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Category Archives: Transhuman News
Federal Court finishes hearing legal argument in controversial cattle genome case – ABC Online
Posted: June 8, 2017 at 10:45 pm
The Federal Court has finished hearing an appeal against a patent granted to two US companies for identifying genetic traits in cattle.
Research and marketing bodies Meat and Livestock Australia (MLA) and Dairy Australia launched legal action against the patent holders, Cargill USA and Branhaven LLC, after losing an earlier appeal before the Australian Patent Office.
Cargill is a major global commodities giant, but did not defend the appeal, while little is known about Branhaven except that it acquired the patent after it bought many of the assets of a biotechnology company called Metamorphix when it liquidated in 2011.
A hearing into the matter started last month and ended on Wednesday afternoon, lasting six and a half days in total.
MLA, beef and dairy farmers, and livestock researchers allege the patent could restrict access to genomic testing and research into cattle genetics because it could give Cargill and Branhaven the right to license service providers or charge licensing fees for genomic testing.
These concerns were similar to those raised before the High Court in the landmark breast cancer gene case.
University of Queensland intellectual property expert Professor Matthew Rimmer told the ABC the case was a "test of the limits and boundaries" of what is patentable in Australia.
On both sides, some of Australia's top intellectual property lawyers argued before Justice Jonathan Beach, with Christian Dimitriadis SC appearing for Branhaven, and Katrina Howard SC appearing for MLA.
MLA argued before the court the broadest claim in the patent potentially extends to nearly two thirds of the cattle genome.
The patent, first written in 2003 and filed in Australia in 2010, describes a method for identifying genetic traits in cattle through the use of genetic markers called SNPs (single nucleotide polymorphisms and pronounced 'snips').
Genomic testing is increasingly used in the livestock sector to select animals with superior genetic traits (tender meat, better milk production).
(ABC News: Roxanne Taylor)
Genomic testing is increasingly used in the livestock sector to select animals with superior genetic traits (tender meat, better milk production).
It identifies 2,510 specific SNPs (there are billions through the genome), but it also lays claims to a large region (500,000 base pairs of DNA) either side of each of the 2,510 identified SNPs.
Much of the concern about the patent comes from the secondary claim because, although the field of genetics has advanced rapidly since 2003, and many millions more SNPs have been located since then, researchers believe their current work could still infringe on the patent.
This is because it includes the 500,000 base pairs of DNA either side of the SNPs actually identified in the patent.
"If this patent was concerned with human genes, there would be a public outcry," MLA's senior council Katrina Howard SC told the court.
"There's no good reason it should apply to cattle."
While MLA attacked the patent on almost every legal ground, a central pillar of its argument was that the method described for identifying the genetic markers was common knowledge before the patent was written in 2003.
They argued that work being done on the human genome, as well as scientific papers published before 2003, meant methods described in the patent was obvious to skilled geneticist.
But Branhaven said that work to map the bovine genome had just started, and was not finished until 2009 so therefore, the patent describes a significant and noteworthy achievement and invention.
No date has been set for a judgement in the matter.
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Federal Court finishes hearing legal argument in controversial cattle genome case - ABC Online
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Social experience tweaks genome function to modify future behavior – Medical Xpress
Posted: at 10:45 pm
June 7, 2017 by Claudia Lutz Professor of Cell and Developmental Biology Lisa Stubbs leads the Gene Networks in Neural & Developmental Plasticity research theme at the Carl R. Woese Institute for Genomic Biology at the University of Illinois. Credit: Don Hamerman
Mice have a reputation for timidity. Yet when confronted with an unfamiliar peer, a mouse may respond by rearing, chasing, grappling, and bitingand come away with altered sensitivity toward future potential threats.
What changes in the brain of an animal when its behavior is altered by experience? Research at the University of Illinois led by Professor of Cell and Developmental Biology Lisa Stubbs is working toward an answer to this question by focusing on the collective actions of genes. In a recent Genome Research publication, Stubbs and her colleagues identified and documented the activity of networks of genes involved in the response to social stress.
"The goal of this study was to understand the downstream events in mice, and how they are conveyed across interacting brain regions . . . how they might set the stage for emotional learning in response to social threat," said Stubbs. Answers to these questions could help scientists understand how the brains of other animals, including humans, generate social behavior, as well as what goes wrong in disorders of social behavior.
The new results are part of a large-scale research project funded by the Simons Foundation that is headed by Stubbs and includes many of her coauthors, including first authors Michael Saul and Christopher Seward. Stubbs, Saul, Seward, and other coauthors are members of the Carl R. Woese Institute for Genomic Biology (IGB); Saul is an IGB Fellow and Seward is a graduate student.
An aggressive encounter between two mice is just one strand of the web of interactions that connects a population of social animals. Like individuals in a community, the genes in a genome cannot be completely understood until their relationships to one another are examined in context, including how those relationships may change across different tissues and over time.
Stubbs' team wanted to gather information that would allow them to construct this type of comprehensive gene network to reflect how the brain of a social animal responds to an aggressive encounter. They staged a controlled encounter between pairs of mice; one mouse in its home cage, and a second, unfamiliar mouse introduced behind a screen. The presence of the intruder mouse created a social challenge for the resident mouse, while the screen prevented a physical encounter.
The researchers then quantified the activity of genes in several different regions of the brain associated with social behaviorsthe frontal cortex, hypothalamus, and amygdalaand at several time points in the two hours following the encounter. In analyses of the resulting data, they looked for groups of genes acting together. In particular, they sought to identify transcription factors, genes whose protein products help control other genes, that might be orchestrating the brain's molecular response.
Stubbs was excited to discover that the results mirrored and expanded upon previous work in other species by collaborators at the IGB, including work by the laboratory of Director Gene Robinson in honey bees.
"As we examined the regulatory networks active in the mouse brain over time, we could see that some of the same pathways already explicated in honey bees... were also dysregulated similarly by social challenge in mice," she said. "That cross-species concordance is extremely exciting, and opens new doors to experimentation that is not being pursued actively by other research groups."
Among the genes responding to social challenge were many related to metabolism and neurochemical signaling. In general terms, it appeared that cells in the brains of challenged mice may alter the way they consume energy and communicate with one another, changes that could adjust the neural response to future social experiences.
The researchers looked for associations between genes' responses to social experience and their epigenetic state. How different regions of DNA are packaged into the cell (sometimes referred to as chromatin structure) can influence the activity of genes, and so-called epigenetic modifications, changes to this structure, help to modify that activity in different situations.
"We found that the chromatin landscape is profoundly remodeled over a very short time in the brain regions responding to social challenge," said Stubbs. "This is surprising because chromatin profiles are thought to be relatively stable in adult tissues over time." Because such changes are stable, they are sometimes hypothesized to reinforce long-term behavioral responses to experience.
Stubbs and her colleagues hope that by identifying genomic mechanisms of social behavior that are basic enough to be shared even between distantly related animal species, they can discover which biological mechanisms are most central.
"The most exciting thing in my view is using [comparisons between species] to drill through the complex response in a particular species to the 'core' conserved functions," she said, "thereby providing mechanistic hypotheses that we can follow by exploiting the power of genetic models like the mouse."
Explore further: Different species share a 'genetic toolkit' for behavioral traits, study finds
More information: Michael C. Saul et al, Transcriptional regulatory dynamics drive coordinated metabolic and neural response to social challenge in mice, Genome Research (2017). DOI: 10.1101/gr.214221.116
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Social experience tweaks genome function to modify future behavior - Medical Xpress
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New Technology Dives Deep Into the Cancer Genome – Technology Networks
Posted: at 10:45 pm
In a study of 124 patients with advanced breast, lung, and prostate cancers, a new, high-intensity genomic sequencing approach detected circulating tumor DNA at a high rate. In 89% of patients, at least one genetic change detected in the tumor was also detected in the blood. Overall, 627 (73%) genetic changes found in tumor samples were also found in blood samples with this approach.
The study was featured in a press briefing on June 3rd and presented at the 2017 American Society of Clinical Oncology (ASCO) Annual Meeting.
This innovative approach using high-intensity sequencing to detect cancer from circulating tumor DNA in the bloodstream heralds the development of future tests for early cancer detection.
The high-intensity sequencing approach used in this study has a unique combination of breadth and depth. It scans a very broad area of the genome (508 genes and more than two million base pairs or letters of the genome, i.e. A, T, C, and G) with high accuracy (each region of the genome is sequenced or read 60,000 times), yielding about 100 times more data than other sequencing approaches. This enormous amount of data will be instrumental in developing a blood test to detect cancer early.
This approach, however, differs from liquid biopsies, including commercial tests, which only profile a relatively small portion of the genome in patients already diagnosed with cancer for the purpose of helping monitor the disease or detect actionable alterations that can be matched to available drugs or clinical trials.
Our findings show that high-intensity circulating tumor DNA sequencing is possible and may provide invaluable information for clinical decision-making, potentially without any need for tumor tissue samples, said lead study author Pedram Razavi, MD, PhD, a medical oncologist and instructor in medicine at Memorial Sloan Kettering Cancer Center (MSK) in New York, NY. This study is also an important step in the process of developing blood tests for early detection of cancer.
Circulating tumor DNA is a term used to describe the tiny pieces of genetic material that dying cancer cells shed into the blood circulation. To create a picture of the entire genomic landscape of the tumor from circulating tumor DNA, scientists read each tiny fragment and then piece them together as a puzzle. In the bloodstream, circulating tumor DNA is only a small subset of the total cell-free DNA, as most circulating fragments of genetic material come from normal cells.
About the Study
The researchers prospectively collected blood and tissue samples from 161 patients with metastatic breast cancer, non-small-cell lung cancer (NSCLC), or castration-resistant prostate cancer. Thirty-seven patients were excluded due to unavailability of the results of the genetic analysis of the tumor or cell-free DNA samples. For 124 evaluable patients for concordance analysis, researchers compared genetic changes in the tumors to those in circulating tumor DNA from the blood samples.
Tumor tissues were analyzed using MSK-IMPACT, a 410-gene diagnostic test that provides detailed genetic information about a patients cancer. In each blood sample, the researchers separated the plasma, the liquid part of the blood, from the blood cells. The cell-free DNA extracted from the plasma and, separately, the genome of white blood cells were then sequenced using the high-intensity, 508-gene sequencing assay.
Finding tumor DNA in the blood is like looking for a needle in a haystack. For every 100 DNA fragments, only one may come from the tumor, and the rest may come from normal cells, mainly bone marrow cells, said Dr. Razavi. Our combined analysis of cell-free DNA and white blood cell DNA allows for identification of tumor DNA with much higher sensitivity, and deep sequencing also helps us find those rare tumor DNA fragments.
Patients tumors may have various genetic changes; there can be different changes in different parts of the same tumor, as well as in different sites where the tumor spreads in the body. For these reasons, sequencing over very broad regions of the genome is critically important to identify the multitude and diversity of genetic changes in the tumor.
Key Findings
In 89% of patients, at least one genetic change detected in the tumor was also detected in the blood (97% in metastatic breast cancer patients, 85% in those with NSCLC, and 84% in those with metastatic prostate cancer). Overall, including all genomic variations present in most if not all tumor cells (clonal) as well as those present only in subsets of the cancer cells (subclonal) from tumor tissue, the researchers detected a total of 864 genetic changes in tissue samples across the three tumor types, and 627 (73%) of those were also found in the blood.
Importantly, without any prior knowledge from the analysis of tumor tissue, 76% of actionable mutations (genetic changes that can be matched to an approved targeted therapy or one being tested in clinical trials) detected in tissue were also detected in blood.
Prior research in the field has primarily focused on using knowledge from tumor tissue sequencing to identify specific changes to look for in circulating tumor DNA. This approach allows us to detect, with high confidence, changes in circulating tumor DNA across a large part of the genome without information from tumor tissue, said Dr. Razavi. While circulating tumor DNA tests targeting a smaller set of cancer genes are already available for use in routine practice to guide care, by covering a much larger number of cancer genes, this high-intensity sequencing approach may enable development of future tests for early detection of cancer.
Next Steps
The high-intensity sequencing approach used in this study is a research platform and is not intended to be commercially available to patients. To understand the current performance and potential of this assay, the researchers first tested it in advanced cancer, an area where circulating tumor DNA has been previously characterized.
This study will inform development of technology for a future test that could eventually be used as a blood test for early cancer detection. In patients undergoing cancer screening, tumor tissue is not available, and we will need to detect changes in circulating tumor DNA without prior knowledge of tissue analysis results, said Dr. Razavi.
Advantages of Liquid Biopsy Genomic changes can differ between various areas within a tumor, as well as among the different organs where the cancer has spread. A circulating tumor DNA test provides a summary report of all the genomic changes in the primary tumor and metastases. In contrast, a tissue biopsy, which typically takes only a small piece of the tumor, sometimes misses key genetic changes that fuel cancer growth.
Another advantage of liquid biopsy is its ability to capture genomic changes in real time, helping guide treatment planning without the need of additional conventional tissue biopsies. Genomic changes evolve as the cancer grows and spreads. New changes may lead to cancer recurrence or resistance to treatment. A liquid biopsy test requires only a simple blood draw. It is generally safe and convenient to repeat, allowing doctors to keep easier track of new mutations.
This study was funded in part by GRAIL, Inc.
This article has been republished frommaterialsprovided byASCO. Note: material may have been edited for length and content. For further information, please contact the cited source.
The full abstract be be viewed here.
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Excoriation, and What It Means for People With Atopic Dermatitis – Health.com
Posted: at 10:44 pm
Excoriation: Its a scary word for a really common problem among people with unrelenting itch due to atopic dermatitis.
Excoriations really mean scratch marks, said Adelaide Hebert, MD, professor of dermatology and pediatrics at the University of Texas Health Science Center at Houstons McGovern Medical School.
Its an issue, she said, because when people with this chronic, inflammatory skin condition scratch themselves, they further destroy their already defective skin barrier.
The trouble is atopic dermatitis is extremely itchy. People who have it often cannot resist the urge to dig their nails into their skin, and scratching can worsen skin symptoms, which causes more itching.
Say you have an itch you cant scratch. I have that feeling all the time, confessed Natalie Zill, a 24-year-old resident of Ventura, Calif., whose atopic dermatitis reemerged threeyears ago.
Itll be so bad that Im scratching til Im bleeding, she said. It looks probably like Im a burn victim.
RELATED:The Best Ways to Cope With Eczema on Your Face, According to Dermatologists
The skin is the bodys largest organ. Normally, it retains moisture and hinders external threats, preventing germs and allergens from entering the body. But in people with atopic dermatitisthe most common form of eczematheir suit of armor is compromised. Scientists think it has something to do with defects in the skin due to a genetic mutation of the fillaggrin gene.
As a result, allergens and irritants that trigger skin symptoms can sneak through.
I tell my patients to think about their skin being covered in polka dots. The water can come out and the trigger factors can come in, Dr. Hebert said.
Scratching also creates a port of entry for viral and bacterial infections. And people with atopic dermatitis have more Staphylococcus aureus (a common bacterial cause of skin infections) residing on their skin, so when they scratch, they introduce the Staph into their skin, she said.
Other germs can invade the body as well.
When the herpes simplex virus (which causes cold sores or fever blisters) enters the skin though a deep scratch or open wound, eczema sufferers can acquire eczema herpeticum, a dangerous complication that can lead to widespread infection and even death.
Relentless scratching also thickens the skin, and those thick skin patches dont respond to topical treatments, says Jon Hanifin, MD, professor of dermatology at Oregon Health & Science University in Portland.
We dont want them to thicken their skin; we want them to stop scratching. But we cant tell them to do that; we have to use good medicines to make them stop, he said.
Theres a greater risk of scarring if the excoriations become infected, Dr. Hebert cautioned. Fortunately, skin is resilient. It can rebound from superficial scratch marks. And most excoriations arent deep enough to leave a scar, anyway, she said.
Most often, these excoriations will resolve, she says. They can indeed scar, but for the most part they do not.
RELATED:The 7 Best Lotions for Eczema
People can also get post-inflammatory hyperpigmentation. Thats a temporary darkening where the skin was inflamed or injured due to eczema rashes or scratching. It goes away, but it may take a couple of years for the discoloration to fade, Dr. Hebert said.
Patients with excoriations can begin the healing process by taking steps to repair their damaged skin barrier. Having an action plan for dealing with excoriations and preventing symptom flare-ups, including a rigorous bathing-and-moisturizing routine, is crucial.
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Taking bleach baths may be one way to prevent infection in people with excoriations. The American Academy of Allergy, Asthma &Immunology recommends adding one-half cup of household bleach to a full tub of water. Soak for 10 minutes twice a week. Rinse with fresh water, pat dry, and moisturize. (Parents, consult your pediatrician or dermatologist before giving your child a bleach bath.)
To repair the skin barrier, people with eczema also need to replenish the skins ceramides, which are naturally occurring fat molecules that help keep skin moist. People with atopic dermatitis have lower levels of these fatty substances in their skin, even when their skin looks normal and isnt itchy, Dr. Hebert explained. Applying ceramide-containing creams 2 to 3 times a day is very helpful, she said.
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Excoriation, and What It Means for People With Atopic Dermatitis - Health.com
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Eczema and psoriasis? THIS part of your morning routine could be triggering skin problems – Express.co.uk
Posted: at 10:44 pm
GETTY
However, having a shower could be making them worse - if you live in a hard water area, that is.
This type of water is supplied to 60 per cent of UK homes, including the south east and east midlands.
However its been suggested that it aggravates skin conditions like eczema and psoriasis.
There are currently 1.7 million people in the UK with eczema, and cases have risen by 40 per cent in recent years.
GETTY
When the skin's barrier function is compromised, such as in eczema, the minerals can enter the skin as allergens causing inflammation and worsening eczema.
Dr Sharon Wong
Its a condition that causes the skin to become itchy, red, dry and cracked, according to the NHS.
Dr Sharon Wong, consultant dermatologist (www.drsharonwong.com), said: Hard water does not directly cause eczema but is a common aggravating factor in those who are genetically predisposed to developing eczema.
Hard water, which has a greater mineral content - mainly calcium and magnesium ions - has been linked to an increased risk of eczema and more severe disease in children.
When the skin's barrier function is compromised, such as in eczema, the minerals can enter the skin as allergens causing inflammation and worsening eczema.
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Similarly, psoriasis - which affects two to three per cent of the UK population - causes red, flaky, crusty patches of skin covered with silvery scales.
Whilst there is no evidence that hard water causes psoriasis, the fact that the minerals in hard water have a drying effect on the skin can worsen psoriasis and other dry skin problems, she explained.
Whether the water that comes out of your tap is soft or hard depends on the geology of your area, but there are ways to minimise or stop its negative effects on your skin.
Dr Wong added: This can be minimised by installing a water softener, using bath oils not bubble bath and using emollient/cream washes instead of soap.
GETTY
Both bubble bath and soaps contain surfactant which strips away the natural oils of your skin. Finally, using a regular and good moisturiser helps because it forms a protective layer on the skin thus preventing further fluid loss.
Sukhbinder Noorpuri, GP and CEO of i-GP, said: Hard water contains dissolved minerals such as calcium and magnesium. When used with soaps and detergents, this leaves a skin residue which blocks pores trapping oil, leading to irritation, dryness, blemishes and itching.
A water softener will reduce these skin issues, and convert the minerals found in hard water, into more soluble minerals that are less harmful for the skin.
Ecocamel have created the Shower Head ORB SPA which can convert hard water into soft water.
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Eczema and psoriasis? THIS part of your morning routine could be triggering skin problems - Express.co.uk
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Plaque Psoriasis Treatment Market Estimated to Flourish by 2017 … – Digital Journal
Posted: at 10:44 pm
Psoriasis increases the chances of myocardial infarction in younger psoriasis patients by three folds.
This press release was orginally distributed by SBWire
New York, NY -- (SBWIRE) -- 06/08/2017 -- Plaque psoriasis is a chronic, autoimmune inflammatory disorder which leads to overproduction of skin cells. The skin is characterized by inflamed, raised, scaly, red plaques and lesion. The intensity and frequency of psoriasis are affected by environmental factors such as sun exposure, smoking, HIV infection, and alcoholism. Metabolic syndrome and cardiovascular disease are common in psoriasis patients. Psoriasis increases the chances of myocardial infarction in younger psoriasis patients by three folds.
Moreover, severe psoriasis leads to 3.5 years reduced life expectancy in males relative to individuals without psoriasis. Psoriasis arthritis is a distinct syndrome which occurs in one-third of psoriasis patient with the onset of rheumatic arthritis.
Psoriasis plaque are distinguished by three features, an infiltrate featuring T-cells, the extravagant growth of poorly differentiated keratinocytes and the presence of dilated dermal blood vessels. Most of the introduced therapies for psoriatic were developed as to target T-cells or their inflammatory mediators including cytokines, receptors, and ligands.
Plaque Psoriasis Treatment Market: Dynamics
The demand for plaque psoriasis treatment market is expected to boom with the increasing number of pipeline psoriasis molecule and the number of biologics being launched. Janssen Biotec is seeking for the market approval of Guselkumab. The molecule is in the Phase III trial as a subcutaneous administered therapy for the treatment of plaque psoriasis.
Moreover, Gelantin Therapeutics Inc. announced positive data from its phase 2 study of its drug GR-MD-02 to treat moderate-to-severe plaque psoriasis. The company is now seeking for strategic partnership for its drug development program.
The advent of biologics has also shifted the preference from systemic therapy to meet the existing need. The systemic therapy suppresses the entire immune system as the clinician needs to do routine laboratory monitoring because of myelosuppression, hematologic side effects and increased renal and liver toxicity. Moreover, the systemic therapy is also contraindicated in nursing mothers, pregnant women, and individuals with kidney and liver diseases.
Around 125 million people worldwide have psoriasis out of which 80%, have plaque psoriasis. The need for safe plaque psoriasis therapy in children is essential as about one-third of the psoriasis cases are in children. Etanercept was approved by the DA as an extended indicated for children of age 4 and above.
Phototherapy and systemic therapy should only be used in cases where a topical treatment is inadequate. Novel systemic treatments are now being introduced where a range of biologics are sed. The mode of treatment follows a psoriasis treatment ladder. Initially, topical treatment is given, if the skin fails to respond then phototherapy is given. The third step involves the use of systemic treatment which may be through the administration of pills or injection.
TNF-? inhibitor was the first class of biologics which were successful in delivering the treatment while still maintaining the safety profile. Enbrel was the first molecule to be approved followed by Remicade and Humira. The introduction of these molecules increased the overall sales of the psoriasis drugs and also increased the physician's comfort and familiarity.
Plaque Psoriasis Treatment Market: Region-wise Outlook
North America region dominates the plaque psoriasis market owing to the increasing approval of pipeline drugs and supplemental biologics. In November 2016, the FDA approved supplemental biologics license for the use of Etanercept for children aged four and older having moderate-to-severe plaque psoriasis. The approval is the first of its kind indicated for the treatment of adults with moderate-to-severe plaque psoriasis. Amgen had performed a year-long phase 3 study and 5-year open-label extension testing for the approval.
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AsiaPacific is expected to be the fastest-growing region owing to the huge population base and changing lifestyle habits such as smoking. Moreover, the global market players are also exploring the developing market. Novartis launched its Cosentyx in Japan for the treatment of psoriasis arthritis in adults who are not adequately responding to systemic therapy.
Plaque Psoriasis Treatment Market: Market Players
Company manufacturer is converting innovative research into a new therapy by constantly investing in research activities. The number of drugs approved for plaque psoriasis is constantly increasing the number of treatment options for the physician and patients. Eli Lilly's interleukin inhibitor was approved by the FDA, second molecule to be approved after Novartis Cosentyx.
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Some of the plaque psoriasis treatment market contributors are Allergan, Johnson and Johnson, Amgen, Abbvie, Eli Lilly, Dermira Inc., Novartis, Galectin Therapeutics, Cellceutix Corporation and Biogen Inc., Bayer.
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Study: Mutated Gene Tied to Irregular Heartbeat – UMB News
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Heart disease kills more than 600,000 Americans every year, which translates to more than one in every four deaths. Although lifestyle choices contribute to the disease, genetics play a major role. This genetic facet has remained largely mysterious. But new research by scientists at the University of Maryland School of Medicine (UMSOM) has identified what may be a key player: a mutated gene that leads to irregular heartbeat, which can lead to a dangerously inefficient heart.
The findings were published June 7 in the journal Science Advances. The senior author of the study, Aikaterini Kontrogianni-Konstantopoulos, PhD, is a professor of biochemistry and molecular biology at UMSOM.
The study is the first to illuminate details of how this particular gene, which is called OBSCN, works in heart disease. The gene produces proteins known as obscurins, which seem to be crucial to many physiologic processes, including heart function.
University of Maryland School of Medicine Professor Aikaterini Kontrogianni-Konstantopoulos, PhD, studies the OBSCN gene and obscurin proteins.
This study gives us new information about the involvement of obscurins in the mechanics of heart disease, said Kontrogianni-Konstantopoulos. It suggests that people carrying a mutated version of OBSCN may develop heart disease.
For almost two decades, Kontrogianni-Konstantopoulos has been studying the OBSCN gene and obscurin proteins. Research has found that the gene is often mutated; some of these mutations may play a role in heart disease and certain cancers. She and her colleagues have recently shown that one mutation may play a role in the development of congenital heart disease. However, the cell processes that are affected by the OBSCN mutation have remained largely a mystery.
In this latest study, Kontrogianni-Konstantopoulos and her team unraveled this question. They focused on a mutation that has been linked to an enlarged heart, also known as hypertrophic cardiomyopathy. In this condition, the heart muscle becomes thickened and scarred, and has trouble pumping blood. She created a strain of mouse that carries the mutation, and then divided the animals into three groups: a group that experienced no stress, one that experienced moderate stress, and one that experienced significant stress.
She found that animals in the no-stress group developed irregular heartbeat, also known as arrhythmia. The mildly stressed animals developed thickened hearts, and the severely stressed animals developed hearts that were scarred and ineffective.
Kontrogianni-Konstantopoulos is one of several scientists who first discovered OBSCN in 2001. Prior to that it was all but unknown, hence its name. Since then, she has studied the gene, focusing on its role in both heart disease and cancer. She currently has several other ongoing studies of its effects in both heart disease and cancer.
It is not clear exactly how the mutated OBSCN gene causes heart problems. Her study is the first one to examine this question in relation to the obscurin mutations. She and her colleagues found evidence that the particular mutation they focused on may affect the ability of a protein called phospholamban to regulate the movement of calcium in heart muscle cells; this movement plays a crucial role in controlling how the heart contracts and relaxes. If this process goes awry, the heart does not function properly.Kontrogianni-Konstantopoulos says this work could eventually lead to targeted therapies for people who have OBSCN mutations.
Heart disease is one of our most urgent national health issues, said UMSOM Dean E. Albert Reece, MD, PhD, MBA, who is also the vice president for medical affairs, University of Maryland, and the John Z. and Akiko K. Bowers Distinguished Professor. Dr. Kontrogianni-Konstantopoulos has elucidated this new aspect of the molecular basis of at least some cardiovascular illness. I look forward to seeing what she and others do to further build on this new discovery.
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Gene-Targeted Drugs Fight Advanced Lung Cancers – Montana Standard
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MONDAY, June 5, 2017 (HealthDay News) -- Two drugs that target genetic flaws are giving people with specific types of advanced lung cancer a chance to live longer and better, a pair of new clinical trials finds.
A newly approved drug called alectinib (Alecensa) works twice as long as the current standard medication in halting cancer growth in patients with ALK-positive non-small cell lung cancer, results from a new global clinical trial show.
ALK is a gene that produces a protein that helps cancer cells grow and spread, according to the American Cancer Society (ACS).
In another study, an experimental drug called dacomitinib delayed cancer growth by about half in non-small cell lung cancer patients who had a mutation of the epidermal growth factor receptor (EGFR) that caused cancer cells to grow faster, a second trial reported. Non-small cell lung cancers comprise most lung cancer cases.
EGFR is a substance normally found on cells that helps them grow and divide, the ACS says.
The drugs, alectinib in particular, will let people live months or years longer just by taking a daily pill, said Dr. Bruce Johnson, chief clinical research officer at Dana-Farber Cancer Institute in Boston. Johnson is also incoming president of the American Society of Clinical Oncology (ASCO).
Alectinib works more than a year longer than crizotinib (Xalkori), which itself supplanted chemotherapy a few years back because it proved more effective with fewer side effects, Johnson said.
"This is kind of a game changer, because the drug itself works at least for two years, plus there are other treatments" that can be substituted when it ultimately becomes ineffective, Johnson said of alectinib. "We used to have to tell these patients 10 or 15 years ago that you've got eight months to a year. Now they most likely have years."
Both of these genetically driven forms of lung cancer are more common in nonsmokers, the ACS says.
The studies were both funded by the drug manufacturers. Hoffmann-La Roche funded the alectinib study. Pfizer and SFJ Pharmaceuticals Group funded the dacomitinib study.
The first clinical trial revealed that alectinib halts lung cancer growth for about 26 months on average. That compared to about 10 months on average for crizotinib, the drug now used as front-line treatment for ALK-positive patients.
Alectinib also works 84 percent better than crizotinib at preventing spread of advanced lung cancer to the brain, because it is better able to penetrate into the brain and kill cancer cells there, said lead researcher Dr. Alice Shaw, director of thoracic oncology at Massachusetts General Hospital Cancer Center in Boston.
About 5 percent of non-small cell lung cancer cases are ALK-positive. That means they have a genetically abnormal protein that fuels cancer growth. In the United States, about 12,500 people are diagnosed with ALK-positive non-small cell lung cancer each year, researchers said in background information.
Alectinib already is approved in the United States as a treatment for ALK-positive patients who no longer respond to crizotinib, Shaw said.
The results should "establish alectinib as the new standard of care" for ALK-positive lung cancer patients, rather than crizotinib, Shaw said.
ASCO expert Dr. John Heymach agreed, calling the clinical trial a "watershed moment."
Not only did the drug work better and longer, but it also produced fewer side effects in patients, noted Heymach, chair of thoracic/head and neck oncology for the University of Texas MD Anderson Cancer Center in Houston.
The most common side effects for alectinib were fatigue, constipation, muscle aches and swelling, while crizotinib patients most often suffered from gastrointestinal problems and liver enzyme abnormalities, according to the researchers.
The second clinical trial compared a new drug, dacomitinib, to the current standard targeted drug gefitinib (Iressa) in treating EGFR-positive lung cancer.
Each year about 15,000 people in the United States are diagnosed with EGFR-positive lung cancer, which involve mutations that increase the growth of cancer cells, researchers said in background notes.
Dacomitinib blocked EGFR mutations more effectively than first-generation drug gefitinib, providing a 41 percent lower chance of cancer progression or death, researchers found. On average, dacomitinib halted cancer growth for 14.7 months in patients, compared with 9.2 months with gefitinib.
"From the perspective of doctors who treat lung cancer daily, this is really a substantial advance," Heymach said, noting that the results put the drug "at the front of the pack in terms of efficacy."
However, dacomitinib also created more side effects, including acne in about 14 percent of patients and diarrhea in 8 percent of patients. Doctors wound up reducing the dosage in about 66 percent of patients as a result of side effects, said lead researcher Dr. Tony Mok, chair of clinical oncology at the Chinese University of Hong Kong.
Heymach said the side effects are "not life-threatening toxicities."
"These are toxicities that doctors who treat this for a living become accustomed to managing," Heymach said.
"At the end of the day, I think we now have one additional choice" in treating EGRF-positive non-small cell lung cancer, Mok concluded, adding that dacomitinib should be considered as a new first-line alternative treatment. The drug has not received FDA approval.
Neither of the tested drugs will be cheap. "Almost all these targeted drugs are thousands of dollars per month," Johnson said.
The results of both trials were scheduled to be presented Monday at ASCO's annual meeting, in Chicago. The findings were also being published June 6 in the New England Journal of Medicine.
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Gene variants relate to risk of respiratory infections and AOM – ModernMedicine
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Certain polymorphisms in mannose-binding lectin (MBL) and toll-like receptors (TLRs), genes that have a role in the innate immune system, promote susceptibility to or protection against respiratory and rhinovirus infections and acute otitis media (AOM), according to a study in Finnish infants.
Researchers followed 923 children from birth to age 2 years for respiratory infections, relying primarily on daily parental diaries. When respiratory symptoms developed, investigators obtained nasal swabs, on which polymerase chain reaction and antigen tests were performed to detect respiratory viruses. Nasal swabs also were collected during scheduled visits at 2, 13, and 24 months, and blood samples were obtained when the infants were 2 months old. Investigators recorded almost 4000 episodes of acute respiratory infections, with rhinovirus the sole agent in 59%.
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Of the study children, about one-third had variant types of MBL; more than half had variants of TLR3 and TLR8, with smaller proportions having variants of TLR2, TLR4, and TLR7. The MBL polymorphisms were associated with an increased number of days per year with symptoms of respiratory infection and with an increased risk of rhinovirus-associated AOM. The TLR8 polymorphisms were tied to an increased risk of recurrent rhinovirus and the TLR2 variants with recurrent AOM, whereas TLR7 polymorphisms decreased the risk of recurrent rhinovirus infections (Toivonen L, et al. Pediatr Infect Dis J. 2017;36[5]:e114-e122).
Thoughts from Dr Burke
Dr Barton Childs, the late, legendary Johns Hopkins geneticist, was well known for asking at every case conference: Why does this child have this condition at this time? Studies like this one bring us closer to being able to answer Dr Childs question.
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Inherited, rare skin disease informs treatment of common hair disorders, study finds – Medical Xpress
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June 8, 2017 Hair thinning in a human patient and mouse with inherited loss of function mutations in WNT10A is shown. Credit: Michael Passanante and Mingang Xu, PhD
It is almost axiomatic in medicine that the study of rare disorders informs the understanding of more common, widespread ailments. Researchers from the Perelman School of Medicine at the University of Pennsylvania who study an inherited disorder of skin, hair follicles, nails, sweat glands, and teeth called hypohidrotic ectodermal dysplasia (HED) have identified a mechanism that may also be disrupted in male pattern baldness, a more common condition. They published their findings this week in Nature Communications.
About one in 5,000 to 10,000 people are thought to have HED, although this may be an underestimate of its actual prevalence as this condition is not always diagnosed correctly. HED is most frequently caused by mutations in the EDA, EDAR, EDARRAD and WNT10A genes. In addition to its association with HED, mutations in WNT10A are the most common genetic defect observed in people who are born missing one or more teeth, but do not display other characteristics of the disease. These milder WNT10A mutations occur surprisingly frequently, in about 1 to 2 percent of the population. Interestingly, a variant of the WNT10A gene associated with lower levels of its protein's expression has been linked to a greater likelihood of male pattern baldness, according to a recent genome-wide association study.
"By analyzing mice with the WNT10A mutation, as well as tissues from human patients with WNT10A mutations, we found that WNT10A regulates the proliferation, but not the maintenance, of stem cells in hair follicles," said Sarah Millar, PhD, vice chair for Basic Research in the Department of Dermatology. "Together with a previously published genome-wide association study, our findings suggest that lower levels of WNT10A may contribute to male pattern baldness in some individuals."
The team made mouse models for WNT10A-associated HED by deleting the Wnt10a gene. The mutant mice displayed the same symptoms as HED patients with severe loss of function mutations in the WNT10A gene. Long-term absence of WNT10A leads to miniaturization of hair follicle structures and enlargement of the associated sebaceous glands, a phenomenon that is also observed in male pattern baldness.
Millar's group and her clinical collaborators, including Emily Chu, MD, PhD, an assistant professor of Dermatology and John McGrath, MD, from King's College, London, also discovered that cracking and scaling of palm and foot sole skin in WNT10A patients is due to decreased expression of a structural protein called Keratin 9, which is specifically expressed in these regions of skin and contributes to its mechanical integrity.
"Our studies took us back and forth between human patients and our mouse model," said Millar. "Our goal was to find what happened to cellular components affected by the WNT10A mutation to make better treatments."
Millar's group showed that decreased proliferation and Keratin 9 expression in the absence of WNT10A resulted from failure of signaling through a well-characterized pathway that stabilizes a protein called beta-catenin, allowing it to enter the cell nucleus and activate gene transcription.
These findings indicate that small molecule drugs that activate the beta-catenin pathway downstream of WNT10A could potentially be used to treat hair thinning and palm and sole skin defects in WNT10A patients. These agents may also be useful for preventing hair loss in a subgroup of people with male pattern baldness.
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Inherited, rare skin disease informs treatment of common hair disorders, study finds - Medical Xpress
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