Personalized Medicine for Parkinson's Disease

Washington, D.C. - infoZine - Researchers have taken a step toward personalized medicine for Parkinson's disease, by investigating signs of the disease in patient-derived cells and testing how the cells respond to drug treatments. The study was funded by the National Institutes of Health.

The researchers collected skin cells from patients with genetically inherited forms of Parkinson's and reprogrammed those cells into neurons. They found that neurons derived from individuals with distinct types of Parkinson's showed common signs of distress and vulnerability -- in particular, abnormalities in the cellular energy factories known as mitochondria. At the same time, the cells' responses to different treatments depended on the type of Parkinson's each patient had.

The results were published in Science Translational Medicine.

"These findings suggest new opportunities for clinical trials of Parkinson's disease, in which cell reprogramming technology could be used to identify the patients most likely to respond to a particular intervention," said Margaret Sutherland, Ph.D., a program director at NIH's National Institute of Neurological Disorders and Stroke (NINDS).

A consortium of researchers conducted the study with primary funding from NINDS. The consortium is led by Ole Isacson, M.D., Ph.D., a professor of neurology at McLean Hospital and Harvard Medical School in Boston.

The NINDS consortium's first goal was to transform the patients' skin cells into induced pluripotent stem (iPS) cells, which are adult cells that have been reprogrammed to behave like embryonic stem cells. The consortium researchers then used a combination of growth conditions and growth-stimulating molecules to coax these iPS cells into becoming neurons, including the type that die in Parkinson's disease.

Parkinson's disease affects a number of brain regions, including a motor control area of the brain called the substantia nigra. There, it destroys neurons that produce the chemical dopamine. Loss of these neurons leads to involuntary shaking, slowed movements, muscle stiffness and other symptoms. Medications can help manage the symptoms, but there is no treatment to slow or stop the disease.

Most cases of Parkinson's are sporadic, meaning that the cause is unknown. However, genetics plays a strong role. There are 17 regions of the genome with common variations that affect the risk of developing Parkinson's disease. Researchers have also identified nine genes that, when mutated, can cause the disease.

Dr. Isacson and his collaborators derived iPS cells from five people with genetic forms of Parkinson's disease. By focusing on genetic cases, rather than sporadic cases, they hoped they would have a better chance of seeing patterns in the disease process and in treatment responses. Three of the individuals had mutations in a gene called LRRK2, and two others were siblings who had mutations in the gene PINK1. The researchers also derived iPS cells from two of the siblings' family members who did not have Parkinson's or any known mutations linked to it.

Because prior studies have suggested that Parkinson's disease involves a breakdown of mitochondrial function, the researchers looked for signs of impaired mitochondria in patient-derived neurons. Mitochondria turn oxygen and glucose into cellular energy. The researchers found that oxygen consumption rates were lower in patient cells with LRRK2 mutations, and higher in cells with the PINK1 mutation. In PINK1 mutant cells, the researchers also found increased vulnerability to oxidative stress, a damaging process that in theory can be counteracted with antioxidants.

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Personalized Medicine for Parkinson's Disease

Personalized Medicine for Parkinson’s Disease

Washington, D.C. - infoZine - Researchers have taken a step toward personalized medicine for Parkinson's disease, by investigating signs of the disease in patient-derived cells and testing how the cells respond to drug treatments. The study was funded by the National Institutes of Health.

The researchers collected skin cells from patients with genetically inherited forms of Parkinson's and reprogrammed those cells into neurons. They found that neurons derived from individuals with distinct types of Parkinson's showed common signs of distress and vulnerability -- in particular, abnormalities in the cellular energy factories known as mitochondria. At the same time, the cells' responses to different treatments depended on the type of Parkinson's each patient had.

The results were published in Science Translational Medicine.

"These findings suggest new opportunities for clinical trials of Parkinson's disease, in which cell reprogramming technology could be used to identify the patients most likely to respond to a particular intervention," said Margaret Sutherland, Ph.D., a program director at NIH's National Institute of Neurological Disorders and Stroke (NINDS).

A consortium of researchers conducted the study with primary funding from NINDS. The consortium is led by Ole Isacson, M.D., Ph.D., a professor of neurology at McLean Hospital and Harvard Medical School in Boston.

The NINDS consortium's first goal was to transform the patients' skin cells into induced pluripotent stem (iPS) cells, which are adult cells that have been reprogrammed to behave like embryonic stem cells. The consortium researchers then used a combination of growth conditions and growth-stimulating molecules to coax these iPS cells into becoming neurons, including the type that die in Parkinson's disease.

Parkinson's disease affects a number of brain regions, including a motor control area of the brain called the substantia nigra. There, it destroys neurons that produce the chemical dopamine. Loss of these neurons leads to involuntary shaking, slowed movements, muscle stiffness and other symptoms. Medications can help manage the symptoms, but there is no treatment to slow or stop the disease.

Most cases of Parkinson's are sporadic, meaning that the cause is unknown. However, genetics plays a strong role. There are 17 regions of the genome with common variations that affect the risk of developing Parkinson's disease. Researchers have also identified nine genes that, when mutated, can cause the disease.

Dr. Isacson and his collaborators derived iPS cells from five people with genetic forms of Parkinson's disease. By focusing on genetic cases, rather than sporadic cases, they hoped they would have a better chance of seeing patterns in the disease process and in treatment responses. Three of the individuals had mutations in a gene called LRRK2, and two others were siblings who had mutations in the gene PINK1. The researchers also derived iPS cells from two of the siblings' family members who did not have Parkinson's or any known mutations linked to it.

Because prior studies have suggested that Parkinson's disease involves a breakdown of mitochondrial function, the researchers looked for signs of impaired mitochondria in patient-derived neurons. Mitochondria turn oxygen and glucose into cellular energy. The researchers found that oxygen consumption rates were lower in patient cells with LRRK2 mutations, and higher in cells with the PINK1 mutation. In PINK1 mutant cells, the researchers also found increased vulnerability to oxidative stress, a damaging process that in theory can be counteracted with antioxidants.

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Personalized Medicine for Parkinson's Disease

Author Gabriel Garcia Marquez has dementia

Author Gabriel Garcia Marquez, from his Facebook page.

CARTAGENA, Colombia, July 7 (UPI) -- Colombian author and Nobel literature laureate Gabriel Garcia Marquez is suffering from dementia and has been forced to stop writing, his brother announced.

The 84-year-old author, best known for the novel "One Hundred Years of Solitude," which has sold more than 30 million copies, is currently in the middle of writing his autobiography, The Daily Telegraph reported Saturday. Brother Jaime Garcia Marquez told students at a lecture in Cartagena his brother no longer has the mental faculties to complete the book, "Living to Tell the Tale."

"He is doing well physically, but he has been suffering from dementia for a long time," he said. "From a physical standpoint he's doing well, although he now has some memory lapses" that have been made worse by a battle with lymphatic cancer in 1999.

"Dementia runs in our family and he's now suffering the ravages prematurely due to the cancer that put him almost on the verge of death," he said.

Garcia Marquez, who lives in Mexico, was a pioneer of the literary school of magical realism, producing the novels "Love in the Time of Cholera," "Chronicle of a Death Foretold" and "The General in His Labyrinth."

"He still has the humor, joy and enthusiasm that he has always had," his brother told his students.

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Author Gabriel Garcia Marquez has dementia

Garcia Marquez has dementia, brother says

irishtimes.com - Last Updated: Saturday, July 7, 2012, 16:02

The celebrated Nobel prize winning author Gabriel Garcia Marquez is suffering from dementia and is no longer able to write, his family have announced.

The brother of the Colombian author who won the Noble prize in 1982 said the family had tried to keep the secret, not because there is anything people should not know "but because it's his life and he's always tried to protect it."

"The fact is there are lots of comments. Some are true but they're always filled with morbid (details). Sometimes you get the sense they'd rather he were dead, as if his death were some great news," Jaime Garcia Marquez said.

Addressing students at a lecture in Cartagena he said his 84-year-old brother frequently phones him to ask simple questions.

"He has problems with his memory. Sometimes I cry because I feel like I'm losing him," he said, adding that he had now stopped writing altogether.

Jaime Garcia Marquez, his younger brother, is the first family member to speak publicly about it. "He is doing well physically, but he has been suffering from dementia for a long time," he said. "From a physical standpoint he's doing well, although he now has some memory lapse.

"But he still has the humour, joy and enthusiasm that he has always had."

Best known for One Hundred Years of Solitude, which has sold more than 30 million copies, Marquez lives in Mexico. His novels include Love in the Time of Cholera, Chronicle of a Death Foretold and The General in His Labyrinth.

He has not published anything since the novel, Memoirs of My Melancholy Whores, which was published five years ago to mixed reviews.

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Garcia Marquez has dementia, brother says

Rare disease treatment hope

Queensland scientists have moved a step closer to new treatments for a rare degenerative brain disease.

Ataxia telangiectasia is an inherited disease causing severe disability, a weakened immune system, susceptibility to infection and an increased risk of cancer.

It affects between one in 100,000 and one in 300,000 people and is ultimately fatal.

Patients are frequently confined to a wheelchair by their early teenage years and generally die by their 20s.

People with the disease can develop cancer and brain degeneration because a gene that recognises and repairs DNA damage is defective.

Researchers from the University of Queensland's Australian Institute for Bioengineering and Nanotechnology have found a way to develop brain cells to study in the lab from the skin cells of children.

By reprogramming the skin cells into stem cells, then brain cells, researchers hope to be able to correct the genetic mutations and demonstrate that they can replace the defective cells that cause the problems in the disease.

Replacing the defective cells with corrected cells, or developing new drugs using the cells in the study, could help treat the disease.

The researchers could start screening medicines in one to two years, but testing in animals would have to be completed before they could be used in humans.

The skin cell reprogramming research has been published in the journal Stem Cells Translational Medicine.

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Rare disease treatment hope

Autism conference set July 16-18

SOUTHAVEN The 2nd Annual Mid-South Autism Conference, which will feature a wide array of experts on the behavioral spectrum disorder from around the globe, is set for July 16-18 at the Landers Center in Southaven.

The keynote speaker is Dr. Carl Sundberg, executive director and president of the Behavior Analysis Center for Autism in Fishers, Indiana.

Other speakers include Dr. Ennio, Cipani, professor at National University and a licensed psychologist in California, Alex Plank, creator of WrongPlanet.net, a popular community for individuals with Asperger's Syndrome and autism.

Additionally, Kerry Mangro, founder and CEO of KFM Making a Difference in the Community, a non-profit organization focused on special needs housing for disabled individuals in New Jersey, has also been invited to speak.

Holtzman and Tracy Palm, executive director of Transformations, a Memphis-based behavioral center, are co-founders of the conference.

For more information or to register for the conference contact Holtzman at 901-231-1931.

Robert Lee Long: rlong@desototimestribune.com or at 662-429-6397, Ext. 252

The following are comments from the readers. In no way do they represent the view of desototimestribune.com.

You must register with a valid email to post comments. Only your Member ID will be posted with the comments.

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Autism conference set July 16-18

Glendale Gators swim club helps young girl with autism thrive

As their 5-year-old daughter, Jacey, and her older sister, Natalie, 7, got in their starting positions for the 25-meter backstroke, their parents, Tiffany and Robert Regan, said they wished the circumstances were different.

Jacey, who was diagnosed with autism when she was 3, was to compete for the Glendale Gators swim club in the 7- to 8-year old division against her sister. Usually Jacey swims in the sixth lane in her own division, but at Windy Point pool, host of Monday's meet, there were only five lanes, bumping Jacey to Natalie's division.

"No one knows she's younger," said Tiffany before swimmers raced to the pool. She said she and her husband were worried people who didn't know Jacey would assume she was older and just a slow swimmer, fearing embarrassment for Jacey and wishing she could swim in her own age group.

Jacey fell behind in her heat, touching the wall at least 10 seconds after everyone else but she was greeted by a thunderous applause by coaches, parents and teammates.

Tiffany let out a sigh of relief. Jacey still had a smile on her face.

A year ago, the thought of Jacey swimming in front of a crowd and playing with kids her age would have been inconceivable to Tiffany and Robert because of her autism, but the Glendale Gators have given Jacey a social, safe place and helped her thrive.

"She'll go around to everybody and say, 'I'm on the Glendale Gators,'" Tiffany said Monday. "She's thrilled. To her therapist today, she ran in and said, 'Guess what, I have a swim meet tonight and I'm swimming backstroke.'"

Tiffany, a nurse, said she knew something was wrong when Jacey, then 3, started pulling her hair out and screaming whenever Tiffany touched her. Jacey also wasn't speaking more than one or two words. She took Jacey to a doctor in Richmond, expecting a diagnosis of Obsessive Compulsive Disorder (OCD) or something similar.

"When I was there, I didn't expect to hear the word autism," Tiffany said. "I heard the word autism and just did not expect that."

Autism is defined as a "disturbance in psychological development in which use of language, reaction to stimuli, interpretation of the world, and the formation of relationships are not fully established and follow unusual patterns." According to the Autism Society, 1 percent of children ages 3-17 in the United States have autism.

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Glendale Gators swim club helps young girl with autism thrive

FOXO1 gene may play important role in Parkinson's disease

ScienceDaily (June 29, 2012) A recent study led by researchers at Boston University School of Medicine (BUSM) revealed that the FOXO1 gene may play an important role in the pathological mechanisms of Parkinson's disease.

These findings are published online in PLoS Genetics, a peer-reviewed open-access journal published by the Public Library of Science.

The study was led by Alexandra Dumitriu, PhD, a postdoctoral associate in the department of neurology at BUSM. Richard Myers, PhD, professor of neurology at BUSM, is the study's senior author.

According to the Parkinson's Disease Foundation, 60,000 Americans are diagnosed with Parkinson's disease each year and approximately one million Americans are currently living with the disease.

Parkinson's disease is a complex neurodegenerative disorder characterized by a buildup of proteins in nerve cells that lead to their inability to communicate with one another, causing motor function issues, including tremors and slowness in movement, as well as dementia. The substantia nigra is an area of the midbrain that helps control movement, and previous research has shown that this area of the brain loses neurons as Parkinson's disease progresses.

The researchers analyzed gene expression differences in brain tissue between 27 samples with known Parkinson's disease and 26 samples from neurologically healthy controls. This data set represents the largest number of brain samples used in a whole-genome expression study of Parkinson's disease to date. The novel aspect of this study is represented by the researchers' emphasis on removing possible sources of variation by minimizing the differences among samples. They used only male brain tissue samples that showed no significant marks of Alzheimer's disease pathology, one of the frequently co-occurring neurological diseases in Parkinson's disease patients. The samples also had similar tissue quality and were from the brain's prefrontal cortex, one of the less studied areas for the disease. The prefrontal cortex does not show neuronal death to the same extent as the substantia nigra, although it displays molecular and pathological modifications during the disease process, while also being responsible for the dementia present in a large proportion of Parkinson's disease patients.

Results of the expression experiment showed that the gene FOXO1 had increased expression in the brain tissue samples with known Parkinson's disease. FOXO1 is a transcriptional regulator that can modify the expression of other genes. Further examination of the FOXO1 gene showed that two single-nucleotide polymorphisms (SNPs), or DNA sequence variations, were significantly associated with age at onset of Parkinson's disease.

"Our hypothesis is that FOXO1 acts in a protective manner by activating genes and pathways that fight the neurodegeneration processes," said Dumitriu. "If this is correct, there could be potential to explore FOXO1 as a therapeutic drug target for Parkinson's disease."

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FOXO1 gene may play important role in Parkinson's disease

FOXO1 gene may play important role in Parkinson’s disease

ScienceDaily (June 29, 2012) A recent study led by researchers at Boston University School of Medicine (BUSM) revealed that the FOXO1 gene may play an important role in the pathological mechanisms of Parkinson's disease.

These findings are published online in PLoS Genetics, a peer-reviewed open-access journal published by the Public Library of Science.

The study was led by Alexandra Dumitriu, PhD, a postdoctoral associate in the department of neurology at BUSM. Richard Myers, PhD, professor of neurology at BUSM, is the study's senior author.

According to the Parkinson's Disease Foundation, 60,000 Americans are diagnosed with Parkinson's disease each year and approximately one million Americans are currently living with the disease.

Parkinson's disease is a complex neurodegenerative disorder characterized by a buildup of proteins in nerve cells that lead to their inability to communicate with one another, causing motor function issues, including tremors and slowness in movement, as well as dementia. The substantia nigra is an area of the midbrain that helps control movement, and previous research has shown that this area of the brain loses neurons as Parkinson's disease progresses.

The researchers analyzed gene expression differences in brain tissue between 27 samples with known Parkinson's disease and 26 samples from neurologically healthy controls. This data set represents the largest number of brain samples used in a whole-genome expression study of Parkinson's disease to date. The novel aspect of this study is represented by the researchers' emphasis on removing possible sources of variation by minimizing the differences among samples. They used only male brain tissue samples that showed no significant marks of Alzheimer's disease pathology, one of the frequently co-occurring neurological diseases in Parkinson's disease patients. The samples also had similar tissue quality and were from the brain's prefrontal cortex, one of the less studied areas for the disease. The prefrontal cortex does not show neuronal death to the same extent as the substantia nigra, although it displays molecular and pathological modifications during the disease process, while also being responsible for the dementia present in a large proportion of Parkinson's disease patients.

Results of the expression experiment showed that the gene FOXO1 had increased expression in the brain tissue samples with known Parkinson's disease. FOXO1 is a transcriptional regulator that can modify the expression of other genes. Further examination of the FOXO1 gene showed that two single-nucleotide polymorphisms (SNPs), or DNA sequence variations, were significantly associated with age at onset of Parkinson's disease.

"Our hypothesis is that FOXO1 acts in a protective manner by activating genes and pathways that fight the neurodegeneration processes," said Dumitriu. "If this is correct, there could be potential to explore FOXO1 as a therapeutic drug target for Parkinson's disease."

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FOXO1 gene may play important role in Parkinson's disease

Venous obstruction is of primary importance in MS pathogenesis – YES (CONy 2012) – Video

30-06-2012 14:27 The 5th World Congress on Controversies in Neurology (CONy) - Asia Pacific Life Course Related Conditions Debate: Venous obstruction is of primary importance in MS pathogenesis - YES MULTIPLE SCLEROSIS TREATMENT October 14, 2011 11:10 | Length: 17:14 min Presenter: J. Kotowitcz

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Venous obstruction is of primary importance in MS pathogenesis - YES (CONy 2012) - Video

Fundraiser helps boy get service dog

A Grover Beach boy stricken with Friedreichs ataxia will get his service dog as a result of a fundraiser that drew more than 400 people Sunday.

Nine-year-old Lucas Appleton, who suffers from the progressively crippling form of muscular dystrophy, managed to spend five hours at the event at Mongos Saloon, said his godmother, Linda McClure, who organized the barbecue that included a prize drawing, musical performances and a bake sale.

It was a huge success, McClure said. Lucas was so happy and so was his brother (William) and mother, Casandra.

We raised enough to get him a dog, with a small amount left over for a van, and were working on that now, she said.

A trained service dog, which costs $12,000 to $15,000, will help Lucas maintain his balance, turn on lights for him, pick up things hes dropped, help him through the familys narrow bathroom door and just be a companion.

McClure said about 450 people and a host of dogs attended the event that started at 10:30 a.m. and continued until Mongos closed that night.

She noted Lucas had asked to have a golden retriever or black Labrador retriever for a service dog, which might not be possible.

But a golden retriever club heard about his request and showed up with all their dogs.

It was golden retrievers everywhere, she said, adding club members and dogs joined Friends of Grover Beach members to solicit donations outside Mongos on West Grand Avenue.

That brought in about $400 alone, she said, adding one woman walked in and quietly dropped a $500 check into the collection jar.

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Fundraiser helps boy get service dog

Autism-friendly Technology

By DANG U. KOE

MANILA, Philippines Many parenting experts have long spoken of the ills of exposing children to too much electronic visual stimuli like television and computers. But progressive education proponents are also challenging todays parents to open their minds to the possibility that the next generation will face a school environment very different from ours. The learning environment of the future will be enriched with integrated photos and video teaching aides, instant access to latest research and interaction across vast distances.

Mona Magno-Veluz (@mightymagulang), ASP National Secretary, returns as this weeks Angel Talker.

*****

The unique challenges of individuals in the autism spectrum have given software and platform developers an opportunity to use technology to address the difficulties our ASD learners face.

Mobile Apps. A quick visit to the Apple App Store or the Android marketplace will give you many free and paid options for applications that can help a child with autism. Aside from picture-text apps that help language learning, the online application market is packed with student and teacher tools for behavior-tracking, conversation coaching, social stories development, listening therapy, observation recording, among others. Autism Speaks maintains a recommendations page on learner-tested applications.

Motion-controlled Gadgets. Games and learning software which responds to movement has been made possible by Ninendo Wii, Playstation Move and Microsoft Xbox Kinect. Many therapy centers all over the world have begun using these game platforms as tools in motor skills development for children on the spectrum.

A team of students from De La Salle-College of St. Benilde recently bagged first place in the Microsoft Philippines Imagine Cup 2012 for their software development project, KidCAMP, a Kinect-driven web and mobile application developed for PWA learners that provides communications and teaching tools, assists teachers in creating learning materials, and monitors student performance.

Digital Talking Books. The Autism Society Philippines, in cooperation with AusAid, is set to develop a series of DAISY (Digital Accessible Information System) digital talking books intended to teach children their human rights as individuals with disabilities, proclaimed by the United Nations. The project will feature social stories and will be illustrated by graphic designer Gabriel Atienza, a person with Asperger Syndrome.

Social Media. Setting aside the global debate on how much social media children should be exposed to, the various online platforms like Facebook and YouTube, have provided individuals with autism a medium to communicate with the outside world from the comfort of familiar surroundings.

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Autism-friendly Technology

Autism forum aims to unite parents, insurers

Advocates of West Virginia children with autism want to the make the most of the state's new law requiring some insurance coverage for their treatment.

CHARLESTON, W.Va. -- Advocates of West Virginia children with autism want to the make the most of the state's new law requiring some insurance coverage for their treatment.

That's why they're holding a summit July 13 at Stonewall Jackson Resort in Lewis County. They hope to help parents learn about, obtain and then use this coverage for their children.

The summit is also for treatment providers and representatives of the insurance companies and programs that will provide the coverage.

Scheduled speakers include several officials who helped launch autism insurance coverage in other states.

The Mountaineer Autism Project is a summit sponsor along with Training and Resources for Autism Insurance Navigation in West Virginia. TRAIN WV is a project funded by a Benedum Foundation grant devoted to creating statewide access to autism care.

Read more in Monday's Charleston Gazette.

That's why they're holding a summit July 13 at Stonewall Jackson Resort in Lewis County. They hope to help parents learn about, obtain and then use this coverage for their children.

The summit is also for treatment providers and representatives of the insurance companies and programs that will provide the coverage.

Scheduled speakers include several officials who helped launch autism insurance coverage in other states.

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Autism forum aims to unite parents, insurers

The Other Harm Caused by Mitochondrial DNA Damage in Aging

As I'm sure you all know by now, mitochondria are swarming powerplants within the cell, descendants of symbiotic bacteria that bear their own DNA separate from the DNA in the cell nucleus. Mitochondrial DNA provides the blueprints for proteins making up the machinery of a mitochondrion, but it isn't as well protected or as well repaired as nuclear DNA. Given that a lot of reactive compounds are funneled through mitochondria in the processes that keep a cell powered, it is only to be expected that mitochondrial DNA becomes progressively more damaged over time. The range of mechanisms that have evolved to deal with that damage cannot keep up over the long term, and as a result a small but significant portion of our cells fall into ruin on the way to old age, becoming populated by dysfunctional, damaged mitochondria, and causing a great deal of harm to surround tissues and bodily systems by exporting a flood of reactive biochemicals. You can read a longer and more detailed description of this process back in the Fight Aging! archives.

So that is one side of the issue of mitochondrial DNA damage and its contribution to degenerative aging - and that in and of itself would be more than enough to make mitochondrial repair biotechnologies a research priority. There are many different potential ways of fixing or rendering irrelevant mitochondrial DNA damage, and allowing mitochondria to continue to function as well as they did at birth for an indefinite period of time. The sooner one of them is developed into a working therapy the better.

In considering mitochondrial damage there is another, more straightforward process at work, however. Many types of cell normally operate fairly close to the limit of the power provided by their mitochondria, including important cell populations in the brain and nervous system. As mitochondrial DNA damage accumulates with age, power production - meaning the pace at which adenosine triphosphate (ATP) is produced - falls off and cells either die or malfunction far more often than they did in youth. This is outlined in a recent open access review paper:

In aerobic cells the majority of ATP is produced by oxidative phosphorylation. This process takes place in the mitochondria where electrons that are donated from the Krebs cycle are passed through the four complexes (complex I-IV) comprising the electron transport chain (ETC), eventually reducing oxygen and producing water.

...

Many cells operate at a basal level that only requires a part of their total bioenergetic capability. The difference between ATP produced by oxidative phosphorylation at basal and that at maximal activity is termed "spare respiratory capacity" or "reserve respiratory capacity" ... Under certain conditions a tissue can require a sudden burst of additional cellular energy in response to stress or increased workload. If the reserve respiratory capacity of the cells is not sufficient to provide the required ATP affected cells risk being driven into senescence or cell death.

...

In this paper we hypothesize that mitochondria contributes to aging and age-related pathologies through a life-long continued decrease of the respiratory reserve capacity. The decrease sensitizes high energy requiring tissues to an exhaustion of the reserve respiratory capacity. This increases the risk of a range of pathologies that correspondingly are known to be age-related. Through a review of the effects of aging on the regulation of oxidative phosphorylation, we wish to substantiate this hypothesis. In addition, by using brain, heart, and skeletal muscle as examples, we will review how an age-related decrease of the reserve respiratory capacity is implicated in a variety of pathologies in the affected tissues.

Interestingly, there is a good case for arguing that it isn't just damage to mitochondria DNA (mtDNA) that reduces levels of power production in a cell's mitochondria - there are other changes taking place that turn down the dial, which in the absence of more definitive knowledge as to their causes could be classified either as programmed aging or as a programmed response to stochastic damage in other cellular systems:

Cumulative damage to the mtDNA is however, not the only contributor to the age-related decline of oxidative phosphorylation. Transcriptional profiling has revealed different regulation of nuclear genes encoding important peptides for oxidative phosphorylation when comparing young to old.

Either way, those mitochondria still need fixing. The biotechnologies capable of that job are on the horizon, and would be coming closer more rapidly if those involved in the work had a greater level of funding.

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

Age-Related Visual Impairment in Decline

Steady progress in medicine has led to an ongoing reduction in many age-related conditions over the past few decades. Such as this, for example: "Today's senior citizens are reporting fewer visual impairment problems than their counterparts from a generation ago, according to a new [study]. Improved techniques for cataract surgery and a reduction in the prevalence of macular degeneration may be the driving forces behind this change, the researchers said. ... From 1984 until 2010, the decrease in visual impairment in those 65 and older was highly statistically significant. There was little change in visual impairments in adults under the age of 65. ... The [ study] shows that in 1984, 23 percent of elderly adults had difficulty reading or seeing newspaper print because of poor eyesight. By 2010, there was an age-adjusted 58 percent decrease in this kind of visual impairment, with only 9.7 percent of elderly reporting the problem. There was also a substantial decline in eyesight problems that limited elderly Americans from taking part in daily activities, such as bathing, dressing or getting around inside or outside of the home ... there are three likely reasons for the decline: (a) Improved techniques and outcomes for cataract surgery. (b) Less smoking, resulting in a drop in the prevalence of macular degeneration. (c) Treatments for diabetic eye diseases are more readily available and improved, despite the fact that the prevalence of diabetes has increased "

Link: http://www.northwestern.edu/newscenter/stories/2012/06/seniors-eyesight.html

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

Alcor 40 Conference, October 19th 2012

Cryonics provider Alcor is holding a 40th anniversary conference in October, and the presently announced program looks much like this: "Sebastian Seung on testing how well cryopreservation (and alternatives) preserves the connectome. Todd Huffman on brain scanning. Panel discussion on long-term financial planning, including investing strategies, inflation protection, and personal trusts. Aschwin and Chana de Wolf from Advanced Neural Biosciences on advances in cryonics-relevant research. Greg Fahy from 21st Century Medicine on advances in cryoprotection. Aubrey de Grey from the SENS Foundation. Joshua Mitteldorf on programmed aging. Anders Sandberg on 'Handling the unknowable and undecidable: rational decision making about future technology.' Catherine Baldwin on advances at Suspended Animation. Panel on medical monitoring devices for improving your chances of a quick response in case of a critical physiological failure. Max More on how to improve your prospects for an optimal cryopreservation."

Link: http://www.alcor.org/conferences/2012/

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

Early Medical Nanorobots Will Look Like Cells and Bacteria

If I mention medical nanorobotics, you might think of the designs put forward by Robert Freitas and others: molecular machines constructed largely from carbon that bear little relation to the cells and cellular system they are intended to interact with. Or you might think of the crude forerunners of those designs presently being tested in the laboratory, such as targeted nanoparticles and nanocontainers used to deliver drug compounds more precisely to where they are needed.

But you and I are built out of nanorobots: each of our cells is effectively a structured collection of cooperating, programmable nanoscale robots. They are evolved rather than designed, but still represent a vast preexisting parts library for researchers interested in building the first generation of medical nanorobots. While it is true that there are good reasons for reinventing this wheel, such as gaining far greater performance than is possible from anything similar to our present biology, given that time is of critical importance in developing the next generation of medicine, why not use these existing designs?

It seems likely that the first medical nanorobots (well, microrobots in this case) will be highly modified or even completely artificial cells. Why ignore the working blueprint that's right in front of you, after all?

Researchers are already building the prototypes, far more advanced than simple targeted nanoparticles. Here, for example, is news of progress towards nanofactories. These are programmable, artificial bacteria-like entities that can be set up to manufacture specific drug compounds in response to their local environment, or to signals from outside the body such as light or ingested chemicals.

Scientists are reporting an advance toward treating disease with minute capsules containing not drugs - but the DNA and other biological machinery for making the drug. ... development of nanoscale production units for protein-based drugs in the human body may provide a new approach for treating disease. These production units could be turned on when needed, producing medicines that cannot be taken orally or are toxic and would harm other parts of the body. Until now, researchers have only done this with live bacteria that were designed to make proteins at disease sites. But unlike bacterial systems, artificial ones are modular, and it is easier to modify them. That's why [this research group] developed an artificial, remotely activated nanoparticle system containing DNA and the other "parts" necessary to make proteins, which are the workhorses of the human cell and are often used as drugs.

They describe the nanoscale production units, which are tiny spheres encapsulating protein-making machinery like that found in living cells. The resulting nanoparticles produced active proteins on demand when the researchers shined a laser light on them. The nanoparticles even worked when they were injected into mice, which are stand-ins for humans in the laboratory, producing proteins when a laser was shone onto the animals.

The sky is the limit once biotechnology really takes off - and we're still in the early stages of this phase of progress. Much more is yet to come.

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

A Step Towards Better Blood

Why not aim to improve on blood? Its primary function is to carry oxygen, and it has evolved to do the bare minimum necessary on this front - separate any part of the body from a supply of oxygen for a minute or so and you're in trouble. It would be nice, for example, to have blood with a reserve capacity of a few hours, achieved using nanomachines that store the surplus oxygen that the body doesn't otherwise extract from air breathed in. Even if the heart stopped or blood stopped flowing in some vital tissue, you'd have those few hours to seek medical help. Here is a gentle first step towards the technologies of better blood: researchers "designed tiny, gas-filled microparticles that can be injected directly into the bloodstream to quickly oxygenate the blood. The microparticles consist of a single layer of lipids (fatty molecules) that surround a tiny pocket of oxygen gas, and are delivered in a liquid solution. ... report that an infusion of these microparticles into animals with low blood oxygen levels restored blood oxygen saturation to near-normal levels, within seconds. When the trachea was completely blocked - a more dangerous 'real world' scenario - the infusion kept the animals alive for 15 minutes without a single breath, and reduced the incidence of cardiac arrest and organ injury. The microparticle solutions are portable and could stabilize patients in emergency situations, buying time for paramedics, emergency clinicians or intensive care clinicians to more safely place a breathing tube or perform other life-saving therapies. ... The microparticles would likely only be administered for a short time, between 15 and 30 minutes, because they are carried in fluid that would overload the blood if used for longer periods ... the particles are different from blood substitutes, which carry oxygen but are not useful when the lungs are unable to oxygenate them. Instead, the microparticles are designed for situations in which the lungs are completely incapacitated. ... Intravenous administration of oxygen gas was tried in the early 1900s, but these attempts failed to oxygenate the blood and often caused dangerous gas embolisms. ... We have engineered around this problem by packaging the gas into small, deformable particles. They dramatically increase the surface area for gas exchange and are able to squeeze through capillaries where free gas would get stuck."

Link: http://www.eurekalert.org/pub_releases/2012-06/chb-ilo_1062212.php

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

Demonstrating Genetically Corrected Stem Cells as a Therapy

This demonstrated technology platform has wide-ranging uses beyond muscular dystrophy. The ability to generate altered versions of a patient's own stem cell populations and then deliver them as needed could be a useful therapy for many conditions: "scientists have turned muscular dystrophy patients' fibroblast cells (common cells found in connective tissue) into stem cells and then differentiated them into muscle precursor cells. The muscle cells were then genetically modified and transplanted into mice. ... In this study, scientists focused on genetically modifying a type of cell called a mesoangioblast, which is derived from blood vessels and has been shown in previous studies to have potential in treating muscular dystrophy. However, the authors found that they could not get a sufficient number of mesoangioblasts from patients with limb-girdle muscular dystrophy because the muscles of the patients were depleted of these cells. Instead, scientists in this study 'reprogrammed' adult cells from patients with limb-girdle muscular dystrophy into stem cells and were able to induce them to differentiate into mesoangioblast-like cells. After these 'progenitor' cells were genetically corrected using a viral vector, they were injected into mice with muscular dystrophy, where they homed-in on damaged muscle fibres. The researchers also showed that when the same muscle progenitor cells were derived from mice the transplanted cells strengthened damaged muscle and enabled the dystrophic mice to run for longer on a treadmill than dystrophic mice that did not receive the cells."

Link: http://www.sciencedaily.com/releases/2012/06/120627142514.htm

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

Another Study Suggests that Sedentary Behavior Adds Up

You might recall a recent Australian study that put forward a correlation between time spent sitting and mortality rate, independent of other factors - i.e. the claim there being that if you sit a lot but exercise moderately then you have a lower life expectancy than if you spent less time in a chair. My thought at the time was that this sort of result ties back into levels of activity:

This is not the first study to propose this correlation, of course. There are a range of others from past years. One has to wonder what the mechanism is here, however - my suspicion is that it actually does all come back down to the level of physical activity in the end. In these massive studies the level of exercise and activity is reported by the participants. A person who stands and works is going to be somewhat more active than a person who sits and works, even though that time may not be categorized as physical activity, or reported differently.

Here is a different study that proposes much the same sort of thing. These researchers - like the authors of another recent study on Alzheimer's disease and activity - used data gathered from worn accelerometer devices rather than the self-reporting of study participants, which in theory should lead to far more confidence in the results.

Association of Sedentary Time with Mortality Independent of Moderate to Vigorous Physical Activity:

Low physical activity levels are a well-known risk factor of mortality. Previous studies have shown that people who do not meet the physical activity recommendations or those who report less moderate to vigorous activity (MVPA) are at increased risk of death. Sedentary behavior has emerged as a potential risk factor independent of MVPA and is defined as engaging in behaviors during the waking day that are done while sitting or reclining and that result in little energy expenditure above rest, such as using the computer, watching television, driving a car, or sitting at a desk.

Recent studies with objectively measured sedentary time data have shown that prolonged time in sedentary behaviors is a cardiometabolic risk factor independent of moderate to vigorous physical activity. Additionally, self-reported sedentary time in several domains including sitting, riding in a car, and TV watching is positively associated with mortality.

...

7-day accelerometry data of 1906 participants aged 50 and over from the U.S. nationally representative National Health and Nutrition Examination Survey (NHANES) 2003-2004 were analyzed. All-cause mortality was assessed from the date of examination through December 31, 2006.

...

This study shows that time spent in sedentary behavior is positively associated with mortality in this representative sample of adults aged 50 and older. Participants in the highest quartile of percentage of time spent sedentary, which corresponds to more than 73.5% of time in men and more than 70.5% in women, had more than 5 times greater risk of death compared to those in the lowest quartile. Importantly, these associations were independent of MVPA.

At some point in the future we won't really have to worry too much about things like this, as medical science will progress to the point at which maintenance of long-term health regardless of lifestyle becomes as much a non-issue as protection from the infectious diseases that plagued our ancestors. But we have a way to go towards that goal, and in the meanwhile it doesn't seem wise to sit back and assume that biotechnology will rescue you from casual negligence. Maybe you'll get lucky, but for those of us in the middle stages of life it looks uncertain indeed. The coming decades are on the cusp between the era of aging as a fact of life and aging as a treatable and reversible medical condition - a lot of deaths will fall on the wrong side of that line, so why not try to shift the odds on whether yours is one of them? Every year gained is big deal in this sort of situation.

The flip side of that coin is, of course, helping to make rejuvenation biotechnology come about more rapidly. If you like being alive and in good shape, it makes sense to work on both (a) common sense health basics like exercise and calorie restriction, and (b) assisting scientific progress. You live in an age in which you can easily accomplish both of these things, thanks to a wealth of health knowledge at your fingertips, and the spread of volunteer, philanthropically funded organizations like SENS Foundation and Methuselah Foundation.

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