Tuesday, February 04, 2020

Israeli scientists find way to treat pancreatic cancer in 14 days

A new treatment developed by Tel Aviv University could induce the destruction of pancreatic cancer cells, eradicating the number of cancerous cells by up to 90% after two weeks of daily injections of a small molecule known as PJ34.

Pancreatic cancer is one of the hardest cancers to treat. Most people who are diagnosed with the disease do not even live five years after being diagnosed.


The study, led by Prof. Malka Cohen-Armon and her team at TAU’s Sackler Faculty of Medicine, in collaboration with Dr. Talia Golan’s team at the Cancer Research Center at Sheba Medical Center, was recently published in the journal Oncotarget.


Specifically, the study found that PJ34, when injected intravenously, causes the self-destruction of human cancer cells during mitosis, the scientific term for cell division.


The research was conducted with xenografts, transplantation of human pancreatic cancer into immunocompromised mice. A month after being injected with the molecule daily for 14 days, “there was a reduction of 90% of pancreatic cells in the tumor,” Cohen-Armon told The Jerusalem Post. “In one mouse, the tumor completely disappeared.”


“This molecule causes an anomaly during mitosis of human cancer cells, provoking rapid cell death,” she said. “Thus, cell multiplication itself resulted in cell death in the treated cancer cells.”


Moreover, she said, PJ34 appears to have no impact on healthy cells, thus “no adverse effects were observed.” The mice, she said, continued to grow and gain weight as usual.


She added that she first published about the mechanism in 2017 when it was used to effectively treat triple-negative breast cancer implanted in xenografts. This type of breast cancer – which tests negative for estrogen receptors, progesterone receptors and excess HER2 protein – like pancreatic cancer, is very hard to treat and many women don’t live more than five years after being diagnosed.


Though Cohen-Armon said the team did not specifically study whether or not the treatment could prolong the lifespan of a patient, one can assume such an effect could result if the cancerous cells are eliminated.


How long will it take to move from mice trials to human trials?


She estimates that would take “at least two years on the condition that we get enough funding.”
First, she said, the group will test the treatment on pigs and then apply for permission from the FDA to administer humans with this molecule.


“I am optimistic,” Cohen-Armon concluded.


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Thursday, April 27, 2017

The R 50 miracle drug that prevents maternal deaths from excess bleeding

An inexpensive and widely available drug given intravenously within three hours of childbirth could save the lives of one in three new mothers who would otherwise bleed to death after delivery, reports a study in The Lancet. 

A global WOMAN (World Maternal Antifibrinolytic) Trial of more than 20,000 women from 193 hospitals in 21 countries, including India, found that giving drug called tranexamic acid (TXA) within three hours after childbirth reduced death from bleeding by 31% and lowered the need for emergency surgery to control bleeding (laparotomy) in one in three (36%) cases.

TXA stops bleeding by stopping blood clots from breaking down too quickly. Severe bleeding after childbirth (known as post-partum haemorrhage or PPH) is the leading cause of the 100,000 maternal death worldwide. 

TXA injections are manufactured by several pharma companies in India and cost between R 30 and R 50.

The study found 89 women given tranexamic acid died compared with 127 given placebo in addition to standard care. There were no side effects for either mothers or babies. The study builds on previous research involving 20,000 trauma patients, which showed that tranexamic reduced deaths due to bleeding by almost a third if given within three hours.


India’s maternal mortality rate (deaths per every 100,000 live births) is 167, shows data from the sample Registration System. In 2015, around 45,000 women died from childbirth-related causes, including post-partum haemorrhage -- defined as a blood loss of more than 500ml -- within 24 hours of giving birth.

“We now have important evidence that the early use of tranexamic acid can save women’s lives. It’s safe, affordable and easy to administer, and we hope that doctors will use it as early as possible following the onset of severe bleeding after childbirth,” said Haleema Shakur, associate professor of clinical trials at the London School of Hygiene & Tropical Medicine and Project Director on the WOMAN Trial.

The drug, however, did not prevent a new mother’s risk of having her womb surgically removal (hysterectomy). In situations where safe blood supply is limited, a life-saving hysterectomy is sometimes done immediately after severe haemorrhaging starts, which left no time for TXA to have an effect.

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Friday, August 16, 2013

Heart's own stem cells may help treat heart failure

Scientists have for the first time highlighted the natural regenerative capacity of a group of 

stem cells that reside in the heart. 

Researchers  found that these cells are responsible for repairing and regenerating muscle 


tissue damaged by a heart attack which leads to heart failure. 

The study showed that if the stem cells are eliminated, the heart is unable to repair after 


damage. 

If the cardiac stem cells are replaced the heart repairs itself, leading to complete cellular, 


anatomical and functional heart recovery, with the heart returning to normal and pumping 

at a regular rate. 

Also, if the cardiac stem cells are removed and re-injected, they naturally 'home' to and 


repair the damaged heart, a discovery that could lead to less-invasive treatments and even 

early prevention of heart failure in the future. 

"In a healthy heart the quantity of cardiac stem cells is sufficient to repair muscle tissue in 


the heart. However, in damaged hearts many of these cells cannot multiply or produce new 

muscle tissue," said a Dr. 

"In these cases it could be possible to replace the damaged cardiac stem cells or add new 


ones by growing them in the laboratory and administering them intravenously," they said.

"Understanding the role and potential of cardiac stems cells could pave the way for a 


variety of new ways to prevent and treat heart failure," Dr. added. 

"These new approaches involve maintaining or increasing the activity of cardiac stem cells 


so that muscle tissue in the heart can be renewed with new heart cells, replacing old cells 

or those damaged by wear and tear. 

"The cardiac stem cells naturally home to the heart because the heart is their home - they 


know to go there. Current practices involve major operations such as injection through the 

heart's muscle wall (intramyocardial) or coronary vessels (intracoronary). 

"The homing mechanism shown by our research could lead to a less invasive treatment 


whereby cardiac stem cells are injected through a vein in the skin (intravenously)," she 

said. 

"Although an early study, our findings are very promising. Next steps include clinical trials, 


due to start early 2014, aimed at assessing the effectiveness of cardiac stem cells for 

preventing and treating heart failure in humans," Dr. added. 


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