Pulse Testosterone Supplementation - Advanced Prostate...

Advanced Prostate Cancer

22,371 members28,135 posts

Pulse Testosterone Supplementation

pjoshea13 profile image
3 Replies

New Italian study below.

Does not involve Sam Denmeade & his BAT protocol, but the idea is similar - rapid T cycling.

"The rapid cycling from hypogonadal to physiological or supra-physiological T intraprostatic concentrations results in cytostatic and senescence effects in preclinical models of androgen-sensitive Pca. Our preclinical evidence provides relevant new insights in the biology of Pca response to pulsed T supplementation."

-Patrick

ncbi.nlm.nih.gov/pubmed/293...

Oncotarget. 2017 Nov 30;8(69):113792-113806. doi: 10.18632/oncotarget.22776. eCollection 2017 Dec 26.

Episode-like pulse testosterone supplementation induces tumor senescence and growth arrest down-modulating androgen receptor through modulation of p-ERK1/2, pARser81 and CDK1 signaling: biological implications for men treated with testosterone replacement therapy.

Gravina GL1, Marampon F1, Sanità P1, Festuccia C2, Forcella C1, Scarsella L2, Jitariuc A2, Vetuschi A2, Sferra R2, Colapietro A2, Carosa E1, Dolci S3, Lenzi A4, Jannini EA5.

Author information

1

Department of Biotechnological and Applied Clinical Sciences, Laboratory of Prostate Onco-pathology and Experimental Endocrinology, University of L'Aquila, 67100 L'Aquila, Italy.

2

Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, 67100 L'Aquila, Italy.

3

Department of Biomedicine and Prevention, Section of Anatomy, Tor Vergata University of Rome, 00133 Rome, Italy.

4

Department of Experimental Medicine, Chair of Endocrinology, Sapienza University of Rome, 00161 Rome, Italy.

5

Department of Systems Medicine, Chair of Endocrinology and Medical Sexology (ENDOSEX), Tor Vergata University of Rome, 00133 Rome, Italy.

Abstract

Despite the growing body of knowledge showing that testosterone (T) may not significantly affect tumor progression in hypogonadal patients treated for prostate cancer (Pca), the use of this hormone in this population still remains controversial. The effects of continuous or pulsed T stimulation were tested in vitro and in vivo on androgen-sensitive Pca cell lines in order to assess the differential biological properties of these two treatment modalities. Pulsed T treatment resulted in a greater inhibition than continuous T supplementation of tumor growth in vitro and in vivo. The effects of pulsed T treatment on tumor growth inhibition, G0/G1 cell cycle arrest, and tumor senescence was more pronounced than those obtained upon continuous T treatments. Mechanistic studies revealed that G0/G1 arrest and tumor senescence upon pulsed T treatment were associated with a marked decrease in cyclin D1, c-Myc and SKp2, CDK4 and p-Rb levels and upregulation of p27 and p-ERK1/2. Pulsed, but not continuous, T supplementation decreased the expression levels of AR, p-ARser81 and CDK1 in both cellular models. The in vitro results were confirmed in an in vivo xenografts, providing evidence of a greater inhibitory activity of pulsed supraphysiological T supplementation than continuous treatment, both in terms of tumor volume and decreased AR, p-ARser81, PSA and CDK1 staining. The rapid cycling from hypogonadal to physiological or supra-physiological T intraprostatic concentrations results in cytostatic and senescence effects in preclinical models of androgen-sensitive Pca. Our preclinical evidence provides relevant new insights in the biology of Pca response to pulsed T supplementation.

KEYWORDS:

androgens; hypogonadism; prostate cancer; pulse treatment; testosterone

PMID: 29371946 PMCID: PMC5768363 DOI: 10.18632/oncotarget.22776

Written by
pjoshea13 profile image
pjoshea13
To view profiles and participate in discussions please or .
Read more about...
3 Replies
pjoshea13 profile image
pjoshea13

Nala,

There was a Phase II paper in 2016, but nothing since.

BATMAN: Bipolar Androgen Therapy for Men With Androgen Ablation Naïve Prostate Cancer:

ncbi.nlm.nih.gov/pubmed/?te...

-Patrick

pjoshea13 profile image
pjoshea13

Nala,

Denmeade is big on acronyms. Here is a good one (due to complete in Dec):

TRANSFORMER:

Testosterone Revival Abolishes Negative Symptoms, Fosters Objective Response and Modulates Enzalutamide Resistance

-Patrick

George71 profile image
George71

I wonder why pharma doesn't attach radioactive particles ( or chemo) to testosterone and inject testosterone it into patients instead of depriving patients of testosterone with ADT.

Not what you're looking for?

You may also like...

Testosterone inhibits the growth of PCa (in mice).

New study below. The BAT concept is that supraphisiological testosterone [T] is required for...
pjoshea13 profile image

Preoperative testosterone level predicts unfavourable disease at radical prostatectomy.

New Italian study below [1]. "In this study, we evaluated whether serum testosterone levels may...
pjoshea13 profile image

PCa & Low serum testosterone

New study below. As I was saying: I believe that there is a case for using testosterone [T]...
pjoshea13 profile image

Adrenal androgens rescue prostatic dihydrotestosterone production and growth of prostate cancer cells after castration.

New study below [1] which sheds light on the role of adrenal hormones in PCa progression while on...
pjoshea13 profile image

Testosterone Therapy & PCa Risk.

Interesting study from Germany (presented at the Sexual Medicine Society of North America 18th...
pjoshea13 profile image

Moderation team

Bethishere profile image
BethishereAdministrator
Number6 profile image
Number6Administrator
Darryl profile image
DarrylPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.