Archives: 1/2009

brainiadsf Dont Throw Off Warburg Theory of Cancer Just YetAfter winning the 1932 Nobel in Physiology for arguing that cancer is essentially a mitochondrial disease, Dr. Otto H. Warburg‘s theory later became controversial when evidence came to show that genetic mutations are to blame. Now researchers are putting another curve in the road, as new emerging science is showing that Dr. Warburg may not have been wrong at all.
Boston College press office explains:

In contrast to healthy cells, which generate energy by the oxidative breakdown of a simple acid within the mitochondria, tumors and cancer cells generate energy through the non-oxidative breakdown of glucose, a process called glycolysis. Indeed, glycolysis is the biochemical hallmark of most, if not all, types of cancers. Because of this difference between healthy cells and cancer cells, Warburg argued, cancer should be interpreted as a type of mitochondrial disease.
In the years that followed, Warburg’s theory inspired controversy and debate as researchers instead found that genetic mutations within cells caused malignant transformation and uncontrolled cell growth. Many researchers argued Warburg’s findings really identified the effects, and not the causes, of cancer since no mitochondrial defects could be found that were consistently associated with malignant transformation in cancers.
Boston College biologists and colleagues at Washington University School of Medicine found new evidence to support Warburg’s theory by examining mitochondrial lipids in a diverse group of mouse brain tumors, specifically a complex lipid known as cardiolipin (CL). They reported their findings in the December edition of the Journal of Lipid Research.
Abnormalities in cardiolipin can impair mitochondrial function and energy production. Boston College doctoral student Michael Kiebish and Professors Thomas N. Seyfried and Jeffrey Chuang compared the cardiolipin content in normal mouse brain mitochondria with CL content in several types of brain tumors taken from mice. Bioinformatic models were used to compare the lipid characteristics of the normal and the tumor mitochondria samples. Major abnormalities in cardiolipin content or composition were present in all types of tumors and closely associated with significant reductions in energy-generating activities.
The findings were consistent with the pivotal role of cardiolipin in maintaining the structural integrity of a cell’s inner mitochondrial membrane, responsible for energy production. The results suggest that cardiolipin abnormalities “can underlie the irreversible respiratory injury in tumors and link mitochondrial lipid defects to the Warburg theory of cancer,” according to the co-authors.

Press release: Nearly a century later, new findings support Warburg theory of cancer …
Image: These three-dimensional illustrations show the relationship of cardiolipin abnormalities to electron transport chain activities in the cells of mouse brain tumors studied by researchers from Boston College and Washington University School of Medicine. The graphs show the position of the tumors in relation to their host strain in three enzyme complexes. Credit: The Journal of Lipid Research

We are aware that polls at the Medical Weblog Awards are currently not working. The problem is with the service provider, Polldaddy. Even their internal polls seem not to work. We’ve been in touch with PollDaddy, and we are sure it’s just a matter of time before they fix this.
UPDATE: The polls are now working. PollDaddy folks tell us that they had “server difficulty yesterday that resulted in some downtime and are now working to avoid such a scenario from happening again.”

microdose dry powder Supercharging The Dry Powder InhalerTwo companies that make electronic drug inhalers are bringing together their proprietary technologies to build a smart dry powder device that can track patient compliance with a drug regiment. MicroDose of Monmouth Junction, New Jersey already builds a dry powder inhaler with an on-board chip that can record usage. The company now wants to integrate specialty software from New Zealand’s Nexus6 to bring data from the inhaler to patients and their physicians, as well as to help with monitoring patient’s compliance with taking clinical trial meds.
Here’s a video about the Nexus6′s Smartinhaler from New Zealand’s TV4:

From the press release about the new partnership:

The aim of the investigation is to demonstrate the ability to wirelessly upload dosing and compliance information from the inhaler to a web-based server for data management and reporting. The SmartinhalerLive technology, providing global roaming wireless, is a natural extension of MicroDose’s electronic inhaler features and will facilitate better communication between the physician, patient and pharmaceutical company to improve all aspects of care. The combined system would have benefits in both the clinical trials setting and with inmarket products. By improving compliance through reminder features, and through realtime tracking of compliance, patient safety and clinical trial data management are improved. Improved control and monitoring of compliance can significantly reduce the number of patients enrolled per Phase II or Phase III clinical studies. In marketed products, the system represents a move to more personalized care, giving a better understanding of drug usage and patient response to therapy, and improved compliance and adherence.

Press release: MicroDose and Nexus6 Announce Collaboration to Evaluate Application of Remote Patient Compliance Monitoring Technology with MicroDose’s Electronic Dry Powder Inhaler (.pdf)…
Product page: Smartinhaler, MicroDose Dry Powder Inhaler
(tip: ZDNet Healthcare)

The FDA has given Covidien approval to market the firm’s SILS™ port (pictured) that allows surgeons to perform laparoscopic procedures with three instruments inserted through one incision. SILS™ procedures are performed with the help of proprietary articulating instruments, dubbed by Covidien Roticulator™ instruments.
From company’s press release:

The SILS(TM) Port is a single, flexible port that can be fitted through a small incision in the umbilicus which results in a single “hidden scar,” a cosmetic advance over the multiple visible scars associated with standard multi-port laparoscopy. The port has the capacity for up to three laparoscopic instruments.
436345ert1 SILS Port Approved: Going Laparoscopic With Three Holes in One“SILS(TM) Port is the first device specifically indicated for multiple instrument access to the abdomen through a single incision,” said Scott Flora, President, Surgical Devices, Covidien. “We led the first surgical revolution with multi-port laparoscopic surgery and Covidien is now leading the way again with SILS(TM) procedures and the new SILS(TM) Port, innovations that offer surgeons an immediate advancement in patient care,” he added.
436345ert2 SILS Port Approved: Going Laparoscopic With Three Holes in OneLaparoscopic procedures performed through a single incision are a significant evolution in the world of surgery. While laparoscopy traditionally offers better patient outcomes including less pain and improved cosmesis than the open approach, SILS(TM) procedures have the potential to dramatically extend these benefits. The SILS(TM) Port is scheduled for commercialization in the United States and Europe later this year.

Video of a SILS™ cholecystectomy surgery and commentary By Dr. Michael Tarnoff – Associate Professor of Surgery, Tufts University School of Medicine; Attending Surgeon, Tufts Medical Center:


Press release: Covidien Receives FDA Clearance to Market SILS(TM) Port Multiple Instrument Access Port …
SILS™ technology info page

award lr The 2008 Medical Weblog Awards: The Polls Are Open!

The polls are now open in the Fifth Annual Medical Weblog Awards.
Update: The polls have been now closed. Winners will be announced after all logs have been checked.
  • Best Medical Weblog

  • Clinical Cases and Images
    Clinical Correlations
    The Health Care Blog
    Kevin, M.D.
    WSJ Health Blog
    Please vote here…

  • Best New Medical Weblog (established in 2008)

  • Laika’s MedLibLog
    Life in the Fast Lane
    medtechinsider
    The New Health Dialogue
    Science-Based Medicine
    Please vote here…

  • Best Literary Medical Weblog

  • Notes of an Anesthesioboist
    On The Clock
    other things amanzi
    Reflections by Dr. Bruce Campbell
    Running for My Life: Fighting cancer one step at a time
    Please vote here…

  • Best Clinical Sciences Weblog

  • Clinical Cases and Images
    Clinical Correlations
    scan man’s notes
    Please vote here…

  • Best Health Policies/Ethics Weblog

  • Better Health
    The Last Psychiatrist
    Stuart Laidlaw’s Medical Ethics blog
    Medical Futility
    Respectful Insolence
    Please vote here…

  • Best Medical Technologies/Informatics Weblog

  • AppleQuack
    Clinical Cases and Images
    Life as a Healthcare CIO
    medtechinsider
    Ted Eytan, MD
    TomographyBlog
    Please vote here…

  • Best Patient’s Blog
  • Alin’s Site

    Beating Social Anxiety

    Brass and Ivory: Life with Multiple Sclerosis

    ButYouDontLookSick

    Confessions Of A CF Husband

    Duncan Cross

    Furious Seasons

    Look Me In The Eye

    Running for My Life: Fighting cancer one step at a time

    Six Until Me

    Soulful Sepulcher

    Survive the Journey

    Please vote here…
    UPDATE: The polls are now closed. The winners will be announced this Friday, January 23.
    The 2008 Medical Weblog Awards are proudly sponsored by Epocrates.

    The 2008 Medical Weblog Awards announcement

    The 2008 Medical Weblog Awards Nominees…

    76354surg2 FDA Approves New Surgical Adhesive: SurgiSeal
    Dermabond, watch out! Wyomissing, Pennsylvania firm Adhezion Biomedical is reporting that its highly differentiated cyanoacrylate based surgical sealant has been approved for marketing by the FDA. In addition to surgical sealant applications, the company seems to be working on incorporating its technology for other indications, such as wound management and infection prevention. But for now, surgical sealant it is.
    76354surg1 FDA Approves New Surgical Adhesive: SurgiSeal
    From the product page and press release:

    SurgiSeal™ is a topical skin adhesive that provides the optimal balance between strength and flexibility. SurgiSeal can replace sutures that are 5-0 or smaller in diameter for incision or laceration repair and is designed to save time during wound repair, provide a flexible, water-resistant, antimicrobial protective coating, and eliminate the need for suture removal.
    Cyanoacrylate medical adhesives are designed to save time during wound closure, provide a flexible, water-resistant, microbial barrier coating, and eliminates the need for suture removal. 2-octyl cyanoacrylate formulas feature greater breaking strength and broader use in clinical applications than existing n-butyl-2-cyanoacrylates.
    Dr. Danie Hoffman, a plastic and reconstructive surgeon who has been using SurgiSeal since its international launch, states, “SurgiSeal does an excellent job of sealing the wound, and its applicator provides very easy, controlled use. It will save staff time in attending to lacerations.”
    Confirms Pete Molinaro, CEO of Adhezion Biomedical, “SurgiSeal’s patented OctylFlex monomer process can be used in a wide array of topical product applications, addressing skin lacerations, incisions and plastic surgery. It meets the needs of surgeons and patients seeking less disruptive, more natural healing solutions that are both durable and versatile.”

    The video, illustrating the device:


    Press release: Adhezion Biomedical Receives FDA Marketing Clearance for SurgiSeal Topical Skin Adhesive…
    Product page: SurgiSeal™…
    Product brochure: SurgiSeal™…

    46345wets For Food Safety, A 5 Minute Melamine Test
    On the heels of the Chinese melamine debacle, Bruker Daltonics Inc., a Billerica, Massachusetts company, is introducing a new 5 minute melamine and cyanuric acid detection assay for its HCTultra™ Ion Trap Mass Spectrometer (pictured). The company says its assay not only detects but also quantifies the amounts of melamine and cyanurate in food.

    A five minute, accurate LC-MS/MS analysis method has been developed by Bruker Daltonics’ food safety development laboratory in Australia. This robust, easy-to-use and cost-effective method for the extraction, detection and quantification of melamine and CA uses the speed, sensitivity and excellent quantitative capabilities of the high-capacity ion-trap mass spectrometer HCTultra™, hyphenated with a Dionex UltiMate™ 3000 LC system and Acclaim™ Mixed-Mode WAX-1 column. The method is capable of detecting melamine in various matrixes well below the concentrations required by various food safety and other regulatory authorities around the world, such as the limits set by the U.S. Food and Drug Administration (FDA) of 1 ppm for melamine and cyanuric acid in infant formula, and 2.5 ppm for other foods.
    Dr. Matthias Pelzing, Asia-Pacific Applications Manager for Bruker Daltonics, explained: "We recommend LC-MS/MS methods due to their straight-forward sample preparation, compared to GC-MS methods which often require sample derivatisation. With our new routine analysis method we have demonstrated that melamine can be detected down to trace levels of 0.05 ppb, and that it is possible to quantify melamine at concentrations relevant to various international food authorities in 5 minutes."
    Mr. Clive Seymour, Executive Vice President of Bruker Daltonics, commented: "Due to its robustness, ease of use, small footprint and lower cost, our HCT ion trap-based solution offers significant practical and operational advantages over traditional triple-quad MRM approaches. In addition, the superior full scan sensitivity of our unique HCT ion trap technology offers not only outstanding detection limits for melamine and CA, but also the option of full-scan identification of other unknown, new or modified food contaminants with superior sensitivity."

    White paper: Melamine and Cyanuric Acid Detection in 5 Minutes using LCMS (.pdf)…
    Press release: Bruker Daltonics Introduces Sensitive, Five Minute Melamine Food Safety Testing Solution Based on Robust and Cost-Effective HCT(TM) Ion Trap Mass Spectrometry…
    Product page: HCTultra…

    46454qwrt Carbon Nanotubes Boost Neuron Signaling AbilitiesA team of Italian and Swiss scientists have shown that carbon nanotubes can be used as biocompatible amplifiers to boost signal processing abilities of neurons.
    From the press statement isssued by Ecole Polytechnique Fédérale de Lausanne:

    Research done by scientists in Italy and Switzerland has shown that carbon nanotubes may be the ideal “smart” brain material. Their results, published December 21 in the advance online edition of the journal Nature Nanotechnology, are a promising step forward in the search to find ways to “bypass” faulty brain wiring.
    The research shows that carbon nanotubes, which, like neurons, are highly electrically conductive, form extremely tight contacts with neuronal cell membranes. Unlike the metal electrodes that are currently used in research and clinical applications, the nanotubes can create shortcuts between the distal and proximal compartments of the neuron, resulting in enhanced neuronal excitability.
    The study was conducted in the Laboratory of Neural Microcircuitry at EPFL in Switzerland and led by Michele Giugliano (now an assistant professor at the University of Antwerp), University of Trieste professor Laura Ballerini and Maurizio Prato, also from the University of Trieste. “This result is extremely relevant for the emerging field of neuro-engineering and neuroprosthetics,” explains Giugliano, who hypothesizes that the nanotubes could be used as a new building block of novel “electrical bypass” systems for treating traumatic injury of the central nervous system. Carbon nano-electrodes could also be used to replace metal parts in clinical applications such as deep brain stimulation for the treatment of Parkinson’s disease or severe depression. And they show promise as a whole new class of “smart” materials for use in a wide range of potential neuroprosthetic applications.
    Henry Markram, head of the Laboratory of Neural Microcircuitry and an author on the paper, adds: “There are three fundamental obstacles to developing reliable neuroprosthetics: 1) stable interfacing of electromechanical devices with neural tissue, 2) understanding how to stimulate the neural tissue, and 3) understanding what signals to record from the neurons in order for the device to make an automatic and appropriate decision to stimulate. The new carbon nanotube-based interface technology discovered together with state of the art simulations of brain-machine interfaces is the key to developing all types of neuroprosthetics — sight, sound, smell, motion, vetoing epileptic attacks, spinal bypasses, as well as repairing and even enhancing cognitive functions.”

    Press release: New”smart” materials for the brain…
    Study abstract: Carbon nanotubes might improve neuronal performance by favouring electrical shortcuts
    Image credit: Wellcome images: Carbon nanotubes…

  • PaO2=19.1 mmHg: Doctors measure lowest human blood oxygen levels on record… [NEJM]
  • Brain pacemaker helps Parkinson’s, but with risks… [AP]
  • Study in the Journal of the American Medical Association Shows Medtronic Deep Brain Stimulation Therapy Improved Quality of Life and Motor Function in Advanced Parkinson’s Disease… [Medtronic]
  • Canadians Worry U.S. Health Reform Could Lead to Doctor Poaching … [WSJ]
  • Obama Aims to Help Patients Wipe Away Medical Debts … [WSJ]
  • Massachusetts Probes High Insurance Payments to Favored Hospitals … [WSJ]
  • Can the Physical Examination Save Us From the Technology-Induced Dehumanization of Medicine?… [Wachter's World]
  • 2009 the year for predictive health start-ups… [ZDNet Healthcare]
  • Scientists uncovers genetic basis for a number of birth defects affecting development of the heart and head… [Case Western Reserve University School of Medicine]
  • Scientists Identify New Congenital Neutropenia Syndrome and Causative Gene Mutation… [NIH]
  • New study finds women’s brains recognize, encode smell of male sexual sweat… [Rice University]
  • Tennis balls for tremor treatment… [BBC]
  • New Protein Family May Explain a Mystery of Insect Olfaction… [HHMI]
  • What is the standard chemotherapy for colorectal cancer patients with resectable liver metastases? [Nature Clinical Practice Oncology]
  • Hospitals Scale Back on Robots, Infusion Devices in Tough Economy… [WSJ]