Brown Ronald B
School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
Cancers (Basel). 2024 Jun 3;16(11):2126. doi: 10.3390/cancers16112126.
Tumors that spontaneously shrink from unknown causes in tumor regression, and that return to normal cells in tumor reversion, are phenomena with the potential to contribute new knowledge and novel therapies for cancer patient survival. Tumorigenesis is associated with dysregulated phosphate metabolism and an increased transport of phosphate into tumor cells, potentially mediated by phosphate overload from excessive dietary phosphate intake, a significant problem in Western societies. This paper proposes that reduced dietary phosphate overload and reregulated phosphate metabolism may reverse an imbalance of kinases and phosphatases in cell signaling and cellular proliferation, thereby activating autophagy in tumor regression and reversion. Dietary phosphate can also be reduced by sickness-associated anorexia, fasting-mimicking diets, and other diets low in phosphate, all of which have been associated with tumor regression. Tumor reversion has also been demonstrated by transplanting cancer cells into a healthy microenvironment, plausibly associated with normal cellular phosphate concentrations. Evidence also suggests that the sequestration and containment of excessive phosphate within encapsulated tumors is protective in cancer patients, preventing the release of potentially lethal amounts of phosphate into the general circulation. Reducing dietary phosphate overload has the potential to provide a novel, safe, and effective reversion therapy for cancer patients, and further research is warranted.
在肿瘤消退过程中因不明原因自发缩小、并在肿瘤逆转过程中恢复为正常细胞的肿瘤,是有可能为癌症患者生存贡献新知识和新疗法的现象。肿瘤发生与磷酸盐代谢失调以及磷酸盐向肿瘤细胞内转运增加有关,这可能是由西方社会普遍存在的饮食中磷酸盐摄入过多导致的磷酸盐过载介导的。本文提出,减少饮食中的磷酸盐过载并重新调节磷酸盐代谢,可能会逆转细胞信号传导和细胞增殖中激酶和磷酸酶的失衡,从而在肿瘤消退和逆转过程中激活自噬。疾病相关的厌食、模拟禁食饮食以及其他低磷酸盐饮食也可以减少饮食中的磷酸盐,所有这些都与肿瘤消退有关。将癌细胞移植到健康的微环境中也证明了肿瘤逆转,这可能与正常的细胞磷酸盐浓度有关。有证据还表明,在包膜肿瘤内隔离和控制过量的磷酸盐对癌症患者具有保护作用,可防止潜在致死量的磷酸盐释放到全身循环中。减少饮食中的磷酸盐过载有可能为癌症患者提供一种新的、安全有效的逆转疗法,值得进一步研究。