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Shark cartilage is from the skeletal structure of sharks.  It is composed of 40% proteins, 5-20% glycosaminoglycans, and calcium salts.  Although it's exact mechanism of action is not know, three principle mechanisms of action have been proposed to explain the ant--tumor potential of cartilage:
  • it kills cancer cells directly
  • it stimulates the immune system
  • it blocks the formation of new blood vessels (angiogenesis), which tumors need for growth

There is limited evidence for the first two mechanisms of action.  The majority of the research has focused on the anti-angiogenesis effects of shark cartilage.

Two proteins have been identified that are angiogenesis inhibitors, SCF2 and U-995.  U-995 has been reported to inhibit endothelial proliferation, endothelial cell migration, and matrix metalloproteinase activity in vitro. It does not seem to inhibit the proliferation of other types of cells, such as cancer cells.  SCF2 is a glycosaminoglycan whose principle glycosamine is keratan sulfate.  It has been shown to block endothelial cell proliferation in vitro, to inhibit the formation of new blood vessels in the chorioallantoic membrane of chicken embryos, and to also inhibit the tumor-induced angiogenesis in the cornea of rabbits.

Neovastat (AE-941), the aqueous extract of shark cartilage, has been found to posses similar qualities.  It is not known whether Neovastat derives these properties from one of the two above mentioned angiogenesis inhibitor proteins, or whether other yet unidentified, but active proteins are responsible. It is now in phase III clinical trials to try to determine its exact anitcancer activity.

These findings have all been published in peer-reviewed, scientific literature.