News

Food for Thought: Weekly Wrap-Up

The human genome of newborns contains an unexpectedly low number of mutations, writes Joachim Müller-Jung in Frankfurter Allgemeine Zeitung (FAZ). Contrary to earlier estimates of 100-200 mutations generated in the germ cells of parents, the number is only about 60. Results come from sequencing the entire genomes of two families with one child each. The results have implications for understanding human evolution and genetics.

Sonja Kastilian, also in FAZ, features a preliminary report of IQWiG, Germany’s watchdog agency appraising drugs and treatments for quality and cost effectiveness, on the benefits of HPV testing of women as a screening for ovarian cancer. IQWiG set out to compare DNA tests for HPV with common pap smear tests and reported that the HPV tests leas to an earlier diagnosis and better follow-up examinations, regardlesss of whether it is applied alone or in combination with the conventional test. A final decision on whether the test is to be reimbursed by Germany’s statutory healthcare system is expected for 2012. In 2006, the Joint Federal Committee (G-BA), the body in charge, had voted against reimbursement for cost reasons. Kastilian also points out that HPV vaccination rates at present are below 30% in young women in Germany, in contrast to up to 81% in the UK, Portugal, and Australia. Reason has been an unduly discussion in German media about potential risks, high costs and lack of efficacy.

Uta Neubauer in Neue Zürcher Zeitung (NZZ) reports on novel approaches to use cold plasma to disinfect wounds, hands, and food. A method and device developed by the German Max Planck Institute for Extraterrestrial Physics has already demonstrated safety and efficacy in treating wounds and disinfecting hands. At present, it is under investigation for the treatment of foods, e.g. food additives and berries.

Sven Titz, also in NZZ, deals with latest insights into the physics of the water surface. Using vibration spectroscopy, physicists of the University of Southern California at Los Angeles found that the surface is made up basically by -OH groups of the water molecules sticking out from the liquid. The discovery will lead to better understanding solubility of molecules in water.

Forbes this week introduces two innovations in optics. Jennifer Hicks writes about the “socialization of the microscope” by a technology that allows the display of microscopic images on an extremely large multitouch screen, just like an oversized iPad. Thereby, groups of students, pathologists or researchers can focus on tiny details by touching, gesturing, and zooming in and out. A video of the microscope at work can be found here.

Californian-based start-up Lytro has unveiled a camera that can take pictures without focusing, writes Tomio Geron in Forbes. Instead, focusing on any point of interest in the photo is done once the image is loaded on a computer. The consumer camera is based on the light field technology invented by Stanford University researchers. The camera is fitted with special lenses and a sensor that captures every ray of light hitting it, regardless of whether it is from the fore- or the background, and records its individual color, intensity and direction. The camera therefore also can be used to generate 3D-pictures. Examples can be found here.

The Economist this week introduces an intelligent drug delivery approach using nanoparticles. It can be used to deliver anti-cancer chemotherapeutic drugs and makes use of the blood-clotting mechanism: first, nano-sized golden rods are injected into the blood stream. They fit into the unusual pores common in capillaries nourishing tumors and thereby mark tumor sites. Once they are in place, the tumor site is treated with laser light bursts. Their energy is absorbed by the gold and converted to heat destroying the capillaries so that the body’s coagulation system is triggered to repair the damage. This is when the second nanoparticles come into play. They carry the chemotherapeutics together with a fibrin-binding protein fragment and are designed to release the drug upon fibrin-binding only. The treatment strategy therefore delivers the drug exactly to the site the coagulation system is active, that is, at the tumor. The method developed at the Massachusetts Institute of Technology (MIT) has proven safety and efficacy in mice and will be tested in humans soon.

Researchers from the University of Rochester have come up with just another idea to release drugs on target, the New Scientist reports. They found that nanocarbon tubes containing aqueous solutions can be made to pop open by heating them from the outside with infrared lasers. Patients could be administered nanocontainers carrying drugs to deliver it to a desired target where the drug then is released by laser light.

And finally, Die Welt this week deals with wrinkles and high tech attempts to avoid or get rid of them. Clinical studies in people with an average age of 87 prove that vitamin A1 (retinol) is useful to smooth skin. Also, light from LEDs is able to remove a water film caging the skin’s elastic fibers so that they become rigid. The method is best applied by pre-treating the skin with green tee polyphenols to deactivate free radicals generated by the LEDs. Moreover, scientists from Hamburg-based Skin Investigation and Technology SIT found out that eating one bar of dark chocolate a day also leads to a 34% improvement of skin elasticity after 6 months. Further attempts to eliminate wrinkles are being made by using signaling peptides activating collagen-producing cells and by polymers carrying nanoparticles that are injected between outer and inner skin layers. The resulting films disperse the compression forces within the skin, thereby “ironing” it from inside.

Company News: Scil Technology Receives Public Research Grant for Novel Rheumatoid Arthritis Treatments

Scil Technology GmbH, a biopharmaceutical company with core expertise in protein drug development, formulation and analytics, today announced that it has been awarded research funding by the German Federal Ministry of Education and Research (BMBF) under BMBF’s KMU-innovativ scheme. The EUR 0.9 million grant supports Scil Technology’s research program to explore the therapeutic potential of repellent proteins for the treatment of rheumatoid arthritis (RA).

The course of RA is affected by the destruction of cartilage tissue and inflammation of the joints. Recently, it has been published that so-called repellent proteins inhibit fundamental processes relevant for the development of the disease. Repellent proteins therefore bear the potential to provide the first causative treatment of RA.

Food for Thought: Weekly Wrap-Up

Rationing medicine already is clinical reality in Germany, reports this week’s Frankfurter Allgemeine Zeitung (FAZ). Christina Hucklenbroich features a representative survey among the members of the German Society for Hematology and Oncology (DGHO) about therapeutic decisions in treating cancer patients. According to the survey, 59% of the responding 345 oncologists said that they abstain from treatment options if they think the therapeutic benefit is too small as compared to the cost of treatment. However, 19% responded they even refrain from therapeutic options for cost reasons even if the treatments provide an additional, considerable benefit to the patients.

Michael Feld also in FAZ reports on a study by Pricewaterhouse Coopers and the Darmstadt Economics Research Institute Wifor that Germany will be lacking 56,000 physicians and 140,000 nursing staff by 2020, a situation that will hit the eldery most. The author, a practicing physician, states that the situation is not only caused by lack of money but also by disappearing values like charity, social responsibility and a sense of honor.

Focus magazine this week features a study from the University of Michigan giving rise to concerns that taking dietary supplements and OTC medications to stimulate the immune system can be counterproductive in patients with autoimmune diseases. The study demonstrates in animals that a strong immune response to common cold viruses can exacerbate inflammations and even lead to asthma attacks while the infection with a weaker immune system proceeds without complications.

Die Welt reports about clinical results on a new test for the early detection of Alzheimer’s disease (AD) communicated by the University of Leipzig. The test is based on radiolabeled Florbetaben which is injected into the blood stream. The substance binds to beta-amyloid peptides in the brain, and binding can be assessed using PET imaging. Thereby, AD can be diagnosed up to 15 years before onset of the disease. The paper does not mention, however, that the (preliminary) results are from an international multi-center Phase III trial sponsored by Bayer Schering Pharma that was designed to evaluate the efficacy and safety of florbetaben (BAY 94-9172) developed by the company. PET images are compared to corresponding histo-pathological specimens. Details will be published in the next issue of Lancet Neurology.

Christian Meier, Aitziber Romero and Dino Trescher in Sueddeutsche Zeitung (SZ) maintain that industry is trying to block attempts to regulate nanotechnology products. While the EU Commission prefers to define nanotechnology products by counting the number of particles smaller than 100 nanometers, industry wants a definition by determining the fraction of the particles contributing to the mass of the product. The authors, which claim that nanotech products bear all sorts of unforeseen health and environmental hazards, say that this is an attempt by industry to reduce the number of products defined as being nanotechnology.

The Economist makes a case in how food poisoning by EHEC, salmonella and other dangerous bacteria can be effectively prevented: radiating food. Irony is that it was Germany, the country currently suffering from the worst and most deadly EHEC epidemic ever, that vetoed a proposal by the European Commission to allow radiation for a greater range of food and at higher doses, e.g. for sprouts which caused this year’s epidemic, in 2000. However, the author doubts the epidemic will change the German government’s attitude for fear to upset Germany’s influential Green movement.

Last not least, comics are becoming increasingly popular among biotech companies and researchers. Silver Spring, MD based biotech company United Therapeutics chose to publish its annual report as a comic book, while researchers from the Department of Neurosurgery of Heinrich-Heine-University Düsseldorf published a retrospective study on traumatic brain injuries in comics, analyzing more than 700 head injuries in the Asterix comic books: “Although over half of patients had an initially severe impairment of consciousness after TBI, no permanent deficit could be found. Roman nationality, hypoglossal paresis, lost helmet, and ingestion of the magic potion were significantly correlated with severe initial impairment of consciousness (p ≤ 0.05).”

 

Food for Thought: In the Health Care Sector, Who Should Choose Which Treatment Is Best?

The healthcare sector is under scrutiny in major developed countries across the globe. Some nations, like the UK and Germany, have already developed strict guidelines to determine the effectiveness of therapeutics and medical technologies, which must undergo comprehensive cost-benefit analyses as a pre-requisite for reimbursement. You can read more information about European regulations, especially German efforts, in our previous articles about the German Drug Reimbursemend Law AMNOG.

While cost-cutting is not as important in the U.S. healthcare system (yet), the emphasis on so-called comparative effectiveness research (CER), which is to assess the most effective treatment options for a patient,  has become undisputed.

An article in Knowledge@Wharton examines the pros and cons of CER efforts worldwide, stating that  “while not specifically designed to address health care costs, CER could ultimately lead to changes in the ways people seek medical treatment, the development of innovative remedies and other trends within the industry that could impact costs.”

Wharton healthcare management professor Scott E. Harrington takes an even more critical view: “The fear is that significant government involvement in CER will give rise to some form of restrictions on access to care [or to] particular treatments based on research studies and bureaucratic decision-making,” he says. “It might not be tied to what people want to have and what they are willing to pay for.”

On the other hand, if properly applied in both the state-funded and private healthcare sector, CER may incentivize biopharmaceutical and medical device companies to invest even more money into first-in-class or best-in-class innovative treatments by granting special patent protection and market access.

Knowledge @Wharton: In the Health Care Sector, Who Should Choose Which Treatment Is Best?, March 2011

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