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Magnesium deficiency can be treated with vitamin D

J Pak Med Assoc. 2009 Apr;59(4):258-61.

Obesity induced magnesium deficiency can be treated by vitamin D supplementation.

Farhanghi MA, Mahboob S, Ostadrahimi A.

Nutritional Research Center, Tabriz University of Medical Sciences.

OBJECTIVE: To determine the effect of vitamin D injection on Serum Magnesium concentration in obese and non obese women. METHOD: This Interventional study was performed on 82 women (17-50 years) which were randomly selected from general population of Tabriz city. They were assigned into two experimental groups. Obese group with stage 1 and 2 obesity and non obese group with normal weight. Weight was measured to the nearest 0.1 kg using a calibrated Seca scale. Height was measured using a cotton ruler which was pasted on the wall. Body mass index was calculated based on weight and height results. Biochemical parameters were measured before and after injection of 600000 IU doses of vitamin D. Serum Magnesium was measured calorimetrically and Serum 25 hydroxy vitamin D was estimated by Chemiluminescence Immune Assay method (CLIA). RESULTS: Baseline concentrations of serum Magnesium and 25 hydroxy vitamin D in obese individuals was lower than non obese individuals, the former being significant. Twenty seven percent of obese women versus 15% of non obese women were Magnesium deficient. Vitamin D injection caused a significant increase in serum Magnesium concentration in obese subjects but not in non obese subjects. There was also a significant increase of serum 25 hydroxy vitamin D in both groups. Mean elevation in serum Magnesium level among women who had Magnesium deficiency was higher than women with Magnesium adequacy (P < 0.05). CONCLUSION: Low serum Magnesium concentration in obese individuals can be modified by vitamin D injection.

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Milk of Human Kindness? — HAMLET, Human Papillomavirus, and Warts

NEJM Vol 350:2639-2642  June 24, 2004  No 26
Milk of Human Kindness? — HAMLET, Human Papillomavirus, and Warts

Jan N. Bouwes Bavinck, M.D., Ph.D., and Mariet C.W. Feltkamp, M.D., Ph.D.

Cutaneous viral warts are common, benign, usually self-limited papillomas with a preference for the hands and feet. A wide range of local therapies based on destruction, keratolysis, immunostimulation, or antimitotic effects have been tried for the treatment of cutaneous warts, but most of the clinical trials of these local treatments have been of low quality.1 In a review, Gibbs et al. pointed out that simple preparations containing salicylic acid are the only topical treatments for which there is good evidence of efficacy and safety.1

In this issue of the Journal, Gustafsson et al. (pages 2663–2672) report the effects of a topically applied protein–lipid complex on cutaneous viral warts. They showed a beneficial effect of a substance purified from human milk, {alpha}-lactalbumin bound to oleic acid (often referred to as human {alpha}-lactalbumin made lethal to tumor cells [HAMLET]). In a randomized, placebo-controlled, double-blind study in which they measured the change in lesion volume of 166 skin papillomas in 40 patients, Gustafsson et al. found a reduction of 75 percent or more in all 20 patients in the experimental group, as compared with a response rate of 15 percent in the placebo group. No reactions were observed around the skin papillomas, but some patients reported a prickling sensation in the lesion.

The experimental treatment is a folding variant of human {alpha}-lactalbumin in an active complex with oleic acid. In vitro, it induces cell death in many different types of tumor cell lines and undifferentiated cells through an apoptosis-like mechanism. Both the folding and the lipid cofactor are required for this effect. The protein–lipid complex travels through the cytoplasm to the nucleus, where it binds with high affinity to the histones and nucleosomes of transformed cells. Interaction of the complex with histones and chromatin in the nuclei of the transformed cells prevents transcription, cell replication, and chromosomal recombination and causes disruption of the chromatin structure and fragmentation of DNA. Healthy, differentiated cells, in contrast, survive challenge with {alpha}-lactalbumin–oleic acid and show no apoptotic changes, making the substance rather specific for transformed cells.

Before the place of this complex in the treatment of cutaneous viral warts can be established, additional studies comparing its efficacy and side effects with those of well-established therapies, such as topical treatments containing salicylic acid or the application of liquid nitrogen, will be required. Practically speaking, {alpha}-lactalbumin–oleic acid will probably never be able to compete with existing inexpensive therapies for cutaneous viral warts. The real challenge, therefore, will be to prove that it is also effective in the treatment or prevention of other conditions related to human papillomavirus (HPV).

HPV plays a key role in the development not only of cutaneous warts, but also of laryngeal papillomas, genital warts, vulvar intraepithelial neoplasia, cervical carcinoma, and possibly cutaneous squamous-cell carcinoma. To date, more than 90 types of HPV have been identified and their genomes sequenced. More than 100 additional partially sequenced isolates require further characterization.

HPVs may be classified on the basis of their tropism as either genital (mucosal) or cutaneous. Genital HPVs are subdivided into high-risk and low-risk types, according to their malignant potential and cell-transforming capacity in vitro. The cutaneous HPVs may be subdivided into the classic types associated with cutaneous viral warts such as verruca vulgaris and verruca plantaris (the lesions treated by Gustafsson et al.) and the so-called epidermodysplasia verruciformis types.

The latter types were initially found in patients with epidermodysplasia verruciformis, a rare genetic syndrome characterized by numerous warts and a high risk of squamous-cell carcinomas on sun-exposed sites. But these types of HPV are also common in healthy persons. Their prevalence increases with age. About 50 percent of healthy persons around 50 years of age are infected. This proportion increases to almost 100 percent among organ-transplant recipients who are receiving long-term immunosuppressive therapy.

Numerous hyperkeratotic skin lesions and actinic keratoses develop in organ-transplant recipients, and these lesions have a strong potential to evolve into cutaneous squamous-cell carcinoma. The cause of such carcinomas in this group of patients and in the general immunocompetent population is still under debate. One well-recognized and important risk factor is ultraviolet radiation, which causes DNA damage; if unrepaired, this damage can give rise to mutations. Recent studies also implicate HPV in the causation of cutaneous squamous-cell carcinoma, either alone or in collaboration with sun exposure.2,3,4,5

The hair follicle is a possible reservoir for the epidermodysplasia verruciformis types of HPV. Interestingly, the prevalence of DNA of these types of HPV in eyebrow hairs is significantly higher in persons with a history of cutaneous squamous-cell carcinoma than in persons without skin cancer.2 Moreover, patients with a history of squamous-cell carcinoma are more likely than controls to have antibodies against these types of HPV.3 The exact role of HPV in the development of cutaneous squamous-cell carcinoma is still enigmatic, but one thing is certain: its role in cutaneous carcinogenesis is different from its role in cervical cancer.

Unlike cervical cancer, skin cancer related to HPV is probably caused by an interaction between the epidermodysplasia verruciformis types of HPV and ultraviolet radiation (see Figure). The early viral protein E6 of some types of HPV may impair the process of DNA repair or prevent apoptosis after exposure to ultraviolet radiation.4,5 As a result, HPV-infected, DNA-damaged cells may survive and become genomically unstable. This instability may ultimately lead to actinic keratoses and squamous-cell carcinoma. Additional studies of the possible therapeutic and preventive effects of this {alpha}-lactalbumin–oleic acid complex on other HPV-related lesions seem to be warranted.


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Figure. A Proposed Scheme for the Development of Actinic Keratoses and Cutaneous Squamous-Cell Carcinoma and the Possible Mechanism of Action of Topical {alpha}-Lactalbumin–Oleic Acid Complex.Skin keratinocytes are continuously exposed to genotoxic damage, induced primarily by ultraviolet (UV) radiation. As shown in the panels on the left, most cells respond to DNA damage by repairing the DNA or dying by apoptosis. As a result, damaged cells are repaired or discarded, and normal keratinocytes remain. Occasionally, as shown in the panels on the right, HPV-infected keratinocytes are damaged by ultraviolet radiation. HPV-infected cells may have impaired DNA repair and decreased sensitivity to apoptosis induced by ultraviolet radiation and may therefore survive. DNA mutations may be formed by replication of the damaged DNA. As a result, DNA-mutated keratinocytes may accumulate, and this accumulation in combination with HPV-induced cell proliferation may lead to actinic keratoses. At the later stages of this process, HPV DNA may disappear from the outgrowing mutated cells, since HPV is probably not essential for tumor-cell maintenance. Topical treatment with {alpha}-lactalbumin–oleic acid complex might offer an alternative route to apoptosis and interference with the earlier stages of tumor development.

Source Information

From the Departments of Dermatology (J.N.B.B.) and Medical Microbiology, Center of Infectious Diseases (M.C.W.F.), Leiden University Medical Center, Leiden, the Netherlands.

References

     

  1. Gibbs S, Harvey I, Sterling J, Stark R. Local treatments for cutaneous warts: systematic review. BMJ 2002;325:461-461. [Free Full Text]
  2. Struijk L, Bouwes Bavinck JN, Wanningen P, et al. Presence of human papillomavirus DNA in plucked eyebrow hairs is associated with a history of cutaneous squamous cell carcinoma. J Invest Dermatol 2003;121:1531-1535. [CrossRef][Web of Science][Medline]
  3. Feltkamp MC, Broer R, di Summa FM, et al. Seroreactivity to epidermodysplasia verruciformis-related human papillomavirus types is associated with nonmelanoma skin cancer. Cancer Res 2003;63:2695-2700. [Free Full Text]
  4. Iftner I, Elbel E, Schopp B, et al. Interference of papillomavirus E6 protein with single-strand break repair by interaction with XRCC1. EMBO J 2002;21:4741-4748. [CrossRef][Web of Science][Medline]
  5. Jackson S, Harwood C, Thomas M, Banks L, Storey A. Role of Bak in UV-induced apoptosis in skin cancer and abrogation by HPV E6 proteins. Genes Dev 2000;14:3065-3073. [Free Full Text]

Related Letters:

Treatment of Warts
Garry C. E., Garry J. A., Garry R. F., Bouwes Bavinck J. N., Feltkamp M. C.W.
Extract | Full Text | PDF
N Engl J Med 2004; 351:1692-1693, Oct 14, 2004. Correspondence

This article has been cited by other articles:

  • Struijk, L., van der Meijden, E., Kazem, S., ter Schegget, J., de Gruijl, F. R., Steenbergen, R. D. M., Feltkamp, M. C. W. (2008). Specific betapapillomaviruses associated with squamous cell carcinoma of the skin inhibit UVB-induced apoptosis of primary human keratinocytes. J. Gen. Virol. 89: 2303-2314 [Abstract] [Full Text]
  • de Koning, M. N. C., Struijk, L., Bavinck, J. N. B., Kleter, B., ter Schegget, J., Quint, W. G. V., Feltkamp, M. C. W. (2007). Betapapillomaviruses frequently persist in the skin of healthy individuals. J. Gen. Virol. 88: 1489-1495 [Abstract] [Full Text]
  • Karagas, M. R., Nelson, H. H., Sehr, P., Waterboer, T., Stukel, T. A., Andrew, A., Green, A. C., Bouwes Bavinck, J. N., Perry, A., Spencer, S., Rees, J. R., Mott, L. A., Pawlita, M. (2006). Human papillomavirus infection and incidence of squamous cell and basal cell carcinomas of the skin.. JNCI J Natl Cancer Inst 98: 389-395 [Abstract] [Full Text]
  • Garry, C. E., Garry, J. A., Garry, R. F., Bouwes Bavinck, J. N., Feltkamp, M. C.W. (2004). Treatment of Warts. NEJM 351: 1692-1693 [Full Text]
  • Paul, I. M. (2004). Warts & HAMLET: To Be or Not To Be?. AAP Grand Rounds 12: 44-44 [Full Text]

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This Week in Science: 06 November 2009

A Horse Is a Horse, of Course

The history of horse domestication is closely tied to the history of the human society. Wade et al. (p. 865) report on the sequencing and provide a single nucleotide polymorphism map of the horse (Equus caballus) genome. Horses are a member of the order perissodactyla (odd-toed animals with hooves). The analysis reveals an evolutionarily new centromere on equine chromosome 11 that displays properties of an immature but fully functioning centromere and is devoid of centromeric satellite sequence. The findings clarify the nature of genetic diversity within and across horse breeds and suggest that the horse was domesticated from a relatively large number of females, but few males.

Cluster Electronics and Catalysis

Many practical catalysts consist of small metal clusters on oxide supports, and the activity of these clusters usually varies with their size. In order to sort out some of the competing effects that lead to such variations, Kaden et al. (p. 826) size-selected palladium clusters (from single atoms to clusters up to 25 atoms) and deposited them on a crystal face of the rutile phase of titanium dioxide. X-ray photoemission studies and temperature-programmed reaction measurements showed that the activity of these model catalysts for CO oxidation was related to the electronic energy, which was reflected in the Pd 3d electron binding energy. Ion-scattering studies showed that the clusters formed flat single- or double-layer islands.

Simulating Surfaces

Although modern computational chemistry can often match or even exceed experimental accuracy in modeling gas phase reactions, the surface-bound processes involved in most practical catalysis pose a substantially greater challenge to theory (see the Perspective by Hasselbrink). Díaz et al. (p. 832) show that a modification to standard density functional methods can predict reaction barrier heights to within 1 kilocalorie per mole for the widely studied dissociative adsorption of dihydrogen on copper. In a complementary study, Shenvi et al. (p. 829) apply an efficient algorithmic framework to model transitions among multiple electronic states at a metal surface and successfully account for the complex dependence of nitric oxide scattering on the small molecule's vibrations and rotations.

Missing Mass Explained?

The motion and distribution of galaxies and clusters of galaxies within the universe suggest that there is far more matter than can be seen directly through telescopes. Alternatively, perhaps our understanding of gravity is flawed, leading to a mismatch between the gravitational field inferred from the observed mass distribution in the universe and the observed gravitational field. Ferreira and Starkman (p. 812) review the viability of modifying theories of gravity to solve the problem of missing mass. It emerges that theories of modified gravity remain viable but have become more complex, involving gravitating invisible elements. However, what you see is still not what you get.

Nitrogen Overload

The cycling of essential nutrients in terrestrial ecosystems has been altered by human activities. Elser et al. (p. 835) report a comparative analysis of lakes in Norway, Sweden, and in the United States that suggests that this is also true in aquatic ecosystems such as lakes. Deposition of anthropogenically derived atmospheric nitrogen controls whether N or P is growth-limiting for phytoplankton. Under elevated conditions of atmospheric N inputs, lake phytoplankton become consistently P-limited because the N:P ratio is strongly distorted. This is in contrast to conditions of low N deposition when lake phytoplankton are N-limited. These effects are even observed in remote lakes, demonstrating the indirect yet wide-ranging effects of humans on global food webs.

Entangling Rainbows

Quantum mechanical entanglement is at the heart of quantum information processing. In the future, practical systems will contain a network of quantum components, possibly operating at different frequencies. Coelho et al. (p. 823, published online 17 September) present a technique that can entangle light beams of three different frequencies. The ability to swap entanglement between different light fields should prove useful in advanced quantum information protocols on systems comprising different operating frequencies.

Long-Lost Pollinators

The rise of angiosperms in the Early Cretaceous (140 million years ago) was accompanied by coevolution of a variety of insects, including flies, bees, and wasps required for pollination. Ren et al. (p. 840; see the Perspective by Ollerton and Coulthard) show that three families of scorpionflies had already evolved specialized mouth parts for feeding on the nectar of gymnosperms, as early as the Middle Jurassic (170 million years ago). The diversity and specialization of these insects and related plant structures suggests that they were also involved in pollination. These families died out later in the Cretaceous as angiosperms began to dominate.

 

Butterfly Apartheid

Heliconius butterflies show differences in mimetic color patterns across geographic races associated with patterns of assortative mating, suggesting that ecological speciation may be ongoing. Chamberlain et al. (p. 847) demonstrate assortative mating on the basis of color pattern mimicry that generates reproductive isolation between Heliconius cydno species and subspecies within polymorphic populations in Ecuador. Furthermore, it appears that these traits are controlled by a single gene that affects color pigment in wing pattern formation and vision. Thus, these butterflies are indeed in the early stages of reproductive isolation that is being driven by an ecological trait, allowing observation of an incipient speciation event.

Slowing Brain Disease with Gene Therapy

X-linked adrenoleukodystrophy (ALD), the hereditary brain demyelinating disorder that was featured in the movie "Lorenzo's Oil," is typically treated by transplantation of bone marrow from matched donors. This treatment slows progression of the disease by introducing cells that differentiate into myelin-producing cells. Cartier et al. (p. 818; see Perspective by Naldini) tested an alternative gene therapy–based approach in two young patients without matched donors. A lentiviral vector was used to introduce a wild-type copy of the ALD gene into the patients' hematopoietic stem cells ex vivo. The modified cells were then infused back into the patients. Expression of the transferred gene was still detectable in the patients' blood cells 2 years later, and both patients showed neurological improvement and a delay in disease progression comparable to that seen with bone marrow transplants.

Bacterial Trigger of Plant Protection

Innate immunity can be rapidly activated to defend a host plant against a microbial pathogen. The rice protein XA21, which is thought to be a cell surface–located receptor with a kinase domain, activates the plant's defenses in response to infection by certain strains of Xanthomonas bacteria. Lee et al. (p. 850) have now identified the bacterial gene that encodes the protein, AvrXA21, to which the plant receptor XA21 responds. The 194–amino acid protein needs to be secreted and sulfated to trigger the rice plant defense responses. Similarities exist between the receptor XA21 and other immune response receptors in both plants and animals.

The Death of Cocco

Emiliania huxleyi is a coccolithophore, a class of unicellular phytoplankton that forms vast blooms mediating the oceanic carbon cycle through shedding of its calcium carbonate scales. E. huxleyi is routinely infected and killed by lytic viruses that can abruptly halt a bloom. Vardi et al. (p. 861) have found that in E. huxleyi strains that are sensitive or resistant to infection, a sphingolipid-based "arms race" appears to regulate cell fate during host-virus interactions. The lipid also serves as a biomarker for active infection that may help to quantify the role and activity of viruses and virus-mediated processes in the oceans. This information will help in assessing the biogeochemical impact of these plankton species.

 

Goldilocks Immunology

T cells are carefully calibrated in the thymus to react to invading pathogens and to ignore the self. This occurs through interactions between the T cell receptor and major histocompatibility complexes (MHCs) expressing self-peptides. A Goldilocks-like selection process is carried out whereby T cells that do not react or react too strongly to self-peptide MHCs are deleted, whereas those with interactions that are "just right" are allowed to survive. The result is T cells highly specific for a particular foreign peptide-MHC complex. Receipt of survival signals from "just-right" interactions (positive selection) and deletion of cells that are too reactive (negative selection) are spatially and temporally segregated in the thymus, and it is unclear at which stage T cells acquire their high degree of peptide-MHC specificity. By using mice expressing a single peptide-MHC complex, Wang et al. (p. 871) now show that this single complex is sufficient for selection of a CD8+ T cell repertoire with a broad range of specificity. Importantly, recognition of peptide MHC by these cells was highly specific, demonstrating that peptide-MHC specificity is acquired during positive selection in the thymus.

 

Desert Balancing Act

Ecosystem nutrient budgets are often difficult to estimate given the variety of processes and organisms that influence their flux. In deserts, for example, the loss of nitrogen—a limiting nutrient for growth—is often thought to be mediated by the generation of trace gases from biological activity. McCalley and Sparks (p. 837) present results from the Mojave Desert that suggest most nitrogen is instead driven off by the Sun at high temperatures that inhibit microbial activity. This requires a reevaluation of the desert nitrogen budget both now and in the future when climate change may drive increased abiotic emissions in arid ecosystems.

 

Small-Molecule Protease Activator

Human proteases regulate numerous biological processes. Most are stored as inactive proenzymes that are activated either by upstream processes or by self-proteolysis. Wolan et al. (p. 853) have identified a small molecule that activates the apoptotic procaspases-3 and -6. These caspases are homodimers, and the compound probably competitively inhibits one active site, but stabilizes an on-state conformation that promotes self-cleavage by the unoccupied site. It may thus be possible to find other small-molecule activators for other proenzymes that should facilitate functional and mechanistic studies.

 

Shivering Viromes

Despite its icy reputation, freshwater ponds and lakes do occur in Antarctica, and open freshwater can be found for a few brief weeks during the austral summer. The ecology of these lakes is, as expected, rather specialized to cope with the extreme seasonal conditions. In a metagenomic study, López-Bueno et al. (p. 858) inspected the virus community of Lake Limnopolar on Livingston Island and found an unexpectedly rich genetic diversity. A dominant group of previously unidentified single-stranded DNA viruses was found, and a striking shift after ice-melt in spring from single-stranded to double-stranded DNA viruses was observed, probably as their algal hosts started to bloom with increasing daylight hours. The diverse viruses may donate specialized genes that host organisms can also exploit to aid their survival under winter extremes of heat and light deprivation.

 

Self-Renewing Macrophages

The capacity for self-renewal is associated with progenitor cell populations and is lost upon differentiation. Aziz et al. (p. 867) discovered an exception to this rule when mouse monocytes and macrophages deficient in the transcription factors MafB and c-Maf were cultured in the presence of the growth factor, macrophage colony-stimulating factor (M-CSF). Under these conditions, MafB/c-Maf–deficient cells were able to divide continuously while maintaining the phenotype and function of mature cells. Unexpectedly, when these in vitro–cultured cells were transferred into mice, they did not induce tumors, despite continuing to divide, but rather incorporated themselves into tissues and adopted normal macrophage functions. Suppression of two genes involved in the self-renewal capacity of inducible pluripotent stem cells, KLF4 and c-Myc, inhibited the ability of MafB/c-Maf–deficient macrophages to self-renew. Such long-term propagation of a differentiated cell population that does not result in transformation when reintroduced in vivo has exciting therapeutic potential.

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MafB/c-Maf Deficiency Enables Self-Renewal of Differentiated Functional Macrophages

Athar Aziz,1,2,3,* Erinn Soucie,1,2,3,* Sandrine Sarrazin,1,2,3 Michael H. Sieweke1,2,3,{dagger}

In metazoan organisms, terminal differentiation is generally tightly linked to cell cycle exit, whereas the undifferentiated state of pluripotent stem cells is associated with unlimited self-renewal. Here, we report that combined deficiency for the transcription factors MafB and c-Maf enables extended expansion of mature monocytes and macrophages in culture without loss of differentiated phenotype and function. Upon transplantation, the expanded cells are nontumorigenic and contribute to functional macrophage populations in vivo. Small hairpin RNA inactivation shows that continuous proliferation of MafB/c-Maf deficient macrophages requires concomitant up-regulation of two pluripotent stem cell–inducing factors, KLF4 and c-Myc. Our results indicate that MafB/c-MafB deficiency renders self-renewal compatible with terminal differentiation. It thus appears possible to amplify functional differentiated cells without malignant transformation or stem cell intermediates.

 

1 Centre d’Immunologie de Marseille-Luminy (CIML), Université Aix-Marseille, Campus de Luminy, Case 906, 13288 Marseille Cedex 09, France.
2 Institut National de la Santé et de la Recherche Médicale (INSERM), U631, Marseille, France.
3 Centre National de la Recherche Scientifique (CNRS), UMR6102, Marseille, France.

* These authors contributed equally to this work. Back

{dagger} To whom correspondence should be addressed. E-mail: sieweke@ciml.univ-mrs.fr

The nonproliferative state of terminally differentiated cells is assured by robust, often redundant mechanisms (1, 2), and in rare exceptions where fully mature cells can re-enter the cycle, proliferation remains transient and/or involves de-differentiation (3). It remains unknown what renders differentiated cells refractory to the same mitogen signals that stimulate the proliferation of their direct precursors. For example, the proliferative response of myelomonocytic progenitors to macrophage colony-stimulating factor (M-CSF) is lost upon differentiation to macrophages (4), despite the continued ability of these mature cells to sense the cytokine (5). Consequently, myeloid progenitor cells form colonies in M-CSF containing semisolid medium, whereas blood monocytes and tissue macrophages do not. Here, we have investigated whether this process involves the transcription factors MafB and c-Maf, which can both regulate M-CSF responsiveness (6, 7) and stimulate monocytic differentiation (810).

Intriguingly, we observed that in contrast to wild-type (WT) cells, MafB/c-Maf double deficient (Maf-DKO) blood leukocytes formed colonies in M-CSF containing medium at high efficiency (Fig. 1A). Several lines of evidence indicated that these colonies were initiated by mature monocytes rather than by other mature cell types or circulating progenitors. First, in a cytokine mix that can reveal rare circulating stem and progenitor cells (11), Maf-DKO leukocytes gave rise to the same low number of colonies as WT cells (fig. S1A). Furthermore, M-CSF colonies did not develop from lymphocytes or granulocytes (fig.S1C) but formed at very high frequency from purified mature Maf-DKO monocytes that expressed Mac-1, F4/80, and CD115 but were negative for c-kit (CD117), a marker of both primitive (11) and M-CSF–responsive macrophage/dendritic cell progenitors (12) (Fig. 1B and fig. S2). A high rate of colony formation was also observed for spleen and peritoneal macrophages (fig. S1B) as well as for purified CD117- Kupffer cells of the liver, which represent terminally differentiated tissue macrophages (Fig. 1B). These results indicated that, in contrast to WT, mature Maf-DKO blood monocytes and tissue macrophages could proliferate in response to M-CSF.

Figure 1
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Fig. 1. Extended proliferation of mature Maf-DKO monocytes and macrophages. (A) Colony assays of WT or Maf-DKO blood leukocytes after 12 days in M-CSF methocult medium, showing culture dishes, a typical Maf-DKO colony (scale bar, 50 µm), and colony-forming unit (CFU) numbers. (B) Colony assay as in (A) from flow cytometry–sorted Mac-1+, F4/80+, CD117 blood monocytes (confirmed to be CD115+ after sorting) and F4/80high, Mac-1int, CD117 liver Kupffer cells. Upstream gating schemes are shown in fig. S2 (C) Flow cytometric analysis of BrdU incorporation and DNA content of monocytes [gated as in (B)] 4 hours after intravenous (IV) injection of 5 µg M-CSF and 1-hour BrdU labeling, showing representative profiles and the ratio of cycling to noncycling monocytes (WT n = 3, Maf-DKO n = 2). (D) Serial replating in methocult assay of monocyte-derived Maf-DKO cells washed out from M-CSF colony assays. (E) Growth curves of individual clones in liquid M-CSF culture. All colony assays show average CFU of replicate plates, all error bars indicate SEM, and (A), (B), and (D) are representative of at least two independent experiments.

 

Indeed, when we injected recombinant M-CSF directly into the circulation of mice, we observed that Maf-DKO, but not WT, blood monocytes had entered the cell cycle (Fig. 1C). The same observation was made when cells were stimulated with M-CSF ex vivo (fig. S1D). Although Maf-DKO monocytes or in vitro differentiated macrophages required significantly higher M-CSF concentrations for proliferation than bone marrow progenitors (fig. S3), their ability to divide was not restricted to a small number of cycles but continued in extended long-term culture. Maf-DKO monocyte–derived colonies could thus be serially replated in methocult assays at high efficiency and without loss of clonogenicity (Fig. 1D). This was intriguing, because even progenitors normally have only limited replating ability in this assay that is often employed to reveal the extended self-renewal capacity of transformed progenitors (13). Moreover, extended, possibly unlimited, expansion of Maf-DKO cells could be achieved in liquid culture. We have maintained Maf-DKO cells in continuous culture for more than 8 months without any signs of crisis. For three independent Maf-DKO populations, cell counts over 2 months revealed stable doubling times of 1.44 ± 0.05 days and theoretical amplification factors of 1011 to 1012 (fig. S4A). This was unlikely to be due to the outgrowth or selection of a small subpopulation; more than 80% of Maf-DKO cells gave rise to new colonies in replating assays (Fig. 1D), and individual colonies could be cloned and subcloned at 80 to 90% efficiency (fig. S4B) or undergo expansion in liquid culture with similar, unaltered growth curves (Fig. 1E). Together, the high cloning and recloning efficiency and the similar growth rates of individual clones indicate that a vast majority, possibly all, rather than a subpopulation of Maf-DKO cells have an extended proliferation capacity.

In specialized regenerative processes, differentiated cells can also reenter the cell cycle, but in these examples cells typically undergo de-differentiation and revert to an immature phenotype (3). By contrast, proliferating Maf-DKO cells maintained a differentiated phenotype and function. Like WT monocytes in M-CSF culture, Maf-DKO cells remained positive for the monocyte/macrophage surface markers Fc{gamma}RII/III (CD16/32), Mac-1 (CD11b), F4/80, and CD115 (Fig. 2A); displayed a normal macrophage morphology (Fig. 2B); and were negative for progenitor markers CD117 and CD34 (Fig. 2A) or other lineage markers (fig. S5A), even after long-term expansion. Proliferating Maf-DKO cells also displayed a global gene expression profile highly similar to WT cells (Fig. 2C) and expressed a panel of characteristic monocyte/macrophage genes (Fig. 2D and fig. S5B). They also showed the same capacity as WT monocyte–derived macrophages to produce nitric oxide in response to lipopolysaccharide and interferon-{gamma} (Fig. 2E) and to phagocytose latex beads (Fig. 2F). Cell cycle analysis further demonstrated that Maf-DKO cells in S and G2/M phase had the same amount of phagocytic activity as cells in G0/G1 phase, indicating that differentiated macrophage function is fully maintained through cell cycle progression in these cells (Fig. 2G). This was further confirmed with live bacteria, revealing that cycling (Ki67+) Maf-DKO cells could phagocytose large numbers of green fluorescent protein (GFP)–expressing Salmonella typhimurium (Fig. 2H). Interestingly, M-CSF–expanded monocyte-derived Maf-DKO cells retained the ability to acquire dendritic cell features when shifted to GM-CSF–containing medium (fig. S6A and B).

Figure 2
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Fig. 2. Proliferating Maf-DKO cells have mature macrophage phenotype and function. (A) Flow cytometric analysis for monocyte/macrophage or progenitor markers and (B) Giemsa staining of 2-month monocyte-derived Maf-DKO macrophage cultures. (C) Comparison of global gene expression between WT and Maf-DKO bone marrow–derived macrophages by whole-genome microarray analysis, showing a scatter plot with a two-fold change corridor and the Pearson correlation coefficient (CC). (D) Semiquantitative reverse transcription polymerase chain reaction (RT-PCR) of characteristic monocyte/macrophage genes, (E) nitric oxide (NO) production after LPS/IFN{gamma} stimulation, and (F) flow cytometric analysis of phagocytosed phycoerythrin (PE)–latex beads from monocyte-derived WT and Maf-DKO macrophages. Error bars indicate SEM. (G) Flow cytometric analysis of fluorescent bead phagocytosis by 2-month monocyte-derived Maf-DKO macrophage cultures in G1 or S/G2/M phase of the cell cycle. (H) Immunofluorescent staining for Ki67 (red) and nuclear 4′,6′-diamidino-2-phenylindole (blue) labeling of monocyte-derived Maf-DKO macrophages 1 hour after phagocytosis of GFP-expressing S. typhimurium (green). Cells outlined in white. Scale bar, 10µm. (A and B) and (D) to (H) are representative of at least two independent experiments.

 

To determine whether the extended proliferative capacity of Maf-DKO monocytes and macrophages was associated with tumorigenic transformation, we analyzed the long-term effects of MafB/c-Maf deficiency in vivo. Interestingly, bone marrow chimeras with a Maf-DKO hematopoietic system showed no sign of leukemia or myelo-proliferative disease for more than 1 year after reconstitution (fig. S7) or after hematopoietic stress induced by pharmacological hemato-suppression (fig. S8). Furthermore, monocyte-derived Maf-DKO macrophage cultures retained a normal number of chromosomes through long-term ex vivo expansion (Fig. 3A) and did not give rise to tumors upon transplantation into syngeneic or immunocompromised nude mice, irrespective of the injection route (Fig. 3, B and C), despite the cells’ ability to divide in vivo (fig. S9A). By comparison, under the same conditions the murine macrophage cell line J774.1 induced massive tumors within days and caused 100% mortality by 4 weeks (Fig. 3, B and C).

Figure 3
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Fig. 3. Expanded Maf-DKO cells are not tumorigenic, but rather integrate as functional macrophages into host tissues in vivo. (A) Karyotype of long-term expanded monocyte-derived Maf-DKO macrophages. (B) Tumor-free survival of animals upon intravenous (IV), intraperitoneal (IP), or subcutaneous (SC) injection of 1 x 106 J774.1 or monocyte-derived Maf-DKO macrophages into syngeneic hosts. (C) Tumor development at 4 weeks and survival curve post-SC injection of 1 x 106 J774.1 or monocyte-derived Maf-DKO macrophages into nude mice (n = 3). Arrowheads indicate injection site. (D) Detection of transplanted carboxyfluorescein diacetate succinimidyl ester (CFSE)–labeled Ly5.2+ Maf-DKO macrophages by flow cytometric analysis of peritoneal exudate 6 days after IP injection and (E) by confocal immunofluorescence analysis of macrophage antigens on CFSE+ cells in spleen 3 days after IV injection. Scale bars, 50µm (top), 20µm (bottom). Immunofluorescence analysis of CFSE-labeled (F) and 5-(and-6)-(((4-chloromethyl)benzoyl)amino)tetramethylrhodamine (CMTMR)–labeled (G) Maf-DKO macrophages for F4/80 [(F) and (G)] and iNOS expression (G) 3 days after transplantation and 48 hours after IV inoculation with the red fluorescent protein dsRed-expressing S. typhimurium. Scale bar, 20 µm. (D) to (G) are representative of at least two independent experiments.

 

Rather than forming tumors, transplanted Maf-DKO cells showed homing and functional integration into normal macrophage populations of multiple tissues. Maf-DKO cells contributed to macrophages of the bone marrow, peritoneum, and red pulp and marginal zone of the spleen, and to Kupffer cells of the liver (Fig. 3, D and E, and fig. S9, B and C). Moreover, Maf-DKO macrophages in spleen and liver participated in the characteristic host response to infection with live S. typhimurium, which causes an invasive disease in mice similar to human typhoid fever (14). The transplanted cells phagocytosed bacteria (Fig. 3F), localized to typical discrete macrophage foci in infected organs (14), and activated expression of inducible nitric oxide synthase (iNOS) (Fig. 3G and fig. S10). Furthermore, some transplanted cells acquired CD11c expression in infected mice (fig. S6C). Together, these results indicate that expanded Maf-DKO cells are not transformed but give rise to functional macrophages and possibly monocyte-derived dendritic cells that integrate into the normal tissue architecture in vivo.

The p19ARF/p53 and p16/Rb cell cycle inhibitory pathways represent important control mechanisms of cellular proliferation, and their inactivation can extend the limited division number of mitotic progenitors in culture (15). However, neither mature leukocytes from p53–/– nor those from p19ARF/p16 (INK4a) double-deficient mice gave rise to M-CSF colonies (fig.S11), indicating that the observed self-renewal of differentiated Maf-DKO monocytes and macrophages must be based on distinct mechanisms.

Differentiated cells can be reprogrammed into pluripotent stem cells (iPS) by the four transcription factors Oct-4, Sox-2, KLF4, and c-Myc (16, 17), of which the latter two have been proposed to impart extended proliferation capacity (16) on the basis of their role in embryonic stem cell self-renewal (18, 19). In addition, KLF4 and c-Myc can also mediate monocytic differentiation (20) and proliferation (21, 22), respectively. We therefore investigated the role of these factors in the extended proliferative capacity of Maf-DKO monocytes and macrophages. Whereas expanded Maf-DKO macrophage cultures did not express the pluripotency-associated factors Sox-2, Oct-4, and nanog (fig. S12A), they showed a strong up-regulation of both KLF4 and c-Myc expression within 2 hours of M-CSF stimulation and maintained substantially higher expression levels than WT controls for the observation period of 72 hours (Fig. 4A). To determine the functional consequence of these changes, we generated small hairpin RNA (shRNA) retroviral vectors directed against KLF4 or c-Myc that could specifically reduce both endogenous and transfected target gene expression at the RNA and protein level (Fig. 4, B and C). When monocyte-derived Maf-DKO macrophages were infected with GFP-expressing retrovirus coding for no or control shRNA sequences, they gave rise to GFP+ colonies in methocult assays of the same size and morphology as uninfected cells. By contrast, cells infected with GFP retrovirus expressing either KLF4 or c-Myc shRNA gave rise to only small GFP+ cell clusters of less than 20 cells (Fig. 4D) that could not be propagated through serial replating (Fig. 4E). Internal controls of noninfected GFP colonies from the same plating showed identical morphology, frequency, and replating behavior under all conditions (Fig. 4D). Conversely, combined ectopic overexpression of c-Myc and KLF4 conferred serial replating capacity to in vitro differentiated WT macrophages (fig. S12B). Together, these results indicated that increased expression of both KLF4 and c-Myc are required and potentially sufficient for the extended self-renewal capacity of Maf-DKO macrophages.

Figure 4
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Fig. 4. Elevated Klf4 and c-Myc expression are both required for extended proliferation of Maf-DKO macrophages. (A) Quantitative RT-PCR analysis for Klf4 and c-Myc after M-CSF stimulation of cytokine-starved WT and Maf-DKO macrophages or (B) in NIH3T3 cells expressing empty vector (EV), control (C), Klf4 (K1) or c-Myc (M1 and M2) shRNA, respectively. (C) KLF4 and c-Myc immunoblot of QT6 cells cotransfected with empty (–), Klf4, or c-Myc expression vectors and control, Klf4 (K1), or c-Myc (M1 and M2) shRNA, as indicated. (D) Representative images of infected (GFP+) and uninfected (GFP) colonies from the same M-CSF colony assays of monocyte-derived Maf-DKO macrophages transduced with the indicated shRNA-GFP retroviruses. (E) CFU counts for total (GFP+ and GFP) and GFP+ colonies upon serial replating of the same assays. All error bars indicate SEM and all panels are representative of at least two independent experiments.

 

Together, our results indicate that MafB/c-Maf deficiency dissociates cell cycle exit from terminal macrophage differentiation. Although specialized mononuclear phagocytes such as microglia and some dendritic cells can undergo transient proliferation in peripheral tissues (2325), their number of divisions is limited and it remains unresolved whether proliferation occurs in precursors or fully differentiated cells. Here, we show that MafB/c-Maf deficiency enables long-term expansion of differentiated, mature macrophages without loss of function or sensitivity to homeostatic control in vivo. Interestingly, this depends on the regulated activation of c-Myc and KLF4. Mechanistically, this may involve the loss of MafB/c-Maf mediated repression of Ets-1/2 (26) and PU.1 (7) (fig. S13), two myeloid activators of the c-Myc (4, 27) and KLF4 (20) promoters, respectively. KLF and c-Myc are two iPS-inducing factors that have been proposed to mediate self-renewal (16, 18, 19) but are not required for pluripotency (17). Thus, it appears that pluripotency and self-renewal are two stem cell characteristics that can be mechanistically dissociated. The nontumorigenicity of Maf-DKO macrophages is intriguing, given that individually both c-Myc and KLF4 can act as oncogenes (28, 29). In particular c-Myc can malignantly transform macrophages (21, 22) (fig. S12B) and induce tumors in iPS-derived mice (17). The controlled and joint up-regulation of c-Myc and KLF4 in Maf-DKO cells, however, may prevent malignancy (fig. S12B) by assuring a fine-tuned counterbalance of the factors’ partially antagonistic activities in cell cycle control (16, 28). Together, our results provide a first example for extended amplification of functional differentiated cells without passing through pluripotent or multipotent stem cell intermediates and may open up new perspectives for monocyte-based cellular therapies in infectious disease or tissue regeneration.

Supporting Online Material

www.sciencemag.org/cgi/content/full/326/5954/867/DC1

Materials and Methods

Figs. S1 to S13

Tables S1 and S2

References


References and Notes

 

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A Comeback for Gene Therapy — Naldini 326 (5954): 805 — Science

Medicine:

A Comeback for Gene Therapy

Luigi Naldini

San Raffaele Telethon Institute for Gene Therapy, "Vita Salute San Raffaele" University, Via Olgettina, 58, 20132 Milano, 20132 Italy.

E-mail: naldini.luigi@hsr.it

Gene therapy has recently had some important successes in treating severe inherited diseases (13) after years of skepticism from the scientific community and neglect by the pharmaceutical industry. On page 818 in this issue, Cartier et al. (4) report another major advance—the successful first clinical testing of an HIV-derived vector in hematopoietic stem cell (HSC)–based gene therapy. The procedure was used to treat a severe neurodegenerative disease, X-linked adrenoleukodystrophy (ALD), and the results indicate stable expression of a therapeutic gene in a substantial fraction of patients' hematopoietic cells, as well as clinical benefits.

Lentiviral vectors (including HIV-derived) were developed to overcome the inability of gamma-retroviral vectors to infect nondividing cells (5), and have become a widely used gene transfer tool with the potential to extend the reach of gene therapy applications. Several studies have shown that lentiviral vectors transduce HSCs more efficiently than gamma-retroviral vectors (611). Cartier et al. tested this strategy for treating childhood ALD, a fatal disorder of the central nervous system caused by mutations in ABCD1, a peroxisomal transporter gene. The transporter functions in the turnover of myelin (lipid-rich material that insulates neurons) in oligodendrocytes and microglia, and its deficiency leads to demyelination and consequent nervous system dysfunction. Disease progression can be arrested by allogeneic HSC transplantation (cells are from a normal donor), which enables functional myelo-monocytic cells derived from a donor's HSCs to migrate into the recipient's central nervous system and replace diseased microglia cells, thus relieving lipid storage (12).

Gene therapy may provide an alternative treatment if a sufficient number of autologous HSCs (the stem cell donor is also the patient/recipient) are corrected by gene transfer and successfully engrafted into the patient. But an important question is whether the therapeutic efficacy is comparable to that of transplantation. Also, although the design of a lentivirus vector and its integration preference into the stem cell genome alleviate the risks (11, 1316) of mutagenesis (and leukemia) that have been observed with gamma-retroviral vectors (2, 17, 18), whether this holds up when lentiviral vectors are used in clinical trials has not been known.

Figure 1
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Promising treatment. Progeny of HSCs that were engineered to carry the correct version of a gene (through the integration of a lentiviral vector) distribute throughout the body. Cartier et al. show that some cells replaced diseased microglia in the brain and relieved lipid storage in patients suffering from ALD.

CREDIT: Y. GREENMAN/SCIENCE

 
In the study by Cartier et al., two ALD-affected boys were infused with autologous HSCs that were corrected ex vivo with an HIV-derived vector expressing ABCD1 (see the figure). ABCD1 protein was stably expressed in 9 to 14% of granulocytes, monocytes, T and B cells, and bone marrow progenitors in both patients throughout the 24 to 30 months of follow-up, respectively. Cerebral demyelination was arrested 14 to 16 months after engraftment, and neurological and cognitive functions remained stable, an outcome comparable to that of successful HSC transplantation.

Were bona fide HSCs transduced by the lentiviral vector? Mapping integration sites helps to address this question as each site represents a unique genetic marker for tracking the clonal activity of a transduced cell. Up to 4% of all identified vector integration sites were found in both lymphoid and myeloid cells, often at several time points after engraftment. This is close to long-sought evidence for transduction and engraftment of self-renewing, multipotent HSCs.

Was gene transfer into HSCs efficient? As only up to 14% of the cells in each lineage stably expressed ABCD1, there is room for improvement. Higher vector titers, which will become available as lentiviral vector manufacturing improves, will likely boost this figure. However, it is difficult to compare earlier gene therapy trials with that of Cartier et al., in which the patient's HSCs were ablated to favor engraftment of the gene-corrected HSCs. Earlier trials based on gamma-retroviral vectors used no or less intense bone marrow conditioning and exploited the growth advantage of gene-corrected cells to favor their engraftment and expansion in vivo (1, 2, 17).

Long-term engraftment of hematopoietic cells transduced by gamma-retroviral vectors is often characterized by the appearance of clonal cells bearing vector integration in genes involved in growth control and/or oncogenesis. This may indicate positive selection of clones with increased growth potential caused by vector insertion (2, 17, 18). Is lentiviral vector integration more neutral? Cartier et al. report a reassuring picture of highly polyclonal hematopoietic cells transduced with the ABCD1 gene, which is maintained throughout the follow-up time without evidence for sustained expansion of individual clones or enrichment of common integration sites. But when the authors compared the distribution of integration sites in cells before infusion and after engraftment, they observed an enrichment of integration sites at some gene classes after engraftment. This may suggest that integration was not completely neutral. It may also reflect differences in integration preference between the short-lived progenitors, which constitute most of the cells infused into the patients, and the rare HSCs whose progeny engraft the patients long-term. Longer follow-up and additional testing in this and other diseases will better establish the safety features of lentiviral vectors and how they can be influenced by conditions specific to each study design.

If most lentiviral vector integration is neutral to cell behavior, the tracking of integration site distribution in the different cell lineages reported by Cartier et al. may be a first glimpse of live hematopoiesis in humans at the clonal level. The authors used a combination of approaches to maximize the coverage of integration sites in each sample and alleviate the retrieval biases imposed by the DNA restriction and amplification steps of the procedure. This technological rigor will likely become a gold standard for future HSC-based gene therapy trials.

Gene therapy of ALD in the study of Cartier et al. provided a benefit similar to that of allogeneic HSC transplantation, despite a relatively low level of gene correction. This unexpected finding indicates that enhanced efficacy in relieving lipid storage may be attained with cells that overexpress the therapeutic gene as compared to normal donor cells. It also suggests that microglia cells might be replaced by infused short-lived progenitors that contain a higher proportion of gene-corrected cells than HSCs. These scenarios might eventually position HSC-based gene therapy as a preferable treatment option for ALD, as it abrogates the morbidity associated with the allogeneic source of HSCs in conventional transplantation. Furthermore, improved HSC transduction protocols may overcome the need for bone marrow conditioning. Although many questions remain to be fully settled, this study clearly supports further testing of HSC-based gene therapy in ALD and other diseases and represents a long-sought rewarding achievement in the field of gene therapy.

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Mole Rats May Hold Key to Human Longevity – NYTimes.com

The Life Span of a Rodent May Aid Human Health

Frans Lanting/Corbis

PROTECTED EXISTENCE Naked mole rats like this one in South Africa rarely leave the safety of their underground tunnels. The queens never come to the surface. Even the workers are exposed only when they need to shovel out dirt. More Photos >

Published: October 26, 2009

They live in underground colonies with a queen, her harem of favorite males, soldiers to defend the tunnel system and workers to keep excavating in search of food. But despite having the social structure of an ants’ nest or beehive, naked mole rats are mammals about the size of a mouse. And among their many peculiarities are features that could, if understood, be of great relevance to human health and longevity.

Their life span is of extraordinary length for a rodent. Mice live a couple of years but mole rats can reach the venerable age of 28. The long life is probably a consequence of their protected existence. Mice have a short life span because they have many predators. Better to breed fast and young than prepare for an old age none will ever live to see. Gray squirrels, on the other hand, have fewer enemies and can live for more than 20 years.

The naked mole rat lives an even more protected lifestyle than do squirrels. The queens never come to the surface. Even the workers are exposed only when they need to shovel dirt to the earth’s surface.

A colony’s principal danger is other mole rats who may break into the tunnel system, testing the soldier caste’s defenses. Another risk to life is a kind of civil war that breaks out when a queen dies. Other females, intimidated into staying barren while the queen lived, regain their fertility and fight until one emerges victorious. But casualties are generally low, and presumably because of this relative safety, mole rats have evolved the ability to live more than 10 times longer than mice.

Mice are very prone to cancer; in some strains, 90 percent of them die of tumors. People have stronger defenses against cancer, as is necessary for a long-lived animal: the disease accounts for 23 percent of human mortality. But the mole rat has taken its anticancer defenses even further: it seems not to get the disease at all. “These animals have never been observed to develop any spontaneous neoplasms,” Vera Gorbunova and colleagues said in an article in the current Proceedings of the National Academy of Sciences.

Dr. Gorbunova, who works at the University of Rochester, has taken a first step toward understanding the genetic basis of the mole rat’s surprising immunity to cancer. She and her colleagues have found that the rats’ cells have a double system for inhibiting irregular proliferation, compared with the single system in human cells.

Normal human cells grown in a lab dish show behavior known as contact inhibition. Once the cells come in contact with one another, they form a single layer and stop dividing. Cancer cells, however, have thrown off that restraint and keep proliferating, forming one layer on top of another.

Dr. Gorbunova has found that both mole rat and human cells have the same system of contact inhibition, mediated in both species by a gene known as p27. But mole rats, in addition, have an early acting version of the same system and presumably use the p27 system just as a backup.

When mole rat cells in glassware make just a few contacts with one another, they stop growing and dividing. This early contact inhibition system is mediated by a gene called p16-ink4a. People also have the p16-ink4a gene, but it seems to play almost no role in contact inhibition of cells. The mole rat’s double system may be part of the reason for its remarkable immunity to cancer.

Another cell-level difference between the species is that mole rat cells maintain an active system for letting cells divide. Called telomerase, this system is switched off in mature human cells, presumably as a defense against cancer. Dr. Gorbunova believes the mole rat can afford to keep telomerase switched on, because its anticancer defenses are so good, and that the active telomerase may confer longer life on stem cells, which are responsible for repair and maintenance of the body’s tissues.

But Ronald da Pinho of Harvard Medical School, an expert on cancer and telomeres, disagreed, saying that inactive telomerase can be a cancer risk for human cells because it leads to genetic instability.

Increased life span in rodents is usually associated with caloric restriction, a diet with 30 percent fewer calories than usual. Laboratory mice and rats placed on such a diet at birth can live 40 percent longer than usual. Many other species have much the same reflex, and some biologists believe this is an ancient survival strategy, in which during times of famine the body’s reserves are switched to tissue maintenance, with the hope of riding out the bad times and breeding later.

Mole rats seem to lead something of a food-and-famine lifestyle. They live on tubers, the underground larders of nutrients laid down by plants in desert environments. One tuber can feed a colony of 100 mole rats for months. But even though they are careful to gnaw away at the tuber without killing the plant, the time comes when they must find another. Because the rats do not venture above ground, they must rely on the skill of their tunnel-digging work force to locate other tubers in the neighborhood.

The mole rats, presumably, get pretty hungry between tuber finds. Yet another of their quirks is that they have pushed the concept of recycling to extremes and will eat their own excrement. The continual alternation of food and famine might set off the same life-extending mechanisms in mole rats as does caloric restriction. But an expert on the genetics of caloric restriction, Leonard Guarente of the Massachusetts Institute of Technology noted that mole rats enjoyed long lives in captivity, where they were presumably well fed all the time.

Dr. Gorbunova plans to set up a colony of mole rats in her laboratory with plastic piping connecting a network of cages to serve as a tunnel system and carrots standing in for desert tubers. To understand human longevity and cancer, she said, “it’s important to study species other than mice.”

“I think,” she continued, “this is the beginning of a long journey.”

http://www.nytimes.com/2009/10/27/science/27rat.html?partner=rssnyt&emc=rss

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The Top 12 PREVENTABLE Causes of Death � Healthhabits

Smoking + Obesity +

Smoking + Obesity + Inactivity + High Blood Sugar +….

According to a new study by Harvard public health researchers, the leading preventable risk factors for premature death in the United States are:

  1. Smoking: 467,000 deaths.
  2. High blood pressure: 395,000 deaths.
  3. Overweight-obesity: 216,000 deaths.
  4. Inadequate physical activity and inactivity: 191,000 deaths.
  5. High blood sugar: 190,000 deaths.
  6. High LDL cholesterol: 113,000 deaths.
  7. High dietary salt: 102,000 deaths.
  8. Low dietary omega-3 fatty acids (seafood): 84,000 deaths.
  9. High dietary trans fatty acids: 82,000 deaths.
  10. Alcohol use: 64,000 deaths.
  11. Low intake of fruits and vegetables: 58,000 deaths.
  12. Low dietary poly-unsaturated fatty acids: 15,000 deaths.

bad-habits-causing-death-both-sexes

This study is the most comprehensive look at how diet, lifestyle and various other chronic disease risk factors contribute to mortality in the U.S.

And it produced some interesting observations:

  • Smoking is responsible for approximately 20% of all deaths in the U.S.
  • High blood pressure is responsible for 1 in 6 deaths
  • Obesity + physical inactivity = 407,000 deaths per year ≈ 17% of all deaths
  • High blood pressure kills 5x as many women as breast cancer
  • 70% of the alcohol related deaths happened to men…way to go guys
  • High blood sugar killed 3x as many people as alcohol
  • 2/3 of the deaths attributed to high blood sugar, obesity and high blood pressure occurred in only 10-33% of the overall population.
  • 1,051,000 deaths can be attributed to poor dietary choices. That’s 45% of all deaths.

Maybe you should print this out and stick it to your fridge.

http://healthhabits.wordpress.com/2009/05/05/the-top-12-preventable-causes-of-death/

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Fighting Sleep: Researchers Reverse Cognitive Impairment Caused By Sleep Deprivation

Fighting Sleep: Researchers Reverse Cognitive Impairment Caused By Sleep Deprivation

ScienceDaily (Oct. 27, 2009) — A research collaboration led by biologists and neuroscientists at the University of Pennsylvania has found a molecular pathway in the brain that is the cause of cognitive impairment due to sleep deprivation. Just as important, the team believes that the cognitive deficits caused by sleep deprivation, such as an inability to focus, learn or memorize, may be reversible by reducing the concentration of a specific enzyme that builds up in the hippocampus of the brain.

It is known that sleep deprivation can have cognitive consequences, including learning and memory deficits, but the mechanisms by which sleep deprivation affects brain function remain unknown. A particular challenge has been to develop approaches to reverse the impact of sleep deprivation on cognitive function.

The findings, reported in this week's issue of the journal Nature, could present a new approach to treating the memory and learning deficits of insomnia. A molecular mechanism by which brief sleep deprivation alters hippocampal function is now identified in mice, involving the impairment of cyclic-AMP- and protein-kinase-A-dependent forms of synaptic plasticity, or readiness for cognitive function.

Ted Abel, principal investigator and professor of biology in the School of Arts and Sciences at the University of Pennsylvania, led the international team of researchers that found that sleep deprivation in mice affects an important molecular pathway in the hippocampus, a region of the brain known to be important for memory and learning. The study showed that mice deprived of sleep had increased levels of the enzyme PDE4 and reduced levels of the molecule cAMP, the latter of which is crucial in forming new synaptic connections in the hippocampus, a physiological hallmark of learning.

Researchers then treated the mice with PDE inhibitors, which rescued the sleep deprivation-induced deficits in cAMP signaling, synaptic plasticity and hippocampus dependent memory. This reversal also helped to rescue deficits in synaptic connections in the hippocampus and therefore counteract some of the memory consequences of sleep deprivation.

"Millions of people regularly obtain insufficient sleep," Abel said. "Our work has identified a treatment in mice that can reverse the cognitive impact of sleep deprivation. Further, our work identifies specific molecular changes in neurons caused by sleep deprivation, and future work on this target protein promises to reveal novel therapeutic approaches to treat the cognitive deficits that accompany sleep disturbances seen in sleep apnea, Alzheimer's disease and schizophrenia."

The study was supported by the National Institutes of Health, the Human Frontier Science Program, the Netherlands Organization for Scientific Research, a Medical Research Council (U.K.) grant, a European Union grant, the Fondation Leducq and a U.K. Engineering and Physical Sciences Research Council training grant.

The study was conducted by Christopher G. Vecsey, Mathieu Wimmer and Ted Huang of the Neuroscience Graduate Group and Department of Biology at Penn; George S. Baillie, Kim M. Brown and Miles D. Houslay of the Department of Neuroscience and Molecular Pharmacology at the University of Glasgow; Abel, Devan Jaganath, Robbert Havekes and Andrew Daniels of Penn's Department of Biology; and Xiang-Yao Li, Giannina Descalzi, Susan S. Kim, Tao Chen, Yu-Ze Shang and Min Zhuo of the Department of Physiology at the University of Toronto.


Journal reference:

  1. Vecsey et al. Sleep deprivation impairs cAMP signalling in the hippocampus. Nature, 2009; 461 (7267): 1122 DOI: 10.1038/nature08488

http://www.sciencedaily.com/releases/2009/10/091026125401.htm

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Bioethics professor argues for meat tax

Bioethics professor argues for meat tax

By Caroline Scott-Thomas, 27-Oct-2009

Related topics: Financial & Industry, Meat, fish and savory ingredients

Heavy taxes on meat are needed to reduce consumption, thereby bringing multiple benefits for human health, animal welfare and the environment, argues a professor of bioethics from Princeton University.

Writing in the NY Daily Times, Peter Singer adds his voice to those of a host of scientists and reports that have suggested people in Western countries should reduce their red meat consumption, partly for health reasons and partly because livestock contributes significantly to greenhouse gas emissions – estimates range from 18 percent (Food and Agriculture Organization), to 51 percent (World Watch Institute). Although a meat tax may sound extreme, Singer is not the first to suggest it; in the UK, the World Wildlife Fund and Food Ethics Council have suggested that the government impose taxes based on foods’ greenhouse gas emissions, especially targeting meat. And the Swedish government, although not suggesting meat taxes, has circulated draft dietary guidelines for its citizens based on environmental and climate concerns as well as human health.

Singer suggests starting with a tax at 50 percent of the retail value of all meat in order to make a difference to current consumption, but “if it is not enough to bring about the change we need, then, like cigarette taxes, it will need to go higher.”

Meat and human health

His gives several reasons for this stance, beginning with the claim that “red meat is likely to kill you”, and citing the strong scientific links between daily consumption of red meat with bowel cancer and heart disease. This is a position also held by the American Institute for Cancer Research and the World Cancer Research Fund, which both recommend that individuals eat no more than 18 oz (500g) of red meat a week, purely for health reasons.

Wastage

In addition, Singer writes that “industrial meat production wastes food” in terms of the amount of grain – and therefore land – used to produce not just meat, but also “bones and other unpalatable body parts”, meaning that meat represents only a fraction of the food value put into animals. And he argues that “a meat tax would be an important step toward cleaner rivers” because less livestock would lead to less agricultural run-off, both from livestock production itself and from fertilizers used to produce feed grain.

The clincher

However, he argues that it is the environmental damage caused by meat production that provides the most compelling reason to tax meat.

He writes: “The clincher is that taxing meat would be a highly effective way of reducing our greenhouse gas emissions and avoiding catastrophic climate change.”

But despite red meat being the biggest contributor to greenhouse gases, Singer argues that high taxes should be applied to all meat, regardless of environmental impact. This is because “a tax on red meat alone would merely push meat eaters to chicken”, which he condemns on animal welfare grounds.

The full NY Daily Times article can be accessed here .

http://www.foodnavigator-usa.com/Financial-Industry/Bioethics-professor-argues-for-meat-tax/?c=0dQornGJR3p%2B0lt5g6zqsw%3D%3D&utm_source=newsletter_daily&utm_medium=email&utm_campaign=Newsletter%2BDaily

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Phys Ed: Does Ibuprofen Help or Hurt During Exercise? – Well Blog – NYTimes.com

September 1, 2009, 11:59 pm — Updated: 6:46 pm –>

Phys Ed: Does Ibuprofen Help or Hurt During Exercise?

Dan Saelinger/Getty Images

Several years ago, David Nieman set out to study racers at the Western States Endurance Run, a 100-mile test of human stamina held annually in the Sierra Nevada Mountains of California. The race directors had asked Nieman, a well-regarded physiologist and director of the Human Performance Laboratory at the North Carolina Research Campus, to look at the stresses that the race places on the bodies of participants. Nieman and the race authorities had anticipated that the rigorous distance and altitude would affect runners’ immune systems and muscles, and they did. But one of Nieman’s other findings surprised everyone.

Phys Ed

After looking at racers’ blood work, he determined that some of the ultramarathoners were supplying their own physiological stress, in tablet form. Those runners who’d popped over-the-counter ibuprofen pills before and during the race displayed significantly more inflammation and other markers of high immune system response afterward than the runners who hadn’t taken anti-inflammatories. The ibuprofen users also showed signs of mild kidney impairment and, both before and after the race, of low-level endotoxemia, a condition in which bacteria leak from the colon into the bloodstream.

These findings were “disturbing,” Nieman says, especially since “this wasn’t a minority of the racers.” Seven out of ten of the runners were using ibuprofen before and, in most cases, at regular intervals throughout the race, he says. “There was widespread use and very little understanding of the consequences.”

Why are so many active people swallowing so many painkillers?

One of the most common reasons cited by the triathletes in Brazil was “pain prevention.” Similarly, when the Western States runners were polled, most told the researchers that “they thought ibuprofen would get them through the pain and discomfort of the race,” Nieman says, “and would prevent soreness afterward.” But the latest research into the physiological effects of ibuprofen and other NSAIDs suggests that the drugs in fact, have the opposite effect. In a number of studies conducted both in the field and in human performance laboratories in recent years, NSAIDs did not lessen people’s perception of pain during activity or decrease muscle soreness later. “We had researchers at water stops” during the Western States event, Nieman says, asking the racers how the hours of exertion felt to them. “There was no difference between the runners using ibuprofen and those who weren’t. So the painkillers were not useful for reducing pain” during the long race, he says, and afterward, the runners using ibuprofen reported having legs that were just as sore as those who hadn’t used the drugs.

Moreover, Warden and other researchers have found that, in laboratory experiments on animal tissues, NSAIDs actually slowed the healing of injured muscles, tendons, ligament, and bones.

“NSAIDs work by inhibiting the production of prostaglandins,”substances that are involved in pain and also in the creation of collagen, Warden says. Collagen is the building block of most tissues. So fewer prostaglandins mean less collagen, “which inhibits the healing of tissue and bone injuries,” Warden says, including the micro-tears and other trauma to muscles and tissues that can occur after any strenuous workout or race.

The painkillers also blunt the body’s response to exercise at a deeper level. Normally, the stresses of exercise activate a particular molecular pathway that increases collagen, and leads, eventually, to creating denser bones and stronger tissues. If “you’re taking ibuprofen before every workout, you lessen this training response,” Warden says. Your bones don’t thicken and your tissues don’t strengthen as they should. They may be less able to withstand the next workout. In essence, the pills athletes take to reduce the chances that they’ll feel sore may increase the odds that they’ll wind up injured — and sore.

All of which has researchers concerned. Warden wrote in an editorial this year on the website of the British Journal of Sports Medicine that “there is no indication or rationale for the current prophylactic use of NSAIDs by athletes, and such ritual use represents misuse.”

When, then, are ibuprofen and other anti-inflammatory painkillers justified? “When you have inflammation and pain from an acute injury,” Warden says. “In that situation, NSAIDs are very effective.” But to take them “before every workout or match is a mistake.”

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