Archives: 12/2005

Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center is reporting that its researchers, led by oncologist J. Marc Pipas, M.D., have devised a new treatment for pancreatic cancer. According to the medical center, up to fifty percent of patients in the study responded to the novel therapy, which is one of the highest response rates ever seen for pancreatic CA:

“The only way to cure these tumors is to remove them completely,” explains Pipas. “You try to do something to make sure there is no microscopic disease left. If you can’t remove it, the prognosis is poor.”
In the Norris Cotton Cancer Center trial, 24 patients were treated with short course, high dose chemotherapy of docetaxel and gemcitabine, followed by a combination of radiation and twice-weekly low-dose gemcitabine. Chemotherapy doses in this trial were higher than previously attempted.
Results showed that 50% of tumors shrank by at least a third, including complete disappearance of a tumor in a patient who previously had been judged inoperable. No tumors progressed during treatment.
The ability to shrink a pancreatic tumor is important because in order to eradicate the cancer, the tumor must be small enough to be completely removed without damaging major blood vessels surrounding the pancreas. Seventeen patients in the study underwent surgery, including nine previously considered inoperable or borderline operable. Subsequent follow-up showed that no patient whose tumor was surgically removed had a local recurrence of the disease, and no patient whose disease was considered inoperable had local progression.
Because the treatment Pipas and his team developed is allowing more patients the option of surgery, it is now the standard treatment for pancreatic cancer at the Norris Cotton Cancer Center.
In a new study, Pipas is using gemcitabine and radiation in combination with cetuximab (Erbitux®), an antibody treatment. Norris Cotton Cancer Center is the only center testing this treatment for pancreatic cancer.

More at Dartmouth-Hitchcock Medical Center…

broccoli Super Broccoli Fights CancerBroccoli is the main source of a natural compound called sulforaphane, the active chemical which is believed to offer some protection from cancer. But, if you are among the fifty per cent of the population lacking the GSTM1 gene, your body might be getting less protection from broccoli according to the research conducted at UK’s Institute of Food Research (IFR).
Super broccoli contains 3.4 times more sulforaphane than standard varieties. It has been developed by traditional plant breeding methods.

Lead scientist on the new research, Professor Richard Mithen of the IFR, said: “Eating a few portions of broccoli each week may help to reduce the risk of cancer. Some individuals, who lack a gene called GSTM1, appear to get less cancer protection from broccoli than those who have the gene.
“Our studies suggest that this may be because if you lack the gene you cannot retain any sulforaphane inside your body, it is all excreted within a few hours. However, if you consume larger portions of broccoli, or broccoli with higher levels of sulforaphane, such as the ‘super broccoli’, you may be able to retain as much sulforaphane in your body as those who have the gene. Eating larger portions may have additional benefits since broccoli is also a rich source of other vitamins and minerals”.

Read more at Institute of Food Research…

bizarre love triangle Boston Scientific Butts in on Guidant DealFirst, Johnson and Johnson became smitten with Guidant. Unfortunately, it turns out she wasn’t the most virginal of brides, what with some faulty products and all. Cold-footed J&J tried to squirm out of the deal. Guidant threatened to bear it’s legal teeth should J&J actually leave her standing, so J&J decided to come through with a revised offer. Just when we thought we were through covering the issue, Boston Scientific comes out of nowhere:

Boston Scientific made an unexpected $25 billion takeover offer Monday for the troubled medical device maker Guidant, more than $3 billion more than what Johnson & Johnson agreed to pay for Guidant last month.
Boston Scientific said it was prepared to sell Guidant’s stent business to satisfy regulators but wanted to retain some shared rights in Guidant’s drug-eluting stent program, which has not yet brought a product to market. Boston Scientific has one of the bestselling drug-eluting stents on the market in Taxus, which competes with the Cypher stent made by J&J’s Cordis Corp. unit.
Boston Scientific, which makes heart devices, offered in a letter to Guidant’s chairman to pay a combination of cash and stock worth about $72 per Guidant share. It said that is nearly 14 percent above Friday’s value of J&J’s revised cash-and-stock deal for Guidant.
The offer comes nearly a year after J&J said it would buy the Indianapolis medical-device maker for $25.4 billion. But J&J cut its offer by nearly $4 billion after a series of product recalls by Guidant, and Guidant management accepted the lower price last month.
Boston Scientific executives said the prospect of entering the lucrative $10 billion market for implantable pacemakers and defibrillators by purchasing Guidant outweighs the legal risks posed by Guidant’s recent problems.
“We understand there have been some recent issues, but we believe they are manageable,” Boston Scientific Chief Operating Officer Paul LaViolette said in an interview with The Associated Press.

How cute, Boston Scientific is willing to see past Guidant’s mistakes to the true beauty underneath. What does J&J think of this intrusion?

A Johnson & Johnson spokesman did not return three calls seeking comment Monday.

More from the Associate Press article, via the Miami Herald
More from Guidant, and Boston Scientific

Johns Hopkins is releasing news about a potentially revolutionary ultrasensitive DNA nanosensor:

Using tiny semiconductor crystals, biological probes and a laser, Johns Hopkins University engineers have developed a new method of finding specific sequences of DNA by making them light up beneath a microscope. The researchers, who say the technique will have important uses in medical research, demonstrated its potential in their lab by detecting a sample of DNA containing a mutation linked to ovarian cancer.
The Johns Hopkins team described the new DNA nanosensor in a paper published in the November 2005 issue of the journal Nature Materials
Quantum dots are crystals of semiconductor material, whose sizes are only in the range of a few nanometers across. (A nanometer is one-billionth of a meter.) They are traditionally used in electronic circuitry. In recent years, however, scientists have begun to explore their use in biological projects.
Wang, an assistant professor in the Department of Mechanical Engineering and the Whitaker Biomedical Engineering Institute at Johns Hopkins, led his team in exploiting an important property of quantum dots: They can easily transfer energy. When a laser shines on a quantum dot, it can pass the energy on to a nearby molecule, which in turn emits a fluorescent glow that is visible under a microscope.
But quantum dots alone cannot find and identify DNA strands. For that, the Johns Hopkins team used two biological probes made of synthetic DNA. Each of these probes is a complement to the DNA sequence the researchers are searching for. Therefore, the probes seek out and bind to the target DNA.
Each DNA probe also has an important partner. Attached to one is a Cy5 molecule that glows when it receives energy. Attached to the second probe is a molecule called biotin. Biotin sticks to yet another molecule called streptavidin, which coats the surface of the quantum dot.

qddiag Quantum Dots Nanosensor Detects DNA

To create their nanosensor, the researchers mixed the two DNA probes, plus a quantum dot, in a lab dish containing the DNA they were trying to detect. Then nature took its course. First, the two DNA probes linked up to the target DNA strand, holding it in a sandwich-like embrace. Then the biotin on one of the probes caused the DNA “sandwich” to stick to the surface of the quantum dot.
Finally, when the researchers shined a laser on the mix, the quantum dot passed the energy on to the Cy5 molecule that was attached to the second probe. The Cy5 released this energy as a fluorescent glow. If the target DNA had not been present in the solution, the four components would not have joined together, and the distinctive glow would not have appeared. Each quantum dot can connect to up to about 60 DNA sequences, making the combined glow even brighter and easier to see.

Picture caption: DNA probes capture the target strands of DNA, then stick to a quantum dot, which is a tiny crystal of semiconductor material. When a laser shines on the quantum dot, it transfers the energy to the DNA probes, which light up through a process called fluorescence resonance energy transfer or FRET.
The press release
Flashback: Medgadget DNA chip archive.

Do you want to learn to read chest X rays? Then head on over to the University of Virginia’s chest radiology teaching website. The website, designed for medical students, is surely useful to any practicing clinician.
(hat tip: Sumer’s Radiology Site)

dspect 1 D SPECT™ Cardiac ScannerIn a recent headline from the annual meeting of the Radiological Society of North America (RSNA), a new imaging modality called dynamic single photon emission computed tomography (D-SPECT) was described as having better specificity and sensitivity than Anger Camera SPECT (A-SPECT) technology:

Phantom studies were carried out to assess sensitivity and resolution of D-SPECT in comparison with the conventional Anger Camera SPECT (A-SPECT). In all studies, the D-SPECT system sensitivity was more than 10 times greater than A-SPECT. D-SPECT spatial resolution was two times higher than A-SPECT, despite imaging for one-tenth the time. Excellent images in human volunteers have also been obtained in two minutes with D-SPECT compared to 17 minutes with conventional SPECT…

The machine, manufactured by Spectrum-Dynamics Ltd. of Haifa, Israel was specifically designed to resolve the conflict between sensitivity and resolution that is inherent in standard Anger camera SPECT (A-SPECT), according to the company.
The technology:

Spectrum Dynamics’ advanced BroadView™ technology resolves the inherent trade-off between resolution and sensitivity by employing novel ways of views selection and scanning geometry. By employing unique image reconstruction algorithms, the BroadView™ technology enables collection of radiation from a solid angle substantially larger than in conventional SPECT cameras. Whereas in a conventional camera, increasing the acceptance angle of the collimator automatically means reduction of image quality, with BroadView™ not only is there a quantum improvement in sensitivity, but the reconstructed image also has a substantially better spatial resolution.

dspect 2 D SPECT™ Cardiac Scanner

The capability of independently controlled scanning from a plurality of directions allows for differential scanning of the volume of interest enabling a further localized increase of resolution and sensitivity.This enables kinetic perfusion tracer models for a variety of applications, including absolute myocardial perfusion and coronary flow reserve measurements.
Additionally, improved sensitivity and spectral resolution enables use of lower dose and novel combinations of radiopharmaceutical tracers. The dynamic imaging protocols developed for such radiopharmaceutical combinations will provide clinicians with information that currently is not available with routine nuclear imaging procedures, and allowing for differential diagnosis.
While BroadView™ is independent of the detecting system employed (e.g. the commonly used scintillator PMT combination), by employing novel solid-state detectors such as Cadmium Zinc Telluride (CZT), significant miniaturization of the hardware is made possible, adding another important feature to this novel technology.
By employing BroadView™ together with the SmartDispenser™ and SmartSyringe™, nuclear imaging procedures become significantly shorter and more patient-friendly while opening the door to nuclear imaging applications not perceived in the past.

To read more about the D-SPECT™ Cardiac Scanner, go to the company’s website
RSNA press release
Study results, as presented at RSNA…

Some idiopathic server issues this AM. Our apologies. Our fine hosts at HostingMatters again solved the problem in minutes. Cheers to them!

433543465556 Plumbism: The Cause of Beethovens IllnessNew research from the Argonne National Laboratory has confirmed that lead (plumbum) contamination was the cause of Beethoven’s ailment. This is how the research was conducted:

The bone fragments, confirmed by DNA testing to have come from Beethoven’s body, were scanned by X-rays from the Advanced Photon Source at Argonne, which provides the most brilliant X-rays in the Western Hemisphere. A control bone fragment sample from the same historic period was also examined. Both bone fragments were from the parietal section – the top – of the skull.
“The testing indicated large amounts of lead in the Beethoven bone sample, compared to the control,” said Bill Walsh, chief scientist at the Pfeiffer Treatment Center in Warrenville, Ill., and director of the Beethoven Research Project.
The bone fragment is the property of Paul Kaufman, a California businessman who inherited the relics through other family members from his great-great uncle, an Austrian doctor. Not sure if the fragment was actually from the composer, Kaufman sent it to the University of Muenster in Germany for mitochondrial DNA comparison with the samples of Beethoven’s hair, owned by the Beethoven Society and also analyzed by Walsh and his colleagues at the Advanced Photon Source.
The findings confirm the earlier work done on the hair samples. In addition, the researchers found no detectable levels of either cadmium or mercury – both considered possibilities for causing Beethoven’s illness – in either the bone fragment or the hair.
“The finding of elevated lead in Beethoven’s skull, along with DNA results indicating authenticity of the bone/hair relics, provides solid evidence that Beethoven suffered from a toxic overload of lead,” Walsh said. “In addition, the presence of lead in the skull suggests that his exposure to lead was not a recent event, but may have been present for many years.”
The half life of lead in the human body is about 22 years, with 95 percent of “old” lead residing in the skeletal structure. Beethoven experienced a change of personality and abdominal illness in his late teens and early 20s that persisted throughout his adult life. His abdominal symptoms and autopsy findings are both consistent with lead poisoning, Walsh said.
There have been documented cases of deafness resulting from lead poisoning, but this has been a relatively rare occurrence. There is no solid evidence that lead poisoning was a cause of Beethoven’s deafness, Walsh said.
“Beethoven saw physician after physician in search of a cure for his physical ailments,” said Walsh. In fact, in a letter to a friend, he expressed the wish that after his death, researchers would use his remains to help determine the cause of his illness so that others would not have to suffer as he did. “Beethoven suffered from bad digestion, chronic abdominal pain, irritability and depression. Since he died in 1827 at age 57, there has been much speculation but no proof of the cause of his illnesses and death.”
Researchers performed the elemental X-ray fluorescence analysis at an Advanced Photon Source X-ray Operations and Research beamline.
“The APS is the only machine in the country where we can perform the research in this detail,” said Ken Kemner, one of the Argonne researchers involved in the project. The group used microimaging to look at the distribution of lead in and on both the bone fragment and the hair to identify the presence of any surface effects and to determine the timeline of the lead exposure.

The press release

dynamed The DynaMed
The National Science Foundation (NSF) has announced the creation of a new online resource for clinicians, the Dynamic Medical Information System, or DynaMed:

Developed with the support of a National Science Foundation Small Business Innovation Research award, DynaMed is a collection of clinical summaries on more than 1,800 medical topics. Instead of relying solely on texts in the office or other resources, a doctor can log into DynaMed to compare his patients’ ailments with a peer-reviewed, searchable database.
In the recent study, many doctors using the tool changed clinical decisions based on evidence they uncovered in the database.
DynaMed is supported by NSF’s SBIR program, which emphasizes high-risk, high-payback innovations that are tied to NSF’s mission of advancements in science, engineering and education.

This one goes to our blogroll.
Website
The press release