| The inventive subject matter
relates to methods for treating oral cancers, comprising administration
of a composition comprising therapeutically effective amounts of supercritical
extracts of turmeric.
Oral cancers. 30,000 Americans
will be diagnosed with oral or pharyngeal cancer this year. It will
cause over 8,000 deaths, killing roughly 1 person per hour, 24 hours per
day. Of those 30,000 newly diagnosed individuals, only half will be alive
in 5 years. This is a number which has not significantly improved in decades.
The death rate for oral cancer is higher than that of cervical cancer,
Hodgkin's disease, cancer of the brain, liver, testes, kidney, or skin
cancer (malignant melanoma). If you expand the definition of oral cancers
to include cancer of the larynx, for which the risk factors are the
same, the numbers of diagnosed cases grow to 41,000 individuals, and 12,500
deaths per year in the US alone. Worldwide the problem is much greater,
with over 350,000 to 400,000 new cases being found each year.
The death rate associated
with this cancer is particularly high due to the cancer being routinely
discovered late in its development. Often it is only discovered when the
cancer has metastasized to another location, most likely the lymph nodes
of the neck. Prognosis at this stage of discovery is significantly worse
than when it is caught in a localized area. Besides the metastasis, at
these later stages, the primary tumor has had time to invade deep into
local structures. Oral cancer is particularly dangerous because it has
a high risk of producing second, primary tumors. This means that patients
who survive a first encounter with the disease, have up to a 20 times higher
risk of developing a second cancer. This heightened risk factor can last
for 5 to 10 years after the first occurrence. There are several types of
oral cancers, but 90% are squamous cell carcinomas.
Understanding the causative
factors of cancer will contribute to prevention of the disease. Age is
frequently named as a risk factor for oral cancer, as most of the time
it occurs in those over the age of 40. The age of diagnosed patients may
indicate a time component in the biochemical or biophysical processes of
aging cells that allows malignant transformation, or perhaps, immune system
competence diminishes with age.
However, it is likely that
the accumulative damage from other factors, such as tobacco use, are the
real culprits. It may take several decades of smoking for instance, to
precipitate the development of a cancer. Having said that, tobacco use
in all its forms is number one on the list of risk factors. At least 75%
of those diagnosed are tobacco users. When you combine tobacco with heavy
use of alcohol, your risk is significantly increased, as the two act synergistically.
Those who both smoke and drink, have a 15 times greater risk of developing
oral cancer than others.
Tobacco and alcohol are essentially
chemical factors, but they can also be considered lifestyle factors, since
we have some control over them. Besides these, there are physical factors
such as exposure to ultraviolet radiation. This is a causative agent in
cancers of the lip, as well as other skin cancers. Cancer of the lip is
one oral cancer whose numbers have declined in the last few decades. This
is likely due to the increased awareness of the damaging effects of prolonged
exposure to sunlight, and the use of sunscreens for protection. Another
physical factor is exposure to x-rays. Radiographs regularly taken during
examinations, and at the dental office, are safe, but remember that radiation
exposure is accumulative over a lifetime. It has been implicated in several
head and neck cancers.
Biological factors include
viruses and fungi, which have been found in association with oral cancers.
The human papilloma virus, particularly HPV16 and 18, have been implicated
in some oral cancers. HPV is a common, sexually transmitted virus, which
infects about 40 million Americans. There are about 80 strains of HPV,
most thought to be harmless. But 1% of those infected, have the HPV16 strain
which is a causative agent in cervical cancer, and now is linked to oral
cancer as well. There are other risk factors which have been associated
with oral cancers, but have not yet been definitively shown to participate
in their development. These include lichen planus, an inflammatory disease
of the oral soft tissues.
There are studies which indicate
a diet low in fruits and vegetables could be a risk factor, and that conversely,
one high in these foods may have a protective value against many types
of cancer.
After a definitive diagnosis
has been made and the cancer has been staged, treatment may begin. Treatment
of oral cancers is ideally a multidisciplinary approach involving the efforts
of surgeons, radiation oncologists, chemotherapy oncologists, dental practitioners,
nutritionists, and rehabilitation and restorative specialists. The actual
curative treatment modalities are usually surgery and radiation, with chemotherapy
added to decrease the possibility of metastasis, to sensitize the malignant
cells to radiation, or for those patients who have confirmed distant metastasis
of the disease.
Surprisingly, in addition
to the anti-inflammatory action disclosed in U.S. Pat. No. 6,387,416, Applicants
have found evidence suggesting that using the inventive compositions inhibits
the development and growth of oral cancers. Without being bound by any
particular mechanism of action, Applicant expects that chronic inflammation
contributes to carcinogenesis in oral cancers, and further expects that
aberrant arachidonic acid metabolism, especially as relates to COX and
5-LOX activities, is associated with carcinogenesis in the human oral cavity.
The inventive subject matter is based on the discovery that a combination
of certain herbs properly extracted and blended in appropriate proportions
can used in treating oral cancers. Thus, Applicants expect that compositions
comprising a therapeutically effective amount of extracts of turmeric
are effective in treating oral cancers.
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