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Dr. Marie Gabrielle Laguna

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A recent study conducted by researchers from Northwestern Medicine has indicated that breathing rhythm is not only related to oxygen needs but is also linked to brain function and behavior. For the first time, these scientists have discovered that breathing rhythm is able to create electrical activity in the human brain that is able to enhance emotional judgment and memory recall. These effects of breathing rhythm on behavior depend on whether you inhale or exhale and whether you used your nose or mouth for breathing.

In this study, the researchers found out that a person can best identify a fearful face rapidly if they encountered the face while breathing in compared to while breathing out. A person will also most likely remember an object if the encountered it while inhaling than while exhaling. This memory effect disappears whenever a person breaths through the mouth.

According to the researchers, one of the major findings in this study was that there is a big difference in brain activity within the hippocampus and the amygdale during inhalation that during exhalation. They noted that when a person breaths in, the neurons in the olfactory cortex are stimulated as well as the neurons in the amygdala and hippocampus and all across the limbic system.

The findings of this study were published in the December issue of the Journal of Neuroscience.

These researchers first discovered the differences in brain activity while they were studying seven patients who have epilepsy who were about to undergo brain surgery. A week before surgery, a surgeon implanted electrodes into the brains of the patients so that they would know the origin of their seizures. In this way, the researchers acquired electro-physiological data directly from the brains of these patients. Electrical signals from the brain that were recorded showed that brain activity fluctuated while breathing and this activity was observed in areas of the brain involved in emotions, smells and memory.

This finding led the researchers to ponder on whether these cognitive functions are usually associated with activities in the brain areas related to fear processing and memory and whether they could be affected by breathing.

Breathing and emotional expressions

The researchers studied 60 subjects and asked them to make fast decisions on emotional expressions in the laboratory while their breathing was recorded. The subjects were presented with pictures of faces showing fear or surprise and were told to indicate what emotion each face was presenting. When the faces were seen during inhalation, the subjects perceived them as more fearful than when they perceived them during exhalation. This was not applicable for faces that showed surprise. The effects diminished when subjects were made to perform the said tasks while breathing through their mouths.

The subjects were then tested in terms of memory function which has something to do with the hippocampus. The subjects were shown pictures of objects in the computer screen and were told to remember them. They were later asked to recall these objects. The findings showed that the subjects recalled the objects better during inhalation.

All these findings simply said that rapid breathing may improve memory and emotional judgment, as what is observed in a dangerous situation.

Researchers from the University of Wisconsin-Madison School of Veterinary Medicine have developed a new technology that can enhance effectively the production of vaccines that are able to protect people from influenza B. This technology is in the form of a backbone for the influenza N vaccine virus that will allow vaccine manufacturers to grow vaccine viruses at a faster and increased rate in mammalian cell culture than in eggs. This backbone may be used as a template where vaccine-virus specific components can be added and this could offer some protection against influenza B strains that would usually affect humans.

According to the researchers, they wanted to provide a system that is able to create influenza vaccines effectively. They noted that it is better to yield influenza viruses for vaccine production in cells instead of the usual way of using eggs. The problem, however, is that influenza virus does not grow well in cell cultures when compared to embryonated eggs. The new technology that was discovered may overcome the challenges associated with growing viruses on cells. The results of this study are published in the Proceedings of the National Academy of Sciences.

This new technology will enable vaccine producers to grow vaccine viruses in high yield cell cultures which will then improve seasonal vaccines' ability to protect against influenza viruses A and B. This is because vaccine viruses which are grown in mammalian cell culture will not mutate much as compared to those grown in eggs. Mutations in vaccine viruses will result in inefficiency of the vaccines because mutated viruses in the vaccines can no longer protect against the common virus strains infecting people.

The researchers noted that this method is not perfect but will substantially lead to better vaccines than what we have today. They also commented that there was previously no study that has attempted to produce high-yield influenza B vaccine viruses. In the previous year, the research team also created a high-yield influenza A vaccine virus candidate for cell culture production.

Vaccines virus backbone

According to the CDC, vaccine viruses that are grown in high-yield cell cultures may also lead to faster and greater production of vaccines that can further improve the quality of health services being given to the public, especially in cases of influenza pandemics.

To develop this influenza B vaccine virus backbone, the research team first screened influenza B viruses for random genetic mutations which led to improved replication. Using the mutants as templates, the researchers then attached the genes for the surface proteins that triggered the human response and offered protection in those vaccinated, that is, HA (hemagglutinin) and NA (neuraminidase). They then selected the combinations of backbone mutations that were able to create better growth in cell culture and further identified the two candidate backbones that have led to higher amounts of vaccine virus. they then identified the characteristics of each backbone that have contributed to their higher yield and they found out that the backbones are genetically stable. However they admitted that more testing is needed to find out if they are able to increase virus vaccine yield under industrial conditions.

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Recent research has shown that a signaling pathway in fat cells turning white fat to brown fat may be the key for more promising treatments for obesity. These findings were revealed by researchers from the Perelman School of Medicine at the University of Pennsylvania. Their findings were reported in the online issue of Genes & Development.

White fat cells are ordinary fat cells that store energy yet when in excess they lead to obesity and other medical conditions such as diabetes and heart disease. Brown fat which is also termed as baby fat do the opposite of what white fat cells do”they burn energy so that they can generate heat to protect the body from cold while also preventing obesity and diabetes. Brown fat is abundant in babies while white fat is common in adults. The recently discovered signaling pathway was able to activate a browning program that can transform white fat cells into brown fat cells, making them energy burners.

The study's senior author, Zoltan P. Arany, MD, PhD, an associate professor of Cardiovascular Medicine commented that it is possible that this signaling pathway can be targeted later on by a drug to convert white fat to brown fat and therefore treat obesity.

It is a known fact that around 36 percent of adult Americans are obese and around 10% of them have diabetes.

Brown fat and browning program

In this study, the researchers found out that this browning program, white fat cells were suppressed by a protein known as FLCN. This protein performs its functions with the help of a major cellular signaling hub composed of a protein complex known as mTOR. When FLCN interacts with mTOR, the browning program is switched off by the prevention of a protein called TFE3 from entering the cell's nucleus.

The researchers were able to show that by deleting the FLCN gene in the white fat cells of mice, TFE3 will migrate into the cell nucleus and bind with DNA to activate a key regulator of cell metabolism known as PGC-1 beta. This process then turns on the set of genes that trigger the browning program.

Mice which had the FLCN deleted had their white fat cells become visibly browner and these fat cells began to develop more mitochondria which are tiny oxygen organelles that supply chemical energy to cells and convert energy to heat in brown fat cells. These mitochondria also have altered cellular structures that increase their capacity for consuming oxygen. They also developed a distinct pattern of gene expression that made the fat cells more like brown fat cells. Look at these escorts in st.julians from all over Malta who is willing to offer high class escort services.

The researchers claimed that they were able to reproduce this browning effect by forcing the over expression of PGC-1 beta in white fat cells of mice. A drug that boosts the function of PGC-1 beta or its target genes may serve as a treatment that could activate the browning program to treat obesity, diabetes and other related diseases.

A biomarker called PD-1 could be the key to predicting survival or disease free interval in lung cancer patients who have had their tumor surgically removed. These were the findings of a recent study conducted by researchers from the Comprehensive Cancer Center (CCC) of MedUni Vienna and Vienna General Hospital, together with researchers from the MedUni Graz and the University of Novi Sad. Their findings were presented recently at the 17th World Conference on Lung Cancer this December 2016.

It was previously noted in Austria that around 4,000 people develop lung cancer each year. It was also noted that around three quarters of these people with lung cancer have Non-Small Cell Lung Cancer (or NSCLC). Half of these cases were also diagnosed to have the commonest subtype of NSCLC which are adencarcinomas. This is why early detection of the cancer is important. Early detection of the cancer can greatly increase a person's chances for survival and recovery. The options for lung cancer treatment include surgery, radiotherapy and chemotherapy which may be given before or after surgery. Sometimes these treatment methods may be combined and immunotherapy may also be given.

The researchers of this study were able to show that a protein that is found on the surface of the body's immune cells called PD-1 may serve as a biomarker that can predict the survival of patients with adenocarcinoma. PD-1 is considered to be an immune checkpoint protein that monitors the proper functioning of the immune response of the body. If the immune system goes unchecked, this could give rise to the development of autoimmune disorders.

In this particular study, the researchers studied cancer cells and immune system cells from 159 subjects. All these patients had resection of the primary tumor and some of them have received chemotherapy after surgery. PD-1 was found on immune cells of 45% of these patients while PD-L1 was found on cancer cells of 37% subjects. The findings showed that survival and disease-free survival was increased in patients where PD-1 was found than in those where it was not found. Also, there was no difference in the prognosis in the presence or absence of PD-L1.

According to the researchers, this study is important because it can help predict survival among lung cancer patients. Their results have shown that PD-1 could be used as a biomarker that can predict the survival of cancer patients whose adenocarcinoma can be surgically removed. However, they admit that more studies are needed to confirm these findings.

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A recent study was able to prove that people who get sleep for less than 7 hours might be at risk for accidents. In this study, it was found out that drivers who miss one to two hours of the recommended seven hours of sleep can double their risk for a car crash. These findings were declared by the AAA Foundation for Traffic Safety.

The Centers for Disease Control and Prevention has previously mentioned that around 35% of drivers in the US often sleep less than the recommended seven hours of sleep every day. Also, it has been noted that drowsy driving is responsible for more than one in five crashes on roadways in the US every year. This is why AAA is currently warning drivers that if they get sleep for less than seven hours per day, they may have deadly consequences.

According to Dr. David Yang, executive director for the AAA Foundation for Traffic Safety, one simply cannot miss slip and still be able to function well behind the wheel. This new research is able to show that a driver who has slept less than five hours per day may have a crash risk that is similar to that of someone who is driving drunk.

Sleep deprivation and crash risk

In their recent report Acute Sleep Deprivation and Risk of Motor Vehicle Crash Involvement¯, the AAA Foundation for Traffic Safety revealed that drivers who miss two to three hours of sleep within 24 hours can increase their risk of a crash for more than four times as compared to drivers who sleep for 7 hours or more a day. This crash risk is similar to drunk driving, according to the National Highway Traffic Safety Administration.

The AAA Foundation mentioned that within 24 hours, the crash risk for drivers who lacked sleep increased steadily when compared to those who slept for seven hours or more. Those who sleep for 6-7 hours in a day have a 1.3 times crash risk, while those who sleep for 5-6 hours of sleep have a 1.9 times crash risk. Those who sleep for four to five hours has a 4.3 times crash risk while those who have less than four hours of sleep has a 11.5 times crash risk.

While majority of 97% of drivers told the foundation that they do not accept drowsy driving as good behavior, one in three of them also admit that at least once in the past month they were so tired that they drove with almost their eyes closed due to drowsiness.

The authors concluded that while managing healthy life-work balance is difficult so that sleep becomes sacrificed, we should maintain a healthy sleep schedule to keep ourselves free from road accidents.

Recent research from investigators of the University of Liverpool has shown that a specific protein in the human body is able to prevent the growth and spread of eye cancer by starting a series of events that will eventually lead to cell suicide. These new findings may help change the course of eye cancer treatment in cases of metastatic uveal melanoma (UM), a type of eye cancer that is from the pigment cells of the eye called melanocytes. This type of eye cancer has no known effective treatment.

The spread of cancer cells in other organs or parts of the body either adjacent or remote to the place of origin is known as metastasis. This spread often occurs in almost half of patients with metastatic uveal melanoma. Though the condition is rare, metastatic uveal melanoma is said to be the most common primary eye cancer among adults. While the primary tumor can be treated effectively with conventional treatments, almost half of the patients may develop metastasis most commonly in the liver. When it reaches this stage, there may be no effective treatment available.

Programmed cell death or apoptosis is a natural process wherein there is a fast and irreversible death and elimination of damaged cells in the body. One characteristic of cancer cells is that it is able to evade the process of apoptosis, especially if the cancer cells are malignant cells.

Dr Luminita Paraoan of the University’s Department of Eye and Vision Science in the Institute of Ageing and Chronic Disease has previously published new findings about the requirement of p63, a protein that generates apoptosis in UM. These findings are published in the British Journal of Cancer.

To note, Chromosome 3 is one of the 23 chromosome pairs in humans. Normally, humans have two copies of each chromosome. Chromosome 3 contains a part that has the gene for protein p63. However, people with aggressive UM don't have this part and so they don't have the p63 protein.

The present study was able to find out that of the p63 gene is used along with another gene called p53, Um can be effectively targeted and apoptosis would occur in cancer cells. The p53 gene belongs to a class of genes called tumor suppressor genes which are abnormal in cancer. They are supposedly protective genes that limit the growth and development of cells. When these tumor suppressor genes are mutated, the cells can grow without control and can form a tumor.

The researchers noted that this study is able to highlight for the first time for p63 can initiate apoptosis in cells in UM. This can have broad implications in the treatment of other cancers in which there is impaired apoptosis. Hopefully, the findings of this study can help design new therapeutic approaches that can treat cancers which are resistant to chemotherapy and radiation treatment.

The reason why tuberculosis-causing bacteria can easily spread inside the body is because they evade the body's natural defenses. However, some researchers from Brown University have created a new compound that could block the 20S proteasome in Mycobacterium tuberculosis, the bacterium responsible for tuberculosis. The researchers hope that this compound can be a new remedy against tuberculosis.

According to the researchers, this study was started because of the fact that there is increasing resistance of drugs towards Mycobacterium tuberculosis. In the light of this, the researchers thought about a different form of treatment. Instead of seeking traditional drugs that claim to kill M. tuberculosis directly, they thought of discovering new compounds that could make the bacteria responsive to treatments and susceptible to the body's immune system. The team thinks that they are good in designing compounds that would make bacteria in the laboratory sensitive to a chemical that is produced during the immune response.

The researchers were from Brown University, Massachusetts Institute of Technology and Weill Cornell Medicine. Their study is published in the journal ACS Infectious Diseases.

The team wanted to develop a compound that can inhibit an enzyme found in M. tuberculosis known as the 20S proteasome. This enzyme is known to act like a garbage collector in cells that disposes damaged proteins inside cells. It also cleans up proteins that are damaged by nitric oxide, a chemical which is produced by the body's immune system to help fight against pathogens. This garbage-disposing property of the 20S proteasome for proteins that are brought about by nitric oxide damage can help the bacteria survive inside the cells of the body.

Inhibiting 20S proteasome

The researchers looked for reactive compounds that are able to mimic key chemical attributes of its substrates which are typically broken down by the enzyme so that the proteasome can be inhibited. They are aware of the fact that the proteasome would bind these compounds as it would do with any protein and that when they react they would disable the enzyme. When the proteasome is disabled, the proteins that are damaged by nitric oxide will gather inside the bacteria and will cause the latter's death.

However, the researchers saw a potential problem. The human body has a conventional way of degrading damaged proteins and if this way is inhibited, it can cause more harm to cells. So, the researchers thought of ways on how to selectively disrupt the proteasome without affecting the human bodily process. To do this, the researchers thought about a bacterium called Pseudomonas syringae which affects plants. This bacterium produces compounds known as syringolins which are able to inhibit plant proteosomes by mimicking its substrates. Syringolins are also known to inhibit the human proteasome and are viewed as potential anti-cancer agents. The researchers predicted how these syringolins will bind with the human proteasome and designed selective inhibitors for the tuberculosis proteasome.

Previous studies have shown that syingolins are able to bind and inhibit the human proteasome by mimicking a substrate with a specific chemical residue, valine, at two key positions. These studies have also shown that the bacterial proteosome prefers to degrade proteins that have two different chemical residues at the same two key positions. So the researchers thought that if a syringoline analog is there to swap with valine for structures that resemble tryptophan and glycine, it would selectively inhibit the bacterial proteasome.

The team further added that the natural syringolin was 160 times more specific for the human proteasome. One of the engineered syringolin analogs was 47 times more specific for the bacterial proteasome.

Using this approach, the researchers were able to generate selective inhibitors of the M. tuberculosis 20S proteasome. This only shows that this strategy may be useful in combining tuberculosis treatments for more effective treatments.

A new combination treatment that boosts the body's immune system is said to be a safe and effective treatment for Hodgkin lymphoma.  This is because this combination treatment is able to destroy most cancer cells in around 64% of people with recurrent Hodgkin lymphoma. These are the findings of a recent early-phase study that was presented at the annual meeting of the American Society of Hematology in San Diego. The said study involved 19 patients and has found out that the combination of the drugs brentuximab vedotin and nivolumab is able to decrease tumor size and limit cancer spread after three months of treatment.

The researchers of this study noted that this combination treatment was well-tolerated and there were only a few side effects such as rash and itchiness, all of which are not severe and are manageable. There are only two patients who experienced lung inflammation and who were withdrawn from treatment.

This multicenter trial is led by a researcher from the Perlmutter Cancer Center of NYU Langone Medical Center and studied data from subjects with treatment failure, that is, their initial chemotherapy or stem cell transplantation, has failed to stop their cancer growth. The researchers in this study say that a similar combination, brentuximab vedotin and ipilimumab have shown safety and efficacy against lymphoma.

Combination immunotherapy for Lymphoma

The researchers note that although this study is a positive one, larger and long term studies are needed to know whether combination immunotherapy can be accepted as a treatment for people who experience relapse in Hodgkin Lymphoma after treatment. This study is important because Hodgkin Lymphoma affects people who are mostly under 40 years of age and one in ten of these patient often experience relapse. This relapse has led to more than 1,300 deaths per year. This is alarming, considering that Hodgkin Lymphoma is highly curable if diagnosed and treated in its early stages.

If further testing becomes successful, the researchers note, combination therapies like in this study can become a potential alternative treatment regimen for people whose Hodgkin Lymphoma has persisted with conventional treatments. This study was actually inspired by the team's previous research in 2012, which have previously found out those patients who have Hodgkin lymphoma have T cells which are dysfunctional and are less likely to be activated. T cells are considered to be the real workers of the immune system. This has led the research team to test whether drugs that incite the immune system to attack cancer cells, such as “checkpoint inhibitors” like nivolumab and ipilimumab, could  work in synergy with brentuximab vedotin, a drug which is known to be an antibody-drug conjugate.

Brentuximab vedotin acts on CD30, a protein found on the surface of some Hodgkin lymphoma cells, and brings about a dose of chemotherapy to damage these cells. Nivolumab, on the other hand, can turn off PD1 on surface of T cells, which can further stop the immune system from identifying and attacking tumor cells.

The team hopes to apply these concepts to other types of lymphoma other than Hodgkin lymphoma.

New BioSensors Can Speed Up Blood Diagnostic MethodsResearchers at the University of York have created a new sensor which is able to detect multiple proteins and enzymes in a small amount of blood that may drastically speed up diagnostic healthcare techniques.

Currently checks to stumble on the presence of infections or ailments require a sample of blood from the affected person, which is later analysed in a laboratory to detect markers of disease. The presence of particular proteins can provide an illustration of a health situation and the direction of treatment, however only one type of protein may be identified per sample.

If multiple exams are required, as is the case of suspected cancers or resistant infection, the results can take longer and the fees of testing increase.

Biosensors For Blood

The research team at York, however, have developed a biosensor that mixes light and electricity, to detect more than one biomarker in one smaller amount of blood. The method can make blood tests more comfy for sufferers and enable results to be processed faster.

Professor Thomas Krauss from the University of York's Department of Physics, said, ” These sensors can give fast, real time results and at low cost. The length of time and money that it takes laboratory technicians to identify just one protein in a patient sample is a real challenge for the NHS and can result in emotional distress for patients. Not only can this new technology speed the process up, but it can test for a number of proteins and enzymes together in just one sample, increasing the chances of a successful and timely diagnosis.¯

Researchers actually want to test the new method in urine samples for urinary tract infections (UTIs), which has excessive resistance to antibiotics. If the biosensor can identify biomarkers of the infection and of resistance, it’s more likely that the precise path of antibiotic remedy can be prescribed earlier, as opposed to repeat a visit that is often the case with UTIs.

Dr Steve Johnson, from the University of York’s Department of Electronics remarked, Combining light and electricity in silicon sensors has never been done before. This exciting new technology provides in-depth analysis of biological interactions and new ways of sensing on the micro-scale.¯

The emergence of stratified and personalised drugs and the tailoring of remedies to the biology of the individual have elevated the demands on diagnostic technology, mainly with healthcare challenges related to anti-microbial resistance.

PhD student, Jose Juan Colas who was one of the researchers added, This new diagnostic technique could have many applications and really pushes us forward in how we think about developing technologies for the future. By working together across multiple disciplines we have demonstrated a unique technology with the potential to make a real difference to health science, clinical practice, and basic science.¯

Chocolate fanatics out there, rejoice, because recent studies have shown that compounds present in cocoa, commonly known as flavanols might benefit cardiovascular health. A systematic review and meta-evaluation of 19 randomized controlled trials (RCTs) of cocoa consumption exhibits some proof that indeed consuming cocoa can be good for your heart.

This study, published in the Journal of Nutrition is an assessment of the mixed evidence from all 19 RCTs, which talked about whether or not consumption of flavanol-rich cocoa products can improve the levels of circulating biomarkers of cardiometabolic health in comparison with placebos comntaining negligible cocoa flavanol content. Around 1,139 volunteers participated in these trials.

Cocoa Flavanols

According to corresponding author Dr. Simin Liu, professor and director of the Center for Global Cardiometabolic Health at Brown University who worked with epidemiology graduate student and lead author Xiaochen Lin, Our meta-analysis of RCTs characterizes how cocoa flavanols affect cardiometabolic biomarkers, providing guidance in designing large, definitive prevention trials against diabetes and cardiovascular disease in future work. We found that cocoa flavanol intake may reduce dyslipidemia (elevated triglycerides), insulin resistance and systemic inflammation, which are all major subclinical risk factors for cardiometabolic diseases.¯

According to Liu, there were some limitations in the trials. All studies were small and of quick duration. And also, not all the biomarkers which were tracked in these trials changed for the better, and none of the trials were designed to know whether cocoa flavanol consumption leads to reduced cases of coronary heart disease or type 2 diabetes.

However considering that some of these heterogeneities were present throughout the reports, the group’s meta-analysis summarizing results from 19 trials observed potential beneficial results of flavanol-rich cocoa on cardiometabolic wellness. There have been small-to-modest changes however they were statistically tremendous improvements among people who ate flavanol-rich cocoa product as compared to those who didn't.

Cocoa Benefits

The greatest results were visible among volunteers who ate between 200 and 600 milligrams of flavanols a day, which was based on their cocoa consumption. They noticed huge declines in blood glucose and insulin, as well as another indicator of insulin resistance called HOMA-IR.

They also saw an increase in “good,” or HDL cholesterol. Those who took higher doses had decreasing insulin resistance and a decrease in triglycerides; however they did not observe an increase in HDL. Those who consumed lower doses of flavanols only noticed a huge HDL improvement.

Lin remarked that the advantages were not dependent on the form of flavanol-rich cocoa taken, whether it was dark chocolate or a chocolate drink. He added, The treatment groups of the trials included in our meta-analysis are primarily dark chocolate — a few were using cocoa powder-based beverages. Therefore, the findings from the current study apparently shouldn’t be generalized to different sorts of chocolate candies or white chocolates, of which the content of sugar/food additives could be substantially higher than that of the dark chocolate.¯

The authors hence concluded, Our study highlights the urgent need for large, long-term RCTs that improve our understanding of how the short-term benefits of cocoa flavanol intake on cardiometabolic biomarkers may be translated into clinical outcomes.¯

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