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Category Archives: Transhuman News
Ancient DNA shakes up the elephant family tree – Science News Magazine
Posted: June 14, 2017 at 3:49 am
Fossil DNA may be rewriting the history of elephant evolution.
The first genetic analysis of DNA from fossils of straight-tusked elephants reveals that the extinct animals most closely resembled modern African forest elephants. This suggests that straight-tusked elephants were part of the African, not Asian, elephant lineage, scientists report online June 6 in eLife.
Straight-tusked elephants roamed Europe and Asia until about 30,000 years ago. Much like modern Asian elephants, they sported high foreheads, double-domed skulls and downward sloping spines. These features convinced scientists for decades that straight-tusked and Asian elephants were sister species, says Adrian Lister, a paleobiologist at the Natural History Museum in London who was not involved in the study.
For the new study, researchers extracted and decoded DNA from the bones of four straight-tusked elephants found in Germany. The fossils ranged from around 120,000 to 240,000 years old. The genetic material in most fossils more than 100,000 years old is too decayed to analyze. But the elephant fossils were unearthed in a lake basin and a quarry, where the bones would have been quickly covered with sediment that preserved them, says study author Michael Hofreiter of the University of Potsdam in Germany.
Hofreiters team compared the ancient animals DNA with the genomes of the three living elephant species Asian, African savanna and African forest and found that straight-tusked genetics were most similar to African forest elephants.
When the researchers told elephant experts what theyd found, Everybody was like, This cant possibly be true! says study coauthor Beth Shapiro of the University of California, Santa Cruz. Then it gradually became, Oh yeah, I see. The way weve been thinking about this is wrong.
If straight-tusked elephants were closely related to African forest elephants, then the African lineage wasnt confined to Africa where all elephant species originated as paleontologists previously thought. It also raises questions about why straight-tusked elephants bore so little resemblance to todays African elephants, which have low foreheads, single-domed skulls and more horizontal backbones.
Story continues after graphic
This tree shows a revision to how scientists think straight-tusked elephants fit into elephant evolution: Straight-tusked elephants shared the most common ancestors with African forest elephants, rather than Asian elephants.
Accounting for this new finding may not be as simple as moving one branch on the elephant family tree, Lister says. Its possible that straight-tusked elephants really were a sister species of Asian elephants, but they exhibit genetic similarities to African forest elephants from interbreeding before the straight-tusked species left Africa.
Its also possible that a common ancestor of Asian, African and straight-tusked elephants had particular genetic traits that were, for some reason, only retained by African and straight-tusked elephants, he says.
Lister and colleagues are now reexamining data on straight-tusked skeletons to reconcile the species skeletal features with the new information on their DNA. I will feel most comfortable if we can understand these genetic relationships in terms of the [physical] differences between all these species, he says. Then well have a complete story.
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Ancient DNA shakes up the elephant family tree - Science News Magazine
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Defense attorney argues DNA evidence should exonerate Rochat – NorthJersey.com
Posted: at 3:49 am
Daniel Rochat, left, is on trial in the killing of Barbara Vernieri in 2012.(Photo: TARIQ ZEHAWI/NorthJersey.com file photo)
HACKENSACK The DNA evidence in the slaying of East Rutherford real estate agent Barbara Vernieri should exonerate Daniel Rochat, his lawyer told the jury during the defense's closing arguments on Tuesday.
Rochat, who knew Vernieri since he was a young child, is accused of beating her and setting her on fire in September 2012. Vernieri worked with Rochat and hisfather at Kurgan-Bergen Realty at the time of her death.
Jim Doyle, one of Rochat's attorneys, said the testimony ofMelissaHuyck, who was the prosecution's DNA expert, was "without a doubt one of the most disappointing things [he's] ever seen by a scientist on the stand."
During his summations, Doyle attempted to cast doubt on a number of pieces of evidence, includingthe DNA evidence, noting that Rochat's DNA was not found in Vernieri's home and Vernieri's blood was not found anywhere it was not supposed to be. It was not found in Rochat's apartment in Wood-Ridge, it was not found in the family shore house in Toms River, it was not found on his shoes, it was not found in either of his cars, he said.
From left, Daniel Rochat, accused in the killing of Barbara Vernieri in 2012, with his attorneys Jim Doyle and Richard Potter, before Superior Court Judge Margaret M. Foti.(Photo: Tariq Zehawi/NorthJersey.com)
Doyle continued his argument by sayingthe DNA that was found in the Van Winkle condo, which Rochat's father was the property manager was, was not proven to be blood and that the tests done by the crime scene unit investigators only presumed blood was present. He argued that Vernieri's DNA could have been transferred to Van Winkle at a different point in time due to how often she came into contact with Rochat and his father.
Additionally, Doyle noted that the DNA found underneath Vernieri's fingernails could belong to a number of men in the population. It was testified that one in 333 men, including Rochat and his paternal relatives,could have the same DNA profile. Doyle said that one of the detectives, Sgt. Gary Boesch, used an inappropriate tool to collect the fingernails. Boesch used a piece of computer paper to collect Vernieri's fingernail clippings and Doyle said it is possible the DNA could belong to any other male at the scene or anyone who had ever handled the paper. Doyle also told jurors to remember that the DNA of two unknown males were found in Vernieri's home.
Doyle reminded the jurors it was their job to find Rochat guilty beyond a reasonable doubt.
"Certain phrases sound trite until you have to use them," he said.
Doyle said the prosecution will argue that Rochat's conduct the day of and in the days following Vernieri's death establishes motive and conscience of guilt, but he feels differently. He said numerous people testified that Rochat's behavior was nothing out of the ordinary for him including a friend he was with when he found out about Vernieri's death.
Daniel Rochat, left, with his attorneys Jim Doyle and Richard Potter before Superior Court Judge Margaret Foti in Hackensack.(Photo: Tariq Zehawi/NorthJersey.com)
Doyle also made arguments against the prosecution's seemingly most damaging evidence. Rochat's cellphone pinged off a tower that is directly by Vernieri's home at 10:39 a.m., a time that Rochat said he was sleeping in his apartment over a mile away. The prosecution's cellphone expert testified that it would be impossible for Rochat's phone to ping on that tower due to the number of towers in the area. The defense's cellphone expert argued differently, stating that a cellphone could potentially ping on that tower almost 11 miles away.
Doyle said the Bergen County Sheriff's Office use of Verizon's Real Time Tool records, used to approximate where a cellphone is located at the time of a call, is the wrong way to determine an individual's locationand that triangulation and GPS were better tools.
According to Doyle, the prosecution is throwing motives at the wall "to see what sticks" and that they do not have a clear motive and do not really know who killed Vernieri.
Prosecutor Danielle Grootenboer will begin her closing arguments Wednesdaymorning before jury instruction anddeliberations.
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Researchers Uncover New Instruction Manual to Repair Broken DNA – Georgia Tech News Center
Posted: at 3:49 am
Georgia Tech News Center | Researchers Uncover New Instruction Manual to Repair Broken DNA Georgia Tech News Center Radiation and chemotherapy can cause a DNA double-strand break, one of the most harmful types of DNA damage. The process of homologous recombination which involves the exchange of genetic information between two DNA molecules plays an ... |
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Researchers Uncover New Instruction Manual to Repair Broken DNA - Georgia Tech News Center
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DNA left by ocean animals provides rare glimpse of marine ecosystems, Stanford researchers say – Stanford University News
Posted: at 3:49 am
The ocean might as well be Mars. Like astronomers grasping at ways to identify life on a distant planet, marine scientists have no easy method for detecting sea creatures presence in the vast watery realm.
Team members from the Monterey Bay Aquarium Research Institute collect water from Monterey Bay for eDNA analysis. (Image credit: Collin Closek)
An emerging technique analyzing DNA in skin, scales and feces animals leave behind has shown promise for revealing hidden ecosystems on land and in fresh water. But deep ocean environments have largely proven too complex for the approach. Now, Stanford scientists show progress in using this analysis to overcome complicated water movements and other obstacles to detect ocean animals in locations where the water can be more than 7,200 feet deep.
We want to know whats out there, said study lead author Elizabeth A. Andruszkiewicz, a graduate student in Stanfords Department of Civil and Environmental Engineering. Eventually, this technology may answer bigger questions, such as how communities of organisms have adapted to environmental changes over time.
Of the few previous environmental DNA, or eDNA, studies of ocean animals, all were done in relatively shallow nearshore environments. Most were done in controlled systems such as saltwater tanks, and few looked in real environments at questions of spatial distribution of eDNA.
The Stanford-led study also marks the first time the approach has been used in the deep waters of Monterey Bay, an important ecosystem in the California Current, which flows southward along the western coast of North America. In addition to being highly productive ecosystems, these areas have been the focus of relatively intensive ongoing research by institutions such as the Monterey Bay Aquarium Research Institute (a partner in the study). The resulting archived water samples and long-term datasets present unique opportunities for eDNA analysis of ecological change over time.
Sampler device is deployed to collect water in Monterey Bay. (Image credit: Collin Closek)
Collecting eDNA is fairly straightforward a basic water sample does the trick and scientists can archive these samples for long periods by freezing them. The approach promises a faster, more comprehensive and less invasive way to measure abundance and distribution of organisms. It might also be able to detect invasive species or changes in the distribution of endangered species.
This could revolutionize the way we keep track of animals, said study co-author Alexandria Boehm, professor of civil and environmental engineering and a senior fellow at the Stanford Woods Institute for the Environment.
The eDNA survey identified 72 species of vertebrates (marine fishes, mammals such as elephant seals, humpback whales, sharks and rockfishes) at study sites across 28 miles of the Monterey Bay National Marine Sanctuary.
Scientists found DNA of some creatures, such as sunfishes, salmon, seahorses and mackerel sharks, only in locations where the water was less than 600 feet deep. DNA of other animals, such as dolphins and marine smelts, turned up only in waters more than 600 feet deep. The shallowest waters held the greatest biodiversity. Taken as a whole, the findings provide a proof of concept for eDNA as an ocean sleuthing tool.
It is a remarkably powerful way to answer a simple question: What species are present in space and time in our oceans? said co-author Barbara Block, the Charles and Elizabeth Prothro Professor in Marine Sciences at Stanford. It could change how we view our planets marine biodiversity.
DNA sequencing has driven unprecedented research and discovery in fields ranging from medical diagnosis to evolutionary biology.
Pacific white-sided dolphins accompany the NOAA ship Reuben Lasker off the coast of California in June 2016 during a cruise collecting water samples for environmental DNA (eDNA) analysis. (Image credit: Collin Closek)
Preliminary studies have shown that eDNA sequencing can identify vertebrate species missed by traditional monitoring methods and can allow sampling in places inaccessible to traditional techniques such as dive surveys and fish trawls. The approach can also be used at finer resolutions, in terms of time and space, compared to traditional biomonitoring methods. This allows scientists to document changes in biodiversity over seasonal and annual cycles, as well as over different topographies.
Questions still remain about how to properly sample water for eDNA, and how to interpret sequencing results to avoid false positives and false negatives. Solving these and other challenges will bring into focus the next frontier for eDNA: counting actual numbers of sea animals and discerning their population-level identity, rather than just detecting their presence. Working with a team of geneticists, fish physiologists, oceanographers and engineers, Boehm and Block hope to realize that goal within 10 years.
Additional authors on Biomonitoring of marine vertebrates in Monterey Bay using eDNA metabarcoding, published in PLOS ONE, are Lauren M. Sassoubre, a former postdoctoral scholar at Stanford; Hilary A. Starks of Stanfords Center for Ocean Solutions; and Francisco P. Chavez of the Monterey Bay Aquarium Research Institute.
The research was supported by a gift from the Seaver Institute to the Stanford Woods Institute for the Environments Environmental Venture Projects program, the U.S. Environmental Protection Agency and the David and Lucile Packard Foundation.
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A molecular plaster to repair DNA – Phys.Org
Posted: at 3:49 am
June 13, 2017 Rif1 is shepherding DNA ends. Crystal structure of the conserved N-terminal domain of Rif1 reveals an extraordinarily elongated shape resembling a shepherds crook. Within the hook, Rif1 contains a DNA binding domain forming a protective sheath. This activity of Rif1 underpins telomere homeostasis, checkpoint suppression at chromosome ends, and DNA double-strand break repair, a function now identified as conserved in eukaryotes. The molecular gating of DNA ends offers a unified mechanism for the diverse genome stability functions of Rif1. Credit: Friedrich Miescher Institute for Biomedical Research
All cells are confronted with DNA damage, for example by exposure of the skin to UV rays, chemical byproducts of nerve cells consuming sugar, or immune cells destroying bacteria. If these DNA lesions are not - or badly - repaired, they may initiate tumor formation. Thankfully, cells have evolved an elaborate control system to correct these DNA anomalies. Uli Rass and Nico Thom at the FMI, together with colleagues at the University of Geneva (UNIGE), have now discovered the key role of a protein called Rif1 in the protection, stabilization and repair of damaged DNA. This study, published in the journal Nature Structural & Molecular Biology, uncovers a DNA maintenance function likely to be present in all eukaryotes because the region of Rif1 that enables the formation of a protective sheath around DNA lesions is similar in humans and yeast.
A multi-faceted protein
Cells have developed a complex control system to repair the DNA breaks that occur every day. This system includes patrolling proteins, molecules that set off an alarm, as well as damage-repairing enzymes. The teams of Nicolas Thom and Ulrich Rass at the FMI and the group of David Shore at UNIGE are interested in a protein called Rif1. Rif1 is involved in many processes, some of which are related to DNA replication and repair. Certain activities of Rif1, a protein present in both humans and yeast, vary from one type of organism to another, while others remain similar. It was not clear why that was the case.
The scientists thus examined the molecular structure of Rif1. "This protein is made of divergent functional elements depending on the species studied, which may explain the diversity of its activities. But there is also a common part whose function was hitherto unknown", says Stefano Mattarocci, co-first author of the study and member of the Geneva group.
A ubiquitous repair module
By studying the 3-D structure of this common region, the biologists have discovered that it is intimately involved in the protection and the repair of deteriorated DNA. "This region of Rif1 binds to the damaged strands and then recruits more Rif1 proteins that assemble to form a protective sheath around the weakened segment", notes Julia Reinert, co-first author and member of the Basel team.
This molecular plaster gates access of repair enzymes to the protected strands, while restricting access of enzymes responsible for degrading the ends of damaged DNA. All eukaryotes, that is to say organisms whose cells have a nucleus, appear to benefit from the sheath formed by Rif1, since the protective region of this protein is similar in humans and yeast.
This study has revealed the molecular mechanism allowing Rif1 to preserve the integrity of the genome. The findings contribute to a better understanding of how cells avoid the accumulation of DNA lesions, which would otherwise lead to senescence, cell death, or cancer.
Explore further: The proteins ensuring genome protection
More information: Stefano Mattarocci et al. Rif1 maintains telomeres and mediates DNA repair by encasing DNA ends, Nature Structural & Molecular Biology (2017). DOI: 10.1038/nsmb.3420
Researchers from the University of Geneva (UNIGE), Switzerland, have discovered the crucial role of two proteins in developing a cell 'anti-enzyme shield'. This protection system, which operates at the level of molecular ...
A group from the University of Geneva, Switzerland, discovers a key factor that curbs the undesirable triggering of DNA replication.
(Phys.org) A team of scientists at the Friedrich Miescher Institute for Biomedical Research and the University of Geneva has functionally dissected the molecular processes that ensure the stability of chromosomes. They ...
Drexel University and Georgia Institute of Technology researchers have discovered how the Rad52 protein is a crucial player in RNA-dependent DNA repair. The results of their study, published today in Molecular Cell, reveal ...
A research group from the University of Seville has revealed the role that the protein Rrm3 plays in the repair of breaks that occur during the replication of DNA, by using the yeast Saccharomyces cerevisiae as a model organism. ...
An international collaboration between Osaka University and the Friedrich Miescher Institute for Biomedical Research (FMI) in Switzerland is investigating the repair process of a serious form of DNA damage that can lead to ...
Male birds tend to be better singers than femalesbut does the basis for this difference lie in the brain or in the syrinx, the bird equivalent of our larynx? The researchers behind a new study from The Auk: Ornithological ...
Animals living in areas where conditions are ideal for their species have less chance of evolving to cope with climate change, new research suggests.
The arrangement of the photoreceptors in our eyes allows us to detect socially significant color variation better than other types of color vision, a team of researchers has found. Specifically, our color vision is superior ...
Using high magnification imaging, a team of researchers has identified several never before seen structures on bacteria that represent molecular machinery. The research is published this week in the Journal of Bacteriology, ...
UNC School of Medicine researchers have cracked a long-standing mystery about an important enzyme found in virtually all organisms other than bacteria. The basic science finding may have implications for understanding cancer ...
One of the main types of fossil used to understand the first flowering plants (angiosperms) are charred flowers. These charcoals were produced in ancient wildfires, and they provide some evidence for the types of plants that ...
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New Microbial Genomes Help Scientists Fill Gaps in the Tree of Life – Seeker
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Microbes are the workhorses of the natural world. In the soil, they convert the essential elements of life into nutrients that can be absorbed by plants. They break down dead organic matter to release carbon and other critical elements back into the earth and air. And without the billions of microbes in our gut, humans wouldnt even be able to digest food and convert it into usable energy.
Yet despite the critical importance of microbes to life on Earth and their increasing usefulness in energy production, agriculture, and biotechnology we still know very little about how they do what they do. Thats because microbes are the most abundant and diverse life forms on the planet, with an estimated billion or more species, only a few thousands of which have been named and identified.
Now a groundbreaking project from the United States Department of Energy (DOE) is attempting to shine light on the unexplored branches of the tree of life by sequencing large numbers of unknown microbial genomes. The group published a study in Nature Biotechnology this week in which they analyzed 1,003 new genomes that were sequenced from bacterial and archaeal organisms.
This latest batch of microbial genomes not only confirms the tremendous genetic diversity of microbes, but adds to the growing catalog of microbe-produced proteins and enzymes that could one day transform medicine, energy production, genetic engineering, and various other fields.
RELATED:Fungal Genomic Breakthrough Unlocks a Gold Rush of New Drug Discoveries
Nikos Kyrpides leads the Genomic Encyclopedia of Bacteria and Archaea (GEBA) initiative at the DOEs Joint Genome Institute. He explained that the first 20 years of microbial genome sequencing focused on well-known microorganisms like viruses and pathogenic bacteria. In fact, by 2015, 43 percent of all sequenced bacterial genomes were strains from the same 10 pathogenic species.
But that narrow focus ignored large swaths of the phylogenetic family tree that left entire branches without a single representative genome. Armed with radically faster and more powerful sequencing technology, Kyrpidess group set out to catalog genomes representing the full diversity of microbial life on Earth. In 2009, they published an analysis of the first batch of 56 microbial genomes, in which they identified sequences of microbial DNA that pumped out entirely new proteins and enzymes.
We saw theres an enormous amount of discovery that can be done through the study of microbes for which we dont know anything about, said Kyrpides, who quickly proposed funding for a much larger sequencing effort.
This latest batch of more than 1,000 genomes included 845 singletons the only sequenced representative of their species. Analysis of the genomes also revealed a 10 percent increase in novel protein families.
Jonathan Eisen, an evolutionary biologist at the University of California Davis, helped launch the microbial genome encyclopedia project at the DOE. He said that the value of this open genomic reference library is twofold: first, it provides researchers worldwide with a more accurate catalog of the diversity of life; and second, it identifies new proteins and enzymes that can used for a variety of purposes, from developing new cures for chronic diseases to efficiently generating natural gas from biomass.
RELATED:We Can Now Extract the DNA of Rare Animals Preserved in Museum Jars
Eisen noted that data from the first 56 genomes analyzed in 2009 led to the discovery of new forms of cellulase, the enzyme that breaks down plant material for biofuel production. Researchers also scanned the growing genomic encyclopedia to find novel variants of the Cas9 protein that may improve upon the popular CRISPR gene-editing technology, said Kyrpides.
In its mission to fill the microbial gaps in the tree of life, the DOE team searched high and low for microbes that fell outside of the spotlight. The latest batch of 1,000 bacteria and archaea primitive single-celled organisms without a nucleus or membrane-bound organelles were sampled from extreme environments like oil springs, industrial waste sites, and the funkier corners of the human body.
The effort to sequence unknown microbes has already paid off in some appropriately unexpected ways. Eisen points to a 2015 paper that revealed some key differences between the gut microbes of modern Westerners and those living in the digestive tracts of a hunter-gatherer tribe in Peru. One microbe in particular, Treponema, was present in large numbers in the hunter-gatherers but almost non-existent in folks from Oklahoma. The researchers were able to match the mysterious gut microbes genome with its closest relative, a Treponoma species found in pigs, because it was already in the DOE encyclopedia.
Whats important to Eisen is that without the Genomic Encyclopedia of Bacteria and Archaea initiative, there would have been no reference point for Treponoma on the phylogenetic family tree. It demonstrates the value of plucking samples from every inch of the tree of life rather than focusing only on sources and systems that we deem most useful.
Heres this ostensibly really important member of the human microbiome, at least in these hunter-gatherer populations, that was completely missed by the Human Microbiome Project, Eisen said, referring to the National Institutes of Health project to sequence the most important good and bad microbes in the human gut.
RELATED:Methane-Eating Microbes Produce Food for Farmed Animals
Kyrpides recognizes that such a large-scale genome sequencing effort would have been prohibitively expensive and painfully slow even five years ago. But profound improvements in sequencing technology have opened the doors to unfettered exploration of microbial diversity. The key next-generation sequencing platforms used by the DOE group were Illumina and PacBio.
Technological improvements are also revolutionizing the application of this new genomic data, Eisen said. If a bioenergy or biomedicine company wants to experiment with a new protein or enzyme found in the encyclopedia, it no longer has to culture the particular microbe that produces the enzyme or extract and clone its DNA. Thats what the genome encyclopedia is for.
When you know the sequence that produces the protein or enzyme, you can actually order it from a company, said Eisen. You can type in the sequence of the gene youre interested in.
Using synthetic biology, Eisen explained, its possible to make that string of DNA from scratch and plug it into a lab-friendly microbe like yeast or E. coli to start pumping out gobs of the target enzyme for whatever purpose you want.
WATCH:Can Bacteria on Earth Help Us Find Alien Life?
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I Grew Up With Severe Eczemaand It Was Exhausting – Health.com
Posted: at 3:48 am
I was five years old when the first patches of eczema started appearing on my skin, but it would be another five years before I was officiallydiagnosed. At first, no one knew what the rash was. Even the doctors weren'tmuch help; they prescribed me all kinds of creams, but nothing worked. When I look back now, Im not sure if the doctors were stumped,or if they simply were havingtrouble communicating with my mother (at the time, her English wasn'tvery strong).
When the medications didn'twork, my mom tried home remedies. She would rub aloe vera on my skin, and I vaguely remember drinking something that was made of seeds.Neither worked. It wasn'tuntil I was 10 years oldat which point the patches had spread to my arms, legs, and facethat I sawa dermatologist, who gave me a shot. I cant remember what the shot was; the memory is kind of fuzzy, but I do recall that my skin got better afterward. I also left with a prescription for cortisone cream and the name of the condition that had been plaguingme for years: eczema.
My eczema was bad when I was young, but my middle-school years weremuch worse. There were times during my childhood when my skin would calm downand the condition would seem to be dormant. But once I enteredfifth grade, it was constant. Cortisone cream helped the itch, but it couldn'tstop the redness from spreading.I was young and active, and Id sweat in the hot California temperatures, which further aggravated my skin.
My classmates didn'thelp, either. I tried to wear pants as much as possible, but they still noticed my eczema and made fun of me. Girls would even try to fight me. I stuck up for myself, but it wasexhausting, andby the time I entered8thgrade, I couldn'ttake it anymore. Instead of going to class, I started skipping school to go to the beach alone. I didn'ttell anyone, not even my foster parents. I had probably missed about a semesters worth of days when I was finally caughta social worker came to visit me at school and realized I wasn'tthere.
The guidance counselor called me into her office. I knew she wasn'thappy with me, but I was shocked at her lack of compassion. When I told her I was skipping school because kids were teasing me about my skin, she refused to believe it. She also didn'tbelieve that I was alone all day, and kept asking, Where were you, really? Who were you with?I knew she was trying to imply that I was doing something wrong. Then she asked me what was around my mouth. Eczema, I told her. Again, she didn'tbelieve me. It was only when my foster mother came to the school and confirmed it that she finally backed down.
Once I got to high school, my situation improved. I transferred to a different school and joined the track team, which gave me a sense of unity. I was a little worried about wearing shorts at first, but my teammates were nice about it. When they saw my skin, they were worried about me! They were like, Are you okay? They were more curious than anything.
At one competition I went to, I ran into a girl I used to go to middle school with. The first thing she said when she saw me was, Oh wow, your skin looks so much better.
RELATED: 5 Things You Should Never Say to Someone With Eczema
I'm now 32and work inpublic relations. Its kind of stressful at times, because a big part of my job involves shaking hands with people and socializing. Theres a constant battle going on in my head whenever I meet someone new. I think, Are they going to notice my skin? Will they think Im contagious?
These days, I'm able to disguise my eczema pretty well, but I still have the occasional flare-up. Last year, in fact, I had a lot going on at work, and had just returned from the Dominican Republic when I noticed patches of redness on my fingers. I didn'teven realize it was eczema at first. The skin was peeling off, and it looked different from what was on my arms and legsalmost like ringworm. My doctor ran some tests, but when the results came back negative,he looked at my medical history and concluded that it was hand eczema.
Now, I try to be extra cautious. Stress is a big trigger for me, so I try to manage it the best I can. And things are different now that Im older. As a kid, I didnt have anyone I could talk to about my skin, but now that Im an adult, I can share my feelings with my close friends. It makes everything better when you talk about it with others.
As told to Maria Masters
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I Grew Up With Severe Eczemaand It Was Exhausting - Health.com
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The Risks and Benefits of Light Therapy for Atopic Dermatitis – Health.com
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Light therapy, also known as phototherapy, is a skin treatment thatharnesses the power of ultraviolet (UV) light to ease severe eczemasymptoms.It can be a potent weapon in the arsenal of treatments for people with difficult-to-treat atopic dermatitis, the most common type of eczema. But while light therapy can help improve symptoms, italso comes with risks.
Light therapy is generally reserved for adults and adolescents with widespreadeczema symptoms, or for those whose atopic dermatitis is not respondingto first-line treatments(such as gentle moisturizers or topical steroids). The treatment involves emitting UV light from special medical therapy lamps, and can helpreduce inflammation and itch. About 70% of people see an improvement insymptoms after light therapy, according to the National Eczema Association.
Narrowband ultraviolet B (UVB) light is the type of phototherapy usually recommended for the treatment ofatopic dermatitis, but there are also other types, such as UVA1 and broadband UVB phototherapy.
"Some may say [light therapy]is time-consuming because it includes many treatments and visits to the doctors, but its results are unrivaled," said Kim Nichols, MD, a Greenwich, Conn., dermatologist and cosmetic surgeon. "A successful response returns the skin to a normal appearance."
RELATED: 9 Things You Should Never Do If You Have Eczema
Still, light therapy isnot a panacea for every eczema sufferer. And experts stress that people with atopic dermatitis should speak totheir doctorabout the benefits and risks of this treatment first.
"We dont necessarily like to put people into it unless theres nothing else thats keeping them controlled," says Jon Hanifin, MD, professor of dermatology at Oregon Health & Science University in Portland.
For such patients, Dr. Hanifinusually puts themon an immunosuppressantmedication such ascyclosporinefor a limited period of time (cyclosporine can have worrisome side effects)until their skin isnt "all thickened and red and scratched." He then tapers them off the treatment while theyre building up their ultraviolet treatments with the goal of stopping inflammation.For these people, he explains, light therapy can be a bridge to healthier skin."UV is really good for them," he says. "But its not for everybody."
As with ultraviolet radiation from the sun, light therapy has risks. The most obvious is that exposure to UV radiation can produce genetic mutations that eventually lead to skin canceror, in rare cases,melanoma, the deadliest form of skin cancer.Men whose genitals are exposed to UV light may be at risk for genital cancer. Light therapy can prematurely age the skin, especially in people who are fair-skinned.
Patients typically wear goggles during light therapy sessions to guard against eye damage. Treatment can also cause burning, stinging, and redness.
Dermatologists are mindful of these risks, which is one reason why light therapy for atopic dermatitis is given in controlled doses, usually two to three times a week, and generally under physician supervision.
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When Treating Eczema in Babies, the Wet Look is In – PR Web (press release)
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Dr. Valerie Goldburt
New York, NY (PRWEB) June 14, 2017
The wet look is in. At least, that seems to be the case for treating the delicate skin of babies who have eczema, according to dermatologist, Valerie Goldburt, MD, PhD, with Advanced Dermatology PC. The importance of maintaining moisture in the skin of eczema patients has been long noted, Dr. Goldburt said. In an April 3, 2017 article, Pediatric Atopic Dermatitis Treatment and Management, published on the professional medical web site, Medscape, authors emphasized the importance of keeping eczema-affected skin hydrated. This is an optimal method for improving the skins resiliency against irritants and allergens in the environment. Hydration also maximizes the effects of topical therapies in the treatment of eczema, Dr. Goldburt said, citing the article.
Referred to as atopic dermatitis, eczema is a rash that makes the skin dry, scaly, and itchy. It frequently forms on the scalp or face, particularly on the cheeks. The non-contagious disorder affects 10-20% of children worldwide, according to the American Academy of Dermatology.
Both genetic and environmental factors cause atopic dermatitis, and we are still learning how these elements affect the immune system in pediatric skin, said Dr. Goldburt. We know this disorder runs in families. Maternal age at babys birth, the area of residence, and even gender with girls more likely to develop eczema these all appear to play a role.
Dr. Goldburt concurs with the authors of the Medscape article that infants with eczema be given lukewarm baths, no more than 10 minutes long, using only mild, unscented soaps. Baby shampoo can be used for eczema on the scalp, Dr. Goldburt said.
She advised parents who notice a rash appearing in their newborns or infants to contact a dermatologist for proper diagnosis and advice. Not everything is eczema, she stated.
Parents can get upset, thinking their newborn is developing atopic dermatitis, only to find out the baby has cradle cap, a common condition affecting the scalp and face and, sometimes, the neck, ears, or even armpits, Dr. Goldburt explained. The condition, which causes redness and scaly patches on the skin, is related to overproducing oil glands and will clear up on its own when the babys glands settle into a more natural routine.
Cradle cap does not cause any discomfort and is best treated by shampooing babys hair, she said. For infants who are diagnosed as having eczema, dermatologists can devise a treatment plan that will control itching, reduce skin inflammation, loosen and remove scaly skin lesions, prevent new ones from forming, and clear up potential infection, she said.
To help parents manage their infants eczema, Dr. Goldburt offers the following tips:
Skin is the largest organ in our body and the main barrier between us and the environment. Thats why good skin care is the most important thing parents can do for their child with eczema, Dr. Goldburt said.
Valerie Goldburt, MD, PhD, is board certified and specializes in medical and cosmetic dermatology at Advanced Dermatology P.C.
Advanced Dermatology P.C. and the Center for Laser and Cosmetic Surgery (New York & New Jersey) is one of the leading dermatology centers in the nation, offering highly experienced physicians in the fields of cosmetic and laser dermatology as well as plastic surgery and state-of-the-art medical technologies. http://www.advanceddermatologypc.com.
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Tofacitinib may be an effective treatment for nail psoriasis – 2 Minute Medicine
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1. In a posthoc analysis of 2, phase 3 randomized controlled trials of over 1000 patients with moderate-to-severe plaque psoriasis, tofacitinib (an oral Janus kinase inhibitor) treatment demonstrated significantly improved clinical nail psoriasis severity scores at 16 weeks compared to placebo.
Evidence Rating Level: 1 (Excellent)
Study Rundown: Psoriasis is a chronic, inflammatory skin disease associated with clinical manifestations of the nail that include pitting, onycholysis, subungual hyperkeratosis, and discoloration. Nail psoriasis may severely impair function and is associated with significantly greater disease severity and impact on patient quality of life than psoriasis without nail involvement. Tofacitinib is an oral Janus kinase inhibitor that has previously demonstrated efficacy and tolerability in phase 3 clinical trials of moderate-to-severe chronic plaque psoriasis. The purpose of this study was to assess the effect of tofacitinib on nail psoriasis.
This study is a post-hoc pooled analysis of two phase 3 clinical trials evaluating the efficacy of tofacitinib in 1196 patients with nail psoriasis. At the conclusion of the study, both the 5mg and 10mg twice-daily administrations of tofacitinb demonstrated clinically significant improvement in nail psoriasis compared to placebo at 16 weeks with effects maintained at 52 weeks. The results of this study support the use of tofacitinib as a potential treatment modality for nail psoriasis. This study is strengthened by its large sample size, multiple trial sites, randomization, double blinding, and comparison to placebo. The interpretation of study results is limited by the use of only objective measures to assess severity without incorporating subjective patient-reported outcomes. Moreover, non-responders were discontinued from the study at 28 weeks and not included in analysis. Multi-center prospective trials that include patient-reported outcome measures to assess improvements in severity may help improve the validity and of the study.
Click to read the study in JAAD
Relevant Reading: Tofacitinib, an oral Janus kinase inhibitor, for the treatment of chronic plaque psoriasis: results from two randomized, placebo-controlled, phase III trials
In-Depth [randomized controlled trial]: This study conducted a pooled posthoc analysis of two identical 52-week multi-site phase 3 randomized controlled trials evaluating the efficacy of tofacitinib in patients with moderate-to-severe chronic plaque psoriasis with nail involvement. Patients in both trials were randomized 2:2:1 to receive tofacitinib 5mg or 10mg, or placebo twice daily. Overall, this study identified 1196 patients with nail involvement of the original 1859 patients with psoriasis recruited in the initial studies. Patients were determined to be moderate-to-severe via a Psoriasis Area and Severity Index score 12, Physicians Global Assessment of moderate or severe, and affected body surface area 10%. Improvements in severity were assessed using the Nail Psoriasis Severity Index (NAPSI). The proportion of patients that demonstrated a 50%, 75% or 100% reduction from baseline in NAPSI score (NAPSI50, NAPSI75 and NAPSI100) were calculated and compared between treatment arms. Patients treated with tofacitinib demonstrated improvement in pitting, onycholysis, subungual hyperkeratosis, and discoloration. Moreover, treatment with tofacitinib demonstrated significantly greater proportions of patients that achieved NAPSI50, NAPSI75 and NAPSI100 compared to placebo at 16 weeks (p < 0.05). Furthermore, the mean number of affected nails decreased from 7.3 at baseline to 3.5 and 2.7 at 52-weeks for the 5mg and 10mg doses, respectively.
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Tofacitinib may be an effective treatment for nail psoriasis - 2 Minute Medicine
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