Monday, May 30, 2011

Stanislaw Burzynski and "Antineoplastons" - SAUL GREEN

In 1967, after obtaining his medical degree and while completing his PhD in biochemistry, Dr. Burzynski discovered a strain of peptides in human blood and urine that had never before been recorded in biomedical research. As Dr. Julian Whitaker stated in the film, "discovering something in the urine [and blood] at that time, that had never been discovered before - is like finding a whole bunch of new islands ten miles off the coast of Miami, it came as a big surprise." Dr. Burzynski had no idea what this discovery meant at the time. However, he and his colleagues were extremely excited about this new discovery, and he continued to explore it. After testing the human blood of various different sexes, races, and ages of people - he found that these newly discovered peptides were either absent or revealed a very low count within the blood of those individuals with cancer. He eventually found that this peptide count was virtually identical in both human blood and human urine.

Dr. Burzynski simply hypothesized - if he could simply extract these peptides from healthy donors, and administer these peptides to people with cancer, perhaps it would be helpful in treating the disease. Upon this initial exploration, he discovered that extracting the amount of peptides from healthy human blood was very laborious as the amount of blood needed to obtain a necessary amount of peptides far exceeded the amount of blood reasonably available.

Upon this realization, he began extracting these peptides from human urine, since it was far easier to obtain large amounts of healthy human urine vs. healthy human blood. Dr. Burzynski began setting up collection containers at state parks, religious institutions, and even prisons.


Phenylacetlglutamine, Phenylacetate
Phenylacetylisoglutamine


Burzynski, the Movie is the story of a medical doctor and Ph.D biochemist named Dr. Stanislaw Burzynski who won the largest, and possibly the most convoluted and intriguing legal battle against the Food & Drug Administration in American history. His victorious battles with the United States government were centered around Dr. Burzynski's belief in and commitment to his gene-targeted cancer medicines he discovered in the 1970's called Antineoplastons, which have currently completed Phase II FDA-supervised clinical trials in 2009 and could begin the final phase of testing in 2011ΓΓé¼ΓÇ¥barring the ability to raise the required $150 million to fund them.

When Antineoplastons are approved, it will mark the first time in history a single scientist, not a pharmaceutical company, will hold the exclusive patent and distribution rights on a paradigm-shifting medical breakthrough. Antineoplastons are responsible for curing some of the most incurable forms of terminal cancer. Various cancer survivors are presented in the film who chose his treatment instead of surgery, chemotherapy or radiation - with full disclosure of medical records to support their diagnosis and recovery - as well as systematic (non-anecdotal) FDA-supervised clinical trial data comparing Antineoplastons to other available treatments. One form of cancer - diffuse, intrinsic, childhood brainstem glioma has never before been cured in any scientifically controlled clinical trial in the history of medicine. Antineoplastons hold the first cures in history - dozens of them. [Chemo/Rad - PubMed 2005] [ANP - PubMed 2003] [ANP - PubMed 2006]

This documentary takes the audience through the treacherous, yet victorious, 14-year journey both Dr. Burzynski and his patients have had to endure in order to obtain FDA-approved clinical trials of Antineoplastons. Dr. Burzynski resides and practices medicine in Houston, Texas. He was able to initially produce and administer his discovery without FDA-approval from 1977-1995 because the state of Texas at this time did not require that Texas physicians be required to adhere to Federal law in this situation. This law has since been changed. As with anything that changes current-day paradigms, Burzynski's ability to successfully treat incurable cancer with such consistency has baffled the industry. However this fact has prompted numerous investigations by the Texas Medical Board, who relentlessly took Dr. Burzynski as high as the state supreme court in their failed attempt to halt his practices. Likewise, the Food and Drug Administration engaged in four Federal Grand Juries spanning over a decade attempting to indict Dr. Burzynski, all of which ended in no finding of fault on his behalf. Finally, Dr. Burzynski was indicted in their 5th Grand Jury in 1995, resulting in two federal trials and two sets of jurors finding him not guilty of any wrongdoing. If convicted, Dr. Burzynski would have faced a maximum of 290 years in a federal prison and $18.5 million in fines.

However, what was revealed a few years after Dr. Burzynski won his freedom, helps to paint a more coherent picture regarding the true motivation of the United States government's relentless persecution of Stanislaw Burzynski, M.D., Ph.D.

http://www.burzynskimovie.com/

http://image.bayimg.com/haeibaadg.jpg

http://www.youtube.com/watch?v=S81PXHwjMAQ&feature=related

Burzynski.The.Movie-Cancer.Is.Serious.Business.DVDRip.DivX
http://torrents.thepiratebay.org/6238349/Burzynski.The.Movie-Cancer.Is.Serious.Business.DVDRip.DivX.6238349.TPB.torrent
magnet:?xt=urn:btih:21fcb2c07ada5426d03d2d51285e0510c5f6d0c6&dn=Burzynski.The.Movie-Cancer.Is.Serious.Business.DVDRip.DivX&tr=udp%3A%2F%2Ftracker.openbittorrent.com%3A80&tr=udp%3A%2F%2Ftracker.publicbt.com%3A80&tr=udp%3A%2F%2Ftracker.ccc.de%3A80



If you watch the movie, you can a picture, backed up by undoubtedly good evidence and logical arguments

When you read the detractor's article, you hear hate speech and no facts.


Antineoplastons? You gotta be kidding me!

Monday, August 9, 2010


Watch where you step, you might be knee-deep in some bullshit son!
So I came across a movie about Stanislaw Burzynski and his controversial antineoplastons treatment. So I'm pretty sure you are scratching your head wondering what an antineoplaston is? Apparently Burzynski created this convoluted phrase to use instead of simply saying, its a peptide. But take it from top here gang. In 1968, Burzynski graduated from medical school at age 24 in Poland, at age ~25 he also received a doctorate in biochemistry, making him one of the country's youngest M.D., Ph.D. Are you kidding me, when did he start his MSTP training program at age 17? The claim to the Ph.D. is slightly dubious as the medical school at that time was not known to grant Ph.D.'s and faculty at the Medical Academy of Lubin report that Burzyinski only did one year of a lab research project while in medical school to receive this mystery doctorate. Also the guy never received any specialized training in cancer or cancer therapeutics. So flash forward to 1973, Burzynski has spent the past three years at Baylor COM working in a lab isolating peptides from rat brains. He receives his license and is able to practice medicine in the US and also gets a three year grant to study urinary peptides effect on the growth of cancer cells. This grant is not renewed and in 1976 Burzynski announces that he has found the cure to cancer in antineoplastons (peptides) which can "normalize" cancer cells and cause spontaneous regression of cancer.

So Burzynski goes on to treat folks with a derivative of one of his earlier antineoplastons. One of his peptides A-10, piperdine-2,6-dione (PAPD), which is treated to form phenylacetyl glutamine (PAG) which is a detoxification product produced by the detoxification of phenylacetic acid in the liver which itself is normal byproduct of metabolism, albeit toxic. Anywho Burzynski claims that A-10 can bind to DNA, however it has yet to be shown to bind to either the minor or major groove of DNA and Burzyinski himself claims that A-10 is ineffective against cancer.

So let me get this straight, we have a guy with some shaky credentials treating patients with unproven therapies of dubious providence. And to put a final nail in the coffin, the NCI, the Japanese NCI, and Sigma-Tau Pharmaceuticals have yet to be able to prove that any of Burzyinski's "antineoplastons" have an effect on cancer. And Burzynski claims to have treated over 8,000 patients in 20 years but does not release any hard data to support that his therapy is working.

Why is all of this getting my knickers in a bind. Because there is a documentary entitle "Burzynski Movie" out that seems to propagate the myth that Big Pharma and the government are out there holding back a man with the cure for cancer. The documentary is what some would call "one-sided" or as I would call it, a fucking piece of shit. The director only interviews supporters of Burzynski, allows the "physician" to slam chemotherapy and radiation therapy, two proven treatments while allowing him to provide no substantive evidence of his miracle treatment. All this does is incense the tin-foil-hat-wearing-conspiracy-theory-nutjobs and of course their slightly more educated cousins, the alternative medicine believers who dabble in pseudoscience. Don't get me wrong I believe in some alternative medicines, but they have to be proven by "scientific results" and held to the same level of scrutiny as conventional medicine (Tideliar, feel free to jump in and back me up). But what pisses me off, is he is playing with patients emotions and lives. I know all experimental medicines are experimental, but most of them have some decent science behind them and have credentialed and competent clinicians running these trials.

I predict antineoplastons will go the way of the Regenocyte. I've seen some snippets of the film but am trying to get my hand on a copy of the film to give it full critique. So if you have a copy, can I borrow it? I have no intention of paying for that piece of dross.

h/t: Saul Green

h/t Saul Green (did he write this hate speech?)



QUACKWATCH -- Stanislaw Burzynski and "Antineoplastons"

Saul Green, Ph.D.

Unlike most "alternative medicine" practitioners, Stanislaw R. Burzynski has published profusely. The sheer volume of his publications impresses patients, but unless they understand what they are reading, they cannot judge its validity. To a scientist, Burzynski's literature contains clear evidence that his data do not support his claims.

Burzynski's Background and Credentials

Burzynski attended the Medical Academy in Lubin, Poland, where he received an M.D. degree in 1967 and an D.Msc. degree in 1968. He did not undergo specialty training in cancer or complete any other residency program. His bibliography does not mention clinical cancer research, urine, or antineoplastons during this period.

In 1970, Burzynski came to the United States and worked in the department of anesthesiology at Baylor University, Houston, for three years, isolating peptides from rat brains. (Peptides are low-molecular-weight compounds composed of amino acids bonded in a certain way.) He got a license to practice medicine in 1973 and, with others, received a three-year grant to study the effect of urinary peptides on the growth of cancer cells in tissue culture. The grant was not renewed.

In 1976, with no preclinical or clinical cancer research experience, Burzynski announced a theory for the cure of cancer based on his assumption that spontaneous regression occurs because natural anticancer peptides, which he named antineoplastons, "normalize" cancer cells. Since urine contains lots of peptides, he concluded that there he would find antineoplastons. Less than one year later and based only on these assumptions, Burzynski used an extract from human urine ("antineoplaston A") to treat 21 cancer patients at a clinic he opened. His shingle read, "Stanislaw R. Burzynski, M.D., Ph.D."

Burzynski's claim to a Ph.D. is questionable. When I investigated, I found:

  • An official from the Ministry of Health in Warsaw informed me that when Burzynski was in school, medical schools did not give a Ph.D. [1].
  • Faculty members from at the Medical Academy at Lubin informed me that Burzynski received his D.Msc. in 1968 after completing a one-year laboratory project and passing an exam [2] and that he had done no independent research while in medical school [3].
  • In 1973, when Burzinski applied for a federal grant to study "antineoplaston peptides from urine," he identified himself as "Stanislaw Burzynski, M.D, D.Msc." [4]

Analysis of Antineoplaston Biochemistry

Tracing the biochemistry involved in Burzynski's synthesis of antineoplastons shows that the substances are without value for cancer treatment.

By 1985, Burzynski said he was using eight antineoplastons to treat cancer patients. The first five, which were fractions from human urine, he called A-1 through A-5. From A-2 he made A-10, which was insoluble 3-N-phenylacetylamino piperidine 2,6-dione. He said A-10 was the anticancer peptide common to all his urine fractions. He then treated A-10 with alkali, which yielded a soluble product he named AS-2.5. Further treatment of AS-2.5 with alkali yielded a product he called AS-2.1. Burzynski is currently treating patients with what he calls "AS-2.1" and "A-10."

In reality, AS-2.1 is phenylacetic acid (PA), a potentially toxic substance produced during normal metabolism. PA is detoxified in the liver to phenylacetyl glutamine (PAG), which is excreted in the urine. When urine is heated after adding acid, the PAG loses water and becomes 3-N-phenylacetylamino piperidine 2,6-dione (PAPD), which is insoluble. Normally there is no PAPD in human urine.

What Burzynski calls "A-10" is really PAPD treated with alkali to make it soluble. But doing this does not create a soluble form of A-10. It simply reinserts water into the molecule and regenerates the PAG (Burzynski's AS-2.5). Further treatment of this with alkali breaks it down into a mixture of PA and PAG. Thus Burzynski's "AS-2.1" is nothing but a mixture of the naturally occurring substances PA and PAG.

Burzyski claims that A-10 acts by fitting into indentations in DNA. But PAG is too big a molecule to do this, and Burzynski himself has reported that PAG is ineffective against cancer [5,6].

PA may not be safe. In 1919, it was shown that PA can be toxic when ingested by normal individuals. It can also reach toxic levels in patients with phenylketonuria (PKU); and in a pregnant woman, it can cause the child in utero to suffer brain damage.

Burzynski has never demonstrated that A-2.1 (PA) or "soluble A-10" (PA and PAG) are effective against cancer or that tumor cells from patients treated with these antineoplastons have been "normalized." Tests of antineoplastons at the National Cancer Institute have never been positive. The drug company Sigma-Tau Pharmaceuticals could not duplicate Burzynski's claims for AS-2.1 and A-10. The Japanese National Cancer Institute has reported that antineoplastons did not work in their studies. No Burzynski coauthors have endorsed his use of antineoplastons in cancer patients.

These facts indicate to me that Burzynski's claims that his "antineoplastons" are effective against cancer are not credible.

About the Author

Dr. Green (1925-2007) was a biochemist who did cancer research at Memorial Sloan-Kettering Cancer Center for 23 years. He consulted on scientific methodology and had a special interest in unproven methods. This article was adapted from his presentation at the American Association for Clinical Chemistry Symposium in Atlanta in July 1997.

References

  1. Nizanskowski R. Personal communication to Saul Green, Ph.D., Jan 15, 1992.
  2. Kleinrock Z. Personal communication to Saul Green, Ph.D., Nov 22 1993.
  3. Bielinski S. Personal communication to Saul Green, Ph.D., Nov 22, 1987.
  4. Burzynski S. HEW grant application 1973, item 20 (credentials).
  5. Burzynski SR. Purified antineoplaston fractions and methods of treating neoplastic diseases. U.S. Patent No. 4,558,057, 1985.
  6. Burzynski SR. Preclinical studies on antineoplastons AS-2.1 and AS-2.5. Drugs Exptl Clin Res Suppl 1, XII, 11-16, 1986.

Free Market Medicine
by Robert W. Lee

 

For more than a quarter century, Washington has waged a high-profile "war" on cancer at a cost to taxpayers of some $30 billion. Figures recently reported in The New England Journal of Medicine indicate how the battle is progressing: Between 1970 and 1994 (the latest available figures), the cancer rate increased by six percent. Similarly, in 1995 the National Cancer Institute (NCI) reported that when frequency of the disease during the period 1975-79 was compared with that for 1987-91, the incidence among males was up 18.6 percent, and that for females increased by 12.4 percent.

This apparent lack of progress in coping with the dread disease is especially disturbing when one considers the amount of time, effort, and resources expended by the orthodox medical community — including the American Medical Association (AMA), the American Cancer Society (ACS), and the Food and Drag Administration (FDA) — on frenetic efforts to delay or derail promising alternatives to the entrenched regimen of surgery, chemotherapy, and radiation.

Assaults on such non-traditional remedies as laetrile (the science and politics of which were analyzed by G. Edward Griffin in World Without Cancer) and krebiozen come readily to mind. The most notable advocate of krebiozen, which at one time had nearly 20,000 case-history endorsements, was Dr. Andrew C. Ivy, onetime chairman of the University of Illinois clinical sciences department. Dr. Ivy's "establishment" medical credentials were impeccable. He had authored more than 1,000 articles published in scientific and medical journals, had served as a U.S. representative at the post-World War II Nuremberg trials, and had received bronze, silver, and gold medals from the AMA for his achievements. Even the FDA had sought his medical testimony on occasion for judicial proceedings.

But once Dr. Ivy began advocating an unorthodox cancer therapy, he was promptly derided as a "quack." At the behest of the FDA, he and three associates were indicted in 1964 on 49 criminal counts for violations of the Food, Drug, and Cosmetic Act, mail fraud, mislabeling, making false statements to the government, and conspiracy related to the production and distribution of krebiozen (which the agency had outlawed the year before). FDA chemists claimed that krebiozen was simply a common amino acid found in man and animals.

The subsequent trial, which lasted from April 19, 1965 to the end of January 1966, cost taxpayers an estimated $3 to $5 million. During the trial a letter was read into the court record by a doctor who claimed that while treating a cancer patient he had obtained krebiozen from Dr. Ivy's laboratories, and had administered it to a patient, but that the substance had done absolutely no good whatsoever. Under cross-examination, however, he eventually admitted that he had never treated such a patient and had never used krebiozen. Asked why he had lied, he replied that an FDA agent had written the letter and asked him to sign it, which he did because he wanted to help the agency put an end to "quackery." Lies and deception, needless to say, are the very essence of authentic "quackery."

When the jury rendered its verdicts, Dr. Ivy and the others were acquitted on all counts. Indeed, the jury added that it believed krebiozen had merit. Yet as journalist and author Michael L. Culbert notes in Freedom From Cancer, "the propaganda campaign paid off, and krebiozen was left in the public mind as another unproven cancer remedy and Dr. Ivy was character-assassinated into the limbo reserved for pioneers who dare operate outside of the medical-governmental axis."


W
hich leads us to the contemporary case of Dr. Stanislaw R. Burzynski, founder of the Houston-based Burzynski Institute that treats cancer patients with substances called antineoplastons. On May 27th, after less than three hours of deliberation, a federal jury in Houston acquitted Burzynski on the single remaining count of the 75 for which he and his clinic had been indicted by a grand jury in 1995. It was Burzynski's second trial this year. The first, which began in early January, entailed 20 days of testimony by more than 80 witnesses regarding 34 counts of mail fraud, 40 counts of introducing antineoplastons illegally into interstate commerce, and a single contempt-of-court count alleging that Burzynski and his clinic violated a 1983 federal court order precluding such interstate dispersion of the drugs.

U.S. District Court Judge Simeon T. Lake III, who also presided at the second trial, declared a mistrial after an evenly divided jury deadlocked on all 75 counts. Lake then issued a directed verdict of acquittal on the 34 mail-fraud counts, asserting that the evidence presented by the government did not come close to justifying a conviction. Federal prosecutors announced that they would retry Burzynski and the clinic on the remaining 41 counts, but on May 19th (the day before the second trial began) they tossed in the towel on all 40 of the counts related to interstate commerce. Since the clinic was also dropped from the case, Dr. Burzynski alone was retried on the remaining contempt charge. Following Dr. Burzynski's acquittal, juror Stephenie Shapiro told reporters, "I just don't think that the state proved their case .... It was very unanimous from the beginning. It's not like anybody had to be talked into it."

Weeks earlier, on April 18th, L. Darlene Phillips, a juror in the first trial, wrote to Attorney General Janet Reno to express her disgust at "how my time and tax dollars were wasted on this trial." She noted, "On two separate occasions the FDA had confiscated a total of 300,000 documents (i.e., patient records, MRI scans, progress charts, etc.) and for Dr. Burzynski to be able to continue to treat his patients, he had to purchase a Xerox machine, install it at the FDA office, hire someone to make copies, and to make it even more difficult, he was required to call a day in advance to make an appointment for copies to be made. To this day these documents have not been returned." Phillips also reminded Reno that Amy Lecocq, lead prosecutor for the first trial, "violated at least six federal laws governing subpoenas of journalists when she subpoenaed Dr. Ralph Moss, PhD [who had written favorably of Dr. Burzynski]. When he pointed this out to her, she withdrew the subpoena." The blatantly illegal, broad-brush subpoena had sought to compel Dr. Moss to produce every document in his possession — electronic, magnetic, printed, or otherwise — relating to Dr. Burzynski.

Ms. Phillips further pointed out that "the prosecution failed to introduce even one witness who could say anything defamatory about Dr. Burzynski's character." She added: "One would think after four years of preparing for this trial they would have found at least one disgruntled patient, former employee, business associate, or colleague who had something negative to say about him." Phillips wondered if "our government has real 'criminals' to prosecute," and implored the Attorney General to "put a halt to the nonsense of a retrial by our federal government (namely the FDA) of Dr. Burzynski."

Phillips' plea fell on deaf ears: Reno refused to intervene.

Had Dr. Burzynski been convicted of all 75 counts in the original indictment, he could have received up to 290 years in prison and been fined in excess of $18 million. Today, for the first time since the grand jury issued its indictment, he is a fully free man. No longer is he under the cloud of a $100,000 bail bond, nor does he have to report to the federal courthouse every two weeks, nor seek permission to travel out of state.


B
orn in Poland in 1943, Dr. Stanislaw Burzynski received his medical degree in 1967 from the Medical Academy of Lublin, ranking first in a class of 250. He earned a doctorate in biochemistry the following year. It was while working on his dissertation project that he identified certain naturally occurring peptides (protein fragments comprised of two or more amino acids) which he concluded might have something to do with controlling cancer. Persons afflicted with the disease, he noticed, typically had lower blood levels of the peptides — which he later termed "antineoplastons" — than did healthy individuals.

When he refused to join the Communist Party (virtually a prerequisite for academic advancement at the time), Burzynski was drafted into the Polish army for an indefinite period which precluded the opportunity to conduct meaningful research on his discovery. In 1970, with the help of influential fellow scientists, he emigrated to the United States, where he would eventually encounter more harassment and persecution at the hands of the FDA and the Justice Department than he had under Poland's Red regime.

From 1970 to 1977 he was a researcher and assistant professor at Baylor College of Medicine in Houston, where his research was sponsored and partially funded by the National Cancer Institute (NCI). It was during this time that he fleshed out his theory that the peptides he had stumbled across in human blood and urine (he now produces them synthetically) could correct and normalize certain types of malignant neoplastic (tumor) cells. Thus the term "antineoplastons." "We are no longer concerned with killing cells," he asserts, "but with changing the program inside the defective cell so that it will begin to function normally."

Most experts agree that we all probably develop cancer millions of times during our lifetime. With trillions of maturing cells, millions of errors can and likely do occur, a problem further aggravated by exposure to thousands of chemical carcinogens, and such physical factors as radiation, bacteria, viruses, and unhealthy stress, that have plagued mankind throughout time. Normal cells, Burzynski explains, specialize to serve particular purposes. Once that specialization occurs, they no longer divide to form new cells. They do what they have been programmed to do, then fade and die, to be replaced by new cells.

Some cells, however, are affected by carcinogens and other disrupting influences that cause them to become, in a sense, both destructive and "immortal." They neither specialize nor die, but continue dividing until they overwhelm normal cells. The result is cancer, which Dr. Burzynski contends is essentially a disease of cell differentiation. "It is obvious," he points out, "that everybody would develop cancer if we didn't have a certain protective system in the body. This is the biochemical protection system .... Antineoplastons correct the program inside the cell and force it toward normal development" by serving as "biochemical micro-switches" that turn off oncogenes (the genes, found in all cells, that are responsible for cell malignancy) and turn on tumor-suppressor genes that stop them.


T
he concept that cells can be reprogrammed from abnormal to normal, precluding the need to eliminate them, may explain much of the opposition that Dr. Burzynski has encountered from orthodox medicine and its FDA enforcement arm. The theory offers an alternative to the surgery-chemo-therapy-radiation approach which holds that cancer cells must be either destroyed on-site or excised. As Dr. Julian Whittaker, MD, editor of the newsletter Health & Healing, wrote in March of this year, "Though the FDA is the obvious 'point-man' in the persecution of Dr. Burzynski, the real force is coming from the cancer treatment establishment. Just imagine all the physicians, technology, and medical facilities that feed off chemotherapy, radiation therapy, and surgery. They are now threatened by a more effective and less dangerous therapy that can be administered in a doctor's office or by patients at home."

THE NEW AMERICAN is not qualified to reach conclusions regarding the scientific validity of Dr. Burzynski' s antineoplaston theory. However, since opening his private clinic in Houston in 1977, he has treated some 3,000 advanced cancer patients, most of whom turned to him after exhausting conventional treatments. Hundreds are convinced that antineoplastons literally saved, or have significantly extended, their lives, without the debilitating side effects characteristic of such conventional therapies as radiation and chemotherapy.


Dr. Burzynski with patient Dustin Kunnari:
After three years, tumors still in remission

Consider, as one example, the case of Dustin Kunnari. In February 1994, when he was two and one-half years old, Dustin was diagnosed with an aggressive type of brain tumor called medulloblastoma. It is the second most common brain tumor found in children, and whether treated with conventional therapy or left untreated entails a life expectancy of only one to four years. Three-fourths of Dustin's tumor was removed surgically, after which his parents, Jack and Mariann of Aurora, Minnesota, were encouraged to enroll him in a study at the University of Minnesota that would initially treat his cancer with chemotherapy, then radiation. The possible side effects, they were informed, included hearing loss, stunted growth, hair loss, learning disabilities, sterility, and leukemia. They were, however, assured that the success rate of such therapy reached as high as 40 percent. But when they requested a few names of those parents whose children had been successfully treated, so they could confirm the results firsthand, their request was denied.

The Kunnaris opted not to enter Dustin in the program, electing instead to give Dr. Burzynski's treatment a try. It is called freedom of choice, but it goes down hard with establishment medicrats. Jack Kunnari told THE NEW AMERICAN that when they sought to retrieve Dustin's medical records from the University of Minnesota, they were told that in medical cases the opinions of doctors take precedent over those of parents, and that they could be taken to court unless they agreed to enroll Dustin in the study. "Until the day we left for Houston, there were still threats coming," Mr. Kunnari recalled.

Dustin's antineoplaston treatment began in April 1994. Within six weeks an MRI (Magnetic Resonance Imaging) scan showed complete remission of the tumor. Following another year of treatment, another MRI indicated that the tumor was recurring. The dosage of antineoplastons was increased, and the tumor once again receded. According to Dustin's latest MRI on May 1 st of this year, the tumor remains in remission. Indeed, he was recently taken off intravenous administration of the drug and is presently receiving only a maintenance dosage via capsules. His parents describe him as a robust and basically healthy six-year-old. The side effects of the therapy have been nil.

The government's prosecution of Dr. Burzynski, which raised the specter of losing their only source for a drug they are convinced has been of enormous benefit to their son, intensified the Kunnaris' anguish — and their anger. "I guess we were always aware," Jack Kunnari told THE NEW AMERICAN, "that if you go with an alternative [therapy] there would be some opposition. But we never dreamed it would be as intense as it has been. From the time the first MRI showed that Dustin's tumor was gone, there was the feeling that we had accomplished something. We stood up for what was best for our son. We stood up to the University of Minnesota despite the legal threats and such. It was a feeling of such joy and appreciation. Then you get hit with these indictments and court rulings against Dr. Burzynski." Mr. Kunnari recalls that "we had just gone through an emotional fight to get our son to the point where the tumor was gone, restore him to a measure of health, and now our government was stepping in and we had to fight it. I don't know how you can explain the range of emotions, but I guess the best way to describe it is a roller-coaster ride. Initially, your son has a brain tumor, so you're down and feeling pretty bad about things. Then you find out about this doctor and you get a feeling of hope, the MRI looks good, and your hope increases. And then the government steps in and says you can't have the treatment."


I
n a February 19, 1997 letter to Judge Lake, Dr. Robert E. Burdick, MD, summarized his review of 17 Burzynski patients (among 40 of his patients with brain tumors who were included in an FDA-approved trial one year earlier) who had responded to treatment with antineoplastons. Dr. Burdick has practiced medical oncology for nearly three decades and is on the faculty of the University of Washington Medical School. After noting the "frustrations that neuro-surgeons, radiotherapists, and we medical oncologists have regarding our ineffective treatment of malignant brain tumors," and presenting a brief overview of the sundry types of malignant tumors, Dr. Burdick noted that it "is very rare, currently, to ever get a complete remission or cure in a patient who has a malignant brain tumor using our standard modalities of surgery, radiation, and chemotherapy. By the time a tumor is large enough to be clinically detected, it has involved such critical structures that to remove it surgically would result in a patient who is left in a vegetative state or is markedly more disabled than he was prior to the surgery."

Dr. Burdick noted that, "as a rough estimate, neurosurgeons do well to cure 1 in every 1,000 brain cancer patients they operate on. Radiation therapy slows the growth of adult tumors, gaining perhaps one month of life and again may result in a cure of only 1 in 500-1,000 patients, those cures being in the pediatric age group. Similarly, chemotherapy research, despite 30 years of clinical trials, has not resulted in the development of a single drug or drug combination that elicits more than an occasional transient response in primary brain tumors .... In fact, chemotherapy in brain tumors is so discouraging that in many parts of the country patients with brain tumors are not even offered the option of chemotherapy."

Based on his careful analysis of each of the 17 patients in the study who responded to treatment with antineoplastons, Dr. Burdick found that "there were 7 complete remissions, one patient having had a second complete remission after he discontinued antineoplaston therapy which resulted in his tumor regrowing. There were nine partial remissions, two cases of stable disease, and no disqualifications. The average duration of therapy with antineoplastons necessary to obtain a complete remission was 10 months with a range of 2 to 20 months. The average duration of antineoplaston therapy necessary to obtain a partial response was 8 months with a range of 1 to 14 months. The average duration of complete remissions is 16+ months with all six complete remissions continuing to remain in remission to the best of my knowledge through January 1, 1997. The duration of complete remissions ranged from 3+ months to 40+ months with the duration of partial remissions averaging 18+ months and ranging from 5 to 78+ months."

Summing up, Dr. Burdick told Judge Lake that he was "very impressed with the number of complete and partial responses that I have seen here, compared with the number of such responses that I have seen in my own personal experience. The responses here are also far in excess of any prior series of patients published in the medical literature." Even after two patients were subsequently downgraded from "partial remission" to "stable disease," the response rate (partial or complete remissions) was "an astounding 33% with a complete remission rate of 15%. Such remission rates are far in excess of anything that I or anyone else has seen since research work on brain tumors began." Dr. Burdick asserted that it "is very clear that the responses here are due to antineoplaston therapy and are not due to surgery, radiation or standard chemotherapy." He concluded that research "needs to continue on these very promising agents," to determine such things as "the optimal dose of these agents, the optimal route of administration, the optimal duration of treatment and many other details too numerous to mention."


D
r. Burzynski opened his clinic in 1977. Prior to 1985, FDA drug-approval procedures were not incorporated into Texas law, so he was advised by his attorney that he could treat patients with innovative medicine as long as he did not engage in interstate commerce. In The Cancer Industry, Dr. Ralph Moss recalls that Burzynski would have preferred to obtain FDA approval, but the roadblocks inherent in the agency's process were virtually insurmountable. The normal process, Moss writes, "is for a new substance to be discovered at a major medical center and then turned over to a drug company for development. If the company decides it is economically feasible, it will then battle its IND [Investigational New Drug] application through the FDA." But even then "it is often unsuccessful."

Since none of the drug companies expressed an interest in Burzynski's compounds, he opted to develop them himself. But Moss writes that with virtually no capital with which to finance a run through the FDA maze, Dr. Burzynski "was caught in a classic catch-22 situation. If he tested antineoplastons in humans, the FDA was sure to come down on him eventually. But if he didn't so test them, he could never win FDA approval, since antineoplastons, being species-specific, are not generally effective in animal treatment experiments." The Declaration of Helsinki, adopted in 1964 by the World Medical Assembly and subsequently endorsed by Congress, states: "In the treatment of the sick person, the doctor must be free to use a new therapeutic measure, if in his judgment it offers hope of saving life, reestablishing health, or alleviating suffering." Burzynski decided to treat patients, compile thorough records, finance future development of the drugs with patient fees, and take his chances with the FDA.

The FDA first visited Burzynski's facilities in 1978. The event was, in sharp contrast to the harassment and legal turmoil that would follow, quite congenial. Burzynski is first to admit that his manufacturing process at the time was rather amateurish, and that the FDA's constructive criticisms enabled him to make needed improvements.

At the time, most of his problems were emanating from the local medical establishment. Moss writes: "In 1978 Burzynski became the focus of an investigation by the Board of Ethics of the Harris County Medical Society. The charge was using unapproved medications of his own devising. They repeatedly called him in for interviews and instructed him not to give any interviews to the press." Burzynski complied with the press blackout, but in 1979 Penthouse magazine ran an article entitled "The Suppression of Cancer Cures," which described his plight, and in 1981 ABC' s 20/20 featured a segment entitled "The War on Cancer: Cure, Profit or Politics?" during which commentator Geraldo Rivera asserted: "The deeper we looked into the story, the more we realized that Stanislaw Burzynski is really not a maverick at all. His work is very much in the scientific mainstream, that burgeoning field of cancer research that's pin-pointing the body's own natural materials, its own proteins, to control irregular cell growth...."

In the wake of such national publicity, hundreds of cancer patients began visiting the Houston clinic for treatment, and no more was heard from the local Board of Ethics. Trouble at the national level, however, was beginning to metastasize.



Burzynski and supporters during 1997 trial:
Choice in medical treatment is the issue


I
n 1983, the American Cancer Society placed Dr. Burzynski on its "unproven methods" blacklist of practitioners with which it disagrees. Later in the year, the FDA filed civil suit in federal court to stop him from manufacturing, or treating patients with, antineoplastons. An indication of the FDA's arrogant attitude was reflected in a motion dated May 2, 1983, in which its chief counsel for enforcement warned, "If this court declines to grant the injunctive relief sought by the government, thus permitting continued manufacture and distribution of antineoplastons by defendants ... the government would then be obliged to pursue other less efficient remedies, such as actions for seizure and condemnation of the drugs or criminal prosecution of individuals...." U.S. District Court Judge Gabrielle McDonald barred Burzynski from shipping the drug outside the state, or otherwise introducing it into interstate commerce, but authorized him to treat patients within the state of Texas. "Nothing contained heroin shall be construed as restraining, enjoining or in any way prohibiting the manufacture, processing, packing, holding, promotion, labeling, sale or distribution of antineoplastons ... when it is undertaken strictly and wholly intrastate," her order stated. This partial victory for Dr. Burzynski infuriated the FDA, which promptly moved to circumvent the court order and, it hoped, close down the clinic. When Dr. Burzynski and some of his patients filed suit against the agency in the hope of ending the harassment, Judge McDonald rejected their request to allow a jury to hear their case, but did find that the FDA had disseminated false and misleading information about Burzynski to prospective patients, insurance companies, and public officials. Her October 24, 1985 ruling demanded that it stop doing so.

It was earlier that year that FDA agents raided Dr. Burzynski's clinic and seized more that 200,000 pages of documents, including patient records. Without the records, Burzynski was seriously hamstrung in treating his patients. As noted earlier, he was required to install a copier at FDA headquarters, at his expense, and make appointments in advance to photocopy the needed records.

In 1986, an additional 100,000 documents were subpoenaed for the first grand jury investigation of his activities. After scrutinizing the evidence, the grand jury declined to indict.

Judge McDonald's 1983 partial injunction stated that "the jurisdiction of this court is retained for the purpose of enforcing or modifying this injunction and for the purpose of granting such additional relief that hereafter may appear necessary or appropriate." Which meant that government prosecutors had a civil-remedy alternative to criminal prosecution regarding the key question (on which the other charges were based) of whether or not Dr. Burzynski had violated Judge McDonald's directive. As interpreted by Burzynski, the order did not bar his clinic from providing antineoplastons to patients from out of state who traveled to Houston to pick them up, then returned home. He was treating such patients within Texas, and neither he nor the clinic were shipping the drugs elsewhere. Nor, he contended, did the court order apply in instances where patients themselves could not, for health or economic reasons, make trips to Houston, so had representatives (friends, relatives, etc.) secure supplies of the drug from the clinic on their behalf.

Judge McDonald's order did not specifically preclude such activity, but the government argued that it was illegal for Burzynski or his clinic to provide antineoplastons to persons whom they knew would then travel with or ship the drugs beyond state borders.

Federal law required that Judge McDonald's order be "of reasonable specificity," but on this key point it was imprecise. The government could have asked her to clarify the matter by restating her intent, but it did not. As Gary Anderson, a juror in the second trial, explained, "What we felt was that the order was ambiguous. And it was our feeling that he [Burzynski] made an attempt to do what he thought he should be doing." Indeed, Burzynski had never tried to hide the fact that he was treating persons from other states at his clinic. Their home addresses were listed on the paperwork he had been submitting to the FDA for years.

In 1990, a second grand jury was convened in yet another attempt by the FDA to garner an indictment, but it, too, cleared Burzynski.

In 1994, a third grand jury was convened. Again, there was no indictment, but an Assistant U.S. Attorney assigned to the case was dismissed after local reporters discovered that he had subpoenaed the campaign contribution records of a local politician who was a fervent Burzynski supporter, then leaked to the press a false story indicating that misuse of campaign funds was part of the ongoing investigation of Burzynski.

Up to that point, then, three separate grand juries had scrutinized the Burzynski record and had refused to indict him on so much as a single count. It was a remarkable series of victories for the beleaguered physician, since, as Representative Joe Barton (R-TX), chairman of the Subcommittee on Oversight and Investigations of the House Committee on Commerce, noted in a September 7, 1995, letter to Attorney General Reno, "It is extraordinarily rare for a grand jury to fail to indict at the request of the U.S. Attorney. As far as I know, a grand jury failing to indict some three to four times on essentially the same base of facts is virtually unprecedented. It would appear that the FDA and the Justice Department are abusing the grand jury process to harass and punish Dr. Burzynski for persuading a federal judge that he is not violating the law by practicing medicine within the State of Texas."


I
n 1994, the FDA's oncology division granted Dr. Burzynski permission to conduct four Phase II (efficacy) clinical trials on antineoplastons. FDA inspectors scrutinized and approved his manufacturing facility. It appeared that a truce between the two sides may have been reached. Then, on March 24, 1995, Dr. Burzynski appeared on the CBS program This Morning with three patients whose cancers had been diagnosed as terminal years earlier, but who now claimed to be free of the malignancies following treatment with antineoplastons. That afternoon the FDA again raided the Burzynski clinic, spending some seven hours rummaging through file cabinets, drawers, and computers, and eventually hauling off numerous boxes crammed with documents. It was the first step on the road to a fourth (this time successful) attempt by the FDA to secure a grand jury indictment.

For eight months, subpoenas were issued to Dr. Burzynski, many of his present and former employees, and other persons with whom he had been associated or who had spoken or written favorably about his work. It was after publishing a letter vigorously condemning the March raid that author Ralph Moss was served with the bogus subpoena covering every document in his possession relating to Dr. Burzynski.

On November 15, 1995, FDA Commissioner David Kessler testified before the Barton subcommittee. Questioned about the Burzynski case, Kessler vigorously denied that there was a pattern of retaliation against the physician. Five days later, the U.S. Attorney's office in Houston announced the 75-count indictment by the fourth grand jury.

There is no need to reprise the testimony from the enormously expensive trial. Judge Lake's directed verdict of acquittal on the mail fraud counts, the prosecution's decision to drop the interstate commerce charges, and Burzynski's swift acquittal on the contempt charge speak for themselves. It should be noted, however, that since late 1996 the FDA, perhaps prodded by pressure generated by the Barton hearings, has allowed the Burzynski clinic to register patients, including those from out of state, under dozens of study protocols qualifying them to receive antineoplastons by mail. Which means that at the time he was twice standing trial for contempt of an ambiguous, ancient court order that supposedly barred him from introducing antineoplastons into interstate commerce, he was legally authorized to ship the drugs to patients anywhere in the country. Jurors, at least those in the first trial, were not told about it.


C
onstitutional authority Dan Smoot once observed, "A nation which values anything — even good health — more than it values freedom will lose its freedom." Needless to say, the best prescription for good health is freedom — freedom to choose the type of medical care one prefers, from the practitioners one prefers, who provide medications and other services one prefers. A truly free market in health care would enable innovators such as Dr. Burzynski to make a case for their discoveries in competition with others both within and without the "orthodox" medical establishment, unhindered by a dictatorial government bureaucracy that, in the name of protecting our health, often undermines it.




In 1991, results of an FDA-approved Phase II (efficacy) trial involving 20 patients with varying stages of astrocytoma (the most common brain tumor in children) were published by Dr. Burzynski in Recent Advances in Chemotherapy. Nineteen had received one or more prior standard therapies to which their tumors did not respond. There was complete remission of the tumors in four patients, partial remission in two others, while ten others were diagnosed with "objective stabilization" (less than 50 percent decrease in tumor size). Later, two of the ten patients in that latter category improved to the point that one was reclassified "partial remission" and the other "complete remission." All told, 16 of the 20 patients stabilized or improved, a startling result considering the severity of their conditions when the trial began.

In September of last year, Dr. Burzynski submitted brain scans of 29 of his clinical trial patients for review by a neuroradiologist at the Barrows Neurological Institute in Phoenix, Arizona. All 29 had been diagnosed as terminal when their treatment with antineoplastons began. A subsequent report noted complete remissions in 13 patients, partial or initial responses in eight others, and no response to the treatment in the remaining eight.

There are also some indications, though at present based solely on animal studies, that in addition to treating some types of cancer, antineoplastons may also be helpful in preventing them from developing in the first place. Researchers at the Burzynski Clinic and at Japan's University of Kurume Medical School both found indications that low doses of a synthetic form of one type of antineoplaston administered orally prevented lung, breast, and liver cancers in the test animals. R.W.L.



Frequently Asked Questions

Since the theatrical and DVD release of this documentary, and since some of the mainstream reviews of this film have been published—there are certain questions that have surfaced on a consistent basis. This section will be updated frequently. We are also assembling a full timeline with downloadable sources to some pertinent parts of this story, as well as a fully interactive transcript of the entire film with accompanying linkable and downloadable sources to be posted by Spring 2011.

1. I asked my doctor about Dr. Burzynski and antineoplastons, and he said there is no proof that it works. 


http://www.vitaminb17.org/burzynski.jpg

If you are interested in the treatment methods of Dr. Stanislaw Burzynski and you inquire with a physician about these treatments, there are three questions you might want to ask:

1. Have you ever reviewed the medical records of any present or past patients of Dr. Burzynski?
2. Have you visited his clinic and/or made an attempt to understand the science behind his treatment?
3. Have you read any of the peer-reviewed medical literature published concerning the science behind this treatment—and all of the statistical data published regarding the results from Phase 1 and Phase 2 clinical trials?

If a doctor, scientist, or medical professional has answered "no" to any of the above questions, their "opinion" on antineoplastons or Dr. Burzynski may be based on the lack of proper education to responsibly arrive that their opinion. Additionally, science isn't a matter of opinion. The scientific findings published in the peer-reviewed medical literature isn't opinion, it's scientific fact, based on the testing and re-testing of these medicines in strictly designed clinical trial conditions under FDA-authorization and supervision—then scrutinized by other peers of the oncology and scientific community for further verification.

2. Does Dr. Burzynski currently use animal or human urine to treat cancer?

Absolutely not. In 1967, after obtaining his medical degree and while completing his PhD in biochemistry, Dr. Burzynski discovered a strain of peptides in human blood and urine that had never before been recorded in biomedical research. As Dr. Julian Whitaker stated in the film, "discovering something in the urine [and blood] at that time, that had never been discovered before—is like finding a whole bunch of new islands ten miles off the coast of Miami, it came as a big surprise." Dr. Burzynski had no idea what this discovery meant at the time. However, he and his colleagues were extremely excited about this new discovery, and he continued to explore it. After testing the human blood of various different sexes, races, and ages of people—he found that these newly discovered peptides were either absent or revealed a very low count within the blood of those individuals with cancer. He eventually found that this peptide count was virtually identical in both human blood and human urine.

Dr. Burzynski simply hypothesized—if he could simply extract these peptides from healthy donors, and administer these peptides to people with cancer, perhaps it would be helpful in treating the disease. Upon this initial exploration, he discovered that extracting the amount of peptides from healthy human blood was very laborious as the amount of blood needed to obtain a necessary amount of peptides far exceeded the amount of blood reasonably available.

Upon this realization, he began extracting these peptides from human urine, since it was far easier to obtain large amounts of healthy human urine vs. healthy human blood. Dr. Burzynski began setting up collection containers at state parks, religious institutions, and even prisons.

Today, Dr. Burzynski synthesizes the chemicals to help your body naturally produce these peptides in his massive 46,000 square foot manufacturing facility in Stafford, Texas—he no longer uses urine as the source of these peptides. The use of human urine as the source for these peptides ceased in the early 1980s. Therefore, it has been nearly 30 years since he has used any urine whatsoever as the source of his treatment.

As for animal urine, it seems some of the members of the press who reviewed this documentary such as The Village Voice, Time Out New York, and the New York Post either did not pay any attention, didn't bother to watch the film at all, or they maliciously lied about the contents of the film. (The Village Voice and Time Out New York have since edited their reviews online to exclude the "animal urine" inaccuracy, but the New York Post still stands behind this glaring inaccuracy).

The chemicals that are used to enable your body to produce these peptides that make up the active ingredients for Dr. Stanislaw Burzynski's patented, Antineoplastons are:
Antineoplaston AS2-1: Phenylacetlglutamine, Phenylacetate
Antineoplaston A10: Phenylacetylisoglutamine

Antineoplaston A10 is the first naturally occurring antineoplaston substance in the human body to be chemically identified.

Anyone today who states that Dr. Burzynski currently uses urine of any sort in the treatment of human cancers is either (a) lacking the necessary resources or motivation to investigate this story thoroughly (b) is very confused by the difference between the initial discovery in 1967 vs. how his operation has been running since the 1980's up until today. Or, sadly... (c) is intentionally lying.

If you are currently a client of Aetna insurance, or are simply curious, it's important to note that if you visit their website and search for "Dr. Stanislaw Burzynski" or "Antineoplastons" you will find that they state: "Aetna considers antineoplaston therapy (auto-urine therapy)...". "Auto-urine therapy" is the practice of urinating into a cup, and drinking it. This is one of the finest examples of either careless research, or malicious slander by the medical establishment. If urinating into a cup and drinking it was a method for treating any disease, why would one need a doctor to perform this treatment? Or better yet, why would someone need an insurance company to cover such a treatment? Or even better, why would someone want to be insured by a company that is incapable of accurately documenting the simplest of scientific data within it's literature?

3. What was the outcome of the duplicate patents?

Given the confusing and convoluted nature of the Department of Health and Human Services filing "copy cat" patents of Dr. Burzynski's AS2-1—which commenced 17 days after they visited his clinic on October 4, 1991 and verified for themselves that "anti-tumor activity was documented", all the while using one of Burzynski's own scientists to file the patents—below is the official statement regarding this matter after consulting with Dr. Burzynski and his patent attorneys. 

"It seems the entire criminal indictment was geared toward placing Dr. Burzynski in prison so he could not defend himself against the criminal theft of part of his discovery (AS2-1). While they did manage to patent PA (phenylacetate) which Dr Burzynski never patented, it also included PAG (phenylacetylglutamine) which was patented previously by Burzynski—however, his AS2-1 patents include both chemicals. Since Dr. Burzynski is a free man now, and even though the 'copy cat' NIH patents were approved, Burzynski can't really successfully sue the NIH or Elan until they actually 'act' on those patents by manufacturing and selling the substance. Right now, the only thing Burzynski can do is to ask the patent office for re-examination of the NIH patents. Frankly, Dr. Burzynski has spent enough time fighting, he just wants to put this behind him and continue developing his medicine and treating cancer patients."

Dr. Burzynski can't exactly walk in the front door asking the Department of Health and Human Services for the approval of his discovery for public use, while simultaneously knocking on their back door with a criminal indictment.

4. The opposition keeps saying that there has been no "peer-reviewed" data on his therapy, is this true?

No, it is not true. Aside from the numerous "peer-reviewed" medical journal articles referenced in the film, Dr. Burzynski and others have published dozens of studies of Antineoplastons in the peer-reviewed medical literature. Feel free to visit "pubmed.gov" here and search for "Burzynski Antineoplaston". The next question you might want to ask this person is "have you made an attempt to look for any peer-reviewed data on Dr. Burzynski?" More peer-reviewed publications can be found here as well [click]. One of the most stunning admissions of ignoring the peer-reviewed scientific literature occurred in a Dateline NBC 2/20/11 broadcast [watch the episode and read the analysis here].

5. Have other countries other than the United States allowed Antineoplaston research to commence?

Yes. The most notable country to participate in Antineoplaston research is Japan. Cancer researchers in Japan have independently successfully conducted Phase I and Phase II clinical trials of Antineoplastons. Phase III trials will commence in 2010 (Phase III trials are the final phase of testing before being approved for use by the general public).  It appears that Antineoplastons might be approved for general public use in Japan before it will be made freely available in the United States. Here is a sample list of Japan's peer-reviewed scientific data on their independent trials:

6. Some of the mainstream reviews have complained that you didn't include members of the FDA or oncologists or doctors to speak either in support or opposition of Dr. Burzynski's treatment.

Actually, if you watch the film you will find many doctors who have come out in support of Burzynski. The FDA doesn't conduct personal on-camera interviews with anyone, much less the press or a film maker—this was clearly demonstrated in the film. I had also asked numerous oncologists and general physicians who were previously treating the patients in this film before they began treatment with Burzynski to participate in the film — ALL OF THEM turned it down. I even had oncologists exit the theater in Los Angeles and New York City after the film ended commending me on the film - and when I asked them if they would go on camera, none would agree. If you are a board-certified oncologist reading this now, and would like to go on camera, "for" or "against" Dr. Burzynski, please email me here.

On November 18, 2010: Fox News in Austin, TX expressed having the same problem when investigating Dr. Burzynski - click here to watch the segment

QUACKERY PILS FOR SALE

A10                
For energy, detoxification, good health and stronger immune system. A supplement to retard and slow down the general aging process via gene expression modification. The main ingredient is 3-phenylacetylamino-2, 6-piperidinedione (A10). A proprietary amino acid derivative discovered by Stanislaw R. Burzynski, MD, PhD, which has the unique gene expression modifying capabilities. Along with possible cancer preventive effects, users have reported an improvement in their immune system, cholesterol metabolism, prostate conditions, sexual dysfunction, increase of energy, healthier skin, hair and nails, along with other anti-aging results. Also contains: L-Alanine, L-Arginine, Glycine, L-Ornithine, L-Serine, L-Threonine, L-Valine, Vitamin B2, Suggested use as a dietary supplement is  two gel caps twice a day with water before mealtimes.*   120 gel caps
$120   2 or more $90 each

Kansas Wind Power-W, 13569 214th Road, Holton, KS 66436       Phone: 785-364-4407,    Fax: 785-364-5123



Thursday, May 26, 2011

Coley's Toxins available in USA at $75 per shot

http://cancer.ucsd.edu/Style%20Library/Images/UCSD/logoMoores.gif

http://cancer.ucsd.edu/treatments/cam/therapies/Pages/coley-toxins.aspx

Coley Toxins

This treatment modality is used in place of conventional therapies to treat cancer. Seek advice from a qualified physician before replacing standard cancer therapy with Coley toxin therapy.

What does Coley toxin therapy involve?

Coley toxins were developed by William B. Coley, MD, in 1890 and fall within the realm of immunotherapy. According to available historical background literature, after reviewing one hundred cases of sarcoma treated in his hospital, Dr. Coley noted that patients who developed infections fared better than those who did not. Dr. Coley mixed toxins of the streptococcus and bacillus prodigious bacteria and administered them to patients.  Regressions of cancer were noted by Dr. Coley, but the treatment fell out of disuse with the advent of chemotherapy. Currently Coley toxins are administered intravenously and now include exotoxins, enzymes, proteins and endotoxin from both S. pyogenes and S. marcescens. The combined toxins are only legal in the U.S. if prepared and administered in a physician's office.

How are Coley toxins thought to treat cancer?

Coley toxins are designed to stimulate the immune system to better fight existing malignant cells and enhance survival. 

What has been proven about the benefit of Coley toxins?

The University of Texas M.D. Anderson Cancer Center conducted an extensive human studies literature review and found thirty studies applicable to cancer. Used in conjunction with chemotherapy, radiation and surgery, Coley toxins appear to have a greater response than when used alone. Mechanisms of antitumor effects are reported to include the induction of interferon, augmentation of natural killer cell activity, stimulation of lymphoid tissues, activation of macrophages, induction of serum factors that cause necrosis of tumors and increased release of IL-2.

What is the potential risk or harm of Coley toxin therapy?

Side effects to Coley toxins include fever and nausea and, less commonly, headache, back pain, chills, angina and shock-like reactions. Overwhelming the immune system with Coley toxins might cause a serious infection.

How much does Coley toxin therapy cost?

An adaptation of Coley toxins is administered to patients at the Waisbren Clinic in Milwaukee, Wisconsin.  Dose schedules and costs vary with individual patients, but recently one injection of mixed bacterial vaccine cost $75.  The cost per year is between $3,000 and $8,000.

For additional information:

The University of Texas M. D. Anderson Cancer Center
1515 Holcombe Boulevard
Houston, TX  77030
Telephone:  (800) 392-1611
Web site:  www.mdanderson.org/departments/CIMER/

Waisbren Clinic
Web site:  www.waisbrenclinic.com/



Tuesday, May 10, 2011

must read! -- XGP - 15 cases Histology Microscopy

Year : 1989  |  Volume : 35  |  Issue : 4  |  Page : 209-14

Xanthogranulomatous pyelonephritis--(a clinicopathological study of 15 cases)

BV Mittal, BP Badhe

 :: Abstract 

The clinico-pathological features of 15 patients with xanthogranulomatous pyelonephritis (XGP) are described and the probable histogenesis is discussed. Based on our data and the review of literature, we believe that XGP should be regarded as a destructive and at times tumefactive inflammatory process that may complicate chronic pyelonephritis. The initiation of this process remains obscure, but the features commonly associated with XGP are pelvi-calyceal obstruction, ulceration of the pelvic urothelium with collection of necrotic material and bacterial infection.


How to cite this article:
Mittal BV, Badhe BP. Xanthogranulomatous pyelonephritis--(a clinicopathological study of 15 cases). J Postgrad Med 1989;35:209
How to cite this URL:
Mittal BV, Badhe BP. Xanthogranulomatous pyelonephritis--(a clinicopathological study of 15 cases). J Postgrad Med [serial online] 1989 [cited 2011 May 10];35:209. Available from: http://www.jpgmonline.com/text.asp?1989/35/4/209/5687


 :: Introduction 

Xanthogranulomatous pyelonephritis (XGP) is an uncommon variant of bacterial infection of the kidney. It is characterised by accumulation of lipid laden macrophages in sufficient numbers to cause yellow nodules in the renal parenchyma, close to the pelvis. There is a destruction of the involved areas of the kidneys. Other characteristics like fibrosis extending into the perinephric fat, hydronephrosis and renal calculi are often observed. The condition is unilateral and results in a non-functioning kidney.

To gain a better understanding into the pathogenesis of the process, we undertook this clinico-pathological study.


 :: Material and methods 

Fifteen cases diagnosed as XGP in the last 8 years (1980-1987) were included in the study. Clinical details were obtained from the patients' records. Fourteen patients had undergone a total nephrectomy, while partial nephrectomy was carried out in one case. All the specimens were fixed in 10% buffered formalin and processed for paraffin wax sectioning. The sections were stained with haematoxylin-eosin, elastic Van Gieson (EVG) and Pearl's stain for haemosiderin.


 :: Observations 

The study comprised 8 males and 7 females. Fourteen cases were between 20 and 70 years of age (mean age 45 years). The youngest patient was 2 years old. Loin pain was the commonest presenting symptom, seen in 13 out of 15 cases (86.6%). Pyrexia and burning micturition were noted in 4 cases; one of these cases had recurrent attacks.

On examination, renal angle tenderness could be elicited in 11 cases (73.3%). In 7 cases (46.6% ), a palpable lump associated with pyonephrosis and hydronephrosis was seen. In one case, perinephric abscess was drained prior to nephrectomy.

On intravenous pyelography, non-functioning kidney was found in 14 cases (93.3%). Unascended kidney lying at L4-5 was seen in one case. Bifid ureter with hydronephrosis was seen in the paediatric patient. Obstructive lesions caused by renal calculi in the pelvis were present in 10 cases (66.6% ). One case had a ureteric calculus as well.

Urine culture reports were available in 12 cases. Gram negative micro-organisms (E. coli in 5 cases,  Proteus vulgaris  in 2 cases and Klebsiella in one case) were isolated in 8 cases, while urine was sterile in 4 cases.

Gross pathology

Ten specimens were from the right kidney, while 5 were from the left kidney. Perinephric abscess was seen in 2 specimens. Increased perinephric fat and adherent capsules were seen in 8 cases, while in 7 cases the capsule could be stripped off easily, indicating no spread of infection to the perinephric tissues. Calculi (staghorn or otherwise) were noted within the renal pelvicalyceal system in 10 cases. Ureteral calculus was seen in one case. A polypoid tumour was seen in the renal pelvis alongwith a calculus in one case. There was diffuse dilatation of the pelvi-calyceal system in all cases. The renal parenchyma was variably scarred and atrophic.

Grossly visible, yellow, nodular areas varying from 2-10 mm in size were seen in 8 cases. These were close to the ulcerated, dilated pelvi-calyceal system. Areas of haemorrhage were noted in 5 cases.

Histological features observed are listed in[Table - 1].

Focal ulceration of the urothelium with acute inflammation was universal. Them was a polymorphous inflammation with presence of lymphocytes, plasma cells admixed with neutrophils. There was a background of chronic pyelonephritis characterised by focal, variable renal tubular atrophy, fibrosis, chronic inflammation and tubular dilatation. Superimposed on this background, were the changes of XGP. These varied from small focal aggregates of foamy histiocytes below the urothelium to large, destructive, nodular lesions. The foci of XGP were composed of macrophages, some with eosinophilic granular cytoplasm. In some cases, the foamy cells had the nucleus pushed to the periphery and resembled fat cells [Figure - 1].

http://www.jpgmonline.com/articles/1989/35/4/images/jpgm_1989_35_4_209_5687_3.jpg

Focal squamous metaplasia of the urothelium, lining the pelvis was noted in 2 cases. Grade III transitional cell carcinoma with focal areas of squamous metaplasia was noted in yet another case [Figure - 2]. This tumour had spread to the ureter and to the hilar lymph nodes. All the three cases were associated with calculi in the pelvis.

http://www.jpgmonline.com/articles/1989/35/4/images/jpgm_1989_35_4_209_5687_4.jpg

EVG stained slides revealed a variable degree of intimal thickening and medial hypertrophy of the medium-sized vessels. There was no other arterial or venous abnormality seen. There was no evidence of thrombosis or phlebitis. Areas of haemorrhage, adjacent to the ulcerated pelvis and to the xanthomatous areas were seen in 5 cases. Cholesterol granulomas were seen in 3 of these [Figure - 3].

http://www.jpgmonline.com/articles/1989/35/4/images/jpgm_1989_35_4_209_5687_5.jpg


Extension of the XGP process to the ureter with presence of foamy cells and calcification were noted in one case. Inflammatory infiltrate extended to the perirenal fat in 8 cases.

 :: Discussion 

Since the first description of XGP by Schlagenhaufer in 1916 (quoted by Parsons et al[15]), more than 400 cases have been reported in the world literature;[20] the largest series being of 87 cases.[15] This is a rare, so called `inflammatory tumour' of the kidney, involving the calyces, renal parenchyma and renal sinus areas. Unlike chronic pyelonephritis, it may spread into the perinephric tissue with formation of abscesses and even fistula.

Two other lesions, megalocytic interstitial nephritis (MIN) and malakoplakia have a common denominator with XGP, in the sense that they all represent varied histologic expressions of chronic renal disease. The hallmark of these lesions is the PAS positive, diastase resistant material in their cytoplasm. In addition to the histiocytes, one can identify a mixed cellular infiltrate composed of polymorphonuclear cells, plasma cells, lymphocytes and fibroblasts. Zollinger (quoted by Heptinstall)[21] described MIN as an extremely rare form of interstitial nephritis affecting mainly the renal cortex. XGP involves the cortex and medulla and is frequently associated with severe renal disease and calculi. Malakoplakia of the kidney is primarily a disease of the renal pelvis with involvement of renal parenchyma and Michaelis-Gutmann bodies are the characteristics of the lesion.[14] The lesions seen in all our cases involved the renal pelvis and the adjacent parenchyma but Michaelis-Gutmann bodies were not seen, hence they were labelled as XGP. Grossly visible, nodular, tumefactive lesions were noted in 53% of the cases while in the remaining cases, foamy cell collections were seen only on microscopic examination.

The demographic and clinical features in cases of XGP as reported by various workers are presented in [Table - 2]

XGP is more common in females.[8],[13] It may occur at any age, in the paediatric population[19] as well as in elderly persons[12] In our series, the sex distribution was nearly equal (8 males and 7 females). The youngest patient seen by us was 2 years old.

The lesion is generally unilateral and more often involves the right kidney.[13] In 10 of our 15 cases, the right kidney was involved. None of the cases had bilateral lesions. A non-functioning kidney, with stone and infection or a `tumourous' lesion. in the kidney, indistinguishable from a malignant tumour, are the usual presenting features.[13] Fourteen of the 15 cases that we studied, had a non-functioning kidney.

Etiology of XGP remains obscure, though a number of factors have been incriminated as causative factors, viz. urinary tract obstruction,[13],[20] specific inflammatory agent, previous ineffective antibiotic treatment,[12] a block in lipid transport,[6] altered immunologic response,[7] lymphatic obstruction,[5] arterial insufficiency,[17] venous occlusion and haemorrhage[13] and necrosis of peri-calyceal fat.[13]

We have analysed our data to find out the pathogenic features which are commonly encountered.

Urinary tract obstruction was observed in 13 of 15 cases. Calculi were noted in 11 cases, while abnormal ureteric openings in the, bladder were noted in 2 cases. Ulceration of the pelvi-calyceal urothelium with inflammatory infiltrate in the subepithelial area, extending into the parenchyma was noted in all cases. Thus, obstruction and infection seemed to be the commonest features.

Experimentally, XGP has been successfully produced by permanent ligation of the ureter and a single intravenous injection of a suspension of E. coli 04: H5 strain.[16] Tan and Heptinstall[19] have also shown similar results with injections of P. mirabilis and Staphylococci. Obstruction and infection thus have been shown to be important factors.

In majority of the reported cases, Gram negative bacterial infections, especially E. coli and Proteus species have been noted.[8] In some patients more than one organism[2] even Gram positive cocci (e.g. coagulase negative Staphylococcus aureus) have been incriminated. Occasionally, negative urine cultures are found. These may be due to previous antibiotic treatment. In our study, urine culture reports were available in 12 of the 15 cases; 4 cases revealed sterile urine, while Gram negative microorganisms (E. coli in 5 cases, Proteus vulgaris in two and Klebsiella in one) were isolated from the rest. These findings are in confirmity with the reported literature.

Lipid laden cells are seen in these lesions. These foam cells may be PAS positive macrophages related in some way to the infective background. They appear to concentrate in the areas of destruction. The necrotic, purulent material is considered to be the main source of the lipid droplets, though a partial endogenous origin cannot be ruled out. Electron microscopic studies have revealed cytosomes containing myelin figures. Bacterial antigens may also be seen. No intrinsic abnormality of monocytes has been described in association with XGP, but Abdou and associates[1] described a patient with malakoplakia who had monocyte lysosomal abnormalities with decrease in cyclic guanyl monophosphate, corresponding to decrease in bactericidal activities. Since XGP and malakoplakia are related lesions, one cannot rule out the possibility of such an abnormality existing in XGP too. XGP has also been reported in native kidneys of patients with renal transplants receiving immunosuppressants.[4] Thus, abnormality in cellular immune response may be one of the causative factors.

Foam cells, the hallmark of this disease process, have also been described in the ureter.[9] One of our cases, too, showed presence of foam cells and foci of calcification in the ureter. The origin of lipid in these cells is not from the lining epithelium, as unlike feline urothelium, normal human urothelial lining does not show presence of stainable fat.[18]

The role of venous obstruction which can lead to haemorrhage has been emphasized by McDonald.[13] He has proposed that the released lipids from cellular elements undergo phagocytosis by histiocytes. We scanned the elastic Van Gieson stained sections for presence of venous, or arterial abnormalities, thrombi or phlebitis. Pearl stain for haemosiderin deposits was carried out, when fresh haemorrhage was not observed. No abnormal neovascularisation, lymphatic or vascular obstruction were noted in any of the cases. Evidence of haemorrhage, fresh or old, was seen in 5 cases. This was adjacent to the ulcerated pelvi-calyceal epithelium and was thought to be a part of acute on chronic inflammatory process rather than due to venous obstruction. Presence of cholesterol granulomas was observed in 3 cases. Though haemorrhage was present in one third of our cases, inflammatory component was predominant and present in all cases. As polymorphonuclear cells and red blood cells are commonly present in `pus' as well as in haemorrhage, the breakdown product of these cells seems to be a probable factor in the development of foam cells


Three cases showed foci of squamous metaplasia of the pelvic urothelium. As metaplasias are known to occur in association with calculi, their presence alongwith XGP is not surprising. One of our cases with XGP had calculus obstruction, as well as transitional cell carcinoma (TCC) arising in the pelvis, with spread into the ureter and to the hilar lymph nodes. It is uncertain whether stones and chronic non-specific inflammatory conditions are important in the pathogenesis of cancer of the urothelium however, vesical calculi are common among patients with TCC. Similarly, association between TCC and XGP is known.[3]

Reversible hepatic dysfunction has been noted in 50% of the cases by Malek et al.[12] No such abnormalities were noted in our cases.

Before XGP was recognised, the foamy cells were mistaken for renal tubular adenocarcinoma; but even today one can encounter this difficulty in differentiating it from carcinoma while interpreting fine needle aspiration material.[8] Thus, taking into account the difficulties in a clinical, and even at times, histological diagnosis, nephrectomy rather than segmental resection seems advisable.


 :: Acknowledgement 

We sincerely thank the Dean and the Head of the Dept. of Pathology, Seth G.S. Medical College, Parel, Bombay-400 012, for allowing us to use the medical records and the pathology material of K.E.M. Hospital.



 
 :: References 
1.Abdou, N. I., NaPombejara, C., Sagawa, A., Ragland, C., Stechschulte, D. J., Nilsson, U., Gourley, W., Watanabe, I., Lindsey, N. J, and Allen, M. S.: Malakoplakia: Evidence for monocyte lysosomal abnormality correctable by cholinergic agonist in vitro and in vivo New Engl. J. Med., 297: 1413-1419, 1977.      
2.Anhalt, M. A., Cawood, C. D. and Scott, R. Jr.: Xanthogranulomatous pyelonephritis: A comprehensive review with report of 4 additional cases. J. Urol., 105: 10-17, 1971.      
3.Antonakopaulas, G. N., Chapple, C. R., Newman, J., Crocker, J., Tudway, D, C., Obrien, J. M. and Considine, J.: Xanthogranulomatous pyelonephritis. A reappraisal and immunohistochemical study. Arch. Pathol. Lab. Med., 112: 275-281, 1988.      
4.Carson, C. C. and Weinerth, J. L.: Xanthogranulomatous pyelonephritis in renal transplant recipient. Urology, 23: 58-61, 1984.      
5.Dinn, J. J.: Xanthogranulomatous pyelonephritis. Irish J. Med. Sci., 1: 431-440. 1968.      
6.Friedenberg, M. .I. and Spjut, H. J.: Xanthogranulomatous pyelonephritis. Amer. J. Roentgenol., 90: 97-108, 1963.      
7.Gammill, S., Rabinowitz, J., G., Peace, R., Surgen, S., Hurwitz, L. and Himmelfarb, E.: New thoughts concerning xanthogranulomatous pyelonephritis (X-P). Amer. J. Roentgenol., 125: 154-163, 1975.      
8.Grainger, R. G., Longstaff, A. J. and Parsons, M. A.: Xanthogranulomatous pyelonephritis: a reappraisal. Lancet, 1: 1398-1401, 1982.      
9.Katchy, K. C. and Khwaja, S.: Xanthogranulomatous pyelonephritis with bilharzial ureteric obstruction. East Afr. Med. J.. 60: 645-648, 1983.      
10.Kierce, F., Caroll, R. and Guiney, E. J.: Xanthogranulomatous pyelonephritis in childhood. Brit. J. Urol., 57: 261-264, 1985.      
11.Latham, H. S. and Kay, S.: Malignant tumours of the renal pelvis. Surg. Gynaecol. and Obstet., 138: 613-622, 1974.      
12.Malek, R. S. and Elder, J. S.: Xanthogranulomatous pyelonephritis: a critical analysis of 26 cases and of the literature. J. Urol., 119: 589-593, 1978.      
13.McDonald, G. S. A.: Xanthogranulomatous pyelonephritis. J, Pathol. 133: 203-213, 1981.      
14.Michaelis, R. and Gutmann, C.: Uber Einschle SSC in Blasentumoren. Z. Clin. Mea., 47: 208, 1902; as quoted by Heptinstall, R. If. in `Pathology of the Kidney", Vol. III, 3rd edition, Little Brown and Co., Boston, Toronto, 1983, p. 1384.      
15.Parsons, M. A., Harris, S. C., Longstaff, A. J. and Grainger, R.: Xanthogranulomatous pyelonephritis: a pathological, clinical and aetiological analysis of 87 cases. Diagn. Histopathol., 6: 203-219, 1983.      
16.Povysil, C. and Konickowa, L.: Experimental xanthogranulomatous pyelonephritis. Invest. Urol., 9: 313-318, 1972.       
17.Saeed, S. M. and Fine, G.: Xanthogranulomatous pyelonephritis. Amer. J. Clin. Pathol., 39: 616-625, 1963.      
18.Scott, G. B. D. and Quigley, P. J.: Xanthogranulomatous pyelonephritis. A comparison of the disease in the cat and man with special reference to the origin of the fat. J. Clin. Pathol., 25: 397-400, 1972.       
19.Tan, H. K. and Heptinstall, R. H.: Experimental pyelonephritis. A light and electron microscopic study of the periodic acid-schiff positive interstitial cell. Lab. Invest., 20: 62-69, 1969.      
20.Tolio., B. M., Iloreta, A., Freed, S. Z., Fruchtman, B., Bennett, B. and Newman, H. R.: Xanthogranulomatous pyelonephritis: Detailed analysis of 29 cases and a brief discussion of atypical presentations. J. Urol., 126: 437-442, 1981.      
21.Zollinger, H. U.: Die Interstitie Ile Nephritis Basall Kargen 1945 as quoted by Heptinstall, R. H. in `Pathology of the Kidney', Vol. III, 3rd edition, Little Brown & Co. Boston, Toronto, 1983, p. 1386.