21 januari 2017: Update gemaakt van onderstaande informatie met toevoeging van reviewstudie naar hyuperbare zurstof bij kanker..

In dit studierapport: Hyperbaric oxygen therapy and cancer—a review  dat volledig gratis is in te zien of te downloaden wordt beschreven wat de effecten zijn van hyperbare zuurstof (HBO) in relatie tot kanker of gerelateerd aan behandelingen van verschillende vormen van kanker zoals chemo, bestraling enz. 

Zo worden in dit studierapport beschreven:

Hyperbare zuurstof (HBO), Kanker en hypoxie (zuurstofgebrek)

Hyperbare zuurstof (HBO) en celoverleving

Hyperbare zuurstof (HBO) en angiogenesis - bloedvatenvorming

Hyperbare zuurstof (HBO) en uitzaaiingen - metastases

Hyperbare zuurstof (HBO) en chemo therapie

Hyperbare zuurstof (HBO) en bestraling -  radiotherapie

Hyperbare zuurstof (HBO) bij verschillende vormen van kanker

Hyperbare zuurstof (HBO) en borstkanker

Hyperbare zuurstof (HBO) en hoofd- halstumoren (mond en keelkanker)

Hyperbare zuurstof (HBO) en vormen van darmkanker

Hyperbare zuurstof (HBO) en hersentumoren (glioma's)

Hyperbare zuurstof (HBO) en leukemie

Hyperbare zuurstof (HBO) en prostaatkanker

Hyperbare zuurstof (HBO) en baarmoeederkanker en baarmoederhalskanker en blaaskanker

Hier een tabel van de studies opgenomen in deze reviewstudie bij de verschillende vormen van kanker. Tekst met studieabstract enz. gaat verder onder tabel 1.

Table 1

Studies on the effect of hyperbaric oxygen (HBO) and malignancy, both alone and in combination with conventional treatment, from 2001 to 2012

StudyYearType of studyCancer typeHBO protocolAdditional therapyHBO per seCombo therapyMetastasisAngiogenesis
Breast cancer
Stuhr et al. [47] 2004 In vivo DMBA-induced mammary tumors in rats 0.2 MPa, 4 exp at 90 min, 11 days or 7 exp, 23 days 5-FU
Granowitz et al. [18] 2005 In vitro Mammary cells from normal epithelia, primary tumor, and metastatic tumor + human MCF7 cell line 0.24 MPa Melphalan, gemcitabine, and paclitaxel
Heys et al. [28] 2006 Clinical Locally advanced breast carcinoma 0.24/0.2 MPa, 90 min daily (5/week) for 10 days Cyclophosphamide, doxorubicin, and vincristine
Raa et al. [22] 2007 In vivo DMBA-induced mammary tumors in rats Hyperoxia (100 % O2) or 0.15 MPa, 4 exp at 90 min over 11 days 5-FU
Haroon et al. [36] 2007 In vivo Mouse mammary adenocarcinoma 4T1-GFP cell line in nu/nu mice 0.28 MPa for 45 min daily (5/week) up to 5 weeks
Moen et al. [24] 2009 In vivo DMBA-induced mammary tumors in rats 0.2 MPa, 4 exp at 90 min, 11 days
Moen et al. [48] 2009 In vivo DMBA-induced mammary tumors in rats 0.2 MPa, 4 exp at 90 min over 11 days or 1 exp at 90 min 5-FU
Jevne et al. [51] 2011 In vivo Murine 4T1 mammary tumors in NOD/SCID mice 0.25 MPa, 3 exp at 90 min over 8 days 5-FU
Moen et al. [37] 2012 In vivo Murine 4T1 mammary tumors in NOD/SCID mice 0.25 MPa, 90 min exp, 3 intermittent or 7 daily exp over 8 days (↔/↑) ↓/↔
Prostate cancer
Chong et al. [29] 2004 In vivo Human prostate (LNCaP) cells in immunodeficient mice 0.236 MPa, 20 exp at 90 min, 5/week for 4 weeks ↔ (↓)
Tang et al. [31] 2009 In vivo Human prostate PC-3 cells in immunodeficient mice 0.2 MPa, 20 exp at 90 min, 5/week for 4 weeks
Tang et al. [32] 2009 In vivo Human prostate cancer LNCaP cells in immunodeficient mice 0.2 MPa, 20 exp at 90 min, 5/week for 4 weeks
Colorectal cancer
Hjelde et al. [66] 2005 In vitro Traditional cell carcinoma (AY-27), Human primary colonadenocarcinoma (WiDr) and human colonadenocarcinoma cell line (SW480) 0.1, 0.2, 0.3, and 0.4 MPa O2 for 30 min Photodynamic therapy
Daruwalla et al. [38] 2006 In vivo Dimethylhydrazine induced primary colon carcinoma cell line in mice 0.24 MPa, 90 min daily exp for 7, 13, 19, and 25 days ↓/↑ (↔)
Daruwalla et al. [39] 2007 In vivo Primary colon carcinoma cell line in mice 0.24 MPa, 5 times à 90 min over 9 days SMA–pirarubicin
Gliomas
Ogawa et al. [76] 2006 Clinical Patients with high grade gliomas 0.28 MPa, 30-60 min Radiotherapy and procarbazine, nimustine, and vincristine ↔/↓
Stuhr et al. [23] 2007 In vivo BT4C rat glioma xenografts in nude rats 100 % O2 or 0.2 MPa HBO, 3 exp at 90 min over 8 days
Kohshi et al. [75] 2007 Clinical Patients with anaplastic astrocytoma and glioblastoma multiforme 0.25 MPa, 60 min Radiotherapy (previous chemotherapy) ↔/↓
Suzuki et al. [44] 2009 Clinical Patients with recurrent malignant or brainstem gliomas 0.2 MPa, 60 min during i.v. adm. of carboplatin + 24 h after drug adm Carboplatin
Other
Chen et al. [20] 2007 In vitro Human leukemia (Jurkat), multiple myeloma (NCl-H929), carcinoma (A549) and breast adenocarcinoma (MCF-7) cell lines 0.25 or 0.35 MPa oxygen or air for 2–12 h ↓/↔
Ohgami et al. [43] 2010 In vitro Molt-4 human leukemia cells 0.35 MPa, 90 min Artemisinin
Sun et al. [19] 2004 In vivo Human oral cancer cell line in mice 0.25 MPa, 20 exp. at 90 min
Shi et al. [27] 2005 In vivo Head and neck squamous cell carcinoma (Sq20B and Detroit 562) in mice 0.24 MPa, 90 min 5 times a week for 2–4 weeks Radiotherapy (single dose)
Schönmeyr et al. [30] 2008 In vitro and in vivo Murine squamous cell carcinoma (SCC-VII) cell line in vitro and in mice 0.21 MPa 8 daily exp à 90 min
Ohguri et al. [45] 2009 Clinical Patients with non-small-cell lung cancer (NSCLC) 0.2 MP, 60–90 min, after chemo and HT Paclitaxel and carboplatin ↔/↓
Kawasoe et al. [21] 2009 In vitro and in vivo. Mouse osteosarcoma (LM8) cell line in vitro and implanted in mice 0.25 MPa for 90 min Carboplatin
Selvendiran et al. [46] 2010 In vivo Human ovarian cancer xenograft 0.2 MPa, 90 min daily for up to 21 days Cisplatin
Peng et al. [25] 2010 In vitro Nasopharyngeal carcinoma CNE2Z cells 0.2 MPa, 85 % O2, exp at 90 min (4 h interval) 5-FU ↓/↔

Left–right arrow no effect, down arrow inhibition/reduction, up arrow potentiation (if two symbols are given, the effect is mixed), Combo combination, exp exposure, adm administration, HT hyperthermia

Het abstract van bovengenoemde studie is deze, onderaan artikel staat een interessante referentielijst behorend bij deze studie:

Target Oncol. 2012 Dec; 7(4): 233–242.
Published online 2012 Oct 2. doi:  10.1007/s11523-012-0233-x
PMCID: PMC3510426

Hyperbaric oxygen therapy and cancer—a review

Abstract

Hypoxia is a critical hallmark of solid tumors and involves enhanced cell survival, angiogenesis, glycolytic metabolism, and metastasis. Hyperbaric oxygen (HBO) treatment has for centuries been used to improve or cure disorders involving hypoxia and ischemia, by enhancing the amount of dissolved oxygen in the plasma and thereby increasing O2 delivery to the tissue. Studies on HBO and cancer have up to recently focused on whether enhanced oxygen acts as a cancer promoter or not. As oxygen is believed to be required for all the major processes of wound healing, one feared that the effects of HBO would be applicable to cancer tissue as well and promote cancer growth. Furthermore, one also feared that exposing patients who had been treated for cancer, to HBO, would lead to recurrence. Nevertheless, two systematic reviews on HBO and cancer have concluded that the use of HBO in patients with malignancies is considered safe. To supplement the previous reviews, we have summarized the work performed on HBO and cancer in the period 2004–2012. Based on the present as well as previous reviews, there is no evidence indicating that HBO neither acts as a stimulator of tumor growth nor as an enhancer of recurrence. On the other hand, there is evidence that implies that HBO might have tumor-inhibitory effects in certain cancer subtypes, and we thus strongly believe that we need to expand our knowledge on the effect and the mechanisms behind tumor oxygenation.

Mocht u kanker-actueel de moeite waard vinden en ons willen ondersteunen om kanker-actueel online te houden dan kunt u ons machtigen voor een periodieke donatie via donaties: http://kanker-actueel.nl/NL/donaties.html of doneer al of niet anoniem op - rekeningnummer NL79 RABO 0372931138 t.n.v. Stichting Gezondheid Actueel in Amersfoort. Onze IBANcode is NL79 RABO 0372 9311 38   
Elk bedrag is welkom. En we zijn een ANBI instelling dus uw donatie of gift is in principe aftrekbaar voor de belasting.

5 april 2016: Bron: Adv Skin Wound Care. 2016 Jan;29(1):12-19 en IVHG - Instituut voor Hyperbare geneeskunde.

Met dank aan arts drs. H.A. Hilhorst verbonden aan het Instituut voor Hyperbare Geneeskunde waarmee ik vandaag heb gesproken en mij onderstaande studie doorstuurde. 

Maar drs. Hilhorst vertelde mij ook nog veel meer over de ontwikkelingen van de hyperbare zuurstof therapie. Bv. in juni wordt in Maarssen een nieuw centrum voor hyperbare zuurstof geopend. Dan zijn er inmiddels 10 centra in Nederland waar u deze therapie kunt volgen.

Ik ga de informatie die drs. Hilhorst mij vertelde niet allemaal herhalen, als ik het al allemaal heb kunnen onthouden en hier opschrijven maar op hun website staat alle benodigde informatie denk ik. Zie ook de gerelateerde artikelen. Op deze pagina staat een literatuurlijst: http://www.ivhg.nl/zorgverleners/publicatie-database/

Hier staan de adresgegevens van de vier vestigingen tot nu toe die vallen onder het Instituut voor hyperbare geneeskunde: http://www.ivhg.nl/het-ivhg/ 

Daarnaast zijn er nog centra voor hyperbare zuurstof in Sneek, Rijswijk, Waalwijk, Goes en Geldrop die onder een andere organisatie vallen.

Belangrijk is wel dat nog te weinig oncologen, radiologen, chirurgen en huisartsen met name weten van deze aanpak met hyperbare zuurstof als bevordering van herstel en pijnverlichting bij weefselschade veroorzaakt door radiotherapie - bestraling, maar ook als herstel van bv. open wonden veroorzaakt door diabetes.

Een ander punt van aandacht: Ik dacht dat de kosten voor zo'n behandeling wel erg duur zouden zijn maar wordt wanneer een patient wordt verwezen door een arts volledig vergoed vanuit de basisverzekering. En de kosten per behandeling vallen mee denk ik: €   200,-- excl. reiskosten. Zeker als je dat vergelijkt wat de kosten zijn voor iemand die chronische pijn overhoudt aan een bestraling of een blijvende open wond veroorzaakt door diabetes.

hyperbare zuurstof met patienten 2

Foto is van IVHG van een hyperbaar zuurstof unit in Nederland

Resultaten:

De gegevens van totaal 2538 patiënten met 10 verschillende typen van bestralingsschade zijn geanalyseerd. De 5 meest voorkomende beschadigingen / letsel waren osteoradionecrosis (botafsterving)  (33.4%), huid en zacht weefsel afsterving (27.5%), blaasontstekingen (18.6%), endeldarmontstekingen (9.2%), en beschadigingen van afstervend weefsel in de keel, verlies van stem enz. (4.8%). 

Kliniche resultaten van een Hyperbare zuurstof behandeling bleken over het algemeen allemaal postief, maar de mate van therapeutische effect variëerde per aard van de beschadiging. Maar pijnverlichting en kwaliteit van leven verbeterde algemeen van 76.7 to 92.6 procent.

Wie het volledige studierapport, wat uitgebreid beschrijft hoe er te werk is gegaan en met gedetailleerde resultaten en grafieken wilt van deze studie: Outcomes of Radiation Injuries Using Hyperbaric Oxygen Therapy: An Observational Cohort Study kan ons een mailtje sturen. In principe sturen we dit alleen aan onze donateurs: redactie@kanker-actueel.nl .

Anderen kunnen dit via de website van Wolters Kluwen kopen of via deze link: 

 http://www.ncbi.nlm.nih.gov/pubmed/26650092.

Outcomes from a large patient registry of radiation-induced injuries support the continued therapeutic use of Hyperbaric Oxygen Therapy for radiation injuries.

Adv Skin Wound Care. 2016 Jan;29(1):12-19.

Outcomes of Radiation Injuries Using Hyperbaric Oxygen Therapy: An Observational Cohort Study.

Abstract

BACKGROUND:

The late effects of radiation therapy following the treatment of cancer are a well-known consequence. Evidence increasingly supports the use of hyperbaric oxygen (HBO) as an adjunctive treatment in a variety of radiation injuries.

OBJECTIVE:

To present the findings of a new registry of radiation injuries that was developed to evaluate the outcomes and treatment parameters of HBO treatment (HBOT) when applied to patients experiencing the late effects of radiation therapy.

DESIGN:

Observational cohort.

SETTING:

Hyperbaric oxygen clinical treatment facilities in the United States.

PATIENTS:

A total of 2538 patients with radiation-induced injuries.

MEASUREMENTS:

Injury type, patient age, gender, diabetes, end-stage renal disease, collagen vascular disease, coronary artery disease/peripheral vascular disease, on anticoagulant medication, on systemic steroid medication, patient is current smoker, patient abuses alcohol, symptoms reported, duration of symptoms, symptom progression prior to HBOT, transfusion units, HBOT time, HBOT count, HBO chamber pressure, HBO time in chamber, and patient outcomes.

RESULTS:

A total of 2538 patient entries with 10 types of radiation injuries were analyzed. The 5 most common injuries were osteoradionecrosis (33.4%), dermal soft tissue radionecrosis (27.5%), radiation cystitis (18.6%), radiation proctitis (9.2%), and laryngeal radionecrosis (4.8%). Clinical outcomes following HBOT were positive with symptoms that improved or resolved varying from 76.7% to 92.6%, depending on injury type. Overall, although the mean symptom improvement score between some groups is statistically significant, the differences are probably not clinically meaningful. Patients with osteoradionecrosis had the highest mean symptom improvement score (3.24) compared with a mean of 3.04 for laryngeal radionecrosis.

LIMITATIONS:

Limited data were available on patient comorbidities and symptom severity.

CONCLUSIONS:

Outcomes from a large patient registry of radiation-induced injuries support the continued therapeutic use of HBOT for radiation injuries.

PMID:
26650092
[PubMed - as supplied by publisher]

References belonging to the study HBO - Hyperbaric Oxygin Therapy and cancer

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