Autophagy, the little-understood method by which human cells dispose of harmful waste and unwelcome intruders, may one day be central to therapies for longer, healthier living, experts said. Japanese scientist Yoshinori Ohsumi won the Nobel Medicine Prize this year for his work on autophagy which when disrupted can cause Parkinson’s and diabetes. — AFP

Japanese cell biologist Yoshinori Ohsumi was awarded the 2016 Nobel Medicine Prize Monday for discovering genes involved in autophagy, a non-stop housecleaning process that keeps cells healthy, and is thought to spur ageing and disease when disrupted.

Scientists are striving to “find a way to increase it beyond what it normally does,” said University of Edinburgh cell biologist Simon Wilkinson referring to future treatment possibilities for cancer and neurodegenerative diseases such as Alzheimer’s or Parkinson’s.

“Can we find drugs that will ramp it up further than it would ordinarily be?” he told AFP by phone. “Can we ameliorate these horrible disorders?”

Trial drugs in lab experiments with human cells and mice have shown that autophagy can indeed be boosted.

In “mouse models, for example, where autophagy has been increased genetically, the mice do age better,” Wilkinson said.

Concretely, this meant a less rapid accumulation of damaged proteins in cells, and a metabolism with a slower rate of age-related decline.

Autophagy — from the Greek words for “self” and “to eat” — is a process by which cells in animals and plants get rid of damaged proteins, as well as specialized structures called organelles which have become defunct.

Allowed to accumulate, these useless scraps would damage the cell and upset its normal functioning, leading to health problems.

Autophagy was already known to scientists in the 1960s, but Ohsumi, who studied the process in yeast in the 1990s, was the first to uncover the genes responsible.

Yeast is a favorite of biologists because it shares much of its cell structure and functioning with humans and other animals.

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Autophagy happens when fatty membranes called autophagosomes envelop the unwanted waste and sequester it from the rest of the cell.

The autophagosomes then join up with another specialized cell compartment full of digestive enzymes, called a vacuole, to obliterate the waste.

“Autophagy declines when we age. That’s why we accumulate these dysfunctional proteins that cause diseases,” University of Warwick autophagy expert Ioannis Nezis told AFP.

“Now we are trying to understand how this process declines during ageing, and how we can find innovations to activate this process and keep our cells healthy for longer, so we can live a better and longer life.”

The experts stressed that an autophagy-based drug was still far off.

“Tests are being conducted on mice,” said Guido Kroemer, an autophagy researcher at the Inserm medical research institute. “Tests on humans might begin in a few years.”

Two main avenues were being investigated, he explained.

The first was an autophagy stimulator to slow ageing and the development of diseases such as diabetes, clogged arteries, certain cancers or neurodegenerative conditions.

Another option was to use autophagy inhibitors to lower cancer cells’ resistance to chemotherapy.

Much more is understood about autophagy since Ohsumi’s breakthrough — with about a dozen papers published on the subject until 1990, and some 30,000 since then, according to Nezis.

But a lot remains unknown — chiefly how and when to use a drug molecule to boost autophagy without causing unwanted side-effects.

Wilkinson cautioned autophagy was unlikely to yield the elixir of life.

“This is an increase in health during ageing, it’s not immortality by any stretch,” he said.

“Inevitably, there will come a point where the autophagy process is finite… where the fundamental capacity of cells is just overcome by ageing-related damage.”

source: Business World
http://www.weekender.bworldonline.com/2016/10/06/cells-garbage-disposal-may-hold-key-to-healthier-life/

INTERNET addiction and stress, among many other factors, may contribute to developmental disorders among children in the Philippines, said Dr. Ma. Rochelle Buenavista-Pacifico, a developmental and behavioral pediatrician.

Developmental disorders are “chronic brain problems with motor impairment, language, learning, cognition, and neuro-behavioral symptoms,” said Dr. Pacifico.

“Magkakamag-anak ang mental disorders (mental disorders are related)… They are an evolution of symptoms during infancy and childhood,” she said in a press conference on Sept. 27.

The disorders may arise from genetic, infectious, or toxic factors, traumatic insults, and even environmental exposure like too much Internet exposure and extreme stress on both mothers and the developing infants. She said stress among children makes their brain smaller, lowers their immunity, and can lead to cognitive deficits in learning and memory. Women who suffer extreme stress during pregnancy may have a premature baby, or a child who is temperamental, hyperactive, and inattentive. These children may develop diabetes, depression, and schizophrenia as comorbidities later in life.

Internet addiction and even regular exposure to a computer for an average of seven hours per day also affect child development. According to Dr. Pacifico’s research study, “Abnormal White Matter Integrity in Adolescents with Internet Addiction Disorder: A Tract-Based Spatial Statistics Study,” the screen time exposure creates subtle damage even in children with regular Internet exposure. The kids are “impulsive, moody, and cannot pay attention,” she said.

According to her presentation, in the Philippines in 2015, there were 2.1 million children between the ages five to 14 years with mental disabilities. Worldwide, the prevalence of autism — a neurological and developmental disorder that begins early in childhood and lasts throughout a person’s life — has increased between 1980 to 2013: in 1980, one in every 10,000 people was autistic; by 2013, it was one in every 68. Dr. Pacifico cited the Centers for Disease Control and Prevention, Autism, and Developmental Disorders Monitoring network as her source.

The increasing number of people with developmental diseases is due to a number of factors: the increase in the survival rate because of improved medical practice; the increase in awareness of these conditions; and the increase in maternal age, with more women deciding to have a baby later in life which increases the risk of having a mentally challenged child.

“Early intervention is key,” said adult psychiatrist Dr. Pearl Reyes.

According to studies, the first three years of a child are critical in development. If a disorder is detected early on, there’s a big chance of “brain re-wiring.”

“There are special kids who can be independent if they have early intervention. There can be autistic kids who can play the piano or excel in school,” she said.

Besides the early intervention, the specialists also emphasize support within the family members.

“A hyperactive child isn’t necessarily a bad child,” said Ms. Reyes. When parents tell their children that they are bad or pasaway, malikot,or magulo (naughty, restless, rowdy) and they keep on hearing this, “there’s a less chance for success later in life,” she said.

The contributing problem, according to the doctors, is that the parents deny that there is a problem because they couldn’t accept it or because of fear of society’s stigma.

The consequences of late detection and treatment are many and lifelong, including “social burden, missed opportunity, strain in family and finances, and social downward shift,” said Ms. Reyes.

The experts couldn’t overemphasized the power of early detection and intervention.

There aren’t many centers for children needing special attention in the Philippines, but one of them is the new Progress Child Development Center located at the Protacio Hospital in Quirino Ave., Tambo, Parañaque. The center is equipped with facilities and specialists for children and adults with developmental disorders. It offers developmental pediatrics, occupational therapy, family counseling, physical and speech therapies, SpEd tutorials, psychiatry, and neurology services.

source: Business World
http://www.weekender.bworldonline.com/2016/10/06/developmental-disorders-in-kids/

People with a variant of a particular gene prefer high-fat food compared to people without it, said a study Tuesday, suggesting our dietary preferences may be at last partly pre-coded.

Unexpectedly, the same individuals had a reduced taste for sugar, according to a study in the journal Nature Communications.

“Our work shows that even if you tightly control the appearance and taste of food, our brains can detect the nutrient content,” said paper co-author Sadaf Farooqi of the University of Cambridge, whose researchers conducted the study.

Farooqi and a team tested the food preferences of 14 obese individuals with rare variations in the MC4R gene, and compared them to lean people and other obese people without the mutation.

The participants were given an eat-all-you-can buffet of chicken korma, a type of curry.

There were three dishes, differing only in their fat contribution to total calorie content — either 20%, 40% or 60%. The tasters did not know of the difference, and the dishes were made to look the same.

“The researchers found that, although there was no overall difference in the amount of food eaten between the groups, individuals with defective MC4R ate almost double the amount of high fat korma than lean individuals (95% more),” the university said in a statement.

They also ate 65% more of the high-fat korma than other obese individuals without the genetic quirk.

In a second part of the study, the participants were given “Eton mess,” a dessert made of strawberries, whipped cream and pieces of meringue.

There were again three visually indistinguishable options — sugar comprising 8%, 26%, or 54% of total calories.

Individuals with the gene variant liked the high-sugar desserts less than the others, and ate “significantly less” of all three types.

“One in 100 obese people have a defect in the MC4R gene which makes them more likely to put on weight,” said the statement.

“For these individuals, the fact that the MC4R pathway is not working may led them to preferring high-fat foods without realizing it.”

The reason for the sugar aversion was not clear.

MC4R is only one of several genes implicated in obesity to date.

source: Business World
http://www.weekender.bworldonline.com/2016/10/06/gene-variant-may-drive-hunger-for-high-fat-foods/

Due to the growing threat of antibiotic resistance, the World Health Organization (WHO) has issued new treatment guidelines for three common sexually transmitted infections (STIs) – chlamydia, gonorrhea and syphilis.

These infections can generally be cured by antibiotics but they are becoming more to treat as some antibiotics are now failing due to “misuse and overuse,” the agency said.

WHO estimates that each year, 131 million people are infected with chlamydia, 78 million with gonorrhoea, and 5.6 million with syphilis.

“Resistance to these STIs to the effect of antibiotics has increased rapidly in recent years and has reduced treatment options. Of the three STIs, gonorrhea has developed the strongest resistance to antibiotics,” WHO posted in its website.

Strains of multidrug-resistant gonorrhea that do not respond to any available antibiotics have been detected.

Antibiotic resistance in chlamydia and syphilis, though less common, also exists, making prevention and prompt treatment critical.

WHO said when left undiagnosed and untreated, these STIs can result to serious complications and long-term health problems for women, such as pelvic inflammatory disease, ectopic pregnancy, and miscarriage, and untreated gonorrhea and chlamydia can cause infertility in both men and women.

Infection with chlamydia, gonorrhea and syphilis can also increase a person’s risk of being infected with HIV two- to three fold while an untreated STI in a pregnant woman increases the chances of stillbirth and newborn death, WHO added.

WHO director of reproductive health and research Ian Askew said “chlamydia, gonorrhea and syphilis are major public health problems worldwide, affecting millions of peoples’ quality of life, causing serious illness and sometimes death.

“The new WHO guidelines reinforce the need to treat these STIs with the right antibiotic, at the right dose, and the right time to reduce their spread and improve sexual and reproductive health,” he said.

“To do that, national health services need to monitor the patterns of antibiotic resistance in these infections within their countries,” Askew added.

source: Philippine Star
Health & Medicine

Many people who inject themselves with insulin to control diabetes are improperly performing this vital task, according to a large new study.

Based on the results, experts have crafted recommendations for people who use insulin that touch on everything from what type of needle to use to where the shot should be administered.

“Insulin injection has been assumed to be simple and require little training, but that’s not the case,” senior author Dr. Kenneth Strauss wrote to Reuters Health in an email.

Insulin users “may have been injecting for years and yet have had little or no training in correct technique,” said Strauss, who is medical director in Europe of the medical technology company BD.

In all 42 countries in the current study, many patients were injecting improperly, “leading to worse glucose control, poorer outcomes and higher costs,” he said.

The researchers surveyed 13,289 people at 423 medical centers in 2014 and 2015. Ten percent of respondents said they had never received formal injection instructions, and more than 60 percent said their primary care providers hadn’t reviewed instructions with them recently.

Nearly 200 experts used the survey responses to help develop formal recommendations.

source: Philippine Star
Health & Medicine

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