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Apr 13
Cell therapy may mend damaged hearts: Study
Heart failure patients who are treated with stem cell therapy may have fewer cardiac events, researchers, including one of Indian-origin, have found.

End-stage heart failure patients treated with stem cells harvested from their own bone marrow experienced 37 per cent fewer cardiac events - including hospital admissions related to heart failure - than a placebo-controlled group, researchers said.

"For the last 15 years everyone has been talking about cell therapy and what it can do. These results suggest that it really works," said Amit N Patel from University of Utah in the US.

The largest cell therapy trial for treating heart failure to date randomly assigned cell therapy or placebo to 126 patients with end-stage ischemic heart failure.

A small amount of bone marrow was drawn from each patient and two types of stem cells, mesenchymal stem cells and M2 macrophages, were selected and expanded in the laboratory.

The multicellular therapy, called ixmyelocel-T, was then injected into the heart using a minimally invasive procedure.

A 3-dimensional electrochemical technique mapped damaged areas in the heart, and cells were delivered directly to them via catheter.

Assessments at 1, 3, 6 and 12 months after treatment showed that cell therapy patients had fewer side effects and complications than the placebo group.

At one year, all cardiac events were catalogued, including deaths, and heart-related hospitalisations and unplanned clinic visits, researchers said.

The double-blind trial found that the group treated with cell therapy had fewer deaths compared to the placebo group and fewer heart failure related hospitalisations, contributing to a 37 per cent overall reduction in cardiac events, they said.

"This is the first trial of cell therapy showing that it can have a meaningful impact on the lives of patients with heart failure," said Patel.

Other cell therapy trials tested single stem cell populations and did not report impacts on the end results of death or other heart related clinical outcomes, researchers said.

The findings were published in the journal Lancet.

Apr 11
Inflammatory reasons for diabetic kidney disease revealed
A team of researchers, including an Indian-origin scientist, has identified key inflammatory mechanisms underlying Type 1 diabetes and obesity-related kidney dysfunction.

Diabetic kidney disease is the leading cause of end-stage kidney disease and is a major risk factor for cardiovascular disease.

The findings showed that an increase in amounts of Sphingomyelin -- a type of fatty acid commonly found in cell membranes and nervous tissue -- has the potential to trigger the inflammatory mechanisms that can damage functioning of kidneys.

Sphingomyelin has been known to drive an increase in the ratio of adenosine triphosphate (ATP) and adenosine monophosphate (AMP) -- molecules involved in intracellular energy transfer in kidneys -- in glomerular cells of the kidney in mice with diabetes, obesity or both.

Diabetes and obesity leads to an increase in the ATP levels and decreases the AMP levels, disrupting the balance leading to the dysfunctioning of the kidneys.

"We believe that sphingomyelin fuels increases in ATP and decreases in AMP that result in inflammation which leads to cell dysfunction, fibrosis and endothelial damage underlying diabetic kidney disease," said Sharma, professor at the University of California San Diego in the US.

The team analysed the kidneys of experimental mice with Type 1 diabetes and mice fed on a high-fat diet.

The results also showed that deficiency in the production of insulin in the body or the resistance to externally induced insulin leads to an increase in amounts of sphingomyelin.

"We found that insulin deficiency and insulin resistance, two hallmarks of diabetes, seem to be associated with increased sphingomyelin in the kidney, which trigger damaging inflammatory mechanisms," Sharma noted in the paper published online in the journal EbioMedicine.

The insights could have major impact on developing new biomarkers and novel therapeutics for diabetic and obesity-related kidney diseases.

"It may be possible to create new treatments by blocking ATP and the inflammatory pathways consequent to that or by developing ways to reduce the amount or activity of sphingomyelin in the kidney," Sharma concluded.

Apr 09
Eat fresh fruit to keep heart diseases at bay!
Everyone should include fruits in their daily diet to lead a healthy lifestyle.

A new study has found that eating fruits everyday helps can keep heart diseases at bay.

People who eat fresh fruit regularly are less likely to heart attack or stroke than people who rarely eat fresh fruit.

Fruits are good for health because it contains rich amount of potassium, dietary fibre, antioxidants and various other potentially active compounds. It also contains little sodium or fat and relatively few calories.

As per the results of the international study, a 100g portion of fruits daily reduces about one-third of death by heart related diseases in both men and women.

The findings, published in the New England Journal of Medicine, is the result of a seven-year study of half a million adults in China, where fresh fruit consumption is much lower than in countries like the Britain or US.

"The association between fruit consumption and cardiovascular risk seems to be stronger in China, where many still eat little fruit, than in high-income countries where daily consumption of fruit is more common," said lead author Huaidong Du from University of Oxford in Britain.

Fruit consumption, mainly apples or oranges was also associated with many other factors, such as education, lower blood pressure, lower blood glucose, and non-smoking, the researchers noted.

"Widespread consumption of fresh fruit in China could prevent about half a million cardiovascular deaths a year, including 200,000 before age 70, and even larger numbers of non-fatal strokes and heart attacks," said one of the researchers Zhengming Chen, professor at University of Oxford.

The team conducted a large, nationwide study of 500,000 adults from 10 urban and rural localities across China, tracking health through death records and electronic hospital records of illness.

The participants did not have a history of heart diseases or anti-hypertensive treatments when they first joined the study.

Apr 08
Eat oily fish during pregnancy to reduce asthma risk in kids
According to a new study, eating of oily fish like salmon during pregnancy may reduces the risk of developing respiratory diseases like asthma in babies.

At six months of age, there is no difference in allergy rate between the children whose mothers ate oil fish and those who did not during pregnancy, as shown in the early result of the study

The early results of the study showed that at six months of age there was no difference in allergy rate between the children whose mothers ate salmon and those who did not.

However, at age of two and half years, children whose mothers ate oily fish during pregnancy are less likely to have asthma.

"Our findings indicate that early nutrition interventions, even during pregnancy, can have long lasting effects on health," said Philip Calder, professor at University of Southampton in Britain.

The study proved that fatty acids -- or a lack of them -- are involved in a broad spectrum of common diseases ranging from diverse allergies through to atherosclerosis and inflammatory conditions such as Crohn's disease.

The research was a randomised controlled trial in which a group of women ate salmon twice a week from week 19 of pregnancy.

Allergy tests were then performed on the children at six months and then at two to three years of age.

Results were compared to a control group whose mothers did not eat salmon during pregnancy.

The findings were presented at the recent Experimental Biology Congress in San Diego, US.

Apr 06
Even light hookah smoking puts your lungs at risk
Turns out, hookah isn't that safe as a new study has suggested that even light waterpipe smoking harms lungs.

Ronald Crystal from Weill Cornell Medicine and colleagues assessed the effects of waterpipe smoking on study participants using clinical and biological parameters.

The clinical data showed that, compared to nonsmokers, waterpipe smokers coughed more frequently and produced more sputum.

Biological changes were observed in "marked changes in the cells lining the airways" of waterpipe smokers. In addition, the researchers noted an increase in the circulation of small particles shed by endothelial cells in the lungs.

"This is indicative of ongoing damage to the capillaries," said Dr. Crystal. Together, the clinical and biological changes associated with light-waterpipe use are signs of early lung damage.

The authors wrote that compared to one cigarette, one waterpipe session exposes the smoker to 2 to 4 times the amount of nicotine; 7 to 11 times the amount of carbon monoxide; 100 times more tar; 17 times the amount of formaldehyde; 2 to 5 times the amount of high molecular weight carcinogenic polyaromatic hydrocarbons; and 3 times the amount of phenol.

"This is a small study, but our study results justify initiating large epidemiologic studies to further assess the harmful effects of waterpipe smoking," said Dr. Crystal. "It is uncontrolled - there are no regulations pertaining to its use - and the data raises red flags that even limited use may cause lung damage."

The study is published in the American Thoracic Society's American Journal of Respiratory and Critical Care Medicine.

Apr 04
Pot belly ups heart failure risk
Obesity not only increases the risk of heart failure, but increased belly fat, combined with an ageing population, can also lead to a significant increase in the risk of heart failure, a study says.

The study showed a clear correlation between higher Body Mass Index (BMI), waist circumference and the risk of heart failure.

The researchers saw that with every 10 cm increase in waist circumference was linked to a 29 percent higher risk of heart failure from the analyses of 360,000 participants.

"Overweight individuals had a 35 percent increased risk of heart failure as compared with normal weight individuals and our findings indicate that overweight should be considered a clear risk factor for heart failure," said first author Dagfinn Aune from Norwegian University of Science and Technology in Norway.

Research showed that a BMI between 25 and 30 kg/m2, which is considered overweight, is also associated with increased risk.

A higher waist-to-hip ratio was also correlated with a progressively greater risk of developing heart failure.

The studies looked at the link between body mass index and the risk of death from heart failure and suggested a 26 percent higher risk for an increase of five BMI units.

"Overweight and obesity increase the risk for heart muscle disease, which is an established risk factor for heart failure," said Aune.

The findings hold great significance for clinical guidelines on preventing heart failure and they are also important from a public health perspective.

"Physical activity and a more plant-based diet with lots of fruits and vegetables and whole grains are important to prevent overweight and obesity," Aune said.

Apr 01
Now smartphones could diagnose ear infection
London: Swedish researchers have developed a new method to diagnose ear infections using smartphones and the cloud.

"Because of lack of health personnel in many developing countries, ear infections are often misdiagnosed or not diagnosed at all. This may lead to hearing impairments, and even to life-threatening complications," said one of the researchers, Claude Laurent from the Umea University in Sweden.

The researchers focused on diagnosis of otitis media, inflammation of the ear -- especially in the middle ear -- that annually affects half a billion children worldwide.

Not treating the ear infection can be dangerous, potentially leading to hearing impairments, and in certain extreme cases, can even have life-threatening complication, the researchers said.

To enable rapid and reliable diagnoses of the ear infection, the experts developed an image-processing technique to classify otitis media.

The software-based system consists of a cloud-based analysis of images of the eardrum taken using an otoscope -- an instrument used in the medical examination of ears.

The image is then uploaded to the cloud via a smartphone, where it's automatically analysed and compared with high-resolution archive imagery.

The software looks for predefined visual features, and places the new image in one of five diagnostic groups.

The findings, published in the journal EbioMedicine, showed that the automatically generated diagnoses based on images taken with a commercial video-otoscope had an accuracy of 80.6 percent.

The test could provides rapid access to accurate and low-cost diagnoses in developing countries.

"This method has great potential to ensure accurate diagnoses of ear infections in countries where such opportunities are not available at present," Laurent maintained.

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