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Archive for category: E-News

E-News

Nova Biomedical awarded multi-year critical care blood gas analyser agreement from Premier

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

Nova Biomedical has been awarded a multi-year group purchasing agreement for critical care blood gas analysers from Premier. This agreement provides Premier members access to Nova’s new Stat Profile Prime Plus® critical care blood gas analyser. Prime Plus features maintenance-free sensor technology to provide 20 essential critical care tests including BUN, creatinine, ionized magnesium, blood gases, electrolytes, metabolites, hematology, and co-oximetry. Prime Plus also provides new and patented, non-lysing whole blood co-oximetry technology, along with automated quality control (QC), powerful data management, bidirectional connectivity, and extensive cybersecurity protection. The current agreement allows Premier members, at their discretion, to take advantage of special, pre-negotiated pricing and terms for Prime Plus analysers and consumables in addition to Nova’s 10-test Prime analysers.
“We are pleased that Premier has awarded a group purchasing agreement to our innovative, maintenance-free Prime Plus,” said John Britt, Director of Corporate Accounts for Nova. “This agreement allows Premier members access to the entire Stat Profile Prime platform including its new flagship analyser, Prime Plus. Prime Plus introduces innovative technology that expands critical care testing with unique assays and eliminates sensor and co-oximeter maintenance, all of which improves uptime and reliability while reducing costs. Prime Plus represents the latest in critical care testing technology and further demonstrates Nova’s leadership and history of innovation.”
Prime Plus incorporates Nova’s innovative, maintenance-free sensor technology with individual MicroSensor cards, calibrator cartridges, and quality control cartridges. This design eliminates sensor and co-oximeter maintenance, improves analyser uptime, and reduces testing costs for the compact and easy-to-use Prime Plus.
Premier is a leading healthcare improvement company, uniting an alliance of approximately 4,000 U.S. hospitals and 165,000 other providers.
www.novabiomedical.com

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EKF Diagnostics publishes guide to good capillary blood sampling

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

EKF has published an educational guide which provides a quick overview of capillary blood sampling best practice. It aims to help healthcare professionals understand common causes of pre-analytical errors and reduce their impact on hemoglobin results. Entitled “Capillary sampling and its relevance for correct hemoglobin results”, the new guide is available to download from EKF Diagnostics’ website.
Capillary blood (fingerstick) sampling is increasingly being used worldwide due to the growing availability of point-of-care (POC) testing. With anemia affecting about 25% of the global population and a much higher prevalence in developing countries, hemoglobin is the most frequently performed test in POC hematology. It is also used routinely by blood collection services to ensure safe donations.
Notably, hemoglobin (Hb) values are among the parameters most prone to being affected by pre-analytical errors. Incorrect capillary blood sampling is the most common reason for inaccurate POC hemoglobin results. So, in order to avoid generating variant and misleading Hb results, healthcare personnel drawing blood must adhere to strict and standardized blood sampling techniques. This ensures accurate and consistent POCT results that are comparable to laboratory techniques.
As well as discussing the reasons behind the vital importance of good capillary blood sampling, the new guide provides easy step-by-step instructions on best practice capillary sampling. These present a simple visual explanation based on published detailed guidelines from the Clinical and Laboratory Standards Institute and the World Health Organization (WHO) with specific considerations added for hemoglobin testing.
EKF’s new capillary sampling guide can be viewed and downloaded at: https://www.ekfdiagnostics.com/capillary-blood-sampling.html

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Gene levels could help predict prognosis for colorectal cancer

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

Levels of a gene that helps the immune system differentiate the good cells from the bad could be a good indicator of prognosis in people with colorectal cancers, Medical College of Georgia researchers report.
Looking at 15 genes known to be associated with colorectal cancers — eight associated with lower survival rates and seven with higher — the researchers found that one gene, CCR4, was present in higher levels in patients with a good prognosis, even in those diagnosed with late stage disease.
The gene is part of the chemokine family, which is involved in trafficking the body’s white blood cells, which then fight off invaders. Through genetic analysis, MCG researchers found that patients with higher levels had responded better to treatment, had more incidences of remission and lived longer, says second-year MCG student Chance Bloomer.
“If the cancer is expressing this gene, it makes it easier for the immune system to attack those cells,” he says. “There is no good type of colorectal cancer, but if you’re going to have it, you want higher levels of this gene.” Bloomer is presenting his findings at the American Association for Cancer Research Annual Meeting this week in Atlanta.
Bloomer worked with Dr. Ravindra Kolhe, molecular pathologist and director of MCG’s Georgia Esoteric & Molecular Laboratory, to design the two genetic panels — one that he hoped could be used to predict good outcomes and one for poorer outcomes. They started by combing through cBioPortal for Cancer Genomics, which houses large-scale cancer genomics data sets.
“Essentially this was raw data,” Bloomer says. “There are thousands of gene expression levels for thousands of patients with all types of cancers. I was looking for genes that had been shown to be associated with better survival rates.”
Bloomer started with nearly 800 genes — all with known and strong associations to cancer progression — and narrowed those down to 38 with significant associations to increased or decreased survival rates for colon cancer. He narrowed the group further by grouping those with similar mechanisms — whether they were involved in immune system response, rates of tumour growth or treatment response, for example. “I wanted a holistic approach that looked at tumour genetics and how these genes worked,” he says.
After settling on an eight gene panel he hoped would help determine decreased survival rates, and a seven gene panel to determine better survival rates, they analysed tissue samples of 750 colorectal cancer patients from the Georgia Cancer Center. Patients were grouped by tumour stage, determined by using its size and/or whether it has spread; whether they survived less than or more than three years; tumour grade, a measure of how quickly it is likely to grow and spread; and age — over or under age 76.
While the entire panel did not work as well as Bloomer had hoped, increased levels of CCR4 did show multiple significant associations with better prognosis, even in patients with stage 4 cancer. Patients with stage 3 cancer and better survival rates also had higher levels of CCR4 than those with stage 1 tumours and poorer survival rates. Young patients with better survival rates also had higher levels than those with worse survival rates.
“We’re not entirely sure what the association is, but those are next steps,” Bloomer says. “If we are able to design a panel that can predict prognosis, and we are able to tell people they may have a worse prognosis, maybe that helps justify the more aggressive treatments, which can be uncomfortable and come with worse side effects. It’s important, though, that we tell patients that their results are not a certainty. They indicate, not ensure.”
Medical College of Georgia https://jagwire.augusta.edu/archives/63148

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Evolution of signaling molecules opens door to new sepsis therapy approaches

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

The numbers are alarming: According to estimates by the World Health Organization (WHO), around six million people die every year from sepsis. The disease, popularly called "blood poisoning", normally starts with a harmless infection.
If this triggers an excessive reaction of the immune system, the body’s own tissue can be attacked and damaged. The overreaction eventually leads to a life-threatening collapse of the body’s defenses. In Germany alone, more people die of sepsis than of AIDS, colon cancer and breast cancer combined.
Researchers around the world are on the search for new therapies – so far in vain. An interdisciplinary team from the fields of structural biology, immunology and cell biology has now, for the first time, successfully produced a protein that could balance the overshooting immune response.
In their work, the scientists were inspired by evolution: mice are well protected from sepsis by their immune systems. Here, interleukins – messengers, that mediate communication between the cells of the immune system – play a key role.
"The interleukins are the vocabulary with which immune cells communicate," explains Matthias Feige, Professor of Cellular Protein Biochemistry at the Technical University of Munich. The cells form these messenger molecules according to a very specific blueprint of individual amino acids. Their arrangement determines, which three-dimensional structure an interleukin adopts and, consequently, which information it transmits.
Humans and mice have similar, yet different vocabularies. The researchers discovered one striking difference in interleukin-27-alpha. This molecule can be released by cells of the mouse immune system – but not by human cells – and regulates immune cell function.
"Using computer models and cell biological experiments, we discovered that a single structurally important amino acid defines whether interleukin-27-alpha is released by cells of the immune system," explains Stephanie Müller, the first author of the study. "That gave us an idea about how we can engineer novel human interleukin proteins that are released by cells so that we can produce them biotechnologically."
The team then prepared the modified interleukin in the laboratory and tested its biological functions – with very encouraging results: The engineered messenger molecule is recognized by human cells. First analyses suggest that it can indeed balance an overreaction of the immune system, making it a promising candidate for sepsis therapy.
"Our approach allowed us to rationally extend the language of immune cells by engineering a key signaling molecule. This provides us with an opportunity to modulate the reaction of immune cells in a targeted manner. Such a finding was only possible thanks to the close collaboration with immunologists and clinicians from TUM, the Université Sorbonne in Paris and the Helmholtz Zentrum Muenchen," says Feige. A patent for the new protein is already pending.
 https://www.tum.de/nc/en/about-tum/news/press-releases/detail/article/35210/

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Diasource ImmunoAssays and Svar Life Science (formerly Euro Diagnostica) sign milestone agreement

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

In late July, Svar Life Science signed a strategic agreement to transfer the portfolio of radioimmunoassays (RIA) and the Chromogranin A Neolisa™ (ELISA) product to DIAsource ImmunoAssays, a BioVendor group company.
Svar Life Science AB (formerly Euro Diagnostica AB), a Swedish life science company that has been working across the clinical diagnostic value chain for over 30 years, and DIAsource ImmunoAssays, a leading diagnostics company delivering manual RIA and ELISA kits and open automation solutions to international markets, today announced a strategic agreement, under which Svar Life Science will transfer its portfolio of RIA products and the Neolisa™ CgA ELISA product to DIAsource, securing the continued production and sales of these products.
Svar Life Science will continue to invent, develop and apply the best analytical technologies, with a focus on helping deliver the answers needed in drug discovery and clinical diagnostics, and the impact this has on human lives.
This transaction strengthens DIAsource and BioVendor’s position as one of the top RIA and larger ELISA manufacturers, committed to servicing customers worldwide that use manual assays and open automation to complement their portfolio on closed automated systems.
The portfolio to be transferred includes the complete line of radioimmunoassays for the quantification of a number of peptide hormones involved in critical physiological processes. These endocrinological parameters are mainly used as tumour markers and for diabetology and salt balance analysis. The portfolio transfer also includes the ELISA Chromogranin A Neolisa™ product which complements the RIA Chromogranin A product.
In order to support a smooth transition with minimal disruption for customers, the companies have agreed to a transition period. Starting 1st of September 2018 DIAsource ImmunoAssays assumes sales of the RIA product portfolio. During the remainder of 2018 the RIA production will be transferred. Sales of the Neolisa™ CgA ELISA product will be assumed by DIAsource as of January 2019, with production transfer to follow during 2019.
Ron Long, CEO, Svar Life Science, said: “The agreement with DIAsource ImmunoAssays forms part of our strategy of focusing our product portfolio and core technologies to help deliver the answers needed in drug discovery and clinical diagnostics today. It also enables us to strengthen our support for life science customers providing high quality solutions, the best analytical technologies for drug development and clinical research.
DIAsource ImmunoAssays are committed to being a complete diagnostic provider and we’re confident that this agreement enables them to increase their support for customers in the field of radioimmunoassays.”  
Jef Vangenechten, CEO of DIAsource ImmunoAssays, said: “This acquisition is another step in our strategy to position DIAsource as a consolidator of manual specialty assays, after previous acquisitions of the Intertech RIA product line in 2012, Viro-Immun ELISA and IFA product lines in 2017, and more recently the RIA product line from ZenTech.”www.diasource-diagnostics.com

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Major mutation pattern in cancer occurs in bursts

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

Researchers have created a huge resource for investigating the biological mechanisms that cause cancer. The scientists from the Wellcome Sanger Institute and their collaborators identified which patterns of DNA damage – mutational fingerprints that represent the origins of cancer – were present in over a thousand human cancer cell lines. They also revealed that a major mutation pattern found in human cancer, previously linked to a virus-fighting immune response, occurred in bursts in cancer cell lines with long periods of silence in between, but the cause of these mutational bursts remains mysterious.
The resource will enable scientists to study what causes mutations that lead to the development of cancer, directly in human cancer cells. Further understanding into these mutational processes could help researchers find novel avenues for research towards cancer prevention and treatment.
All cancers are caused by DNA mutations, and these mutations form molecular fingerprints in the DNA called mutational signatures. More than 50 different signatures have been found, many of which are caused by external factors, for example ultraviolet light exposure or tobacco smoking. Others are due to factors inside the cell such as the failure of DNA repair mechanisms. However, the causes of many mutational signatures are unknown and they are extremely challenging to study experimentally.
The researchers studied the genome sequences of 1,001 human cancer cell lines and 577 grafts of human cancers, including the most widely used models in cancer research and therapeutics testing. They used all the known mutational signatures and catalogued which signature is present in each cancer model. This resource then allowed the scientists to choose specific cell lines and study how each mutational pattern changed over time in cancer cells.
They found that mutational signatures from known external factors like smoking or UV light stopped being created in cell lines, whereas most signatures associated with factors inside the cell continued to be generated, and at a steady rate. Surprisingly however, they discovered that two common mutational signatures associated with a DNA editing protein known as APOBEC, actually switched on and off over time in cell lines, a phenomenon they called “episodic mutagenesis”.
APOBEC DNA editing enzymes are part of the innate immune system, protecting us from infections by causing mutations in viruses such as HIV, leaving APOBEC mutational signatures in the viral genomes. APOBEC-like signatures are a major mutation pattern in cancers, found in more than 70 per cent of cancer types. A theory for this is that viruses or inflammation could activate the enzymes to mutate the human genome instead of the virus. However, cell lines are not subject to inflammation and no viruses were found, suggesting other factors are involved. Importantly, cell lines found to generate these and other signatures over time can now be used by researchers to investigate the underlying causes of mutations in cancer.
Wellcome Sanger Institute https://tinyurl.com/y2fga87n

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Study of protein “trafficker” provides insight into autism and other brain disorders

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

In the brain, as in business, connections are everything. To maintain cellular associates, the outer surface of a neuron, its membrane, must express particular proteins—proverbial hands that reach out and greet nearby cells. And, like a creepily long handshake, surface molecules can overstay their welcome: A protein that lingers too long on the membrane may compromise the connections, or synapses, between cells.
In a new study, Rockefeller scientist Mary E. Hatten and research associate Hourinaz Behesti demonstrate that the protein ASTN2 helps move proteins away from the membrane in a timely fashion. The researchers also propose a mechanism by which ASTN2 defects lead to neurodevelopmental disorders such as autism and intellectual disabilities.
Neurons send messages to one another in the form of chemicals, or neurotransmitters, which activate receptor proteins on the surface of neighboring cells. Chemical communication is highly dynamic, which means that receptors must be dynamic too: they perpetually rotate on and off the membrane, ensuring rapid response to incoming signals. This process requires assistance from additional proteins, so-called traffickers that nudge receptors to move along.
Hatten, the Frederick P. Rose Professor, has demonstrated that the protein ASTN2 acts as such a trafficker during cell migration in early development. When Behesti joined Hatten’s lab, she proposed that the protein might also play a role later in life, an idea supported by the fact that ASTN2 had been shown to be present in the adult brain. Specifically, the protein appears to be disproportionally expressed in the cerebellum—a brain region that some researchers suspect may govern complex aspects of cognition, in addition to its more-established role in regulating movement.
Hatten and Behesti wanted to better understand the function of ASTN2 in the adult cerebellum. An initial clue came by way of collaborators at Johns Hopkins University, who identified a family that had multiple members with ASTN2 mutations and neurodevelopmental disorders, including autism and language delays.
Concurrently, an independent study of a large population showed that ASTN2 mutations are associated with a wide variety of brain disorders. Hatten and Behesti therefore set out to determine how defects in this protein might disrupt cerebellar circuitry, and brain activity at large.
The researchers used a special microscopy technique to determine where ASTN2 is expressed in the mouse cerebellum. They found that it appears primarily in components of neurons responsible for moving proteins around, and they identified a collection of molecules that attach to ASTN2. These “binding partners” included proteins involved in synapse formation and protein trafficking.
When the researchers increased the expression of ASTN2 in mouse neurons, levels of its binding partners decreased, suggesting that ASTN2 attaches to these proteins and then ushers them away from the membrane for degradation within the cell. Working with researchers at Duke University, the scientists also observed that cells with heightened ASTN2 formed stronger synapses; and they suspect that decreased ASTN2 yields the opposite effect.
“Our data suggest that people who have mutations in ASTN2 make less of the protein, which leads to slower or weaker synapses,” says Behesti.
The researchers propose that without sufficient ASTN2, proteins accumulate on the cell surface, which hinders neuronal connections and communication.
“Synapses aren’t static. They need to respond in real time to dynamic stimuli; and one of the ways they do this is by changing their surface protein expression,” says Behesti.
This research supports a broader view that the disruption of surface protein composition may underlie a number of neurodevelopmental disorders. It also points to the cerebellum as a potentially fruitful research subject for understanding these conditions.
“People are just beginning to realize that the cerebellum isn’t just there to control movement and motor learning,” says Hatten. “It has much more complex roles in cognition and language.

Rockefeller University
www.rockefeller.edu/news/23712-study-protein-trafficker-provides-insight-autism-brain-disorders/

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RNA molecules predict adverse heart growth and function that can lead to atrial fibrillation and death

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

Researchers have identified that enlargement of the left atrium of the heart is linked to abnormal activity of molecules that are associated with adverse changes in the heart’s size, shape, structure, and function — conditions that can lead to atrial fibrillation and death.
The new study, conducted by researchers at the Intermountain Medical Center Heart Institute in Salt Lake City, is the first time this association has been connected to the human heart in a clinical setting.
In conducting the study, researchers noted that under stress conditions, cardiac fibroblasts, which play a role in normal cardiac function and changes in the heart, release greater quantities of exosomes, which are small pieces of cells circulating in the blood that contain cellular components and convey information to distant tissues.
The Intermountain Medical Center Heart Institute researchers found that in patients with atrial fibrillation, exosomes and plasma are enriched with MicroRNA (miR)-21-3p — which is associated to abnormal enlargement of the heart muscle.
Scientists are interested in exosomes because initially they were thought to be a waste by-product as cells shed. But now researchers are learning that not only are exosomes communicators between cells, but they influence the spread of proteins, lipids, mRNA, miRNA, and DNA and are contributing factors in the development of several diseases.
“Our study gives us a better understanding of the process of how atrial fibrillation begins and advances,” says Victoria Jacobs, NP, PhD, a member of the Intermountain Medical Center Heart Institute research team. “Once atrial fibrillation happens, we have some ‘band-aids’ to fix its symptoms, but we want to learn how to keep atrial fibrillation and atrial enlargement from happening in the first place.”
While an enlarged atria may have several causes, recent studies have linked enlargement to an increased risk of atrial fibrillation. Researchers are interested in learning more about atrial fibrillation because it, along with coronary artery disease, is the number one killer of people in America. Atrial fibrillation affects more than 3.4 million Americans, primarily older adults.
An enlarged left atrium has been linked to atrial fibrillation, as it can prevent the heart from pumping blood properly and may increase risk of an irregular heartbeat.
Researchers at the Intermountain Medical Center Heart Institute examined biomarkers, which are biological molecules used to see how well the body responds to a treatment for a disease or condition, that could specifically predict the occurrence and severity of adverse growth in the left atrium of the heart. A basic study previously done in Germany that focused on cell cultures and small lab rodents suggested that miR-21-3p played a role in that growth. But no one has connected it to the human heart in a clinical setting until now.
“We know patients with atrial fibrillation develop thickening of heart tissue, or fibrosis,” said Dr. Jacobs. “As atrial fibrillation progresses, we know there’s more fibrosis in the left atrium. But this is the first time we’ve shown miR-21-3p is associated with left atrial fibrillation in patients.”

The Intermountain Medical Center
intermountainhealthcare.org/news/2018/05/rna-molecules-predict-adverse-heart-growth-function/

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Opitz C Syndrome: new advances to improve the genetic diagnose of an ultra-rare disease

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

Opitz C syndrome (OCS), an ultra-rare disease that causes serious physical and intellectual disabilities, has an heterogeneous genetic base that makes its medical diagnostic and therapeutic intervention difficult, according to a new study by professors Daniel Grinberg, Susanna Balcells and Roser Urreizti, from the Group on Human Molecular Genetics of the of the Faculty of Biology of the University of Barcelona and the Rare Diseases Networking Biomedical Research Centre (CIBERER).
The new study concludes this severe and extremely rare disease could be considered a “private syndrome” for each patient.
Described in 1969 by geneticist John M. Opitz, this ultra-rare pathology –with only a few diagnosed cases worldwide- shows a great clinical variability in different levels of severity (trigonocephaly, intellectual disability, psychomotor retardation, among others). Therefore, clinical symptomatology of Opitz C syndrome can overlap other similar minority pathologies (Kleefstra, Kabuki, Bohring-Opitz syndromes, etc.).
However, despite sharing several clinical manifestations, “this disease does not show a genetic base shared by the affected people, and its hereditary transmission model is still unknown”, note the authors, also members of the Institute of Biomedicine of the University of Barcelona (IBUB) and the Research Institute Sant Joan de Déu (IRSJD).
Since 2007, several genes have been related to this pathology, which is hard to diagnose due its wide clinical pattern (for instance, ASXL1, CD96, ASXL3 and MAGEL2). In this context, research lines of the Group on Human Molecular Genetics (UB-CIBERER-HSJD) –in which Raquel Rabionet and Laura Castilla take part too- are broadening the knowledge of the genetic basis of this pathology which so far does not have any chance of receiving treatment, prenatal diagnosis nor genetic counselling.
“In these ultra-rare diseases, the application of new massive sequencing technologies is a determining factor regarding the molecular diagnosis for patients and therefore, to progress in the exploration of therapeutic applications”, comment the authors. 
In some cases, affected patients can receive an early diagnose –incomplete and too general- that makes any therapeutic intervention difficult. This is the case of a recent research study in which the Group on Human Molecular Genetics participated, and found two mutations in the PIGT gen in a patient who had initially been diagnosed Opitz C syndrome.
This study could profile a precise molecular diagnose of the causes of the real pathology –with a few cases gathered in the scientific bibliography- affecting the patient, considered as Opitz C at the beginning.
The international scientific collaboration has been determining in the genetic diagnosis of other cases with severe affectations in the neuro-development that had been considered to be Opitz C syndrome. In particular, the UB team has participated in the identification of new genetic mutations associated with DPH1 syndrome –a minority disease with a low prevalence among population- in patients of two different families from Malta and Yemen.
University of Barcelona https://tinyurl.com/yxdrze2f

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Be sure to attend Medlab Asia & Asia Health, Singapore, 26-28 March 2019

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

Join southeast Asia’s premier laboratory and healthcare exhibition and take part in the free educational sessions, attend the CME accredited conferences, visit the scientific poster zone and explore so much more at Level 4 at Suntec Singapore Convention & Exhibition Centre.
www.medlabasia.com

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