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certainty of uncerainty

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http://www.labcanada.com/news/study-shows-diabetes-drug-helps-towards-immunity-against-cancer/1003535464/?&er=NA
3 cheers for met form in
my exhaustion, of my 5 year immunotherapy battle, well the kitchen sink approach has me living,  and the sink gets bigger and bigger.

adding mpl and keytruda, there must be an enduring cure, lets look together. 

I was supposed to meet and help a young metastatic colorectal progression, just one out of a million. 
do I say my story ? do I just give her a hug and say ITS POSSIBLE, maybe my smile says ITS POSSIBLE, maybe my hug says, I WILL HELP YOU.

a good life is possible with colorectal metastatic cancer.

maybe the only certainty in this life is exhalation, or the final exhale, and each in between.

maybe whatever certainty we feel is the ultimate illusion.

I am certain of this breathe, the brillance of life, of the cat playing with the blinds, the wife walking, the duaghter wanting yumcha. this life is bliss absolute, the little kitten turning into a cat scampers away and so must i. the kitten/cat is not desexed. my daughter says we cannot let her out or we will have kittens. I look at my 13 year old daughter and smile, I was thinking exactly the some thing myself when irealised what beautiful woman my daughter is turning into. so no grandkids for me yet, and no kittens either.

we walk to yumcha, as the last days of these school holidays fade, like we all are destined to do.

but maybe as we fade, well maybe we glow brightly internally with hope, love and awareness.

another day, I am blessed, maybe we all are!

my hearts a little broken as the evolving nature of my relationsg\hip with my wife unfolds. I look back at the times where a mutual love and genuine care existed fondly. I see the cold, hard reality of my present circumstances and I reflect and wonder about whats been lost, that indeed I look back on and treasure.

I prayed intensly as I do under pressure for gods, courage, strength and wisdom. my favourite, frequent prayers.

yesterday morning, my wife and i went to see prof morris, the oncologist and surgeoen. his warm smile said it all. he said your alive, with the biggest smile. his big teeth like his big sharp surgeons scalpel.

his capacity to save lives with his aggressive surgical skills i like, the complainst i have heard, reflect his aggressiveness and i think the tragic awareness of the true nature of the metastatic colorectal curse and challenge.

so he gavce me another blood test, markjers again, these pivotal. I am going to walk with the kids and dogs and do them now. he also gace another urgent pet scan request, that ido tomorrow morning. So i start drafting the biggest dear doctors letter.

i suspect bloods much improved, i feel morning, i feel well, i feel ready for keytruda.

what sustains me, is the courage and the beauty that surounds me. I held my daughters hard for the longest time yesterday. my son told me 20 times about leggo , his designs and dreams. right now he is cleaning his room, to make space for the latest promise. he has only $136 dollars left for his present, as I deduct $1 for each swear word, so far 4 in the last 4 days. In fairness I add back if I swear, so far I have not.

I went the cancer meeting, the very alternative one. but I say the death, suffering and pain of standard cancer outcomes is NO ALTERNATIVE FOR ME, OR ANY RATIONAL HUMAN, when so many better options. I probably talked to much, as always, I explained, keytruda and the keytogenic diet and the strategies for muscle growth. to help a frail but brave bone cancer(breast) , she used her walking stick like a warriors sword, her shield her smile. she is scared to fracture more bones, she is scared to loose muscle, she is confused that onc said more sugar to build muscle and that alt doctor says map and fish oil. I explained my efforts to build muscle using body by science from dough mcguff. I demonstrated a plank and the yoga chair and yoga breathing , earlier that day my daughter, son and i had a plank competition.

my life is bliss, I hope yours is, gods peace and strength is waiting for you, just ask or beg with a sincere heart. With all these challenges, I find asking for gods help, gets easier and easier. My sons cleaning his room, the first miracle, my daughter getting up the second. this day, like all our days is shaping up to be a series of miracles, maybe every breathe really is a miracle. thats how it feels to me.

5516607_To_die_or_not_to_die_That_is_the_autophagic_question
http://www.eurekaselect.com/66536/article  the full text on researchgate

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4163620/
DSICUSSION THE GOOD BIT, I MIGHT ACTUALLY GET TO USE THIS MPL, WITH KEYTRUDA. I GENTLE CHEMO ENHANCER WITH THE WORLDS BEST IMMUNOTHERAPIES. Heck i might even have a chance of beating this illness, mayve I have already beaten the illness, at least in the spiritual sense.

Discussion

This study provides the first experimental evidence for the induction of autophagy by MPL in human ovarian cancer cells. Here, we have found that MPL-induced toxicity is manifested with features of autophagy (presented with deformation of cytoplasmic content and extensive vacuole formation) exerted through inhibition of mTOR/p70S6K signalling pathway. Several independent pieces of evidence support this conclusion.
Consequent to our recent described data on MPL-induced cleavage of PARP-1 and cell death, and the association of this marker with apoptosis (Submitted article), we anticipated that MPL may act as an apoptogenic agent. Published literature is divided as to whether PARP-1 cleavage is an event that precedes apoptotic cell death or is a marker of another distinct mechanism of cell death []. Our results however, did not show caspase-3 or caspase-8 activation in MPL-treated cells. Apoptotic features such as morphological changes in favour of apoptosis, increased level of Annexin-V+ or DNA fragmentation, were not detected. Additionally, MPL-induced antiproliferative effect was not prevented by pre-treatment with the pan-caspase inhibitor z-VAD-fmk, thus further confirming the induction of cell death is independent of the caspase-mediated apoptotic pathways. These results collectively suggest that cell death induced by MPL in ovarian cancer cell lines is not an apoptotic mediated event.
Instead, we conclusively found that cells treated with MPL undergo autophagy. Through LC3B localization studies, we were able to find that MPL treated cells present with typical autophagic morphology and biochemical signature. The autophagic effect of MPL was evident through drug induced expression of SQSTM1/p62 together with the conversion of LC3B-I to LC3B-II in a time and concentration dependent manner. SQSTM1/p62 protein interacts with LC3B-II [,] and is degraded in autophagolysosomes. Therefore, its reduction indicates increased autophagic degradation, whereas an increase of SQSTM1/p62 indicates incomplete autophagy []. On this line of thought, through accumulation of SQSTM1/p62 and LC3B-II, 10 µM MPL induces incomplete and non-productive autophagy while, higher concentration of MPL (25 µM) triggers active and complete autophagy (elevated LC3B-II along with degradation of other marker). The concept of “autophagic cell death” is commonly accepted based on the presence of autophagic features in dying cells and cell survival via suppression of autophagy [,]. Additionally, because autophagy may play a role as a cell survival pathway in response to therapeutic agents the induction of autophagy may work in favour of cancer cells []. Cell rescue experiments in which OVCAR-3 and A2780 cells were pre-treated with autophagy inhibitors like 3-MA resulted in decreasing cell viability compared with cells treated with MPL alone. Similar results were obtained in OVCAR-3 from experiments using wortmannin, an agent that inhibits the autophagic process at early stage []. The potentiated cell death through pre-treatment with autophagy inhibitors in cells treated with MPL indicates that other mechanisms of cell death may also be involved in MPL-induced cytotoxicity. Moreover, the specific end stage autophagy inhibitor, CQ targetinglysosomal proton pump did not influence the antiproliferative effect of MPL or the drug-induced morphologically changes.
The role of the mTOR, an atypical protein kinase as a positive regulator of protein synthesis, cell growth and proliferation has been well established. mTOR/p70S6K signalling is also known for its ability to halt and regulate cellular catabolic processes such as autophagy and it is frequently dysregulated in cancer and metabolic disorders [,]. Consistent with this, here we have described the negative effect of MPL on the mTOR/p70S6K pathway. Combined use of mTOR inhibitors (rapamycin and everolimus) and MPL resulted in further suppression cell viability, suggesting that the inhibition of mTOR signalling may play a role in MPL-induced autophagy. We found that MPL markedly inhibits mTOR phosphorylation at Ser2448, which then prevents activation of the mTOR signalling. On this basis, inhibition of p70S6K and 4E-BP1 may be directly resulting from their upstream, inhibition of mTOR by MPL. Thus, the pharmacologic significance of MPL-induced inhibition of mTOR leads to vacuole formation and autophagy. This is justified by the solid evidence showing inhibition of apoptosis followed by the induction of autophagy. Additionally and in line with that, our results have shown that MPL induced inhibition of protein synthesis and the arrest of cell cycle. Together these observations explain inhibition of growth and proliferation seen in MPL-treated cells.
It is well established that induction of autophagy can provide therapeutic benefits and the modulators of autophagy may provide novel therapeutic tools and may ultimately lead to new therapeutic strategies in cancer. Current data suggest that depending on the context, there are various types of antineoplastic therapies which act through induction of autophagy. Anticancer agents (doxorubicin, temozolomide, etoposide), histone deacetylase inhibitors, imatinib and anti-estrogen hormonal therapy have been shown to induce autophagy [].
In conclusion, our studies provide the general mechanism behind the MPL-induced autophagy in ovarian cancer cells. Drug-induced autophagy is increasingly becoming a therapeutic strategy in the management of cancer patients. We provide proof-of-concept that MPL induces autophagy by suppressing mTOR/p70S6K pathway (Figure 6D). Studies to further explore the anticancer properties of MPL are currently in progress.


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914492/
Currently, the molecular mechanisms underlying the regulation of autophagy and the role of autophagy in cancer cells are not completely understood, but are beginning to be revealed. The reduced autophagic capacity seen in tumors, compared to their normal counterparts, may be linked to malignant transformation and cancer progression. The role of autophagy in established tumors may be related to the adaptation to hypoxic, nutrient-limiting and metabolically stressed environments as well as resistance to therapy-induced stress. Therefore, an understanding of the role of autophagy in cancer cell survival vs. prodeath may help in determining its therapeutic potential. While there is still much to learn about the molecular mechanisms underlying autophagy, it appears that modulators of autophagy may have a number of potential benefit. Inhibitors of autophagy may enhance the efficacy of currently used antineoplastic agents in cancer cells, while promoters of autophagy may induce autophagy-mediated cell death in cancers with high thresholds to apoptosis. Both strategies have significant potential to be translated into the clinic.

Targeting the prodeath and prosurvival functions of autophagy as novel therapeutic strategies in cancer.

http://www.ncbi.nlm.nih.gov/pubmed/20224296/   a really good read~!


WHICH LEADS TOOO
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3076631/
In summary, this study demonstrates that KD inhibits mTOR pathway signaling in the brain and liver of healthy rats, and prevents late hippocampalmTOR activation after KA-induced SE. This mTOR inhibition may underlie some of the physiological effects of KD, including growth impairment, anticonvulsant actions, and potential antiepileptogenic effects. Further studies are necessary to prove a causal relationship between mTOR inhibition and antiepileptogenic actions of the KD.

SO IN A NUTSHELL, I AM STILL FOCUSSING ON METABOLIC TARGETS, HERE IS ANOTHER OFF LABLE DRUG THAT HAS THE POTENTIAL TO SYNERGISE WITH THE KD





TO MY GENIUSES

I am feeling very well, doing bloods today and pet scan tomorrow. You might find the articles interesting, I am starting MPL monapental
doing keytruda next week.

so I am adding this drug into the mix of your infusions, I will start low and ramp up.

not sure when, coming, it really depends on keytruda effects and benefits.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4163620/  THE DRUG, MY PROF MORRIS ONE OF THE PIONEERS

This time with family precious and healing, despite the likehood of my divorce from wife.

strength returning, doing more walkinng and some yoga

lots of love,
Pete


DESPITE HIS CRITICS I FIND PROF MORRIS INSPIRING IN THE EXTREME, HE HIDES HIS LOVE AND CARE WELL BEHIND THE DOCTORS MASK. BUT NOONE DOES EXCELLENT MEDCINE WITHOUT LOVE, I SEE IT IN ALL MY DOCTORS.

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