World's first medical networking and resource portal

News & Highlights
Please make use of the search function to browse preferred content
Medical News & Updates
May 04
Scientists Find The Cellular On And Off Switch For Allergies And Asthma Just In Time For Spring
If you're one of the millions who dread the spring allergy season, things are looking up. A research study appearing in the May 2009 issue of the Journal of Leukocyte Biology shows how a team of American scientists have identified a previously unknown cellular switch that turns allergies and asthma both on and off. Equally important, this study also suggests that at least for some people with asthma and allergies, their problems might be caused by genes that prevent this switch from working properly. Taken together, this information is an important first step toward new medications that address the root causes of allergies, asthma and other similar diseases.

"This study uncovers some of the basic mechanisms that control whether or not people have asthma and allergies and the severity of the symptoms," said John Ryan, Ph.D., Professor of Biology at Virginia Commonwealth University, and a senior scientist involved in the research. "This understanding opens new avenues for treating these and other related diseases."

Ryan and colleagues made this discovery in mouse experiments that examined cells from bone marrow and umbilical cord blood that ultimately help create a type of immune cell (mast cells). Too many mast cells lead to an over-aggressive immune response, which causes allergies and asthma. The scientists found that when chemicals (cytokines IL-4 and IL-10) used to initiate an immune response (the "on switch") are added to developing mast cells, the developing cells die. Because bone marrow makes both mast cells and these cytokines, the researchers conclude that just as the cytokines serve as the "on switch" for the immune system, bone marrow cells also use them as the "off switch" to stop mast cells from getting out of hand. Further supporting their discovery was the finding that strains of mice prone to allergies and asthma had genes which affected the production of this chemical "off switch" in their bone marrow.

May 02
Infection Preventionists Urge Public To Stay Calm, Heed Advice From Health Officials About Swine Flu
The Association for Professionals in Infection Control and Epidemiology (APIC) today encouraged the public to remain calm, listen to public health authorities and follow common sense health precautions during the swine influenza A (H1N1) virus outbreak.

"This is the time for heightened awareness about proactive steps we all can take to protect our families," said Christine J. Nutty, RN, MSN, CIC, APIC 2009 president. "Public health officials are monitoring the situation and are making recommendations based on the latest information. We urge consumers to follow the advice of local health authorities and observe good health practices."

The symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with swine flu. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza. Sometimes people may become infected by touching something with flu viruses on it and then touching their mouth or nose.

APIC advises consumers to contact their healthcare provider if they develop flu-like symptoms and to follow their instructions.

"So far, most US cases have been mild, but this could change and we expect that there will be many more cases of this disease," said Nutty. "The best defense is for consumers to follow basic health practices - wash hands frequently, cover your coughs and sneezes with your sleeve or a tissue and stay home if you are sick."

The number one way to prevent infection is through frequent handwashing with soap and water for 20-30 seconds. If soap and water are not available, use an antiseptic hand cleaner that contains at least 60% alcohol. APIC also urges consumers to remind healthcare workers to wash their hands before and after coming in contact with patients.

The Centers for Disease Control and Prevention recommends that consumers practice these steps to protect against the flu:

* Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.

* Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.

* Avoid touching your eyes, nose, or mouth. Germs spread that way.

* Try to avoid close contact with sick people.

* If you get sick, stay home from work or school and limit contact with others to keep from infecting them.

May 02
Disrupting A Brain Protein Produces Antidepressant-Like Effect In Mice
A brain protein involved in fear behavior and anxiety may represent a new target for depression therapies, according to a study by researchers at the University of Iowa and the Iowa City Veterans Affairs Medical Center. The results appear in the April 29 issue of the Journal of Neuroscience.

Depression affects at least 14 million American adults and can be severely disabling. However, the causes of depression are not well understood. In addition, up to half of people diagnosed with depression are not helped by current therapies because either the drug is not effective for them, or the side effects are intolerable.

The UI research team found that disrupting ASIC1a -- an ion channel protein found in the brain -- produced an antidepressant-like effect in mice. The effect was similar to that produced by currently available antidepressant drugs, but the team also showed that ASIC1a's effect arose through a new and different biological mechanism.

"The mechanism issue is important because if a patient doesn't respond to one drug, the chances of them responding to another drug that works through the same mechanism are low," said study investigator John Wemmie, M.D., Ph.D., associate professor of psychiatry and neurosurgery at the UI Carver College of Medicine and a staff physician and researcher at the Iowa City Veterans Affairs Medical Center. "We need antidepressants with new mechanisms of action to help those people who don't respond to what is currently available."

Wemmie added that although there is no immediate therapy available based on the new findings, the results suggest that ASIC1a inhibition represents a new approach to antidepressant therapy. The channel can be blocked pharmacologically. In addition, manipulating brain pH (a measure of acidity) might be used to inhibit this ion channel, which is activated by acid (low pH).

The study also indicated that using antidepressant drugs and inhibiting ASIC1a at the same time produced an additive effect in mice, suggesting that ASIC1a inhibition used in conjunction with current medications might boost antidepressant effects in patients.

The researchers focused on ASIC1a because recent studies have pointed to a role for this ion channel in depression. In particular, previous animal studies from Wemmie's lab showed that ASIC1a plays an important role in fear responses (panic) and anxiety, conditions that often accompany depression. Other research has suggested a strong relationship between anxiety, depression and the brain's fear circuitry, including the amygdala, where ASIC1a is abundant.

In their latest study, Wemmie's team used experiments targeting the amygdala to show that this brain region is a key site of action for ASIC1a's antidepressant effect. The results support the idea that depression may be caused, at least in part, by abnormal amygdala activity.

"Because the ASIC1a protein is especially abundant in areas of the brain that regulate emotion, it is possible that interventions targeting ASIC1a could treat depression while having fewer effects on other brain areas and thus fewer side effects than available treatments. But much more work is needed to determine if this approach can be used therapeutically," said Matthew Coryell, Ph.D., lead study author and a recent graduate of the UI Neuroscience Program.

The researchers also found that ASIC1a function might underlie the connection between stress and depression. Stress can precipitate depression, and research from other labs has suggested this might be because stress lowers levels of protective brain hormones called neurotrophic factors. The UI team found that removing ASIC1a prevented stress from reducing levels of one neurotrophic factor called BDNF in mice. The findings might mean that inhibiting ASIC1a could increase the brain's ability to resist the negative effects of stress and perhaps reduce a person's likelihood of developing depression.

May 02
New Treatment Discovered For Restless Legs Syndrome Improves Sleep
A drug widely used to treat seizures and anxiety appears to be an effective treatment for restless legs syndrome (RLS) and helps people with the disorder get a better night's sleep, according to a study that will be presented as part of the Late-breaking Science Program at the American Academy of Neurology's 61st Annual Meeting in Seattle, April 25 - May 2, 2009. RLS affects up to one in ten people.

The 12-week study involved 58 people with RLS. Of the group, 30 people received the drug pregabalin and the rest received placebo. Sleep studies were performed at the beginning and end of the research.

Researchers found nearly two-thirds of the people who took pregabalin had no RLS symptoms while taking the drug. For people who still had symptoms, those symptoms had improved by 66 percent while taking the drug, compared to the placebo group where symptoms worsened by 29 percent.

Sleep also improved for those taking pregabalin. The study showed the group spent more time in slow wave sleep, otherwise known as Stage 3 or deep sleep, and they spent less time in the lighter sleep stages known as Stage 1 or Stage 2 sleep compared to those taking placebo.

"Since RLS symptoms get worse at night, it's difficult for people with RLS to get adequate sleep," said study author Diego Garcia-Borreguero, M.D., Director of the Sleep Research Institute in Madrid, Spain. "However, our findings show pregabalin helped people get more deep sleep. The drug was well tolerated and is a promising alternative to current treatments because of its superior effects on quality of sleep."

Pregabalin has been approved for epilepsy, nerve pain, generalized anxiety and fibromyalgia.

RLS is characterized by an urge to move the legs, generally accompanied by unpleasant numbness, tingling, or burning sensations; an increase in symptoms during rest and a partial and temporary relief from symptoms through activity.

May 02
Sudden Death Of Some Short-Term Memories
The human brain stores some kinds of memories for a lifetime. But when our eyes are open and looking at things, our gray matter also creates temporary memories that help us process complex tasks during the few seconds these visual memories exist. For decades, scientists have held that such short-term memories don't suddenly disappear, but grow gradually more imprecise over the course of several seconds.

Now researchers at the University of California, Davis, have found just the opposite. Their subjects retained temporary memories of an object's color or shape for at least four seconds. After that, the memories began to wink out like streetlights at daybreak, remaining quite accurate until they suddenly disappeared.

To test the accuracy of short-term visual memory, Weiwei Zhang, a postdoctoral scholar, and Steve Luck, a professor of psychology, both at the UC Davis Center for Mind and Brain, devised a pair of tests, both of which could separately measure two things: the accuracy of a short-term memory and the probability that the memory still existed. Each test was given to 12 adults.

In the first test, three squares - each with a different color fill - flashed for a tenth of a second on a computer screen. After an interval of one, four or 10 seconds a wheel showing the entire spectrum of colors appeared on the screen. The three squares also reappeared, only now they were colorless and one of them was highlighted. Subjects were asked to recall the color of the highlighted square and click on the area of the wheel that most closely matched it. Each subject repeated this test 150 times for each of the three memory retention intervals.

When subjects retained a memory of the color, they clicked very close to it on the wheel - the distance between the click and the actual color indicating the accuracy of the memory. When color had disappeared from memory, however, subjects clicked at random on the wheel.

The second test was similar to the first, but used shapes instead of colors.

Published in the April issue of the journal Psychological Science, the study found that subjects "either had the memory or didn't have the memory," Luck said, "and the probability of having it decreased between four and ten seconds. The memories did not gradually fade away."

The finding provides insight into the underlying mechanisms behind memory formation and retention. "The memories are not like flashlights that get progressively weaker as the battery runs low," Luck said. "They are more like a laptop computer that continues working at the same speed until it suddenly shuts down." This could be important in everyday life, he explained, because it would provide a mechanism to help us avoid the confusion that might arise if we tried to make decisions on the basis of weak, inaccurate memories.

May 02
The Human Brain Can Recognize Objects Much Faster Than Previously Thought
Human beings far outpace computers in their ability to recognize faces and other objects, handling with ease variations in size, color, orientation, lighting conditions and other factors. But how our brains handle this visual processing isn't known in much detail. Researchers at Children's Hospital Boston, taking advantage of brain mapping in patients about to undergo surgery for epilepsy, demonstrate for the first time that the brain, at a very early processing stage, can recognize objects under a variety of conditions very rapidly. The findings were published in the journal Neuron on April 30th.

Visual information flows from the retina of the eye up through a hierarchy of visual areas in the brain, finally reaching the temporal lobe. The temporal lobe, which is ultimately responsible for our visual recognition capacity and our visual perceptions, also signals back to earlier processing areas. This cross-talk solidifies visual perception.

"What hasn't been entirely clear is the relative contribution of these "feed-forward" and "feed-back" signals," says Gabriel Kreiman, PhD, of the Department of Ophthalmology at Children's Hospital Boston and the study's senior investigator. "Some people think that if you don't have feedback, you don't have vision. But we've shown that there is an initial wave of activity that gives a quick initial impression that's already very powerful."

Although feedback from higher brain areas may occur later and is often important, very fast visual processing would have an evolutionary advantage in critical situations, such as encountering a predator, Kreiman adds.

Previous human studies have relied on noninvasive brain monitoring, either with electrodes placed on the surface of the head or with imaging techniques, and have captured brain activity at intervals of seconds - lagging considerably behind the brain's actual processing speeds. Moreover, these techniques gather data from fairly general brain locations. By placing electrodes directly on the brain, the Children's researchers were able to obtain data at extremely high temporal resolution - picking up signals as fast as 100 milliseconds (thousandths of seconds) after presentation of a visual stimulus - and monitor activity in very discrete, specific locations.

Kreiman collaborated with Children's neurosurgeon Joseph Madsen, MD, who was already doing brain mapping in patients with epilepsy, a procedure that ensures that surgery to remove damaged brain tissue will not harm essential brain functions. The team implanted electrodes in the brains of each of 11 adolescents and young adults with epilepsy (anywhere from 48 to 126 electrodes per patient) in the areas where their seizures were believed to originate. While the electrodes recorded brain activity, the patients were presented with a series of images from five different categories - animals, chairs, human faces, fruits and vehicles - of different sizes and degrees of rotation.

The recordings demonstrated that certain areas of the brain's visual cortex selectively recognize certain categories of objects, responding so strongly and consistently that the researchers could use mathematical algorithms to determine what patients were viewing, just by examining their pattern of neural responses. Moreover, these responses occurred regardless of the object's scale or degree of rotation. And recognition was evident within as little as 100 milliseconds, too fast for information to be relayed from the visual cortex to the temporal lobe and back again.

Kreiman and Madsen are now extending these studies by showing patients movies - more closely resembling the way we see images in real life. Since each patient is allowed to choose his or her own movie, Kreiman's team must analyze its visual content frame by frame and then link that data to the patient's brain activity.

Why is it important to tease apart visual processing in this way? Kreiman envisions using the vision algorithms discovered in humans to teaching computers how to see as well as people, so that they could help in real-life applications such as spotting terrorists in airports, helping drivers avoid collisions with hard-to-see pedestrians, or analyzing hundreds of tumor samples looking for malignancy. A more futuristic application would be the design of brain-computer interfaces that would allow people with visual impairment to have at least partial visual perception.

May 02
Increase Risk Of Death From Drugs To Combat Anemia In Cancer Patients
The use of drugs to encourage red blood cell formation (erythropoiesis-stimulating agents) in cancer patients with anemia increases the risk of death and serious adverse events such as blood clots, found a new study in CMAJ.

While the relative increased risk of death was only 15 -16%, because of the high mortality rates in cancer patients this increase might translate into significant numbers of people.

"These findings suggest that erythropoiesis-stimulating agents should not be routinely used as an alternative to blood transfusion in patients with chemotherapy-induced anemia unless future studies document safety and clinical benefits in this population," write Dr. Marcello Tonelli from the University of Alberta and coauthors.

Anemia in cancer patients can develop because of the cancer itself or because of treatments such as chemotherapy. Treatment with agents to stimulate red blood cell formation has been widely used to improve quality of life for many patients and as an alternative to blood transfusions. However, these agents are expensive and reimbursement policies in Canada vary across provinces and territories.

The study, a meta-analysis of 52 clinical trials with 12,006 participants, was based on work done for the Canadian Agency for Drugs and Technologies in Health (CADTH) to summarize the benefits and harms of these agents in adults with cancer-related anemia.

The findings, which are consistent with studies from the United States and the United Kingdom, provide important information for clinicians treating cancer patients and for Canadian policy makers regarding drug reimbursement plans.

"Our findings suggest that existing practice guidelines should be revised to recommend against the routine use of erythropoiesis-stimulating agents as an alternative to blood transfusion in patients with cancer," conclude the authors. The authors add that erythropoiesis-stimulating agents may be warranted in situations where blood transfusions are not possible or practical.

May 02
Total Swine Flu Cases Worldwide, Also Countries With Confirmed Cases Of Secondary Transmission - 1 M
Mexican authorities say the number of new human cases of swine flu as well as new deaths is slowing down significantly. The World Health Organization (WHO) says it is too early to make such claims. However, the general feeling among health agencies and some media outlets is that the spread really may be losing some of its steam.

The European Union, as well as some experts in North America, says that a pandemic might be inevitable, but they doubt the number of deaths will be high. Swine flu, or North American H1N1 Flu, is effectively treatable with antivirals available today. Mexico, USA, Canada, Australasia and Western Europe say they have plenty of antiviral stocks to protect their populations.
Below is the total number of swine flu cases and deaths around the world so far:

* Mexico
168 suspected deaths (less than a third of them confirmed so far)
Approximately 2000 to 2,500 suspected cases

* US
1 death
109 confirmed cases (at least)

* New Zealand
No deaths
4 confirmed cases and 12 probable cases

* Canada
No deaths
34 confirmed cases

* UK
No deaths
8 confirmed cases

* Spain
No deaths
13 confirmed cases

* Germany
No deaths
4 confirmed cases

* Israel
No deaths
2 confirmed cases

* Costa Rica
No deaths
2 confirmed cases

* Austria
No deaths
1 confirmed case

* The Netherlands (Holland)
No deaths
1 confirmed case

* Switzerland
No deaths
1 confirmed Case

Confirmed cases of secondary transmission (the infected person caught it from another person in the same country) have been reported it the USA, Canada, Spain, and Germany.

May 02
Egypt's Pig Cull Not A Swine Flu Measure Says Government
A spokesman for the Egyptian health ministry said on Thursday that the decision to cull quarter of a million pigs was not a measure against swine flu but a general health measure.

"The authorities took advantage of the situation to resolve the question of disorderly pig rearing in Egypt," health ministry spokesman Abdelrahman Shahine told Agence France-Presse (AFP).

The World Health Organization's move to put the pandemic alert to phase 5 confirms that the situation is not a pig problem but a human problem, he added. The government is calling the decision a "general health measure" rather than a measure to fight swine flu.

So far no cases of the new virus, which has hit 11 other countries, have been reported in Egypt. However, Egypt does have experience of avian flu, a much deadlier strain that has killed 22 people in Egypt between 2004 and 2008.

The World Organization for Animal Health OIE said it was "inappropriate" to cull pigs as a precaution against the new flu virus and countries should instead focus their efforts on increasing surveillance and strengthening biosecurity.

"The OIE advises members that the culling of pigs will not help to guard against public or animal health risks presented by this novel A/H1N1 influenza virus and such action is inappropriate," said the OIE in a statement reported by Reuters.

The United Nations' Food and Agriculture Organization (FAO) agrees. Both organizations are urging countries to stop using the term "swine flu" to describe the new virus.

The vast majority of Egyptians are Muslims and don't eat pork for religious reasons. However, about 10 per cent of Egyptians are Coptic Christians, and so are most of the pig farmers, many of whom live in Cairo slums inhabited mostly by Christian garbage collectors. The pigs feed on the garbage.

The Egyptian agriculture ministry's head of infectious diseases, Saber Abdel Aziz Galal told AFP that the government wants to restructure pig farming so that it takes place on "good farms, not on rubbish". At the moment the pigs live with "dogs, cats, rats, poultry and humans, all in the same area with rubbish," he said, explaining that the goverment wants to build new farms in special areas, like they have in Europe.

"Within two years the pigs will return, but we need first to build new farms," he said.

The move has angered many of the pig farmers, and several of them in Cairo told the press that this latest move was yet another example of resentment against Christians by Egypt's Muslims. According to the New York Times, last year there were several violent incidents, including the kidnapping and beating of monks.

There was at least one violent clash on Thursday when farmers threw stones at veterinary agents who came to collect some pigs.

While some slaughtering started on Thursday, Agriculture Minister Amin Abaza said that the mass cull would begin in earnest on Saturday.

According to AFP, the middle east news agency MENA reported that Abaza said it will take about a month to kill all the pigs. The culling will take place in special slaughterhouses that have been checked for swine flu, he added.

The health ministry will also start monitoring the health of 34,000 rubbish collectors, particularly those working near pig farms, said the MENA report.

A New York Times report describes the day to day life of one of the pig farmers, 26-year-old Barsoum Girgis who lives in a poor neighbourhood outside Cairo. Girgis lives on the first two floors of a building, with his extended family of 30 people. He has 60 pigs on the ground floor.

Girgis has two professions: garbage collection and pig farming. This is not unusual in a city where poor farmers rely on garbage to feed their stock. Girgis gets up at 4 am, goes to the city to collect garbage, gets back about 9 am, and sorts the garbage into what he can feed his pigs and what he can sell as scrap.

Girgis told the New York Times that he was worried about how he was going to feed his family and send his children to school if the government took away his livelihood.

It is not clear if the government will be compensating the pig farmers. Galal told AFP that at first they would just be getting the animals back as meat and there would be talks about compensation later.

Other media have mentioned amounts in the region of 1,000 Egyptian pounds, (about 180 US dollars) per farmer.

In the meantime armed police are stationed outside some of Cairo's pig farming areas, to stop pig farmers trying to smuggle out and hide their pigs, as one farmer with 300 pigs tried to do on Wednesday.

Egypt reported 22 deaths during the bird flu outbreaks between 2004 and 2008, and although the new flu is not the deadly H5N1 strain, but a variation of the H1N1 strain that causes seasonal flu in humans every year, it does contain genetic material from human, bird and pig flu viruses, and thus must have circulated in pigs at some stage in its history.

Pigs are a well known source of health risks for humans, and while in this case it appears that the risk of becoming infected with the new strain of "swine flu" is not linked to pigs, there is evidence that some diseases are, and this may well be one of the reasons behind the Egyptian government's decision to reorganize the country's pig industry.

For example, a study published in the June 2008 issue of Clinical Microbiology and Infection, noted that screening of Dutch pig farmers and pigs found that over 20 per cent of the farmers and nearly 40 per cent of slaughterhouse pigs tested positive for an unusual strain of MRSA (methicillin-resistant Staphylococcus aureus) belonging to a sequence type that has caused human infections in several European countries, Canada and Singapore.

The study concluded that:

"A concerted effort on the part of clinicians, infection control practitioners and veterinarians will be required to prevent further spread of this novel strain of MRSA."

Apr 28
Instead Of Fighting Breast Cancer, Immune Cell Promotes Its Spread
Researchers at the UC San Diego School of Medicine and the Moores UCSD Cancer Center have new evidence that a type of immune system cell thought to be part of the first line of defense against breast cancer may also help promote its spread. They have found that when these cells, known as lymphocytes, make an inflammatory protein called RANKL (RANK ligand), breast cancer is more likely to spread to the lungs.

They have also shown that blocking a cascade of cellular signals that follow RANKL's docking to its receptor (RANK) on tumor cells can halt cancer progression, or metastasis, and may be a possible target for drug therapy.

The scientists, led by first author Wei Tan, PhD, a postdoctoral fellow in the Department of Pharmacology at the UC San Diego School of Medicine and Michael Karin, PhD, professor of pharmacology in UCSD's Laboratory of Gene Regulation and Signal Transduction, say that the findings establish RANKL as a potential marker that can be used to help determine breast cancer prognosis and adds further proof to the potentially important role of inflammation in cancer development and spread. They reported their findings April 22, 2009 at the AACR 100th Annual Meeting 2009 in Denver.

According to Tan, the role of lymphocytes in breast cancer progression has been controversial for the last 20 years. Such cells are supposed to detect and eliminate cancer cells, but paradoxically, the infiltration of lymphocytes such as B cells and T cells into breast cancer is sometimes an indicator of poor prognosis, including cancer recurrence and metastasis. RANKL has been shown in previous studies to be an important inflammatory protein that can lead to bone loss by activating cells that help break down bone. Along with another protein, IKK alpha, it has been implicated both in tumor formation and metastasis.

The researchers created two types of mice that developed breast tumors. One group had lymphocytes in the tumors and expressed RANKL while the other group did not. They found that the group lacking RANKL had significantly fewer lung metastases than those mice with RANKL. They then took tumor cells from both types of mice and injected them into mice with the same genetic background to avoid rejection and monitored the ability of the mice to form tumors and metastases to the lung.

The researchers didn't find any lung tumor metastases in mice without lymphocytes. Yet, when RANKL was injected into the animals, the same potential for the cancer to spread was restored, indicating that the lymphocytes, which make RANKL, are critically important to the process.

"Without lymphocytes, there is no metastasis," said Tan. "If we treat the mice with RANK ligand, there are metastases, which indicate that RANK ligand can compensate for the function of lymphocytes."

The study establishes the role of RANKL-expressing lymphocytes as a promoting factor in breast cancer metastasis and provides a potentially good marker for breast cancer prognosis, the researchers said.

Tan noted that additional experiments showed that blocking both RANKL and IKK alpha in those breast tumor cells inhibited lung metastases. "More importantly," he said, "blocking the signaling pathway downstream of RANKL blocks primary metastasis and can potentially be developed as a treatment strategy."

Results such as these are helping to change the thinking about inflammation and cancer. "In general, we used to think that inflammation in the immune response is a part of the host defense against the tumor, but now we think that there are different kinds of inflammation," Tan said. "For example, T-helper cells can activate an anticancer response, but can also promote a separate tumor promoting response. In this study, if we target the host pro-tumor inflammation and immune response, we can also reduce tumor metastasis and are very likely to develop a therapy that is more effective."

Browse Archive