In this case, when a patient with interstitial pneumonia was given platinum palladium, improvement in respiratory function was observed. Generally, various treatment methods are used for interstitial pneumonia, but conservative therapy has been the main focus and no curative solution has been reached. In this case, there was a tendency for improvement in patients who took platinum palladium, so we reported it. Since it is only drunk, it is not invasive and has great benefits for patients. It has also been reported that COPD, which is also a respiratory disease, showed an improvement tendency by drinking platinum palladium. Although the mechanism is still unknown, it is considered that it is largely due to the antioxidant action by platinum palladium and the activation of AMPK. In the future, we would like to examine further cases and improve the mechanism.
Interstitial pneumonia is a general term for diseases in which inflammation occurs mainly in the stroma of the lung [1]. The alveolar is roughly divided into parenchyma and stroma, the inside of the alveolar is called parenchyma, the wall of the alveolar and surrounding tissues are called stroma, and the disease that causes inflammation in this stroma is called interstitial pneumonia [2]. The causes of interstitial pneumonia include "autoimmune interstitial pneumonia", "occupational environmental interstitial pneumonia", and "medicinal interstitial pneumonia" causes [3-5]. Those that cannot be identified are referred to as "idiopathic interstitial pneumonia" [6]. In addition, interstitial pneumonia was classified by ATS / ERS in 2013.
It is said to be 9 categories [7].
In this case, there was a tendency for improvement in patients with Idiopathic Pulmonary Fibrosis (IPF). In interstitial pneumonia, the alveolar wall gradually becomes fibrotic due to inflammation [8], and the Pulmonary Surfactant Protein-D (SP-D) rises [9,10]. As alveolar function declines, it becomes difficult to take in oxygen by inhalation, so symptoms such as breathlessness and coughing have been confirmed, and it has been pointed out that it may eventually lead to respiratory failure [11]. At present, there is no effective treatment method, and either antifibrotic therapy for IPF or immunosuppressive therapy for non-IPF ILD is used as symptomatic therapy [12].
On the other hand, COPD is an abbreviation for Chronic Obstructive Pulmonary Disease and is a type of chronic respiratory disease. COPD is a disease characterized by shortness of breath by causing destruction and inflammation of the alveolar, and also with coughing and sputum, which progresses irreversibly. Most COPD originates from smoking, but some may also be caused by environmental impact [13,14]. As with interstitial pneumonia, no effective treatment method has been established for COPD, and it is said that there is no choice but to inhale oxygen and maintain/promote QOL in conservative therapy [15]. Epidemiologically, it is said to be the third leading cause of death in the world as predicted by WHO by 2030 [16]. Epidemiological studies have also suggested that COPD has a high risk of developing lung cancer [17]. Until now, quitting, antioxidants, diets, and alternative therapies have been the main focus for COPD [18], but these have been aimed at slowing the progression. Dr. Taro Shirakawa of Japan reported that when platinum palladium was administered to patients with COPD, there was a tendency for improvement in approximately 40 to 50% of patients. In this case, it was expected that the same therapeutic effect would be obtained for interstitial pneumonia, so the case was examined.
Platinum-palladium is sold as PAPLAL® as a refreshing drinking water (functional nutrient water) in Japan, which is a solution of platinum and palladium mixed at a ratio of 1:3. The idea was by Hideyo Noguchi, a Japanese doctor (Figures 1,2). It is a completely new nutrient water that is expected to have various effects such as induction of apoptosis in gastric cancer and colon cancer and activation of NK cells (No submission).
Platinum is a chemically extremely stable element and is used for various purposes. In the medical field, the complex is used as an anticancer agent [19]. Other utilization methods focusing on the antioxidant effect of platinum have been reported [20]. Palladium is one of the platinum group elements and is widely used as a material for industrial products and dental treatment [21,22]. In addition, it has been reported that palladium has the effect of imparting reducing power to platinum involved in the reduction reaction again [23], and attempts have been made to utilize a substance in which platinum and palladium are mixed [24]. Due to the chemical reaction and specificity of these two elements, a mixture of platinum and palladium is expected to be useful as a substance with sustained antioxidant capacity compared to the case of platinum alone [24]. Furthermore, it is known that platinum palladium moderately removes all four types of active oxygen [25]. As far as the literature is concerned, there is no other substance that removes all four types of active oxygen (generally four types: superoxide anion radical, hydroxyl radical, hydrogen peroxide, and single-term oxygen [26]. In addition, platinum palladium is said to have a low absorption rate in the intestinal tract due to its characteristics [27,28], and by acting as a catalyst and acting on cells in each organ in the digestive tract, AMPK (AMP-activated protein kinase) At the same time, it may be said that it contributes to the improvement of interstitial pneumonia and COPD. Therefore, this time, along with the case report, we also confirmed at the in vitro level whether platinum palladium activates AMPK.
Man in their 88 years old.
Height 172 cm, weight 68 kg, Body surface area 1.800 m2
Respiratory function test results (28/04/22)
SVC | Measured Value |
VC (L) | 2.63 |
ERV (L) | 1.32 |
IRV (L) | 0.75 |
TV (L) | 0.56 |
IC (L) | 1.31 |
FVC (L) | 2.50 |
FEV1.0 (L) | 2.02 |
FEV1.0% (G) (%) | 80.80 |
FEV1.0% (T) (%) | 76.81 |
PEF (L/a) | 2.82 |
V75 (L/a) | 2.80 |
V50 (L/a) | 2.39 |
V25 (L/a) | 1.07 |
V25/HT (L/a) | 0.62 |
MMF (L/a) | 2.08 |
This man walked 2-3 km every day to maintain and improve his health in his daily life. He has no history of smoking and has a history of drinking. Suddenly, coughing was frequently confirmed, and although a cough suppressant was prescribed, there was no improvement. Upon re-examination at the city hospital, findings peculiar to interstitial pneumonia were confirmed by examinations such as chest X-ray photographs. He was diagnosed with interstitial pneumonia. He is sentenced to two more years to live. He gradually progresses, and even in the daily activities of climbing the stairs at home and going to the toilet, he has difficulty breathing and collapses. He lost his energy to move, but by drinking platinum palladium, he improved his respiratory function on the 18th day. Coughing stopped and breathing difficulty decreased. At this stage, improvements have been seen before walking can be resumed. However, it is considered necessary to continue to take platinum-palladium because respiratory distress occurred again when platinum-palladium was suspended for a period of time.
Examination of AMPK activity by platinum palladium: In this experiment, CycLex® AMPK Kinase Assay Kit (MEDICAL & BIOLOGICAL LABORATORIES CO., LTD. Tokyo, Japan) was used as usual, and the PBS-added group was used for the AMPK activity in the platinum-palladium-added group (final concentration 1%). A purchased human breast cancer cell line (MCF-7) was used as a control for comparative evaluation. In this kit, in order to measure the current activity of AMPK, the activity of AMPK was confirmed 1 hour, 12 hours, and 24 hours after the addition. In addition, the evaluation was statistically evaluated by the Mann- Whitney U test using statistical processing software (IBM SPSS Statistics Ver.26).
When platinum palladium was administered to MCF-7 and the activity of AMPK was measured, it was confirmed that the activity was significantly increased at a significance level of 1% in all groups when the control group was set to 100% (Table 1, figure 3).
Table 1: Absorbance of hourly control group and Platinum & Palladium colloid-added group. | |||||
1. Absorbance | |||||
1 hr | 12 hrs | 24 hrs | |||
Cnt | Pt:Pd | Cnt | Pt:Pd | Cnt | Pt:Pd |
0.285 ± 0.013 | 2.308 ± 0.223 | 0.352 ± 0.019 | 2.689 ± 0.447 | 0.264 ± 0.034 | 2.341 ± 0.082 |
2. AMPK activity increase rate when cnt is 100% | |||||
1 hr | 12 hrs | 24 hrs | |||
Cnt | Pt:Pd | Cnt | Pt:Pd | Cnt | Pt:Pd |
100% | 809.80% | 100% | 763.92% | 100% | 886.74% |
This report is a case in which platinum palladium was able to approach interstitial pneumonia. Platinum palladium has been suggested to be an effective treatment for interstitial pneumonia. Currently, treatment for interstitial pneumonia is being carried out with a focus on conservative therapy, with the intention of not exacerbating it, but it is difficult to improve. However, in this case, improvement in daily life movements was observed, so it is possible that lung function may be improved. The mechanism is still largely unknown, but we considered the possibility. Although the cause of interstitial pneumonia is often unknown, it causes inflammation in the stroma, so it is possible that active oxygen is produced [29]. Active oxygen releases inflammatory cytokines and has a good side as a defense system, while excess active oxygen adversely affects normal cells, causing lifestyle diseases, aging and chronic inflammation. Is known [30,31]. Platinum palladium was used in this case, but since platinum palladium causes moderate antioxidants as described above, it is possible that only the unnecessary active oxygen was removed without removing the necessary active oxygen. It is possible that this led to the improvement of interstitial pneumonia. When the activity of AMPK by platinum-palladium was confirmed at the in vitro level, the AMPK activity was confirmed at a significant level of 1% in all groups. AMPK (AMP-activated protein kinase) is an energy sensor in the body and is a serine / threonine kinase that works to maintain the homeostasis of sugar and lipid metabolism [32]. It is said that activation of AMPK regulates energy metabolism and maintains energy constancy, and is attracting attention as a potential therapeutic effect for metabolic diseases including type 2 diabetes and cancer [32]. The existence of energy is indispensable for human beings to live, and the energy source is ATP (adenosine triphosphate), and when ATP is hydrolyzed and converted to ADP (adenosine diphosphate) occurs [33]. By regulating this ATP level, AMPK is expected to maintain homeostasis and be effective against metabolic diseases such as cancer, type II diabetes, and obesity [34-36]. It is considered that AMPK regulates metabolism by inhibiting the ATP consumption pathway [37,38]. Therefore, AMPK contributes to the maintenance of health in the living body by suppressing chronic inflammation [39,40] promote autophagy [41]. It enhances mitochondrial function [42] and may increase intracellular ATP levels by activating mitochondrial biosynthesis [43,44].
In other words, it is considered that the prevention of lifestyle diseases including cancer can be expected by increasing the activity of AMPK. It is thought that AMPK regulates metabolism by inhibiting the ATP consumption pathway. It has been reported that AMPK activity reduces abnormal inflammatory reactions and cell aging, leading to treatment of interstitial pneumonia [45], and it is said that platinum palladium will play a part in improving interstitial pneumonia by utilizing its action. The possibility was suggested.
I would also like to express our deep gratitude to Dr. Kou Sakabe of Chiba University, Center for Preventive Medical Sciences and Dr. Yoshitaka Fukuzawa of Aichi Medical University for his useful advice in conducting this research.
This case was approved by the Ethics Review Committee of the Hino Welfare Clinic (Tokyo, Japan). (HKC_N10022022)
The authors declare no conflict of interest.
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