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Nikhil Prasad  Fact checked by:Thailand Medical News Team Sep 18, 2023  10 months, 1 week, 1 day, 15 hours, 34 minutes ago

BREAKING Supplement News! University of Minnesota Study Shows That Vitamin B3 Can Enhance NK Cell Function To Treat Blood Cancers!

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BREAKING Supplement News! University of Minnesota Study Shows That Vitamin B3 Can Enhance NK Cell Function To Treat Blood Cancers!
Nikhil Prasad  Fact checked by:Thailand Medical News Team Sep 18, 2023  10 months, 1 week, 1 day, 15 hours, 34 minutes ago
Supplement News: In a groundbreaking development that could revolutionize the treatment of blood cancers, researchers at the University of Minnesota-USA have discovered that a common vitamin, B3, also known as nicotinamide or niacin, can significantly enhance the function of natural killer (NK) cells. This discovery opens up new possibilities for cancer therapy, particularly in cases where traditional treatments have failed.


 
Natural Killer Cells: The Immune System's Warriors
Natural killer cells are a vital component of the body's immune system, acting as the first line of defense against invasive diseases, including cancer. These cells have the remarkable ability to seek out and destroy malignant cells, making them a promising candidate for cancer treatment. However, previous attempts to use NK cell infusions in cancer therapy, especially for leukemias, lymphomas, and other blood malignancies, faced challenges as not all patients responded positively to this approach.
 
The University of Minnesota's research team, based in the Division of Hematology, Oncology, and Transplantation, recognized the potential of NK cells and aimed to improve their effectiveness as a therapeutic option. Their innovative approach involved pre-treating NK cells with nicotinamide, a compound better known as vitamin B3.
 
Nicotinamide: A Key Player in Cellular Processes
Nicotinamide is a water-soluble compound that plays a crucial role in the body's cellular processes. It helps convert food into energy and is a component of coenzymes NAD+ and NADH, which are involved in oxidation-reduction reactions throughout the body. These reactions, including the production of adenosine triphosphate (ATP), are essential for powering cellular and metabolic processes.

In the past, researchers discovered that a deficiency in niacin, a form of vitamin B3, could lead to pellagra, a systemic disease characterized by dementia, diarrhea, and dermatitis. Fortunately, providing niacin as a treatment could reverse the condition. This history of using niacin to combat a deficiency showcases the significance of this compound in the body.

Nicotinamide Boosts Natural Killer Cell Activity
The University of Minnesota research team's decision to use nicotinamide to enhance natural killer cells highlights the compound's potential to amplify the immune system's response to cancer. These lymphocytes, part of the innate immune system, naturally play a role in controlling cancer and combating invasive microbes. By priming these natural killers with nicotinamide, researchers aimed to supercharge their cancer-fighting abilities.
 
In a small preliminary study, the study team demonstrated that nicotinamide not only improved the activity of NK cells but also increased their persistence in the bloodstream. Additionally, nicotinamide bolstered these cells' capacity to locate and destroy cancer cells effectively.
 
Promising Clinical Trials
The research team conducted a first-in-human phase 1 clinical trial to test the effectiveness of nicotinamide-enhanced NK cells combined with monoclonal antibodies in patients with relapsed or refractory non-Hodgkin lymphoma and multiple myeloma. This groundbreaking approach proved to be safe for the 30 patients involved in the trial, with 20 suffering from challenging non-Hodgkin lymphoma cases.
 
Among the 19 non-Hodgkin lymphoma patients, 11 achieved a complete response, while three experienced a partial response within just 28 days of treatment. This remarkable success underscores the potential of nicotinamide to not only protect NK cells from oxidative stress but also enhance their ability to target lymph nodes effectively.
 
Lead researcher, Dr Frank Cichocki from the University of Minnesota told Supplement News reporters at TMN, “Allogeneic natural killer cell adoptive transfer has shown the potential to induce remissions in relapsed or refractory leukemias and lymphomas. Strategies to enhance natural killer cell survival and function are needed to improve clinical efficacy. We demonstrated that natural killer cells cultured ex vivo with interleukin-15 (IL-15) and nicotinamide exhibited stable induction of l-selectin, a lymphocyte adhesion molecule important for lymph node homing."
 
The Role of CD62L and FOXO1
The study also shed light on the mechanisms at play in the enhanced function of NK cells treated with nicotinamide. High frequencies of CD62L, a lymphocyte adhesion molecule crucial for lymph node homing, were associated with elevated transcription factor forkhead box O1 (FOXO1). FOXO1 serves as a regulator of various genes involved in metabolism, cell cycle progression, programmed cell death (apoptosis), angiogenesis, and metastasis.
 
In the context of cancer, FOXO1 acts as a suppressor of malignant cells due to its roles in promoting apoptosis and inhibiting cell cycle progression, angiogenesis, and metastasis. Nicotinamide played a key role in stabilizing FOXO1 by preventing proteasomal degradation, further enhancing the NK cells' anti-cancer functions.
 
Metabolic Changes and Inflammatory Response
The study team also observed metabolic changes in NK cells treated with nicotinamide, including elevated glucose flux and increased protection against oxidative stress. Furthermore, these treated cells displayed an increased ability to generate an inflammatory and toxic response against cancer cells. These findings suggest that nicotinamide not only enhances the functionality of NK cells but also makes them more resilient in the face of cancer.
 
A Glimpse into the Future
The results of the University of Minnesota's study are promising, indicating that nicotinamide-enhanced NK cells, when combined with monoclonal antibodies, could be an effective treatment for blood cancers like non-Hodgkin lymphoma and multiple myeloma. The safety and efficacy of this approach in the phase 1 clinical trial provide a solid foundation for further research and development.

If larger clinical trials confirm these findings, we could witness a revolutionary shift in the treatment of blood cancers. The use of a common vitamin, B3, to enhance the body's natural cancer-fighting abilities represents a remarkable breakthrough in the field of oncology.

In conclusion, the University of Minnesota's research has demonstrated that vitamin B3, in the form of nicotinamide, can unlock the potential of natural killer cells to combat blood cancers effectively. This discovery not only highlights the critical role of niacin in cellular processes but also offers hope to patients with otherwise challenging-to-treat cancers. As further research unfolds, the future of cancer therapy may well be shaped by the power of a simple vitamin.
 
The study findings were published in the peer reviewed journal: Science Translational Medicine.
https://www.science.org/doi/10.1126/scitranslmed.ade3341
 
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