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How can a new combination drug treatment fight childhood brain cancer with increased effectiveness?

TeachableMedicalNews article 02272024

Teachable moment in classrooms:

  1. cellular basis of life chapter – cell cycle, and phases of mitosis
  2. cellular basis of life chapter – concept of gene mutation leading to protein malfunction
  3. cellular basis of life chapter – enzymes are proteins that catalyze chemical reactions
  4. nervous tissue chapter – functions of the neuroglial cells

The news item:  Recently this reporting appeared online:

Novartis drug combo shows promise in childhood brain cancer

An oral drug combination by Swiss pharmaceuticals company Novartis showed promise in treating a subgroup of patients suffering from a common childhood brain cancer in a trial.

 

The article describes a new drug combination for the treatment of childhood brain cancer, namely low grade glioma. The article states that about 1000 children are diagnosed yearly with this brain cancer, and that the study participants were between the ages 1 and 17. The new treatment slowed the cancer progression more than standard chemotherapy.

So, Why Do I Care??  Brain cancer in children is very disruptive to their development and education, and even worse, it can end their lives. In addition, parents, siblings, relatives, classmates all suffer emotional trauma. New treatments that slow the progression of these gliomas promise fewer disruptions and longer survival.

Plain English, Please!!!   First, let’s talk about what a glioma is. Inside our brain and spinal cord there are cells called neuroglia. They support the working of neurons. When mutations cause the neuroglial cells to divide continually, then an abnormal accumulation of neuroglial cells results, thus a glioma forms. The most frequent mutations in gliomas are the ones that activate MEK kinase and the BRAF kinase enzymes. The normal function of these enzymes is to act inside the cells to add phosphate groups to proteins. Those phosphorylated proteins stimulate the start of cell division.

Second, let’s talk about how mutations of the MEK and BRAF kinases contribute to glioma development. Under normal circumstances the kinases are active only during interphase when a growth stimulating

Can our genes influence what we like to eat?

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. special senses chapter – taste receptors are in taste buds
  4. special senses chapter – role of G-proteins in sweet, bitter and savory taste receptors

The news item:  Recently this news article appeared online:

Bitter or Savory, Taste Genes Could Influence Your Diet

US News is a recognized leader in college, grad school, hospital, mutual fund, and car rankings. Track elected officials, research health conditions, and find news you can use in politics, business, health, and education.

 

The article states that a study was conducted to link previously described gene variations to the five basic taste types: sweet, sour, bitter, salty and savory. People with high sensitivity to bitter flavor ate fewer whole grains.  People with high sensitivity to savory flavor ate fewer vegetables. People with high sensitivity to sweet flavor had lower triglyceride levels.

So, Why Do I Care??  Changing ones diet have been part of many non-invasive prevention of diseases, and also part of maintaining a healthy lifestyle after surgery or after the start of new medication. However, changing ones diet is a challenging task, because of the stubborn food preferences we all develop. If those food preferences can be linked to genetic function, then dietary changes could be guided to accommodate those gene-influenced food preferences, and to give patients dietary prescriptions that we find easier to follow.

Plain English, Please!!!  First, let’s talk about the cells that detect tastes. On the surface of your tongue there are hundreds of small bumps called papilla, and inside each of those bumps sit taste receptor cells that detect chemicals around them. When those receptor cells detect taste-related chemicals, the cells then release neurotransmitters to start a nerve impulse in the axons of cranial nerve VII or IX.

Second, let’s talk about how taste receptors detect tastes. The five types of taste receptor cells are sensitive to different taste-causing chemicals (tastants). The “sour” receptor cells are sensitive to hydrogen ions, and the “salty” receptor cells are sensitive to sodium ions. For both of those receptors the

Can we really carry out vision tests with AR goggles and artificial intelligence app?

Teachable moment in classrooms:

  1. special senses chapter – location of retina, the third tunic of the eye
  2. special senses chapter – location and importance of macula lutea
  3. special senses chapter – the retina needs blood supply to bring oxygen and nutrients to the neurons of the retina
  4. special senses chapter – location of liquid-filled spaces inside the eye
  5. special senses chapter – the sensory cells called rods and cones of the retina detect light

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

 

Duncansville Eye Practice Using AR-Type Headset to Diagnose Major Eye Issues

A Duncansville eye practice is using a new augmented-reality device made by Florida-based company Heru to diagnose severe conditions in patients. This AR-like headset can detect serious eye diseases like Glaucoma in minutesand it’s being used right here in Blair County.

The report states that the HERU is a headset with goggles, and the equipment projects flashes of light in the visual field of the eye, and asks the test subject to respond when they see the light. Among other conditions, glaucoma can be diagnosed with the device.

So, Why Do I Care??  Deterioration of vision is a major threat to quality of life in an aging population. The most serious causes of vision loss are glaucoma and age-related macular degeneration, affect over 13 million people in the US. Faster and easier to perform diagnostic process can ensure that people can get an early diagnosis, and more effective treatment. In addition to those two eye disorders the HERU device can diagnose 7 additional eye disorders, indicating the versatility of the device.

Plain English, Please!!!  First, let’s talk about what glaucoma is. This eye disorder develops because of the increased pressure inside the eye. The pressure is coming from the accumulation of aqueous humor in the front (anterior) cavity inside the eye. The increased pressure is then transferred to the vitreous humor of the posterior cavity.  The vitreous humor compresses the blood vessels on the surface of the retina, and that slows the flow of oxygen and nutrients to the light-sensing cells (rods and cones). Picture a garden hose with water flowing through it. If someone steps on the hose the water flow slows down. The same happens to blood vessels of the retina if they are compressed. Without enough oxygen and nutrients the rods and cones start dying, and they no longer detect light, and that leads to vision loss.

Second, let’s talk about what age-related macular degeneration is. This eye disorder develops when a small patch of the retina, the macula lutea, malfunctions. The cause of macular degeneration is

Can we really diagnose concussion from a blood test?

TeachableMedicalNews article 05292023

Teachable moment in classrooms:

  1. cellular basis of life chapter – intermediate filaments are part of the cytoskeleton
  2. nervous system chapter – neurons and astrocytes are cells of the nervous system
  3. brain chapter – meninges are protective coverings of the central nervous system
  4. cardiovascular system chapter – reabsorption during capillary exchange brings degraded proteins into blood circulation
  5. brain chapter – cerebrospinal fluid is absorbed into venous sinus

The news item:  Recently the following report appeared online:

https://www.nbc12.com/prnewswire/2023/03/07/abbott-receives-fda-clearance-first-commercially-available-lab-based-blood-test-help-evaluate-concussion/?outputType=amp

The article states that a new blood test is available for patients who are suspected to have suffered concussion because of an impact injury, and that this test may help to find the patients who might need a CT scan for further evaluation. The test works by analyzing two biomarkers.

So, Why Do I Care??  Concussion happens frequently with over 2 million concussions occurring yearly in the USA. Whether it is from a car accident, from a fall, or from a collision at a sporting event, the consequence is impaired brain function. That comes with a price tag of over $40 billion per year medical cost and lost income in the USA.

Plain English, Please!!! First, let’s talk about what concussion is. An injury to the brain from a physical impact is called concussion. The symptoms can be a brief loss of consciousness followed by headache, memory impairment, loss of orientation, loss of cognitive functions, depression. The most dangerous aspects of concussion are the long-lasting effects.

Second, let’s talk about how the brain is injured by mechanical forces. While it is true that the meninges, the membrane-like covering of the brain, provide a moderate level of protection against sudden

How could the lead contamination in blueberries harm us?

TeachableMedicalNews article 04052023

Teachable moment in classrooms:

  1. nervous system chapter – axons and synapses as structures of neurons
  2. nervous system chapter – transmission of a nerve impulse using a chemical synapse
  3. nervous system chapter – formation of myelin sheet along axons
  4. cellular basis of life chapter – zinc-finger proteins in gene regulation
  5. endocrine system chapter – protein kinases are important for cellular actions

The news item:  Recently this report appeared:

Freeze-dried blueberries recalled due to potential lead contamination

The voluntary recall covers packages of organic blueberries sold under the brand name Natierra, with expiration dates of December 2022 and January 2025.

The article states that long term exposure to lead in children may affect the central nervous system causing learning disabilities, developmental defects, and in adults causing damage to the nervous system and internal organs.

So, Why Do I Care??  Long term exposure to lead harms about 500,000 children in the USA alone. The consequences last for decades, and can not be undone. It is good to understand why the metal lead poses such severe consequences.

Plain English, Please!!!  First, let’s talk about how lead (Pb in the periodic table) gets into our bodies. Typically, lead comes into our bodies through eating lead-contaminated food or drinking water, because lead compounds are soluble in water. The heavy metal lead has similar chemical properties to the biologically important metal calcium. Because of that similarity the small intestine readily absorbs lead just as it absorbs calcium.

Second, let’s talk about what biological processes are harmed by lead. Once absorbed into the bloodstream the lead ions take the place of the calcium and zinc ions. Here are a few examples. A. Lead

Can gene silencing relieve chronic pain?

TeachableMedicalNews article 02082023

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 – role of mRNA in protein synthesis
  4. nervous system chapter – pain receptor neurons detect chemicals of tissue damage
  5. blood chapter – the heme is the oxygen-binding part of hemoglobin

The news item:  Recently the following report appeared:

Gene silencing medicine transforms crippling pain

The NHS is set to fund innovative therapy that patients say has given them their lives back.

The article states that two sisters suffered tremendous pain from acute intermittent porphyria, and even opioid pain killers couldn’t block the pain. The article also states that the sisters received the injected givosiran drug which provided pain relief, and that the drug silences a gene, so buildup of a toxic protein is prevented.

So, Why Do I Care??  Constant, chronic pain prevents people from carrying on with their daily lives. Because traditional pain management approaches may not work on such patients, alternative pain relief methods are being explored. Porphyria is one of those disorders where pain relief may eventually come from the molecular understanding of the causation of pain. If the gene silencing approach is successful, it would be reasonable to explore it’s use for other disorders, and that might benefit many patients.

Plain English, Please!!!  First, let’s talk about what porphyria is. The heme part of hemoglobin is an organic chemical shaped as a large ring. That large ring is constructed by linking together small chemicals. That is similar to an assembly line that makes cars.  Each factory worker adds a piece to the half-finished car. The ring called heme is made on a molecular assembly line where the workers are enzymes. If one enzyme is missing (because of genetic mutations) the assembly line behind that worker keeps on humming, and partially completed ring pieces accumulate in the cell.  In the case of the disorder called porphyria the partially made ring is called amino levulinic acid (ALA). The sisters in the article suffer from such a genetic mutation, and ALA has accumulated in their bodies.

Second, let’s talk about why porphyria causes pain. The large amount of ALA spreads throughout the body of porphyria patients, and damages neurons, the liver, and the kidneys. The damaged cells leak

Can we relieve migraine pain by changing neurotransmitter balance in the brain?

TeachableMedicalNews article 12262022

Teachable moment in classrooms:

  1. nervous tissue chapter – conduction of nerve impulses by axons of neurons
  2. nervous tissue chapter – starting a new nerve impulse by neurotransmitters
  3. brain chapter – anatomical location of thalamus and postcentral gyrus
  4. brain chapter – anatomy and function of trigeminal nerve, cranial nerve V
  5. somatic senses chapter – nerve impulse pathway from pain receptors (nociceptors)

The news item:  Recently the following report appeared online:

New migraine medication given the green light

Migraine sufferers are excited when a new anti-migraine option is available. In this case, it’s medicine called Reyvow.

The article states that migraine is a neurological disorder that causes recurring pain, sensitivity to light, and nausea. Migraine affects 30 million people worldwide, and it is the leading cause of disability. While there are approved medications to treat migraine, this new option, called Reyvow, can be taken by people who have heart disease, high blood pressure, or a history of stroke. The article also states that Reyvow activates the (5-HT) 1F receptors that increase serotonin neurotransmitters and inhibit pain pathways.

So, Why Do I Care??  According to the American Migraine Foundation over 10 million adults in the US suffer from migraine, causing each year over $11 billion economic loss from lost workdays and lost productivity.  Because existing migraine treatment do not work for all patients, new treatments are welcome, because they widen the circle of patients who can be effectively treated.

Plain English, Please!!! First, let’s talk about how migraine occurs. This disorder is characterized by sudden onset feeling (perception) of headache pain, sensitivity to light, or nausea. These symptoms appear suddenly and repeatedly, and can distract and disable people from carrying out daily functions. At first it was thought that abnormal dilation (widening) of blood vessels of the brain caused it, but recently migraine has been linked to the malfunctioning of our nervous system.  According to that during migraine the neurons that make up the pain pathways create unwanted nerve impulses.

Second, let’s talk about what pain pathways are. In our nervous system the word “pathway” means a bundle of axons that carry and deliver nerve impulses to their destination. The pain-carrying nerve

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

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

How can the injectable medication Ozempic get TikTok users excited about weight loss?

TeachableMedicalNews article 08182022

Teachable moment in classrooms:

  1. endocrine system chapter – hormones deliver instructions through receptors
  2. nervous system – brain chapter – location and function of hypothalamus in the diencephalon
  3. digestive system chapter – cells of the small intestine make hormones that control appetite

The news item:  Recently the following report appeared:

https://www.yahoo.com/now/ozempic-touted-tiktok-weight-loss-185703991.html

 

 

the article stated that Ozempic is a prescription medication for type II diabetes, that Ozempic makes the pancreas to make more insulin, and that the weight loss is caused through the suppression of the appetite.

So, Why Do I Care??  One reason for caring is that it is unusual to see a side effect of a prescription drug that is a desirable side effect. The other reason to be interested is that we see an example of the sensitivity of the brain to hormones made in the small intestine. It becomes even more interesting, because it looks that the fight against the obesity epidemic just gained a new tool. About 50% of the adults and 25% of children in the USA are obese. Lowering the prevalence of obesity by weight loss could lower the occurrence of heart attacks, strokes, and several cancers.

Plain English, Please!!! First, let’s talk about what is Ozempic. The protein hormone GLP-1 (glucagon like peptide) is the active ingredient in Ozempic. GLP is a natural product of the cells in the human

What is the anatomy and physiology behind Justin Bieber’s facial paralysis?

TeachableMedicalNews article 07252022

Teachable moment in classrooms:

  1. skeletal muscle chapter –functioning of skeletal muscles depend on neuromuscular junction
  2. brain anatomy chapter – anatomy and function of cranial nerve VII
  3. muscular system chapter – actions of muscles of facial expression
  4. microbiology – viruses need to enter human cells

The news item:  A news report appeared recently:

Justin Bieber’s wife Hailey gives update after Ramsay Hunt syndrome diagnosis: ‘Getting better every day’

Justin Bieber has canceled several tour dates due to his Ramsay Hunt syndrome diagnosis. Here’s what we know about his recovery, concert plans.

The article stated that Justin Bieber is suffering from type II Ramsay-Hunt syndrome. This is caused by an activation of the Herpes Zoster virus (causes the disease called shingles) that causes paralysis of the facial muscles, and prevents blinking or smiling on one side of the face.

So, Why Do I Care  While it is true that facial paralysis is not a deadly disorder (and only 0.5% of shingles patients develop it), but understanding how it comes about can be useful.  Because facial paralysis gives unusual changes to one’s facial expressions, the symptom is highly visible.  That highly visible nature makes facial paralysis an early warning sign of strokes or trauma to cranial nerves, disorders that are serious malfunctions of the our nervous system.

Plain English, Please!!!  First, let’s talk about what paralysis is. The loss of movement of body part or parts is defined as paralysis. Body parts are moved by muscles, and muscles must receive nerve signals,

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