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Why are we trying to transplant pig hearts into human beings?

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On October 21, 2022

In cardiovascular system, cellular basis of life, lymphatic and immune system

TeachableMedicalNews article 10222022

Teachable moment in classrooms:

  1. chemical basis of life chapter – genetic engineering can remove genes from, or add genes to DNA molecules (the chromosomes)
  2. cellular basis of life chapter – removing a gene removes a protein, while adding a gene adds proteins to the functional toolkit of cells
  3. hear chapter – blood pumping action of left ventricle delivers oxygen, nutrients to all organs
  4. immune system chapter – role of HLA proteins in the recognition of self and non-self antigens

The news item:  Recently the following news article was published:

Two pig heart transplants succeed in brain-dead recipients

Surgeons at New York University (NYU) have successfully transplanted genetically-engineered pig hearts into two brain-dead people, researchers said on Tuesday, moving a step closer to a long-term goal of using pig parts to address the shortage of human organs for transplant.

The article states that experimental transplantation of pig hearts into brain dead humans was carried out, and the hearts remained functional for the three days of the study.  The article also states that the transplanted hearts came from genetically engineered pigs in which 4 genetic alterations were done to prevent rejection, and 6 genetic modifications were done to prevent incompatibilities between pigs and humans.

So, Why Do I Care??  There are about 600,000 people in the US whose heart is about to give out (end stage heart disease), but there are only about 3800 heart transplant operations. Several people die each day because suitable donor hearts are not available for transplantation. If we could routinely transplant pig hearts into humans that would save thousands of lives.

Plain English, Please!!!  First, let’s talk about why people need a heart transplant. End stage heart disease happens either because of the degeneration of heart muscle from coronary artery disease or from viral infection, or because of heart valve problems.  Once the pumping efficiency of the heart drops

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Why bacterial contamination of baby formula is life threatening for infants?

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On September 29, 2022

In cellular basis of life, lymphatic and immune system, microbiology, nervous system, tissues

TeachableMedicalNews article 09292022

Teachable moment in classrooms:

  1. cellular basis of life chapter – linker proteins in the plasma membrane form tight junctions
  2. tissue chapter – tight junctions of epithelial cells prevent movement of pathogens between the cells
  3. immune system chapter – reliance of white blood cells for immune functions
  4. brain chapter – the brain is covered by meninges inside the cranial cavity
  5. microbiology – the pathogen bacterium Chronobacter sakazakii

The news item:  Recently a news report appeared about contaminated baby formula:

FDA says maker of powdered infant formula didn’t take steps to prevent products from becoming contaminated | CNN

The US Food and Drug Administration (FDA) has determined the company running a plant at the center of a baby formula recall didn’t take steps to prevent products from becoming contaminated during manufacturing, according to a preliminary report filed this month.

The article states that Chronobacter sakazakii bacterium caused death of two infants who used baby formula contaminated with the bacterium.

So, Why Do I Care??  While adults can easily defeat a bacterial infection, the bodies of infants are very vulnerable to such infection.  Because the immune system of infants is naturally weak, powdered infant formulas must be free of bacterial contamination. If bacteria are in the infant formula, then the infants are exposed to life threatening infection.  The number of infections is about 15 infants each year, but one-fourth of the infants die from the infection.

Plain English, Please!!!  First, let’s talk about what a Chronobacterium is. This is a very common bacterium in environment, present on many surfaces and in food items. The well-trained immune system of adults can fight off this bacterium, but the not-yet-fully developed immune system of infants has a

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Can we really put an implant inside the eye to deliver drugs to treat eye diseases?

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On June 15, 2022

In cellular basis of life, special senses

TeachableMedicalNews article 06152022

Teachable moment in classrooms:

  1. cellular basis of life chapter – diffusion as a means of molecular movement
  2. special senses chapter – the photoreceptors rods and cones are in the retina
  3. special senses chapter – liquid-filled chambers of the eye
  4. special senses chapter – sclera, the white of the eye, is the toughest, outer layer

Can we put an implant inside the eye to deliver drugs to treat eye diseases?

The news item:  Recently a report appeared about a drug, Susvimo, that reverses blindness:

New technology helps Georgetown veteran restore his eyesight

If you’re living with blurry vision, there’s a chance a new device can help you get your eyesight back without frequent visits to the doctor. The newly FDA-approved Susvimo implant helped one Georgetown veteran preserve his vision after being diagnosed with wet age-related macular degeneration.

The article states that AMD (wet, age-related macular degeneration) is the leading cause of blindness over the age 60, that this disorder is caused by growth and scarring of blood vessels under the retina, and that drug-delivery through an implant has restored vision in 90% of the treated individuals.

So, Why Do I Care??  Eye diseases can rob people of their vision. Many of such diseases are treated by injection of a drug into the eye. It is estimated that there are over 10 million such injections per year in the USA. Because chronic eye disorders require several injections into the same eye, it is worth exploring alternative delivery systems for long-term administration of drugs.

Plain English, Please!!!   First, let’s review the action of Susvimo, the drug we will use as an example to learn about implants inside the eye. In a previous post of Teachable Medical News (TMN 05252022), we described the action of the drug Susvimo. Here is a brief summary:  Normally the light-sensing cell in the

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How can the drug Tabrecta slow down oncogene action in lung cancer?

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On April 28, 2022

In cellular basis of life, respiratory system, tissues

TeachableMedicalNews article 04282022

Teachable moment in classrooms:

  1. cellular basis of life chapter – concept of one gene, one protein
  2. cellular basis of life chapter – concept of gene mutation leading to protein malfunction
  3. cellular basis of life chapter – mitosis (somatic cell division) is stimulated from outside of the cell
  4. tissue chapter – epithelium types in the respiratory system
  5. respiratory system chapter – epithelial lining of the airways

The news item:  Recently this news item appeared online about a new treatment for lung cancer:

New hope for patients with lung cancer

FDA approves Tabrecta™, a new treatment option, for adult patients with metastatic non-small cell lung cancer

The report states that lung cancer is the leading cause of death among cancers, and that there will be about 228,000 new diagnoses in the USA each year.  The article also states that the drug Tabrecta helps patients to fight non-small cell lung cancer (NSCLC), that the drug works especially well against cancers driven by a Met exon 14 skipping mutation, and that each year about 4,000- 5,000 people in the USA are diagnosed with this subtype of NSCLC.

So, Why Do I Care??  Lung cancer is a deadly disease, so finding new treatment options improves the chance of survival when traditional treatments may not work, and, thus, lengthens the survival time after the diagnosis. Another reason to care is that this drug acts specifically on cancer cells that carry a particular genetic change, so this ability improves targeted attack on cancer cells, and avoid attacking the normal cells of the body.

Plain English, Please!!!  First, let’s talk about just what NSCLC is. The NSCLC name represents a type of relatively slow-growing lung cancers that start in the mucous glands of the airways, or in the simple

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Can a nasal spray popularized on TikTok give us a tan?

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On March 26, 2022

In cellular basis of life, endocrine system, integumentary system

TeachableMedicalNews article 03272022

Teachable moment in classrooms:

  1. chemical basis of life – proteins are made of amino acid building blocks
  2. integumentary system – layers (strata) of the epidermis
  3. integumentary system chapter – melanocytes make the brown pigment melanin
  4. endocrine system chapter – anterior pituitary makes the melanocyte stimulating hormone

The news item:  Recently a report appeared about TikTok influencers who inhale nasal spray to get a tan:

I inhale dangerous tanning nasal sprays because I’d rather die hot than live ugly

Beauty influencers are taking to TikTok to show themselves snorting sprays that they claim give them a golden tan – but doctors warn the products could be both ineffective and dangerous.

The article states that the influencers claim to get a glowing bronze skin color from the inhaled spray, that the spray has the active ingredient dihydroxy methylchromonyl palmitate which is not approved for inhalation, and that the TikTok posts have hundreds of thousands likes.

So, Why Do I Care??  Social media influencers can act very convincingly, even when they encourage unhealthy actions for their followers. The use of a chemical designed to be used on top of the skin may damage the nasal passages, or it may cause serious illness. This is a great example of how vigilant and skeptical we have to be when seeing something that looks too good to be true.

Plain English, Please!!!

First, let’s talk about the natural process that gives skin a tanned color. In the top region, the epidermis, of the skin there are cells called melanocytes that make a brown-colored pigment called melanin.

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Can we get a deadly infection from an aromatherapy bottle?

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On February 26, 2022

In cellular basis of life, lymphatic and immune system, microbiology, tissues

TeachableMedicalNews article 02272022

Teachable moment in classrooms:

  1. microbiology – Burkholderia bacteria
  2. microbiology – bacterial movement by flagella
  3. cellular basis of life chapter – lysosomes can digest invaders, or self-digest a cell during autophagy cell death
  4. tissue chapter – cells of epithelial tissue line the lumen of respiratory and digestive systems
  5. immune system chapter – neutrophils and other white blood cells phagocytose invaders
  6. blood vessel chapter – septic shock suppresses blood pressure by causing vasodilation

The news item:  Recently the following news report appeared online:

Mysterious fatal infections tied to room spray sold at Walmart

Federal authorities warned Friday that a rare bacterial infection that killed two people has been tied to an aromatherapy spray sold at Walmart. A total of four people in four states were infected earlier this year by the rare tropical disease called melioidosis.

The article stated that four victims of melioidosis were identified in the US, that the disease is caused by Burkholderia pseudomallei bacterium, that the bacterium lives in soils in Southeast Asia, and that the pathogens were traced to aroma therapy spray bottles.

So, Why Do I Care??  Infectious pathogens are found in many locations, and they can cause deadly diseases. In addition to the well-know viruses and bacteria, there are exotic pathogens that cause rare, but just as deadly infections. Therefore, it is important to understand how those exotic pathogens act. Melioidosis has a 50% death rate, and even after antibiotic treatment the death rate remains 10%.

Plain English, Please!!! First, let’s talk about how this bacterium infects our body. The bacteria enter the body through inhaling or ingesting contaminated water. The bacterium then moves into the epithelial cells that line the lumen of the lower respiratory or the epithelial cells that line the lumen of digestive

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How can a new pharmaceutical treat severe sleep disturbance a new way?

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On January 30, 2022

In cellular basis of life, endocrine system, nervous system

TeachableMedicalNews article 01312022

Teachable moment in classrooms:

  1. cellular basis of life chapter – concept of one gene, one protein
  2. cellular basis of life chapter – concept of gene mutation leading to protein malfunction
  3. nervous system chapter – functional roles of hypothalamus
  4. nervous system chapter – sleep and wakefulness
  5. endocrine system – receptor agonists enhance cellular response

The news item:  Recently a news item appeared about a new pharmaceutical to treat severe sleep disturbance disorders:

 

https://sleepreviewmag.com/sleep-treatments/pharmaceuticals/prescription-drugs/fda-approves-hetlioz-sleep-disturbances-smith-magenis-syndrome/

The article states that the pharmaceutical Hetlioz was approved to treat sleep disturbance disorders in adults and children, and also people suffering from Smith-Magenis syndrome.

So, Why Do I Care??  While loosing sleep hours is a common occurrence that comes with minor inconveniences in our daily lives, severe sleep disturbance, however, describes a disorder with significant health consequences. Millions of people suffer from such severe sleep disturbance in the US, and then there are over 15,000 people in the US who suffers from Smith-Magenis syndrome.

Plain English, Please!!! First let’s talk about sleep disturbances, in general. The action of going into sleep is the result of nerve signals from the hypothalamus part of the brain, and that signal decreases

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Can a newly discovered immune cell kill all cancers in our bodies?

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On November 28, 2021

In cellular basis of life, lymphatic and immune system

TeachableMedicalNews article 11282021

Teachable moment in classrooms:

  1. cellular basis of life chapter – mitosis
  2. cellular basis of life chapter – many types of receptor proteins are located in the cell membrane
  3. immune system chapter – the roles of white blood cells in immune defense

The news item:  Recently the following news report was published:

Immune discovery ‘may treat all cancer’

Research is at an early stage but scientists said it had huge potential for destroying cancers.

 

The article states that researchers found a new type of T cell that has the potential to attack cancer cells from virtually all regions of the body, and that potential is based on a molecule called MR1.

So, Why Do I Care??  Various types of cancers kill over 600,000 people in the USA. Cancer treatments vary according to the type and stage of the cancer. Any discovery that opens up the possibility of a unified cancer treatment is a reason for renewed hope among current and future cancer patients.

Plain English, Please!!!

First, let’s talk about what cancer is. Our cells have to divide (undergo mitosis) to make new cells for repair or to replace worn out cells. When cell keep on dividing even after the tissue repair or cell

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Can a new pharmaceutical lower blood cholesterol levels to improve cardiovascular health?

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On October 30, 2021

In cardiovascular system, cellular basis of life, chemical basis of life, digestive system

TeachableMedicalNews article 10312021

Teachable moment in classrooms:

  1. chemical basis of life chapter – cholesterol is a steroid type lipid
  2. cellular basis of life chapter – cholesterol is needed to stabilize plasma membranes of our cells
  3. digestive system chapter – liver synthesizes cholesterol
  4. cardiovascular system chapter – coronary artery disease starts with cholesterol buildup in the arteries

The news item:  Recently a report appeared about lowering our blood cholesterol level:

 

FDA approves drug that lowers cholesterol in a new way

Nexletol was approved for people genetically predisposed to have sky-high cholesterol and people who have heart disease and need to further lower their bad cholesterol.

The article stated that high LDL levels are connected with risk of heart attacks, and that this new drug blocks the cholesterol making enzyme in the liver. This new drug, Nexletol, acts differently from the statin drugs that also lower blood cholesterol.

So, Why Do I Care??  In the USA over 1 million people die yearly from heart attacks and strokes, and those deaths are at least partially caused by high blood cholesterol causing blockage inside the blood vessels. While there are life style modifications and drugs we can use to lower blood cholesterol, new pharmaceuticals may increase the success of lowering blood cholesterol.

Plain English, Please!!!   First, let’s talk about what cholesterol is and how it causes cardiovascular disease. Cholesterol is an organic molecule classified as a steroid type lipid. Cholesterol makes cell membranes sturdy, so all cells need it, and cholesterol transporting trucks, called LDL (low density

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How can Zolgensma gene therapy help children with spinal muscular atrophy?

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On September 29, 2021

In cellular basis of life, muscular system, nervous system

TeachableMedicalNews article 09302021

Teachable moment in classrooms:

  1. cellular basis of life chapter – role of mRNA in protein synthesis
  2. cellular basis of life chapter – concept of gene mutation leading to protein malfunction
  3. muscular system chapter – role of nerve impulses in directing muscle contraction
  4. nervous system chapter – functions of dendrites and axons of neurons

The news item:  Recently the following reporting was published by BBC news organization:

‘Gene therapy is a game changer for our son’

A five-month-old becomes the first person in England to get a drug with a list price of £1.79m.

The article describes the symptoms, such as loss of mobility in infants, of the spinal muscular atrophy.  The article also mentions the mutant SMN1 gene, and the Zolgensma treatment that replaces the mutated gene. The article states that the frequency of this disorder is 1 in 10,000 births.

So, Why Do I Care??  Most children whose symptoms begin after age 2 have a near normal life expectancy. However, newborns with the “infant-onset” form (about 400 newborns each year) have a very short life expectancy. That is devastating to parents, too, who are helpless while their child lays motionless, and not developing motor skills for movement or speech. Innovative treatments not only raise the hope for a more normal life for the affected infants, but also points to possible treatments of similar disorders.

Plain English, Please!!!  First, let’s talk about what is spinal muscular atrophy (SMA).  This disorder originates from damaged neurons in the spinal cord. The consequence of that damage is that skeletal

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