Aspirin and fluLittle white pills of aspirin have been popped by millions of people since the drug came to market in 1899. And today around 40,000 tonnes of the drug are sold every year around the world. But a new paper published in the journal Clinical Infectious Diseases suggests that misuse of aspirin to relieve the symptoms of flu could do more harm than good – at least in the case of the 1918 flu pandemic.
In turn, this would contribute to the deadly effects of the flu, and increase the chances of lung infections. We know that doses this high can cause such side effects, as seen in people with aspirin poisoning. Adding to the evidence, the US Surgeon General recommended the use of aspirin for flu just before a massive spike in flu deaths back in 1918. Based on what we know about the percentage of people who get fluid in their lungs when they take high doses of aspirin, this could have affected up to one in thirty people treated with the drug. And when you add up how many thousands of people died from the flu at that time, quite a significant number of them could have been due to aspirin. What's more, Starko thinks that the unusually high number of deaths in younger people – who usually fight off the infection – might have been down to aspirin use, as well as the flu. Back in the early 20th century, aspirin was a relatively new drug, and doctors weren't sure exactly how to use it, and how much for people to take. It was also pushed hard by the pharmaceutical companies at the time, and doctors would prescribe it in order to just be able to do something for patients – back then there wasn't any Tamiflu! Today we know much more about aspirin, and the complex ways it can affect the body. But we can certainly take this as a warning from history not to get carried away with unnecessarily high doses of drugs for relieving the symptoms of flu. 4th Oct 2009 Depressions are good for youThe shadow health minister Andrew Lansley was criticised earlier this year when he pointed out that, fiscally painful as they are, recessions are nonetheless good for a nation's health.
The years 1923, 1926, 1929 and 1936-37, they report, were all economic booms and on each of these years the population mortality peaked. But in 1921, 1930-33 and 1938, which were all recessions or depressions, the death rate fell to its lowest levels. Initially this seems surprising because one would assume that during recessions people would be financially stretched, have little money for healthcare and healthy living and would be generally more stressed, all of which would translate into a high risk of dying. But instead the reverse appears to be true. Some have suggested that this relationship reflects a lag effect, whereby people become ill during a recession but by the time they die the economy is booming again. The researchers discount this theory on the grounds that the timing just doesn't work because the periods between boom and bust are not constant each time yet the mortality rates change directly in step with the state of the economy.
4th Oct 2009 Gene controls brain cell countWouldn't it be fantastic if we could flick a genetic switch and increase the number of brain cells we have? But it would be bad news if this production line ran out of control, because then you'd end up with a brain tumour. Now researchers in the US have tracked down the gene responsible for maintaining this tricky balance, making sure we grow enough new neurons, but not so many that things get out of hand.
The researchers used genetic engineering to create mice whose GSK3 could be removed at a very specific time during the development of the mouse embryo – at a time when a type of brain cell called radial progenitors have just been made. These stem cells produce the bulk of the nerve cells in the brain. The researchers found that removing GSK3 at this crucial time meant that the progenitor cells were locked into a pattern of constant proliferation, churning out endless new stem cells, rather than mature neurons. As a next step, the researchers want to find out if adding GSK3 back into the brain after this massive burst of proliferation will make the stem cells mature. They think that they could make mice with three to four times as many neurons as normal mice. So one day, by manipulating GSK3 levels, we could perhaps increase our brain capacity – Snider describes it as “dialling up and down the number of neurons that are generated in the brain.” The other potentially important thing is that GSK3 has also recently been fingered for a role in a number of psychiatric illnesses, including schizophrenia, depression and bipolar disorder. And lithium,a common treatment for bipolar disorder, works by shutting down GSK3. The researchers suggest that perhaps doctors should avoid giving drugs like lithium to younger children whose brains might still be growing, in case it causes problems like an overgrowth of cells, which could potentially lead to cancer. 4th Oct 2009 Tuning in to see inside planet EarthScientists have discovered how to use the natural hum inherent to the Earth to see deep within the planet's interior.
The work has been published in the current edition of the journal Science by Kiwamu Nishida at the University of Tokyo and the studies are based on recordings made between 1986 to 2003 by 54 seismic stations dotted around the world. This approach is very similar to another method that scientists use to see inside the Earth, which is by looking at how vibrations triggered by Earthquakes spread around the planet. The data generated by the two techniques agrees very well, proving that it works, but the new approach offers the additional advantages of continuous sampling, the ability to see very deep inside the Earth - down as far as 500km say the scientists - and could even be used to reveal the internal structures of other planets. According to the team atmospheric disturbances would set up a similar hum on Mars, allowing scientists to map the planet's interior. 4th Oct 2009 The National Cancer Research Institute Annual ConferenceDr Kat ArneyKat - Well this is a conference that’s organized by the National Cancer Research Institute, the NCRI, which is kind of a virtual institute. They're an umbrella that brings together all the funders of cancer research in the UK. So organizations like Cancer Research UK, Leukaemia Research, some pharmaceutical companies, basically to make sure that everyone is doing cancer research in a good way, not missing any areas and not duplicating too much work. So it’s really – it was setup a few years ago to address the fact that people didn’t really know what was going on in other labs. So basically, this is a conference where cancer researchers from all over the UK, from all over the world, get together to talk about the latest results to discuss collaborations. And it's not only scientists here, but there’s doctors, nurses and also patient groups here as well. So, it’s a really diverse range of people.
Kat - Well, there’s just been a talk this afternoon and by a chap called Larry Norton who’s from the Memorial Sloan-Kettering Cancer Centre in New York and it was really, really interesting. When you think about cancer that starts to spread, there’s this idea that there’s a starting tumour and cancer cells go off around the body and find new places to go, such as the lungs, the liver, and they start new tumours. His idea is while that cancer is growing, stem cells; spreading cells, they go off, they travel around the body and then they come back to the original tumour, and they start growing there, so this idea of self-seeding. And what he’s proposing is that, say, you treat this original tumour, you get rid of it with surgery, with radiotherapy, with chemotherapy. There are still these cells, out travelling in the body like the prodigal son, and they try to come back, but there’s no original tumour there and they think, “Well, I should go somewhere else” and then they go and start growing in the lungs, in the liver and in the brain. Chris - So by chopping out the cancer paradoxically, the primary tumour, we could be encouraging the process to spread?
Chris - Okay. Well Kat, thank you very much. You can keep up with the latest news and videos from the NCRI conference on the Cancer Research UK Blog. October 2009 Proton TherapyProfessor Karen Kirkby, University of SurreyChris - Professor Karen Kirkby is at the University of Surrey and she’s developing a way of treating cancer, using proton therapy. Now, this is a targeted beam of protons, they’re positive charges, and you can aim these at individual cancer cells to get rid of them. Hello, Karen. Karen - Hello. Chris - Great to have with us on The Naked Scientists. So, tell us a bit first of all about the problem with cancer that you're trying to tackle. I mean, everyone’s heard of cancer but it’s a generic term, what do we actually mean by it? Karen - I think cancer covers a whole range of diseases and Kat covered it quite nicely earlier on when she said about the brain cells. Obviously, we all like more brain cells, but we don’t want them to go mad and form brain tumours. And that’s effectively what cancer is. It’s where the cells go mad and starts to form tumours in parts of the body where you don’t want them. Chris - And so, if you could just summarize, what are the current strategies that we use to get rid of cancer, before we start talking about your technique.
Chris - And your technique? Karen - Our technique is one that’s used rarely in the UK. There is a centre in Clatterbridge which uses it to treat eye cancers, but it’s becoming very, very widely used in the states and Europe, largely because of advances in medical imaging. You've got to see the tumour before you can use this technique. So, it was thought about in the late ‘40s, but because at that time you couldn’t really see the tumour, it wasn’t very good to use. It’s a very targeted technique - whereas with x-rays, if you irradiate a tumour with radiotherapy, the damage that’s induced by the x-rays is induced around the tumours, so in front of and behind it. Whereas if you use protons and heavier ions, you use something called the Bragg peak - this is the way the ions actually stop. And if you change the energy so that most of the energy is deposited in the tumour and very little in the surrounding tissue, then you can imagine you put most of the damage into the tumour, very little into the tissue in front of it, and practically none into the tissue behind it. Chris - So this is a way basically of minimizing side effects because radiotherapy is very effective - you're basically giving a beam of radio waves, x-rays, microwaves, whatever people are using, ionizing radiation into the cells. This damages the DNA of the cells and they die, but the problem is, that as you say, it’s unfocused and takes down adjacent tissues which are healthier and this make side effects. How do you manage to target your therapy so appropriately just into the tumour itself then?
Chris - First of all, can you just explain the proton bit of it. Why is that novel and how does that work? And where do you get these protons from? Karen - Well, protons as I say, they've been thought of for cancer treatments since the work was done or back in the – I think they've first proposed in 1946 and some work was done in Berkley in the states. But the results were a bit unequivocal largely because they would irradiate a large amount of the body simply because they didn’t know exactly where the tumour was because they haven’t got the imaging techniques. So, the results weren’t particularly good. But now, we can find the tumours, we can target the protons at them. If we use MRI imaging for example, we can target the protons exactly at the tumour and it’s very useful if you've got a tumour very close to a particular structure such as the spine because there’s not an exit dose. And therefore, you can put all the damage into the tumour and run into the vulnerable tissue beyond it. Chris - When the tumour gets impacted by the beam of protons, what do the protons do to the tumour. Why do they destroy it? Karen - Well protons work in a very similar ways to x-rays, but of course, protons being bigger, they’re particles coming in, rather than electromagnetic radiation. They basically induce double-strand breaks in the DNA. Now we know those double-strand breaks can be repaired, but they're much more difficult to repair. And therefore, you can start to destroy the tumour much more easily than you could with x-rays. It’s sort of – it’s a bit like throwing cannon balls, rather than ping-pong balls at the tumour. Chris - Which is a good thing. The question is though, that as you've said yourself, now we have the ability to image tumours really well and we can see where they are and you can target your therapy. That’s fine. But what’s the resolution of the scanning? In other words, one of the reasons people die with malignancies is not because of the primary tumour usually. It’s because it’s spread to elsewhere in the body. So, are you able to use this kind of therapy to pluck off, not just the primary tumour, but those spreads, those metastases as well?
Chris - And is it pretty much any kind of tumour or the specific kinds of tumour for which this is more appropriate? Karen - In the UK, the feeling is, first of all, it’s for paediatric tumours because of – for example, if you're treating tumours of the spine in children, if you use conventional radiotherapy, obviously, you'll bathe the rest of the body in radiation. You bathe things like the lungs and the heart. And obviously in children, you want to minimize the chance of secondary cancers later on in life. So that is one of the particular ones. It’s also very useful if you're close to critical structures. It’s part of the armoury. It’s not going to replace conventional radiotherapy, but it might be useful for cancers that we can’t use radiotherapy for at the moment. Chris - Thank you , Karen. We’ll leave it there, but do stay with us. That’s Professor Karen Kirkby. She’s from the University of Surrey and she’s working on charged particle beams for cancer treatment. They use protons. So needless to say, she’s very positive about her research. October 2009 Breast Cancer and Stem CellsDr John Stingl, Cancer Research UK Cambridge Research InstituteKat - And now, it’s time to join Meera Senthilingam who’s gone along to the Cancer Research UK Cambridge Research Institute this week, to find out how John Stingl and his team are investigating the role of stem cells in breast cancer development. Now, stem cells are known for their ability to regenerate and differentiate to form lots of the cells in our bodies. But as well as this crucial role in our growth and development, it seems that rogue stem cells might be at the heart of cancer formation in many cases including breast cancer. So, Meera spoke to John about how he’s studying this kind of change in the human breast.
Meera - How are you trying to understand how this pathway between stem cell to differentiated cell varies when somebody gets breast cancer? John - The normal mammary gland is under quite strict control of homeostasis. So for example, a stem cell, would normally divide and produce a new stem cell, and it also produces more differentiated daughter cells. So cells would have some proliferative capacity but not as important as a stem cell. We call these cells a progenitor cell. Then these progenitor cells would produce their daughter cells. And this balance between a stem cell producing one new stem cell and a more mature daughter cell, we think is perturbed in cancer. Such that in cancer, there may be more a shift to, say, producing more stem cells. Basically, we believe that cancer is a disease of cells that have proliferative capacity, other stem cells or cells with stem cell-like properties. And the reason for this is that you have to keep in mind that cancer is multistep process. We don’t just get a mutation, then get cancer. If that’s the case, we would probably all be dead. In fact, you probably need about say, five or six mutations to go from a normal cell to malignant cell. But the body has developed pretty good methods for protecting its DNA and the probability of getting a mutation, a meaningful mutation of cells, is actually quite low. Analogous to like winning a lottery. So how is a cell supposed to get say, five mutations in a row, it’s like trying to win the lottery five times in a row. But if you have a cell that has that possibility to generate lots and lots of daughter cell, such as a stem cell. So say, just by unlucky chance, a stem cell got a mutation. That stem cell can generate a million daughter cells. All of them will have that mutation. Now, the probability that a certain daughter cell will get a second mutation is quite low, but the probability that one of those daughter cells out of that, you know whole population will get a second mutation is quite high. And maybe the second mutation’s a mutation that reduces DNA repairability. And therefore, the problem in getting a third mutation is not one in a million, but say, maybe one in a hundred. Basically, if you target cells that have the ability to grow, you can increase your chances of getting multiple mutations.
John - Exactly. Meera - So how are you going about actually researching this? John - We get normal breast tissue from the hospital. This is human breast tissue say, reduction mammoplasty specimens. So women who had their breast surgically reduced. We bring them back to the lab and we basically mince them up and we incubate ithem in an enzyme mixture which basically degrades all the extracellular matrix but doesn’t hurt the cells. And we basically make a single cell suspension of human breast tissue. We use a machine called the fluorescence activated cell sorter and by tagging the cells with fluorescent molecules, we can purify different subfractions of breast cells. Meera - But now, with your team having separated out to find all of these different cells that are present within a breast, how are you then going to go about actually researching the cancer side of it? John - So for example again, there are many different types of breast cancers. Are they all rising in a common cell type or they're arising from different types of breast cancer cells? The way how we’re going to test that is, say for example, you have an oncogene, gene X, and you know that gene X is somehow an associate of breast cancer but you don’t know how. Now what we’re going to do is we’re going to purify subfractions of normal human breast cells and then using specialized viruses, we can actually infect those cells, such that they overexpress oncogene X. And we can examine, okay, does oncogene X for example, cause stem cells to expand the stem cell population or does it cause a more mature progenitor cell to turn into a stem cell. And then we can also, instead of just introducing oncogene X, we can also get the oncogene X, Y, and Z and seeing what type of cell generates what type of tumour. Meera - So having identified the cause of the tumour like a particular gene that’s causing a tumour, you're inserting it into different types of cells that are made within a breast to see which of those cells that gene actually affects to become cancerous, essentially. John - Yeah, exactly. The problems we’ve had is that there’s been a lack of understanding of the normal cellular context in which oncogenes and tumour suppressor genes exert their actions. For example, does oncogene X, you know, does it cause this one population to expand or does it cause another population to expand or does it cause one population to generate another population?
John - Yes. So we don’t understand the underlying mechanisms of what is actually happening. We only see the end stage result and it’s very important to understand the molecular pathways that regulate stem cell behaviour because you want to target these pathways in order to stop tumour growth. Now it has been demonstrated and pretty conclusively that there is such thing as a breast cancer stem cell. The challenge now is to figure out how abundant are these breast cancer stem cells, are they identical between different types of breast tumours, and they're probably not, and basically, how do we isolate them and how do we target them. And that’s basically the stage we are right now. Chris - Well, that was John Stingl who’s from the Cancer Research UK Cambridge Research Institute and he was talking to Meera Senthilingam to explain how he and his team are investigating the role of stem cells and breast cancer formation and how those cells change their regulation and how that could be targeted as a potential therapy for cancer treatment. October 2009 Blocking Oestrogen in Breast CancerProfessor Charles Coombes, Cancer Research UK, Imperial CollegeKat - In case you haven’t noticed, October is breast cancer awareness month across the UK. You've probably seen the explosion of pink in the shops and I do think it’s a real shame that we don’t have blue everywhere for men’s cancer, so I think there’s something to be done there, chaps, come on – get sorted. Anyway, breast cancer is still the most common cancer in the UK and it affects around 45,000 women and around 300 men every year. And although survival rates are improving year-on-year, there are thousands of people who still lose their lives to breast cancer. And often, this is because hormone blocking treatment such as tamoxifen or anastrozole stop working after a while. Now, Cancer Research UK’s Professor Charles Coombes is a leading breast cancer researcher at Imperial College in London. And I went to find out more about the role of hormones in breast cancer and some of the promising new treatments, he and his team are developing.
Kat - And that’s what these aromatase inhibitors do? Charles - Exactly. So, what we’ve been trying to understand is why do cancer cells, breast cancer cells, become resistant to aromatase inhibitors? This has been the next big challenge. And after about 15 years of work, we now think that we understand the mechanism. What happens is that various other signalling pathways in the breast cancer cell as it were, impinges on the oestrogen receptor. So, it increases its sensitivity. So, this is a hypersensitized oestrogen receptor. Now, aromatase inhibitors, although they stop the body from making oestrogen, and lower the oestrogen significantly, often by as much as 99%, they don’t actually reduce it by 100%. But this low level of persistent oestrogen can be amplified – the effect of that can be amplified by various other enzymes which can be used to target in breast cancer. So, one enzyme that we recently discovered that does this is something called CDK-7 and we now, over the last two years have developed a specific inhibitor for CDK-7 which prevents the activation of the oestrogen receptor. So, that drug is now being optimized and will be – we hope available for women whose cancer cells have become resistant to aromatase inhibitors. Another route that we have gone down and which has already produced a drug which is now being tested throughout Europe is in looking for other sources of this residual tiny percentage of oestrogen that remains after aromatase inhibitors have been used. It turns out that breast cancer cells can bypass the aromatase pathway by using a storage form of oestrogen.
Charles - Exactly. In a storage form called oestrogen sulphate. And there’s an enzyme called oestrogen sulphatase which cleaves the sulphate off, thus liberating the oestrogen. And so, it’s a very clever way that the breast cancer cells use this enzyme to liberate the oestrogen which can then sit on the receptor, even when aromatase inhibitors are being used, and then drive the cancer cells to divide. Kat - So, how do you try and combat the actions there? Charles - Right. Well, it’s taken again about 15 or 20 years work mainly by chemists, again, Cancer Research UK supported, at Bath University and at Imperial College, have made the first inhibitor of this enzyme. There hasn’t been any inhibitor up to date, but this new drug has now been tested by our group here and has been found to completely abolish the enzyme activity and this is the drug that’s in trials, in patients with breast cancer whose cancers have become resistant to aromatase inhibitors. Kat - And that was Professor Charles Coombes from Cancer Research UK at Imperial College, talking about the promising role of enzyme inhibitors that alter the activity of oestrogen on breast cancer. October 2009
EcholocationBuild your own primitive sonar with a computer and a microphone, and find out how this relates to medical ultrasound. What you need
What to DoIf you haven't already got some, download and install some audio editing sofware. You want something with which you can look closely at a sound wave. Plug your microphone into your computer's microphone socket. Start recording, and then clap your hands. Have a go at clapping your hands in different ways; try with flat hands to make a high pitch noise and with cupped hands to make a lower one. Stop recording and zoom into the claps, and see if you can see any structure. What may HappenYou should be able to see various extra lumps in the waveform after the hand clap. These are reflections from walls etc. in your room.
The first noise you can see is the clap, and after this you get various reflections from different objects in the room. Higher pitch Clap: If it is slowed down by a factor of 16, you can hear the echoes: You will probably find that it is a lot harder to pick out any information from the low pitched clap, than the high one. What is going on?When you clap your hands, you shake the air, and produce vibrations that travel outwards at the speed of sound (330m/s).
If the sound waves it any object they will bounce off it creating an echo which will travel back at the speed of sound.
As the speed of sound in air is roughly constant, you can work out how far the sound has travelled for each reflection, and start to work out what the echoes refer to in the room. If you had a very directional microphone you could even build up a picture of their directions as well, at which point you have a sonar.
Why is it harder to see echoes from a low pitched clap?Sound waves of a lower pitch vibrate more slowly and so have a longer wavelength. A pulse of sound must be at least a wavelength long (in practice your clap will be a lot longer than this). So all the echos will tend to overlap each other, as well as the original pulse. This makes it very hard to distinguish between them. Therefore, if you want to be able to detect fine detail, you have to use high frequency sounds. This effect is enhanced if you are working with water, where sound travels at about 1000m/s, (far faster than in air), so you need to use very high frequencies to detect objects in this way. The human body contains a lot of water, and so ultrasound imaging in your body uses this principle, using frequencies of several megahertz. Written by Dave Ansell |
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