News 3 april 2009


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News 3 april 2009


Childhood Asthma and Exposures at Swimming Pools

Current evidence of an association between childhood swimming and new-onset asthma is suggestive but not conclusive. Important data gaps need to be filled, particularly in exposure assessment and characterization of asthma in the very young. Participants recommended that additional evaluations using a multidisciplinary approach are needed to determine whether a clear association exists.

Dioxin-like Compounds and Metabolic Syndrome

Environmental exposure to some persistent organic pollutants has been associated with metabolic syndrome in the United States. Uemura et al. (p. 568) conducted a cross-sectional study during 2002–2006 to evaluate associations between metabolic syndrome and body burden levels of dioxins and related compounds in Japan. They measured lipid-adjusted concentrations of 10 polychlorinated dibenzo-p-dioxins, 7 polychlorinated dibenzofurans, and 12 dioxin-like polychlorinated biphenyls in fasting blood samples. Metabolic syndrome was assessed based on body mass index, high-density lipoprotein cholesterol, triglyceride, and hemoglobin A1c measurements, and measured or self-reported hypertension. The authors report that body burden levels of dioxins and related compounds were associated with metabolic syndrome, with high blood pressure, elevated triglycerides, and glucose intolerance most closely associated with these pollutants.

Lead Exposure and Cognition in Older Women

Chronic low-level exposure to lead has been associated with accelerated declines in cognition in older age, but few studies have included women, and none have reported results for women specifically. Weuve et al. (p. 574) examined tibia, patella, and blood lead levels in relation to performance on a battery of cognitive tests among 587 women 47–74 years of age. Levels of all three lead biomarkers were associated with worse cognitive performance for all tests combined, with stronger associations estimated for tibia bone lead, a measure of cumulative exposure over many years. Results suggest that a one-standard-deviation increase in tibia lead was associated with a reduction in cognitive scores, which was similar to that associated with a 3-year increase in age. The authors conclude that cumulative exposure to lead, even at low levels experienced in community settings, may have adverse consequences for women’s cognition in older age.

Exposure to BPA among Premature Infants in NICUs

Premature infants in neonatal intesive care units (NICUs) may be exposed to di(2-ethylhexyl) phthalate (DEHP), bisphenol A (BPA), and other phenols in medical products, but data on potential exposures are limited. Calafat et al. (p. 639) measured urinary levels of BPA, triclosan, benzophenone-3, methyl paraben, and propyl paraben in 42 low-birth-weight infants from two NICUs in the Boston, Massachusetts, area. They found that the geometric mean urinary concentration (30.3 µg/L) of BPA among the study subjects was one order of magnitude higher than estimates for the general population, and that intensity of DEHP-containing product use was associated with total BPA concentration but not concentrations of any of the other phenols measured. Conjugated species were the primary urinary metabolites of BPA, suggesting that premature infants have some capacity to metabolize BPA. In addition, urinary BPA concentrations differed substantially between the two institutions. The authors conclude that further studies are needed to determine specific source(s) of exposure to BPA among premature infants in NICUs.

Perfluorinated Chemicals and Fetal Growth

Perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA) are ubiquitous and persistent man-made contaminants in the environment, wildlife, and humans. These chemicals have been reported to interfere with fetal growth in humans, but results have been inconsistent. Washino et al. (p. 660) conducted a hospital-based prospective cohort study to investigate the association between relatively low levels of PFOS and PFOA in maternal serum and birth weight and birth size among 428 women and infants in Sapporo, Japan. Characteristics of the mothers and infants were obtained from self-administered questionnaires and medical records. The authors report that in utero exposure to relatively low levels of PFOS was negatively correlated with birth weight in the study population.

Air Pollution and Lung Injury in Asthmatic Children

Air pollution has been associated with adverse respiratory outcomes, but the influence of air pollution on lung injury is unclear, in part because of a lack of appropriate noninvasive biomarkers of lung inflammation. Liu et al. (p. 668) measured fractional exhaled nitric oxide (FeNO), thiobarbituric acid reactive substances (TBARS), 8-isoprostane, and interleukin-6 in the breath condensate of 182 asthmatic children to investigate acute effects of air pollution on these markers of airway oxidative stress and inflammation. Interquartile-range increases in 3-day average ambient sulfur dioxide (5.4 ppb), nitrogen dioxide (6.8 ppb), and PM2.5 (particulate matter < 2.5 µm in aerodynamic diameter; 5.4 µg/m3) were associated with increases in TBARS and decreases in pulmonary function, with stronger associations estimated for children not taking corticosteroids. Results were consistent with an increase in airway oxidative stress and a decrease in small airway function in response to air pollution among asthmatic children. The authors conclude that TBARS in breath condensate may be a useful tool to investigate air pollution-related oxidative stress.

4 Promising Autism Treatments, From Vitamin B12 to Alzheimer’s Drug Namenda

MIND researchers recently tested injections of methyl B12 in a controlled trial on 30 children, since prior recent findings had shown that some children with autism have altered biomarkers for oxidative stress. The results weren’t statistically significant, but Hendren says nine of the children did improve in language and socialization, and those children had changes in biomarkers for oxidative stress. The institute will run a larger trial this summer with 50 children in an effort to figure out if the treatment really does have a benefit.

Beverage Consumption a Bigger Factor in Weight

When it comes to weight loss, what you drink may be more important than what you eat, according to researchers at the Johns Hopkins Bloomberg School of Public Health. Researchers examined the relationship between beverage consumption among adults and weight change and found that weight loss was positively associated with a reduction in liquid calorie consumption and liquid calorie intake had a stronger impact on weight than solid calorie intake. The results are published in the April 1, 2009, issue of the American Journal of Clinical Nutrition. “Both liquid and solid calories were associated with weight change, however, only a reduction in liquid calorie intake was shown to significantly affect weight loss during the 6-month follow up,” said Benjamin Caballero MD, PhD, senior author of the study and a professor with the Bloomberg School’s Department of International Health. “A reduction in liquid calorie intake was associated with a weight loss of 0.25 kg at 6 months and 0.24 kg at 18 months. Among sugar-sweetened beverages, a reduction of 1 serving was associated with a weight loss of 0.5 kg at 6 months and 0.7 kg at 18 months. Of the seven types of beverages examined, sugar-sweetened beverages were the only beverages significantly associated with weight change.”  Researchers conducted a prospective study of 810 adults aged 25-79 years old participating in the PREMIER trial, an 18-month randomized, controlled, behavioral intervention. Caballero along with colleagues from the Johns Hopkins School of Medicine; the National Heart, Lung, and Blood institute; Duke University; the Pennington Biomedical Research Center; the Kaiser Permanente Center for Health Research; the University of Alabama; and Pennsylvania State University measured participant’s weight and height using a calibrated scale and a wall-mounted stadiometer at both 6 and 18 months. Dietary intake was measured by conducting unannounced 24-hour dietary recall interviews by telephone. Researchers divided beverages into several categories based on calorie content and nutritional composition: sugar-sweetened beverages (regular soft drinks, fruit drinks, fruit punch, or high-calorie beverages sweetened with sugar), diet drinks (diet soda and other “diet” drinks sweetened with artificial sweeteners), milk (whole milk, 2 percent reduced-fat milk, 1 percent low-fat milk, and skim milk), 100 percent juice (100 percent fruit and vegetable juice), coffee and tea with sugar, coffee and tea without sugar and alcoholic beverages. They found that at 37 percent sugar-sweetened beverages were the leading source of liquid calories.

New storage system design brings hydrogen cars closer to reality

Researchers have developed a critical part of a hydrogen storage system for cars that makes it possible to fill up a vehicle's fuel tank within five minutes with enough hydrogen to drive 300 miles. The system uses a fine powder called metal hydride to absorb hydrogen gas. The researchers have created the system's heat exchanger, which circulates coolant through tubes and uses fins to remove heat generated as the hydrogen is absorbed by the powder. The heat exchanger is critical because the system stops absorbing hydrogen effectively if it overheats, said Issam Mudawar, a professor of mechanical engineering who is leading the research.

Researchers reveal how the brain processes important information

Researchers at UT Southwestern Medical Center have shed light on how the neurotransmitter dopamine helps brain cells process important information.
Researchers found in a study of mouse cells that this neurotransmitter, one of the molecules used by nerve cells to communicate with one another, causes certain brain cells to become more flexible and changes brain-cell circuitry to process important information differently than mundane information. “This can help one remember a new, important episode as distinct from any other episode, such as remembering where you parked your car today versus yesterday,” said Dr. Robert Greene, professor of psychiatry at UT Southwestern and senior author of the study published in the March 11 issue of the Journal of Neuroscience.“If we can one day manipulate the way that salient information is processed, we might be able to not only improve learning, but also improve the learning needed to extinguish severe fear responsiveness, such as when a soldier can’t forget emotional war memories associated with post-traumatic stress disorder,” he said.Dr. Greene said the research also could have implications for addictions and schizophrenia, because those conditions are associated with alterations in dopamine in the brain. Researchers have known that dopamine is released in the brain in association with experiencing “important” events and remembering salient acts, such as learning to avoid a hot stove or that a good grade is rewarded. The current research focused on how dopamine operates on the cells associated with this type of memory formation.

Intestinal cancer in spite of screening

Only every second patient with colorectal carcinoma had taken part in an early detection program within the last ten years. This is the result, at least for a group of 212 colorectal cancer patients whose screening behavior is examined in the current edition of Deutsches Ärzteblatt International (Dtsch Arztebl Int 2009; 106[12]: 195 ) by Konrad Schoppmeyer and his colleagues from Leipzig University Hospital.  The authors have performed a retrospective analysis of the data on screening examinations for the ten years before the diagnosis of colorectal cancer. In 83% of patients, the colorectal carcinoma was discovered after symptoms had developed. In 17% of patients, the diagnosis was made during screening. In the 10 years before the diagnosis, 51% of the colorectal cancer patients had used screening tests for early recognition. The most frequent of these was the test for fecal occult blood—although this was mostly not in accordance with the guidelines. 25 patients had undergone colonoscopy, 20 of these within the five years before diagnosis. The most frequent reason that screening tests were not used was that patients were unaware of what was available. Schoppmeyer et al. therefore advocate that doctors should provide their patients with more detailed advice. Moreover, procedures should be in accordance with the guidelines.

Can periodontal disease act as a risk factor for HIV-1?

Today, during the 87th General Session of the International Association for Dental Research, convening at the Miami Beach Convention Center, a group of scientists from Nihon University (Tokyo, Japan) will present findings suggesting that periodontal disease could act as a risk factor for reactivating latent HIV-1 in affected individuals. Latently infected cells harbor HIV-1 proviral DNA genomes integrated with heterochromatins, allowing for the persistence of transcriptionally silent proviruses. Hypoacetylation of histone proteins by histone deacetylases (HDACs) is primarily involved in the maintenance of HIV-1 latency by repressing transcription from HIV-1 provirus. On the other hand, periodontal diseases, caused by infection with the bacterium Porphyromonas gingivalis (P. gingivalis), are found worldwide and are among the most prevalent microbial diseases of mankind. The investigators demonstrated the effects of such periodontopathic bacteria on HIV-1 replication. They found that P. gingivalis could strongly facilitate HIV-1 reactivation via chromatin modification. The bacteria produced high concentrations of butyric acid, a potent inhibitor of HDACs, and induced acetylation of histones, leading to reactivation of HIV-1 in latently infected cells. These results suggest that periodontal disease could act as a risk-factor for HIV-1 reactivation in latently infected individuals, and might contribute to the systemic dissemination of the virus causing clinical progression of acquired immunodeficiency syndrome (AIDS). The findings emphasize the essential role of maintaining oral hygiene and controlling oral diseases for the prevention of AIDS.

Pregnancy and tobacco a 'smoking gun' for baby

Monash University researchers have shown that babies born to a mother who smokes are more likely to be slower to wake or respond to stimulation – and this may explain their increased risk of Sudden Infant Death Syndrome (SIDS). Scientific director of the Ritchie Centre for Baby Health Research Associate Professor Rosemary Horne and PhD student Heidi Richardson compared babies of mothers who smoked both during the pregnancy and after the baby was born, with babies who lived in a smoke-free environment. Professor Horne said the study suggested that maternal smoking can impair a baby's ability to respond to external stimuli, which may explain their increased risk of SIDS. "Those babies whose mothers smoked did not have as many arousals overall and the progression of the arousal response through the brain was also impaired. Mothers who smoked while pregnant and continued to smoke afterward significantly increased their baby's chances of succumbing to SIDS," Professor Horne said.
Although the exact cause of SIDS is unknown, research suggests that an impairment of the arousal process from sleep in response to a life-threatening situation is involved. Autopsies of SIDS victims have revealed brainstem abnormalities in key areas that are required for arousal and cardio respiratory control. The study involved 12 healthy, full-term infants born to mothers who smoked an average of 15 cigarettes per day. Their arousal responses during daytime sleep were monitored and compared with that of healthy infants who were born to non-smoking mothers. The study was performed on each child on three occasions: at two to four weeks, two to three months and five to six months. Arousals were induced without compromising the infants' natural sleep cycles by delivering a pulsatile air-jet for five seconds at the infants' nostrils through a hand-held cannula.

Naturally fluorescent molecules may serve as cancer biomarker

Excess amounts of a naturally fluorescent molecule found in all living cells could serve as a natural biomarker for cancer, according to bioengineers. NADH, or nicotinamide adenine dinucleotide, is a key coenzyme -- a non-protein molecule necessary for the functioning of an enzyme -- found mostly in the inner membrane of a cell's power plant, or mitochondria. It fuels a series of biochemical reactions that involve various enzymes to produce ATP, the major energy source in cells. In the event of disease or a metabolic disorder, these enzymes and their related reactions can become disabled, causing a buildup of unused NADH. "Dysfunctional enzymes in the mitochondria are known to be associated with serious health problems such as cancer and neurodegenerative diseases," said Ahmed Heikal, associate professor of bioengineering, Penn State. "By detecting the level of NADH and its distribution inside living cells, we should be able to monitor the mitochondrial activity and thus the integrity of any given cell, without adding potentially toxic dyes or actually destroying the cell." According to Heikal, one of the main challenges in cancer diagnosis is the ability to differentiate cancer cells from normal ones at the early stages of tumor progression. To tease apart the critical difference between normal and cancerous cells, the researchers used the fluorescence of natural NADH. Using a combination of state-of-the-art spectroscopy and microscopy techniques, the researchers were able to convert such fluorescence into an accurate measure of NADH concentration in live cells. Heikal and Yu, graduate student, bioengineering, have found that the average concentration of NADH in breast cancer cells is about twice that in normal breast cells.

JHU researcher discovers brain cells have 'memory'

As we look at the world around us, images flicker into our brains like so many disparate pixels on a computer screen that change every time our eyes move, which is several times a second. Yet we don't perceive the world as a constantly flashing computer display. Why not? Neuroscientists at The Johns Hopkins University think that part of the answer lies in a special region of the brain's visual cortex which is in charge of distinguishing between background and foreground images. Writing in a recent issue of the journal Neuron, the team demonstrates that nerve cells in this region (called V2) are able to "grab onto" figure-ground information from visual images for several seconds, even after the images themselves are removed from our sight. "Recent studies have hotly debated whether the visual system uses a buffer to store image information and if so, the duration of that storage," said Rudiger von der Heydt, a professor in Johns Hopkins' Zanvyl Krieger Mind-Brain Institute, and co-author on the paper. "We found that the answer is 'yes,' the brain in fact stores the last image seen for up to two seconds."
The image that the brain grabs and holds onto momentarily is not detailed; it's more like a rough sketch of the layout of objects in the scene, von der Heydt explains. This may elucidate, at least in part, how the brain creates for us a stable visual world when the information coming in through our eyes changes at a rapid-fire pace: up to four times in a single second. The study was based on recordings of activity in nerve cells in the V2 region of the brains of macaques, whose visual systems closely resemble that of humans. Located at the very back of the brain, V2 is roughly the size of a wristwatch strap.

Lead in the blood increases women's mortality

Lead concentrations in the blood are associated with an increased risk of death from coronary heart diseases (CHD). A study of 533 American women, published in BioMed Central's open access journal Environmental Health, has shown that those with blood lead concentrations above 8?g/dL were three times more likely to die of CHD.
Naila Khalil worked with a team of researchers from the University of Pittsburgh and the University of Maryland to study the effects of lead on the mortality of a group of 65-87 year old women who had joined an earlier study between 1986 and 1988. These women have been followed ever since and their causes of death recorded. Khalil said, "Despite population-wide declines in blood lead concentrations during the past 30 years, environmental lead exposure continues to be a public health concern. Lead is a toxic metal, and our results add to the existing evidence of adverse affects of lead on health as seen in an older cohort who experienced greater historic environmental lead exposure".
The average population blood lead concentration in the most recent US National Health and Nutrition Examination Survey (2001-2002) had declined to 1.45?g/dL. The women studied in Dr. Khalil's research, however, were alive while lead was still used in paints, water systems and as a gasoline additive. They had an average blood concentration of 5.3?g/dL, with some women showing levels as high as 21?g/dL. According to Khalil, "Women with a blood lead concentration above 8?g/dL had a 73% increased risk of dying. In particular, blood lead was associated with almost three-fold risk in CHD mortality". This study shows that environmental toxicants, such as lead, may account for some of the burden of cardiovascular disease, which is the leading cause of mortality worldwide. It kills nearly half a million women in the United States every year, more than the next five causes of death combined and nearly twice as many as all forms of cancer, including breast cancer. The authors conclude, "While the damage may already have been done for some older people, it is important that we recognize the harm that environmental exposure to lead can cause. We must remain vigilant and ensure that lead pollution is minimized for the sake of future generations' health".

Alzheimer's disease linked to mitochondrial damage

Investigators at Burnham Institute for Medical Research (Burnham) have demonstrated that attacks on the mitochondrial protein Drp1 by the free radical nitric oxide—which causes a chemical reaction called S-nitrosylation—mediates neurodegeneration associated with Alzheimer's disease. Prior to this study, the mechanism by which beta-amyloid protein caused synaptic damage to neurons in Alzheimer's disease was unknown. These findings suggest that preventing S-nitrosylation of Drp1 may reduce or even prevent neurodegeneration in Alzheimer's patients. The paper was published in the April 3 issue of the journal Science. The team of scientists, led by neuroscientist and clinical neurologist Stuart A. Lipton, M.D., Ph.D., director of the Del E. Webb Center for Neuroscience, Aging and Stem Cell Research, showed that S-nitrosylated Drp1 (SNO-Drp1) facilitates mitochondrial fragmentation, damaging regions of nerve cell communication called synapses. Mitochondria are the energy storehouses of the cell, and their compromise by excessive fragmentation causes synaptic injury and eventual nerve cell death. Synapses are critical for learning and memory and their impairment leads to the dementia seen in Alzheimer's patients. "We now have a better understanding of the mechanism by which beta-amyloid protein causes neurodegeneration in Alzheimer's disease," said Dr. Lipton. "We found that beta-amyloid can generate nitric oxide that reacts with Drp1. By identifying Drp1 as the protein responsible for synaptic injury, we now have a new target for developing drugs that may slow or stop the progression of Alzheimer's." Drp1 is an enzyme that mediates fission or fragmentation of mitochondria. The Burnham researchers showed that excessive production of nitric oxide caused S-nitrosylation of Drp1 and induced excessive fragmentation of mitochondria in cultured nerve cells or neurons. The scientists also showed that beta-amyloid protein multimers, which had been previously implicated in Alzheimer's disease, induced formation of SNO-Drp1. Importantly, elevated SNO-Drp1 levels were also found in human brains of Alzheimer's patients, but not in those with Parkinson's disease or controls who didn't have neurodegenerative diseases.
Molecular modeling performed by the team suggested that S-nitrosylation of Drp1 causes dimerization of the protein and activation of enzymatic activity that induces mitochondrial fragmentation. To confirm this hypothesis, the scientists showed that RNA interference to knock down Drp1 or a mutation that prevented Drp1 activity inhibited excess mitochondrial fragmentation and protected the neurons. Finally, the researchers showed that a mutated Drp1, lacking the nitrosylation site, did not induce mitochondrial fragmentation and also prevented neuronal damage. Taken together, these findings suggest that multimers of beta-amyloid protein induce generation of nitric oxide, which reacts with Drp1 to cause excessive mitochondrial fragmentation and in turn neuronal damage.

Protein protects neurons in brain from damage due to inflammation

A research team from the University of California, San Diego School of Medicine and the Salk Institute for Biological Studies in La Jolla has identified a protein in the brain of mice that protects neurons from excessive inflammation, which can lead to neurodegenerative disorders such as Parkinson's disease. Their study, which identifies the protective function of a protein called Nurr1 and defines the pathway by which it works, will be published in the April 3 edition of the journal Cell. Nurr1 is a transcription factor that has been known for some time to play an essential role in the generation and maintenance of dopaminergic neurons in the brain. Rare mutations in Nurr1 are associated with familial Parkinson's disease, and the loss of dopaminergic neurons – which are the main source of dopamine in the central nervous system – is associated with the disease. Dopamine helps control multiple brain functions such as movement, attention, pleasure, emotion and motivation. The new findings have uncovered a second and previously unexpected role of the Nurr1 protein in two other cell types in the brain – microglia and astrocytes. The brain's microglia are macrophage-like cells that are active components of the immune defense in the central nervous system, while astrocytes are large star-shaped cells that normally play important support functions in the brain. Working in mice, researchers in the Laboratory of Genetics headed by Fred H. Gage, PhD, professor at the Salk Institute, reduced the expression of Nurr1 in the brain to see how it affected the inflammatory stimulus when the brain was infused with either bacterial lipolysaccharide (LPS) – a potent activator of microglia – or with a mutant form of alpha synuclein that is associated with an early form of familial Parkinson's disease. They found that, in the absence of Nurr1, inflammation was increased in the region where dopaminergic neurons are found, resulting in a toxic effect on those neurons. "LPS won't normally kill neurons, but the neurons died when Nurr1 was removed, so we realized that another cell type in the brain must be responding to LPS to cause this toxic effect," Gage said.

Sleep may help clear the brain for new learning

A new theory about sleep's benefits for the brain gets a boost from fruit flies in this week's Science. Researchers at Washington University School of Medicine in St. Louis found evidence that sleep, already recognized as a promoter of long-term memories, also helps clear room in the brain for new learning.The critical question - How many synapses, or junctures where nerve cells communicate with each other, are modified by sleep? Neurologists believe creation of new synapses is one key way the brain encodes memories and learning, but this cannot continue unabated and may be where sleep comes in."There are a number of reasons why the brain can't indefinitely add synapses, including the finite spatial constraints of the skull," says senior author Paul Shaw, Ph.D., assistant professor of neurobiology at Washington University School of Medicine in St. Louis. "We were able to track the creation of new synapses in fruit flies during learning experiences, and to show that sleep pushed that number back down." Scientists don't yet know how the synapses are eliminated. According to theory, only the less important connections are trimmed back, while connections encoding important memories are maintained. Many aspects of fly sleep are similar to human sleep; for example, flies and humans deprived of sleep one day will try to make up for the loss by sleeping more the next day. Because the human brain is much more complex, Shaw uses the flies as models for answering questions about sleep and memory. Sleep is a recognized promoter of learning, but three years ago Shaw turned that association around and revealed that learning increases the need for sleep in the fruit fly. In a 2006 paper in Science, he and his colleagues found that two separate scenarios, each of which gave the fruit fly's brain a workout, increased the need for sleep. The first scenario was inspired by human research linking an enriched environment to improved memory and other brain functions. Scientists found that flies raised in an enhanced social environment—a test tube full of other flies—slept approximately 2-3 hours longer than flies raised in isolation. Researchers also gave male fruit flies their first exposure to female fruit flies, but with a catch—the females were either already mated or were actually male flies altered to emit female pheromones. Either fly rebuffed the test fly's attempts to mate. The test flies were then kept in isolation for two days and exposed to receptive female flies. Test flies that remembered their prior failures didn't try to mate again; they also slept more. Researchers concluded that these flies had encoded memories of their prior experience, more directly proving the connection between sleep and new memories. Scientists repeated these tests for the new study, but this time they used flies genetically altered to make it possible to track the development of new synapses, the junctures at which brain cells communicate. "The biggest surprise was that out of 200,000 fly brain cells, only 16 were required for the formation of new memories, " says first author Jeffrey Donlea, a graduate student. "These sixteen are lateral ventral neurons, which are part of the circadian circuitry that let the fly brain perform certain behaviors at particular times of day."


 

 


 


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