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JCI early table of contents for July 9, 2012

2012-07-10
(Press-News.org) Breathing easy: keeping airways open

Asthma is an increasingly common chronic disorder characterized by wheezing and shortness of breath. Symptoms are caused by excessive airway smooth muscle contraction; however mechanisms serving to keep airways open are not fully understood. Dean Sheppard and colleagues at the University of California at San Francisco have revealed a pathway required for preventing exaggerated airway smooth muscle contraction. Their work investigates a protein called α9β1, which is highly expressed in airway smooth muscle, and makes use of a mouse model that lacks α9β1 in smooth muscle. These mice exhibited increased airway narrowing, suggesting that α9β1 inhibits smooth muscle contraction. The enzyme SSAT, which breaks down polyamines such as spermine and spermidine, is known to bind α9β1 and is required for α9β1-mediated cell movement. Their results show that SSAT is also involved in restraining airway smooth muscle contraction, likely downstream of α9β1. Their work provides insight into a pathway counteracting airway contraction, which could be used to develop treatment options that prevent asthma symptoms.

TITLE:
Integrin α9β1 in airway smooth muscle suppresses exaggerated airway narrowing AUTHOR CONTACT:
Dean Sheppard
UCSF, San Francisco, CA, USA
Phone: 415-514-4269; Fax: 415-514-4278; E-mail: dean.sheppard@ucsf.edu

View this article at: http://www.jci.org/articles/view/60387?key=85724bb916ec4ac0fed8

METABOLISM Crosstalk between glucose and lipid metabolism

Regulating metabolism requires coordination of the production, storage, and breakdown of nutrients in response to both availability and demand. Such regulation requires complex pathways to control the activity of metabolic enzymes and the rate at which metabolic genes are transcribed. Dr. Kristina Schoonjans and co-workers at the Ecole Polytechnique Fédérale in Lausanne, Switzerland report on the role of liver receptor homolog 1 (LRH-1), a transcription factor with important functions in lipid metabolism and reverse cholesterol transport. Their work uncovers new functions for LRH-1 in sensing and responding to glucose. In mice with conditional deletion of Lrh1 in liver, they observed impaired glucose production, reductions in the storage of glucose as liver glycogen, and less lipid generation in response to glucose exposure. Their work demonstrates that LRH-1 is important for glucose-sensing and for coordinating glucose and lipid metabolism after feeding.

TITLE:
LRH-1–dependent glucose sensing determines intermediary metabolism in liver AUTHOR CONTACT:
Kristina Schoonjans
Ecole Polytechnique Fédérale de Lausanne, Lausanne, CHE
Phone: +41216931891; E-mail: kristina.schoonjans@epfl.ch View this article at: http://www.jci.org/articles/view/62368?key=c1bf94afdd9381c598fc

ONCOLOGY

Decreasing cancer risk associated with inflammatory bowel disease

Inflammatory bowel disease is caused by chronic inflammation , which leads to damage of the intestinal epithelium. Patients with inflammatory bowel disease have an elevated risk for developing colorectal cancer because of this chronic inflammation. In an effort to develop strategies to break the cycle of inflammation, Dr. Brent Polk and colleagues at the University of Southern California in Los Angeles examined two mouse models of colorectal cancer. Their work shows that inactivating a key receptor, known as epidermal growth factor receptor, increases the frequency and severity of colorectal tumors. Though epidermal growth factor has well-defined roles in promoting tumor growth, the Polk team now finds that epidermal growth factor receptor can ameliorate the response to chronic inflammation and reduces tumor development by fine-tuning inflammation and the generation of intestinal epithelium. Their results suggest that promoting epidermal growth factor activity in patients with inflammatory bowel disease could decrease long-term cancer risk by reducing inflammation. TITLE:
Epidermal growth factor receptor inhibits colitis-associated cancer in mice AUTHOR CONTACT:
D. Brent Polk
University of Southern California and Childrens Hospital Los Angeles, Los Angeles, CA, USA
Phone: 323-361-2278; E-mail: dbpolk@chla.usc.edu View this article at: http://www.jci.org/articles/view/62888?key=ab673ae8215aaf449677 ONCOLOGY Differentiating effects on skin cancer Squamous cell carcinomas (SCCs), which are the most aggressive form of non-melanoma skin cancer, typically have functional impairment in the tumor suppressor protein p53. Dr. Erwin F. Wagner and colleagues from the Centro Nacional de Investigaciones Oncologicas in Madrid, Spain recently uncovered new mechanisms mediating p53 impairment and its role in SCC tumor suppression. They found that deletion of the Fos gene reduced tumor development in a mouse model of skin carcinogenesis. The FOS protein was found to directly repress p53, preventing its tumor suppression function. Deleting Fos and the gene encoding p53 together resulted in tumors with impaired differentiation. The Wagner team went onto show that p53 directly upregulates TACE, a metalloprotease, involved in cell differentiation. Levels of FOS in human tumor tissue correlated with inactive TACE expression and poorly differentiated tumors. Lastly, the combination of FOS inhibition and the presence of a normal gene encoding p53 caused differentiation and inhibited proliferation in cells derived from human SCCs. These results suggest inhibition of FOS and activation of the p53-TACE axis could be considered as future treatments for SCC.

TITLE:
Differentiation-induced skin cancer suppression by FOS, p53, and TACE/ADAM17 AUTHOR CONTACT:
Erwin F. Wagner
CNIO, Madrid, UNK, ESP
E-mail: ewagner@cnio.es View this article at: http://www.jci.org/articles/view/63103?key=4ba08a4ecb33e87c7648

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ELSE PRESS RELEASES FROM THIS DATE:

Decreasing cancer risk associated with inflammatory bowel disease

2012-07-10
Inflammatory bowel disease is caused by chronic inflammation , which leads to damage of the intestinal epithelium. Patients with inflammatory bowel disease have an elevated risk for developing colorectal cancer because of this chronic inflammation. In an effort to develop strategies to break the cycle of inflammation, Dr. Brent Polk and colleagues at the University of Southern California in Los Angeles examined two mouse models of colorectal cancer. Their work shows that inactivating a key receptor, known as epidermal growth factor receptor, increases the frequency and ...

New silk technology preserves heat-sensitive drugs for months without refrigeration

2012-07-10
MEDFORD/SOMERVILLE, Mass. (July 9, 2012, 3 PM EST) Researchers at Tufts University School of Engineering have discovered a way to maintain the potency of vaccines and other drugs -- that otherwise require refrigeration -- for months and possibly years at temperatures above 110 degrees F, by stabilizing them in a silk protein made from silkworm cocoons. Importantly, the pharmaceutical-infused silk can be made in a variety of forms such as microneedles, microvesicles and films that allow the non-refrigerated drugs to be stored and administered in a single device. The ...

Marcellus brine migration likely natural, not man-made

2012-07-10
A Duke University study of well water in northeastern Pennsylvania suggests that naturally occurring pathways could have allowed salts and gases from the Marcellus shale formation deep underground to migrate up into shallow drinking water aquifers. The study found elevated levels of salinity with similar geochemistry to deep Marcellus brine in drinking water samples from three groundwater aquifers, but no direct links between the salinity and shale gas exploration in the region. "This is a good news-bad news kind of finding," said Avner Vengosh, professor of geochemistry ...

Generic drugs key to US overseas HIV relief

2012-07-10
PROVIDENCE, R.I. [Brown University] — The President's Emergency Plan for AIDS Relief (PEPfAR) began in 2003 with good intentions, but it was not until the U.S. government's massive overseas public health campaign adopted generic drugs that it became a success, according to a new article by Brown University researchers in the July issue of the journal Health Affairs. Nearly a decade later, expanding the availability of generics remains urgent, especially as doctors in the field encounter resistance to first-line treatment regimens. "By 2002 generic drugs had been shown ...

Uncircumcised boys at higher risk of urinary tract infections

2012-07-10
Uncircumcised boys are at higher risk of urinary tract infection, regardless of whether the urethra is visible, found a new study published in CMAJ (Canadian Medical Association Journal). Urinary tract infections are one of the most common serious bacterial infections in children and, if not treated, can cause an infection of the blood or scar the kidneys. To determine whether the risk for infection is higher in boys with a visible urethral meatus, researchers looked at a cross-section of 393 boys who visited an emergency department with symptoms of a possible urinary ...

Canada's Bill C-31 to change immigration act could severely affect mental health of refugees

2012-07-10
The Canadian government's proposed Bill C-31 to change the country's immigration act could have serious negative impacts on the mental health of refugees, states a commentary in CMAJ (Canadian Medical Association Journal). Under the proposed Bill C-31, the Protecting Canada's Immigration System Act, which targets refugee claimants, children under age 16 will be separated from their parents or held informally in a detention centre with their mothers. Family reunification for recognized refugees will be delayed until five years and detention reviews will not occur for ...

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2012-07-10
A new study finds that the use of drug-eluting stents after angioplasty bears little relationship to patients' predicted risk of restenosis (reblockage) of the treated coronary artery, the situation the devices are designed to prevent. In an Archives of Internal Medicine paper receiving early online publication, a multi-institutional research team reports that the devices are used in treating more than 70 percent of patients at low risk of restenosis. Since patients receiving these stents need to take costly anticlotting medications for at least a year – medicines that ...

PEPFAR HIV/AIDS programs linked to uptick in babies born at health facilities in sub-saharan Africa

2012-07-10
While HIV programs provide lifesaving care and treatment to millions of people in lower-income countries, there have been concerns that as these programs expand, they divert investments from other health priorities such as maternal health. Researchers at Columbia University's Mailman School of Public Health assessed the effect of HIV programs supported by the President's Emergency Plan for AIDS Relief (PEPFAR) on access to maternal health care in sub-Saharan Africa for women who are not infected with HIV. The findings show that, in fact, PEPFAR-funded, HIV-related projects ...

Cranberry products associated with prevention of urinary tract infections

2012-07-10
EMBARGOED FOR RELEASE: 3 P.M. (CT), MONDAY, JULY 9, 2012 CHICAGO – Use of cranberry-containing products appears to be associated with prevention of urinary tract infections in some individuals, according to a study that reviewed the available medical literature and was published by Archives of Internal Medicine, a JAMA Network publication. Urinary tract infections (UTIs) are common bacterial infections and adult women are particularly susceptible. Cranberry-containing products have long been used as a "folk remedy" to prevent the condition, according to the study background. Chih-Hung ...

Study examines quality of life factors at end of life for patients with cancer

2012-07-10
CHICAGO – Better quality of life at the end of life for patients with advanced cancer was associated with avoiding hospitalizations and the intensive care unit, worrying less, praying or meditating, being visited by a pastor in a hospital or clinic, and having a therapeutic alliance with their physician, according to a report published Online First by Archives of Internal Medicine, a JAMA Network publication. When treatments to cure a patient's cancer are no longer an option, the focus of care often shifts from prolonging life to promoting the quality of life (QOL) at ...

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[Press-News.org] JCI early table of contents for July 9, 2012