
Amyloid beta deposits in brain of Alzheimer’s patient.
What’s the News: A drug used to cure skin cancer is also a possible treatment for Alzheimer’s, according to a new study in Science. The drug not only reduced levels of amyloid beta—a protein whose elevated levels are a hallmark of the disease—but also reversed cognitive decline. In mice, dramatic effects were evident after just 72 hours.
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Doctors long believed that patients who remained in a coma weeks or more after a brain injury would never regain consciousness. But recent research has shown that consciousness isn’t a binary, awake-or-not state; it’s a spectrum. While some brain injury patients are in a vegetative state, without any conscious awareness, others are in what’s called a minimally conscious state, still partially aware of—and at times even able to respond to—their surroundings. From the outside, it can be difficult to tell the two apart, though new methods, such as EEGs that pick up on subtle differences in brain waves, are starting to help clinicians gauge a patient’s level of consciousness.
From these hinterlands of consciousness comes another astounding—and mysterious—discovery: Ambien, the prescription sleep medication, and zolpidem, the drug’s generic form, can help some minimally conscious patients wake up. Jeneen Interlandi delves deep into this seemingly paradoxical treatment in the New York Times magazine:
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What’s The News: Three 16-year-old teenage boys in Texas had heart attacks shortly after smoking a product called k2, or Spice, according to a study published this month in the journal Pediatrics. The report highlights a growing public health problem: the increased availability and use of synthetic cannabinoids, which when smoked mimic the effects of marijuana but typically can’t be detected in drug tests. While the U.S. Drug Enforcement Agency secured an emergency, one-year ban of five synthetic cannabinoids in March of this year, most of the hundreds of such chemicals remain basically legal, widely available, little understood, and potentially harmful.
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An experimental drug causes obese monkeys to lose weight and improves their metabolic function by depriving their fat of its blood supply, researchers reported yesterday in Science Translational Medicine, offering hope that such drugs could help battle obesity in people, as well.
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President Barack Obama will sign an executive order today aimed at reducing the number of drug shortages; between 2005 and 2010, the number of such shortages jumped from 61 to 178. Most of the drugs reported as coming up short are generic, injected medications like cancer drugs, antibiotics, and nutritional shots for hospitalized patients. Many of the shortages are due to manufacturing delays or quality control problems, like syringes found to contain glass particles or to be contaminated with microbes. The executive order will require the Food and Drug Administration to speed review of applications for changes in manufacturing protocol or to use new or different drugs in certain circumstances.
The order also instructs the FDA to work with the Department of Justice to report possible instances of price gouging, which could lead to prosecution of companies that illegally horde certain medications or overcharge for certain drugs in times of shortage. In one instance, a company charged $990 per vial for a leukemia drug that normal fetches only $12—an 80-fold markup.
When rats were injected with a chemical similar to marijuana’s main ingredient, THC, shortly after a undergoing a severely stressful event, they showed a significant reduction in symptoms like those seen in people with post-traumatic stress disorder. The study tested a synthetic cannabinoid called WIN 55,212-2, which was injected directly into the animals’ amygdala, a brain region involved in the regulation of emotions like fear and anxiety. Timing was important. Rats given the drug two and 24 hours after the stressor—being forced to swim for 15 minutes—appeared less “traumatized” when tested a week later, compared with those given the drug 48 hours later or given no drug at all. While the study adds to the already large and complex pile of evidence that the cannabinoid system has a vital role in regulating emotions like anxiety, it’s far from proving that cannabinoids will be useful for treating PTSD in humans.
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Between 2001 and 2008, the number of children 5 years old or younger admitted to the emergency room due to poisoning from pharmaceuticals increased 36 percent, according to a new study [PDF]. This pales in comparison to the 8 percent increase in population of the age group. Ingestion of drugs during this period caused 43 percent more kids to be injured, defined as a reaction requiring a medical treatment, to a permanent disability, or death. In all, 90 kids died from unintentional overdose or misuse of medications.
Researchers say that pharmaceutical poisoning of children, especially from prescription medications, is a growing problem that continues to get worse every year. But why? The most likely reason, they suggest, is the overall increase in use of prescription drugs by adolescents and adults, which children can come across and ingest without knowing the consequences. For example, the number of kids injured by opioid pain medications almost doubled during the study, a period when prescriptions for the strong painkillers oxycodone (present in OxyContin and Percocet) and hydrocodone (Vicodin) increased 182 and 159 percent, respectively.
[Via EurekAlert]
A twice-daily dose of insulin, sprayed deep in the nose for easy transit to the brain, may slow or stop the progression of Alzheimer’s disease, according to a new pilot study. The researchers gave 104 patients with mild to moderate Alzheimer’s disease or pre-Alzheimer’s cognitive impairment one of three nasal sprays for four months. One group of patients got a nasal spray with a moderate dose of insulin twice a day, one group got a higher dose, and the third got a squirt of saline solution, as a placebo. The memory, cognitive abilities, and day-to-day functioning of patients given insulin stayed constant or improved slightly—particularly for those given the moderate dose of insulin rather than the high dose—while the abilities and memory of patients given the placebo declined.
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Current drugs for conditions from depression to Parkinson’s work by changing levels of chemicals in the brain—an imprecise method that can have a wide range of unintended effects. But a new study suggests it could be possible to make drugs that work by turning off genes instead, getting at, for instance, a specific receptor in a particular part of the brain.
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What’s the News: A daily dose of anti-HIV drugs can significantly reduce the likelihood that straight men and women will contract HIV from an infected partner, according to two new clinical studies. These studies add strong evidence to earlier findings that taking HIV drugs can prevent healthy people from contracting the disease, and are the first to show that the drugs reliably lower transmission risk in heterosexuals.
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What’s the News: Researchers have pinpointed the molecule that makes sunburned skin so sensitive to pain, they reported yesterday in Science Translational Medicine. This finding could help scientists develop new painkillers not only for sunburn, but for chronically painful conditions such as arthritis.
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What’s the News: Researchers have developed a new, more targeted way to deliver cancer-fighting drugs, in which some nanoparticles zero in on a tumor, then summon another type of nanoparticles that actually dispense the drug. This method, detailed in a new study published online by Nature Materials, piggybacks on the body’s underlying biochemistry, using the chain of events that makes blood clot to call the drug-bearing nanoparticles to the site.
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What’s the News: Three new drugs have been shown to improve survival and slow disease progress in patients with metastatic melanoma. This advanced form of the disease is the deadliest type of skin cancer, with patients surviving for an average of only 6 to 9 months. Phase III clinical trials of the treatments—a new chemotherapy drug, an immune-system treatment combined with traditional chemotherapy, and a vaccine combined with another immune treatment—were recently published in the New England Journal of Medicine.
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What’s the News: A modified antibody can make its way into the brain and target the development of Alzheimer’s-inducing plaques, researchers reported today in two animal studies in Science Translational Medicine. The blood-brain barrier usually keeps drugs and other compounds from entering the brain in large enough quantities to be effective, but these studies show a way to trick the body’s own defenses into letting the drug in, demonstrating that this obstacle to treating Alzheimer’s could potentially be overcome.
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What’s the News: Anxiety. Insomnia. Hallucinations. Methamphetamine’s effects on the human brain are well documented, but researchers know relatively little about how the drug affects the body on the molecular scale. Looking at fruit flies (Drosophila melanogaster), scientists have detailed how meth disrupts chemical reactions associated with generating energy, creating sperm cells, and regulating muscles. Most interestingly, they discovered that meth-exposed fruit flies may live longer when they eat sugar. “We know that methamphetamine influences cellular processes associated with aging, it affects spermatogenesis, and it affects the heart,” says University of Illinois entomologist Barry Pittendrigh. “One could almost call meth a perfect storm toxin because it does so much damage to so many different tissues in the body.”
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