This year, the most prestigious medical awards in the United States have been given to two stem cell researchers, three cancer researchers, and one New York City mayor. Each year, the three prestigious Lasker Awards are given to those who have made great progress in combatting human disease, and they come with a prize of $250,000 in each category. They are sometimes called “America’s Nobels,” in part because 76 Lasker laureates have gone on to receive the Nobel Prize [USA Today].
The basic medical research prize went to John Gurdon and Shinya Yamanaka; although their breakthroughs were separated by 50 years, both researchers’ work led to the current technique of turning ordinary skin cells into multipurpose stem cells. Lasker Foundation president Maria Freire explains that Gurdon’s work showed that the nucleus of every cell retains a latent ability to become any other cell type and Yamanaka showed how that capacity can be unleashed…. “These two pieces of research allow us to understand different aspects of stem cells,” she said. “I think it could lead to personalized replacement therapy to fix cells or damaged tissue” [Bloomberg].
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Although electronic cigarettes have recently been marketed as a safer alternative to traditional smokes, a new analysis of 19 types of the e-cigarettes revealed that they contain toxic chemicals. The FDA has classified the devices as combination drug/medical devices, prohibiting their import, but hasn’t removed them from American shelves. Opponents of e-cigarettes hope the findings will spur the FDA to take more stringent action against the devices.
The results of the FDA’s new analysis, which were announced yesterday, revealed that although e-cigarettes don’t burn tobacco, the devices contain substances known to be toxic, such as diethylene glycol, a component of antifreeze that proved deadly when it was illegally added to toothpaste. They also contain nitrosamines, known carcinogens found in tobacco smoke. The findings, which were announced on Wednesday, contradict claims by electronic cigarette manufacturers that their products are safe alternatives to tobacco and contain little more than water vapor, nicotine and propylene glycol, which is used to create artificial smoke in theatrical productions. When heated, the liquid produces a vapor that users inhale through the battery-powered device [The New York Times].
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It doesn’t matter if they only smoke when the kids are out of the house, or when they’re alone in the car, or even if they only smoke outside; researchers still warn that toxic chemicals exhaled by cigarette smokers cling to their clothes and hair, and linger in upholstery, curtains, and carpets. In a new study, researchers say the public is well aware of the health effects of second-hand smoke, when nonsmokers are directly exposed to the cigarette smoke of others, but hasn’t yet caught on to the danger of what they call “third-hand smoke.” Lead author Jonathan Winickoff explains that third-hand smoke is what one smells when a smoker gets in an elevator after going outside for a cigarette, he said, or in a hotel room where people were smoking. “Your nose isn’t lying,” he said. “The stuff is so toxic that your brain is telling you: ’Get away’” [The New York Times].
The researchers say that there is no safe level of exposure to tobacco smoke, and note that children are particularly susceptible to ill-effects from the toxic residue left behind long after a cigarette has been stubbed out. Among the substances in third-hand smoke are hydrogen cyanide, used in chemical weapons; butane, which is used in lighter fluid; toluene, found in paint thinners; arsenic; lead; carbon monoxide; and even polonium-210, the highly radioactive carcinogen that was used to murder former Russian spy Alexander V. Litvinenko in 2006. Eleven of the compounds are highly carcinogenic [The New York Times].
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An experimental drug has shown promise in preventing emphysema in mice exposed to cigarette smoke, giving researchers new hope that they’ll soon find a way to combat one of the most stubborn, untreatable, and common killers of humans. Even though the study focuses on emphysema in mice, the researchers suggest the drug could work in people by delaying or preventing chronic obstructive pulmonary disease, which encompasses emphysema and chronic bronchitis and is the fourth most common cause of death in the United States [Science News].
The drug, called CDDO-imidazole, or CDDO-Im, works by activating a gene called Nrf2, explains study coauthor Shyam Biswal. In prior research, Biswal and colleagues found that Nrf2 works as a “master gene,” turning on genes involved in protecting the lungs from pollution and cigarette smoke. “The Nrf2 pathway is the major antioxidant and detoxifying response in the lungs. Therapies targeting this pathway need to be developed and tested in patients,” said Biswal [Reuters].
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Cancer will be the world’s leading killer by 2010, edging out heart disease for the top spot, according to the latest report by the World Health Organization (WHO). Though cancer rates in the United States have just recently begun to decrease, elsewhere in the world cancer is on a steady rise. Experts cite tobacco, increasingly Western lifestyles, and inadequate medical care as the factors contributing to the cancer epidemic in developing countries. “In the U.S., we pay a lot of attention to cancer trends, and the trend has been encouraging,” says Dr. Richard Schilsky… “But we have forgotten that there is a big wide world out there. Cancer is a global problem” [TIME].
According to the WHO report, 12 million new cases of cancer will be diagnosed this year and 7 million will die from the disease. The group forecast a 1 percent increase globally each year, with emerging economies such as China, Russia and India being hit the hardest [CNN]. The report also projects a 38 percent population increase in less developed countries by 2030. Taken together, that means by 2030 an estimated 20 to 26 million new cases of cancer will be diagnosed annually and 13 to 17 million deaths will be cancer-related.
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The antismoking drug Chantix was considered a wonder drug for about 18 months; the drug helps people quit smoking by both reducing nicotine cravings and decreasing the pleasure derived from tobacco. Then the reports of scary side effects started leaking out. In November 2007 the Food and Drug Administration announced that the drug had caused suicides, psychosis, paranoia, and hallucinations. A wonder drug no longer, Chantix began to be perceived as a crazy pill.
Yet despite the growing concerns over the drug, a recent investigation has shown that the Veterans Affairs (VA) department continued to test Chantix on veterans who fought in Iraq or Afghanistan and who suffered from post-traumatic stress disorder (PTSD). In the aftermath of the revelations, Congress has called on the VA to immediately suspend the studies, and the agency is now sending letters to about 33,000 veterans who are taking the anti-smoking drug Chantix, warning them about possible side effects, including thoughts of suicide [AP].
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