Archive: Food for Thought

Food for Thought: Weekly Wrap-Up

Volker Stollorz in Frankfurter Allgemein Sonntagszeitung (FAS) this week in detail reports on a paper describing the generation of pluripotent stem cells from adult human testis, which has raised suspicions because as yet no one has been able to reproduce the data or cell lines. The paper published 2008 in Nature raised high hopes about the generation of pluripotent human stem cells for research and therapy without technically or ethically debatable interventions. The research originated in the lab of Thomas Skutella, then at the University of Tuebingen, Germany; lead author was Sabine Conrad. Already, researcher Hans R. Schoeler in the same journal expressed concerns that the cells used by Conrad et al. are not pluripotent as described. The article by Stollorz is not yet available online.

Stephan Sahm in Frankfurter Allgemeine Zeitung (FAZ) introduces the new medical discipline of neurogastroenterology which deals with the nerve cells lining the human digestive tract. Already it is known that impairments of these nerve cells lead to motility disturbances of the colon – often seen in diabetics – and to dysfunctions of the immune system.

In the same paper, Hildegard Kaulen describes attempts to understand and cure chronic fatigue in cancer patients. The syndrome often appears after successful tumor eradication by chemo- or radiation therapy and has been neglected by clinicians and doctors in the past.

In Die Welt, Joerg Zittlau introduces a new silicon-based coating developed by Nanopool GmbH. The liquid glass coating is non-toxic, heat- and scratch-resistant and extremely thin and flexible. It is made by extracting nano-sized silica crystals from sand which are subsequently mixed with water and alcohol and applied either manually or by spraying. Once the solvent has evaporated, the glass coating is ready. As it is extremely smooth it is not only suited as protectant but also stain-resistant and self cleaning.

Wolfgang S. Merkel, also in Die Welt, explains why certain materials such as asbestos or nanotubes are dangerous for cells. If particles have a rounded tip they are mistaken by the cells for a small spheric particle and taken up. As the process cannot be terminated for the length of the particle, the cell eventually dies and, if many cells are affected, inflammation and cancer may arise.

Christina Berndt in Sueddeutsche Zeitung (SZ) deals with the latest conspiracy theory spread by ecological fundamentalists: milk is dangerous for toddlers as it blocks the mucosa with phlegm so that it cannot ward off infections. In the same paper, Berndt reports on fundamentalist Taliban in Pakistan opposing vaccination. As a result, polio cases have risen dramatically in the areas controlled by the Taliban.

Hartmut Wewetzer in Der Tagesspiegel introduces latest findings demonstrating that neither resveratrol, the highly acclaimed ingredient of grapes, nor sirtuin proteins guarantee longer, healthier life. Previously, researchers from the US had claimed that sirtuin proteins, which are activated by resveratrol, mediate longer life. In contrast, Nicholas Wade in The New York Times reports on the same study and points out that there is a trans-atlantic rift in reporting: while British scientists say sirtuins are not involved in longevity, the US colleagues under attack say they adhere to their claim. The controversy is around the genetic uniformity or diversity of the animal strains used in the experiments.

Larry Husten in Forbes is commenting on the decline of cardiovascular procedures observed in US hospitals, speculating that four factors may contribute to it: concerns about stent overuse, the payoff of preventive drug treatments, the larger economic climate and recent investigations into implantable cardioverter defibrillator (ICD) by the US Department of Justice. Recently, doctors and hospitals in the US were accused to implant ICDs without proper evidence base in more than 1 in 5 cases.

Also in Forbes, David Shaywitz and Dennis Ausiello in a commentary demand that doctors translate research results into clinical progress much better than today. The authors do not focus on the “translational science” buzzword but propose simple things: improvements in measurements, a less intrusive medicine and better participation of patients, e.g. by involving Facebook- or smartphone-based information transfer for better compliance and health status surveillance.

In the New Scientist, Debora MacKenzie reports on Sanofi-Pasteur signing a contract with the University of San Diego, Calif. to develop a vaccine for the prevention and treatment of acne, a disease affecting 85% of teens. The challenge: killing the disease-causing bacterium (which is benign under normal circumstances and turns nasty only in clogged sebaceous glands in the skin) is likely to disturb the important, delicate balance of the skin’s normal bacterial community. The solution may be to use an antibody directed specifically against a protein released by the acne-causing bacteria, if  oxygen levels fall below normal in the clogged glands. This approach may neutralize the acne factors and prevent inflammation while leaving the normal bacterial community on the skin undisturbed.

Last not least, physics nerds make a laughing matter of CERN’s latest discovery that neutrinos may travel faster than light, reports Holger Dambeck in Der Spiegel. Our favorite one (true Monty Python style) is as follows: “To reach the other side. Why do neutrinos cross the road?”

Food for Thought: Germany’s Emerging Pirate Party Pillories the Life Sciences Industry

The recent election in Germany’s federal state of Berlin ended with a surprise: a previously almost unknown party, the Pirate Party (Piratenpartei) won 15 of the 152 state parliament seats; nearly every one in ten voters in Berlin casted his ballot for this group, which was founded in 2006 by mostly male young academics and internet-affiliate people.

The program of the party is not very detailed and focuses almost entirely on freedom of information, free access to the internet, free rides on public transport, legalization of drugs and a free basic income for everyone living permanently in Germany.

While the program does not say anything about economic policy (nor on defense or international policy), it includes several statements on the life sciences and pharma industry.

For one, the party opposes patents on genes and living beings (as it opposes software patents and patents on business ideas), and in the long run aims to abolish the entire patent system. The program also states that “patenting of findings from genetic research and biotechnology … poses a great danger to tomorrow’s society.” Such patents should be forbidden by law. Moreover, the program adds that patents on pharmaceuticals, too, should be abandoned as they have “ethically highly objectionable” consequences.

Second, the “Pirates” want to “reorganize” the pharmaceutical sector as it is “characterized by monopoly blocking innovation”. They criticize that the pharma industry is making profit from publicly funded basic research and that public institutions should conduct R&D of novel therapeutics. As a result, society would spend less money on buying drugs but more on developing better ones.

Certainly, it remains to be seen whether the party will have any political influence and whether the success will be sustainable. However, the fact that the few paragraphs on industry and economics in the program almost exclusively deal with the life sciences sector once again demonstrates that the pharma and biotech sector in Germany still has massive reputation problems: one of the most innovative industries is viewed as a stumbling block for a better life.

Food for Thought: IQWiG Says Benefit Of Ezetimibe Not Proven

Various studies have demonstrated that lowering cholesterol levels with statins is preventing heart attacks and other cardiovascular complications. However, some patients do not tolerate statins or do not achieve recommended cholesterol levels with statins alone. These patients often are prescribed ezetimibe (sold as Ezetrol by MSD Sharp & Dohme in Germany), an oral cholesterol-absorption inhibitor, either alone or in combination with statins. A fixed combination of ezetimibe with statin simvastatin is sold as Inegy.

Last year, Germany’s Federal Joint Committee (G-BA) which is deciding about drug reimbursements for the country’s statutory healthcare system, commissioned Germany’s cost-benefit watchdog IQWiG to assess the benefit of ezetimibe either alone or as combination therapy.

IQWiG published its report earlier this month. While it not disputes that ezetimibe is lowering cholesterol levels, the institute states in its report that it has been unable to identify any review or study demonstrating that the prescription of ezetimibe alone or in combination does provide patient-related benefits in terms of reducing “all-cause” or “vascular” mortality.

However, new data and findings supporting the benefit of ezetimibe will be available soon.  Pulse Magazine, a leading medical weekly in the UK, reported Sept. 2 that researchers looked into the effectiveness of ezetimibe in combination with statins on all-cause mortality over a period of 4.3 years. They concluded that the combination treatment – if used after a myocardial infarction – resulted in a 55% decrease in all-cause mortality compared to patients taking simvastatin alone. The trial was a retrospective study on a cohort of nearly 15,000 patients from the UK’s General Practice Research Database. The researchers already had announced a presentation of the results at the European Society of Cardiology Congress in Paris end of August, but cancelled the presentation to perform a more complex analysis of the data.

Food for Thought: Weekly Wrap-Up

Joining the recent denunciation of personalized medicine in Süddeutsche Zeitung (SZ), Der Spiegel this week follows suit. Markus Grill and Veronika Hackenbroch cite Dr. Baerbel Huesing, Coordinator of Business Unit Biotechnology and Life Sciences of Fraunhofer ISI, as saying that the concept of personalized medicine is a “battle cry” of public relations: “Whoever invented it needs to be congratulated.” She added: “It is not a paradigm change. There is not that much in it. However, it is very well suited to justify to Jane Doe the enormous investments made in genomics – similar to the teflon-coated frying pan which was used as an excuse for manned space research.” As an example, Grill and Hackenbroch cite a study from 2009 in colon cancer patients, stating that adding Erbitux to the treatment scheme of patients selected by a concomitant Qiagen test resulted in a survival improvement of 4 months: “Is this a medical breakthrough? Is this what  progress looks like, bought by spending billions?” Instead, Grill and Hackenbroch recommend spending money on better care at home and better palliative treatment. The article ends with a quote from Wolf-Dieter Ludwig, head of the clinic for hematology, oncology and tumor immunology at Robert-Roessle-Klinik in Berlin: “Up to date, the concept of personalized medicine is an empty promise in the first place.”

Harro Albrecht and Sven Stockrahm in Die Zeit feature the suspicion expressed by medical doctors and competent authorities in the EU that the flu vaccine Pandemrix might cause narcolepsy, in particular in children and young adults. Already, EMEA issued a recommendation to use Pandemrix in children and adults under 20 in exceptional cases only. While there were only two reported cases of narcolepsy among children in the US, there were more than 300 in the EU, with 70% of those cases coming from Scandinavia. Narcolepsy is an autoimmune disease, predominantly in humans with a certain genetic modification, and the authors feature the theory that the adjuvant used in the vaccine might have induced the disease in these patients. However, the genetic variant known does not have a bigger frequency in Scandinavia.

Sven Stockrahm, also in Die Zeit, features miniature, flexible electronic devices that stick to the skin by physical means. They can be hid by a tattoo motif and are able to measure and transmit physiological data for medical purposes. One company developing these devices is mc10 Inc. in Cambridge, Mass.

Martina Lenzen-Schulte in Frankfurter Allgemeine Zeitung (FAZ) gives an overview on the arrival of maggot therapy as a means to clean wounds, stating it has become standard therapy in many German clinics already. Maggots not only remove dead tissue and eschar, they also kill bacteria. Therefore, they are increasingly being used in infections with bacteria carrying multiple resistance to antibiotics. However, maggot therapy is not yet approved in Germany (in contrast to the US).

Sebastian Matthes in Wirtschaftswoche interviews Jackie Fenn, analyst at Gartner and co-author of Gartner’s Hype Cycle Report. Fenn forecasts computers with the ability to understand spoken questions and to put out spoken answers as well as printing of organs and arteries.

Roland Fischer in Neue Zürcher Zeitung (NZZ) looks back at 50 years of the influential Science Citation Index SCI. Originally founded to make the identification of relevant scientific papers easier, it soon became a tool for sociologists of science and led to the birth of scientometry as a new discipline. However, SCI also was used to take quantity for quality, measuring quality of science as number of citations, and it is a well-known episode that in the UK funding of clinical research was cut because preclinical research generates more citations. While this controversy is still ongoing, the taking of quantity for quality is already spilling over into search engines, Fischer describes.

Alex Knapp in Forbes describes a novel approach to broad spectrum antivirals. It is based on a bi-specific drug: one arm binds to double-stranded RNA which is specific for viruses. Once bound, a second arm triggers a mechanism that leads to the destruction of the cell it is in. The experimental drug named DRACO has been successful at eliminating cells infected by 15 different viruses from the common cold to polio in vitro and in vivo (mice).

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