Cellular breakthrough earns trio Nobel for medicine

A trio of American scientists won the Nobel Prize for Medicine for pioneering work on the body's cell transport system, unlocking insights into diabetes, immune disorders and other diseases.

James Rothman, Randy Schekman and Thomas Suedhof shared the prize for discovering how molecules vital to cellular functioning are shunted around in an internal freight system, tucked inside sacs called vesicles.

They also helped resolve how the vesicles arrive on time and in the right place -- a major riddle, given that this takes place in a microscopic environment humming with movement.

If the package fails to show up at the right time, or goes to the wrong location, this can cause cellular malfunction.

"Through their discoveries, Rothman, Schekman and Suedhof have revealed the exquisitely precise control system for the transport and delivery of cellular cargo," the Nobel panel said.

"Without this wonderfully precise organisation, the cell would lapse into chaos."

Suedhof, a professor of molecular and cellular physiology at Stanford University in California, was driving a car "in the middle of Spain" when reached by the Nobel Committee several hours after the announcement.

"Are you serious? Oh, my God," he said when given the news, according to a recording carried on the official Nobel website.

Suedhof, who was born in 1955 in Germany but is now a US citizen, welcomed sharing the prize with two others, saying "one tends to overestimate oneself, but I think it's more than fair".

When asked about his capacity for work, he answered: "My wife thinks I am crazy. I don't know. I am incredibly driven."

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Cellular breakthrough earns trio Nobel for medicine

Americans, German win Nobel in medicine for cell research

STOCKHOLM Americans James Rothman and Randy Schekman and German-born researcher Thomas Suedhof won the 2013 Nobel Prize in medicine on Monday for discoveries on how hormones, enzymes and other key substances are transported within cells.

This traffic control system keeps activities inside cells from descending into chaos and has helped researchers gain a better understanding of a range of diseases including diabetes and disorders affecting the immune system, the committee said.

Working in the 1970s, 80s and 90s, the three researchers made groundbreaking discoveries about how tiny bubbles called vesicles act as cargo carriers inside cells. Above all, their work helps explain how this cargo is delivered to the right place at the right time the committee said.

Imagine hundreds of thousands of people who are traveling around hundreds of miles of streets; how are they going to find the right way? Where will the bus stop and open its doors so that people can get out? Nobel committee secretary Goran Hansson said. There are similar problems in the cell.

The discoveries have helped doctors diagnose a severe form of epilepsy and immune deficiency diseases in children, Hansson said. In the future, scientists hope the research could lead to medicines against more common types of epilepsy, diabetes and other metabolism deficiencies, he added.

Rothman, 62, is a professor at Yale University, while Schekman, 64, is at the University of California, Berkeley. Suedhof, 57, joined Stanford University in 2008.

Schekman said he was awakened at 1 a.m. at his home in California by the chairman of the prize committee and was still suffering from jetlag after returning from a trip to Germany the night before.

I wasnt thinking too straight. I didnt have anything elegant to say, he told The Associated Press. All I could say was Oh my God, and that was that.

He called the prize a wonderful acknowledgment of the work he and his students had done and said he knew it would change his life.

I called my lab manager and I told him to go buy a couple bottles of Champagne and expect to have a celebration with my lab, he said.

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Americans, German win Nobel in medicine for cell research

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Digital revolution changing how doctors practice medicine

SAN FRANCISCO | An emerging digital revolution in medicine is underway. Beyond consumer-driven apps that count calories or encourage exercise, mobile technology is beginning to significantly change how doctors practice medicine.

"We're at a very interesting intersection of technology impacting clinical care, which hasn't really changed dramatically in 50 or 60 years," said Dr. Michael Blum, director of the Center for Digital Health Innovation at UCSF. "When we look back in 10 years, we're going to be amazed how far we've gone."

The ubiquity of smartphones has already had an effect on clinical practice in numerous obvious ways. Doctors can speedily access important information such as drug dosage recommendations or disease profiles as well as a patient's medical information. They can also more easily communicate about patients with specialists or other colleagues.

Dr. Paul Abramson began experimenting with other uses for mobile medical technologies on himself. He was getting regular headaches, with little clue as to why. A geek of sorts who earned a master's degree in electrical engineering from Stanford before heading to medical school, Abramson enjoys putting himself in the role of lab rat.

Using his phone, he started tracking everything from caffeine intake and mood to barometric pressure and light exposure.

This was possible, of course, because of the incredible number of gadgets all rolled into his iPhone. It turned out the headaches were related to sleep; if he got enough shut-eye, the headaches disappeared.

About a year ago, he debuted the Quant Coach program at his practice. The program's roots stem from the tracking Abramson did on himself.

"I just didn't feel like I had enough information coming back to me from patients," he said.

His patients are instructed to track varying sets of information, entering the data into an app called Mymee. That data is sent to Abramson's office and compiled in an open-source data visualization software called FluxStream. An employee called a "quant coach" in his office then pores over this quantified data, summarizing it for Abramson.

He said the methodology has allowed him to solve some complex medical riddles -- physical ailments, for example, that wound up related to less-than-obvious causes, such as environment. He can keep close tabs on his patients and amass a rich picture of all the factors that might be contributing to an illness.

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