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Shark
Cartilage as an Angiogenesis Inhibitor and Potential
Aid in the Fight Against Cancer
and
other Angiogenesis-Dependent Diseases
Study
of Shark Cartilage from Harvard Medical School
As
early as the 1970s, Dr. Judah Folkman of the Harvard
Medical School suggested
inhibiting
new blood vessel formation as a way to fight cancer.
In
1983, two researchers at the Massachusetts Institute
of Technology published a study
showing
that shark cartilage contains a substance that significantly
inhibits the
development
of blood vessels that nourish solid tumors, thereby
limiting tumor growth.?
Working
independently, medical researchers at Harvard University
Medical School found
that
if one could inhibit angiogenesis--the development of
a new blood network--one
could
prevent the development of tumor-based cancer and metastasis.
In
his book, SHARKS DON'T GET CANCER--HOW SHARK CARTILAGE
COULD SAVE
YOUR
LIFE, Dr. I. William Lane ties together these two important
findings regarding
shark
cartilage and angiogenesis. Dr. Lane also recounts his
own involvement in the
search
for a truly effective treatment of tumor-based cancer
and examines the work of
researchers
who have conducted studies that indicate that shark
cartilage can be
effective
in reducing cancer related tumors and also reduce the
inflammation and pain
associated
with other conditions, such as arthritis, psoriasis
and enteritis.
Shark
Cartilage: "What Are the Theories for Prevention
and Treatment of Cancer and
Other
Diseases Involving Neovascularization?"
Recently,
shark cartilage has generated intense interest in both
public and medical circles because of
the
theoretical justification for its clinical use in diseases,
including cancer, psoriasis, age-related
macular
degeneration and arthritis, which involve neovascularization
(angiogenesis). This interest is
further
fueled by clinical trials and recent patents which have
demonstrated its anti-tumor activity and
its
ability to relieve pain and inflammation associated
with tumor activity and diseases involving
angiogenesis.
For a review of the recent patents dealing with this
aspect of shark cartilage, see our
section
on the Latest Developments in Shark Cartilage Technology.
While
there are many publications outlining the theories supporting
why scientists believe shark
cartilage
has so many therapeutic benefits, public interest in
shark cartilage was first generated by
writings
and research first tied together by Dr. I. William Lane.
We have asked Dr. Lane, and he has
been
gracious enough to allow us to reprint one of his early
papers on the therapeutic benefits of shark
cartilage.
This article, which follows, is not nearly as informative
as his book, SHARKS DON'T GET
CANCER.?
However, in this relatively-brief article, Dr. Lane
provides a cogent summary of much of the
early
research and many of the theories on the therapeutic
benefits of shark cartilage.
Shark
Cartilage Therapy -- A Personal History of its Development
I.
William Lane, Ph.D.
The
use of shark cartilage in the complementary treatment
of non-responsive solid cancer tumors has
become
widely used worldwide; approximately 25,000 patients
are using the therapy today. Initially,
shark
cartilage usage was strictly patient-driven, but more
recently it is suggested by doctors when
conventional
cancer therapies have not helped patients. Certainly,
most oncologists will agree that,
despite
the progress in treating cancer, the lack of a real
breakthrough is frustrating and many
oncologists
state they themselves would not use chemotherapy if
they develop cancer. In fact, many
calls
that come in to me are from physicians on behalf of
themselves or members of their families. Yet,
they
are reluctant to recommend shark cartilage to patients
because of concerns relating to
malpractice
suits¡¦
My
position from the outset has been--and continues to
be--"Does it work?" rather than
"How
does it work?" The latter is important, of
course, but the research to date confirms that it works
in
a nontoxic noninvasive way. I hope that the NIH and
other organizations will collaborate to study how
shark
cartilage works. My own premise is that its effect is
based on the angiogenic inhibition according
to
the Folkman theory or possibly an angiogenic modulation
as shown by the Cuban pathologic
slides¡¦
Sharks
don¡¯t get cancer³í¹®¿¡ ´ëÇÑ Âü°í ¹®Çå
1.Lane,
I.W., Comac, L. Sharks Don't Get Cancer . Garden City,
NY. Avery Publishing
Group,
1992, updated 1993.
2.
Prudden, J.F., Balassa, L. The Biological Activity of
Bovine Cartilage Preparations.
Semin
Arthritis Rheum 3:287-321, 1974.
3.
Prudden, J.F. The Treatment of Human Cancer with Agents
Prepared from Bovine
Cartilage.
J Biol Response Modifiers 4:551-584, 1985.
4.
Rosen, J., Sherman, W.T., Prudden, J.F., Thorbecke*
G.J. Immunoregulatory
Effects
of Catrix. J Biol Response Modifiers 7:498-512, 1988.
5.
Lee, A., Langer, R. Shark Cartilage Contains Inhibitors
of Tumor Angiogenesis.
Science
221:1185-1187, 1983.
6.
Folkman, J., Tumor Angiogenesis: a Possible Control
Point in Tumor Growth. Ann
Intern
Med 82:96-100, 1975.
7.
Folkman, J. Klagsbrun. Angiogenic Factors. Science 235:442-447,
1987.
8.
D'Amore, P.A., Angiogenesis as a Strategy for Antimetastasis.
Semin Thrombosis
Hemostasis
14:73-77, 1988.
9.
Lane, I.W. Shark Cartilage: Its Potential Medical Applications.
J Advan Med 4:263-271, 1991.
10.
Lane, I.W., Contreras, Jr., E. High Rate of Bioactivity
(Reduction in Tumor Size) Observed in
Advanced
Cancer Patients Treated with Shark Cartilage Material.
J Naturopathic Med 3:85-88, 1992.
11.
Ibid., ref. 1, pp. 99-100.
12.
Fernandez-Britto, J., Lane, I.W. Angiogenesis Modulation
in Peritumoral Connective Tissue by
Cartilage
from Shark, the Cuban Experience. XVII World Congress
of Anatomic and Clinical
Pathology
, 1993, Mexico.
13.
Lane, I.W.Current Medical Implications of Shark Cartilage
VIII International Congress on Senology
(Breast
Diseases) , 1994, Brazil.
William
Lane, Ph.D., is Founder and chairman of Cartilage Consultants,
Short Hills, New Jersey. He
is
also a coauthor of Sharks Don't Get Cancer , a summary
of his research with shark cartilage as a
treatment
for cancer, for which he received a U. S. patent in
1991.?
Vanderbilt
University Psychology Department
All
About Shark Cartilage By: Luke Proskine ?
The
difference between the two pictures on this website
sums up my findings of
research
on the web and research of medical journals that contain
real experiments
testing
the validity of shark cartilage as a treatment for malignant
disease. The first
picture
is blown way out of proportion, is a cartoon and thus
not real, and exaggerates
all
of the features in the picture. The second picture is
an actual photo of a living blue
shark
swimming in real life through the ocean and unlike the
other picture it is very real.
In
other words, the vast majority of the information placed
on the web about shark
cartilage
is false, exaggerated, and hence not real. The basic
question presented here
is
does the use of shark cartilage have any scientific
basis in the treatment of cancer.
Sharks
have caused great interest among scientists concerning
this topic because
they
have inhabited the ocean for millions of years and are
rarely affected by cancer
and
other disease. Thus, scientists have proposed that the
shark's skeleton of
cartilage
contains a substance that inhibits angiogenesis (the
development of new
blood
net works) and may have a role in the shark's immunity
to cancer (Hunt). The
growth
of solid tumors relies on new vessel growth and angiogenesis
is required to
deprive
the host of nutrition and oxygen. If angiogenesis were
inhibited by shark
cartilage,
degeneration of solid tumor cells would be the end result
(Iwaguchi). Such
ideas
and findings have led to the idea that cartilage could
be used for the treatment
of
tumors in humans, however, conclusive studies are lacking
(Hunt).
Human
Studies and Results
In
addition to animal research, shark cartilage has also
been studied in human subjects.
In
1993 an entire "60 minutes" broadcast was
dedicated to this topic. This show
discussed
a 16- week trial that was conducted in Cuba to evaluate
the efficacy of shark cartilage for
cancer
treatment (Matthews). Out of twenty-nine patients, three
showed response to treatment. The
results
were claimed to be incredible, however, as mentioned
earlier, the NCI did not sponsor further
studies
based on the inconsistent data. Another study was taken
the same year in Lawrenceville, NJ
and
out of 20 patients using shark cartilage, 10 claimed
to have an improved quality of life, including
deceased
pain and increased appetite after eight weeks (Hunt).
Scientists believe, however, that when
one
gets a dramatic disease such as cancer he or she is
searching for anything to help them get better.
Shark
cartilage fills this emotional void extremely well and
thus, can be attributed to some of the
success
(Markman). These patients that "feel better, gain
strength, and experience less fatigue" after
taking
shark cartilage, just as prayer, meditation, and group
therapy may provide important emotional
support
for some persons dealing with an extremely difficult
disease (Markman). In addition, it is
extremely
unlikely that oral ingestion of this material could
have any clinically meaningful effect on the
natural
history of established cancer because very little is
absorbed (Markman). Even if it is absorbed,
it
will enter the liver, where further breakdown of any
active ingredient will take place. Thus, what
remains
of the pill must somehow reach the tumor, be taken up
by the cancer cells, and subsequently
either
inactivate or kill the malignant cells (Markman).
In
conclusion, shark cartilage appears to provide many
patients with hope and emotional support, but
does
nothing to the cancer. All of the sensational claims
made on the web are definitely not true
because
of their lack of scientific evidence. Shark cartilage
may be used for cancer treatment
effectively
in the future, however, right now no scientific facts
can support the claims of shark
cartilage's
ability to treat cancer.
All
About Shark Cartilage ³í¹®¿¡ ´ëÇÑ Âü°í ¹®Çå
?
References ?
1.Hunt,
Traci. "Shark cartilage for cancer treatment."
American Journal of Health System Pharmacology.
Aug
15 1995; 52: 1756, 60.
2.Iwaguchi,
T. "A novel angiogenic inhibitor." Cancer
Letters. Jun 15 1990; 51:181-6.
3.Langer,
Robert. "Shark cartilage contains inhibitors of
tumor angiogenesis." Science.
1983;
221:1185-87.
4.Markman,
Maurie. "Shark cartilage." Cleveland Clinic
Journal of Medicine. June 1996; 63:179-180
5.Matthews,
James. "Media feeds frenzy over shark cartilage
as cancer treatment." Journal of the
National
Cancer Institute. Aug 4 1993; 85:1190-91.
Simone
Protective Cancer Center
Simone
Protective Cancer Center
123
Franklin Corner Road
Lawrenceville,
NJ 08648
609-896-2646
I.W.
Lane in his book "Sharks Don't Get Cancer"
makes the point that one could use Shark Cartilage
with
any other therapy without conflict, so people considering
trying this not-well-proven remedy need
not
abandon other therapy they may be taking, and indeed
they ought not abandon any therapy of
proven
value in favor of Shark Cartilage.
In
the below protocol dated May 1993, items in [], are
my comments. Numbers in () refer to references
cited
at the end.
Cartilage
has been used since the 1950s for the promotion of woundhealing
(9-10). Bovine cartilage
has
been administered both orally andparenterally (11) for
the treatment of osteoarthritis, acute and
chronicskin
allergies, psoriasis, rheumatoid arthritis, ulcerative
colitis,regional enteritis, and progressive
systemic
sclerosis. It has been shownin these studies to have
potent anti-inflamatory and antiallergic
properties.?In
1963, it was postulated that tumors were dependent upon
angiogenesis(12).
As
the tumor
grows,
there is an increase in new capillaries thatconverge
upon the tumor every time there is an
increase
in tumor cellpopulation (13). Both bovine and shark
cartilage were found to containinhibitors
of
tumor angiogenesis. Shark cartilage contains many of
thesame biochemical activities as bovine
cartilage
including, lysozymeactivity, cell growth promoting activity
[This sounds BAD!],
inhibitoryactivity
against type I collagenase [I believe collagenases are
involvedthe mechanisms of
metastasis
and invasion], inhibitory activity againstproteases
such as trypsin,
chymotrypsin,
plasmin (14,15)...
Shark
cartilage has been used to treat osteoarthritis and
solid tumors inanimal and human
studies
(17-19). Other investigators continuedexperiments on
angiogenisis, its inhibitors
and
cartilage activityagainst cancer in vitro, animals,
and in humans (20-25). In
addition,some
non-neoplastic diseases have persistent angiogenesis
as theirdominant
pathology.
These diseases include diabetic retinopathy,retrolental
fibroplasia, and
neovascular
glaucoma, rheumatoid arthritis,hemangiomas, psoriasis,
angiofibromas¡¦
In
1985, an investigator reported on the use of bovine
cartilage in thetreatment of 31 patients most of
whom
had advanced cancers. (32) Thefollowing responses were
reported: a complete response for 35
percent,complete
response with relapse in 26 percent, partial response
in 19percent, partial response
with
relapse in 10 percent, and no change orprogression in
9 percent. The patients studied had cancers
of
the breast,ovary, cervix, prostate, leiomyosarcoma of
the left broad ligament,colorectal, gastric,
pancreas,
lung, Hodgkins, renal, glioblastoma, basaland squamous
cell of the skin¡¦
?Patients
with any advanced cancers will be studied. They will
beclinically evaluated weekly and
objectively
at week 6 and 12 withlaboratory or imaging work-up.
The use of cartilage will be
discontinuedof
tumor progression is demonstrated between weels 8 and
12; or itclinical events
dictate.?Each
patient will also be instructed on the Simone Ten Point
Plan [Seehis book Nutrition and
Cancer]
which will ideally be implemented in everypatient. The
patients are to follow the pertinent
applicable
points ofthe Ten Point Plan. The Ten Point Plan is as
follows¡¦
Simone
Protective Cancer Center ³í¹®¿¡ ´ëÇÑ Âü°í ¹®Çå
1.
Lane, I.W., E. Contreras [Famed latrile... dare I say
quack]. 1992High rate of bioactivity observed in
cancer
patients treated with sharkcartilage material. J. Naturopathic
Medicine. 3(1):86-88.?
2.
Rauis, J. 1991. Use of shark cartilage in the treatment
of secondaryosteoarthritis in the dog. British
Small
Animal Association Congress,United Kingdom.?
3.
Stetler-Stevenson, Wm. Biological basis for neoadjuvant
and adjuvanttherapy: tumor invasion and
metastasis
(TIMP's). Neoadjuvant and AdjuvantTherapy for Selected
Malignancies. Mar 5, 1993.
UMDNJ.?
4.
D'Amore, P. 1988. Angiogenesis as a strategy for antimetastasis.Seminars
in Thrombosis and
Hemostasis.
2.(1):73-78?22. D'Amore and Klagsbrun. 1989. Angiogenesis
factors and mechanisms
fromthe
pathobiology of neoplasia. Edited Alphonse E. Sirica.
Plenum Pub Corpp.513-531?
5.
Moses, M., Sudhalter, Langer 1990. Identification of
an inhibitor ofneovascularization from cartilage.
Science
248:1408-1410.?
6.
Sadova, et al. 1977. Inhibition of mammary carcinoma
invasivenesswith cartilage derived inhibitor.
Surgical
Forum. 28499-501.?
7.
Pepper et al. 1991. Chondrocytes inhibit endothelelial
sproutformation in vitro: evidence for
involvement
of transforming factor beta.J. Cell. Physiol. 146(1):170-9.?
8.
Takigawa et all. 1990. A clonal human chondrosarcoma
cell lineproduces an anti-angiogeneic
antitumor
factor. Antocancer Research.10(2A):311-5.?
9.
Takigawa. et al. 1987. A factor and condition medium
of rabbit costalchondrocytes inhibits the
proliferation
of cultured endothelial cells andangiogenesis induuced
by B16 melanoma: Its relation
withcartilage-derived
antitumor factor. Biochem International. 14(2):357-63.?
10.
Oikawa, et al. 1990. A novel angiogeneic inhibitor derived
fromJapanese shark cartilage. One
extraction
and estimation of inhibitoryactivities towards tumor
and embryonic angiogenesis. Cancer
Letters.51(3):181-6.?
11.
Prudden, J. 1985. The treatment ofhuman cancer with
agents derivedfrom bovine cartilage. J Biol
Resp
Modif. 4:551-84.?
12.
Warshaw, et al. 1971. Small intestinal permeability
tomacromolecules: transmission of horseradish
peroidase
into mesentericlymph and portal blood. Lab Investigation.
25:675-84.?
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