Medical Research and Drug Classes [Objectives 1. Prove over time that diseases that we view as distinct are more related to other diseases than we think at a first glance]

Cancer

Alzheimer's Disease

Autism

Parkinson's Disease

Huntington's Disease

Hepatitis A

Benzos (via GABA[A] receptor increases frequency of chloride flux)

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Midazolam (Versed)

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most commonly used benzo as it can be administered IV, PO, PR, and within the neuraxial space to extend the duration/strength of the epidural/spinal block

Actin-6 plays a key role in neuronal branching

The scientists said their discovery of the link between circadian rhythms and Parkinson's—a disease characterized by loss of control over movement, balance and other brain functions—suggests these circadian disruptions may reflect neurodegenerative disease processes already affecting the brain's internal clock well before a Parkinson's diagnosis, and that they could be considered an early warning sign of the disease.


"The strength of the circadian rhythm activity seems to have a really important effect on health and disease, particularly in aging. In this latest study we found that even small changes in circadian rhythm in older men were associated with a greater likelihood of getting Parkinson's down the line,"

Shape of Alpha-Synuclein affects
propensity to form misfolds
--- ASyn is commonly found on the pre-synaptic terminal

High Levels of Creld2 Protein in Aggressive Types of Breast Cancer. Research suggests that the silicone from breast implants can enter the bloodstream/lymphatic system and cause cell death.

Abnormal metabolism walks over to a seemingly unrelated area of the cell to impact DNA repair. ---Oncometabolites with an existing class of drugs called PARP (poly ADP-ribose polymerase) inhibitors

"Our fundamental finding was that these metabolites inhibit an enzyme called KDM4B that regulates the presence of methyl groups on the histones," said Glazer. "The consequence is that there are way too many methyl groups on the histones. That floods the system, so that the damage is masked."

ALS (Lou Gehrig's Disease)

About half of ALS patients also develop dementia. Genetic studies of families with a predisposition to develop ALS have shown that the condition can be associated with certain gene mutations. Some of these mutations involve the gene UBQLN2 which regulates the disposal of misfolded "garbage" from the body's cells. Until now, researchers did not fully understand how UBQLN2 mutations interfere with this pathway and cause ALS.

Exosomes, microscopic packets containing genetic material, are shed by tissues into the blood. By sequencing microRNA within exosomes originating in the brain, it is now possible to definitively distinguish blood samples of ALS patients from healthy controls, a team of researchers at the Brain Chemistry Labs announced today in Open Biology. ALS is a progressive neurodegenerative disease that typically affects people in the prime of their life.

"Recent studies have linked certain forms of kidney disease to proteins called connexins, which normally help to facilitate communication between kidney cells. If these connexins fail, signaling molecules spill into the organ and set off a chain of events that can ultimately lead to kidney failure. One connexin—called Cx43—actually makes the whole situation worse, so our new research set out to effectively block Cx43," said Dr. Hill. "By providing insight into the initiating trigger for early injury in chronic kidney disease, we expose the tantalizing prospect that by altering the tone of conversation between cells we could prevent kidney damage and slow disease progression."

Each day, in human cells, tens of thousands of DNA damage events occur. In cancer cells, the expression of the protein APOBEC3A is one of the most common sources of DNA damage and mutations. While the mutations caused by these particular proteins in cancer cells contribute to tumor evolution, they also cause breaks in the DNA, which offer a vulnerability.



A key feature of neutrophils is their ability to extrude a structure called a neutrophil extracellular trap (NET) into their surroundings. This consists of a web of DNA coated in enzymes toxic to microorganisms, and it can trap and kill invading microbes. But in the lungs, NETs are induced by inflammation, and their tumour-boosting activity has been linked to NET-associated enzymes. A growing body of evidence indicates that NETs mediate the development and enhancement of the invasive properties of cancer cells

Medical Education

Step 2. Write Objectives. Capture with metrics how Android/Iphone applications effectively be integrated in to medical education. Do Android/Iphone applications when effectively integrated into medical education improve student retention and improve clinical skills over time.

Step 3. Determine Metrics. How can this be measured?

Step 1. Create a monkey survey for preliminary research. Question 1. What are the ways in which medical education [pre-clinical years and clinical years] is broken? 2. What are ways that medical education can be reformed? 3. Do you think

Diabetes Research

Pathological protein clumps are characteristic of a series of diseases, such as Alzheimer's disease, Parkinson's disease, and type 2 diabetes. Scientists at Forschungszentrum Jülich, Heinrich Heine University Düsseldorf, and Maastricht University have now used cryo-electron microscopy to obtain a sharp image for the first time of how individual molecules are arranged in protein strings, which constitute the deposits typical for diabetes. The structure of the fibrils is very similar to that of Alzheimer's fibrils. These findings are in line with other commonalities that researchers have discovered in the last few years. The deposits, known as islet amyloid, comprise tiny protein threads known as fibrils. In the case of diabetes, they consist of the peptide hormone IAPP. In the pancreas, they contribute to the death and dysfunction of beta cells that are responsible for producing insulin.

Colon Cancer

Student Responses. Students reiterated that there is no need to put so much pressure on exams like the Step exams to determine what you will specialize in.

Remember the gut is connected with the mouth. Oral bacterium should be researched more as diagnostic capability for inflammatory bowel syndrome. A collaborative study by research groups from the VIB-UGent Center for Inflammation Research and Ghent University uncovered a new mechanism causing colorectal cancer. The researchers found that abnormal expression of the protein Zeb2 affects the integrity of the intestinal wall or 'epithelium.' This epithelium normally functions as a barrier to prevent infiltration by intestinal microbes. Zeb2 undermines this barrier and allows infiltrating bacteria to cause inflammation that drives cancer progression. Importantly, the scientists demonstrated that manipulating the immune system or removing the microbiota can prevent the development of cancer. These findings may lead to new treatments and are published in the leading journal Nature Cancer.

FSU Assistant Professor of Psychology Aaron Wilber and graduate student Sarah Danielle Benthem showed that the way two parts of the brain interact during sleep may explain symptoms experienced by Alzheimer's patients, a finding that opens up new doors in dementia research. It is believed that these interactions during sleep allow memories to form and thus failure of this normal system in a brain of a person with Alzheimer's disease may explain why memory is impaired. Wilber and Benthem's study, based on measuring brain waves in mouse models of the disease, gave researchers a number of new insights into Alzheimer's including how the way that two parts of the brain—the parietal cortex and the hippocampus—interact during sleep may contribute to symptoms experienced by Alzheimer's patients, such as impaired memory and cognition, and getting lost in new surroundings.

Endometriosis

The researchers found that in subfertile women who reported premenstrual spotting for two or more days, endometriosis was significantly more prevalent than in women without this symptom (89 versus 26 percent; P < 0.0001). The presence of premenstrual spotting for two or more days was significantly associated with the presence of endometriosis and red vesicular lesion type (odds ratios, 16 and 52.6, respectively), in multinomial logistic regression analysis.

DNA from uterine cells of women with endometriosis has different chemical modifications, compared to the DNA of women who do not have the condition, according to researchers funded by the National Institutes of Health. The changes involve DNA methylation—the binding of compounds known as methyl groups to DNA—which can alter gene activity. Moreover, the methylated DNA regions varied according to the stage, or severity, of endometriosis and responded differently to hormones involved in the menstrual cycle. Uterine responses to hormones influence pregnancy and other functions of uterine tissue. They also observed methylation patterns and gene functioning after the cells were exposed to estradiol (a form of estrogen) alone, progesterone alone, and to a combination of the two hormones to mimic changes in the levels of these hormones that occur during the menstrual cycle.

Cancer cells are reliant on fat. In the new study, the scientists found that a molecule called PI3K—which is vital to the growth and survival of cancer cells—has a key role in triggering the release of arachidonic acid, a key omega-6 fat.

Statins, a group of drugs commonly prescribed for those with high cholesterol, were shown to interfere with a pathway that allows a cancer cell to recycle cell surface proteins and therefore make it easier for cancer cells to live within the brain.Statins suppress breast cancer survival in the brain by inhibiting the ability of Rab11b to recycle surface proteins

Cancer induced by viruses. causes inflammation and oncogenesis. The action of the viral gene HTLV-1 bZIP factor (HBZ) changes the reactivity of immune cells (T cells) infected with HTLV-1 to cytokines, which results in inflammation. This research is expected to contribute to the understanding of the mechanisms of HTLV-1-induced malignant tumors (ATL) and HTLV-1-related inflammatory diseases, and lead to the development of new treatment and prevention strategies. )

The role of immune cells in cancer metastasis underestimated. NET's traps comprised of a mix of DNA and other compounds by neutrophils is another former finding.

New Diagnostic Potential

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"Our study found that the composition, quantity and dominant bacteria of the tongue coating differ between heart failure patients and healthy people," she said.


Previous research has shown that microorganisms in the tongue coating could distinguish patients with pancreatic cancer from healthy people. The authors of that study proposed this as an early marker to diagnose pancreatic cancer. And, since certain bacteria are linked with immunity, they suggested that the microbial imbalance could stimulate inflammation and disease. Inflammation and the immune response also play a role in heart failure.

"Over the last couple years, a sea change in dementia and Alzheimer's disease research has occurred. Focus has shifted from solely targeting amyloid-beta in the brain to the opinion that more fruitful progress could be made by addressing factors that compromise the blood brain barrier," explains co-author Mark Carnegie, of The Brain Protection Company based in Australia. "Elements of the constellation include chronic age-related inflammation, genetic predisposition, and cardiovascular abnormalities, notably high blood pulse pressure."Dr. Rachel Levin, lead author of the paper, says that "combination therapy has been paramount in the treatment of other challenging diseases, in particular cancer. Therefore, in dementia, reducing elevated pulse pressure could prove to be synergistic with other therapeutic approaches such as anti-amyloid-beta drugs or stem cell therapy."

Eczema

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One result of atopic dermatitis is a decreased level of skin oils known as lipids, particularly one group called ceramides. Lipids on the surface of the skin function to regulate hydration and also help defend the skin from foreign invaders either indirectly through immune signaling or directly through their inherent antimicrobial activity.


Another result of eczema is an increase in staph bacteria in the skin, which can cause irritation and infection.


German said that genetics can play a part in whether someone has eczema, but people in certain occupations have also been shown to be more likely to get the skin condition, such as healthcare professionals, metalworkers, hairdressers and food processing workers. The connection? An increased amount of handwashing or regular contact with detergents for your job.

SHMT2 is implicated in the spread of lymphoma and demonstrates that not only mutated cells cause cancer but too much of a good protein (methylation of the suppressor region)

An international research team led by Dr. Tali Ilovitsh of the Biomedical Engineering Department at Tel Aviv University developed a noninvasive technology platform for gene delivery into breast cancer cells. The technique combines ultrasound with tumor-targeted microbubbles. Once the ultrasound is activated, the microbubbles explode like smart and targeted warheads, creating holes in cancer cells' membranes, enabling gene delivery. Conducted over two years, the research was published on June 9 in the journal Proceedings of the National Academy of Sciences (PNAS).

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Research led by Queen Mary University of London has revealed novel insights into the molecular circuitry controlling cancer cell growth and spread. The findings highlight new pathways involved in these key processes of cancer progression that may represent targets for therapies.

The study, published today in Science Signaling, set out to uncover how a protein called MET drives cancer progression. Research has shown faulty or mutated versions of MET to be involved in cancer cell growth and spread in a variety of cancer types; however, the precise mechanisms by which it controls these processes are unknown.

MET belongs to a group of proteins called receptor tyrosine kinases (RTKs), which are key regulatory proteins involved in a variety of signaling pathways that control normal cellular processes. Abnormal changes to RTKs are implicated in the development and progression of many types of cancer, making them a popular target for cancer treatment.

They found that the protein activated two distinct pathways to drive cancer cell growth and migration, by interacting with other key molecules that help MET to carry out these functions.

One molecule identified as a key player in these MET-driven processes was Rac1. It is widely understood that Rac1 is involved in cancer cell migration; however, the team found Rac1 to also be critical in driving cancer cell growth, via interaction with another protein called mTOR. This interaction occurs inside the cells (in structures called endosomes), followed by a relocation of the two molecules to the cell boundary—an unusual place for mTOR to be found. In a separate pathway, MET also communicates with another molecule, PI3K, to drive cell migration.

Using data from the world's biggest biobank—the Million Veteran Program (MVP) in the VHA—plus the DIAGRAM Consortium, the UK Biobank, the Penn Medicine Biobank, and Biobank Japan, the researchers analyzed a study population of 1.4 million people around the world, of which almost 230,000 people had type-2 diabetes.


From there, they broke down the genetic makeup of those hundreds of thousands of people and found 558 independent genetic variants that are differentially distributed between people with and without type-2 diabetes, 21 being European-ancestry-specific and seven African American-ancestry specific. Of the 588 variants found, 286 had never before been discovered. Researchers then set out to see if certain genetic variants among this group of people could be tied to specific type-2-diabetes-related diseases. "Ultimately, three were linked to coronary heart disease, two to acute ischemic stroke, four to retinopathy, two to chronic kidney disease, and one to neuropathy," said Marijana Vujkovic, Ph.D., a biostatistician at both the Perelman School of Medicine at the University of Pennsylvania, VHA's CMCVAMC and a co-leader for the VHA's national MVP Cardiometabolic Working Group.


"Building on this research, the scientific community can assess which of the surrounding genes nearby the identified genetic variants is likely to be the causal gene that alters the risk of type-2 diabetes, and that could lead to early interventions to limit controllable risks of developing the condition.

HIV

"What scientists have found with other 'shock' approaches is that they can be too hot and overactivate the immune system, or too cold and don't wake up the virus," says Sumit Chanda, Ph.D., director of the Immunity and Pathogenesis Program at Sanford Burnham Prebys and the study's lead corresponding and co-senior author. "Our research identifies a drug that works in the 'Goldilocks' zone—it reawakens the virus without activating the immune system. Our work also provides further evidence that this drug class, called Smac mimetics, is a promising approach to reactivating latent HIV.".

Inflammatory Bowel Disease

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Inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, is linked to a more than doubling in the risk of developing dementia, finds research published online in the journal Gut.

Mounting evidence suggests that communication between the gut, its resident bacteria (microbiome), and the central nervous system, known as the 'gut-brain axis,' is implicated in various aspects of health and disease.

While the cause of IBD is not clear, it is thought to develop from an impaired immune response to changes in the gut microbiome.

And recently published research suggests that IBD may have a role in the development of another neurodegenerative disorder, Parkinson's disease. But it's not clear if IBD may also be linked to a heightened risk of dementia.

Neither sex nor type of IBD had any bearing on the findings. But the risk of dementia seemed to be associated with increasing length of time a person had had IBD.

This is an observational study, and as such, can't establish cause and effect. Nor were the researchers able to gather information on potentially influential lifestyle factors, such as diet and exercise, or assess the impact of anti-inflammatory drugs prescribed.

But they point to previously published research, indicating chronic inflammation and an imbalance in gut bacteria as potential contributors to cognitive decline.

Apolipoprotein E (ApoE) is kind of like a delivery service for the human brain. It supplies neurons with important nutrients, including with polyunsaturated fatty acids—which are building blocks of the membranes surrounding the neurons. In addition, certain unsaturated fatty acids are converted into so-called endocannabinoids. These are endogenous signaling molecules that regulate many functions of the nervous system such as memory, but also the control of immune response, thereby protecting the brain from inflammation.

Scientists at Uppsala University have discovered a hitherto unknown function of blood platelets in cancer. In mouse models, these platelets have proved to help preserve the vascular barrier which makes blood-vessel walls selectively impermeable, thereby reducing the spread of tumor cells to other parts of the body. The study is published in the journal Cancer Research.

Tau can undergo a variety of modifications during the course of the disease including phosphorylations. Researchers found that the presence of different forms of phosphorylated tau could explain why the disease has variable effects. The researchers found "striking" variation in the presence of phosphorylated tau oligomers that associates with greater tau spread, and, importantly, worse disease. Different specific modifications were associated with different degrees of severity and progression rate.