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Advanced Prostate Cancer

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Methionine Restriction.

pjoshea13 profile image
7 Replies

New U.S. cell study below [1].

Studies show that vegan populations have a higher occurrence of various deficiencies. It's a diet that requires a certain amount of education & discipline to get right. But this also makes it an attractive diet for selective nutrient restriction.

Methionine is an essential amino acid [2].

It is possible to get enough from the diet, but mostly we don't - & don't need to, since the body can recycle homocysteine back to methionine.

Methionine is the starting point for the SAM (SAMe) cycle. Methionine is converted to SAM, the universal methyl donor in the body. When SAM drops off its methyl, we are left with homocysteine. Methyl donors in the diet can be used to convert homocysteine back to methionine.

PCa cells are invariably hypermethylated. The promoter regions for tumor suppressor genes are commonly methylated (silenced). Methyl restriction along with a demethylation agent is an attractive strategy for reactivation of tumor suppressor genes.

The recycling of homocysteine, for many of us depends on vitamins B6, B9 & B12. B9 is folate, which is the common methyl donor. (Folic acid is a synthetic supplement that can convert to folate.) B6 & B12 are necessary cofactors in the conversion of homocysteine to methionine.

In the U.S. & many other countries, folic acid is added to grains. It can therefore be difficult for those who eat bread or rice to avoid folic acid. But, I believe, the more obscure grains, such as spelt, are not fortified. U.S. food labels clearly identify fortified foods.

Vegans quite often do not get enough B12. However, it can take years for the body's reserves to be depleted. Older men sometimes produce little or no intrinsic factor, which is required for B12 uptake, so may be close to deficiency, if not actually deficient. Outright deficiency is dangerous, since the harm done cannot be reversed, but borderline deficiency may interfere with the production of methionine.

From the new paper:

"Cancer cells require elevated amounts of methionine (MET) and arrest their growth under conditions of MET restriction (MR). This phenomenon is termed MET dependence."

"When the human PC-3 prostate carcinoma cell line was cultured in MET-free, homocysteine-containing (MET-HCY+) medium, there was an extreme increment in DNA content without cell division indicating that the cells were blocked in S phase."

"... S-phase-dependent chemotherapy drugs, which interact with DNA or block DNA synthesis such as doxorubicin, cisplatin, or 5-fluorouracil (5-FU) ... were highly effective in killing the cancer cells. In contrast, treatment of cancer cells with drugs in the presence of MET, only led to the majority of the cancer cell population being blocked in G0/G1 phase ... The G0/G1 blocked cells were resistant to the chemotherapy."

"MR has the potential for highly effective cell-cycle-based treatment strategy for cancer in the clinic."

Methionine restriction might be a good idea wnen undergoing chemotherapy.

-Patrick

[1] ncbi.nlm.nih.gov/pubmed/307...

Methods Mol Biol. 2019;1866:49-60. doi: 10.1007/978-1-4939-8796-2_5.

Tumor-Specific S/G2-Phase Cell Cycle Arrest of Cancer Cells by Methionine Restriction.

Hoffman RM1,2, Yano S3,4.

Author information

1

AntiCancer, Inc., San Diego, CA, USA. all@anticancer.com.

2

Department of Surgery, University of California, San Diego, CA, USA. all@anticancer.com.

3

AntiCancer, Inc., San Diego, CA, USA.

4

Department of Surgery, University of California, San Diego, CA, USA.

Abstract

Cancer cells require elevated amounts of methionine (MET) and arrest their growth under conditions of MET restriction (MR). This phenomenon is termed MET dependence. Fluorescence-activated cell sorting (FACS) first indicated that the MET-dependent SV40-transformed cancer cells were arrested in the S and G2 phases of the cell cycle when under MR. This is in contrast to a G1-phase accumulation of cells, which occurs only in MET-supplemented medium at very high cell densities and which is similar to the G1 cell-cycle block which occurs in cultures of normal fibroblasts at high density. When the human PC-3 prostate carcinoma cell line was cultured in MET-free, homocysteine-containing (MET-HCY+) medium, there was an extreme increment in DNA content without cell division indicating that the cells were blocked in S phase. Recombinant methioninase (rMETase) treatment of cancer cells also selectively trapped cancer cells in S/G2: The cell cycle phase of the cancer cells was visualized with the fluorescence ubiquitination cell cycle indicator (FUCCI). At the time of rMETase-induced S/G2-phase trap, identified by the cancer cells' green fluorescence by FUCCI imaging, the cancer cells were administered S-phase-dependent chemotherapy drugs, which interact with DNA or block DNA synthesis such as doxorubicin, cisplatin, or 5-fluorouracil (5-FU) and which were highly effective in killing the cancer cells. In contrast, treatment of cancer cells with drugs in the presence of MET, only led to the majority of the cancer cell population being blocked in G0/G1 phase, identified by the cancer cells becoming red fluorescent in the FUCCI system. The G0/G1 blocked cells were resistant to the chemotherapy. MR has the potential for highly effective cell-cycle-based treatment strategy for cancer in the clinic.

KEYWORDS:

Arrest; Cancer cells; Cell cycle; Methionine dependence; Methionine restriction; S/G2 phase, chemotherapy

PMID: 30725407 DOI: 10.1007/978-1-4939-8796-2_5

***

[2] en.wikipedia.org/wiki/Methi...

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cesanon profile image
cesanon

Patrick,

Thanks for the article. Am I reading it right, that vitamin B supplementation might be counter indicated for prostate cancer, particularly during treatment, but perhaps when ever.

That a diet avoiding meats, traditional grains might be specifically helpful to prostate cancer patients.

I have been supplementing with B12 because one of my medications depletes B12. Maybe I need to rethink this.

What is your thinking that this is more important during treatment than at other times?

pjoshea13 profile image
pjoshea13 in reply to cesanon

I agree with the above.

I do not supplement with vitamin B.

I'm not a fan of Dean Ornish-style 10% fat vegan diets. (Dr. Myers started out with low-fat advice, but found that low-fat men didn't do well.) The 40% fat Med diet seems more appropriate, with - as you say "avoiding meats, traditional grains".

For me, limiting restoration of methionine is something I have been attempting for over 10 years.

But a more aggressive blockade may be called for during chemo.

-Patrick

pjoshea13 profile image
pjoshea13

Thanks Cujoe!

The following is from the Wiki page:

Food sources of Methionine:

web.archive.org/web/2015030...

Foodg/100g

Egg, white, dried, powder, glucose reduced3.204

Sesame seeds flour (low fat)1.656

Egg, whole, dried1.477

Cheese, Parmesan, shredded1.114

Brazil nuts1.008

Soy protein concentrate0.814

Chicken, broilers or fryers, roasted0.801

Fish, tuna, light, canned in water, drained solids0.755

Beef, cured, dried0.749

Bacon0.593

Beef, ground, 95% lean meat / 5% fat, raw0.565

Pork, ground, 96% lean / 4% fat, raw0.564

Wheat germ0.456

Oat0.312

Peanuts0.309

Chickpea0.253

Corn, yellow0.197

Almonds0.151

Beans, pinto, cooked0.117

Lentils, cooked0.077

Rice, brown, medium-grain, cooked0.052

-Patrick

cujoe profile image
cujoe in reply to pjoshea13

Patrick,

PS I used the NutritionData site when I first tried to reduce adjust my diet to reduce methionine levels. As I also use plant-based protein powders, I always look for product that have lower M levels. (Many boost them to try to provide the same amino acid profiles of the "standard" American diet.) Cheers - cujoe

in reply to pjoshea13

so fish no better than meat. should we avoid wild caught salmon?

pjoshea13 profile image
pjoshea13 in reply to

I don't avoid fish, but I don't eat a lot of it.

Turns out that a lot of wild caught salmon sold in the U.S. is farmed. The color of the flesh & fat content can be controlled. Canned salmon is always wild-type. I always have a can in the house.

For me, since I have poor vitamin B12 uptake, the folate source of methyl is restricted. I think that the body recycles homocysteine back to methionine (with folate/folic acid as the methyl donor) because diets mostly do not provide enough methionine.

-Patrick

Ralph1966 profile image
Ralph1966

Fruits contains the latest of methionine, it should be included in our breakfast and dinner, while the lunch be full of vegetables. Using diety need calculator online can help determine our body requirement of nutrients on daily bases.

Protien restriction to 40-50 gm is also important yet difficult.

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