Tag: immune system

Food for Thought: Weekly Wrap-Up

Dieter Durand and Susanne Kutter in Wirtschaftswoche feature a disputation between Alzheimer-researcher Konrad Beyreuther and author Cornelia Stolze, who has written a book claiming Alzheimer’s disease does not exist as an exactly defined disease.

While Beyreuther maintains the disease is real and can be clinically separated from other forms of dementia, he concedes that current medications are useless and that diagnosis often is inadequate. Stolze in her book “Vergiss Alzheimer” (“Forget About Alzheimer’s”) states that patients with signs of dementia often are labeled as Alzheimer’s disease patients although they are not, that they receive useless medications, that the real causes of their respective dementias, such as diabetes, depression, stroke, or dehydration, are overlooked and not treated, and that medical doctors make money with unreliable early diagnostic tests. A review of the book is to follow soon – please regularly check the akampioneer.

Joachim Müller-Jung in Frankfurter Allgemeine Zeitung (FAZ) comments on a proposal by several US stem cell researchers in the “Cell Stem Cell” journal. The manifesto calls for establishing a market for human donor egg cells so that scientists can use these cells for cloning experiments. While the purpose is not cloning humans but generating pluripotent human stem cells, Müller-Jung warns that the push will once again put the “cloning humans” debate on the table – a discussion he thinks is needed like a hole in the head. He states there are plenty of experiments already demonstrating that sooner or later it will be possible to generate pluripotent human stem cells for regenerative medicine by reprogramming human body cells.

Martina Lenzen-Schulte, also in FAZ, features the first attempts to use the mirror neuron concept for clinical purposes, e.g. for the rehabilitation of stroke patients to support regain of movement control.

Hildegard Kaulen in FAZ reminds her readers that a substantial part of the research crowned by nobel prizes never received third-party funds. She expresses sympathy with the proposal put forward in “Nature” by Stanford University’s John Ioannidis to either allocate research grants by lottery, by dividing up the money so that each applicant receives the same amount, or simply by handing out money to outstanding scientists with the only specification to use it for research. He criticizes that it has never been investigated which method to allocate research grants is the best and that the current practice consumes too much valuable time that should be spent more creatively on research.

Die Welt reports in a feature by dpa on material scientists of the Technical University Dresden who use wood for pipes that are as strong and resilient as pipes made from concrete. Wood is cut to rectangular blocks, which are heated to 140°C and compressed. Subsequently, all air – which amounts to up to two third of the wood’s volume –  is removed. The resulting panels are then bonded and formed by applying steam. The team led by Peer Haller of the university’s Institute for Steel and Wood Construction calculates that a post carrying 50 tons of weight needs 155 kg of steel but only 28 kg of wood treated with the new procedure.

Katrin Blawat in Süddeutsche Zeitung (SZ) reports that Umckaloabo, an alcoholic extract of Pelargonium sidoides roots, is under investigation by Germany’s Federal Institute for Drugs and Medical Devices (BfArM). The medication, which is sold as OTC in Germany for the treatment of acute bronchitis (with annual sales of about € 40 million), is suspected to cause inflammation of the liver, with six cases reported in 2011.

The New York Times (NYT) this week deals in-depth with the recommendation of the United States Preventive Services Task Force that men no longer should have an annual prostate-specific antigen (PSA) test. Gardiner Harris interviewed the experts involved in reviewing PSA testing, citing Dr. Roger Chou, an associate professor of medicine at the University of Oregon, as saying “the idea that knowing you have a cancer isn’t always a good thing is a very difficult concept for many people.” Chou states that the vast majority of men who have prostate cancer will never be bothered by it. Urologists however view the issue differently, stating the task force chose to focus on the wrong studies and it was wrong to throw PSA testing away.

Last not least, in preparation of the coming common cold season, Ulrike Gebhard in Neue Zürcher Zeitung (NZZ) explains that men suffer from the common cold more often than women. Reason is – according to researchers from Belgian Gent University – that women often carry extra portions of genes from the toll-like receptor (TLR) gene family. As a result, they produce more of the so-called miRNA molecules that support the body in fending off viral infections. The downside of women’s more powerful immune system is increased susceptibility to autoimmune diseases and a more violent reaction to certain vaccines.

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: 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).”