High Neutrophil-to-Lymphocyte Ratio Facilitates Cancer Growth-Currently Marketed Drugs Tadalafil, Isotretinoin, Colchicine, and Omega-3 to Reduce It : The TICO Regimen

This paper presents remarkably uniform data showing that higher NLR is a robust prognostic indicator of shorter overall survival across the common metastatic cancers. Myeloid derived suppressor cells, the NLRP3 inflammasome, neutrophil extracellular traps, and absolute neutrophil count tend to all be directly related to the NLR. They, individually and as an ensemble, contribute to cancer growth and metastasis. The multidrug regimen presented in this paper, TICO, was designed to decrease the NLR with potential to also reduce the other neutrophil related elements favoring malignant growth. TICO is comprised of already marketed generic drugs: the phosphodiesterase 5 inhibitor tadalafil, used to treat inadequate erections; isotretinoin, the retinoid used for acne treatment; colchicine, a standard gout (podagra) treatment; and the common fish oil supplement omega-3 polyunsaturated fatty acids. These individually impose low side effect burdens. The drugs of TICO are old, cheap, well known, and available worldwide. They all have evidence of lowering the NLR or the growth contributing elements related to the NLR when clinically used in general medicine as reviewed in this paper.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Cancers - 14(2022), 19 vom: 10. Okt.

Sprache:

Englisch

Beteiligte Personen:

Kast, Richard E [VerfasserIn]

Links:

Volltext

Themen:

Cancer
Inflammation
Journal Article
Myeloid derived suppressor cells
NLRP3 inflammasome
Neutrophil-to-lymphocyte ratio

Anmerkungen:

Date Revised 17.10.2022

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/cancers14194965

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM347459536