Sunday, May 23, 2010

Blueberries Slow Tumor Growth

Blueberry extract slows the spread of a difficult-to-treat form of breast cancer, according to a small study of mice in Cancer Research. So-called triple-negative breast cancers, which account for 10% to 15% of all breast-cancer cases, lack the three receptors that most cancer drugs target. In a preliminary test-tube experiment, researchers discovered that blueberry extract, compared with other fruit and vegetable extracts, had the greatest effect on these tumors without harming healthy cells. The researchers randomized 16 mice to receive either blueberry extract—a daily dose of unadulterated juice extracted from blueberries that was roughly equivalent to five ounces of blueberries a day for a 150-pound person—or a placebo. One week after the first dose, the mice were injected with triple-negative breast-cancer cells. Six weeks after that, necropsies revealed that the tumors of blueberry-fed mice were about 70% smaller than those in placebo-fed mice. The tumors of the blueberry-fed mice also had less potential to spread to other parts of the body.

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Caveat: Many successful cancer-fighting therapies in mice have been difficult to replicate in humans.

Read the Study: Blueberry Phytochemicals Inhibit Growth and Metastatic Potential of MDA-MB-231 Breast Cancer Cells through Modulation of the Phosphatidylinositol Kinase Pathway

Emotional Memory: Emotions can outlast the memory of the facts on which those feelings are based, according to a study of amnesiac patients in Proceedings of the National Academy of Sciences. Five patients with severe anterograde amnesia, which largely prevents the creation of new memories, watched a 19-minute video of film clips about death and loss. (The clips included scenes from "Sophie's Choice" and "Forrest Gump.") Several times during the study, researchers asked the subjects how they felt. Five to 10 minutes after the final scene, the amnesiacs remembered nearly nothing they had seen. They were asked to rate their emotions on several scales, including to what degrees they felt happy, sad, amused and "bad/unpleasant" versus "good/pleasant". The responses showed that the amnesiacs' negative emotions were stronger and lasted longer, than a control group of subjects who had no brain damage. The researchers repeated the experiment with humorous film clips, finding that positive emotions also outlasted specific memories. The results contradict the popular concept that "erasing" painful memories can ease the distress associated with those memories, the researchers said

Caveat: Larger studies are needed to confirm the findings. It's unclear whether emotions are equally persistent among people with other forms memory loss, such as Alzheimer's.

Read the Study: Sustained experience of emotion after loss of memory in patients with amnesia

Pregnancy: Weight-reduction surgery appeared to reduce obese women's odds for blood-pressure disorders during future pregnancies, according to a study in BMJ. Obesity is a major risk factor for pregnancy-related hypertensive disorders, which can cause low birth weight and premature birth, as well as increase the mother's risk for cardiovascular and kidney diseases. Researchers examined insurance claims from 585 U.S. women who had weight-loss surgery and gave birth within a four-year window. About half of the women underwent the surgery before giving birth, with an average of two years between the two events. Fewer than 10% of these women experienced pre-eclampsia (a sudden spike in blood pressure and in protein in the urine) and other hypertensive disorders during pregnancy, while these complications occurred in 31% of women who delivered before weight-reduction surgery. Women who delivered pre-surgery were twice as likely to develop gestational diabetes, which may lead to Type 2 diabetes later in life.

Caveat: Researchers relied on insurance claims and didn't have access to the mothers' height, weight or blood pressure. They also were unable to link the data on mothers to their infants' health.

Read the Study: Impact of bariatric surgery on hypertensive disorders in pregnancy: retrospective analysis of insurance claims data;

Immune Responses: Visual signs of disease, independent of physical proximity, appear to jump-start our immune systems, according to a study in Psychological Science. Researchers took blood samples from 28 subjects before and after they watched a 10-minute slide show depicting photographs of furniture, a neutral subject. Later, the researchers divided the same subjects into two groups; one watched a slide show of visible disease symptoms—including pictures of people sneezing or infected with skin lesions—while the other group saw photographs of guns. The white blood cells of participants in the first group produced nearly 24% more interleukin-6, a protein used to judge immune response, after seeing the photographs of disease. There was no statistically significant increase, however, in interleukin-6 after the furniture or gun slide shows.

Caveat: The study was small. It's unclear what effect these cues have in a non-laboratory setting, or in relation to other sensory signals.

Emergency Care: Uninsured patients who have a heart attack, despite being guaranteed treatment, take significantly longer to arrive at the hospital than insured patients, according to a study in JAMA. Greater delays between a heart attack and hospital treatment decrease the odds of survival, previous studies have shown. Researchers in this study examined the medical records of 3,721 heart attack patients at 24 U.S. hospitals, and then interviewed them about their insurance status and financial concerns. One-fifth of all participants were uninsured. Of those, more than 48% arrived at the hospital six hours or longer after the heart attack occurred, compared with 39% of insured patients without financial concerns about their coverage, and about 45% of insured patients with financial concerns. After adjusting for a host of factors such as age and disability, the researchers determined that delays were nearly 40% more likely among uninsured patients than among patients with insurance and no financial concerns.

Caveat: Traffic and geographic distance from the hospital likely affected these delays, but the researchers were unable to collect this data. The researchers also didn't determine whether lack of insurance was a factor in patients themselves delaying going to the ER. The study was conducted solely in urban areas, so the findings don't necessarily apply to other regions.

Read the Study: Health Care Insurance, Financial Concerns in Accessing Care, and Delays to Hospital Presentation in Acute Myocardial Infarction

Sexually Transmitted Infections: Human papillomavirus, known for its link to cervical cancer and other tumors, appears also to increase the risk of HIV infection, according to a study in PLoS ONE. Researchers followed 2,040 HIV-negative Zimbabwean women for approximately two years. Every three months, the women were tested for HIV and 29 known strains of HPV. About one-quarter of the women had HPV at the beginning of the study. By the end of the study, 88 women (4.3%) developed HIV. But women who began with either of two particular HPV strains were twice as likely as other women to acquire HIV. Remarkably, women with the least persistent HPV infections were the most likely to get HIV. These findings suggests that the immune response to HPV—rather than abnormal cell growth—predisposes women to HIV infection, the researchers said.

Caveat: Unlike other strains of HPV, vaccines aren't available for the types associated with HIV infection. The researchers were unable to distinguish between biologically active HPV and inactive virus DNA deposited by a recent sexual partner.

Read the Study: Type-Specific Cervico-Vaginal Human Papillomavirus Infection Increases Risk of HIV Acquisition Independent of Other Sexually Transmitted Infections

Migraines: Aspirin can provide adequate relief for many migraine sufferers who lack access to prescription medication, according to meta-analysis by the Cochrane Library. The authors analyzed results from 4,222 participants in 13 studies that compared the effectiveness of aspirin—alone or in tandem with a generic anti-nausea drug—with a placebo. Within two hours, one-gram doses of aspirin reduced the severity of migraine headaches in 52% of participants, while a placebo worked for only one-third of migraneurs. Aspirin also significantly reduced nausea and vomiting, which the addition of the anti-nausea drug further diminished.

Caveat: Frequent aspirin use can cause stomach and intestinal ulcers, and may contribute to hearing loss and other symptoms. As with all meta-analyses, the underlying studies have their own limitations.

Read the Study: Aspirin with or without an antiemetic for acute migraine headaches in adults

Digestion: An intestinal bacterium apparently abundant among Japanese has evolved to improve the digestion of seaweed, according to a study in Nature. The human gut harbors trillions of bacteria, many of which help digest molecules that human enzymes cannot. Researchers identified a new class of enzyme that breaks down porphyran, a carbohydrate found exclusively in red algae. They then tested intestinal bacteria samples from 13 Japanese volunteers and 18 North American volunteers for the genetic sequence that creates the porphyran-breaking enzyme. The gene was common in the Japanese samples, but entirely absent from the North American samples. This string of DNA likely migrated from marine microbes to intestinal bacteria, though it's difficult to estimate when this happened, the researchers said.

For Nut Benefits, More Is Better Two handfuls a day may do more to lower blood cholesterol and triglycerides than one

More research backing up the cholesterol-lowering benefits of eating nuts indicates that for most people, consuming two handfuls of nuts a day appears to work better than one.

The findings apply to tree nuts such as walnuts, almonds, pistachios, macadamias, hazelnuts and peanuts.

Although peanuts actually belong to the legume family, they are considered to have many of the same nutritional components as walnuts, almonds and other tree nuts.

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Researchers found that, for the average person, about two servings of tree nuts did a better job of reducing blood cholesterol and triglycerides than one serving. Researchers who examined the results of 25 previous studies on the health effects of nut consumption found a dose-related improvement in participants' blood-lipid levels.

The results are published this week in the Archives of Internal Medicine.

The lead author of the latest research, Joan Sabaté, says the study "confirms that nuts, indeed, lower cholesterol." A professor and the chairman of the department of nutrition at Loma Linda University, in Loma Linda, Calif., Dr. Sabaté was among the group of researchers that first linked nut consumption to a lower risk of heart attack several years ago.

That finding and others led the Food and Drug Administration in 2003 to allow processors to state on labels that "eating 1.5 ounces per day of most nuts ... as part of a diet low in saturated fat and cholesterol may reduce the risk of heart disease."

Dr. Sabaté said the research indicated that for the average person, a slightly higher amount of nuts—about 2.4 ounces, or two servings—does a better job than one serving of lowering cholesterol and triglycerides, another type of fat in the blood.

Still, he said, "we do not need many to get the benefit." One serving of almonds is about eight nuts; a serving of smaller nuts such as peanuts is about 15 to 20 nuts.

Dr. Sabaté's analysis involved nearly 600 people with high or normal blood cholesterol levels. None of the study participants were taking cholesterol-lowering medications.

The analysis compared a control group with two groups assigned to consume two different quantities of nuts.

People in one of the nut groups consumed an average of 67 grams of nuts, or about 2.4 ounces, per day.

These people had an average reduction in total blood cholesterol concentration of 5.1%, and a reduction in low-density lipoprotein, or so-called LDL or "bad" cholesterol, of 7.4%.

For the people who consumed about 1.5 ounces of nuts, total cholesterol fell by 3.2%, while "bad" cholesterol fell by 4.9%—suggesting a dose-related response.

Those who consumed about one ounce daily of nuts, total cholesterol fell by 2.8% while LDL cholesterol fell by 4.2%.

Significantly, however, the drops in cholesterol weren't seen in people considered obese—a new finding.

More studies are needed to understand why nuts are less effective at lowering blood cholesterol concentration among obese people, the researchers said.

Dr. Sabaté said the biggest improvement in blood lipid levels were seen among people who started out with higher cholesterol levels, as well as among those who consumed a "Western" diet of high-fat meats, dairy products and refined grains, compared with people consuming a "Mediterranean" diet emphasizing whole grains, lots of fruits and vegetables, fish and relatively little red meat.

"For the general population consuming a Western diet, the incorporation of nuts into their daily diet will result in greater improvement of blood lipid levels than for individuals already following a healthy Mediterranean or low-fat diet," researchers wrote.

Of the 25 studies, about two-thirds of them involved almonds or walnuts. The other one-third of studies looked at either macadamia, pistachio, hazelnuts or peanuts. The studies didn't include pine nuts or Brazil nuts.

The study was funded by Loma Linda University in California and by the International Tree Nut Council Nutrition Research and Education Foundation, an international group that represents the tree nut industry.

Sun-Kissed or Sunburned?A Sun-Lover Sees Bright Side, Mood Boost, Vitamin D

HEALTH JOURNAL
APRIL 26, 2010

Sun-Kissed or Sunburned?A Sun-Lover Sees Bright Side, Mood Boost, Vitamin D

http://online.wsj.com/article_email/SB10001424052748703465204575208011470022100-lMyQjAxMTAwMDIwMzEyNDMyWj.html

A Shade-Seeker Finds New Ways to Block UV Rays

http://online.wsj.com/article_email/SB10001424052748704388304575202110726832690-lMyQjAxMTAwMDIwMzEyNDMyWj.html

There's solid evidence that basal and squamous cell cancers, which account for 90% of skin cancers, are directly linked to cumulative UV exposure, cancer experts say. Basal cell cancers mostly occur on the face and have a very small risk of spreading. Squamous cell, which occur on the ears, lips, temples, can spread and cause about 1,200 deaths per year. The relationship between UV exposure and melanoma is less clear, since some melanomas occur in parts of the body that rarely get sun. Experts say about 65% of cases are UV-related. Recent studies of the melanoma genome have found that most mutations—changes or errors in the genes that lead to cancer—were caused by UV radiation.

Study Sees ADHD-Pesticide Link

An analysis of U.S. health data links children's attention-deficit disorder with exposure to common pesticides used on fruits and vegetables.

While the study couldn't prove that pesticides used in agriculture contribute to childhood learning problems, experts said the research is persuasive.

"I would take it quite seriously,'' said Virginia Rauh of Columbia University, who has studied prenatal exposure to pesticides and wasn't involved in the new study, published Monday in Pediatrics. More research will be needed to confirm the tie, she said.

Children may be especially prone to the health risks of pesticides because they are growing, and they may consume more pesticide residue than adults relative to their body weight.

Pesticides break down in the body into compounds that can be measured in urine. Almost universally, the study found detectable levels: The compounds turned up in the urine of 94% of the children.

Children with higher levels had increased chances of having ADHD, attention-deficit hyperactivity disorder, a common problem that causes students to have trouble in school. The children may have eaten food treated with pesticides, breathed pesticides in the air or swallowed them in their drinking water. The study didn't determine how they were exposed.

Experts said it's likely that children who don't live near farms are exposed through what they eat.

"Exposure is practically ubiquitous. We're all exposed,'' said the study's lead author, Maryse Bouchard, of the University of Montreal.

She said people can limit their exposure by eating organic produce. In one government report, frozen blueberries, strawberries and celery had more pesticide residue than other foods.

A 2008 Emory University study found that in children who switched to organically grown fruits and vegetables, urine levels of pesticide compounds dropped to undetectable or close-to-undetectable levels.

Because of the known dangers of pesticides in humans, the U.S. Environmental Protection Agency limits how much residue can stay on food.

But the new study shows it is possible that even tiny, allowable amounts of pesticide may affect brain chemistry, Dr. Rauh said.

Exact causes of the children's reported ADHD, though, are unclear. Any number of factors could have caused the symptoms, and the link with pesticides could be by chance.

The new findings are based on one-time urine samples in 1,139 children and interviews with their parents to determine which children had ADHD.

The children, ages 8 to 15 years old, took part in a government health survey from 2000 to 2004.

As reported by their parents, about 150 children in the study either showed the severe inattention, hyperactivity and impulsivity characteristic of ADHD, or were taking drugs to treat it.

The study dealt with one common type of pesticide called organophosphates. Levels of six pesticide compounds were measured.

For the most frequent compound detected, 20% of the children with above-average levels had ADHD. In children with no detectable amount in their urine, 10% had ADHD.

"This is a well conducted study,'' said Lynn Goldman of the Johns Hopkins Bloomberg School of Public Health and a former EPA administrator.

However, relying on one urine sample for each child, instead of multiple samples over time, wasn't ideal, Dr. Goldman said.

The study provides more evidence that the government should encourage farmers to switch to organic methods, said Margaret Reeves, senior scientist with the Pesticide Action Network, an advocacy group that has been working to end the use of many pesticides.

"It's unpardonable to allow this exposure to continue,'' Ms. Reeves said.

—Copyright 2010 Associated Press