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Value Added Life promotes health through its nutritional supplements that are made according to the high quality standards prescribed by the South African Medicines Control Council. Its advertisements strive to inform people about healthy living and through sponsoring university research it improves our knowledge of indigenous medicinal plants.
Promato Research
Promato is a nutritional supplement with antioxidant properties. Its active ingredients are Lycopene, Ellagic acid and Zinc Picolinate. Free radicals have been implicated in many diseases. As an antioxidant formulation, Promato acts as free-radical scavenger and quenches singlet oxygen, enhances the immune function and maintains the function of the prostate gland.

Lycopene is a bright red pigment that gives fruits and vegetables such as tomatoes their red colour. Its name is derived form the tomato species classification, Solanum lycopersicum. Lycopene has exceptional antioxidant activity against singlet-oxygen free radicals. Studies have shown that men who eat substantial amounts of tomatoes appear to have a lower incidence of prostate cancer. It is also related to a reduced risk of oesophageal, colon skin, bladder and mouth cancers.

Ellagic acid is a natural occurring phenolic compound in many plants, particularly strawberries (Fragaria x ananassa Duch.), raspberries (Rubus species), blackberries [Rubus L. subgenus Rubus (Eubatus)] and pomegranates (Punica granatum). It is a powerful antioxidant derived form raspberries in particular with the ability to support cell structures with regards to DNA replication and cell division.

Zinc Picolinate provides elemental zinc to the body. It is essential for normal growth and development and life span. Its primary mode of action is by participating in over twenty key enzyme reactions in the body. It supports a healthy immune system, is needed for wound healing, and is needed for DNA synthesis. Zinc reduces the body’s level of prolactin, a hormone that stimulates synthesis of dihydrotestosterone, DHT, believed to promote malignant growth of prostate cells.

Lycopene

1 Inhibition of cancer cell proliferation
The inhibitory effects of lycopene on mammary and prostate cancer cell growth were not accompanied by apoptotic (programmed) or necrotic (resulting from injury or disease) cell death, a mechanism related to the action of some drugs but not to micronutrients frequently consumed in the human diet. This effect was accompanied by inhibition of cell cycle progression from the G0/G1 to the S phase as measured by flow cytometry (Nahum A, 2001). The inhibition of cell proliferation correlated with a decrease in cyclin D1 protein levels which is a key regulator of this process. It is well documented that growth factors affect the cell cycle apparatus (primarily during G1 phase) and that the main components acting as growth factor sensors are the D-type cyclins (Sherr CJ, 195).Moreover, cyclin D1 is known to act as an oncogene (a gene whose dysregulation causes normal cells to become cancerous) and is found to be over-expressed in many breast cancer cell lines as well as in primary tumors (Buckley MF, 1993). Thus, the decrease in cellular cyclin D1 level by Lycopene provides a mechanistic explanation for the anticancer activity of the carotenoid.

2  Interference with growth factors stimulation of cancer cell proliferation
The growth stimulation of mammary cancer cells by insulin-like growth factor 1 (IGF-1) was markedly reduced by physiological concentrations of lycopene in experimental in vitro studies (Levy J, 1995; Karas M, 2000). The significance of this finding for cancer prevention is related to independent epidemiological findings that elevated IGF-1 levels increase lifetime risks of breast and prostate cancer (Chan JM, 1998;
Hankinson SE, 1998).

3  Cancer prevention by inducing phase II enzymes
Induction of phase II enzymes, which conjugate reactive electrophiles (chemicals that are attracted to electrons or tend to accept electrons from other chemicals) and act as indirect antioxidants, appears to be an effective means for achieving protection against a variety of carcinogens in animals and humans. Bhuvaneswari et al (Bhuvaneswari V, Dec 2001) associated the chemopreventive (cancer-preventive) effect of lycopene on the incidence of DMBA-induced hamster buccal (cheek, mouth) pouch tumours with a simultaneous rise in the level of reduced glutathione, enzymes of the glutathione redox cycle, and glutathione S-transferase (GST) in the buccal pouch mucosa. (Note: DMBA is a 9,10-dimethylbenz-aanthracene, a potent tumour-initiating compound.) These results suggest that the lycopene-induced increase in the levels of GSH and the phase II enzyme GST inactivates carcinogens by forming conjugates (chemicals formed by two or more compounds), products that are less toxic and readily excreted.

4  Regulation of transcription
Transcription is the process whereby genetic information is carried from the DNA molecule via the RNA molecule acting as a messenger. This biochemical route leads to the formation of new proteins by the process called translation. Lycopene modulates the basic mechanisms of cell proliferation, growth factor signalling, and gap junctional intercellular communication (Aust O, 2003). Additionally, lycopene produces changes in the expression of many proteins participating in these processes, e.g., connexins, cyclins, and phase II enzymes. The changes in the expression of multiple proteins suggest that the initial effect of lycopene involves modulation of transcription; this process is reviewed by Sharoni et al., in a recent publication (Sharoni Y, 2004). This may be due to either direct interaction of the carotenoid molecules or their derivatives with transcription factors (e.g., with ligand-activated nuclear receptors (Stahl W, 2000) or indirect modification of transcriptional activity (e.g., via changes in status of cellular redox, which affects redox-sensitive transcription systems (Levy J, 2004).

5 Lycopene and benign prostate hyperplasia

A Pilot study was conducted at the University of Hohenheim and recently published in the Journal of Nutrition (Schwarz S etal; 2008). Men given 15mg daily of a Lycopene supplement showed lycopene’s benefit against benign prostate hyperplasia with no signs of cancer, a condition said to affect more than half of all men over the age of 50. At the end of six months they reported that levels of prostate-specific antigen (PSA), a marker of prostate health, were reduced in the lycopene group showing improvement in the health of the tissue with no changes recorded in the placebo group. No enlargement in the Lycopene group was observed whereas growth in the placebo group was observed after the trial. As a result, the researchers have been able to conclude that lycopene supplements can inhibit progression of BHP.
"Symptoms of the disease, as assessed via the International Prostate Symptom Score questionnaire, were improved in both groups with a significantly greater effect in men taking lycopene supplements," the researchers wrote.

Ellagic acid

Data for Ellagic acid from Dr. Daniel Nixon’s (see The Cancer Recovery Eating Plan, Times Books, NY, 1994) studies at the Hollings Cancer Centre in the Medical University of South Carolina and other investigators indicates that it:

  • activates detoxifying enzymes in the liver resulting in the clearing of cancer-causing chemicals (mutagens) in the serum,
  • prevents the binding of carcinogens to cellular DNA,
  • serves as an antioxidant in the scavenging and clearance of highly destructive oxygen free radicals, 4) induces apoptosis (programmed cell death) in cancerous cells, and
  • stimulates the immune system for the destruction of cancerous cells.

During the normal process of cell division, the replicating cell is “carried off” as trash just as if a bacterium had died. The body signals the dismantling of the old cell and the new cell takes over its processes. This is called apoptosis, or natural cell death.

Cancer cells, however, are different. Cancer cells do not die; they rapidly multiply by cell division (mitosis), making 2 cancer cells, then 4, 8, 16, 32 and so on. Dr. Nixon found that in both laboratory and clinical studies, red raspberry ellagitannins caused cancer cells to go through a non-toxic, normal apoptosis process without damaging the healthy cells. This is a remarkable improvement over standard treatment such as chemotherapy and radiation that kill healthy cells too - destroying the immune system in the process.

Cancer

Oxidative stress is recognized as one of the major contributors to the increased risk of cardiovascular disease and cancer.

Ellagic acid is a dietary supplement which is used to prevent and treat cancer. Lycopene has been found to inhibit proliferation of several types of cancer cells, including those of breast, prostate, lung, and endometrium.
Oxidative stress is recognized as one of the major contributors to increased risk of cancer, and in chemical assays lycopene is the most potent antioxidant among various common carotenoids. In addition, in vivo studies have shown lycopene has tumour-suppressive activity. Other studies support the hypothesis that carotenoid-containing plant products, such as lycopene, exert a cancer protective effect via a decrease in oxidative and other damage to DNA in humans.

1. Prostate cancer
Cancer of the prostate is the most commonly diagnosed solid malignancy and the second-leading cause of cancer-related death in men in developed countries. Certain studies suggests even a short course of lycopene prior to surgery has the potential to decrease the growth of prostate cancer (Mills PK, 1989; Hadley CW etal, 2002).

A number of studies, examining tomato products, lycopene intake, or circulating lycopene levels in relation to prostate cancer risk, suggest high consumption or high circulating concentrations are associated with a reduction in risk of prostate cancer (Lu QY etal, 2001; Kucuk O etal, 2001).
The greatest concentration of zinc is found in the male prostate (10 times more than in any other organ).
Zinc has a normalising effect on the prostate and zinc levels decrease significantly during the incidence of BPH and prostatitis. Zinc reduces the body’s level of prolactin, a hormone that stimulates synthesis of dihydrotestosterone, DHT, believed to promote malignant growth of prostate cells.

2. Breast Cancer
Some studies have found a significant inverse association between lycopene in breast tissue and breast cancer risk. In cell cultures, lycopene has been found to inhibit breast cancer tumour cell growth more efficiently when compared to alpha and beta-carotene (Levy J etal, 1995; Karas M, 2000).

Coronary Heart Disease

Oxidative stress induced by reactive oxygen species (ROS) is also considered to play an important part in the etiology of coronary heart disease. Dietary lycopene has been shown in in-vitro studies to prevent the formation of oxidized LDL, a key player in the pathogenesis of atherosclerosis and CHD (Fuhrman B, 1997).
Evidence from a multi-centre case-control study (the EURAMIC study) in which subjects from 10
European countries were evaluated for a relationship between their antioxidant status and acute myocardial infarctions. After adjusting for a range of dietary variables, only lycopene levels, not beta-carotene levels, were found to be protective (Kohlmeier L, 1997). These results were also confirmed by another study (the Rotterdam Study) (Klipstein-Grobusch K, 2000).
Serum lycopene concentration may play a role in the early stages of atherosclerosis. Increased thickness of intima-media (the innermost lining of a blood vessel, including the middle, muscular layer in the wall of the blood vessel) has been shown to predict coronary events. A low serum lycopene concentration, prevalent in eastern Finland, was associated with an increased thickness of the intima-media (Rissanen TH, 2001; Rissanen TH, 2003). In Lithuanian and Swedish populations showing diverging mortality rates from CHD, lower blood lycopene levels were found to be associated with increased risk and mortality from CHD (Kristenson M, 1997). Recently a prospective, nested, case-control study was conducted by Harvard University researchers on 39,876 women. The study showed that higher plasma lycopene concentrations are associated with a lower risk of cardiovascular disease in middle-aged and elderly women (Seeso HD, 2004).
Moreover, as noted previously by the same group,(Seeso HD, 2003) the possible inverse associations with cardiovascular disease for higher levels of tomato-based products (particularly tomato sauce and pizza), suggest that dietary lycopene or other phytochemicals consumed as oil-based or oil-containing tomato products confer cardiovascular benefits.

It was recently found that lycopene can also inhibit cholesterol synthesis, and thereby stimulate the LDL receptor activity in macrophages. Stimulating the LDL receptor activity in macrophages leads to enhanced rates of cellular LDL degradation and to the increased removal of LDL from extra-cellular spaces, including the plasma environment.
Researchers from The Ramban Medical Centre Haifa, Israel (Aviram M) administered 60 mg of lycopene a day to 6 healthy males over a three month period, they realized a significant 14% reduction in the plasma LDL cholesterol concentrations (Fuhrman B, 1997). Thus, in addition to protecting LDL from oxidative modification, tomato’s lycopene is an inhibitor of cholesterol synthesis, and therefore a hypolipidemic nutrient (Fuhrman B, 1999).

A recent study at the University of Negev (Englehard Y., 2006) has shown that patients with moderate or Grade-1 hypertension taking a Lycopene supplement daily for 4 weeks experienced a ten and four point reduction in their systolic and diastolic blood pressure. The effects were attributed to the anti-oxidant activity of lycopene which prevents reactive oxygen attack of endothelium which results in impaired dilation and thus high blood pressure.

Literature References

Lycopene

1. Natural Medicines Comprehensive Database: www.naturaldatabase.com
2. Lycopene Research: www.lycopene.org
3. Steven K. Clinton Lycopene: Chemistry, Biology and Implications for Human Health and Disease. Nutri.
Rev. Feb 1998; 56:35-51.
4. Edward Giovannucci, Eric B. Rimm, Yan Liu, Meir J. Stampfer, Walter C. Willet. J. A Prospective study of Tomato products, Lycopene and Prostate Cancer risk. Nat. Can. Inst. March 6, 2003; Vol. 94, No.5, , pp391- 398.
5. O. Kucuk, F.H. Sarkar, W Sakr, Z. Djuric, M.N. Pollak, F. Khachik, Yi-Wei Li, M. Banerjee, D. Grignon, J.S. Bertram, J.D. Crissman, E.J. Pontes, and D.P. Wood Jr. Phase II Randomised Clinical Trial pf Lycopene Supplementation before Radical Prostectomy Can Epi, Biomarkers and Prevention August 2001; Vol. 10, 861-868,.
6. Q. Lu, J. Hang, D, Heber, V.L.W. Go, V.E. Reuter, C.Cardon-Cardo, H.I. Scher, J.R. Marshall, and Z. Zhang. Inverse association between Plasma Lycopene and other carotenoids and Prostate Cancer. Can Epi, Biomarkers and Prevention. July 2001; Vol.10, 749-756,
7. R.M. McClain and J. Bausch Summary of safety studies conducted with synthetic Lycopene.. Reg Tox and Pharmacol. 2003; 37: 274-285
8. Engelhard YN, Gazer B, Paran E. Natural antioxidants from tomato extract reduce blood pressure in patients with grade-1 hypertension. A double blind, placebo-controlled pilot study. Am Heart J; 151:100.e1-100.e6; 2006.
9. Schwarz S., Ute C. Obermüller-Jevic3,5, Eva Hellmis6, Winfried Koch7, Günther Jacobi6 and Hans-Konrad Biesalski3,* Lycopene Inhibits Disease Progression in Patients with Benign Prostate Hyperplasia1,2American Society for Nutrition J. Nutr. 138:49-53, January 2008

Ellagic acid

10. Barch DH, Rundhaugen LM, Stoner GD, Pillay NS, Rosche WA. Structure-function relationships of the
dietary anticarcinogen Ellagic acid.
11. Ayrton AD, Lewis DFV, Walker R and Joannidest C. Antimutagenic activity of Ellagic acid towards the food
mutagen IQ: Investigation into possible mechanisms of action. Fd Chem. Tox 1992; Vol. 30 No4 pp289-295.
12. Dixit R and Gold B. Inhibition of N-methyl-N-notrosourea-induced mutagenicity and DNA methylation by ellagic acid.. Proc. Natl. Acad. Sci. USA. November 1986; Vol. 83, pp. 8039-8043, Biochemistry.
13. Loarca-Pi?a G, Kuzmincky PA, González de Mejía E, Kado NY. Inhibitory effects of Ellagic acid on the directacting mutagenicity of aflotoxin B1 in the Salmonella microsuspension assay. Mutation Res 398 (1998);
183-187.
14. Teel RW. Ellagic acid binding to DNA as a possible mechanism for its antimutagenic and anticarcinogenic action. Cancer Letters, 30 (1986) 329-336. Elsevier Sci. Publ. Ireland.
15. Dolye B, Griffiths LA. The metabolism of Ellagic acid in rats. Xenobiotica, vol.10:4, 247-256; 1980.
16. Das M, Bickers DR, Maukhtar H. Effect of Ellagic acid on hepatic and pulmonary xenobiotic metabolism in mice: studies on the mechanism of its anticarcinogenic action. Carcinigenesis vol.6:10 pp. 1409-1413; 1985
17. Stoner GD, and Mukhtar H. J Polyphenol as Cancer Chemopreventative Agents. Cell Biochem. Suppl. 1995;
22:169-180


( Clinical Evidence for the effectiveness of Lycopene against Prostate Cancer:

Human Trials

1. Giovannucci E, Rimm EB, Liu Y, Stampfer MJ, Willet WC, A Prospective study of Tomato Products, Lycopene, and Prostate Cancer Risk. J Nat Canc Inst. March 6, 2002; Vol. 94, No. 5:391-398.
2. Wu K, Erdman JW Jr, Schwartz SJ, Platz EA, Leitzmann M, Clinton SK, DeGroff V, Willett WC, Giovannucci E. Plasma and dietary carotenoids, and the risk of prostate cancer: a nested case-control study. Cancer Epidemiol Biomarkers Prev. Feb. 2004: 13(2):260-269.
3. Chan JM, Stampfer MJ, Giovannucci E, et al. Plasma insulin-like growth factor-I and prostate cancer risk: A prospective study. Science. 1998; 279:563-566.
4. Giovannucci E, Ascherio A, Rimm EB, Stampfer MJ, Colditz GA, Willet WC. Intake of carotenoids and retinol in relation to risk of prostate cancer. J Natl Cancer Inst. Dec 6, 1995; 87(23):1767-1776. [Abstract]
5. Lu Q-Y, Hung J-C, Heber D, Go VLW, Reuter V, Cordon-Cardo C, Scher HI, Marshall JR, Zhang Z-F. Inverse associations between plasma lycopene and other carotenoids and prostate cancer. Can Epi Bio Prev. Jul, 2001; Vol.10:749-756.
6. Edinger MS and Koff WJ. Effect of the consumption of tomato paste on plasma prostate-specific antigen levels in patients with benign prostate hyperplasia. Brazilian J Med Biol Res. 2006; 39:1115-1119.
7. Gann PH, Jing Ma, Giovannucci E, Willett W, Sacks FM, Hennekens CH, Stampfer MJ. Lower Prostate Cancer Risk in Men with Elevated Plasma Lycopene Levels: Results of a Prospective Analysis. Can Res. March 15,1999; 59, 1225-1230.

Human Trial – Phase II

8. Chen L, Stacewicz-Sapuntzakis M, Duncan C, Sharifi R, Ghosh L, van Breemen R, Ashton D, Bowen PE, Oxidative DNA Damage in Prostate Cancer Patients consuming Tomato Sauce-based Entrees as a Whole-food Intervention. J Nat Can Inst. Dec 19, 2001; Vol. 93, No. 24:1872-1879.
9. Fleshner N, Agarwal S, Rao AV. Serum and tissue lycopene and biomarkers of oxidation in prostate cancer patients: a case control study. Prostate Cancer and Prostatic Diseases 2000; Suppl 1, S13.
10. Ansari MS, Gupta NP. A comparison of lycopene and orchidectomy vs orchidectomy alone in the management of advanced prostate cancer. BJU Int; 2003; 92: 375-378.
11. Mohanty NK, Saxena S, Singh UP, Goyal NK, Aora RP. Lycopene as a chemopreventative agent in the treatment of high-grade prostate intraepithelial neoplasia. 2005 Vol 23(6) 383-385 . [Abstract]
12. Kucuk O, Sarkar FH, Sakr W, Djuric Z, Pollak MN, Khachik F, Li Y, Banerjee M, Grignon D, Bertram JS, Crissman JD, Pontes EJ, Wood DP, Phase II Randomised Clinical Trial of Lycopene supplementation before Radical Prostectomy. Can Epi Bio Prev. Aug 2001; Vol. 10, 861-868,
13. Kucuk O, Sarkar FH, Sakr W, Khachick F, Djuric Z, Banerjee M, Polak MN, Bertram JS, Wood DP, Lycopene in the Treatment of Prostate Cancer. Pure Appl. Chem. 2002; Vol. 74, No. 8 : 1443-1450.
14. Jatoi A, Burch P, Hillman D, VanyoJM, Dakhil S, Nikcevich D, Rowland K, Morton R, Flynn PJ, Young C, Tan W. A tomato-based, lycopene-containing intervention for androgen-dependent prostate cancer: results of a Phase II study from the North Central Cancer Treatment Group. Urology. 2007 Feb: 69(2):289-294. [Abstract]
15. Clark PE, Hall MC, Borden LS, Miller AA, Hu JJ, Lee WR, Stindt D, D’Agostino R, Lovato J, Harmon M, Torti FM. Phase I-II prospective dos-escalating trial of Lycopene in patients with biochemical relapse of prostate cancer after definitive local therapy. Urology. 2006 Jun; 67(6):1257-1261. [Abstract]
16. Kucuk O, Sarkar F, Djuric Z, Sakr W, Pollak MN, HKhachik F, Banerjee M, Bertram JS, Wood DP. Effects of Lycopene supplementation in patients with localised prostate cancer. Exp Biol Med. 2002; 227:881-885.

 
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