Danger of vitamin B12 deficiency

Using roundworms, one of Earth’s simplest animals, Rice University bioscientists have found the first direct link between a diet with too little vitamin B12 and an increased risk of infection by two potentially deadly pathogens.

Despite their simplicity, 1-millimeter-long nematodes called Caenorhabditis elegans (C. elegans) share an important limitation with humans: They cannot make B12 and must get all they need from their diet. In a study published today in PLOS Genetics, researchers from the lab of Rice biochemist and cancer researcher Natasha Kirienko describe how a B12-deficient diet harms C. elegans‘ health at a cellular level, reducing the worms’ ability to metabolize branched-chain amino acids (BCAA). The research showed that the reduced ability to break down BCAAs led to a toxic buildup of partially metabolized BCAA byproducts that damaged mitochondrial health.

Researchers studied the health of two populations of worms, one with a diet sufficient in B12 and another that got too little B12 from its diet. Like the second population of worms, at least 10 percent of U.S. adults get too little B12 in their diet, a risk that increases with age.

“We used C. elegans to study the effect of diet on a host and found that one kind of food was able to dramatically increase resistance to multiple stressors — like heat and free radicals — as well as to pathogens,” said Kirienko, assistant professor of biosciences and a CPRIT Scholar in Cancer Research at Rice.

The lead scientist and co-author of the study, Kirienko said the B12 finding came as a surprise to her team, which first noticed the effect in experiments designed to investigate the mechanisms of pathogenesis of Pseudomonas aeruginosa (P. aeruginosa), a potentially deadly disease in both worms and humans that infects some 51,000 U.S. hospital patients each year, according to the Centers for Disease Control.

Her lab, like thousands of others worldwide, uses C. elegans as a model organism to study the effects of disease, drugs, toxins and other processes that affect humans and animals. In many C. elegans research labs worms are fed Escherichia coli (E. coli), a common human gut bacteria that is itself a model organism.

“We found that switching between E. coli strain OP50 and strain HT115 dramatically altered the worm’s stress tolerance,” Kirienko said. She said it took about two years of follow-up studies to isolate the biochemical mechanism of stress and pathogen resistance. Her research team included study lead co-author Alexey Revtovich and co-author Ryan Lee.

“The key difference between the two diets is the ability of HT115 and OP50 to acquire B12 from the environment,” said Revtovich, a research scientist. “We showed that HT115 is far more efficient at this, making about eight times as much of the protein that it needs to harvest B12 as compared to OP50.”

The researchers used numerous tests to confirm their results and rule out other possible mechanisms for the effect. They also found that C. elegans on an HT115 diet had the ability to resist infection by another deadly human pathogen, Enterococcus faecalis.

Lee, a Rice undergraduate student, said the study highlights the need for C. elegans labs worldwide to pay attention to the possible differential impacts of diet on experimental outcomes.

“Some labs use OP50 as their standard food, and others use HT115 or even another strain of E. coli,” Lee said. “Our results show there are significant metabolic differences between these diets, and it’s likely those differences could contribute to substantial uncertainty in research outcomes.”

Kirienko joined Rice’s faculty in 2015 thanks to a recruitment grant from the Cancer Prevention and Research Institute of Texas (CPRIT), a state ballot initiative approved in 2007 to provide $3 billion to support cancer research statewide. To date, CPRIT has awarded $2.2 billion in grants to Texas researchers, institutions and organizations through its academic research, prevention and product development research programs.

“This work is related in the sense that it focuses on mitochondrial health,” Kirienko said. “In this case, we are working to improve mitochondrial health to help fight infections. For CPRIT, we’re trying to do the opposite. We want to damage mitochondria in cancer cells to kill them. So, actually, now that we know this is important, it gives us another potential target in cancer cells.”

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Materials provided by Rice University. Original written by Jade Boyd. Note: Content may be edited for style and length.

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Health24.com | Testicular cancer treatment doesn’t always doom fertility

Young men diagnosed with testicular cancer often worry that treating the disease may jeopardise their chances of having children, but new research should ease their minds.

In the study, sperm counts rebounded in men who received one course of chemotherapy or radiation therapy after surgery for early-stage testicular cancer.

Sperm samples provided

It was known that several rounds of chemotherapy or high doses of radiotherapy given to men with more advanced testicular cancer can reduce sperm count and concentration, but it wasn’t clear whether a single course of chemotherapy or radiotherapy would have a similar effect.

To find out, researchers looked at 182 men, aged 18 to 50, who had surgery for stage 1 testicular cancer. The surgery was followed by either one course of chemotherapy, one course of radiation therapy, or no further treatment.

The men provided sperm samples six months, one year, two years, three years and five years after surgery, according to the study published in the Annals of Oncology.

“We found no clinically significant detrimental long-term effect in either total sperm number or sperm concentration, irrespective of the type of postoperative treatment received,” said study leader Kristina Weibring, a cancer doctor at the Karolinska University Hospital in Stockholm, Sweden.

“Among men who received radiotherapy, there was a distinct decrease in average sperm number and concentration six months after treatment, though not in those who received chemotherapy,” she said in a journal news release. “However, sperm number and concentration recovered in the radiotherapy group after six months.”

Most common cancer in young men

Weibring noted that “one course of postoperative chemotherapy has been shown to decrease the risk of relapse substantially, thereby reducing the number of patients having to be treated with several courses of chemotherapy”.

Testicular cancer is the most common cancer in young men between the ages of 15 and 40. All patients have surgery to remove the testicle with cancer, a procedure called orchiectomy.

“Testicular cancer patients are often young men wanting to father children at some point, and we find, in many cases, that the patients are afraid of the potential risk of infertility caused by chemotherapeutic treatment. These findings should provide some reassurance to them,” Weibring said.

While the results are promising, further studies are needed “and we still recommend sperm banking before orchiectomy as a number of patients may have low sperm counts at the time of diagnosis that persists after postoperative treatment,” Weibring said.

Journal editor-in-chief Fabrice Andre is a professor in the department of medical oncology at the Institut Gustave Roussy, in France. He said, “The finding that one course of chemotherapy has minimal impact on sperm count offers hope for thousands of patients worldwide, but we all must keep in mind that these data are preliminary and will require validation before we can use them in clinics.”

Image credit: iStock

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Tunas, sharks and ships at sea

Maps that show where sharks and tunas roam in the eastern Pacific Ocean, and where fishing vessels travel in this vast expanse, could help ocean managers to identify regions of the high seas where vulnerable species may be at risk.

Researchers at Stanford University have created such a map by analyzing the habitats occupied by more than 800 sharks and tunas and 900 industrial fishing vessels. Focusing on international waters in the northeast Pacific, they found that vessels from Taiwan, China, Japan, the United States and Mexico accounted for over 90 percent of fishing in key habitat areas for seven shark and tuna species.

“The high seas are the global commons of the oceans,” said Timothy White, a graduate student in biology at Stanford and lead author of the paper detailing this research, published March 13 in Science Advances. “Analyses like this open the door to conversations about whether we think that the current mode of operation in the high seas is most equitable, most effective and most desirable.”

The researchers hope their findings can help the United Nations member states currently formulating the world’s first legally binding treaty to protect international waters, known as the high seas.

“We may protect a species near the coastline of North America, but that same species may be exposed to a high level of international fishing in the open ocean. By increasing the transparency of where fish and ship fleets meet, we can identify hot spots where international protection may be required,” said Barbara Block, the Prothro Professor of Marine Sciences at Stanford University.

Where fishing meets fish

The team’s work builds on a 2018 study led by Global Fishing Watch, the Block Lab and other researchers, published in Science. In that study, researchers took four years of data from the Automatic Identification System (AIS) — which tracks vessel movements via satellite — and developed a machine learning algorithm that mapped the footprint of 70,000 individual fishing vessels across the globe, down to details about the fishing methods of each vessel. In the current paper, the researchers narrowed their focus to the activities of over 900 vessels from 12 countries in the northeast Pacific Ocean to better understand the degree of overlap among fishing fleets, sharks and tunas in those waters.

Meaningful solutions to overfishing of some shark and tuna populations have been hindered by two significant mysteries: where fishing is happening and where the fish are. In order to help solve these mysteries, the researchers combined ship positions with the ocean habitat preferences obtained from the decade-long tracking program called Tagging of Pacific Predators (TOPP). This program included Pacific bluefin tuna, yellowfin tuna, albacore tuna, white shark, shortfin mako shark, salmon shark and blue shark. With the exception of the salmon shark, all of these species are currently listed as Threatened or Near-Threatened on the IUCN (International Union for Conservation of Nature) Red List of Threatened Species, though some populations are sustainably fished in the northeast Pacific region.

Over the 10 years of the TOPP program, 876 electronic tags were deployed on individual sharks and tunas. Hundreds of individual journeys — each spanning hundreds to thousands of kilometers — showed the researchers which areas of the ocean are preferred habitats for each species.

By integrating the animal, ship and environmental data, the researchers predicted what ocean regions and commercial fishing fleets have the highest overlap.

“The biggest challenge was in combining these very different datasets,” said White. “By adding the latest vessel tracking and machine learning techniques to the toolboxes of marine scientists, we were able to paint a clearer picture of how fish and fisheries interact, and this information can inform how our management strategies should reflect this.”

High seas protection

The United Nations’ high seas treaty discussions, which are ongoing through 2020, are very much on the minds of these researchers. As a window into human-animal interactions on the high seas, they believe their work could help guide which parts of the northeast Pacific Ocean deserve special consideration, what kinds of fishing activities should be addressed and what nations have a major role to play in protecting these waters.

“These analyses have given us the chance to look more deeply into the dynamics of this ocean and see where managers and stakeholders should focus their attention,” said Francesco Ferretti, a research associate at Stanford’s Hopkins Marine Station and co-author of the paper. “We need to push harder to preserve this corner of the planet because these are some of the best ocean environments in the world.”

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Materials provided by Stanford University. Original written by Taylor Kubota. Note: Content may be edited for style and length.

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Review of noise impacts on marine mammals yields new policy recommendations

Marine mammals are particularly sensitive to noise pollution because they rely on sound for so many essential functions, including communication, navigation, finding food, and avoiding predators. An expert panel has now published a comprehensive assessment of the available science on how noise exposure affects hearing in marine mammals, providing scientific recommendations for noise exposure criteria that could have far-reaching regulatory implications.

Published March 12 in Aquatic Mammals, the paper is a major revision of the first such assessment, published in 2007 in the same journal. Both efforts were led by Brandon Southall, a research associate at the Institute of Marine Sciences at UC Santa Cruz and senior scientist at Southall Environmental Associates.

“One of the things we did in 2007 was to identify major gaps in our knowledge, and we now have considerably more data. We thought there was enough new science to reconvene the panel and revisit these issues,” said Southall, who served as director of NOAA’s Ocean Acoustics Program from 2004 to 2009.

Concern about the potential for ocean noise to cause hearing damage or behavioral changes in marine mammals began to mount in the 1990s, focusing initially on activities related to the oil and gas industry. In the early 2000s, the association of sonar with mass strandings of deep-diving whales became another focus of concern. Shipping and construction activities are other important sources of ocean noise pollution.

Loud noises can cause temporary or permanent hearing loss, can mask other sounds, and can disturb animals in various ways. The new paper focuses on direct effects of noise pollution on hearing in marine mammals. Separate papers addressing behavioral effects and the acoustics of different sound sources will be published later this year.

“Noise-induced hearing loss occurs in animals the same way it does in humans. You can have a short-term change in response to exposure to loud noise, and you can also have long-term changes, usually as a result of repeated insults,” said coauthor Colleen Reichmuth, a research scientist who leads the Pinniped Cognition and Sensory Systems Laboratory at UC Santa Cruz.

Because animals vary in their sensitivities to different types and frequencies of sound, the panel categorized marine mammal species into groups based on what was known about their hearing. The new paper includes all living species of marine mammals.

“The diversity of species is such that a one-size-fits-all approach isn’t going to work,” said coauthor Darlene Ketten, a neuro-anatomist with joint appointments at Woods Hole Oceanographic Institute and Boston University’s Hearing Research Center. “We need to understand how to avoid harm, and the aim is to provide guidelines to say, if this or that species is in your area, here’s what you need to avoid.”

Over the past decade, the number of scientific studies on hearing in marine mammals has grown rapidly, enabling the panel to refine and improve its groupings and assessments. Accompanying the paper is a set of appendices compiling all the relevant information for 129 species of marine mammals.

“We did a comprehensive review, species by species, for all living marine mammals,” said Reichmuth, who led the work on the appendices. “We pulled together the available knowledge covering all aspects of hearing, sound sensitivity, anatomy, and sound production. That’s the scientific basis for the species groupings used in the noise exposure criteria.”

“The appendices are a really important resource that does not exist anywhere else,” Southall said. “The 2007 paper was the most impactful single paper I’ve ever published — it’s been cited in the literature more times than all my other papers combined — and I expect this new paper will have a similar impact.”

The 2007 paper covered only those species under the jurisdiction of the National Marine Fisheries Service (NOAA Fisheries). NOAA Fisheries issued U.S. regulatory guidance in 2016 and 2018 based on the 2007 paper and a 2016 Navy technical report by James Finneran, a researcher at the U.S. Navy Marine Mammal Program in San Diego and a coauthor of both papers.

In addition to covering all marine mammals for the first time, the new paper also addresses the effects of both airborne and underwater noise on amphibious species in coastal environments, such as sea lions. According to Southall, publishing the new noise exposure criteria along with a comprehensive synthesis of current knowledge in a peer-reviewed journal is a major step forward.

“There are regulatory agencies around the world that are thirsting for this kind of guidance,” Southall said. “There are still holes where we need more data, but we’ve made some big strides.”

Research on seals, sea lions, and sea otters at the UCSC Pinniped Lab now run by Reichmuth has provided much of the new data on hearing in amphibious marine mammals. Working with trained animals at UCSC’s Long Marine Laboratory, Reichmuth’s team is able to conduct controlled experiments and perform hearing tests similar to those used to study human hearing.

Finneran’s program in San Diego and coauthor Paul Nachtigall’s program at the University of Hawaii have provided much of the data for dolphins and other cetaceans.

But some marine mammals, such as baleen whales and other large whales, simply can’t be held in a controlled environment where researchers could conduct hearing tests. That’s where Ketten’s research comes in. Ketten uses biomedical imaging techniques, including CT and MRI, to study the auditory systems of a wide range of species.

“Modeling an animal’s hearing based on the anatomy of its auditory system is a very well-established technique that can be applied to baleen whales,” Ketten explained. “We also do this modeling for the species that we can test in captivity, and that enables us to hone the models and make sure they’re accurate. There has been a lot of resistance to modeling, but it’s the only way to study hearing in some of the species with the greatest potential for harm from human sounds.”

Southall said he regularly hears from people around the world looking for guidance on regulating noise production by activities ranging from wind farm construction to seismic surveys. “This paper has significant international implications for regulation of noise in the ocean,” he said.

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Gene-editing babies: Call to pause humanity-altering research

Leading scientists call for a temporary ban on research to “re-engineer the human species”.

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Health24.com | Did you wait until middle age to get fit? It could still boost your life span

It’s truly never too late to begin exercising, new research shows.

Even for people who were “couch potatoes” in their youth, embarking on a regimen of regular exercise in middle-age can still greatly cut the odds for death from any cause, a major new study finds.

Midlife not too late

The study tracked the health – and lifetime exercise patterns – of more than 315 000 people who were members of AARP (formerly the American Association of Retired Persons).

The investigators found that folks who’d exercised all their lives had a 36% lower risk of dying during the study period, compared to people who’d never exercised.

But, perhaps surprisingly, people who’d been inactive in youth but decided to get more physical in their 40s and 50s saw almost the same decline – 35 percent – in their odds for an early death.

This suggests “that midlife is not too late to start physical activity,” according to the research team led by Pedro Saint-Maurice of the US National Cancer Institute. “Inactive adults may be encouraged to be more active, whereas young adults who are already active may strive to maintain their activity level as they get older,” the study authors wrote.

What’s more, a midlife start to physical activity seemed to cut the odds of death from the two major killers – heart disease and cancer. The study found that for people who began exercising in their 40s and 50s, rates of death from heart disease fell by 43% compared to people who’d never exercised, and the cancer death rate fell by 16%.

‘Benefits will always be there’

Those declines were similar to those seen in people who’d exercised all their adult lives, the researchers noted.

“This study, once again, portrays the importance of physical activity in relationship to one’s long-term mortality,” said cardiologist Dr Evelina Grayver, who wasn’t involved in the new research.

“Whether or not you start exercising when you are younger or older, the benefits will always be there,” said Grayver, who directs the coronary care unit at North Shore University Hospital in Manhasset, New York.

She did offer up one caveat, however: “This does not mean that starting exercising at a later age, and getting the same mortality benefit, means that one should not exercise in your younger years.”

Grayver said that she still believes that it is “overall continuous cumulative effects of continuous physical activity” that subsequently decreases the odds for an early death.

Indeed, the study authors seemed to agree, stressing that in the study, “participants who maintained the highest amount of [exercise] in each age period were at lower risk” for death from any cause.

Move more, sit less

The researchers also noted that while other research linking exercise to longevity has looked at physical activity at just one point in the life span, theirs is the first to examine the role of “participation in physical activity throughout the different stages of adulthood”.

Dr Sunny Intwala directs sports cardiology at Lenox Hill Hospital in New York City. He noted that current federal government health guidelines “recommend that Americans should move more, sit less and squeeze in at least 150 minutes of moderate-intensity exercise weekly”.

Trouble is, just one in five American adults meets those guidelines, Intwala said. But the new research “demonstrates the crucial relationship between physical activity in the prevention of heart disease and death at any age,” he added.

And you don’t have to start running marathons at 55 to reap the benefit of exercise, Intwala said.

“As I tell my patients that are not keeping up with their New Year’s resolutions to exercise, doing something is better than doing nothing, and doing more is even better than doing something,” he said.

The study findings were published online in JAMA Network Open.

Image credit: iStock

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Health24.com | Bad reaction from a new tattoo? Here’s what to do

The biggest worry a person usually has when they’re getting a tattoo is how it will look. But sometimes, getting inked can lead to something worse than bad body art, an expert warns.

If you suffer skin problems after getting a tattoo, see a dermatologist and alert the tattoo artist, said Dr Marie Leger, a dermatologist in New York City.

Infections can be quite serious

About 10% of people have a complication after a tattoo. Common ones include infections, allergic reactions and worsening of an existing skin condition, such as psoriasis or eczema, according to Leger.

Another potential complication is sarcoidosis, an autoimmune disease that can affect the skin and other organs. The first sign may be bumps at the tattoo site.

Infections are most common within the first few days or weeks of tattooing. They can cause redness and pain around the site of the tattoo (not just on the actual ink), as well as drainage, crusting and pus, Leger said.

“If you experience these symptoms after getting a tattoo, see a doctor right away, because infections can be quite serious,” she said in an American Academy of Dermatology news release.

Infections can be caused by contaminated ink, unsterile application or improper aftercare, Leger explained.

Makes skin cancer harder to detect

Allergies and sarcoidosis may occur months to years later. Signs include itching, bumps, scaling, periodic swelling or the tattoo becoming raised. If you develop these symptoms, see a dermatologist, she advised.

If you do suffer problems, it’s a good idea to notify your tattoo artist, Leger added.

“It is important for artists to know if particular patients are having complications so they can be a part of assessing what’s going on,” she said.

Leger also suggested that people with chronic skin conditions or a history of skin cancer should talk to a dermatologist before getting a tattoo. People with psoriasis should be aware that they may develop a patch of psoriasis on their tattoo, and those with moles should avoid inking over them.

“There’s no strong data that shows tattoos increase your risk of skin cancer, but they can make detection harder,” Leger said.

It is estimated that nearly 40% of people born after 1980 in the United States have tattoos.

Image credit: iStock

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Heart test trial aimed at reducing strokes begins in East Anglia

Scientists hope the study will help reduce premature deaths among people with irregular heartbeats.

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Assaults on mental health staff in Wales halved

A ward manager – who was previously attacked – says staff try to create a rapport with patients.

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Climate change limits forest recovery after wildfires

New University of Montana research suggests climate change makes it increasingly difficult for tree seedlings to regenerate following wildfires in low-elevation forests, which could contribute to abrupt forest loss.

The study, “Wildfires and Climate Change Push Low-elevation Forests Across a Critical Climate Threshold for Tree Regeneration,” was published March 11 in the Proceedings of the National Academy of Sciences and is available online at http://bit.ly/2HeZc8t.

Kimberley Davis, a postdoctoral research associate in the W.A. Franke College of Forestry and Conservation at UM, and her co-authors examined the relationship between annual climate and post-fire regeneration of ponderosa pine and Douglas fir in low-elevation forests of western North America.

“Forests in the western U.S. are increasingly affected by both climate change and wildfires,” said Davis, the study’s lead author. “The ability of forests to recover following wildfire depends on annual climate conditions, because tree seedlings are particularly vulnerable to hot and dry weather. We wanted to identify the specific conditions necessary for post-fire tree regeneration to better understand how climate change has been affecting forests through time.”

The authors used tree rings to determine establishment dates of more than 2,800 trees that regenerated after fires in Arizona, California, Colorado, Idaho, Montana and New Mexico between 1988 and 2015. Annual tree regeneration rates were much lower when seasonal climate conditions, including temperature, humidity and soil moisture, crossed specific threshold values.

Over the past 20 years, climate conditions have crossed these thresholds at the majority of study sites, leading to abrupt declines in how often annual conditions are suitable for tree regeneration. The study results highlight how future fires in similar sites may catalyze transitions from forest to non-forest ecosystems.

“Adult trees can survive in warmer and drier conditions than seedlings, and our study found that some low-elevation areas that are currently forested no longer have climate conditions that are suitable for tree regeneration,” Davis said. “In these areas, high-severity fire may lead to ecosystem transitions from forests to grasslands or shrublands.

“It is important to understand how climate change and wildfires will affect tree regeneration because forests are important economically, ecologically and culturally,” she said. “Ponderosa pine and Douglas fir are two of the most dominant tree species in the western U.S., and they are critical for the regional forestry industry. Forests also contain high levels of biodiversity and provide a variety of ecosystem services, such as carbon sequestration and water regulation and supply. Additionally, people love to recreate in forests, which is an increasingly important part of the economy in western states.”

Other UM co-authors include Solomon Dobrowski, Philip Higuera, Anna Sala and Marco Maneta. Additional co-authors include researchers from the U.S. Forest Service; the University of Colorado, Boulder; and the Aldo Leopold Wilderness Research Institute.

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Materials provided by The University of Montana. Note: Content may be edited for style and length.

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