Showing posts with label Notes. Show all posts
Showing posts with label Notes. Show all posts

Wednesday, June 26, 2013

Lab Notes: Bling Beats Bad Bugs

Bling Beats Bad Bugs

A bit of silver could be good for what ails you. In a series of experiments, researchers have found that ionic silver boosts the efficacy of common antibiotics, helps overcome antibiotic resistance, and can even extend the range of some widely used drugs.

Investigators led by James Collins, PhD, of Boston University studied the ways that silver -- long touted as an anti-microbial -- interacts with bacterial cells. It turned out that the metal disrupts several bacterial cellular processes, leading to increases in reactive oxygen species and membrane permeability.

In vitro, adding silver to antibiotics restored susceptibility to tetracycline in a drug-resistant strain of Escherichia coli. In mice with urinary tract infections, silver alone or gentamicin alone had no effect, but the combination significantly reduced bacterial loads. As well, the investigators reported in Science Translational Medicine, adding silver to the Gram-positive-specific antibiotic vancomycin allowed the drug to penetrate and kill Gram-negative bacteria.

"Silver could be incredibly valuable as an adjunct to existing antibiotic treatments," Collins said in a statement, especially since toxicity studies showed no harm to the mice at the levels needed to boost antibiotics.

-- Michael Smith

Platelets and the Life-or-Death Response

Circulating platelets play a crucial role in the rapid immune response to bacterial pathogens, actively "touching" specialized cells in the liver to detect trapped bacteria before the larger immune system can mobilize and neutralize the invaders.

If bacteria are present on Kupffer cells, which reside in liver sinusoids and are responsible for the ultimate removal of pathogens, platelets can bind to them and seal them off from the host immediately while awaiting the arrival of neutrophils and other activated immune cells, which can take several hours.

This previously unrecognized patrolling mechanism for platelets was demonstrated using high-power imaging of the liver in animal models, Connie H.Y. Wong, of the University of Calgary in Alberta, reported in Nature Immunology.

The researchers found that mice lacking adhesion receptors on the surface of Kupffer cells succumbed rapidly when infected with Staphylococcus aureus or Bacillus cereus, whereas animals with intact Kupffer cell adhesion had much less polycythemia and fluid loss -- and were more likely to survive -- because of their almost instantaneous life-or-death platelet response.

-- Nancy Walsh

Dad's Poor Eating Habits May Affect Junior

A father's diet may influence body weight in his offspring, a mouse study suggested.

Felicia Nowak, MD, PhD, of Ohio University, and colleagues explored whether epigenetic modification of gene expression in male mice made obese from eating a high-fat diet could be transmitted to their offspring. Two groups of male mice -- one eating a high-fat diet and one eating a low-fat diet -- were mated to female mice eating a low-fat diet. The resulting offspring were fed normal mouse chow.

As Nowak reported at the Endocrine Society meeting in San Francisco, male offspring born to obese fathers had a higher body fat percentage at age 6 months and greater body weight at 6 weeks, 6 months, and 1 year (roughly equal to a span from adolescence to older adulthood in humans) compared with male offspring born to control fathers.

There were also some differences in where the body fat was deposited and in physical activity levels. Surprisingly, the male offspring of obese fathers actually showed increases in voluntary running at 6 weeks compared with the controls.

Nowak said that she thinks the findings can be explained by "epigenetic mechanisms because of the rapid induction of these inherited differences over just one generation."

-- Todd Neale

Mice Mellow Out on 'Happy Chemical'

Secondary inhibition of serotonin reuptake in mice enhanced the therapeutic effects of a commonly used antidepressant.

Co-administration of decynium-22 (D-22) and fluvoxamine more effectively blocked serotonin clearance to increase levels of the "happy chemical," enhancing antidepressant activity, as reported June 18 in the Journal of Neuroscience.

A member of the selective serotonin reuptake inhibitor (SSRI) class of antidepressants, fluvoxamine works by blocking the serotonin transporter (SERT) to increase circulating levels of serotonin in the brain. However, secondary transporters, known as organic cation transporters (OCT), are unaffected by SSRIs and continue to act like serotonin "vacuum cleaners." The OCT effect might explain the usually slow onset and limited efficacy of SSRIs, according to Lyn Daws, PhD, of the University of Texas Health Science Center at San Antonio.

By blocking OCT, D-22 helped create a larger pool of serotonin.

Though unsuitable for use in humans, D-22 may help scientists identify new therapeutic targets in the brain, such as OCT, for which new classes of antidepressants can be developed, said Daws.

-- Charles Bankhead

Dementia Target Makes for Faster, Dumber Mice

Elevated levels of acetylcholine -- a nervous system neuromodulator -- may disrupt attention and working and spatial memory but improve motor endurance, researchers wrote in the Journal of Neuroscience.

Acetylcholine is reduced in patients with cognitive failure, and increasing amounts of the neurotransmitter may be a therapeutic target for Alzheimer's disease, according to Marco Prado, PhD, of the University of Western Ontario in Canada, and colleagues.

Prado and co-authors bred mice to produce three times the normal amount of acetylcholine before subjecting them to a touch screen test that involved pressing lit-up areas of a touch screen to receive a reward. The modified mice failed the task versus control mice.

The researchers nicknamed the modified rodents "Forrest Gump mice" due to their ability to run twice as far as control mice before tiring -- an effect of the neurotransmitter's drive of muscle contractions.

The authors noted the modified mice had short attention spans and dysfunctional working and spatial memory, implying that the boost of acetylcholine causes the brain to lose the ability to determine what is relevant.

-- Cole Petrochko

Tuesday, June 18, 2013

Cardio Notes: Arrhythmia May Trigger SIDS

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By Chris Kaiser, Cardiology Editor, MedPage Today

Unique ECGs signal ventricular fibrillation in infants that may predict sudden death. Also in the news, the City of Brotherly Love is ready to lose weight and depression in older women is a risk for diabetes.

Treatable Cause of Sudden Infant Death?

Three cases of infants younger than 2 months with idiopathic ventricular fibrillation and structurally normal hearts might suggest a potential cause of sudden infant death, researchers said.

In each case, the ventricular fibrillation was proceeded by "unique and transient" ECG changes consisting of mostly ST depression, but some ST elevation, QRS widening, salvos of polymorphic ventricular tachycardia, and premature ventricular contractions, according to the study published in Circulation: Arrhythmia and Electrophysiology.

In all cases, family history was unremarkable, metabolic workup was negative, resting ECGs were normal, and coronary angiography was normal, wrote Christina Y. Miyake, MD, of Lucile Packard Children's Hospital in Palo Alto, Calif., and colleagues.

Amiodarone and ventricular pacing suppressed the arrhythmias acutely and the response to sodium channel blockers was positive. Future research may "uncover a genetic basis for this potentially new infant arrhythmic sudden death syndrome," researchers said.

Philly Ready to Shed Pounds

Philadelphians exhibited a community readiness to improve health through nutrition and physical activity, with less concern about tobacco use, according to a photo-elicitation study.

The photographs of store displays and advertisements taken by the 48 participants and their accompanying stories about the photos indicated a fourfold greater concern for nutritional interventions than for smoking cessation, according to Carolyn C. Cannuscio, ScD, of the Philadelphia Department of Public Health, and colleagues.

Most of the interventions recommended by participants corresponded with the "activities of Get Healthy Philly, an effort to promote healthful eating, active living, and a smoke-free existence," researchers wrote in the study published in the CDC's Preventing Chronic Disease.

These findings bode well for the 66% of Philadelphians who are overweight or obese as these data suggest the community is "primed for change" and such findings can inform interventions, researchers concluded.

Caffeinated Meds Tied to Brain Bleeds

Taking medications that contained caffeine -- as do many cold remedies and pain relievers -- doubled the odds of hemorrhagic stroke, according to a case-control study of three groups of 940 participants.

Overall, medication that contained caffeine conferred an odds ratio of 2.23 for hemorrhagic stroke, according to Seung-Mi Lee, PhD, of the Chung-Ang University College of Pharmacy in Seoul, South Korea, and colleagues.

When broken down into types of bleeds, researchers found an odds ratio of 2.24 for subarachnoid hemorrhage and 2.49 for intracerebral hemorrhage, they wrote in the study published in Stroke: Journal of the American Heart Association.

Those who drank less coffee on a daily basis had a 2.95 odds of hemorrhagic stroke compared with heavier drinkers, which "makes sense because users develop [a diminished response] to caffeine," they said.

Postmenopause Depression Is Risk for Diabetes

Women on antidepressants or those with depression are more likely to have risk factors for diabetes and heart disease such as high BMI, large waist circumference, and inflammation, an epidemiological study found.

Data from 2,242 women from the Women's Health Initiative recruited between 1993 and 1998 showed a correlation between elevated depressive symptoms and higher levels of C-reactive protein, according to Yunsheng Ma, PhD, MD, MPH, of University of Massachusetts Medical School in Boston, and colleagues.

Data from 1,953 women found a correlation between increased depressive symptoms and increased insulin levels and measures of insulin resistance, they wrote in the study published in the American Journal of Public Health.

A higher BMI and larger waist circumference were associated with elevated depression or antidepressant use, but the association was stronger for waist circumference.

Diclofenac Has Similar CV Risk as Vioxx

Diclofenac, a nonsteroidal anti-inflammatory drug (NSAID) carries a cardiovascular risk similar to that of selective COX-2 inhibitors (rofecoxib or Vioxx), according to the European Medicines Agency's Pharmacovigilance Risk Assessment Committee (PRAC).

The committee noted the warning applied particularly to the high dose (150 mg daily) of diclofenac, but also said the benefits still outweigh the risk. However, they recommended that precautions already taken to minimize risks associated with selective COX-2 inhibitors should also be applied to diclofenac.

The recommendation now goes to the Coordination Group for Mutual Recognition and Decentralised Procedures -- Human, which will adopt a final position.

Chris Kaiser

Cardiology Editor

Chris has written and edited for medical publications for more than 15 years. As the news editor for a United Business Media journal, he was awarded Best News Section. He has a B.A. from La Salle University and an M.A. from Villanova University. Chris is based outside of Philadelphia and is also involved with the theater as a writer, director, and occasional actor.