Category Archives: Physiology

Small molecule transports iron in mice, human cells to treat some forms of anemia – University of Illinois Urbana-Champaign

CHAMPAIGN, Ill. A natural small molecule derived from a cypress tree can transport iron in live mice and human cells lacking the protein that normally does the job, easing a buildup of iron in the liver and restoring hemoglobin and red blood cell production, a new study found.

Stemming from a collaboration between researchers at the University of Illinois Urbana Champaign, the University of Michigan, Ann Arbor and the University of Modena in Italy, the study demonstrated that the small molecule hinokitiol potentially could function as a molecular prosthetic when the iron-transporting protein ferroportin is missing or defective, offering a potential treatment path for ferroportin disease and certain kinds of anemia.

This is a really striking demonstration in a whole animal model that an imperfect mimic of a missing protein can reestablish physiology, acting as a prosthesis on a molecular scale, said study co-leader Dr. Martin D. Burke, a professor of chemistry at Illinois and a member of the Carle Illinois College of Medicine, as well as a medical doctor. The implications are really quite broad with respect to other diseases caused by loss of protein function.

Ferroportin is a protein that forms a channel for transporting iron in and out of cells. Ferroportin deficiency can be due to a genetic mutation or caused by inflammation or infection. Patients without the protein have an excess buildup of iron in the liver, spleen and bone marrow, particularly in a type of cell called a macrophage. Macrophages in the liver chew up old red blood cells and transport the iron in them for recycling into new red blood cells. However, without ferroportin, the iron builds up inside the cells and cant be recycled, Burke said.

Removing blood from the body, as is usually done for other diseases caused by iron buildup, is not an efficient treatment, since the buildup is localized and iron levels in blood are actually low, said study co-author Dr. Antonello Pietrangelo, a professor of medicine at Modena. Pietrangelo was the first to identify genetic ferroportin disease in patients as distinct from a more well-documented form of iron overload that causes iron to build up in blood serum.

Burkes group at Illinois detailed hinokitiols ability to shuttle iron across cell membranes and correct anemia in zebrafish in 2017, establishing it as a potential candidate for therapeutic application. In the new study, published in the journal PNAS, researchers studied hinokitiols action in live mice lacking the gene for ferroportin, as well as in macrophages from patients with ferroportin disease.

Michigan professor Young-Ah Seo co-led the study.

Photo courtesy of Young-Ah Seo

Edit embedded media in the Files Tab and re-insert as needed.

Michigan professor Young-Ah Seos research group, which studies genetic disorders of iron and manganese, provided proof-of-concept that hinokitiol could improve anemia in mice.

We saw that the mice treated with hinokitiol reduced iron accumulation in the liver and improved hemoglobin and red blood cell production, said Seo, a professor of nutritional biochemistry and a co-lead author of the study. These findings suggest that hinokitiol could deliver iron from the liver to red blood cells and thus improve hemoglobin in mice.

The researchers noted that although the iron distribution still fell short of normal in mice treated with hinokitiol, hemoglobin and red blood cell levels were improved to normal range. This indicates that the small molecule, while not a perfect replacement for ferroportin, could effectively address anemia, said Illinois graduate student Stella Ekaputri, the first author of the study.

In healthy organisms, there is a threshold of functionality. Our goal is to give a little bit of a boost so that the threshold is reached, Ekaputri said. Even though our small molecule is not perfect, homeostasis is recovered for hemoglobin. Just a little bit of boost is enough to overcome the bottlenecks that are created by the ferroportin deficiency.

The researchers dug deeper to understand the mechanisms of how hinokitiol bolstered iron transport and hemoglobin production in mice. They found that hinokitiol bound to iron within the macrophages where it had built up and ferried the iron out of the cells. Then, hinokitiol handed off the iron to another protein, transferrin, which inserted the iron back into the normal hemoglobin-production cycle, the researchers found.

The researchers verified that hinokitiol functioned the same way in human cells by studying its action in liver macrophages from human patients with ferroportin disease.

Modena professor Antonello Pietrangelo co-led the study.

Photo courtesy of Antonello Pietrangelo

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Using our patients macrophages, we were able to show that hinokitiol can very efficiently remove free iron and also iron stores from macrophages of patients with different mutations, Pietrangelo said. This, combined with the data in mice that show the hinokitiol also is effective in vivo, opens a completely new avenue for the treatment of this disorder.

The researchers are working with the company Kinesid Therapeutics, founded by Burke, to facilitate further work toward clinical application for hinokitiol or its derivatives.

The National Institutes of Health supported this work.

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Small molecule transports iron in mice, human cells to treat some forms of anemia - University of Illinois Urbana-Champaign

USask researchers awarded NSERC funding for future innovation in science, health and engineering – USask News

NSERC Discovery Grant recipients

The below list are the recipients of the 2022 Natural Sciences and Engineering Council of Canada (NSERC) Discovery Grants Discovery Grant amounts are awarded in instalments over a period of five years. Early career researchers were also eligible to receive a $12,500 supplement to kickstart their research program.

Julia BoughnerAnatomy, Physiology and Pharmacology College of MedicineThe Evo-Devo of Vertebrate Teeth & Jaws$280,000

Michelle CollinsAnatomy, Physiology and Pharmacology - College of MedicineExploring calcium signaling in the heart$185,000Discovery Launch Supplement for Early Career Researchers recipient - $12,500Peiqiang YuAnimal and Poultry Science College of Agriculture and BioresourcesIn-Depth Study of Feed Internal Molecular Structure and Nutrient Make-up within Cellular and Sub-cellular Dimensions Using Advanced Synchrotron Radiation Based Bioanalytical Techniques$217,360Kerry LavenderBiochemistry, Microbiology, and Immunology - College of MedicineIFNa subtype-specific modulation of intrinsic, innate and adaptive immunity$140,000Discovery Launch Supplement for Early Career Researchers recipient - $12,500Anil Kumar Victoria AnsalemBiochemistry, Microbiology, and Immunology - College of MedicineDiscovery and Characterization of Cellular Factors Modulating Type III Interferon Induction and Signaling$140,000Discovery Launch Supplement for Early Career Researchers recipient - $12,500Philip McLoughlinBiology College of Arts and ScienceHierarchical density dependence in large animal ecology and evolution$200,000Bishnu AcharyaChemical and Biological Engineering College of EngineeringValorization of agriculture and organic biomass to high value bioproducts$195,000Ramin AzargoharChemical and Biological Engineering - College of EngineeringSynthesis of advanced carbon materials from waste biomass and their applications in energy and electronic devices$130,000Discovery Launch Supplement for Early Career Researchers recipient - $12,500Oon-Doo BaikChemical and Biological Engineering - College of EngineeringWhy Radio frequency heating is more effective to deactivate and release non-nutritive components from pulses$140,000Timothy KellyChemistry - College of Arts and ScienceUpscaling organic and hybrid optoelectronics: synthesis, processing, and advanced characterization$310,000Christopher PhenixChemistry - College of Arts and ScienceExploring Fundamental Strategies For Imaging Hydrolytic Enzymes$180,000David SandersChemistry - College of Arts and ScienceUsing Structural Studies to Investigate the Relationships Between Enzymes and Ligands$170,000Christopher HawkesCivil, Geological and Environmental Engineering - College of EngineeringAssessing the technical aspects of spent nuclear fuel storage in deep horizontal boreholes$155,000Laura SmithCivil, Geological and Environmental Engineering - College of EngineeringDeveloping novel in situ methods to monitor and quantify groundwater storage changes in cold regions$135,000Discovery Launch Supplement for Early Career Researchers recipient - $12,500Ian McQuillanComputer Science - College of Arts and ScienceAlgorithms and Inference of Grammars and Natural Computing Models$205,000Cody PhillipsComputer Science - College of Arts and ScienceDeveloping Games and Tools to Overcome Procrastination$125,000Discovery Launch Supplement for Early Career Researchers recipient - $12,500Takuji TanakaFood and Bioproduct Sciences - College of Agriculture and BioresourcesDirected Evolution of Lactococcus lactis Xaa-Pro dipeptidase based on the rationales given through X-ray crystallographic studies$165,000Xulin GuoGeography & Planning College of Arts and ScienceIntegrating measures of grassland function using Remote Sensing$180,000Cherie WestbrookGeography & Planning - College of Arts and ScienceImpacts of Beaver Systems on Lateral and Downstream Hydrological Connectivity$255,000Ingrid PickeringGeological Sciences - College of Arts and ScienceChemistry of Selenium in Life and Interplay with Toxic Elements$310,000Alexander WeekesMathematics and Statistics - College of Arts and ScienceInteractions between representation theory, algebraic geometry, and physics$130,000Discovery Launch Supplement for Early Career Researchers recipient - $12,500Curtis WendlandtMathematics and Statistics - College of Arts and ScienceA rational approach to affine quantum algebras$130,000Discovery Launch Supplement for Early Career Researchers recipient - $12,500Donald BergstromMechanical Engineering - College of EngineeringImproved computational models for particle transport in turbulent wall-bounded flows$160,000James JohnstonMechanical Engineering - College of EngineeringDevelopment of Automated Techniques for Modelling Cartilage Morphology and Mechanics$230,000Amir Masoud GhezelbashPhysics and Engineering Physics - College of Arts and ScienceAspects of Black Holes in Modified Theories of Gravity: Holography, Weak Gravity Conjecture and Wedge Algebra$120,000Alexandre KoustovPhysics and Engineering Physics - College of Arts and ScienceStudy of the Earth's ionosphere with ground-based radars and Swarm satellites$140,000Andrei SmolyakovPhysics and Engineering Physics - College of Arts and ScienceEquilibrium, fluctuations, and transport in magnetically controlled plasmas$250,000Timothy SharbelPlant Sciences - College of Agriculture and BioresourcesFixing heterosis in Canola using apomixis$140,000Lorin EliasPsychology - College of Arts and ScienceSide Effects: How our lopsided brain influences everyday behaviour$140,000Adelaine LeungVeterinary Biomedical Sciences Western College of Veterinary MedicineNeural mechanisms integrating metabolism and reproductive behaviour in Drosophila melanogaster$160,000Suraj UnniappanVeterinary Biomedical Sciences - Western College of Veterinary MedicineHormonal Regulation of Feeding, Metabolism, Growth and Reproduction in Fish$325,000Arinjay BanerjeeVaccine and Infectious Disease Organization (VIDO)Bats as a model to understand the evolution of coronavirus-host interactions$185,000Discovery Launch Supplement for Early Career Researchers recipient - $12,500Aaron WhiteVaccine and Infectious Disease Organization (VIDO)Transmission and biofilm formation by pathogenic Salmonella strains$160,000

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USask researchers awarded NSERC funding for future innovation in science, health and engineering - USask News

Aging, Heart Studies on Station Ahead of Cygnus Reboost Test – NASA (.gov)

As the Moon sets below Earths horizon the atmosphere refracts, or bends, its light making it appear flatter in this photograph taken from the space station.

The seven-member Expedition 67 crew split its time with a variety of human research and lab maintenance tasks on Thursday. A U.S. resupply ship is also gearing up for a test of its ability to reboost the International Space Station this weekend before its departure next week.

NASA and its international partners continuously explore how living in space affects the human body. Numerous experiments investigate how space station crew members adapt to weightlessness during their months-long missions. Scientists on Earth gain insights into how the human physiology changes and inform ways to sustain crew health over the course of a long-term space mission.

NASA Flight Engineer Kjell Lindgren explored how living in space speeds up aging-like symptoms in humans today. He collected and stowed his blood and urine samples for the Phospho-Aging study that seeks to understand the molecular mechanisms behind the rapid loss of bone and muscle mass that takes place in microgravity. Results may inform countermeasures to keep astronauts healthier longer in space and improve the lives of aging citizens on Earth.

Astronauts Samantha Cristoforetti of ESA (European Space Agency) and Jessica Watkins of NASA worked throughout Thursday on station upkeep activities. Cristoforetti replaced centrifuge components inside the BioLab, a research facility that studies the effects of space and radiation on single celled and multi-cellular organisms. Watkins rearranged computer hardware and installed new science computer software in the Destiny laboratory module.

NASA astronaut Bob Hines, along with Lindgren, trained on a computer to remain proficient in SpaceX Crew Dragon vehicle operations. Hines also joined Watkins continuing to film and narrate station operations for downlinking to train astronauts scheduled on future missions.

Cosmonauts Oleg Artemyev and Sergey Korsakov attached sensors to themselves today monitoring their cardiac activity. Artemyev then activated Earth observation gear while Korsakov unpacked Russian cargo and worked on hatch sealing mechanisms. Flight Engineer Denis Matveev configured radiation detectors and measured the radiation environment aboard the orbiting lab.

NASA and Northrop Grumman have given the go for Cygnus to try another reboost attempt on Saturday that would lead to Cygnus potentially departing the station on Tuesday, June 28. The reboost is designed to provide Cygnus with an enhanced capability for station operations as a standard service for NASA.

Learn more about station activities by following thespace station blog,@space_stationand@ISS_Researchon Twitter, as well as theISS FacebookandISS Instagramaccounts.

Get weekly video highlights at:http://jscfeatures.jsc.nasa.gov/videoupdate/

Get the latest from NASA delivered every week. Subscribe here:www.nasa.gov/subscribe

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Aging, Heart Studies on Station Ahead of Cygnus Reboost Test - NASA (.gov)

Identifying Your Body’s Weaknesses in the Saddle: A Clinic with Mary Wanless – Eventing Nation

They say you should never meet your idols and while I have been to a Paul McCartney concert, meeting Mary Wanless was about as amazing as a rock concert. In May I attended a Mary Wanless Clinic. I have had her books on my shelf since before I can remember; in fact, Ride With Your Mind is one of the first horse book that I ever read. The moment I discovered I could audit her clinic literally right up the road, I immediately jumped on the opportunity.

It was an incredibly hot day in May one of those days where the breeze almost felt hotter than the ambient air. I pulled into the other side of Loch Moy Farms (who knew they had an indoor over there) and walked into an arena not knowing my mind was about to be rocked.

I am not going to lie when I say I had high expectations for this clinic. I had read cover-to-cover many books before but none of them had it me as hard as The New Anatomy of Rider Connection. This book came out at a time when I was deeply immersed in anatomy trains and the importance of facia through my yoga teacher training. When I saw that Mary Wanless had applied the anatomy trains not only to the rider but to the horse I was hooked. I have read this book at least three times and every time I pick it up, I am learning something new.

If you are a total nerd for anatomy and physiology like me, this book is for you. However, if you are just looking to ride better, this book is also for you. That was one of the things that amazed me about Marys teaching style: she could meet the rider at the level they are at.

Whether that was a young girl just taking her first canter steps or a professional dressage rider, Marys knowledge of the riders body could talk circles around me, and I consider myself pretty well versed in the body (I have a four year degree in Kinesiology with a concentration in exercise science, have been a personal trainer for close to ten years and spent the last two years working for a physical therapy practice). That said I have dedicated my life to learning about the body, and it excites me when I find somebody who is truly a master of their craft.

AND she signed the book!

I missed the first day of the clinic because I had to work (damn mortgages). If I could go back in time, I would have rearranged to be there all three days, preferably with a horse but that was not meant to be at this time. I walked into the second day thinking I have read this book I can catch on and I did but I would have loved to see the transformation in the riders way of going across all three days.

The biggest take away and what I am bringing back to you is the kneel exercise she taught on the second days lecture portion. This is a great way to determine if you are relying more heavily on your Superficial Back Line or your Superficial Front Line these lines are the fascia trains that make up everyones body.

So what is fascia? According to Google, Fascia is a thin casing of connective tissue that surrounds and holds every organ, blood vessel, bone, nerve fiber and muscle in place. The tissue does more than provide internal structure; fascia has nerves that make it almost as sensitive as skin. It has been said that if you were to take everything else out of the body and only leave the fascia you would still be able to recognize the person in front of you. It was thought for many years in western medicine that fascia was mostly inert. But how could something so pervasive be useless? The simple is answer is: it is not!

If you havent heard of this, read the book! If you have heard of it, good! This should interest you READ THE BOOK. There is a reason its a book and not a blog post. The concepts simply can not be boiled down into a cliff notes version.

This exercise is quite hard on the knees, so I do not recommend this for those that struggle with knee pain. I also do not recommend doing it to muscle failure, but rather use it as a fact-finding mission.

1: Start by kneeling on even ground.

2. Place your hands on your stomach and you back just above your pelvis with your palms flat.

3. Engage through your core keep you tail bone tucked under.4. Lift up by leading with your belt buckle, so that your hips are over top of your knees.

The goal of this exercise is to keep even pressure on your hands and not round your back or arch your back as you go through the range of motion. If you do round or arch your back, this is telling:

If you tend to round your back, you are stronger on your superficialfrontline.

If your tendency is to arch your back to come up, youre more tight in you superficial back line.

If your tendency is to round your back, you are strong on your superficial front line. This means your tendency would be to be to get into more of a crouched position in the saddle.

If your tendency is to arch your back to come up, youre more tight in you superficial back line. This means that you will more likely lean back in the saddle and get into more on a water skiing position. Continue to work on this exercise until you can keep even pressure on your stomach and back.

Want more Rider Physiology? Read Horse Nations review of The New Anatomy of Rider Connection here.

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Identifying Your Body's Weaknesses in the Saddle: A Clinic with Mary Wanless - Eventing Nation

Study: For good health, don’t stay up later than 2 hours on days off | The Asahi Shimbun: Breaking News, Japan News and Analysis –

Going to bed at least two hours later on days off and getting up that much later disturbs the weekday body cycle and is detrimental to overall good health, a study in Japan found.

We found that maintaining a regular sleep cycle and not staying up more than two hours later on days off prevents people from feeling dozy on weekdays, said Kazuhiro Yagita, a professor of environmental physiology at Kyoto Prefectural University of Medicine who headed the team with Yuh Sasawaki, an assistant professor in the same field.

They announced the finding on June 8. It was also publishedin the German academic magazine Journal of Sleep Research at (https://doi.org/10.1111/JSR.13661).

Yagita said people who wanted to stay up a bit later on days off should restrict the time difference to under two hours. The study also looked at larger time gaps with weekday sleep patterns to gauge the impact on healthto determinethe ideal time people should call it a night.

With that in mind, the team sent questionnaires to 13 high schools in northern and southern areas of Kyoto Prefecture. The researchers based their findings on answers from 756 students.

The study asked the respondents what time they turn in, how long they sleep, when they have meals and whether they feel drowsy during the day. The students were required to keep records over an eight-day period straddling a weekend.

Comparing the results with international sleep quality standards, the team found that students with poor sleep patterns accounted for more than half of the respondents. More than one-third felt so drowsy during the the daytime that they dozed off in classes at times.

To gain a better grasp of the situation, theteam looked at what they referred to as social jet lag. This refers tothe difference of the middle point between when to call it a night and when to waken on weekends compared with weekdays.

It becamestatistically obvious that a social jet lag of two hours or longer is associated with extremely lowered sleep quality and strong daytime drowsiness among students.

Whereas social jet lag was already known to affect the quality of sleep, no studies had been carried out over how large a gap will have a significant impact, according to the team.

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Study: For good health, don't stay up later than 2 hours on days off | The Asahi Shimbun: Breaking News, Japan News and Analysis -

Dr Christopher Thompson Discusses Innovative Treatment for Type 2 Diabetes and Obesity – AJMC.com Managed Markets Network

Christopher Thompson, MD, MSc, FASGE, FACG, AGAF, FJGES, director of endoscopy and codirector of the Center for Weight Management and Wellness at Brigham & Womens Hospital, professor of medicine at Harvard Medical School, discusses duodenal jejunal bypass liner treatment and future innovations in gastroenterology.

Christopher Thompson, MD, MSc, FASGE, FACG, AGAF, FJGES, director of endoscopy and codirector of the Center for Weight Management and Wellness at Brigham & Womens Hospital, professor of medicine at Harvard Medical School,discusses findings on treatment with duodenal jejunal bypass liner for patients experiencing type 2 diabetes and obesity. This interview took place during the recent annual meeting, Digestive Disease Week.

In this first part of a 2-part interview, Thompson discusses a study involving duodenal jejunal bypass liner (DJBL). This interview is edited lightly for clarity.

AJMC: When treating patients with type 2 diabetes and obesity who were being treated with insulin, what are some patient experiences you saw firsthand?

Thompson: I'm a gastroenterologist and an endoscopist, so I spend most of my time doing procedures. I do remember taking care of patients with diabetes when I was a resident. I know that once they get on insulin, they start to have a decline in their health; insulin causes weight gain and causes all sorts of other problemsit's not well tolerated. So, I guess I would say this is kind of a unique niche for gastroenterologists to care for obesity. There's a growing number of us but since I've really started caring for obesity, I started to see these diabetic patients again, and nothing seemed to have improved. I mean, it was so many years ago, 20 years ago, when I was a residentactually more than that probablytaking care of patients with diabetes and it seemed like it was very similar. There's more oral antidiabetic medications available now, but still, once they go on insulin, they don't seem to do very well. So, it's definitely time for a change, and whatever technology we can have to help these patients I think would be very welcomed.

AJMC: Can you first explain how the duodenal jejunal bypass liner (DJBL) works, and what makes it different from other treatments for patients with T2D and obesity trying to achieve similar results (such as bariatric surgery)? Why is this new method needed?

Thompson: The DJBL is quite unique in that it uses the body's physiology and an understanding of the physiology to treat type 2 diabetes. What it's doing is sheltering the duodenum from seeing any food, and it's also preventing the mixing of food with bile or pancreatic juices. Well, I could start by saying the DJBL is a 60-centimeter-long sheath, like a sleeve, is anchored in the duodenal bulb and extends all the way to just about the jejunum. What it does is it shelters the duodenal from contact with food or chyme, and it prevents the mixing of that food or chyme with bile and/or pancreatic juices. So, it is getting this undigested food and bile to the distal small bowel in a state where it has a pretty dramatic effect on incretin-producing cellswe thinksuch as L-cells, so that we're exploiting the cells production of GLP-1 and probably other substances that then have some beneficial effects on type 2 diabetes. They're known to increase insulin production and decrease glucagon, and cross the blood-brain barrier as a neurotransmitter and signal that the patient may be full, also slows gastric emptying. These substances, these gut hormones, have several beneficial effects.

AJMC: Can you summarize your research and findings into the utilization of the DJBL for this patient group?

Thompson: This was an FDA [approved] clinical trial, and they had some predefined end points. It was a randomized, sham-controlled trial with 2-to-1 randomization, so patients would be randomized. For every 2 patients, they got the procedure, 1 would get a sham procedure. The patients were blinded, as were the investigators that were following them. The predefined end points were both related to safety as well as efficacy. The efficacy end point involved hemoglobin A1C (A1C), and they wanted to see a changean improvementin A1C of at least .4% above the sham. Then, the safety end point was that they wanted the rate of serious adverse event-related device removal to be less than 15%.

So, the study did meet both of those end points, those primary end points. the treatment group was 1.1% drop in A1C. The sham was .3%. Clearly, it was well above that .4% margin, as an efficacy end point. The safety end point, I think it was just above 9% removals due to SAEs [serious adverse event-related device removal] and that's well below the 15%. So, it did meet both of those end points. However, what did also occur in this study was that the hepatic abscess rate was unexpectedly higher than they thought. This was not something they anticipated. All the patients did well, all hepatic abscesses resolved with antibiotics and some cases some percutaneous drainage. But that was just something that caught them off guard, so the company stopped the trial due to that.1

AJMC: Is there another study taking place as a result of these findings?

Thompson: Theres another registry trial run by a Dr Bob Ryder out of England. He's an endocrinologist. He has over 1000 patients in that and the hepatic abscess rate is only 1.1%, I believe. That's a lower rate than we were seeing in our study, but it has much more patients. It turns out that in our protocol, the PPI [proton pump inhibitor], we had maximum-dose PPIs; we were using very high-dose PPIs, and the rest of these patients the registry, they weren't. It makes sense that PPIs are certainlytheyre an independent risk factor for hepatic acid formation, and very high doses in diabetic population certainly could be the cause.

We started another trial. Now, we do not have the patients on PPIs. Were using H2-receptor antagonists, and they're doing really quite well.2 We've not seen any recurrence of hepatic abscesses so far. We've also instituted some measures to make sure that we would catch anything early as well. The patients have Wifi-enabled thermometers, and they take their temperatures every day, and they get monthly ultrasounds to look at the liver. We've not seen any further hepatic abscesses since we stopped PPIs, so we're cautiously optimistic

AJMC: How did this study ensure a diverse population? How do the findings reflect the needs of patients in various demographics?

Thompson: It is an FDA [approved] clinical trial, so they have in therekind of baked into itthey make sure you have a certain amount of diversity. What you try to do is find centers that are in different locations that would make sure to pull in a nice, wide, diverse population. We did, I think, have quite good diversity. Over 50% were womenof the patientsand we had a good breakdown from underrepresented minority status as well.

AJMC: What are the long-term implications of DJBLs? This study had a 12-month follow-up; are there any implications for a longer follow-up?

Thompson: Some other folks have looked at this. Oursyou knowthe analysis was done at 12 months because the sham patients were then offered an open-label placement of the device. That's really all you could do as far as the analysis goes, but other studies have looked at it more longitudinally. It seems like the results you see during the treatment period persist well after device removal, and it's not clear exactly why that's happening. It might be due to some kind of remodeling of the duodenal mucosa. There are other companies are looking at just ablating the mucosa, and they're getting good anti-diabetic effects as well. So, it might be that the duodenum itself changes over time, and that's what leads to the durability of the results.

AJMC: What other lifestyle changes do patients with DJBLs need to make?

Thompson: I think lifestyle is hugely important in achievement of obesity and diabetes, and keep in mind this population was a population of patients with obesity and diabetes, so it wasn't thin type 2 diabetics, which is a different population. No one had type 1 diabetes. Additionally, no one in this study was on insulin. Thats probably another important point to make, that these were people that you were trying to prevent them from going on insulin, right? It's not to say that it might not help get people off insulin, but I think that just the focus of the trial was to have a uniform population in a sense, and give it enough power and be able to understand the results. We had limited to people that were kind of poorly controlled diabetics, so their A1C had to be above 7.5% to 10%, somewhere in that range, and kind of maximal therapy, if you would, just short of insulin. We were trying to kind of look at that population specifically.

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Dr Christopher Thompson Discusses Innovative Treatment for Type 2 Diabetes and Obesity - AJMC.com Managed Markets Network

Could reptiles and amphibians hold the key to the fountain of youth? – Popular Science

When it comes to longevity, scientists have long suspected that scaly and slimy vertebrates have an edge. Galpagos tortoises, eastern box turtles, cave-dwelling salamanders known as olms, and a number of other reptiles and amphibians can live more than a century. And the oldest known land animal, a Seychelles giant tortoise named Jonathan, recently celebrated his 190th birthday.

Until now, though, most of the evidence highlighting the long lifespans of these animals have come from anecdotal reports from zoos, says Beth Reinke, a biologist at Northeastern Illinois University in Chicago. She and a team of more than 100 researchers from around the globe have compared rates of aging in 77 species of reptiles and amphibians in the wild. The study initially grew out of the long-running notion that turtles can live for a long time. We wanted to know how widespread that is, Reinke says.

The researchers found that although aging and lifespan varied greatly from one species to the next, turtles, crocodilians, and salamanders generally aged very slowly and had disproportionately long lifespans for their size. Meanwhile, another group of researchers in Denmark reached similar conclusions after comparing 52 species of turtles and tortoises living in zoos and aquariums: roughly 75 percent of the reptiles showed slow or negligible senescence, and 80 percent aged more slowly than modern humans.

Both teams reported their results on June 23 in Science. The new findings arent particularly surprising but do challenge the idea that senescencea gradual decline in bodily functions that increases the mortality risk after an organism reaches sexual maturityis universal, says Rob Salguero-Gmez, an ecologist at the University of Oxford who wasnt involved in the research.

Theyre both excellent pieces of research, he says. They add a new layerupon our understanding of senescence across the tree of life.

For their analysis, Reinke and her collaborators drew from long-running studies on a wide variety of animals that included turtles, frogs, salamanders, crocodilians, snakes, lizards, and the lizard-like tuatara. These studies tracked reptile and amphibian populations over an average period of 17 years and encompassed more than 190,000 individual animals.

To determine how quickly a species aged, Reinke and her team calculated the rate at which its individual members died over time after hitting sexual maturity. The team estimated lifespan from the number of years it took for 95 percent of these adult animals to die.

One caveat to these estimates, Reinke notes, is that the researchers didnt distinguish between different causes of death. When people hear aging, they tend to think of just physiology, she says. Our measure of aging includes not just physiology, but all things that could cause death in the wild.

[Related: These jellyfish seem to cheat death. Whats their secret?]

The team also compared their estimates with previously published data on aging in mammals and birds. These groups of vertebrates are warm-blooded or endothermic, meaning they are capable of regulating their own body temperature. Reinke and her team expected to find that the cold-blooded, or ectothermic, reptiles and amphibians would age more slowly on the whole than birds and mammals because their slower metabolisms put less physiological wear and tear on their bodies. But the results revealed a mixed bag. While some reptiles and amphibians did age more slowly than most birds and mammals, others aged faster. Longevity in reptiles and amphibians varied from 1 to 137 yearsa much wider range than the 4 to 84 years seen in primates.

However, species with negligible aging appeared across the reptile and amphibian family tree, and turtles as a group were uniquely slow agers, she says.

Species equipped with protective shells, scaly armor, or venom aged more slowly and lived longer. In both reptiles and amphibians, species that began reproducing later in life ended up living longer. The team also observed that reptiles that lived in warm temperatures aged more quickly, while amphibians in similar conditions aged more slowly.

More research is needed to tease out how these and other variables drive differences in aging and longevity. There are a lot of really interesting patterns that we brought to light that need to be explored further, Reinke says. I think that ectotherms could have the answers to a lot of what we want to know about aging for human health.

In the quest to extend human life, salamanders may be a particularly promising group to focus on. A lot of them can live for 10 years or more, which for their size is a lot, Reinke says. These amphibians are famous for their ability to regrow lost limbs and tails, leading some scientists to believe that there may be a connection between these regenerative capabilities and the salamanders impressive longevity.

For the second new paper, the team out of Denmark focused on aging in captive reptiles.

All these theories of senescence state thatthe risk of mortality would increase with age after sexuality maturity, when we stop putting so much energy into repairing cell damage and tissues and put more energy into reproduction, says Rita da Silva, a biologist at the University of Southern Denmark in Odense and coauthor of the findings.

The best candidates for a species that might escape the damaging effects of getting old are those that continue growing their entire lives, such as turtles and tortoises.

What we were mainly interested in is if their risk of mortality increases with age as it does in humans for instance, and in other mammals and in birds, da Silva says. She and her colleagues analyzed records of captive turtles and tortoises, with data for each species ranging from 58 to several thousand individuals.

In most species, mortality either remained constant with age or actually decreased. On average, male turtles and tortoises lived longer than femalesthe opposite of whats seen in mammals. For three of the species, the team also examined data on wild populations, and found that captive animals enjoyed lower rates of aging.

In some way these populations found a way to lower their aging rates when the conditions are favorable, da Silva says. In captivity, reptiles dont need to pour energy into finding food or shelter. But its not clear why only some reptiles seem to respond to this bounty by minimizing or avoiding senescence. For some other species either the conditions are not ideal or they are not really able to switch off the senescence, da Silva speculates.

[Related: Has the fountain of youth been in our blood all along?]

While the majority of turtle and tortoise species studied aged more slowly than humans, its too soon to say what implications the findings could have for efforts to understand human health and aging.

We need to be careful when making these comparisons, da Silva says. We cannot draw a clear connection between this and humans, [but] I can say that we are one step closer to understanding the mechanisms of aging.

The two new papers show how much remains to be discovered about aging and how it differs among humans and other animals, plants, and more distantly related organisms, Salguero-Gmez says.

Theres true value in this type of research beyond the potential translations into biomedical research, just for a higher appreciation for our place in the tree of life and also for the realization that not everything follows a human way of living, he says.

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Could reptiles and amphibians hold the key to the fountain of youth? - Popular Science

Cameron Smith: If you want to understand politics, train to be a foster parent – AL.com

This is an opinion column.

Foster parent training has helped me understand more about American politics than years of experience in the halls of Congress ever could. The psychology and physiology of a traumatized child puts the interconnected web of politics, policy, and power in a whole new light. In truth, many foster children arent that different from modern American partisans.

Trauma and stress attend almost any situation where the state intervenes in a relationship between parent and child. As a result, foster parents train to address those factors which deeply influence both behavior and development. Thankfully, my wife and I trained with Dr. Daniel Siegels hand model of the brain to help us understand some complex neurological interactions.

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Look at your hand. The wrist represents the spinal cord, the palm is the brainstem (basic body functions), and the thumb is the amygdala (danger detection). Place the thumb into the palm to form the limbic system. The other four fingers fold over the thumb to represent the cerebral cortex, and the tips of those fingers are the prefrontal cortex (emotional governor).

If theres a simpler model of brain anatomy, I certainly havent found it.

The limbic system is the instinctual survival part of our brain which also handles memories and emotions. The cortex is responsible for imagination, creativity, problem-solving, and our higher level thinking in general.

If a grizzly bear is chasing me through the woods, Im quite grateful for my limbic system which triggers a rush of cortisol, a stress hormone, increasing my heart rate and giving me a burst of energy to flee. If I stopped and reasoned through my options before moving to escape, Id become bear food.

On the other hand, I cant effectively consider the best policies to reduce gun violence while chased by said bear, because the limbic system is in the drivers seat. If I need to think and process, the cortex must retake control. That happens when I feel safe from the bear and calm down.

The prefrontal cortex is especially important because it allows us to evaluate a signal from the amygdala and control our emotions before they get to the point where our fight or flight response takes over. For example, it helps us keep our cool even after someone says something particularly offensive.

Our foster trainers explained that our prefrontal cortex isnt fully developed until were almost 30 years old. As such, children have less of an ability to control their emotions. When they flip their lids, its often up to parents to help them calm down before their thought centers can effectively engage and address a situation.

Sounds good for parenting. What about politics?

For the longest time, I couldnt understand why politicians I respected ran negative, fear-based ads I absolutely despised. Brain physiology explains so much.

Thinking, rational people challenge politicians. They ask all kinds of questions, discuss issues in detail, and expect politicians to demonstrate statesmanship.

Rather than rise to the challenge, many politicians create grizzly bears barreling towards us. Democrats want to take our constitutional rights. Republicans are white supremacists. Liberals want to force you to clap for drag queens performing at your church. Conservatives will commandeer your uterus. If the other party wins, your future and family are at risk.

In response, our lids flip and too often stay that way. The limbic system drives our actions. We look to our leaders to tell us what to do to address the immediate threats. We become reactionary and aggressive. As far as our brains are concerned, stress is stress. Our belief in the threats around us is every bit as relevant as reality. My brain doesnt care whether the grizzly is actually chasing me. Im running until I believe Im safe.

Cable news makes for a toxic political partner. If were angry or afraid, were glued to the screen awaiting the next grizzly coming over the horizon. As long as were focused on a string of partisan monsters, we dont hold our own elected officials accountable or stop watching. We become strung out, inconsistent, and unquestionably compliant.

If our political leaders and media companies were foster parents, theyd calm us down. Theyd help us sort through our emotions in productive ways. Theyd help us prioritize what really impacts our families and communities.

But then we might not vote for them. We might realize that so many of them are directionally loud and otherwise incompetent. We might turn off the televisions and play with our children and grandchildren in a creek somewhere. Above all, wed operate in reality and not useful political fiction.

Our only path to a better future is understanding whats happening to us and ending the cycle. Whether its cable news, social media, or even casual conversation, were all worse off participating in a political battle royale. When we sense anger and rage developing because of something we watch, read, or hear, we should put our lids back on. Change the subject, step back for a bit, or do something unexpectedly kind. Keep the thoughtful parts of our brains in control and realize we cant effectively communicate when theyre not.

Better yet, train to be a foster parent. Many children need a calming adult influence, and many of us could use a little help learning to be just that.

Smith is a recovering political attorney with three boys, two dogs, and an extremely patient wife. He engages media, business, and policy through the Triptych Foundation and Triptych Media. Please direct outrage or agreement to csmith@al.com or @DCameronSmith on Twitter.

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Cameron Smith: If you want to understand politics, train to be a foster parent - AL.com

Men, women might have different optimal times of day for exercise – Medical News Today

Not everyone exercises for the same reason. For some, exercise is a means of addressing a health issue such as hypertension. Some work out to build strength in one part of the body or another, and some to improve their mood.

A new study suggests the time of day at which a person exercises may produce different results. In addition, those results are not the same for women and men.

Professor Paul J. Arciero, lead author of the study and professor at the Health and Human Physiological Sciences Department at Skidmore College in New York, tells BBC News that the best time for exercise is when people can fit it into their schedules.

Nonetheless, the study reveals certain time periods when individuals are most likely to achieve specific exercise goals.

Dr. Asad R. Siddiqi, assistant professor of physical medicine and rehabilitation at Weill Cornell Medicine in NYC, who was not involved in the study, told Medical News Today:

I appreciated the authors stated goal of adding to our understanding of the effects of training on female athletes and how that may differ from male athletes.

Women are notoriously underrepresented in the medical literature, and even hypothesizing that there may be a difference between how different biological sexes respond to exercise indicates a level of thoughtfulness and nuance that has long been missing from scientific inquiry. Dr. Asad R. Siddiqi

The study was published in frontiers in Physiology.

The researchers tracked the benefits of exercise in a group of 30 women and 26 men who were assigned to exercise in the morning specifically between 6:00 to 8:00 am or in the evening from 6:30 to 8:30 PM.

All participants were healthy, non-smoking, athletically trained individuals.

The participants trained according to the PRISE (Protein pacing intake combined with Resistance functional, Interval sprint, Stretching, Endurance exercise) exercise and fitness paradigm developed by Dr. Arciero.

All participants followed a designed healthy meal plan and intake was similar in morning and evening groups.

The authors of the study measured a range of outcomes, including muscular strength, endurance and power, body composition, systolic/diastolic blood pressure, respiratory exchange ratio, and mood states, as well as their dietary intake.

Dr. Siddiqi cautioned that the participants were all healthy, active, lean, and weight-stable individuals, which may not be particularly reflective of the habits, demographics, or goals of the larger population.

He noted, in particular, that they were middle-aged adults with no cardiovascular disease. Thus, this would not be representative of the general population.

One of the unique aspects of the study is its exploration of exercise time of day on mood.

[F]or the first time, we show that exercise time of day significantly alters mood state in women and men, Dr. Arciero told MNT.

Specifically, women who exercise in the [p.m.] significantly boost overall mood state compared to those exercising in the morning. Prof. Paul J. Arciero

Dr. Siddiqi also pointed out another interesting finding:

The men studied had greater improvement in perceived mood state than women. Exercise seemed to decrease tension, depression, anger, substantially in men regardless of time of day, whereas improvements in tension and depression were only seen in women who exercised at night.

He added that studying mood is inherently more difficult due to its reliance on self-reporting.

All participants showed improvements in all areas after the 12-week trial. However, the nature of improvements varied.

The effect was less pronounced in men. However, there were differences:

Dr. Arciero noted that a direct comparison between women and men was not the goal of the study.

However, he said, several potential mechanisms for the differences between women and men with regards to their response to exercising at different times of the day may include; variations in neuromuscular function, capillary density, hunger responses, and fat metabolism between women and men.

[These differences] suggest molecular, endocrine, metabolic, and neuromuscular factors likely contribute to these diurnal variations in health and physical performance outcomes between women and men. Prof. Paul J. Arciero

The precise mechanism, Dr. Arciero continued, is not clear, but may be related to neuro-hormonal-psychological effects of exercising later in the day as a form of a stress-reliever that may also favorably impact sleep quality. Its interesting to note that [p.m.] exercise in men also significantly reduced feelings of fatigue.

The studys findings suggest that people consider the time of day at which they will exercise as they develop exercise or fitness programs with their physicians, added Dr. Arciero.

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Men, women might have different optimal times of day for exercise - Medical News Today