Gila Monster News – From Lizard to Laboratory… and Beyond

While studying the effects of exendin-4 on the pancreas, Dr. Egan and her colleagues found that it also seemed to have beneficial effects on the brain. Specifically, GLP-1 stimulates the growth of neurites (developing neurons) in cell culture, and both GLP-1 and exendin-4 protect mature neurons against cell death. In fact, research increasingly suggests that there may be a link between some neurodegenerative disorders and metabolic dysfunction. The hope is that drugs, such as exendin-4, that enhance metabolic function may also be useful in the treatment of neurologic disease.

Building on these findings, Dr. Egan and others in the NIA Intramural Research Program have tested exendin-4 in cellular and mouse models of several neurodegenerative diseases. The results are promising. For example, using a mouse model of Huntington’s disease, they found that exendin-4 reduces the accumulation of the mutant huntingtin protein, which is implicated in the disease’s onset and progression. The treatment also improved motor function and extended the survival time of the Huntington’s disease mice.

In other studies, investigators found that exendin-4 significantly reduced levels of amyloid beta protein (a hallmark of Alzheimer’s disease) and its precursor molecule in mice models of the disorder. It also proved beneficial in cellular and animal models of another neurodegenerative disorder, amyotrophic lateral sclerosis (ALS), or Lou Gehrig’s disease.

via National Institute on Aging | The Leader in Aging Research.

Ampyra (dalfampridine) – Seizure Risk for Multiple Sclerosis Patients

BACKGROUND: Ampyra was approved to improve walking in patients with MS. Seizures are a known side effect of Ampyra, and seizure risk increases with higher blood levels of the drug. Ampyra is eliminated from the body through the kidneys, and patients with kidney impairment may develop higher blood levels of the drug, thereby increasing their seizure risk.

via Safety Alerts for Human Medical Products > Ampyra dalfampridine: Drug Safety Communication – Seizure Risk for Multiple Sclerosis Patients.

Melanoma on Rise with Indoor Tanning

Overall, there was a 20% increased risk for melanoma with any indoor tanning (RR 1.20, 95% CI 1.08 to 1.34), according to Mathieu Boniol, PhD, of the International Prevention Research Institute in Lyon, France, and colleagues.

But the risk nearly doubled when sunbed use began before age 35 (RR 1.87, 95% CI 1.41 to 2.48), they reported online in BMJ.

via Medical News: Melanoma on Rise with Indoor Tanning – in Oncology/Hematology, Skin Cancer from MedPage Today.

Pathophysiology, Diagnosis, and Management of Proteinuria – JAAPA

KEY POINTS

Microalbuminuria tends to occur long before clinical proteinuria becomes evident.

Proteinuria results when the glomerular basement membrane allows excess proteins into the tubular filtrate and when the proximal tubules are unable to reabsorb low-molecular-weight proteins.

False-negative dipstick results may occur if the urine is dilute or if protein loss is mild.

Correlation between the urine protein-creatinine ratio (UPCR) and the 24-hour urine collection has been demonstrated in several diseases, and recent evidence indicates that the UPCR ratio is more accurate than the 24-hour measurement.

The albumin-to-creatinine ratio is more sensitive than the UPCR.

Renal biopsy should be considered in adults with persistent proteinuria because results are likely to guide specific therapy.

via The pathophysiology, diagnosis, and management of proteinuria – JAAPA.

Health Toll of Fast Food Spreads Eastward

Eating Western-style fast food on a regular basis significantly increased the risk of diabetes and coronary heart disease in a large Asian cohort, investigators reported.

The diabetes odds increased by 27% and CHD risk by 56% among Singapore residents who ate fast food at least twice a week.

The results changed little with overall dietary pattern, energy intake, or body mass index (BMI), as reported online in Circulation.

via Medical News: Health Toll of Fast Food Spreads Eastward – in Cardiovascular, Atherosclerosis from MedPage Today.