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Daily Archives: February 20, 2015
Unlikely that topical pimecrolimus associated with increased risk of cancer
Posted: February 20, 2015 at 12:45 am
The topical medicine pimecrolimus to treat eczema (atopic dermatitis or AD) in children appears unlikely to be associated with increased of risk of cancer based on how it was used in group of children followed for 10 years, according to an article published online by JAMA Dermatology.
Eczema is a common and chronic inflammatory skin condition that most frequently occurs in the first decade of life. The U.S. Food and Drug Administration (FDA) and the European Union Medicines Agency have approved few topical agents to treat eczema in children, but in 2001 the FDA and the European Medicines Agency in 2002 approved pimecrolimus to treat eczema in children at least 2 years old. A "black box warning" describes the potential risk of malignancy associated with the topical use of pimecrolimus, a topical calcineurin inhibitor (TCIs). Oral calcineurin inhibitors were originally approved as immunosuppressive treatments for patients after solid organ transplant to prevent rejection although these treatments are associated with an increased risk of cancer, especially skin cancer and lymphoma. The Pediatric Eczema Elective Registry (PEER) study was started in 2004 as part of the postmarketing commitments for the approval of pimecrolimus, according to the study background.
David J. Margolis, M.D., Ph.D., of the University of Pennsylvania, and coauthors analyzed data through May 2014 to evaluate the risk of cancer by comparing expected rates from the Surveillance, Epidemiology and End Results (SEER) program. Overall, the PEER study enrolled 7,457 children (26,792 person-years) and the children used an average of 793 grams of pimecrolimus when enrolled in the study.
As of May 2014, five malignancies were reported: two leukemias, one osteosarcoma and two lymphomas. No skin cancers were reported, according to the study results. None of the findings regarding incidence (risk) of the disease were statistically significant.
"Based on more than 25,000 person-years of follow-up, it seems unlikely that topical pimecrolimus as it was generally used in the PEER cohort to treat AD is associated with an increased risk of malignancy," the study concludes.
Editorial: Reassuring Rejoinder Against Malignant Influences of Topical Calcineurin Inhibitors Use in Children
In a related editorial, Jon M. Hanifin, M.D., of Oregon Health and Science University, Portland, writes: "The study by Margolis and colleagues in this issue of JAMA Dermatology will hopefully help to improve the management of AD, countering the concerns raised by FDA warnings."
"The positive and optimistic report of pimecrolimus postmarketing surveillance by Margolis et al should help reduce the physician and pharmacist concerns that have restricted the use of these effective topical alternatives to corticosteroids. The interim results should help bring relief to a larger segment of the many young individuals with AD," Hanifin concludes.
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The above story is based on materials provided by The JAMA Network Journals. Note: Materials may be edited for content and length.
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Unlikely that topical pimecrolimus associated with increased risk of cancer
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What Are The Symptoms Of Psoriasis, New Treatment For Psoriasis, What Causes Psoriasis Of The Scalp – Video
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What Are The Symptoms Of Psoriasis, New Treatment For Psoriasis, What Causes Psoriasis Of The Scalp
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What Are The Symptoms Of Psoriasis, New Treatment For Psoriasis, What Causes Psoriasis Of The Scalp - Video
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Psoriasis Vulgaris, Psoriasis On The Scalp, Can Psoriasis Be Cured, Vitamin D And Psoriasis – Video
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Psoriasis Vulgaris, Psoriasis On The Scalp, Can Psoriasis Be Cured, Vitamin D And Psoriasis
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Difference Between Eczema And Psoriasis, Tea Tree Oil Psoriasis, Psoriasis On The Face – Video
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Difference Between Eczema And Psoriasis, Tea Tree Oil Psoriasis, Psoriasis On The Face
Difference Between Eczema And Psoriasis, Tea Tree Oil Psoriasis, Psoriasis On The Face http://psoriasis-cure-video.info-pro.co Are You Suffering From Any of ...
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Difference Between Eczema And Psoriasis, Tea Tree Oil Psoriasis, Psoriasis On The Face - Video
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Inverse Psoriasis, How Do You Get Psoriasis, Scalp Psoriasis Natural Treatment, Psoriasis Disease – Video
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Inverse Psoriasis, How Do You Get Psoriasis, Scalp Psoriasis Natural Treatment, Psoriasis Disease
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Inverse Psoriasis, How Do You Get Psoriasis, Scalp Psoriasis Natural Treatment, Psoriasis Disease - Video
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Coconut Oil For Psoriasis, Natural Treatment For Psoriasis, Tea Tree Oil For Psoriasis, Psoriasis Ra – Video
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Coconut Oil For Psoriasis, Natural Treatment For Psoriasis, Tea Tree Oil For Psoriasis, Psoriasis Ra
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Coconut Oil For Psoriasis, Natural Treatment For Psoriasis, Tea Tree Oil For Psoriasis, Psoriasis Ra - Video
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Psoriasis Face, Home Remedies For Scalp Psoriasis, Natural Remedies For Scalp Psoriasis – Video
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Psoriasis Face, Home Remedies For Scalp Psoriasis, Natural Remedies For Scalp Psoriasis
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New ALS gene, signaling pathways identified
Posted: at 12:45 am
Using advanced DNA sequencing methods, researchers have identified a new gene that is associated with sporadic amyotrophic lateral sclerosis (ALS), or Lou Gehrig's disease. ALS is a devastating neurodegenerative disorder that results in the loss of all voluntary movement and is fatal in the majority of cases. The next-generation genetic sequencing of the exomes (protein-coding portions) of 2,874 ALS patients and 6,405 controls represents the largest number of ALS patients to have been sequenced in a single study to date.
Though much is known about the genetic underpinnings of familial ALS, only a handful of genes have been definitively linked to sporadic ALS, which accounts for about 90 percent of all ALS cases. The newly associated gene, called TBK1, plays a key role at the intersection of two essential cellular pathways: inflammation (a reaction to injury or infection) and autophagy (a cellular process involved in the removal of damaged cellular components). The study, conducted by an international ALS consortium that includes scientists and clinicians from Columbia University Medical Center (CUMC), Biogen Idec, and HudsonAlpha Institute for Biotechnology, was published today in the online edition of Science.
"The identification of TBK1 is exciting for understanding ALS pathogenesis, especially since the inflammatory and autophagy pathways have been previously implicated in the disease," said Lucie Bruijn, PhD, Chief Scientist for The ALS Association. "The fact that TBK1 accounts for one percent of ALS adds significantly to our growing understanding of the genetic underpinnings of the disease. This study, which combines the efforts of over two dozen laboratories in six countries, also highlights the global and collaborative nature of ALS research today.
"This study shows us that large-scale genetic studies not only can work very well in ALS, but that they can help pinpoint key biological pathways relevant to ALS that then become the focus of targeted drug development efforts," said study co-leader David B. Goldstein, PhD, professor of genetics and development and director of the new Institute for Genomic Medicine at CUMC. "ALS is an incredibly diverse disease, caused by dozens of different genetic mutations, which we're only beginning to discover. The more of these mutations we identify, the better we can decipher--and influence--the pathways that lead to disease." The other co-leaders of the study are Richard M. Myers, PhD, president and scientific director of HudsonAlpha, and Tim Harris, PhD, DSc, Senior Vice President, Technology and Translational Sciences, Biogen Idec.
"These findings demonstrate the power of exome sequencing in the search for rare variants that predispose individuals to disease and in identifying potential points of intervention. We are following up by looking at the function of this pathway so that one day this research may benefit the patients living with ALS," said Dr. Harris. "The speed with which we were able to identify this pathway and begin our next phase of research shows the potential of novel, focused collaborations with the best academic scientists to advance our understanding of the molecular pathology of disease. This synergy is vital for both industry and the academic community, especially in the context of precision medicine and whole-genome sequencing."
"Industry and academia often do things together, but this is a perfect example of a large, complex project that required many parts, with equal contributions from Biogen Idec. Dr. Tim Harris, our collaborator there, and his team, as well as David Goldstein and his team, now at Columbia University, as well as our teams here at HudsonAlpha, said Dr. Myers. "I love this research model because it doesn't happen very frequently, and it really shows how industry, nonprofits, and academic laboratories can all work together for the betterment of humankind. The combination of those groups with a large number of the clinical collaborators who have been seeing patients with this disease for many years and providing clinical information, recruiting patients, as well as collecting DNA samples for us to do this study, were all critical to get this done."
Searching through the enormous database generated in the ALS study, Dr. Goldstein and his colleagues found several genes that appear to contribute to ALS, most notably TBK1 (TANK-Binding Kinase 1), which had not been detected in previous, smaller-scale studies. TBK1 mutations appeared in about 1 percent of the ALS patients--a large proportion in the context of a complex disease with multiple genetic components, according to Dr. Goldstein. The study also found that a gene called OPTN, previously thought to play a minor role in ALS, may actually be a major player in the disease.
"Remarkably, the TBK1 protein and optineurin, which is encoded by the OPTN gene, interact physically and functionally. Both proteins are required for the normal function of inflammatory and autophagy pathways, and now we have shown that mutations in either gene are associated with ALS," said Dr. Goldstein. "Thus there seems to be no question that aberrations in the pathways that require TBK1 and OPTN are important in some ALS patients."
The researchers are currently using patient-derived induced pluripotent embryonic stem cells (iPS cells) and mouse models with mutations in TBK1 or OPTN to study ALS disease mechanisms and to screen for drug candidates. Several compounds that affect TBK1 signaling have already been developed for use in cancer, where the gene is thought to play a role in tumor-cell survival.
"This is a great example of the potential of precision medicine," said Tom Maniatis, PhD, the Isidore S. Edelman Professor, chair of biochemistry and molecular biophysics, and coauthor on the paper. Dr. Maniatis is also a member of the Zuckerman Mind Brain Behavior Institute and director of Columbia's university-wide precision medicine initiative. "It now seems clear that future ALS treatments will not be equally effective for all patients because of the disease's genetic diversity. Ultimately, as candidate therapies become available, we hope to be able to use the genetic data from each ALS patient to direct that person to the most appropriate clinical trials and, ultimately, use the data to prescribe treatment."
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New ALS gene, signaling pathways identified
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New ALS Gene and Signaling Pathways Identified
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Newswise NEW YORK, NY (February 19, 2015)Using advanced DNA sequencing methods, researchers have identified a new gene that is associated with sporadic amyotrophic lateral sclerosis (ALS), or Lou Gehrigs disease. ALS is a devastating neurodegenerative disorder that results in the loss of all voluntary movement and is fatal in the majority of cases. The next-generation genetic sequencing of the exomes (protein-coding portions) of 2,874 ALS patients and 6,405 controls represents the largest number of ALS patients to have been sequenced in a single study to date.
Though much is known about the genetic underpinnings of familial ALS, only a handful of genes have been definitively linked to sporadic ALS, which accounts for about 90 percent of all ALS cases. The newly associated gene, called TBK1, plays a key role at the intersection of two essential cellular pathways: inflammation (a reaction to injury or infection) and autophagy (a cellular process involved in the removal of damaged cellular components). The study, conducted by an international ALS consortium that includes scientists and clinicians from Columbia University Medical Center (CUMC), Biogen Idec, and HudsonAlpha Institute for Biotechnology, was published today in the online edition of Science.
"The identification of TBK1 is exciting for understanding ALS pathogenesis, especially since the inflammatory and autophagy pathways have been previously implicated in the disease," said Lucie Bruijn, PhD, Chief Scientist for The ALS Association. "The fact that TBK1 accounts for one percent of ALS adds significantly to our growing understanding of the genetic underpinnings of the disease. This study, which combines the efforts of over two dozen laboratories in six countries, also highlights the global and collaborative nature of ALS research today.
This study shows us that large-scale genetic studies not only can work very well in ALS, but that they can help pinpoint key biological pathways relevant to ALS that then become the focus of targeted drug development efforts, said study co-leader David B. Goldstein, PhD, professor of genetics and development and director of the new Institute for Genomic Medicine at CUMC. ALS is an incredibly diverse disease, caused by dozens of different genetic mutations, which were only beginning to discover. The more of these mutations we identify, the better we can decipherand influencethe pathways that lead to disease. The other co-leaders of the study are Richard M. Myers, PhD, president and scientific director of HudsonAlpha, and Tim Harris, PhD, DSc, Senior Vice President, Technology and Translational Sciences, Biogen Idec.
These findings demonstrate the power of exome sequencing in the search for rare variants that predispose individuals to disease and in identifying potential points of intervention. We are following up by looking at the function of this pathway so that one day this research may benefit the patients living with ALS, said Dr. Harris. The speed with which we were able to identify this pathway and begin our next phase of research shows the potential of novel, focused collaborations with the best academic scientists to advance our understanding of the molecular pathology of disease. This synergy is vital for both industry and the academic community, especially in the context of precision medicine and whole-genome sequencing.
Industry and academia often do things together, but this is a perfect example of a large, complex project that required many parts, with equal contributions from Biogen Idec. Dr. Tim Harris, our collaborator there, and his team, as well as David Goldstein and his team, now at Columbia University, as well as our teams here at HudsonAlpha, said Dr. Myers. I love this research model because it doesnt happen very frequently, and it really shows how industry, nonprofits, and academic laboratories can all work together for the betterment of humankind. The combination of those groups with a large number of the clinical collaborators who have been seeing patients with this disease for many years and providing clinical information, recruiting patients, as well as collecting DNA samples for us to do this study, were all critical to get this done."
Searching through the enormous database generated in the ALS study, Dr. Goldstein and his colleagues found several genes that appear to contribute to ALS, most notably TBK1 (TANK-Binding Kinase 1), which had not been detected in previous, smaller-scale studies. TBK1 mutations appeared in about 1 percent of the ALS patientsa large proportion in the context of a complex disease with multiple genetic components, according to Dr. Goldstein. The study also found that a gene called OPTN, previously thought to play a minor role in ALS, may actually be a major player in the disease.
Remarkably, the TBK1 protein and optineurin, which is encoded by the OPTN gene, interact physically and functionally. Both proteins are required for the normal function of inflammatory and autophagy pathways, and now we have shown that mutations in either gene are associated with ALS, said Dr. Goldstein. Thus there seems to be no question that aberrations in the pathways that require TBK1 and OPTN are important in some ALS patients.
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New ALS Gene and Signaling Pathways Identified
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The new It bag: Minuscule, invisible, unidentifiable
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RAFFIA Salvatore Ferragamos jute-and-linen knitting bag with fringed edges
The trophy It bag became pass and a pariah in 2009, when the global financial meltdown made it vulgar and politically incorrect. But in fashion, what goes around comes around, so were witnessing the comeback of the designer bag. It is a low-key comeback, though.
This year the designer bag is small, almost minuscule, compared with the huge in-your-face bags that fashion victims positioned in front of their bodies to hide their flab and flaunt the cost of luxury bags just a few years ago.
Suddenly, bag designers have learned new ways to entice clients back. Call it rebranding, but todays luxury bags must look well under the radar and not just be noticed just because they cost a fortune.
Todays luxury brand bags have assumed anonymous, even androgynous, guises; their luxury is discreet and hidden.
Smart women today do not want logos or designs that are instantly recognizable when choosing a handbag. Gucci, Louis Vuitton, even Herms are
PORTFOLIO Portable office for the career girl by Versace
developing new lines that dont look easily identifiable.
A bagaholic friend is getting rid of her designer bags through eBay. I dont want to be categorized, she explained. I dont wish for a stranger to look at me and instantly identify the brand of my bag and know how much I paid for it.
The recent Pop Art bags from Chanel and Moschino are humorous takes on fast food or supermarket staples. They have wit and self-effacing fun. More important, they make women appear intelligent. Only fashion insiders can identify that the carton of milk with the chain and leather straps is Chanel by Karl Lagerfeld, or the breakfast cereal bag is by Moschinos Jeremy Scott.
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The new It bag: Minuscule, invisible, unidentifiable
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