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Oct 17
Major breakthrough as bowel cancer classified into four distinct groups
Bowel cancer consists of four distinct diseases, each with its own set of biological characteristics, say researchers, including one of Indian-origin.

The research could allow doctors to treat each type of bowel cancer differently - and drive the design of distinct sets of targeted drugs for each type.

"Our study has identified four distinct types of bowel cancer, each with a definite set of genetic and biological characteristics, and some of which are more aggressive and more likely to be fatal than others," said study co-leader Anguraj Sadanandam, team leader in precision cancer medicine at The Institute of Cancer Research, London.

"This could allow doctors to pick out those patients with more aggressive disease and treat them accordingly," Sadanandam pointed out.

The study combined data from 3,443 patients with bowel cancer from all over the world to form the largest collection of molecular and clinical data on the disease ever assembled - including genetic mutations, gene activity, immune system activation, cell metabolism, cancer cell type and ability to invade neighbouring tissues, the researchers said.

They aimed to group bowel cancers using mathematical algorithms that combined all these parameters, in order to improve on various existing attempts to classify types of the disease based on smaller datasets.

The scientists found that 87 percent of bowel cancers could be robustly assigned to one of the four groups.

Tumours within the four 'consensus molecular subtypes', or CMSs, each had a pattern of irregularities that could leave them vulnerable to a treatment strategy.

Patients with one particular type of bowel tumour - CMS4 - were often diagnosed late (stage III and IV), had high levels of spread to other sites in the body, and had significantly worse survival rates than the other types.

Patients with another type, CMS2, had much better survival rates even if the cancer had relapsed.

"Ultimately, it could lead to development of new molecular diagnostic tests to diagnose patients by their particular type of bowel cancer, and give them the most effective treatments for that type," Sadanandam said.

The study was published in the journal Nature Medicine.

Oct 16
Racial, ethnic backgrounds affect breast cancer: Study
Women belonging to different racial and ethnic backgrounds may have varying risks of developing certain types of cancers with African-American women having a greater tendency to develop an aggressive form of breast cancer, according to a new study.

It is believed that biology and genetics play a role in the development of certain types of cancers.

No matter the type or stage of breast cancer, minority women are more likely to be diagnosed later in the disease than white women, and they are also less likely to receive recommended treatments, a study published in Cancer Epidemiology, Biomarkers & Prevention said.

Recent studies have found that African-American women have a tendency to develop an aggressive form of breast cancer called triple negative.

They are also diagnosed at a later stage of the disease when there are few options left for treatment.

The latest study was led by Lu Chen and her colleagues, from the division of public health sciences at Fred Hutchinson Cancer Research Center.

The researchers reported that as compared to white women, African-American women are not only more likely to be diagnosed at later stages with the most aggressive form of the disease, but also more likely to be diagnosed at later stages for all types of breast cancer.

"There are a lot of reasons why these women have a higher incidence of particular subtypes of breast cancer that may have something to do with genetics and biological factors," said Chen.

"But being diagnosed at a later stage and not receiving treatment-these disparities we think have more to do with social, cultural and economic factors," Chen said.

The study included 102,064 women from diverse social, economic and cultural backgrounds, from 18 different cancer centers who were diagnosed with breast cancer.

The study showed that African-American, Hispanic, Asian and American Indian women showed 20 per cent to 60 per cent higher rates of cancer detection with stage 2 to stage 4 breast cancers, as compared to Caucasian women.

The African-American women had a 40 per cent to 70 per cent greater risk of being diagnosed with stage 4 of any type of breast cancer, compared to white women.

The study suggests that African-American, Hispanic and Native American women have less access to screening mammograms and are also less likely to get the recommended treatment for their disease.

Knowing that non-white women overall tend to be diagnosed at later stages for all types of breast cancer, and that they receive sub-optimal treatment, could help to change that potentially life-threatening pattern.

Oct 14
Drinking cranberry juice may protect your heart
Two cups of cranberry juice daily may help protect you against cardiovascular diseases, suggests new research.

"Cranberry juice is a rich source of phytonutrients, including proanthocyanidins, anthocyanins and phenolic acids," explained Ana Rodriguez-Mateos from University Duesseldorf, Germany.

"Due to this robust profile of polyphenols, our team sought to evaluate the immediate vascular impact of drinking one, 450 ml glass of cranberry juice with a different range of concentrations of cranberry-polyphenols," Rodriguez-Mateos noted.

Researchers gave 10 healthy men, between the ages of 18-40 years, 450 ml (just under two cups) of sweetened cranberry juice made from concentrate.

The cranberry concentrate was prepared with water to concentrations ranging from zero to 117 percent. The amount of cranberry-polyphenols increased with the concentration.

The researchers detected significant vascular function improvements and improved blood flow in the men after drinking cranberry juice.

They, however, found that improvement in vascular function was dose-dependent.

Defending the health of the circulatory system - and improving vascular function - not only reduces the chance of developing atherosclerosis, but plays an important role in kidney function, hormone delivery and waste filtration, the study noted.

The highest concentration of cranberry-polyphenol juice also showed improvements in systolic blood pressure.

"Our results lay the groundwork to better understand the array of potential vascular and cardiovascular health benefits of cranberry polyphenols," Rodriguez-Mateos said.

"Significant improvements in vascular function from drinking two cups of cranberry juice suggest an important role for cranberries in a heart-healthy diet," Rodriguez-Mateos pointed out.

The research was presented at the Cranberry Health Research Conference in Wisconsin, US.

Oct 13
Skin psoriasis linked to higher cardiovascular risk
People with severe psoriasis may also have more inflammation in their blood vessels which can contribute to increased risk of heart attack and stroke, scientists, including those of Indian-origin, have warned.

Psoriasis is a chronic inflammatory disease which occurs when skin cells grow too quickly, resulting in thick white or red patches of skin.

Previous research suggests psoriasis may be linked with a higher risk of cardiac events and cardiovascular-related death.

This may be the first study to examine whether psoriasis severity impacts inflammation in the blood vessels, researchers said.

In the study, researchers analyzed 60 adults (average age 47) with psoriasis and 20 (average age 41) without psoriasis. All study participants were at low risk for cardiovascular disease based on a traditional risk assessment.

They underwent a nuclear scan that measured blood vessel inflammation, and a dermatologist assessed the amount of psoriasis.

Researchers found that patients had psoriasis ranging from mild (only a few patches, less than 3 per cent of the skin surface affected) to severe (when patches cover more than 10 per cent of the skin surface).

The most extensive forms of psoriasis were associated with a 51 per cent increase in blood vessel inflammation.

The relationship between psoriasis and increased blood vessel inflammation did not change much after accounting for other heart disease risk factors.

"The most important observation we made was that the more psoriasis was on the skin, the more inflammation there was in the blood vessels," said senior study author Nehal N Mehta, clinical investigator in the Cardiovascular and Pulmonary Branch of the National Heart, Lung, and Blood Institute in Bethesda, Maryland.

The findings support the idea that the skin disease and cardiovascular disease may share an immune-related underlying mechanism, but does not prove one causes the other, researchers said.

"People who have psoriasis - particularly if it is severe - should be assessed by their doctor for cardiovascular risk factors, including diabetes, high cholesterol and obesity," Mehta said.

"They should also maintain an active lifestyle, avoid smoking and follow a balanced diet," Mehta said.

The co-authors of the study included Haley B Naik, Balaji Natarajan, Aditya A Joshi, and Parasuram Krishnamoorthy.

The research was published in the American Heart Association journal Arteriosclerosis, Thrombosis and Vascular Biology.

Oct 12
Birth environment can trigger homosexuality
Claiming that genetic changes which happen after birth can determine whether a man is straight or gay, scientists have recently found out that homosexuality may be triggered by environmental factors during childhood.

Researchers revealed that the finding of the study is highly controversial because it suggests that some men are not born gay, but are turned homosexual by their surroundings and it also raises privacy concerns that medical records could reveal sexuality, reports the Telegraph.

Dr. Tuck Ngun said that he hopes this research helps them to understand themselves better and why they are the way they are.

During the research, the scientists found out that it was possible to tell whether a man was gay or straight by monitoring tiny changes in how his DNA functions after birth, a field known as epigenetics.

Epigenetic changes are known to be triggered by environmental factors such as chemical exposure, childhood abuse, diet, exercise and stress.

Talking about their research done on identical twins, researcher Tim Spector said that it has always been a mystery why identical twins who share all their genes can vary in homosexuality.

He added epigenetic differences are one obvious reason and this study provides evidence for this.

Oct 10
Genes can predict sexual orientation in men
In a first, scientists have developed a method that can almost accurately reveal the sexual orientation of men just by looking at some specific genes.

The team is now ready with a predictive model that can help people understand their sexual orientation better.

In trials, an algorithm using genetic information from just nine regions of the human genome predicted the sexual orientation of males with up to 70 percent accuracy.

"To our knowledge, this is the first example of a predictive model for sexual orientation based on molecular markers," said Tuck C Ngun, postdoctoral researcher at University of California-Los Angeles.

Beyond the genetic information contained in DNA, the researchers examined patterns of DNA methylation - a molecular modification to DNA that affects when and how strongly a gene is expressed - across the genome in pairs of identical male twins.

While identical twins have exactly the same genetic sequence, environmental factors lead to differences in how their DNA is methylated.

In all, the study involved 37 pairs of twins in which one twin was homosexual and the other was heterosexual, and 10 pairs in which both twins were homosexual.

"A challenge was that because we studied twins, their DNA methylation patterns were highly correlated," Dr Ngun explained.

Even after some initial analysis, the researchers were left with over 400,000 data points to sort through.

To sort through this data set, Dr. Ngun and his colleagues devised a machine learning algorithm called FuzzyForest.

They found that methylation patterns in nine small regions, scattered across the genome, could be used to predict study participants' sexual orientation with 70 percent accuracy.

Previous studies had identified broader regions of chromosomes that were involved in sexual orientation.

"We were able to define these areas down to the base pair level with our approach," Dr Ngun added.

Sexual attraction is such a fundamental part of life but it is not something we know a lot about at the genetic and molecular level, the authors noted.

They are currently testing the algorithm's accuracy in a more general population of men.

The findings were shared at the American Society of Human Genetics (ASHG) 2015 annual meeting in Baltimore this week.

Oct 09
Radiotherapy inaccessible to most people in low income nations
As many as 90 percent of the people in low income countries lack access to radiotherapy treatment, an inseparable part of cancer care, new research has found.

"Radiotherapy is a crucial and inseparable part of cancer care," said study co-author Timothy Hanna from Queen's University in Kingston, Canada.

"Globally, there is a major shortfall in access to radiotherapy. Our report found that expanding radiotherapy access in low and middle-income countries would not only save millions of lives, but also result in substantial economic benefits to nations," Hanna noted.

The researchers estimated that optimal radiotherapy access in low and middle-income countries by 2035 could save an estimated 26.9 million life years for patients who currently lack access to care.

Hanna and colleagues developed a method to measure the treatment benefits of guideline-based radiotherapy programmes.

They found that globally in 2012, with optimal radiotherapy access, more than 580,000 people would derive a survival benefit from radiotherapy.

By 2035, projections suggest substantial increases, with over 950,000 people deriving a survival benefit from global access to radiotherapy.

Improving access to radiotherapy in low and middle-income countries could be achieved by 2035 with an investment of $184 billion, the report projected.

Despite the high estimated cost, the predicted net economic benefits reaped from the lives saved could reach between $278 billion and $365 billion, said the study published in the journal Lancet Oncology.

Oct 08
Why people with common genetic mutation may be more at diabetes risk
A new study has shed new light on why people who carry a common genetic mutation may be more at risk for developing type 2 diabetes.

By carefully studying healthy subjects, researchers from Brigham and Women's Hospital (BWH) and the University of Murcia, Spain, were able to chart the effect of melatonin supplements on blood sugar control. Their results suggest that taking melatonin close to mealtimes may put people with a common genetic variant more at risk.

The work is the first to show that a person's genetic profile could impact their ability to tolerate glucose when they take melatonin, said co-corresponding author Frank Scheer.

The results suggest that people may need to exert caution when taking melatonin close to meal times, especially in carriers of the risk variant, said co-corresponding author Marta Garaulet.

The data suggest that when subjects take melatonin, the genetic risk variant in MTNR1B causes a much greater change in glucose tolerance in carriers compared to non-carriers, even in people who are not obese and not diabetic, said Scheer.

Scheer added that the results suggest that it may be important to take genetics into account when thinking about timing of food consumption and melatonin administration.

The team notes that further, large-scale studies will be needed in vulnerable populations before clinical recommendations can be made.

The study is reported in Metabolism.

Oct 06
To eat less, consider smaller plates and packages
Adults consume more food when it comes in bigger packages or is served on larger plates, a review of past research has found.

The study team analyzed 58 studies with a combined 6,600 participants that examined how the size of things like cereal bowls and snack bags influences the number of calories people take in.

Combined, these brief experiments suggest that smaller containers, dishes and cutlery might help adults consume up to 16 percent fewer calories in the U.K. and 29 percent less in the U.S.

"It provides the most conclusive evidence to date that people consistently consume more food and drink when offered larger-sized portions, packages, or tableware than when offered smaller-sized versions," said lead study author Dr. Gareth Hollands, a behavioral health researcher at the University of Cambridge in the U.K.

The results, published in the Cochrane Database of Systematic Reviews, highlight the important role of environmental influences on food consumption and suggest that actions to limit exposure to larger serving sizes may be effective tools for getting people eat less, Hollands said by email.

Globally, 1.9 billion adults are overweight or obese, according to the World Health Organization. Obesity increases the risk of heart disease, diabetes, joint disorders and certain cancers.

The effect of smaller sizes for dishes and packages didn't vary by gender and was similar for normal-weight, overweight and obese people, the researchers found. Only children appeared unaffected by size when deciding how much food or drink to consume.

Most of the studies reviewed didn't follow people for long periods and researchers lacked data to assess whether sustained changes in container and plate sizes over time might contribute to weight loss or maintaining a healthy weight, the authors acknowledge. They also note that they lacked data on the impact of bottle, can or glass size on alcohol consumption.

Still, when it comes to plate size, reducing the diameter by even an inch or two can make a difference in calorie consumption, said Dr. David Sharp, a nutrition researcher at Kent State University School of Health Sciences in Ohio.

Ideally, adults should use 9-inch or 10-inch plates, and children should have 7.5-inch plates, Sharp, who wasn't involved in the study, said by email. But this isn't an easy message to convey in a culture with a "supersize" mentality, he said.

"Hunters try to kill the deer with the largest antlers, fishermen tell stories of their biggest catch, and we sensationalize even the act of dieting by hosting reality TV shows such as The Biggest Loser," Sharp said. "When we are bombarded with the appeal of getting things bigger or larger, it creates a bit of dissonance that the message for our most intimate choices such as our meals, our plates and our bodies runs opposite to our culture of plenty when considering long-term health and wellness."

While plate size may matter, downsizing dishes alone may not be enough to help people lose weight, sad Dr. Donald Hensrud, medical director of the Mayo Clinic Healthy Living Program in Rochester, Minnesota.

"The obesity epidemic is a result of a number of different and complex influences," Hensrud, who wasn't involved in the study, said by email. "Recommending smaller plates is just one piece of a very large puzzle."

Oct 05
High-fructose diet hampers recovery from brain injury
A diet high in processed foods which are often sweetened with high-fructose corn syrup may impair the brains' ability to heal after serious head injury, warn researchers.

"We found that processed fructose inflicts surprisingly harmful effects on the brain's ability to repair itself after a head trauma," said Fernando Gomez-Pinilla, professor at David Geffen School of Medicine at University of California, Los Angeles, US.

Fructose also occurs naturally in fruit, which contains antioxidants, fiber and other nutrients that prevent the same damage.

In the study, laboratory rats were fed standard rat chow and trained for five days to solve a maze.

Then they were randomly assigned to a group that was fed plain water or a group that was fed fructose-infused water for six weeks.

The fructose was crystallised from corn in a dose simulating a human diet high in foods and drinks sweetened with high-fructose corn syrup.

A week later, the rats were anesthetised and underwent a brief pulse of fluid to the head to reproduce aspects of human traumatic brain injury (TBI).

After an additional six weeks, the researchers retested all the rats' ability to recall the route and escape the maze.

The scientists discovered that the animals on the fructose diet took 30 percent longer to find the exit compared to those who drank plain water.

The team also found that fructose altered a wealth of biological processes in the animals' brains after trauma.

The sweetener interfered with the ability of neurons to communicate with each other, rewire connections after injury, record memories and produce enough energy to fuel basic functions.

Sources of fructose in diet include honey, cane sugar (sucrose) and high-fructose corn syrup, an inexpensive liquid sweetener.

Made from cornstarch, the liquid syrup is widely added as a sweetener and preservative to processed foods, including soft drinks, condiments, applesauce and baby food.

The study was published in the Journal of Cerebral Blood Flow and Metabolism.

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