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Nov 05
New target for diabetes treatment
Researchers have identified a hormone produced and secreted by the liver as a previously unknown cause of insulin resistance.

The discovery may be a new target for the treatment of insulin resistance and type 2 diabetes.

"The current study sheds light on a previously underexplored function of the liver; the liver participates in the pathogenesis of insulin resistance through hormone secretion," said Hirofumi Misu of Kanazawa University in Japan.

The researchers had discovered earlier that genes encoding secretory proteins are abundantly expressed in the livers of people with Type 2 diabetes.

Now, the researchers reported the results of comprehensive gene expression analyses, revealing that the liver expresses higher levels of the gene encoding selenoprotein P (SeP) in people with type 2 diabetes who are more insulin resistant.

Further studies in mice added support to the notion that the connection between SeP and insulin resistance is causal. When the researchers gave normal mice SeP, they became insulin resistant and their blood sugar levels rose.

A treatment that blocked the activity of SeP in the livers of diabetic and obese mice improved their sensitivity to insulin and lowered blood sugar levels.

Misu said that SeP was known previously as a protein produced mainly in the liver, where it transports the essential trace element selenium from the liver to other parts of the body.

But the protein's clinical significance and, more specifically, its role in glucose homeostasis weren't known.

In the development of insulin resistance, the researchers don't think SeP acts on its own.

"Our study raises the possibility that the liver functions as an endocrine organ by producing a variety of hepatokines and that the dysregulation or impairment of hepatokine production might contribute to the development of various diseases," said the researchers.

The findings were published in the Cell Metabolism .

Nov 04
Autism study reveals how genetic changes rewire the brain
Scientists have demystified how genetic variants rewire the brain and it could help in finding therapies for rebalancing the brain's circuitry in early development.

Using a blend of brain imaging and genetic detective work, the discovery of the scientists at the University of California has offered the missing physical evidence that links altered genes to modified brain function and learning.

"This is a key piece of the puzzle we've been searching for. Now we can begin to unravel the mystery of how genes rearrange the brain's circuitry not only in autism, but in many related neurological disorders." said co-principal investigator Daniel Geschwind.

The UCLA team scrutinized the differences in brain connectivity and function that result from two forms of the CNTNAP2 gene, one of which boosts risk for autism.

Suspecting that CNTNAP2 might influence brain activity, the researchers used functional magnetic resonance imaging (fMRI) to scan the brains of 32 children as they performed learning-related tasks. Half of the children had autism, and half did not.

Regardless of their diagnosis, the children carrying the risk variant showed a disjointed brain. The frontal lobe was over-connected to it and poorly connected to the rest of the brain. Communication with the back of the brain was particularly diminished.

"In children who carry the risk gene, the front of the brain appears to talk mostly with itself," explained first author Ashley Scott-Van Zeeland, of the Scripps Translational Science Institute.

"It doesn't communicate as much with other parts of the brain and lacks long-range connections to the back of the brain," said Zeeland.

Depending on which CNTNAP2 version the child carried, the researchers also observed a difference in connectivity between the left and right sides of the brain. In most people, the left side processes functions tied to language, like speech and understanding.

In the children with the non-risk gene, communication pathways in the frontal lobe linked more strongly to the left side of the brain.

By enhancing understanding of the relationship between genes, the brain and behavior, the UCLA finding could lead to earlier detection for autism, and new interventions to strengthen connections between the frontal lobe and left side of the brain.

"If we determine that the CNTNAP2 variant is a consistent predictor of language difficulties, we could begin to design targeted therapies to help rebalance the brain and move it toward a path of more normal development," said Zeeland.

The findings were published in the online edition of Science Translational Medicine. (ANI)

Nov 03
Snacking on almonds may boost immunity--study
A key ingredient to most Indian delicacies, almond might be effective in guarding against common viral infections like common cold and flu along with reducing inflammation, a recent study has revealed.

Researchers have found that the naturally occurring chemicals present in the almond skin might prove beneficial in fending off viral infections and boosting immune system [complex network of specialized cells and organs that work together to defend the body against attacks by ] altogether.

According to the findings published in the journal 'Immunology Letters,' these compounds may improve the ability of body's fighter cells or white blood cells to counteract foreign bodies like viruses.

It does so by increasing one's ability to obstruct viruses from replicating and spreading throughout the body.

The study also found that even after digestion of the nut, it was able to trigger immune response against invading microorganisms, the Reuters Health reported on Tuesday.

Study details and findings
For the study purpose, researchers from the Institute of Food Research in Norwich and the Policlinico Universitario in Messina, Italy tested the effect of almond skin extract on immunological compounds released by cells infected or not infected with genital herpes [a sexually transmitted disease caused by the herpes simplex virus] virus HSV-2.

Herpes Simplex Virus 2 is a sexually transmitted virus which is difficult-to-treat due to its ability to trick the immune system by dampening down the body's inflammatory response.

"The addition of natural almond skins to the cells led to a significant decrease in HSV-2 replication, whereas other extracts did not significantly influence the replication of the virus," the study authors stated.

Study presenter Dr. Giuseppina Mandalari said that almonds may have a "helpful impact on the treatment of infective and chronic diseases" and "are able to stimulate the immune response and thus contribute to an antiviral immune defence."

On the other hand, blanched almonds, where almond skin is removed by boiling in water, were found to have a lesser effect on the immune system.

More research needed
Though researchers are not clear as to which compounds in the almond skin possess antiviral activity, but propose that it could be polyphenols.

Dr Martin Wickham, who was also involved in the study at the Institute of Food Research, said, "It is an area of huge interest to find natural alternatives that will have an antiviral activity.

"Nutritional guidelines recommend eating around three ounces a day to benefit from the fibre and other nutritional components in almonds, but we have still to do the work to see whether this would be enough to have an antiviral affect.

"This was just an initial study to find out if almond skins have this antiviral activity.

"The herpes simplex virus is a very good model of viral infection
because it is known to evade the immune system, so because the almonds had an impact on this virus, it is fair to assume that it will have an impact on other viruses," Wickham added.

Nov 02
Low-dose aspirin reduces colon cancer risk--study
Small doses of aspirin, often taken to cut the risk of a heart attack, also reduce the probability of developing colon [The part of the large intestine that runs from the cecum to the rectum as a long hollow tube that serves to remove water from digested food and let the remaining material, solid waste called stool, move through it to the rectum and leave the body through the anus. ] cancer [abnormal cells that divide without control, which can invade nearby tissues or spread through the bloodstream and lymphatic system to other parts of the body. ] , British researchers reported on Thursday.

Low doses of aspirin, a Nonsteroidal anti-inflammatory drug (NSAID), can cut down the risk of colorectal cancer [abnormal cells that divide without control, which can invade nearby tissues or spread through the bloodstream and lymphatic system to other parts of the body. ] by a quarter while that of colon [The part of the large intestine that runs from the cecum to the rectum as a long hollow tube that serves to remove water from digested food and let the remaining material, solid waste called stool, move through it to the rectum and leave the body through the anus. ] cancer deaths by a third.

"Our study shows NSAIDs target stem cells that have accumulated mutations that could lead to cancer development, and initiate a biochemical pathway that makes those cells undergo programmed cell death, a process called apoptosis," Dr. Zhang, Ph.D., associate professor, Department of Pharmacology and Chemical Biology, Pitt School of Medicine, and UPCI, said.

Earlier studies have revealed that high doses of the drug can highly decline the risk of developing colon cancer as well as polyps, minor growths that might later turn into cancer.

However, high doses might act dangerous for some, leading to fatal bleeding in the stomach area.

The study details
The study conducted by Peter Rothwell of John Radcliffe Hospital in Oxford and colleagues analyzed 4 different studies from UK and Sweden involving 14000 people.

Half of the participants were taking low-dose aspirin for heart disease on a regular basis.

The researchers then followed the study group for a period of 18 years.

Revelations of the study
By the end of the research, 2.8 percent of the participants had developed colon cancer, the study claims.

Aspirin consumption lead to a 24 percent decline in the 20-year risk of colon cancer and a 35 percent reduction in colon cancer deaths.

"This interesting study would incite clinicians to turn to primary prevention of colorectal cancer by aspirin at least in high risk-populations. Specific guidelines for aspirin chemoprevention would be the next logical step," Dr. Robert Benamouzig and Dr. Bernard Uzzan of Avicenne Hospital in Bobigny, France, wrote in a commentary.

Other medicines like ibuprofen too can reduce the risk of suffering from colon cancer in people taking them on a regular basis.

Patients are advised to get themselves detected for colon cancer using instruments that can detect the disease from inside in some developed nations like United States and Britain.

Advanced procedures like sigmoidoscopy and colonoscopy are applied for a highly comprehensive screening which can produce better accurate results.

The findings have been published in 'The Lancet' medical journal.

Nov 02
Alcohol more dangerous than heroin, cocaine: study
Alcohol is more dangerous than illegal drugs like heroin and crack cocaine, a study by British researchers has found.

The research, by the Independent Scientific Committee on Drugs (ISCD), examined the harm caused by substances including alcohol, tobacco, heroin, crack cocaine and cannabis.

Researchers examined how much each drug harmed an individual and also considered the dangers posed by the drug to wider society, such as economic costs and the impact on crime levels.

Drugs were scored with points out of 100, with 100 assigned to the most harmful drug on a specific criterion.

Heroin, crack cocaine and methamphetamine were found to pose the most danger to an individual, with scores of 34, 37 and 32 respectively.

But when the wider social effects were factored in, alcohol, with an overall score of 72, was judged to be most harmful, followed by heroin at 55, and crack cocaine with a score of 54.

The vice-president of the Australian Medical Association, Dr Steve Hambleton, says the conclusions of the study sound "reasonable".

He says though alcohol has some social benefits, it can have a range of damaging implications for both the individual and society.

"There are medical issues like liver disease, but before that there's relationship breakdown, violence, injury, there's all sorts of social disconnection that impacts on family," he said.

Dr Hambleton says you only have to look as far as today's Melbourne Cup to see the role alcohol plays in Australian society.

"Alcohol is built into our society - it's embarrassingly built into our society. It's part of our social fabric. We don't seem to be able to have a social gathering without having the alcohol come out," he said.

"At the Melbourne Cup, you see all sorts of embarrassing things ... people start drinking at lunchtime and by the evening they're intoxicated and making bad decisions."

The ISCD believes the findings, published online in British medical journal The Lancet, should guide government policy on drugs.

"The findings correlate poorly with present UK drug classification, which is not based simply on considerations of harm," the study said.

"They also accord with the conclusions of previous expert reports, that aggressively targeting alcohol ... is a valid and necessary public health strategy."

Dr Hambleton agrees more can be done to tackle the "binge-drinking culture" through policy.

"One is the volumetric pricing of alcohol for a start, so that each standard drink costs the same and there's not this perverse intention to buy cask wine or cask port, which has a very high level of standard drinks for a cheap price," he said.

"And things like the alcopop legislation didn't go far enough. This harm-minimisation, in some quarters, is too late because the harm is done."

But Dr Hambleton says Australia is starting to build some "anti-alcohol sentiment" back into society.

"Aboriginal Australians are leading the way, in some ways, having alcohol management programs in their communities.

"And I think that's showing leadership from the Aboriginal community that the rest of Australia should have a look at."

Nov 01
Ketamine to be sold only with prescription
Anesthetic drug Ketamine will no longer be available 'over the counter' in India and can be obtained only with a prescription in duplicate. Chemists will have to reta1in the duplicate prescription for two years.

In a drug consultative committee meeting last week, the Drug Controller General of India (DCGI) shifted Ketamine from Schedule H to Schedule X, for which special control measures will have to be taken.

The decision was taken following complaints of its misuse.

"India has become a major Ketamine source for South East Asian countries. The shifting of Ketamine from H to X will help bring this down," said Dr Surinder Singh, DCGI.

Shifting Ketamine would mean an extensive documentation for chemists, including two sets of prescription. Chemists would need a licence from the State Food and Drug Administration to sell it or face punishment.

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