The online version of this article (doi:10.1186/1475-2867-12-51) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
AE Hypothesis and preliminary calcium chelation work, drafting of manuscript, final decision. BJS Research chelation design, original chelation experiments and invaluable support. PJE Substantial contribution, guidance, drafting and essential focusing of manuscript. MM Pathology Histology staining and pathologist interpretation. SSP Laboratory Director, funding and guidance as to selecting Ammonium Oxalate as preferred endogenous substance. All authors read and approved the final manuscript.
In malignant melanoma, it has been published that up to 40% of cancer patients will suffer from brain metastasis. The prognosis for these patients is poor, with a life expectancy of 4 to 6 months. Calcium exchange is involved in numerous cell functions. Recently, three types of cellular calcium sequestration have been reported in the medical literature. The first describes a transgenic mouse model in which an increase of aberrant calcium channels triggers hypertrophy and apoptosis. The second provides a protective mechanism whereby astrocytes in the brain inhibit apoptosis of tumor cells by moving ionic calcium out of the tumor cells thru gap junctions. The third is via calcium chelation, which causes cell apoptosis by converting ionic calcium into a calcium salt. This process has been shown to operate in atrial myocardial cells, thus not allowing the intracellular calcium stores to flow through the myocytes intercalated discs. Ideally chemotherapeutic agents would be those that initiate apoptosis in tumor cells.
We hypothesize that the recent reported intracellular calcium sequestration by oxalate chelation, due to its chemical process of converting ionic calcium into a calcium salt, may inhibit the protective effect of astrocytes on brain tumor metastasized melanoma cells by not allowing free calcium to leave the metastatic cells, simultaneously apoptosis of tumor and some healthy adjacent cells could occur. This hypothesis could be extended to include other cancerous tumors such as skin cancers amongst others.
Using the experimental model showing the protective mechanism of co-cultured reactive astrocytes and tumor cells treated with oxalates could be used to test this hypothesis in vitro. The calcium specific von Kossa technique could be used to confirm the presence of chelated intracellular calcium architecture of the metastatic cells (which is a sign of apoptosis), and extracellular calcium chelation stores of the Astrocytes (which has been shown to slow neural conduction).
The life expectancy in patients with metastasized malignant melanoma brain tumors could be significantly prolonged if the chemotherapeutic issue of brain metastasis is overcome. Other cancerous tumors can also be treated by this Targeted Chelation Approach. Ionic calcium sequestration using naturally occurring calcium chelators, viz., oxalates, could accomplish this desired outcome.
Fan Y, Scherlag B, Embi A, Yu I, Heng C, Mao J, Varma V, Fu G, Po SS: Neural effects of oxalic acid for atrial fibrillation therapy. 33rd Annu Sci Session Heart Rhythm. 2012, 9: S258-
Sheehan DC, Hrapchak BB: Theory and Practice of Histotechnology. 1987, Battelle Memorial Institute, Columbus, OH, 2
McWilliams RR, Rao RD, Brown PD, Link MJ, Buckner JC: Treatment options for brain metastases from melanoma. Exp Rev Anticancer Ther. 2005, 5: 809-820. 10.1586/14737184.108.40.2069. CrossRef
- Targeted cellular ionic calcium chelation by oxalates: Implications for the treatment of tumor cells
Benjamin J Scherlag
Peter J Embi
Sunny S Po
- BioMed Central
Neu im Fachgebiet Onkologie
e.Med Kampagnen-Visual, Mail Icon II