Pages

Sunday, May 31, 2015

Report of Dr. JB Lim’s Talk on “Nutrition and Cancer: New Lamps for Old - Its Dynamics and Kinetics”


The blogger is most grateful to Dr. Lim Ju Boo for providing the following report of his recent talk on the above topic to the CanSurvive Centre Malaysia Bhd on 23/05/2015 in such minute details that reading it is as good as attending in person.  Here we go:

Dr JB Lim started his presentation without introducing himself (neither did the master of ceremony) by asking 3 questions to the packed audience on:

1. How many of them actually suffer from cancer
2. How many are not sure, maybe but unable to say for sure
3. How many are very sure they are completely and absolutely cancer free.

On the first two questions there were a sizable numbers who put up their hands, but on the 3rd question, no hand was raised.

He then told the surprised audience that everyone in the hall, outside the hall, into the streets, in the entire Kuala Lumpur and Petaling Jaya, extending to the entire country, outside the country and into the world, all of us do have some stages of cancer, but most of them are in microscopic cellular form completely undetectable through the normal clinical, biochemical and imaging diagnostic examination procedures. 

Cellular and Pre-Cancer Staging:

He then explained how microscopic cellular cancers remain undetected in the body for at least 20 – 40 years. He went on to explain why these microscopic cancers in their pre-cancer and cellular form, unlike the normal tumour and clinical cancers that are palpable that could be classified under different grading cancer staging, remained undetected for decades.

Dr Lim elaborated this by citing numerous autopsy studies world-wide that showed cancer cells are already present in the body of almost every one of various ages and races around the world, especially those who were 30 years of age and above, but whose autopsies showed they died from other causes than cancers.

Dr Lim then explained the incidence, distribution (epidemiology) of cancer in various countries including Malaysia, their types, age and racial distributions, and compared their causes. It was quite an enlightening information using statistics.

Histopathological Examination:

He then showed a number of histo-pathological slides how cancer tissues and cancer cells looked like under a low and high power microscope, including several slides under an electron microscope. He followed them up with illustrations and diagrams on comparative cytology (normal and cancer cells).

He explained what is meant by a carcinoma what are well-differentiated and poorly or undifferentiated cells during a histopathology examination.  He explained their differences and their prognosis (cancer outcome). A bit of illustrative histopatholgy (study of diseased tissues) was taught by Dr Lim during his presentation.

Immunology:

The next step was to explain the working of the immunological system of the body and their surveillance against infections, disease including cancer. He explained the different defense network, and the fractions of the immune system especially natural killer cells, T-cells, T-helper cells, dendritic cells, CD4 T cells circulating in the body and the dynamics of how these cells home in to attack the presence of cancer cells, thus keeping cancer in check for many years of our lives until they become immuno-compromised as we get older and older. He explained this was one of the reasons why cancer is more common as we get older and older.

He briefly explained the dynamics and mode of action of immune bodies like lymphokines, interleukins (IL-4, IL-5, IL-6), antibody-dependent cellular cytotoxicity (ADCC), complement-mediated lysis, tumour necrosis factor-alpha (TNFα) and all those high molecular and cellular biochemistry stuff.  

It was quite a mouthful to digest but probably Dr Lim managed to get his explanation across to about 10-15 % of his bewildered audience who listened in awe on this highly technical and complex subject on immunology and molecular medicine.
A Highly Complex Subject Brought Down:
He told his elite audience he had to read and reviewed over 300 highly technical research papers published in complex technical language on cancer biology, immunology, molecular medicine, cytology for this presentation, and had to carry the heavy burden of bringing down all those highly technical languages of research down to earth simple English language for his mixed audience of doctors, scientists, researchers and to the ordinary people to loud applause from the audience.  

Preventable Cancers:

He then eased off by explaining in some detail how most cancers are preventable, and that dietary factors contribute to at least 30 % or more of all cancers. People need not have cancer if only they know how, and that preventive measures are the best way to keep cancer at bay, explained and emphasized by Dr Lim.

Free Radicals:
Next, he climbed up a litter higher once again with simple illustrative chemistry on free and singlet oxygen radicals, their biological and clinical effects on the body, on the chromosomes, especially the DNA within. He used the hydrogen atom, the simplest of all atoms as an example and how two hydrogen atoms that make up a stable hydrogen molecule share a pair of electrons with one electron contributed by each atom.
He then explained what molecular lesions are all about, and how the body is being attacked and injured by an estimated 10,000 to 1,000,000 molecular lesions per cell per day. This works out to the tune of one hundred thousand million, million molecular damages on the body every 24 hours in a human body consisting of about 100,000 million cells.
Repair Mechanisms:
Dr Lim next explained what happens when a cell suffers a molecular lesion (damage).  He detailed cellular events on the repair mechanisms within the DNA, spoke about apoptosis (programmed cell-death), and what happens when a cell is beyond repair and refused to self-destruct as “cellular suicide” or apoptosis. He explained how cells undergo irreversible random mutation, leading them to become mutant as immortal cancer cells.
He illustrated how cells are repeatedly damaged beyond repair,  using an analogy about his shirt being roughly worn, sewed and repaired, many, many times over, until it can no longer be repaired (sewed back again and again) and how this needs to be replaced with a new shirt (organ transplant). It was quite illustrative.  
Mutations:
The next step Dr Lim took was to explain about gene mutation and its control. He spoke about onogenes and onco-suppressor genes and about a powerful protein called P-53 that will trigger tumor suppression.  If a damage is detected at the checkpoint it arrests a potential cancer to stop dead in its tracks.
Prior to that, he explained what gene expression is all about, and how important it is to understand molecular biology in order to understand expression of proteins that carry molecular signals that helps cancer cells to communicate with each other at cellular levels. He underpinned the various types of molecular signaling.
He explained not only how molecular signals are important for communications among cancer cells, but also how they expressed protein bio-molecules to jam up similar molecular signals from the immunological system that seeks to destroy cancer cells. This knowledge was not just new, but was very interesting to everybody, and was very well-illustrated by Dr Lim.  
He then went on to enlighten his audience about telomeres and telomerase, the two   protein regulators  that determines the number of times a cell divides until  telomere shortens and die.  
He mentioned these two enzymes sit at the end of both normal and cancer chromosomes, and that regulates the fate of these cell divisions, and how scientists are now trying to regulate these two proteins in turn to force cancer cells to become mortal and die.  It was very interesting to learn about this from Dr Lim bringing new hope to cancer sufferers that one day scientists would be able to control telomerase activities. He showed a few slides how they look like under a florescence microscope.   
Pathology of Metastasis:
Next, Dr Lim talked about the pathogenesis of cancer and its pathology. He gave a fairly detailed account how they are spread (metastasis), the mechanisms how they enter a distant organ (extravasation), about vascular injection and invasion by new blood vessels into a malignant neoplasm and the dynamics of their malignant progression.  It was quite an illustrative account of their invasive scenarios.
The next stop in his presentation was all about angiogenesis, their stimulators and inhibitors, meaning how cancer growth is stimulated by the development of new blood vessels drawn in by protein-molecular signaling, and various angiogenesis stimulators and inhibitors that try to block them in a tug-a-war within the  body to keep cancer from progressing further once it has been initiated within days, to promotion which takes 10 -40 years, and its ultimate progression into sub-clinical or clinical cancers which may take just over a year to develop fully.  
Dr Lim’s next stop was all about oncogenic foods (cancer-causing foods). He showed a lot of photos and illustration about these foods, and explained the mechanisms behind their oncogenecity (cancer initiation and promotion).

Smart Molecules and Bio-molecules

Dr Lim spoke about molecular signals expressed by malignant cells that are able to jam and silence the immunological surveillance seeking them out.  These are able to evade or block attacks by immune bodies such as NK and T-cells. He described them as smart bio-molecules from a living body programmed to invade and destroy the body itself.

He compared them with inanimate electrons programmed for the many features and functions in smart phones, but these “living” bio-molecules expressed by cancer cells are programmed with more malignant features than man-made smart phones.

Surgery is the Best:

He suggested that the best way of arresting further progression of cancer is to opt for surgery as the first and most important line of managing cancer even if it has metastasized. This is because surgery itself Dr Lim explained would have removed over 95 -99 % of the nest of cancer cells, and even if just a few hundred cancerous cells have escaped, that itself would have brought the patient back to his cellular or at least into his preclinical stage. 

This stage will give any patient already diagnosed with clinical cancer a tremendous fighting chance for many years more as it would have brought back the patient to the pre-clinical cancer stage where cancer cells are already lurking undetected in his body for many years.

It is at this stage when the immune system is not yet overwhelmed by too many cancer cells.  It is the stage where there is a fighting chance where the immune system can take over in the attack and win.  

This is where a drastic change in the dietary pattern abundantly rich in fresh fruits and fresh vegetables rich in anti-oxidants, cancer inhibitors, and anti-angiogenesis is much needed. This is where the immune system is given reinforcement.

This is when a second chance given to the body after surgery because surgery would have removed almost all the mass of malignant cells.

A metronomic regimen of broad spectrum anti-angiogenesis diet of fresh fruits and assorted vegetables would block off isolated cancer cells lurking, floating here and there from acquiring fresh blood supply to nourish it before it can grow and re-colonize once again.

In short, Dr Lim advised blocking the acquisition of angiogenesis straight away to arrest the induction of new blood vessels that support their growth.  That, to Dr Lim mind, would the best therapeutic approach immediately after surgery whether or not it has metastasized.  That may drastically delay reoccurrence that may take many, many more years to come.   

Natural Cancer Blockers and Inhibitors:
Next he spoke about anti cancer compounds in foods (carcinogen blockers) that are cheaply available in fruits, vegetables, plants and herbs which are so cheaply and readily available in morning and night markets in Malaysia.  He then questioned why do we need to seek highly expensive chemotherapy and highly toxic cytotoxic drugs when nature has already provided us with tens of hundreds of non-toxic cancer fighters in a huge variety of plants, fruits, vegetables and berries? They are so cheaply, and so readily available in any local market, stalls and grocery shops. These are all cancer blockers and cancer arrestors occurring naturally and so cheaply in a selected plant-based diet, and all we need is just to incorporate them in our vegetable-based daily diet.  
Anti-cancer Principles in A Plant-Based Diet:
He identified the specific anti-cancer, anti-angiogenesis principles inside these plants, fruits and vegetables, and explained in some detail how they arrest cancer cells from acquiring stimulators towards angiogenesis.  
In short, Dr Lim explained how the right food is able to block, and arrest cellular cancers from developing for at least 10 – 40 years later until our immunological defenses are compromised through aging.  
This information was a very enlightening to all the audience present, including many nutritionists, dieticians and medical doctors who were also there to listen and to learn.  
Dr Lim not only gave a specific list of these fruits, vegetables, spices, herbs and berries that does this wonderful job, but also identified the active principles in them, the chemistry how they work specifically, in short their pharmaco-nutraceutical dynamics and kinetics in a cancer-ravaged body.
What a wonder piece of news it was to everybody!  It was an enlightenment and new knowledge for all – academicians, scientists, doctors, professors, researchers and to the ordinary people who were present.
He then projected a nutraceutical product called “28 Plus Mangosteen” consisting 28 combinations of anti-angiogenesis properties from fruits and berry extracts.  
He managed to get DNG group of pharmaceutical company that manufactures them to donate 45 boxes worth nearly RM 10,000 to CanSurvive Centre Malaysia Berhad to support their charitable, non-profit organization. The company also paid for the rental of the auditorium at MAB.
Let Food Be Your Medicine:
He then clearly explained  the advice from Hippocrates, the Father of Medicine that  “Let Food be Your Medicine” has already been there for millions of years since the dawn of human civilization, which scientists  only “recently” know about the anti-angiogenesis and anti-cancer properties of a plant-based diet. Why didn’t food scientists, nutritionists, molecular biologists, medical scientists know about this earlier?  He emphasized that Hippocrates never said “let medicine be your food” which modern doctors and drug companies added in, but it has always been “Let Medicine Be Your Food”.  He explained why in detail.
He then projected to the audience a list of these foods that inherit these cancer-arrestors and inhibitors, which attracted several members in the audience photographing them with their smart phones.
New Generation of Anti-Cancer Drugs:
Dr Lim then showed a list of entirely new generations of anti-cancer drugs now called “angiostatins” in their final phrases of clinical trials in the United States, in the UK and in other advanced counties.  They all showed promising results in the management of various forms of cancers.  But he emphasized such drugs are already present naturally in plants, selected fruits, and vegetables, in berries, roots and nuts for at least 100 million years already. He advised that the new therapeutic regimen should be based on “a broad spectrum metronomic anti-angigenesis natural therapies” from selected fruits, vegetables, berries and nuts that have already being identified.
Why didn’t modern scientists, nutritionists, pharmacologists, food scientists, and biomedical researchers knew about this, but only in the last 25 years?
Traditional Medicine:
Dr Lim then talked about the role of traditional medicine, naturopathic and natural medicine in the management of cancers, and how doctors in these systems of medicine treat cancer based on
·         Natural drugs that block blood vessel growth factor
·         Natural drugs that block signaling within the cell
·         Natural drugs that affect malicious signaling between cells
He then advised that surgery is the best way to treat a cancer initially because it removes the whole chuck of a tumour containing a nest of billions of cancer cells, and any malignant cells that may have leaked out, would render a patient in the same status as in its pre-clinical stage, and then allow the immune system to take over with a drastic change of dietary lifestyle from that of meat diet to a vegetarian or a pure plant-based one. That will also allow the anti-angiogenesis dynamics to help and take over the steering wheel against cancer progression.  
There were a lot more Dr Lim Ju Boo presented in the sequence of his presentations in point form below:
Sequence of Presentation:

1.     The Three Questions
2.     Epidemiology of Cancer
3.     Causes of Cancer and Prevention
4.     Staging and Cellular Cancers in Early Stages
5.     Why then does cancer manifestation takes so long?
6.    Immunology and Cancer and Cancer vs. The Immune System
7.     Free Radicals, Cellular Events and Biological Effects
8.     Molecular Lesions
9.     DNA Repair Mechanisms
10. Apoptosis and Cellular Events
11. Gene Mutation and Control
12. DNA and Gene Expression
13. Telomere and Telomerase
14. Tiny Dormant  Cancers
15. Free Radicals and Repair Mechanisms
16. Mutations
17. Pathology of Metastasis
18. Smart Molecules and Bio-molecules
19. Surgery is the Best:
20. Pathogenesis of Cancers
21. Angiogenesis and Metastasis
22. Molecular Signaling
23. Oncogenic Foods
24. Cancer Protective  and Anti-angiogenesis Foods
25. List of fruits, vegetables, spices, and herbs that are anti-cancer available in morning and night markets in Malaysia.
26. Anti-vitamins and anti-nutrients – “key and lock” theory of anti-folates
27. 28 Mangosteen Plus Mixture (A Cocktail of 28 Anti-Angiogenesis Natural Medicines)
28. Traditional Medicines : Dynamics, Mode of Action and Kinetics
29. Cytotoxic  Drugs or Chemotherapy  (Old Lamps)
30. New Generation of Angiogenesis Blockers in Foods and in New Anti-Cancer Drugs (New Lamps )
31. Future Strategies in Cancer Mx
32. Do Plants and Vegetarians Suffer from Cancers?
33. New Lamps for Old:  More Hope than A Dream
34. Let Food Be Your Medicine
35. Cancer against Nutrition in Reverse
36. The Finale when Death Comes

Introduction Left to the Last:
Loud, long applause and standing ovation were accorded to Dr Lim from an oversubscribed and over-filled auditorium at the Malaysian Association for the Blind, and only when his nearly 3-hour lively presentation did he introduce himself after he has “delivered the goods” with his long string of academic and professional credentials which drew a standing ovation of long and loud applause.  
Photo Sessions:
The session ended with so many participants taking pictures with Dr JB Lim and with their endless questions.  Many asked Dr Lim for his phone number and e-mail address but a few e-mailed him for further advice, but none phoned him after that. What a pity!
The whole proceeding was professionally recorded in DVD and is available from:

The Life Shop Sdn Bhd
No 27, Jalan OP 1/2,
One Puchong Business Centre,
47160 Puchong,
Selangor Darul Ehsan,
Malaysia.
Tel: +603-8075 0711, Fax: +603-8075 0733 (Malaysia)

You may also phone or e-mail to Nutritionist Angel Kang for the DVD and 28 Plus Mangosteen at 017-5002274, or email her or the following enquiries for details:

Angel Kang<angelkangjs@gmail.com,
Desmond Lee< desmondleetc@gmail.com>,
Victor Liew <dng.victor@gmail.com>,
Perry Oi<proyoung.perry@gmail.com>,
DNG<dng.puimun@gmail.com>