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How can an oral drug successfully treat the genetic disorder cystic fibrosis?

TeachableMedicalNews article 08142020

Teachable moment in classrooms:

  1. chemical basis of life chapter – protein structure and shape is important for proper function
  2. cellular basis of life chapter – ion channel proteins in plasma membrane
  3. cellular basis of life chapter – concept of gene mutation leading to protein malfunction
  4. cellular basis of life chapter – involvement of the smooth endoplasmic reticulum apparatus in protein processing
  1. tissue chapter –function of ciliated epithelium
  2. respiratory system chapter – anatomy of the conduction zone
  3. respiratory system chapter – the lining of bronchi and bronchioles

The news item:  Recently a new treatment was reported for cystic fibrosis:

Studies Yield ‘Impressive’ Results in Fight Against Cystic Fibrosis (Published 2019)

The findings hold promise for a vast majority of those with cystic fibrosis, according to the director of the National Institutes of Health. “This should be a cause for major celebration,” he wrote.

The article mentions that cystic fibrosis is a genetic disorder, and it affects the lungs and bowels of the patients.

So, Why Do I Care??  Over 30,000 people in the USA has cystic fibrosis, and 1000 new cases are diagnosed each year.  The mean life expectancy is age 44 for cystic fibrosis patients.  Only symptomatic treatments have been available until now, because gene therapy has been unsuccessful. Any treatment that reverses the root cause of this disorder is a revolutionary achievement that will literally breathe new life into patients.

Plain English, Please!!! First let’s talk about cystic fibrosis. This disorder causes

Can a self-injected treatment help asthma sufferers?

TeachableMedicalNews article 07262020

Teachable moment in classrooms:

  1. chemical basis of life chapter – protein structure determines biological activity
  2. cellular basis of life chapter – concept of receptor proteins in cell membranes
  3. tissue chapter – locations of smooth muscle
  4. immune system chapter – cytokines as stimulators of immune functions
  5. cardiovascular system chapter – white blood cell types in circulating blood
  6. respiratory system chapter – dilation and constriction of bronchioles

The news item:  Recently a new form of asthma treatment was in the news:

‘Life-changing’ asthma injection will be offered to patients

Around 100,000 patients in the UK whose symptoms are too bad for traditional inhalers or steroids will be eligible for treatment with benralizumab.

The article mentions the disorder eosinophilic asthma, that it is caused by too many white blood cells in the lungs, and that this asthma limits what sufferers may do in their day to day lives.

So, Why Do I Care??  Asthma is a respiratory disorder that afflicts 2.5 million people in the USA. In the age group of 35-50 year olds the eosinophilic asthma is the most frequent. Inhaled pharmaceuticals, common for asthma treatment, come with undesirable side effects after long-term use.  Attacking asthma from a different angle provide a new way to treat patients, and it may help people where inhaled asthma treatments fail.

Plain English, Please!!! First, let’s talk about asthma. While asthma may be started by different conditions, like allergies, cold temperature, the root cause of asthma is always the unwanted restriction of airflow into the lungs.  An important part of our respiratory system is made up of tubes that channel air deep into our lungs, to the air sacks. A set of those tubes, the bronchioles, are 1/20 of an inch in diameter, and they have the ability to narrow and restrict airflow, because the bronchioles have smooth muscle in their walls. When those smooth muscles contract, the narrowed bronchiole restricts airflow to the air sacks.

Could a targeted blockage of cell division become a new way to treat breast cancer ?

TeachableMedicalNews article 07162020

Teachable moment in classrooms:

  1. chemical basis of life – tertiary structure of proteins
  2. cellular basis of life chapter – cell cycle
  3. cellular basis of life chapter – stages of mitosis
  4. reproductive system chapter – structures of the mammary gland

The news item:  Recently a new form of cancer treatment was in the news:

Newer drug extends lives of young breast cancer patients, study finds

The drug Kisqali (ribociclib) is already approved by the FDA, and new research shows it helps some breast cancer patients live longer

The article states that the drug Kisquali extended the survival time of breast cancer patients, and that the drug is a CDK4/6 inhibitor.

So, Why Do I Care??  In the USA alone there will be over 270,000 breast cancer cases in 2020, and it is expected that more than 47,000 breast cancer deaths will happen.  Any improvement in the survival rate over the treatment by traditional chemotherapy is good news.  In addition, attacking breast cancer from a new direction may improve the treatment of other cancers as well.

Plain English, Please!!! First, let’s talk about breast cancer. This cancer is not actually the cancer of the entire breast. Within the breast tissue there is a gland called mammary gland that makes milk in mothers after giving birth. The milk is made in deeper segments of the gland, and several tubes called lactiferous ducts bring the milk to the skin surface. It is the cells of those ducts that develop cancer in most breast cancers.

Why does the antiviral treatment of AIDS patients lead to bone fractures?

TeachableMedicalNews article 06262020

Teachable moment in classrooms:

  1. cellular basis of life chapter – transcription
  2. skeletal system chapter – actions of osteoblasts and osteoclasts
  3. skeletal system chapter– osteoclast form from monocyte
  4. microbiology – reverse transcriptase of HIV
  5. microbiology – lifecycle of retroviruses like HIV

The news item:  A recent news article reminded us the bone fractures suffered by  AIDS (acquired immunodeficiency syndrome) patients as the result of the side effect of their treatment:

https://www.washingtonblade.com/2019/07/18/gilead-hit-with-more-lawsuits-over-harmful-side-effects-of-aids-drug/

While the report is about lawsuits against the maker of one antiviral drug, the article is a reminder of the substantial bone loss in treated AIDS patients.

So, Why Do I Care??  In the USA there are over 500,000 AIDS patients who receive antiviral treatment to manage the disease. Most of them are in the 20-40 age range, so their bone health will affect them for decades of their lives. In addition, this surprise side effect may become the motivation for new research into osteoporosis, and that knowledge may improve the living conditions of all patients with osteoporosis.

Plain English, Please!!! First, let’s talk about what is in that antiviral pill. One component stops the reproduction of the virus; this called a reverse transcriptase inhibitor, and chemically it is a nucleotide type of chemical.  The other component stops the release of new virus particles; that is called a protease inhibitor, and chemically it is a small organic molecule.  Neither of these components target bones, so bone loss is an unexpected side effect.

How could the drug Opaganib help us defeat the SARS-CoV-2 coronavirus?

TeachableMedicalNews article 05022020

Teachable moment in classrooms:

  1. cellular basis of life chapter – cell cycle and mitosis
  2. blood chapter – white blood cell types and their functions
  3. respiratory system chapter – alveoli as the sites of gas exchange
  4. respiratory system chapter – immune defense cells of alveoli
  5. lymphatic and immune system chapter – events of inflammation

How could the drug Opaganib help us defeat the SARS-CoV-2 coronavirus?

The news item:  Recent articles reported that the investigational drug Opaganib will be evaluated as potential treatment of SARS-CoV-2 infected patients:

https://www.timesofisrael.com/2-israeli-covid-19-patients-improve-in-experimental-drug-trial/

The news item mentions that the drug has an anti-inflammatory effect, and that it is a sphingosine kinase inhibitor.

How could the antiviral drug remdesivir help us defeat the SARS-CoV-2 coronavirus?

TeachableMedicalNews article 04182020

Teachable moment in classrooms:

  1. chemical basis of life chapter – nucleotides that make up RNA
  2. cellular basis of life chapter – RNA production for cellular uses
  3. microbiology – corona viruses are RNA viruses

The news item:  A recent article discussed clinical trial results of the drug remdesivir:

Report: Covid-19 patients recovering quickly after getting experimental drug | CNN

Covid-19 patients who are getting an experimental drug called remdesivir have been recovering quickly, with most going home in days, STAT News reported Thursday after it obtained a video of a conversation about the trial.

The news item mentions promising anecdotal information of the drug, and that it was found effective in animals against other coronavirus-based diseases.

So, Why Do I Care??  Have you been living under a rock in the last few

Can we treat sickle cell anemia by making red blood cells less sticky?

TeachableMedicalNews article  04012020

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 – adhesion proteins in plasma membrane
  4. blood chapter – red blood cell structure
  5. blood chapter – sickle cell anemia caused by globin gene mutation

The news item:  Recently a new drug, Adakveo, was approved to treat sickle cell anemia patients:

https://www.cnbc.com/2019/12/20/novartis-wins-medicaid-approval-for-new-sickle-cell-drug-in-key-us-states.html

The article mentions that this disorder afflicts 100,000 people in the USA, that the disorder is caused by sickle shaped red blood cell, that the drug is a biological and injectable drug, and that the drug treats the pain crises of this disorder.

So, Why Do I Care??  There are millions of people living with this disease

In what possible way could chloroquine defeat the mighty COVID 19 disease?

TeachableMedicalNews article 03202020

Teachable moment in classrooms:

  1. cellular basis of life chapter – receptor mediated endocytosis
  2. cellular basis of life chapter – fusion of endosome with lysosome
  3. cellular basis of life chapter – enzymes inside the lysosome require low pH
  4. microbiology – coronaviruses receptors on cell membranes
  5. microbiology – coronaviruses and their release into the cytoplasm

The news item:  A possible treatment of COVID 19 patients made the news recently:

Chloroquine, an old malaria drug, may help treat novel coronavirus, doctors say

According to early research, an old malaria drug called chloroquine might also work for the new coronavirus.

The article mentions the drug chloroquine, and that it blocks the attachment of the virus to cultured cells.  This latter point is inaccurate, so read on to find out the truth.

So, Why Do I Care??  Have you been living under a rock in the last two

Can anyone be born without skin?

TeachableMedicalNews article 03132020

Teachable moment in classrooms:

  1. chemical basis of life chapter – concept of one gene, one protein
  2. cellular basis of life chapter – gene mutation leading to protein  malfunction
  3. tissue chapter – junctional structures, hemidesmosomes
  4. integumentary system chapter – functions of epidermis

The news item:  Recently an article appeared about a newborn who was missing a good part of his skin:

Baby born without skin puzzles doctors, but mom says ‘we have faith, that’s all that matters’

Houston doctors are running tests to diagnose a baby born with most of his skin missing. Mom’s only been able to hold baby twice in three months.

The article mentioned the disorder epidermolysis bullosa, genetic testing for diagnosis, and the low frequency of this disorder.

So, Why Do I Care??  While the combination of the aplasia cutis and

Can an ancient disease cancel a Phish concert?

TeachableMedicalNews article 03052020

Teachable moment in classrooms:

  1. cellular basis of life chapter – endocytosis as cellular transport
  2. immune system chapter – phagocytosis by the cells of the innate immune system
  3. immune system chapter – activation of the B cells by macrophages in the adaptive immune system
  4. immune system chapter – antibodies speed up phagocytosis of invading microbes
  5. microbiology —  pathology of Yersinia pestis bacterium

The news item:  Recently the disease called plague was reported to disrupt camping and other preparation for a Phish concert in Denver:

Plague-ridden prairie dogs force cancellation of Phish camping event

This is probably not what Phish had in mind when they wrote their 1994 single, “Down with Disease.” Self-proclaimed “Phans” of the legendary jam band are singing the blues a…

The article mentioned that prairie dogs were infected with the plague, and there was concern that the plague would be passed on to concert goers.

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