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May 16
Sugar may singularly be culprit behind heart diseases
Researchers have uncovered evidence that sugar has a direct effect on risk factors for heart disease, and is likely to impact on blood pressure, independent of weight gain.

Research Fellow with Otago's Department of Human Nutrition Dr Lisa Te Morenga, Professor Jim Mann and colleagues have conducted a review and meta-analysis of all international studies that compared the effects of higher versus lower added sugar consumption on blood pressure and lipids (blood fats or cholesterol) - both of which are important cardiovascular risk-factors.

They located dietary intervention trials published in English-speaking journals between 1965 and 2013, comparing diets where the only intended differences were the amount of sugars and non-sugar carbohydrates consumed by the participants, and which measured the effects of these diets on lipids and blood pressure.

They found 37 trials reporting effects on lipids and 12 reporting effects on blood pressure. The findings from the individual trials were then pooled to determine the overall effects from all the studies.

Dr Te Morenga says previous research showed that there did not appear to be any special metabolic effect of sugars making people more likely to gain weight on high-sugar diets compared with low sugar diets when the total amount of carbohydrates and energy remains the same.

The research has been published online in the American Journal of Clinical Nutrition.

May 16
US doctors eradicate cancer with measles vaccine
A 49-year-old US woman with advanced bone marrow cancer called multiple myeloma is effectively cancer-free after receiving an experimental trial that injected her a single dose of an engineered measles vaccine, a study said.

The patient, with tumors all over her body, including a three-cm-diametre one on her forehead, experienced complete remission of myeloma and has been clear of the disease for over six months, Xinhua reported citing the study published in Mayo Clinic Proceedings.

A second patient, a 65-year-old woman, did not respond as well to the virus treatment that is selectively toxic to myeloma plasma cells, researchers said.

However, high-tech imaging studies "provided a clear proof" that the intravenously administered virus specifically targeted the sites of tumor growth.

The researchers said the trial is a "proof of concept" that virotherapy, destroying cancer with a virus that infects and kills cancer cells but spares normal tissues, can be effective against the deadly cancer multiple myeloma.



"This is the first study to establish the feasibility of systemic oncolytic virotherapy for disseminated cancer," Mayo Clinic hematologist Stephen Russell, first author of the paper and co-developer of the therapy, said in a statement.

"These patients were not responsive to other therapies and had experienced several recurrences of their disease."

Virotherapy has a history dating back to the 1950s, according to the Mayo Clinic, and thousands of cancer patients have been treated with a host of various viruses.

"However, this study provides the first well-documented case of a patient with disseminated cancer having a complete remission at all disease sites after virus administration."

It was noted that both patients were studied at the highest possible dose of the therapy.

Both women also had limited previous exposure to measles, and therefore fewer antibodies to the virus, and essentially had no remaining treatment options.

The researchers said their next step is to see if the measles vaccine works in a larger number of patients. They also want to test the effectiveness of the virotherapy in combination with radioactive therapy in a future study.

May 15
Antidepressants may slow plaque buildup seen in Alzheimer's
Scientists reported Wednesday more evidence that a certain antidepressant may cut the development of brain plaque implicated in Alzheimer`s disease, this time by studying young people without dementia.

The antidepressant citalopram lowered by 37 percent the amount of amyloid beta, the main ingredient in brain plaques, in a selection of 23 healthy adults aged 18-50.

The findings were published in the journal Science Translational Medicine.

Citalopram, a common selective serotonin reuptake inhibitor (SSRI) that was approved for the US market in 1998, also stopped the growth of existing brain plaques in mice with a model of Alzheimer`s disease and cut new plaque growth 78 percent.

Previous research has found some elderly people who have taken antidepressants also have less amyloid plaque than people who have not taken the mood-enhancing drugs.

Still researchers cautioned that they have not yet found evidence of a cause and effect.

"We are a long way from making a statement regarding the ability of SSRIs to prevent the cognitive decline associated with AD," said lead author Yvette Sheline, professor of psychiatry, radiology and neurology at the University of Pennsylvania.

The patients in this study were followed for a 24 hour period. Future research will focus again on elderly people who take antidepressants, and follow them for a two-week period.

"If we see a drop in levels of amyloid beta in their spinal fluid after two weeks, then we will know that this beneficial reduction in amyloid beta is sustainable," Sheline said.

Alzheimer`s disease affects five million people in the United States, where it is the sixth leading cause of death.

The number of people with Alzheimer`s is expected to grow in the coming decades as population expands and more people live to old age.

May 15
Extreme use of cellphones may increase brain cancer risk
A new study has revealed that people who use phones excessively are highly prone to brain cancer.

The findings show that the people who used cellphones for more than 15 hours each month over five years on an average presented high risk of developing glioma and meningioma tumours in comparison with people who used their phone rarely, News24.com reported.

However, the study also recognized that it is hard to observe the effects of cell phones due to constant advancement in the field of technology.

The study appeared in the British journal Occupational and Environmental Medicine.

May 14
E-ciggies 'expose people to more than harmless vapor'
Researchers have found that industry claims about the e-cigarettes are unsupported by the evidence to date and that they may be exposing people to more than harmless vapor.

The study also disapproved claims that said e-cigarettes help smokers quit.

The review marks the first comprehensive assessment of peer-reviewed published research into the relatively new phenomenon of electronic cigarettes.

The devices, which are rapidly gaining a foothold in popular culture particularly among youth, are marketed as a healthier alternative to tobacco smoking, as an effective tool to stop smoking, and as a way to circumvent smoke-free laws by allowing users to "smoke anywhere." Often the ads stress that e-cigarettes produce only "harmless water vapor."

But in their analysis of the marketing, health and behavioral effects of the products, which are unregulated, the UCSF scientists found that e-cigarette use is associated with significantly lower odds of quitting cigarettes.

They also found that while the data are still limited, e-cigarette emissions "are not merely 'harmless water vapor,' as is frequently claimed, and can be a source of indoor air pollution."

The long-term biological effects of use are still unknown, the authors said.

In tackling the question of whether e-cigarette use is helping or harming the nation's tobacco control efforts, the authors analyzed 84 research studies on e-cigarettes and other related scientific materials.

They concluded that e-cigarettes should be prohibited wherever tobacco cigarettes are prohibited and should be subject to the same marketing restrictions as conventional cigarettes.

The paper has been published in the American Heart Association's journal Circulation.

May 14
Meds can help people with alcohol use disorders cut drinking
Researchers have said that several medications can help people with alcohol use disorders maintain abstinence or reduce drinking.

Daniel Jonas, lead author of the study and professor in the department of medicine and the Cecil G. Sheps Center for Health Services Research, led a team from the RTI-UNC Evidence-based Practice Center to review published studies examining the use of drugs to treat alcohol use disorders.

The researchers conducted a systematic review of 122 randomized controlled trials and one cohort study. They then graded the strength of the evidence on the impact of drugs on alcohol consumption.

They found that two drugs, acamprosate (brand name Campral) and oral naltrexone (brand name Revia), have the best evidence supporting their benefits. Both drugs reduced return to drinking and improved other drinking outcomes. Among medications used off-label (i.e., those not FDA approved for alcohol use disorders), moderate evidence showed improvement in some drinking outcomes for topiramate and nalmefene.

Jonas said the health implications of preventing return to drinking and reducing alcohol consumption are substantial.

He said modeling studies have shown that such improvements would result in significant reductions in alcohol-attributable mortality, costs from health care, arrests and motor vehicle accidents.

The work has been published in the Journal of the American Medical Association ( JAMA ).

May 13
How depression ups heart disease risk
A new study has revealed that depression is one of the major risk factors behind heart risk.

According to Professor Gavin Lambert, National Health and Medical Research Fellow at the Baker IDI Heart and Diabetes Institute, depression is a risk factor that needs to be taken as seriously as any other and it may also exacerbate existing heart disease, Sydney Morning Herald reported.

The study has found that depression can have physiological effect on the heart by increasing the production of a stress hormone called noradrenaline released by the nerves involved in the 'fight or flight' response.

The scientist have found that releasing too much of this hormone over time can damage the blood vessels in a number of different ways, like constricting the blood vessels making them narrower and more easily blocked, raising blood pressure and cause other changes that increase the risk of plaque building up on blood vessel walls and can also trigger inflammation which can make it easier for clots to form.

Lambert's study aims to learn more about this gene and if the use of some anti-depressants (serotonin re-uptake inhibitors or SSRIs) can lower heart disease risk.

May 13
Red wine ingredient no magic pill for health: Study
US researchers may have found a flaw with the "French Paradox," or the notion that people who drink red wine can somehow avoid the pitfalls of a high-fat diet.

A study out Monday found that resveratrol -- one of the highly touted antioxidants in red wine -- did not help people live longer.

Nor did it help people avoid cancer or heart disease, according to the research published in JAMA Internal Medicine, a journal of the American Medical Association.

"This study suggests that dietary resveratrol from Western diets in community-dwelling older adults does not have a substantial influence on inflammation, cardiovascular disease, cancer, or longevity," said the research, led by Richard Semba of the Johns Hopkins University School of Medicine.

Research on animals has suggested resveratrol, a polyphenol also found in some Asiatic plant roots as well as peanuts and berries, may wield beneficial health effects.

Although not proven in human studies, those findings have contributed to a $30 million per year market for resveratrol supplements in the United States alone, researchers said.

The latest study was based on measures of resveratrol levels in the urine of nearly 800 people in two small villages in Tuscany, Italy.

Researchers measured their urine for signs of resveratrol, to see if the amounts they were getting through their diet would contribute to improved health.

The subjects were 65 or older when they joined the study in 1998.

In the nine years that followed, 34 percent of those in the study died, and researchers could find no correlation between early death and resveratrol levels.

Nor could they find any significant links between resveratrol levels and the development of cancer or heart disease.

"These data are consistent with other studies that found that the method of alcohol consumption had no effect on outcome or if there is a benefit to red wine it does not appear to be mediated by resveratrol specifically," said Blase Carabello, chair of cardiology at Mount Sinai Beth Israel.

Indeed, some previous research in humans has suggested that resveratrol may not be the cure-all some have hoped, including studies that have shown no impact on blood pressure, metabolism or lipid levels.

"Of course the only way to be certain would be through a randomized trial but the current data lend little support for performing such a trial," added Carabello, who was not involved in the study.

According to Robert Graham, an internist at Lenox Hill Hospital in New York, the "French Paradox" is still a mystery.

"This study is a great example of how difficult it is to examine the role of `the magic bullet` for health and longevity, in this case resveratrol," said Graham, who was not part of the research.

"As the authors mentioned in their study, studying resveratrol in humans is challenging given different rates of metabolism, utilization and excretion among different people," he added.

"The recipe for a longer, healthier life is still being developed."

May 12
Bone marrow stem cells may help treat stroke
Stem cells culled from bone marrow may prove beneficial in stroke recovery, scientists say.

Scientists at University of California - Irvine's Sue & Bill Gross Stem Cell Research Center identified 46 studies that examined the use of mesenchymal stromal cells - a type of multipotent adult stem cells mostly processed from bone marrow - in animal models of stroke.

They found MSCs to be significantly better than control therapy in 44 of the studies.

The effects of these cells on functional recovery were robust regardless of the dosage, the time the MSCs were administered relative to stroke onset or the method of administration.

The cells helped even if given a month after the event and whether introduced directly into the brain or injected via a blood vessel.

"Stroke remains a major cause of disability, and we are encouraged that the preclinical evidence shows [MSCs'] efficacy with ischemic stroke," said neurologist Dr Steven Cramer, clinical director of the Sue & Bill Gross Stem Cell Research Center.

"MSCs are of particular interest because they come from bone marrow, which is readily available, and are relatively easy to culture. In addition, they already have demonstrated value when used to treat other human diseases," Cramer said.

He noted that MSCs do not differentiate into neural cells. Normally, they transform into a variety of cell types, such as bone, cartilage and fat cells.

"But they do their magic as an inducible pharmacy on wheels and as good immune system modulators, not as cells that directly replace lost brain parts," he said.

In an earlier report focused on MSC mechanisms of action, Cramer and colleagues reviewed the means by which MSCs promote brain repair after stroke.

The cells are attracted to injury sites and, in response to signals released by these damaged areas, begin releasing a wide range of molecules.

In this way, MSCs orchestrate numerous activities: blood vessel creation to enhance circulation, protection of cells starting to die, growth of brain cells, etc.

At the same time, when MSCs are able to reach the bloodstream, they settle in parts of the body that control the immune system and foster an environment more conducive to brain repair.

"We conclude that MSCs have consistently improved multiple outcome measures, with very large effect sizes, in a high number of animal studies and, therefore, that these findings should be the foundation of further studies on the use of MSCs in the treatment of ischemic stroke in humans," said Cramer.

The research appears in the journal Neurology.

May 12
Plugging leaky blood vessels to prevent vision loss
Diabetic patients who often face threat of vision loss in their old age may heave a sigh of relief as researchers have now developed a new drug approach to treat retinopathy or retina degeneration associated with growth of malformed blood vessels in the eye.

The growth of malformed blood vessels that can burst is a leading cause of vision loss in many parts of the world, but the newly developed bio-engineered compound could offer a safer method to plug the leaky vessels.

Called "sticky-trap," the therapeutic shuts down tiny deformed blood vessels in the eye without affecting healthy vessels in other sites of the body.

"Sticky-trap", which can be injected into the eye, includes a binding component that attaches to the surface of cells, ensuring that it remains in place and is stable, as well as the biologically active component.

"That is important when a treatment involves injection directly into a diseased tissue," said Iacovos Michael, a post-doctoral fellow who works in the laboratory of Andras Nagy, a professor at the University of Toronto in Canada.

The researchers found the compound safe and effective when treating retinopathy in mice.

The compound is stable and lasts for long once in the eye.

Once it gets into circulation, it quickly inactivates - ensuring that it does not affect other blood vessels, tissues and organs.

Patients with diabetic retinopathy are losing vision because blood vessels in their eyes overgrow, become deformed and burst, often tearing the retina in the process.

Drugs that suppress the excess vessel formation in the eye could negatively affect healthy organs if they escape into the blood, causing kidney function problems, poor wound healing and hypertension, said Toronto university professor Andras Nagy.

Retinopathy and retina degeneration are associated with premature birth, with diabetes and with increasing age.

The study appeared in the journal EMBO Molecular Medicine.

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