Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Monday, 19 November 2012
Posted By:
Unknown
DNA Packaging Discovery Reveals Principles by Which CRC Mutations May Cause Cancer (Eagle Group- Nov19, 2012)
The discovery, by Bradley R. Cairns, PhD, Senior Director of Basic
Science at HCI and a professor in the Department of Oncological Sciences, is
reported in this week's online issue of the journal Nature.
Cairns's research focuses on chromatin remodeling complexes
(CRCs), which are cellular protein complexes that behave like motors, expanding
or compacting different portions of DNA to either express or silence genes,
respectively. Before, scientists thought that the motor within CRCs waits at
rest until it receives instructions. Cairns and co-author Cedric R. Clapier
show that the motor within a key CRC responsible for gene packaging and
assembly is intrinsically turned on, and instead requires specific instructions
to turn it off.
"Many articles in the research literature show that CRCs are
mutated in cancer cells. They are intimately involved in regulating gene
expression -- responsible for correctly packaging genes that control growth
proliferation and for unpackaging tumor suppressors," said Cairns.
"This research reveals principles by which CRC mutations could cause cancer."
Chromosomes are made of long DNA strands compressed around nodes
of protein called nucleosomes; when DNA is compressed, the genes in that area
are turned off. Some CRCs, called disassembly CRCs, act as motors that unwind
sections of DNA chains, making genes active for a given cell process. Another
type, called assembly CRCs, rewinds the DNA chain, recompressing it when the
process is complete. The unwind-rewind cycle is repeated continuously
throughout a cell's life.
In this study, Cairns and Clapier focused on assembly CRCs.
"Before this research, we thought that the motor was off unless a protein
coming from another part of the cell turned it on," said Cairns.
"Researchers have been searching for the switch by looking at the CRC
motor to see what binds to it.
"As it turns out, we discovered that the CRC motor already
carries on its flank a 'switch' that inhibits its action until a marker
sequence, located on the nucleosome, is encountered. The marker flips the
inhibitor switch and allows the CRC to crank the DNA chain back around the
nucleosome, promoting gene packaging and silencing" Cairns said. "Our
results change where future researchers should be looking to understand how
CRCs are regulated -- not at the CRC motor itself, but at the 'switches' that
flank the motor."
The study also describes a measuring function on the CRC that
checks for the correct distance between one nucleosome and the next, telling
the motor to switch off at the proper time, a function needed for gene
silencing.
Cairns's lab will now examine this same switching concept in
disassembly remodelers. "There are additional remodeler families with
alternative functions, like DNA repair," said Cairns. "We think this
concept will apply to them as well."
This research was supported by funding from the National
Institutes of Health (GM60415 and CA042014) and from the Howard Hughes Medical
Institute.
Journal Reference:
1. Cedric R. Clapier, Bradley R. Cairns. Regulation
of ISWI involves inhibitory modules antagonized by nucleosomal epitopes. Nature,
2012; DOI:10.1038/nature11625
Source:
The above story is reprinted from materials provided
by University of Utah Health Sciences.
Note: Materials may be edited for content and length.
For further information, please contact the source cited above.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Posted By:
Unknown
Reconsidering Cancer's Bad Guy (Eagle Group- Nov 19, 2012)
Researchers at the University of Copenhagen have found that a
protein, known for causing cancer cells to spread around the body, is also one
of the molecules that trigger repair processes in the brain.
How to repair brain injuries is a fundamental question facing
brain researchers. Scientists have been familiar with the protein S100A4 for
some time as a factor in metastasis, or how cancer spreads. However it's the
first time the protein has been shown to play a role in brain protection and
repair.
"This protein is not normally in the brain, only when there's
trauma or degeneration. When we deleted the protein in mice we discovered that
their brains were less protected and able to resist injury. We also discovered
that S100A4 works by activating signalling pathways inside neurons," says
Postdoc Oksana Dmytriyeva, who worked on the research in a team at the Protein
Laboratory in the Department of Neuroscience and Pharmacology at the University
of Copenhagen.
The villain turns out to be the hero
This research stands on the shoulders of many years of work on
S100A4 in its deadlier role in cancer progression. The discovery represents a
significant development for the new Neuro-Oncology Group that moved to the
University of Copenhagen's Protein Laboratory Group from the Danish Cancer
Society in October.
"We were surprised to find this protein in this role, as we
thought it was purely a cancer protein. We are very excited about it and we're
looking forward to continuing our research in a practical direction. We hope
that the findings will eventually benefit people who need treatment for
neurodegenerative disorders like Alzheimer's disease, although obviously we
have a long way to go before we get to that point," says Oksana
Dmytriyeva.
The scientific paper The metastasis-promoting S100A4
protein confers neuroprotection in brain injury can be found online in
the journal Nature Communications.
Journal Reference:
1. Oksana Dmytriyeva, Stanislava Pankratova, Sylwia
Owczarek, Katrin Sonn, Vladislav Soroka, Christina M. Ridley, Alexander
Marsolais, Marcos Lopez-Hoyos, Noona Ambartsumian, Eugene Lukanidin, Elisabeth
Bock, Vladimir Berezin, Darya Kiryushko. The metastasis-promoting
S100A4 protein confers neuroprotection in brain injury.Nature
Communications, 2012; 3: 1197 DOI:10.1038/ncomms2202
Source:
The above story is reprinted from materials provided
by University
of Copenhagen.
Note: Materials may be edited for content and length.
For further information, please contact the source cited above.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Posted By:
Unknown
Breakthrough Nanoparticle Halts Multiple Sclerosis in Mice, Offers Hope for Other Immune-Related Diseases (Eagle Group-Nov 19, 2012)
The new nanotechnology also can be applied to a variety of
immune-mediated diseases including Type 1 diabetes, food allergies and airway
allergies such as asthma.
In MS, the immune system attacks the myelin membrane that
insulates nerves cells in the brain, spinal cord and optic nerve. When the
insulation is destroyed, electrical signals can't be effectively conducted,
resulting in symptoms that range from mild limb numbness to paralysis or
blindness. About 80 percent of MS patients are diagnosed with the relapsing
remitting form of the disease.
The Northwestern nanotechnology does not suppress the entire
immune system as do current therapies for MS, which make patients more
susceptible to everyday infections and higher rates of cancer. Rather, when the
nanoparticles are attached to myelin antigens and injected into the mice, the
immune system is reset to normal. The immune system stops recognizing myelin as
an alien invader and halts its attack on it.
"This is a highly significant breakthrough in translational
immunotherapy," said Stephen Miller, a corresponding author of the study
and the Judy Gugenheim Research Professor of Microbiology-Immunology at
Northwestern University Feinberg School of Medicine. "The beauty of this
new technology is it can be used in many immune-related diseases. We simply
change the antigen that's delivered."
"The holy grail is to develop a therapy that is specific to
the pathological immune response, in this case the body attacking myelin,"
Miller added. "Our approach resets the immune system so it no longer
attacks myelin but leaves the function of the normal immune system
intact."
The nanoparticle, made from an easily produced and already FDA-approved
substance, was developed by Lonnie Shea, professor of chemical and biological
engineering at Northwestern's McCormick School of Engineering and Applied
Science.
"This is a major breakthrough in nanotechnology, showing you
can use it to regulate the immune system," said Shea, also a corresponding
author. The paper will be published Nov. 18 in the journal Nature
Biotechnology.
Miller and Shea are also members of the Robert H. Lurie
Comprehensive Cancer Center of Northwestern University. In addition, Shea is a
member of the Institute for BioNanotechnology in Medicine and the Chemistry of
Life Processes Institute.
Clinical Trial for Ms Tests Same Approach --
With Key Difference
The study's method is the same approach now being tested in
multiple sclerosis patients in a phase I/II clinical trial -- with one key
difference. The trial uses a patient's own white blood cells -- a costly and
labor intensive procedure -- to deliver the antigen. The purpose of the new
study was to see if nanoparticles could be as effective as the white blood
cells as delivery vehicles. They were.
The Big Nanoparticle Advantage for Immunotherapy
Nanoparticles have many advantages; they can be readily produced
in a laboratory and standardized for manufacturing. They would make the
potential therapy cheaper and more accessible to a general population. In
addition, these nanoparticles are made of a polymer called
Poly(lactide-co-glycolide) (PLG), which consists of lactic acid and glycolic
acid, both natural metabolites in the human body. PLG is most commonly used for
biodegradable sutures.
The fact that PLG is already FDA approved for other applications
should facilitate translating the research to patients, Shea noted. Miller and
Shea tested nanoparticles of various sizes and discovered that 500 nanometers
was most effective at modulating the immune response.
"We administered these particles to animals who have a
disease very similar to relapsing remitting multiple sclerosis and stopped it
in its tracks," Miller said. "We prevented any future relapses for up
to 100 days, which is the equivalent of several years in the life of an MS
patient."
Shea and Miller also are currently testing the nanoparticles to
treat Type one diabetes and airway diseases such as asthma.
Nanoparticles Fool Immune System
In the study, researchers attached myelin antigens to the
nanoparticles and injected them intravenously into the mice. The particles
entered the spleen, which filters the blood and helps the body dispose of aging
and dying blood cells. There, the particles were engulfed by macrophages, a
type of immune cell, which then displayed the antigens on their cell surface.
The immune system viewed the nanoparticles as ordinary dying blood cells and
nothing to be concerned about. This created immune tolerance to the antigen by
directly inhibiting the activity of myelin responsive T cells and by increasing
the numbers of regulatory T cells which further calmed the autoimmune response.
"The key here is that this antigen/particle-based approach to
induction of tolerance is selective and targeted. Unlike generalized
immunosuppression, which is the current therapy used for autoimmune diseases,
this new process does not shut down the whole immune system," said
Christine Kelley, National Institute of Biomedical Imaging and Bioengineering
director of the division of Discovery Science and Technology at the National
Institutes of Health, which supported the research. "This collaborative
effort between expertise in immunology and bioengineering is a terrific example
of the tremendous advances that can be made with scientifically convergent
approaches to biomedical problems."
"We are proud to share our expertise in therapeutics
development with Dr. Stephen Miller's stellar team of academic
scientists," said Scott Johnson, CEO, president and founder of the Myelin
Repair Foundation. "The idea to couple antigens to nanoparticles was
conceived in discussions between Dr. Miller's laboratory, the Myelin Repair
Foundation's drug discovery advisory board and Dr. Michael Pleiss, a member of
the Myelin Repair Foundation's internal research team, and we combined our
efforts to focus on patient-oriented, clinically relevant research with broad
implications for all autoimmune diseases. Our unique research model is designed
to foster and extract the innovation from the academic science that we fund and
transition these technologies to commercialization. The overarching goal is to
ensure this important therapeutic pathway has its best chance to reach
patients, with MS and all autoimmune diseases."
Journal Reference:
1. Daniel R Getts, Aaron J Martin, Derrick P
McCarthy, Rachael L Terry, Zoe N Hunter, Woon Teck Yap, Meghann Teague Getts,
Michael Pleiss, Xunrong Luo, Nicholas JC King, Lonnie D Shea, Stephen D Miller. Microparticles
bearing encephalitogenic peptides induce T-cell tolerance and ameliorate
experimental autoimmune encephalomyelitis. Nature Biotechnology,
2012; DOI:10.1038/nbt.2434
Source:
The above story is reprinted from materials provided
by Northwestern University, via EurekAlert!,
a service of AAAS.
Note: Materials may be edited for content and length.
For further information, please contact the source cited above.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Saturday, 17 November 2012
Posted By:
Unknown
DNA Packaging Discovery Reveals Principles by Which CRC Mutations May Cause Cancer (Eagle Group- Nov 18, 2012)
Fundamental
understanding about how DNA works will produce a "180-degree change in
focus" for researchers who study how gene packaging regulates gene
activity, including genes that cause cancer and other diseases.
The
discovery, by Bradley R. Cairns, PhD, Senior Director of Basic Science at HCI
and a professor in the Department of Oncological Sciences, is reported in this
week's online issue of the journal Nature.
Cairns's
research focuses on chromatin remodeling complexes (CRCs), which are cellular
protein complexes that behave like motors, expanding or compacting different
portions of DNA to either express or silence genes, respectively. Before,
scientists thought that the motor within CRCs waits at rest until it receives
instructions. Cairns and co-author Cedric R. Clapier show that the motor within
a key CRC responsible for gene packaging and assembly is intrinsically turned
on, and instead requires specific instructions to turn it off.
"Many
articles in the research literature show that CRCs are mutated in cancer cells.
They are intimately involved in regulating gene expression -- responsible for
correctly packaging genes that control growth proliferation and for unpackaging
tumor suppressors," said Cairns. "This research reveals principles by
which CRC mutations could cause cancer."
Chromosomes
are made of long DNA strands compressed around nodes of protein called
nucleosomes; when DNA is compressed, the genes in that area are turned off.
Some CRCs, called disassembly CRCs, act as motors that unwind sections of DNA
chains, making genes active for a given cell process. Another type, called
assembly CRCs, rewinds the DNA chain, recompressing it when the process is
complete. The unwind-rewind cycle is repeated continuously throughout a cell's
life.
In
this study, Cairns and Clapier focused on assembly CRCs. "Before this
research, we thought that the motor was off unless a protein coming from
another part of the cell turned it on," said Cairns. "Researchers
have been searching for the switch by looking at the CRC motor to see what binds
to it.
"As
it turns out, we discovered that the CRC motor already carries on its flank a
'switch' that inhibits its action until a marker sequence, located on the
nucleosome, is encountered. The marker flips the inhibitor switch and allows
the CRC to crank the DNA chain back around the nucleosome, promoting gene
packaging and silencing" Cairns said. "Our results change where
future researchers should be looking to understand how CRCs are regulated --
not at the CRC motor itself, but at the 'switches' that flank the motor."
The
study also describes a measuring function on the CRC that checks for the
correct distance between one nucleosome and the next, telling the motor to
switch off at the proper time, a function needed for gene silencing.
Cairns's
lab will now examine this same switching concept in disassembly remodelers.
"There are additional remodeler families with alternative functions, like
DNA repair," said Cairns. "We think this concept will apply to them
as well."
This
research was supported by funding from the National Institutes of Health
(GM60415 and CA042014) and from the Howard Hughes Medical Institute.
Journal
Reference:
1.
Cedric R. Clapier, Bradley R.
Cairns. Regulation of ISWI involves inhibitory modules antagonized by
nucleosomal epitopes. Nature, 2012; DOI: 10.1038/nature11625
Source:
The above story is reprinted from materials provided by University
of Utah Health Sciences.
Note: Materials may be edited for content and length. For further information, please contact the source cited above.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Note: Materials may be edited for content and length. For further information, please contact the source cited above.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Posted By:
Unknown
New Way for Antibiotic Resistance to Spread (Eagle Group- Nov 18, 2012)
Washington
State University researchers have found an unlikely recipe for antibiotic
resistant bacteria.
"I
was surprised at how well this works, but it was not a surprise that it could
be happening," says Doug Call, a molecular epidemiologist in WSU's Paul G.
Allen School for Global Animal Health. Call led the research with an immunology
and infectious disease Ph.D. student, Murugan Subbiah, now a post-doctoral
researcher at Texas A & M. Their study appears in a recent issue of the
online journal PLOS ONE.
While
antibiotics have dramatically reduced infections in the past 70 years, their
widespread and often indiscriminate use has led to the natural selection of
drug-resistant microbes. People infected with the organisms have a harder time
getting well, with longer hospital stays and a greater likelihood of death.
Animals
are a major source of resistant bugs, receiving the bulk of antibiotics sold in
the U.S.
The
scientists focused on the antibiotic ceftiofur, a cephalosporin believed to be
helping drive the proliferation of resistance in bacteria like Salmonella and E.
coli. Ceftiofur has little impact on gut bacteria, says Call.
"Given
that about 70 percent of the drug is excreted in the urine, this was about the
only pathway through which it could exert such a large effect on bacterial
populations that can reside in both the gut and the environment," he says.
Until
now, conventional thinking held that antibiotic resistance is developed inside
the animal, Call says.
"If
our work turns out to be broadly applicable, it means that selection for
resistance to important drugs like ceftiofur occurs mostly outside of the
animals," he says. "This in turn means that it may be possible to
develop engineered solutions to interrupt this process. In doing so we would
limit the likelihood that antibiotic resistant bacteria will get back to the
animals and thereby have a new approach to preserve the utility of these
important drugs."
One
possible solution would be to find a way to isolate and dispose of residual
antibiotic after it is excreted from an animal but before it interacts with
soil bacteria.
The
WSU experiments were performed in labs using materials from dairy calves.
Researchers must now see if the same phenomenon takes place in actual
food-animal production systems.
Funding
for the study included grants from the National Institutes of Health, the WSU
College of Veterinary Medicine's Agricultural Animal Health Program, the WSU
Agricultural Research Center, and Call's Caroline Engle professorship in
research on infectious diseases.
Other
researchers were Devandra Shah and Tom Besser, both in WSU's Department of
Veterinary Microbiology and Pathology and the Allen School, and Jeffrey Ullman
at the University of Florida in Gainesville.
Journal
Reference:
1.
Murugan Subbiah, Devendra H. Shah,
Thomas E. Besser, Jeffrey L. Ullman, Douglas R. Call. Urine from Treated
Cattle Drives Selection for Cephalosporin Resistant Escherichia coli in Soil.
PLoS ONE, 2012; 7 (11): e48919 DOI: 10.1371/journal.pone.0048919
Source:
The above story is reprinted from materials provided by Washington State University. The original article was written by Eric Sorensen.
Note: Materials may be edited for content and length. For further information, please contact the source cited above.
Disclaimer: Views expressed in this article do not necessarily reflect those of Eagle Group or its staff.
The above story is reprinted from materials provided by Washington State University. The original article was written by Eric Sorensen.
Note: Materials may be edited for content and length. For further information, please contact the source cited above.
Disclaimer: Views expressed in this article do not necessarily reflect those of Eagle Group or its staff.
Posted By:
Unknown
New Tools Developed to Better Treat ADHD Patients in Early Stages (Eagle Group- Nov 17, 2012)
Mayo Clinic researchers are presenting new findings on the early
treatment of child and adolescent attention deficit hyperactivity disorder this
week at the American Academy of Childhood and Adolescent Psychiatry annual
meeting in San Francisco. Find out…..
In the first study, Mayo Clinic researchers required parents and
teachers of children coming in for their first ADHD consultation, defined by
some combination of problems such as difficulty sustaining attention,
hyperactivity and impulsive behavior, consultations to complete extensive
background forms and analysis. By offering incentives and stressing the
importance of being prepared for the first consultation, clinicians were able
to boost parent and teacher compliance from 25 to 90 percent at the Mayo Clinic
Child and Adolescent ADHD Clinic. As a result, researchers have been able to
better recommend treatment and therapy right off the bat.
"I'd compare treating a child with ADHD for the first time to
consulting with someone who has type II diabetes -- we need to measure a
diabetic patient's blood sugar level before we can properly treat them,"
says study lead author Jyoti Bhagia, M.D., a Mayo Clinic psychiatrist.
"The same goes for ADHD. The more we know about children in the early
stages of treatment, the more quickly we can get them the help they need."
In the second study, Mayo Clinic researchers gave 75 patients with
ADHD at the Mayo Clinic Child and Adolescent ADHD Clinic a written, subjective
evaluation to test for oppositional defiance disorder, a persistent pattern of
tantrums, arguing, and angry or disruptive behavior toward authority figures.
They found that the test was far better able to pick up whether
the child had the disorder than an anecdotal physician diagnosis. Of the 75
patients in the study, 27 percent, or less than a third, were diagnosed with
oppositional defiance disorder by their providers. After taking the subjective
test, 48 percent tested positive for oppositional defiance disorder. That shows
the presence of oppositional defiance disorder with ADHD is underdiagnosed and
children may not be receiving the behavioral treatment they need.
Children who have both ADHD and oppositional defiance disorder
benefit from a combination of medication and behavioral therapy, says Dr.
Bhagia.
Source:
The above story is reprinted from materials provided by Mayo
Clinic.
Note: Materials may be edited for content and length.
For further information, please contact the source cited above.
Disclaimer: This article is not intended to provide
medical advice, diagnosis or treatment. Views expressed here do not necessarily
reflect those of Eagle Group or its staff.
Posted By:
Unknown
Enhancing Breast Cancer Detection: Computer Algorithm Analyzes Thermal Images of Breasts (Eagle Group- Nov 17, 2012)
Straightforward
imaging with an infrared, thermal, camera for detecting breast cancer early
without the discomfort or inconvenience of mammography or biomolecular tests.
Tiago
Borchartt of the Federal Fluminense University in Brazil and colleagues explain
how breast thermography has up to now achieved an average sensitivity and
specificity or approximately 90 percent for the detection of malignant tissue.
The advantages of the technique are that it is painless, requires no contact
between patient and instrumentation and is entirely non-invasive. However, a 90
percent accuracy rate implies that there is a lot of room for improvement
before such a technique could become a mainstream clinical diagnostic for the
early stages of breast cancer.
The team
has developed new software that allows them to acquire thermal images into a
computer database and so be used to help with diagnosis after the automatic
extraction of the regions of interest. The same tool combines storage with
feature extraction and recognition. The approach can detect the presence of
problems using symmetric analysis and numerical simulations using finite
element analyses allows it to analyze the relationships between internal
temperature and the temperature on the breast surface during image acquisition.
So far, the
researchers have tested their approach on a limited number of thermal images
from 28 patients: four healthy patients, eight with cysts, eleven patients with
fibroadenoma and five with carcinoma. They were able to improve the accuracy of
breast thermography using their approach to 96%. The next step will be to test
this in larger group of at least 2000 patients. That future project has already
been approved by the ethical committee of the University Hospital of UFF.
Journal
Reference:
Tiago B.
Borchartt; Roger Resmini; Leonardo S. Motta; Esteban W.G. Clua; Aura Conci;
Mariana J.A. Viana; Ladjane C. Santos; Rita C.F. Lima; Angel Sanchez.Combining
approaches for early diagnosis of breast diseases using thermal imaging. International
Journal of Innovative Computing and Applications, 2012; 4 (3/4) [link]
Top of Form
Source:
The above story is reprinted from materials provided by Inderscience Publishers, via EurekAlert!, a service of AAAS.
Note: Materials may be edited for content and length. For further information, please contact the source cited above.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Posted By:
Unknown
Hepatitis C Treatment's Side Effects Can Now Be Studied in the Lab (Eagle Group- Nov 17, 2012)
Study the new method which helps to understand failures of
hepatitis C antiviral drug (in clinical trials) and also help in identifying the
medication that eliminates all adverse effects, thanks to a research team led
by Craig Cameron, the Paul Berg Professor of Biochemistry and Molecular Biology
at Penn State University.
The team's findings, published in the current issue of the journal PLOS
Pathogens, may help pave the way toward the development of safer and
more-effective treatments for hepatitis C, as well as other pathogens such as
SARS and West Nile virus.
First author Jamie Arnold, a research associate in Cameron's lab
at Penn State, explained that the hepatitis C virus (HCV), which affects over
170,000,000 people worldwide, is the leading cause of liver disease and,
although antiviral treatments are effective in many patients, they cause
serious side effects in others. "Many antiviral medications for treating
HCV are chemical analogs for the building blocks of RNA that are used to
assemble new copies of the virus's genome, enabling it to replicate," he
said. "These medications are close enough to the virus's natural building
blocks that they get incorporated into the virus's genome. But they also are
different in ways that lead to the virus's incomplete replication. The problem,
however, is that the medication not only mimics the virus's genetic material,
but also the genetic material of the patient. So, while the drug causes damage
to the virus, it also may affect the patient's own healthy tissues."
A method to reveal these adverse side effects in the safety of a
laboratory setting, rather than in clinical trials where patients may be placed
at risk, has been developed by the research team, which includes Cameron;
Arnold; Suresh Sharma, a research associate in Cameron's lab; other scientists
at Penn State; and researchers from other academic, government, and corporate
labs. "We have taken anti-HCV medications and, in Petri dishes and test
tubes, we have shown that these drugs affect functions within a cell's
mitochondria," Cameron explained. "The cellular mitochondria -- a
tiny structure known as 'the powerhouse of the cell' that is responsible for
making energy known as ATP -- is affected by these compounds and is likely a
major reason why we see adverse effects." Cameron noted that scientists
have known for some time that certain individuals have "sick"
mitochondria. Such individuals are likely more sensitive to the mitochondrial
side effects of antiviral drugs.
"We know that antiviral drugs, including the ones used to
treat HCV, affect even normal, healthy mitochondria by slowing ATP
output," Arnold added. "While a person with normal mitochondria will
experience some ATP and mitochondrial effects, a person who is already
predisposed to mitochondrial dysfunction will be pushed over the 'not enough
cellular energy' threshold by the antiviral drug. The person's mitochondria
simply won't be able to keep up."
One of the problems with clinical trials, Arnold explained, is
that a drug may be shown to be quite effective but, if even a miniscule
percentage of patients have side effects, the U.S. Food and Drug Administration
is obligated to put the trial on hold or stop the trial altogether. This
possibility makes drug companies reluctant to invest money in drug trials after
an adverse event has been observed, even when the drugs could still help
millions of people. The researchers hope that their methods eventually will
become a part of the pre-clinical development process for this class of
antiviral drugs. "If we can show, in the lab, that a drug will cause side
effects, then these compounds will not enter lengthy, expensive clinical trials
and cause harm to patients " he said. "What's more, a drug company
can invest its money more wisely and carefully in drug research that will
produce safe and effective products. Better and more-willing investments by
drug companies ultimately will help patients, because resources will be spent
developing drugs that not only work, but that are safe for all patients."
Cameron added that the next step for his team is to identify the
genes that make some individuals respond poorly to these particular antiviral
treatments. "By taking blood samples from various patients and using the
new method to test for toxicity in the different samples, we hope to discover
which individuals will respond well and which will experience mitochondrial
reactions, based on their genetic profiles," he said. "That is, we
hope to use this method as a step toward truly personalized medicine, opening
the door to pre-screening of patients so that those with mitochondrial diseases
can be treated with different regimens from the start."
The team members also hope their method will be a means to study
toxicity and side effects in other diseases. "Specifically, our technology
will illuminate toxicity of a particular class of compounds that interrupts
viral RNA synthesis," Cameron said. "While this class of compounds
currently is being developed for treatment of HCV, a wide range of other RNA
viruses, including West Nile virus, Dengue virus, SARS coronavirus, and perhaps
even the Ebola virus, could be treated using this class of compounds as well."
In addition to Cameron, Arnold, and Sharma, other researchers who
contributed to this study include Eric D. Smidansky from Penn State; Joy Y.
Feng, Adrian S. Ray, Aesop Cho, Jason Perry, Jennifer E. Vela, Yeojin Park,
Yili Xu, Yang Tian, Darius Babusis, Ona Barauskus, and Weidong Zhong from
Gilead Sciences, Inc.; Maria L. Kireeva and Mikhail Kashlev from the Frederick
National Laboratory for Cancer Research; Blake R. Peterson from the University
of Kansas; and Averell Gnatt from the University of Maryland School of
Medicine.
The research was funded by the National Institutes of Health and a
Penn State Paul Berg Endowment.
Journal Reference:
1. Jamie J. Arnold, Suresh D. Sharma, Joy Y. Feng,
Adrian S. Ray, Eric D. Smidansky, Maria L. Kireeva, Aesop Cho, Jason Perry,
Jennifer E. Vela, Yeojin Park, Yili Xu, Yang Tian, Darius Babusis, Ona
Barauskus, Blake R. Peterson, Averell Gnatt, Mikhail Kashlev, Weidong Zhong,
Craig E. Cameron. Sensitivity of Mitochondrial Transcription and
Resistance of RNA Polymerase II Dependent Nuclear Transcription to Antiviral
Ribonucleosides. PLoS Pathogens, 2012; 8 (11): e1003030 DOI:10.1371/journal.ppat.1003030
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Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Eagle Group or its staff.
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