Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2011

Open Access 01-12-2011 | Case report

Clinical response to Auron Misheil Therapy in a man with advanced multifocal hepatocellular carcinoma: A case report

Authors: Jürgen S. Scheele, Jan Harder, Zoran Stankovic, Daniel Räpple, Annette Dorn, Hans C. Spangenberg, Hubert E. Blum

Published in: Journal of Medical Case Reports | Issue 1/2011

Login to get access

Abstract

Introduction

Auron Misheil Therapy was developed based on similarities between carcinogenesis and inflammation. Auron Misheil Therapy is a combination of natural and synthetic compounds, including anti-inflammatory drugs and insulin, expected to exhibit synergistic effects.

Case presentation

Here, we report the case of a 78-year-old Caucasian male patient who presented with multifocal hepatocellular carcinoma and chronic hepatitis C virus infection. Over a four-year period our patient was treated with radiofrequency ablation and transarterial chemoembolization. After these treatments there was tumor progression, with new hyperperfused lesions without evidence of extrahepatic tumor involvement. Our patient refused sorafenib therapy. Therefore, he received twice daily intramuscular injections of Auron Misheil Therapy on an outpatient basis for two months. Partial remission of the hepatic lesions was observed eight weeks after the start of treatment, and confirmed four weeks later. Unfortunately, at that time our patient refused therapy due to dizziness. During follow-up two target lesions remained stable, but one lesion increased in size. At the latest follow-up, one year later, there was still tumor control.

Conclusion

While the mechanisms underlying the antitumor effects of Auron Misheil Therapy are not fully understood, stable disease and remissions have been observed in different types of tumors, including hepatocellular carcinoma.
Appendix
Available only for authorised users
Literature
1.
go back to reference Sherman M: Hepatocellular carcinoma: epidemiology, risk factors, and screening. Semin Liver Dis. 2005, 25 (2): 143-154. 10.1055/s-2005-871194.CrossRefPubMed Sherman M: Hepatocellular carcinoma: epidemiology, risk factors, and screening. Semin Liver Dis. 2005, 25 (2): 143-154. 10.1055/s-2005-871194.CrossRefPubMed
2.
go back to reference Bruix J, Hessheimer AJ, Forner A, Boix L, Vilana R, Llovet JM: New aspects of diagnosis and therapy of hepatocellular carcinoma. Oncogene. 2006, 25 (27): 3848-3856. 10.1038/sj.onc.1209548.CrossRefPubMed Bruix J, Hessheimer AJ, Forner A, Boix L, Vilana R, Llovet JM: New aspects of diagnosis and therapy of hepatocellular carcinoma. Oncogene. 2006, 25 (27): 3848-3856. 10.1038/sj.onc.1209548.CrossRefPubMed
3.
go back to reference Llovet JM, Burroughs A, Bruix J: Hepatocellular carcinoma. Lancet. 2003, 362 (9399): 1907-1917. 10.1016/S0140-6736(03)14964-1.CrossRefPubMed Llovet JM, Burroughs A, Bruix J: Hepatocellular carcinoma. Lancet. 2003, 362 (9399): 1907-1917. 10.1016/S0140-6736(03)14964-1.CrossRefPubMed
4.
go back to reference Zhu AX: Systemic therapy of advanced hepatocellular carcinoma: how hopeful should we be?. Oncologist. 2006, 11 (7): 790-800. 10.1634/theoncologist.11-7-790.CrossRefPubMed Zhu AX: Systemic therapy of advanced hepatocellular carcinoma: how hopeful should we be?. Oncologist. 2006, 11 (7): 790-800. 10.1634/theoncologist.11-7-790.CrossRefPubMed
5.
go back to reference Huang M, Liu G: The study of innate drug resistance of human hepatocellular carcinoma Bel7402 cell line. Cancer Lett. 1999, 135 (1): 97-105.CrossRefPubMed Huang M, Liu G: The study of innate drug resistance of human hepatocellular carcinoma Bel7402 cell line. Cancer Lett. 1999, 135 (1): 97-105.CrossRefPubMed
6.
go back to reference Lombardi G, Zustovich F, Farinati F, Cillo U, Vitale A, Zanus G, Donach M, Farina M, Zovato S, Pastorelli D: Pegylated liposomal doxorubicin and gemcitabine in patients with advanced hepatocellular carcinoma: results of a phase 2 study. Cancer. 2011, 117 (1): 125-133. 10.1002/cncr.25578.CrossRefPubMed Lombardi G, Zustovich F, Farinati F, Cillo U, Vitale A, Zanus G, Donach M, Farina M, Zovato S, Pastorelli D: Pegylated liposomal doxorubicin and gemcitabine in patients with advanced hepatocellular carcinoma: results of a phase 2 study. Cancer. 2011, 117 (1): 125-133. 10.1002/cncr.25578.CrossRefPubMed
7.
go back to reference Kato A, Miyazaki M, Ambiru S, Yoshitomi H, Ito H, Nakagawa K, Shimizu H, Yokosuka O, Nakajima N: Multidrug resistance gene (MDR-1) expression as a useful prognostic factor in patients with human hepatocellular carcinoma after surgical resection. J Surg Oncol. 2001, 78 (2): 110-115. 10.1002/jso.1129.CrossRefPubMed Kato A, Miyazaki M, Ambiru S, Yoshitomi H, Ito H, Nakagawa K, Shimizu H, Yokosuka O, Nakajima N: Multidrug resistance gene (MDR-1) expression as a useful prognostic factor in patients with human hepatocellular carcinoma after surgical resection. J Surg Oncol. 2001, 78 (2): 110-115. 10.1002/jso.1129.CrossRefPubMed
8.
go back to reference Schwartz JD, Schwartz M, Mandeli J, Mandeli J, Sung M: Neoadjuvant and adjuvant therapy for resectable hepatocellular carcinoma: review of the randomised clinical trials. Lancet Oncol. 2002, 3 (10): 593-603. 10.1016/S1470-2045(02)00873-2.CrossRefPubMed Schwartz JD, Schwartz M, Mandeli J, Mandeli J, Sung M: Neoadjuvant and adjuvant therapy for resectable hepatocellular carcinoma: review of the randomised clinical trials. Lancet Oncol. 2002, 3 (10): 593-603. 10.1016/S1470-2045(02)00873-2.CrossRefPubMed
9.
go back to reference Rampone B, Schiavone B, Martino A, Viviano C, Confuorto G: Current management strategy of hepatocellular carcinoma. World J Gastroenterol. 2009, 15 (26): 3210-3216. 10.3748/wjg.15.3210.CrossRefPubMedPubMedCentral Rampone B, Schiavone B, Martino A, Viviano C, Confuorto G: Current management strategy of hepatocellular carcinoma. World J Gastroenterol. 2009, 15 (26): 3210-3216. 10.3748/wjg.15.3210.CrossRefPubMedPubMedCentral
10.
go back to reference Llovet JM, Ricci S, Mazzaferro V, Hilgard P, Gane E, Blanc JF, de Oliveira AC, Santoro A, Raoul JL, Forner A, Schwartz M, Porta C, Zeuzem S, Bolondi L, Greten TF, Galle PR, Seitz JF, Borbath I, Häussinger D, Giannaris T, Shan M, Moscovici M, Voliotis D, Bruix J, SHARP Investigators Study Group: Sorafenib in advanced hepatocellular carcinoma. N Engl J Med. 2008, 359 (4): 378-390. 10.1056/NEJMoa0708857.CrossRefPubMed Llovet JM, Ricci S, Mazzaferro V, Hilgard P, Gane E, Blanc JF, de Oliveira AC, Santoro A, Raoul JL, Forner A, Schwartz M, Porta C, Zeuzem S, Bolondi L, Greten TF, Galle PR, Seitz JF, Borbath I, Häussinger D, Giannaris T, Shan M, Moscovici M, Voliotis D, Bruix J, SHARP Investigators Study Group: Sorafenib in advanced hepatocellular carcinoma. N Engl J Med. 2008, 359 (4): 378-390. 10.1056/NEJMoa0708857.CrossRefPubMed
11.
go back to reference Bergsland EK: Molecular mechanisms underlying the development of hepatocellular carcinoma. Semin Oncol. 2001, 28 (5): 521-531. 10.1016/S0093-7754(01)90145-9.CrossRefPubMed Bergsland EK: Molecular mechanisms underlying the development of hepatocellular carcinoma. Semin Oncol. 2001, 28 (5): 521-531. 10.1016/S0093-7754(01)90145-9.CrossRefPubMed
12.
go back to reference Sheu JC: Molecular mechanism of hepatocarcinogenesis. J Gastroenterol Hepatol. 1997, 12 (9-10): S309-S313. 10.1111/j.1440-1746.1997.tb00514.x.CrossRefPubMed Sheu JC: Molecular mechanism of hepatocarcinogenesis. J Gastroenterol Hepatol. 1997, 12 (9-10): S309-S313. 10.1111/j.1440-1746.1997.tb00514.x.CrossRefPubMed
13.
go back to reference Thomas MB, Abbruzzese JL: Opportunities for targeted therapies in hepatocellular carcinoma. J Clin Oncol. 2005, 23 (31): 8093-8108. 10.1200/JCO.2004.00.1537.CrossRefPubMed Thomas MB, Abbruzzese JL: Opportunities for targeted therapies in hepatocellular carcinoma. J Clin Oncol. 2005, 23 (31): 8093-8108. 10.1200/JCO.2004.00.1537.CrossRefPubMed
14.
go back to reference Thorgeirsson SS, Grisham JW: Molecular pathogenesis of human hepatocellular carcinoma. Nat Genet. 2002, 31 (4): 339-346. 10.1038/ng0802-339.CrossRefPubMed Thorgeirsson SS, Grisham JW: Molecular pathogenesis of human hepatocellular carcinoma. Nat Genet. 2002, 31 (4): 339-346. 10.1038/ng0802-339.CrossRefPubMed
15.
go back to reference Wong VW, Yu J, Cheng AS, Wong GL, Chan HY, Chu ES, Ng EK, Chan FK, Sung JJ, Chan HL: High serum interleukin-6 level predicts future hepatocellular carcinoma development in patients with chronic hepatitis B. Int J Cancer. 2009, 124 (12): 2766-2770. 10.1002/ijc.24281.CrossRefPubMed Wong VW, Yu J, Cheng AS, Wong GL, Chan HY, Chu ES, Ng EK, Chan FK, Sung JJ, Chan HL: High serum interleukin-6 level predicts future hepatocellular carcinoma development in patients with chronic hepatitis B. Int J Cancer. 2009, 124 (12): 2766-2770. 10.1002/ijc.24281.CrossRefPubMed
16.
go back to reference Hopfner M, Schuppan D, Scherubl H: Growth factor receptors and related signalling pathways as targets for novel treatment strategies of hepatocellular cancer. World J Gastroenterol. 2008, 14 (1): 1-14. 10.3748/wjg.14.1.CrossRefPubMedPubMedCentral Hopfner M, Schuppan D, Scherubl H: Growth factor receptors and related signalling pathways as targets for novel treatment strategies of hepatocellular cancer. World J Gastroenterol. 2008, 14 (1): 1-14. 10.3748/wjg.14.1.CrossRefPubMedPubMedCentral
17.
go back to reference Niazi F, Drevs J, Diergarten K, Dorn A, Maier A, Fiebig HH, Bruyns E, Scheele J: AMT: preclinical pharmacology studies. Int J Oncol. 2009, 34 (5): 1341-1352.PubMed Niazi F, Drevs J, Diergarten K, Dorn A, Maier A, Fiebig HH, Bruyns E, Scheele J: AMT: preclinical pharmacology studies. Int J Oncol. 2009, 34 (5): 1341-1352.PubMed
18.
go back to reference Tibbles LA, Woodgett JR: The stress-activated protein kinase pathways. Cell Mol Life Sci. 1999, 55 (10): 1230-1254. 10.1007/s000180050369.CrossRefPubMed Tibbles LA, Woodgett JR: The stress-activated protein kinase pathways. Cell Mol Life Sci. 1999, 55 (10): 1230-1254. 10.1007/s000180050369.CrossRefPubMed
19.
go back to reference Brown MD, Sacks DB: Protein scaffolds in MAP kinase signalling. Cell Signal. 2009, 21 (4): 462-469. 10.1016/j.cellsig.2008.11.013.CrossRefPubMed Brown MD, Sacks DB: Protein scaffolds in MAP kinase signalling. Cell Signal. 2009, 21 (4): 462-469. 10.1016/j.cellsig.2008.11.013.CrossRefPubMed
20.
go back to reference Borrello MG, Degl'Innocenti D, Pierotti MA: Inflammation and cancer: the oncogene-driven connection. Cancer Lett. 2008, 267 (2): 262-270. 10.1016/j.canlet.2008.03.060.CrossRefPubMed Borrello MG, Degl'Innocenti D, Pierotti MA: Inflammation and cancer: the oncogene-driven connection. Cancer Lett. 2008, 267 (2): 262-270. 10.1016/j.canlet.2008.03.060.CrossRefPubMed
21.
22.
go back to reference Wagner M, Zollner G, Trauner M: Nuclear receptors in liver disease. Hepatology. 2011, 53 (3): 1023-1034. 10.1002/hep.24148.CrossRefPubMed Wagner M, Zollner G, Trauner M: Nuclear receptors in liver disease. Hepatology. 2011, 53 (3): 1023-1034. 10.1002/hep.24148.CrossRefPubMed
24.
go back to reference Karin M, Greten FR: NF-kappaB: linking inflammation and immunity to cancer development and progression. Nat Rev Immunol. 2005, 5 (10): 749-759. 10.1038/nri1703.CrossRefPubMed Karin M, Greten FR: NF-kappaB: linking inflammation and immunity to cancer development and progression. Nat Rev Immunol. 2005, 5 (10): 749-759. 10.1038/nri1703.CrossRefPubMed
25.
go back to reference Grivennikov SI, Karin M: Inflammation and oncogenesis: a vicious connection. Curr Opin Genet Dev. 2010, 20 (1): 65-71. 10.1016/j.gde.2009.11.004.CrossRefPubMed Grivennikov SI, Karin M: Inflammation and oncogenesis: a vicious connection. Curr Opin Genet Dev. 2010, 20 (1): 65-71. 10.1016/j.gde.2009.11.004.CrossRefPubMed
26.
go back to reference Karin M: Nuclear factor-kappaB in cancer development and progression. Nature. 2006, 441 (7092): 431-436. 10.1038/nature04870.CrossRefPubMed Karin M: Nuclear factor-kappaB in cancer development and progression. Nature. 2006, 441 (7092): 431-436. 10.1038/nature04870.CrossRefPubMed
27.
28.
go back to reference Aggarwal BB, Vijayalekshmi RV, Sung B: Targeting inflammatory pathways for prevention and therapy of cancer: short-term friend, long-term foe. Clin Cancer Res. 2009, 15 (2): 425-430. 10.1158/1078-0432.CCR-08-0149.CrossRefPubMed Aggarwal BB, Vijayalekshmi RV, Sung B: Targeting inflammatory pathways for prevention and therapy of cancer: short-term friend, long-term foe. Clin Cancer Res. 2009, 15 (2): 425-430. 10.1158/1078-0432.CCR-08-0149.CrossRefPubMed
29.
go back to reference Grivennikov SI, Karin M: Dangerous liaisons: STAT3 and NF-kappaB collaboration and crosstalk in cancer. Cytokine Growth Factor Rev. 2010, 21 (1): 11-19. 10.1016/j.cytogfr.2009.11.005.CrossRefPubMed Grivennikov SI, Karin M: Dangerous liaisons: STAT3 and NF-kappaB collaboration and crosstalk in cancer. Cytokine Growth Factor Rev. 2010, 21 (1): 11-19. 10.1016/j.cytogfr.2009.11.005.CrossRefPubMed
30.
go back to reference Bollrath J, Greten FR: IKK/NF-kappaB and STAT3 pathways: central signalling hubs in inflammation-mediated tumour promotion and metastasis. EMBO Rep. 2009, 10 (12): 1314-1319. 10.1038/embor.2009.243.CrossRefPubMedPubMedCentral Bollrath J, Greten FR: IKK/NF-kappaB and STAT3 pathways: central signalling hubs in inflammation-mediated tumour promotion and metastasis. EMBO Rep. 2009, 10 (12): 1314-1319. 10.1038/embor.2009.243.CrossRefPubMedPubMedCentral
31.
go back to reference Tuynder M, Fiucci G, Prieur S, Lespagnol A, Géant A, Beaucourt S, Duflaut D, Besse S, Susini L, Cavarelli J, Moras D, Amson R, Telerman A: Translationally controlled tumor protein is a target of tumor reversion. Proc Natl Acad Sci USA. 2004, 101 (43): 15364-15369. 10.1073/pnas.0406776101.CrossRefPubMedPubMedCentral Tuynder M, Fiucci G, Prieur S, Lespagnol A, Géant A, Beaucourt S, Duflaut D, Besse S, Susini L, Cavarelli J, Moras D, Amson R, Telerman A: Translationally controlled tumor protein is a target of tumor reversion. Proc Natl Acad Sci USA. 2004, 101 (43): 15364-15369. 10.1073/pnas.0406776101.CrossRefPubMedPubMedCentral
32.
go back to reference Ferjoux G, Bousquet C, Cordelier P, Benali N, Lopez F, Rochaix P, Buscail L, Susini C: Signal transduction of somatostatin receptors negatively controlling cell proliferation. J Physiol Paris. 2000, 94 (3-4): 205-210. 10.1016/S0928-4257(00)00206-0.CrossRefPubMed Ferjoux G, Bousquet C, Cordelier P, Benali N, Lopez F, Rochaix P, Buscail L, Susini C: Signal transduction of somatostatin receptors negatively controlling cell proliferation. J Physiol Paris. 2000, 94 (3-4): 205-210. 10.1016/S0928-4257(00)00206-0.CrossRefPubMed
33.
go back to reference Hofland LJ, van Koetsveld PM, Wouters N, Waaijers M, Reubi JC, Lamberts SW: Dissociation of antiproliferative and antihormonal effects of the somatostatin analog octreotide on 7315b pituitary tumor cells. Endocrinology. 1992, 131 (2): 571-577. 10.1210/en.131.2.571.PubMed Hofland LJ, van Koetsveld PM, Wouters N, Waaijers M, Reubi JC, Lamberts SW: Dissociation of antiproliferative and antihormonal effects of the somatostatin analog octreotide on 7315b pituitary tumor cells. Endocrinology. 1992, 131 (2): 571-577. 10.1210/en.131.2.571.PubMed
34.
go back to reference Schally AV: Oncological applications of somatostatin analogues. Cancer Res. 1988, 48 (24 Pt 1): 6977-6985.PubMed Schally AV: Oncological applications of somatostatin analogues. Cancer Res. 1988, 48 (24 Pt 1): 6977-6985.PubMed
35.
go back to reference Notas G, Kolios G, Mastrodimou N, Kampa M, Vasilaki A, Xidakis C, Castanas E, Thermos K, Kouroumalis E: Cortistatin production by HepG2 human hepatocellular carcinoma cell line and distribution of somatostatin receptors. J Hepatol. 2004, 40 (5): 792-798. 10.1016/j.jhep.2004.01.016.CrossRefPubMed Notas G, Kolios G, Mastrodimou N, Kampa M, Vasilaki A, Xidakis C, Castanas E, Thermos K, Kouroumalis E: Cortistatin production by HepG2 human hepatocellular carcinoma cell line and distribution of somatostatin receptors. J Hepatol. 2004, 40 (5): 792-798. 10.1016/j.jhep.2004.01.016.CrossRefPubMed
36.
go back to reference Lamberts SW, de Herder WW, Hofland LJ: Somatostatin analogs in the diagnosis and treatment of cancer. Trends Endocrinol Metab. 2002, 13 (10): 451-457. 10.1016/S1043-2760(02)00667-7.CrossRefPubMed Lamberts SW, de Herder WW, Hofland LJ: Somatostatin analogs in the diagnosis and treatment of cancer. Trends Endocrinol Metab. 2002, 13 (10): 451-457. 10.1016/S1043-2760(02)00667-7.CrossRefPubMed
37.
go back to reference Patel YC: Somatostatin and its receptor family. Front Neuroendocrinol. 1999, 20 (3): 157-198. 10.1006/frne.1999.0183.CrossRefPubMed Patel YC: Somatostatin and its receptor family. Front Neuroendocrinol. 1999, 20 (3): 157-198. 10.1006/frne.1999.0183.CrossRefPubMed
38.
go back to reference Avila MA, Berasain C, Sangro Prieto J: New therapies for hepatocellular carcinoma. Oncogene. 2006, 25 (27): 3866-3884. 10.1038/sj.onc.1209550.CrossRefPubMed Avila MA, Berasain C, Sangro Prieto J: New therapies for hepatocellular carcinoma. Oncogene. 2006, 25 (27): 3866-3884. 10.1038/sj.onc.1209550.CrossRefPubMed
39.
go back to reference Scheele J, Niazi F, Drevs J, Diergarten K, Toure P: A pilot study of Auron Misheil Therapy in patients with advanced cervical cancer: tumor response and its correlation with clinical benefit response, and preliminary quality of life data. Oncol Rep. 2009, 22 (4): 877-883.CrossRefPubMed Scheele J, Niazi F, Drevs J, Diergarten K, Toure P: A pilot study of Auron Misheil Therapy in patients with advanced cervical cancer: tumor response and its correlation with clinical benefit response, and preliminary quality of life data. Oncol Rep. 2009, 22 (4): 877-883.CrossRefPubMed
Metadata
Title
Clinical response to Auron Misheil Therapy in a man with advanced multifocal hepatocellular carcinoma: A case report
Authors
Jürgen S. Scheele
Jan Harder
Zoran Stankovic
Daniel Räpple
Annette Dorn
Hans C. Spangenberg
Hubert E. Blum
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-5-478

Other articles of this Issue 1/2011

Journal of Medical Case Reports 1/2011 Go to the issue