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Daily Archives: June 7, 2017
Biology Professor: Trump Presidency Is So Traumatic It Will Change Human Genome Forever – Heat Street
Posted: June 7, 2017 at 4:51 pm
A biology professor has claimed that the mass trauma of Donald Trumps presidency will bring about permanent changes to the human genome.
Peter Ward, an academic at the University of Washington, predicted an evolutionary consequence because of the stress Trumps term in the White House is causing the American population.
He asserted that the process by which human genetics could change is analogous to post-traumatic stress disorder in soldiers or the the victims of domestic abuse.
The unconventional view came in a discussion of human capacity to mutate with the science blog (andGawker offshott)Gizmodo.
Ward was one of seven academics asked to bring their expertise to bear on the question of whether and how X-Men-stylesuperhuman mutants could develop.
After speculating about using gene therapy to develop super-soldiers, Ward went on to posit that permanent genetic changes canoccur as a result of horrendous episodes people go through.
He was not asked about Trump, but brought him up as an example, alongside combat trauma and violence at home:
Were finding more and more that, for instance, people who have gone through combat, or women who have been abusedwhen you have these horrendous episodes in life, it causes permanent change, which is then passed on to your kids. These are actual genetic shifts that are taking place within people. Its called epigenetics, and that too can cause huge evolutionary change.
On a larger scale, the amount of stress that Americans are going through now, because of Trumpthere is going to be an evolutionary consequence.
Posted in Human Genetics
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Mouse lemur could serve as ideal model for primate biology and human disease – Phys.Org
Posted: at 4:51 pm
June 7, 2017
The mouse lemurthe world's smallest primatehas the potential to transform the field of genetics and serve as an ideal model for a wide range of primate biology, behavior and medicine, including cardiovascular disease and Alzheimer's disease, Stanford University School of Medicine researchers say.
For decades, scientists have relied on mice, fruit flies and worms as genetic models, but despite all their success, these organisms routinely fail to mimic many aspects of primate biology, including many human diseases, said Mark Krasnow, MD, PhD, professor of biochemistry.
Frustrated by the lack of a good study model, Krasnow and his colleagues turned to the mouse lemur and began conducting detailed physiologic and genetic studies on hundreds of these petite, docile creatures in the rainforests of Madagascar.
Working in a Stanford-funded lab on the island country, the scientists report that they already have identified more than 20 individual lemurs with unique genetic traits, including obesity, high cholesterol, high blood sugar, cardiac arrhythmias, progressive eye disease and motor and personality disorders. Their hope is that continued study of these abundant primates could lead to a better understanding, and possibly better treatments, of these and other conditions in lemurs and humans.
'Huge potential'
"I think mouse lemurs have great potential for our understanding of primate biology, behavior and conservation, in the same way that fruit flies and mice over the last 30 or 40 years have transformed our understanding of developmental biology and many other areas of biology and medicine," Krasnow said. "Some of the most fascinating and important questions that need to be answered are primate-specific. For those, we really need something besides humans to complement the work that has been done in fruit flies and mice."
A paper describing the researchers' findings will be published online June 9 in Genetics. Krasnow is the senior author. Lead authorship is shared by graduate student Camille Ezran and postdoctoral scholar Caitlin Karanewsky.
The project began in 2009 when Krasnow, frustrated by the lack of a good animal model for lung diseasehis area of expertisecommissioned three high school interns to search the animal world for something better. By the end of the summer, the interns had come up with the mouse lemur, which fits all the necessary criteria: Like mice, these animals are small (about twice the size of a mouse), develop quickly, reproduce rapidly, produce many offspring, and are inexpensive and easy to maintain and manage. In genetic terms, the mouse lemur is about midway between humans and mice, Krasnow said.
"When I talk to scientists, their faces light up when I tell them about mouse lemurs because they are about the size of a mouse but they are primates, so that makes a huge difference," said Ezran, who was one of the high school interns. "I think they really do present such great potential for biological, behavioral and medical research in general."
Early on in the project, Krasnow sought out the perspective of Stanford veterinarians, ultimately recruiting Megan Albertelli, DVM, PhD, assistant professor of comparative medicine. A geneticist and primate specialist, Albertelli said she was initially skeptical of the idea of lemurs as animal models, but soon became enthusiastic after realizing their enormous potential for contributions in understanding neurologic problems, eye disease and other conditions where mouse models have fallen short.
Trip to France
She accompanied the group on a trip to France to visit with scientists who had been studying lemurs in the laboratory for years. A French team had found that some aging lemurs develop a form of dementia and accumulate plaques in the brain that resemble those of Alzheimer's patients.
"I saw that they were promising models for Alzheimer's disease," Albertelli said. "Alzheimer's is a condition that is hard to model in other animal species, so that was very exciting."
Mouse lemurs live exclusively on Madagascar, where they are found in great abundance. Tens of millions of them populate the island. While lemurs generally are endangered due to habitat destruction, mouse lemurs are not under threat and freely roam the island, said Ezran, who calls them the "rodents of Madagascar."
The Stanford researchers began to develop collaborations with other scientists studying lemurs, including those at the Centre ValBio near the Ranomafana National Park in Madagascar, who have been examining lemur ecology, family structure and behavior for decades.
During periodic visits to the island, Krasnow and his colleagues learned how to catch brown mouse lemurs in the rainforest just outside the research station, using a tiny banana slice inside a trap as a lure. The scientists then tagged and photographed each animal, gave them a thorough physical examination, analyzed them for behavioral issues and abnormalities and removed a drop of blood for detailed genetic and serum studies. The animals then were released back into the wild so the researchers could follow them over time to see how their environments may influence their progress and health. In 2013, Stanford built a sophisticated molecular biology and genetics lab within the ValBio complex, where these studies could be carried out.
'Distinctive personalities'
Lemurs have distinctive personalities, Krasnow said, and the researchers gave each one a name, based on his or her looks or behavior. For instance, one was named Feisty for his unusually aggressive nature; most lemurs are docile.
The work has led to a whole new way of doing genetic studies, said Krasnow, who is also a Howard Hughes Medical Institute investigator. Instead of using the traditional method of introducing genetic mutations into mice to create "knockout" miceor animals with customized genesthey found they were able to find naturally occurring variants among animals in the wild. Moreover, in working with lemurs in their native habitats, the researchers could better understand how the animals interact with their surroundings and the relationship between genes and the environment.
"Instead of introducing mutations in mice or fruit flies, we are doing something much more similar to what is done in humans," he said. "We are looking at all the wonderful genetic variation already existing in nature, since there are so many millions of mouse lemurs out there. We calculate that most 'knockout' mutations are already present in nature, and all we have to do is find them. And because the cost of sequencing a genome is rapidly dropping, it's now possible to sequence the genomes of thousands of mouse lemurs to see what mutations they are carrying."
In doing so, the researchers could accomplish in a few years for a tiny fraction of the cost what the International Knockout Mouse Consortium will accomplish in 10 years, at a cost of nearly $1 billion, he said.
But the project could use some additional staff, as the process of capturing the animals and screening them in the laboratory is labor-intensive, he said. He and his colleagues have come up with a multipurpose solution that will contribute to the local educational system while helping preserve the lemur populations in Madagascar, whose habitats are threatened by farming, mining and logging interests, he said.
Help from students
The group is developing a science curriculum for use in Malagasy high schools in which students learn about biology by exploring the rich environment right outside their school houses. Among the instructors is Manu Prakash, PhD, assistant professor of bioengineering at Stanford and a pioneer in the field of "frugal science," who has brought his powerful $1 paper microscopes to Madagascar and taught students how to explore the microscopic world in which they live, including the lice in their hair, the pathogens in their water and the disease-causing parasites in their environment. The curriculum was first introduced among university students, some of whom now are screening lemurs at the Stanford lab in Madagascar.
"We saw this as an opportunity because we are going over there to study the unique animals and biology and ecology of Madagascar, which is unsurpassed in the world," Krasnow said. "It is the No. 1 hotspot for biodiversity, but most of the students don't realize what they have in their backyards because they are being taught from textbooks and from teachers who have learned from Europeans."
He said the researchers hope to expand scientific curricula at all levels of education, helping train the Malagasy scientists of the future and build scientific capacity in the country, all the while creating an appreciation among the local population of the need to understand and preserve lemurs and other species for the future.
"We are trying to do this in a way that is respectful and will help the lemurs and the people of Madagascar, while enlightening many aspects of primate biology and human disease," he said.
The researchers plan to make the genetic sequencing and phenotyping information they obtain from the lemurs publicly available so that researchers around the world can take advantage of this trove of knowledge, Albertelli said.
Explore further: Three new primate species discovered in Madagascar
Scientists from the German Primate Center (DPZ), the University of Kentucky, the American Duke Lemur Center and the Universit d'Antananarivo in Madagascar have described three new species of mouse lemurs. They live in the ...
The ring-tailed lemur, an iconic primate that is emblematic of the wild and wonderful creatures inhabiting the tropical island of Madagascar, is in big trouble.
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A Malagasy-German research team has discovered a new primate species in the Sahafina Forest in eastern Madagascar, a forest that has not been studied before.
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Mouse lemur could serve as ideal model for primate biology and human disease - Phys.Org
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Lab-grown organoids hold promise for patient treatments – Medical Xpress
Posted: at 4:51 pm
June 7, 2017 by Claire Conway Zev Gartner is growing breast organoids with precise ratios of normal and tumor cells (shown at left) to understand how cell-cell interactions contribute to tumor growth. Credit: Photo by Elisabeth Fall, Cell Image by Gartner Lab
Ophir Klein is growing teeth, which is just slightly less odd than what Jeffrey Bush is growing tissues that make up the face. Jason Pomerantz is growing muscle; Sarah Knox is growing salivary glands; and Edward Hsiao is printing 3-D bone using a machine that looks about as complex as a clock radio.
Together, these members of the UC San Francisco faculty are cultivating organs of the craniofacial complex the skull and face which too often go terribly wrong during fetal development. Deformities of these bones or soft tissues, the most common of birth defects, can cut life short by blocking the airway or circulation. Or they can disfigure a face so profoundly that a child struggles to see, hear, or talk. Perhaps most painful of all, such deformities render children physically other, potentially leading to a lifetime of corrective surgeries and social isolation.
As director of the UCSF Program in Craniofacial Biology, Klein orchestrates a multisite research endeavor to translate basic science findings in tissue regeneration into improved treatments for these kids. Using stem cells from patients with craniofacial deformities, Klein, Bush, Pomerantz, Knox, Hsiao, and their colleagues are growing tiny functioning segments of organs, called organoids, to figure out exactly when and how in fetal development such design flaws occur.
They are among scientists across UCSF who are cultivating cellular systems such as miniature brains and breasts from patient cells. They serve as dioramas of disease models derived from human cells either displacing or complementing the mouse models that have served science well, though inexactly, for many years. The effort is one of the most obvious and viable payoffs to date from stem cell science. With these organoids, physicians and scientists can not only trace the pathways of normal and abnormal development, but also test drugs and other treatments for their effectiveness in humans. Organoids are also one tiny step toward the ultimate goal of generating complete organs, as a way to circumvent rejection issues and save the lives of those who now die waiting for transplants.
As the reservoirs of human development, stem cells take it upon themselves to tirelessly renew and differentiate into the myriad cell types required to build out a body from an embryo. In creating an organoid, typical construction metaphors do not apply. There are no building blocks to nail, stack, or solder and no job-site supervisor barking orders. "That's not how biology works," says Zev Gartner, PhD, an associate professor of pharmaceutical chemistry.
"It is a self-organizing process," he explains, a process that starts in the womb with embryonic stem cells (ESCs) or, in the case of organoids, induced pluripotent stem cells (iPSCs). iPSCs are mature cells that are stripped back to their earliest stage of development using a process devised by UCSF Professor of Anatomy Shinya Yamanaka, MD, PhD, who won a Nobel Prize for discovering the process. To make organoids, iPSCs are put through a series of solutions, then added to a gel that mimics the squishy 3-D cellular matrix of the embryo. The gel provides the right conditions for them to get to work.
"Take an organ like the lung. Its basic functional units are a tube and a sac, and outside that sac are capillaries that allow gas exchange. Hundreds of millions of tubes and sacs make a lung," explains Gartner. "You can make the little sacs and the tubes in a dish as an organoid model. But we don't know how to drive the self-organization of those units into much more complex, elaborate, highly ramified structures." The fundamental limitation of organoids is that they lack the vasculature that brings nutrient-laden blood to fuel the evolution of the larger structure.
Gartner notes that people who work with stem cells tend to focus on either regenerative medicine or disease modeling. Those interested in disease make models of tissues so that they can understand how diseases work, while those interested in regenerative medicine try to make models of healthy tissue that could be transplanted. Gartner straddles both camps. He grows breast organoids. "The mammary gland is great because we can simultaneously think about these two phenomena as two sides of the same coin," he says. "One is regenerative medicine through self-organization, and the other is understanding the progression of breast cancer through a breakdown in self-organization."
So there's potentially a triple payoff in stem cell science: By deducing how a breast forms itself, Gartner might figure out how to grow the entire organ. By tracing how cancer throws a wrench in the works, he may be able to target ways to stop that process. And by growing a human organ in a dish, he avoids making cross-species assumptions or putting animals or humans at risk in testing potential drugs to cure breast cancer, greatly accelerating the push toward a cure.
Regenerate
On Klein's team, Jeffrey Bush, PhD, an assistant professor of cell and tissue biology, looks at organoids through the lens of disease.
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The organoids he grows model craniofrontonasal syndrome a birth defect that is caused by a mutation in a single gene and that dramatically impacts the shape of the face and head. He knows from studies reproducing craniofrontonasal syndrome in mice that the first place something goes wrong is in a cell type called the neuroectoderm. To create an organoid to study this, he obtained skin cells from Pomerantz, an associate professor of surgery, who has patients with the syndrome who were willing to donate tissue samples. Such collaborations between basic scientists and clinicians are key to bringing research out of the lab and into patient care.
"We studied this simple system to see how this mutation affected the organization of these cells," says Bush. His group has filmed cells as they rush about to self-organize when they're mixed together. In those films, he explains, "you can see that the mutated cells, which are dyed red, segregate from the normal cells, which are green they are like oil and water." In other words, the mutated cells completely disrupt the behavior of all the cells. By contrast, in the films of cells without the mutation, all the cells circulate easily among one another, like fish in an aquarium. This understanding has allowed Bush to begin to think about a drug that blocks this separation. He has several promising candidates that his team will test in pregnant mice. "Right now," he says, "there isn't a single drug that we can use for any kind of structural birth defects. If we could show that a medication blocks the effects of this mutation, it would serve as proof of principle that something besides surgery can be done. But we would have to know that it was safe for mother and child and that we could catch it early enough."
Reconstruct
Jason Pomerantz, MD, a plastic surgeon, falls into the regeneration camp. His clinical work is typified by a recent eight-hour operation on a 17-year-old boy with Crouzon syndrome, a severely disfiguring condition affecting every organ in the craniofacial structure muscle, bone, and skin. "My patient is excited for the outcome, but not about the process," says Pomerantz, surgical director of the UCSF Craniofacial Center. For three months, the patient will wear a large metal frame on his head with wires that will pull the bones in his face forward. Prior to the surgery, the boy's face was nearly concave, collapsed inward at the nose.
Yet bone is not all Pomerantz needs to work with to restructure a face. The subtle bends, creases, and curves of expression that make a face one's own are the work of tiny muscles. "Right now we can move a big muscle say, from the thigh to the face so that people can smile," he says. "But we can't reconstruct the fine ones that enable people to move their eyebrows up or move the eyeballs around. That requires little muscles. This is where we can make headway with stem cell biology.
"We have actually made a humanized organ in an animal," he continues, pointing to a picture of a mouse on his wall. Pomerantz is now considering incubating small human muscles in animals for use in his patients' faces. In a recent project, he inserted stem cells from human muscles into a mouse whose own muscle stem cells had been incapacitated. He then perturbed the muscle to stimulate regeneration. As the muscle healed, the cells created new muscle tissue, which the mouse's nerves innervated to make a functioning muscle. It's exactly the size of the muscles Pomerantz needs for full articulation of expression and function in a human face or hand.
Create
Muscles are part of a vast and intricate system strewn throughout the body. Teeth, on the other hand, are islands unto themselves. "Teeth intrigue me from a regeneration perspective," says Ophir Klein, MD, PhD, chair of the Division of Craniofacial Anomalies, the Hillblom Professor of Craniofacial Anomalies, the Epstein Professor of Human Genetics, and a resident alumnus. "They are discrete organs all the parts are there." More intriguing still is the fact that many rodents have the ability to grow their front teeth continuously. Elephants and walruses also have ever-growing tusks, and even some primates lemurs can regrow their teeth.
A tooth can be regenerated in parts. Stem cells can be used to grow the root, and then a crown can be added to complete the tooth. To generate a whole organ at once, Klein's colleagues are planning to partner with bioengineers who can produce a biocompatible material that could serve as a framing device to jump-start the creation of dentin, one of the hard components of a tooth. If they start with the right cells, then the scaffolding will give the cells the shape information they need to create the right design. But even that isn't Klein's endgame. "In my lab, we're interested in figuring out why humans can't regrow teeth," he says. "In studying species that can, we hope to unlock the regenerative potential in our own cells that might be turned off."
Klein's work to generate teeth is inspired by his patients with ectodermal dysplasia, a congenital disorder characterized by lack of sweat glands, hair, or teeth. Being able to generate the roots of teeth would be remarkable for these patients, since the rest can be done with a crown. Right now, they must be fitted with dentures.
Klein is also taking another tack to help these patients. "We completed a clinical trial of a drug that basically goosed up the development of the organs when they weren't forming properly," he says. The drug a protein developed by Swiss collaborators of Klein's, based on studies of embryonic mice, who develop these organs in early- to mid-gestation was given to infants with the disorder right after birth. The trial was unsuccessful. Now, scientists in Germany are running a trial of the same drug, giving it instead to mothers carrying babies with this genetic disorder. The scientists will try to gauge what the best timing is for delivering the drug.
"What's great about this drug is that it doesn't seem to have any effects on any other organs besides teeth, hair, and sweat glands," says Klein. "Drugs for other conditions are far riskier, because they affect pathways that are important in the development of many organs."
Maintain
Sarah Knox, PhD, an assistant professor of cell and tissue biology, is using stem cells to figure out how to regenerate salivary glands compromised by radiation treatments for head and neck cancers or by craniofacial deformities. Her focus is on how the environment contributes to the activation and maintenance of the gland. The salivary gland, like all organs, is continuously replenishing the supply of cells and tissues it needs to function. Knox's research shows that the gland takes directional cues from nearby nerve cells not only to remain functional, but also to continuously replace itself. Her organoids are made of cells from a patient and nerve cells (ganglia) from a fetal mouse. "We are trying to explore the relationship between the stem cells and the nerves," she says. "How do the nerves know the tissue is there? How do the nerves provide instruction and feedback? Individual cells die off and new cells have to replace them. Organoids are giving us insight as to where those new cells are coming from and how we keep repopulating [them] all our lives."
As head of the UCSF Program in Craniofacial Biology which is based in the School of Dentistry and the Division of Genetics in the School of Medicine Klein stands at one of science's most compelling crossroads: regenerative medicine and genetics. Far in the future, both fields have potential that seem like science fiction today. We live in a world where people die waiting for organ transplants. What if we could pull these organoids from their petri dish and supply them with the fuel they need to become full-blown organs? Such a feat would necessitate either a host embryo perhaps from a pig, because pigs have organs the size of human organs or some other biological foundation. Some scientists are hoping to jump-start organ development with "scaffolding," or cells engineered to speed the developmental process. Others are zeroing in on the genome, particularly in kids with craniofacial anomalies caused by just one mutation, like craniofrontonasal syndrome; for example, a tool called CRISPR could allow scientists to splice that gene out and replace it with a normal gene. But the tool has yet to be used in humans, let alone a human fetus.
Ethical questions pepper either route. At their best, stem cells regenerate tissues; at their worst, they go rogue and grow into a tumor. "Yet with gene editing tools like CRISPR, you literally have the potential to change the species," says Klein. And in both scenarios, the cells can act with unforeseen off-target effects. Klein and his colleagues are in continual discussion about the repercussions of their work with the director of UCSF Bioethics, Barbara Koenig, RN, PhD '88. "Gene therapy is an example of an exciting new treatment that cured one serious pediatric illness severe combined immunodeficiency syndrome (SCID) but the genes unwittingly led to the development of leukemia," explains Koenig. "Genetic and stem cell interventions must be painstakingly studied before application. And, once they are ready, who will regulate them? There are many questions yet to be answered. The challenges are most extreme when we talk about modifying an egg or sperm cell, where the changes are passed on to the next generation."
So Klein and his colleagues proceed with caution, curiosity, and awe. "The next decade will be an incredibly exciting time," says Klein. "With continual advances in human genetics and developmental and cell biology, we hope to be able to make drugs and use genetic tools to appreciably change the lives of our patients."
The Bone Printer
Bone grows like a runaway train in Edward Hsiao's patients with fibrodysplasia ossificans progressiva (FOP). The slightest bump or injury can set off a spurt of bone growth that can fuse their vertebrae, lock their joints, or even freeze up their rib cages, leaving them unable to breathe.
No one, to date, has successfully engineered bone. Hsiao, MD, PhD, is hoping to spark the process with the help of a 3-D printer from Organovo, a firm that specializes in bioprinting technology. From iPSCs, he can make many of the essential ingredients of bone, including mesenchymal stem cells, endothelial cells, and macrophages. "We are putting cells into the equivalent of an ink. Then we will print the structures with the ink, let the ink dissolve, and leave the cells," explains Hsiao. "The hope is that the cells can then recapitulate the normal developmental process."
If the approach is successful, Hsiao hopes to use the resulting models to test drugs and other treatments to halt or prevent bone deformities. Down the line, his progress also stands to transform bone and joint replacements. Through his work with FOP, he's uncovered one mechanism that drives rapid bone growth. "In these patients, we know that mature bone formation can happen in as quickly as two weeks, so it is possible to grow bone in an adult. We need to understand how to modulate that," says Hsiao. "Someday, my dream would be to be able to identify the cells we need, give someone a drug that induces the right genes and recruits the right cells to the correct site, and have the cells rebuild the joint from scratch."
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Lab-grown organoids hold promise for patient treatments - Medical Xpress
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Francis Collins to Stay On as Director of National Institutes of Health – Wall Street Journal (subscription)
Posted: at 4:51 pm
U.S. News & World Report | Francis Collins to Stay On as Director of National Institutes of Health Wall Street Journal (subscription) ... noted geneticist who once headed the government's Human Genome project and served previously as director of the National Human Genome Research Institute, is 67 years old. He had previously been a professor of internal medicine and human genetics ... Genetics Authority to Continue as Director of US Health Institute Trump says he's keeping Francis Collins as NIH director |
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Francis Collins to Stay On as Director of National Institutes of Health - Wall Street Journal (subscription)
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Student overcomes eczema to become Miss Wiltshire – The Wiltshire Gazette and Herald
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STUDENT Emily Peplow, who overcame eczema to win a top beauty contest, now has the chance to represent Wiltshire in the Miss England final from July 12 to 14.
Miss Peplow, from Calne, was crowned Miss Wiltshire on Sunday in the Miss England semi final at Kelham Hall in Newark after competing alongside 63 other women.
She will now take on beauty queens from across the country at the Vox Conference Centre in Birmingham. She will compete against 49 other women who have won regional titles, Miss England heats or have come through the semi-final like her.
England national director Angie Beasley said: "The competition is about being beautiful inside and out, we are not just looking for a pretty face.
Miss Peplow knows all about the more difficult side of life after suffering from severe eczema as a child and being bullied. She spoke about the difficulties she faced before an earlier round of the contest and said: "The eczema started when I was about two months old until I was about seven but then it came back with a vengeance after that. I was quite badly bullied while I was at school and got called things like eczema face.
"It was quite a traumatic experience in my life and my sister and I used to watch those American TV shows about beauty competitions and I always thought I would never be able to do that."
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Gene-Based Therapy May Thwart a Tough Blood Cancer – Sioux City Journal
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MONDAY, June 5, 2017 (HealthDay News) -- Genetically tuning a person's own immune cells to target cancer appears to provide long-lasting protection against a blood cancer called multiple myeloma, an early trial from China shows.
The treatment, called CAR T-cell therapy, caused 33 out of 35 patients with recurring multiple myeloma to either enter full remission or experience a significant reduction in their cancer.
The results are "impressive," said Dr. Len Lichtenfeld, deputy chief medical officer for the American Cancer Society.
"These are patients who have had prior treatment and had their disease return, and 100 percent of the patients are reported to have had some form of meaningful response to these cells that were administered," Lichtenfeld said.
The new therapy is custom-made for each patient. Doctors collect the patient's own T-cells -- one of the immune system's main cell types -- and genetically reprogram them to target and attack abnormal multiple myeloma cells.
Lead researcher Dr. Wanhong Zhao likened the process to fitting immune cells with a GPS that steers them to cancer cells -- making them into professional killers that never miss their target.
Zhao is associate director of hematology at the Second Affiliated Hospital of Xi'an Jiaotong University in Xi'an, China.
CAR T-cell therapy is promising because the genetically altered T-cells are expected to roost in a person's body, multiplying and providing long-term protection, Lichtenfeld said.
"The theory is they should attack the tumor and continue to grow to become a long-term monitoring and treatment system," Lichtenfeld said. "It's not a one-shot deal."
The technology represents the next step forward in immunotherapy for cancer, said Dr. Michael Sabel, chief of surgical oncology at the University of Michigan.
"Immunotherapy is now really providing hope to a lot of patients with cancers that were not really responding to our standard chemotherapies," Sabel said.
CAR T-cell therapy previously has been used to treat lymphoma and lymphocytic leukemia, Lichtenfeld said.
Zhao and his colleagues decided to try the therapy to treat multiple myeloma. They re-engineered the patients' T-cells and then reintroduced them to the body in three infusions performed within one week.
Multiple myeloma is a cancer that occurs in plasma cells, which are mainly found in bone marrow and produce antibodies to fight infections. About 30,300 people will likely be diagnosed with multiple myeloma this year in the United States, researchers said in background notes.
"Multiple myeloma is a disease that historically was fatal in the course of a couple of years," Lichtenfeld said. During the past two decades, new breakthroughs have extended survival out 10 to 15 years in some patients, he noted.
To date, 19 of the first 35 Chinese patients have been followed for more than four months, researchers report.
Fourteen of those 19 patients have reached the highest level of remission, researchers report. There hasn't been a relapse among any of these patients, including five followed for more than a year.
"That's as far as you can go in terms of driving down the amount of tumor that's in the body," Lichtenfeld said.
Out of the remaining five patients, one experienced a partial response and four a very good response, researchers said.
However, about 85 percent of the patients experienced cytokine release syndrome (CRS), a potentially dangerous side effect of CAR T-cell therapy.
Symptoms of cytokine release syndrome can include fever, low blood pressure, difficulty breathing, and impaired organ function, the researchers said. However, most of the patients experienced only transient symptoms, and "now we have drugs to treat it," Lichtenfeld said.
History suggests the therapy will cost a lot if it receives approval, Lichtenfeld said. However, prior to approval, much more research will be needed, he added.
The Chinese research team plans to enroll a total of 100 patients in this clinical trial at four hospitals in China. They also plan a similar clinical trial in the United States by 2018, Zhao said.
The study was funded by Nanjing Legend Biotech Co., the Chinese firm developing the technology.
The findings were presented Monday at the American Society of Clinical Oncology annual meeting, in Chicago. Data and conclusions presented at meetings are usually considered preliminary until published in a peer-reviewed medical journal.
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A Step Closer to Personalised Medicine for Liver Fibrosis – Technology Networks
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Liver fibrosis is the excessive accumulation of scar tissue in the liver. It occurs when chronic damage to the liver causes inflammation and cell death, resulting in an accumulation of extracellular matrix proteins and a hardening of the liver. Diagnosis of the condition can be difficult, and treatment for advanced cases is often limited to liver transplantation. Previous work has identified that there is some genetic variation in response to liver damage and the development of liver fibrosis. Therefore, it is hoped that improvements in diagnostics and a better ability to predict prognosis could help to both identify those most at risk of fibrosis and prevent progression of the disease. A recently published study in Nature Genetics set out to identify the protein responsible for the genetic variations associated with liver inflammation and scarring. We spoke to Dr Mohammed Eslam, from the Westmead Institute, to learn more about the study and how this finding could help pave the future of diagnosis and treatment for patients.
Credit: Westmead Institute
ME: In 2015, we identified that common genetic variations associated with liver inflammation and fibrosis (scarring) were located on chromosome 19 between the IFNL3 and IFNL4 genes. However, the causative protein of this genetic area association with inflammation and fibrosis was obscure. This information was critical for any further trials to translate this finding into a potential therapeutic option. In our latest work, we discovered that IFN-3 is the causative protein of hepatic inflammation and fibrosis.
Full details of the study can be found here.
AM: What implications does this study have for the future treatment of liver fibrosis?
ME: Now that weve identified IFNL3 as the cause of liver scarring, we can work towards developing novel treatments specifically targeting this gene. This could be medicine targeting IFNL3 that is tailored to an individuals genetic makeup, but could also include modifying usual treatment depending on whether a patient has IFNL3 risk genes. Furthermore, this could be possibly even helpful in scarring in other organs such as the heart, lung and kidneys. Overall, these outcomes fulfil several promises in the modern era of precision medicine.
AM: What are some of the current challenges of detecting liver fibrosis in patients?
ME: A liver biopsy, which is a procedure in which a small needle is inserted into the liver to collect a tissue sample, is still the golden standard of assessment of liver biopsies. However, due to the limitations of this method, an active area of research is to find a non-invasive method which can predict liver fibrosis with a high degree of accuracy, with some options is currently available. Also, another challenge is the ability to predict the patients fibrosis progression rates (i.e. slow or fast) rather than just the fibrosis level at particular time point. AM: Can you tell us about the diagnostic tool you have developed, and how this will help clinicians?
ME: To translate these findings and using machine learning techniques, we have designed a diagnostic tool that incorporates IFNL3 genotyping with other simple clinical variables, which is freely available (www.fibrogene.com) for all doctors to use, to aid in predicting liver fibrosis risk.
AM: What future work do you have planned?
ME: Our team is working to extend this work to further understand the fundamental mechanisms of how IFNL3 contributes to liver disease progression and hopefully we could translate these findings into new therapeutic treatments. Mohammed Eslam was speaking to Anna MacDonald, Editor for Technology Networks.
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Beauty, Wellness, and Your Brain: 3 Best of the Best Healthcare Heroes – Robb Report
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Dr. Nigma Talib Four Seasons Los AngelesWhile Dr. Nigma Talib is a newcomer to the United States, her London skin-care clinic has a several-months-long waiting list. We expect it wont take long for a similar queue to form at the Four Seasons Los Angeles at Beverly Hills, where she started practicing in September. Her face treatments get under way with a consultation (she is a naturopathic physician), during which she inquires about any underlying skin woes and recommends nutritional solutions for a healthier visage. Nearly all of her treatments incorporate high-tech elementssuch as LED paddles for pushing vitamins, peptides, and hyaluronic acid deeper into the skinand are backed by proprietary research. Talibs signature platelet-rich-plasma microneedling procedure adds plant stem cells and activates the skins own collagen synthesis to repair damage and boost elasticity ($550-$1,200).
Craig Venter Health Nucleus Many of the best hospitals in the country offer top-notch executive health programs, where clients spend a day undergoing a battery of health diagnostic tests, but Craig Venters Health Nucleus in San Diego adds a full genetic workup to the typical roster of state-of-the-art MRIs, 3-D heart imaging, and other tests. Venter, who launched the Health Nucleus physical in early 2016, is one of the premier genetic scientists in the world, and his team of physicians can help interpret the results of the testing in a way that is accessible for the layperson. Have a deletion on your RECQL gene? Venters team will tell you if there is any recent or known research on that anomaly and how it might impact your future health, if at all. They will even reach out in subsequent months and years to update you on any new studies that relate to something in your genetic makeup. Test results are presented in an analog binder as well as a digital document ($25,000).
Dr. John Lombard LifeSpan MedicineLifeSpan Medicine neurologist John Lombard hears constantly from his patients that their memories arent as sharp as they used to be. So last January, he and Dr. Chris Rennafounder of the concierge practice, which has offices in Dallas, Los Angeles, and New York Citylaunched a dedicated brain-health track for LifeSpans members. The service can be effective for everything from improving memory and productivity to treating mood and sleep conditions, migraines, and early dementiaeven managing brain injuries, tumors, and degenerative disorders. After a comprehensive neurological assessment, treatment plans typically run from 3 to 6 months with the goals of a return to wellness and prevention of disease. Lombard is an expert at determining the precise scan to order for a specific concern, and he often drills down to the cellular or genetic level to connect defects there to the brains biology and chemistry. He is a firm believer in evidential science but isnt afraid to take avant-garde (but still scientifically sound) approaches to brain healthsuch as improving blood flow to the brain or reducing high cortisol levels as interventions in early cognitive decline ($750$25,000).
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Kevin Folta: Please say no to the term ‘GMO’ – AGDAILY
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In science and medicine the terminology applied can be the difference between life and death, success and failure. Words have precise meanings, and a productive dialogue in the sciences requires adherence to a common set of mutually recognized terms. Shared meaning is like a verbal handshake that ensures a positive connection where information can flow.
Genetic engineering, familiarly known by the slippery colloquialism GMO, has been central to the production of drugs like insulin, enzymes used in cheese making, and laboratory-produced fibers. The widest-recognized successes have been the adoption of the technology by 20 million farmers onto almost half a billion acres of farmland, most of those in the developing world. Some 70 percent of grocery store products now contain ingredients from genetically engineered plants. And while scientists and farmers acknowledge concerns arising from the overuse of the technology, such as weed and insect resistance, there remains zero credible evidence of health-related concerns.
Still the most beautiful and altruistic applications of this technology remain to be deployed. The innovations geared to solve specific issues in hunger, environment or consumer health have not left university laboratories or government greenhouses.
This cutting edge has not been dulled due to technical problems or clandestine dangers. Instead, technology has been stalled because of high deregulation costs and negative public perception founded on misinformation.
Could part of the problem simply be the bad branding of a good technology? Our social psyche has been saturated with fear-based manufactured risk and misinformation. Could cleaning up our vocabulary advance the publics understanding of the science and help illuminate its actual risks and benefits, while curing the tales of fear mongering?
Goodbye, GMO
Take for instance the abbreviation GMO. The term appears to have been first used thirty-three years ago this week, appropriately in the New York Times, a venue that regularly uses language to blur scientific reality in food space. Over the last decades the term has been adopted as nomenclature of derision; after all, who would want to feed their child an alien organism?
GMO is not a scientific term. Scientifically speaking, genetic modification is ambiguous, applying to many situations. Genetic modification is what happens upon a sexual crossing, mutation, multiplication of chromosomes (like in a seedless watermelon or banana), introduction of a single new gene from an unrelated species or the tweaking a genome with new gene editing techniques. These are all examples of genetic modification, but not all offer the predictability and precision of the process of genetic engineering.
This is why actual scientists rarely (if ever) use the GMO designation in technical parlance. It first regularly was highlighted in rhetoric opposing the technology, and since has sadly been adopted by mainstream media. Works that apply the term tend to disparage the technology, and opt for GMO rather than a scientifically precise term to stoke the negative perception.
For instance, the term GMO is prominently presented in the 2012 publication (retracted) by French biologist Gilles-Erich Seralini and colleagues, juxtaposed with tumor-ridden suffering animals. Their intent was to label the sad and grotesque figures of suffering animals with the three letters, G-M-O. A valid scientific effort would have labeled a figure with the gene installed that made the plant unique, not a catch-all term for an engineered plant. Seralinis work met tremendous outcry from a scientific community that saw this as being a political and manipulative use of the scientific literature to advance an agenda.
The use of the term GMO in the figures is consistent with that interpretation.
In order to help advance the public discussion, we should agree to abandon the meaningless term GMO. This is especially important for academics, scientists, farmers, dietitians and physiciansprofessionals the public relies upon to answer questions about food and farming. It is time for the science-minded community to adopt a common vocabulary to enhance effective discussion and enjoy more meaningful dialogue.
Toward a new phrasebook
Here are my suggestions for how we can adopt a common vocabulary to make sure were all speaking the same language about these technologies.
1. Stop using GMO. It is imprecise. Everything not arising as a clone is genetically modified from previous forms, as is anything changed by mutation. You are a unique genetic modification of your parents combined genes. A dachshund is a genetic modification of an ancestral gray wolf. Instead we should replace GMO with Genetic Engineering. Genetic engineering is adding, subtracting, or adjusting genes in the lab that change a trait in the resulting plant, animal or microbe. It satisfies the very definition of engineering the application of science and mathematics to affect properties of matter or the sources of energy in nature to be made useful to people.
However, the term GMO is something people recognize. Effective communication depends on shared meaning, so scientists or journalists should use the term once in a presentation or article parenthetically, then switch to genetic engineering. Experts should make it clear that GMO is not an acceptable term when discussing science.
The flawed GMO must also still be included in keywords, image tags, or in any online content. If it is not present, someone searching the internet for credible information with this non-scientific term may encounter a higher proportion of scientifically questionable information. Providing a parenthetical mention or brief reference ensures that those seeking science-based answers can find them.
2. An All-Encompassing Term. A better term for the scientific processes used to produce new varieties or breeds, or the intermediate steps, would be best referred to as crop or animal genetic improvement. In other words, when we use traditional breeding methods to make plants or animals better, it takes many steps and lots of selection. Thats genetic improvement, whether it is done by sexual exchange, breaking DNA strands with radiation or doubling chromosomes with chemistry.
3. The Newest Technologies. New technologies are now being used that allow scientists to make incredibly specific changes to DNA sequence, without leaving foreign DNA sequences (that some find objectionable) behind. These techniques should be collectively referred to as gene editing. Especially avoid referring to the technology by its technical name like CRISPR/Cas 9 or TALEN, which are specific types of gene editing. It is important because the list of gene editing methods is inevitably growing. Gene editing is also more precise than the often-used genome editing.
The purpose of this brief new glossary is not to provide a mandate based on my narrow experience and observations. Instead, my goal is to offer a proposal so a scientific community eager to precisely engage the public can challenge the pros and cons of these terms to hone an optimal vocabulary. My hope is to ultimately derive an agreed-upon terminology that can be adopted and consistently applied by experts in science, medicine and agriculture. Journalists and science communications may then adopt the precise wording of the discipline for improved precision in communication.
Concrete, unambiguous terms can help curious and concerned people understand the realities of genetic engineering. Certainly medicine has benefited from precise language, such as how childhood cognitive disabilities are now characterized with greater sensitivity and improved medical precision. This change improved social stigma of various developmental disorders, brought compassionate understanding to the conditions, and enhanced treatment for those affected.
Better scientific literacy and precision in terminology around genetic engineering would lead to a more productive discourse that ultimately could enable more rapid deployment of safe technologies that can help people and the planet. The individuals that insist on adhering to antiquated, divisive and imprecise terms will be automatically characterized as antiquated, divisive and imprecise.
The first step is to stop using the archaic, imprecise term GMO.
Kevin Folta is a land-grant scientist exploring ways to make better food with less input, and how to communicate science. This article was published with his permission. All of Dr. Foltas funding can be found at kevinfolta.com/transparency.
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12-hour biological clock coordinates essential bodily functions – Baylor College of Medicine News (press release)
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Some bodily activities, sleeping, for instance, mostly occur once every 24 hours; they follow a circadian rhythm. Other bodily functions, such as body temperature, cognitive performance and blood pressure, present an additional 12-hour cycle, but little is known about the biological basis of their rhythm. A team of scientists from various institutions, including Baylor College of Medicine, has revealed that, in addition to 24-hour clocks, mammals and other organisms have 12-hour clocks that are autonomous, work independently from 24-hour clocks and can be modified by external factors. Studying 12-hour clocks is important because altered 12-hour cycles have been linked to human disease. The study appears in Cell Metabolism.
Our lab has been working on how the 24-hour cycles are regulated, and we and others have shown that disturbing these clocks may lead to diseases of metabolism, said senior author Dr. Bert OMalley, chair and professor of molecular and cellular biology and Thomas C. Thompson Chair in Cell Biology at Baylor College of Medicine. For instance, experimental evidence shows that night-shift workers who periodically change their night and day shifts or people who travel overseas often alter their sleep cycles, and this seems to make them prone to gain weight and develop diabetes and other alterations of metabolism that may lead to disease. Its not a good idea to disturb the circadian rhythm on a regular basis.
In addition to physiological activities that cycle every 24 hours, mammals and other organisms have activities that repeat every 12 hours. For example, it has been reported that blood pressure, body temperature, hormone levels and response to therapy fluctuate in 12-hour cycles. In addition, altered 12-hour cycles have been associated with human diseases. Other researchers had identified about 200 genes that are activated in 12-hour cycles. In this study, OMalley and his colleagues set out to determine whether there was a larger number of 12-hour genes and whether their cycles followed the definition of a biological clock, that is whether they worked autonomously and their oscillation could be adjusted by the environment.
Math meets biology to indentify the bodys internal clocks
Dr. Bokai Zhu, first author of this study and a postdoctoral fellow in the OMalley lab, carried out biological analyses to determine the activity of thousands of mice genes in time. Then, co-author Dr. Clifford Dacso, professor of molecular and cellular biology at Baylor College of Medicine, and co-author and mathematician Dr. Athanasios Antoulas, professor of electrical and computer engineering at Rice University, applied mathematical analyses to these biological data.
We were surprised to identify more than 3,000 genes that were expressed following 12-hour rhythms. A large portion of these genes was superimposed on the already known 24-hour gene activities, Zhu said.
The 12-hour clock is autonomous and can be synchronized by external cues
Further work showed that the 12-hour rhythms of genetic activity work as biological clocks. They occur regularly and autonomously in the cells, and their oscillation can be synchronized by certain external stimuli. OMalley and colleagues discovered that 12-hour clocks are independent from 24-hour clocks. When they experimentally eliminated a 24-hour clock, 12-hour clocks continued ticking. Furthermore, the external cues that can synchronize 24-hour clocks, such as sunlight, do not affect 12-hour clocks.
Of all the genes we analyzed, two sets with 12-hour cycles stood out; those involved with protein quality control and processing, which mainly occur in a cellular structure called endoplasmic reticulum, and those related to the energy supply of the cell, which involves the mitochondria, Zhu said. The activities of the endoplasmic reticulum and mitochondria depend on each other, and we have shown here that the 12-hour genes in the endoplasmic reticulum are synchronized with the 12-hour genes in the mitochondria, which provide the energy needed for protein processing.
In addition, we found that certain liver conditions are associated with disturbed 12-hour gene expression in mice. We anticipate that further study of 12-hour cycles might lead to opportunities to improve prevention of or treatments for diseases of the liver and other organs in the future, OMalley said.
Other contributors to this work include Qiang Zhang, Yinghong Pan, Emily M. Mace and Brian York. The authors are affiliated with one or more of the following institutions: Baylor College of Medicine, Rice University, the University of Houston and the Max Planck Institute.
This research was supported by grants from the NationaI Institutes of Health (U24 DK097748 and R01 HD07857), the Brockman Foundation, the Center for Advancement of Science in Space, Peter J. Fluor Family Fund, Philip J. Carroll, Jr. Professorship, Joyce Family Foundation, the National Science Foundation Grant CCF-1320866 and the German Science Foundation Grant AN-693/1-1.
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