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Cisplatin
ENV
Posted: Wednesday, June 13, 2012 11:43:47 PM

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Apparently a 1960s chemotherapy drug has the ability to prevent SOD1 aggregation and can break apart previous aggregates, all without interfering with the function of the normal protein. This should be quite interesting to see if that improves the proteomic breakdown and recycling of the misfolded protein which we know is ubiquitin-tagged for breakdown.

--
ENV
= Le meilleur vin, avec les meilleurs amis. =
Jenny
Posted: Friday, June 15, 2012 10:43:38 AM
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That's interesting...but I hope the smart guys can figure out a way to take the barf factor out of it. It's pretty intense.

I was given cisplatin when I was going through chemo for a rare form of cancer, cancer of the appendix. The plan was to do 12 treatments, three weeks apart. I had to stop after 6 treatments...it was not fun.

I have some hearing loss and some peripheral neuropathy due to the drug.

Hopefully, if cisplatin is shown to work in a clinical trial, it will be given early on in the ALS disease stage where barfing your guts out wouldn't cause serious problems.

All this being said, dealing with the side effects of cisplatin is about 1,000,000 times better than dealing with ALS.
Nemesis
Posted: Friday, June 15, 2012 1:22:48 PM

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Use my rule of thumbs and common sense when looking for new drugs.


Don't just ask what scientists can do to speed up the solution for ALS or when they will do it, instead ask yourself what you can do right now to solve ALS asap.
millstones
Posted: Saturday, June 16, 2012 10:08:57 AM

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Nemesis,
Where would one find your rule of thumb? You have 2814 posts on here - it may take some tracking down.
Common sense I am sure most can handle.

How is the new job going?

John
Nemesis
Posted: Saturday, June 16, 2012 10:18:39 AM

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I'm enjoying it, but there's more urgent projects to be started than research funds available. I suspect that idiots constantly are applying for them.

The rule of thumbs is simple, just ensure that the drug candidate heals ulcers, but be extra cautious if it causes them.


Don't just ask what scientists can do to speed up the solution for ALS or when they will do it, instead ask yourself what you can do right now to solve ALS asap.
Olly
Posted: Wednesday, June 27, 2012 7:04:23 AM

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There is a now an oral form of cisplatin called CP Ethypharm.

Given the possible role of cisplatin in ALS it just may be worth having a deeper look as a possible self testing candidate?


A phase I trial combining oral cisplatin (CP Ethypharm) with radiotherapy in patients with locally advanced head and neck squamous cell carcinoma.

http://www.ncbi.nlm.nih.gov/pubmed/21176985

Into the heart, an air that kills, from yon far country blows.
What are those blue remembered hills, what sphires what farms are those.
That is the land of lost content,I see it shining plain,
The happy highways where I went and cannot come again
Olly
Posted: Wednesday, June 27, 2012 7:10:14 AM

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Possible method of ameliorating some of the toxicity of Cisplatin?

D-Methionine Protects against Cisplatin-induced Neurotoxicity in Cortical Networks.

Abstract

Cisplatin is a platinum-based chemotherapeutic agent widely used for the treatment of various types of cancer.

Patients undergoing cisplatin treatment often suffer from a condition known as "chemobrain", ototoxicity, peripheral neuropathy, weight loss, nausea, vomiting, nephrotoxicity, seizures, hearing loss and tinnitus. D-Methionine (D-Met), a sulfur-containing nucleophilic antioxidant, has been shown to prevent cisplatin-induced side effects in animals without antitumor interference.

In this study, we have used an in vitro model of cortical networks (CNs), enriched in auditory cortex cells; to quantify cisplatin neurotoxicity and the protective effects of D-Met.

Dissociated neurons from auditory cortices of mouse embryos were grown on microelectrode arrays with 64 transparent indium-tin oxide electrodes, which enabled continuous optical and electrophysiological monitoring of network neurons.

Cisplatin at 0.10 - 0.25mM induced up to a 200% increase in spontaneous spiking activity, while concentrations at or above 0.5mM caused irreversible loss of neuronal activity, accompanied by cell death.

Pretreatment with D-Met, at a concentration of 1.0mM, prevented the cisplatin-induced excitation at 0.10 - 0.25mM, caused sustained excitation without occurrence of cell death at 0.5mM, and delayed cell death at 0.75mM cisplatin.

L-Methionine, the optical isomer, showed lower potency and less efficacy than D-Met, was less protective against 0.1mM cisplatin, and proved ineffective at a concentration of 0.5mM cisplatin.

Pre-exposure time of D-Met was associated with the protective effects at 0.1 and 0.5mM cisplatin, with longer pre-exposure times exhibiting better protection. This study quantifies as a function of concentration and time that D-Met protects central nervous system tissue from acute cisplatin toxicity.

http://www.ncbi.nlm.nih.gov/pubmed/22732230

Into the heart, an air that kills, from yon far country blows.
What are those blue remembered hills, what sphires what farms are those.
That is the land of lost content,I see it shining plain,
The happy highways where I went and cannot come again
Olly
Posted: Wednesday, June 27, 2012 7:17:33 AM

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Another method

THE EFFECTS OF ORAL GRAPE SEED EXTRACT ON CISPLATIN-INDUCED CYTOGENOTOXICITY IN MICE

http://faculty.ksu.edu.sa/73917/Documents/Papers/The%20effects%20of%20oral%20grape%20seed%20extract%20on%20cisplatin-induced%20cytogenotoxicity%20in%20mice.pdf



Into the heart, an air that kills, from yon far country blows.
What are those blue remembered hills, what sphires what farms are those.
That is the land of lost content,I see it shining plain,
The happy highways where I went and cannot come again
Olly
Posted: Wednesday, June 27, 2012 7:50:19 AM

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Interaction of Cisplatin with Human Superoxide Dismutase

cis-Diamminedichloroplatinum(II) (cisplatin) is able to interact with human superoxide dismutase (hSOD1) in the disulfide oxidized apo form with a dissociation constant of 37 ± 3 μM through binding cysteine 111 (Cys111) located at the edge of the subunit interface. It also binds to Cu2–Zn2 and Zn2–Zn2 forms of hSOD1.

Cisplatin inhibits aggregation of demetalated oxidized hSOD1, and it is further able to dissolve and monomerize oxidized hSOD1 oligomers in vitro and in cell, thus indicating its potential as a leading compound for amyotrophic lateral sclerosis.

http://pubs.acs.org/doi/abs/10.1021/ja211591n

Into the heart, an air that kills, from yon far country blows.
What are those blue remembered hills, what sphires what farms are those.
That is the land of lost content,I see it shining plain,
The happy highways where I went and cannot come again
senso42
Posted: Wednesday, June 27, 2012 10:08:54 AM
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good job olly![clap]
senso42
Posted: Wednesday, June 27, 2012 10:11:37 AM
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Olly wrote:
There is a now an oral form of cisplatin called CP Ethypharm.

Given the possible role of cisplatin in ALS it just may be worth having a deeper look as a possible self testing candidate?


A phase I trial combining oral cisplatin (CP Ethypharm) with radiotherapy in patients with locally advanced head and neck squamous cell carcinoma.

http://www.ncbi.nlm.nih.gov/pubmed/21176985


did you find a retailler for cp ethypharm
Spider
Posted: Wednesday, June 27, 2012 2:11:55 PM
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CP Ethypharm seems to be too new to be available yet.

Cisplatin is available, however, after a few weeks of internet research I was not able to find anyone that would sell it without the prescription. Its reported in vitro ability to remove the hSOD1 aggregates sounds encouraging and in my opinion warrants a self test. I would be VERY happy to give 2-3 cycles a go. So,

. . . if anyone knows how Cisplatin ( Platinol, Platinol - AQ ) can be purchased without prescription, please PM me the details and I will give it a go. And report results here as well as on PLM.



senso42
Posted: Wednesday, June 27, 2012 2:38:27 PM
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you re great spider
see you!
Olly
Posted: Wednesday, June 27, 2012 5:18:53 PM

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Spider,
before you do anthing have a read up of Cisplatin and the number of side-effects that can limit its use.I did read the Vitamain E helped with some side effects but don't have the paper to hand.


Nephrotoxicity (kidney damage) is a major concern including some other really side effects.

There are three analogs of Cisplatin and it's worth time doing some research on them as they may be less toxic and may have the same action?


Cisplatin
13. Further Studies/Recent Developments
Carboplatin has proven to be the most useful of these three analogs,

Carboplatin and cisplatin have been shown to form an identical type of adduct with DNA and have similar activities against ovarian and lung tumors; however, carboplatin is less toxic to the peripheral nervous system and the kidneys. The lower toxicity of carboplatin compared to cisplatin is believed to be due to the structure of carboplatin. The presence of the bidentate dicarboxylate ligand (shown in Figure 1) in carboplatin slows down the degradation of carboplatin into potentially damaging derivatives.

Indeed, at 98.6 °F (37 °C) the retention half-life of carboplatin in blood plasma is 30 hours, whereas that for cisplatin is only 1.5-3.6 hours.

In addition to carboplatin and other second-generation cisplatin analogs, several third-generation drugs have been synthesized and tested. One broad class of these drugs, having the general structure shown in Figure 2, can be taken orally—a significant improvement over cisplatin, which must be administered intravenously.

These complexes are stable enough to survive passage down the digestive tract. They are then transported across the gastrointestinal mucosa into the bloodstream. After absorption into the bloodstream, these compounds are metabolized to form four-coordinate, platinum(II) cisplatin analogs. These new four-coordinate complexes are assumed to be the active forms of the drug.1,3

http://chemcases.com/cisplat/cisplat13.htm

Into the heart, an air that kills, from yon far country blows.
What are those blue remembered hills, what sphires what farms are those.
That is the land of lost content,I see it shining plain,
The happy highways where I went and cannot come again
Olly
Posted: Wednesday, June 27, 2012 5:26:32 PM

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This paper was from 1993 so I don't know how relevant?

New cisplatin analogues in development. A review.

The mechanism of the cytotoxic activity of platinum complexes has also been studied intensely. Recently synthesised analogues have been designed to interact with DNA in a manner different from cisplatin and carboplatin, with the desire of finding new structures with a superior or wider spectrum of antitumor efficacy. Most recently, water soluble platinum complexes that retain antitumour activity, but that can be effectively absorbed after oral administration, have been synthesised with the goal of improving patient quality of life.

Nine platinum analogues are currently in clinical trials around the world (ormaplatin [tetraplatin], oxaliplatin, DWA2114R, enloplatin, lobaplatin, CI-973 [NK-121], 254-S, JM-216 and liposome-entrapped cis-bis-neodecanoato-trans-R,R-1,2-diaminocyclohexane platinum (II) [LNDDP]). Some of these analogues only represent attempts to reduce cisplatin toxicity and/or allow administration without forced hydration and diuresis, which carboplatin already does. Others are 'third generation' complexes shown to have limited or no cross-resistance with cisplatin in preclinical studies. They are being tested clinically with particular attention to this highly desirable property.(ABSTRACT TRUNCATED AT 400 WORDS)

http://www.ncbi.nlm.nih.gov/pubmed/7693428


Into the heart, an air that kills, from yon far country blows.
What are those blue remembered hills, what sphires what farms are those.
That is the land of lost content,I see it shining plain,
The happy highways where I went and cannot come again
Spider
Posted: Wednesday, June 27, 2012 5:43:09 PM
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Thanks Olly.

I am well aware of all potential adverse effects of using Cisplatin. And prepared to take my chances with 2-3 of cycles.

Now, if a more recent and less toxic analogue/s become an option - even better. I have a feeling they will also be a prescription only proposition which worries me more than the potential side effects.

The search and research continues!






Olly
Posted: Wednesday, June 27, 2012 6:19:37 PM

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Spider,
there may be a different root to the same end without toxic side effects and maybe easier to obtain

Have a look at:

http://www.als.net/forum/yaf_postsm352512_Potential-therapeutics-against-SOD1-misfolding-and-aggregation.aspx#352512

I'm thinking of Orotic acid - Target SOD1 Cys111 same target as Cisplatin and if you read the literature that I posted it may be a better substance?

Into the heart, an air that kills, from yon far country blows.
What are those blue remembered hills, what sphires what farms are those.
That is the land of lost content,I see it shining plain,
The happy highways where I went and cannot come again
Spider
Posted: Wednesday, June 27, 2012 6:49:29 PM
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Not overly excited about Orotic Acid. Mainly due to John's recent link on its tumor promoting effects in rats:

http://www.efsa.europa.eu/en/scdocs/doc/ans_ej1187_Orotates_op_en.pdf

Ok, it's only rats but nevertheless, warrants caution.



Olly
Posted: Wednesday, June 27, 2012 7:28:30 PM

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Spider,
Taken from the document link you posted:

Orotic acid has a low acute toxicity. In repeated doses orotic acid induces fatty
livers in the rat, but not in other species tested.

Several studies have shown that repeated dosing of orotic acid to rats and some other species promotes the formation of tumours initiated by various known carcinogenic substances.

The usual concentration to promote tumours has been 1 % in the diet, but also 0.5 and 0.2 % in the diet has been shown to have promoting effect, while 0.1 % in the diet did not have effect within the time span tested (up to 20 weeks).

A No Observed Adverse Effect Level for this effect can thus be determined to be 50 mg/kg bw/day, while the Lowest Observed Effect Level is 100 mg/kg bw/day.

.......................

Orotic acid - Target SOD1 Cys111

Based on the experimental results, we propose a mechanism of SOD aggregation that can be used to explain various observations made in the clinical and model studies of SOD-mediated ALS.

In addition, we have computationally identified orotic acid as a potential binding ligand to the cysteine 111 crevice of SOD with the ability to inhibit the aggregation according to our proposed aggregation mechanism.


Under oxidative aggregation condition, 0.1 mM orotate blocks the aggregation of both WT and pathogenic mutant SOD.

http://www.als.net/forum/yaf_postsm352481_Genetic-defects-in-ALS-and-relevance-to-PALS.aspx#352481

Into the heart, an air that kills, from yon far country blows.
What are those blue remembered hills, what sphires what farms are those.
That is the land of lost content,I see it shining plain,
The happy highways where I went and cannot come again
Olly
Posted: Wednesday, June 27, 2012 7:39:45 PM

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I'm looking at a combined approach, possibly low dose Lithium Orotate with Omega 3 (DHA & EP).

lithium treatment increased levels of a metabolite called 17-OH-DHA in response to inflammation.

17-OH-DHA is formed from the omega-3 fatty acid DHA (docosahexaenoic acid) and is the precursor to a wide range of anti-inflammatory compounds known as docosanoids. Other anti-inflammatory drugs, like aspirin, are known to also enhance docosanoids in their mode of action.

Orate in the lithium orotate to knock down SOD aggregates?

Into the heart, an air that kills, from yon far country blows.
What are those blue remembered hills, what sphires what farms are those.
That is the land of lost content,I see it shining plain,
The happy highways where I went and cannot come again
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