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Can a virus test replace the traditional test for cervical cancer?

TeachableMedicalNews article 08122021

Teachable moment in classrooms:

  1. cellular basis of life chapter – mitosis, cell cycle controls to limit cell division
  2. reproductive system chapter – anatomy of the female reproductive system
  3. tissues chapter – epithelium that lines the female reproductive system
  4. microbiology – human papilloma viruses

The news item:  Recently the following report about cervical cancer testing appeared:

Are Pap smears ‘obsolete’? There’s a better option for cervical cancer screening, American Cancer Society says

The American Cancer Society released new guidelines on cervical cancer screenings Thursday, recommending that people with a cervix start testing at age 25.

The article describes the debate whether the HPV test could replace the Pap smear test. The article states that despite the Pap smear testing, there are over 13,000 new cervical cancer cases per year, and there are over 4,000 deaths. The article also states that the HPV test is screening for human papilloma virus, and the Pap test is screening for cancerous cells.

So, Why Do I Care??  Cervical cancer is a deadly cancer, as the article stated from a yearly 13,000 new diagnoses there are over 4,000 deaths.  While vaccination has been available against cervical cancer, a better diagnostic method is still needed until everyone is vaccinated.

Plain English, Please!!!

First, let’s talk about what cervical cancer is. The narrow, tube-shaped part of the uterus, the cervix, opens into the vagina. The cervix has a thin lining epithelium, and that cell layer is where cancerous

How do we teach the immune system of a cancer patient to attack cancer?

TeachableMedicalNews article 07302021

Teachable moment in classrooms:

  1. cellular basis of life chapter– artificial DNA can direct the cell to make a new type of protein
  2. cellular basis of life chapter – receptor proteins are located in the plasma membrane
  3. tissue chapter –the liquid connective tissue nature of blood allows the separation of blood cell types
  4. immune system chapter – role of T cell in immune defense

The news item:  Recently a news report was published about a cancer patient’s fight for her life:

New treatment option for patients battling aggressive form of blood cancer

People battling relapsed or refractory (R/R) Diffuse Large B-cell Lymphoma, an aggressive blood cancer, experience a challenging treatment journey. But a recently approved CAR T cell therapy gives patients a new option.

 

The article stated that the patient had B cell lymphoma that didn’t respond to chemotherapy, and that she started a new treatment where her T cells were removed from her blood, reprogrammed to attack her cancer, and then returned into her body.  The treatment was described as the CAR T treatment where CAR stood for chimeric antigen receptor.

So, Why Do I Care??   Some leukemia type cancers and lymphoma type cancers do not respond to regular chemotherapy. While the total number of the patients is relatively low (a few thousand), the  new approach (CAR T) to cancer treatment now presents a new option for those patients with cancers resisting regular chemotherapy. Knowing how this type of treatment is created allows us to understand treatment regimens such as Kymriah, Yescarta, and Tecartus. In addition, the CAR T treatment type may inspire more out of the box thinking to defeat cancer.

Plain English, Please!!! First, let’s talk about why would we want to train our immune system. In our body only the cells of the immune system are the only ones that can find and destroy specific targets

Can we teach our immune system to attack cancer by reprogramming white blood cells?

TeachableMedicalNews article 06282021

Teachable moment in classrooms:

  1. cellular basis of life chapter – some proteins are located in the plasma membrane
  2. blood chapter – hematopoiesis (blood cell formation) in red bone marrow
  3. immune system chapter – role of T-cells in immune defense

The news item:  Recently an article reported on the struggles of a patient suffering with acute lymphoblastic leukemia:

 

Richmond woman benefits from game-changing cancer treatment now offered at VCU

If you knew what Rachel Elliot has been through you might call it a miracle that she is alive and well today, but hers was a miracle over a decade in the making.

The article described a new treatment called Kymriah, a Car-T type treatment, and stated that it involves genetic engineering T-cells.

So, Why Do I Care??  Some cancers resist traditional chemotherapy treatments. Patients suffering from those cancers have very limited life expectancy.  While the total number of ALL cases, close to 6,000 each year, are relatively few, children under the age of 5 are affected mostly.  New cancer treatment approaches that think outside the box are the treatments that bring hope, and eventually cures to those patients.

Plain English, Please!!!

First, let’s talk about what acute lymphoblastic leukemia (ALL) is. This type of leukemia is the cancer of the red bone marrow, and the uncontrolled division of some cells in the bone marrow leads to a large

Can a genetic mutation of cancer cells be exploited to kill them?

TeachableMedicalNews article 03282021

Teachable moment in classrooms:

  1. chemical basis of life chapter – DNA structure as double helix
  2. cellular basis of life chapter – DNA replication during mitosis
  3. cellular basis of life chapter – DNA mutation of a gene usually diminishes protein function
  4. digestive system – anatomy of pancreatic duct (origin of most pancreatic cancers)
  5. reproductive system – anatomy of ovary (surface epithelium is the origin of most ovarian cancers)

The news item:  Recently this article appeared online about a new pancreatic cancer treatment:

FDA approves drug for treating pancreatic cancer

Health regulators clear AstraZeneca and Merck treatment for disease projected to kill 46,000 Americans this year.

The article states that Lynparza has been approved for the treatment of ovarian cancers with BRCA mutation, and this approval is now extended to pancreatic cancers with the same mutation. The article also states that the BRCA mutation hinders fixing DNA damage, that Lynparza is a PARP inhibitor, and that 46,000 Americans die yearly because of pancreatic cancer.

So, Why Do I Care??  Pancreatic cancer has a very low survival rate, because the diagnosis usually happens in the late stage of the cancer. A new drug will likely increase survival rates among those 46,000 patients.

Plain English, Please!!!   First, let’s talk about the BRCA mutation. When cells undergo mitosis (cell division) the DNA is copied (replicated), so the new cell can have as much DNA as the starter cell.

How could gene editing fight cancers?

TeachableMedicalNews article 12082020

Teachable moment in classrooms:

  1. cellular basis of life chapter – chromosomes contain many genes
  2. cellular basis of life chapter – a gene is a specific stretch of DNA that encodes one protein
  3. cellular basis of life chapter – concept of gene mutation leading to protein

malfunction

  1. immune system chapter – function of T lymphocytes (T cells)

The news item: Recently the gene editing approach to cancer fighting was in the news:

Doctors try CRISPR gene editing for cancer, a 1st in the US

The first attempt in the U.S. to use the gene editing tool CRISPR against cancer seems safe, but it’s too soon to know if it will improve survival.

The report described an experimental treatment of one sarcoma patient and two multiple myeloma patients with the Crispr technology. The article states that this approach deletes 3 genes and adds one gene to the T cells of the patients, and the gene-edited T cells are infused back into the body of the patients.

So, Why Do I Care??

The thing to care about is the potential of the technology of gene editing.  While experimental in humans, and the targets of the technology are relatively rare diseases, if proven useful there are many human genetic disorders that may be managed or cured by it. Any disorder that is caused by mutated genes and malfunctioning proteins may be the future target of gene editing.

Plain English, Please!!!

First, let’s talk about multiple myeloma and sarcoma. Myeloma is a cancer that forms in the red bone marrow. Sarcoma is a cancer that starts from connective

How could a new non-pacing electronic device help chronic heart failure patients?

TeachableMedicalNews article 11252020

Teachable moment in classrooms:

  1. cellular basis of life chapter – protein synthesis in cells can be changed by stimulus
  2. muscle tissue chapter – thick and thin filaments in the sliding filament muscle contraction model
  3. muscle tissue chapter – the role of calcium in muscle contraction model
  4. heart chapter – relationship of stroke volume to cardiac output

The news item:  Recently a new electronic device, Optimizer Smart, was in the news:

https://www.cnbc.com/2019/03/25/fda-approves-new-device-for-patients-with-chronic-heart-failure.html

The article states that this device is not a pacemaker; it sends non-excitatory signals, and this way it improves the squeezing ability of the heart which, in turn, improves the physical abilities of the heart failure patients.

So, Why Do I Care??  In the USA there are about 5 million people living with congestive heart failure. There are over 500,000 new cases every year, and 280,000 deaths. The people who live with congestive heart failure have a diminished quality of life because their physical activities are limited. Any new approach to help those patients is welcome news.

Plain English, Please!!!  First, let’s talk about what heart failure is. Contrary to popular belief “heart failure” doesn’t mean that the heart stops beating. Heart failure means that the cardiac output (the blood volume pumped out each minute)

Why breast implants can become life threatening?

TeachableMedicalNews article 11072020

Teachable moment in classrooms:

  1. cellular basis of life chapter – gene mutation leading to malfunctioning protein
  2. cellular basis of life chapter – mitosis or somatic cell division
  3. integumentary system chapter – scar tissue formation during dermal wound healing
  4. immune system chapter – lymph nodes as location of lymphocytes
  5. immune system chapter – cell division as part of immune response in lymph nodes.

The news item:  Recently a recall of breast implants was in the news:

Breast implants tied to rare form of cancer recalled at FDA request

Allergan Inc. announces a worldwide recall of implants with a textured surface

The report described how one type of breast implant made by Allergan is associated with the development of a rare cancer, called anaplastic large cell lymphoma (ALCL).

So, Why Do I Care??  Altogether close to 600 anaplastic large cell lymphoma cases have been reported in women with breast implants. Even such a relatively slow number of cancers is a concern, because most of those cases occurred in women with one type of implant. Add to this that breast implants have been considered as a cosmetic alteration that presents little danger, but now a specific disorder is associated with them. That is a substantial change in how we view the risks of this procedure

Plain English, Please!!!

First, let’s talk about how a breast implant affects the body. This cosmetic implant is made of plastic, and it is surgically inserted under the skin. The normal wound

Why eating Listeria-contaminated food can be life threatening?

TeachableMedicalNews article 10222020

Teachable moment in classrooms:

  1. cellular basis of life chapter – cytosol
  2. nervous system chapter – location of meninges
  3. immune system chapter – vasodilation during inflammation
  4. immune system chapter – emigration by white blood cells
  5. microbiology – Listeria monocytogenes biology

The news item:  Recently a Listeria outbreak was reported to have started from contaminated mushrooms:

Enoki mushrooms tied to listeria outbreak that killed four people and hospitalized 31, CDC says | CNN

Enoki mushrooms are linked to four deaths and 31 hospitalizations in what the US Centers for Disease Control and Prevention says was a multistate listeria outbreak that is now presumed to be over.

The article stated that Listeria outbreak is caused by a bacterium, and that the symptoms of infection are stiff neck, loss of balance, miscarriage, confusion and fever.

So, Why Do I Care??

Infection by Listeria bacterium is the third leading cause of food borne illness, and it is the most lethal food borne illness by killing about 15 – 20% of the infected individuals.  In the US each year about 1600 people get infected, and 260 die. The victims are the most vulnerable of society: elderly, pregnant women, and immunosuppressed people.

Plain English, Please!!!

First, let’s talk about what Listeria is. Listeria is a type of bacterium that infects human beings when they consume Listeria-contaminated food. The bacterium lives

How does a new antibiotic called Xenleta fight bacterial infections?

TeachableMedicalNews article 10092020

Teachable moment in classrooms:

  1. chemical basis of life chapter – proteins are made of amino acids linked by peptide bonds
  2. cellular basis of life chapter – protein synthesis on ribosome
  3. respiratory system chapter – alveoli location and function
  4. immune system chapter – events during inflammation
  5. microbiology – bacterial resistance against antibiotics

The news item:  Recently the news of a novel antibiotic was reported:

FDA approves new antibiotic for bacterial pneumonia

A new antibiotic has been approved by the Food and Drug Administration. It’s called Xenleta and the FDA says it’s another treatment option to fight a common type of pneumonia.

The article states that the new antibiotic, Xenleta, is a pleuromutilin, and it fights community acquired bacterial pneumonia.

So, Why Do I Care??

Pneumonia is the reason for 1 million hospitalizations and 50,000 deaths each year in the US. Most pneumonia cases are caused by bacterial infections. Because this disease can get worse quickly, efficient treatment must include the killing of the bacteria that cause the disease. Any new antibiotic that can treat people whose pneumonia resists the regular antibiotics likely to save thousands of lives each year.

Plain English, Please!!!

First, let’s talk about what bacterial pneumonia is. When the deepest portion of our respiratory system, the alveoli (air sacks), are attacked by bacteria, the result is local

What makes some hand sanitizers dangerously toxic?

TeachableMedicalNews article 08282020

Teachable moment in classrooms:

  1. chemical basis of life chapter – adenosine triphosphate (ATP)
  2. cellular basis of life chapter –sites of detoxification inside the cell
  3. cellular basis of life chapter – mitochondria as site of ATP production
  4. digestive system chapter – absorption through stomach mucosa
  5. metabolism chapter – electron transport chain as most efficient ATP producing process inside mitochondria
  6. special senses chapter – gross anatomy of optic nerve

The news item:  A recent news item described over a hundred hand sanitizer brands are being removed from store shelves because they may be dangerously toxic:

FDA says to avoid these 130 hand sanitizer products that may not work, or are toxic

Regulators say some of the products contain dangerous levels of methanol, which can lead to blindness, hospitalization and even death.

The article mentions that the toxic ingredient is methanol, and that it may cause blindness.

So, Why Do I Care??  Poisoning by methanol, also called wood alcohol, sickens over 20,000 people each year in the US.  These people may become blind in 24 hours, and suffer long-lasting damage to their kidneys and brain. The best prevention is not to consume methanol either by drinking or through contact with skin, such as through hand sanitizers.  So, taking hand sanitizers off the shelf is part of the prevention.

Plain English, Please!!! First, let’s talk about what methanol is. Methanol is chemically similar to ethanol, the alcohol in adult beverages. Methanol gets into hand sanitizers when the ethanol ingredient is contaminated with methanol. When ethanol is made by distilleries, sometimes inadvertently methanol is distilled into the product, so then it becomes part of the hand sanitizer.

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