Therapy Aimed to Suppress the Production of the Immunosuppressive Protein Progesterone Induced Blocking Factor (PIBF) May Provide Palliation and/or Increased Longevity for Patients With a Variety of Different Advanced Cancers - A Review

Anticancer Res. 2019 Jul;39(7):3365-3372. doi: 10.21873/anticanres.13479.

Abstract

Progesterone induced blocking factor (PIBF) is a unique protein that is not present in normal cells, but is found predominantly in rapidly growing cells of the fetal placental unit or cancer cells. There is a larger "parent" form that is a nuclear protein involved in cell to cell regulation, allowing tumor cells to proliferate and invade tissues. The parent compound is cleaved into smaller intracytoplasmic isoforms that can suppress cellular immune response, especially, but not limited to natural killer cells. The progesterone receptor antagonist mifepristone can suppress messenger RNA for PIBF, but can also suppress the intracytoplasmic protein. Treating cancer cell lines, intact animals with a variety of spontaneous cancers, and people with various cancers with mifepristone, has been found to inhibit cancer growth, and provide both palliation of symptoms and longevity possibly by suppressing this unique immunomodulatory protein.

Keywords: Progesterone induced blocking factor; immunology of pregnancy; immunosuppression; natural killer cells; progesterone receptor modulators; rapidly growing cancer cells; review.

Publication types

  • Review

MeSH terms

  • Animals
  • Female
  • Hormone Antagonists / therapeutic use
  • Humans
  • Killer Cells, Natural / immunology
  • Longevity
  • Mifepristone / therapeutic use
  • Neoplasms / drug therapy*
  • Neoplasms / immunology
  • Palliative Care
  • Placenta / immunology
  • Pregnancy
  • Pregnancy Proteins / antagonists & inhibitors*
  • Pregnancy Proteins / immunology
  • Progesterone / pharmacology
  • Progestins / pharmacology
  • Receptors, Progesterone / metabolism
  • Suppressor Factors, Immunologic / antagonists & inhibitors*
  • Suppressor Factors, Immunologic / immunology

Substances

  • Hormone Antagonists
  • PIBF1 protein, human
  • Pregnancy Proteins
  • Progestins
  • Receptors, Progesterone
  • Suppressor Factors, Immunologic
  • Mifepristone
  • Progesterone