Growing a Small Mass of Liver Tissue From Stem Cells

The liver is likely to be one of the earliest human organs grown to order from a patient's stem cells: liver tissue is already far more capable of regeneration than the tissues of other organs, and researchers have been making good progress in recent years in coaxing stem cells to form live tissue. As of today, a press report is doing the rounds to claim that a Japanese group have managed to grow a small functional mass of liver tissue - calling it a liver is no doubt considerably overstating the case, given the small size. Details are somewhat light on the ground, but we'll no doubt hear more soon.

Japanese researchers grow stem cell liver:

Japanese researchers have created a functioning human liver from stem cells, a report says. ... A team of scientists transplanted induced pluripotent stem (iPS) cells into the body of a mouse, where it grew into a small, but working, human liver, the Yomiuri Shimbun said.

A team led by professor Hideki Taniguchi at Yokohama City University developed human iPS cells into "precursor cells", which they then transplanted into a mouse's head to take advantage of increased blood flow. The cells grew into a human liver 5 millimetres (0.2 inches) in size that was capable of generating human proteins and breaking down drugs, the Yomiuri reported.

An abstract of Taniguchi's research was delivered to regenerative medicine researchers ahead of an academic conference next week, but Taniguchi declined to comment to AFP before the meeting.

The liver is a good example of an organ where the real challenges will lie in generating suitable blood vessels throughout the liver tissue and then integrating it with a patient's vascular system - being able to reliably build a mass of liver tissue from stem cells is but the first step on the path. Not that this is unknown; you might take a look at one of the more recent publications from Hideki Taniguchi's team, for example:

Generation of functional human vascular network:

One of the major obstacles in regenerating thick, complex tissues such as the liver is their need for vascularization, which is essential to maintain cell viability during tissue growth and to induce structural organization. Herein, we have described a method to engineer a functional human vascular network.

...

Vascularization is the key challenge to organ generation. We successfully generated human vascular networks inside a matrix. Integration of parenchymal cells using our engineering technique should facilitate future efforts to reconstitute vascularized human organ systems in vitro.

Source:
http://www.longevitymeme.org/newsletter/latest_rss_feed.cfm

Popular Press on Intermittent Fasting

Andrew Weil, who is something of an apologist for aging, here holds forth on the merits of intermittent fasting (IF) - shown to improve health and extend life in laboratory animals through mechanisms that largely, but not entirely, overlap with those of calorie restriction: "An IF regime works, proponents say, because it aligns with our evolutionary history. Over the 250,000 years that Homo sapiens have been around, food supply has waxed and waned. We evolved to take advantage of this fact, building muscle and fatty tissue during times of abundance, then paring it back during lean ones. Fasting periods accelerate the clearing-out of waste left by dead and damaged cells, a process known as autophagy. A failure of autophagy to keep up with accumulated cellular debris is believed by many scientists to be one of the major causes of the chronic diseases associated with aging. Occasional fasting also seems to boost activity and growth of certain types of cells, especially neurons. This may seem odd, but consider it from an evolutionary perspective - when food is scarce, natural selection would favor those whose memories ("Where have we found food before?") and cognition ("How can we get it again?") became sharper. Research indicates that the benefits of IF may be similar to those of caloric restriction (CR) in which there are regular meals, but portions are smaller than normal. ... The positive effects of IF have been chronicled in a variety of animal and human studies, starting with a seminal experiment in 1946, when University of Chicago researchers discovered that denying food every third day boosted rats' lifespans by 20 percent in males, 15 percent in females. A 2007 review by University of California, Berkeley, researchers concluded that alternate-day fasting may: 1) Decrease cardiovascular disease risk. 2) Decrease cancer risk. 3) Lower diabetes risk (at least in animals, data on humans were less clear, possibly because the trial periods in the studies were not long enough to show an effect). 4) Improve cognitive function. 5) Protect against some effects of Alzheimer's and Parkinson's diseases."

Link: http://www.huffingtonpost.com/andrew-weil-md/fasting-health_b_1557043.html

Source:
http://www.longevitymeme.org/newsletter/latest_rss_feed.cfm

Linking Russian Cosmism to Modern Thought on Engineered Longevity

This interview, machine-translated from the Russian, will be of interest to those who look into the history of transhumanist thought on the defeat of aging and radical life extension. It has deep roots back into the early 20th century, and one thread of these ideas was evolving through the ongoing disaster that was Russia of that century - the Russian cosmists are thought of as important predecessors to modern transhumanism, for example. These are some thoughts and recollections of someone who was publishing and thinking on the topic in the 1960s and later; note that the Russian end of the longevity science community are far from shy when it comes to talking about physical immortality as the end goal of medicine: "Meanwhile, today, in the [21st] century, when we talk about the necessity of victory over death, of making real the possibility of personal immortality and resurrection [of cryopreserved] people - people often do not even bother to think about it, but with some, or even masochistic pleasure begin to look for rebuttal. One would think, what to look for them? Why create additional obstacles? Chance of dying there at all. So there is nothing to lose. Is not it better to try to work together and find ways to avoid it? ... But, oddly enough, and sadly, no modern humanity, nor any single country (maybe with the exception of Japan, as far as I know), even such a purpose not intended. It's still pretty amazing! After all, people continue to die today, but no action is [taken]. How so? ... And yet ... There is no doubt the science over the past half century has leaped forward. Scientific and technological progress has radically changed many things in our lives. And the inspirational process is irreversible. You ask ... where the source of my optimism. He is in me and outside me. This is my inner conviction, supported by all the progressive tradition of Russian philosophical thought and [unstoppable] scientific thought."

Link: http://translate.google.com/translate?hl=en&sl=ru&tl=en&u=http%3A%2F%2Fm-batin.livejournal.com%2F144701.html

Source:
http://www.longevitymeme.org/newsletter/latest_rss_feed.cfm

Lifespan and Genetic Analysis Do Not Make for Easy Research

Researchers interested in finding genetic contributions to longevity generally start with some form of correlation study: trying to find commonalities between the genomes and epigenomes of long-lived individuals. So far, this has produced a great deal of data, much of which is unique to particular study populations - which suggests that there are many, many contributions to longevity buried in human genetic variations, and most are not all that important when considered in isolation. The odds of finding anything resembling a master switch for additional life span look remote at this point.

So the situation is complex, quite aside from the fact that it would still be a troublesome field of research even if the hunt was for one or more master switches. Researchers face an uphill struggle, as noted in a recent open access commentary, and thus have to be more inventive in their research:

It is a stroke of irony that lifespan - the principal phenotype used to search for aging genes - is a terrible phenotype for genetic analysis. Lifespan has relatively low heritability under most conditions, and it is affected by chronic, age-related diseases that confound its use as a biomarker of aging.

If the majority of aging genes are pleiotropic, as proposed by the evolutionary theory of aging, an opportunity is provided to identify these genes through the "back door," using phenotypes that are more amenable to genetic analysis.

To choose the pleiotropic phenotype for our studies, we went back more than 50 years to Williams, who, in his seminal paper, specified four "physiological expectations that follow from the theory," two of which we applied: "Rapid individual development should be correlated with rapid senescence," and, to specify a particular developmental phenotype, "The time of reproductive maturation should mark the onset of senescence." Therefore, to search for genes that regulate lifespan, we looked in the other direction - for genes that govern reproductive maturation.

The researchers then outline some of their investigations; when it produces candidate genetic variants, those variants still have to be confirmed in the same old standard, slow, and laborious way - animal studies of life span. In general the work of building a catalog of aging-related gene variants is slow going, and in the end will have far less practical application than other approaches to longevity science. This isn't to say that it shouldn't be done; all life science knowledge has value. But if the goal is to do something about the terrible cost of human aging, and do it as soon as possible, then approaches other than genetic investigation must have priority in the field.

Source:
http://www.longevitymeme.org/newsletter/latest_rss_feed.cfm

Implicating Stem Cells in Hardened Arteries

Via EurekAlert!: "For the first time, we are showing evidence that vascular diseases are actually a kind of stem cell disease. ... It is generally accepted that the buildup of artery-blocking plaque stems from the body's immune response to vessel damage caused by low-density lipoproteins ... Such damage attracts legions of white blood cells and can spur the formation of fibrous scar tissue ... The scar tissue, known as neointima, has certain characteristics of smooth muscle, the dominant type of tissue in the blood vessel wall. Because mature smooth muscle cells no longer multiply and grow, it was theorized that in the course of the inflammatory response, they revert, or de-differentiate, into an earlier state where they can proliferate ... However, no experiments published have directly demonstrated this de-differentiation process ... researchers turned to transgenic mice with a gene that caused their mature smooth muscle cells to glow green under a microscope. In analyzing the cells from cross sections of the blood vessels, they found that more than 90 percent of the cells in the blood vessels were mature smooth muscle cells. They then isolated and cultured the cells taken from the middle layer of the mouse blood vessels. ... Notably, none of the new, proliferating cells glowed green, which meant that their lineage could not be traced back to the mature smooth muscle cells originally isolated from the blood vessels. ... We did further tests and detected proteins and transcriptional factors that are only found in stem cells. No one knew that these cells existed in the blood vessel walls because no one looked for them before. ... In the later stages of vascular disease, the soft vessels become hardened and more brittle. Previously, there was controversy about how soft tissue would become hard. The ability of stem cells to form bone or cartilage could explain this calcification of the blood vessels. ... Other tests in the study showed that the multipotent stem cells were dormant under normal physiological conditions. When the blood vessel walls were damaged, the stem cells rather than the mature smooth muscle cells became activated and started to multiply." Though if you want to consider root causes, look at mechanisms like accumulated damage to mitochondria that leads to a greater level of oxidized low-density lipoproteins in the blood.

Link: http://www.eurekalert.org/pub_releases/2012-06/uoc--trc053112.php

Source:
http://www.longevitymeme.org/newsletter/latest_rss_feed.cfm

Another Look at the Economics of Inactivity

One of the costs of being sedentary is fiscal: the cost of medical services you would otherwise not have needed due to your increased risk of age-related disease. Here is another researcher running the numbers: "Physical inactivity is a recognized public health issue in Canada and globally ... A common approach for assessing the public health impact of physical inactivity is to measure the prevalence of the population not meeting physical activity guidelines. Recent surveillance data based on objective measures indicate that 85% of Canadian adults do not meet Canada's physical activity guidelines of 150 min/week of moderate-to-vigorous physical activity ... A second approach for assessing the public health impact of physical inactivity is to estimate the proportion of a disease within the population that is directly attributable to physical inactivity. For instance, 19% of the coronary artery disease cases in Canadian men are due to physical inactivity ... A third approach for assessing the public health impact of physical inactivity is to estimate the financial burden it places on the health care system and economy. The most recent Canadian estimates, based on 2001 data, suggest that the annual economic burden of physical inactivity is $5.3 billion. ... Similar to the 2001 estimates, the health care cost of physical inactivity in this report was estimated using a prevalence-based approach, which required 3 pieces of information: (1) the risks of chronic conditions in physically inactive individuals, (2) the direct and indirect costs of these chronic diseases, and (3) the prevalence of physical inactivity in the population. ... The estimated direct, indirect, and total health care costs of physical inactivity in Canada in 2009 were $2.4 billion, $4.3 billion, and $6.8 billion, respectively. These values represented 3.8%, 3.6%, and 3.7% of the overall health care costs." It is interesting to compare these numbers with research on individual lifetime medical cost differences that stem from being out of shape, and with some other number crunching on the economics of health and longevity.

Link: http://www.nrcresearchpress.com/doi/full/10.1139/h2012-061

Source:
http://www.longevitymeme.org/newsletter/latest_rss_feed.cfm

More on Heart Rate Variability in Calorie Restriction Practitioners

You might recall research published a couple of months ago on calorie restriction and heart function. It illustrated (again) that people who practice calorie restriction over the long term have physiologically younger cardiovascular systems - meaning notably less low-level cellular damage and better function than their peers of a similar chronological age.

Heart rate variability (HRV) is a marker for cardiac autonomic functioning. The progressive decline in HRV with aging and the association of higher HRV with better health outcomes are well established. [Researchers] compared 24-hr HRV in 22 CR individuals aged 35 - 82 yrs and 20 age-matched controls eating Western diets (WD). The CR group was significantly leaner than the WD group. Heart rate was significantly lower, and virtually all HRV significantly higher in the CR than in the WD group. HRV in the CR individuals was comparable to published norms for healthy individuals 20 years younger.

If there was a drug that did that, its financials would be staggering - and you'd never hear the end of it. It would be publicized and popularized in every corner of the world. But just ask someone to exercise a little willpower and planning in their diet to gain the same results ... and therein lies a lesson with regard to human nature.

I notice that the institutional publicity machine at Washington University in St.Louis has caught up with this research; if you'd like a little more commentary from the researchers involved, that's the place to look:

"This is really striking because in studying changes in heart rate variability, we are looking at a measurement that tells us a lot about the way the autonomic nervous system affects the heart," says Luigi Fontana, MD, PhD, the study's senior author. "And that system is involved not only in heart function, but in digestion, breathing rate and many other involuntary actions. We would hypothesize that better heart rate variability may be a sign that all these other functions are working better, too."

...

"Higher heart rate variability means the heart can adjust to changing needs more readily," says lead author Phyllis K. Stein, PhD. "Heart rate variability declines with age as our cardiovascular systems become less flexible, and poor heart rate variability is associated with a higher risk of cardiovascular death."

...

"The idea was to learn, first of all, whether humans on CR, like the calorie-restricted animals that have been studied, have a similar adaptation in heart rate variability," Fontana says. "The answer is yes. We also looked at normal levels of heart rate variability among people at different ages, and we found that those who practice CR have hearts that look and function like they are years younger."

...

"In many of our studies, we have found that a number of metabolic and physiologic changes that occur in calorie-restricted animals also occur in people who practice CR," Fontana says. And he says the finding that heart rate variability is better in people who practice CR means more than just that their cardiovascular systems are flexible. He says the better ratio suggests improved health in general.

"But we can't be absolutely positive that the practice of CR is solely responsible for the flexibility of the cardiovascular system," Stein says. "People who practice CR tend to be very healthy in other areas of life, too, so I'm pretty sure they don't say to themselves, 'Okay, I'll restrict my calorie intake to lengthen my life, but I'm still going to smoke two packs a day.' These people are very motivated, and they tend to engage in a large number of very healthy behaviors."

The point on calorie restriction practitioners practicing good health across the board is a fair one - peeling apart the beneficial effects of regular exercise from the beneficial effects of calorie restriction in humans, for example, is an interesting challenge. Still, it would be hard, I think, to find a population of humans who are exceptionally health-conscious without practicing calorie restriction and who nonetheless exhibit a youthful physiology to the degree seen in calorie restricted people. There are different classes of mechanism at work here.

Source:
http://www.longevitymeme.org/newsletter/latest_rss_feed.cfm

Waist Circumference Associated With Type 2 Diabetes

Here is a study that points to amount of visceral fat as a dominant contribution to the risk of age-related type-2 diabetes - a condition rarely suffered by people who successfully avoid putting on weight over the years - something that doesn't just happen, but requires exercise and a sensible approach to diet and lifestyle. "A collaborative re-analysis of data from the InterAct case-control study [has] established that waist circumference is associated with risk of type 2 diabetes, independently of body mass index (BMI). Reporting in this week's PLoS Medicine, the researchers estimated the association of BMI and waist circumference with type 2 diabetes from measurements of weight, height and waist circumference, finding that both BMI and waist circumference were independently associated with type 2 diabetes risk but waist circumference was a stronger risk factor in women than in men. ... The prospective InterAct case-cohort study was conducted in 26 centres in eight European countries and consists of 12,403 incident [type 2 diabetes] cases and a stratified subcohort of 16,154 individuals from a total cohort of 340,234 participants with 3.99 million person-years of follow-up. ... These findings indicate that targeted measurement of waist circumference in overweight individuals (who now account for a third of the US and UK adult population) could be an effective strategy for the prevention of diabetes because it would allow the identification of a high-risk subgroup of people who might benefit from individualised lifestyle advice. ... Our results clearly show the value that measurement of [waist circumference] may have in identifying which people among the large population of overweight individuals are at highest risk of diabetes." A risk that is essentially yours to create, remove, or manage through the choices you make.

Link: http://www.eurekalert.org/pub_releases/2012-06/plos-wcl053112.php

Source:
http://www.longevitymeme.org/newsletter/latest_rss_feed.cfm

SENS Foundation Academic Initiative Plans Further Expansion in 2013

The SENS Foundation Academic Initiative continues to grow, laying the foundation for the next generation of researchers working on rejuvenation biotechnology: "The Academic Initiative is likely to see another increased budget in 2013. We plan to offer at least as many scholarships and grants as we're offering this year, while we are nearly certain to expand our summer internship program, bringing in more interns overall and sending them to a greater number of labs. This year, some interns have been placed at the SENS Foundation Research Center, while others have gone to the Buck Institute for Research on Aging. We hope to place more interns at each location next year, and to add new locations. The Initiative's budget may not be the only thing that changes with the coming of the new year. SENS Foundation itself is still planning a revamp of its website, and the Academic Initiative won't miss that chance to have its own website enhanced further. Planning for our own next website has begun: long story short, it'll be simpler with less text and will offer very clear and immediate ways for students to get started. Some graphic design work that will go online with that new site is also underway. We'd like to finish by pointing out that we still have enough funding to continue to award materials grants throughout the summer and into the Fall 2012 semester. Since many students have extra time to put a proposal together over the summer, and since we're currently seeing a (likely summer-related) increase in interest in our grants, this is a particularly good time to apply."

Link: http://sens.org/node/2762

Source:
http://www.longevitymeme.org/newsletter/latest_rss_feed.cfm

An Introduction to Microglia in the Aging Brain

Microglia are immune cells that defend and clean up the brain and spinal cord. Like the rest of the immune system, they progressively fail in their work with age. Worse, like other immune system components, they begin to become actively harmful by causing chronic inflammation and other forms of damage instead of helping. Reversing that trend is one important line of research among many that, as they produce working medical technologies, will extend our healthy life spans.

Keeping the brain in good working shape is one of the most important goals of medical research. There is no short cut here by way of the comparatively advanced fields of stem cell medicine and tissue engineering - we can't look ahead to replacement brains in the next decade or two as we can for other organs. The brain has to be repaired in situ, completely and sufficiently for the long term: every form of age-related cellular damage either worked around or reversed. So microglia, as an important part of the existing maintenance systems in the brain, are of considerable interest. Can early successes be obtained by boosting their activity, or slowing or reversing their decline with age? The Longecity-funded research project on microglia transplants falls into this general area of research - something we'd like to see more of.

Following on from that topic, here is an open access review paper that provides an introduction to microglia in context of aging and neurodegeneration:

For many years, chronic neurodegenerative disorders of the central nervous system (CNS) were thought of in terms of primary neuronal dysfunction and loss with secondary glial and inflammatory responses. ... but of late this theory has required revision.

Microglia, which account for approximately 10% of the adult brain cell population, were first described by Pio Del Rio Hortega in 1919 ... However, it was not until the late 1980s that this field came of age when, using the new technique of immunohistochemistry, the McGeers showed that within the Alzheimer's disease (AD) brain there were large numbers of [activated] microglia. ... The pioneering work of the McGeers was to radically change how these diseases were seen as they went on to show that microglia were not only intimately bound to central inflammatory responses and antigen presentation, but in fact the whole innate immune system itself had a role to play in these CNS disorders.

Initial views on the role of microglia suggested that these cells were simply there to scavenge up debris and dead cells, while astrocytes fulfilled some supportive role in the CNS. However, microglia are now recognized to have a complex array of supportive and destructive roles in the CNS and that the balance between the two may be critical in driving some aspects of disease processes. Astrocytes are now seen as being fundamental in shaping and maintaining the developing and mature CNS, including a role in adult neurogenesis, axonal regeneration, and the [blood-brain barrier]. The dynamic interplay between all of these different CNS compartments is becoming more evident, such that some neurodegenerative disorders of the CNS may have a pathology as much in the glial cells as in the neurons themselves. This all means that understanding what happens in disease states is far more complex than originally conceived and that targeting each element of the interaction may be the route by which true disease modification can be achieved.

Source:
http://www.longevitymeme.org/newsletter/latest_rss_feed.cfm

Obesity Causes Increased Risk of Kidney Cancer, Kidney Stones, and Stroke

by: Steve G. Jones, Ed.S

Obesity is defined as a body mass index (BMI) of 30.0 or greater. BMI is a ratio determined by weight and height. With a large percentage of Americans classified as being obese, research is showing the effects extra weight and obesity have on a person's overall health. Recent studies show that obese people have an increased risk of developing common kidney cancer, kidney stones, and an increased risk of having a stroke.

A study involving 1,640 participants studied the effects of weight on kidney cancer. The average age of patients was 62 and all participants had kidney tumors. The study showed that patients with a BMI of 30 or higher were 48% more likely to develop clear-cell renal cell cancer (RCC). With every 1 point increase in BMI, obese patients increased their odds of getting kidney cancer by 4%.

Out of all the participants, 67% of the obese patients had kidney cancer compared to 57% of non-obese patients. Researchers do not know why there is a link between obesity and kidney cancer. Researchers are looking into a secondary link involving diabetes, hypertension, hormonal changes, and decreased immune function. Read more…

Cardiofy Heart Care Supplement

Source:
http://feeds.feedburner.com/integratedmedicine

Business-friendly Changes Proposed for Revenue Sharing by Stem Cell Agency


The $3 billion California stem cell
agency, which hopes to generate income for the state through the sale
of stem cell therapies, is moving to make its profit-sharing rules
more friendly to business.

The proposed changes will come up Monday morning before the Intellectual Property and Industry Subcommittee of the
CIRM governing board.
No stem cell research funded by CIRM
has yet been commercialized. Its intellectual property regulations,
which determine payback criteria, were developed shortly after CIRM
was created in 2004. Ed Penhoet, one of the founders of
Chiron and now a venture capitalist, chaired the panel that worked
out the rules. He has since left the CIRM board.
A CIRM staff memo described the payment
rules in the case of a "blockbuster" therapy as "uneven"
and "lumpy." The memo said they "could be a
disincentive for the engagement of industry." Other rules were described as creating
"administrative challenges and uncertainty." The proposed changes, the memo said,
would address those issues and ensure a "comparable economic
return to California."
Here are links to the specific changes
-- see here and here.
Public sites where interested parties
can take part in the discussion are located in San Francisco, La
Jolla, Los Angeles and Irvine. Specific addresses can be found on themeeting agenda.
The proposed changes must go before the
full governing board and then into the state's administrative law
process before taking full effect.  

Source:
http://californiastemcellreport.blogspot.com/feeds/posts/default?alt=rss

Business Success Rate at Stem Cell Agency: Zero in Latest Round After 14 Fail


California biotech companies chalked up
a zero in the latest funding round by the state's $3 billion stem
cell agency, although 14 tried to run a gauntlet that industry has
complained about for years.

All $69 million in last month's
translational research round went to 21 academic and nonprofit insitutions. No business received an award. One firm, Eclipse
Therapeutics
of San Diego, appealed to the agency's governing board but was not successful despite having a higher scientific score
than at least two winners.
The miniscule amount of funding for
commercial enterprises – less than 4 percent of $1.4 billion handed
out so far – has been a matter of concern for some time for both
industry and some members of the CIRM governing board. Most
recently, industry executives complained at an April hearing of the
Institute of Medicine panel looking into CIRM's operations.
Even a 2010 review commissioned by CIRM said the agency needed to do
better by business.
The question of funding goes beyond a
simple matter of fairness or "good science," as CIRM
describes its funding goal. Without efforts by industry to turn
research into cures, CIRM will not be able to fulfill promises to
voters in 2004 when they approved creation of the stem cell agency.
CIRM last month approved a set of five-year goals that push more
aggressively for development of commercial products, but the goals
lacked such things as a financing round devoted solely to business
applicants.
In last month's translational round,
applicants went through a three-step process, which is conducted
primarily behind closed doors. First came what CIRM calls
pre-applications. Those were reviewed by CIRM staff with the help of
outside advisors if necessary. Applicants who cleared that hurdle were allowed to apply for the full, peer-reviewed round. During that
process, the CIRM Grants Working Group reviews applications,
makes decisions and sends them to the full CIRM board for
ratification and possible changes. The board almost never has
rejected a grant approved by reviewers. But the board has ultimate
authority and sometimes funds applications that reviewers have
rejected. The applicants' names are withheld from the board and the
public during the process, although some of the board discussion and
the final vote is conducted in public. CIRM does not release the
names of rejected applicants unless they appeal.
In the translational round, a total of 42
pre-applications out of 167 were approved by staff, according to
CIRM. Thirty-eight came from nonprofits and academics out of the 153
such institutions that applied. Four out of 14 business
pre-applications advanced to full applications but none made the
final cut. All of the winning applications were linked to
institutions that have representatives on the CIRM governing board.
Those representatives are not allowed to vote on or take part in
discussion involving applications to their institutions.
The primary decision tool used by the
grant review group is a scientific score. In last month's round,
scores of approved grants ranged from 88 to 53. However, eight grants
that were ranked above 53 were rejected by the board. One of those
higher-ranking applications came from San Diego's Eclipse
Therapeutics, which scored 58. The low-ranking grants were approved
for what CIRM describes as "programmatic" reasons.
More than three weeks ago, the
California Stem Cell Report asked CIRM for figures on the
numbers of applications in the translational round, including those
for business. CIRM said the figures had not been compiled and would
not be available until after the awards were made on May 24. The
numbers were finally supplied yesterday.
Our take: The number of applicants, and
their breakdown, is basic information that should be part of board's
decision-making process. The statistics should be routinely available
well in advance of the board's meeting. Indeed, the agency in its
earlier days used to routinely publish the figures. It may be now
that generating them is more time-consuming than necessary. The
recent performance evaluation of the agency said CIRM needs to make
major improvements in how it handles critical information needed for
its top management and board.
Whatever the reason, given CIRM's poor
track record with business, the agency's directors should diligently
track industry's success rate on applications. If proposals ranked as
low as 53 are approved while higher ranking applications from
business are bypassed, it warrants more than cursory examination.

Source:
http://californiastemcellreport.blogspot.com/feeds/posts/default?alt=rss

'Ugly' Stem Cell Headlines and a Stem Cell Essay Contest


California stem cell researcher Paul Knoepfler has been busy recently pumping out a plethora of items on his blog, including his own stem cell essay contest and a summary of "ugly" stem cell headlines.
He also rails, albeit briefly, against the Los Angeles Times "hate fest" against the California stem cell agency and offers some advice on developments involving prostate cancer, an affliction that he suffered from a few years ago.
Knoepfler, a UC Davis scientist, puts some cash on the line in his essay contest, with a prize of a $50 iTunes card plus publication of the winning piece. He is looking for a "convincing, non-fiction essay on stem cells thinking entirely outside the box." No more than 500 words. He has two categories, one for persons under 18 and one for persons over that age. June 30 is the deadline for submissions.
Knoepfler also wrote about Twitter and how it can be used by scientists in a useful item called "The scientist's top 10 guide to Twitter." We recommend it.

Source:
http://californiastemcellreport.blogspot.com/feeds/posts/default?alt=rss

‘Ugly’ Stem Cell Headlines and a Stem Cell Essay Contest


California stem cell researcher Paul Knoepfler has been busy recently pumping out a plethora of items on his blog, including his own stem cell essay contest and a summary of "ugly" stem cell headlines.
He also rails, albeit briefly, against the Los Angeles Times "hate fest" against the California stem cell agency and offers some advice on developments involving prostate cancer, an affliction that he suffered from a few years ago.
Knoepfler, a UC Davis scientist, puts some cash on the line in his essay contest, with a prize of a $50 iTunes card plus publication of the winning piece. He is looking for a "convincing, non-fiction essay on stem cells thinking entirely outside the box." No more than 500 words. He has two categories, one for persons under 18 and one for persons over that age. June 30 is the deadline for submissions.
Knoepfler also wrote about Twitter and how it can be used by scientists in a useful item called "The scientist's top 10 guide to Twitter." We recommend it.

Source:
http://californiastemcellreport.blogspot.com/feeds/posts/default?alt=rss

Two California Stem Cell Agency Directors Plump for Proposition 29


Two directors of the $3 billion
California stem cell agency have popped up in the battle over the
anti-tobacco initiative on tomorrow's ballot in the Golden State.

They are Sherry Lansing and
Kristiina Vuori, who were the subjects of a column by Michael
Hiltzik
of the Los Angeles Times dealing with Proposition
29
, the "Son of CIRM" measure that would raise
$800 million for research by increasing the price of cigarettes by $1
a pack. In addition to serving on the CIRM board, Lansing heads her
own anti-cancer foundation and is chair of the board of the UC
regents. Vuori is head of the Sanford-Burnham Institute in La
Jolla.
Proposition 29 is patterned after the
measure that created the stem cell agency. The organization established by Proposition 29 would also be governed by a board that is run by
representatives of organizations almost certain to receive the bulk
of the funding, as is the case with CIRM.
In an op-ed piece on Friday, Lansing and
Vuori said the Times and Hiltzik had fallen for "a smokescreen"
put up by tobacco companies which are spending something in the
neighborhood of $40 million to defeat the initiative. Lansing and
Vuori said the measure is needed to stop smoking by young people as
well as providing cash for research for tobacco-related diseases.
Young people are more sensitive to price increases of cigarettes than
adults, according to research.
Lansing and Vuori referred to a column
in which Hiltzik opposed the measure because it would divert money
from more immediate state needs, including health and welfare
programs for children, education and the poor. (See here for thecolumn and here, here and here for related items.)
In his most recent column, Hiltzik
said,

"The...problem with Proposition 29
is its pigeonholing of the money for cancer research rather than for
immediate needs here in California that are absolutely dire. It’s
all well and good to say that cancer research benefits everyone, but
the real question is whether it should be the absolute top priority
for a state that can’t afford to keep its children fed or offer
them medical care in the here and now. 

"Lansing and Vuori say the fact
that Prop. 29 'fails to provide funding for schools, roads or
affordable housing' is irrelevant, because it was 'was never intended
to solve these problems.'

"In the context of the state’s
needs, this is a rather callous approach to take. Let’s spell out
why, so Lansing and Vuori won’t be so inclined to dismiss these
necessities of life so casually."

Hiltzik cited a list of state
government cuts that have meant the loss of health coverage for
400,000 California children, eliminated welfare benefits for 578,000
poor California families and would mean an end to state college
student aid for 72,000 young people from less affluent families.
Hiltzik continued,

"That’s just the beginning of
what might be cut because the state needs money—and won’t be able
to lay its hands on the hundreds of millions of dollars that Lansing,
Vuori, and their research colleagues are angling for. They don’t
want voters to be reminded that there are competing demands for the
tobacco money, and they do so by failing to mention that they exist,
and also by presenting the spending on cancer research as the voters’
only choice. 

"It’s the only choice because
the promoters of Proposition 29 designed it that way. Advocates of
programs like this love to pass them in via voter initiatives because
they leave no room to measure them against alternative needs."

 A final note: The New York Times
carried a piece yesterday on Proposition 29 that drew 481 comments.
The article said, 

"Organizers argued that the tax would have
less chance of passing if voters thought it would go into the state
coffers, and said that their only goal here was cutting down on
smoking."

 Also yesterday, Willie Brown, the former mayor
of San Francisco and a keen observer of California politics,
predicted voter approval of the measure along with an increase in
cigarette smuggling from adjacent states and the sale of discount
smokes at the 58 Indian casino sites in the state. 

Source:
http://californiastemcellreport.blogspot.com/feeds/posts/default?alt=rss

Top articles in medicine in June 2012

Here are my suggestions for some of the top articles in medicine in June 2012:

Fatty acids in formula don't make babies smarter http://goo.gl/FYyVX - Long-Chain Polyunsaturated Fatty Acids http://goo.gl/1WVjY

Electronic health records linked to worse diabetes care compared to old-fashioned paper records (study) http://goo.gl/vm2mR

Being sleepy behind the wheel is almost as bad as drinking and driving (study) http://goo.gl/Ub9hu

Study: Older People Have Special Smell, but It's Not Unpleasant as Stereotype Implies http://goo.gl/7bHfv

If we're going to think of exercise as a therapeutic intervention, like all interventions there will be adverse effects http://goo.gl/unjJS

DrotAA in Septic Shock - graph clearly shows lack of benefit from rh activated protein C, drotrecogin alfa http://goo.gl/bCktn

The Emerging Threat of Untreatable Gonococcal Infection - what to do if allergic to PCN and cephalosporins? NEJM http://goo.gl/fwFq3

Gallup tracks the U.S. Mood daily, only 41% were happy on June 7, 2012 http://goo.gl/Pn0lz

Drowning - free NEJM review of the current concepts, 2012 http://goo.gl/xSqLu

Intensive Enough? Intensive care units (ICUs) began in the 1950s, staffing models continue to be controversial http://goo.gl/2rZNk

Men vs. Women: Whose Offices Are Germier? Study confirms suspicion: Men Are "Greater" Source of Bacteria Than Women http://goo.gl/JkzF5

Residents' Response to Duty-Hour Regulations: 41% reported worsened education - NEJM http://goo.gl/leaC4

The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to clinicalcases@gmail.com and you will receive acknowledgement in the next edition of this publication.

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Surgeon Folds and Throws Paper Airplane Using da Vinci Robot (video)

From Swedish hospital YouTube channel: Dr. James Porter, medical director of robotic surgery at Swedish folds a small paper airplane with the da Vinci robot to demonstrate how this device gives surgeons greater surgical precision and dexterity over existing approaches.

With over 600,000 views, this video undoubtedly brings good publicity to the hospital.

However, the robot costs on average $1.3 million, in addition to several hundred thousand dollars of annual maintenance fees. Surgical procedures performed with the robot take longer than traditional ones. Critics say that hospitals have a hard time recovering the cost and that most clinical data does not support the claim of improved patient outcomes.

The manufacturer Intuitive Surgical has sold more than 1,000 units worldwide.

References:

Prepping Robots to Perform Surgery, The New York Times, 4 May 2008.
Wikipedia

Comments from Twitter:

Meenakshi Budhraja @gastromom: Cool !!

Westby Fisher, MD @doctorwes:  Surgeon Folds and Throws Paper Airplane Using da Vinci Robot (video) bit.ly/KG2EG6 - Manual faster, no?

PDara MD, FACP @JediPD:  da Vinci good for that

Skeptical Scalpel @Skepticscalpel:  Finally a use. Maybe the airplanes could have the hospital's logo on them. Folding a paper airplane. Amazing feat by a surgical robot? I think not. My blog. is.gd/6tBcZp -- Folding a paper airplane. Amazing feat by the surgical robot?  http://goo.gl/cz7lC

Ravi Pamnani @ravrav0: Surgical robots: Folding tiny paper airplanes - CHECK. Actually improving clinical outcomes - TBD. bit.ly/LEp3jg  #medtech

Jenaro Fdez-Valencia @JenaroFV_MD: after all ... it doesn't fly! If he did a boat instead, it would work. Can he try?

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What you need to check on the sunscreen label

Here are some simple tips for sunscreen selection and use from CNN:

- Use a sunscreen with a minimum of SPF 15 and a maximum of SPF 50. SPF 15 can block 93% of incoming UVB rays. SPF 30 blocks 97%. SPF 50 blocks 98%.

- Make sure labels list both UVA and UVB protection

You get exposed to both UVA and UVB light:

UVB light is the light that Burns (causes sunburn)
UVA light as the light that Ages the skin (wrinkles, etc.)

- Avoid products containing oxybenzone and retinyl palminate. They may get absorbed through the skin and may increase cancer risk

- Choose lotions versus spray sunscreens for a more evenly distribution

- Remember to apply at least 2 ounces of lotion (about a shot glass full). Reapply every 2 hours. Reapply after swimming or heavy sweating.

How to apply sunscreen - NHS video:

References:

Avoid sunscreens with potentially harmful ingredients, group warns. CNN, 2012.

How to avoid damaging ultraviolet light - CCJM launches "Patient Page" similar to JAMA

Image source: OpenClipArt.org, public domain.

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