Body can be re-educated to accept donor organ on its own

British-based researchers have discovered a way to reprogramme immune system cells so that they think the donated organ is a natural part of the recipient's body.Not only will the development avoid patients having to take three different types of costly drugs every day of their life, it will also mean the donated organs lasts indefinitely.
Dr Pervinder Sagoo, co-author at King's College London, said: "We hope this is the holy grail that means that the recipient is completely tolerant to the transplanted organ for the rest of their life."
Currently patients must take around three immunosuppressant drugs a day to prevent a new organ from being rejected after transplantation.However, these drugs suppress the entire immune system, leaving the patient susceptible to infections and tumours.
Transplanted organs are also put under pressure andoften do not last longer than 10 years.
The new approach involves re-educating the immune system so that the body sees the organ as a natural part of the body.The immune system carries on working in exactly the same way but because it does not see the new tissue as alien, leaves it alone.The technique works by mixing the immune cells of the donor and the recipient in the laboratory to produce a kind of hybrid which is then copied millions of times.These new cells of then injected into the recipient – spreading around the body and re-educating the immune system for life.Ultimately this approach could extend the life of a transplanted organ and in turn, could alleviate the organ shortage problem.
The technique has already been used in animals and clinical human trials start at the end of the year.
Scientists hope it could be used in earnest within a decade.Professor Robert Lechler, Vice-Principal for Health at King's, said: "This study is a promising step forward that could lead to dramatic advances in preventing organ rejection and improving the quality of life of transplant patients."
Dr Shannon Amoils, Research Advisor at the British Heart Foundation, which part-funded both studies, said: "If the techniques used in these studies can be transferred to the clinic it could signal a move to replace long term use of immune-suppressing drugs."This would be a huge step forward for transplantation, more than four decades since the revolutionary treatment began."

Source: King's College London
 

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Cross your Arm, Confuse your brain & relieve pain

Simply crossing your hands confuses your brain and distracts it from any pain being administered, a study suggests.The brain is used to your left hand carrying out tasks on your left hand side and the right hand carrying out tasks on the right.By crossing them, the brain is momentarily bamboozled and this makes it less susceptible to pain.
Researchers think the theory has most impact on pain felt in the hands, and have not yet tested it on other parts of the body."Perhaps when we get hurt, we should not only 'rub it better' but also cross our arms," said Dr Giandomenico Iannetti, the lead author of the study at the University College London.
In the study, scientists used a laser to generate a four millisecond pin prick of "pure pain" – which is pain without touch – on the hands of a small group of eight participants, which was repeated with the arms crossed.The hands were over the midline – an imaginary line running vertically down the centre of the body. Participants rated their perception of the intensity of the pain, and their electrical brain responses were also measured using electroencephalography (EEG) scanner.
The pain was rated from 0 to 100, with 100 being the most pain you could possibly imagine.
The results from both participants' reports and the EEG showed that the perception of pain was weaker when the arms were crossed.The effect is said to be "small but significant" and equivalent to a reduction in pain of around three per cent, the study claims.Dr Iannetti believes that the effect was caused by the brain being confused."In everyday life you mostly use your left hand to touch things on the left side of the world, and your right hand for the right side of the world – for example when picking up a glass of water on your right side you generally use your right hand," he said.
"Crossing your hands causes a mismatch and this makes the processing of pain more difficult.
"It works for other stimuli. The sensitivity of the brain is reduced. It is not a huge analgesic but we are testing it on people with chronic pain in their hands."

Source: University College London.
 

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Early HIV Treatment Reduces Transmission

The World Health Organization is calling the results of a new study a "crucial development" in HIV treatment. The U.S. National Institutes of Health studied almost 1,800 couples from countries across Africa, Asia and the Americas in which one partner was infected with HIV. The researchers found that the couples, in which the infected partner was started on antiretroviral medications immediately after diagnosis, had a 96% decrease in the rate of HIV transmission to the uninfected partner, compared to couples in which the infected partner was given antiretroviral drugs only when their white blood cell counts decreased. Among those who started therapy immediately after diagnosis there was only one case of transmission between partners. In the other group there were 27 HIV transmissions. The study was cut short by four years due to the successful outcome thus far, and will no doubt affect current recommendations for HIV treatment.

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LIST OF IMPORTANT INSTITUTES TO PURSUE INTERNSHIP/TRAINING

List of Institutions in India:

1. All India Institute of Medical Sciences, Ansari Marg, New Delhi-110 029.
2. Amravati Uaniversity, Amravati-44 602
3. Banasthali Vidyapeeth, Rajasthan-304 022
4. Bharathiar University, Coimbatore-641 046, TN
5. Bose Institute, P-1/12, CIT Scheme, VII Kankurgachi, Calcutta-700 054.
6. Calicut University, Kozhikode-673 635, Kerala
7. Centre for Biotechnology, Anna University, Chennai, Tamil Nadu-25.
8. Centre for Biotechnology, Pondicherry University, Pondichery-605 014.
9. Centre for Plant Molecular Biology, Tamilnadu Agricultural University, Coimbatore-641 003
10. Consortium India Ltd,. G-6, (3rd Floor), NDSE Part 1, New Delhi.
11. Department of Biotechnology, Devi Ahilya Vishwavidyalaya, Indore-452 001, Madhya Pradesh.
12. Department of Biotechnology, Guru Nanak Dev University, Amritsar-143 005.
13. Department of Biotechnology, Jadavpur University, Calcutta-700 032.
14. Department of Biotechnology, Punjab University, Goa-5.
15. Department of Marine Sciences, Goa University, Goa-5.
16. Department of Microbiology, M.S. University, Vadodara-390 002, Gujarat.
17. Department of Zoology, Poona University, Pune-411 007, Maharashtra.
18. Dr. Babasaheb Ambedkar Marathwada University, Aurangabad-431 004.
19. Faculty of Applied Science, Mahatma Gandhi University, Kottayam-686 560, Kerala.
20. Faculty of Science, G.B, Pant University of Agriculture & Technology, Pant Nagar-263 145, Nainital Dist. Uttar Pradesh.
21. Haryana Agricultural University, Hissar, Haryana.
22. Himachal Pradesh University, Shimla-171 005.
23. Indian Council of Agricultural Research, Pusa Campus, New Delhi-110 012.
24. Indian Institute of Science, Bangalore-560 012.
25. Indian Institute of Technology, Haus Khas, New, Delhi-6.
26. Indian Institute of Technology, Kharagpur-723 102.
27. Indian Institute of Technology, Powai, Mumbai-400 076.
28. Indian Veterinary Research Institute, Izatnagar-243 122, Uttar Pradesh.
29. Jawaharlal Nehru Technological University, Masab Tank, Mahaveer Marg, Hyderabad-Anadhra Pradesh.
30. Jawaharlal Nehru University, New Delhi-110 067.

31. Jiwaji University, Gwalior-474 011.
32. Kurukshetra University, Kurukshetra-136 119.
33. North Maharashtra University, Jalgaon-425 002.
34. Osmania University, Administrative Building, Hyderabad, Andhra Pradesh-500 007.
35. Pt. Ravishankar Shukla University, Raipur-492 010, Chhattisgarh.
36. Punjab Agricultural University, Ludhiana, Punjab.
37. Punjab University, Patiala-147 002.
38. Rajendra Agricultural University, PO Pusa, Samastipur, Bihar.
39. School of Biological Sciences, Madurai Kamaraj University, Madurai-625 021.
40. School of Biotechnology, Banaras Hindu University, Varanasi-221 005.
41. School of Life Sciences, Central University, Hyderabad-500 134.
42. Swami Ramanad Teerth Marathwada University, Nanded-431 603.
43. Tezpur University, Tezpur-784 001.
44. University of Delhi. Delhi-110 007.
45. University of Hyderabad, Hyderabad-500 046.
46. University of Kerala, Thiruvananthaouram-34, Kerala.
47. University of Madras, Centenary Building Chepauk, Triplicane PO, Chennai-600 005, Tamil Nadu.
48. University of Mysore, Mysore-570 005.
49. University of Roorkee, Roorkee-247 667.
 Some of the centres where Biotechnology labs are equipped with advanced facilities are:

1. National Facility for Microbial Type Culture Collection (MTCC) at Institute of Microbial Technology, Chandigarh.
2. National Facility for Collection of Blue Green Algae (BGA) Collection at IARI, New Delhi.
3. National Facility for Marine Cyanobacteria at Bharathidasan University, Tiruchirapalli.
4. National Facility for Plant Tissue Culture Repository at NBPGR, Pusa, New Delhi.
5. National Laboratory Animal House Facilities at Central Drug Research Institute (CDRI), Lucknow.
6. National Institute of Nutrition (NIN), Hyderabad.

Genetic Engineering labs with latest infrastructure facilities are :

1. BHU, Varanasi
2. Biochemical Engineering Research and Process Development Centre at IMTECH, Chandigarh.
3. Centre for DNA Finger Printing and Diagnostics (CDFD), Hyderabad.
4. JNU, New Delhi
5. Madurai Kamaraj University, Madurai, Tamil Nadu.
6. National Facility for Animal Cell and Tissue Culture, Pune
. 7. National Institute of Immunology (NII), New Delhi.
8. The Indian Institute of Science, Bangalore

Stem Cells Can Be Distinguished on the Basis of Sugar Residues: A new study suggests

 A new study at Bochum let to the development of an antibody that allows them to distinguish the numerous types of stem cells in the nervous system better than before.

"In order to use stem cells for therapeutic purposes, it is important to be able to distinguish between the different types," explained Eva Hennen of the RUB Department of Cell Morphology and Molecular Neurobiology (Faculty of Biology and Biotechnology). The antibody 5750 recognises a specific sugar residue on the cell surface, which is called LewisX. The research group led by Prof. Dr. Andreas Faissner has now been able to use LewisX for the first time to separate different types of stem cells. The researchers report on their results in the Journal of Biological Chemistry.

Unexpected sugar diversity

Antibodies that recognise the LewisX sugar residue are used routinely to identify so-called neural stem cells from which the various cells of the nervous system originate. Prof. Faissner's team has now shown that the designation "LewisX" does not just cover a single sugar motif, but a whole range of different sugar residues. Different types of neural stem cells are equipped with individual combinations of LewisX sugar residues on their cell surface. The new Bochum antibody 5750 recognises a different LewisX sugar residue to the antibodies previously used. "This sugar diversity could also be interesting for cancer diagnosis" Prof. Faissner explained, "because LewisX sugars have also been detected on tumour cells."

New Research: Genes Determine Donor Kidney Survival

A new study by researchers at Wake Forest Baptist Medical Center sheds light on what causes certain kidneys to do better than others after being transplanted.

"It's been long observed that kidneys taken from some black donors just don't last as long as those taken from non-black donors, and the reason for that has not been known," said Barry I. Freedman, M.D., John H. Felts III Professor and senior investigator. "This study reveals that the genetic profile of the donor has a marked affect on graft survival after transplantation. We now know that these organs aren't failing because they came from black donors, but rather because they came from individuals with two copies of a specific recessive gene."

The study appears in the May issue of the American Journal of Transplantation.

Freedman and co-researchers at Wake Forest Baptist examined 12 years' worth of medical records dating back to 1998, looking for all patients who received a kidney transplant from a black deceased donor whose genetic information had been recorded. The search yielded 106 black donors -- from whom one or both kidneys were transplanted -- for a total of 136 donated kidneys.

The researchers identified that kidneys from donors who had specific coding changes in a gene called apolipoprotein L1 (APOL1) did not last as long after transplant as those from donors without these changes. These coding changes in the APOL1 gene that affect kidney transplant function are found in about 10 to 12 percent of black individuals. Recent studies, led by Freedman and his colleagues, have shown that these genetic changes are associated with an increased risk of kidney disease, which prompted researchers to investigate the role of these changes in transplant success.

"In looking at the records and follow-up of the recipients of these organs, we accounted for all the usual factors that are known to contribute to more rapid loss of kidney function after transplant," said Freedman, chief of the section on nephrology. "What we found was that the kidney disease-causing risk variants in APOL1 were the strongest predictor of graft loss after transplant. The effect of having two copies of this gene was stronger than the impact of genetic matching between donor and recipient, the amount of time the organ was out of the body, and the antibody levels. APOL1 dwarfed all these other factors known to affect survival."

If the finding is confirmed by other researchers, it has the potential to dramatically improve outcomes for both the individuals undergoing kidney transplantation and those considering kidney donation, Freedman said. It could revolutionize donor selection criteria, allowing transplant physicians the ability to identify kidneys that are likely to function for shorter periods of time. In addition, this screening tool has the potential to help doctors protect potential donors who may be at risk of developing kidney disease down the road.

Certain Heart Medications Better Taken At Night

A new study to be published in the May 17, 2011 issue of the Journal of the American College of Cardiology suggests that ACE inhibitors, a class of cardiac drugs, may be more efficacious when administered at night. ACE inhibitors are used to treat high blood pressure and heart disease, especially in people who have sustained a heart attack. They reduce the deleterious post-heart attack remodeling of heart tissue which usually occurs at night. By studying mice, the researchers found that those who were given the medication at night demonstrated better heart function and preservation of normal heart size than mice that were given the medication in the morning. The study calls to attention the need for more studies on the best times to administer cardiac drugs, since evidence shows that heart function runs on a cyclic pattern. For example, it is well known that the risk of heart attack is dramatically increased in the mornings for a variety of reasons. Therefore, giving medications to anticipate this would be more beneficial than taking a medication after one awakens.

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glutamate receptors

Glutamate neurotransmission plays an important role in a number of physiologic and pathophysiologic processes. Activation of glutamate receptors occurs in pathways involved in pain, neurotoxicity and memory formation.

There are big expectations in the neuropharmacology field about the possible clinical applications of novel agents acting on these receptors. Some of the conditions that might benefit from future glutamatergic drugs include: hyperalgesia, stroke, epilepsy and schizophrenia.

This article overviews the structure and physiology of glutamate receptors.

Outline:

• Classification
  • Ionotropic glutamate receptors
    • NMDA receptors
    • AMPA receptors
    • Kainate receptors
  • Metabotropic receptors

Structure and characteristics

Glutamate receptors are divided into two subgroups: ionotropic (ligand-gated ion channels) and metabotropic (G protein-coupled receptors).

Ionotropic glutamate receptors

These receptors act as cation-selective channels, when activated they allow the flow of Na⁺ , K⁺ and Ca²⁺.

Ionotropic glutamate receptors can be subdivided into three subtypes, according to their activation by selective agonists such as NMDA, AMPA and kainate.

NMDA receptors

NMDA receptors are ligand-gated ion channels, with a primary glutamate-binding site and an allosteric glycine-binding site.These receptors consist of multisubunit oligomeric transmembrane complexes. NDMA receptor subunits include:

• NR1
• NR2A
• NR2B
• NR2C
• NR2D

Smith, S. Diabetic Retinopathy and the NMDA Receptor, Drug News Perspect 2002, 15(4): 226

Three events need to occur simultaneously in order to activate NMDA receptors: binding of glutamate and glycine (which acts as cotransmitter) and membrane depolarization. Under resting conditions,  Mg²⁺ ions block the channel pore in the resting membrane. When NMDA receptors are activated, Mg²⁺ ions are removed from their location, allowing the influx of Ca⁺² ions.

AMPA receptors

AMPA (alpha-amino-3-hydroxy-5-methyl-4-isoxazole-propionic acid) receptors are constituted of four subunits:

• GluR1
• GluR2
• GluR3
• GluR4

These receptors regulate fast excitatory postsynaptic depolarization at glutamatergic synapses. AMPA receptors are located in the CNS, specially in the hippocampus and cerebral cortex.

Kainate receptors

Kainate receptors are expressed throughout the CNS, particularly in the hyppocampus and cerebellum where they play a role in both pre- and postsynaptic neurotransmission.

Five kainate receptor subunits have been identified:

• GluR5
• GluR6
• GluR7
• KA1
• KA2

According to recent findings, kainate receptors may be relevant in pain neurotransmission.

Metabotropic glutamate receptors

Metabotropic glutamate receptors (mGluR) are seven transmembrane-spanning proteins that exert their actions through G protein signalling cascades.

There are eight subtypes of metabotropic glutamate receptors, which are organized into three separate groups (I, II and III).

Recent findings suggest that groups II and III might be located presynaptically, where they function as autoreceptors to block glutamate release. Autoreceptors act as "detectors" of glutamate activity in the synaptic cleft. When ligands activate group II and III mGluRs glutamate release may be reduced. Therefore, activation of presynaptic group II and III mGLURs may inhibit glutamatergic excitatory neurotransmission.

Group I metabotropic glutamate receptors may be located postsynaptically, where they hypothetically enhance excitatory glutamatergic neurotransmission.

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New Florida Bill Could Prevent Doctors From Asking About Guns

Florida governor Rick Scott is expected to sign a bill that is penned with the assistance of National Rifle Association (NRA) lobbyists which would effectively make it illegal for doctors to ask their patients whether they have access to guns. The bill is aimed mostly at pediatricians who routinely ask new parents whether there are guns in the home and if they are safely stored. Doctors will routinely ask suicidal patients as well regarding access to firearms. These questions are meant to guide the doctor during the patient encounter by helping to identify and discuss potential safety issues. However, gun rights advocates say physicians have a political agenda because the American Academy of Pediatrics is officially on the record supporting gun control. Similar laws are also being considered in the states of North Carolina and Alabama

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Your Happiness also has genetic basis: Did you know that?

Recently, a study has come up stating links of happiness with the type of genes you possess.

The study of more than 2,500 Americans revealed two variants of a gene that influenced how satisfied – or dissatisfied – people were with their lot. Those born with two long versions of the gene (one is passed down from each parent) were more likely to declare themselves "very satisfied" with life than those who inherited two short versions.The study marks a tentative step towards explaining the mystery of why some people seem naturally happier than others.

"This gives us more insight into the biological mechanisms that influence life satisfaction," said Jan-Emmanuel De Neve, a researcher at the London School of Economics and Political Science.

"If you're feeling down, you can say it's your biology telling you life is less rosy that it is," he added.

A greater understanding of happiness genes might in future allow would-be parents to create a child who will be more satisfied with their life.

Happiness is only partly influenced by genetic makeup. Studies in twins suggest that genes account for roughly a third to a half of the variation in happiness between people. It is not yet known how many genes affect how cheerful we are. De Neve looked at the genetic makeup of 2,574 people selected to be representative of the general population, whose medical histories were recorded for the US National Longitudinal Study of Adolescent Health. Among the records were answers to a question participants were asked in their early 20s about life satisfaction.

Writing in the Journal of Human Genetics, De Neve describes how roughly 40% said they were "very satisfied" with life, and among these, 35.4% had two long variants of the gene and only 19.1% had two short versions. Of those who were "dissatisfied" with life, 26.2% had two long variants of the gene, while 20% had two short versions. That indicates a slight over-representation of the long variants in happier people.

The gene, known as 5-HTT, is involved with the transport of serotonin, a feelgood chemical, in the brain. The longer variant leads to more efficient release and recycling of the neurotransmitter.

De Neve calculated that, everything else being equal, having one long version of the gene increased the number of people claiming to be "very satisfied" with life by around 8.5%. Having two long versions raised the number by 17.3%.

De Neve urged caution over the result, however, and emphasised that inheriting two short versions of the gene did not condemn a person to a life of misery any more than two long versions would make someone impervious to sadness.

"This gene has an important influence, but you cannot say it causes happiness. Happiness is hugely complex and your experiences throughout the course of your life will remain the dominant force on that," he said.

Source: London School of Economics and Political Science

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