Gene against pancreatic cancer discovered

Transposon-mediated insertional mutagenesis accelerates the progression of ductal pancreatic cancer in mice.
In a study researchers have identified a potential new therapeutic target for pancreatic cancer.
The team found that when a gene involved in protein degradation is switched-off through chemical tags on the DNA’s surface, pancreatic cancer cells are protected from the bodies’ natural cell death processes, become more aggressive, and can rapidly spread.
Pancreatic cancer kills around 8,000 people every year in the UK and, although survival rates are gradually improving, fewer than 1 in 5 patients survive for a year or more following their diagnosis.
Co-lead author Professor David Tuveson, from Cancer Research UK’s Cambridge Research Institute, said: ‘The genetics of pancreatic cancer has already been studied in some detail, so we were surprised to find that this gene hadn’t been picked up before. We suspected that the fault wasn’t in the genetic code at all, but in the chemical tags on the surface of the DNA that switch genes on and off, and by running more lab tests we were able to confirm this.’
The team expects this gene, USP9X, could be faulty in up to 15 per cent of pancreatic cancers, raising the prospect that existing drugs, which strip away these chemical tags, could be an effective way of treating some pancreatic cancers.
.’ This study strengthens our emerging understanding that we must also look into the biology of cells to identify all the genes that play a role in cancer. ‘
…’Drugs which strip away these tags are already showing promise in lung cancer and this study suggests they could also be effective in treating up to 15 per cent of pancreatic cancers,’ continues Professor Tuveson.
The researchers used a mouse model of pancreatic cancer to screen for genes that speed up pancreatic cancer growth using a technique called ‘Sleeping Beauty transposon mutagenesis’. This system uses mobile genetic elements that hop around the cell’s DNA from one location to the next. Cells that acquire mutations in genes that contribute to cancer development will grow out and ‘driver’ cancer genes may be identified.
By introducing the Sleeping Beauty transposon into mice pre-disposed to develop pancreatic cancer, the researchers were able to screen for a class of genes called a tumour suppressor that, under normal circumstances, would protect against cancer. These genes are a bit like the cell’s ‘brakes’, so when they become faulty there is little to stop the cell from multiplying out of control.
This approach uncovered many genes already linked to pancreatic cancer. But unexpectedly, USP9X, was identified. Wellcome Trust Sanger Institute

Chronic kidney disease linked to higher risk of kidney and urinary tract cancer

Chronic kidney disease is associated with a higher risk of kidney and urothelial cancer, but not other types of cancer, according to research being presented at the American Society of Clinical Oncology’s Genitourinary Cancers Symposium in San Francisco. Urothelial cancers affect the bladder, ureters, and renal pelvis.
Researchers from Huntsman Cancer Institute at the University of Utah and Kaiser Permanente’s Northern California Division of Research found that higher risk for kidney cancer and urothelial cancer is associated specifically with chronic kidney disease as measured by a reduced flow rate of filtered fluid through the kidneys. The researchers found no significant associations with prostate, colorectal, lung, breast, or any other cancers.
‘We’ve known for some time that the incidence of chronic kidney disease continues to rise and that an estimated 11.5 percent of the United States population has reduced kidney function,’ said William T. Lowrance, MD, with Huntsman Cancer Institute and lead author of the research. ‘We also know from previous research that there are higher risks of cancer in people with end-stage renal disease requiring dialysis or transplantation.’
‘What we haven’t known is whether less severe kidney disease is independently associated with cancer,’ said Alan S. Go, acting director of the Kaiser Permanente Division of Research, and the senior author of the abstract being presented this week. ‘These findings describe an association that could have important public health implications for screening and early detection of cancer in the growing number of patients with chronic kidney disease.’
Researchers evaluated the association between chronic kidney disease and the risk of incident cancer in a large, diverse, community-based population linked to a regional cancer registry. As was hypothesised, they found an independent, graded increased risk of kidney cancer with lower estimated glomerular filtration rate, the flow rate at which the kidneys filter fluid. The study examined all people with measured kidney function who are receiving care within Kaiser Permanente Northern California, a large, integrated health care delivery system providing care to 3.2 million members. The Kaiser Permanente Cancer Registry links to the National Cancer Institute-sponsored Surveillance, Epidemiology, and End Results (SEER) Cancer Registry that collects detailed data on incident cancer site, initial treatment and other patient characteristics.
Research scientists adjusted for a large set of factors that may confound the relationship between level of kidney function and cancer risk. The risk of renal cancer retained a robust and graded association with renal function. As chronic kidney disease worsened, the risk of renal cancer increased, they explained. There was a similar association between estimated GFR and urinary tract (excluding prostate) cancer, although the magnitude of this association was less pronounced than observed with renal cancer, they added. Kaiser Permanent

Study shows halting an enzyme can slow multiple sclerosis in mice

Researchers studying multiple sclerosis (MS) have long been looking for the specific molecules in the body that cause lesions in myelin, the fatty, insulating cells that sheathe the nerves. Nearly a decade ago, a group at Mayo Clinic found a new enzyme, called Kallikrein 6, that is present in abundance in MS lesions and blood samples and is associated with inflammation and demyelination in other neurodegenerative diseases. In a study the same group found that an antibody that neutralises Kallikrein 6 is capable of staving off MS in mice.
‘We were able to slow the course of disease through early chronic stages, both in the brain and spinal cord,’ says lead author Isobel Scarisbrick, Ph.D., of the Mayo Clinic Department of Physical Medicine and Rehabilitation.
Researchers looked at mice representing a viral model of MS. The model is based on the theory that infection with viral infection early in life results in an eventual abnormal immune response in the brain and spinal cord. One week after being infected with a virus, the mice showed elevated levels of Kallikrein 6 enzyme in the brain and spinal cord. However, when researchers treated mice to produce an antibody capable of blocking and neutralising the enzyme, they saw a decrease in diseases effecting the brain and spinal cord, including demyelination. The Kallikrein 6 neutralising antibody had reduced inflammatory white blood cells and slowed the depletion of myelin basic protein, a key component of the myelin sheath.
The findings in the MS model have implications for other conditions affecting the brain and spinal cord. The group has previously shown that the Kallikrein 6 enzyme, produced by immune cells, is elevated in spinal cord injury, while other studies have shown it to be elevated in animal models of stroke and patients with post-polio syndrome.
‘These findings suggest Kallikrein 6 plays a role in the inflammatory and demyelinating processes that accompany many types of neurological conditions,’ says Dr. Scarisbrick. ‘In the early chronic stages of some neurological diseases, Kallikrein 6 may represent a good molecule to target with drugs capable of neutralizing its effects.’ Mayo Clinic

Researchers develop rapid test strips to detect swimming water contamination

Urban beach closures due to coliform outbreaks have become disturbing signs of summer, yet water-testing technology has never been fast enough to keep up with changing conditions, nor accessible enough to check all waters.
Now, researchers at McMaster University have developed a rapid testing method using a simple paper strip that can detect E. coli in recreational water within minutes. The new tool can close the gap between outbreak and detection, improving public safety.
The new strips are coated with chemicals that react to the bacteria, and are printed using inkjet technology similar to that found in standard desktop printers. Within 30 minutes of sampling, the paper changes colour to indicate the presence of E. coli, with colours coded to represent different forms and concentrations of the bacteria.
Scientists from the Sentinel Bioactive Paper Network have created and validated the viability of the test strip, which can detect potentially harmful concentrations of E. coli in water quickly and simply, with much greater accuracy than existing portable technology.
The Natural Sciences and Engineering Research Council of Canada (NSERC) funds Sentinel, a strategic research network that spans the country and is based at McMaster. Several dozen researchers are involved in its initiatives.
‘Coliforms are always a big problem,’ said the paper’s lead author John Brennan, a McMaster chemistry professor who holds the Canada Research Chair in Bioanalytical Chemistry. ‘The methods used to detect outbreaks are slow, and tend not to be portable, as they often need a lab-based amplification step prior to testing, causing a time lag between an outbreak and a beach closure.’
Bioactive paper is both old and new, Brennan says. Since the late 1950s, physicians have been using bioactive paper to test for glucose in urine. In the last several years, the area has expanded quickly and research has become very competitive as scientists work on new applications.
‘It’s always a race,’ Brennan said.
In the future, the test strips should make it possible for consumers to check their water affordably and easily, without additional equipment, scientific knowledge or long waits.
‘One of the problems right now is that there is no simple, fast and cheap way to test recreational water, and certainly nothing out there in the realm of rapid tests for drinking water,’ Brennan said.
Field testing of the prototype strips is planned or under way in Canada and across the globe, in regions where untreated water poses particular health hazards. The results of these studies will help to refine the test strips and may lead to strips that are sensitive enough to tell whether water is safe enough to drink, said Brennan.
The standards for safe drinking water are hundreds of times tighter than those for safe swimming water. Typically, limits for safe swimming allow for a maximum of 100 to 500 cells of E. coli in 100 mL of water, depending on jurisdiction. For water to be considered safe for drinking, there cannot be even one cell in 100 mL – a little less than half a cup of water.
The next stage of pre-commercial development of the test strips is already funded by NSERC through a Phase I Idea to Innovation grant. Commercialization of a final product could take as little as two to three years. McMaster University

Ultrasound study provides first direct evidence of effect of malaria on foetal growth

A study of almost 3,800 pregnancies has provided the most accurate and direct evidence to date that malaria infection reduces early foetal growth. Low birth weight is the most important risk factor for neonatal mortality in developing countries. The research highlights the importance of preventing malaria in pregnancy.
According to the World Malaria Report 2011, malaria killed an estimated 655,000 people in 2010. The disease is one of the most common parasitic infections to affect pregnancy. Previous studies have suggested that infection with both P. falciparum and P. vivax malaria during pregnancy reduces birth weight whether or not maternal symptoms are present. However, these studies have been hampered by difficulties in estimating gestational age accurately and diagnosing malaria infection in early pregnancy.
Now researchers at the Shoklo Malaria Research Unit on the border of Thailand and Myanmar, part of the Wellcome Trust-Mahidol University-Oxford University Tropical Medicine Research Programme, have used ultrasound scans to provide the first direct evidence of the effect of malaria on foetal growth in pregnancy. Antenatal ultrasound, which is essential for dating pregnancy accurately, is becoming more widely available in developing countries. The technology also allows the diameter of the foetus’s head to be measured. For infections that occur in early pregnancy, the researchers believe that the size of the head may be the most appropriate indicator of growth restriction.
The ultrasound scans revealed that the diameter of the average foetus’s head was significantly smaller when malaria infection occurred in the first half of pregnancy when compared to pregnancies unaffected by malaria. On average, at the mid-pregnancy ultrasound scan the foetuses’ heads were 2% smaller when affected by malaria. Even a single infection of treated P. falciparum or P. vivax malaria was associated with reduced foetal head diameter, irrespective of whether the woman had shown symptoms or not.
However, although a single early detected and well-treated malaria episode had an effect on foetal head size at mid-trimester, this was not seen at delivery, suggesting that early treatment with effective drugs may allow for growth to recover later in pregnancy.
Strategies to prevent malaria in pregnancy have focused on the second half of pregnancy, when most of the foetal weight gain takes place, but this works suggests that focus should be on the first trimester too. Pregnant woman need to be educated about the risks of malaria in pregnancy and where possible in areas of high risk, offered preventative medication from early pregnancy onwards.

http://tinyurl.com/btna4bz

Noninvasive stool test for colorectal cancer unaffected by variables

Research on an investigational DNA methylation test for colorectal cancer demonstrated that the only clinical variable that influenced test results was age, according to findings presented by researchers from the Mayo Clinic in Rochester, USA, at the AACR Annual Meeting 2012, held from March 31 – April 4. The group at the Mayo Clinic, in collaboration with Exact Sciences, developed the multimarker molecular stool test, which is highly sensitive to the critical cancer screening targets of early-stage cancers and precancerous adenomas. The researchers examined common patient variables, including age, gender, race, alcohol consumption, tobacco use, body mass and medication use in 500 patients undergoing screening colonoscopy or polyp follow-up. Patients had a normal colonoscopy in the last three years.With the exception of age, none of the variables influenced test results, nor did family history of colorectal cancer or polyps or personal history of polyps. Researchers have now selected the two markers least affected by age for further test development and validation based on these study results to try and minimise false positives and avoid unnecessary colonoscopies.

http://tinyurl.com/cfa2vum

World’s first bedside genetic test endorsed

Developed in Canada and conducted by researchers from the University of Ottawa Heart Institute, in partnership with Spartan Bioscience, the world’s first bedside genetic test has received acknowledgment by The Lancet. The article entitled ‘Point-of-care genetic testing for personalisation of antiplatelet treatment (RAPID GENE): a prospective, randomised, proof-of-concept trial’ reports on the use of a simple cheek swab test, the Spartan RX CYP2C19, performed by nurses at the patient’s bedside. This revolutionary technology allows patients with the genetic variant CYP2C19*2 to be rapidly identified. Cardiac stent patients with this variant are at risk of reacting poorly to standard anti-platelet therapy with Plavix (clopidogrel).
The study demonstrated that tailored drug treatment therapy made possible by genetic testing successfully protected all of the patients with the at-risk genetic variant from subsequent adverse events, while 30 per cent of patients treated with standard therapy did not receive adequate protection. The test is a significant step towards the realisation of personalised medicine.

http://tinyurl.com/cu8ruhu

Towards TB elimination: ECDC and ERS introduce new guidelines on tuberculosis care in Europe

The European Respiratory Society (ERS) and the European Centre for Disease Prevention and Control (ECDC) have published their jointly developed European Union Standards for Tuberculosis Care (ESTC). The 21 patient-centred standards aim to guide healthcare workers to ensure optimal diagnosis, treatment and prevention of TB in Europe – with nearly 74,000 reported TB cases in the EU/EEA in 2010 clearly showing that TB remains a public health challenge across the region. The new EU-specific guidelines were developed by a panel of 30 experts and aim to bridge current gaps in the case management of TB that were identified in a recent survey. In the process, the ERS has taken the lead in developing the clinically related standards and ECDC has developed the public health related standards. The ESTC are based on the same recommendations as the International Standards for TB Care (ISTC), but feature additional supplements and replacement information relevant for healthcare providers in the EU. The new guidelines include the following: All people showing signs, symptoms, history or risk factors linked with TB should be examined for TB. All people diagnosed with TB should undergo drug susceptibility testing in a laboratory setting, to rule out drug-resistance and help combat the growing number of multidrug-resistant cases of TB (MDR-TB). Patients with, or highly likely to have, TB caused by drug-resistant organisms (especially MDR-TB) should be treated for at least 20 months, with the recommended intensive phase of treatment being 8 months. It should be ensured that all newly admitted patients who are suspected of having infectious TB are subject to respiratory isolation until their diagnosis is confirmed or excluded following an appropriate infection control plan. The guidelines also include an additional section on how policymakers and healthcare professionals can adopt and introduce the recommendations to a healthcare setting.

http://tinyurl.com/d88ylrc

Climate model to predict malaria outbreaks in India

Scientists from the University of Liverpool’s School of Environmental Sciences are working with computer modelling specialists from C-MMACS in India to predict areas of the country that are at most risk of malaria outbreaks, following changes in monsoon rainfall. The number of heavy rainfall events in India has increased over the past 50 years, but research has tended to focus on the impact this has on agriculture rather than the vector-borne diseases, such as malaria and Japanese encephalitis. The model could help inform early intervention methods to prevent the spread of malaria at key points in the seasonal monsoon cycle, reducing the economic and health impacts of the disease. It is already known that an anomalous season of heavy rainfall, when heat and humidity are high, allows mosquitoes to thrive and spread infection to humans. In order to prepare health services and prevent epidemics there is need for a way of predicting when these events are likely to occur in areas that are not accustomed to annual outbreaks of malaria. C-MMACS is rapidly developing its computer modelling capabilities using technology that can address the impacts of climate variability on agriculture and water systems. This knowledge, together with the Liverpool models of vector-borne diseases, will help develop systems to predict when changes in the monsoonal rain may occur and which areas are most likely to see an increase in malaria.

http://tinyurl.com/cscnsro

Selecting IVF embryos for normal numbers of chromosomes can significantly increase pregnancy rates

BlueGnome is pleased to announce the results of the first randomised prospective IVF study of pre-implantation chromosome analysis using their 24sure array platform. The study by Yang et al (Pacific Reproductive Center,Torrance, USA) has demonstrated that selectively implanting euploid embryos, with a normal number of chromosomes, significantly increases pregnancy rates.
The study blindly randomised 103 IVF cycles. In the treatment group of 55 cycles, 24sure analysis of day 5 biopsies was used to selectively implant a single euploid embryo (as recommended by IVF regulatory bodies such as the HEFA), while in the control group of 48 cycles single embryos were selected using existing morphological scorecard approaches. The ongoing pregnancy rate, after 20 weeks, per cycle started was 69.1% in the 24sure treatment group vs 41.7% in the control group. This extremely promising result provides direct evidence that 24sure analysis can deliver a 65% increase in pregnancy rates, even in younger patients with more favourable IVF outcomes. Further randomised studies are needed and are underway.
‘This study provides crucial evidence that 24 chromosome aneuploidy screening, using 24sure, can offer a dramatic benefit to IVF success rates. While further studies are still needed, this result is incredibly exciting because it indicates for the first time that 24 chromosome screening and single embryo transfer has the potential to become the default standard of care for all IVF cycles worldwide.’ Nick Haan, CEO, BlueGnome Ltd, BlueGnome