Researchers Show Importance of Chondroitin In Tissue and Organ Development

January 26th, 2009

Researchers at Massachusetts Institute of Technology and the University of California, San Diego (UCSD) School of Medicine have reported in the May 22, 2003 issue of the journal Nature that chains of sugars called chondroitin play an important role in the development of tissues and organs in animals.

In their studies of the nematode Caenorhabditis elegans, the researchers found that biosynthesis of chondroitin is required for normal embryo and organ development–in this case the organ being the nematode vulva, through which sperm and eggs pass.

Chondroitin sulfate (CS) is a member of a group of sugar-polymers called glycosaminoglycans found in cartilage. Although known to biologists for much of the 20th century, CS but has not been considered an important player in development. In humans, large amounts of CS are present in the extracellular matrix of cartilage, where it plays a structural role. A modified form of CS called dermatan is a major component of skin.

“Our paper suggests that chondroitin influences cell shape changes during the first cell division in embryos and later during organ development,” said H. Robert Horvitz, the paper’s senior author and Koch Professor of Biology at MIT, an investigator for the Howard Hughes Medical Institute and McGovern Institute for Brain Research, and a 2002 recipient of the Nobel Prize for Physiology or Medicine.

Jeffrey D. Esko, Ph.D., UCSD professor of Cellular and Molecular Medicine and one of the paper’s authors, provided the biochemical analysis for the study. Esko is co-director of the UCSD Glycobiology Research and Training Center and President of the Society for Glycobiology.

“We found that chondroitin, which is related in structure to the chondroitin sulfate found in cartilage, is important in cell division and shape during development,” Esko said. “One possibility is that chondroitin acts as a signaling molecule, but it’s also possible that the effect is due to its biophysical properties.”

“Chondroitin seems to modify cell shape from outside the cells, most likely through the molecule’s ability to interact with water, leading to swelling and a pressure against the cells,” said Ho-Yon Hwang, the paper’s first author and a postdoctoral associate in MIT’s Department of Biology.

Mutations in the biosynthesis of CS, dermatan and other glycosaminoglycans have been implicated in human diseases, such as an aging variant of the connective-tissue disorder Ehlers-Danlos syndrome, which is characterized by prematurely aged appearance, too-flexible joints and loose skin.

A better understanding of the biological roles of genes required for the biosynthesis of glycosaminoglycans could lead to diagnosis and better understanding of this aging disease and other similar diseases.

In addition to Hwang, Horvitz and Esko, an additional author was Sara Olson of the UCSD Biomedical Sciences graduate program.

This work was supported by the National Institutes of Health and by the Howard Hughes Medical Institute.
Source: http://health.ucsd.edu/news/2003/05_21_Esko.html

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Arthritis Research

January 23rd, 2009

Daniel Albright skipped school recently in order to fight a battle, one being waged inside the 16-year-old’s own body.

Albright is one of four local participants enrolled in a first-of-its-kind medication study at the Vanderbilt Eskind Pediatric Diabetes Clinic. It’s part of the national Type 1 Diabetes TrialNet series of studies, this one testing an arthritis drug called Abatacept to see if it can stop a rogue immune system from killing the body’s precious insulin-producing cells.

The key in this study is that the war has just begun. Participants must be within the first 100 days of diagnosis of type 1 diabetes. Albright has diabetes, and although he hasn’t yet reached the point of needing insulin shots, doctors know he will.

“Sometimes it takes only a few weeks, sometimes it can take a few years, but in the end with type 1 diabetes, all the insulin-producing cells are destroyed. What we are trying to do is to rescue at least some percentage of the cells,” said William Russell, M.D., director of the Division of Pediatric Endocrinology at the Monroe Carell Jr. Children’s Hospital at Vanderbilt and Vanderbilt’s principal investigator for the study.

In autoimmune disorders, certain triggers in the immune system are overactive and can cause the immune system to become destructive. Doctors now know this is one of the mechanisms involved in the destruction of insulin-producing cells (beta cells) in type 1 diabetes.

Abatacept is already approved to quell rheumatoid arthritis in children, because it binds to a crucial trigger in the T cells of the immune system. The hope is by continually tying up the triggers through regular infusions of Abatacept, the immune system will be quieted and insulin-producing beta cells will be spared.

“If you can preserve some of the indigenous production of insulin, it is much easier to control blood sugar levels and prevent some of the long-term and devastating effects of the disease than if you try to control blood sugars in a completely artificial manner,” Russell said.

In the Abatacept trial, patients must still be able to produce 10 percent to 30 percent of their own insulin. Now doctors will learn if the drug can hold that line for an extended period of time.

The Albright family hopes so. Already two of the four children in the family have fully insulin-dependant type 1 diabetes. The family enrolled in the TrialNet studies when their daughter, Sarah, 9, was diagnosed in August. Their youngest son, Michael, was the first diagnosed, in 2003. He is now 13. Only the eldest child, 19-year-old Jonathan, remains free of any signs or markers for the disease.

“When Daniel was first tested, he had two markers that made him high risk to develop diabetes. He had diabetes within a year,” said Donna Albright. “It’s a challenge having children with diabetes. There was a lot of getting up at 3 a.m. to test Michael’s blood sugar. Now he has a pump. We hope Daniel might not get to that point.”

The Vanderbilt Eskind Pediatric Diabetes Clinic now follows more than 1,900 children with diabetes and sees about 250 new cases each year.

source: http://www.mc.vanderbilt.edu/news/releases.php?release=490

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Joint & Bone Health - Glucosamine - Check your risk of major diseases

January 23rd, 2009

After spending summer weekends at the pool, have you ever wondered about your risk for skin cancer? Ever wondered if your great-grandmother’s diabetes increases your risk for the disease? Now, an easy and secure Internet tool determines your risk with just a few clicks of a mouse: Your Health Snapshot.

Modeled after Your Disease Risk, created by Graham Colditz, M.D., Ph.D., the Niess-Gain Professor of Surgery, professor of medicine and associate director of Prevention and Control at Siteman Cancer Center, Your Health Snapshot is a confidential site that members of the Washington University community can use to determine their risk for various cancers, stroke, heart disease, diabetes and osteoporosis and to learn prevention strategies.

To start, users log onto yourhealthsnapshot.wustl.edu and answer simple questions about their medical history, eating habits, exercise and other behaviors. The result is a personalized estimate of a person’s risk for these diseases.

What sets Your Health Snapshot apart from Your Disease Risk is the addition of a very brief opening questionnaire and the ability to create a personal user account. The 15-20 item opening questionnaire provides a quick overview of a person’s risk of six key diseases and acts as a guide that shows which diseases someone may want to explore further on the site.

The addition of personal user accounts means that users will be able to return to the site and track their results and certain behaviors over time, a function not available on Your Disease Risk.

The University’s Wellness Council has worked with Colditz to create a tool specifically for faculty, staff and students to be used to measure the health of its community. The site’s health information is backed by recent evidence from the medical community to assure that users are up to date.

“Your Health Snapshot should be a great tool for helping people lead healthier lives,” Colditz said. “In addition to being able to find out their risk of diseases like cancer, heart disease, diabetes and osteoporosis, the site offers personalized tips for lowering risks as well as positive feedback on things they’re already doing well.”

Colditz said one of the key features of Your Health Snapshot is its Wellness Lab, which gathers a person’s main health messages into one place.

“The Wellness Lab shows what someone can change to improve his or her health, what he or she is already doing well and what screening tests he or she should have regularly,” he said. “It also has a library of past results and the Health Tracker, which has tools to help people keep track of weight and number of steps walked each day.”

From the data, which will be anonymous, unidentifiable and confidential, the Wellness Council will receive broad-based reports on health risks that groups of employees face. Colditz and a team of health researchers will relay the data to the Wellness Council so the University can better target its wellness initiatives. For example, if rates of exercise are low for the WUSTL community as a whole, the Wellness Council can plan activities to help boost physical activity.

“Some fairly simple changes to how we live can have a huge impact on our health and well being,” Colditz said. “More than half of all cancer and three-quarters of diseases like cardiovascular disease and diabetes could be prevented through healthier lifestyles. Your Health Snapshot offers people a personalized, straightforward and powerful way to identify the changes they can make that will help improve their health and lower their risk for disease.”

WUSTL’s Information Technology team has implemented security measures to ensure that personal information entered into the site is stored in a secure environment accessible with a secure username and password established by the employee. The tool also can be used without creating a username and password; however, a user’s information will not be stored for future reference.

“This is a straightforward tool that’s simple to use,” said Ann Prenatt, vice chancellor for human resources. “It is our hope that members of the University community will use the features of the Web site often to track their progress toward health goals.”
Source: http://record.wustl.edu/news/page/normal/13180.html

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New meds, new tests, new hope to beat prostate cancer

January 23rd, 2009

Larry Payonk was diagnosed with prostate cancer in 2007—almost 15 years after his father died from the same disease.

Payonk, a 53-year-old a maintenance supervisor from Villa Park, found the cancer early and said he feels confident about conquering this illness.

With the U.S. Food and Drug Administrations’s recent approval of a drug to treat advanced prostate cancer, men diagnosed at a late stage—like Payonk’s father—might gain a fighting chance too.

Degarelix is the new injectable treatment for patients with advanced prostate cancer, a killer of 28,000 men last year. Developed by Ferring Pharmaceuticals, degarelix blocks the hormone testosterone that feeds prostate cancer cells.

The number-one priority for prostate cancer patients is to stop the body’s testosterone production because the hormone helps the cancer grow. Testosterone is like a running back and degarelix is the defensive line. It shuts testosterone production down—hard and fast.

Though degarelix was fully approved in Dec. 2008, urologists don’t know when it will be available. The current treatment actually saturates the body with testosterone. This treatment stimulates an extremely large amount of testosterone production in a few days—an overproduction that causes the body to automatically stop generating testosterone.

A major concern with this treatment (called luteinizing hormone releasing hormone agonist) is that some patients with advanced prostate cancer might not survive the initial hormone surge.

The benefit of degarelix is that patients will not have to wait days for their testosterone to stop and won’t have the surge.

“Nobody with advanced prostate cancer is cured,” explained Dr. Robert Nadler, an assistant professor of urology at Northwestern University’s medical school. “They either die of prostate cancer or die of another cause with the cancer still in their bodies.”

An estimated 8,340 cases of prostate cancer were diagnosed and about 1,330 men died of the disease in Illinois in 2008, according to the Illinois State Cancer Registry. Although the National Cancer Institute estimates a 29.7 percent decrease in prostate cancer deaths from 1996 to 2005, the American Cancer Society estimates more than 28,000 men in the U.S. died of this disease in 2008.

“Prostate cancer is one of the most curable cancers today, but there are still significant deaths,” said Dr. Brian J. Moran, a radiation oncologist at the Prostate Cancer Foundation of Chicago. “I’m all for [degarelix], and I think it’s a step in the right direction, although the results remain to be proven.”

Payonk, Nadler and Moran all agree early detection is the best bet.

“The median age of our patients has dropped one year in each year for the past ten,” said Moran. He suggested one reason for the decreasing age of diagnosis is because men are getting tested younger. Another possible reason is the aging male baby boomers. “We think it’s going to be like a tsunami,” said Moran, regarding his predicted wave of men who will be diagnosed with prostate cancer.

The American Cancer Society suggests all men get an annual blood test for prostate-specific antigen (PSA) because elevated PSA levels may indicate the presence of prostate cancer. The blood test and a physical rectal exam should start at age 50. High-risk men (black men and anyone with a close relative who had prostate cancer) should get tested starting at age 40.

Payonk started getting tested after his dad’s death in 1992. But even with testing, it appeared he didn’t have cancer until a proactive doctor at Elmhurst Hospital performed a prostate biopsy and diagnosed him with cancer in 2007.

The lesson - keep getting tested and follow your gut. Payonk advised: “I would tell—and I do tell—any man with a family history of prostate cancer to get a base line PSA and [rectal] test as soon as possible. It’s very likely you will have prostate cancer before you die.”

Source: http://news.medill.northwestern.edu/chicago/news.aspx?id=111709

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January 9th, 2009

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