malaria. WHO has recommended artemisinin-based anti-malaria drugs. More recently, research done by scientists, like Dr. Henry Lai and Dr. N.P. Singh of the University of Washington, Seattle, WA, USA, has shown in both in vitro and in vivo tests that artemisinin is selectively toxic to cancer cells. Consequently, many cancer patients around the world have been taking artemisinin or its derivatives as an alternative cancer treatment, mostly under the supervision of physicians. Many encouraging results, though mostly anecdotal, have been reported from these patients. These clinical applications of artemisinin, in the treatment of malaria and cancer, could be one of the most important discoveries in the 21st century. Further research could lead to an effective, affordable, non-surgery and non-toxic treatment for cancer, malaria and other deadly diseases. Artemisia annua L Drug of Choice How does Artemisinin work? The artemisinin, a sesquiterpene lactone peroxide contains two oxygen atoms hooked together in what is termed an endoperoxide bridge, which is essential for its anti-malarial and anti-cancer activity. All cancer cells sequester iron. Artemisinin reacts with free iron atoms in cells. In the presence of free iron, the endoperoxide bridge breaks down, forming very reactive free radicals that cause rapid and extensive damage and death to cancer cells. Similarly, the anti-malaria action of artemisinin is due to its reaction with intraparasitic heme iron, which generates free radicals, leading to damage to the parasite. Dr. Henry Lai and Dr. NP Singh of University of Washington, School of Medicine has collected more than 300 peer reviewed publications or Dr. Singh Presentation and summarized by Dr. Wayne Li of Holley Pharmaceuticals listed as follows for your source of further research. This serves as a primary source of information and references for scientists and health professionals. Readers should refer to the original articles for details. This does not constitute a suggestion or an imply to take artemisinin for any diseases. Only qualified healthcare professionals can give you medical advices. Artemisinin Artemisinin is a compound extracted from the plant Artemesia annua L. (sweet wormwood, also known as the Chinese herbal Qinghao). Artemisinin (C15H22O5 ) is a sesquiterpene lactone. Artemesia annua has been used in China since AD 341 to treat febrile illness. In 1971, the active ingredient, artemisininin, was identified and isolated. (PM O’Neill, Univ. of Liverpool, WHO Report, No. 36, Malaria, Encouraging Results from Studies to Improve the Safety and Efficacy of Natural Drug Compounds. 2001) Derivatives of artemisinin have been synthesized. These include: dihydroartemisinin (DHA), artemether, artesunate, arteether, and artelinic acid. These compounds have been packaged in different forms: tablets, capsules, suppositories and injectibles. DHA, artesuante and artelinate are relatively water-soluble, whereas the others are oil (fat) – soluble. (Artemisinin Research Foundation website, 2002) Mechanism of Action The artemisinin molecule contains two oxygen atoms linked together in what is known as an ‘endoperoxide bridge’, which could react with an iron atom to form free radicals. Artemisinin is toxic to malaria parasites because the parasite contains a high amount iron in the form of heme molecules. (Zhang F., Gosser DK Jr. et al, Hemin-catalyzed decomposition of artemisinin (qinghao). Biochem Pharmacol 1992; 43: 1805-9.) Free radicals cause to macromolecular damages and kill the parasites. Artemisinin has been used as an antimalaria in more than two millions patients. (Anderson KM et al, Free radicals and reactive oxygen species in programmed cell death. Med Hypotheses, 1999; 52: 451-63.) Compared to normal cells, cancer cells sequester relatively large amount of iron mainly in the form of holotransferrin. Artemisinin has been shown to cause rapid and extensive damage and death in cancer cells and have relatively low toxicity to normal cells. (Artemisinin FAQ, Dr. H. Lai and Dr. NP Singh, Dept. of Bioengineering, School of Medicine, University of Washington, 2002.) Toxicity Large Animals. When artemisinin was tested with monkeys, they showed no toxicity after they received up to 292 mg/kg of artemether over 1 to 3 months. High doses of artemisinin can produce neurotoxicity such as gait disturbances, loss of spinal and pain response, respiratory depression, and ultimately cardiopulmonary arrest in large animals. (Journal of Traditional 2(1): 31-36, 1982.) Healthy Volunteers. 250-mg artemisinin and artesunate were used in a pharmacokinetic studies. Both pharmaceutical forms were well-tolerated and no undesirable side effects were observed. (Benakis et al. Pharmacokinetics of artemisinin and artesunate after oral administrationi in healthy volunteers. American Journal of Tropical Medicine Hyg, Jan;56(1):17-23,1997.) Mice. Artemisininin is virtually non-toxic (LD50 = 4228 mg/kg orally administered to mice) and without carcinogenicity. (Jung, Mankil and Schinazi, Raymond, Bioorganic & Medicinal Chemistry Letters, Vol. 4, No. 7; 931-934, 1994.) Pharmacokinetics. The healthy human voluntarily oral administrated 250 mg tablets of artemisinin and artesunate. For Artemisinin, the mean maximum drug concentration Cmax = 0.36 microgram/ml, appearance half life T1/2 = 0.62 hr, distribution half life t1/2 á = 2.61 hr, decline half-life t1/2 â = 4.34 hr, total area under the concentration-time curve (AUC) = 1.19 microgram.hg/ml, its main metabolite, dihydroartemisinin was measurable in the plasma. For artesunate, half lives were much shorter. (Benakis, et al, Dept. of Pharmacology, Geneva U. Swiss, Am J Trop Med Hyg, Jan;56(1): 17-23, 1997.) Malaria, Cancer, Parasites A Cancer Treatment Method of inhibiting or killing cancer cells has been disclosed wherein compounds having an endoperoxide moiety that is reactive with iron are administered under conditions which enhance intracellullar iron concentrations. Representative endoperoxide compounds are artemisinin and its analogs. (US Patent Document 5,578,637, University of Washington, Inventors Dr. H. Lai and Dr. NP Singh, November 26, 1996.) Cell of a human Leukemia cell line (Molt-4) were exposed to holotransferrin and dihydroartemisinin and a rapid cell death, as evidenced by a decrease in cell counts, was observed. (H. Lai and NP Singh, Selective Cancer Cell Cytotoxicity from Exposure to Dihydroartemisinin and Holotransferrin, Cancer Letters, 91:41-46, 1995.) Artemisinin had been analyzed for its activity against 55 cancer cell lines. It was most active against leukemia and colon cancer cell lines and active for melanomas, breast, ovarian, prostate, CNS, and renal cancer cell lines. Importantly, a comparison of artemisinin’s cytotoxicity with those of other standard cytostatic drugs showed that it was active in molar ranges comparable to those of established anti-tumor drugs. These results and known low toxicity of artemisinin and its derivatives make them a promising novel candidate for cancer chemotherapy. (Efferth et al, Anti-Malaria Drug is Also Active against Cancer, Int’l Journal of Oncology, 18; 767-773, 2001.) Artemisinin becomes cytotoxic in the presence of ferrous iron. Since iron influx is high in cancer cells, artemisinin and its analogs selective kill cancer cells under conditions that increase intracellular iron concentrations. Artemisinin analog effectively killed radiation-resistant human breast cancer cells in vitro. The same treatment had considerably less effect on normal human breast cells. Administration of artemisinin like drugs may be a simple, effective, and economical treatment for cancer. (NP Singh and H Lai, Selective toxicity of dihydroartemisinin and holotransferrin toward human breast cancer cells, Life Sciences, 70:49-56,2001.) Small-cell Lung Carcinoma Cells (SCLC). Artemisinin was tested for the effects on drug-sensitive (H69) and multi-drug resistant (H69VP) SCLC cells, pretreated with transferrin to increase the intracellular iron level. Low doses of artemisinin were cytotoxic to SCLC cells. The cytotoxicity of artemisinin for H69VP cells was ten-fold lower than for H69 cells, indicating that artemisinin is part of the drug resistance phenotype. Pretreatment of H69 did not alter the IC50 for artemisinin, however, in the artemisinin-resistant H69VP cells, pretreatment with transferrin lowered the artemisinin IC50 to near drug-sensitive levels. Desferrioxamine inhibited the effect of transferrin on the IC50 for artemisinin in drug-resistant cells but did not have an effect on artemisinin cytotoxicity in drug-sensitive cells. These data indicate the potential use of artemisinin and transferrin in drug-resistant SCLC. (Sadava, D et al. Transferrin overcomes drug resistance to artemisinin in human small-cell lung carcinoma cells, Cancer Letter, 179, 151- 156, 2002.) Combined with Chemotherapy Drugs. This article reported experiemnts to study the activity of 22 drugs on leukemia CCRF-CEM cells lines, artemisinin, artesuante, baicalein, baicalin, berberine, bufalin, cantharidin, cephalotaxine, curcumin, daidzein, daidzin, diallyl disulfide, ginsenoside Rh2, glycirrhizic acid, isonardosinon, homoharringtonine, nardosinon, nardofuran, puerarin, quercetin, tannic acid, and tetrahydronardosinon, carried out independently in Germany and Australia. As shown by flow cytometry, artesunate significantly increased daunorubicin accumulation in CEM/E1000 cells. As artesunate and bufalin showed both anti-leukemic activity if applied alone and modulation activity in combination with daunorubicin in multidrug-resistant (MDR) cells, these two drugs may be suitable for novel combination treatment regimens to improve leukemia cell killing. (Efferth et al. Blood Cells, Molecules, and Diseases 28(2) Mar/Apr; 160-168, 2002.) Modulation of Multidrug Resisitance for Chemotherapy. Artemisinin and its derivatives have been found to inhibit the proliferation of cancer cells and increased cytotoxicity of perarubicin and doxorubicin in P-glycoprotein-overexpressing, and in MRP1-overexpressing, but not in their corresponding drug-sensitive cell lines. (Reungpatthanaphong, P et al Modulation of MDR by Artemisinin, artesunate and DHA in K562, GLC4 Resistant Cell Lines, Biology Pharmocology Bull. 25 (12) 1555-1561,2002.) A triterpene and a sesquiterpene were isolated from separation of Artemisia stolonifera. These two aromatic compounds showed in vitro cytotoxicity against non-small cell lung adenocarcinoma, ovarian, skin melanoma, CNS and colon. (Kwon, Phytochemical constiuents of Artemisia stolonifera, Arch. Pharm. Research 24(4):312-315, 2001. 9 C-10 non-acetal derivatives of the natural trioxane artemisinin were prepared as dimers using some novel chemistry. All compounds showed good to excellent anti-malarial and antiproliferative activities in vitro. Dimers 8, 10, and 12 were especially potent and selective at inhibiting growth of some human cancer cell lines in the NCI in vitro 60-cell line assay. (Posner, GH et al, Antimalarial, antiproliferative, and antitumor activities of Artemisinin Derived Dimers, J Medicinal Chemistry, 42(21),178-181, Oct. 1999.) Leukemia and Non Small-Cell Lung Carcinoma Cell Lines. Modification of artemisinin structure led to discovery of a novel class of antitumor compounds. The artemisinin derivatives containing cyano and aryl groups showed potent antiproliferative effect in vitro against leukemia and human lung carcinoma cell lines. (Li, Ying, et al. Novel antitumor artemisinin derivatives targeting G1 phase of the cell cycle. Bioorganic & Medicinal Chemistry Letters 11:5-8,2001.) A series of artemisinin-related endoperoxides was tested for cytotoxicity to Ehrlich ascites tumor cells (EAT). Artemisinin showed cytotoxicity to the EAT cells and its derivatives exhibited a somewhat more potent cytotoxicity. Artemisinin and its derivatives showed cytotoxicity to EAT cells at higher concentrations than those needed for in vitro anti-malaria activity. (Woerdenbag, HJ et al. Cytotoxicity of artemisinin-related endoperoxides to EAT cells, J. Natural Products 56:(6),849-856, 1993.) Blood-Brain Barrier & Alzheimer’s disease (AD). A methanolic extract from Artemisia showed the highest inhibitory effect on acetylcholinesterase in vitro. The study demonstrated that an alkaloid of Artemisia asiatica, metabolized to small molecule in digestive tract and passed through the BBB, be an acetylcholinesterase inhibitor with a blocker of neurotoxicity induced by a beta in human brain causing AD. Heo et al. Inhibitory effect of Artemisia asiatica alkaloids on acetylcholinesterase activity from PC12 cells, Molecule Cells, Jun 30;10(3):253-262.) AIDS and HIV. A series of artemisinin (qinghaosu) related trioxanes has been prepared and assayed in vitro for anti-HIV activity. One of these compounds, 12-n-butyldeoxoartemisinin shows a good antiviral activity against HIV-1. (Jung, M et al. Synthesis and In Vitro Anti-Human Immunodeficienvy Virus Activity of Artemisinin (Qinghaosu) Related Trioxanes, Bioorganic & Medicinal Chemistry Letters, Vol. 4, No. 7, 931-934; 1994.) Hepatitis B and Lyme Disease 320 cases of chronic Hepatitis B were treated with artemisinin derivatives resulted in the recovery of liver function. Herbmed website, Zhang, et al, 1993 This publication describes the treatment of a laryngeal squamous cell carcinoma case with the water-soluble artemisinin analog, artesunate. Artemisinin is a novel anti-cancer drug with demonstrated results in killing cancer cells. Artesunate injections and tablets were administered to the patient over a period of nine months. The tumor was significantly reduced (by approximately 70%) after two months of treatment. Overall, the artesunate treatment of the patient was beneficial in prolonging and improving the quality of life. Artemisinin and its analogs offer promise for cancer therapy. (Singh and Verma, Case report of a laryngeal squamous cell carcinoma treated with artesunate, Archive of Oncology, Vol. 10(4), 279-80, 2002.) A protocol clinic trials for 50 canines diagnosed with metastatic osteosarcoma to the lungs is being considered following in vitro testing at Georgetown University and Washington Cancer Institute. Toxicity data do not suggest that systemic toxicity occurs at therapeutic dosages. It is believed that the use of oral artemisinin protocol will produce clinically measurable cytotoxic effects in the tumor cells of canines with metastatic disease. (Dr. Krutz, D. Hartmann, P. Wodajo & K.Graney, A Letter to FDA, Treatment of Metastasic Canine Cancer with Artemisinin, Dec. 2002.) ______________ The best thing to hit the internet in years - Juno SpeedBand! Surf the web up to FIVE TIMES FASTER! Only $14.95/ month - visit www.juno.com to sign up today! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 10, 2003 Report Share Posted October 10, 2003 I've added Qing hao to a cancer formula and have gotten some very encouraging results with my cancer patients. All have shown significant improvement. One woman who has 30 tumor sites dropped her markers in half. But since I'm also doing acupuncture on all of them, it's difficult to say what percent is atrributable to the herbs alone. Jim Ramholz , @j... wrote: > Thanks for the lead. I am amazed (and humbled) at what I found. I guess the more I learn, the more I realize how little I know. Read the article that follows: > > > ARTEMISININ > Artemisinin is a compound extracted from the plant Artemesia annua L. (sweet wormwood,.also known as the Chinese herbal Qinghao). Artemisinin is a sesquiterpene lactone (emperical formula C15H22O5.) Its derivatives, such as artemether, artesunate, arteether, and artelinate, which are quickly converted to their active plasma metabolite, dihydroartemisinin (DHA). Artesunate and artelinate are water-soluble, the others are oil (fat)-soluble. > According to a WHO research report (No. 36 Malaria, encouraging results from studies to improve the safety and efficacy of natural drug compounds), extracts from the herb Artemeisa annua have been used in China since AD 341 to treat febrile illness. In 1971, the active component, qinghaosu (now know as artemisinin) was identified and shown to be effective against malaria, including chloroquine- resistant parasites. It has generally proven safe and free of toxic side effects from widespread experience with dosages designed to treat Malaria. WHO has recommended artemisinin-based anti-malaria drugs. > > > More recently, research done by scientists, like Dr. Henry Lai and Dr. N.P. Singh of the University of Washington, Seattle, WA, USA, has shown in both in vitro and in vivo tests that artemisinin is selectively toxic to cancer cells. Consequently, many cancer patients around the world have been taking artemisinin or its derivatives as an alternative cancer treatment, mostly under the supervision of physicians. Many encouraging results, though mostly anecdotal, have been reported from these patients. > > These clinical applications of artemisinin, in the treatment of malaria and cancer, could be one of the most important discoveries in the 21st century. Further research could lead to an effective, affordable, non-surgery and non-toxic treatment for cancer, malaria and other deadly diseases. > > Artemisia annua L > > > > Drug of Choice > > > > How does Artemisinin work? > > The artemisinin, a sesquiterpene lactone peroxide contains two oxygen atoms hooked together in what is termed an endoperoxide bridge, which is essential for its anti-malarial and anti-cancer activity. > > > All cancer cells sequester iron. Artemisinin reacts with free iron atoms in cells. In the presence of free iron, the endoperoxide bridge breaks down, forming very reactive free radicals that cause rapid and extensive damage and death to cancer cells. Similarly, the anti-malaria action of artemisinin is due to its reaction with intraparasitic heme iron, which generates free radicals, leading to damage to the parasite. > > Dr. Henry Lai and Dr. NP Singh of University of Washington, School of Medicine has collected more than 300 peer reviewed publications or Dr. Singh Presentation and summarized by Dr. Wayne Li of Holley Pharmaceuticals listed as follows for your source of further research. > > This serves as a primary source of information and references for scientists and health professionals. Readers should refer to the original articles for details. This does not constitute a suggestion or an imply to take artemisinin for any diseases. Only qualified healthcare professionals can give you medical advices. > > Artemisinin > > Artemisinin is a compound extracted from the plant Artemesia annua L. (sweet wormwood, also known as the Chinese herbal Qinghao). Artemisinin (C15H22O5 ) is a sesquiterpene lactone. Artemesia annua has been used in China since AD 341 to treat febrile illness. In 1971, the active ingredient, artemisininin, was identified and isolated. (PM O'Neill, Univ. of Liverpool, WHO Report, No. 36, Malaria, Encouraging Results from Studies to Improve the Safety and Efficacy of Natural Drug Compounds. 2001) > > Derivatives of artemisinin have been synthesized. These include: dihydroartemisinin (DHA), artemether, artesunate, arteether, and artelinic acid. These compounds have been packaged in different forms: tablets, capsules, suppositories and injectibles. DHA, artesuante and artelinate are relatively water-soluble, whereas the others are oil (fat) – soluble. (Artemisinin Research Foundation website, 2002) > > Mechanism of Action > > The artemisinin molecule contains two oxygen atoms linked together in what is known as an `endoperoxide bridge', which could react with an iron atom to form free radicals. Artemisinin is toxic to malaria parasites because the parasite contains a high amount iron in the form of heme molecules. (Zhang F., Gosser DK Jr. et al, Hemin- catalyzed decomposition of artemisinin (qinghao). Biochem Pharmacol 1992; 43: 1805-9.) > > Free radicals cause to macromolecular damages and kill the parasites. Artemisinin has been used as an antimalaria in more than two millions patients. (Anderson KM et al, Free radicals and reactive oxygen species in programmed cell death. Med Hypotheses, 1999; 52: 451-63.) > > Compared to normal cells, cancer cells sequester relatively large amount of iron mainly in the form of holotransferrin. Artemisinin has been shown to cause rapid and extensive damage and death in cancer cells and have relatively low toxicity to normal cells. (Artemisinin FAQ, Dr. H. Lai and Dr. NP Singh, Dept. of Bioengineering, School of Medicine, University of Washington, 2002.) > > Toxicity > > Large Animals. When artemisinin was tested with monkeys, they showed no toxicity after they received up to 292 mg/kg of artemether over 1 to 3 months. High doses of artemisinin can produce neurotoxicity such as gait disturbances, loss of spinal and pain response, respiratory depression, and ultimately cardiopulmonary arrest in large animals. (Journal of Traditional 2 (1): 31-36, 1982.) > > Healthy Volunteers. 250-mg artemisinin and artesunate were used in a pharmacokinetic studies. Both pharmaceutical forms were well- tolerated and no undesirable side effects were observed. (Benakis et al. Pharmacokinetics of artemisinin and artesunate after oral administrationi in healthy volunteers. American Journal of Tropical Medicine Hyg, Jan;56(1):17-23,1997.) > > Mice. Artemisininin is virtually non-toxic (LD50 = 4228 mg/kg orally administered to mice) and without carcinogenicity. (Jung, Mankil and Schinazi, Raymond, Bioorganic & Medicinal Chemistry Letters, Vol. 4, No. 7; 931-934, 1994.) > > Pharmacokinetics. > > The healthy human voluntarily oral administrated 250 mg tablets of artemisinin and artesunate. For Artemisinin, the mean maximum drug concentration Cmax = 0.36 microgram/ml, appearance half life T1/2 = 0.62 hr, distribution half life t1/2 á = 2.61 hr, decline half- life t1/2 â = 4.34 hr, total area under the concentration-time curve (AUC) = 1.19 microgram.hg/ml, its main metabolite, dihydroartemisinin was measurable in the plasma. For artesunate, half lives were much shorter. (Benakis, et al, Dept. of Pharmacology, Geneva U. Swiss, Am J Trop Med Hyg, Jan;56(1): 17-23, 1997.) > > Malaria, Cancer, Parasites > > A Cancer Treatment Method of inhibiting or killing cancer cells has been disclosed wherein compounds having an endoperoxide moiety that is reactive with iron are administered under conditions which enhance intracellullar iron concentrations. Representative endoperoxide compounds are artemisinin and its analogs. (US Patent Document 5,578,637, University of Washington, Inventors Dr. H. Lai and Dr. NP Singh, November 26, 1996.) > > Cell of a human Leukemia cell line (Molt-4) were exposed to holotransferrin and dihydroartemisinin and a rapid cell death, as evidenced by a decrease in cell counts, was observed. (H. Lai and NP Singh, Selective Cancer Cell Cytotoxicity from Exposure to Dihydroartemisinin and Holotransferrin, Cancer Letters, 91:41-46, 1995.) > > Artemisinin had been analyzed for its activity against 55 cancer cell lines. It was most active against leukemia and colon cancer cell lines and active for melanomas, breast, ovarian, prostate, CNS, and renal cancer cell lines. Importantly, a comparison of artemisinin's cytotoxicity with those of other standard cytostatic drugs showed that it was active in molar ranges comparable to those of established anti-tumor drugs. These results and known low toxicity of artemisinin and its derivatives make them a promising novel candidate for cancer chemotherapy. (Efferth et al, Anti- Malaria Drug is Also Active against Cancer, Int'l Journal of Oncology, 18; 767-773, 2001.) > > Artemisinin becomes cytotoxic in the presence of ferrous iron. Since iron influx is high in cancer cells, artemisinin and its analogs selective kill cancer cells under conditions that increase intracellular iron concentrations. Artemisinin analog effectively killed radiation-resistant human breast cancer cells in vitro. The same treatment had considerably less effect on normal human breast cells. Administration of artemisinin like drugs may be a simple, effective, and economical treatment for cancer. (NP Singh and H Lai, Selective toxicity of dihydroartemisinin and holotransferrin toward human breast cancer cells, Life Sciences, 70:49-56,2001.) > > Small-cell Lung Carcinoma Cells (SCLC). Artemisinin was tested for the effects on drug-sensitive (H69) and multi-drug resistant (H69VP) SCLC cells, pretreated with transferrin to increase the intracellular iron level. Low doses of artemisinin were cytotoxic to SCLC cells. The cytotoxicity of artemisinin for H69VP cells was ten- fold lower than for H69 cells, indicating that artemisinin is part of the drug resistance phenotype. Pretreatment of H69 did not alter the IC50 for artemisinin, however, in the artemisinin-resistant H69VP cells, pretreatment with transferrin lowered the artemisinin IC50 to near drug-sensitive levels. Desferrioxamine inhibited the effect of transferrin on the IC50 for artemisinin in drug-resistant cells but did not have an effect on artemisinin cytotoxicity in drug- sensitive cells. These data indicate the potential use of artemisinin and transferrin in drug-resistant SCLC. (Sadava, D et al. Transferrin overcomes drug resistance to artemisinin in human small-cell lung carcinoma cells, Cancer Letter, 179, 151- 156, 2002.) > > Combined with Chemotherapy Drugs. This article reported experiemnts to study the activity of 22 drugs on leukemia CCRF-CEM cells lines, artemisinin, artesuante, baicalein, baicalin, berberine, bufalin, cantharidin, cephalotaxine, curcumin, daidzein, daidzin, diallyl disulfide, ginsenoside Rh2, glycirrhizic acid, isonardosinon, homoharringtonine, nardosinon, nardofuran, puerarin, quercetin, tannic acid, and tetrahydronardosinon, carried out independently in Germany and Australia. As shown by flow cytometry, artesunate significantly increased daunorubicin accumulation in CEM/E1000 cells. As artesunate and bufalin showed both anti-leukemic activity if applied alone and modulation activity in combination with daunorubicin in multidrug-resistant (MDR) cells, these two drugs may be suitable for novel combination treatment regimens to improve leukemia cell killing. (Efferth et al. Blood Cells, Molecules, and Diseases 28(2) Mar/Apr; 160-168, 2002.) > > Modulation of Multidrug Resisitance for Chemotherapy. Artemisinin and its derivatives have been found to inhibit the proliferation of cancer cells and increased cytotoxicity of perarubicin and doxorubicin in P-glycoprotein-overexpressing, and in MRP1- overexpressing, but not in their corresponding drug-sensitive cell lines. (Reungpatthanaphong, P et al Modulation of MDR by Artemisinin, artesunate and DHA in K562, GLC4 Resistant Cell Lines, Biology Pharmocology Bull. 25 (12) 1555-1561,2002.) > > A triterpene and a sesquiterpene were isolated from separation of Artemisia stolonifera. These two aromatic compounds showed in vitro cytotoxicity against non-small cell lung adenocarcinoma, ovarian, skin melanoma, CNS and colon. (Kwon, Phytochemical constiuents of Artemisia stolonifera, Arch. Pharm. Research 24(4):312-315, 2001. > > 9 C-10 non-acetal derivatives of the natural trioxane artemisinin were prepared as dimers using some novel chemistry. All compounds showed good to excellent anti-malarial and antiproliferative activities in vitro. Dimers 8, 10, and 12 were especially potent and selective at inhibiting growth of some human cancer cell lines in the NCI in vitro 60-cell line assay. (Posner, GH et al, Antimalarial, antiproliferative, and antitumor activities of Artemisinin Derived Dimers, J Medicinal Chemistry, 42(21),178-181, Oct. 1999.) > > Leukemia and Non Small-Cell Lung Carcinoma Cell Lines. Modification of artemisinin structure led to discovery of a novel class of antitumor compounds. The artemisinin derivatives containing cyano and aryl groups showed potent antiproliferative effect in vitro against leukemia and human lung carcinoma cell lines. (Li, Ying, et al. Novel antitumor artemisinin derivatives targeting G1 phase of the cell cycle. Bioorganic & Medicinal Chemistry Letters 11:5-8,2001.) > > A series of artemisinin-related endoperoxides was tested for cytotoxicity to Ehrlich ascites tumor cells (EAT). Artemisinin showed cytotoxicity to the EAT cells and its derivatives exhibited a somewhat more potent cytotoxicity. Artemisinin and its derivatives showed cytotoxicity to EAT cells at higher concentrations than those needed for in vitro anti-malaria activity. (Woerdenbag, HJ et al. Cytotoxicity of artemisinin-related endoperoxides to EAT cells, J. Natural Products 56:(6),849-856, 1993.) > > Blood-Brain Barrier & Alzheimer's disease (AD). A methanolic extract from Artemisia showed the highest inhibitory effect on acetylcholinesterase in vitro. The study demonstrated that an alkaloid of Artemisia asiatica, metabolized to small molecule in digestive tract and passed through the BBB, be an acetylcholinesterase inhibitor with a blocker of neurotoxicity induced by a beta in human brain causing AD. Heo et al. Inhibitory effect of Artemisia asiatica alkaloids on acetylcholinesterase activity from PC12 cells, Molecule Cells, Jun 30;10(3):253-262.) > > AIDS and HIV. A series of artemisinin (qinghaosu) related trioxanes has been prepared and assayed in vitro for anti-HIV activity. One of these compounds, 12-n-butyldeoxoartemisinin shows a good antiviral activity against HIV-1. (Jung, M et al. Synthesis and In Vitro Anti-Human Immunodeficienvy Virus Activity of Artemisinin (Qinghaosu) Related Trioxanes, Bioorganic & Medicinal Chemistry Letters, Vol. 4, No. 7, 931-934; 1994.) > > Hepatitis B and Lyme Disease 320 cases of chronic Hepatitis B were treated with artemisinin derivatives resulted in the recovery of liver function. Herbmed website, Zhang, et al, 1993 > > This publication describes the treatment of a laryngeal squamous cell carcinoma case with the water-soluble artemisinin analog, artesunate. Artemisinin is a novel anti-cancer drug with demonstrated results in killing cancer cells. Artesunate injections and tablets were administered to the patient over a period of nine months. The tumor was significantly reduced (by approximately 70%) after two months of treatment. Overall, the artesunate treatment of the patient was beneficial in prolonging and improving the quality of life. Artemisinin and its analogs offer promise for cancer therapy. (Singh and Verma, Case report of a laryngeal squamous cell carcinoma treated with artesunate, Archive of Oncology, Vol. 10(4), 279-80, 2002.) > > A protocol clinic trials for 50 canines diagnosed with metastatic osteosarcoma to the lungs is being considered following in vitro testing at Georgetown University and Washington Cancer Institute. Toxicity data do not suggest that systemic toxicity occurs at therapeutic dosages. It is believed that the use of oral artemisinin protocol will produce clinically measurable cytotoxic effects in the tumor cells of canines with metastatic disease. (Dr. Krutz, D. Hartmann, P. Wodajo & K.Graney, A Letter to FDA, Treatment of Metastasic Canine Cancer with Artemisinin, Dec. 2002.) > > > > > > > > ______________ > The best thing to hit the internet in years - Juno SpeedBand! > Surf the web up to FIVE TIMES FASTER! > Only $14.95/ month - visit www.juno.com to sign up today! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 10, 2003 Report Share Posted October 10, 2003 Michael Broffman has picked up on the use of artemesin, an extract of qing hao, for cancer patients, based on positive studies in mainland China. On Friday, October 10, 2003, at 02:21 PM, James Ramholz wrote: > I've added Qing hao to a cancer formula and have gotten some very > encouraging results with my cancer patients. All have shown > significant improvement. One woman who has 30 tumor sites dropped > her markers in half. But since I'm also doing acupuncture on all of > them, it's difficult to say what percent is atrributable to the > herbs alone. > > > Jim Ramholz , @j... wrote: >> Thanks for the lead. I am amazed (and humbled) at what I found. > I guess the more I learn, the more I realize how little I > know. Read the article that follows: >> >> >> ARTEMISININ >> Artemisinin is a compound extracted from the plant Artemesia annua > L. (sweet wormwood,.also known as the Chinese herbal Qinghao). > Artemisinin is a sesquiterpene lactone (emperical formula C15H22O5.) > Its derivatives, such as artemether, artesunate, arteether, and > artelinate, which are quickly converted to their active plasma > metabolite, dihydroartemisinin (DHA). Artesunate and artelinate are > water-soluble, the others are oil (fat)-soluble. >> According to a WHO research report (No. 36 Malaria, encouraging > results from studies to improve the safety and efficacy of natural > drug compounds), extracts from the herb Artemeisa annua have been > used in China since AD 341 to treat febrile illness. In 1971, the > active component, qinghaosu (now know as artemisinin) was identified > and shown to be effective against malaria, including chloroquine- > resistant parasites. It has generally proven safe and free of toxic > side effects from widespread experience with dosages designed to > treat Malaria. WHO has recommended artemisinin-based anti-malaria > drugs. >> >> >> More recently, research done by scientists, like Dr. Henry Lai and > Dr. N.P. Singh of the University of Washington, Seattle, WA, USA, > has shown in both in vitro and in vivo tests that artemisinin is > selectively toxic to cancer cells. Consequently, many cancer > patients around the world have been taking artemisinin or its > derivatives as an alternative cancer treatment, mostly under the > supervision of physicians. Many encouraging results, though mostly > anecdotal, have been reported from these patients. >> >> These clinical applications of artemisinin, in the treatment of > malaria and cancer, could be one of the most important discoveries > in the 21st century. Further research could lead to an effective, > affordable, non-surgery and non-toxic treatment for cancer, malaria > and other deadly diseases. >> >> Artemisia annua L >> >> >> >> Drug of Choice >> >> >> >> How does Artemisinin work? >> >> The artemisinin, a sesquiterpene lactone peroxide contains two > oxygen atoms hooked together in what is termed an endoperoxide > bridge, which is essential for its anti-malarial and anti-cancer > activity. >> >> >> All cancer cells sequester iron. Artemisinin reacts with free iron > atoms in cells. In the presence of free iron, the endoperoxide > bridge breaks down, forming very reactive free radicals that cause > rapid and extensive damage and death to cancer cells. Similarly, the > anti-malaria action of artemisinin is due to its reaction with > intraparasitic heme iron, which generates free radicals, leading to > damage to the parasite. >> >> Dr. Henry Lai and Dr. NP Singh of University of Washington, School > of Medicine has collected more than 300 peer reviewed publications > or Dr. Singh Presentation and summarized by Dr. Wayne Li of Holley > Pharmaceuticals listed as follows for your source of further > research. >> >> This serves as a primary source of information and references for > scientists and health professionals. Readers should refer to the > original articles for details. This does not constitute a suggestion > or an imply to take artemisinin for any diseases. Only qualified > healthcare professionals can give you medical advices. >> >> Artemisinin >> >> Artemisinin is a compound extracted from the plant Artemesia annua > L. (sweet wormwood, also known as the Chinese herbal Qinghao). > Artemisinin (C15H22O5 ) is a sesquiterpene lactone. Artemesia annua > has been used in China since AD 341 to treat febrile illness. In > 1971, the active ingredient, artemisininin, was identified and > isolated. (PM O'Neill, Univ. of Liverpool, WHO Report, No. 36, > Malaria, Encouraging Results from Studies to Improve the Safety and > Efficacy of Natural Drug Compounds. 2001) >> >> Derivatives of artemisinin have been synthesized. These include: > dihydroartemisinin (DHA), artemether, artesunate, arteether, and > artelinic acid. These compounds have been packaged in different > forms: tablets, capsules, suppositories and injectibles. DHA, > artesuante and artelinate are relatively water-soluble, whereas the > others are oil (fat) – soluble. (Artemisinin Research Foundation > website, 2002) >> >> Mechanism of Action >> >> The artemisinin molecule contains two oxygen atoms linked together > in what is known as an `endoperoxide bridge', which could react with > an iron atom to form free radicals. Artemisinin is toxic to malaria > parasites because the parasite contains a high amount iron in the > form of heme molecules. (Zhang F., Gosser DK Jr. et al, Hemin- > catalyzed decomposition of artemisinin (qinghao). Biochem Pharmacol > 1992; 43: 1805-9.) >> >> Free radicals cause to macromolecular damages and kill the > parasites. Artemisinin has been used as an antimalaria in more than > two millions patients. (Anderson KM et al, Free radicals and > reactive oxygen species in programmed cell death. Med Hypotheses, > 1999; 52: 451-63.) >> >> Compared to normal cells, cancer cells sequester relatively large > amount of iron mainly in the form of holotransferrin. Artemisinin > has been shown to cause rapid and extensive damage and death in > cancer cells and have relatively low toxicity to normal cells. > (Artemisinin FAQ, Dr. H. Lai and Dr. NP Singh, Dept. of > Bioengineering, School of Medicine, University of Washington, 2002.) >> >> Toxicity >> >> Large Animals. When artemisinin was tested with monkeys, they > showed no toxicity after they received up to 292 mg/kg of artemether > over 1 to 3 months. High doses of artemisinin can produce > neurotoxicity such as gait disturbances, loss of spinal and pain > response, respiratory depression, and ultimately cardiopulmonary > arrest in large animals. (Journal of Traditional 2 > (1): 31-36, 1982.) >> >> Healthy Volunteers. 250-mg artemisinin and artesunate were used > in a pharmacokinetic studies. Both pharmaceutical forms were well- > tolerated and no undesirable side effects were observed. (Benakis et > al. Pharmacokinetics of artemisinin and artesunate after oral > administrationi in healthy volunteers. American Journal of Tropical > Medicine Hyg, Jan;56(1):17-23,1997.) >> >> Mice. Artemisininin is virtually non-toxic (LD50 = 4228 mg/kg > orally administered to mice) and without carcinogenicity. (Jung, > Mankil and Schinazi, Raymond, Bioorganic & Medicinal Chemistry > Letters, Vol. 4, No. 7; 931-934, 1994.) >> >> Pharmacokinetics. >> >> The healthy human voluntarily oral administrated 250 mg tablets of > artemisinin and artesunate. For Artemisinin, the mean maximum drug > concentration Cmax = 0.36 microgram/ml, appearance half life T1/2 > = 0.62 hr, distribution half life t1/2 á = 2.61 hr, decline half- > life t1/2 â = 4.34 hr, total area under the concentration-time curve > (AUC) = 1.19 microgram.hg/ml, its main metabolite, > dihydroartemisinin was measurable in the plasma. For artesunate, > half lives were much shorter. (Benakis, et al, Dept. of > Pharmacology, Geneva U. Swiss, Am J Trop Med Hyg, Jan;56(1): 17-23, > 1997.) >> >> Malaria, Cancer, Parasites >> >> A Cancer Treatment Method of inhibiting or killing cancer cells > has been disclosed wherein compounds having an endoperoxide moiety > that is reactive with iron are administered under conditions which > enhance intracellullar iron concentrations. Representative > endoperoxide compounds are artemisinin and its analogs. (US Patent > Document 5,578,637, University of Washington, Inventors Dr. H. Lai > and Dr. NP Singh, November 26, 1996.) >> >> Cell of a human Leukemia cell line (Molt-4) were exposed to > holotransferrin and dihydroartemisinin and a rapid cell death, as > evidenced by a decrease in cell counts, was observed. (H. Lai and NP > Singh, Selective Cancer Cell Cytotoxicity from Exposure to > Dihydroartemisinin and Holotransferrin, Cancer Letters, 91:41-46, > 1995.) >> >> Artemisinin had been analyzed for its activity against 55 cancer > cell lines. It was most active against leukemia and colon cancer > cell lines and active for melanomas, breast, ovarian, prostate, CNS, > and renal cancer cell lines. Importantly, a comparison of > artemisinin's cytotoxicity with those of other standard cytostatic > drugs showed that it was active in molar ranges comparable to those > of established anti-tumor drugs. These results and known low > toxicity of artemisinin and its derivatives make them a promising > novel candidate for cancer chemotherapy. (Efferth et al, Anti- > Malaria Drug is Also Active against Cancer, Int'l Journal of > Oncology, 18; 767-773, 2001.) >> >> Artemisinin becomes cytotoxic in the presence of ferrous iron. > Since iron influx is high in cancer cells, artemisinin and its > analogs selective kill cancer cells under conditions that increase > intracellular iron concentrations. Artemisinin analog effectively > killed radiation-resistant human breast cancer cells in vitro. The > same treatment had considerably less effect on normal human breast > cells. Administration of artemisinin like drugs may be a simple, > effective, and economical treatment for cancer. (NP Singh and H Lai, > Selective toxicity of dihydroartemisinin and holotransferrin toward > human breast cancer cells, Life Sciences, 70:49-56,2001.) >> >> Small-cell Lung Carcinoma Cells (SCLC). Artemisinin was tested for > the effects on drug-sensitive (H69) and multi-drug resistant (H69VP) > SCLC cells, pretreated with transferrin to increase the > intracellular iron level. Low doses of artemisinin were cytotoxic to > SCLC cells. The cytotoxicity of artemisinin for H69VP cells was ten- > fold lower than for H69 cells, indicating that artemisinin is part > of the drug resistance phenotype. Pretreatment of H69 did not alter > the IC50 for artemisinin, however, in the artemisinin-resistant > H69VP cells, pretreatment with transferrin lowered the artemisinin > IC50 to near drug-sensitive levels. Desferrioxamine inhibited the > effect of transferrin on the IC50 for artemisinin in drug-resistant > cells but did not have an effect on artemisinin cytotoxicity in drug- > sensitive cells. These data indicate the potential use of > artemisinin and transferrin in drug-resistant SCLC. (Sadava, D et > al. Transferrin overcomes drug resistance to artemisinin in human > small-cell lung carcinoma cells, Cancer Letter, 179, 151- 156, 2002.) >> >> Combined with Chemotherapy Drugs. This article reported > experiemnts to study the activity of 22 drugs on leukemia CCRF-CEM > cells lines, artemisinin, artesuante, baicalein, baicalin, > berberine, bufalin, cantharidin, cephalotaxine, curcumin, daidzein, > daidzin, diallyl disulfide, ginsenoside Rh2, glycirrhizic acid, > isonardosinon, homoharringtonine, nardosinon, nardofuran, puerarin, > quercetin, tannic acid, and tetrahydronardosinon, carried out > independently in Germany and Australia. As shown by flow cytometry, > artesunate significantly increased daunorubicin accumulation in > CEM/E1000 cells. As artesunate and bufalin showed both anti-leukemic > activity if applied alone and modulation activity in combination > with daunorubicin in multidrug-resistant (MDR) cells, these two > drugs may be suitable for novel combination treatment regimens to > improve leukemia cell killing. (Efferth et al. Blood Cells, > Molecules, and Diseases 28(2) Mar/Apr; 160-168, 2002.) >> >> Modulation of Multidrug Resisitance for Chemotherapy. Artemisinin > and its derivatives have been found to inhibit the proliferation of > cancer cells and increased cytotoxicity of perarubicin and > doxorubicin in P-glycoprotein-overexpressing, and in MRP1- > overexpressing, but not in their corresponding drug-sensitive cell > lines. (Reungpatthanaphong, P et al Modulation of MDR by > Artemisinin, artesunate and DHA in K562, GLC4 Resistant Cell Lines, > Biology Pharmocology Bull. 25 (12) 1555-1561,2002.) >> >> A triterpene and a sesquiterpene were isolated from separation of > Artemisia stolonifera. These two aromatic compounds showed in vitro > cytotoxicity against non-small cell lung adenocarcinoma, ovarian, > skin melanoma, CNS and colon. (Kwon, Phytochemical constiuents of > Artemisia stolonifera, Arch. Pharm. Research 24(4):312-315, 2001. >> >> 9 C-10 non-acetal derivatives of the natural trioxane artemisinin > were prepared as dimers using some novel chemistry. All compounds > showed good to excellent anti-malarial and antiproliferative > activities in vitro. Dimers 8, 10, and 12 were especially potent and > selective at inhibiting growth of some human cancer cell lines in > the NCI in vitro 60-cell line assay. (Posner, GH et al, > Antimalarial, antiproliferative, and antitumor activities of > Artemisinin Derived Dimers, J Medicinal Chemistry, 42(21),178-181, > Oct. 1999.) >> >> Leukemia and Non Small-Cell Lung Carcinoma Cell Lines. > Modification of artemisinin structure led to discovery of a novel > class of antitumor compounds. The artemisinin derivatives containing > cyano and aryl groups showed potent antiproliferative effect in > vitro against leukemia and human lung carcinoma cell lines. (Li, > Ying, et al. Novel antitumor artemisinin derivatives targeting G1 > phase of the cell cycle. Bioorganic & Medicinal Chemistry Letters > 11:5-8,2001.) >> >> A series of artemisinin-related endoperoxides was tested for > cytotoxicity to Ehrlich ascites tumor cells (EAT). Artemisinin > showed cytotoxicity to the EAT cells and its derivatives exhibited a > somewhat more potent cytotoxicity. Artemisinin and its derivatives > showed cytotoxicity to EAT cells at higher concentrations than those > needed for in vitro anti-malaria activity. (Woerdenbag, HJ et al. > Cytotoxicity of artemisinin-related endoperoxides to EAT cells, J. > Natural Products 56:(6),849-856, 1993.) >> >> Blood-Brain Barrier & Alzheimer's disease (AD). A methanolic > extract from Artemisia showed the highest inhibitory effect on > acetylcholinesterase in vitro. The study demonstrated that an > alkaloid of Artemisia asiatica, metabolized to small molecule in > digestive tract and passed through the BBB, be an > acetylcholinesterase inhibitor with a blocker of neurotoxicity > induced by a beta in human brain causing AD. Heo et al. Inhibitory > effect of Artemisia asiatica alkaloids on acetylcholinesterase > activity from PC12 cells, Molecule Cells, Jun 30;10(3):253-262.) >> >> AIDS and HIV. A series of artemisinin (qinghaosu) related > trioxanes has been prepared and assayed in vitro for anti-HIV > activity. One of these compounds, 12-n-butyldeoxoartemisinin shows a > good antiviral activity against HIV-1. (Jung, M et al. Synthesis and > In Vitro Anti-Human Immunodeficienvy Virus Activity of Artemisinin > (Qinghaosu) Related Trioxanes, Bioorganic & Medicinal Chemistry > Letters, Vol. 4, No. 7, 931-934; 1994.) >> >> Hepatitis B and Lyme Disease 320 cases of chronic Hepatitis B were > treated with artemisinin derivatives resulted in the recovery of > liver function. Herbmed website, Zhang, et al, 1993 >> >> This publication describes the treatment of a laryngeal squamous > cell carcinoma case with the water-soluble artemisinin analog, > artesunate. Artemisinin is a novel anti-cancer drug with > demonstrated results in killing cancer cells. Artesunate injections > and tablets were administered to the patient over a period of nine > months. The tumor was significantly reduced (by approximately 70%) > after two months of treatment. Overall, the artesunate treatment of > the patient was beneficial in prolonging and improving the quality > of life. Artemisinin and its analogs offer promise for cancer > therapy. (Singh and Verma, Case report of a laryngeal squamous cell > carcinoma treated with artesunate, Archive of Oncology, Vol. 10(4), > 279-80, 2002.) >> >> A protocol clinic trials for 50 canines diagnosed with metastatic > osteosarcoma to the lungs is being considered following in vitro > testing at Georgetown University and Washington Cancer Institute. > Toxicity data do not suggest that systemic toxicity occurs at > therapeutic dosages. It is believed that the use of oral artemisinin > protocol will produce clinically measurable cytotoxic effects in the > tumor cells of canines with metastatic disease. (Dr. Krutz, D. > Hartmann, P. Wodajo & K.Graney, A Letter to FDA, Treatment of > Metastasic Canine Cancer with Artemisinin, Dec. 2002.) >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> ______________ >> The best thing to hit the internet in years - Juno SpeedBand! >> Surf the web up to FIVE TIMES FASTER! >> Only $14.95/ month - visit www.juno.com to sign up today! > > > Quote Link to comment Share on other sites More sharing options...
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