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Jul 18
Gene therapy used to create 'biological pacemaker'
A study has revealed a minimally invasive gene transplant procedure that changes unspecialized heart cells into "biological pacemaker" cells that keep the heart steadily beating.

Eduardo Marban, the lead researcher, Cedars-Sinai Heart Institute, said that they have been able, for the first time, to create a biological pacemaker using minimally invasive methods and to show that the biological pacemaker supports the demands of daily life and that, they are also are the first to reprogram a heart cell in a living animal in order to effectively cure a disease.

He further explained that originally, they thought that biological pacemaker cells could be a temporary bridge therapy for patients who had an infection in the implanted pacemaker area, but, these results shows that with more research, they might be able to develop a long-lasting biological treatment for patients.

These laboratory findings could lead to clinical trials for humans who have heart rhythm disorders but who suffer side effects, such as infection of the leads that connect the device to the heart, from implanted mechanical pacemakers.

Eugenio Cingolani, MD, the director of the Heart Institute's Cardiogenetics-Familial Arrhythmia Clinic, said that in the future, pacemaker cells also could help infants born with congenital heart block.

According to Shlomo Melmed, dean of the Cedars-Sinai faculty, this work by Dr. Marban and his team heralds a new era of gene therapy, in which genes are used not only to correct a deficiency disorder, but to actually turn one kind of cell into another type.

This study is published in the print edition of the peer-reviewed journal Science Translational Medicine.

Jul 18
Being overweight may be better for your heart
Being overweight may protect people from cardiovascular mortality, researchers, including one of Indian-origin, have claimed.

High body mass index (BMI) is associated with multiple cardiovascular diseases. However, emerging data suggest that there is an "obesity paradox" - that being overweight may actually protect patients from cardiovascular mortality.

Investigators have confirmed that the risk of total mortality, cardiovascular mortality, and myocardial infarction is highest among underweight patients, while cardiovascular mortality is lowest among overweight patients, according to two reports published in the journal Mayo Clinic Proceedings.

Abhishek Sharma, Cardiology Fellow at the State University of New York Downstate Medical Center in Brooklyn, New York, and colleagues conducted a meta-analysis of 36 studies.

They determined that low BMI (less than 20 kg/m2) in tens of thousands of patients with coronary artery disease who underwent coronary revascularisation procedures was associated with a 1.8- to 2.7-fold higher risk of myocardial infarction and all-cause and cardiovascular mortality over a mean follow up period of 1.7 years.

Conversely overweight and obese patients had more favourable outcomes. Cardiovascular mortality risk was lowest among overweight patients with a high BMI (25-30 kg/m2) compared to people with a normal BMI (20-25 kg/m2).

In obese and severely obese patients with a BMI in the 30-35 and over 35 kg/m2 range, all-cause mortality was 27 per cent and 22 per cent lower than people with normal BMI.

"At this stage we can only speculate on the reasons for this paradox. One explanation may be that overweight patients are more likely to be prescribed cardioprotective medications such as beta blockers and statins and in higher doses than the normal weight population," Sharma said.

In the second study, investigators led by Carl Lavie, Medical Director of Cardiac Rehabilitation and Preventative Cardiology at the John Ochsner Heart & Vascular Institute, Ochsner Clinical School, at the University of Queensland School of Medicine in New Orleans examined the "obesity paradox" from another perspective.

They evaluated the effects of body composition as a function of lean mass index (LMI) and body fat (BF) on the correlation between increasing BMI and decreasing mortality.

They estimated BF and LMI in nearly 48,000 people with a preserved left ventricular ejection fraction of more than 50 per cent and examined the survival advantages of obesity across strata of these body compositions.

This large observational study showed that higher lean body mass was associated with 29 per cent lower mortality, and while higher fat mass also exhibited survival benefits, this advantage disappeared after adjustment for lean body mass, suggesting that non-fat tissue bears the primary role in conferring greater survival.

Jul 17
Daily fish oil boosts memory function in older adults
A new study suggests that including oily fish like salmon and trout or fish oil supplements in one's diet can significantly improve memory in older adults.

It is believed that DHA found in fish oil supplements could be key in preventing Alzheimer's disease, one of the most common forms of dementia.

Researchers at Rhode Island Hospital examined the relationship between fish oil supplements during the US Alzheimer's Disease Neuroimaging Initiative (ADNI) and indicators of cognitive decline.

In this retrospective study, older adults were assessed with neuropsychological tests and brain magnetic resonance imaging (MRI) every six months.

The group included 229 older adults who were cognitively normal; 397 who were diagnosed with mild cognitive impairment; and 193 with Alzheimer's disease (AD).

The study found that fish oil supplement use was associated with significantly lower rates of cognitive decline and brain atrophy in older adults.

"Participants with normal cognition who reported taking fish oil supplements demonstrated less brain shrinkage in key neurological areas, compared to those who did not use the supplements," explained principal investigator Lori Daiello from Rhode Island Hospital.

The findings were published online in the journal Alzheimer's & Dementia.

Jul 17
Late nights can harm fertility in women
Expectant moms or women who are trying to get pregnant should avoid light during the night, according to a new research.

Darkness is important for optimum reproductive health in women, and for protecting the developing foetus, said study researcher Russel J Reiter, a professor of cellular biology at the University of Texas Health Science Center in San Antonio.

In a review of studies published in the journal Fertility and Sterility, Reiter and his colleagues evaluated previously published research, and summarised the role of melatonin levels and circadian rhythms on successful reproduction in females.

The evidence showed that every time the light at night was turned on, it turned down the production of melatonin, 'Live Science' reported.

Melatonin, a hormone secreted by the pineal gland in the brain in response to darkness, is important when women are trying to conceive, because it protects their eggs from oxidative stress, Reiter said.

"If women are trying to get pregnant, maintain at least eight hours of a dark period at night. The light-dark cycle should be regular from one day to the next; otherwise, a woman's biological clock is confused," he said.

Eight hours of darkness every night is also optimal during pregnancy, and ideally, there should be no interruption of night time darkness with light, especially during the last trimester of a pregnancy, Reiter said.

Turning on the light at night suppresses melatonin production in women, and means the foetal brain may not get the proper amount of melatonin to regulate the function of its biological clock, he said.

Jul 16
New oral medication may help cure blindness: Study
Scientists have revealed that a new oral medication is showing significant progress in restoring vision to patients with Leber congenital amaurosis (LCA).

According to scientists of Research Institute of the McGill University Health Centre (RI-MUHC), this is the first time that an oral drug has improved the visual function of blind patients with LCA, which causes visual impairment ranging from reduced vision to complete blindness, has remained untreatable.

Robert Koenekoop, director of McGill Ocular Genetics Laboratory at The Montreal Children's Hospital of the MUHC, said that this treatment is giving hope to many patients who suffer from this devastating retinal degeneration.

The study involved 14 participants from around the world with LCA ranging in age from 6 to 38 years old. Their blindness was caused by either mutations in the genes RPE65 or LRAT, leading to a serious defect in the retinoid cycle. The retinoid cycle is one of the most important cycles in the human retina because it produces a molecule called 11-cis retinal which has the special capacity to capture light and initiate vision. Patients with RPE65 or LRAT mutations cannot produce this crucial molecule thus the retinal cells cannot create vision, and slowly die.

The study found that 10out of the 14 patients expanded their visual fields; others improved their visual acuity. The research team performed special brain scans of the visual cortex, which showed marked improvements in brain activities in patients who also improved in field size and acuity.

The study was published in the scientific journal The Lancet.

Jul 16
Scorching summer may trigger kidney stone attacks
Hot and humid days may bring more kidney stones as higher temperatures contribute to dehydration that leads to a higher concentration of calcium in the body that promote the growth of kidney stones.

In a study involving 60,000 patients in the US, researchers found that as daily temperatures rose, there was a rapid increase in the number of patients seeking treatment for kidney stones.

"The findings point to potential public health effects associated with global climate change," said Gregory E. Tasian, a pediatric urologist and epidemiologist at the Children's Hospital of Philadelphia (CHOP).

It is likely that higher temperatures increase the risk of kidney stones in those people predisposed to stone formation.

The delay between high daily temperatures and kidney stone presentation was short, peaking within three days of exposure to hot days, the study added.

The team found that as frigid weather keeps people more in indoors, higher indoor temperatures, changes in diet and decreased physical activity may raise their risk of kidney stones.

The authors note that increase in greenhouse gas emissions are projected to raise earth's average temperatures by 1 to 4.5 degrees Celsius by 2100.

"Kidney stone prevalence has already been on the rise over the last 30 years, and we can expect this trend to continue as daily temperature increase," Tasian noted.

The paper was published in the journal Environmental Health Perspectives.

Jul 15
Isotonic drinks do not improve sports performance: Study
Isotonic beverages that soccer players and other sportsmen usually drink during breaks in matches do not improve their performance in the second half, media said Friday, quoting a scientific study.

The conclusion was drawn from an experiment led by Michael Kingsley of the Australian La Trobe University analysing the effectiveness of sports drinks in maintaining blood glucose levels of top players, local channel ABC reported.

In the study, published in the Journal of Athletic Training, Kingsley and his colleagues showed that these beverages have no impact on blood glucose levels during breaks between performances.

On the contrary, they cause a rapid decrease in blood glucose levels which are key to maintaining the strength of athletes.

Kingsley said the finding is important because it can help counteract the decline in the activity of players during the second half of matches, which is when most goals occur due to errors in the defence.

"Our mind requires glucose to operate" and, therefore, needs a continuous supply, explained Kingsley.

He also stressed that less glucose in the blood can also influence the decisions of players.

Previous research had revealed that a fall in glucose levels can have a potentially negative influence on motor and cognitive functions vital to performance in sports like soccer.

The research team is examining at present whether it is possible to vary the composition of isotonic beverages and determine the right time to drink them.

Jul 15
How good gut bacteria respond to infection
In what could help better treat and prevent gastrointestinal infection, researchers have used unique computational models to show how infection can affect bacteria that naturally live in our intestines.

"Our gut contains ten times more bacterial cells than there are human cells in our body," said Lynn Bry from Brigham and Women's Hospital in the US.

"The behaviour of these complex bacterial ecosystems when under attack by infection can have a big impact on our health," Bry added.

Researchers developed novel computer algorithms to analyse the different stages of infection when a pathogen known as Citrobacter rodentium, which causes disease in mice similar to food-poisoning in humans, was introduced into the guts of mice.

They generated a two-month time-series of the population levels of bacteria throughout multiple sites in the intestine.

The computational framework, known as Microbial Counts Trajectories Infinite Mixture Model Engine, was used to identify dynamic changes within the complex communities of bacteria in the gut associated with infection and inflammation.

The researchers observed many disruptions in the normal bacteria at different locations in the gut during the infection.

For instance, they discovered a microbial signature in the colon involving species belonging to the genus Mucispirillum that showed decreases early in infection before the onset of symptoms.

"From a clinical perspective, these new microbial signatures we identified could help clinicians detect early stages of inflammation or subtle persistent disease in patients with gastrointestinal disorders, such as inflammatory bowel disease," Bry added.

The study was published in the journal in PLOS ONE.

Jul 12
First Dengue vaccine shows moderate improvement in phase 3 trial
The first dengue vaccine candidate (CYD-TDV) has shown moderate protection (56 percent) against the disease in Asian children in phase 3 clinical testing, according to a new research.

The vaccine also showed 88.5 percent efficacy after 3 doses against severe disease (dengue haemorrhagic fever) which leads to hospitalisation for over half a million people (mostly children) every year, and 67 percent against dengue-associated hospitalisation.

Dr Maria Rosario Capeding, lead author from the Research Institute for Tropical Medicine in the Philippines, said that their results suggest that vaccination with CYD-TDV could reduce the incidence of symptomatic dengue infection by more than half and importantly reduced severe disease and hospitalisations. This candidate vaccine had the potential to have a significant impact on public health in view of the high disease burden in endemic countries.

Professor Annelies Wilder-Smith from Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore said that perhaps the most interesting finding of this trial was that efficacy after at least one dose was almost as high as that after three dose because three doses 6 months apart was an inconvenient and costly immunisation schedule for scale up in national programmes, the question of whether sufficient efficacy could be achieved with a lower number of doses deserves further assessment.

Smith added that for the moment, the CYD-TDV vaccine was the best they had, however, with 56percent efficacy it would never be a single solution.

The study is published in The Lancet.

Jul 12
Weather doesn't cause low back pain, say scientists
Aussie scientists have shunned the belief that low back pain are linked to weather conditions such as temperature, humidity, air pressure, wind direction and precipitation.

As per to the World Health Organization (WHO), nearly everyone experiences low back pain at some point in their life, making it the most prevalent musculoskeletal condition and affecting up to 33 percent of the world population at any given time. Those with musculoskeletal (bone, muscle, ligament, tendon, and nerve) pain report that their symptoms are influenced by the weather. Previous studies have shown that cold or humid weather, and changes in the weather increase symptoms in patients with chronic pain conditions.

Dr. Daniel Steffens form the University of Sydney said that patients believe that weather impacts their pain symptoms, but there were few robust studies investigating weather and pain, specifically research that does not rely on patient recall of the weather.

For the present case-crossover study, 993 patients seen at primary care clinics in Sydney were recruited between October 2011 and November 2012. Weather data from the Australian Bureau of Meteorology were sourced for the duration of the study period. Researchers compared the weather at the time patients first noticed back pain (case window) with weather conditions one week and one month before the onset of pain (control windows).

Results showed no association between back pain and temperature, humidity, air pressure, wind direction or precipitation. However, higher wind speed and wind gusts did slightly increase the chances of lower back pain, but the amount of increase was not clinically important.

Dr. Steffens concluded that their findings refute previously held beliefs that certain common weather conditions increase risk of lower back pain.

The study is published in the journal of the American College of Rheumatology, Arthritis Care and Research.

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