| LE Magazine February 2001
Ibuprofen Enhances Antioxidants and Suppresses C-Reactive Protien
Common, over-the-counter drugs that inhibit inflammation may have benefits no one ever dreamed of a few years ago.
Non-steroidal anti-inflammatories (NSAIDs) are the new darlings of science.
These drugs are showing up in studies on cancer, Alzheimer's
disease, and more. NSAIDs interfere with the body's ability
to generate eicosanoids, substances that create oxidative
stress and tissue damage. Suppressing eicosanoids appears
to do a lot more than stop pain, redness and swelling. Eicosanoids
are involved in a host of important processes, including stress
response, blood flow and pain sensation.
Scientists have discovered that blocking certain eicosanoids
can also reduce tumor growth and slow Alzheimer's disease.
Now comes research showing that NSAIDs can enhance levels
of antioxidant vitamins and minerals. Researchers at the Royal
Infirmary in Glasgow have found that the common NSAID, ibuprofen,
can help normalize antioxidant levels in people with cancer.
The findings have implications not just for cancer, but for
any condition where eicosanoids are elevated, such as aging,
or even simple exercise.
The study involved a dozen people with gastrointestinal cancer
and elevated C-reactive protein (a marker for inflammation).
Each person took 1200 mg of ibuprofen a day for two weeks.
At the start of the study, patients' levels of antioxidant
vitamins plus zinc, iron and selenium were significantly decreased–in
some cases less than half of that found in the healthy control
group. Levels of copper were significantly increased.*
Celebrex and other COX-2 inhibitors
are projected to be the biggest-selling
drugs of the next decade partly
because of their potential
use in cancer.
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After two weeks of ibuprofen, levels of lutein, lycopene and
b-carotene, selenium and iron increased significantly, while
C-reactive protein dropped by almost half. This drop is very
noteworthy. C-reactive protein is found in the brains of Alzheimer's
patients, and is also associated with heart attacks. Copper
didn't budge (but might have had the study lasted longer).
Alpha-tocopherol, which was drastically decreased in the cancer
patients, did not respond to ibuprofen treatment.
Ibuprofen's mode of action was not determined, but the most
obvious explanation is that by reducing the amount of inflammation-induced
free radicals, the drug was able to conserve the body's antioxidant
supplies. This is great news–especially for cancer patients
where both antioxidant status and inflammation index may impact
on recovery. Studies show that both can predict mortality
in these patients.
Ibuprofen is an older NSAID that blocks two enzymes. These enzymes, known as cyclooxygenase-1 (COX-1) and cycloxygenase-2 (COX-2), catalyze the production of prostaglandin-type eicosanoids. By blocking them, ibuprofen blocks inflammation. But COX-1 is important for maintaining the lining of the stomach and kidney function. So a new generation of anti-inflammatories that only suppress COX-2 have been developed. The most well-known of these drugs is Celebrex. It and other COX-2 inhibitors are projected to be the biggest-selling drugs of the next decade partly because of their potential use in cancer. However, a lot of the new studies coming out on NSAIDs use the old stand-by, ibuprofen. Ibuprofen is sold under various brand-names, including Advil, Motrin and Nuprin. There are many other NSAIDs, including indomethacin and naproxen. These may also have benefit in maintaining antioxidant reserves. (Note that acetaminophin is not an NSAID).
*Copper and zinc are like two ends of a see-saw. Increasing zinc will generally bring copper down and vice-versa. Decreased levels of zinc are associated with lymphoma.
IBUPROFEN DECREASES TOXIC C-REACTIVE PROTIEN AND INCREASES BENEFICIAL ANTIOXIDANTS IN CANCER PATIENTS

References
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