Mayo
Clinic Rochester News
Monday, March
26, 2001
Natural Substance
in Fruits and Vegetables may
be Potential
Treatment for Prostate Cancer
ROCHESTER,
MINN. -- Quercetin (kwer-se-ten), a natural
substance
found in apples, onions, tea and red wine, may
be
a potentially novel approach for preventing and treating
prostate
cancer, according to a laboratory research study
conducted
at Mayo Clinic in Rochester.
The
results of the study were presented today, March 26, at
the
92nd annual meeting of the American Association for
Cancer
Research (AACR) in New Orleans. The study also is
published
in this month’s issue of the cancer journal
Carcinogenesis.
"Our
laboratory results showed quercetin blocks the androgen
(hormone)
activity in androgen-responsive human prostate
cancer
cell lines," says Nianzeng Xing, Ph.D., the Mayo Clinic
researcher
who presented the results of the study at AACR.
"By
blocking the androgen activity, the growth of prostate
cancer
cells can be prevented or stopped," he said. "Our study
suggests
quercetin may be a potential non-hormonal approach
to
accomplishing that goal."
Prostate
cancer is the second leading cause of cancer death
in
men in the United States. It annually claims about 31,500
men,
accounting for about 11 percent of male cancer-related
deaths.
The
findings may lead to another treatment option for the
nearly
200,000 men diagnosed with prostate cancer annually
in
the United States. It also may mean that eventually some
men
may not have to undergo castration, the current,
commonly
used treatment for advanced prostate cancer.
However,
Dr. Xing cautions, more research is required to
determine
whether the preliminary laboratory findings
about
quercetin translate into actual benefit for men either
at
risk or diagnosed with prostate cancer.
Quercetin
is an abundant, naturally occurring flavonoid
compound.
In addition to apples, onions, black and green
tea,
and red wine, the compound is found in green leafy
vegetables,
beans and citrus fruits.
Quercetin
has been studied scientifically for the past 30
years.
It’s documented as safe and having relatively low
toxicity.
The
compound is currently used in therapeutic treatments
for
allergic conditions such as asthma, hay fever, eczema
and
hives. It’s also used clinically to treat several inflammatory
conditions,
including gout, pancreatitis and prostatitis.
The
Mayo Clinic study is the first research indicating quercetin
has
significant activity against the androgen receptor in the
human
prostate cancer cell lines.
Androgens
are male hormones, the most common being
testosterone.
Androgens also are involved in the
development,
progression and growth of prostate cancer.
The
biological effects of androgens in the prostate are
mediated
by the androgen receptor, says Dr. Xing. An
activated
androgen receptor can turn on or off critical
genes,
which affect the biology and pathology of the
prostate.
"Our
laboratory data showed that androgen receptor
expression
was inhibited by quercetin and the rate of
response
was dose-dependent," says Dr. Xing. "Our study
also
delineated the mechanism by which quercetin reduced
the
androgen receptor."
Androgen
deprivation or suppression therapy by surgery or
medication
to remove or reduce the androgens is the
cornerstone
of current treatment for advanced prostate
cancer.
"Unfortunately,
the cancer recurs in about 80 percent of
men
within one to two years after undergoing the therapy,
and
this may be correlated with mutations in the androgen
receptor,"
says Dr. Xing.
"The
androgen receptor may function with either a small of
amount
of androgen or independently of androgens," he says.
"As
a result, the cancer learns to grow in the prostate with
less
hormone or even without the need of the hormones."
In
view of that fact, Dr. Xing says, "A more effective strategy
in
the fight against prostate cancer may be to minimize or
eliminate
the amount of the androgen receptor."
The
Mayo Clinic research study indicated that this strategy
may
be possible with quercetin.
The
next step in the research process is to study the effects
of
quercetin in a laboratory mouse model with prostate
cancer.
DESCRIPTION
OF ANDROGENS AND ANDROGEN RECEPTOR
Androgens
are hormones that enter the prostate cell and
bind
to the androgen receptor protein. The function of the
androgen
receptor is similar to a light switch in that the
receptor
turns on certain genes in the prostate. These
certain
genes promote the growth of prostate cancer cells.
By
knocking out the androgen receptor switch, as suggested
by
the Mayo Clinic study, prostate cancer cells are prevented
from
growing.
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