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Mar 26
Exposing kids to germs could make them healthier
Researchers have provided evidence supporting the concept of exposing people to germs at an early age (ie, childhood) to build immunity-dubbed as hygiene hypothesis.

Previous human studies have suggested that early life exposure to microbes (ie, germs) is an important determinant of adulthood sensitivity to allergic and autoimmune diseases such as hay fever, asthma and inflammatory bowel disease.

Medical professionals have suggested that the hygiene hypothesis explains the global increase of allergic and autoimmune diseases in urban settings.

It has also been suggested that the hypothesis explains the changes that have occurred in society and environmental exposures, such as giving antibiotics early in life.

However, neither biologic support nor a mechanistic basis for the hypothesis has been directly demonstrated. Until now.

Researchers at Brigham and Women's Hospital (BWH) studied the immune system of mice lacking bacteria or any other microbes ("germ-free mice") and compared them to mice living in a normal environment with microbes.

They found that germ-free mice had exaggerated inflammation of the lungs and colon resembling asthma and colitis, respectively.

This was caused by the hyperactivity of a unique class of T cells (immune cells) that had been previously linked to these disorders in both mice and humans.

Most importantly, the researchers discovered that exposing the germ-free mice to microbes during their first weeks of life, but not when exposed later in adult life, led to a normalised immune system and prevention of diseases.

Moreover, the protection provided by early-life exposure to microbes was long-lasting, as predicted by the hygiene hypothesis.

"These studies show the critical importance of proper immune conditioning by microbes during the earliest periods of life," said Richard Blumberg, MD, chief for the BWH Division of Gastroenterology, Hepatology and Endoscopy, and co-senior study author, in collaboration with Dennis Kasper, MD, director of BWH's Channing Laboratory and co-senior study author.

"Also now knowing a potential mechanism will allow scientists to potentially identify the microbial factors important in determining protection from allergic and autoimmune diseases later in life," Dr Blumberg added.

In light of the findings, the researchers caution that further research is still needed in humans.

Mar 26
Losing a loved one really Can make you die of broken heart
Losing a loved one really can cause someone to die from a broken heart, scientists claim.

They say that intense grief weakens the body's immune system leaving it more vulnerable to infections.

Academics from the University of Birmingham have found that increased stress levels and depression brought on by bereavement interferes with a type of white blood cell called neutrophils.

These are key to fighting certain bacterial infections such as pneumonia.

The researchers say the effects worsen with age as adults lose the ability to produce another hormone that can counteract the damage.

They believe this could in part explain why couples who have been married for years die months, weeks or even days apart.

Professor Janet Lord, who led the research, said: 'There are a lot of anecdotes about couples who were married for 40 years when one of them passes away and then the other dies a few days later. It seems there is a biological basis for this.

'Rather than dying of a broken heart, however, they are dying of a broken immune system. They usually get infections.

'We think that what is going on is that even in previously healthy people are becoming very depressed and this has a powerful effect on the immune system.'

Professor Lord and her colleagues looked at the immune systems and hormone levels of 48 healthy adults aged 65 and over.

Half of the group had suffered a major bereavement in the past 12 months.

They found that the ability of neutrophils to fight bacteria was lower in people who had suffered a bereavement.

They also had raised levels of the stress hormone cortisol, which is known to suppress the activity of neutrophils making them less active.

In 1995 former Prime Minister James Callaghan died of pneumonia aged 92, just ten days after his wife of 67 years Audrey.

And in 2003 musician Johnny Cash died of complications related to diabetes aged 71.

His 73-year-old wife June had died just four months earlier.

Mar 24
Effects of alcohol on cognitive function still uncertain
There is much uncertainty about the effects of alcohol on cognitive function and a recent study has only added to the confusion.

Despite several observational cohort studies indicating that moderate alcohol consumption can improve the brain's performance, many have criticised such investigations for their vulnerability to distortion by lifestyle and physiologic factors.

However, a new study that applied a Mendelian randomised approach has yielded little success either.

Researchers used aldehyde dehydrogenase 2 (ALDH2) geneotype (AA, GA OR GG) as a variable and assessed cognitive function from delayed 10-word recall scores and Mini-Mental State Examination scores.

The Mendelian study showed no link between brain performance and alcohol intake but the ALDH2 variant was only present in three per cent of the variances in reported alcohol intakes.

This threw the reliability of the study into question, as did its failure to take into account drinking patterns.

Consequently, further research is needed to discovery if alcohol has positive effects upon the brain.

Mar 24
Spells of dizziness as you stand up may indicate heart trouble
Often feel light-headed and woozy when you get out of your seat? Beware, you may have a higher risk of developing heart failure, scientists say.

According to researchers, dizzy spells experienced after standing up suddenly are caused by a rapid drop in blood pressure known as orthostatic hypotension.


Now a team at the University of North Carolina found that people who experienced the condition frequently were about 54% more likely to develop heart failure than those who didn`t , the Daily Mail reported. The risk still stood at 34% when researchers took account of those who also suffered from high blood pressure. And it was most pronounced in those aged between 44 and 55 years.

To reach their results, published in the American Heart Association journal Hypertension , the team measured the blood pressure of 12,000 patients when they were lying down and shortly after they stood up.

About 11% of patients who developed heart failure had at the start of the study compared to only 4% of those who did not develop heart failure.

Mar 23
Red meat halves risk of depression
Women who reduce lamb and beef in their diets are more likely to suffer depression, according to the new study.

Experts admitted surprise at the findings because so many other studies have linked red meat to physical health risks.

The team made the link after a study of 1000 Australian women.

Professor Felice Jacka, who led the research by Deakin University, Victoria, said: "We had originally thought that red meat might not be good for mental health but it turns out that it actually may be quite important.

"When we looked at women consuming less than the recommended amount of red meat in our study, we found that they were twice as likely to have a diagnosed depressive or anxiety disorder as those consuming the recommended amount.

"Even when we took into account the overall healthiness of the women's diets, as well as other factors such as their socioeconomic status, physical activity levels, smoking, weight and age, the relationship between low red meat intake and mental health remained.

"Interestingly, there was no relationship between other forms of protein, such as chicken, pork, fish or plant-based proteins, and mental health. Vegetarianism was not the explanation either. Only nineteen women in the study were vegetarians, and the results were the same when they were excluded from the study analyses."

Professor Jacka, an expert in psychiatric health, believed the diet of the sheep and cattle was relevant.

"We know that red meat in Australia is a healthy product as it contains high levels of nutrients, including the Omega-3 fatty acids that are important to mental and physical health," she said.

"This is because cattle and sheep in Australia are largely grass fed. In many other countries, the cattle are kept in feedlots and fed grains, rather than grass. This results in a much less healthy meat with more saturated fat and fewer healthy fats."

But eating too much red meat could be as bad for mental health as not eating enough.The Australian government recommends eating 65 -100g of lean, red meat three to four times a week.

"We found that regularly eating more than the recommended amount of red meat was also related to increased depression and anxiety," Professor Jacka added. "We already know that the overall quality of your diet is important to mental health. But it seems that eating a moderate amount of lean red meat, which is roughly three to four small, palm-sized serves a week, may also be important."

The results of the study are published in the journal Psychotherapy and Psychosomatics.The Department of Health recommends consuming no more than 70g of red meat a day - the equivalent of a Big Mac burger. ends

Mar 23
Swine Flu is back, 12 deaths in four states
The dreaded H1N1 virus is back with 129 cases and 12 deaths reported in the last 20 days from four states - with the maximum of 69 cases and six deaths in Maharashtra, followed by 28 cases and five deaths from Rajasthan.

The government, however, said there was no cause for panic and these states have been asked to strengthen their surveillance to check the further spread of the virus.

"The Health Ministry is monitoring the situation and there is no cause for worry. The states where cases had been reported have been advised to step up surveillance to control the further spread of the virus," Health Secretary PK Pradhan said.

As per data released by the Health Ministry today, in the first 21 days of March, a total of 129 positive Influenza-H1N1 cases have been reported, with a total of 12 deaths. Of these, 69 cases are from Maharashtra, 27 from Andhra Pradesh, 28 from Rajasthan and five from Karnataka.

Out of 12 deaths, six have so far been reported from Maharashtra, five from Rajasthan and one from Andhra Pradesh. No death has so far been reported from Karnataka.

The Emergency Medical Relief Division of Union Ministry of Health and Family Welfare is following the developments in the states of Rajasthan, Maharashtra, Andhra Pradesh and Karnataka for H1N1 cases.

Health Ministry officials, however, ruled out any cause for alarm saying strict public health vigil is being maintained.

The virus which had spread across the world in 2009 claimed around 20,000 lives. Since then, the H1N1 cases have been on the decline across the world, including in India.

Swine flu tests are available at all government facilities and the medicine Tamiflu is available indigenously on prescription

Mar 22
Clue to male baldness discovered
A biological clue to male baldness has been discovered, raising the prospect of a treatment to stop or even reverse thinning hair.

In studies of bald men and laboratory mice, US scientists pinpointed a protein that triggers hair loss.

Drugs that target the pathway are already in development, they report in the journal Science Translational Medicine.

The research could lead to a cream to treat baldness.

Most men start to go bald in middle age, with about 80% of men having some hair loss by the age of 70.

The male sex hormone testosterone plays a key role, as do genetic factors. They cause the hair follicles to shrink, eventually becoming so small that they are invisible, leading to the appearance of baldness.
Reverse balding?

Now, researchers at the University of Pennsylvania have analysed which genes are switched on when men start to go bald.

They found levels of a key protein called prostaglandin D synthase are elevated in the cells of hair follicles located in bald patches on the scalp, but not in hairy areas.

Mice bred to have high levels of the protein went completely bald, while transplanted human hairs stopped growing when given the protein.

Prof George Cotsarelis, of the department of dermatology, who led the research, said: "Essentially we showed that prostaglandin protein was elevated in the bald scalp of men and that it inhibited hair growth. So we identified a target for treating male-pattern baldness.

"The next step would be to screen for compounds that affect this receptor and to also find out whether blocking that receptor would reverse balding or just prevent balding - a question that would take a while to figure out."

The inhibition of hair growth is triggered when the protein binds to a receptor on the cells of hair follicles, said Prof Cotsarelis.

Several known drugs that target this pathway have already been identified, he added, including some that are in clinical trials.

The researchers say there is potential for developing a treatment that can be applied to the scalp to prevent baldness and possibly help hair regrow.

Mar 22
Marijuana like chemicals hinder HIV in late stage AIDS
Marijuana-like chemicals set off receptors on human immune cells that can directly inhibit a type of human immunodeficiency virus (HIV) found in late-stage AIDS, a new study has revealed.

Medical marijuana is prescribed to treat pain, debilitating weight loss and appetite suppression, side effects that are common in advanced AIDS.


This is the first study to reveal how the marijuana receptors found on immune cells-called cannabinoid receptors CB1 and CB2-can influence the spread of the virus.

Understanding the effect of these receptors on the virus could help scientists develop new drugs to slow the progression of AIDS.

"We knew that cannabinoid drugs like marijuana can have a therapeutic effect in AIDS patients, but did not understand how they influence the spread of the virus itself," said study author Cristina Costantino, PhD, Postdoctoral Fellow in the Department of Pharmacology and Systems Therapeutics at Mount Sinai School of Medicine.

"We wanted to explore cannabinoid receptors as a target for pharmaceutical interventions that treat the symptoms of late-stage AIDS and prevent further progression of the disease without the undesirable side effects of medical marijuana."

HIV infects active immune cells that carry the viral receptor CD4, which makes these cells unable to fight off the infection. In order to spread, the virus requires that "resting" immune cells be activated.

In advanced AIDS, HIV mutates so it can infect these resting cells, gaining entry into the cell by using a signalling receptor called CXCR4.

By treating the cells with a cannabinoid agonist that triggers CB2, Dr. Costantino and the Mount Sinai team found that CB2 blocked the signalling process, and suppressed infection in resting immune cells.

Triggering CB1 causes the drug high associated with marijuana, making it undesirable for physicians to prescribe.

The researchers wanted to explore therapies that would target CB2 only. The Mount Sinai team infected healthy immune cells with HIV, then treated them with a chemical that triggers CB2 called an agonist. They found that the drug reduced the infection of the remaining cells.

"Developing a drug that triggers only CB2 as an adjunctive treatment to standard antiviral medication may help alleviate the symptoms of late-stage AIDS and prevent the virus from spreading," added Dr. Costantino.

Because HIV does not use CXCR4 to enhance immune cell infection in the early stages of infection, CB2 agonists appear to be an effective antiviral drug only in late-stage disease.

As a result of this discovery, the research team led by Benjamin Chen, MD, PhD, Associate Professor of Infectious Diseases, and Lakshmi Devi, PhD, Professor of Pharmacology and Systems Therapeutics at Mount Sinai School of Medicine, plans to develop a mouse model of late-stage AIDS in order to test the efficacy of a drug that triggers CB2 in vivo.

Mar 21
Smoking Helps Smokers Regain Self-Control
Self-control is getting alot of attention these days, as managing emotions, behaviors and desires is integral to improving health behaviors and controlling stress.

But self-control is a resource that can be exhausted. And paradoxically, researchers are learning that for smokers, smoking can be a means by which they regain their sense of self-control.

In a new study, researchers at the Moffitt Cancer Center exposed a test group and a control group - totaling 132 nicotine-dependent smokers - to an emotional video depicting environmental damage.

One group in the study expressed their natural emotional reactions (no depletion of self-control) while the second group suppressed their responses (self-control depletion).

Half of the participants in each group were subsequently allowed to smoke a cigarette. Everyone then was asked to complete a frustrating task that required self-control.

"Our goal was to study whether tobacco smoking affects an individual's self-control resources," said lead author Bryan W. Heckman, M.A.

"We hypothesized that participants who underwent a self-control depletion task would demonstrate less persistence on behavioral tasks requiring self-control as compared to those with self-control intact, when neither group was allowed to smoke.

"However, we also hypothesized that we would not find this performance decrement among participants who were permitted to smoke."

Study results supported the benefits of smoking to restore self-control.

"We found that smoking did have a restorative effect on an individual's depleted self-control resources," said Heckman. "Moreover, smoking restored self-control, in part, by improving smokers' positive mood."

Investigators believe self-control is a limited resource that acts like a muscle - expending self-control on a task has the short-term effect of depleting the resource, making it more difficult to engage in another task that requires self-control.

While nicotine has been found to enhance performance on a variety of cognitive activities, such as motor abilities, attention and memory, this study was the first to evaluate the effects of smoking on self-control.

Study results suggest the desire to restore depleted self-control may contribute to a smoker's addiction to tobacco.

"Smoking is obviously a maladaptive way to restore self-control," said study co-author Thomas H. Brandon, Ph.D. "Finding other ways to relax or enhance one's mood would be much healthier alternatives. In fact, even raising glucose level - perhaps by consuming a sugary drink - has been shown to restore self-control."

Researchers believe learning alternative methods to restore self-control are essential for smokers wanting to quit or reduce their tobacco dependency.

The authors concluded that smoking cessation treatments would benefit by further research aimed at identifying how smoking restores self-control, as well as identifying additional alternative strategies for strengthening or restoring self-control.

Mar 21
Studies find an aspirin a day can keep cancer at bay
Three new studies published on Wednesday added to growing scientific evidence suggesting that taking a daily dose of aspirin can help prevent, and possibly treat, cancer.


Previous studies have found that daily aspirin reduces the long-term risk of death due to cancer, but until now the shorter-term effects have been less certain - as has the medicine`s potential in patients already diagnosed with cancer.

The new studies, led by Peter Rothwell of Britain`s Oxford University, found that aspirin also has a short-term benefit in preventing cancer, and that it reduces the likelihood that cancers will spread to other organs by about 40 to 50 percent.

"These findings add to the case for use of aspirin to prevent cancer, particularly if people are at increased risk," Rothwell said.

"Perhaps more importantly, they also raise the distinct possibility that aspirin will be effective as an additional treatment for cancer - to prevent distant spread of the disease."

This was particularly important because it is the process of spread of cancer, or "metastasis", which most often kills people with the disease, he added.

Aspirin, originally developed by Bayer, is a cheap over-the-counter drug generally used to combat pain or reduce fever.

The drug reduces the risk of clots forming in blood vessels and can therefore protect against heart attacks and strokes, so it is often prescribed for people who already suffer with heart disease and have already had one or several attacks.

Aspirin also increases the risk of bleeding in the stomach to around one patient in every thousand per year, a factor which has fuelled an intense debate about whether doctors should advise patients to take it as regularly as every day.

Last year, a study by British researchers questioned the wisdom of daily aspirin for reducing the risk of early death from a heart attack or stroke because they said the increased risk of internal bleeding outweighed the potential benefit.

Other studies, including some by Rothwell in 2007, 2010 and 2011, found that an aspirin a day, even at a low dose of around 75 milligrams, reduces the long-term risk of developing some cancers, particularly bowel and oesophageal cancer, but the effects don`t show until eight to 10 years after the start of treatment.

Rothwell, whose new studies were published in The Lancet and The Lancet Oncology journals on Wednesday, said this delay was because aspirin was preventing the very early development of cancers and there was a long time lag between this stage and a patient having clinical signs or symptoms of cancer.

Rothwell and others said deeper research was now needed into aspirin as a potential treatment for cancer in patients whose disease has not yet spread.

"No drug has been shown before to prevent distant metastasis and so these findings should focus future research on this crucial aspect of treatment," he said.

Peter Johnson, chief clinician at the charity Cancer Research UK, said his group was already investigating the anti-cancer properties of aspirin. "These findings show we`re on the right track," he said.

In a written commentary on the research in The Lancet, Andrew Chan and Nancy Cook of Harvard Medical School in the United States said it was "impressive" and moved health experts "another step closer to broadening recommendations for aspirin use".

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