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11 Ways to Make Your Home Office Psoriatic Arthritis Friendly – Everyday Health
Posted: November 22, 2020 at 9:49 pm
If you have psoriatic arthritis and work from home, its important to adjust your workspace to fit your needs. Pain and stiffness especially in the elbows and hands are common complaints, due to the repetitive motions involved in some office tasks and sitting in the same position all day. But making the right adjustments can help ease neck and lower back pain as well as joint pain and swelling that could otherwise make it hard to sit at a desk for hours.
An ergonomically correct workspace can help ease joint symptoms and reduce fatigue from spending extended periods of time in uncomfortable positions. Ergonomics is the science of fitting the task to the worker to maximize productivity while reducing discomfort, fatigue, and injury, says Natalia Ruiz, a physical therapist and certified office ergonomics evaluator with Rusk Rehabilitation at NYU Langone Health in New York City. Having an ergonomic setup ensures you work in neutral postures that reduce strain in your joints and tissues already affected by psoriatic arthritis. Therefore it can reduce your symptoms or reduce the risk of developing them [in the first place].
Proper support and good body mechanics can help prevent compensatory movement patterns that can lead to increased pain and stiffness, adds Jamie Hilker, an occupational therapist and certified hand therapist at Mayo Clinic in Rochester, Minnesota.
If you work a full-time job and require new equipment to make your home office more psoriatic arthritis friendly, talk to your employer. The Social Security Administration considers psoriatic arthritis a disability, and the Americans with Disabilities Act (ADA) requires employers to make reasonable accommodations that enable full-time employees to perform their essential job functions.
Reasonable accommodations may include physical changes to your workspace and accessible and assistive devices. That includes anything you need to be comfortable and productive at your job, such as special equipment you need. While these requirements dont always cover purchasing specific expensive equipment, your employer may be eligible for tax credits if they do supply you with accommodations.
In many cases, small adjustments to your workstation can make a big difference. Here are a few tips to help you set up a psoriatic arthritisfriendly home office.
An occupational or physical therapist who has knowledge in office ergonomics can help you design and modify your current home office space. These therapists specialize in adapting your environment to your abilities to help you better perform daily activities and reach your goals. They assess your particular setup, listen to your needs, and make recommendations based on observation and research, says Ruiz.
Hilker recommends looking for a licensed and registered occupational therapist or certified hand therapist. Ruiz suggests looking for a certified office ergonomics evaluator or board-certified practitioner of professional ergonomics.
To be covered by insurance, most evaluations require a doctors referral, says Hilker. Insurance typically covers some of the costs, but most people end up paying a portion [out of pocket], she says. Many corporate human resources departments will provide these services to their employees, Ruiz adds.
Your seated posture affects the positioning of your whole body. We can observe an increase in the stress on involved joints, such as the elbows, hands, knees, and feet when people sit in awkward positions, says Ruiz.
A comfortable chair is essential.Your workstation chair should:
Position your monitor directly in front of your face, with the top of the screen at or slightly below eye level. It should be about an arms length from you and directly behind your keyboard. (You may need to lower the monitor an inch or two if you wear bifocals).
Hilker says her psoriatic arthritis patients often say they struggle to find a comfortable position on a laptop. I often recommend getting a separate wireless keyboard in this case, she says. You can also buy an adjustable ergonomic laptop stand or a docking station with a full-size monitor to raise the height of your screen.
Your keyboard should be at a height where your elbows sit at or slightly more than 90 degrees while your wrists remain straight. If your keyboard is too high, you may want to either raise the height of your chair or buy a keyboard tray thats adjustable for both height and tilt and large enough to fit your keyboard and mouse on the same level.
Both Ruiz and Hilker recommend using an ergonomic split keyboard. It places the forearms and wrists in a more neutral position, says Hilker. She suggests trying out a few options at the store to figure out which feels most comfortable to you.
A keyboard rest may or may not keep your wrists in a more neutral position and prevent you from leaning your wrists on the edge of your desk. Just avoid mouse pads; Ruiz says theyre not great for your wrists and hands.
Once the rest of your body is in the correct position, check your feet: They should always remain firmly planted on the floor.
If your feet dont reach the ground when your chair is properly adjusted to your desk and computer equipment, place a footrest, small stool, or stack of books under your feet, suggests Ruiz.
Select a mouse that ensures your palm isnt completely flat, to avoid pressure on your wrist, suggests Ruiz. A vertical mouse (or any other mouse) that puts the hand in a slightly tilted position is a good bet.
It may also be easier for you to use a track pad instead of a mouse, as long as it reduces the stress in your hand and wrist. If you work in design, for example, where you have to constantly use a mouse, a trackpad can be a great option. If not, an ergonomic mouse can be used, says Ruiz. Some trackpads can be regulated to decrease the amount of pressure needed to activate and scroll, which can be helpful if joints are painful, adds Hilker.
Avoid any trackball mouse, Ruiz adds, since they tend to require too much motion in your thumb and fingers.
Keep objects you use a lot, such as your phone or stapler, within arms reach. If you cant comfortably reach something when youre sitting, stand up to get it.
Several other arthritis-approved assistive devices can reduce strain on the joints and help improve your symptoms and work performance, says Ruiz, including:
If you use the phone a lot for work especially if you have to take notes while talking use a headset or put your phone on speaker. This helps reduce stress in the neck and shoulders and keeps you from having to grip the phone in your hand or, worse, between your shoulder and ear.
Voice recognition apps and headsets can help decrease the amount of typing, says Hilker, which may also decrease pain.
Pay attention to your body throughout the day. If something feels tense or tight, get up, move, and stretch a bit.
Try to take a break and walk around your home or outside every 20 to 30 minutes. It doesnt have to be long: Two minutes is enough to reduce strain and get your blood flowing. Or Hilker suggests the 20-20-20 rule: Every 20 minutes, take a 20-second break and move 20 feet away from your workstation. Full-body movement is best, she says. Simply get up and walk around.
Add in a few gentle stretches that take just a minute or less. Focus on the areas that need it most: your neck, chest, lower back, forearms, and hips. Doing gentle shoulder rolls, neck movements, or low-back extensions can help reduce stiffness related to prolonged postures or repetitive motions, says Ruiz.
Sitting in awkward positions for long periods can lead to pain. For someone who has psoriatic arthritis, changing postures while working is very important to reduce stress to joints, muscles, ligaments, and tendons that can potentially generate pain, says Ruiz. Switching between sitting for 40 minutes and standing for 20 minutes is ideal, she says.
Sit-to-stand workstations are an excellent alternative to promote movement, adds Hilker.
Listen to your body, says Ruiz. Aim for comfort as much as possible, and plan ahead for rest periods during busy workdays.
Its also essential to keep work-related stress in check. Increased stress has been linked to increased pain level perception, says Ruiz. She recommends finding time for mindfulness activities, such as meditation, relaxation, and deep breathing exercises, during your day.
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11 Ways to Make Your Home Office Psoriatic Arthritis Friendly - Everyday Health
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Skin health: The best and worst foods for acne, psoriasis and skin disease – Express
Posted: at 9:49 pm
In a study published in the National Library of Health, dermatology and diet was investigated.
The study noted: For decades, it was thought that many common dermatological conditions had no relationship to diet. Studies from recent years, however, have made it clear that diet may influence outcome.
In some cases, dietary interventions may influence the course of the skin disease, as in acne. In others, dietary change may serve as one aspect of prevention, such as in skin cancer and aging of the skin.
In others, dermatological disease may be linked to systemic disease, and dietary changes may affect health outcomes, as in psoriasis.
Numerous studies have found that a diet rich in fruits and vegetables reduces the risk of cancer.
Rhytids, sagging of skin, and loss of elasticity are all related to changes in the collagen and elastic fibres of the skin, which are themselves impacted by diet. Ingestion of sugar, in particular, can accelerate these signs of ageing, as it promotes cross-linking of collagen fibres.
The study concluded that dietary interventions have traditionally been an under appreciated aspect of dermatological therapy.
Recent research, however, has found a significant association between diet and some dermatological diseases.
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Skin health: The best and worst foods for acne, psoriasis and skin disease - Express
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How to Switch Over Your Skincare Routine for Fall and Winter – HealthCentral.com
Posted: at 9:49 pm
It may seem like time is standing still right now, but we assure you fall has arrived. And, as usual, its brought with it a whole new set of skincare priorities as the weather shifts in many parts of the country. With the air becoming drier, temperatures falling, and winds picking up in some areas, a few small changes to your regimen can help keep your skin happy all season long. Below, three trickiest ways autumn can impact chronic skin conditions, plus how to combat them.
As the weather cools, irritation can go up, which means you might get flares of certain skin conditions. Joshua Zeichner, M.D., a board-certified dermatologist in NYC and associate professor of dermatology at the Mount Sinai Hospital says it makes sense: When the skin barrier becomes disrupted, it is more likely to become inflamed. That means dermatologists offices are flooded with complaints of psoriasis, eczema, and the like when the leaves start to turn. Here, the most common conditions that flare in the fall.
Psoriasis. This itch-inducing condition characterized by tale-tell plaques is normally better in the summer because of all the UV rays from natural sunlight, explains Sharleen St. Surin-Lord, M.D., an assistant professor of dermatology at Howard University in Washington, D.C. So when fall ushers in more indoor time, youve got to rely on those major psoriasis-curbing strategies like using moisturizer liberally throughout the day, firing up a humidifier at home, and talking with your doctor about adjusting your treatment regimen or adding ultraviolet light therapy.
Pityriasis rosea. Why this benign scaly pink rash can pop up more often on the trunk, upper legs, and arms this time of year: Pityriasis rosea is thought to be triggered by a viral infection, and since viruses are more common in the fall and winter, in some regions see more cases during that time, says Hayley Goldbach, M.D., a board-certified dermatologist and dermatologic surgeon at Brown University in Providence, RI. Home remedies include oatmeal baths and anti-itch lotions. While it is not a dangerous condition, talk to your doctor if the rash is itchy to see if medications can help with the discomfort.
Hives. Fall allergy season brings the increased risk of hives as you come in contact with itch-triggering fall staples like wool fabrics and ragweed pollen. If you get them once, an over-the-counter antihistamine will help, but if they happen frequently, Dr. Surin-Lord says to make an appointment with your derm for an Rx.
Eczema. Blame the dry fall air and scratchy scarves and sweaters for eczema flares. To help keep them at bay, look for soft cotton fabrics. And Dr. Surin-Lord recommends moisturizing with a hydrator featuring ceramides, which she calls the cement that holds the skin cells intact to keep moisture in. One of her go-tos is Eucerin Eczema Care, $9.50, cvs.com. And if you have an episode that doesnt clear, dont sufferhead to your dermatologist to discuss your prescription options.
The combination of falls crisp, brisk edge, blustery winds, and dry indoor heater air can do a number on your skin. Explains Dr. Zeichner, Cold weather and low humidity put a strain on the skin, stripping essential oils needed to maintain hydration. This translates to microscopic cracks in the outer layer, with loss of hydration, dryness, and inflammation. Ouch. Heres how to prevent that from happening, especially if you have psoriasis.
Moisturize intelligently. Cool, dry air calls for richer moisturizer formulasespecially in the face of irritating masks that many of us wear for protection against COVID-19. As the weather gets less humid, it will be especially important to keep your skin moisturized underneath it, says Dr. Goldbach. That means switching to a heavier nighttime moisturizer before bed to help restore the skin barrier while you sleep. But for those who need even more of an assist, Dr. Zeichner recommends putting a hydrating serum on before your hydrating cream, which will add another boost of moisture. Think of it as layering like you would with clothes. One to try: Isdinceutics Hyaluronic Booster, $39, isdn.com.
Prepare for wind. Fall in much of the northern U.S. is known for its blustery days, which can wreak havoc. In fact, one study in the Journal of Society of Cosmetic Chemists of Japan showed that not only does wind exposure decrease hydration but it also slows the replacement of the sebum level after. And on exceptionally windy days, theres the chance of windburn, a sunburn-like condition caused by a combination of dry air, wind friction, and UV exposure.
What to do? Dr. Zeichner says, My best recommendation is to apply a moisturizer right before going outsidethink of it as your base layer. Physical protection from the environment is helpful too, be it a scarf or even your face maskboth will prevent wind from directly irritating the skin. However, make sure to avoid scratchy fabrics like wool, which can not only be rough on skin but can trigger a flare-up of chronic conditions like eczema and psoriasis.
Try a humidifier. One of the things doctors stress for chronic skin diseases: preventing dryness before it starts. Enter a humidifier which adds moisture to the air, helping to head off winter irritation. The gadgets, according to Dr. Zeichner, can be used all year long if needed, but I typically recommend using one starting in the fall when the temperature starts to drop.
His advice: Stick to a cool-mist humidifier, like Honeywell Cool Moisture Germ-Free Humidifier HCM-350, $62, walmart.com. They are as effective as hot steam ones but are safer because they will not burn the skin if you get too close.
Remember balm. Your lips are very sensitivethey can be the first thing to show dryness or even vitamin deficiencies, says Dr. St. Surin-Lord. And with the dry air, that means you can not only be looking at parched lips but potentially an increase in chronic lip conditions like chelitis (caused by lip licking) or cold sores for those who get them, all thanks to your old friend irritation. Thats why its extra important to keep them hydrated as the seasons change. She recommends a lip balm with SPF 30 like Aquaphor Lip Repair, $4, ulta.com, for everyone but especially for anyone who likes to participate in outdoor fall activities like golf, fishing, and biking, as she reminds that lips are vulnerable to skin cancer.
Take care of hands. Parched palms and fingers are always a fall worry, but now with all the extra hand-washing that should be happening across the board, Dr. Goldbach explains that they tend to get dryer than other parts of the body because they are chronically exposed to environmental trauma. That means gloves will help when you leave the house by offering protection. And remember to reach for your favorite hand cream immediately after every washing, which, according to a study in BMC Dermatology, significantly decreases skin roughness after repeated sudsing sessions.
Dont forget the rest. The skin on your body needs a little extra love in the fall, too. Dr. St. Surin-Lord says its all about the formula you use. Lotions are light and good enough to use during the summer and late spring, but during the colder months, I recommend creams and even ointments for extra dry skin. Experiencing flakes? She recommends a moisturizer with an alpha hydroxy acid to add a bit of exfoliation for those dead skin cells. Her pick for all skin types (including reactive chronic conditions like psoriasis): CeraVe Psoriasis Moisturizing Cream With Salicylic acid , $26, cvs.com (although she notes that sal acid is a derivative of aspirin for those who are allergic).
Many people pack away the sunscreen when summer ends, but UV rays in the fall and winter can be just as damaging as they are in the warmer months. Even when the sun doesnt feel warm, it can damage your skin, upping the chances of melanoma and premature aging, even on cloudy days. Heres how to stay sun-smart all season.
Try a physical blocker. In 2019, the FDA suggested more research needs to be done into the impact of chemical sunscreens like oxybenzone when absorbed into the bloodstream. In the meantime, many dermatologists like Dr. St. Surin-Lord recommend mineral sunscreensespecially for those with sensitive skin. Dr. Zeichner agrees and points out that its also a great chance to get in some high-quality skincare ingredients to help replace any of that summer glow you might be missing right now. His pick: Ghost Democracy's Invisible Lightweight Daily Face Sunscreen SPF 33, which, he explains, contains niacinamide, which helps with tone and texture, and turmeric and artichoke leaf extracts, which are rich in antioxidants.
Check the expiration date. Sunscreen formulas have a shelf life of three years, and it can be easy to forget exactly when you acquired each bottle. Thats why at the change of every season Dr. St. Surin-Lord reminds her patients to check the expiration date to make sure they havent gone past the point in which the ingredients are at their full strength. What an awful experience it would be to mow the lawn, garden, or hang out in the park thinking youre safe with expired sunscreen on!
Follow the rules. You know how you know to apply sunscreen 30 minutes before heading outside and then reapplying every two hours in the summer? Dr. St. Surin-Lord insists the same goes for the winter. Since the sun isnt quite top of mind as it is in the summer, it can be easy to forget!
Beware the glare. Late in the season as snow starts to fall in some parts of the country, theres an extra element to toss into your sun-protection consideration: bounce back. If you are shoveling snow or skiing, you should wear sunscreen as the sun reflects on the snow and to your skin, causing sunburns, says Dr. St. Surin-Lord. That, she insists, is a job for SPF 50.
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How to Switch Over Your Skincare Routine for Fall and Winter - HealthCentral.com
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Ra Medical Systems to Feature the Pharos Optimized Excimer Laser at the Virtual New Frontiers in Cosmetic Medicine & Medical Dermatology Symposium…
Posted: at 9:49 pm
CARLSBAD, Calif.--(BUSINESS WIRE)--Ra Medical Systems, Inc. (NYSE: RMED), a medical device company focused on commercializing excimer laser systems to treat vascular and dermatological diseases, announces it will feature the Pharos excimer laser at the New Frontiers in Cosmetic Medicine & Medical Dermatology Symposium 2020 Virtual Meeting being held November 21, 2020.
We are delighted to showcase our Pharos excimer laser at this conference, said Will McGuire, Ra Medical Systems CEO. Pharos provides topical treatment of common skin disorders including psoriasis, vitiligo, atopic dermatitis and leukoderma and is a lower cost and safe alternative to immunosuppressive agents. During the pandemic, Pharos may play a particularly valuable role for patients who may be otherwise immunocompromised.
About the New Frontiers in Cosmetic Medicine & Medical Dermatology Conference
New Frontiers in Cosmetic Medicine Symposium will deal with the latest developments in cosmetic dermatology, cosmetic medicine, and anti-aging medicine. It is designed for an audience of physicians, physician assistants, nurses and nurse practitioners who work under the direct supervision of dermatologists, facial plastic surgeons, oculoplastic surgeons, and plastic surgeons, and commonly assist with cosmetic surgery and medicine. More information is available at https://www.cosmeticfrontiers.com/.
About Ra Medical Systems
Ra Medical Systems commercializes excimer lasers and catheters for the treatment of vascular and dermatological diseases. In May 2017 the DABRA excimer laser system received FDA 510(k) clearance in the U.S. for crossing chronic total occlusions, or CTOs, in patients with symptomatic infrainguinal lower extremity vascular disease with an intended use for ablating a channel in occlusive peripheral vascular disease. The Pharos excimer laser system is FDA-cleared and is used as a tool in the treatment of psoriasis, vitiligo, atopic dermatitis and leukoderma. DABRA and Pharos are both based on Ra Medicals core excimer laser technology platform and deploy similar mechanisms of action. Ra Medical manufactures DABRA and Pharos excimer lasers and catheters in a 32,000-square-foot facility located in Carlsbad, Calif. The vertically integrated facility is ISO 13485 certified and is licensed by the State of California to manufacture sterile, single-use catheters in controlled environments.
Cautionary Note Regarding Forward Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements generally relate to future events or Ra Medicals future financial or operating performance. In some cases, you can identify forward-looking statements because they contain words such as may, will, should, expects, plans, anticipates, could, intends, target, projects, contemplates, believes, estimates, predicts, potential or continue or the negative of these words or other similar terms or expressions that concern Ra Medicals future expectations, strategy, plans or intentions. Forward-looking statements in this press release include, but are not limited to, statements regarding the timing and potential outcome of the DABRA atherectomy clinical study. Ra Medicals expectations and beliefs regarding these matters may not materialize, and actual results in future periods are subject to risks and uncertainties that could cause actual results to differ materially from those projected or implied by such forward-looking statements. The potential risks and uncertainties which contribute to the uncertain nature of these statements include, among others, challenges inherent in developing, manufacturing, launching, marketing, and selling new products; risks associated with acceptance of DABRA and Pharos and procedures performed using such devices by physicians, payors, and other third parties; development and acceptance of new products or product enhancements; clinical and statistical verification of the benefits achieved via the use of Ra Medicals products; the results from our clinical trials, which may not support intended indications or may require Ra Medical to conduct additional clinical trials or modify ongoing clinical trials; challenges related to commencement, patient enrollment, completion, and analysis of clinical trials; Ra Medicals ability to manage operating expenses; Ra Medicals ability to effectively manage inventory; Ra Medicals ability to recruit and retain management and key personnel; Ra Medicals need to comply with complex and evolving laws and regulations; intense and increasing competition and consolidation in Ra Medicals industry; the impact of rapid technological change; costs and adverse results in any ongoing or future legal proceedings; adverse outcome of regulatory inspections; and the other risks and uncertainties described in Ra Medicals news releases and filings with the Securities and Exchange Commission. Information on these and additional risks, uncertainties, and other information affecting Ra Medicals business and operating results is contained in Ra Medicals Annual Report on Form 10-K for the year ended December 31, 2020 and in its other filings with the Securities and Exchange Commission. The forward-looking statements in this press release are based on information available to Ra Medical as of the date hereof, and Ra Medical disclaims any obligation to update any forward-looking statements, except as required by law.
Ra Medical investors and others should note that we announce material information to the public about the company through a variety of means, including our website (www.ramed.com), our investor relations website (https://ir.ramed.com/), press releases, SEC filings, and public conference calls in order to achieve broad, non-exclusionary distribution of information to the public and to comply with our disclosure obligations under Regulation FD. We encourage our investors and others to monitor and review the information we make public in these locations as such information could be deemed to be material information. Please note that this list may be updated from time to time.
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Ra Medical Systems to Feature the Pharos Optimized Excimer Laser at the Virtual New Frontiers in Cosmetic Medicine & Medical Dermatology Symposium...
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Decades of NIH research help lead to first FDA-approved treatment for progeria – National Human Genome Research Institute
Posted: at 9:47 pm
The U.S. Food and Drug Administration has approved the first treatment for progeria, a rare and fatal pediatric disease, characterized by dramatic, rapid aging beginning in childhood. The treatment was made possible thanks in part to work at the National Institutes of Health over nearly two decades to identify and understand the function of the mutant gene and the protein it encodes (called progerin) with the goal of identifying new therapeutic drugs for the disorder.
In light of todays approval, NIH Director and Senior Investigator at the National Human Genome Research Institute (NHGRI), Francis S. Collins, M.D., Ph.D., is available to discuss his labs research activities on progeria, including its involvement in the discovery of the gene responsible for the disease, the development of a mouse model, and the demonstration that this drug class could provide benefit.
Progeria, also known as Hutchinson-Gilford progeria syndrome, is a rare, multisystemic disease that causes premature aging and premature death in children. Progeria is caused by a genetic mutation in the LMNA (lamin A) gene, which helps maintain the normal structure and function of a cells nucleus. About 400 children worldwide have been diagnosed with progeria.
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Decades of NIH research help lead to first FDA-approved treatment for progeria - National Human Genome Research Institute
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Researchers find that a type of RNA monitors the genome to help ensure its integrity – University of Michigan News
Posted: at 9:47 pm
Deep inside your cells, DNA provides the instructions to produce proteins, the essential molecules that grow and maintain your body.
RNA is the intermediary nucleic acid that carries these instructions from DNA to ribosomes, where proteins are produced within the cell. But in humans and in plants, only a tiny fraction of DNA produces the RNA that carries out protein-building instructions. In humans, almost 98% of the genome does not encode proteins. However, it often gives rise to RNA that does not produce proteins, called noncoding RNA. So what does this portion of the genome do?
Over the years, studies have found that more than 80% of the genome may be involved in transcription, or producing noncoding RNA, said Andrzej Wierzbicki, a professor in the University of Michigan Department of Molecular, Cellular and Developmental Biology. So the dilemma was: Is all this noncoding RNA functional? Is it important for something? Or is it just noise of the process of transcription or an error of detection methods?
Now, research led by Wierzbicki shows that in plants, a portion of this noncoding RNA may play an essential role in protecting the integrity of the genome. This portion of noncoding RNA is produced from transposons, rogue pieces of genes that jump around within DNA, inserting themselves haphazardly and causing genetic diversity. Sometimes this diversity is beneficial, aiding evolution, says Wierzbicki, but sometimes it can trigger mutations that can lead to disease.
The noncoding RNA produced from transposons is thought to protect the genome by making sure that transposable elements are permanently turned off. But how are transposons selected for silencing in the first place? In a recent study, the research team found evidence that this noncoding RNA is produced throughout the entire genome, not just at or around transposons. Their results are published in the Proceedings of the National Academy of Sciences.
We are essentially proposing a new model. Our model says the entire genome is transcribed, and this pervasive transcription is functional, said Wierzbicki, also a member of the Center for RNA Biomedicine at U-M. This pervasive noncoding transcription acts as a surveillance system, catching and silencing new transposons as they appear. This speculative model will hopefully be able to be tested in more detail.
These results include two parts. First, the researchers had to determine that this noncoding RNA detected throughout the genome is real, not simply an error of detection methods. To do this, the researchers focused on an enzyme called an RNA polymerase. The role of RNA polymerases is to produce RNA using the sequence of DNA as a template, Wierzbicki said.
The researchers used a plant model called Arabidopsis thaliana, which has a specialized RNA polymerase dedicated to silencing transposons. The researchers could mutate this particular polymerase enzyme and create plants that were unable to produce an entire category of noncoding RNA. No other eukaryotic organism, including humans, would survive with an RNA polymerase mutated, which makes plants uniquely suited to studying the roles of noncoding RNA.
With the polymerase enzyme mutated, the researchers then compared the mutated plant to a wild-type planta plant that had not been altered. If they detected RNA in the wild-type plant but not in the mutant plant, they could confirm that the noncoding RNA was real. And they did.
Next, the researchers wanted to understand the role of this noncoding RNA. They expected to find that noncoding transcription was taking place on transposons, but nowhere else outside of the transposons. But what they found was that noncoding transcription was happening almost everywhere in the genome.
One of the researchers, Masayuki Tsuzuki, at the time a postdoctoral fellow in the Wierzbicki lab and now an assistant professor at the University of Tokyo, looked for this transcription by using high-throughput sequencing. This sequencing is an approach that produces a huge amount of data corresponding to noncoding transcription. In-depth analysis of these results allowed the group to prove where noncoding transcription is present.
They found evidence that noncoding RNA is produced across almost 50% of the plant genome, while transposons composed only 10%-20% of the genome. By comparing their data to previously published results they further found evidence that this noncoding RNA is needed for silencing of transposons that became reactivated.
So when the transposon is new, or it has been activated in a way that the cell forgot it was previously marked as a foreign object, how can it be recognized as being foreign? Wierzbicki said. Theres one common factor thats always needed, and thats this noncoding RNA that we are studying. No matter where the transposon was inserted in the gene, it could not be turned off if the noncoding RNA was not present.
Although the research team looked at Arabidopsis thaliana, a similar process may play out in other flowering plants as well as in fungi and animals. In fungi and animals, a similar process happens, except these two groups dont have the specialized RNA polymerase. Instead, they carry out a similar process using the same polymerase that contributes to protein production.
Wierzbicki and Tsuzukis fellow researchers include Shriya Sethuraman, a doctoral student in the Bioinformatics Graduate Program at Michigan Medicine; Adriana Coke, a research assistant in the U-M Department of Molecular, Cellular and Developmental Biology; M. Hafiz Rothi, a doctoral student in the U-M Department of Molecular, Cellular and Developmental Biology; and Alan Boyle, an associate professor of computational medicine and bioinformatics and of human genetics at Michigan Medicine.
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Researchers find that a type of RNA monitors the genome to help ensure its integrity - University of Michigan News
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Major new study unveils complexity and vast diversity of Africa’s genetic variation – The Conversation CA
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Africa is the cradle of humankind. All humans are descendants from this common pool of ancestors. Africa and its multitude of ethnolinguistic groups are therefore fundamental to learning more about humankind and our origins.
A human genome refers to the complete set of genetic information found in a human cell. We inherit our genomes from our parents. Studying the variations in different peoples genomes gives important clues to how genetic information influences peoples appearance and health. It can also tell us about our ancestry. To date, very few African individuals have been included in studies looking at genetic variation. Studying African genomes not only fills a gap in the current understanding of human genetic variation, but also reveals new insights into the history of African populations.
My colleagues and I, who are all members of the Human Heredity and Health (H3Africa) consortium, contributed to a landmark genetics study. This study focused on 426 individuals from 13 African countries. More than 50 different ethnolinguistic groups were represented in the study one of the most diverse groups of Africans ever to be included in such an investigation. We sequenced the whole genome of each of these individuals this means we could read every part of the genome to look for variation.
This study contributes a major, new source of African genomic data, which showcases the complex and vast diversity of African genetic variation. And it will support research for decades to come.
Our findings have broad relevance, from learning more about African history and migration, to clinical research into the impact of specific variants on health outcomes.
One of the key outcomes was the discovery of more than three million new genetic variants. This is significant because we are learning more about human genetic diversity in general, and discovering more differences that could be linked to disease or traits in the future.
This study also adds details to what is known about the migration and expansion of groups across the continent. We were able to show that Zambia was most probably an intermediate site on the likely route of migration from west Africa to east and south Africa. Evidence supporting movement from east Africa to central Nigeria between 1,500 and 2,000 years ago was also revealed, through the identification of a substantial amount of east African ancestry in a central Nigerian ethnolinguistic group, the Berom.
The study also enabled us to reclassify certain variants that were previously suspected to cause disease. Variants that cause serious genetic diseases are often rare in the general population, mostly because their effect is so severe that a person with such a variant often does not reach adulthood. But we observed many of these variants at quite common levels in the studied populations. One wouldnt expect that these types of disease-causing variants would be this common in healthy adults. This finding helps to reclassify these variants for clinical interpretation.
Finally, we found a surprising number of regions with signatures of natural selection that have not been previously reported. Selection means that when individuals are exposed to environmental factors like a viral infection, or a drastic new dietary component, some gene variants may confer an added adaptive advantage to the humans that bear them in their genome.
Our best interpretation of these findings is that as humans across Africa were exposed to different environments sometimes as a result of migration these variants were likely important to surviving in those new conditions. This has left an imprint on the genome and contributes to genomic diversity across the continent.
Our data has shown that we have not yet found all the variation in the human genome. There is more to learn by adding new, unstudied population groups. We know that less than a quarter of participants in genomics research are of non-European ancestry. Most available genetic data come from just three countries the UK (40%), the US (19%) and Iceland (12%).
It is essential to keep adding more genomic data from all global populations including Africa. This will ensure that everyone can benefit from the advances in health that precision medicine offers. Precision medicine refers to the customisation of healthcare to fit the individual. Including personal genetic information could radically change the nature and scope of healthcare options that would work best for that individual.
The Human Heredity and Health consortium is now in its eighth year of existence, and supports more than 51 diverse projects. These include studies focusing on diseases like diabetes, HIV and tuberculosis. The reference data generated through our study are already being put to use by many of the consortiums studies.
Read more: What we've learnt from building Africa's biggest genome library
Next, we are planning to take an even deeper look at the data to better understand what other types of genetic variation exist. We are also hoping to add further unstudied populations to grow and enrich this data set.
Building capacity for genomics research on the African continent is a key goal of Human Heredity and Health. An important aspect of this study is that it was driven and conducted by researchers and scientists from the African continent. Researchers from 24 institutions across Africa participated and led this investigation. This study showcases the availability of both infrastructure and skills for large-scale genomics research on the continent. It also highlights the prospect of future world-class research on this topic from Africa.
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How South Africans can use their DNA to be good genomic citizens – The Conversation CA
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In the past few years, people have become fascinated with using their DNA to learn more about themselves, their origins, family trees, predisposition to health conditions and quirky traits. This has been enabled by the rise in popularity and the relative affordability of direct-to-consumer ancestry testing in places like the US. This testing allows people to swab their mouths to collect cells containing DNA, which are then sent off to companies for testing and analysis.
Today sites like AncestryDNA, 23andMe, MyHeritage and FTDNA dominate the European and US markets. But until recently, this service has been inaccessible to most South Africans. Thats because testing using overseas companies can be expensive, and there are logistical hurdles to shipping sample collection kits into and out of South Africa.
Recently, local companies like DNAnalysis and Be Happy To Be You have started to offer genetic testing, ranging from ancestry to nutrigenetics (what your genes say you should and should not eat) and health screenings.
Many potential clients are, however, sceptical about using these services. They view them as sub-standard and more expensive than some of the larger, overseas competitors. There are also concerns regarding privacy.
So, is supporting local businesses and getting your DNA analysed worth it? My opinion, as a human population geneticist who has researched the role that extensive genetic testing can play in mapping diseases, is yes. As more clients choose a local service provider for direct-to-consumer testing, the accuracy of the service will increase, the costs will decrease and the resulting data generation can be used to boost medical research efforts.
The process of completing a direct-to-consumer ancestry test is fairly simple. When you visit a site and request a test, you will be required to sign a consent form, fill in your personal information (contact details and address) and then wait for your test kit to be couriered to you. This kit is used to swab the inside of your mouth. The swabs are then sent back to the company for further processing, which involves extraction of your DNA and then computational analysis. An ancestry report is generated by comparing your genetic data to data of other worldwide populations.
But what of peoples concerns around accuracy, cost and privacy?
Firstly, there is no evidence that the services offered by local companies are sub-par. In fact, they should be more accurate because of the context in which the data is analysed. Local companies will have databases of South African data that other overseas companies do not. For example, instead of containing two different southern African populations (in line with overseas companies), local companies might have 10 and therefore be able to provide more detailed, granular reports.
Furthermore, scientists who work in local companies have acquired local knowledge and are therefore able to work with South Africas unique genetic diversity better than anyone else.
Secondly, testing in South Africa is for the most part not more expensive than overseas. If South Africans use an overseas company, theyll generally have to pay for courier fees to get a sample collection kit delivered and sent back to the company as well as potentially paying import taxes. Theres also a risk that the sample collection kit might get held up or even lost in either direction of the courier process. This may add to the overall cost.
Typically the price for direct-to-consumer ancestry testing in the US is between $69 and $99. Adding approximately R800 (around $50) for courier charges brings the cost for an international test to between R1,900 and R2,400, compared to between R1,000 and R2,499 locally (courier fees included). And, as more and more people start using local resources, the products and services will become cheaper over time.
Read more: What we've learnt from building Africa's biggest genome library
With regard to data privacy, confidentiality and anonymity, South Africa has some of the strictest laws that govern personal data, particularly the Protection of Personal Information Act. All local companies are required to adhere to this.
There is another aspect South Africans should consider when theyre thinking about using local services for genomic testing: the importance of creating a genomic citizenship movement.
When you send your DNA to a direct-to-consumer genetic testing company, you are investing in a product and service that benefits others. By making your de-identified genetic data available for use in local companies databases and for research purposes, you directly contribute to scientific development by increasing the accuracy of these services for other clients and in some cases, for yourself and for your family members.
Scientific researchers can use that de-identified data to investigate, for instance, why some individuals get sick and others dont. An example of this has been seen during the COVID-19 pandemic. Genetic data from direct-to-consumer genetic testing has been used to investigate how the disease progresses and why some patients are asymptomatic while others succumb to the disease. This was made possible by individuals who allowed researchers to use their genetic data for this purpose.
Over time, with an expansion of genetic data, it will be possible to diagnose patients with genetic diseases that would not have been diagnosed otherwise. Scientists will be able to answer questions regarding the efficacy of medications in some patients and speed up the development of gene therapies that could save countless lives.
The rise of direct-to-consumer services is an opportunity for South Africans to contribute, in their own way, to a greater genomic future.
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Gene experts claim they identified human genes that can protect against Covid-19 – CNBC
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COVID-19 Coronavirus molecule, March 24, 2020.
CDC | API | Gamma-Rapho via Getty Images
A team of CRISPR scientists at the New York Genome Center, New York University and Icahn School of Medicine at Mount Sinai said they have identified the genes that can protect human cells against Covid-19, a disease that has infected over 40 million and led to 1 million deaths worldwide.
The discovery comes after an eight-month screen of all 20,000 genes in the human genome led by Dr. Neville Sanjana at the New York Genome Center. Leading virologist at Mount Sinai, Dr. Benjamin tenOever, developed a series of human lung cell models for the coronavirus screening to better understand immune responses to the disease and co-authored the study.
Their study, published online last month by Cell, will appear in the scientific peer-reviewed journal's Jan. 7 print issue.
The goal was two-fold: to identify the genes that make human cells more resistant to SARS-CoV-2 virus; and test existing drugs on the market that may help stop the spread of the disease.
The breakthrough comes at a time when drug makers such as Pfizer, Oxford-AstraZeneca and Moderna are fast-forwarding vaccine and therapeutics to treat Covid-19. On Friday, Pfizer and BioNTech requested emergency authorization from the FDA for their Covid vaccine that contains genetic material called messenger RNA, which scientists expect provokes the immune system to fight the virus.
In order to better understand the complex relationships between host and virus genetic dependencies, the team used a broad range of analytical and experimental methods to validate their results. This integrative approach included genome editing, single-cell sequencing, confocal imaging and computational analyses of gene expression and proteomic datasets.
After intensive research, the scientists and doctors claim they have found 30 genes that block the virus from infecting human cells including RAB7A, a gene that seems to regulate the ACE-2 receptor that the virus binds to and uses to enter the cell. The spike protein's first contact with a human cell is through ACE-2 receptor.
"Our findings confirmed what scientists believe to be true about ACE-2 receptor's role in infection; it holds the key to unlocking the virus," said Dr. tenOever. "It also revealed the virus needs a toolbox of components to infect human cells. Everything must be in alignment for the virus to enter human cells."
The team discovered that the top-ranked genes those whose loss reduces viral infection substantially clustered into a handful of protein complexes, including vacuolar ATPases, Retromer, Commander, Arp2/3, and PI3K. Many of these protein complexes are involved in trafficking proteins to and from the cell membrane.
"We were very pleased to see multiple genes within the same family as top-ranked hits in our genome-wide screen. This gave us a high degree of confidence that these protein families were crucial to the virus lifecycle, either for getting into human cells or successful viral replication," said Dr. Zharko Daniloski, a postdoctoral fellow in the Sanjana Lab and co-first author of the study.
Using proteomic data, they found that several of the top-ranked host genes directly interact with the virus's own proteins, highlighting their central role in the viral lifecycle. The team also analyzed common host genes required for other viral pathogens, such as Zika or H1N1 pandemic influenza.
The research team also identified drugs that are currently on the market for different diseases that they claim block the entry of Covid-19 into human cells by increasing cellular cholesterol. In particular, they found three drugs currently on the market were more than 100-fold more effective in stopping viral entry in human lung cells:
The other five drugs that were tested called PIK-111, Compound 19, SAR 405, Autophinib, ALLN -- are used in research but are not yet branded and used in clinical trials for existing diseases.
Our findings confirmed what scientists believe to be true about ACE-2 receptor's role in infection; it holds the key to unlocking the virus.
Their findings offer insight into novel therapies that may be effective in treating Covid-19 and reveal the underlying molecular targets of those therapies.
The bioengineers in New York were working on other projects with gene-editing technology from CRISPR but quickly pivoted to studying the coronavirus when it swept through the metropolitan area last March. "Seeing the tragic impact of Covid-19 here in New York and across the world, we felt that we could use the high-throughput CRISPR gene editing tools that we have applied to other diseases to understand what are the key human genes required by the SARS-CoV-2 virus," said Dr. Sanjana.
Dr. Neville Sanjana and his team at the New York Genome Center used CRISPR to identify the genes that can protect human cells against Covid-19.
New York Genome Center
As he explained, "current treatments for SARS-CoV-2 infection currently go after the virus itself, but this study offers a better understanding of how host genes influence viral entry and will enable new avenues for therapeutic discovery."
Previously, Dr. Sanjana has applied genome-wide CRISPR screens to identify the genetic drivers of diverse diseases, including drug resistance in melanoma, immunotherapy failure, lung cancer metastasis, innate immunity, inborn metabolic disorders and muscular dystrophy.
"The hope is that the data from this study which pinpoints required genes for SARS-CoV-2 infection could in the future work be combined with human genome sequencing data to identify individuals that might be either more susceptible or more resistant to Covid-19," Dr. Sanjana said.
The New York team is not the first to use CRISPR gene editing techniques to fight Covid-19. Other bioengineering groups at MIT and Stanford have been using CRISPR to develop ways to fight the SARS-CoV-2 and develop diagnostic tools for Covid-19.
The potential for using CRISPR to eliminate viruses has already generated some enthusiasm in the research community. Last year, for example, Excision BioTherapeuticslicenseda technology from Temple University that uses CRISPR, combined with antiretroviral therapy, to eliminate HIV, the virus that causes AIDS.
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Video: The Ambitious Project To Prepare a Library of Genomes of the Human Species – The Wire Science
Posted: at 9:47 pm
In 2003, biologists created the first ever human genome sequence. The 3 billion DNA letter sequence, called the reference genome, was mostly made up of DNA donated from people in the city of Buffalo, New York. So far, when clinicians and researchers study an individuals genome, they compare it to the reference genome to identify differences. But can you compare all of humanity to one genome? No, because one reference genome does not convey the genomic diversity of the human species. We need many reference genomes a pangenome. This monumental undertaking is already taking place and is poised to redefine the future of genomic research and human health.
This video was co-produced by Massive Science and NIH/NHGRI.
Presented by the National Human Genome Research InstituteDirection and animation by Rosanna WanNarration by Dr Shawntel OkonkwoSound + music by SkillbardScript by Harriet Bailey and Prabarna GangulyProducer Harriet BaileySenior producer Nadja OerteltExecutive producer Prabarna GangulyProduced for and supported by the National Human Genome Research Institute
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Video: The Ambitious Project To Prepare a Library of Genomes of the Human Species - The Wire Science
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