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Archive for category: E-News

E-News

Tau, not amyloid-beta, triggers neuronal death process in Alzheimer’s

, 26 August 2020/in E-News /by 3wmedia

New research points to malfunctioning tau, not amyloid-beta (Abeta) plaque, as the seminal event that spurs neuron death in disorders such as Alzheimer’s disease. The finding, which dramatically alters the prevailing theory of Alzheimer’s development, also explains why some people with plaque build-up in their brains don’t have dementia.

Neuronal death happens when tau, found inside neurons, fails to function. Tau’s role is to provide a structure — like a train track —inside brain neurons that allows the cells to clear accumulation of unwanted and toxic proteins.

“When tau is abnormal, these proteins, which include Abeta, accumulate inside the neurons,” explains the study’s senior investigator, Charbel E-H Moussa, MB, PhD, assistant professor of neuroscience at Georgetown University Medical Center. “The cells start to spit the proteins out, as best they can, into the extracellular space so that they cannot exert their toxic effects inside the cell. Because Abeta is ‘sticky,’ it clumps together into plaque,” Moussa says.

He says his study suggests the remaining Abeta inside the neuron (that isn’t pushed out) destroys the cells, not the plaques that build up outside. “When tau does not function, the cell cannot remove the garbage, which at that point includes Abeta as well as tangles of non-functioning tau, and the cell dies. The Abeta released from the dead neuron then sticks to the plaque that had been forming.”

Moussa’s experiments in animal models also show less plaques accumulate outside the cell when tau is functioning; when tau was reintroduced into neurons that did not have it, plaques did not grow.

Malfunctioning tau can occur due to errant genes or through aging. As individuals grow older, some tau can malfunction while enough normal tau remains to help clear the garbage. In these cases, the neurons don’t die, he says. “That explains the confusing clinical observations of older people who have plaque build-up, but no dementia,” Moussa says.

Moussa has long sought a way to force neurons to clean up their garbage. In this study, he shows that nilotinib, a drug approved to treat cancer, can aid in that process. Nilotinib helps the neuron clear garbage, but requires some functional tau, he says.

“This drug can work if there is a higher percentage of good to bad tau in the cell,” Moussa says. “There are many diseases of dementia that have malfunctioning tau and no plaque accumulation, such as frontal temporal dementia linked to Parkinsonism,” Moussa says. “The common culprit is tau, so a drug that helps tau do its job may help protect against progression of these diseases.” Georgetown University Medical Center

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Lack of thyroid hormone blocks hearing development

, 26 August 2020/in E-News /by 3wmedia

TAU researchers discover that a genetic form of deafness is due to absence of thyroid hormone

Fatigue, weight gain, chills, hair loss, anxiety, excessive perspiration — these symptoms are a few of the signs that the thyroid gland, which regulates the body’s heart rate and plays a crucial role in its metabolism, has gone haywire. Now, new research from Tel Aviv University points to an additional complication caused by thyroid imbalance: congenital deafness.

The study, was conducted by Prof. Karen B. Avraham and Dr. Amiel Dror of the Department of Human Molecular Genetics and Biochemistry at TAU’s Sackler School of Medicine. Using state-of-the-art imaging, the researchers found that congenital deafness can be caused by an absence of a thyroid hormone during development.

‘Since our laboratory mainly focuses on the system of the inner ear, the study of a system such as the thyroid gland was new to us and therefore challenging,’ said Dr. Dror. ‘My curiosity as to how these two systems interact together to develop normal hearing led to this multidisciplinary study.’

The researchers used mouse populations to study a form of congenital deafness that affects humans. Harnessing electron microscopy at the Sackler Cellular & Molecular Imaging Center, researchers tracked the inner hair cells of the cochlea (the auditory portion of the inner ear) in two groups — control (wild) mice and mutant (congenitally deaf) mice.

Examination of the inner ear showed a spectrum of structural and molecular defects consistent with hypothyroidism or disrupted thyroid hormone action. The researchers’ analysis of the images revealed defective formation of the mice’s thyroid glands: labelled thyroid follicles did not grow or grew incompletely.

‘Our work demonstrated that normal hearing fails to develop when thyroid hormone availability is insufficient as a result of a genetic mutation,’ said Dr. Dror. ‘Our model provides a platform to test therapeutic approaches in order to prevent hearing loss before it occurs. There is still long way ahead before we get to the point of practical treatments with our research, but we believe we are moving in the right direction.’ American Friends of Tel Aviv University

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Mutation may cause early loss of sperm supply

, 26 August 2020/in E-News /by 3wmedia

Brown University biologists have determined how the loss of a gene in male mice results in the premature exhaustion of their fertility. Their fundamental new insights into the complex process of sperm generation may have direct applications to a similar loss of fertility in men.

What the team discovered is that the loss of the gene that makes the protein TAF4b causes a deficit in the number of progenitor cells at an embryonic stage of a male mouse’s reproductive development. Lacking those important precursor cells means that the mice struggle to develop a robust stem cell infrastructure to sustain sperm production for the long term. The affected mice are fertile at first, but quickly deplete the limited sperm supply that they can generate.

“What’s fascinating about these mice is they can reproduce,” said Richard Freiman, senior author of the new study in the journal Stem Cells. “Mice can usually reproduce until they are two years old, but these mice can only reproduce until they are four months old.”

TAF4b is a protein that affects how genes are regulated and transcribed, and its absence has profound impacts on the reproductive system. In previous work, Freiman’s research group has shown that female mice without TAF4b are totally infertile and that their ovaries age prematurely. But in experiments with males, led by lab members Lindsay Lovasco and Eric Gustafson, the effect proved more subtle.

Sperm generation follows from a complex chain of events that the research shows begins before a male mouse is even born. In their experiments, the team compared the development of mice with and without the TAF4b gene. In mice with TAF4b, progenitor cells for sperm in the male embryo arise and proliferate normally, laying the groundwork in the testes for a robust pool of spermatogonial stem cells to develop. Those stem cells are the ones that produce a renewable supply of sperm. Without TAF4b, there were fewer progenitor cells and consequently fewer stem cells. They still produce sperm at first, but they can’t renew production for the long haul. Ultimately the testes, which develop normally, become unproductive and atrophy.

What’s not yet clear from the research is why the process fades out rather than just continuing, albeit at a very low level of productivity. One possibility is the low supply of spermatogonial stem cells drives the body to invest all its meagre resources in immediate sperm production, leaving none of the stem cells in a more flexible state that can perpetually renew the supply. Another possibility is that regardless of supply, TAF4b is simply needed to see the renewal process through, for instance by maintaining some stem cells in their regenerative state.

Not only do humans have a gene for TAF4b, but a coincidental study last year in the Journal of Medical Genetics provides evidence that it also matters for sperm count. That research reported that four Turkish brothers who carried a mutation in the TAF4b gene had low sperm counts. Their mutation was in the same region of their gene as the one Freiman’s team generated in the mice.

“The human implications are very exciting,” he said. “It is possible that those men, as teenagers, were able to make functional sperm.”

Certainly more research is needed, Freiman said, but if TAF4b mutation plays out in men the way it plays out in mice, his hope is that detecting the mutation in teenage boys could allow doctors to freeze their sperm so that when they are older and want to have children, they could draw on that banked supply. Brown University

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Link between low blood glucose and cardiovascular events revealed

, 26 August 2020/in E-News /by 3wmedia

A study involving scientists from the University of Leicester has established a link between hypoglycaemia and increased risk of cardiovascular events and mortality in patients with diabetes.

Professors Kamlesh Khunti and Melanie Davies, scientists from the University of Leicester’s Diabetes Research Centre, have confirmed an association between hypoglycaemia and an increased risk of cardiovascular events and mortality in insulin-treated patients with diabetes, which could lead to changes in the way some patients’ treatment is managed.

As part of an international collaboration with scientists from Imperial College London, the QIMR Berghofer Medical Research Institute and Novo Nordisk A/S – using data from the UK Clinical Practice Research Datalink database – Professors Khunti and Davies demonstrated that, following hypoglycaemia, insulin-treated patients with diabetes had an ~60% higher risk of cardiovascular events, and were between 2–2.5 times more likely to die over the same period as patients who did not experience hypoglycaemia.

Kamlesh Khunti, Professor of Primary Care Diabetes & Vascular Medicine at the University of Leicester, who led the research, said:  “This is one of the first studies to report the risk of cardiovascular events and mortality in people with both type 1 and type 2 diabetes. The risks are very significant and we need to identify these patients early with a view to implementing strategies to reduce their risk of hypoglycaemia.”

Patients with diabetes are at higher risk of cardiovascular disease due to the formation of atherosclerotic plaques in blood vessels; this is a major cause of early death in these patients. The results of the study show that hypoglycaemia, which occurs when a patient’s blood glucose becomes dangerously low, can trigger potentially fatal cardiovascular events.

Melanie Davies, Professor of Diabetes Medicine at the University of Leicester and Honorary Consultant at Leicester’s Hospitals,  commented: “The data from this important and large piece of research confirms what we already know in people with type 2 diabetes and extends our knowledge in those with type 1 diabetes. It also confirms the significance of hypoglycaemia and the link with an increased risk of cardiovascular events, a risk that persists over a long time period. Going forward we need to focus on management strategies that help patients minimise their risk of having hypoglycaemic events.” University of Leicester

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Genetic variant protects some Latina women from breast cancer

, 26 August 2020/in E-News /by 3wmedia

An international research collaboration led by UC San Francisco researchers has identified a genetic variant common in Latina women that protects against breast cancer.

The variant, a difference in just one of the three billion “letters” in the human genome known as a single-nucleotide polymorphism (SNP), originates from indigenous Americans and confers significant protection from breast cancer, particularly the more aggressive oestrogen receptor–negative forms of the disease, which generally have a worse prognosis.

 “The effect is quite significant,” said Elad Ziv, MD, professor of medicine and senior author of the study. “If you have one copy of this variant, which is the case for approximately 20 percent of U.S. Latinas, you are about 40 percent less likely to have breast cancer. If you have two copies, which occurs in approximately 1 percent of the US Latina population, the reduction in risk is on the order of 80 percent.”

The new study showed that women who carry the variant have breast tissue that appears less dense on mammograms. High “mammographic density” is a known risk factor for breast cancer.

 “We have detected something that is definitely relevant to the health of Latinas, who represent a large percentage of the population in California, and of other states such as Texas,” said first author Laura Fejerman, PhD, assistant professor of medicine and a member of UCSF’s Institute of Human Genetics. “This work was done as a collaboration of multiple investigators, many of us originally from Latin America. As a Latina myself, I am gratified that there are representatives of that population directly involved in research that concerns them.” University of California – San Francisco

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Study links deficiency of cellular housekeeping gene with aggressive forms of breast cancer

, 26 August 2020/in E-News /by 3wmedia

UT Southwestern Medical Center scientists have identified a strong link between the most aggressive type of breast cancer and a gene that regulates the body’s natural cellular recycling process, called autophagy.

Based on analysis of two large breast cancer databases, reduced activity of an autophagy gene, beclin 1, was related to both a higher incidence of triple-negative breast cancer and a poorer prognosis for breast cancer patients.

The study is the first to document a correlation between beclin 1 and triple-negative human breast cancer and validates research in mouse models.

“We have potentially identified a new pathway to be targeted in the most aggressive, difficult-to-treat form of breast cancer,” said Dr. Beth Levine, Director of the Center for Autophagy Research and a Howard Hughes Medical Institute Investigator at UT Southwestern. “These data suggest that decreased beclin 1 activity contributes to breast cancer and poor survival outcomes. As a result, therapies that increase beclin 1 activity in breast cancer may be beneficial.”

Triple-negative breast cancer – which accounts for 10 to 20 percent of breast cancer – is called such because the cancer’s cells lack oestrogen and progesterone receptors and also do not have an excess of the human growth factor receptor 2 (HER2) protein on their surfaces. Chemotherapy, the standard treatment, has been limited in its effectiveness against triple-negative breast cancer.

 “With low beclin 1 expression, you have up to a 35-fold higher risk of having triple-negative breast cancer. That’s really strong,” said Dr. Levine, who holds the Charles Cameron Sprague Distinguished Chair in Biomedical Science and is co-senior author of the study with Dr. Yang Xie, Associate Professor of Clinical Science.

UT Southwestern researchers analysed 3,057 breast cancer cases for levels of expression of beclin 1 and BRCA1, a nearby gene that is associated with inherited breast cancer. The data came from The Cancer Genome Project in the United States (1,067 cases) and the Molecular Taxonomy of Breast Cancer International Symposium in the United Kingdom and Canada (1,992 cases).

“We know that about 35 percent of all breast cancers are missing copies of both the beclin 1 and BRCA1 genes,” said Dr. Levine. “To find out which of the two genes is important, we looked at the levels of expressions of both genes and how they related to different clinical features of breast cancer. Strong associations were seen between low expression of beclin 1, but not BRCA1, and adverse clinical features.”

Along with the 35-fold higher risk of having triple-negative breast cancer, the findings showed low levels of beclin 1 activity also correlated with worse outcomes.

“Patients with breast cancer and low beclin 1 expression had a 67 percent increase in the risk of dying from breast cancer compared with patients who had higher levels of beclin 1 expression,” Dr. Xie said.

Increasing beclin 1 activity could, therefore, become a new therapy for breast cancer patients, especially those with the triple-negative type. Several approved drugs that happen to increase beclin 1 activity are already used for other types of cancer. They included four classes of drugs: inhibitors of either beclin 1/BCL-2 binding, protein kinase B (AKT), epidermal growth factor receptor (EGFR), or HER2. UT Southwestern Medical Center

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Connecting the dots of our genome

, 26 August 2020/in E-News /by 3wmedia

One of the central questions in human biology is to understand how our genes determine which diseases we get and how severe they might be. Knowing just the DNA sequence, or the blueprint, is not enough. We must figure out how proteins, the genes’ products, work too.

Now an international team of researchers, jointly led by Dr. Fritz Roth (at Mount Sinai Hospital’s Lunenfeld-Tanenbaum Research Institute and the Donnelly Centre of the University of Toronto), and Dr. Marc Vidal (with the Dana-Farber Cancer Institute and Harvard Medical School in Boston), have produced the largest ever map of human protein interactions. This publicly available resource will be invaluable to anyone trying to understand complex genetic traits and develop new disease therapies.

“It is realistic to think that many of the people reading this will have their genomes sequenced within their lifetimes. The next challenge is to figure out what their genomes mean,” says Dr. Roth. “You cannot figure out how the car works based on the parts list. You have to know how they fit together.”

This is because genes do not do the work in a cell. Rather, the work is usually done by the proteins that genes provide the plans for. Some pairs of proteins stick together, or ‘interact’ when they are in close contact with each other. These interactions underlie all of cell’s biology and mediate processes such as gene expression, cell metabolism, and transporting other molecules within a cell.

Having a detailed map of protein interactions bring us one step closer to understanding the relationship between our genes (genotype) and our physiology in health and disease (phenotype).

Drs. Roth and Vidal, and their colleagues, analysed direct interactions in pairwise combinations between 13,000 proteins. Out of 85 million possible interactions they found 14,000 directly-interacting protein pairs. This more than doubles the previous set of known interactions, making it the largest ever experimentally determined human protein interaction map.

“We’ve managed to peer into the car and connect a fraction of the parts,” says Dr. Roth.

The study reveals several important findings. The new map can be used to identify novel genes involved in diseases. If a novel protein, which we know nothing about, interacts with a known protein that has a role in a disease, then the novel protein is highly likely to be involved in that same disease. Dr. Roth and colleagues illustrate this point by identifying a novel cancer gene STAT3 based on its interactions with known cancer genes. Their finding was confirmed when STAT3 subsequently became included into the cancer gene database based on independent evidence.
 Further unbiased analyses identified 100 strong cancer candidate genes, 60 of which were connected to known cancer molecular pathways. Some of these genes are completely novel. This shows the potential of the human interaction map in revealing new disease genes and promising therapeutic targets.

Mapping all human protein interactions is a colossal task and will require several different approaches. This is because not every method can find every protein interaction. Dr. Roth estimates that they found, using a yeast two hybrid method, 5-10% of all protein interactions, a substantial increase from their previous paper that reported 1% of interactions.

“Although much sweat and some tears were put into analysing this new map, it is clear that we have only scratched the surface of what these interactions can tell us about human disease. It is personally very exciting to anticipate the discoveries to come, as it passes from our hands into the research community,” says Dr. Roth. Lunenfeld-Tanenbaum Research Institute

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New at-risk group identified for gastrointestinal stromal tumours

, 26 August 2020/in E-News /by 3wmedia

Researchers at the University of California, San Diego School of Medicine have, for the first time, clearly defined the epidemiology of gastrointestinal stromal tumours (GIST), which occur primarily in the lining of the stomach and small intestine. One key finding: Patients of Asian descent, who have not previously been identified as an at-risk population, are 1.5 times more likely than other patient groups to be diagnosed with this type of tumour.

 “Previous journal articles never clearly differentiated GIST from several other tumours, even though they have different biologies,” said Jason Sicklick, MD, assistant professor of surgery and a surgical oncologist at UC San Diego Health System. “This study more clearly identifies at-risk populations in the United States as well as incidence rates, survival trends and risk factors for the disease.”

Prior to 2001, GIST-specific histology codes were not used in medical coding, which meant that a variety of tumour types, such as leiomyoma and leiomyosarcoma, spindle cell, myofibroblastic, desmoid and KIT-positive metastatic melanomas were all lumped into one category. Sicklick and his team have used a new generation of precise pathologic diagnostic codes to better define the incidence and distribution of GIST among different patient groups.

The research team from UC San Diego Moores Cancer Center found that the overall incidence rate was 6.8 cases per million people and that the rate rose from 2001 to 2011. During the study period, the median age of GIST diagnosis was 64 years old. GISTs were more common in men.

“Contradicting prior reports we see a definite survival disparity, particularly among patients of African-American descent,” said Sicklick.

Persons of African-American or Asian/Pacific Islander descent were 2.1 and 1.5 times more likely to develop GIST than Caucasians, respectively.

“Further studies are needed to understand why these groups are at-risk as it could carry important diagnostic, prognostic and therapeutic implications throughout the United States,” said James Murphy, MD, assistant professor of radiation oncology at UC San Diego School of Medicine and a radiation oncologist at UC San Diego Health System. University of California – San Diego

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HORIBA Medical and NOEMALIFE signed a worldwide distribution agreement for a dedicated version of the Halia middleware.

, 26 August 2020/in E-News /by 3wmedia

HORIBA Medical and NoemaLife announced in January a non-exclusive agreement, for the worldwide distribution of Halia, the web-based Laboratory Automation System by NoemaLife which allows central management of all pre-analytical, analytical and post-analytical instruments, making it possible to connect multiple sites, multiple Laboratory Information Systems and multiple instruments of various disciplines of the laboratory. “The addition of Halia to HORIBA Medical ’s Hematology product line makes it possible for a wide range of clinical laboratories to realize efficiencies resulting from a powerful yet very user friendly data management. NoemaLife is pleased to serve as HORIBA Medical‘s middleware provider in this effort” said Piero Tassoni, Diagnostic Marketing & Alliance Director NoemaLife, “HORIBA Medical equips more than 30,000 laboratories throughout the world, distributed in 110 countries in 5 continents. Not only we are proud to work with a partner who holds world records in its industry, but we are confident that this agreement has huge potential.” The specific version of the Halia middleware distributed by HORIBA Medical will soon integrate all the Hematology Expert validation station features that HORIBA Medical so far proposed exclusively in its “ABX Pentra ML” Work Station, the all-in-one validation system entirely dedicated to whole blood. “Halia is an important evolution to our hematology solution’s offer” said Olivier Pou, Corporate Marketing Director, HORIBA Medical. “The addition of a specific version of the Halia middleware to our product offer makes it possible for HORIBA Medical to provide a complete solution to our worldwide base of customers around the hematology expertise but also to facilitate the integrated management of hematology within the global IVD laboratory”.

www.horiba.com
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Researchers identify key substance that protects against pre-term birth

, 26 August 2020/in E-News /by 3wmedia

Researchers at UT Southwestern Medical Center have identified hyaluronon (HA) as a critical substance made by the body that protects against premature births caused by infection. Pre-term birth from infection is the leading cause of infant mortality in many countries according to the World Health Organization. The findings of the study are the first to identify the specific role that HA plays in the reproductive tract.

Dr. Yucel Akgul, first author and senior author Dr. Mala Mahendroo
“We found that HA is required to allow the epithelial lining of the reproductive tract to serve as the first line of defence against bacterial infections,” said senior author Dr. Mala Mahendroo, an Associate Professor in the Department of Obstetrics and Gynecology’s Cecil H. and Ida Green Center for Reproductive Biology Sciences. “Because of this action, HA offers cervical protection against the bacterial infections that cause 25 to 40 percent of pre-term births in women.”

Hyaluronon is a natural substance found in many tissues, and is both a lubricant and a beneficial component of eyes, joints, and skin. It has long been thought to play an essential role in increasing the cervix’s flexibility during the birth process; however, the study, which was conducted using mouse models, showed that HA is not essential for increased cervical pliability during late pregnancy. Rather, the substance plays an important barrier role in epithelial cells of the lower reproductive tract and in so doing protects against infection-related pre-term birth. The World Health Organization estimates that 1.09 million children under age 5 die from direct complications of being born prematurely, meaning before the 37th week of pregnancy.

Previous studies by UT Southwestern reproductive biology researchers showed that HA is present in both the cervix and cervical mucus of pregnant women. Next steps include determining the mechanism by which HA affects cervical protection against infection.

“This study demonstrates that HA plays a crucial role in the epithelial barrier as well as the cervix’s mucus,” said Dr. Yucel Akgul, first author of the study and research scientist in the Department of Obstetrics and Gynecology. “Our next step is to identify exactly how HA protects the cervix, which can have important clinical implications in the effort to reduce infection-mediated pre-term labour.” UT Southmwestern Medical Center

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