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Dr. Marie Gabrielle Laguna

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Vitamin B Alleviates Air Pollution-Induced Heart DiseaseResearchers from Columbia University’s Mailman School of Public Health found that vitamin B can alleviate the effect of fine particle pollution on cardiovascular disease. Vitamin B supplements almost turned around negative impacts of immune and cardiovascular systems, total white blood cells count by 139 percent, weakening effects of air pollution on heart rate by 150 percent and lymphocyte count by 106 percent on healthy non-smokers.

This study is the first ever clinical trial to assess whether vitamin B supplements alter the physiologic and biologic responses to air pollution exposure. The study commences a course of research for finding preventive pharmacological therapies to restrain the health impacts of air pollution.

Ambient fine particle pollution has acute effects on the cardiovascular system and is responsible for 3.7 million premature deaths across the globe every year.

Jia Zhong, PhD, who is the principal investigator for this study, and who also serves as a postdoctoral research officer in the Department of Environmental Health Sciences at Columbia’s Mailman School, said Ambient PM2.5 pollution is one of the most frequent air pollutants and has adverse effect on immune system and cardiovascular system. Out trial offers evidence that vitamin-B supplements might diminish the acute impacts of PM2.5 on inflammatory markers and cardiac dysfunction.

Vitamin B Supplementation and PM 2.5 Exposure

For this study, ten volunteers were included, who were aged from 18 to 60; they were healthy non-smokers who were not taking vitamin B supplementation in any form or other medication. Every volunteer received a placebo for four weeks prior to two- hour exposure to concentrated ambient PM2.5 (250 g/m3) subsequently they were given with vitamin B supplements for four weeks ahead of the next two hour exposure to PM2.5.

Baseline data also included a particle-free two-hour exposure. These controlled exposure experiments were carried out from July 2013 to February 2014 at the same time of the day and were adjusted for humidity, temperature and season.

Our results demonstrated that a two-hour ambient PM 2.5 exposure had a remarkable impact on heart rate variability, heart rate and white blood cell counts. Additionally, we showed that these impacts are almost reversed with a four-week vitamin-B supplementation, explained Andrea Baccarelli, MD, PhD, chair and Leon Hess Professor of Environmental Health Sciences at the Mailman School.

As the researchers evaluated healthy volunteers from a lightly-polluted urban set-up, they are concerned about the results that could not be generalizable to people who are at higher risk for pollution-induced cardiovascular impacts, including children, elderly people, patients with pre-existing cardiovascular disease and people dwelling in highly polluted areas.

Pollution regulation stays as the backbone for protecting public health against cardiovascular health impacts of ambient PM2.5 levels in urban places across the globe. Dr. Baccarelli highlighted that Studies like ours cannot minimize or be utilized to underemphasize the critical need to reduce air pollution levels at the lowest and to meet air quality standards in the U.S and other nations.  But sensitive people and high exposure are seen in large cities worldwide.

A Small Chip Could Predict Preterm BirthsBrigham Young University researchers have designed a small chip, an integrated microfluidic device that can predict preterm birth with 90 percent accuracy.

Mukul Sonker, a Ph.D student at BYU chemistry who is also the lead author of this study said, It is like we are compressing a complete lab and placing it into a small microchip.

The device requires just a finger-prick's amount of blood to assess a set of nine identified preterm birth biomarkers. There is no biomarker-based diagnosis for preterm births at the moment. Adam Woolley, BYU chemistry professor and co author of the study said that, Preterm birth symptom is a woman going into labor and at that time you are taking care of the result rather than preparing for it.

Preterm Birth Predictions

Woolley's wife started having contractions prematurely in her third trimester with their oldest child. Hospital treatment helped her stop contractions and she carried their son full-term. Woolley mentions that Ours was merely a glimpse into preterm birth problems; however it is good to know that I and my research students could help people regarding this health issue.

Front end of the process still needs some work to be done; however for this study, Woolley, Sonker with the help of BYU post-docs Vishal Sahore and Radim Knob developed this chip and a system which can preconcentrate and separate biomarkers in it. Sonker emphasized that This is crucial, as when you assess these peptides and proteins they are found in lesser amount, though if you pre-concentrate them on the chip, you can get adequate information for predicting preterm birth.

The device is highly economical and it is also fast and small. Woolley said that, When it is completely developed, detecting biomarkers will be an easy automated task. A large number of babies who are born on preterm birth don't survive, if we might help them to live and thrive, it would be a great help to humanity.

Written by Lax Mariappan MSc

2191

Healing Heart Muscles with 3D-Bioprinted PatchA 3D-bioprinted patch can facilitate the healing of the scarred tissues of the heart after a heart attack. Biomedical engineering researchers from the University of Minnesota discovered this revolutionary cell patch.

As per American Heart Association reports, the number one cause for death in the United States is heart disease. At the time of a heart attack, blood flow to the heart muscle will be lost, which results to the death of cells. The human body cannot replace those damaged heart muscle cells; hence scars occur in that area of the heart. As a result, there is a risk for compromised heart function and heart failure in the future.

Laser based 3D-bioprinting techniques are used by the researchers to incorporate stem cells collected from adult human heart cells on a matrix that has started to grow and beat synchronously in a dish in the laboratory.

3D-Bioprinted Patch and Its Efficiency

Researchers placed the cell patch on a mouse after an induced heart attack and observed a considerable increase in functional ability after just four weeks. As the patch was developed from the structural proteins and the cells of the heart, it turned to be a part of the heart and was absorbed in to the body and no additional surgeries were required.

Brenda Ogle, an associate professor of biomedical engineering at the University of Minnesota said that This discovery is an important step towards treating the number one cause of death in the United States. We could scale up this way of repairing the heart in larger animals and even in humans within the coming years.

Ogle explained that this research is different from earlier research done in that the patch is developed by means of digital, 3D scan of the structural proteins of the native heart tissue cells. The digital model is developed into a physical structure by 3D-bioprinting with native proteins of the heart tissue, integrated with cardiac cell types taken from cell types. By means of this 3D-bioprinting we can accomplish one micron level resolution required to mimic native heart tissue structures.

We were surprise to see how well it worked in spite of the complexity of the heart. We were motivated to observe that cells had arranged in the scaffold and have demonstrated a continuous wave of electrical signal that travelled all over the patch, Ogle mentioned.

The research team is already starting the further steps to model a bigger patch that they would test on the heart of a pig, which is similar to that of a human heart in size.

Written by Lax Mariappan MSc

2073

Painkillers-Proton Pump Inhibitor Combination Can Cause Problems to small intestineA combination of non-steroidal anti-inflammatory drugs and proton pump inhibitor medications can lead to inflammation of the small intestine, a study says.

Patients who suffer from inflammatory diseases are treated with non-steroidal anti-inflammatory drugs. They are also prescribed with proton pump inhibitors to protect their stomach. Clinical pharmacologist Markus Zeitlinger and gastroenterologist Werner Dolak from MedUni Vienna collaboratively studied the combination of these two medications and found that this can lead to inflammation in the small intestine. However, they also found out that rifaximin intake can protect the intestines from the inflammation.

Inflammation of The Small Intestine

Proton pump inhibitors can affect the bacterial flora of the intestine which will then result in the colonization of undesirable bacteria in the intestine. Anti-inflammatory drugs can result in the inflammation in the whole gastrointestinal tract. This has a negative impact on healthy individual microbiome of the patients.

Around 60 healthy volunteers were included in this study. Researchers monitored the drug-related reactions in the intestinal tract with the help of capsule endoscopy imaging. In this process, a capsule which contains a camera will be swallowed and the camera will take pictures of the intestinal tract. Those pictures will then be transmitted to an external data recorder. The camera can be excreted in the usual way.

The volunteers were divided into two groups after capsule endoscopy examination. One group was given diclofenac, omneprazol and the antibiotic rifaximin. A placebo was given to the other group instead of rifaximin. Another capsule endoscopy was carried out after two weeks to identify the extent of inflammation in the intestine. About one-third of the second group had considerable inflammation while the other group who took rifaximin showed lesser inflammation.

The findings of the double-blind study confirmed that rifaximin administration protects the intestines. A study will be conducted further to analyze the therapeutic concept on frequent users of non-steroidal anti-inflammatory drugs as a next step.

Written by Lax Mariappan, MSc

High Fat Diet During Pregnancy Places Offspring At Risk For AsthmaConsuming a high-fat diet during pregnancy may increase your children's risk for asthma. Oregon Health and Science University researchers have found that the immune response of the offspring's respiratory system may be altered by continuous intake of high-fat diet, using a mouse study.

For this study, researchers used four groups of mice pups. Two groups of mice pups were born to mothers who were given a high fat diet and then fed with a high-fat diet or changed to normal-fat food at weaning. The remaining two groups were born to mothers that were fed with normal-fat food during pregnancy period and lactation. Those pups were continued either normal diet or high fat diet after weaning.

High-Fat Diet and Airway Resistance

The two groups were investigated by the research team in terms of lung structure and various markers of allergy response and inflammation. Those markers include the following:

  • Airway resistance (a marker for asthma)
  • The composition and amount of the cells in the airways
  • The inflammatory chemicals concentration in the lungs

Every mice pup whose moms consumed a high fat diet showed increased airway resistance irrespective of the ones who were weaned to normal-fat food. Higher airway resistance is usually present in asthma attacks while the airways are narrowed. This indicates that maternal food habits can influence airway resistance in the offspring.

Also, the mice whose moms consumed a high-fat food showed an increased concentration of chemicals which cause inflammation, higher cell counts and more white blood cells. The mice pups that switched to a normal diet at weaning did not have as much inflammation as those were fed with high fat food.

The researchers mentioned that, Our observations show that maternal high fat diet increased airway resistance in the offspring. These results suggest that, consuming a high-fat diet during pregnancy and nursing creates immune cell variances that maximize the risk of allergies and asthma.  These health risks in the offspring may be counteracted by reducing fat in the offspring's diet; however certain damages may already be happened. 

Written by Lax Mariappan, MSc

Special Diet Can Protect Against Type 1 DiabetesAn international study showed that a special diet can protect against type 1 diabetes and beneficial to the immune system. Autoimmune type 1 or juvenile diabetes develops when autoreactive T cells destroy the cells that secrete insulin.

Researchers from CSIRO and Monash University developed this special diet which uses starch that is resistant against the usual digestion process and can travel to the colon where the gut bacteria is able to break them down. This fermentation process creates acetate and butyrate which, when combined, provides complete protection against type 1 diabetes.

Food and Gut Bacteria

Researcher Dr Eliana MariΓ±o said, Western food damages our gut bacteria and also affects short-chain fatty acid production. Our research showed that following a diet which facilitates the production of high levels of butyrate or acetate by gut bacteria enhances the integrity of the intestine lining, which minimizes pro-inflammatory factors and increases immune tolerance. We discovered that this had a great effect on the development of juvenile diabetes.

Professor Charles Mackay, who started the research, mentioned that the study pointed out how non-pharmaceutical methods like special diets and gut bacteria might cure or prevent autoimmune diseases like type 1 diabetes.

“The findings show the beginning of a new era in curing human disease by using medicinal foods,” Professor Mackay said. “The materials we utilized are digestible resistant starches that are a regular part of our food. The diets we used are highly effective at producing useful metabolites. I would call them as an extreme superfood,” he mentioned.

Professor Mackay insisted that the food we eat should be special food through a special process that is managed by dieticians, nutritionists and clinicians. The researchers' team is expanding their research to evaluate diet’s impact on obesity and other inflammatory diseases like asthma, food allergies, cardiovascular disease, type 2 diabetes and inflammatory bowel disease.

Written by Lax Mariappan, MSc

Vitamin D Deficiency Leads to Cardiovascular Risk in Overweight KidsA new study says that vitamin D deficiency is linked with early markers of cardiovascular disease in overweight and obese children and adolescents.

Marisa Censani, M.D., pediatric endocrinologist who serves as director of the Pediatric Obesity Program in the Division of Pediatric Endocrinology at New York Presbyterian Hospital/Weill Cornell Medicine is the lead author of this study.  Censani said, Pediatric obesity is seen in 17 percent of infants, children and adolescents ages 2 to 19 in the U.S. Obesity is a risk factor for vitamin D deficiency. These results indicate that vitamin D deficiency can have negative impacts on certain lipid markers with an increase in cardiovascular diseases risk in children and adolescents. 

Connection Between Vitamin D Deficiency and Cardiovascular Risk

Censani mentioned, This research is the first one to evaluate the connection of vitamin D deficiency to non-high density lipoprotein cholesterol and lipoprotein ratios, particularly lipid markets influencing cardiovascular risk among children and adolescents who are overweight or obese.

Over a period of two years, Censani and her colleagues assessed the health records including levels of vitamin D among children and adolescents who ages between 6 and 17 at the pediatric endocrinology outpatient clinics at Weill Cornell Medicine.

On the whole, 178 out of 332 patients passed the criteria for overweight and obesity. Total cholesterol, triglycerides, high-density lipoprotein, low-density lipoprotein, and non-HDL cholesterol were recorded; and total cholesterol/HDL and triglyceride/HDL ratios were estimated. Vitamin D deficiency was regarded as 25 hydroxyvitamin D (25OHD) below 20 ng/ml.

There exists a connection between vitamin D deficiency and increase atherogenic lipids and early markers of cardiovascular disease. Patients with vitamin D deficiency had higher total cholesterol, triglycerides, LDL, non-HDL cholesterol, as well as total cholesterol/HDL and triglyceride/HDL ratios. But these values are not high in patients without vitamin D deficiency.

These findings suggest screening the overweight and obese children and adolescents for vitamin D deficiency and to improve the vitamin D levels to minimize cardiovascular risk, Censani added.

Written by Lax Mariappan, MSc

Grip Strength Test Can Predict Metabolic Disease and DisabilityAccording to a new cross-continental study, a simple test to assess a person's grip strength can be used to predict the onset of metabolic disease in middle or old-aged individuals.

In this study, the test locations, methodology and demographics were chosen for a reason. Chronic diseases are highly prevalent in the U.S and China. There is a high need to find the mildfire predictors of diabetes and disability in both the countries, says Mark Peterson, Ph.D., M.S., FACSM, assistant professor of physical medicine and rehabilitation at Michigan Medicine.

This study examined whether normalized grip strength can be used as a biomarker for physical disability and cardiometabolic disease in American and Chinese populations.

Peterson, the lead author of this study collaborated colleagues from the U-M School of Public Health, Michigan Medicine’s Global REACH, the Institute for Social Science Survey and the National School of Development at Peking University in Beijing, China.

Peterson explained that China represents a distinctive population which is the largest diabetic population in the world. This makes financial and health issues in the whole nation.

The researchers made use of data from the U.S. National Health and Nutrition Examination Survey from 2011 to 2012 and 2013 to 2014 and the 2011 section of the China Health and Retirement Longitudinal Study. The muscle strength capacity and other required data related to cardiometabolic diseases and disability were found in this survey.

We wanted to investigate grip strength in specific as it is more related with whole strength of the body. To measure a person's grip with a help of handgrip dynamometer needs less only less than 10 seconds, which is helpful to implement in a clinical or community background at the population level, clarifies Peterson.

Grip Strength and Its Connection with Metabolic Disease

The team of researchers assessed normalized grip strength of 6,030 Chinese and 4,544 U.S participants who were aged 50 years and older. Blood samples of participants were collected for nonfasting glycated hemoglobin and disabilities of functional limitation related to movements were recorded with a questionnaire. A subset of 2,225 participants tested with fasting measures for insulin, glucose and triglycerides.

Researchers evaluated the connection between normalized grip strength and hyperglycemia, diabetes, hypertriglyceridemia, hypertension, low HDL cholesterol and physical disability, with the help of weighted logistic regression models. They controlled for sex, age and various socio-demographic characteristics.

The greatest discovery of the study was that low normalized grip strength was highly connected with both physical disabilities and cardiometabolic diseases in middle to old aged adults irrespective of sex and both the U.S and Chinese nationalities.

“We hope these results show how significant a simple grip strength test might be in the clinical setting,” Peterson remarks. “It is a simple way to identify and screen patients who are at early risk for these health conditions.”

Written by Lax Mariappan Msc

2155

Indolepropionic Acid: A Metabolite Keeping Diabetes AwayA new study demonstrates that a high concentration of indolepropionic acid can protect against type 2 diabetes. Fiber-rich diets can boost the production of indolepropionic acid which is a metabolite produced by gut bacteria.

Researchers studied the metabolic profiles of 200 participants who were overweight and had problems with glucose tolerance. The participants were divided into two groups: those who had developed type 2 diabetes within first five years and others who did not develop type 2 diabetes within 15 years duration.

The two groups were evaluated by non-targeted metabolomics analysis. Unlike pre-defined markers, this non-targeted approach let the researchers to determine the concentration of various metabolites.

Indolepropionic Acid and Insulin Production

Results showed that a high concentration of indolepropionic acid in the serum was responsible for protection against diabetes. This metabolite enhances secretion of insulin by beta cells of the pancreas which provides the productive effect against diabetes.

Researchers also found that many new lipid metabolites was related to improved insulin resistance and decreased risk of diabetes. The concentrations of these metabolites were also connected with dietary fat. When the saturated fat in the diet is less, the concentration of these metabolites is higher. Like high concentrations of indolepropionic acid, these lipid metabolites also found to be protective against low-level inflammation.

Previous studies also have related gut bacteria with the risk of diabetes in overweight individuals. Our results indicate that indolepropionic acid can be one factor that intervenes with the gut bacteria and a protective effect of diet, explains Kati Hanhineva, Academy Research Fellow at the University of Eastern Finland.

Identifying gut bacteria involves a complex process; that is why the finding the metabolites produced by gut bacteria can be a more possible way for assessing the function of gut bacteria in the pathogenesis of diabetes.

Written by Lax Mariappan Msc

1645

Rapamycin Can Slow Down the Aging Process, Study RevealsRapamycin has extraordinary properties that can help halt neurologic damage like Alzheimer's disease, says a new study.

Viviana Perez, an assistant professor in the Department of Biochemistry and Biophysics in OSU's College of Science and an expert on the biological processes of aging who also serves as principal investigator in the Linus Pauling Institute, said this might offer novel treatment options for neurologic disease.

Perez explained that, Rapamycin seemed to stop cellular senescence “ a stage where the cells become old, does not proliferate and start secreting damaging substances that can result to inflammation.

During senescence, the secretion of damaging compounds forms a toxic environment known as senescence-associated secretory phenotype, or SASP. This damages the cellular microenvironment and changes the capability of adjacent cells to work properly, losing their tissue function and structure. This large process is eventually related to aging.

Increased cellular senescence related to aging and the inflammation connected with that can lead to various degenerative disease like heart disease, cancer, diabetes and neurologic disease including Alzheimer's or dementia. In animal experiments when we remove senescent cells, the animals have smaller number of diseases and live longer. Rapamycin can have same effects, Perez said.

Rapamycin and Aging

Previously, it had been believed that rapamycin had only one mechanism of action that is to increase Nrf2 action. Nrf2 is the master regulator which activate up to 200 genes associated with detoxification of carcinogens, cell repair, antioxidant protection, protein and lipid metabolism and other factors. But in this study, rapamycin helped in reducing levels of SASP. This study concluded that level of SASP is directly affected by rapamycin, individually from the Nrf2 pathway.

Any novel way to help avoid neuron's damage could be helpful. According to other studies, astrocyte cells could help in protecting neuron function and health may be damaged by SASP. This can be one the reasons of certain neurologic diseases like Alzheimer's disease, Perez explained.

Rapamycin can help to prevent SASP-associated cellular damage by two pathways: by involving Nrf2 and directly. Because of these beneficial effects, rapamycin will keep on generating interest in solving aging related issues.

Written by Lax Mariappan Msc

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