Concurrent activation of voltage-gated sodium channels (VGSCs) and blockade of Na+ pumps causes a targeted osmotic lysis (TOL) of carcinomas that over-express the VGSCs. Unfortunately, electrical current bypasses tumors or tumor sections because of the variable resistance of the extracellular microenvironment. This study assesses pulsed magnetic fields (PMFs) as a potential source for activating VGSCs to initiate TOL in vitro and in vivo as PMFs are unaffected by nonconductive tissues. In vitro, PMFs (0–80 mT, 10 msec pulses, 15 pps for 10 min) combined with digoxin-lysed (500 nM) MDA-MB-231 breast cancer cells stimulus-dependently. Untreated, stimulation-only, and digoxin-only control cells did not lyse. MCF-10a normal breast cells were also unaffected. MDA-MB-231 cells did not lyse in a Na+-free buffer. In vivo, 30 min of PMF stimulation of MDA-MB-231 xenografts in J/Nu mice or 4T1 homografts in BALB/c mice, concurrently treated with 7 mg/kg digoxin reduced tumor size by 60–100%. Kidney, spleen, skin and muscle from these animals were unaffected. Stimulation-only and digoxin-only controls were similar to untreated tumors. BALB/C mice with 4T1 homografts survived significantly longer than mice in the three control groups. The data presented is evidence that the PMFs to activate VGSCs in TOL provide sufficient energy to lyse highly malignant cells in vitro and to reduce tumor growth of highly malignant grafts and improve host survival in vivo, thus supporting targeted osmotic lysis of cancer as a possible method for treating late-stage carcinomas without compromising noncancerous tissues.

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With population growth, climate change, and increasing forest disturbance, understanding the complex relationships between forests and water is key to sustaining future forest resources, aquatic habitat, and water supplies. Research into forest and water interactions continues to expand our understanding of ecohydrological processes and our ability to assess the hazards associated with natural and human-related forest disturbances.

Upregulation of voltage-gated sodium channels (VGSCs) and Na+/K+-ATPase (sodium pumps) is common across most malignant carcinomas. Targeted osmotic lysis (TOL) is a developing technology in which the concomitant stimulation of VGSCs and pharmacological blockade of sodium pumps causes rapid selective osmotic lysis of carcinoma cells. This treatment of cervical carcinoma is evidence that TOL is a safe, well-tolerated and effective treatment for aggressive advanced carcinomas that has the potential to extend life without compromising its quality. TOL is likely to have broad application for the treatment of advanced-stage carcinomas.

Mesothelioma is an aggressive cancer of the pleura cells of the chest cavity commonly linked to asbestos exposure. With a post‐diagnosis prognosis of between 6 and 12 months. Traditional chemotherapy increases survival time by only 11 weeks. Targeted Osmotic Lysis (TOL) is a novel cancer therapeutic that exploits cancer cells' upregulation of Voltage‐Gated Sodium Channels (VGSC) by pairing a pharmacological blocker of Na+, K+‐ATPase (sodium pumps), such as digoxin or ouabain, with electric or magnetic stimulation of VGSCs. The increase in intracellular Na+ causes an osmotic lysis of cells that over‐express VGSCs. TOL has been shown to selectively lyse highly invasive breast cancer cells, such as MDA‐MB 231, while leaving the normal tissue intact. To test the hypothesis that TOL would be an effective treatment for mesothelioma, we incubated H28 mesothelioma cells or MeT‐5A normal pleural effusion cells in 0–500 nM digoxin for 10 min, then activated the VGSCs with a 0–5 VDC electric current for 30 min. Using video microscopy, lysis was assessed by two independent observers with cytosolic extrusion as the measure. TOL effectively lysed H28 cells dose‐ and stimulus‐dependently, with a maximum cell death of 94.2% Less than 5% of cells in the Drug only, Stimulation only, and Non‐treated groups died (p<.0001). MeT‐5A cells did not lyse. Likewise, when we used a pulsed magnetic field (90 mT, 25 pps) to stimulate VGSCs, H28 cells lysed dose‐ and stimulation‐dependently, whereas control treatments and Met‐5a cells did not. Together these results are evidence that TOL causes significant cell death in mesothelioma cells compared to the normal cells. Thus, TOL may be an effective treatment for mesothelioma.Support or Funding InformationThis research was supported by a grant from Oleander Medical TechnologiesThis abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.