Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Herbal dietary supplement alters metabolism of chemotherapy drug

21.08.2002


Researchers in the Netherlands have found that the herbal dietary supplement St. John’s wort interferes with the metabolism--and potentially the effectiveness of--the chemotherapy drug irinotecan. Their findings appear in the August 21 issue of the Journal of the National Cancer Institute.



St. John’s wort (Hypericum perforatum L.) is widely used to treat mild to moderate forms of depression. Past studies have suggested that the compound increases levels of CYP3A4, an enzyme involved in drug metabolism. The enzyme inactivates the colorectal cancer chemotherapy drug irinotecan.

To examine the interaction between St. John’s wort’s and irinotecan, Ron H. J. Mathijssen, M.D., and Alex Sparreboom, Ph.D., of the Department of Medical Oncology at the Erasmus MC-Daniel den Hoed Cancer Center, and their colleagues treated five patients with irinotecan alone or in combination with St. John’s wort.


At the end of the study, blood levels of SN-38 (the active metabolite of irinotecan) were 42% lower in patients receiving irinotecan and St. John’s wort than when the patients received irinotecan alone. Detoxification of the drug to other known metabolites also decreased with St. John’s wort.

"Our findings suggest that irinotecan metabolism and toxicity are altered by [St. John’s wort] and that the two agents cannot be given safely in combination without compromising overall antitumor activity," the authors write.

They note that their results may have implications for other anticancer drugs metabolized by CYP3A4, such as the taxanes (paclitaxel). Combining these drugs with St. John’s wort may make it necessary to increase drug dosage to achieve the optimal pharmacologic effect. "Until specific dosing guidelines are available, it is strongly recommended that patients receiving chemotherapeutic treatments with such agents refrain from taking [St. John’s wort," they conclude.

In a related editorial, Patrick J. Mansky, M.D., and Stephen E. Straus, M.D., of the National Center for Complementary and Alternative Medicine at the National Institutes of Health, point out that cancer patients are among the most likely to seek complementary and alternative medical remedies to reduce the side effects of treatments. They say that, in addition to St. John’s wort, a number of herbal remedies have been identified that affect synthetic drug metabolism and, potentially, drug efficacy.

The National Institutes of Health is funding studies of complementary and alternative medicine practices in cancer patients. While waiting for these results, "it would be prudent for patients and their oncologists to appreciate that, no matter how beneficial some approaches may appear to be, they are not all safe," the editorialists conclude.


Contact: David Drexhage, Erasmus MC-Daniel den Hoed Cancer Center, +31 10 463 5525, d.a.drexhage@azr.nl (8:30 a.m. to 5:30 p.m. GMT)

Editorial: NCCAM press office, (301) 451-8876

Mathijssen R, Verweij J, Bruijn P, Loos W, Sparreboom A. Effects of St. John’s wort on irinotecan metabolism. J Natl Cancer Inst 2002;94:1247–9.

Editorial: Mansky P, Straus S. St John’s Wort: more implications for cancer patients. J Natl Cancer Inst 2002;94:1187–8.

Attribution to the Journal of the National Cancer Institute is requested in all news coverage.

Linda Wang | EurekAlert!
Further information:
http://jncicancerspectrum.oupjournals.org/

More articles from Health and Medicine:

nachricht Custom-tailored strategy against glioblastomas
26.09.2016 | Rheinische Friedrich-Wilhelms-Universität Bonn

nachricht New leukemia treatment offers hope
23.09.2016 | King Abdullah University of Science and Technology

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: First quantum photonic circuit with electrically driven light source

Optical quantum computers can revolutionize computer technology. A team of researchers led by scientists from Münster University and KIT now succeeded in putting a quantum optical experimental set-up onto a chip. In doing so, they have met one of the requirements for making it possible to use photonic circuits for optical quantum computers.

Optical quantum computers are what people are pinning their hopes on for tomorrow’s computer technology – whether for tap-proof data encryption, ultrafast...

Im Focus: OLED microdisplays in data glasses for improved human-machine interaction

The Fraunhofer Institute for Organic Electronics, Electron Beam and Plasma Technology FEP has been developing various applications for OLED microdisplays based on organic semiconductors. By integrating the capabilities of an image sensor directly into the microdisplay, eye movements can be recorded by the smart glasses and utilized for guidance and control functions, as one example. The new design will be debuted at Augmented World Expo Europe (AWE) in Berlin at Booth B25, October 18th – 19th.

“Augmented-reality” and “wearables” have become terms we encounter almost daily. Both can make daily life a little simpler and provide valuable assistance for...

Im Focus: Artificial Intelligence Helps in the Discovery of New Materials

With the help of artificial intelligence, chemists from the University of Basel in Switzerland have computed the characteristics of about two million crystals made up of four chemical elements. The researchers were able to identify 90 previously unknown thermodynamically stable crystals that can be regarded as new materials. They report on their findings in the scientific journal Physical Review Letters.

Elpasolite is a glassy, transparent, shiny and soft mineral with a cubic crystal structure. First discovered in El Paso County (Colorado, USA), it can also be...

Im Focus: Complex hardmetal tools out of the 3D printer

For the first time, Fraunhofer IKTS shows additively manufactured hardmetal tools at WorldPM 2016 in Hamburg. Mechanical, chemical as well as a high heat resistance and extreme hardness are required from tools that are used in mechanical and automotive engineering or in plastics and building materials industry. Researchers at the Fraunhofer Institute for Ceramic Technologies and Systems IKTS in Dresden managed the production of complex hardmetal tools via 3D printing in a quality that are in no way inferior to conventionally produced high-performance tools.

Fraunhofer IKTS counts decades of proven expertise in the development of hardmetals. To date, reliable cutting, drilling, pressing and stamping tools made of...

Im Focus: Launch of New Industry Working Group for Process Control in Laser Material Processing

At AKL’16, the International Laser Technology Congress held in May this year, interest in the topic of process control was greater than expected. Appropriately, the event was also used to launch the Industry Working Group for Process Control in Laser Material Processing. The group provides a forum for representatives from industry and research to initiate pre-competitive projects and discuss issues such as standards, potential cost savings and feasibility.

In the age of industry 4.0, laser technology is firmly established within manufacturing. A wide variety of laser techniques – from USP ablation and additive...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Laser use for neurosurgery and biofabrication - LaserForum 2016 focuses on medical technology

27.09.2016 | Event News

Experts from industry and academia discuss the future mobile telecommunications standard 5G

23.09.2016 | Event News

ICPE in Graz for the seventh time

20.09.2016 | Event News

 
Latest News

New switch decides between genome repair and death of cells

27.09.2016 | Life Sciences

Nanotechnology for energy materials: Electrodes like leaf veins

27.09.2016 | Physics and Astronomy

‘Missing link’ found in the development of bioelectronic medicines

27.09.2016 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>