Tuesday, January 22, 2019

Alzheimer's disease: It may be possible to restore memory function

Research published today reveals a new approach to Alzheimer's disease (AD) that may eventually make it possible to reverse memory loss, a hallmark of the disease in its late stages. 

The team, found that by focusing on gene changes caused by influences other than DNA sequences—called epigenetics—it was possible to reverse memory decline in an animal model of AD.

"In this paper, we have not only identified the epigenetic factors that contribute to the memory loss, we also found ways to temporarily reverse them in an animal model of AD," said senior author.

The research was conducted on mouse models carrying gene mutations for familial AD—where more than one member of a family has the disease—and on post-mortem brain tissues from AD patients.

AD is linked to epigenetic abnormality
AD results from both genetic and environmental risk factors, such as aging, which combine to result in epigenetic changes, leading to gene expression changes, but little is known about how that occurs.
The epigenetic changes in AD happen primarily in the later stages, when patients are unable to retain recently learned information and exhibit the most dramatic cognitive decline, the author said. A key reason for the cognitive decline is the loss of glutamate receptors, which are critical to learning and short-term memory.

"We found that in Alzheimer's disease, many subunits of glutamate receptors in the frontal cortex are down-regulated, disrupting the excitatory signals, which impairs working memory," the Prof. said.

The researchers found that the loss of glutamate receptors is the result of an epigenetic process known as repressive histone modification, which is elevated in AD. They saw this both in the animal models they studied and in post-mortem tissue of AD patients.

The Prof. explained that histone modifiers change the structure of chromatin, which controls how genetic material gains access to a cell's transcriptional machinery.

"This AD-linked abnormal histone modification is what represses gene expression, diminishing glutamate receptors, which leads to loss of synaptic function and memory deficits," the Prof. said.

Potential drug targets
Understanding that process has revealed potential drug targets, she said, since repressive histone modification is controlled or catalyzed by enzymes.

"Our study not only reveals the correlation between epigenetic changes and AD, we also found we can correct the cognitive dysfunction by targeting the epigenetic enzymes to restore glutamate receptors," the Prof. said.

The AD animals were injected three times with compounds designed to inhibit the enzyme that controls repressive histone modification.

"When we gave the AD animals this enzyme inhibitor, we saw the rescue of cognitive function confirmed through evaluations of recognition memory, spatial memory and working memory. We were quite surprised to see such dramatic cognitive improvement," the Prof. said.

"At the same time, we saw the recovery of glutamate receptor expression and function in the frontal cortex."

The improvements lasted for one week; future studies will focus on developing compounds that penetrate the brain more effectively and are thus longer-lasting.

Epigenetic advantage
Brain disorders, such as AD, are often polygenetic diseases, the Prof. explained, where many genes are involved and each gene has a modest impact. An epigenetic approach is advantageous, she said, because epigenetic processes control not just one gene but many genes.

"An epigenetic approach can correct a network of genes, which will collectively restore cells to their normal state and restore the complex brain function," she explained.

"We have provided evidence showing that abnormal epigenetic regulation of glutamate receptor expression and function did contribute to cognitive decline in Alzheimer's disease," the Prof. concluded. "If many of the dysregulated genes in AD are normalized by targeting specific epigenetic enzymes, it will be possible to restore cognitive function and behavior." 

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Thursday, December 20, 2018

New Test Predicts Cervical Cancer With 100% Accuracy

Researchers have developed a cervical cancer test that can detect the disease up to five years before it manifests, with 100% accuracy in a randomized clinical trial of more than 15,000 women. However, they also said it could take up to five years for it to become routine procedure in gynecologist’s offices.

“This is an enormous development,” said a Prof. and the lead researcher behind the new test. “We were surprised by how well this new test can detect and predict early cervical cancers years in advance, with 100% of cancers detected, including adenocarcinomas, which is a type of cervical cancer that is very difficult to detect.”

India is home to a quarter of the world’s cases of cervical cancers 1 and 2; here, the disease accounts for 26 % of all cancers in women, and 17% of their cancer-related deaths. Cervical cancer screening efforts have been disjointed, and reliant on the invasive Pap smear to identify cellular mutations, as well as a test for the human papillomavirus, an infection that indirectly underlies the majority of the world’s cervical cancer cases. Neither test is foolproof, with Pap smears detecting only around 50% of precancerous cells, and the HPV test only detecting a past or present infection, but not whether it will develop into cancer. The HPV vaccine, despite its proven efficacy in preventing the infection that underlies most cervical cancer cases — and thus lowering the rate of cervical cancer — has been adopted only slowly, as part of public health campaigns  at the national level.

The new test detects naturally occurring chemical markers that overlay DNA that’s been affected by HPV infection, to predict cervical cancer before it develops. It reflects a new trend in cancer research and treatment, one that sees the pantheon of diseases primarily as the result of epigenetics — that is, how, when and why a body ‘reads’ and carries out genetic blueprints. These words explains it best: if each of our lives are a movie, our cells are the actors, genetics is the script — and epigenetics is the directing.

“In contrast to what most researchers and clinicians are saying, we are seeing more and more evidence that it is in fact epigenetics, and not DNA mutations, that drives a whole range of early cancers, including cervical, anal, oropharyngeal, colon, and prostate,” the Prof. said.

In the clinical trial, the new test detected 100% the invasive cervical cancer cases (a total of eight) that developed among a set of 15,744 women. The women in the trial also underwent Pap smears and HPV testing, which detected 25% and 50% of the cervical cancer cases respectively.

Among a subset of HPV-positive women, the new test was slightly less accurate but still highly efficient, detecting 93% of precancerous cervical lesions, compared to 86% detected by a Pap smear and HPV test combined, and 61% detected by a Pap smear alone.


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Saturday, May 17, 2014

Cancer cell has potential on-off switch

Epigenetics is the phenomena in which genetically identical cells succeed in expressing their genes differently and it result in different physical traits.

At present, it is believed that cancer develops from environmental and genetic changes to cancer progenitor cells. These changes occur due to mutations, exposure to toxic substances or hormonal imbalances.

"If we believe that everything in nature occurs in an organised fashion, then it is logical to assume that cancer development cannot be as disorganised as it may seem," said Sibaji Sarkar, instructor of medicine at Boston University School of Medicine (BUSM).

"There should be a general mechanism that initiates cancer progression from predisposed progenitor cells, which likely involves epigenetic changes," said Sarkar.

"If we believe that all of the irreversible changes, mutations and effects of carcinogens make cells rapidly grow, then the mechanism that allows cells to stop growing and assume new changes in character must be of great importance," added Sarkar.

"The study of cancer progression is key to understanding how cancer cells continue to differentiate," said Sarkar.

The research was published in the journal Anticancer Research and Epigenomics.

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Monday, August 19, 2013

Beware! Your smartphones can harm your eyes

If smartphones have made our lives easier, there is a flip side too -- they cause vision impairment, says a leading laser eye surgeon. 

A Surgeon  has revealed that smartphones have caused cases of myopia (short-sightedness) among young Britons to surge. 

He has reported a 35 % increase of patients with advancing myopia, since the launch of smartphones in 1997, and warns that worsening Myopia in young adults could increase by 50 percent within 10 years. 

Half of Britons own smartphones and spend an average of two hours per day using them. Combined with the amount of hours spent in front of a computer screen, laptop, tablet and television, it means that particularly young people and children are at risk of permanently damaging their vision. 

New research found that the average smartphone user holds the handset 30 cm from their face, with some people holding it just 18 cm away, compared to newspapers and books, which are held 40cm away from the eyes. 

According to him, excessive screen watching at a close proximity keeps the genes that control myopia activated well beyond the age that short-sightedness would historically have stabilized, around the age of 21. This is known as 'epigenetics'. Myopia used to stop in our early 20s but now we see it progressing throughout the 20s, 30s, and even into our 40s. 

"If things continue as they are, I predict that 40-50 percent of 30-year-olds could have myopia by 2033 as a result of smartphones and lifestyles in front of screens, an epidemic we call Screen-Sightedness. People need to ensure they limit screen time wherever possible even by going outside without their phone for a period of time each day, and also seriously consider the age at which they give their children a smartphone," he said. 

Dr. says today's generation of children are most at risk of myopia, with children as young as seven being given their first smartphone. 

It is predicted that by 2014 children aged 12 to 17 years will be the second biggest market for smartphones behind 18-24 year olds.

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