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.
Posts Tagged ‘mental health’
Could Next-Gen Drugs Turn Off Genes in the Brain?
States and Feds Rush to Outlaw Drugs Sold as “Bath Salts”
Bath products never sounded so dangerous before. Two methamphetamine-like drugs that are being sold as mere “bath salts” have been linked to hallucinations and suicides, and lawmakers around the country are cracking down. Three states have already banned the substances, and this weekend Senator Charles Schumer announced that he’ll introduce a bill to outlaw the substances at the federal level.
“These so-called bath salts contain ingredients that are nothing more than legally sanctioned narcotics, and they are being sold cheaply to all comers, with no questions asked, at store counters around the country,” said Schumer, a New York Democrat. [Reuters]
The drugs, mephedrone and methylenedioxypyrovalerone (MDPV), can be snorted, injected, or smoked. They have no connection to real bath salts–the scented powders and crystals added to bath water for relaxation. The drugs are commercially labeled with such innocuous names as TranQuility, Blue Silk, and White Lightning, but authorities agree that the effects are anything but innocuous:
Psychotic reactions to snorting the “bath salts” reportedly led one woman to swing a machete at her 71-year-old mother in an attempt to behead her, Panama City Beach police said. Also, a man high on the brand Blue Silk tore up the backseat of a patrol car with his teeth after seven Bay County Sheriff’s Office deputies wrestled the crazed man into the cruiser, the agency said. [Los Angeles Times]
Doctors Get Closer to Detecting Alzheimer’s with a Brain Scan
Alzheimer’s: It’s a disease that afflicts over five million Americans, and there is currently no treatment for it. But researchers are getting closer to a diagnostic test for the disease. Last week a Food and Drug Administration (FDA) advisory committee recommended that the agency approve a brain scan that can detect the disease in a living patient.
The approval would be for a dye that homes in on plaque in the brain, making it visible on PET scans. Such scans would be especially valuable in a common and troubling situation — trying to make a diagnosis when it is not clear whether a patient’s memory problems are a result of Alzheimer’s disease or something else. If a scan shows no plaque, the problems are not caused by Alzheimer’s and could be from tiny strokes or other diseases. [New York Times]
Study: Restraint as a Youngster Connected to Success as an Adult
Parents, of course, love to read too much into the small steps of a child’s development. But could it really be that the self-control kids learn to exert when they are very young is an indicator of the adult lives they will lead?
From DISCOVER blogger Ed Yong:
Right from the start, they are taught to restrain their impulses, focus on their goals, and control their choices. This seems like a wise move, but how could you tell if such instruction actually affects a child’s fate?
Ideally, you would follow a group of children into adulthood, to see how their degree of self-control affects the course of their lives. You’d need to catch up with them at regular intervals to look at their health, mental state, finances and more. You’d need to meticulously plan the study decades before the important results came in, and you’d need to keep in close touch with the volunteers so they stick with the study. In short, you’d need to have set up the Dunedin Multidisciplinary Health and Development Study.
That study began in the mid-1970s, and all these years later, nearly all of the thousand-plus participants (who were born in 1972 or 1973) are still involved. The huge data set Terrie Moffit and Avshalom Caspi have obtained shows that those who scored highest on self-control tests in the first years of their lives were healthier and wealthier than their peers into their 30s.
For all the details, check out the rest of Ed’s post at Not Exactly Rocket Science.
Related Content:
Not Exactly Rocket Science: Bilingual Infants Have Better Mental Control
Not Exactly Rocket Science: Newborn Babies Have a Preference for the Way Living Things Move
DISCOVER: Could an Inner Zombie Be Controlling Your Brain?
Image: iStockphoto
Study: Acne Drugs Aren’t Linked to Suicide—Acne Is
Since its emergence in the early 1980s, the drug isotretinoin—used to treat severe acne and sold under a host of different brand names—has been subject to controversy over whether it increases the incidence of suicide attempts in those who take it. But sorting out whether the drug, the acne itself, or some other factor is driving increased suicide risk is quite difficult.
So for a study out in the British Medical Journal, a team of researchers in Sweden looked at a deluge of data for 5,756 people who took the drug. Their conclusion: Severe acne patients who took isotretinoin had an increased risk for suicide attempts both before and after taking it, so they can’t definitively link isotretinoin to suicide.
The drug, perhaps best known as the pharmaceutical company Roche’s Accutane, has been embraced by dermatologists and their suffering patients, but has also been dogged by controversy for its side effects.
While powerful at clearing acne, the drug has been linked to birth defects if taken during pregnancy and has also been suspected of causing mental side effects, although Roche has vigorously defended personal injury claims in this area. [Reuters]
Anders Sundstrom led the current research, which seems to support the theory that the pharmaceutical isn’t a threat to mental health. Said Sundstrom:
“The underlying condition of acne is a more important factor for suicide attempts. We are not certain the drug adds anything.” [BBC News]
Depressed Mice Just Need a Shot of Gene Therapy in the Brain
According to a new study out in Science Translational Medicine, treating depressed mice with gene therapy in the brain to bolster a protein connected to the neurotransmitter serotonin can make those depressive symptoms dissipate.
Here’s the gist: The gene in question creates a protein called p11 that help carry serotonin receptors up to the surface of a brain cell where they can receive signals from other brain cells. Poor serotonin signaling may be one of the major drivers behind depression, and a dearth of p11 could worsen the problem, according to study author Michael Kaplitt.
“In the absence of p11, a neuron can produce all the serotonin receptors it needs, but they will not be transported to the cell surface,” said Kaplitt. [AFP]
Found: A Part of the Brain That Knows When the Brain Is Wrong
The size of a small part of the brain, right behind the eyes, is connected with a person’s ability to gauge how likely they are to be right about factual questions, according to a study published in Science last week. This faculty is important in many real-world decisions; it can make the difference between relying on our mistaken judgment and asking for help if we realize we might be wrong.
The study’s lead author uses the game show Who Wants To Be a Millionaire? as an prime example of this kind of “metacognition,” or thinking about our own thinking:
“You might have the opportunity to ask the audience or phone a friend,” says Steve Fleming, a neuroscientist at University College London. But, he adds, “You need to know how sure you are about your own answer before you opt to use those lifelines.” [NPR]
Can a Party Drug Mitigate Bipolar Disorder’s Depression?
Recreational drug users call it “Special K.” Large, frequent doses of the anesthetic ketamine can give users vivid hallucinations, but a recently published study hints that the drug may have a medicinal use: temporarily treating depression brought on by bipolar disorder.
The small, proof-of-concept study appears in the journal Archives of General Psychiatry. National Institutes of Health researchers randomly gave 18 depressed patients ketamine or a placebo on two different days, two weeks apart. They used a much smaller dose of the drug than the amount used for recreation or anesthesia, but within 40 minutes 71 percent of the patients who received ketamine showed a significant improvement in mood, which lasted for three days, as measured using a psychiatric depression rating scale.
The quick response time is unusual for the drugs typically used to treat bipolar disorder’s depression, such as lithium or antidepressants like Prozac, and many of the study’s patients had failed to respond to other treatments. On average, the study participants had tried seven antidepressants and 55 percent of participants had failed to respond positively to the extreme measures of electroconvulsive therapy (ECT)–seizures brought on by electrical current. Ketamine’s apparent success may have to do with the neurotransmitter, glutamate:
Could an Oversized Noggin Help Stave Off the Effects of Alzheimer’s?
Finally, a big head comes in handy.
For a study out this week in Neurology, scientists looked at 270 Alzheimer’s patients from the Multi-Institutional Research in Alzheimer’s Genetic Epidemiology study (MIRAGE) and found that a larger head size was correlated with better-preserved cognitive and memory skills. The team, led by Robert Perneczky, argues that a bigger cranial circumference could mean a person has more “brain reserve,” offering some protection against the deterioration brought on by Alzheimer’s.
Finding this out took a lot more than just scanning the patients for cerebral atrophy and then wrapping a tape measure around their heads to gauge circumference:
They took blood to see which variant of the APOE gene was in their DNA (having one or two copies of the e4 version of APOE is thought to increase one’s risk of Alzheimer’s). They looked up the results of each patient’s most recent mini-mental state examination (MMSE) to measure cognitive function. They also took into account each patient’s age and ethnicity, how long they’d had Alzheimer’s and whether they had diabetes, hypertension or major depression [Los Angeles Times].
Big Autism Study Reveals New Genetic Clues, but Also Baffling Complexity
Researchers have published the largest-existing study on the genetic causes of autism, comparing 996 autistic individuals to 1,287 people without the condition. Their results, which appear today in Nature, may provide unexplored avenues for treatment research, but also show in new detail the disorder’s sheer genetic complexity. For example, they have found “private mutations” not shared between people with autism and not inherited from their parents.
According to The Centers for Disease Control and Prevention, one in 110 children in the United States has autism spectrum disorder, and that the prevalence of autism among eight-year-olds has increased 57 percent from 2002 to 2006. There is no known cure, although intensive behavioral therapy helps some kids.
Hilary Coon, Ph.D., a lead author on the study and research professor of psychiatry at the University of Utah School of Medicine, said while research shows scientists are making progress in understanding the causes of autism, it is increasingly clear that autism is a multifaceted disorder with both genetic and environmental causes. “We are whittling away at it,” Coon said. “But a brain-related disorder, such as autism, is amazingly complex. It’s not really one entity.” [University of Utah press release]
For this study, researchers at the international Autism Genome Project wanted a closer, more detailed picture of the over 100 genes commonly linked to autism. They looked for rare variants–small deletions or additions to the DNA sequences that make up these genes. They found that people with autism had a higher number of these variants than those without the disorder, and that some of these DNA differences were not inherited. That means these DNA changes occurred either in the egg cell, sperm, or in the developing embryo.
“See You in 520 Days!” Pretend-Astronauts Begin Simulated Trip to Mars
All aboard for fake Mars!
Earlier today, a six-man crew battened down the hatches on an 1,800-square-foot module for 520 days of isolation as they pretend to go to Mars and back again. The Mars-500 project, run by the Russian Institute for Biomedical Problems (IBMP) and funded in part by the European Space Agency, hopes to test the psychological mettle required for such a journey.
“See you in 520 days!” shouted Russia’s Sukhrob Kamolov as he was sealed inside the simulator at around 1000 GMT. [Radio Free Europe/Radio Liberty]
The trip will have three stages, including the trip to and from Mars and a simulated landing and planet exploration.
Psychologists said the simulation can be even more demanding that a real flight because the crew won’t experience any of the euphoria or dangers of actual space travel. They have also warned that months of space travel would push the team to the limits of endurance as they grow increasingly tired of each other. [AP]
Obsessive-Compulsive Mice Cured via Bone Marrow Transplant
Obsessive-compulsive mice, which were once pulling their hair out from too much grooming, are now sitting pretty. Their cure? A bone marrow transplant. In a study published today in Cell, scientists show an unsuspected link between a psychological disorder and the immune system.
Here’s how they did it:
Step 1 – Finding the Problem
Since excessive cleaning is a behavior, scientists first thought to look for defects in the mouse brain. They noticed that mice with a mutant version of the gene Hoxb8 were the ones cleaning themselves bald. Hoxb8 is important for creating microglia–nervous system repair cells that search for damage in the brain.
Although some microglia start out in the brain, others are born in the bone marrow and move in. Overall, adult mice with faulty Hoxb8 harbored about 15% fewer microglia in the brain than normal. [ScienceNow]
Since many microglia move from bone marrow to brain, the scientists decided to give the compulsive mice, with the mutant Hoxb8 gene, a marrow transplant.
Six “Astronauts” Prepare for 17 Months in Isolation to Simulate Mars Mission
These boys are all dressed up with no place to go.
Two weeks from today, a team—made of three Russians, two Europeans, and one Chinese (with a Russian as an alternate)—will begin the longest trip to nowhere any of them has ever taken. These men will be locked in isolation for 520 days to simulate what astronauts would endure on a trip to Mars, part of a project called Mars500. It follows a 105-day test that the Russian Institute for Biomedical Problems (IBMP) ran last year.
“The biggest risk of such an isolation is psychological,” said researcher Alexander Suvorov who is leading the experiment at the IBMP. “Of course relations between the crew will not always be harmonious, some will get on with others, others will not. But the priority is to be able to carry out tasks in spite of this” [AFP].
Scientist Smackdown: Is a Virus Really the Cause of Chronic Fatigue Syndrome?
An estimated three in 1,000 people suffers from the mysterious affliction chronic fatigue syndrome. Those people were probably enthusiastic in October when a team of U.S. medical researchers released a study arguing that not only is the syndrome real (some doctors dismissed it as purely psychological “yuppie flu”), but also that they’d connected it to a specific virus. DISCOVER covered the hubbub after the paper came out in the journal Science.
But now, in a study in PLoS One, a British research team has cast doubt on the American team’s findings, saying there’s no conclusive link between the virus and chronic fatigue syndrome, which is also known as myalgic encephalomyelitis.
The U.S. team’s findings sounded robust when they came out. They found the murine leukaemia virus-related virus (XMRV) in blood samples of 68 of 101 patients diagnosed with chronic fatigue syndrome. Just eight out of 101 healthy “controls” drawn at random from the same parts of the US also tested positive, suggesting that XMRV played a key role in triggering the condition [The Independent]. When the scientists from Imperial and Kings colleges in London attempted to replicate these findings, however, they found nothing of the sort. Of the 186 people with the syndrome that this team tested, not one showed signs of XMRV, or of any related virus.
Study coauthor Myra McClure of the Imperial College also criticized the U.S. team and the journal Science for rushing the findings into print in October. “When you’ve got such a stunning result you want to be absolutely clear that you are 1,000 per cent right and there are things in that [previous study] I would not have done. I would have waited. I would have stalled a little” [The Independent], she said.
Murderer With “Violent Genes” Gets Lighter Sentence in Italian Court
In an Italian court, a murderer has just had his sentence reduced because the judge agreed that the man’s genes predisposed him to violent behavior.
Abdelmalek Bayout, an Algerian immigrant to Italy, admitted to stabbing and killing Walter Felipe Novoa Perez, a Colombian, when the two men got in a fight over the kohl eye make-up that Bayout was wearing. At trial, the defense team argued that Bayout was mentally ill at the time of the murder; the judge agreed that his psychiatric condition was a mitigating factor, and gave him a reduced sentence of 9 years. But at an appeal hearing, Bayout’s lawyers argued that his sentence should be shortened further based not just on psychiatric evaluations, but also brain scans and genetic testing.
