Engineers create delicate sensor to monitor heart cells with minimal disruption

For the first time, engineers have demonstrated an electronic device to closely monitor beating heart cells without affecting their behavior. A collaboration between the University of Tokyo, Tokyo Women’s Medical University and RIKEN in Japan produced a functional sample of heart cells with a soft nanomesh sensor in direct contact with the tissue. This device could aid study of other cells, organs and medicines. It also paves the way for future embedded medical devices.

Inside each of us beats a life-sustaining heart. Unfortunately, the organ is not always perfect and sometimes goes wrong. One way or another research on the heart is fundamentally important to us all. So when Sunghoon Lee, a researcher in Professor Takao Someya’s group at the University of Tokyo, came up with the idea for an ultrasoft electronic sensor that could monitor functioning cells, his team jumped at the chance to use this sensor to study heart cells, or cardiomyocytes, as they beat.

“When researchers study cardiomyocytes in action they culture them on hard petri dishes and attach rigid sensor probes. These impede the cells’ natural tendency to move as the sample beats, so observations do not reflect reality well,” said Lee. “Our nanomesh sensor frees researchers to study cardiomyocytes and other cell cultures in a way more faithful to how they are in nature. The key is to use the sensor in conjunction with a flexible substrate, or base, for the cells to grow on.”

For this research, collaborators from Tokyo Women’s Medical University supplied a healthy culture of cardiomyocytes derived from human stem cells. The base for the culture was a very soft material called fibrin gel. Lee placed the nanomesh sensor on top of the cell culture in a complex process, which involved removing and adding liquid medium at the proper times. This was important to correctly orient the nanomesh sensor.

“The fine mesh sensor is difficult to place perfectly. This reflects the delicate touch necessary to fabricate it in the first place,” continued Lee. “The polyurethane strands which underlie the entire mesh sensor are 10 times thinner than a human hair. It took a lot of practice and pushed my patience to its limit, but eventually I made some working prototypes.”

To make the sensors, first a process called electro-spinning extrudes ultrafine polyurethane strands into a flat sheet, similar to how some common 3D printers work. This spiderweb like sheet is then coated in parylene, a type of plastic, to strengthen it. The parylene on certain sections of the mesh is removed by a dry etching process with a stencil. Gold is then applied to these areas to make the sensor probes and communication wires. Additional parylene isolates the probes so their signals do not interfere with one another.

With three probes, the sensor reads voltage present at three locations. The readout appears familiar to anyone who’s watched a hospital drama as it’s essentially a cardiogram. Thanks to the multiple probes, researchers can see propagation of signals, which result from and trigger the cells to beat. These signals are known as an action or field potential and are extremely important when assessing the effect of drugs on the heart.

“Drug samples need to get to the cell sample and a solid sensor would either poorly distribute the drug or prevent it reaching the sample altogether. So the porous nature of the nanomesh sensor was intentional and a driving force behind the whole idea,” said Lee. “Whether it’s for drug research, heart monitors or to reduce animal testing, I can’t wait to see this device produced and used in the field. I still get a powerful feeling when I see the close-up images of those golden threads.”

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

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Wireless ‘pacemaker for the brain’ could offer new treatment for neurological disorders

A new neurostimulator developed by engineers at the University of California, Berkeley, can listen to and stimulate electric current in the brain at the same time, potentially delivering fine-tuned treatments to patients with diseases like epilepsy and Parkinson’s.

The device, named the WAND, works like a “pacemaker for the brain,” monitoring the brain’s electrical activity and delivering electrical stimulation if it detects something amiss.

These devices can be extremely effective at preventing debilitating tremors or seizures in patients with a variety of neurological conditions. But the electrical signatures that precede a seizure or tremor can be extremely subtle, and the frequency and strength of electrical stimulation required to prevent them is equally touchy. It can take years of small adjustments by doctors before the devices provide optimal treatment.

WAND, which stands for wireless artifact-free neuromodulation device, is both wireless and autonomous, meaning that once it learns to recognize the signs of tremor or seizure, it can adjust the stimulation parameters on its own to prevent the unwanted movements. And because it is closed-loop — meaning it can stimulate and record simultaneously — it can adjust these parameters in real-time.

“The process of finding the right therapy for a patient is extremely costly and can take years. Significant reduction in both cost and duration can potentially lead to greatly improved outcomes and accessibility,” said Rikky Muller assistant professor of electrical engineering and computer sciences at Berkeley. “We want to enable the device to figure out what is the best way to stimulate for a given patient to give the best outcomes. And you can only do that by listening and recording the neural signatures.”

WAND can record electrical activity over 128 channels, or from 128 points in the brain, compared to eight channels in other closed-loop systems. To demonstrate the device, the team used WAND to recognize and delay specific arm movements in rhesus macaques. The device is described in a study that appeared today (Dec. 31) in Nature Biomedical Engineering.

Ripples in a pond

Simultaneously stimulating and recording electrical signals in the brain is much like trying to see small ripples in a pond while also splashing your feet — the electrical signals from the brain are overwhelmed by the large pulses of electricity delivered by the stimulation.

Currently, deep brain stimulators either stop recording while delivering the electrical stimulation, or record at a different part of the brain from where the stimulation is applied — essentially measuring the small ripples at a different point in the pond from the splashing.

“In order to deliver closed-loop stimulation-based therapies, which is a big goal for people treating Parkinson’s and epilepsy and a variety of neurological disorders, it is very important to both perform neural recordings and stimulation simultaneously, which currently no single commercial device does,” said former UC Berkeley postdoctoral associate Samantha Santacruz, who is now an assistant professor at the University of Texas in Austin.

Researchers at Cortera Neurotechnologies, Inc., led by Rikky Muller, designed the WAND custom integrated circuits that can record the full signal from both the subtle brain waves and the strong electrical pulses. This chip design allows WAND to subtract the signal from the electrical pulses, resulting in a clean signal from the brain waves.

Existing devices are tuned to record signals only from the smaller brain waves and are overwhelmed by the large stimulation pulses, making this type of signal reconstruction impossible.

“Because we can actually stimulate and record in the same brain region, we know exactly what is happening when we are providing a therapy,” Muller said.

In collaboration with the lab of electrical engineering and computer science professor Jan Rabaey, the team built a platform device with wireless and closed-loop computational capabilities that can be programmed for use in a variety of research and clinical applications.

In experiments lead by Santacruz while a postdoc at UC Berkeley, and by and electrical engineering and computer science professor Jose Carmena, subjects were taught to use a joystick to move a cursor to a specific location. After a training period, the WAND device was capable of detecting the neural signatures that arose as the subjects prepared to perform the motion, and then deliver electrical stimulation that delayed the motion.

“While delaying reaction time is something that has been demonstrated before, this is, to our knowledge, the first time that it has been demonstrated in a closed-loop system based on a neurological recording only,” Muller said.

“In the future we aim to incorporate learning into our closed-loop platform to build intelligent devices that can figure out how to best treat you, and remove the doctor from having to constantly intervene in this process,” said Muller said.

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Health24.com | Marathons can tax amateurs’ hearts

While completing a full marathon is a goal for many amateur runners, new research shows a shorter endurance race might put less strain on the heart.

To gauge stress on the heart among 63 amateur runners after they had run either a full marathon, a half marathon or a 10km race, the researchers assessed levels of certain proteins that are tied to heart issues.

Risk of cardiac events

People who ran a full marathon had much higher levels of these proteins than those in the other two groups, according to the study published in the journal Circulation.

However, there was little difference between the three groups in 10-year risk for cardiovascular events – an average of about 3%.

“We typically assume that marathon runners are healthy individuals, without risk factors that might predispose them to a cardiac event during or after a race,” lead investigator Juan Del Coso said in a journal news release.

“But with the growing popularity of long-endurance races, the exponential increase in the number of participants, and the lack of appropriate training in some cohorts of amateur runners, our findings suggest that running shorter endurance races might reduce the strain” on the heart, said Del Coso. He is director of the exercise physiology laboratory at Camilo Jose Cela University, in Madrid, Spain.

The number of people in the study was not large enough to fully assess differences in 10-year cardiovascular risk, but the researchers said they plan to examine this in a larger group of runners.

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Health24.com | Today’s more potent dagga means higher risk of dependence

Pot’s increasing potency could make it more likely that toking will interfere with users’ lives, a new study argues.

Compared to pot of the 1990s, today’s marijuana contains significantly higher levels of THC, the chemical compound that causes intoxication, the research team notes.

Increased addictive potential

This added punch may be associated with an higher risk of cannabis use disorder, researchers from the University of Michigan and Brown University conclude.

They said the THC concentration of pot confiscated by the US Drug Enforcement Agency has increased steadily from 3.5% in 1994 up to 12.3% in 2012.

Meanwhile, average risk of developing cannabis use disorder increased by about 40% with every one percentage point increase in national pot potency, they found.

“It definitely is a signal that potency of cannabis,” said senior author Brian Hicks, an associate professor with the University of Michigan Addiction Center. And there are no laws regarding potency, he added.

States with legal marijuana might want to hone their laws to make THC levels in pot products clearer for consumers, just as alcohol levels are displayed on liquor bottles, the researchers said. Currently, 10 states and Washington, D.C., allow recreational marijuana use and many more states allow medical use.

“We really need to look at the idea of regulating potency levels, and examining how potency relates to things you’d care about, like ability to drive and addiction potential,” Hicks said.

Inability to cut down

“Levels have really gone up the last five years,” particularly in pot products such as edibles and concentrates, he added.

NORML, an advocacy group for marijuana legalisation, took issue with the findings, however.

Some prior studies have suggested that cannabis use disorder rates in the United States are actually declining, not rising, NORML deputy director Paul Armentano said. And he added, “Cannabis lacks the dependence liability associated with many other controlled substances, including those that are legal.”

In the new study, Hicks and his colleagues compared federal statistics on pot potency with data gathered on participants in the Michigan Longitudinal Study. That’s an ongoing research project focused on families at increased risk for substance abuse disorders.

They specifically looked for symptoms related to cannabis use disorder, a condition recognised by the American Psychiatric Association. These symptoms might include an inability to cut down or control cannabis use, failing to meet obligations due to pot use, or using the drug even in physically hazardous situations, Hicks said.

The researchers found that regular pot users who first tried marijuana when national average THC levels held at 4.9% had almost twice the increased risk of developing symptoms of cannabis use disorder within a year.

But those who started regularly using pot when national average THC levels were 12.3% had a 4.8 times higher risk of cannabis use disorder.

Consistent principle

The study is “one of the first to show increased risk of progression to cannabis use disorder with higher potency marijuana,” said Dr Scott Krakower, assistant unit chief of psychiatry with Zucker Hillside Hospital in Glen Oaks, New York.

It’s no surprise that the more potent pot is, the higher the risk that it can lead to problematic use, said Dr Harshal Kirane, director of addiction services at Staten Island University Hospital in New York City. Both New York experts were not involved with the study.

“A consistent principle of the biology underlying addictive behaviour is that the potency of a substance usually correlates with its addictive potential,” Kirane said.

However, at this time the United States doesn’t have the knowledge to accurately set standard THC levels, he continued.

“The actual evidence base for what constitutes a reasonably safe level of THC remains unknown,” Kirane said. “In the same vigour by which we’re pushing these products, we need to fund and support research efforts to adequately characterise the health risks involved in THC use and consumption.”

Hicks agreed that future research needs to focus on practical matters relating to THC levels in pot, much as alcohol research helped policy makers eventually come up with legal blood alcohol levels that indicate inebriation.

Major health consequences

Right now, Kirane said the question, “how do we come to terms with a healthy relationship to cannabis in the same way we continue to struggle with having a healthy relationship with alcohol?” is the bigger conversation for society.

“It’s a legal substance, but it has the potential for major health consequences,” Kirane said.

NORML’s Armentano said pot’s risk for dependence needs to be kept in perspective.

“According to the National Academy of Sciences’ Institute of Medicine, cannabis’ risk of causing dependence is far lower than that of alcohol, opiates, or tobacco,” he said.

“At worst, cannabis’ dependence impacts about one in 10 users – a figure that is on par with anxiolytics [anti-anxiety drugs] such as Valium or Xanax, and is just slightly more prevalent than the percentage of Americans dependent upon caffeine,” Armentano said.

The new study appears in Drug and Alcohol Dependence.

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Health24.com | More green space may mean a healthier heart

Living in a neighbourhood with lots of greenery just might protect your heart.

“Our study shows that living in a neighbourhood dense with trees, bushes and other green vegetation may be good for the health of your heart and blood vessels,” said study author Aruni Bhatnagar, director of the University of Louisville’s Diabetes and Obesity Center.

Lower levels of stress

For the study, Bhatnagar and his colleagues looked at the effect of neighbourhood green space over five years among people who were seen at the University of Louisville’s outpatient cardiology clinic.

Most of the participants were at risk for developing cardiovascular disease. During that time, the researchers collected blood and urine samples from 408 people of varying ages, ethnicities and socioeconomic levels.

They assessed these samples for markers of blood vessel injury and the risk for cardiovascular disease. They also measured the density of the green space and levels of air pollution where the participants lived.

Bhatnagar’s team found that in neighbourhoods with more vegetation, people had lower levels of epinephrine in their urine, which indicates lower levels of stress.

The investigators also found lower levels of F2-isoprostane in the participants’ urine, which indicates less oxidative stress and better health. The study also showed that folks from greener spaces had greater ability to repair blood vessels.

Unrecognised environmental influence

The association with epinephrine was greater among women, people who had not previously had a heart attack, and those not taking beta blockers, which are drugs that reduce blood pressure and the heart’s workload.

The findings were independent of age, sex, ethnicity, smoking habits, economic conditions, use of statins and exposure to roads, the researchers said.

But the study did not prove that greenery caused heart risks to drop; it only observed an association.

The report was published online in the Journal of the American Heart Association.

“Indeed, increasing the amount of vegetation in a neighbourhood may be an unrecognised environmental influence on cardiovascular health and a potentially significant public health intervention,” Bhatnagar said in a journal news release.

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Health24.com | Healthy sleep habits for kids pay off

Good sleep routines can help children get the rest they need, researchers say.

For the new report, investigators reviewed 44 studies from 16 countries in North America, Europe and Asia. The studies included a total nearly 300 000 children, aged four months to 18 years.

Limiting technology use

“Good sleep hygiene gives children the best chances of getting adequate, healthy sleep every day. And healthy sleep is critical in promoting children’s growth and development,” said review leader Wendy Hall. She’s a nursing professor and sleep expert at the University of British Columbia, in Canada.

“Research tells us that kids who don’t get enough sleep on a consistent basis are more likely to have problems at school and develop more slowly than their peers who are getting enough sleep,” she added in a university news release.

“We found good-to-strong endorsement of certain sleep hygiene practices for younger kids and school-age kids: regular bedtimes; reading before bed; having a quiet bedroom; and self-soothing – where you give them opportunities to go to sleep and go back to sleep on their own if they wake up in the middle of the night,” Hall said.

A regular bedtime is also beneficial for older kids, according to the findings published online recently in the journal Paediatric Respiratory Reviews.

The study also revealed the importance of limiting technology use just before bedtime or during the night when kids are supposed to be sleeping.

“One big problem with school-age children is it can take them a long time to get to sleep, so avoiding activities like playing video games or watching exciting movies before bedtime was important,” Hall said.

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Why cheese is no longer my friend

Self-confessed cheese addict Tim Samuels discovered his favourite food needs a health warning.

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The immune system’s fountain of youth

If only we could keep our bodies young, healthy and energetic, even as we attain the wisdom of our years. New research at the Weizmann Institute of Science suggests this dream could be at least partly obtainable in the future. The results of this research, led by Prof. Valery Krizhanovsky and Dr. Yossi Ovadya in the Molecular Cell Biology Department, were recently published in Nature Communications.

The research began with an investigation into the way that the immune system is involved in a crucial activity: clearing away old, senescent cells that spell trouble for the body when they hang around. Senescent cells — not completely dead but suffering loss of function or irreparable damage — have been implicated in diseases of aging by promoting inflammation. The researchers used mice in which a crucial gene for this immune activity was missing. At two years (elderly, for mice), the bodies of these mice had a greater accumulation of senescent cells compared with the mice in which the gene for removing these cells was intact. The mice missing the gene suffered from chronic inflammation, and various functions in their bodies appeared to be diminished. They also looked older — and died earlier — than their normal counterparts.

Next, the researchers gave the mice a drug that inhibits the function of certain proteins that help the aging cells survive in their senescent state, to see if this would contribute to the removal of these cells from the body. The drugs were administered to mice whose aging was a result of the malfunctions the group had uncovered in the immune system as well as those suffering premature aging from a different genetic error. The treated mice responded exceptionally well to the drug: Their blood tests and activity tests showed improvement, and their tissues appeared to be much closer to those of young mice. The scientists counted senescent cells, finding many fewer of them remaining in the treated mice’s bodies; and when they looked for signs of inflammation, they found that this, too, was significantly lower. The mice treated with the drug were more active and their median lifespan rose.

The scientists intend to continue exploring ways to prompt the human body to remove its old senescent cells, particularly to find means of activating the immune system to do this job. That is, if future experimentation proves their theories correct, they could end up creating truly “anti-aging” therapies.

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Materials provided by Weizmann Institute of Science. Note: Content may be edited for style and length.

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Should the NHS pay for transgender fertility treatment?

Some transgender people get free fertility treatment but it’s not the same for everyone who’s transitioning.

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Health24.com | Make nice with rice to boost your diet

If you love rice, you might be wondering how you can make it part of healthy meals. Whether you’re trying to drop pounds or stay at a healthy weight, some adjustments will let you keep it on the menu.

Rice belongs to the grain family. While grains are an important part of your overall diet, standard white rice isn’t a nutritious choice – it’s not a whole grain. What’s more, it’s a food that has 200 calories per cup, so you want to make sure that you maximise nutrients as well as flavour.

Turn rice into a meal

First, opt for brown rice, the whole-grain form, as often as possible. White rice has gone through a process that removes its fibre and many of its nutrients, including protein, iron and some B vitamins.

There are many types – and colours – of whole grain rice to sample, including brown basmati, red rice, purple Thai and Chinese black rice. Popular Wehani rice is a whole grain, reddish-brown American hybrid of basmati and brown rices. Note that wild rice is another tasty choice, though technically it’s not a rice, but rather a semi-aquatic grass. It makes a great medley when mixed with brown rice.

Also experiment with different ways to turn rice into a meal rather than a side dish. For lunch or a cold supper, load a whole-wheat pita pocket with cooked and cooled rice and chopped vegetables and top with a light vinaigrette.

Or try a cold rice salad for a to-go meal. For your protein, add in chunks of turkey, chicken, tofu or nuts, then blend in a handful of dried raisins or cranberries and a sprinkling of seasonings.

You can even get creative and make homemade sushi rolls at home. Use avocado and cucumber if you’re not a fan of raw fish.

Baked with milk, eggs, vanilla, a small amount of sweetener and cinnamon, brown rice can even make a healthy version of rice pudding for dessert or even breakfast.

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