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Feb 26
How brain protects itself from stroke damage decoded
Scientists have for the first time explained mechanisms behind the brain`s ability to protect itself from damage due to stroke.

The Oxford University researchers hope that harnessing this inbuilt biological mechanism, identified in rats, could help in treating stroke and preventing other neurodegenerative diseases in the future.

"We have shown for the first time that the brain has mechanisms that it can use to protect itself and keep brain cells alive," said lead researcher Professor Alastair Buchan in a statement.

Stroke occurs when the blood supply to part of the brain is cut off. When this happens, brain cells are deprived of the oxygen and nutrients they need to function properly, and they begin to die.

This explains why treatment for stroke is so dependent on speed. The faster someone can reach hospital, be scanned and have drugs administered to dissolve any blood clot and get the blood flow re-started, the less damage to brain cells there will be.

The Oxford University research group have now identified the first example of the brain having its own built-in form of neuroprotection, so-called `endogenous neuroprotection`.

They did this by going back to an observation first made over 85 years ago. It has been known since 1926 that neurons in one area of the hippocampus, the part of the brain that controls memory, are able to survive being starved of oxygen, while others in a different area of the hippocampus die.

However, what protected that one set of cells from damage had remained a puzzle until now.

"Previous studies have focused on understanding how cells die after being depleted of oxygen and glucose. We considered a more direct approach by investigating the endogenous mechanisms that have evolved to make these cells in the hippocampus resistant," explained first author Dr Michalis Papadakis.

Working in rats, the researchers found that production of a specific protein called hamartin allowed the cells to survive being starved of oxygen and glucose, as would happen after a stroke.

They showed that the neurons die in the other part of the hippocampus because of a lack of the hamartin response. The team was then able to show that stimulating production of hamartin offered greater protection for the neurons.

The researchers were also able to identify the biological pathway through which hamartin acts to enable the nerve cells to cope with damage when starved of energy and oxygen.

The group pointed out that knowing the natural biological mechanism that leads to neuroprotection opens up the possibility of developing drugs that mimic hamartin`s effect.

The study was published in the journal Nature Medicine.

Feb 26
Mediterranean diet cuts heart attack risk: Study
A diet rich in olive oil, nuts and other Mediterranean foods reduces the risk of heart attack, stroke or death from heart disease by up to 30 percent, according to a study published in the New England Journal of Medicine.

"We observed that an energy-unrestricted Mediterranean diet, supplemented with extra-virgin olive oil or nuts, resulted in a substantial reduction in the risk of major cardiovascular events among high-risk persons," the study stated.

Rachel Johnson, a professor of nutrition at the University of Vermont and a spokeswoman for the American Heart Association, described the findings of the study as "really impressive".

"They looked at heart attacks and strokes and death. At the end of the day, that is what really matters," Johnson told The New York Times.

The Mediterranean diet includes olive oil, fruits, nuts, vegetables, fish and poultry, along with at least one glass of wine with daily meals, and reduced amounts of dairy products, red meat and sweets.

Researchers have long observed that people from Mediterranean countries tend to have lower levels of heart disease, but it was not clear if that was hereditary, linked to lifestyle or due to the difference in diet.

The study published Monday was conducted through the University of Barcelona, and involved roughly 7,500 patients at risk for heart disease but without any symptoms of it when the study began.

Some were assigned to the Mediterranean diet, and others were counselled to follow a low-fat diet.

The study found those on the low-fat diet struggled to be compliant, and did not reduce their fat intake by a notable amount.

Researchers found those assigned to follow the Mediterranean diet stuck to their eating plan and saw an overall 30 percent drop in risk of heart attacks, strokes and death from heart disease.

The results were much bigger than researchers expected, and enough to convince many of them to change their own diets, said Ramon Estruch, who led the study.

Feb 25
Fish oil and aspirin could cure arthritis
A combination of fish oil and aspirin could be the key to beating a host of devastating chronic diseases including arthritis, a new breakthrough study has found.

Researchers found that the two work together to combat the inflammation responsible for a host of illnesses, including heart disease, cancer and arthritis.
Experts have always touted the health benefits of low-dose aspirin and omega-3 fatty acids found in foods like flax seeds and salmon, but the detailed mechanisms involved in their effects were not fully known.

Now a new study published in the Cell Press journal Chemistry and Biology shows that aspirin helps trigger the production of molecules called resolvins that are naturally made by the body from omega-3 fatty acids.

These resolvins shut off, or "resolve," the inflammation that underlies destructive conditions such as inflammatory lung disease, heart disease, and arthritis.

"In this report, we found that one resolvin, termed resolvin D3 from the omega-3 fatty acid DHA, persists longer at sites of inflammation than either resolvin D1 or resolvin D2 in the natural resolution of inflammation in mice," said senior study author Dr Charles Serhan of Brigham and Women`s Hospital and Harvard Medical School.

"This finding suggests that this late resolution phase resolvin D3 might display unique properties in fighting uncontrolled inflammation," Serhan said in a statement.

The researchers also confirmed that aspirin treatment triggered the production of a longer acting form of resolvin D3 through a different pathway.

"Aspirin is able to modify an inflammatory enzyme to stop forming molecules that propagate inflammation and instead produce molecules from omega-3 fatty acids, like resolvin D3, that help inflammation to end," said co-author Dr Nicos Petasis of the University of Southern California.

"We were able to produce by chemical synthesis both resolvin D3 and aspirin-triggered resolvin D3 in pure form, which allowed us to establish their complete structures and biological activities," said Petasis.

When administered to human cells, both of these resolvins demonstrated potent anti-inflammatory actions. When given to mice, the compounds also stimulated the resolution of inflammation in the body.

"We also identified the human receptor that is activated by resolvin D3, which is critical in understanding how resolvin D3 works in the body to resolve inflammation," said Serhan.

Feb 25
Asthma drug could help cure severe itchy rash
A high-dose shot of a common asthma drug, once a month, has been found to be highly effective in treating teens and adults chronically afflicted with severe, itchy rash, says a new study.

Known as omalizumab, the drug was tested on 323 people at 55 medical centres for whom standard antihistamine therapy failed to quell underlying, allergy-like reaction, known as chronic idiopathic urticaria or chronic spontaneous urticaria.

"Physicians and patients may now have a fast, safe and well-tolerated treatment option to consider before prescribing even more antihistamines, which can be highly sedating," says Sarbjit (Romi) Saini, Johns Hopkins allergist and immunologist, and study co-investigator, the The New England Journal of Medicine reports.

The study, from 2009 to 2011, involved mostly women aged between 12 and 75 years. Each was randomly assigned to take one of three dosing regimens of omalizumab, or placebo, after which they were monitored through regular checkups for four months, according to a Johns Hopkins statement.

All of them had chronic hives (itchy bumps on the skin) and rash for at least six months, with many having suffered from the condition for more than five years.

"Patients suffering with this condition need more and better treatment options because chronic hives and rash are profoundly hard to treat and can be very debilitating," says Saini, associate professor at the Johns Hopkins University School of Medicine.

Saini, who has studied omalizumab since 2005, points out that fewer than half of those treated respond to traditional drug treatments with antihistamines. Saini says the new study results offer substantial evidence that this first injection treatment option not only works, but does so more safely than other drugs.

These findings were presented at the annual meeting of the American Academy of Allergy, Asthma and Immunology in San Antonio, Texas.

Feb 23
Fish oil may help slow breast cancer growth
A lifelong diet that is rich in omega-3 fatty acids - found in fish oils - can decrease growth of breast cancer tumours by 30 percent, a new research has revealed.

Study authors David Ma, a professor in Guelph`s Department of Human Health and Nutritional Sciences, said that their study shows that lifelong exposure to omega-3s had a beneficial role in disease prevention - in this case, breast cancer prevention.

Ma said that health advocates have long believed that diet may significantly help in preventing cancer but epidemiological and experimental studies to back up such claims have been lacking, and human studies have been inconsistent.

For their research, they created a novel transgenic mouse that produced both omega-3 fatty acids and develops aggressive mammary tumours. The team compared those animals to mice genetically engineered only to develop the same tumours.

Mice producing omega-3s developed only two-thirds as many tumours - and tumours were also 30-per-cent smaller - as compared to the control mice.

"The difference can be solely attributed to the presence of omega-3s in the transgenic mice - that`s significant," Ma said.

"The fact that a food nutrient can have a significant effect on tumour development and growth is remarkable and has considerable implications in breast cancer prevention," he added.

The study has been published in the Journal of Nutritional Biochemistry.

Feb 23
New discovery could lead to more effective flu drugs
A discovery could spur a new generation of drugs that would be more effective against the flu virus than current drugs.

The new class of molecular compounds, developed by Simon Fraser University virologist Masahiro Niikura and his doctoral student Nicole Bance, will help develop drugs that the flu virus` strains can`t adapt to, and resist, as easily as Tamiflu, which is becoming less effective against the constantly mutating virus.

Their study reveals how to use their newly-discovered compounds to interrupt the enzyme neuraminidase`s facilitation of the flu`s spread, reports the journal Science Express.

Tamiflu and another flu drug, Relenza, focus on interrupting neuraminidase`s ability to help flu virus detach from an infected cell`s surface by digesting sialic acid, a sugar on the cell surface.

The virus uses the same sugar to stick to the cell while invading it. Once attached, influenza can invade the cell and replicate.

This is where the newly-discovered compounds come to the still-healthy cells` rescue. They clog up neuraminidase, stopping the enzyme from dissolving the sialic acid, which prevents the virus from escaping the infected cell and spreading, according to a Simon Fraser statement.

The new compounds are also more effective because they are water-soluble. "They reach the patient`s throat where the flu virus is replicating after being taken orally," says Niikura, associate professor.

"Influenza develops resistance to Replenza less frequently, but it`s not the drug of choice like Tamiflu because it`s not water-soluble and has to be taken as a nasal spray.

"Our new compounds are structurally more similar to sialic acid than Tamiflu. We expect this closer match will make it much more difficult for influenza to adapt to new drugs," adds Niikura.

Ultimately, the new compounds will buy scientists more time to develop new vaccines for emerging strains of influenza that are resistant to existing vaccines.

Feb 22
Dyslexia can be "fixed" using devices: Study
Scientists have found a mechanism using devices to "fix" the problem of dyslexia, a constellation of impairments unrelated to intelligence, hearing or vision that make reading a struggle.

While most children read smoothly, as many as one in 10 is estimated to suffer from dyslexia. Now, researchers from Northwestern University report they have found a biological mechanism that appears to play an important role in the reading process, the Science Daily reported.

"We discovered a systematic relationship between reading ability and the consistency with which the brain encodes sounds," Nina Kraus, Hugh Knowles Professor of Neurobiology, Physiology and Communication was quoted as saying.

Recording the automatic brain wave responses of 100 school-aged children to speech sounds, researchers found that the very best readers encoded the sound most consistently while the poorest readers encoded it with inconsistency, which could be "fixed" through training.

Presumably, the brain`s response to sound stabilises when children learn to successfully connect sounds with their meanings.

For the study, children with reading impairments were fitted for a year with assistive listening devices that transmitted their teacher`s voice directly into their ears.

After a year, the children showed improvement not only in reading but also in the consistency with which their brains encoded speech sounds, particularly consonants.

"Use of the devices focused youngsters` brains on the "meaningful" sounds coming from their teacher, diminishing other, extraneous distractions," said Kraus. "After a year of use, the students had honed their auditory systems and no longer required the assistive devices to keep their reading and encoding advantage."

The results suggest that good readers profit from a stable neural representation of sound, and that children with inconsistent neural responses are likely at a disadvantage when learning to read, Kraus added.

"The good news is that response consistency can be improved with auditory training."

Feb 22
Schizophrenia genes increase chance of IQ loss
People who are at a greater genetic risk of schizophrenia are more likely to see a fall in IQ as they age, even if they do not develop the condition, according to a study.

Scientists at the University of Edinburgh say the findings could lead to new research into how different genes for schizophrenia affect brain function over time.

They also show that genes associated with schizophrenia influence people in other important ways besides causing the illness itself.

The researchers used the latest genetic analysis techniques to reach their conclusion on how thinking skills change with age.

They compared the IQ scores of more than 1,000 people from Edinburgh who were tested for general cognitive functions in 1947, when the subjects were aged 11, and again when they were around 70 years old.

The researchers were able to examine people`s genes and calculate each subject`s genetic likelihood of developing schizophrenia, even though none of the group had ever developed the illness.

They then compared the IQ scores of people with a high and low risk of developing schizophrenia.

They found that there was no difference at age 11, but people with a greater genetic risk of schizophrenia had slightly lower IQs at age 70.

Those people who had more genes linked to schizophrenia also had a greater estimated fall in IQ over their lifetime than those at lower risk.

Ian Deary, Director of the University of Edinburgh`s Centre for Cognitive Ageing and Cognitive Epidemiology, who led the research team, said, "Retaining our thinking skills as we grow older is important for living well and independently.

"If nature has loaded a person`s genes towards schizophrenia, then there is a slight but detectable worsening in cognitive functions between childhood and old age".

Andrew McIntosh, of the University of Edinburgh`s Centre for Clinical Brain Sciences, said, "With further research into how these genes affect the brain, it could become possible to understand how genes linked to schizophrenia affect people`s cognitive functions as they age".

Schizophrenia, a severe mental disorder characterised by delusions and by hallucinations, is in part caused by genetic factors. It affects around 1 per cent of the population, often in the teenage or early adult years, and is associated with problems in mental ability and memory.

The study, which was funded by the Biotechnology and Biological Sciences Research Council(BBSRC), Age UK, and the Chief Scientist Office, is published in the journal Biological Psychiatry.

Feb 21
Eating peas, beans and sushi rice can protect against colorectal cancer
Foods high in resistant starch, like peas, beans and other legumes, can protect against colorectal cancer, say researchers.

Resistant starch cannot be digested so it ends up in the bowel in pretty much the same form it entered your mouth. Once in the bowel this resistant starch does some important things, including decreasing bowel pH and transit time, and increasing the production of short-chain fatty acids. These effects promote the growth of good bugs while keeping bad bugs at bay.

Now, a University of Colorado Cancer Center review has shown that resistant starch also helps the body resist colorectal cancer through mechanisms including killing pre-cancerous cells and reducing inflammation that can otherwise promote cancer.

"Resistant starch is found in peas, beans and other legumes, green bananas, and also in cooked and cooled starchy products like sushi rice and pasta salad," said Janine Higgins, PhD, CU Cancer Center investigator and associate professor of Pediatrics at the University of Colorado School of Medicine.

"You have to consume it at room temperate or below - as soon as you heat it, the resistant starch is gone. But consumed correctly, it appears to kill pre-cancerous cells in the bowel," Higgins suggested.

Higgins found that rats fed resistant starch showed decreased numbers and sizes of lesions due to colorectal cancer, and an increased number of cells that express the protein IL-10, which acts to regulate the body`s inflammatory response.

"Resistant starch may also have implications for the prevention of breast cancer," Higgins noted.

"There are a lot of things that feed into the same model of resistant starch as a cancer-protective agent. Much of this information currently comes from rodent models and small clinical trials but the evidence is encouraging," Higgins said.

The research was published in this month`s issue of the journal Current Opinion in Gastroenterology.

Feb 21
Simple blood test to determine chemotherapy dosage
Australian scientists claim to have developed a simple and low-cost blood test that can determine how well cancer patients are responding to chemotherapy, which could help in adjusting its dosage on a case-to-case basis.

According to Queensland Institute of Medical Research, the low-cost test discovered by a team at the institute can determine how well chemotherapy is working in patients suffering from Hodgkin`s lymphoma.

The discovery by Maher Gandhi and Kimberley Jones from QIMR`s Clinical Immunohaematology Laboratory could mean personalised treatment for patients with blood cancer, reducing the amount of chemotherapy as needed on a case-to-case basis.

"This has the potential to be a huge aid for doctors in their decision making and a faster and less invasive process for the patients," Gandhi said adding that "up until now, clinicians have relied on scans to help them judge how well people are responding to chemotherapy.

The imaging is expensive, it can be difficult to interpret, and can be limited to just one scan before treatment starts, and another when treatment is finished.

"This discovery means we can work towards using simple blood tests to provide quicker, cheaper and more regular monitoring of how a person is responding to treatment," he said.

About 400 Australians are diagnosed with Hodgkin`s lymphoma each year and it is most common in adolescents and young adults, and more likely to occur in men than women.

The QIMR team found that levels of a certain protein, CD163, are elevated in Hodgkin lymphoma patients, serum and drop as the tumour shrinks during chemotherapy.

"Chemotherapy drugs are toxic, and the more you use, the higher the chances of side-effects down the track," Jones said.

"Testing for these protein levels, using a simple blood test, could show doctors whether the treatment is working, whether they can reduce the doses or conversely, whether they need to increase the doses to beat the cancer," she added.

"In short, it means a way forward to personalised treatment for Hodgkin`s lymphoma patients, and hopefully smaller doses of chemotherapy drugs," Jones said.

The scientists have spent the past six years following 47 Hodgkin`s Lymphoma patients from diagnosis to recovery.

The next step is a larger international study of patients in collaboration with the Australasian Leukaemia Lymphoma Group and doctors in the UK.

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