Enhanced Analysis and Simplification of Scientific Findings with Emphasis on Katabasis and Anabasis on Safe and Effective Skin Cancer Treatment Using Curaderm
Skin cancer accounts for more cases annually than all other cancers combined. Traditional skin cancer treatments often fail to distinguish between cancerous and healthy skin cells, resulting in less effective outcomes and poor cosmetic results. In contrast, Curaderm cream, which contains antineoplastic BEC glycoalkaloids, selectively targets skin cancer cells while sparing healthy ones. This leads to effective healing with excellent cosmetic results. Here, we show that by using data from a Phase III clinical trial, the healing process works through two mechanisms: 1)Katabasis—eliminating cancer cells by apoptosis. 2)Anabasis—replacing them with healthy cells. Both processes occur at the same time, but their rates change during Curaderm therapy. These mechanisms explain the clinical observations that Curaderm-treated lesions first undergo transiently increased lesion sizes of up to 50%, followed by decreasing sizes until histological complete healing is achieved. At the end of treatment, the surface of the lesions becomes level with the surrounding healthy skin, is scarless, and is indistinguishable from untreated skin. These mechanisms ensure the complete removal and healing of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) lesions without leaving scars.
References
[1]
Chase, T., Cham, K.E. and Cham, B.E. (2020) Curaderm, the Long-Awaited Breakthrough for Basal Cell Carcinoma. InternationalJournalofClinicalMedicine, 11, 579-604. https://doi.org/10.4236/ijcm.2020.1110050
[2]
Chase, T.R., Cham, K.E. and Cham, B.E. (2024) Unique Clinical Features of Curaderm When Treating Skin Cancers. JournalofCancerTherapy, 15, 13-27. https://doi.org/10.4236/jct.2024.151002
[3]
Cham, A. (2015) A Standardized Plant Extract Containing a Target Compound Is Acceptable as a Potent Therapeutic Entity: Relevance to BEC and Solamargine, a Topical Clinical Formulation CuradermBEC5. JournalofCancerTreatmentandResearch, 3, 22-27. https://doi.org/10.11648/j.jctr.20150302.12
[4]
Cham, B.E. (2017) Solasodine, Solamargine and Mixtures of Solasodine Rhamnosides: Pathway to Expansive Clinical Anticancer Therapies. InternationalJournalofClinicalMedicine, 8, 692-713. https://doi.org/10.4236/ijcm.2017.812064
[5]
Hu, K., Kobayashi, H., Dong, A., Jing, Y., Iwasaki, S. and Yao, X. (1999) Antineoplastic Agents III: Steroidal Glycosides from Solanum nigrum. PlantaMedica, 65, 35-38. https://doi.org/10.1055/s-1999-13958
[6]
Punjabi, S., Cook, L.J., Kersey, P., Marks, R. and Cerio, R. (2007) Solasodine Glycoalkaloids: A Novel Topical Therapy for Basal Cell Carcinoma. A Double‐Blind, Randomized, Placebo‐Controlled, Parallel Group, Multicenter Study. InternationalJournalofDermatology, 47, 78-82. https://doi.org/10.1111/j.1365-4632.2007.03363.x
[7]
Vijayan, P., Kumar, S.V., Dhanaraj, S.A., Badami, S. and Suresh, B. (2002) In Vitro Cytotoxicity and Anti-Tumor Properties of the Total Alkaloid Fraction of Unripe Fruits of Solanum pseudocapsicum. PharmaceuticalBiology, 40, 456-460. https://doi.org/10.1076/phbi.40.6.456.8444
[8]
Lee, K., Kozukue, N., Han, J., Park, J., Chang, E., Baek, E., et al. (2004) Glycoalkaloids and Metabolites Inhibit the Growth of Human Colon (HT29) and Liver (HEPG2) Cancer Cells. JournalofAgriculturalandFoodChemistry, 52, 2832-2839. https://doi.org/10.1021/jf030526d
[9]
Kuo, K., Hsu, S., Li, Y., Lin, W., Liu, L., Chang, L., et al. (2000) Anticancer Activity Evaluation of the Solanum Glycoalkaloid Solamargine. BiochemicalPharmacology, 60, 1865-1873. https://doi.org/10.1016/s0006-2952(00)00506-2
[10]
Munari, C.C., de Oliveira, P.F., Campos, J.C.L., Martins, S.d.P.L., Da Costa, J.C., Bastos, J.K., et al. (2013) Antiproliferative Activity of Solanum lycocarpum Alkaloidic Extract and Their Constituents, Solamargine and Solasonine, in Tumor Cell Lines. JournalofNaturalMedicines, 68, 236-241. https://doi.org/10.1007/s11418-013-0757-0
[11]
Cham, B.E. and Meares, H.M. (1987) Glycoalkaloids from Solanum sodomaeum Are Effective in the Treatment of Skin Cancers in Man. CancerLetters, 36, 111-118. https://doi.org/10.1016/0304-3835(87)90081-4
[12]
Cham, B.E., Daunter, B. and Evans, R.A. (1991) Topical Treatment of Malignant and Premalignant Skin Lesions by Very Low Concentrations of a Standard Mixture (BEC) of Solasodine Glycosides. CancerLetters, 59, 183-192. https://doi.org/10.1016/0304-3835(91)90140-d
[13]
Goldberg, L.H., Landau, J.M., Moody, M.N. and Vergilis-Kalner, I.J. (2011) Treatment of Bowen’s Disease on the Penis with Low Concentration of a Standard Mixture of Solasodine Glycosides and Liquid Nitrogen. DermatologicSurgery, 37, 858-861. https://doi.org/10.1111/j.1524-4725.2011.02014.x
[14]
Cham, B.E. (2007) Solasodine Rhamnosyl Glycosides in a Cream Formulation Is Effective for Treating Large and Troublesome Skin Cancers. Research Journal of Biological Sciences, 2, 749-761.
[15]
Cham, B.E. (2011) Topical Solasodine Rhamnosyl Glycosides Derived from the Eggplant Treats Large Skin Cancers: Two Case Reports. InternationalJournalofClinicalMedicine, 2, 473-477. https://doi.org/10.4236/ijcm.2011.24080
[16]
Cham, B.E. (2024) Gold Standard for Skin Cancer Treatment: Surgery (Mohs) or Microscopic Molecular-Cellular Therapy (Curaderm)? JournalofCancerTherapy, 15, 33-47. https://doi.org/10.4236/jct.2024.152004
[17]
Cham, B.E. (2022) The Pharmacology of Curaderm in the Treatment of Basal Cell Carcinoma. ClinicalMedicalReviewsandCaseReports, 9, Article No. 399. https://doi.org/10.23937/2378-3656/1410399
[18]
Chase, T.R., Cham, K.E. and Cham, B.E. (2024) The Value of Excipients and the Required Understanding of the Biological System in Product Development: An Impactful Example of Curaderm, a Topical Skin Cancer Treatment. InternationalJournalofClinicalMedicine, 15, 68-87. https://doi.org/10.4236/ijcm.2024.152005
[19]
Dobrokhotova, V.Z., Batsev, A.F. and Belysheva, T.S. (2016) The Use of Kuraderm Drug in the Treatment of Basal Cell Carcinoma of the Head and Neck. Headandnecktumors (HNT), 6, 22-26. https://doi.org/10.17650/2222-1468-2016-6-3-22-26
[20]
Cham, B.E. and Daunter, B. (1990). Topical Treatment for Pre-Malignant and Malignant Skin Cancers with Curaderm. DrugsofToday, 26, 55-58.
[21]
Cham, A. and Cham, B. (2015) Treatment of Skin Cancer with a Selective Apoptotic-Inducing CuradermBEC5 Topical Cream Containing Solasodine Rhamnosides. InternationalJournalofClinicalMedicine, 6, 326-333. https://doi.org/10.4236/ijcm.2015.65042
[22]
Cham, K., Cham, A., Chase, T., Zhou, V. and Cham, B. (2015) Treatment of Non-Melanoma Skin Cancers: An Intra-Comparison Study of CuradermBEC5 and Various Established Modalities. JournalofCancerTherapy, 6, 1045-1053. https://doi.org/10.4236/jct.2015.612114
[23]
Wang, Y., Gao, J., Gu, G., Li, G., Cui, C., Sun, B., et al. (2011) InSitu RBL Receptor Visualization and Its Mediated Anticancer Activity for Solasodine Rhamnosides. ChemBioChem, 12, 2418-2420. https://doi.org/10.1002/cbic.201100551
[24]
Cham, B.E. (2013) Solasodine Glycosides: A Topical Therapy for Actinic Keratosis. A Single-Blind, Randomized, Placebo-Controlled, Parallel Group Study with Curaderm BEC5. JournalofCancerTherapy, 4, 588-596. https://doi.org/10.4236/jct.2013.42076
[25]
Cham, B.E. (2023) Holistic Approach in the Treatment of Actinic Keratosis: Benefits and Disadvantages of 5-Fluorouracil, Imiquimod, Diclofenac and Curaderm. InternationalJournalofClinicalMedicine, 14, 319-331. https://doi.org/10.4236/ijcm.2023.147027