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Hormesis and Prostate Cancer

Hormesis is when a substance has one effect at small doses and another effect at high doses. The concept of hormesis may be important in prostate cancer. One theory is that the decline in testosterone as men age causes prostate cancer. Perhaps the diagram below will help.



Suppose that whenever testosterone drops below the normal zone men start to get prostate cancer. If that theory is true, then instead of hormone blockade for prostate cancer, men may need hormone supplementation.

Hormesis occurs when a substance or radiation my be beneficial at low does, but is quite toxic at higher doses.

This theory turns the conventional wisdom of hormone blockade for prostate cancer upside down. There are no articles on hormesis and prostate cancer on MEDLINE that I can find, in fact, most articles on hormesis deal with radiation or drugs that have nothing to do with prostate cancer.

References
  1: Zdrojewicz Z, Belowska-Bien K. [Radon and ionizing radiation in the human body]
Postepy Hig Med Dosw (Online). 2004 Mar 08;58:150-7. Review. Polish.
2: Kaiser J: Hormesis. A healthful dab of radiation?
Science. 2003 Oct 17;302(5644):378.
3: Liu SZ: On radiation hormesis expressed in the immune system.
Crit Rev Toxicol. 2003;33(3-4):431-41. Review.
4: Kinoshita A, Wanibuchi H, Morimura K, Wei M, Shen J, Imaoka S, Funae Y, Fukushima S: Phenobarbital at low dose exerts hormesis in rat hepatocarcinogenesis by reducing oxidative DNA damage, altering cell proliferation, apoptosis and gene _expression.
Carcinogenesis. 2003 Aug;24(8):1389-99. Epub 2003 Jun 05.
5: Johansson L: Hormesis, an update of the present position. Eur J Nucl Med Mol Imaging. 2003 Jun;30(6):921-33. Epub 2003 Apr 26. Review.
6: Fukushima S, Moore MA, Tsuda H: Appropriate models and an understanding of carcinogenic mechanisms--requirements for hazard risk assessment.
Asian Pac J Cancer Prev. 2003 Jan-Mar;4(1):75-8.
7: Basavaraju SR, Easterly CE: Pathophysiological effects of radiation on atherosclerosis development and progression, and the incidence of cardiovascular complications.
Med Phys. 2002 Oct;29(10):2391-403.
8: Calabrese EJ, Baldwin LA: Hormesis: the dose-response revolution.
Annu Rev Pharmacol Toxicol. 2003;43:175-97. Epub 2002 Jan 10. Review.
9: Chapman PM: Defining hormesis: comments on Calabrese and Baldwin (2002).
Hum Exp Toxicol. 2002 Feb;21(2):99-101; discussion 113-4.
10: Upton AC: Comments on the article 'Defining hormesis', by EJ Calabrese and LA Baldwin. Hum Exp Toxicol. 2002 Feb;21(2):111; discussion 113-4.
11: Pickrell JA, Oehme FW: Invited response to definition of hormesis (EJ Calabrese and LA Baldwin). Hum Exp Toxicol. 2002 Feb;21(2):107-9; discussion 113-4.
12: Kitchin KT. Defining, explaining and understanding hormesis. Hum Exp Toxicol. 2002 Feb;21(2):105-6; discussion 113-4.
13: Carelli G, Iavicoli I. Defining hormesis: the necessary tool to clarify experimentally the low dose-response relationship.
Hum Exp Toxicol. 2002 Feb;21(2):103-4; discussion 113-4.
14: Calabrese EJ: Hormesis: changing view of the dose-response, a personal account of the history and current status. Mutat Res. 2002 Jul;511(3):181-9.
15: Pollycove M, Feinendegen LE: Biologic responses to low doses of ionizing radiation: Detriment versus hormesis. Part 2. Dose responses of organisms.
J Nucl Med. 2001 Sep;42(9):26N-32N, 37N. Review. Erratum in: J Nucl Med 2001 Oct;42(10):38N.
16: Upton AC: Radiation hormesis: data and interpretations.
Crit Rev Toxicol. 2001 Jul;31(4-5):681-95. Review.
17: Harrison MC: A possible path forward for hormesis.
Crit Rev Toxicol. 2001 Jul;31(4-5):653-4.
18: Feinendegen LE, Pollycove M: Biologic responses to low doses of ionizing radiation: detriment versus hormesis. Part 1. Dose responses of cells and tissues. J Nucl Med. 2001 Jul;42(7):17N-27N.
19: Calabrese EJ, Baldwin LA: U-shaped dose-responses in biology, toxicology, and public health. Annu Rev Public Health. 2001;22:15-33. Review.
20: Masuda C, Wanibuchi H, Otori K, Wei M, Yamamoto S, Hiroi T, Imaoka S, Funae Y, Fukushima S: Presence of a no-observed effect level for enhancing effects of development of the alpha-isomer of benzene hexachloride (alpha-BHC) on diethylnitrosamine-initiated hepatic foci in rats. Cancer Lett. 2001 Feb 26;163(2):179-85.
21: Calabrese EJ, Baldwin LA, Holland CD. Related Articles, Links
Hormesis: a highly generalizable and reproducible phenomenon with important implications for risk assessment. Risk Anal. 1999 Apr;19(2):261-81.
22: Calabrese EJ, Baldwin LA: Radiation hormesis: the demise of a legitimate hypothesis.
Hum Exp Toxicol. 2000 Jan;19(1):76-84. Review.
23: Morre DJ: Chemical hormesis in cell growth: a molecular target at the cell surface.
J Appl Toxicol. 2000 Mar-Apr;20(2):157-63. Review.
24: Teeguarden JG, Dragan Y, Pitot HC: Hazard assessment of chemical carcinogens: the impact of hormesis. J Appl Toxicol. 2000 Mar-Apr;20(2):113-20. Review.
25: Luckey TD. Nurture with ionizing radiation: a provocative hypothesis.
Nutr Cancer. 1999;34(1):1-11. Review. Erratum in: Nutr Cancer 1999;35(2):216.

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© November 26, 2004, Bradley Hennenfent, MD

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