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Mar 16
Vitamin E can help prevent cancer
An elusive anti-cancer property of vitamin E that has long been presumed to exist, but difficult to find, has finally been identified.

Many animal studies have suggested that vitamin E could prevent cancer, but human clinical trials following up on those findings have not shown the same benefits.

In a new study, researchers showed in prostate cancer cells that one form of vitamin E inhibits the activation of an enzyme that is essential for cancer cell survival. The loss of the enzyme, called Akt, led to tumor cell death. The vitamin had no negative effect on normal cells.

"This is the first demonstration of a unique mechanism of how vitamin E can have some benefit in terms of cancer prevention and treatment," said lead author Ching-Shih Chen, professor of medicinal chemistry and pharmacognosy at The Ohio State University and an investigator in Ohio State`s Comprehensive Cancer Center.

Chen cautioned that taking a typical vitamin E supplement won`t offer this benefit for at least two reasons: The most affordable supplements are synthetic and based predominantly on a form of the vitamin that did not fight cancer as effectively in this study, and the human body can`t absorb the high doses that appear to be required to achieve the anti-cancer effect.

"Our goal is to develop a safe pill at the right dose that people could take every day for cancer prevention. It takes time to optimize the formulation and the dose," he said.

Chen has filed an invention disclosure with the university, and Ohio State has filed a patent application for the agent.

Vitamin E occurs in numerous forms based on their chemical structure, and the most commonly known form belongs to a variety called tocopherols. In this study, researchers showed that, of the tocopherols tested, the gamma form of tocopherol was the most potent anti-cancer form of the vitamin.

The scientists manipulated the structure of that vitamin E molecule and found that the effectiveness of this new agent they created was 20-fold higher than the vitamin itself in cells. In experiments in mice, this agent reduced the size of prostate cancer tumors.
These findings suggest that an agent based on the chemical structure of one form of vitamin E could help prevent and treat numerous types of cancer - particularly those associated with a mutation in the PTEN gene, a fairly common cancer-related genetic defect that keeps Akt active.

The researchers began the work with both alpha and gamma forms of the vitamin E molecule. Both inhibited the enzyme called Akt in very targeted ways, but the gamma structure emerged as the more powerful form of the vitamin.

In effect, the vitamin halted Akt activation by attracting Akt and another protein, called PHLPP1, to the same region of a cell where the vitamin was absorbed: the fat-rich cell membrane. PHLPP1, a tumor suppressor, then launched a chemical reaction that inactivated Akt, rendering it unable to keep cancer cells alive.

"This is a new finding. We have been taking vitamin E for years but nobody really knew about this particular anti-cancer mechanism," Chen said.

The gamma form was most effective because its chemical shape allowed it to attach to Akt in the most precise way to shut off the enzyme.

Because of how the various molecules interacted on the cell membrane, the scientists predicted that shortening a string of chemical groups dangling from the main body, or head group, of the gamma-tocopherol molecule would make those relationships even stronger. They lopped off about 60 percent of this side chain and tested the effects of the new agent in the prostate cancer cells.

"By reducing two-thirds of the chain, the molecule had a 20 times more potent anti-tumor effect, while retaining the integrity of vitamin E`s head group," Chen said.

This manipulation enhanced the anti-tumor potency of the molecule by changing its interaction with the cell membrane, so that the head group was more accessible to Akt and PHLPP1.

When mice with tumors created by these two prostate cancer cell lines were injected with the agent, the treatment suppressed tumor growth when compared to a placebo, which had no effect on tumor size. Chemical analysis of the treated tumor s showed that the Akt enzyme signal was suppressed, confirming the effects were the same in animals as they had been in cell cultures.

The animal study also suggested the experimental agent was not toxic. Chen`s lab is continuing to work on improvements to the molecule.

Their initial results will appear in the March 19, 2013, issue of the journal Science Signaling.

Mar 16
Moderate drinking may help reduce fibromyalgia symptoms
In a study, low and moderate drinkers of alcohol reported lower severity of symptoms of fibromyalgia than teetotallers.

But too much alcohol reversed this effect, the research found.

The chronic pain of fibromyalgia is thought to affect one in 20 people worldwide but there is no known cause or cure. It often goes hand in hand with fatigue and sleep problems, headaches, depression and irritable bowel and bladder problems. Treatment is based around pain management and lifestyle changes.

Alcohol is reported to have both positive and negative effects on health. Moderate drinking is thought to reduce risks of cardiovascular disease especially when in conjunction with a healthy lifestyle, regular exercise and not smoking.

Researchers from the Mayo clinic in the US and the University of Michigan surveyed patients with fibromyalgia to examine the association between alcohol and their severity of symptoms and quality of life.

Low and moderate drinkers had better scores for physical function, ability to work, the number of work days missed, fatigue and pain, than people who abstained.

Moderate drinkers who had between three and seven standard drinks a week seemed to have less pain than low or heavy drinkers, even when the results were controlled for confounding factors.

A standard drink is equivalent to 12 American oz / 355ml (1.25 units) of beer, 5 oz/ 148ml of wine (1.8 units), or 1.5 oz/ 44ml (1.8 units) of distilled spirits. Similar results were seen for the quality of life scale including social functioning, vitality and general health.
Discussing why moderate drinking may have this effect Dr Terry Oh, who led this study said, "Gamma-Aminobutyric Acid (GABA), an inhibitory neurotransmitter, is low in the brain in fibromyalgia, which may go some way to explain why the nervous system reaction to pain is amplified. Alcohol binds to the GABA receptor in the central nervous system that in turn may turn down pain transmission. However the effects of alcohol may also be due to improved mood, socialization and tension, and while moderate drinkers have fewer symptoms there are still many questions about how this happens."

The study was published in BioMed Central`s open access journal Arthritis Research and Therapy.

Mar 15
Drug to treat sleeping sickness could beat autism
The drug, suramin used to treat sleeping sickness since around 1916- corrects autism-like symptoms in mice, new research has shown.

Scientists in the US found that the drug corrected 17 types of abnormality linked to the disease, including social behaviour problems, the Daily Express reported.

Autism is a wide-ranging condition, mostly seen in boys, that affects the ability to socialise and can have a devastating lifelong impact.

Around 600,000 children and adults in the UK are thought to have the disorder.

Professor Robert Naviaux, co-director of the Mitochondrial and Metabolic Disease Center at the University of California, said that the drug normalised brain connections.

"Our theory suggests that autism happens because cells get stuck in a defensive metabolic mode and fail to talk to each other normally, which can interfere with brain development and function," he said.

"Simply put, when cells stop talking to each other, children stop talking," he added.

The drug "blocked the danger signal, allowing cells to return to normal metabolism and restore cell communication."

Suramin targets a messaging system that produces the cell danger response linked to immunity and inflammation.

Professor Naviaux said the "striking effectiveness" of the drug in mice would hopefully pave the way to a completely new class of anti-inflammatory drugs to treat autism.

The findings are published in the online journal Public Library of Science ONE.

Mar 15
Early screening needed for kidney diseases: Experts
Early detection and prevention is the best option to manage the rapidly rising chronic kidney disease in India, doctors said Wednesday on the eve of World Kidney Day.

"Kidney disease often goes undetected because symptoms may not appear until the organs are actually failing. Those who have poor diabetic control, high blood pressure, smokers and have a family history of chronic kidney disease should do early detection by simple urine analysis and blood test," said Dinesh K. Dhanwal, a professor of medicine and an endocrinologist at Maulana Azad Medical College.

The experts were sharing their views at a conference ahead of World Kidney Day Thursday.

According to doctors, nearly one percent of country`s population is suffering from some kind of kidney disease and 1.5 lakh patients are adding to the number every year, needing dialysis or transplantation of kidney.

Screening and detection test is a simple, cost effective and proven tool that identifies and educates those with early kidney disease, and health professionals are able to provide corrective treatment before risk factors develop into chronic kidney disease.

"The relentless progression to kidney failure can be slowed or reduced by in most cases. Adequate control of diabetes and aggressive control of blood pressure are the mainstay of treatment," said Harsha Jauhari, chairman, Department of Renal Transplantation, Sir Ganga Ram Hospital.

Dhanwal said there were several myths about kidney disease.

"Many are under the impression that kidney disease is hereditary but it is not," he said.

The doctors said soft drinks and coffee can also increase blood pressure and chances of kidney disease.

The National Kidney Foundation estimates that around 100 people in a million suffer from kidney ailments in India.

Mar 13
Universal flu vaccine comes closer to reality
Researchers from Melbourne have claimed that they have found a new way to protect people against new strains of the flu virus.

They said in a statement that the University of Melbourne, Monash University and international scientists worked together and found how the virus evades immune systems by introducing specific mutations within its viral proteins, the Herald Sun reported.

They believe that the findings may lead to a new universal flu vaccine that can provide better protection against both seasonal and pandemic outbreaks.

Their statement read that the findings will also help researchers understand T cell immunity against other viral infections like HIV, hepatitis C and tumours.
Lead author Professor Peter Doherty, from the University of Melbourne, said that predicting and designing vaccines to protect against such mutants can promote T cell immunity.

He said that the studies suggested that an influenza vaccine that targets T cells and recognises distinct virus strains could provide universal immunity against any future influenza strain.

Mar 13
Less sleep causes overeating and subsequent weight gain
Participants in a new study who slept just five hours a night over a workweek gained nearly two pounds of weight - suggesting that sufficient sleep could help battle the obesity epidemic.

"I don`t think extra sleep by itself is going to lead to weight loss," said Kenneth Wright, director of University of Colorado-Boulder`s Sleep and Chronobiology Laboratory, which led the study.

"Problems with weight gain and obesity are much more complex than that. But I think it could help. If we can incorporate healthy sleep into weight-loss and weight-maintenance programs, our findings suggest that it may assist people to obtain a healthier weight." But further research is needed to test that hypothesis, Wright added.

In the new study, the researchers show that, while staying awake longer requires more energy, the amount of food study participants ate more than offset the extra calories burned.

"Just getting less sleep, by itself, is not going to lead to weight gain," Wright said. "But when people get insufficient sleep, it leads them to eat more than they actually need."

For the study, researchers monitored 16 young, lean, healthy adults who lived for about two weeks at the University of Colorado Hospital, which is equipped with a "sleep suite" for controlling sleep opportunities - by providing a quiet environment and by regulating when the lights are on and off - and a sealed room that allows researchers to measure how much energy participants are using based on the amount of oxygen they breathe in and the amount of carbon dioxide they breathe out.

All participants spent the first three days with the opportunity to sleep nine hours a night and eating meals that were controlled to give participants only the calories they needed to maintain their weight in order to establish baseline measurements. But after the first few days, the participants were split into two groups: one that spent five days with only five hours to sleep in and one that spent five days with nine hours of sleep opportunity. In both groups, participants were offered larger meals and had access to snack options throughout the day ranging from fruit and yogurt to ice cream and potato chips. After the five-day period, the groups switched.

On average, the participants who slept for up to five hours a night burned 5 percent more energy than those who slept up to nine hours a night, but they consumed 6 percent more calories.

Those getting less sleep also tended to eat smaller breakfasts but binge on after-dinner snacks. In fact, the total amount of calories consumed in evening snacks was larger than the calories that made up any individual meal. The current findings add to the growing body of evidence showing that overeating at night may contribute to weight gain.

"When people are sleep-restricted, our findings show they eat during their biological nighttime when internal physiology is not designed to be taking in food," said Wright, who is already working on a new study to better determine the implications of when people are eating not just what they`re eating.

Wright and his colleagues also found that men and women responded differently to having access to unrestricted food. Men gained some weight even with adequate sleep when they could eat as much as they wanted, while women simply maintained their weight when they had adequate sleep, regardless of how much food was available. Both men and women gained weight when they were only allowed to sleep for up to five hours.
The study has been published in the Proceedings of the National Academy of Sciences.

Mar 12
Deep brain stimulation 'helps in severe anorexia nervosa
Some people who had deep brain stimulation felt they had a better quality of life

Scientists have raised the prospect that deep brain stimulation could help people suffering from severe anorexia nervosa.

In the small Canadian study three people were able to gain weight and had improvements in their overall mood after undergoing the procedure.

The researchers say larger trials are now needed to show whether this therapy could provide a last resort for people with difficult-to-treat anorexia.

The study is published in the Lancet.

Researchers from the Krembil Neuroscience Centre and University Health Network in Canada conducted the study primarily to find out whether this procedure is safe in people with severe cases of the eating disorder anorexia nervosa.

Deep brain stimulation - which involves implanting electrodes into the brain - has previously been used for people with Parkinson's disease, Alzheimer's disease and obsessive compulsive disorder.
'Flipping a switch'

But this is the first time researchers have implanted the device into brains of people with such severe forms of anorexia.

They treated six women, aged between 24-57, for whom most conventional therapy had failed.

The researchers chose to implant the electrodes in an area of the brain which influences how people regulate their mood and anxiety.

They then switched on the device to deliver continuous electrical stimulation over the nine months of the study.

Lead author of the research, Dr Nir Lipsman, said this was not a study about simply flipping a switch to make people eat more.

"Anorexia nervosa has many layers and we need to address the root causes. In many people with the condition this is related to difficulties in regulating mood and anxiety.

"So we wanted to see if influencing this area of the brain could help people with the condition," he said.

And after nine months three of the women felt their quality of life had improved and they had gained weight.

Crucially they were able to stick to this weight - something they hadn't been able to do since developing the condition, the researchers said.

Kim Rollins, who took part in the study and has suffered from anorexia nervosa for 20 years said: "It has really turned my life around. It has lifted my mood and lowered my anxiety... and lessened the compulsion I had to almost destroy my body.

"But it is not a miracle - I have to put a lot of work into changing my thinking and I go to therapy and see a dietitian. But it has enabled everything to be much easier for me."

Dr Lipsman said: "We think deep brain stimulation may have helped people view their illness in a different way and meant they felt more encouraged to engage in other therapy."
'Unwanted effects'

But the procedure was not without serious and unwanted effects.

One person involved had a seizure two weeks after the device was implanted and another suffered a panic attack during the operation to insert the device.

And for one person there were no improvements in mood, anxiety levels or weight by the end of the study.

The authors caution this procedure is not suitable for everyone.

"We worked very hard to identify a group of patients who had reached the limits of conventional treatment - for whom there is currently no effective therapy and therefore are at the greatest risk of death from the condition," Dr Lipsman said.

Prof Janet Treasure, of the Institute of Psychiatry, King's College London, who was not involved in the study but wrote a linked comment, said: "What we know is that if you can get effective treatment within three years of diagnosis, the chances of short and long-term recovery are much increased, but it is more difficult as time goes on. This is what makes this study so interesting."

She said the findings of the small study must be interpreted with caution, however.

Susan Ringwood, the chief executive of the national organisation, Beat, said: "When treatments fail to work, people with eating disorders can feel it is their fault, and that can make them very more reluctant to accept the help desperately they need.

"We are learning so much more about the brain and its role in eating disorders, and this study indicates an important new aspect that may lead to improved treatment."

Mar 12
Alzheimer's blood test could give early diagnosis
British researchers have developed a test to detect Alzheimer's disease in its earliest stages.

It works by looking for a combination of "markers" in the blood which are different in healthy people and those with the disease.

Delegates at the Alzheimer's Research UK Conference heard that the University of Nottingham is now developing a quick and easy test to do in clinics.

It could mean much earlier diagnosis and better treatments, they said.

The test uses some proteins that have been strongly linked with Alzheimer's disease, such as amyloid and APOE.

But through careful analysis of blood from people with the disease, as well as those with early-stage memory problems, the researchers detected some other markers that were suggestive of the disease.

Most notably, some proteins related to inflammation seem to have been added to increase the power of the test.
Promising

Prof Kevin Morgan from the University of Nottingham said they still had to validate the test and it could be a decade before it was used in patients.

But he added that the combination of markers they had found was looking very promising.

"Our findings are exciting because they show that it is technically possible to distinguish between healthy people and those with Alzheimer's using a blood test.

"As blood tests are a fast and easy way of aiding diagnosis, we are really encouraged by these findings and the potential they hold for the future."

He said there were several ways the test could benefit patients, including giving people a definitive diagnosis, which was not always possible at the moment.

It could also direct future therapies to make sure patients were getting the most appropriate treatment, he explained.
Screening

Potentially, it could be a "cheap and easy pre-screen" test which enabled Alzheimer's to be picked up before symptoms appeared, he said.

"The way we see it working is you can test people and it will tell them if they have the all-clear, or if they are medium- or high-risk.

"If they are medium-risk, they can be monitored closely and high-risk patients can be referred to a specialist for more in-depth testing."

Dr Eric Karran, director of Research at Alzheimer's Research UK, said: "Giving people with dementia an accurate diagnosis is not always easy, and so building up our armoury of diagnostic techniques is vital.

"While there is still some way to go before a test like this could become available, the results are promising.

"When used alongside other diagnostic techniques, a blood test like this could be a real help."

Mar 11
Lengths smokers go to for kicking the butt
One in ten smokers have tried falling sick by chain-smoking through their last pack of cigarettes in a bid to kick the habit, according to a new poll.

And 35 percent have kept away from friends and family who smoke.

The data, collected from 6,200 current and former smokers by Pfizer as part of its Don`t Go Cold Turkey campaign, found that a quarter of smokers have avoided drinking any alcohol whilst trying to quit, the Daily Star reported.
On average, smokers said they tried to kick the habit at least four times.

London based GP Dr Sarah Jarvis said many smokers are desperate to quit and will make big sacrifices or take drastic action to try and help them succeed.

But he rued that the vast majority are not taking advantage of the free help available to them from their healthcare professional, which has been shown to significantly increase the chances of success.

Mar 11
Cure to TB could lie in bacteria found underwater
The search for a cure for deadly infectious disease like Tuberculosis has led a researcher for the US deep underwater.

Brian Murphy, assistant professor of medicinal chemistry and pharmacognosy at the University of Illinois at Chicago, is collecting actinomycete bacteria from water throughout the world in a hunt for new antibiotics.
He and Scott Franzblau, director of UIC`s Institute for Tuberculosis Research, are lead investigators on a new, three-year 1.1 million-dollar grant from the Defense Department to find compounds to fight tuberculosis, a disease that killed more than 1.4 million people worldwide in 2011.

As a killer, tuberculosis-caused by a bacterium that most often attacks the lungs-is second only to HIV among infectious agents, according to the World Health Organization.

The bacteria lie dormant in about one-third of the population, and 8 million new cases are reported annually.

US military personnel face a much higher risk of tuberculosis than American civilians, due to their frequent deployment in developing countries where infection rates are higher, Murphy said.

Some units are stationed in locations where the spread of tuberculosis is a major hazard.

"Novel drug scaffolds that can reduce the spread of tuberculosis throughout the military and quickly address a tuberculosis epidemic are in serious need," he said.

Murphy has so far collected a "library" of nearly 1,000 actinomycete strains, and 1,200 samples of biochemicals they produce, from marine waters off Massachusetts, Maine, the Florida Keys and Vietnam, and from the freshwater of the Great Lakes.

From his collection, he and Franzblau have identified eight aquatic actinomyces strains that target non-replicating tuberculosis.

A promising new class of compounds with drug-like potency emerged from their screenings and is the focus of the new grant, Murphy said.

It was isolated from sediment collected 260 feet below the surface of Lake Michigan.

"Freshwater environments are a new frontier for drug-lead discovery," Murphy said.

"Actinomycetes have the ability to produce molecules that have a high potential for use as medicines, and very little is known about these bacteria in such environments," he said.

The UIC team will be the first to explore each of the five Great Lakes for antibiotic-producing actinomycete bacteria and will evaluate the viability of freshwater systems as a source for drug-lead discovery.

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