Evidence map›Paper›PMID 31211288›Full record

ArticleMathews journal of case reports2019

A Novel Patient Case Report to Show the Successful Termination of Untreatable Androgen-independent Prostate Cancer: Treatment with Cabergoline (Dopamine agonist).

Leslie C Costello, Renty B Franklin, George W Yu

Abstract read
In one paragraph

Article in Mathews journal of case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Zinc: The Wonder Drug for the Treatment of Carcinomas.Acta scientific cancer biology · 2020
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Leslie C CostelloDepartment of Oncology and Diagnostic Sciences, University of Maryland School of Dentistry, and The University of Maryland Greenebaum Comprehensive Cancer Center. Baltimore, Maryland. 21201 USA.
Renty B FranklinDepartment of Oncology and Diagnostic Sciences, University of Maryland School of Dentistry, and The University of Maryland Greenebaum Comprehensive Cancer Center. Baltimore, Maryland. 21201 USA.
George W YuDepartment of Urology; George Washington University School of Medicine; 2300 East Street, NW, Washington, DC. 20037 USA.

Funding

ZINC TRANSPORT RELATIONSHIPS IN PROSTATE CANCER CELLSR01CA079903 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI FRANKLIN, RENTY B. · 1999 to 2008
$2.0M
PROLACTIN REGULATION OF PROSTATE CITRATE PRODUCTIONR01DK042839 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI FRANKLIN, RENTY B. · 1992 to 2003
$980k
UNIQUE ASPARTATE TRANSPORT IN PROSTATER01CA093443 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI COSTELLO, LESLIE C · 2003 to 2005
$705k
NCI NIH HHS R01 CA079903NCI NIH HHS R01 CA093443NIDDK NIH HHS R01 DK042839
6 · The paper itself

Abstract

introductionTestosterone promotes the initial development of androgen-dependent prostate cancer. This is the basis for androgen ablation treatment, which attenuates, but does not terminate, the malignancy. Instead, it leads to prolactin-dependent malignancy; in which patient death generally occurs within 5 years. This report describes the novel treatment of a patient; which terminated androgen-independent prostate cancer.

resultsPatient "XY" was diagnosed with prostate malignancy and metastases. He received hormonal androgen ablation treatment, chemotherapy, and radiation treatment. He developed androgen-independent prostate cancer; with expected death in 2-3 years. He was treated with cabergoline (dopamine agonist) treatment, which decreased the plasma prolactin 88%; by inhibiting the pituitary production of prolactin. The subsequent PET scan (positron emission tomography) revealed the absence of malignancy; and the CTC (circulating tumor cells) decreased from count=5.4 to count=0. DISCUSSION: The cause of androgen-independent malignancy has been unknown, and an effective chemotherapy did not exist. The activities of normal and malignant prostate cells are regulated primarily by testosterone. When testosterone availability diminishes; prolactin regulation is manifested. This is represented when androgen ablation results in the development of prolactin-dependent malignancy. An effective chemotherapy would be targeted to eliminate the plasma prolactin-manifestation of the androgen-independent malignancy.

conclusionsThis report of a novel chemotherapy for androgen-independent malignancy corroborates our understanding of the implications of prolactin in its development and treatment. There are about 165,000 cases/year with 25,000 deaths/year in the U.S.; and 1.0 million cases/year with 260,000 deaths/year worldwide. Those patients with androgen-independent prostate cancer can now employ this cabergoline treatment to prevent or terminate this deadly type of prostate cancer.

Indexed as

Advanced Prostate CancerAndrogen-Independent MalignancyCabergoline TreatmentCase Report

Identifiers

PMID31211288
PMCPMC6578577

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