Abstract

Deuterium-depleted water (DDW) is a new promising agent in cancer therapy. The efficiency of the method is based on the discovery, that cancer cells are extremely sensitive to depletion of deuterium (D) and might cause necrosis of the tumour. The purpose of this study was to show the efficacy of D-depletion in prostate cancer (PC) patients. In the double blind, four-month-long, randomized Phase II clinical trial the daily water intake was replaced with DDW in 22 PC patients. Other 22 PC patients took normal water while both groups received the same forms of conventional treatment. In the retrospective study, 91 DDW-treated PC patients were evaluated and median survival time (MST) in the subgroups was calculated. The time course of changes in DDW dose and PSA is presented in two cases. In the prospective trial seven patients in the treated group and one patient in the placebo group achieved partial response (p = 0.046). In the treated group, the net decrease in the prostate volume was three times higher (160.3 cm3 vs. 54.0 cm3; p = 0.0019), urination complaints ceased at a higher rate (8 vs. 0 patients, p = 0.0041), and the one-year survival rate was also higher (2 vs. 9 deaths; p = 0.034). The 91 retrospectively evaluated patients achieved an MST of 11.02 years, despite the fact that 46 of them suffered from distant metastasis. In the two monitored patients, drop of PSA level correlated with the DDW intake. In summary, D-depletion prolonged MST in patients with PC. The method proved to be safe thus its integration in the PC cure as an adjuvant or complementary therapy would be considered.

Highlights

  • Hydrogen has a naturally occurring stable isotope, deuterium (D), with a mass number of 2

  • No change was detected in one patient while the prostate volume increased in two subjects

  • Prostate size decreased in 11 patients, no change was recorded in 5 patients, and increased prostate size was found in another 5

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Summary

Introduction

Hydrogen has a naturally occurring stable isotope, deuterium (D), with a mass number of 2 It is present in surface waters mainly in the form of HDO at a concentration of appr. D-depletion exerts an influence on protooncogenes and tumor suppressor genes, such as c-myc, Ha-ras and p53 Expression of these genes, induced by carcinogen exposure, was significantly lower when the animals received DDW as drinking water [9]. The most striking discovery was that cancer cells proved to be extremely sensitive to D-depletion which might even cause the necrosis of tumours, while non-cancer cells are able to tolerate the decreasing D-concentration.

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